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Home My Public Portal About4912 ROBINHOOD AVE_Building__ ,41 'GAS l A *809.7-66APPLICATION FOR BUIL®I NG .PERMI.T 1 BUILDING AND SAFETY DIVISION ADDRESS i ltn; Department of County Engineer County of Los Angeles LOCALITY ) i JOHN A.LAMBIE, COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICT NO. GRP SEWMAP FOR APPLICANT TO FILL IN TYPE BK PG �. I CONST. I BUILDING ADDRESS'Ifl � d /�/ Q STATISTICAL CLASSIFICATION Ij CLASS. NO. DWELL. UNIT.-t LOT NO. O� z BLOCK MAP STATE NUMBER / HWY YES O Gr TRACT O J46 %3USE ONE SPECIAL NO.OF SIZE OF LOT (! /(/6 U I NOW ON LOTS LJ CONDITIONS USE OF EXISTING BLDG. BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH J OWNER / Q N s /p FRONTMAIL 1 ADDRESS �C (O 30/9• /Q'L(�/w! I C. P. L. SIDE TEL1h'I-jY?4 P. L. CITY TE TOR �/�' TEL Ie T 7 i.;INSPECTION RECORD ARCHITECT OR TEL, _ ENGINEER NO. 121 ADDRESS .\L� / TEL �/ �A•r /.l .f+r:'/,•,r CONTRACTfOR)'Ar' 7?d /rVS Q NO P'�Ty�� ADDRESS'S 6/d (0 1801a'W led /I r'"A, 4� DESCRIPTION OF WORK NEW &00/ADD ALTER REPAIR DEMOLISH SQ.FT. 011 NO.OFNO.OF SIZE J STORIES FAMILIES USEST�RUC3U/I� L/GLV fil ![ APPROVALS SIGNATURE OF APPLICANT DATE INSP9CTOR'S SIGNATURE• ADDRESS FOUNDATION:LOCATION �/ —� .fir✓ // FORMS, MATERIALS 9 �:� '� / `�"li+ • �_� I/ FRAME: FIRE STOPS. P.C. S (r ® FEE BRACING,BOLTS VALUATIO FURNACE: LOCATION, GAS VENT, DUCTS FEE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ'THIS AP- LATH. INT. PLICATION AND STATE TH EIS•CORR-ECT AND AGREE TO COMP WIT AL OU T RDINANCES AND LATH. EXT. STATE LAWS 1 13 UCTION. SIGNATURE OF HOUSE NUMBER COR- PERM ITTE OR-PERMITTE RECT AND.POSTED ADDRESS FINAL IOHN A.LAMBIE, COUNTY ENGINEER, CLYDE N. DIRLAM.'PRINCIPAL STRUCTURAL ENGINEER PLAN CH= VALIDATION 0. M.O. CASH PERMIT VALIDATION CK. M.O. CASH i_;leo 8 3 0 5 u, MAY 1.7 16 r X1,08 ;5 4 n �'dAY 2'� 1 3 4.0 . y IGA699ASg#803.7.56 APPLICATION ■ OP BUILDINGPERMIT BUILDING AND SAFETY DIVISION BUILDING r Dep OStment Of County Engineer ADDRESS P County of Los Angeles LOCALITY t / JOHN A.LAMBIE. COUNTY ENGINEER NEAREST ' 77 CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. �, DISTRICT NO. UP TYPE SEWER MAP FOR APPLICANT TO FILL IN BK PG CONST. BUILDING /� t 'I ADDRESS STATISTICAL ,,yyCLASSIFICATION LOT NO. �. BLOCK CLASS. NO.klLaDWELL. UNITS MAP STATE YES O . NUMBER HWY TRACT Ar U USE.ZO E SPECIAL NO.OF BLDGSIZE OF LOT a ( w 15 I NOW ON LOTSCONDITIONS USE OF _ EXISTING BLDG. BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH OWNER •t � / d Ads �'� FP LT MAIL 1y j / ADDRESS2(�JJ f0 S(-dev;Ae SIDE TEL. P. L. CITY �a d' A. NO. �. •a INSPECTION RECORD ARCHITECT OR TEL. ENGINEER NO. ADDRESS ] 1� / CONTRACTOR' A1A1.9 &Q C NOI./�"6 9 ADDRESS -3—Ib -4 C+ &lQ ze) e w. ' A r<e G7f r K. • DESCRIPTION OF WORK ! / NEW / ADD ALTER• REPAIR DEMOLISH SC. FT. NO. OF NO.OF SIZE d STORIES FAMILIES USE OF STRU TUBE GL J^ APPROVALS SIGNATURE OF APPLICANT DATE INSPECT R'S SIGNATURE ADDRESS FOUNDATION:LOCATION FORMS, MATERIALS % P.C. S FRAME: FIRE STOPS. `.., FEE BRACING.BOLTS 2:14 VALUATION $ 9 FURNACE: LOCATION, FEE GAS VENT, DUCTS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH. INT. PLICATION AND STATE TH HE ABOVE IS CORRECT AND - AGREE TOCOM FAY WIT L CO ORDINANCES AND LATHEXT. STATE LAWS ING BU D CONSTRUCTION. — SIGNATURE O HOUSE NUMBER COR- PERM ITTE RECT AND POSTED ADDRESS FINAL IOHN A.LAMBIE.COUNTY ENGINEER, CLYDE N. DIRLAM. PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH L_,ara8 3 5 0 tim 2 0 1 r 0 In 76ACJal A Cx'a§03 12/69 r APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS ? �GL(�yt_� COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY j��)� FOR APPLICANT TO FILL IN NEAREST CROSS ST. �t, Print ort a onl BUILDING , DIS�IIC(T�NOr. O P TYPE PROCESSED BY - ADDRESS �/ p �QrJ/il/ � �li�• �7 11 C> CONST, LOT NO. BLOCK STATISTICAL CLASSIFICATION SEWER MAP ,�• CLASS NO.,g/DWELL.UNITS BKQ PG7 TRACT C USE ZONEI MAP / D NO.OF BLDGS. NO. SIZE OF LOT NOW ON LOT A, If l SPECIAL USE TI /�o�rs� 6A� 1 CONDITIONS EXISTING BLDG. 'A TEL.uu OWNER %/� �Q NO. BLDG.SETBACK FROM ADDRESS /r2 /y(J�•�KfJ[�/J�!/{l/'OP /� FRONT PROP.LINE OF (STREET) TYPE OF CITY 'r�'/Lf �' L-/� HIGHWAY EWIDTH G FROM AC.L.CK HIGHWAY + YARD = TOTAL ARCHITECT OR TEL. J/� .I. --)C? _ "�� ENGINEER NO. BLDG.SETBACK FROM ADDRESS SIDE PROP.LINE OF (STREET) E CONTRACTOR NO, H GHWAYW WIDTH FROM CCL HIGHWAY } YARD = TOTAL LIC ADDRESS NO ' + = G LIC. C CITY CLASS CORNER CUTOFF YES ElNO ❑ C. CONSTRUCTION LENDER c NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESSco �- p SQ. FT. NO. OF NO. OF -7 O C/),/ •'r 17 .•%�:�S'_ 'IJ�1/9�kQ7�r^`l�' SIZE STORIES FAMILIES NEW , USE OF ADD (; A,/1.'�'V STRUCTURE a 1 ALTER ❑ f!f�d tri � lt•',f'°I'J��''� :�/, r�%J_1 L1._. ��:y Y REPAIR❑ C ; SIGNATURE OF it I�' /(� [— `�f' 'f �GPe�� .5�)`''<� !.f APPLICANT DEMOL ❑ �' �(y -/('o' P{'f 07 Ze ��[�/ s )►�� iJ t�12/�. Ivo, VALUATIONS ) (� C%Y APPROVALS DATE INSPECTOR'S SIGNATUR P.C. PMT. FOUNDATION: LOCATIONr FEE Sf�O FEES s G/ FORMS, MATERIALS 7-//J' 6 FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ TNIB 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. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED •� cry C}, } HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.PDO/ Y� - d -I 7-72 //. /lJ7.t.i:-+TY LABOR CODE OF THE E OF •CA IA IN RELATING TO WORKMEN'S COMPENS 10 INSURAN 1 LATH, EXT.PQD_ SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESSAtz /N Od T. FINAL JOHN F. LEWIS. PRINCIPAL STRUCTURAL EN PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH AP_ 5 4 7 79 .JUN 19 2 3 D 13.50, C �'��5 4 7 89 Aril 19 1 0 2 2.50c I APPLICATION FOR BIUILDING PERMIT t COUNTY OF LOS •ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT'TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, 1 BUILDING ADDRESS /�- or a certificate of Workers'Compensation Insurance,or a certified /Z / copy thereof(Sec.3800,Lab.C.) CITY ZIP Policy No.I QU I LI b 1 Company STdFT Fu0b S7 OF A1ejf e, � 700 NO.OF BLDGs.NOW LOT LOCALITY A ❑ Certified copy is hereby furnished. NEAREST CROSS ST for— El Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. USE!ANE MAP NO. Date � t Applicant 0--P �[ -•ry cJ� ASSESSOR MAP BOOK 'PAGE PARCEL J� C T�,�t SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO. COMPENSATION INSURANCE I !�4 �S /LV -601.1 3� WITHIN 1000 FT.OF SCHOOL! YES NO (This section need not be completed if the permit is for one hundred ADDRESS y 2O/� DISTRICT GROUP TY CONST FIRE ZONE PROCESSED BY dollars($100)or less.) CITY ZIP _ I certify � that in the performance of the work for which this permit m��£ �1 � �17� p is issued, I shall not employ any person in any manner so as to Q become subject to the Workers'Compensate La ARCHITECT OR ENGINEER TEL NO. /r�� STATISTICAL CLAS IFICATION APT CONDO Date l 1. / Applicant / ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT. If, 'after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you, should become subject to the Workers' j CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith :1 F 1 8C/ - �-677,6 LFRONTcomply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO.LICENSED CONTRACTORS DECLARATION b1 �• 5�737 CITY L�;C S I hereby affirm*.that I am licensed underprovisions of Chapter 9 i N E!!�L'lJlNv ('' (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SI E NO.OF RIES NO.OF FAMILIES SEWER MAP C Professions Code,and my license is in full force and effect. i T \ NEW BK PG C License Number 51-7777 Lic.Class e-3q DESCRIPTION OF WORK 1£. O%-r ADD ❑ VALUATION 2 , Contractor C Qotr►1`26 Date OT I L{ �R. I<1570 A-1 01= ALTER ❑ $ ❑ 1 am exempt under Sec. E- T TtA REPAIR ❑ $. ( C B8P.C.for this reason L N TCL %W BASS IRGrif DEMOL ❑ LDMA P/C# W Date: USE OF EXISTING BLDG. URM ❑ !� Signature j APPLICANT(PRINT) TEL NO. LDMA Perm:#....... ? ❑ I, as owner of the property, or my employees.with wages as �C Z0oF 1117-1 �r7 $$777(0 Z ACCT°a their•sole compensation, will do the work and the structure is ADDRESS 2 O r not intended or offered for sale (Section 7044, Business and D I Cr W 3 $ ' / twru,,Wwvw u D FINAL DAT{{E a Professions Code.) HALL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL 1 Gt�-Z$✓ L � � OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE El1, .1, as owner of the property, am exclusively contracting With .l AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY 11T�ry�LTOTAL' I -25 licensed contractors to construct the project (Section 7044, YES No❑ / Business and Professions Code.) (~�C � J ry sA t WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING L(,• .a v Iti ° , 1 OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM.THE SOUTH CONSTRUCTION LENDING AGENCY i COAST AIR NES.QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FORGUIDI CHANGE +i�}ii it o�j�) I hereby affirm that there is a construction lending agency for YES 11 NO ❑ 4E ftil'!V C4 the performance of the work for which this permit Is Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 3097,CIV.C.) CHECKLIST,I UNDERSTAND MY REQUIREMENTS UNDER THE LAS ANGELES COUNTY CODE, TITLE 2,CHAPTER 2.2 !PS20.T THROUGH 2.20.140 CONCERNING HAZARDOUSLender's Name I�TJtIAL3 REPORTIN TAINI A PERMIT F=OM THE SCAQMD. i 143 •4J Art 10 a 40 o Lender's Address 1 OWNER OR AGENT cI certify that I have read this application and state under penalty of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE N with all county ordinances and. State laws relating to building construction, and hereby�autfl rize representatives of this County ISSUANCE FEE to enter upon the ve- b tbd ed property for inspection purposes. G) (' x- (�I INVESTIGATION FEE TOTAL FEE PWW a Agm 4 SEE REVERSE FOR EXPLANATORY LANGUAGE