HomeMy Public PortalAbout5424 ROBINHOOD AVE_Building__ -------------
APPLICATION FOR BUILDING PERMIT 3
COUNTY- OF LOS ANGELES 13UImING
DEPARTMENT -OF COUNTY ENGINEEH ADDREBB
BUUMING AND PYETY DIVISION LOCALITY:JOHN A.LAMBI CouNTY EENGrNKxR NEAREST
TT D.GRlF7TN,gui-T crF WuiLmTma
,{ /� DISTRICT O. dROU•P TYPE P ED
FOH APPLI a CONST.
ADDRRUSSILDING STATISTICAL CLASSIFICATION SEWEBK KAP
PO
LOT NO. - u DLO Q( CLASS.NO UNI
HAP STATS �Y,�
NUMBER HWY.
7WACT U:WSZO NE SPECIAL
NO:OF BLDGS. CONDITIONS
armit OF LOT / NOW ON LOT
&SE O F
BUILDINb YARD HWY STREET NAME Eris .
BL'TBACK WIDTH
OWNER FRONT
MAI L• P.L
ADD SIDE
CITY- CTO - TE OPSPE +TION �OHDARCHItH -
EN O I N EER N - '
TEL-
CONTRACTOR NO.
D ON OF WOBS
Ntsw A17D RHPAIR DEMOLISH
BO.FT. NO.of NO.OF
SIZE STORIES FAMILIES
OE OF UCTURE n
91GNATURE O AA-ROVALS
APPLICAM
DAT7ff IIIEPQ R'>!91GNATUES
AbDRE619 quiFOUNDATIONi LOCATION
FORMS MATERIALS
FRAMI:l FIRE STOPS.
BRA CIN BOLTS
VA.LUATIO; # FURNACEz LOCATION,
OAS VENT DUGTH
I Hl;REBY ACKNOWLEDOE THAT I HAVE RSAD.THIS AP- LATH,INT.
PLILAnoN AND YI'ATE THAT THE ABOVE IS CORRHCT AND
Val'GREE TO COMPLY W ALL��NTY ORDINANCES AND _
LAWS ULA NO INCA CONSTRUCT N. LATH EXT. w
1r10NATUlaE OF HOUSE NUMBER-COR-
RECT AN POSTED
F►rxw {E r
CLYDE N.DIRLAM PRINCIPAL$TRU RAL ENOIN�Z
PLM Cm=v r.o a l Wo. aAsH
'I 6,-B 4 6JR my 20 2 3 A 2 2.5 D i x
LAC0 6 9 8 0 F NOV 5 1 A ' 4500 N
a
` APPLICATION FOR BUILDING, PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORIER•S COMPENSATION DECLARATION POR APPUCArrr To PLL W BULDING ADDRESS
I hereby affirm that I have a certiffoeb Df ooneent lo self bmre
or a cerdfloate of Vkrkare'Companeabw lrmrwx^or a certifled tiJ QS
copy thereof(Seo 3800.Iib C.) ry <,- t o TL , Cm !t- �i� ZIPPo"No, C-npyt _
SUM OF 1 �y NO.OF NOW ON LOT ttEjV
El
Certified oopy w hereby tumished O 1 NEAREST CF0OSS ST.
XCertibed Dopy Is fled wtthh &m 000inty buD&g hapection BL" LAT NO. USEZOW MAP Na
del-t—ft- w
Deftg APAbrorrt /� �` /` �. r y ,0 3 Al SIPECLAL CON.Dn-tow
CERTIFICATE OF E)GEMI ION FROM VIORKERS' 7 . LJ �� i6 YEB NO
COMPENSATION INSURANCE — w f-m toxo Fr.OF 80*- o ?
ADDRJ33B
�
ssection n om
be opletod tf the permne it Is for ohundred /r DrSrwCT GAotJP TYPE FF1E DOPE
I certify that In the performance of the work for whbh this permk 1 t ZAPF OY
Is issued, I shall not employ arty pwreon In any maru,er so as io AACHfTECT bR ENGINEER ^ T�
bsoome sub)ect lo the%xiaro'Componsation Lara �Cc�d►' ��3 ClA>38tFcJ1T1 APT CONDOL
1f CLASS NO. DWELL UNrrs
NOTICE TO APPLICANT ff, after maldng this Cardroogto of f° �f I ��c w `� � � � ' REQUFED TOTAL SETBACK FROM EXISTExemption, you should become subject to the Workers' CONVLACTOR v TEL Na BET BACK YARD HWY PROP UNE MOTH
om
Cpensation provision of the Labor Code, you must korthwfth -t- T 4-Al — FROrrr
comply with such provlslons or this perm ft sisalI be deemed Tavoked. ADDRESS Ur—NO. PL
zi 8 M , �a 6 7/ SLOE
LICENSED CONTRACTORS DECLARATION ,Y� PL
I hereby dflrm that I am ki
Ibensed under provons of Chapter 8 �y BENS AAP
(commencing wfth Section 7000)of Division 3 of the&nh,eoe and N0.OF STORES NO. FAhaJEB
Rotessions Code,and I b In full force and effAat y ( NEW ❑ BK Pa
WORK
License Number �' Uc Gass rj g 4. � X11 � ADD ms i
uc ./,q- b,. F`t�"i 1 v I G S 4 )c r ALTER ❑
z
_ REPAIR ❑
❑ BARC.for this reason l 4�r p(under Sec. f, I DEMOL ❑ LOMA PtC s
DOw USE of BLOB URM ❑
c
Signature
❑ I owner of the property, or rry employees with wages as '`�, ,MD (��t� TES N0. — �A p.r,e s �
9 ��y Q$
bmk Bois=reparation,wfll do the work and the structure Is ADDRESS F fes[{I rt
❑ 1
not Intended or offered for sale (Section M44, Brulr,ess end "'"L f"'�
V
1� Prafeaslon�Code) WII.T}ia/Y4U0Alri OR FUTUR9 R R ern OCCURIlrr F4MDLa A FiAZAFDOlA11LaGSlIL � T
r I, r owner of the FAY am exoluefvey wrttt, OR A WCR0 li CON-0,RC A FWW
AFKXXM QEXAL aOUI
AL TO OR CER THAN }r
Ire AMD-INTO T,i FwARDoue MAMMALS raroRW VForr awn �nL > .I�Q� l�
licensed contractors to oor>atruot the project.(800tion 7044, Yea El NO w f FiC f .=
l3Lrainees and Profeselorr Code.
wiL THE I TENDW USE OF Tie BUILDING er THIN APPLq oR F UTurIa BU LD NO i
OCCIIMMT Fool a A PfFM T POR CONerRUOTFON OR YOOaMC410N PROM TFC SOUTH
CONSTRUCTION LENDING AGENCY coAeT AM QIJX v MM AoW&+T DeTwoT aaAPsra �
TIM aaaFaT
. t�tt7i
FOR Oro � ap sae. p�hjCCyy
I hereby affirm that there Is a constucdw lending agency for rm 1:1 ►PooA
X 33��
the performance of the work for whk h this perm ft Is issued(Seo G�y
OpO 3087,Ck C.). IPERMITTINGRof AD a I UNDQWMk o w Rao� UNDM TTM wQLWQ AM ee Arm
d Landara Warne COUNTY COOe.TTfLI; lEA ND ffMfm AT I�'RO�Ir�
Lenders Address a T Q
I ow ffy N,et I have reed this epp6cation and state that the above P.C.FE£ PEi1QT FEF /
Information Is oorrect. I agree to oompty with all county
ordhw cee and 9UM lawn relating to building corutruotlor�and r Q
Aeby authortw reprawntatIvesof the to order upon ISBLIANCE FEE /2
?�F�•Q o MIE8TFC3ATION FEE TOTAL FEE J
Iy.r.•r A.�r.A..r ar
ME REMW POR OWLARffORY LANGUAGE,