HomeMy Public PortalAbout5549 ROBINHOOD AVE_Building__ �yfA CE ry809- 1-6f Ei Tr
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING /
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALIT �)
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. �^lJc✓ �—
DISTRICT NG UP TYPE PRO SS D BY
FOR APPLICANT TO FILL IN O coNsr. /f
BUILDING �t 7z It STATISTICAL CLA IFICATION SEWER MAP
ADDRESS � d�jlti�7d��.� j I BK P
N� CLASS. NO. DWELL.UNITS
LOT NO. i BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE:
TRACT !f J MAP ., HIGHWAY STATE MAJOR SECON LOCAL
SIZE OF LOT (— NO.OF BLDGS. NO. (CIRCLE)
•._,) NOW ON LOT _ USE ZONE PECIAL
USE OF p CONDITIONS
EXISTING BLDG &.7 ';r
OWNER .JO� N � ,PfOe.. NO, BUILDING EXIST.
SETBACK
YARD HWY STREET NAME
ADDRESS 'Q_4(2t7,l��t./ffc"J� WIDTH
FRONT ".�� 4
ARCHITECT OR TEL. P. L. �(
ENGINEER \� NO. SIDE -
P.L. �-
ADDRESS C
j� TEJy - INSPECTION RECORD O
CONTRACTOR f.
ADDRESS - Lf'
O
DESCRIPTION OF WORK
Lu
CL
NEW ADD. ALTER REPAIR DEMOLISH Z
S. FT STORIES OF
FAM EsUSE OF
STRUCTURE rd
3 z
SIGNA RE Old
APPLICANT
VALUATION$ ,. -?
APPROVALS DATE INSPECTOR'S SIGNATURE
FEE $ I FPMT.EE $ „ FOUNDATION: LOCATION
FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S C6117ZENS F'NS U RANCE.
/VI LATH,EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE - RECT AND POSTED
ADDRESS FINAL
CLYDE N. DIRLAM, PRINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION aK i M.O. CASH
f,1a98� W11 . r 2
� � !'z r�
76A61BA DBS-3 2-55
APPLICATION FOR BUILDING PERMIT 1
DIVISION OF BUILDING AND SAFETY BUILDING `? �� e
ADDRESS �5 � - �"E ` �-
Department of County Engineer
County of Los Angeles LOCALITY i
WM.J. FOX,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST. G..�.
DISTRICT NO. GROUP .; TYPE SEWER MAP
FOR APPLICANT TO FILL IN �� -*- corlST,Y- I rB It
BUILDING '- Q A� _) > MAP STATE �
ADDRESS . .'y% /Y, l/7�'fYs� �� NUMBER -- HWYSPECIAL
YES O
LOT NO. /3 170 BLOCK USE ZONE CONDITIONS
TRACT / � � �LA
NO.OF BLDGS. BUILDINGEXIST•
SIZE OF LOT NOW ON LOT SETBACK YAAID HWY STREET NAME WIDTH
USE OF /"�� FRONT
_EXISTING
/I BLDG. f 1`r/Cy I��.� `J t P. L.
OWNERIG'NJV 6— ' LV)) 17 "d��L�i•2C� P.
L.
MAIL
ADDRESS ZijL� ' � O TRACT DWELL. I UNIT
5 INDUSTRIAL
�+'� TEL.1g 1 DWELL. I UNIT
CITY JCIIIPle it4—�K' NO•U"�- ���'7fe7 6 PUBLIC BLDG.
2 DUPLEX 1 UNIT
ARCHITECT OR om,TEL. 7 ADDN.,ALT., ETC.
ENGINEER NO. 3APT. UNITS
8 MISCEL.
ADDRESS 4 COMMERCIAL
TEL" "' INSPECTION RECORD
CONTRACTOR NO• 7
ADDRESS _ e /` / /( 1 7
DESCRIPTION OF WORK v
C,NEW CDD ALTER REPAIR DEMOLISH
SO. FT. - NO.OF NO. OF J
SIZE a —� STORIES FAMILIES I
USE OF STRUCTUR ? ,
SIGNATURE OF - "APPROVALS
APPLICANT
ADDRESS
P. C. FOUNDATION: LOCATION DATE INSPECTORS SIGNATURE
$ -- ` FEE $ �-�-Jsj FORMS, MATERIALS
_ FRAME: FIRE STOPS, r?T�
VALUATION $ BRACING, BOLTS 1
FEE V FURNACE: LOCATION,
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
GAS VENT,DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT 1 2 �
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT.
AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION. LATH, EXT.
SIGNATURE OF (\` HOUSE NUMBER COR-
' PERMITTEE 'L RECT AND POSTED
ADDRESS J 4 FINAL
WM.J. FOX,COON ENGINEER VALIDATION C. N. DIRLAM, CHIEF LDG. INSPECTOR
1�8 t� l
r
APPLICATION FOR BUILDING PERMIT
COUNTY OF.-LOS ANGELES BUILDING AND SAFETY
WORKER'S C(>MPENSATION DECLARATION FOR APPL ICANTJ0 FiLL,IN BULDIN3 ADDRESS
I hereby.atflrm that I have a certificate d consent to self retie,
or a certtF4c of Ykdw t'Con pwmabon trounrnoe,or'a owt sled , ZIP thereof( 00,Lab_C.) � /�,
�/ LOCALRY
�� Cary 8RE LOT NO.OF BI_DG.4 MOW ON LOT �
❑ Car~oopy Is hereby furrnhehed. QST CFKM ST.
❑ Certified oopy Is riled with the ooknty.b icing TRACT BLOC!( LOT Na
USE DONE MAP Na
G�
t Z) L�� ASSE880R MBOOK PAGE PARCEL
AppBcan �J��� 'l AP ePeCui coripiTaMs
CERTIFICATE OF EXEMPTION FROM WORKERS rot YES NO
COMPENSATION INSURANCE d wrr� 1000 FT.OFscrFooL�
(This section need not be completed H the permit b for one hundred altDISTRICT 6f100P CONST. FFtE DONE PRDCE 6Y
ddhare ($100)or less)
I oerttfy that In the performance of the work for which this pomttCITAYZ�
ZIP
Ia leaned I shalr riot employ ally person An any.manner oo se io ARCHrIECT OR EMGIFEEA TEL Na OO �Q
become aibJect tLPhe ftxi rs'Compernsntfon Lowe. gpq�u APr COr�O
Date %AM&..T t a w ADDRESS CLASS Na DWELL UMTS
Ar0T1C E TO APRiCA T- If, after making thio C&tkate d REQUIRED TOTAL SETBACK FROM EXIST
Exemptbn, you should become subject to the Vkrkars' jcolf� Ea.NO. SET BACK YARD H Y PROP LINE ' wm
Comperration provWo ns of the Labor Code, you must forthwith D9 L �!
FT;tOldr
coney with such provbione or this permft shall be deemed revoked. Sg LIC Na P L 0.,
LICENSED CONTRACTORS DECLARATION CI � PL O
I hereby affirm that I am ficenaed underprovisions o Chapter 8 SEWER MAP
(convnencf70 with Section 7000)of DNi&;cn 3 o the Business and sa FT.9Lm 40.OF 8T Na CF FMiEB
Prde"31" Code a4 la in tui force and NEW ❑ BK PG 00
License NuLhc.cia.a -3 ADD ❑ wLtua,oM �, � W
W
Contractor O� Dere ALTER ❑ EL
El am pt exemunder Sec ¢ C f Dr X cn
REPAIR ❑ Z
B.dP.C. for thb reason �� � S'�If
"-a—
DEMOL ❑
LDfAA P/C t
Date: LISE OF EXOTM BLDG URM ❑ j1
ftnat1fe APPLJCMI T(PFWT) TEL NO. LDVA Perm• AGGT.r
❑ � a omweowneir o( err� lion, ala H-ta wrrry ork and s'ucb e wtIh wages b SS m 17`_r.65
not tritended or offered for sale (Section 7044, Buelneas and MAL DATE 1 ITfltS
Pmiseaione Code.) YA-L THE APPLC.WT OR FUTURE BUI DHO CCCMN
LPT HANDLE A HAzrARRCCUS WV6lkAL S�Q
❑ L as owner d ftproperty, am ewclUelvely owTtrwflnO with or Mk8PEC*-r=D ON THFn t A A ��LIAL TOa oc�n9iER T'A"''{ FwD T�T�- i _ C
ueed cercontractors to c«xtruot the'project (section 7044, AWIOLne El- Ho Elice.fi.�
Businew and Pr•okmakwu Code.) CASH
V LL THE!!TEND®USE of TFC Rr ry.rot SY TFC APPUGV/r OR FU LFE a rot DM
OCCl114HT FEOUM A PERLU FOR CO►CSTRJLTM OR NOOM-K ON FRCU TFE SOUTH .00
CONSTRUCTION LENDING AGENCY COAar W OUAUTY MA0043MENT DMTRCT kxaaX)r)8a P6a&nv'%3 aEaQ_mT FOR
rr ria, &
I hereby affirm that there Is a eonstuclion lerndhrg aperxy for YES❑ N+o❑
the performance d the word for which this perm ft Is Issued(sec. 1 3/. :•96
n 3b9 7,CA .
N.C) CF�Ep(L uDF WAD TW AZARDOUB�srosrT LR CER W-OHIMTKA�Lon��1e COuwry� �� { / p (yam
�r Lenders f`ams 1 nDi&S F�ORTOWTER M A DTIC OH➢Vi�IO A PB'M FROM THE 140 0DHM:MQ��� 547 1 1 t1 1 7:LF!
aY Lenders Addre" OPEOR 09 AGOG
I cerMy that I hm read ttds applicatlon and state under penally P.0 FEE PERMT FEE
d perjury that the above hformabon la correct.197m to conply
gl with all cokanty ordkWKM and State hews relating 6o buldtnp
df oonstruatlon, and hersbyyssUthortre mpreaen#atltie• of thM CW7ty ISSUANCE FEE '
r^ IlVEBTIGATION FEE T0I1L FEE
SEE REVERS!'FOR EXPLAN/(TOF{Y LANGUAGE