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Home My Public Portal About5937 ROWLAND AVE_Building__ i DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY L�_/ DISTRICT O. PLAN CK. NO. PERMIT NO. FClTylk.41?e_' �/ �/%J � /IIRECEIVED BY DATE OF APPL. DATEISSUED Y_ ! _h- BUILDING � �y Ii]/ / ADDRESS 7 " ffQ '�!t.C� :_/� �/� OLOCALITY� ' e-•G TEL NEARSs sT.� 41?e_' —NO. FIRE NO. OF TYPE`�T-/— I GROUP ARCHITECT Od /r TEL ZONE I PLANS I ��r t ENGINEER NO. BLDG. 4RD. NO. SETBACK LINE / ADDRESS APPROVED TEL. BY DATE CONTRACTOR � ;,�oti�( / NO. USE APPROVED ZONE BY DATE ADDRESS HOUSE NUMBERING LEGAL DESCRIPTION I LOT NO. BLOCK MAP NUMBER FIELD CHECK BY TRACT NO. ASSIGNED BY DATE �� q/ I NO. OF BLDGS. ' CORRECTIONS SIZE OF LOT NOW ON LOT pr USE OF �j�- 1 I NO. OF ) _ EXISTING BLDG J liiJ CSC 1 2 FAMILIES / ,l DESCRIPTION Of-WORK NEW I I ALTE_�AIIO.N-I I ADDITION REPAIR I I DEMOLITION I I I { Sq. FT. NO. OF O SIZE ROOMS STORIES 1 Y a EXT.WALL ROOF y r COVERING COVERING USE OF STRUCTURE t APPROVALS y INSPECTOR'S SIGNATURE DATE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- 'I FOUNDATION: LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN IS i FORMS, MATERIALS CORRECT. 1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED 4, FRAME:FIRE STOPS, HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS LAWS REGULATING BUILDING CONSTRUCTION. FURNACE: LOCATION, SIGNATURE OF }^ GAS VENT, DUCTS PERMITTEE �i / cj.L-�� _ p LATH, INT. ADDRESS LATH, EXT. AUTHORIZED AGT. PLASTER, INT. 7ewaaew-Deas to-eo $ P. C. $ ® . FEE l PLASTER, EXT. / I- VALUATIOI} Cf', FEE $ �I ~S FINAL f ��rinf� L�" (2 ' I 78A88BA 008.8 APPLICATION FOR BUILDING PERMIT 1 ft•SS DIVISION OF BUILDING AND SAFETY BUILDING s Deportment of County Eaglaeer ADDRESS . � , County of Los Angeles LOCALITY / JOHN A.LAMBIE. COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN.SUPT OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN DISTRICT No.. GROUP TYPE E BK.WER MAPPG CONST BUILDING /s f��./ fMAP ADDRESS L/,J / dZL•l'�GE %w(..% NUMBER �_ STATE YES O LOT NO, M jj BLOCK ag USEZONE SPECIAL CONDITIONS TRACT '� . - _ ' NO..OF BLDGS.. U SIZE'OF LOT G ` G�I NOW ON LOT BUILDING YARD HWY STREETNAME EXIST. USEOP p�� SETBACK WIDTH EXISTING BLDG. FRONT P.L. OWNER SIDE i P.L. MAIL ,�^ ADDRESfn fj!`'' nif�dc�,-�_/! :597" � O TRACT DWE L. I UNIT 5 INDUSTRIAL �• TEL. ' CITY . NO. d�0 1 DWELL. I UNIT 6 PUBLIC BLDG. ARCHITECT dk TEL. 2 DUPLEX 2 UNITS ] ADDN..ALT., ETC. ENGINEER NO. 3 APT. UNITS ADDRESS A �,/— B MISCEL. 7 � 4 COMMERCIAL TEL. CONTRACTOR NO. INSPECTION RECORD • ADDRESS DESCRIPTION OF WORK NEW ADD ALTEREPAIR DEMOLISH SQ.FT. NO.OF NO.OF l SIZE STORIES FAMILIES USE OF ST, CE. dL G-Lz SIGNATURE O _+ APPLICANrT ��-L d APPROVALS ADDRESS V .Y �r DATE INSPECTORS SIGNATURE $ FOUNDATION:LOCATION P.C. S FORMS.MATERIALS FEE FRAME: FIRE STOPS. VALUATION IF ® BRACING. BOLTS FEE FURNACE: LOCATION, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT.DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT 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 - iG c RECT.AND POSTED /] ADDRES �`" x FINAL IOHN A.LAMBIE.COUNTY ENGINEER V LIRA CLYDE N.DIRLAM, CHIEF BLDG. INSPECTOR CK MO CASH �Aco 4 5 1 0 •JAN 2 8 1 1 .0 0 m WORKERS'COMPENSATION DECLARATION "" ` /( ( Y L ir g/-5//r7 ccertificate that I have certificate of consent to self a r APPLICATION FOR BUILDING PERMIT < a certificate of Workers'Compensation Insurance, __ iified cop thereof S c. 3800, Lab. C.) c COUNTY OF LOS ANGELES BUILDING AND SAFE Y Policy No. 1Z - mpany 7AIL� �Q P Certified co is hereb furnished. BUILDING pv v FOR APPLICANT TO FILL IN 6-C15-7 ADDRESS ❑' Certified copy is filed with the county building inspec- BUILDING 'A J tion department. ADDRESS W Date -Z. l^ Applicant�Ay�5IV.t,A_7_ CITY — � ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' No.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one ASSESSOR hundred dollars($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL TEL. USE,�NE MAP [� I certify that in the performance of the work for which this OWNER NO. !� d/(/�`/' � NO. -oC.IO permit is issued,I shall not employ any person in any manner Ca SPECIAL so as to become subject to the Workers'Compensation Laws. ADDRESS y�v� CONDITIONS O V Date Applicant CITY ZIP NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. ry DISTRICT ROUP TYPE FIRE PROCESSED BY O Exemption, you should become subject to the Workers' ENGINEER NO. -� 7 70 �/) CONST. ZONE U Compensation provisions of the Labor Code, you must forth- ADDRESS ✓l v R W with comply with such provisions or this permit shall be TEL f d'' deemed revoked. STATISTICAL CLASSIFI TION APT. CO fn CONTRACTOR � p,TL� NO. �� LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS �J NO. @Q (commencing with Section 7000)of Division 3 of the Business and LIC SEWER MAP CC Professions Code, and my license is in full force and effect. CITY V ' qi 70 7i CLASS BK EPG ZJ VALIDATION SQ. FT. NO.OF NO.OF CHECK License Number Lic.Class SIZE STORIES I FAMILIES ONE DESCRIPTION OF WORK NEW ❑ VALUATION Contractor ["I�Si� 2��. Date ADD ❑ $ ❑ I am exempt under Sec. t L _ ALTER Q ;29944A _ B.BP.C. for this reason �4 2 W REPAIR ❑ $ 0 0 0 0 0 USE 8r e_ Date: EXISTING BLDG. _ _ ^ DEMO, ❑ 0 0 6 8 63 Slgnatu APPLICANT _ TEL, FINAL �/} O NER-BUILDER DEC RATI N PRINT n1 - NO. ( DATE /(/rte ° ° ° 6 8 6 3 Ihereby affirm that I am exempt from ontractor's License ADDRESS YZ o4 FYI Law for the following reason (Section 7031.5, Business and ` AtC FINALj 0621 -88 Professions Code): FRMNIBy ❑ BUILDING �W 6 I, as owner of the property, or myemployees with ADDRESS wages as their sole compensation,will do the work and the structure is not Intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. ❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS ` tion 7044, Business and Professions Code). REQUIRED TOTAL SETBA CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP.LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name LDMA Ref. # Lender's Address P.C.Fee$ Permit Fee I certify that I have read this application and state that the Issuance Fee 0 LDMA P/C H above information is correct. I agree to comply with all County Investigation Fee ordinances and State lows relating to building construction, Total FeeA 15 gLDMA,Perm. q 3 and hereby'authorize representatives of this County to enter i u t the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Ap61 gent Date