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HomeMy Public PortalAbout6238 PRIMROSE AVE_Building__ #BDa e_64 APPLICATION FOR BUILD) PERMIT COUNTY OF LOS ANGELES BUILDING PBUILDING PARTMENT OF COUNTY ENGINEER ADDRESS J AND SAFETY DIVISION LOCALITY,, . JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS¢UP'T.OF BUILDING CROSS ST. DIST CT N GRO TYPE. PR SS "fB FOR APPLICANT TO FILL IN � CONST. / BUILDING STATISTICALASSIFICATION SEWER MAP_ ADDRESS CLASS NO. DWELL UNITS BKCT PG� LOT NO. JAZ BLOCK USE ZONE MAP `Y v NO. , TRACT /7 C SPECIAL N0. OF SLOGS. y CONDITIONS SIZE OF LOT, �f •J NOW ON LOT I USE OF E STING DG. BLDG. SETBACK FROM TEL. FRONT PROP. LINE OF -� � TREET) OWNER L7 NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ` • HIGHWAY WIDTH M C.L. ADDRESS („ y. 0 15 CITY _ `•- % /` BLDG. SETBACK FROM ARCHITECT ORS TEL. SIDE PROP. LINE OF (STREET) ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY } YARD - TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. C CONTRACT OR (r ^ NOL�� J } _ Q ADDRESS DS'• fi O i�•�7—/4- C% CORNER CUTOFF YES NO O CITY S / CLAS SEE REVERSE SIDE FOR SPECIAL APPROVALS w DtSCRIPTION OF WORK Z NEW /ADP? ALTER REPAIR DEMOLISH / �f SQ;�T. ^1 NO. OF, NO. OF _ SIZE /i5 _.) STORIES FAMILIES USE O F r^ J /l: STRUCTURE rim SIGNATURE OF 0ri,_ APPLICANT VALUATION on ( �" j' ./ APPROVALS DATE INSPECTOR'3SIGNATUR_E P.C. PMT. (J�O FOUNDATION, LOCATION + FEF,�.� FEE$ FORMS,.MATERIALS 'FRAME, FIRE STOPS, Rd I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT �`"A i `,iJ T ..'JE•,r�"�i�a �{fir AND STATE THAT THE ABOVE IS CORRECT'AND AGREE TO COMPLY FURNACE: LOCATIONr�"'�s.�.-+•^•- -1-...��-�- WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS • .� 13UILDINO CONSTRUCTION. 1 CERTIFY THAT. IN DOING THE WORK AUTHORIZED HEREBY 1 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. J' n LATH. EXT. 4hk/d.� _ „„aj�,.�• SIGNATURE OF f //�J / HOUSE NUMBER COR-• F +` PERMITTEE ` r '' ` RiCT AND POSTED s ADDRESS 7 - t Fl NAL /� lbW47-71 JOHN F. LEWIS. PRINCIPAL STR RAL ENGINEER -PLAN CHECK VALIDATION CK. M.G. CASH _ PERMIT VALIDATION CK. M.O. CASH LNUO 94 7 9 Gn MAR 11 1 D 15.00- DEPARTMENT OF BUILDING AND SAFETY Arri.i�s►a avr r�a,rraua a s COUNTY OF LOS ANGELES � ' ® ' WM. J. FOX. CHIEF ENGINEER NG FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PAN CK.NO. PERMIT NO. BUILDING // Primrose Ave. � _�;, ADDRESS C7Z s 6 G LOCALITY C RECEIVED BY DATE OF APPL. DATE ISSUED CROSS ST. Wendon St. Temple C•lty ESTwlg. .51--, " NIB OWNER Meeker Land Company SONDE'SOMAIL ..�Tom+2/1 05 ADDRESS 11236 E. Live Oak ATve. NEAREST r� LOCALITY / J`� CITY Arcadia MO- DO-(2151 CRoss ST. 'j, Z ARCHITEO OR TEL FIRE E P ANS !i �P GROYP�l' ENGINEER b.A.Bissell NO. FL#7 20 B �LOS. � ,/' ORD.NO ADDRESS SETBACK LINE fP t APPROVED CONTRACTOR EL.O. BY DATE USE APPROVED ADDRESS ZONE / BY DATE LEGAL52 003 CORRECTIONS DESCRIPrT�ION� LOT NO. BLOCK TRACT 17179 NO.OF BLOBS. 7 �J �j SIZE OF LOT 5 5x100 I NOW ON LOT none .5 1 , 3 -( / D USE OF none I NO.OF I NO.OF 6 EXISTING BLDG. FAMILIES ROOMS DESCRIPTION OF WORK NEW x ALTERATION ADDITION �3' �+ ! Gill fl O REPAIR MOVING DEMOLISH N-r 7' f-1 Q Y f_- fes, p Sq.FT. NO.OF ��11 Z SIZE 1161 ROOMS 6 STORIES 1 ti11')12 P W c* I!_C B ,?V 50()-rff D WALL ROOF COVERING Plaster I COVERINB W.Shg1eS. �'f p _ c P G r r in r l.'-4 USEOFNEW Residence Y- BUILDING Plan 4-C Garage lg x 20 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION 1 ^ AND STATE AWS R TING BUILDING CONSTRUCTION. FORMS,MATERIALS l !!2 SIGNATURE OF R T n 2IT� By FBRME: FI�BOL'1BS, rl PERMITTE JJAND 1V1 C ,�IjI�, q_,, 1-7 S ATH, INT. �� p1/l AUTHORIZ z LATH, EXT. Ct UP cD!_% ® PLASTER.INT. 76A638A-3 7-49 $ p,L+. t5 — FEE PASTER,EXT. VALUATION C® FEE Sj 0 © FINAL h APPLICATION FOR BWLDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BX Its DQ�tEss14-411 1 hereby affirm that I have a certificate of consent to self insure, BUILDING ADDR _ Of.4,7 or a certificate of Workers'Compensation Insurance,or a certified CIT czIP copy thereof ,Sec.3800,Lab.C.) �3 �U, LOCALITY Policy NO.� T_!;C1�� Company S ZE OF LOT ` NO.OF BLDGS.NOW ON LOT 9-Certified copy is hereby furnished. NEAREST CROSS SV ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. dep ent. _ USE ZONE MAP NO. Date l Applicant // / lTF ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNEl _ TEL NO. COMPENSATION INSURANCEUz cZ s I C. �JE-- L, WITHIN 1000 FT OF SCHOOL? Y No (This section need not be completed if the permit is for one hundred ADDS S s! dollars($100)or less.) DISTRICT GROUP TYP CONST. FIRE ZONE PROCESSED BY '� — L I certify that in the performance of the work for which this permitCITY ZIP is issued, I shall not employ any person in any manner so as to ARC(iITECT+'6R ENGINEER TEL NO. become subject to the-Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADS CLASS NO. DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject t0 the Workers' CON CTOR I , /T;EL NO.M. G SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith TI i Ct>!—/f�+ y1-r hG ! FRONT comply with such provisions or this permit shall be deemed revoked. A DRESS y `� LIG.NO. PL LICENSED CONTRACTORS DECLARATION r l G S o? SIDE PL I hereby affirm that I am licensed underprovisions of Chapter 9 CIT, / of � ^ f uC.CLASS A er SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE Np.-DF STORIES l NO.OF FAMILIESG, Professions Code,and my license is in full force and effect. NEW 11 BK PG a License Numb r. ,* Lic.Class �—' D �I�TION OF ` -ADD ❑ VALUATION/10, - ® V Contractor �; ate �, �C�r C // � � '�' ALTER ❑ $ �� �� f REPAIR 11O ❑ 1 am exempt under Sec. cc $ U B.&P.C.for this reason DEMOL ❑ o`- I " L LDMA P/C# W Date: USE OF EXISTING BLDG. URM ❑ i [L Signature AP IGA PRI T ,,p� TEL NO. �)r LDMA Perm# 1 ❑ I, as owner of the property, or my employees with wages as � d1! _ ` _ �'t �� 0 ACCT.®r their sole compensation, will do the work and the structure is S. > 1 , i! 'r , FINAL DAT f 3,�iJ iQ�rD!O not intended or offered for sale (Section 7044, Business and ;'t' �. YV L If `, // Q i Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL -9//V� �� C. j RT6 u41 m= ❑ OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE 1, as owner of the property, am exclusively contracting 4AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL Y q licensed coo ntractors to construct the project (Section 70444,, Business and Professions Code.) ves 11 No El WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR OUAUTY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES I hereby affirm that there is a construction lending agency for YES❑ NO❑ W the performance of the work for which this permit is issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING N 3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE. TITLE 2,CHAPTER 2 20 SECTIONS 2 20.100 THROUGH 2 20 140 CONCERNING HAZARDOUS Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. o Lender's Address 0 OWNER OR AGENT o I certify that I have read this application and state under penalty of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE / N with all county ordinances and State laws relating to building construction, and hereby authorize representatives of this County ISSUANCE FEE 3� V) o er eclupon the=mentioned property for inspecti rpo es1/ �, INVESTIGATION FEE TOTAL FEE of App'Yinl m/gni DJo f lJ SEE REVERSE FOR EXPLANATORY LANGUAGE