The URL can be used to link to this page

Home My Public Portal About6029 PRIMROSE AVE_Building__ 76A638ACE #BD34/7APPLICATION F�� BUIL.,®LNG PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING MAKE CHECKS PAYABLE TO: ADDRESS HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. `` 'VL `- Print ort a only) 4—+4]�j DISTRICT GROU�P� TYP T CESSEwBY BUILDING ADDRESS STATISTICAL CLASSIFICATION SEWER MAP LOT j✓ 'Z BLOCK CLASS NO.2'J DWELL.UNITS L BK PG TRACTT USE ZONE�cl MAP �j �0 NO.OF BLDGS. NO. 0 SIZE OF LOT NOW ON LOT �� PECIAL USE OF ONDITIONS EXISTING BLDG. 11Aej r t7 9: EL OWNER 01 � BLDG.SETBACK FROM ADDRESS FRONT PROP.LINE OF (STREET) . TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY HIGHWAY WIDTH FROM C.L. ARCHITECT OR TEL. ENGINEER NO. BLDG.SETBACK FROM ADDRESS SIDE PROP.LINE OF (STREET) 6C.' /� TYPE OF EXISTING SETBACK HI WAY + YARD = TOTAL Ct CONTRACTOR ry ' C `p .TOL ,� -y HIGHWAY WIDTH FROM C.L. C t. ADDRESS NO. J F 6 LIC. CITY A,1 7 CLASS r,X CORNER 61TOFF YES ❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ;. ADDRESS SQ. FT. NO. OF f NO. OF NEW ❑ v °� Z SIZE STORIES / FAMILIES USE OF C, ADD ❑ 2 STRUCTURE h ' ALTER ❑ R ❑ SIGNATOR EPAIR APPLICANT DEMOL VALUATION$ p APPROVALS DATE INSPECTOR'S SIGNATURE PMT. f FOUNDATION: LOCATION FEE$ FEE$ 1� FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE ISCORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. IC THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO WORKMEN'S COMPEN rSURANC E. LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL PLAN CHECK VALIDATION CK. M.o. CASH _ PERMIT V ATION CK. M.O. 6P LIJW 9 4 0 4 w OCT 25 1D 1 2.0 0ca - ,: 76A69qk ,8603 4/72 .. APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DMSION BUILDING MAKE CHECKS PAYABLE TO: ADDRESS HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN NEAREST C / t� Print ort a onl ROSS ST. . 11 BUILDING DISTRICT NO. I GR UP ITYPE �• P OCESSED BY ADDRESS CONS Tr/ _ r STATISTICAL CLASSIFICATION �ly�� SEWER MAP LOT NO. (�rj f✓ / BLOCK CLASS NO.�DWELL.UNITS li BK PG TRACT USE ZONE MA0.P S { NOW ON LOTel 7 NO.OF S ri� i1 SPECIAL ' SIZE OF LOT / .J USE OF CONDITIONS EXISTING BLDG. � tjlgX OWNER TEL. 'der -e ra tJ! f-!r NO. S".2D3 BLDG.SETBACK FROM /2 ADDRESS Q N �b/?7 i4 j�U FRONT PROP.LINE OF d^§/~ (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY jyJ /� `/r HIGHWAY WIDTH FROM C.L. ARCHITECTS J0,-,421 �.✓ - / ENGINEER / t: !/h`� /CS F No. �� + J 'S BLDG.SETBACK FROM n ADDRESS /1-'� Lji '`V� �f SIDE PROP.LINE OF (STREET) C TEL TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL Q CONTRACTOR I (i Vj9 V 9' � NO. 10,3 HIGHWAY WIDTH FROM C.L. Ct / C ADDRESS G` j%f jL1. LOrk A NO + = u ` LIC. n CITY -(jt7) `� jT CLASS CORNER CUTOFF YES ❑ NO s CONSTRUCTION LENDER NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL,, PPROVALS ADDRESSt SQ. FT, NO. OF NO. OF NEW 7S �' e SIZE S06RIES,/J FAMILIES ❑ ',/� r USE OFADD STRUCTURE' t A.; ALTER El 7/7 t- �y REPAIR❑ SIGNATURE OF APPLICANT / DEMOL ❑ t .00 04 VALUATION 5 ' ato 'APPROVALS DA E INSPECTOR'S SIG r P.C. PMT. L? FOUNDATION: LOCATION FEES FEE S FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED +HEREBY I WILL NOT EMPLO`T ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OF THE S TE\OF -CALIFORNIA IN RE TING TO . WORKMEN'S CO SAT �+INSIIRANC LATH, EXT, SIGNATURE ,fir �e HOUSE NUMBER COR- PERMITTEE RECT AND POSTED gofa/,77�� ADDRESS L° FINAL PLAN CHECK VALIDATION cK. M.O. CASH _ PERMIT VALIDA IO:101 0 M.O. CASH LJ-u.o 5 2- OCT 10 2 3 D 2 2 .7 4 L,4LUO ^ 80, 1 NIOV24 1 D 369.50N cv ,:76AB3@a• U£•#B03 1/71 //��! L` 17/ r APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDINGa ADDRESS COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST BY �•/, Print ort onl CROSS ST. W r ABUILDINGDDRESS �/U I DISICT_p�0. GROUP CONST.T PE PROCESS STATISTICAL CLASSIFICATION SEWER MAP LOT.NO. BLOCK ' CLASS NO. DWELL•UNITS BK PG TRACT USE ZONE MAP , �i ,r NO.OF BLDGS. NO. SIZE OF LOT `S i,� NOW ON LOT / SPECIAL USE OF CONDITIONS EXISTING BLDG. OWNER aaw TEL /.p` .- BLDG.SETBACK FROM ADDRESS -lfAlv I FRONT PROP.LINE OF i (STREET) TYPE OF EXISTING SETBACK , 1G13WAY + YARD = TOTAL CITY HIGHWAY WIDTH FROM C.L. ARCHITECT OR TEL. + ENGINEER NO. BLOG.SETBAqKFROM ADDRESS SIDE PROP. NE OF (STREET) TEL. TYPE OF (STING SETBACK HIGHWAY + YARD = TOTAL E CONTRACTOR 4 NO. HIGHW WIDTH FROM C.L. CC..' ADDRESS NO + - C 'CITY CLASS CORNER CUTOFF YES ❑ NO 4 CONSTRUCTION LENDER ❑ D NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS E ADDRESS SQ. FT. NO. OF NO, OF NEW SIZE S;rORIES FAMILI USE OF ADD ❑ STRUCTURE ALTER ❑ �C REPAIR❑ SIGNATURE OF APPLICANT DEMOL ❑ VALUATIONS / APPROVALS DATE INSPECTOR'S SIGNATURE P.CFEE$ FEE$ I,�1 rOFORMS I MATERIIALSON FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. IC THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OF THE S TE OF 'CALIFORNIA IN R ATING TO WORKMEN'S COM NSAT•I tiNSURANCE LATH, EXT, SIGNATURE O . HOUSE NUMBER COR- PERMITTEE V RECT AND POSTED ADDRESS �� 4 FINAL- JOHN INAL JOHN F. LEWIS. PRINCIPAL STRLL allRAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH LAW 0 8 9 2 NOV 24 d 21.75- G v o� //;`4i0�.E 76A638A CE +1803 4/72 APPLICATION FOR BUILDING PERMIT � COUNTY OF LOS ANGELES nsSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING A ®S MAKE CHECKS PAYABLE TO: ADDRESS A ff HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY /c (! -7- FOR APPLICANT TO FILL IN NEARESTor _ Print ort a only) CROSS ST. �d (,� � •^ BUILDING DISTR T NO.• G OUP TYPE OCESSED BY ADDRESS d� C OS CONST. 1 STATISTICAL SS FICA TION SEWER MAP LOT NO. �( Z BLOCK CLASS NO. DWELL.UNITS BK PG TRACT j USE ZONE MAP tNO.OF SLOGS. /J NO. ' SIZE OF LOT /G S p NOW ON LOT rA �Q SPECIAL USE OF � CONDITIONS NG BLDG. fn& EXISTING Q � 1 OWNER E i TEL. r�. /-rya NO. _ BLDG.SETBACK FROM ADDRESS (�I�Q M• �m A +11 U c FRONT PROP.LINE OF c?-5� (STREET) • TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY Q ff� i C41 I HIGHWAY WIDTH FROM C.L. ARCHTECJ ENG NIEERT • n It 17.41 OL. OE + 3 = 17 D BLD SETBACK FROM p ADDRESS j - A .7— o A& SIDE PROP.LINE OF (STREET) � ,)At)ETEL TYPE OES TIG ROCLHIGHWAY + YARD TOTAL CONTRACTOR 1 HIGHWAY C.L. C ADDRESS ry- 1-0 M NO. + u LIC, p co CITY7-ioggif p CLASS CORNER CUTOFF ❑ O CONSTRUCTION LENDER i4Ir NAME AND BRANCH SEE REVERSE SIDE Fo PECI PPROVALS ADDRESS SQ. FT. 0 ur �STORIES FAMILIES NEW � � � C SIZE 'V C/ ' USE OFF Ild STRUCTURE v V ALTER ❑ / 40 jvr— REPAIR❑. SIGNATURE O PPLICANT F� -Y - DEMbL ❑ VALUATION$ A L$ D TE IN o(i'S SIGNATURE P.C. a q`� PMT. a (� FOUNDA LOCA FEE S I'! FEES �rCJ�7� FORMS, TERIALS FRAME: FIR STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OF THE STATE OF •CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH � s 1.5 3 OCT 1 09 3. 0 17 10 A °sr WORKERS' COMPENSATION DECLARATIONI hereI I have a certificate of consent to se insure, oraffirm a certif carte of Workers' Compensation Insuran elf APPLICATION FOR BUILDING P E RM I T or a certified copy th reof (Sec. 3800, Lab. __ ,,ggVV N COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company— � ❑ Certified co is hereb furnished. FOR APPLICANT TO FILL IN BUILDING r_ PY Y ? ADDRESS CPO ko oS -3_, Certified copy is filed with the county building inspec- BUILDING 1 O r h�S`� tion department. ADDRESS C1� �'/ r� '. Date Applicant CITY �J ZIP 1 '��l_J LOCALITY NO.OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT ':.CROSS S7. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) TEL• of t OWNER �U S S O NO. Ot% : USE ZONE OP I certify that in he performance of the work for which this SPECIAL } permit is issued, shall not employ any person in any manner ADDRESS Y`� CONDITIONS a- so as to become s bject to the Workers'Compensation Laws. O CIN ZIP U Date pplicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY NOTICE TO APPLICAN • If, after making this Certificate of ENGINEER NO. CONST. ZONE Exemption, you shout become subject to the Workers' U Compensation provisions f the Labor Code, you must forth- ' ADDRESS D(� �'3 aw. with comply with such p visions or this permit shall be -Z. -A TEL• _(� STATISTICAL CLASSIFICATION APT. CONDO. (Zn deemed revoked. CONTRA R NO. LICENSED CONTRA ORS DECLARATION 1 C)og LIC. CLASS NO. DWELL. UNITS — LIC. hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS l NO.LIC. SEWER MAP (commencing with Section 7000)of Division 3 of the Business q and Professions Code,and m license is in full force and effect. CITY CLASS ` BK. PG. VALIDATION 77 SQ. FT. NO. OF NO. OF CHECK License Number_Mw v Lic. Class "'W SIZE STORIES FAMILIES ONE �W C�O1ry DESCRIPTION OF WORK NEW ❑ VALUATION Contractor Date 2— ❑I am exempt under Sec. ADD ❑ , �^ 17 ALTER ❑ ' BAP.C. for this reason .7UQrL REPAIR $ Date: USE OFv EXISTING BLDG. thintiV DEMOL ❑ Signature APPLICANT W cov v- TEL. rJl FINAL J p OWNER-BUILDER DECLARATION PRINT N�gS-� `al! ;; rDATE 4 I hereby off irm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS FINAL Professions Code): PRESENT By BUILDING &7)� ❑ I, as owner of the property, or myemployees with ?ADDRESS ;} 0-; ,•sc wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section HLOCALITY 330-1 7044, Business and Professions Code.) MOVING TEL. ❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. 1. , t CMTS with licensed contractors to construct the project (Sec- ADDRESSi C1 s A 9L_1k e a�J 35tion 7044, Business and Professions Code..) CONSTRUCTION LENDING AGENCY SETQBACK YARD HWY TOTALSETBACK WIDTH E-BECK •'=�� I hereby affirm that there is a construction lending agency for FRONT r•1�• AN!G _ the performance of the work for which this permit is issued P.L. v �=�tl. otl� (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name T y ` ¢ I1I�Ejj_;-!- - P.C. Fee$ Permit Fee O�•�3 LDMA`Ref. # ` Lender's Address ®-� �'6'90 I certify that I have read this application and state that the Issuance Fee �� } 'LDMA P/C# above information is correct.I agree to comply with all County Investigation Fee may' ordinances and State laws relating to building construction, Total Fee /�3' LDMA Perm. # and hereby authorize re entatives of this County to enter =ave- ntion diropertyerty for inspection purposes. ISEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent —Date `1-