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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