HomeMy Public PortalAbout6202 PRIMROSE AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY &%rrLtq.:A L LUM r va rZsLjna a II�
COUNTY OF LOS ANGELES
WM. J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING �+ DISTRICT NO. PLAN CK.NO. PERMIT NO.
ADDRESS [� Primrose Ave. `1 X707/ / 6- 0z.
LOCALITY ! REECE LVED BY DATE OF APPL. /DATE 18SUED
15.
CNEARESTROSS BT. FlahertySto Temple City ` VXF' _:;10 `-^���/
OWNER Meeker Lana Company ADD EISS NG Co �d.q�- a.S�
MAIL
ADDRESS 11236 E. Live Oak Ave. LOCALITY G .
-
CITY Arcadia DO-72151 NEAREST
TEL CROBB ST.
FL-7"20 SPE GROU
ARCNITTEL ZONE PLANS
ENNO.' FL-720GINEEM9ToAaBisSell
•��- �'�
BLDG. _ ORD.NO.
ADDRESS SETBACK LINE /� /���' elt?
APPROVED
CONTRACTOR NO. BY DATE
USE �/ / APPROVED
ADDRESS : ZONE J'�y/ 1 BY DATE
LEGAL 'Q Q CORRECTIONS
DESCRIPTION LOT NO. 59 BLOCK
TRACT 17179
No.OF
SIZE OF LOT 30X110 NOW ON LOTS' none 70
UBE OFnone NO.DF NO.OF 6
EXISTING BLDG. FAMILIEH I ROOMS
DESCRIPTION OF WORK • ��,51 l:t 0 T r-'rA nV
NEW j X ALTERATION ADDITION O
A
REPAIR MOVING DEMOLISH
9q.FT. 1106 NO.OF 6 1 D
SIZE ROOMS STORIES �7 >
COVERING WALLPlaster I CRCOF
OVERING Compo +[fr�I 1i !'�` �}( �C R n( k F I)
B��or Residence i �� SraL)ria fnr nF [-I,LDK
Plan 3-B '►r� � A�l -- Pi12Fa�lC tvl S-r�AD� .NG
Garage 18 X 20 vu t is i n,rY C, P L R C,-
-rr I)D ri 9 6ir-
ruW-1 RF nFj,Zr_D
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION
AND STATE LAWERING BUILDING CONSTRUCTION. FORME.MATERIALS �� 7FRAME: FIRE STOPS, /� rSIGNATURE OFAND C BRACING,BOLTSV letPERMITTEE LATH, INT.
io� a /
AUTHORIZED A
EXT.
7GA63BA-3 7-49 $ 25 3 0-0 P.0.41 PLASTER,INT.
70--0 FEE •6G'
PLASTER,EXT.
VALUATION ep-� fir% G
FEE..s0 ♦ FINAL // `�'6
-
• - AP LI ��1' 0 41' FO ''�1:11L.DING PERrifi[T� .
G I
COUNTY OF LOS ANGELES _ Yyu''
• - �.,,/, � BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS
I hereby affirm that I have a certificate of consent to self insure,. Bu ING ADDRESS
or a certificate of Workers'Compensation Insurance, r a certified d 2'
copy thereof(Sec.3800,Lab.C.) C ZIP
LOCALITY
Policy No. Company SIZE Or LOT NO.OF BLDG&NOW ON LOT
El NEAREST CROSS ST.Certified copy is hereby furnished. � _
❑ Certified copy is filed with?,n building inspection TRACT BLOCK LOT NO. ; USE ZONE MAP NO.department.Date Applicant A$S�SSOR MAP�OOK PAG�`a PARCEL /�/ ����l�Jl��r _ SPECIAL CONDITIONS
CERTIFICATE OF EXF M WORKERS' OWNER NO.
COMPENSATION INSU ANCE WITHIN 1000 FT.OF SCHOOL? YES NO
(This section need not be completed if the permit is for one hundred A15gRESS
DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY
dollars($100)or less.)
C Y fm_ ' Oil/
ZIP
I certify that in the performance of the work for which this permit O
is issued, I shall not employ any person in any manner so as to CHITECT OR ENGINEER TEL NO. O
become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO
Date Applicant ADDRESS R CLASS NO. /� DWELL UNITS
NOTICE' TO APPLICANT If, after making this Certificate 'of, ' REQUIRED TOTAL SETBACK FROM EXIST.
Exemption, you should become subject to the Workers' , CONTRACTOR ,�v g TEL NO, SET BACK YARD HWY PROP LINE WIDTH
Compensation provisions-of the Labor Code, you must forthwith / p IG43 f FRONT
comply with such provisions,or this permit shall.be deemed revoked. A2DRESS1 LIC.NO. P L'
LICENSED CONTRACTORS DECLARATION .A 462 O SIDE
C _.-. LIC.CLAS � P L
I hereby affirm that I am licensed underprovisions of,Chapter 9 SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and . SQ.FT.SI NO.OF STOR NO.OF FAMILIES �'
Professions Code,and myL';ense in full force and a ct. �,4') NEW ❑ BK PG�' 'I D SCRIPTION OF WO iVALUATION ]License NumbeIL
r Lic.Class - 01F ' ADD 0 _ U
Contractor Date �� [J ALTER ❑
GG11 �de REPAIR ❑
❑ I am exempt under Sec. -
BBP.C.for this reason ; DEMOL 11LDMA P/C
Date: USE OF EXISTING BLDG. URM ❑ a•
Signature (l APPLICANT(PRINT) TEL NO. LDMA Perm# " Z
❑ I, as owns of he prof erty, or my employees with wages as z s ",u I .a
their sole cc ensatio , will do the work and the structure is, ADDRESS
FINALDAE �' ,/ —'Iii
not intended or offers for sale (Section 7044, Business and; Q ML•_L
Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL I r
_
❑ 1, as owner of the property, am exclusNel contracting with.: ORA MIXTURE CIED ON H A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE • r D'` .M
Y Y g AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL'Bt—T i 1,s.;.w' > . f, s
licensed contractors to construct the project (Section 7044, ves❑ No❑ r',.-1".
Business and Professions Code.) y _
WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING - ; f C,,'�.-�w ''
OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH '-�' ///''' 33L�L
CONSTRUCTION LENDING AGENCY GUIDELINES.AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR �� , :) t r '
�. It`#.3
1 hereby affirm that there is a construction lending agency for, YES❑ No❑ `` I. f t
a the performance of the work for which this permit is issued(Sec.; I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING ,' TOT"I HL >.a G r_3'�F'
a 3097,Civ.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, CHECK .•
TITLE 2,CHAPTER 2.20 SECTIONS 2.20,100 THROUGH 2.20.140 CONCERNING HAZARDOUS
Lender's Name I MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD.
Lender's Address OWNER OR PAENT CHANGE `1110
o -
o I certify that I have read this application and state under penalty,
of perjury that the above information is correct.I agree to complyP.C.FEE :510 PERMIT FEE t '1 ;
$ with all county ordi ncas and State laws relating to building! / 1001.31 -1-111], �•±` 7* `t
constructio and here authorize representatives of th' County] ISSUANCE FEE (�
to enter up -mentioned property for inspectio ur s. �`� / g 7595 I Prl,l.�'.yR
�� INVESTIGATION FEE
TOTAL FEE
e assent or A,17oaef v
O • -
z,C .4 G���� SEE REVERSE FOR EXPLANATORY LANGUAGE"'
APPLICATION FOR BUILDING PERMIT
I
COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDI DDRE�S
I hereby affirm that I have a certificate Of consent to self insure, BUI ING AD RESS p �G
or a certificate of Workers'Compensation Insurance,or a certified �'�y' IA�4 u G h ,.
copy thereof(Sec.3800,Lab.C.) A /� ZIP 1��Yl LOCALITY
Policy No. Company 1L:�1 SI OF LOT "1 l•ff NO.OF BLDGS.NOW ON LCT
lJ
❑ Certified copy is hereby furnished. NEAREST CROSS Si
E] Certified copy is filed with the county�(building i pection TRACT BLOCK LOT NO.
department.
USE ZONE MAP NO.
Date Applicant ASSESSOR B K PAGE PARCEL
r 0 i0� SPECIAL CONDITIONS
CERTIFICATE OF XEMiN01N
N FROM WORKERS' ER TELNO. YES L� f/NO
COMPE SURAN E WITHIN 1000 FT.OF SCHOOL?
(This section need not be completed if the permit is for one hundredEn
dollars($100)or less.) Gi to DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY
- 1
C ZIP
I certify that in the performance of the work for which this permit TW
is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO.
become subject to the Workers'Compensation Laws. 1
STATISTICAL CLASSIFICATION APT CONDO
Date Applicant ADDRESS CLASS NO. DWELL UNITS
NOTICE TO APPLICANT.• If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you should become subject to the Workers' C R o� TEL NO SET BACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code, you must forthwith
FRONT
comply with such provisions or this permit shall be deemed revoked. 119 PL
C11171f
' / ^��/� � 2 b SIDE
LICENSED CONTRACTORS DECLARATION (, �(T
VC.CLASS PL
I hereby affirm that I am licensed underprovisions of Chapter 9 16 49 SEWER MAP
(commencing with Section 7000)of Division•3 of the Business and SI NO.OF StOblEd NO.OF FAMILIES
Professions Code, d my Ii rise is in full force and fect. I Q NEW ❑ BK PG a
License Number Lic.Class DE RIPTION OF WORT �� ADD VALUATION V
Contractor Date u ALTER ❑ '
El I am a mpt un er S c. REPAIR ❑
B.&P.C.for this reason �CDEMOL [3LDMA P/C#
[ I Cal
W
D USE OF EXISTING BLDG. URM ❑ C'
Signature APPLICANT(PRINT) TEL NO. LDMA Perm# rl.; z
❑ I, as er o he property, r my employees with wages as Z �-
th Sol pensation, will o the work and the structure is ADDRESS O ACC ns
not intended or offered for ale (Section 7044, Business and FINAL DATE a T, 7
Professions Code.) I l� 9 _r 3+-I+-' 65c.1'
WILL THE APPUCANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL
❑
property, am exclusively contracting With OR A MIXTURE CONTAINING A DOUS MATERM EQUAL TO OR GREATER THAN THE 1, as owner of the AMOUNTS SPECIFIED ON ROOUS MATERIALS INFORMATION GUIDE? FINAL BY
licensed contractors to construct the project (Section 7044, VES❑ NC❑ r
Business and Professions Code.) _ �3'i=
WILL THE INTE 3 THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING { .� •
OCCUPANT REO R A IT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH -i_I!jy� n,� d 9.-.° m
CONSTRUCTION LENDING AGENCY COAST AIR QUA NA EMENT DISTRICT(scaQMD)SEE PERMITTING CHECKLIST FOR
GUIDEUNEa ; 67
� {r S'�.3 n'7
I hereby affirm that there is a construction lending agency for i.•I ECK
YES❑ N
a the performance of the work for which this permit is issued(Sec. -
of (HAVE READ DOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING CHANGE ._
CM 3097,CIV.C.) CHECKU NO D MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE,
2,C 20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS
Lender's Name MAT IA3 NG AND FOR OBTAINING A PERMIT FROM THE SCAQMD.
0 Lender's Addressf
I
0 R ENT t,�t IGI_I'i.l�
c I certify that I have read this application and state under penalty f n j+ t
c of perjury tha he above' rmation is correct.I agree to comply P.C. /� PERMIT FEE Q ,,:
d i i 5.:.°I*r
a with all co y ordinan and State laws relating to building
CD constructio authorize representatives of this County ISSUANCE FEE
ato enter property for inspe Ion rpo es. (�• T
m ♦+ GATION FEE TOTAL FEE
SUNIM APPL-M a+A98M
2,d U Z v SEE REVERSE FOR EXPLANATORY LANGUAGE