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HomeMy Public PortalAbout5022 RIO HONDO AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY AYl'LlUAllum run rzamaa COUNTY OF LOS ANGELES BUILDING,,,1 L D 1 N G, WM. J. FOX. CHIEF ENGINEER ��� FOR APPLICANT TO FILL IN �,7 9FOR OFFICE USE ONLY r BUILDING - DISTRICt NO. PLAN CK.N PERMIT NO. r��� rf� ADDRaBB 022. Bio-Hondo Avenue - LOCALITY 'PSMW.' -a (11 t ''Lal if orni9. RECEIVED BY DATE OF APPL. DATE ISSUED N cess. Sparklett Street / .mss-5 0 6— BUILDING OWNER TURNER HOMES INC. ADDRESSMAIL ADDRESS 26 East Santa Clara St. LOCALITY T ry NEAREST CITY Arcadia NOI.DO (®3563 DIRE ST. FIRE NO.OF YP GROU ARCHITECT OR TEL. ZONE PLANS i TM1- ENGINEER NO. Da BLDG. / ADDRESS SETBACK LINE APPROVED TEL CONTRACTOR Same NO.' BY DATE UBE APPROVED AD RE ZONE BY DATE LEGAL 0 BLOCK _�j / CORRECTIONS DESCRIPTION LOT NO. TRACT 1-6425 _15.7', 7- NJ Cr, NO.OF SLOGS. N SIZE OF LOT61 R 110 NOW ON LOT j�0 USE OFI NO.OF I NO.OF EXISTING BLDG. NO FAMILIES ROOMS DESCRIPTION OF WORK NEW X ALTERATION ADDITION O Z REPAIR MOVING DEMOLISH p SIZBq. E /+ ROOMS 5 STORIES r WALL aor COVEi41NS Plaster I COVERING 5W0 BUIL DING Dwelling /o_e?� 1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVAL. APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATIONII LOCATION IN PEOTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMSP MATERIALS- AND ATERIALS / B AND STATE LAWS REGULATING BUILDING CONSTRUCTION. ''"" 'n FRAME"FIRE STOPS. \ ,r ��G•3.![E• SIGNATURE DF *� �{ BRACING.BOLTS PERMITTE lm U R HOMES Co LATH. INT. v✓r l , AUTHORIZED AGT-5 ' LATH, EXT. 76AB99A-3 2-50 P.C.III 6 PLASTERP INT. l/ FEE 2 PO PLASTER.EXT. t � I VALUATION O a OO FINAL DIUSION OF BUILDING AND SAFETY 1 ')Department of County Engineer IN 0 County of Los tingeles WW1. J. FOX, COUNTY ENGINEER APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY /� q y DISTRICT NO. PLAN CK.OR REG.NO. PERMIT NO. BUILDING /� .� !1 �� YAa� .G!(-� + - �/ m ] _ADDRESS �`_�/� 4 RECEIVED BY DATE OF APPL DATE IBBUED LOCALITY `�" OVI A l �j r _;r �Js "Z ''�'�. ��"' NEAREST �� 1 �/ � CROSS ST., f� BUILDING y� �•1 /h --yii / ,A ADDRESS I.`;� i2 2 2 � I&Q AI j 0 _OWNER /JT � [�6•�fi'`)�a i-/b AJ MAIL f LOCALITY ADDRESS ���/��^J!_ n�qf� pQ D CR SSE CITY NO. /7�6 O /7� FIRE I NO.OF I TYPE__, I GROUP ARCHITIECZONE PLANS ' ENO NEERT CR! �r J i EE A� _ \ 1 BLDG. ORD. NO. j � ( SETBACK LINE ADOR%BS' r fJ USE j-7__ APPROVED CONTRACTOR /J�y� . O. ZONE i BY DATE HOUSE NUMBERING ADDRESS MAP NUMBER b 1 4 NO. ASSIGNED BY LEGAL CORRECTIONS // DEBCRIPTICN LO;NO. �,�� BLOCK TRACT {rtil-) 4r !r `/ NO. OF BLDGa 02"o ma_ /. U.0 c Dff,,l� g's t I SIZE OF LOT (iq J R /(� I NOW ON LOT `A USE OF - NO.OF / rY7l t F�J d1�C. ��G✓/Z'i �r«J EXISTING BLDG. FAMILIEe DESCRIPTION OF WORK / NEW ALTERATION ADDITION LO-11 Z D REPAIR DEMOLITION r SO.FT. NO.OF SIZE ROOMS STORIES EXT.WALL I ROOF COVERING COVERING _ USE CF STRUCTURE INSPECTION r CCCU AN YAB"1`r '��/,,��%J-�/ ri� i/ .� APPROVALS 7---�r b _ INSPECItGR'S SIGNATURE DATE FOUNDATION: LOCATION rwtM% MATERIALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRE STOPS, r - CORRECT. BRACING,BOLTS 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FiJRNACE: LOCATION, AND STATE LAWS-REGULATING BUILDING CONSTRUCTION. pABVENT,DUCTS • _ -ei o BIGNATURl;&E LATH, INT. LATH. EXT. AUTHORIZED ADT. PLASTER, INT. P. >p PLASTER, EXT. FEEE HOUSE NUMBER COR VALUATION - RECT AND POSTED FEE 19 FINAL r 76AS38A DB8 3 1-52 J 4`f1 ' WORKERS'COMPENSATION DECLARATION t I her2v Uffin,:�j hat I have a certificate of consent to self APPLICATION FOR BUILDING PERMIT insure,°vPa cerl?�'1. of Workers'Compensation Insurance, '',5r a certified copy(hereof (Sec. 3800, Lob. C.) 'COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS BUILDING S I:C 4u-r ❑ Certified copy is filed with the county building inspec- BUILDINGt tion department. ADDRESS 00,-' Kza J: d U Date Applicant CITY Tijaple , ky ZIP fV LOCALITY 12.4114_itgl, CERTIFICATE OF EXEMPTION FROM WORKERS' ))/lra NO.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT //I NOW ON LOT CROSS ST. ��'�✓ (This section need not be completed if the permit is for one ASSESSOR hundred dollars($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL TEL. , USE ZONE MAP OWNER �•LA;#j INO. /Y 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 �q /� SPECIAL so as to ecome subject to the W r ers' pe s tion La ADDRESS r� 9;Q U06 .4a �� CONDITIONS Dated 1 Applican CITY P vt / , C ZIP 91703 ARCHITECT 04 TEL. DISTRICT OUP TYPE FIRE PROCESSED BY NOTICE TO PLICANT: If, after makiq this Certificate of ENGINEER NO. Exemption, you should become subject to the Workers' CONST. Z E Compensation provisions of the Labor Code, you must forth- ADDRESS �J t v with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. deemed revoked. CONTRACTOR &A)' NO. 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 and LIC. Professions Code, and my license is in full force and effect. CITY ( r CLASS BK PG VALIDATION SQ. F NO.OF NO.OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE V ❑ vALu Tlo Contractor Date DESCRIPTION OF WORK ��// NEW ; / 7 O ❑I am exempt under Sec. / 1O 1'7(�S ( ' + AA ❑ t7 , tj B.BP.C. for this reason �=lCI l` k Ib .&C-0mv, AREPAIR ❑ $ USE OF Date' EXISTING BLDG. �' j S DEMOL ❑ � Si nature APPLICANT ]] T L. FINAU g OWNER-BUILDER DECLARATION PRINT \ i hO• S DATE / o I hereby offirrrf that I am exempt from the Contractor's License t Qp //�� z 1 0 8. 1 A Law for the following reason (Section 7031.5, Business and ADDRESS, ,l Itl JU ah /T�!' FINAL # 0 0 0 0 0 1 P f ssions Code): PRE EBY I o 2 9 8 5 0 BUILDING � I,,as owner of the property, or my employees with ADDRESS wages as their sole compensation,Will do the work and . 29a505 the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. I 1 0 7 F ❑ I, as owner of the property,am exclusively contracting CONTRACTOR NO. 880 with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED 1TOTAL SETBACK F CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH 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 P.L. Lender's Name LDMA Ref. N s Address P.C.Fee$ Permit Fee - Lender' I certify that I have read this application and state that the Issuance Fee l0 f. LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee LDMA Perm.N and hereby authorize representatives of this County to enter upon thea a-m tioned arty for inspection purposes. r ` SEE REVERSE FOR EXPLANATORY LANGUAGE 174 Si ure of Applicant or gent Dat