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Home My Public Portal About6278 PRIMROSE AVE_Building__ A ROAD DEPT. PERMIT IS REQUIRED FOR-ANY MATERIAL STCRAGE OR WORK DONE IN THE ROAD RIGHT OF WAY. �ewesaAceiaoaeea APPLICATION FOR BUILDING PERMIT �. COUNTY OF LOS ANGELES ADDRESS ILu DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION LOCALITY C JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPE ROCESSED Y FOR APPLICANT TO FILL IN `5— coNST BUILDING/. oSZr �r ��^ STATISTICAL CL 1FICATION SEWER IWAP ADDRESS &P !e/e]C u CLASS.NO.�DWELL.UNITS�_I BK PG [TRACT OT NO. /V7017 BLOCK NUMAPMBER n 3 • TAT YES NO 1 7 I 9 USE ZONE SPECIAL tt NO.OF BLDGS. CONDITIONS SIZE OF LOT (e�. jV I NOW ON LOT �� USE OF LTJ EXISTING BLDG. IL A'%5'"DZ'A✓7 •f9A+P196F BUILDING YARD HWY STREET NAME EXIST. �1 - ` SETBACK WIDTH OWNER �'MAIL / ,.,ne'' 1'0 FROP. NT ADDRESS 4071 /�I,'.�vSF 46/0 SIDE ti P.L. ' CITY E /E C1/ N I robINSPECTION RECORD ARCHITECT OR TEL. ENGINEER NO. ADDRESS d1 4 CONTRACTO�/�} pS T pCf 7' " ADDRESS >9 4 ,• 7� , �- DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH //��! SQ. FT. - NO. OF NO. OF // 1'l� S (JK' F 63fld1( SIZE STORIES FAMILIES USE OF --F STRUCTURE � SIGNATURE O APPLICANT 97 APPROVALS DATE INSPECTOR'S SIGNATURE ADDRESS Ile S x",11 . UVAX (4i"'k FOUNDATION:LOCATION /�j /U ((% altdo FORMS,MATERIALS U (o VALUATIONS FRAME:FIRE STOPS, �7� y�� I BRACING,BOLTS F!r�/J.;-f PC. PMT. FURNACE:LOCATION, FE. 'E 5 FEE S el- DO GAS VENT,DUCTS � I 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT. l l PLICATION AND STATE THAT THE ABOVE IS CORRECT AND J AGREE TO COMPLY WITH ALL COUNZT RDINANCES AND LATH,EXT. STATE LA S TING BE CONSTRUCTION. SIGNATOR HOUSE NUMBER COR- PERMIT' �-� RECT AND POSTED ADDRES � v' ~ FINAL ��v P� ,''? CLYDE N. DIRLAM, PRINCIPAL ST rGENRAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH �,.r,�o 3 9 1c,03 j J,y ' 5 1 A 5.0 U r, Q OF �� 'V DEPARTMENT OF BUILDING AND SAFETY j AYl'LaLIUA lLUn rULL rr&AMLL COUNTY OF LOS ANGELES ILDIN WM. J. FOX. CHIEF ENGINEER BUG FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN DISTRICT No.. —PLAN CK.NO. PERMIT NO. BUILDING -7g Primrose Ave. 3707 ADDRESS, / LOCALITY -T/, C- RECEIVED BY DATE OF ADPL. DATE ISSUED Lo Re g''aT, Longden Ave. , Temple City HU'LD'4137 OWNER Meeker Land Company ADDRESS :Zg' MAIL11236 E. Live Oak Ave. LOCALITY ADDRESS mEAPEat CITY. Arcadia TEL- DO-172151 d Roas ST. NO. FIRE NO.0 TYPE GROUP A113"'NIT T ZONE PLAN -7, — -r EN8,m ea.A.Bissell TNEk FL-! 20 BLDG. ORD.NO. LINE AODRESS APPROVED TEL. By DATE CONTRACTOR NO. USE APPROVED DATE ATE ADDRES§ LEGAL CORRECTIONS DESCRIPTION I LOT ND. /+7 BLOCK TRACT 17179 - NO.OF BLDG8- none -7 SIZE DFLOT 61x88 HOW ON LOTS' UNO. Noor 6 USE TIOFNG L.G. none WLAMES I ROOMS ' DESCRIPTION OF WORK NEW X1 ALTERATION ADDITION REPAIR MOVING DEMOLISH /yay' So.FT. 1106 No .OF 6 Z > -SIZE . RDOMS STORIES. r WALL ROOF COVERING Plaster1111 W.Shgles COVERING USE t3rNEW Residence C d 1�1 X17 BUILDING Plan 3-A Garage 18 x 20 AA V�F�j Q�lb p 1-"�K HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS INSPECTOR OR APPLICATION AND STATE THAT THE ABOVE 18 CORRECT FOUNDATION Lt,)Ciylc3N- MS.MATERIALS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOR .A AND STATE LAWS RWPtfj6ATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS. BRACING,BOLTS SIGNATUREOF LAND 1, LAND " 11 of- 6 491W PERMITTE LATH, INTCif - AUTHORIZED A LATH, EXT- 7GA63BA-2 7-49 3 PLASTER,INT. FEE PLASTER.EXT. VALUATION FEE':5 4;'Jet FINAL r-d-z"l f CVO KERS'thaCOMPENSATION DECLARATI%�.- s insure, arI herea�cei if carte of Wo ke s'tCompensat onve a cerificate of InsuranceIf _ AP P L I CAT I OIlI"� ®R U I L D C� PEItM I T or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. I Company ❑ Certified co is hereby furnished. FOR APPLICANT TO FILL IN BUILDING /meq - �•M T r� PY Y ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS L Dare Applicant CITY 6m ZIP / LOCALITY E 1E_ Imo~ NO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR �t /� (This section need not be completed if the permit is for one TRACT —71BLOCK LOT NO. MAP BOOK PAGE a PARCEL Ql� hundred dollar ($100)or less.) TEL' USE ZONE P /� /� / �✓ OWNER NO MAP I certify that in the performance of the work for which this SPECIAL } permit is issued, I shall not employ any person in any manner ADDRESS CONDITIONS er so as to become subject to the Workers'Compensation Laws. O CITY ZIP Date Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CONST. Z NE Exemption, you should become subject to the. Workers' Compensation provisions of the Labor Code, you must forth- ADDRESS with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFIC TION APT. CONDO. N deemed revoked. CONTRACTOR NO. 101 1 Z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 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 �� VALIDATION SQ. FT. NO.OF 11 NO.OF CHECK License Number Lic. Class SIZE STORIES 6 FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF WORK NEW ❑ $ 7ro CADD [101 Elam exempt under Sec. ALTER ❑ B.&P.C. for this reason REPAIR $ Date: USE OF EXISTING BLDG. // DEMOL Signature APPLICANT TEL• FINAL OWNER-BUILDER DECLARATION (PRINT (�(►� NO. Q I hereby affirm that I am exempt from the Contractor's License } DATE !y2�6 Law for the following reason (Section 7031.5, Business and ADDRESS Pte{ O" FINALd R �LL� P.J�' ssions Code): PRESENT i By G'�� Z I, as owner of theproperty, or m employees with BUILDING �, YADDRESS �1(�i .v wages as their sole compensation,will do the work and the structure is not intended or offered for saleSection LOCALITY 7044, Business and Professions Code.) ( MOVING TEL. ❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. ITEMit with licensed contractors to construct the project (Sec- ADDRESS TOTAL tion 7044, Business and Professions Code.) REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH '"34 `"t' t'+ cy,, I hereby affirm that there is a construction lending agency for FRONT ;'�L'.�\ ttJo•.'- the performance of the work for which this permit is issued P.L. 4':HAN1.3E (Sec. 3097, Civ. C.). SIDE P.L. 3 Lender's Name LDMA Ref.q P.C. Fee$ Permit Fee d ' � Lender's Address 7�1. 1 ANI11 ii I certify that I have read this application and state that the Issuance Fee LDMA P/C# above information is correct. I agree to comply with all CountyInvestigation Fee s ordinances and State laws relating to building construction, Total Fee �x�+ V LDMA Perm. # and hereby authorize representatives of this County to enter upon the above-mentione pro ert for inspection purposes. �� SEE REVERSE FOR EXPLANATORY LANGUAGE X J Signature of Appl' t or Agent Date / 0i WORKERS' COMPENSATION DECLARATION ` I hereby affirm that I have a certificate of consent to self L I�� '®� FOR WILDING PERM' 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 ❑ Certified co is hereby furnished. FOR APPLICANT TO FILL IN BUILDING / PY Y �ADDRESS �� //- ❑ Certified copy is filed with the county building inspec- BUILDING 6 7 (yAl. s tion department. ADDRESS c5 Date Applicant CITY t ZIP7 LOCALITY NO.OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) OWNER iA1 & I-ANO. 'y USE ZONE MAP I certify that in the performance of the work for which thisCIAL SPE permit is issued, I shall not employ any person in any manner ADDRESS p _f�. /dV IS CONDITIONS � so as to become subject to the Workers'Compensation Laws. �`� O CITY G e zip / 0 V Date Applicant ARCHIT CT ORJ TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CONST. ZQ(vE G Exemption, you should become subject to the Workers' 1,�� D 3 Compensation provisions of the Labor Code, you must forth- ADDRESS d /C V ✓✓ a with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO. N deemed revoked. CONTRACTOR NO. Z LICENSED CONTRACTORS DECLARATION LIC. CLASS No. -2/ DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 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 SQ. FT. NO. OF NO.OF CHECK License Number Lic. Class SIZE STORIES FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF WORK NEW ❑ $ ❑I am exempt under Sec. ADD ❑ ALTER ❑ BAP.C. for this reason REPAIR ❑ ' $ Date: USE F EXISTING BLDG. DEMOL ❑ Signature APPLICANT TEL. FINAL a OWNER-BUILDER DECLARATION (PRINT) NO. I hereby affirm that I am exempt from the Contractor's License DATE Law for the following reason (Section 7031.5, Business and ADDRESS FINAL ) a Pr fessions Code): PRESENT By d BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and Poo the structure is not intended or offered for sale(Section LOCALITY " 7044, Business and Professions Code.) MOVING TEL. - "' ` El 1, NO.I,as owner of the property, am exclusively contracting 70. 33 with licensed contractors to construct the project (Sec- riL_ tion 7044, Business and Professions Code.) ADDRESS REQUIRED TOTAL SETBACK FROM EXIST. ti_�•I: .3 CONSTRUCTION LENDING AGENCY SET BACK YARD HWY pROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT I-ClA G the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name . :Ij_ttil—_l.t.t .'�� +r g LDMA Ref.ti _ Lender's Address P.C. Fee$ Permit Fee .� 3'r i y;('( t ' 1 certify that I have read this application and state that the Issuance Fee J18. By LDMA P/C 0 3 above information is correct. I agree to comply with all County Investigation Fee p ordinances and State laws relating to building construction, Total Fee �� 0 LDMA Perm. 0 and hereby authorize representatives of this County to enter o th obntioneproperty or inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE� m � Sig t eof Ap cant or Ag&f �ate