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Home My Public Portal About4851 ROBINHOOD AVE_Building__ I f� ok�q 76A889A'CEa6D911-37 APPLICA`T'ION FOR BUILDING PERM COUNTY OF-LOS ANGELES BUILDING ' DEPARTMENT OF COUNTY ENGINEER ADDRESS - - BUILDING AND SAFETY DMSION LOCALITY JOHN A.LAMBIE.COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT bF BUILDING CROSS ST. DIST R�NO. GROLI I TYPE SEWER MAPF FOR APPLICANT TO FILL IN . CONST. BUILDING - I ADDRESS STATISTICAL CLASSIFICATION LOT NO. BLOCK CLASS.NO. DWELL.UNIT MAP STATE YES NUMBER HWY. TRACT USIr ZONE SPECIAL yy D'7 4WOW OF BLDGS. J CONDITIONS SIZE OF LOT X/ 2 OW ON LOT USE OF EXISTING BLDG: BUILDINGYARD HWY STREET NAME EXIST. `` SETBACK WIDTH OWNER /r. �' r FRONT MAIL �j / P.L: sro ADDRESS - !f ,L u� , /J SIDE CITY / TE -'C.�+D y P.L. ARCHITECT OR TEL. INSPECTION RECORD ENGINEER NO. ADDRESS TEL-4f i CONTRACTOR(`• /�� NO. c� ADDRESS DESCRIPTION OF WORK �-^ NEW ADD ALTER REPAIR DEMOLISH SQ.FT. NO.OF NO OF SIZE STORIES l FAMI IES/ i USE OF STRUC RE l •/ '/ iy/.GCS / /�Q f SIGNA RE ,%jPI ROVAL3 APPLICANT Avt-1.7 zz a 4_ 4� DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION FORMS.MATERIALS �• 9 / C�_JI I.� -t art-[;+','! 7 / P.C. ,$ FRAME: FIRE STOPS. r La' '` 1�� _I fes•rte. �I FEE BRACING.BOLTS n• 6.Sis';r r/ VALUATION $ FURNACE: LOCATION . .+ f ! GAS VENT.DUCTS y. . e FEED 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY O DINANCES AND STATE LAWS RTUILApINGEIL;;kNG, ONSTRUCTION. LATH,EXT. / I •✓O / �v/�/4"' HOUSE COR_RECT AND POSEDPERMITT ' 'I Z"�' ADDRES / FINALS CLYDE N.DIRLAM.;12RINCI'PAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION 'cK. M.D. &H P VALIDATION cK. M.O, cASH LACO'D 7 8 s.°i .MAY 1 2.1 6. A 26.7.5..A M .. >.. ®. 'O 9:1;4.teno My 15 1 A 53.5 0 V) �" r n AP PLL C. T I'®N FOR COUNTY OF LOS ANGELES ,;y ,gUIL®ING PERMIT DBUILDNGAND SOD ET DIVISIEPARTMENT OF CPNTY BU ON u FOR APPLICANT TO FILL IN ADIDRESSIrZ-- BUILDING ;i ADDRESS ! ) LOCALITY a-+ NEAREST ' CITY ZIP CROSS ST. 0.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE SSED BY TRACT/ f BLOCK LOT NO. ^7� CONS Z�Of _J OWNER / STATISTICAL CLASSIFICATION SEWER M ADDRES f ' . CLASS NO.,;�2�DWELL.UNITS BK PG CITY ZIP L� UZONE NOP D ARCHITECT OR TEL. ( /� SPE ENGIN ER NO. CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ TEL. CONTRACTOR O1Vv&- NO. BLDG.SETBACK FROM LIC. FRON PROP.LINE OF (STREETI ADDRESS NO. HIGH AY + YARD = TOTAL SETBACK FROM TYPE OF I EXISTING LIC. FRONT PROP.LINE HIGHWAY WIDTH CITY CLASS CONSTRUCTION LENDER + — } NAME AND BRANCH O _ BLD SETBACK FROM ADDRESS CITY SIDE OP.LINE OF (STREET) U SQ.FT. u NO.OF NO.OF CHECK HIGHWYARD =AY TOTAL SETBACK FROM TYPE OF EXISTING SIZE STORIES FAMILIES ONE ---••--SIl1E.e$O?•LINE HIGHWAY WIDTH O DESCRIPTION OF WORKNEW LLiU ADD E] CORNER CUTOFF YES ❑ NO ALTER ❑ N IN OPEN SPACE YES ❑ NO ❑ Z USE OF REPAIR ❑ IN COASTAL PERMIT ZONE YES ❑ NO ,❑ EXISTING BLDG. iDEMOL ❑ APPLICANT TEL (P 1 NO. B � , I HEREBY ACKNOWLE ~THAT I HAVE READ THIS APPLICATION AND STATE l THAT THE ABOVE IS COR AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE WORK AUTHO REBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR E OF T STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM. PENSATIO NSURA SIGN FINAL ;1r 2')BY ' PERMITTEE DATE ADDRESS ` TEL. P.C.Fee$ Permit Fee ,! CITY NO. ' QQ Issuance Fee `— VALUATION$P (J Total Fee 5 PLAN CHECK VALIDATION Cu. M.O. ' '.CASH � PERMIT VALIDATION <C M.O. CASH 9 7 5 iH� S i 76AG38A CE/803A 6/76 ' WORKERS'COMPENSATION DECLARATION insure, or afirm certif carte ofWo Workers'Compensation Insuranceve a certificate of consent to , PO D T I®IV FORBUILDING PERMIT or a certified copy thereof (Sec. 3800, Lab. C.) Policy No4e�iTCompany d✓�� 1591110COUNTY OF LOS ANGELES BUILDING AND SAFETY tee' Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BDING U RENS / Ob ❑ Certified copy is filed with the county building inspec- ;, BUILDING tion department. ADDRESS Date 4 3 ApplicantCv i CITY j ZIP 9 (V/7 LOCALITY A, CERT KATE OF EXEMPTION FRO ORKERS' NO.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one 1.: ASSESSOR hundred dollars($100)or less.) TRACT BLOCK LOT NO. 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 i _ SPECIAL so as to become subject to the Wo r rs'Compensation aws. ADDRESS G CONDITIONS Date Applicant CITY b9 ..� ZIP 71720 NOTI T APPLICANT: If, after maki this Certificate of ARCHITECT OR TEL. DIS RICi GROUP TYPE FIRE PRO SED BY Exemption, you should become subject to the Workers' ENGINEER NO. CONST. ZONE1P I Compensation provisions of the Labor Code, you must forth- ADDRESS k_1 3 with comply with such provisions or this permit shall be TEL. TICAL CLASSIFICATION APT. CONDO. deemed revoked. CONTRACTOR NO. 7 ®6G? LICENSED CONTRACTORS DECLARATION LIC CLASS NO. DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESSNO. '3/TyyER 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 [3 CLASS �. `�' BK VALIDATION a �y SQ.FT e� NO.OF NO.OF CHECK License Number Lic.Class C / SIZE / STORIES FAMILIES ONE V VALUATION Contractor Date DESCRIPTION OF WORK rfiMp adetSIS A D ❑I am exempt under Sec. ALTER ❑ B.BP.C. for this reason e— F/ — REPAIR $ N D te: USE OFDEMOL ❑ EXISTING BLDG. Signature .r6D F i� .d ��.ri'N APPLICANT TEL. FINAL OWNER-OOILDER DECLARATION (PRINT) NO. DATE lj(� 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS FIN Professions Code): PRE ENT BY 1 ❑ BUILDING I, as owner of the property, or my employees with ADDRESS ACCTA wages as their sale compensation,will do the work and ACCTA the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. 3M7Vf a.7v E] I, as owner of the property,am exclusively contracting CONTRACTOR NO. ITERS 0 with licensed contractors to construct the project (Sec- ADDRESS 1 d t� tion 7044, Business and Professions Code). c87.38 �ppp REQUIRED TOTAL SETTOTF. ACK Bir ¢7 a r70 CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH F' � 1 hereby affirm that there is a construction lending agency for FRONT at M1 the performance of the work for which this permit is issued P.L. CpLaZ 1. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name _ LDMA Ref. # Qui 6/15/89 P.C. Fee$ Permit Fee 7pdFi 9 AHo Lender's Address //�� +770.1 1 Y41 t 28 I certify that I have read this application and state that the Issuance Fee V EA P/C# R above information is correct. I agree to comply with all County .Investigation Fee ordinances and State laws relating to building construction, Total Fee LDMA Pgrm. # and hereby authorize representatives of this County to enterMimi upo the above-mentioned property for inspection purposes. ` �- SEE REVERSE FOR EXPLANATORY LANGUAGE a Sig lure of Applicant or Agent to