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Home My Public Portal About9129 PRIMROSE AVE_Building__ 78A838A 9803 4/70 -- s- • . APPLICATION FOR BUILDIN PERMIT � COUNT$ OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS ) , COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST (Print or tvae onl CROSS ST. DISTRICT NO. IMP TYPE 4SEWER ES BY BUILDING STRI OS7� CONST. ADDRESS �I .0 �j STATISTICAL CLASSIFICATION MAP LOT NO. / BLOCK L7 CLASS NO. 12 1 DWELL,UNITS BK TRACT /�p2 USE ZONE MAP 0 NO.OF BLDGS. NO. SIZE OF LOT NOW ON LOT SPECIAL USE OF CONDITIONS EXISTING BLDG. TEL r• OWNER Lsvr,°L{� NO.7_ BLDG.SETBACK FROM ADDRESS 4viCxeld FRONT PROP.LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL CITY 7,-e_2 e HIGHWAY WIDTH FROM C.L. ARCHITECT ORf TEL. } ENGINEER NO. BLDG.SETBACK FRO ADDRESS SIDE PROP.LINE OF (STREET) TEL TYPE OF EXISTING SETBACK HIG } YARD = TOTAL CONTRACTOR L9 Cy t ® NO. 3"3�// HIGHWAY WIDTH FROM C.L. > ADDRESS `L1l NO.L' 4- D } Ap- LIC. c CITY �� CLASS '� CORNER CUTOFF YES ❑ NO ❑ C CONSTRUCTION LENDER t NAME AND BRANCH SEE REVERSE SIDE QR SPECIAL APPROVALS n ADDRESS J Z SQ. FT. NO. OF NO. OF NEW ❑ SIZE STORIES FAMILIES USE OF r ADD ❑ STRUCTURE +� +rI�Y ALTER ❑ �`� � REPAIR SIGNATURE OF i APPLICANT l/ DEMOL LJ L VALUATIONS QQ MENOMINEE APPROVALS DATE INSPECTOR'S SIGNATURE P.C. T. / FOUNDATION: LOCATION FEE S EE S (�� FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OF THE STATE OF 'CALIFORNIA RELATING TO WORKMEN'S COMPENSATI INSURE. LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- 7 PERMITTEE Q� RECT AND POSTED 5 ADDRESS u_ FINAL JOHN F. LEWIS. PRINCIPAL STRUCT RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION <cK: M.O. CASH ► 1,r_ 8 6 5 5c--' FEB g 1 D 1. 2.00- Gi�i •• APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Pr t or type only) - FADDRESS G COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER �[ IP Q BUILDING A FETY DIVI NO.O BLDGS. BUILDIN SIZE LOT NOW O LOT ADDRES TRACT ,//J-jg BLOCK LOT NO. LOCA LIT i. TEL. 2 EAREST OWNER CROSS ST. ASSESSOR ADDRESS d MAP BOOK PAGE CEL DISTRICT GROUP TYPE FIRE PRO SSE BY CITY . ZIP �j cp CONST. ZONE ARCHITFCf OR TEL. ENGINEER NO. STATISTICAL CLASSIFICATION SEWER AP ADDRESS CLASS N0a_/ DWELL.UNITS BK PG CONTRACTOR TEL ZONE MAP C, NO. ADDRESS NO, 2_f SPECIAL LIC. CONDITIONS CITY CLASS CONSTRUCTIOENDER ROA •EPARTMENT APPROVAL REQUIRED YES❑ NO❑ NAME AND BRANCH BL G.SETBACK FROM FR NTPROP.LINEOF (STREET) ADDRESS CITY _ TOTAL SETBACK FROM TYPE OF EXISTING HIG AY + YARD - O SQ. F NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH C SIZE STORIES FAMILIES ONE lal DESCRIPTION OF WOR NEW ADD BLDG.SETBACK FROM % (STREET) C.. SIDE PROP.LINE OF A TER HIGHWAY + YARD = TOTAL SETBACK FROM PE OF EXISTING K� ll�ss�/rti+ SIDE PROP. LINE IHI WAY WIDTH REPAIR❑ USE OF + _ EXISTING BLDG, DEMOL ❑ 1 Ni APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) , 1 BY (SIGNATOR IN OPEN SPACE YES ❑ NO C3 -f IN COASTAL ZONE YES ❑ I NO ❑ F VALUATIONCATEGORICAL EXEMPTION SES❑ NO ❑ 1 W HEREBY ACKN LEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE)- HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE dd LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO Gp�, WORKMEN'S COMPENSATI 1 SU ANCE. SIGNATURE PERMITTEE ADDRESS //_ f� �/(� y CITY 1 NO. /� DIATE C� rte/ / / BY TE W.. AV✓Li't�l:�"r!' � MAKE CHECKS PAYABLE TO: FEE , FEE P t HARVEY T. BRANDT. COUNTY ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH 1 .0 rzMAR 18 1 0 15-.0 0 o98 7BA638A CE0803 7/73 l 25M'SE 5 B-IS DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT c;LJU N I Y OF LOS ANGELES BUILDING WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING - DISTRICT NO. PLAN CK. NO. PERMIT NO. -'!7 /L whoO ADDRESS f� LOCALITY „!�1 f RECEIVED BY DATE OF APPL. DATE ISSUED NEAREST CROSS ST. f BUILDING ` OWNER `,�`� ADDRESS —MAIL LOCALITY ADDRESSNEAREST p` -------"_— __--- --- WEAKEST TEL. , � ',, CROSS ST. CITY ! ! N a FIRE NO.OFI TYPE I GROUP ARCHITECT OR TEL. ZONE PLANS ENGINEER NO. BLDG. ORD. NO. ADDRESS SETBACK LINE APPROVED TEL. By DATE CONTRACTOR NO. USE APPROVED ADDRESS ZONE BY DATE LEGAL CORRECTIONS DESCRIPTION I LOT NO. 13 BLOCK TRACT //N /r / NO. OF BLDGS. SIZE OF LOT , [�`� NOW ON LOT USE OF ��. NO.OF NO. OF EXISTING BLDG. I FAMILIES I ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION D A REPAIR MOVING DEMOLISH p `34• FT. NO.OF Z _SIZE SC�i ROOMS STORIES / _ D f' WALL I ROOF COVERING ;'. COVERING USE NEW WILDING -- APPROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS -- INSPECTOR DATE APPLICATION AND STATE THAT THE ABOVE IS CORRECT .'-OUNDATION: LOCATION, AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE OF BRACING, BOLTS "_�•v,r�v S �.� y� OWNER LATH, INT.: AUTHORIZED AOT LATH, EXT.: $ P C. 4 PLASTER, INT. FEE PLASTER, EXT. VALUATION FEE FINAL v�.t/ A�3 tj\ r PLICATI BUIL DI r... • C f`"OF LOS ANGELE ASSESSOR DEPART INT OF COUNTY ENGIN 'ER MAP BOOK PARC L BUILDING AND SAFETY DIVISIOi` BUILDING ti"� ADDRESS COLEMAN W. JENKINS, SUPT OF BUILDING ` LOCALITY ��, FOR APPLICANT TO FILL IN NEAREST Print or type only) CROSS ST. All DISTRICT NO. GROUP TYPE PRO SSED BY rEXISTING t �� , CONST' / ` ✓fti l� I`. IJ �/ STATISTICAL CLASSIFICATION SEWER MAP BLOCK � // CLASS NO.�LDWELL,UNITS BK PG USE ZONE MAP �'"7 NO.OF BLDGS. NO. T NOW ON LOT , SPECIAL CONDITIONS LDG. - �_ -"TELNO• ' �� BLDG.SETBACK FROM t. i I �,,;, FRONT PROP.LINE OF 'STREET1 TYPE OF kXISTING SETBACK HIGHWAY + YARD = TOTAL CITY - HIGHWAY W4ZTH FROM C.L. ARCHITECT OR TEL. + _ ENGINEER NO. BLDG.SETBACK FROM ADDRESS SIDE PROP.LINEOF STREET' TEL. / TYPE OF EXISTING SETBACK HIGHW + YARD = TOTAL CONTRACTOR ('f- IL NO. •t' q 9', HIGHWAY WIDTH FROM C.L. ADDRESS i�-��j• LIC. _ NO. + LIC. CITY !CLASS _ CORNER CUTOFF YES ❑ NO CONSTRUCTION LENDER NAME AND BRANCH SEE REVERSE SDE FOR SPECIAL APPROVALS ADDRESS SQ. FT. NO. OF NO. OF NEW ❑ " % i.:r*,{,...-- c a. jC --a... _SIZE STORIES FAMILIES USE OF - ADD ❑ y STRUCTURE - _ ") ALTER ❑ .% SIGNATURE OF REPAIR[ APPLICANT r DEMOL ❑ - I VALUATION S APPROVALS DATE INSPECTOR'S SIGNATURE, P.C. �7/' PMT, FOUNDATION: LOCATION FEE S c- ' FEE $ - FORMS, MATERIALS �- FRAME: FIRE STOPS, ' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS Z 7 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODEOF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSU2CE. LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL . JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION .,., CASH PERMIT VALIDATION CK. M O. CASH 7 2 3 D2 6.1 d �w T_09O1 jUN16 1 D 43 0 rr7uu.Lvu av . WORKERS'COMPENSATION DECLARATION n p I hereby affirm that I have certificate of consent t eI ® P L I CAT ® BUILDING . �✓I{I L®I P E 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. PC997500 CompanyRepublic Indemnity i FOR APPLICANT TO FILL IN BUILDING. I'�Gha ❑ ' Certified copy is hereby furnished.. ' ADDRESS (� e ® Certified copy is filed,with the county building inspec- BUILDING y tion department. :ADDRESS 9129 Rancho Real. Date-7-1-90 Applicant Virgin.Roof Co. CITY' Tem le CitV zip 91780 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 'TRACE BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) TEL. 7-1 OWNER Lucas Lee NO. iUSE ZONE MAP I certify that in the performance of the work for which this NO, permit is issued, I shall not employ-any person in any manner ADDRESS ' 9129 Rancho Real �' SPECIAL CONDITIONS CL as to become subject to the Workers'Compensation Laws. O CITY • Tem le City zip 91780 Date Applicant ARCHITECT OR TEL. NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CgIDISTRICT GROUP TYPE ON ZONE FIRE PROCESSED BY Q Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- ADDRESS r �� a with comply with such provisions or this 'permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO. N deemed revoked. CONTRACTOR ' -Vir in Roof Co. NO. 287-0507 z LICENSED CONTRACTORS DECLARATION' LIC. CLASS NO. DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS P.O. BOX J. NO. 160650 � SEWER MAP (commencing-with Section 7000)of Division 3 of 4he Business LIC. and Professions Code,aridmy license is in full force and effect. CITY' San Gabriel CLASS C39 BK PG VALIDATION ;SIZE 18 S S.S ORIES NO. OF 1 FAMILLIIES ONE License'Number 160650 Lic..Class - C39 VALUATION Contractor Virgin ROOF -CO 6-30-91 DESCRIPTION OF WORK Tear Off then NEW ❑ $ 76.88 El I am exempt under Sec. l #30 and Class A Fiber las ADD ❑ 1. ALTER ❑ BAP.C. for this reasonhin les. 18 s s. REPAIR ❑ ' 'USE.OF Date: DEMOL ❑ EXISTING BLDG. Dwelling Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION , (PRINT). Vir in Roof Co. 'NO. 287-050.7 DATE ? - I hereby affirm that I am exempt from the Contractor's License gDDREsS P.O. BOX J San Gabriel 91778 Law for the following reason (Section 7031.5, Business and FINAL Z, ' v` j Professions Code): PRESENT B I tit ❑ I, as owner-of the property, or m -employees with BUILDING Y � `•t ag P P Y� YADDRESS C •' 6r wage's as their,sole compensation,will do the work-and S-!( `-q,q ,�07 116.'-'V the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code.) MOVING TEL. fM� CONTRACTOR NO. 83 ❑ I,as owner of the property,am exclusively contracting TI]�AL 116 m vs with licensed contractors to construct.the project (Sec- tion 7044, Business and Professions Code.) ADDRESS CHECK 116.0+-; REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY' PROP. LINE WIDTH. CHANGE L�fi� � .00 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. (Sec. 3097, Civ. C.). SIDE' ■Cti- P.L. Vlliltrl—{ISI}� trf fii rel Lender's Name � ��3•. ;: ' 9902 1 AM 10:54 $ I P.C. Fee$ Permit Fee 688 LDMA Ref.# $.7 . Lender's Address I I certify that I have read this application and state that the Issuance Fee13• LDMA P/C# above information is correct. I agree to comply with all County I Investigation Fee ordinances and State laws relating to building construction, Total Fee (0• LDMA Perm. # N and hereby authorize representatives of this County to enter I s+ upon the abov -mentioned property for inspection purposes. I ' I ' 3-22-90 SEE REVERSE FOR EXPLANATORY LANGUAGE nature of Applicant or Agent Date i t5:ZJUORKERS'COMPENSATION DECLARATION ]'hereby affirm that I have certificate of consent to self � R I CAT� N F BUILDING I L � I T insure, or a certificate of Workers'Compensation Insurance, � r or a certified copy thereof(Sec. 3800, Lab. C.) Policy No.-Company ®UNTY OF LOS ANGELES D SL09L®IPTG AP9®SAFETY 00 1 Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING A DRESS Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS i Date Applicant CITY ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE of LOT Ow ON LOT CROSS ST. (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. ASSESSOR hundred dollars($100)or less.) MAP BOOK PAGE PARCEL. TEL. USE ZONE MAP I certify that in the performance of the work for which this OWNER NO NO. permit is issued,I shall not employ any person in any manner SPECIAL 911. so as to become subject to the Work Compensation Laws. ADDRES�SQ 94i CONDITIONS id IP / , a i Date 9Applica CITY Z F ARCHITECT OR TEL, 99 99 . NOTICE TO APPLICANT: If, after making thi Certificate of ENGINEER NODISTRICT G OUP TYPE FIRE PRO SSED BY. Exemption, you should become subject to the Workers' ✓U CONST ZONE tp Compensation provisions of the Labor Code, you must forth- with comply with such provisions or this permit shall be 9ADDRESS • ,� 44 deemed revoked. TEL. STATISTICAL CLASSIFICATION APT. NDO. g CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION LIC• CLASS NO. Z-1 DWELL UNITS — LIC. hereby affirm thot•1 am.licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and effect. CITY CLASS BK VALIDATION SQ. FT. NO.OF NO.OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE ]�VALUATION DESCRIPTION OF WORK NEW ❑; $ /j�j�✓ Contractor Date (/Q/ ADD ❑: I am exempt under Sea . ALTER ❑`.I PP . B.BP.C. for this reason REPAIR ❑1. $ Date: i USE OF EXISTING BLDG.. DEMOL ❑` APPLICANT TEL. Signature FINAL OWNER-BUILDER DECLARATION PRINT NO. DATE I hereby affirm that I am exempt from the Contractor's License2 7 9.4 A , Law for the following reason (Section 7031.5, Business and ADDRESS FI Profes sions Code): PR LINT # 0 0 0 0 0 BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and o o ()Q 5 0 the structure is not intended or offered for sale(Section LOCALITY _ 7044, Business and Professions Code). MOVING TEL. o 0 0 [(.a 5 0 I,as owner of the property,am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS 0 a2 G 6 e 8 5 tion 7044, Business and Professions Code). �.. . .._.... ,,. .. ., , LREIRED TOTAL SETBACK O CONSTRUCTION LENDING AGENCY ACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for NT the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). , Lender's Name .:..�::::-.,. :..; :.:.:v. „::•,:::.. ...:.......:...:.- -.:a,•:.:•a- �1 1LDMA Ref.# Lender's Address P.C.Fee$ Permit Fee 30 ,00!, I certify that I have read this application and state that the Issuance Fee SSv LDMA P/C# iPIK above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee . (J LDMA Perm:# and hereby authorize representatives of this County to enter MEM upo t e above-mentioned perry f inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature f Applicant or Agent VFaie 0