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Home My Public Portal About6033 PRIMROSE AVE_Building__ 76A838A CE#803 2-63APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ADD EISS � 3 At, DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY 7-Ei4in e Cir JOHN A. LAMBIE. COUNTY ENGINEER NEAREST �1 AL WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST. !J DISTRICT NO. GR UP TYPE PROC SSED BY FOR APPLICANT TO FILL IN g CONS7r oLoVI%� BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS 0 33 s i N BK CLASS. NO. DWELL.UNITS L LOT NO. Q� NT BLOCK WATER NOT REQUIRED ® RECEIVED ❑ _ CERTIFICATE: TRACT 10F NO. HIGHWAY'L OQ Js CI CE) STATE MAJOR SECOND, OC1l NO.OF BLDGS. SIZE OF LOT " NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. r TEL. 1�--f 60 OWNER e NO. BUIL ING EXIST. SETBACK YARD HWY STREET NAME WIDTH ADDRESS - FRONT 70 P(LIwCpZpSC 6a ARCHITECT OR TEL. P. ENGINEER NO. SIDE P. L. } ADDRESS D_ TEL. 0 N CONTRACTOR O. ADDRESS I 0ODESCRIPTION OF WORK wNEW ADD ALTER REPAIR DEMOLIZ SQ.FT. NO.OF e NO. OFSIZE STORIES l FAMILIUSE OF STRUCTURE J11 a Y Y SIGNATURE OF o s'I Nfl4// APPLICANT VALUATION $ ..r+ APPROVALS -DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION FEE $ FEE $ ,� Vr FORMS. MATERIALS FRAME: FIRE STOPS, 1 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 COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- .. ING TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT. /1 SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL In-1 �.f/r��G' �'f JOHN F. LEWIS. PRINCIPAL STRLSCTURAL ErIREIT PLAN CHECK VALIDATION CK. M.G. CASH _ PERMIT VALIDATION CK. M.O. , CASH 78A638A CE#803 8-B4 APPLICATION FOR BUILDliqG PERMI COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY ItOiLA1' JOHN A. LAMBIE•. COUNTY ENGINEER NEAREST I COLEMAN W. JENKINS.SUP•T.OF BUILDING CROSS ST. DISURICT NTYPE P BY. FOR•APPLICANT TO FILL IN 1._5O GR CONST. BUILDING STATISTICASIFICATION SEWER MAP ADDRESS CLASS NO: DWELL UNITS BK PG . LOT NO. Iz S�BLOCK US ONE MAP. NO. TRACT SPECIAL NO. OF BLOBS. CONDITIONS SIZE OF LOT NOW ON LOT USE O EXIST,NG B G. / BLDG. SETBACK FROM t L. FRONT PROP. LIOF (STREET) OWNER NE TYPE OF EXISTING SETBACK HIGHWAY + YARD. = TOTAL ADDRESSV% HIGHWAY WIDTH 'FROM C.L. . C) + oR U = CITYjQj BLDG. 9 TBACK FROM ARCH ECT OFY TEL. SIDE PROP. LINE OF (STREET) ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY' + YARD = TOTAL � ADDRESS HIGHWAY WIDTH FROM C.L. d EL + = 0 CONTRACTOR 1 O ADORES 40 Ivy NO Q LIC CORNER CUTOFF YES NO O F- CITY O L10 SEE REVERSE SIDE FOR SPECIAL APPROVALS w DESCRIPTION OF WORK Z NEW ADD ALTER REPAIR DEMOLISH SQ,FT. NO. O NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE CJ. SIGNATURE OF l APPLICANT l VALUATION$ APPROVALS DATINSPECTOR'SSiNNATURE P.C. PMT. . FOUNDATION, LOCATION j FEE$ FEE's F FORMS, MATERIALS FRAME, FIRE STOPS, l 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT i AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION t' 1 WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS RUILDINO CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK AUTHORIZED HEREBY I WI NOT EMPLOY ANY PE ON IN v1oLA• LATH. INT. { n TION OF THE LABOR f.0 OF THE STATE OF'CA I ORNIA RELAT- ING TO WORKMEN'S SATION INSURANCE. LATH. EXT. - y SIGNATURE OF HOUSE NUMBER COR- ( \ \ PERMITTEE RUCT AND POSTED !�- ADDRESS Fl NAL OF db JOHN F. LEWIS. PRINCIPAL STRUCTURAL E PLAN CHECK VALIDATION CK. M.O. CASH PERMIT •VALIDATION CK. M.O. CASH LAUo 9 3 6 2 IQ �AR . � 1 D 8.00, 76A638A CE10803 8-64 APPLICATION FOR BUIL.DI G PERMIT IJ COUNTY OF LOS ANGELES su1LolNc DEPARTMENT OF COUNTY ENGINEER ADDRESS A 4z BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE'. COUNTY ENGINEER NEAREST �•' COLEMAN W. JENKINS.SUP'T.OF BUILDING CROSS ST. �. D151R+CT NO. GROUP ' TYPE. PRO Y F) , APPLICANT TO 'FILL IN S CONS O' STATISTICAL SSIFICATION SEWER MAP CLASS NO. D�WEEL�LnUNITS BK PG/ �}r �� BLOCK USE ZONE NO. 0' TRACT /J SPECIAL N0. OF BLDGS. CONDITIONS SIZE OF LOT NOW ON LOT USE OF ' BLDG. SETBACK FROM TEL. FRONT PROP. LINE OF TREET) OWNER )• O•. TYPE OF EXISTIND' SETBACK HIGHWAY. . YARD = TOTAL ADDRESS GHWAY .WID•H 'F OM C.L. oap Z c) CITY &I ABLDG. SETBACK PROM IN ARC TE T O TE-L. SIDE PROP. LINE OF (STREET) ENO SER NO. TYPE OF I EXISTING SETBACK HIGHWAY + YARD = TOTAL � ADDRESS HIGNWAY WIDTH FROM C.L. p, EL. '1' = 0 CONTRACTOR O ADDRES J)=LocQ CORNER CUTOFF YES NO 0 U CIT -o' LI - 'SEE REVERSE SIDE FOR SPECIAL APPROVALS W DESCRIPTION OF WORK Z NEW ADD ALTER EPAIR DEMOLISH SQ,FT. NO. OF NO. OF SIZE STORIES FAMILIES USEOF STRUCTURE r SIGNATURE OF -11 CANT VALUATION$ APPROVALS DATE INSPECTOR'88 NATURE P.C. PMT. FOUNDATION, LOCATION FEE FEE$ FORMS,.,MATER.IALS FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT T t AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION I WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS'VENT. DUCTS 'BUILDING CONSTRUCTION. 1 CERTIFY THAT. IN NG THE WORK AUTHORIZED HEREBY.I W NOT EMPLOY ANY E ON IN VIOLA- LATH. INT. fi TION OF THE LABOR E OF THE SATE OF A FORNIA RELAT- ING TO WORKMEN'S P SATION SURANC LATH. EXT. _ I SIGNATURE OF HOUSE_ NUMBER COR- PEoRM.ITTEE REr.T AND POSTED /) _ y ADDRESS & F1 NAL r/f �,y gQA,,9'� I JOHN F. LEWIS. PRIACIPAL ST5UCVRAL ENGINEER PLAN CHECK VALIDATION CK. M.G. CASH _ PERMIT VALIDATION CK. M.O. CASH Lt_;o 9 6.2 9 0 MMAR 17 1 D 6.00-- �,fir4.Gl.�it►rt f " V(IORKERS'COMPENSATION DECLARATION ito self nsure Ire repafcert if cote,of Wo keis'-Compensation consent Insurance, A P P L I CAT I N FOR BUILDING PERMIT or a certified cop th e f Sec. t38w, Laob.. C.) COUNTY`/�� COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy Nd r Company /`�•+�-"'' "�—""SAY BUILDING Certified coy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS 6&5 A4w&&c Certified copy is filed with the county building inspec- BUILDING e tion department. ADDRESS 6®�3 t p RI•"'p/]�6 J '+ Date . Sf -Applicant CITY • ZIP 7 LOCALITY r CERTIFICATE OF EXEMPTION FROM WORKERS' ' COMPENSATION INSURANCE SIZE OF LOT ®® P NO.OF BLDGS. NEAREST NOW ON LOT 7. 'CROSS ST. (This section need not be completed if the permit it for oneASSESSOR hundred dollars($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL "ML NO. 8, USE ZONE MAP I certify that in the performance of the work for which this OWNER C i permit is issued, I shall not employ any person in any manner ADDRESS .' SPECIAL so as to become subject to the Workers' mpensation Laws. A !l/�� CONDITIONS Date Applicant CITY •�. • ZIP TEL. f 7 .' NOT CE TO'APPLICANT: If, after makingthis Certificate of ARCHITECT �s DISTRICT GROUP TYPE FIRE PR ED BY ENGINEER ® NO. V CONST. ZONE Exemption, you should become subject to the Workers' 3 Compensation provisions of the Labor Code, you must forth- ADDRESS 6 �.e fes �• y �/'V" 3 `-� with comply with such provisions or this permit shall be EL. STATISTICAL CLASSIFICATION + APT. C DO. g deemed revoked. 'CONTRACTOR NO. 646LICENSED CONTRACTORS DECLARATION LIC. CLASS NO.�=DWELL. UNITS 1 hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business and LIC. SEWER.MAP Professions Code, and my license is.in.full force and effect. CITY CLASS BK. PG. �O / VALIDATION HECK License Number Lic.Class SIZE •ASTORIES AMILLIIES I CONE 4 3 4.5 VALUATION Contractor Date _ DESCRIPTION OF WORK NEW ` $ 7 0 0 0 3 U f ADD U I am exempt under Sec. D �bJN�� ALTER ❑'• 1 3. ° 6 0 0 B.&P.C. for this reason VV T t a D� REPAIR ❑'; $ 0 0 1 Q 0 cs� Date: USE EXISTING BLDG. pp�c�s.� ovS6 DEMOL ❑L. _ Signature APPLICANT ry �� NO.. p p FINAL i 6 OWNER-BUILDER DECLARATION DATE//, 9 4 3.4 6 A I hereby affirm that I am exempt from the Contractor's License e� A' Law for the following reason (Section 7031.5, Business and ADDRESS V -S ' # o o o 0 23 Professions Code): PRESENTBUILDINro E] 1, as owner of the property, or my employees with ADDRESS 1 61 Q 1 0 wages as their sole compensation,will do the work and o 0 61 01 0= the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. Q 01 —$6 I,as owner of the property,am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS 6 2 3.9 A tion 7044, Business and Professions Code). REQUIRED YARD HWY TOTAL SETBACK FRO CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH # 0 0 0 0 0 1 I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. 1 - 72a25 (Sec. 3097, Civ. C.). SIDE P.L. - 721R255 e Lender's Name i LDMA Ref. # 1231 -86 P.C.Fee$ f0 (V Permit Fee • 7� Lender's Address '" r I certify that I have read this application and state that the Issuance Fee .Jv LDMA PTC# above information is correct. I agree to comply with all County ` Investigation Fee ordinances and State laws relating to building construction, Total Fee LDMA.Perm.# and hereby authorize representatives of this County to enter g� upon the above-m tioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signdfure of Applicant or Agent Date WORKERS'COMPENSATION DECLARATION hereby affirm that I have ,certificate of consent to self APPLICATION FORBUILDING PERMIT insure;br a certificate of Workers'Compensation Insurance, ` or a certi�fyie�d copy O 3800, Lai). C.) /, 7 COUNTY OF LOS ANGELES BUILDING AND SAFETY Palic Ndo C Company /`�o Pf/ i�sit!/ icC-r? Certified copy is hereby furnished. FO ADDRESS APPLICANT TO FILL IN SG ADDRESS Certified copy is filed with the county building Inspec- BUILDING tion department. ADDRES . Date _ I Applicant efto— �, _ CITYZIP LOCALITY y CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT 1J NOW ON LOT —2— CROSS ST. L (This section need not be completed if the permit is for oneASSESSOR hundred dollars ($100)or less.) TRACT BLOCK �� LOT NO. MAP BOOK PAGE PARCEL OWNER TEL. US ONE I certify that in the performance of the work for which this NO. 2 NO. y permit is issued, I shall not employ any person in any mannerJ SPECIAL so as to become subject to the Workers' ompensation Laws. ADDRESS 44p2et / .STT CONDITIONS V Date Applicant n CITY ��st CL ZIP / 4 29 NOTICE TO APPLICANT: If, after making this,Certificate of ARCHITECT OR " TEL. DISTRICT GROUP TYPE FIRE PRO ESSED BY Exemption, you should become subject to the Workers' ENGINEER /" NO. ^-t �,�� CONST. ZONE Compensation provisions of the Labor Code, you must forth- ?� �V/ 11111 with comply with such provisions or this permit shall be ADDRESS J deemed revoked. /CONTRACTOR j NO.3�p �33 •.'.STATISTICAL CLASSIFICATION _ APT. rNDO. g LICENSED CONTRACTORS DECLARATION �1 .� f�r LIC. CLASS NO. DWELL UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS _ ,Jld d c l ctJO. CLSLrG1 D� (commencing with Section 7000)of Division 3 of the Business and `- LIC SEWER MAP Professions Code, and my license is in full force and effect. CITYt. C7l1.OtiE CLASS BK L�� VALIDATION p�,,� SQ. FT. NO.OF NO.OF CHECK License Number 16Y/��0Z Lic.Class SIZE � STORIES FAMILIES ONE ,t J / p - VALUATION Contractor LL�� 1�/ &I Date —� DESCRIPTION OF WORK NEW 0 1 am exempt under Sec. � wr/Arp-i— ADD $ ALTER E] B.BP.C. for this reaso IREPAIR ❑' $ ;E 6 2 3,6 A D te: USE OF EXISTING BLDG. DEMOL Signature s ter[ �� /r APPLICANT TEL. FINAL, # OWNER-BUILDER DECLARATION PRINT NO. DATE I a a 6 Q 5 O 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS FINA x aao6a500 Professions Code): •PRESENT By ❑ BUILDING I, as owner of the property, or my employees with ADDRESS 1 231 -86 wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. I, as owner of the property,am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. I (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name LDMA Ref. # Lender's Address ' P.C.Fee$ Permit Fee I certify that I have read this application and state that the Issuance Fee / V" LDMA P/C# oil above information is correct. I agree to comply with all County ry Investigation Fee Q!1 ordinances and State laws relating to building construction, Total Fee S)L/t LDMA Perm. # and hereby authorize representatives of this County to enter upon the ove-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date