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Home My Public Portal About5429 ROBINHOOD AVE_Building__ �CKloo� - APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELESeuM NGac DEPAHT ffl3NT OF COUNTY ENGINEER ADDRseH BUILDING AND SAFETY DMSION LOCALITY JOHN A.LAMBIE,CouNTY f3Nami= N EST CANZA D. o�eu a DISTRICT O. ZROIYP TYPEOC ED BY FOS APPLICANT IN CONST. ADbREBH HTATIHTICAL AaQIFICATION HEW R MAP BK PG CLASH NO NIT LOT NO. BLOCK MAP STATE YE8 . NUMBER HWY. CT U8EZOTiS SPECIAL L NO.OR BGB. / CONDITIONS !<iYE OF LOT �� NOW ON LOOT UEE O R BUILDING EXIST. I BLILDIN YARD HWY EET ME WIDTH 01�fPIER FRONT ADD P.L BIDE JCrITY ARCHITECT INSPECTION BECOHD ENGINEER NO TEL' CONTRACTOR NO. DESC=ON OF WORK NHW klllADD ALTER 'FiEMA1R DEMOLISH BQrFT. NO.OF NO.OF SIZE STORIES FAMILIES USE OF STRUCTURE a]ONATURE OF APPROVALS APPLICANT // TOR'S momrUYE r TH INSPEC 'AIDED)R FRMS, OUNDATIONS LOCATION RM MATERIALS ...�• FBRMACIN IRS STOBOLP VALUATION ; Q FURNACEt LOCATION. GAS VENT'DUCTS I HWW5Y ACKNOWLEDGK THAT 1 HAVE READ THIS AP. IJ1 I►7i a1 PLICATION AND STATH THAT THE ABOVE 18 CORREAD CT N ;AdRHlS TO COMPLY WI ALL COUNTY ORDINANCES AND 4 y tATs LAWS u INa 4 a coNerRu ON. LU.TH ERT. SIQNATURE OF. HQpUSE NUMBER COR- P@t M l RE CT AND POSTED DMNAJ, r CLYDE N.DIRLA PRINCIPAL STRUCTURAL ENGINEER Y.O. CL-juil FEMEIT VALIDATION W o. GiH 06 $ 4.9 .. NOV_02' 3 A 22.J �..� M6 9.8 3 ER N011 2 5 1 A 45.00 WORKERS' COMPENSATION DECLARATION - hereby ooacrtlficate onIceInsre, orcertiflrate o CmpenwtlonsuranAPPLICATION FOR. BUILDING. P E RM I T eifed W8or art , f ( p3 Wb. C. COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company V ❑ Certified copy_� hereby fUmishedBUILDING . FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy Is filed with the unty bulldCrlg I - BUILNNNG Q r (J tion. a ens, q( CITY ZIP 1 / LOCAI,IY Date'' Appl I CERTIFICATE OF ION FROM WORKERS' SIZE OF LOT ON LOT CROS ST. Ike COMPENSA ON I NSU RANCE ASSESSOR . (This section need not be cornleted If The permit Is for one T-PACT BLOC( I LOT NO. MAP BOOK PAS PARCELss hundred dollars (;100) or le . `` 01AR�2 ' 1 NO. USE ZONE MAP I certify that In-the performance.of the work for which this SPECIAL- permit CALpermit Is Issued,. shall hot employ an person In any manner ADDRESS Z fo as to subject to the Work Compe ion Laws. `y COtDffIONs O f QTY ZIP I Date Apph ARCH rTECT OR Ta DI.SMCT GROUPTYPE FIRE - PROCESSED BY O NOTICE TO APPLICANT: If or making this .Certificate of ENGINEER NO. CONST. ZONEExemption, you should me subject to the Workers p� Componsatlon provisions of the Labor Code, your must forth- ADDRESS �TJd -� with coMply with such-provislons or.This permit shall be lEL 6—L S STATISTICAL CLASSIFICATION APT. CONDO. deemed revoked.' CONTRACTOR NO. — LICENSED CONTRACTORS DECLARATION G C C1A55 NO. DWELL UNITS 1 hereby affirm that I am licensed under provisions of Chapter 9 i2' , ALJ (commencing with Section 7000)of Division 3 of the Bwlneas if UG ' SEWER MAP and Professions Code,and my license Is In full force and effect. J CLAM k VALIDATION (I, (Z NO. OF NO. OF CFIFOC License Num Llc Class SIZE STORIES FAA41ULS OrE N• n�4y S ❑ vAiVALUATION Contractor . pate DESCR1PT10N OF WORK NEW ❑ f 5,D d ❑I am exempt under $w- / ► , ALTER ❑ B.BP.C. for this reason REPAIR ❑ $ O USE OF °' I7 .nNG B D!Eh b ❑ T APPI S i g n atu m JTEL. FINALCNVNER-BUILDER TION I NO. DATE I hereby that I am exempt froth the Contractors Ocense - Law for the following reasori (Section 7031.5, Business and ADDRESS RNAL El1 Professions Code): By a. 1, as owner of the property, or my employees. with ADDRESS ��T wages as their sole compensatlon,will do the wdrkand 73D37 113.63 the structure Iii not Intended or offered for sale(Section ' 7¢44, Business and Professions Code.) MOVING EL 1 IING T . ❑ 1, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed,contractors to construct the 4roject (Sec- ADDRE55 {T��t7 1 1, ? ilon 7044, Business and Professions Code.) TOTAL r 113.67 CONSTRUCTION LENDING AGENCY YARD FIM/1PF r I hereby affirm that there Is.a construction lending agency for FRONT ` •00 the performance of the work for which this permjt Is_issued P.L. (Sec. 3097, Ov. C). SIDE Lenders Name P.L 1 1�yIll� 3/91 P.C, Fee Perm H Fee LDMA Ref. # -j�,338 1 Fi5:14 Lenders Address o I certify that I have rood this applicatia on and state that the Issunce a 7 LDMA P/C# above Information Is correct. I agree to comply with all County Inystlgwlon Fee ordinances and State-laws'relating to buildingconstructI Total Fee / .+ • `� LDMA Perm..# and ereby author) a ntatIvpsf th (conaft ty toe ar u the ad o 59 RlWUM FOR E 0nAkATORx LANGUAGE j gnature Ikant or Agent