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Home My Public Portal About6263 PRIMROSE AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY -1 "LpL&L%AALLVp CVLJL rjMZLLWZLL- COUNTY OF LOS ANGELES b3- BUILDING WM. 4. FOX. CHIEF ENGINEER FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN DISTRICT NO. PLAN CK.NO. PERMIT No. BUILDING &.2_6 -3; -'f"7 -7-3 — ADDRESS Primrose Ave. 3- 0--f <6o LOCALITY -/I'-, C-14 RECEIVED By DATE OF APPL. DATE ISSUED crST Wendon St. , Temple Cit '0 G ' oslcewr. - BUILDING Pic W-545 LZ 6 OWNER Meeker Land Ccmpany ADDRESS .33 MAIL1236 E. Live Oak Ave. LOCALITY ADDRESS 1 NEAREST CITY Arcadia TEL. DO-7215 DROSS ST. No. FIRE NO.0 Typa--I��l GROUP"' ARUNITECTAR T6 21ONE PLAN 7,1 --1 ENGINEER tip() A."Bissell N&, FL-7 420 -- BLDG I e SETBACK LINE 0 7- ADDRESS APPROVED TEL. DATE CONTRACTOR No. By USE APPROVED DATE ZONE By ADDRESS LEGAL .T CORRECTIONS DESCRIPTION LOT No. 43F=LOCK TRACT 17179 SIZE OF LOT 71+x116 NO.OF 13LDms.noneNOWONLOT USE 13F one NO.OF No.or 6 EXISTING OLDS, nFAMILIES I ROOMS DESCRIPTION OF WORK l7 Ch NEW X ALTERATION �LADDITION r7 C 0 R REPAIR MOVING DEMOLISH s IPT No.or Nr. naw z> 911- - 1187 6 STORIES IZE ROOMS P r WALLROOF 'W.Shgles. COVERING Plaster COVERING USE OF 3UILOING Plan 5—D Garage 18 X 20 HEREBY ACKNOWLEDGE®HAT I HAVE READ THIS APPROVALS I ON,L13 INSPECTOR DATE APPLICATION AND STATE THAT THE ABOVE 12 CORRECT FoUNDATION'LO ATION AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS.MATERIALS d " . .2 • AND STATE LAWS REGULATING BUILDING CONSTRUCTION. r F=E C;NG 3P% SIGNATURE LAN PERMI LATH. INT. •- 10 AUTHO L-ATH, LEXT- 7SAWBA-3 7-49 M5PLASTER.INT. - FEE 01-� I PLASTER.EXT. S . Is"o I VALUATION ti3 6J FEE 3 1,— 1 FINAL APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGEL-kT - BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN .tiUlLtiING�ODRES� I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS _ A _ 2� or a certificate of Workers'Compensation Insurance,or a certified �� /�lea�� • �� copy thereof(Sec.3800,Lab.C.) CITYM C'r ZIPA/ 7?'o LOCALITY Policy No. Company SIZE OF LOT NO.OF SLOG/�S,NOW ON LOT 7 6 11 Certified copy is hereby furnished. NEAREST CROSS ST._ ❑ Certified copy is filed with the county building inspection I�SRACTBLOCK LOT NO. department. USE ZONE MAP NO. � / Date Applicant ASSER MAP BOOK PARCEL � GO.L7 or SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWE TEL NO. COMPENSATION INSURANCE NI Q . d GCS 50 WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDRESS DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars($100)or less.) I certify that in the performance of the work for which this permits�j7 �C j�� ZIP 0 is issued, I shall not employ any person in ann to ARCHITECT OR ENGINEER TEL NO. become subject tome Workers' pen a' STATISTICAL C IFICATION APT CONDO Date °� 7 Applicant DDRESS CLASS NO. DWELL UNITS N071 TO APPLICANT If, after ing this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR ��a TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith lT�� FRONT comply with such provisions or this permit shall be deemed revoked.. ADDRESS LIC.NO. PL LICENSED CONTRACTORS DECLARATION PILE CITY UC.CLASS PL I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO. .S E NO.OF.STORIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. - NEW ❑ BK PG d DESCRIPT NOF WOR ss�� VALUATIONpool. Q License Number Lic.Class /� r- GD � Contractor Date "D_t f �' } ALTER ❑ $/0i ,r • cc o F [< (C/I ew 9f" ifXTaw' 0 ❑ 1 am exempt under Sec. L'.. ` r REPAIR ❑ BAP.C.for this reason C.�/��G✓� (,!!/7��j!/i! DEMOL ❑ LDMA P/C# W Date: USE OF EXI"NG T BLDG. r URM ❑ Ignature AP LI (PRINT STEL NO. r LOMA Perm# I, Be owner of the property, or my employees with wages as l�� r 1$� -1 72 ) Z , y'�U l _-' their sole compensation, will do the work and the structure is ADD SS �. ,y; - C:1-1 intended or offered for sale (Section 7044, Business and �� /�QC �� FINAL DATE Q °• IS Professions Code.) \ Z v (a, G WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL fYN I� J .� ❑ I, as owner of theproperty, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE Y l�� AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors to construct the project (Section 7044, YES❑ NO❑ (�r'' °4 Business and Professions Code.) WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR r GUIDELINES ' s: I hereby affirm that there is a construction lending agency for YES❑ NO❑ T"+Tr•i �• +4 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 1 s I-I M�-- +-�`" ""�"= 59 9 r a 3097,CIV.C.) CHECKLIST 2.CTI UNDERSTAND MY HAPTER 2.20 SECTIONS 2.20.00 THROUGH 20.1UNDER THE 40 CONCERNING HAZAR OUS ANGELES COUNTY S --"64.59 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. T� + Lender's Address C1C�AsNGE �! OWNER OR AGENT o I certify that I have read this application and state under penalty 0 of perjury that the above information is correct.I agree to comply P.C.FEE O PERMIT FEE Q d P O Y 9 PY ��. f+ate. a with all county ordinances a8tates relat• to building I.+I=1= `�=�•=+• �+ +• - construction, and h y thtali Of this County ISSUANCE FEE .�� y„ .,mtoe upon th v do ec'o purposes. (O =' 'j' y ' INVESTIGATION FEE TOTAL FEE �y ° CD �jf �j� (J a A""GCMI> : m. SEE REVERSE FOR EXPLANATORY LANGUAGE