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Home My Public Portal About9236 ROSEGLEN ST_Building__ k C2 umakaxIms.o APPLICATION FOR BUILD NG PjFfZMIT COUNTY OF LOS ANGELES I LR� 023 DEPARTMENT OF COUNTY ENGINE BUILDING AND SAFETY DMSION LIC+L JOHN A. LAMBIE, COUNTY EN6INWXR NEAREeT M J H OF NO CR I DI Rly NO. OR TypE pabCFSRED BY FOR APPLICANT TO FELL IN d coN$T. BUILDING T. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS mS �� PD CLASS. NOnWELL.UN L.Ot NO. BLOCK MqP � STAYE YEH NO NU BER TRACT UBEZONE SPECIAL' / NO.OF BL D<W. I JI ( CONDITIONS HRS OF LAT NOW ON LOT USE OF EXISTING BLDG. tom+ BUILDING YARD. 'Hwy � STREET NAME OWNER vc �' '/ �7� • SETBACK RONT �/I��DTH ADDRESS HLDE ARCHITECT OR TEL P- ENGINEER NO. INSPI=ON =09D YLIi 11 r ADLjR ESS r d TEL 0 CONTRACTOR NO. ADDRESS �-"—`� - - O DESCBI�I'ION OF WORK i a NEW ADD ALTERREPAIR DEMOLISH to Z 8q. Fri'. MRINO.OF 91ZE STORIES FAMILIES - USE OF STRUCTURE uCC O r AeA.A F - SIGNATURE OF APPLICANT + _ VAI,UATION Sr - APPROVALS DATE INSPECT '3 9I6N 7URE P C FOUNDATION: LOCATION F E F E ' FORMS MATERIALS FRAME: FIRE STOPS. I HERK19Y AC14NOWLEOGF THAT I HAVE READ THIO APPLICATION BRACING BOLTS / AND STATE THAT THE A190VF If CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITH ALL COUNTY ORDINANCES AND RAT[ LAWS RCGULATING GAH VENT DUCTS BUILDING CON/TRUCTION. I CERTIFY THAT IN THE PERFORMANCE 6F THE WORK FOR WHICH THIS RERMIT IB I..UED I .HALL NOT LATH INT EMPLOY ANY PERSON IN ANY MANNER 60 AS TO SE OMC .UBUECT TO THE WORKMEN'S COMPENSATION LAWS O CA ORNIA. .! L ATH DCI'. SIGNArUR8 OF HOUSE NUMBER R- lr PERMITTE �AND PO ADDR FINAL CLYDE N. DIRLAM, PRINCIPAL ST RAL ENGINEER PLAN CF= VALIDAng cu r.a CASH PERMT VALmATION . _'�7 7 3 1 RAY 29 1 D 12 .0 0 �r 7GA63SA CC t&"-ff-V, APPLICATION FOR BUILDING PERMIT f COUNTY OF LOS ANGELES BUIL DINo DEPARTMENT OF COUNTY ENGINEER ADDRESS f BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN •UPT OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPE HEWER HAP BUILDING FOR APPLICANT TO FILL IN K _ t CON ADDRESS OSS r 1 8TAT18TICAL CLASSIFICATION CLASS.NO UNI LOT NO. BLACK MAP STATE YES i/0 A J NUMBER HWY. TRACT YY I UB Z E SPECIAL ' NO.OF BLOC& CONDITIONS SIZE OF LOT S NOW ON LOT U9 _ E OF ILDING YARD HWY STREET NAMR EXIST. SETBACK - WIDTH OWNER nst FRONT HAILn P.L , ' ADDRE59 SIDE P.L CITY yq " INSPECTION BECOBD ARCH ITE CT OR TEL ENGINEER NO. ADDRE" TEL CONTRACTOR f DESCRIPTION OF WORK NEW V ADD ALTER REPAIR DEMOLISH Sq. FT, NO.OR NO.OF 81ZE I V HTORIMI FAMILIES USE OF STRUCTURE SIGNATURE OF 1 APPROVALS APPLICAJ ADDRESS l DATE INSPECTO URE FOUNDATIONi LOCATION FORMS,MATERIALS �I b, P.C. ; FRAME: FIRE STOPS, - ` FEE BRACING,BOLTS VALUATION f FURNACE: LOCATION. PEE GAS VENT.DUCTS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY O INANCES N STATE LAWN REO INO B 1 U I LATH,EXT. SIGNATURE OF H USE NUMBER COR- ' PERM I R ECT AND POSTED ADDRPrR FINAL JOHN A.LAMBIE.COUNTY ENGINEER- CLYDK N. DIRLAM PRINCIPAL Sl RU URAL E HER PL&N CE=VALMAMON bLo. CATH PEOM VALITATION il.o. CAgi f 6 8 3 8 , 3 05D 0 m. I -78A 69S i CE Re. 1/71 ' APPLICATION FOR BUILD I G PERMII� COUNTY OF LOS ANGELES ASSESSOR bEPARTMEIdT OF COUNTY ENGMEF,R MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING ADDRESS COLEMAN W. JENKINS, SUP-T OF BUILDING. FOCALITY PO R APPLICANT T FILL IN NEAREST (Prir CROSS ST. or tyce on lv) BUILDINGDISTRICT NQ. I G TYPE PR O 0 CONST, ADDRESS C S ll..�� STATISTICAL LASS IFI CA TION 3 ER,MA LOT NO.. elf BLOCK CLASS No, e-EbWELL,UNITS BK '—PG TR,9CT a. USE ZONE MAP .NO.OF BLDGS, p� NO. SIZE OF (_OT NOW ON LOT /I SPECIAL - USE OF CONDITIONS EXISTING BLDG. TIEL- OWNER / / S NO BLDG.SETBACK FROM ADDRESS .FRONTPROF5 LINE OF (STREET) n� TYPE OF EXISTING SET$ACK HJ GHWAY } YARD = TOTAL CITY C �� HIGHWAY WIDTH FROM C.L. ARCHITECT OR TEL. } _ ENGINEER NO. BLDG,SETBACK FR ADDRESS SIDE PROP.LINE OF (STREET) TEJ,'. TYPE OF EXISTING SETBACK HIGIIWA YARD = TOTAL CONTRACTOR - .,No. HIGHWAY WIDTH FROM C,♦_, 8 LIC. v ADDRESS NO. LIC. CITY CLASS CORNER CUTOFF YES ❑ NO CONSTRUCTION LENDER NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS - - .. SQ-. FT. NO. OF NO'''OF NEW SIZE STORIES FAMILIES USE OF + ADD ❑ - STRUCTUAE ITER El REPAIR SIGNATUREOF APPLICANT �/Q' DEMOL ❑ VALUATION f APPROVALS . DATE IN41-ECTOR'2 SIGNATURE PMT. IO FOUNDATN: LOCATION FEE S FEE S �� FORMS MATERIALS FRAME: FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT ANP AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS - STR.UCTION, I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY AMY PERSON IN YIOLATIOM OF THE LATH, INT. LABOR CODE.OF THE STATE OF •CAI,IFORNIA IN RELATING TO W6RKMKN'1 NSATIOM NSURANC E.' LATH, EXT, SIGNATURE coOF HOUSE NUMBER COP-- PER MITTE OR-'PERMITTE 'RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS. PRI IPAL STRU4TURAL PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VA MIATI CK. M.O. cAs} WORKERS'COMPENSATION DECLARATION hereby-or YV affthat I hove p cdrtl Insurance, APPLICATION of consent to .eself . F R BUILDING P E RM I T Insure, r a certificate of orkeri Compensation Insurance, O or a certified copy thereof (Sec. $W, Lpb.VC.) i COUNTY OF LOS ANGkLES BUILDIN¢ AND SAF Pollcy No.Pi2'Company BUILDING TY 'Certlfled copy Is hereby furnished. FOR APPLICANT TO ILL IN ADDRESS Cettlfled copy Is filed with the county building Inspec- BUILDING tion'department,. ADDRESS Date Applicant CJTY TIP LOCALITY CERTIFICATE OF EXEMPTION FROM RS' NO. OF KDCr& NEAREST COMPENSATION INSU SIZE OF LOT NOW ON T ST. (This section need not be kaki lend Lf the pwmlt Is for ronb ASSESSOR hundred dollars (;100)or low.� - TRACT BLOCK LOT NO. MAP k)OK PAGE PARCEL TEL I certify that In the performance of the work f6r which this �R �' / NO. - pwmlt Is Irsued, I shall not employ arty Person In any mariner, ADDRESS �. � to as ro become.subjecl'to the.Workers Comperuatlon Laws'(� Date Applicant CITY ZIP C� �. NOTICE TO APPLICANT: if; after rnatT oking this Certlfie of ARCHITECT OR t 0 DISTYPE' GROUP TYPEFIRE By SJ Exemption, you should become subject to- the Workers' '�/� r / CtT Compensation provlslorn of the Labor Code, you muit forth- ADDRESS `/ with comply with.such provisions or this p*rmlt shall be deemed revoked.. TEL NO /_ STATISTICAL CLASSIl't/A APT. PU) LICENSED CONTRACTORS DECLARADQN N+, CLASS NO. UNITST_' I hereby affirm t(•kcrt I am Iltensed under provisions of Chapter 9 ADDRESS (�, aa SEWER (commerxl with Sectlon 7000)of Dlvlslon 3 df the Businme and A L� _ Professions Code,and my license 4.in full force and effect. CLASS l � pb. VN,pAT10K Lkense Number Llc.C L' SQ.FT. NO. IE OF SIZE sroRlE.s• F uEs CME VAr UA Contractor Dote •�_ DESCRIPTIUNOF NEW i ♦`J� I am exempt urJer$ec. tr , ALTER B.aP.C. for'rhls reason REPAIR S USE of 7 l 9.2 A Date: DIVING BLDG. DEMOC APkCAW TEL Slgrkrtur• PRINT) NO. err n` ��,o • 7$Q WNER-BUILDER DECLARATION Z J I berooy affirm that I am exempt from-the Controctar's License Law for the foliowlhg.'reason (Section 7031.5, Business and ADDRESS !I Professlorts Code): 0 0 0 7$0 0 6 _ $uILDING . I, as owner of the property, tlr my employees with ADDRESS wages as their sole admpensatlon,will do th's work and er 70O 0a'^8 7 the structure is trot In'tended or offered for reale(Section , 44, Businees and,Professlon*Code). MCMNIG TEE I, as owner of the property, am exclusively contracting Q0Kr&ACT0RIVO' with Ilcenw,&conftxw, rs to construct the project (SecADDRESS - tion 7044, Business and Professions Code). TOTAI, EM CONSTRUCTION LENDING AGENCY Elnnyodlq&�on � UTE E • I hereby affirm that there Is a construction lending agency for the performance of the work.for which this permit Is Issued PIL (Sec. 3097, Clv. C_). ' Lender's Name It Fee LDMA Ref. F Lenders Address oil,I certify that I have read this application and state that the - taurarrce Fee LDMA P/C f P above Information Is correct. I agree to comply with all County ordinances and State IaWs relating to Wilding conshvction, Total Fee and hereby authorize reWesent¢tivis of this County to enter LGM1 Perm. I upon. •a ve mentied property for Inspectirron��purRRpos��es c �e — mmit Kw DULANATm LMIoumm of Appllmm or Agent -Dahl