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Home My Public Portal About6310 SALTER AVE_Building__ 7��-.SA its d:j 4/WPLIC jr ION FOR ILDIN•�G PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING MAKE CHECKS PAYABLE TO: ADDRESS HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN NEAREST Print or tvae onl CROSS ST. BUILDINGl//�� DISTRICyT NO. GR TYPE PRO ESPE BY ADDRESS 3 CVV/, , CONST STATISTICAL CLASSIFICATION SEWER MAlf LOT NO. CLASS NO. 40 00' DWELL,UNIT5f/ BK/_ PGjy- TRACT USE ZONE MAP a-20 NO.OF BLDGS. y J NO. SIZE OF LOT X O NOW ON LOT SPECIAL USE OF C�.+. (J CONDITIONS EXISTING BLDG. T L. OWNER NO. BLDG.SETBACK FRO ADDRESS FRONT PROP.LINE (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY H AY WIDTH FROM C.L. ARCHITECT OR 7 TEL. ENGINEER NO. BLDG.SETBACKFR M } ADDRESS SIDE PROP.LINE OF (STREET) a TE TYPE OF EXISTING SETS A HIGHW + YARD = TOTAL CONTRACTOR p, HIGHWAY WIDTH FROM C.L. LR . 0 ADDRESS S Np` 031 / W LIC, J� Cl. CITY Ci(.« CLASS L7 CORNER CUTOFF YES ❑ NO ❑ Z CONSTRUCTION LENDER ` NAME AND BRANCH '�C; a SEE REVERSE SI E FOR SPECIA APPROVALS ADDRESS V/2 OL sy Icy1741 SQ. FT NO. OF NO OF 46 SIZE f,D O STORIES 9 FAMILIES NEW 7y`�'USE OF ADD STRUCTURE ❑ ALTER ❑ SIGNATURE 16F REPAIR❑ .� r AYee APPLICANT Z, �j'W-tu- DEMOL ❑ �T 3 0 �A7 0 i� VALUATIONS 3Z I I APPROVALS DATE INs ECTOp'S SI NATURE FEE 5 i PMT. FOUNDATION: LOCATION � s9i] U FEE 5 FORMS, MATERIALS / FRAME: FIRE STOPS, 1 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 ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE/STATE OF 'CALIFORNI IN RELATING TO WORKMEN'S OMPEN 10 S11R NCE SIGNATUR LATH, EXT. PERMITTE ( ,) '" HOUSE NUMBER COR- RECT AND POSTED ADDRES " p'`"' `' FINAL PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT V •L/IDATIONCK.' M.O. CASH 0 4 1 673 AFI; 62 3 D 13 1 .40A 11P 0 6 1 173 A t 19 1 D 2 1 9,0 0" APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUILDING COUNTY OF LOS ANGELES ADORES / • S DEPARTMENT OF COUNTY ENGINEER CITY L, C - ZIP BUILDING AND SA TY DIVISION OF BLOGS. BUILDING 4111 SIZE OF LOT Q NOW ON L ADDRESS TRAC , LOCK L T NO I LOCALITY C NEAREST OWNE ✓ I TE N ,�J� CROSS ST. ASSESSOR ADDRESS MAP BOOK PAGE PARCEL DISTRICTGROUP TYPE FIRE RO SSED BY CITY f ZIP CONST. ZONE ARCHITECT OR TEL. ENGINEER NO. STATISTICAL Cl AASSS��IFICATION SEWER MIA ADDRESS CLASS NO. DWELL•UNITS Bf�PG CONTRA CTORL�/� ,Irj �NEOL ?y U ZONE NOP LIC. SPECIAL ADDRESS NO J CONDITIONS CITY LIC. CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG.SfETBACK FROM FRONT PROP.LINE OF (STREET) ADDRESS CITY HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING SQ. FT. NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH p SIZE STORIES FAMILIES ONE F DESCRIPTION OF WORK NEW + Q '012 nMe= ADD ❑ BLDG,SETB KFROM v SIDE PROP.LIM OF ET) ALTER ❑ HIGHWAY + YARD = BACK FROMI TYPE OF EXIST( REPAIR[:] SIDE PROP. LINE HIGHWAY WIDTH EXISTING BLDG. DEMOL.USE OF t❑ PtiPPLICT NT ELS. - CORNER CUTOFF YES ❑ NO IV), O, O� ❑ �� IN OPEN SPACE YES ❑ NO ❑ �•� IN COASTAL ZONE YES ❑ NO ❑ VALUATION$ 2 ,o � � CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- ddl STRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERiION IN VIOLATION OF THE LABOR CODE OF T ST TE OF CALIFORNIA IN R ATING TO /' WORKMEN' MP 5 I15 E. ,��y�p�P•�� ` .C, PERMI fy PERM( ADDRESS FINAL BY TEDATEkin N QQ MAKE (JIEC KS PAYABLE TO. FEE $ FEE P HARVEY T. BRANDT. COUNTY ENGINEER Q • t� PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH i 4 1 873 JUL 25 1 D 9,OOb 76A638A CE#803 12/72 (, - APP'.%' ICAT[ON FOR BWED-i-NG PERMIT FOR APALICANT TO FILL IN (Print or type only) FNGINEER NG COUNTY OF LOS ANGELES ss DEPARTMENT OF COUNTY ENGINEER zIP BUILDING AND- SAFETY DIVISION :J BUILDING NO.OF BLDGS. r^ F LOT NOW ON LOT ADDRESS W a 10 r 30-V tin BLOCK LOT NO. LOCALITY TEL. NEAREST NO. CROSS ST. ASSESSOR SS MAP BOOK PAGE CEL DISTRICT OUP T PE FIR PRO ESSED BY ZIP �D� NS . ZONE ECT TEL. ER NO. STATISTICAL CL SIFICATION SEWER MAP S I CLASS NO. �/DWELL,UNITS BK/, P CTO NEL. USE ZONE NOP O ADDRESS �// N+p , SPECIAL CITY /� LIC. C N CONDITIONS `A' C1:ASs w ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONSTRUCTION LENDER NAME AND BRANCH i BLDG,SETBACK FROM FRONT PROP.LINE OF (STREET) ADDRESSCITY I. _ TOTAL SETBACK FROM TYPE OF EXISTING SQ. FT NO. OF NO. OF CHECK HIGHWAY + YARD - HIGHWAY WIDTH p SIZE �� STORIES ll FAMILIES) ONE FRONT PROP. LINE FC DESCRIPTION OF WORK i�i� NEW + Li 167- ADD ❑ BLDG.SETBACK FROM y - .' v e SIDE PROP.LINE OF (STREET) 2 ALTER ❑ HIGHWAY f YARD = TOTA SETBACK FROM TYPE OF EXISTING REPAIR❑ SIDE .-LINE HIGHWAYWIDTH USE OF = EXISTING BLDG. I DEMOL E] + APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) /G N,O. BY (SIGNATURE) I, IN OPEN SPACE YES ❑ NO ❑ IN COASTAL ZONE YES ❑ NO ❑ VALUATION TI CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY IMPACT-- EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATI G BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORX AUTHORIZED IMP CT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR C E OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN INSURANCE. I / I SIGNAT E PERMI TEE ADDRE r TE FINAL A BY CITY NO DATE 2j 7? N:tl�E CHECKS PA COUNTY FEE FEE HARVEY T. BRANDY, COUNTY ENGINEER PLAN CHECK VALIDATION CK. M.O. -CASH PERMIT VALIDATION CK. M.O. CASH 1 a�� 2 0 4 473• JUL 5' 2 3 A 1 O. 8- V 76p638q CEp803 12/72 {-Ar, 2 0 4 573• JUL 5 1 A 3 5.2 5N G , APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUILD'NG ELES ADDRESSOF LOS 3,1 �' DEPARTMENTT OF COUNTYGENGINEER CITY Is�7?? /�� ;� zlP �� BUILDING AND SAFETY DIVISION NO.OF BLDGS. BUILDING SIZE OF LOTe J x ea NOW ON LOT ADDRESS z3 r® f TRA`CT�� 3 BLOCK LOT NO. J LOCALITY TEL NEAREST y OWNER J yf NO S f y' ' CROSS ST: �✓ ASSESSOR ADDRESS / G �Lt�CTc3n' MAP BOOK P GE p�/� DISTRICT GROUP TYPE FIR PROCE ED BY CITY T%!7 �� /� ZIP , .7O v �� CONSf�j ZONE ARCHITECT R TEL. :yF ENGINEER NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO.'-•�� DWELL.UNITS BK PG TEL. USE ZONE MAP CONTRACTOR (,�J 7L Gr NO NO. LIC. SPECIAL ADDRESS NO. ' LIC. CON DI TI ONS CITY CLASS ROAD ARTMENT APPROVAL REQUIRED YES❑ NO❑ CONSTRUCTION LENDER _ NAME AND BRANCH �� BLDG.SETS FROM G FRONT PROP.L F (STREET) ADDRESS CITY C, SQ. FT. NO. OF NO. OF CHECK HIGHWAY + YARD15T!!AL T PROP LNE M HIGHWAY EWDTHG p SIZE STORIES FAMILIES ON FC DESCRIPTION OF WORK NEW C BLDG.SETBACK FROM a ADD SIDE PROP.LINE OF (STREET) ALTER ER ❑ HIGHWAY •F YARD = TOTAL SETBACK FROM TYPE 0 XISTING // __ REPAIR SIDE PROP. LINE HIGHWAY TH USE OF EXISTING BLDG. 13/.O U &j Ce, J_ DEMOL ❑ + APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) - NO. BY (SIGNATURE) IN OPEN SPACE YES ❑ - NO ❑ INICOASTAL ZONE YES ❑ NO Q ❑ VALUATION�F 1 CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY 1 WILL NOT EMPLOY ANY PERSOW IN VIOLATION OF THE r LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO / WORKMEN'S COMPENSATION INSUR NCE. .� /Z/ 1 SIGNATURE OF PERMITTEE ADDRESS -' - FINAL JB �� TEL. DATE CITY NO. P. Q MAKE CHECKS P.- YABL_E TO:, FEE i' FEE HARVEY T. BRANDT. COUNTY ENGINEER 3, PLAN CHECK VALIDATION CK. M.O. CASH ) PERMIT VALIDATION CK. .O. CASH 4 76p638A CE#803 12/72 2 8 1 373 AUG 21 1 D 3 SU 0A ' APPLICATION FOR 13UL DING PERMIT COUNTY OF LOS ANGELS BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDI G ADDRESS I hereby affirm that I have a certificate of consent to self insure, ,BUILDI G ADDRESS or a certificate of Workers'Compensation Insurance,or a certified copy'thereof(Sec.3800 Lab.C.) 'CITY ZIP I! � C LOCALITY Policy Nq�!';�,7�a Compan � �� .SIZE OF LOT NO.OF BLDGS NOW ON LOT ❑ Certified copy is hereby furnished. �/��' 1. NEAREST CROSS S, Certified copy is filed with the county building inspection TRACT BLOCK ,kQTA0. �'�✓ departme /f��nt .r USE•ZONE MA NO. Date I RVApplicant PAZ k p ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER }� TEL N0. y� YES NO COMPENSATION INSURANCE / cJ Z WITHIN 1000 FT.OF SCHOOL? (This section need not be completed if the permit is for one hundred ADD D - �� DISTRICT GROUP TYP CONST. FIRE ZONE PROCESSED BY dollars($100)or less.) I certify that in the performance of the work for which this permCITY ZIP it. . if • , p IS issued, I Shall not employ any person in any'manner so as t0 ARCHITECT OR ENGINEER TEL NOl/7� . become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should' become subject to the Workers' CONT R R TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwitha �� % FRONT comply with such provisions or this permit shall be deemed revoked. AD KESS LIC.NO. y PL LICENSED CONTRACTORS DECLARATION CI `� 14 2_Q�3 LIC.C P L SIDE '/ n I hereby affirm that I am licensed underprovisions of Chapter 9 (/ C SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force and ffect NEW ❑ BK PG a License Number Z p. Lic.Class / DE 11ION OF WORK ADD VALUA C Contractor Date �"'Afi 97 d ALTER 11, $ c V F ❑ I am exempt under Sec. J REPAIR ❑ $ F- BAP.C.for this reason �+ 2�(/ DEMOL ❑ LDMA P/C# LL Rte USE O EXISTING BLDG. URM 11. D' Signature HG': o L ,APP NT ) TEL O. LDMA Perm# , ❑ 1, as owner of the property, or my employees with wages as '— ZO 33,9 j 197.int their sole compensation, will do the work and the structure is A not intended or offered for sale (Section 7044, Business and tQ FINAL DATE G 4 'T�'� +� PTOfeSSIOrIS Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPA HANDLE A HAZARDOUS MATERIAL 1 I OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE J I �8` �@-_ap ❑ 1, as owner of the property, am exclusively contracting'with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY. �! — licensed contractors to construct the project (Section 7044, f= � � VES❑ NO❑ v197.10 Business and Professions Code.) i WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING , I OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH S�,n GG 6,Q CHANCE .00 CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR v B/(,��/� GUIDEUNES. I hereby affirm that there is a construction lending agency for YES❑ NO❑ cm the performance of the work for which this permit is issued(Sec. I (�G�( —( I"j'j 7[ ti r0; I HAVE READ THE HAZARDOUS MATERIALS INFO�AF TION G AND THE SCAOMD PERMITTING J.+ f. VI i�,f 3097,CIV.C.) CHECKLIST I RSTAND MV REQUIREMENND ANGELES COUNTY CODE, �,ry'yL (r cm TITLE 2,C TE 2.20 SECTI S .20.100 140 CONCERNING HAZARDOUS 0 73 f A f 7:55 z Lender's Name MATERIA REP AN ING OM THE SCAOMD. n A. O Lender's Address if OWNA OR. ENT c I certify that I have read this application and state under penalty of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE N with all county ordinances and State I s relating to building �� constructi nd hereby authorize tatives of this County ISSUANCE FEE to en po the abo ntione rop for inspection purposes. I 7` m 09A,ce 'INVESTIGATION FEE TOTAL FEE `Z. D ^ w 1 Anob 9 SEE REVERSE FOR EXPLANATORY LANGUAGE