The URL can be used to link to this page

Home My Public Portal About4924 ROBINHOOD AVE_Building__ DA636A 089.3 8.88 APPLICATION FOR BUILDING PERMIT 'DIVISION OF BUILDING AND SAFETY BUILDING Department of-County Engineer ADDRESS County of Los Angeles LOCALITY Temple Mfg - '-- WM.J.FOX.COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUP-T of BUILDING CROSS ST. nd Aug DISTRICT NO.• GROUPS ER MAP FOR APPLICANT TO FILL IN I TYPE I K CONST ' BUILDING �' `� MAP a / HE YES ADDRESS NUMBER OyP LOT NO. i BLOCK USE Z NE SPECIAL CONDITIONS TRACT 19 Q 4,75 NO.OF BLDGS. BUILDING EXIST. SIZE OF LOT NOW ON LOT S TRACK YARD' HWY STREET NAME WIDTH USE OF EX STING BLDG. none FRONT P.L. Is- J OWNER Kenneth FI. j_ll3,ams P.DL. MAIL i O TRACT DWELL. i UNIT ADDRESS 10 L ' 5 INDUSTRIAL - CITY 1 BID 1e lti NO EL t DWELL. / 1 UNIT 6 PUBLIC BLDG. 2 DUPLEX iUNIT ARCHITECT OR TEL. 7 ADDN.,ALT.. ETC. ENGINEERNone NO. 3 APT. UNITS 8 MISCEL: .- ADDRESS n 4 COMMERCIAL CONTRACTOR Above NO." / f INSPECTION RECORD X/vw DESCRIPTION OF WORK NEW $ ADD" ALTER REPAIR DEMOLISH 8Q.FT. NO.OF NO.OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE O APPLICANT �f�p APPROVALS ADDRESS V�l� DATE INSPECTORS SIGNATURE FOUNDATION:LOCATION P.C. $4 t B FORMS.MATERIALS FEE (f FRAME:FIRE STOPS. J s 0� BRACING.BOLTS VALUATION FEE �Y FURNACE:LOCATION. i }'5i• GAS VENT.DUCTS cif i 1c y ° I•'9.•�.+n /1An I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS �I•� �•. + APPLICATION AND STATE THAT THE ABOVE IS CORRECT // r 27 AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH.INT. /9f� h AND STATE LAWS COMPLY. BUIL1CONSTRUC- TION. - ✓;i G• LATH.EXT. '� ^�� ".• SIGNATURE HOUSE NUMBER COR- PERMITTE RECT AND POSTED ADDRESS C) FINAL WM.J.FOX.COUNTY ENGINEER VALIDATION C.N.DIRLAM.CHIEF BLDG. INSPECTOR L!1W 42 4 6 Nov 13 1 6 1 2 8.0 0 A a '3' 6 aS; Nov 18 1 5 F.0 0 r WORKERS'COMPENSATION DECLARATION ` 11{greby affirm that I have certificate of consent to self APPLICATION F I BUIL®I N G PERMIT insul,eui•e,'br a certificate of Workers' Compensation Insurance, or'cIl;ertified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Poli"` v Company ❑ "Certified co is hereby furnished. FOR APPLICANT TO FILL IN BUILDING PY Y ADDRESS O� V>✓ ❑ Certified copy is filed with the county building inspec- BUILDING r �j✓ j'f tion department. Date Applicant CITY C11EXzip C / LOCALITY O. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR (Thi;section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) . + N QQ OWNER L�� NO -J7 USE ZONE 3 I certify that in the performance of the work for which this NO.MAP P employ Y P Y D b �&- SPECIAL permit is issued, I shall not em to an person in an manner ADDRESS' O CONDITIONS so as to become subject to the Workers'Compensation Laws. CITY � C� f�� U 6-T zip U Date Applicant O h #&I;+6f LL&rD ARCHITECT OR f TEL. � DISTRICT GROUP TYPE FIRE PROCESSED BY O NOTICE T APPLICANT: If, after making this C tificate of ENGINEER NO. CONST. ZONE U Exemptio you should become subject to the Workers' R-3 00 Compensation provisions of the Labor Code, you must forth- ADDRESS Cl- with with comply with such provisions or this permit shall be TEL• STATISTICAL CLASSIFICATION APT. CONDO. N deemed revoked. CONTRACTOR NO. Z LICENSED CONTRACTORS DECLARATION JLIC. CLASS NO. — DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business LIC. SEWER MAP and Professions Code,and my license is in full force and effect. CITY CLASS BK. PG. VALIDATION SQ. FT. NO.OF NO.OF CHECK License Number Lic. Class SIZE S� I STORIES FAMILIES ONE VALUATION�00. Contractor Date DESCRIPTION OF WORK � NEW ❑ ;ElI am exempt under Sec. PITCU VP E ADD l ALTER ❑ BAP.C, for this reason REPAIR ❑ $ Date: [CONTRACTOR SE OF ISTING BLDG. DEMOL ❑ Signature PPLICANT TEL. FINAL q►_ ��1 OWNER-BUILDER DECLARATION (PRINT) NO. I DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and DDRESS FINALQ rJ 1 Profjessions Code): ESENT By LL w �r ILTYJJf I, as owner of the property, or my employees with DDRESS ACC °4 wages as their sole compensation,will do the work and CALITY ® $3�7 1u (� the structure is not intended or offered for sale(Section 7044, Business and Professions Code.) OVING TEL. q �rcM ❑ I, as owner of the property,am exclusively contracting NO. c 1 T 1 Gt S with licensed contractors to construct the project (Sec- [ADeDsRESS TOTAL 1 15'o 850 tion 7044, Business and Professions Code.) QUIRED TOTAL SETBACK FROM EXIST. CHECK 115.511 CONSTRUCTION LENDING AGENCY T BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for ONT CHANGE .00 the performance of the work for which this permit is issued(Sec. 3097, Civ. C.). DE L. Lender's Name [);�(��M1 v/�5/�9 � e7 0 LDMA Ref. # pLender's Address Fee$ Permit Fee i , 1;3L�7 1 A V�r171 certify that I have read this application and state that the Issuance Fee r �/ LDMA P/C# above information is correct. I agree to comply with all County tigation Fee ordinances and State laws relating to building construction, Total Fee s LDMA Perm. # and hereby authorize representatives of this County to enter upon th above �-Jmentiotned property for inspection purposes. �.-(�Fd-� � af, 39 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Ap cant or Agent Date /' . • WORKERS' COMPENSATION DECLARATION hereby affirm that I have a certificate of consent to self APPLICATION FOR BUILDING P E RM I T insur' ,or a certificate of Workers'Compensation Insurance, or c,rtified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS &Iq -2,4 ElCertified copy is filed with the county building inspec- BUILDING L 16 t'!D ot`- tion department. 1 0� Date Applicant CITY QCs. !-e C L ZIP G • /7 LOCALITY NO. OF BLD NEAREST: (�A t/E_ CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOTT , JD CROSS ST. V // 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.) t USE ZONE MAP -7 OWNEREta ♦1 LCv� NO. vC 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 y ,�/iC SPECIAL a 11! CONDITIONS so as to become subject to the Workers'Compensation Laws. OO .S.-ITa!: � e_ C I-IE zip / 7 n Date Applicant ARCHITECT OR G TEL. DISTRICT GROUP TYPE FIREJCESSED BY O NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. COp� ff 0 Exemption, you should become subject to the Workers- ��/� ---'> �� w Compensation provisions of the Labor Code, you must forth- ADDRESS N - I h lk L (f �-�� a with .comply with such provisions or this permit shall beIV UVJ TEL STATISTICAL CLASSIFICATION APT. CONDO. N deemed revoked. CONTRACTOR NO. `� 1 Z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS - I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business LIC. SEWER MAP and Professions Code,and my license is in full force and effect. i CITY CLASS BK PG VALIDATION SQ. FT. NO. OF NO. OF CHECK License Number Lic. Class SIZE STORIES FAMILIES ONE Contractor Date $. DESCRIPTION OF WORK NEW ❑ VAL ATION , El I am exempt under Sec. Ov-40-e- ADD El ALTER ❑ B.BP.C, for This reason REPAIR ❑ $ Date: USE OF EXISTING BLDG. DEMOL ❑ Signature t APPLICANT TEL. FINAL OWNER-BUILDER CLARATION (PRINT) NO. DATE J �J I hereby affirm that I am exempt from the Contractor's License "V^' Law for the following reason (Section 7031.5, Business and ADDRESS FINAL 'r Professions Code): PRESENT By J ACCT.v ❑ I, as owner of the property, or m o BUILDING P P Y Y employees P Yees with ADDRESS � n �(�'� .59-4--1 wages as their sole compensation,will do the work and 1 the structure is not intended or offered for sale(Section LOCALITY (/ ( "[`I/ rrrCCC�� 1 ITEMS 7044, Business and Professions Code.) MOVING TEL. 6 ❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. TI]TAL 59.25 with licensed contractors to construct the project (Sec- ADDRESS CHECK 59°25 tion 7044, Business and Professions Code.) REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH CHANGE All 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. 9/12/89 Lender's Name LL L ■ � P.C. Fee$ Permit Fee � � LDMA Ref. # �pttp 1 1'91qM 1 7 a°tt� Lender's Address 0 1 certify that I have read this application and state that the Issuance Fee • D LDMA P/C# 8 above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee 1 c2-5 LDMA Perm. # and hereby authorize representatives of this County to enter upon the Bove-mentioned propp rty for inspection purposes. /Z , c1 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicfnt or Agent Date X WORKERS'COMPENSATION DECLARATION hveby affirm that I have a certificate of consent to self APPLICATION FORBUILDING PERMIT insur,;,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. Company `�'BUILDING ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS Z ❑ Certified copy is filed with the county building inspec- BUILDING ?l / � C�� 0112 , �� tion department. ADDRESS ��L oL _ 1 ' Date Applicant CITY Ga i-s C L ZIP C- . /7 LOCALITY NO. OF 131.131375.TNEAREST 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 TRACT' BLOCK LOT NO. ?MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) ► ` TEL :"'USE ZONE MAP -7 OWNER �(1v� NO. v` I certify that in the performance of the work for which this � NO. SPEC AL >- permit is issued, I shall not employ any person in any manner ADDRESS 6 �(/'`�^. CONDITIONS CL as to become subject to the Workers'Compensation Laws. �1 O CITY T✓6—)ie C i L zIP f 1�.. Date Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE OCESSED BY O NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. '� C� E Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- ADDRESS a with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO. N Z deemed revoked. CONTRACTOR NO. 'd CLASS NO.�DWELL. UNITS LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business LIC. SEWER MAP and Professions Code,and my license is in full force and effect. I CITY CLASS BK VALIDATION SQ. FT. NO.OF NO. OF CHECK PG. 7q License Number Lic. Class I SIZE STORIES FAMILIES ONE DESCRIPTION OF WORK NEW ❑ SALL�ATION Contractor Date r� 000100N ❑I am exempt under Sec. p( � Ir ADD ❑ ALTER 1-1 ., BAP.C. for this reason REPAIR ❑ $ Date: USE OF EXISTING BLDG. DEMOL ❑ Signature = APPLICANT TEL FINAL OWNER-BUILDER CLARATION (PRINT) NO. ;. I hereby affirm that I am exempt from the Contractor's License DATE Law for the following reason (Section 7031.5, Business and ADDRESS FINAL r Professions Code): PRESENT By �' ACCTo4 ❑ i, as owner of the property, or m em to ees with BUILDING P P tY. Y P Y ADDRESS 331j7 59.25 wages as their sole compensation,will do the work and ® �1 ( 4 y tL- 1 ITE�`{5 the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code.) MOVING TEL. 6' ❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. TOTAL 59.25 with licensed contractors to construct the project (Sec- ADDRESS CHECK tion 7044, Business and Professions Code.) REQUIRED TOTAL SETBACK FROM EXIST. 'r CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH CHANGE oC�l 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. 0000-0001 9/12189 Lender's Name LDMA Ref. # 5646 1 AM 9"-05 BP.C. Fee$ Permit Fee , Lender's Address I certify that I have read this application and state that the Issuance Fee o LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee e1-� ordinances and State laws relating to building construction, Total Fee r �✓ LDMA Perm. # and hereby authorize representatives of this County to enter upon the ove-mentioned pro rty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applic t or Agent Date