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Home My Public Portal About9115 RANCHO REAL RD_Building_1959-08-29 1eA898A CE#809.7-se APPLICATION FOR BUILDING PERMIT , 1 BUILDING AND SAFETY DIVISION BUILDING ADDRESS 4_71 Z Depeatment of County Engineer County of Los Angeles LOCALITY r i JOHN A.LAMBIE. COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST. �� DISTRICT NO. I GROUP I TYPE •rry-SEWER MAP FORNG D APPLICANT TO FILLS ISN � CONST. I � P ADDUILRESS /�j+�Qyf(> (� [_r(�f/ STATISTICAL CLASSIFICATION (� CLASS. NO.--!R:. . UNITS I LOT NO. BLOCKJ MAP STATE YES NUMBER . ' HWY O ' TRACT l,/ ryG J� - UMZNE SPECIAL NO.OF BLDGS. CONDITIONS SIZE OF LOT ��X I NOW ON LOT USE OF _ M EXISTING BLDG. BUILDING EXIST. �- SETBACK YARD HWY STREET NAME WIDTH �i�// FRONT OWNER nl J MAIL P. L. ADDRESS ,f9 (��-i� SIDE / P. L. CITY Il" ClTEL..'h �- dG INSPECTION RECORD ARCHITECT OR TEL. ENGINEER ADDRESS 44 ' TEL CONTRACTOR NO. ADDRESS DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ.FT. s� NO. OF NO. OF SIZE q STORIES FAMILIES USE OF STRUCTURE 7 APPROVALS SIGNATURE OF APPLICANT DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION:LOCATION FORMS, MATERIALS '$ P.C. S FRAME: FIRE STOPS. + FEE BRACING, BOLTS F VALUATION ~ $ FURNACE: LOCATION, ~` GAS VENT, DUCTS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH. INT. PLICATION AND STATE THAT HE ABOVE IS CORRECT AND AGREE TO COMPLY WITHLL COUNTY ORDINANCES AND LATH. EXT. STATE LAWS REGULATIN BUIL INCONSTIRUC.TION. SIGNATURE OF a 111" I HOUSE NUMBER COR- PERMITTEE � ';�J� RECT AND POSTED { /- ADDRESS C q,a /v 110, 9 FINAL -�°9 �' P'?� •-UA IOHN A.LAMBIE, COUNTY ENGINEER, CLYDE N. DIRLAM. PRINCIPkL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PIiRMT VALIDATION K. M.O. CASH 6955 1 APR 9 1 2.00 76A638A CE 1*803 12/69 • APPLICATION FOR BUILD G PERM COUNTY 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 ort pe only) CROSS ST. BUILDING DISTRICT N 'G T PE P ADDRESS � O CONST.Jz� STATISTICAL CLASSIFICATION SEWER MAP LOT NO. BLOCK o- CLASS NO. 4-DWELL.UNITS BK _-+PC- TRACT USE ZONE MAP d _ NO.OF BLDGS. NO. SIZE OF LOT NOW ON LOT SPECIAL USE OF l-,> CONDITIONS EXISTING BLDG. d1 L. OWNER O' BLDG.SETBACK FROM ADDRESS S FRONT PROP.LI NE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY nn '' HIGHWAY WIDTH FROM C.L.ARCHITEC ENGINEERT O ,V NOL D + RBLOG. ETBACK FROM ADDRESSS SIDE PROP.LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CONTRACTOR 4- LIC 3211 HIGHWAY WIDTH FROM C.L. ADDRESS 0 NO + - O Y' ti LIC. C CIT CLASS s CORNER CUTOFF YES ❑ NO ❑ C CONSTRUCT[ON4 ENDER NAME AND BRANCHId SEE REVERSE SIDE FOR SPECIAL APPROVALS c ADDRESS uO SQ. FT. O. OF NO, OF NEW AVT � Z co SIZE STORIES FAMILIES USE OF / / ADD STRUCTURE Z ALTER ❑ 47 SIGNATURE OF REPAIR[Ell APPLICANT DEMOL ❑ VALUATION 5DO 1 INS APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. /�J FOUNDATION: LOCATION FEE S 3f FEE S t�V FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I 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. IC 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 •CALIFORN IN RELATING TO WORKMEN'S COM PENSATI INS CE. LATH, EXT. SIGNATURE OF� HOUSE NUMBER COR- PERMITTEE • ECT AND POSTED AODREss FINAL 70 JOHN F. LEWIS. PRIIiclP4L RAL ENGINEER cK. PLAN CHECK VALIDATION M.O. CASH _ PERMIT VALIDATIOM.O. CASH If(', 569GF-' JUL 6 % 1 0 3.60 c - i Ar( 5G93R JUL 6 10 12.00 ��f21,�l�d�XJ FEMPLE -CITY 76A638A CE#6032-63 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING -DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING'AND SAFETY DIVISION LOCALITY A'� JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN,SUPT OF BUILDING CROSS ST. DIIISRICbN ITYPE.• PR B FOR APPLICANT TO FILL IN CONST. 1' BUILDING STATISTICAL CLA I CATION §E ER MAP' ADDRESS 7• - BIC CLASS. NO. DWELL.UNITS r- LOT NO. BLOCK WATER• NOT REQUIRED RECEIVED .12CERTIFICATE: TRACT J/ o•L l MAP /fY (CGRCVLE) STATE MAJOR SECON LOCAL INDF BLDG SIZE OF LOT NOW ON LOTS J USE ZON (J SPECIAL USE •) _ L7CONDITIONS EXISTING BLDG. d TEL.43 / OWNER NO. Io BU LD NG YARD H STREET NAME EXIST. sem �sO SETBACK WIDTH ADDRESS 9'`- FRONT ARCHITECT OR TEL. P. L• L� ENGINEER NO. S113E ADDRESS O TEL. n V CONTRACTOR NO. ADDRESS 1 - O DESCRIPTION OF WORK - ' III / a v _ v� NEW DD ALTER REPAIR DEMOLISH SQ.F . NO.OF NO.OF - SIZE STORIES FAMILIES r� f USE OF Ze STRUCTURE jI/"Ls. I SIGNATURE OF ^- P i;I� 'A APPLICANT VALUATION $ Va X�it. /T�7 ./!3�!►r t � .A,a: ` t V APPROVALS DATE /NSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION `] FEE $ FEE $ (/(f FORMS, MATERIALS FRAME: FIRE STOPS, ✓ r,p��- w� -�� I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS 'L•G'�L� AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK / - AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. - �•' d"r TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- - ING TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT. `" A SIGINATURE OF- r'- HOUSE NUMBE COR- PERMITTEE RECT AND POSTED ADDRESS 5., GJ FINAL 1111 JOHN F. LEWIS. PRI j0-IFAL••STRRAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH 9887t2 SEP - 6 1 D WORKERS'COMPENSATION DECLARATION ' E R �. hereby affirm that I have a certificate of consent to self APPLICATION FOR BUILDING P M I T insure,or a certificate of Workers'Compenstion Insurance,or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company ❑ p y FOR APPLICANT TO FILL IN ADDRESS Certified copy is hereby furnished. ❑ Certified copy is filed with the county building inspec- ' BUILDING j tion department. ADDRESS l�rr�I �1 G 4 LOCALITY ff NEAREST Date Applicant CIT 0ZIP CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' e/ NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT A 7 NOW ON LOT :MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one ' USE ZONE MAP �j hundred dollars($100)or less.) TRACT BLOCK LOT NO. NO. G' TEL. aJ p `/ SPECIAL q, I certify that in the performance of the work for which this OWNER �/ NO:�-p O�G7 Y Z CONDITIONS - Q permit is issued, I shall not employ an person in any manner DISTRICT GROUP TYPE FIRE PROCESSED BY u so as to b come subject fo the Wor s'Compensati� aws. ADDRESS If �� CONST. ZONE t t. 7 Date Applicant CITY L ZIP STATISTICAL CLASSIFICATION APT. CONDO. NOTICE TO APPLICANT: If, after ma ng this Certificate of ARCHITECT OR TEL. ty ENGINEER NO. CLASS NO. _DWELL.UNITS Exemption, you should become subject to the Workers' y' Compensation provisions of the Labor Code, you must forth- ADDRESSa IFF} SEWER MAP with comply with such provisions or this permit shall be J k_ NO TEL., deemed revoked. CONTRACTOR # W-A NO. IV61 -� BK, PG. VALIDATION LICENSED CONTRACTORS DECLARATION ��.it LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS C�,I S C194 NO. I3 44q IF VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. — Professions Code, and my license is in full force and effect. CITY C'PT 1 CLASS $ '/� JY Lic.\ HECK class G SIZE STORIES FAMILLIIES CONE 2,u License Number 1 `l I`r ContracfortZ' -W A A DJ C A- Date Q DESCRIPTION OF WORK NEW $ 7 L ❑ I am exempt from the licensing requirements as I am a ADD ❑ ` P 9. 4 ��O C ALTER FINAL I architect br a registered professional engineer ,� t ❑ acting in my professional capacity (Section 7051, �' h /1�'C.L•OsvieI,,, REPAIR DATE dd� ❑ Business and Professions Code). USE OF RE z�O 4 4 A EXISTING BLDG. + �� DEMOL ❑ Lic.or Reg.No. Date APPLICANT TEL. By # 0 0 0 0 2 1 OWNER-BUILDER'DECLARATION PRINT NO. I hereby affirm that I am exempt from the Contractor's License i r 2 0'0 2 S 2 O Law for the following reason (Section 7031.5, Business and ADDRESS Professions Code): pRE ENT a - 2520Q7 ❑ BUILDING I, as owner of the property, or my employees with, ADDRESS wages as their sole compensation,will do the work and 0 7,24-81 the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions'Code). MOVING TEL. -2 O 4 a 5 A I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- # 0 0 D'0 0.1 tion 7044, Business and Professions Code). ADDRESS REQUIREDTOTAL SETBACK FROM EXIST. 2.° ° 52.00 CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH `I hereby affirm that there is a constructioh lending agency for FRONT 5 2 O O 5the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. 0.7,24-81 Lender's Name Lender's Address P.C. Fee$ ,� Permit Fee B� I certify that I have read this application and state that the Issuance Fee �— above information is correct. I agree to comply with all County Investigation Fee ordinanceslfnd State laws relating to building construction, S and here authorize representatives of this County to enter Tptal Fee = upon t bove-menti roper for inspe tion purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE IV 0 Signature of Applicant or Agent Date '®s