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HomeMy Public PortalAbout5504 ROBINHOOD AVE_Building__ 70A696A CE 0609 12/69 APPLICATION FOR BUILD G PEERMfT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE P&RCEL BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRE39 COLaMAN W. JHNKINS, eUP•T OF BUILDING LOCALITY R APPLICANT TO P71LL IN NEAREST (Pript CROSS ST. BUILDING DIST N G P TYPE Y ADDRESS sD 9 O Gj CONST• STATISTICAL CLASSIFICATION 3 ER MAP LOT NO. BLOCK CLASS NO.��DWELL,UNITS 13K--- PG TRACT66 USE ZONE�MAIP OD gm% NO.OF BLDGS.SIZ Q NON ON LOT CIAL USE OF NDITIONS EXISTING BLDG. TEL- OWNER ELOWNER [' G NO. BLDG.SETBACK FROM ADDRESS Jy� ` FRONT PROP.LINE OFIK TREET) CITY �j�f(` ���/ TYPE IH0 SETBACK HIGFM1VAY } YARD = TOTAL HIGHWAY WIDTH FROM C.L. ARCHITECT OR TEL. } ;() _ ENGINEER NO. BLDGSETBA K FROM ADDRESSlvg�ffgwSIDE PROP.LINE OF (3TREET) TTYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CONTRACTOR NO. AYM, IOHWAY WIDTH FROM C.L. +� ADDRESS NO _J D } _ o� CITYCILASS CORNER CUTO -YES ❑ NO. ❑ = S CONSTRUCTION LENDER NAME AND BRANCH D SEE REV RSE S OR S EIAL APPROVALS t, LLJ ADDRESS ty[rL� SQ. F NO. OF NO. OF / NEW ❑ Z SIZEpw STORIES FAMILIES USE OF ADD STRUCTURE TER ❑ 910rFAT O REPAIR E y APPLI AN DEMOL ❑ I VALUATIONS APPROVALS. A \IN ron'G NATURE P.C. PMT. ^7 r FOUNDATION: LOCATION FEE f A FEES �i G.a FORMS MATERIALS d FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAV[ READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGR[[ TO COMPLY FURNACEI LOCATION, WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS ST RUC TI ON. I CIRT I FY THAT IN DOING THE WORK AUTHORIZED HEREEY I WILL NOT EMPLOY_ ANY PERSON IN VIOLATION THE LATH, INT. LABOR CODE OF STAT[ F -CALIFORNIA ING TO WORKMEN'S C EN ON A _ LATH. EXT. SIGNATURE,OF PERMITTEEHOUSE NUMBER COR- ADDRESS r G RECT AND POSTED f FINAL JOHN F. LEWIS. PRINCIPAL ST RAL ENGINEER PLAN CHECK VALIDATION M.O. —H _ PERMIT VALIDATION CK. M.O. CASH pr'_ 6 2 6 8>2 MI 1 2 3 D 1 0.3 5 A ►Vr, 6 5 0 8P_ AW 2 7 1 D 1 72 5;' �' 7•AffX9AC><#902 APPLICATION FOR BUILDING. PERMIT BUILDING AND SAFETY DIVISION BUILDING U II LD I N Y Y t D.parw.at of Cour Enuh-w _ CoDntp of Lw Aag" LOCALITY. JOHN A. LAMBIE. COUNTY ENGINE NE -RMBT CAIBATT D. GRIFFIN. •Ur•T OF BUILDING Ack- n r r" r•f DISTRI wou TYRE SEWER MAP,.' - FOR APPLICANT TO FILL IN CONST.- 4 BUIL41NG STATISTICAL C IFICATION ADDRFLYS - LOT NO. !!LOCK CLAoI. NO DW 13 I- UN MAP _ STATE YE S"TRACT JO - ` - NUMBER' © O HWY . �. �q USg�O SPECIAL SIZE OF LbTb/ D NOW ON LLOOTD .•�-� ���^ �NDITIONB• U0"W" G B' A".44 r DUI ma Q(IST. . SETBACK YARD HWY S'TREFLT NAME, WIDTH- OWNER FRONT EMAIL P. L. ADDFiEBHBIDEtyt4 ARA t /. C .� TEL 3 P.L O mSPIO},7d ARCHITECT OR TEL. � ENGINEER NO. - D TEL CONTRACTOR NO. DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLI8H SQ, FT. NO. OF NO.OF SIZE STOR.% VA NILI6S - .USE QFIfETRUCTURIK r / - APPROVALS _ SIGNATURE APPLICANT y- D TK INSPECTOR'S SIGNATURE ADDRESS J_C� FOUNDATION: LOCATION FORMS, MATERIALS ��- S P.C- • FRAME:FIRE-BTOP8. FEE BRACING, BOLTS VALUATION • FURNACE: LOCATION, r FEE GAD VENT. DUCTS I HEREBY ACKNOWLEDGE THAT 1 HAVQ READ THIG AP- LATH INT. ' PLICATION_ AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES ANDuTH EXT j ` STATE LAWS REGULA ING BUILDING CO UCTION. SIGNATURE OF / HQUSE tQUMBER CQ R- - PERMITTEE - RSCT AND POSTED ADDRESS FINAL JOHN A. LAMBIE. CouN-rY ENGIN[ER _ CLYDE N. DiRLAM 'PRINCIPALL 9-1-RUCTURAL ENGINUM _PL_AN CEMCK VAT- X On OlC. M.0. C".H - FEUM VAT- A O*Z05D M.O. CAAH : . o a 9 8, Q-a ' m r L� 78A&SBA af9k03 a=a4 'APF CATION FO BUILDI G PERMIT COUNTY Oi�_LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS L� BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE.. COUNTY ENGINEER NEAREST COLEMAN W. JENKINSAUP'T.OF BUILDING CROSS ST. ( 1 DISTRICT NTYPE, CHSBED BY FOR APPLICANT TO FILL IN OROU CONST. BUILDING STATISTICAL ASS!Fri CATION S WER MAP ADDRESS 41CLASS NO. DWELL UNITS BK PG LOT NO. 72 BLOCK ZONE MAP p(r NO. U9 TRACT /J V i I SPECIAL - SIZE OF LOT 6/` / 0 / .OWOON LOT! e USB OF BLDG. ![TMC[ FROM TEL. FRONT PROP. LIN[ OF C (STREET) OWNER19 NO. TYPE OF EKIBTINO I.SELSA4K HISH WY,Y YARD = TOTAL ADDRESS ( M C + _ CITY BLDG. BE ACK FROM ARCHITECT OR TEL. SIDE PROP. LIN[ OF T [� ENOINEHR NO. T1T[ OF [7I1lTIMS ![TRACK HIGHWAY + YARD = TOTAL ADDRESS -- HIGH AY IDTH FROM C.L. - - TEL. + _ 0 CON TRA CTO NO ADDRESS NO CORNER CUTOI�# "� NO 0 LL SEE REVERSE SID 14 „ DESCRIPTION OF WORK NEW ^ ADD ALTER REPAIR DEMOLISH 80. T. NO. OF NO. OF Igo SIZ9 STORIED FAMILIH s _�gcSkt! •,� USE OF STRUCTURE {e �y4n 810 NATURE Q 7' APPLICANT �l� VALUATION$ Or�/ # LD DATE INIP[CTOR'S SI/NATURE F.C. PMT. d FOUND LOCATIQN FQH$ FHH$ FOR ATfiR1AL a �' ol.0if FRAME, FIRE STOPS, I HIRESY TACKNOWLEDO[ THAT I HAVE READ THIS APPLICATION BMACINO BOL AND STATE THAT THE ABOVE I■ CORRECT AND AGREE TO COMPLY FURNACES LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING OAS VENT. DUC 7U ILDI NO CONXfRUC'(ION. I CElfTIFY THAT. IN DOING THE WORK AUTHORIZED HERESY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. (f C.{ AL ?,ti..�}-�.• TION OF TH[ LA SOR COD[ OF TH[•STATE OF GLIFORNIA R[LAT- INO TO WORKMEN'S CO H OH INSUMN LATH. EXT. 5 BIGNATU�tE OF HOUSE NUMB7R COR- PERMITTEE R AND P ADDRESS Fl NAL JOHN F. LEWIS. PRI CIPAL STRU URAL ENGIN ER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. M.O. WH LACO 3 7 4 5:3 JUL 16 1 D u.5 0- WORKERS' COMPENSATION DECLARATION hereby affirm that I have certificate of consent to .eff APPLICATION FOR . BUILDING P E RM I T insure,, or a certlflcafe of W rk Compensationtion Insurance, - or a rertlfled copy tfiereof b. C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. ❑ . Certified s h fumished.. FOR APPLICANT TO FILL 1N P�nDING ADDRESS ❑ Certffi d copy Is fill with the coynty buildirtg lnspec- BUILDING. Non department. '�� Date Applleant ZIP LOCAL MY NO. OF CERTIFICATE.OF b(EMPTION FROM WORKERS' SIZE of LbT NOW ON LOTT.'. CROSS ST. ' COAAPQJSATION INSURANCE' .ASSESSOR (This section need not be completed If the permit Is for one TRACT BLOCK LOT tJO. MAP BOOK PAGE PARCEL undred dollars($100) or less.) OYJtHt USE ZONE MAP ` 2 I•certlfy that In.the performano of the work for which this ` perm It Is Issued, I shall not employ any person.In any roanner ADDRESS Y —�' CO�IDff1CNS so-as to become subject to the Worker Compensation Laws. O � s ZIP Date- Applicant ARCHITECT og TEL0[fNOTICE TO APPLICANT: If, after making.this:Certificate of ENGINEER _ NO.' D GROUP �T FIRE BY O Exemption, you should become subLect� to the Workers v� � V Compensation provisions of the Labor Code, you mutt forth- ADDRESS —3 with comply with such provisions or.this permit shall be Ta STATISTICAL CLASSIFCATtON APT. CONDO, uu�� deemed revoked. CONTRACT NO x(-- hh Z LICENSED CONTRACTORS bFCLARATiON LIC. CLASS NO. (::Z I nu�13_1 UNITS I hereby affirm that I am Ilcerued urider provisions of Chapter 9 AD NO LK_' SEWER MAP (commerxing with Section 7000)of Division 3 of the Business c /7/c a C�G and ProfeaIons Code,and my license is In full force and effed. C7•l BK. PG. VALIDATION SQ: FT. NO. OF NO.-OF CHECK ' License Number .W9 7 y Q'_3 Lic- Class G _ SIZE STORIES FAMJLIES ONE VALUATION Contractorr�r/�406,Lc � 7fe lam- n� C�/ DESCRIPTION OF WORK EW ❑ ADD ❑ pop,b ❑I am exempt under Sec. • ALTER ❑ B.BP.C. for this rpason REPAIR El ; OF Date: D(1571tJ�i DEMOI ❑ Signature APPLICANT - t L. FINAL a OWNER-BUILDER DECLARATION DATA ' L �'kL I hereby affirm that I am exempt from the Contractors License j Law for the following reason (Section 7031.5, Business and ADDS FINAL Professions Code): PRESaffBy ❑ I, as owner of the property, or my employees with ADDRESS t � wages as their sola compenaotlon,-will do the work and A .a the structure Is not Intended or offered for sale(Settlor LOCAUTY , l� 264.%5 7044, Business and Professions Code.) MOVING TEL. ❑ I, as owner of the property, am exclusively contracting NO. CONTIZACTOR i f ML with licensed contractors to construct the project (Sec- ADDRESS T�I�hI - V Non 7044, Business and Profeaslons Co4e.) TOTAL CONSTRUCTION LENDING AGENCYYARD HWY TOTAL FROM � i �f4.w I heraffirm eby arm that there Is a construction lending agency for FRONT the performance of the work for which this permit Is'Issu'ed P.L ►}I] (Sec. 3097, Civ. C.); SIDE_ P.L Lender's Name LDMA Ref. I 1.�I/A' I C tender's Address P. Fee Permit Fse 0. O.g 1 M 17.311 I certify that I have read this application'and state that the Issuance Fee LDMA P/C y above Information Is carred.)agree to comply with all County Invettlgation Fes ordinances and State laws relating to building construction, Total Fee V, LDMA Parra and hereby authorize representatives of this County to enter upon the above-mentloned property for.Inspection purposes. M 1INVEM POR DU11AHATORY LANGUAGR - G Applkant of Apart i��}. WGRj ERS' COMPENSXtION DECLARATION I-sum,. y affirm f , have certCorc o of alon Int to self , APPLICATION -FOR BUILDING PERMIT �Insure, or a certificate of Workers' ConSpensatlon Insurance, or a certified copy ther6of (Sec. 3800, Lab. C,) COUNTY OFttOS ANGELES BUILDING AND FETY ollcy N6. Company Certllled copy Is hereby furnished.' FOR.APPLICANT TO FILL IN , ���BUInNAmREss - ❑ Certified copy Is filed with the county building Inspef- BUILDING tion department.. ADDRESS Date Applicant CITY ZIP LOCALrrY CERTIFKATE OF EXEMPTION FROM WORIE12S' V NO.#BLDGS. NEAREST SI COMPENSATION INSURANCE ZE OF LOT NOW ON LOT ST. (This section need not be comP feted If the permit b for one hundred dollars ($100)or less.I TRACT BLOCK LOT NO. µs,P DOCK PAGE PARCH OWNHt USEAw MAP I o.Wlfy that In tperformance he of the work'for which this NO. } permit Is lisued, I shall not employ any person In any mannerr I SFONS I].� to as to become subject to the-Workers'CoAipensanon Laws, CITY LP . Date Applicant NOTICE TO APPLICANT: If, after making this Cerifficate of ARCHITECT NO - D151R}CT TYPE FI RE BY Q Exemption, you. should become subject- to the Workers' �C(•� CONST. J 'ZONE nstC]^ Compeatlon provisions of the tabgr Cods, you must forth- W n v with comp,fy with such provisions or this-permit shall be - TE1 ATMTtCA1 0ASSJRCATION APf ,)J EWE deemed revoked. CONTRACTOR LICENSED CONTRACTORS DECLARATION LfC @ CLA33 NO: UNITS I hereby affirm that I am licensed under provhlorn'of Chapter 9 ADDRESS NO.j3 (commend with Sec lan 7000)df DfvWon 3 of the.Buslnow End UG SEWS M P' i Profees7.Code, and my license is In full force and sffed. CITY 1 W_ Pa. VA40ATK)K 4162A SQ. FT. tJO.OF NO. Cf CHECK Llcsnse Number 211,1; L Lic-Clam pp- SIZE STORES- ONE V TFON Cored !• , It Dais+' DES(RIPrlOf 4OF iMORK - s NEW -7S � ❑ I am exempt under Sec. ALTER B.iP.C. for this riason' R USE OF - I�tioL x'•9,0 a 9 A EXISTING # 6 O a.. a.1 Sign atur. AaPL Aeq� RNAL 2 Q OWNER43LJILDER DECLARATION NO' DAT! 'l v L • a 7 a 0 0 1 hereby affirm that)am exempt.frdm,the Controdt x s License Law for the following reason (Sectl6rr 7031.5, Bushes and AWRESS '� rICD o 0 0 7 a 0 0 Prghislors Code): PRESENT 4 ❑ I, as owner of the property, or my employees with �ADDRRESS 2 y 8 wogei as their sole compensation,will do the work and ' G the structure is not Intended or offered for sale(Section LQCALrrY [� 7044, Business and Professlors Coded MOVING TEL p` ❑ I, as owner.of the property; am exclusively contracting'. NO. with Ilcersed contractors to corstruct the project (Sea- ADDRESS tion 7044, Business otrd Professions Coi#ey r CQNSTRUCTION LENDING AGEN - YARD HWYUteROM WID I hereby afflrm that th&e If a construction lending ogenty for FRONT the performance of the work for whiph this permit Is Isaied P (sec.-3097, Ov. C.). SIDE ; •. S P Lenders Name LenckWs Address P.C.18 Fes Permh I cert that I have read this a (kation and state that the ffy pp Iwuarce Fes LDMA P/C• o above InfomwNon Is coned. I agree to comply with all,County Immstigaom FM $ ordlnartces and Slate lows relatlrro to bUlldlrrg construction, Total Fee LDAAA Pian .i Q and hiseby outhbrize reprbsen Ives of this County to enter thbc,7nti napedion purposes F A A fi MW*=POR DQLANA101111Y LANOUAW \ Slgrroot" Applk v.1 or Agent Date