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Home My Public Portal About6216 PRIMROSE AVE_Building__ CITY 79ANSA CE has,,-91 APPLICATION FOR BUILDING PERMIT �• COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS t BU=ING AND SAFETY DIWSION LOCALS JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN SUPT OF BUILDING CROSS S DISTRICT NO. OUP I TYP P OCESSED BY FOR APPLICANT TO FILL IN V , O O CONST. BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS G I(/O. �iP) SE A•v!e• �� CLASS.NO._i�DWELL.UNITS 3.Z, r LOT NO. BLOCK WATER NOT REQUIRED RECEIVED ' CERTIFICATE: j TRACT MAP�'� HIGHWAY STATE MAJOR SECOND, LOCAL' NQ.OF BLDGS., NO.�' (CIRCLE) SIZE OF LOT.��S X /.d(J I NOW ON LOT USE ZONE SPECIAL \ USE OF . f, CONDITIONS EXISTING BLDG. Pec/ eI7e -/ OWNER , fJ6 '\ BUILDING EXIST. f YARD HWY STREET NAME ADDRESS 1,114 Ab, SETBACK WIDTH' �iP'//�/I��S� -'7'� • � FRONT ARCHITECT OR TEL. P.L.' ENGINEER NO.• $IDE P:L. ADDRESS TEL. INSPECTION RECORD a ' CONTRACTOR, NO.- / ADDRESS, 09 DESCRIPTION OF WORKuj "�� O ------------- ��•., R \ NEW ADD•If. I •ALTER"' , REPAIR DEMOLISH r'/f `�/ / �`� ta/� .SQ.FT. 'NO:OF NO.OF IZE STORIES FAMILIES � � �r / t i �+ /� �� t� •p , USE OF- STRUCTURE F•ST UCTURE / /C ��!' r•y SIGNA RE OF u. 1.(�/"� -P-t C.r., l '��( F e' I�IO APPL CANS" VALUATION$�� _6 101 I APPROVALS DATE INSPE&OR'S SIGNATURE FOUNDATION:LOCATION /� r FEE I FEE $ FORMS,MATERIALS FRAME:FIRE STOPS, I HERESY•ACKNOWLEDGE THAT'1 HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT`AND AGREE TO COMPLY FURNACE:LOCATION, l./V WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT.,DUCTS 1 �• BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK f AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- , LATH,INT. I/ I / �,7�.• /uJ TION OF THE LABOR CODE OF THE STATE CALIFORNIA RELAT- t / , ANG TO WORKMEN'S C PENS TION 1 SU CE. . I.I �ryl��r11�.✓>• , LATH,EXT. SIGNATURE OF HOUSE NUMBER COR- 1 } / PERMITTEE r RECT AND POSTED �l � RF /� L.�lj.T / / •1 ADDRESS FINAL I t( ( ,f..t�u/�•t Primo / CLYDE N. DIRLAM, RIIVCI Ar TR TUBAL ENGINEER AN PL 'CDCs VALIDATION CK. M.O. CASH PERMT V ATION M.O. CASH Lfbo 9.'5 2 1 JlJl. 3 1 D 1'2.0 DEFAATMSNT OF BUILDING AND SAFETY Sluts rzssmai COUNTY OF LOS ANGELES 1 ® 1 WM. J. FOX.'CHIEF ENGINEER NOG FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING // DISTRICT NO. PLAN CK.NO. PERMIT NO. ADDRESS 6 -,71 1-v Primrose Ave. (!5-- 37/;ff/-3 _57-66-3b-3 LOCALITY �i ♦ RECEIVED BY DATE OFAPPL. DATE ISSUED Roe . Flaherty St. Temple City 6 7-Cl 6r?-dam DWNER Meeker Land Company ADD EISS AMAIL DDRESS 11236 Eo Live Oak Ave. LOCALITY. • C. 1NEAREST Arcadia TEL. DO— Cy2O669T. CITY No. p� FIRE NO.OF TYP GROUP 7 ENGIARCHNEERT O o A.Bis s&ll No FL-74420 ZONE PLANS--,?_ ,!✓ SLDG. �j r s O ADDRESS SETBACK LINE (ifJ ' APPROVED BY DATE CONTRACTOR NO. USE APPROVED ADDRES§ ZONE BY DATE LEGL 5 -3 CORRECTIONS DESCRIPATION LOT NO. BLOCK TRAOT 17179 No.Or SIZE OF LOT 5 5x100 I NOW ON LOTS' none l ' 3 7,0 KO USE OF none NO.OF NO.OF 6 EXISTING BLDG. FAMILIES ROOMS DESCRIPTION OF WORK ( n NEW x ALTERATION ADDITION I•il'�� t'-i�In f) IA/I Q {Ivr O REPAIR d MOVING DEMOLISH 2 S11.ZE T' 1110 ROOMS 6 STORIES 1NO. r COVERING Plaster I COWALL VERING W•Shgles. BU Loi 13 Residence Plan. 1-D Gar. ge lg x 20 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IN CORRECT FOUNDATION. LOCATION IN P TOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS >< AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, V SIGNATURE OFLARTT\ �A7v BRACING,BOLTS PERMITTE 11YY11JJ 1V1 .,J T. _ I TH, INT. AUTHORIZ A v o YJ_A IV, 1 LATH, EXT. `"`�I I 7SAS38A-3 7-49 is 94-4am P® PLASTER,INT. 7" FEE � PLASTER.EXT. R ` VALUATION '0910 ,90 FEE vFINAL APPLICATION FOR BUILDING PERMIT *a COUNTY OF LOS ANGELES "`' ' 0 ` BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS/ l t I hereby affirm that I have a certificate of consent to self insure, B ILDIN DD S r /1 O or a certificate of Workers'Compensation Insurance,or a certified ir�r pJN copy thereof Sec.3800,Lab.C,L CITY // zlgy� Policy No. �? L 6 !S Company Ti9 P "✓ / D LOCALITY -�^ 1 SIZE OF LOT NO.OF BLDGS.NO ON LOT !/ ❑ Certified copy is hereby furnished. I NEAREST CROSS ST. Certified copy is filed with the coun r building inspection TRACT BLOCK LOT NO. USE ZONE MAP NO. department. rr.. Date �~—� Applicants (� � ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' NER EL NO. COMPENSATION INSURANCE r 40 6 6'Z WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred DDRESS �n dollars($100)or less.) � 7`d DISTRICT GROUP T E CONST. FIRE ZONE PROCESSED(3Y I certify that in the performance of the work for which this permit IT; ZIP U �D,Q is issued, I shall not employ any person in any manner so as to U ✓ L/sem become subject to the Workers'Compensation Laws. A CHITECT Ofl ENGINEER TEL NO. STATISTICAL CLASSIFICATION APi CONDO Date Applicant ADDRESS CLASS NO. -A I DWELL UNITS N077CE TO APPLICANT If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CO TR CTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH thwith Compensation provisions of the Labor Code, you must for (P(('vYL .3� FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS CLIC..NO. / FF L } 1 �,SL A't -,d 0✓/L A L-/ / � L� SIDE 11 LICENSED CONTRACTORS DECLARATIONC CIT LIC.CLASS PL I hereby affirm that I am licensed underprovisions of Chapter 9 6I- ,`-✓►4 4 C SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORIES NO.OF FAMILIES O: Professions Code,and my license is in full force an effect. NEW ❑ BK PG C License Number C Lic.Clara DESCRIPTION OF WORK J ADD ❑ VALUATION e�J , L d r (� f �' 4 E't - C��—� Lr Contractor � IN✓Es7/Lispate — _ ! JALTER ❑ a Cr C- /Zt/0 f— ° 7Z ❑ 1 am exempt under Sec. REPAIR tfr�l $ B.BP.C.for this reason DEMOL ❑ LDMA P/C# Date: USE OF EXISTING BLDG. URM ❑ Signature 3303 158°$ APPy41C-A,N (PRINT) TEL NO. LDMA Perm# -. ❑ I, as owner of the property, or my employees with wages as W41 ��n i/�<<`J 1 'I ! Z ITEMS their sole compensation, will do the work and the structure is AD S / a T�I�F� ��,o ar not intended or offered for sale (Section 7044, Business and �G .r.s� �K e7,r FINAL DATE n e0 �� 350 Professions Code.) s/, O (��ySH 158.8•: WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL `�' ..J r ❑ 1, as owner of the property, am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE Q !I AMOUNTS SPECIFIED ON HE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY y CHANGE e licensed contractors to construct the project (Section 7044, YES 11 No 11 Business and Professions Code.) WILL HE INTENDED USE OF THE BUIDUNG BY HE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM HE SOUTH r1�T�T ��y L / [�/p CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR QUULI-0001 `i'/ 7/7 GUIDELINES I hereby affirm that there is a construction lending agency for YES 11NO❑ 5791 1 AM 10:°38 the performance of the work for which this permit Is Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 3097,Civ.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERM T FROM HEOSCAOMD.G HAZARDOUS Lender's Address OWNER OR AGENT I certify that I have read this application and state under penalty c of perjury that the above information is correct.I agree to comply PC.FEE PERMIT FEE with all co rdinanceS and State laws relating to building J ED tr d hereby a 1 thorize representatives of this County ISSUANCE FEE ✓J/� gto nt n the abo me tied roperty for inspection�wrZ!ses. J{ / a C s l INVESTIGATION FEE TOTAL FEE � QL CJ [jWW—m AMftM a AWO i O J SEE REVERSE FOR EXPLANATORY LANGUAGE WORKERS' COMPENSATION DECLARATION hereby affirm that 1 have certificate.of consent to self APPLICATION P P L I CATION F®R �U I L®I N G P E RM I T insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company ElBUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS �� ❑ Certified copy is filed with the county building inspec- F�RDDRE tion department. Date Applicant ZIP 17 O LOCALITY O.OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' OW ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one BLOCK LOT NO. MAPBOOK PAGE PARCEL hundred dollars ($100)or less.) TEL. USE ZONE MAP NO• NOI certify that in the performance of the work for which this • SPECIAL vD/ apermit is issued, I shall not employ any person in any manner � CONDITIONS O so as to become subject to the Workers'Compensation Laws. U ZIP / Date —v Applicant Z2k&4n ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY O NOTICE TO APPLICANT: If, after maki this Cert ' ate o ENGINEER NO. Exemption, you should become subject to the Workers' CONST. Z�IE w Compensation provisions of the Labor Code, you must forth- ADDRESS a with comply with such provisions or this permit shall be TEL STATISTICAL CLASSIFICATION APT. CONDO. N p Z deemed revoked. CONTRACTOR /� NO. T p LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS --A � NO. SEWER MAP (commencing with Section 7000)of Division 3 of the Business LIC. and Professions Code,and my license is in full force and effect. CITY CLASS BK PG VALIDATION License Number«L1 Z SQ. FT. STONO.RIES OF FA OF CHECK Lic. Class SIZE STORIES FAMILIES ONE ejV 6 C) DESCRIPTION OF WORK ' NEW ❑ VALUATION Bim) Contractor ate i $ ❑I am exempt under Sec. Q(J 7 1Z ADD ❑ , • ALTER B.BP.C. for this reason 3X3 REPAIR ❑ $ Date: USE OF EXISTING BLDG. DEMOL ❑ Signature APPLICANT TEL. (PRINT) NO FINAL 1 OWNER ILDER DECLARAT DATE ,a I hereby affirm that I a exempt from th ntractor's License ACCT o Q Law for the following reason (Section 31.5, Business and ADDRESS + FINAL 70-80Professions Code): PRESENT By 390.31 ❑ I, as owner of the property, or m employees with BUILDING �/a 61'L� Y3S P P Y. YADDRESS � 1 ITEMS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY TOTAL -7D s 4-30 7044, Business and Professions Code.) MOVING TEL.❑ ��E �'1,as owner of the property,am exclusively contracting CONTRACTOR NO. 70.80 with licensed contractors to construct the project (Sec- ADDRESS CHANGE .00 tion 7044, Business and Professions Code.) REQUIRED TOTAL SETBACK FROM EXIST. 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. 0000-0001 6/20/96 (Sec. 3097, Civ. C.). SIDE 7043 1 �' 5"-11 Lender's Name 3 LDMA Ref. # P.C. Fee$ Permit Fee Lender's Address I certify that I have read this application and state that the + Issuance Fee C;? . LDMA P/C# 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 Jim upoq.jbe above-mentioned proper y for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Sigrigitife of Applicant or nt Date T