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Home My Public Portal About4937 ROBINHOOD AVE_Building__ IGA688A 088-9 8-83 - APPLICATION .FOR BUILDING PERMIT.' 1 DIVISION OF BUILDING AND SAFETY BUILDING l Department Of County Engineer ADDRESS County of LOS Angeles LOCALITY WM.J.FOX.COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. 11.1 DISTRICT NO. I GROUP I TYPE I SEWER MA PG FOR APPLICANT TO F IN CONST. BUILDING , MAP - R STATE, YES ADDRESS NUMBERIgg .C! HWY US ZQNE SPECIAL LOT NO. 9 BLOCK !/ CONDITIONS- TRACT ® r NO.OF BLDGsL BUILDING EXIST. SIZE OF LOT I NOW ON LOT SETBACK YARD HWY STREET NAME WIDTH USE OF FRONT r._EXISTING BLDG. nonce P.L. OWNER Kenneth File WT3 119 gg PI DE MAIL AbDREss10111 E O TRACT DWELL. I UNIT 5 INDUSTRIAL xTE 1 DWELL: ` I UNIT CITY 1 B NO 6 PUBLIC BLDG. 2 DUPLEX I UNIT ARCHITECT OR TEL. 7 ADDN.,ALT.._ETC. ENGINEER NO. g APT. _UNITS 8 MISCEL.-. _. ADDRESS 4 COMMERCIAL CONTRACTOR AbovA NO._ INSPECTION RECORD ADDRE33 /�;,. .y,.• 'r).?lam2/w DESCRIPTION OF WORK ! NEW X ADD ALTER REPAIR DEMOLISH SQ.FT. NO.OF NO.OF SIZE STORIES 3 FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT I 4A APPROVALS ADDRESS t� I. DATE INSPECTORS SIGNATURE FOUNDATION:LOCATION �/7/1 •t- $ P.C. $ FORMS,MATERIALS r /�/ �'l.�i✓�" = + ' ,t FEE FRAME: FIRE STOPS, $, / J f BRACING.BOLTS h' Q /•'1••�/L•• `^.'v � 4,6UAT.O.� FEE ov 6 FURNACE:LOCATION, (' / HEREBACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT,DUCTS �f� A APPLICATION AND STATE THAT THE ABOVE IS CORRECT �/y ( G�N�y y„J� AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT. Cj& J AND STATE LAWS R ULATI BUI DING CONSTRUC- TION. TION. LATH.EXT. V�J / � 3 �C�Iy1tI. •N1'i•v}r SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTEDTP l v ADDRESS /0' FINAL WM.J.FOX,COUNTY ENGINEER VALIDATION C.N.WRLAM,CHIEF BLDG. INSPECTOR ±tJCO 4 24 5 NOV 13 1 6 2 8.0 0 A M ACO-43"6.8- NOV 18 1 6,0 0 0 bs 76A63 CE NBU3(REV.11/78) APPLICATION/ OR BUIL 1NG PERMIT COUNTY OF LOS ANGELES BUILDINGhAD SAFETY BU LDING fel? w FOR APPLICANT TO FILL IN ADIDRESS ADIDRESS LDING T gj, LOCALITY d NEAREST CITY ZIP CROSS ST. NO.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK TYPE PAGE ARCEL DISTRICT GROUPSE TRACT O V1 BLOCK LOT NO., CONST.71- OWNER f✓ dC 0,Ve NO.VV56- 3FIRE BY � (, J STATISTICAL CLASSIFICATION ER MAP ADDRESS ��✓/✓ 6��Q y le CLASS N DWELL.UNITS BK 71 GG CITY � �, '' ZIP ARCHITECT OR TEL. VALUATION $ ENGINEER NO. ;�pvcp,, oe9 ADDRESS BLDG.SETBACK FROM FRONT PROP.LINE OF .(STREET). CONTRACTO �F6/ 18 1/1( NO. V9-CD TOTAL SETBACK FROM TYPEOF EXISTING d I HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH ADDRESS&1 r g4 LIC. + /v CITY /V p 5G_ CLASS CONSTRUCTION LENDER BLDG.SETBACK FROM NAME AND BRANCH SIDE PROP.LINE OF (STREET) � HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH SO.FT., NO.OF / NO.OF CHECK + = I V SIZE STORIES FAMILIES ONE ad USE ZONE MAP DESCRIPTION OF WORK &' O C NEW Cl J Jl , NO. C51-4511zj r✓/ SPECIAL y ewe G ADD CONDITIONS � ALTER El FINAL FINAL ice/fov p d r w;v S �� REPAIR ElDATE USE OF �� / DEMOL ❑ //ff�es v EXISTING LD C7� APPLICANT TEL (PRINT) - - NO. 9 6 4 6 A Q #t000023 BY(SIGNATURE) Q IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Y 2 0 - 21,60 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES 5i AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THEV 0 0 0 2 1,6 0� WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- Z PENSATION INSURANCE.- g 0 4,01 -80 SIGNATURE OF ;/ 2 9 6 4,7 A PERMITTEE 43 ADDRESS Z ## 0 0 0 a 0 1 O CITY NO. G 2 o o 3 4,0 0 P.C.Fee / v Permit Fee o a a 3(I 0 0 Issuance Fee / W Totol Fee �/ WORKERS'COMPENSATION DECLARATION'I here • 4 �/C � insurebor a cterrttificatethatlof Worke se Compenstion Insurance,olr APPLICATION FOR BUILDING PERMIT e #e h. o (S�c, P Y 38a00, Lab. C � �W[in COUNTY OF LOS ANGELES BUILDING AND SAFETY BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL I ADDRESS Certified copy is filed with the county building inspec- BUILDING tion department. ADDRE LOCALITY NEAREST Date pplicanf CIT ZIP CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' is NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT` NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one U ON MAP hundred dollars ($100)or less.) I , TRACT BLOCK LOT NO. � NO. >_ SPECIAL ISL I certify that in the performance of the work for which this OWNER CONDITIONS O permit is issued, I shall not employ any person in any manner ADDRES 01STRICT ROU _ FIR ED BY U� so as to become subject to the Workers' ensation Laws. . A (1 Dot, at Applica CITY ZIP STATISTICAL CLASS ICATJAN APT. CONDO. U NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. �s// LLI ENGINEER NO. CLASS NO. DWELL.UNITS Exemption, you should become subject to the Workers' y 0. Compensation provisions of the Layor Code, you must forth- ADDRESS SE with comply with such provisions or this permit shall be WE deemed revoked. CONTRACT T BKP PG, VALIDATION LICENSED CONTRACTORS DECLARATION CALIFOR141A POOLO, I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS $$00 E VA TIO (commencing with Section 7000)of Division 3 of the Business and SAN GABRlEL, CALIt'i,^yFJ1A 9 N' Professions Code, and my license is in full force and effect. CITY L $ SQ. T. NO.OF NO.OF CHECK License Number - L. CI s SIZE STORIES FAMILIES ONE V L --C) DESCRIPTION OF WOR NEW .� U Q 3.6 A C tract Dat ADD �❑ 1 am exempt from the licensing requirements as I am a f' 0 0 - 21 2 licensed architect or a registered professional engineer ALTER ❑ FINAL �/ acting in my professional capacity (Section 7051, REPAIR ❑ DATE �[ /!P 2 0 0 74,76. Busines ��dProfessions Code). U$ FINAL ,i( 7 Lic.or Reg.Nolt lN By�� EXISTING BLDG. DEMOL ❑ c c o Lic.or Reg.No. _Date k APPLICANTTEL. OWNER-BUILDER DECLARATION PRINT NO. 05 1 8—8 21 I hereby affirm that I am exempt from the Contractor's License o La or the following reason (Section 7031.5, Business and ADDRESS ofe Bions Code): PRESENT BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and he structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING ��®utiuv�s9 ��®��, Yl oo .`:b 0 3,7 A I, as owner of the property, am exclusively contracting CONTRALTO I&C with licensed contractors to construct the project (Sec- T LAS TUNAS r."''r- i1 o a o 0 o j tion 7044, Business and Professions Code). ADDRESS crteNP,+. r, REQUIRED YARD HWY TOTAL SETBACK FROM EXIST. 2 014200 CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH 1 hereby affirm that there is a construction lending agency for FRONT 4 the performance of the work for which this permit is issued P L (Sec. 3097, Civ. C.). SIDE 0 5 _ 82 P.L. Lender's Name 'o P.C. Fee$ Permit Fee Lender's Address > I certify that I have read this application and state that the Issuance Fee d v above information is correct. I agree to comply with all County Investigation Fee Q ordinances and State laws relating to building construction, Total Fee a hereby authorize representatives of this County to enter oabove-mentio roperty for inspec'. pur oses. °L T SEE REVERSE FOR EXPLANATORY LANGUAGE 0 igna ure o pplica t o gent Date ®s