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Home My Public Portal About5041 SANTA ANITA AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY AYPLLUATLON-FOR PERMIT - 'COXWTOF LOS ANGELES ' C D 1 WM. J. FOX. CHIEF ENGINEER ING FOR APPLICANT 1'01•F.ILL IN FOR OFFICE USE ONLY `y Ej a_i j DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING g/ ADDRESS Z_ LOCALITY a �•�' RECEIVED BY/ 9 DATE OF APDL. DATE ISSUED �� % NEAREST ,�� L! • �� i Y -- o e_1 CROSS ST. BUILD /JkV- /i ADDRESS NG OWNER/041 ®d/� �`7•t-'�'f t �' � i MAIL ADDRESS r��,f '� ' Q LOCALITY /_�+, /� E P•1�1 !.sof�C CITY K NIV;!V �/� CVA ROSS ST. FIRE NO.OF TYPE GROUP ` ARCHITECT OR TEL. ZONE PLANS ENGINEER NO. BLDG. / ♦ ORD.NO. ADDRESS SETBACK LINE APPROVED TEL. BY DATE CONTRACTOR NO. USE APPROVED ADDRESS ZONE 14 - 1/ BY DATE. LEGAL I �', CORRECTIONS -DESCRIPTION LDTT NO. BLOCK TRACT /3-763 NO.or SLOG SIZE OF LOT / I NOW N LOTS O / USE OF NO.OF NO.OF EXISTING BLDG FAMILIES ROOMS DESCRIPTI16N OF WORK NEW ALTERATION ADDITION � D REPAIR MOVING DEMOLISH O Bq.FT. �Z NO.OF Z SIZE ROOMS STORIES a 'WALL. � •° ROOF r COVE COVERING USE OF NEW A BUILDING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROV S APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION:LOCATION )NS13ltCTDR I DA� AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS .rC��_✓/� AND STATE LAWS REGULATING BUILDING CONSTRUCTION. II,,a FRAME: FIRE STOPS, SIGNATURE OF•�`IiL �~ // BRACING,BOLTS PERMITTEE �I LATH, INT. AUTHORIZED AGT LATH, EXT. 76A638A 9-48 DSS-3 Sam SETS $ P.C.B PLASTER,INT. Ias FEE PLASTER,EXT. \ VALUATION FEE 186 Cro FINAL J/ ISA6948A CE#808_6-97 APPLICATION FOR BUILDING PxkzmlT ,. COUNTY OF LOS ANGELES ADDRESS Q ! 4 . o ✓/ DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY' JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,8UP T OF BUILDING CROSS ST. DISTRICT O. GROUP TYPE SEWER MAP FOR APPLI _ TO FILL cJ I CON BUILDING ADDRESS ® I STATISTICAL,CL SSIFICATION �� CLASS.NODWELL.UNIT LOT NO. BLOCK MAP STATE YES NC J NUMBER / HWY. TRACT' ! eJ 1P USE ZONE SPECIAL O�P ,t NO.OF BLDGS. CONDITIONS SIZE OF LOT 2p` J NOW ON LOT USE OF EXISTING BLDBUILDING EXIST. SETBACK YARD HWY STREET NAME WIDTH OWNER MAILp L " FRONT 16; ADDRESS �� i. d® b t r, SIDE riia P.L. . CITY F L h �I. TNQ Ta ARCHITECT OR TEL. INSPECTION RECORD ENGINEER NO. ADDRESS S � TEL. CONTRACTOR r= NO. ✓i ADDRESS DESCRIPTION OF WORE r NEW ADD ALTER REPAIR DEMOLIS / r SQ.FT. NO.OF NO.OF SIZE STORIES ! FAMILIES r 4 USE OF RUCTURE-y�'�j A r SIGNAT REO �: APPROVALS APPLICANT ° DATE INSPECTOR'S SIGNATURE .A ADDRESS FOUNDATION: LOCATION. �.4, 7 FORMS,MATERIALS P.C. ^$ FRAME: FIRE STOPS, ' r / FEE BRACING,BOLTS VALUATION $ FURNACE: LOCATION, 6% "EMMAY .... >.. FEE GAS VENT,DUCTS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT. A PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY VNTH ALL COUNTY ORDINANCES AND STATE LAWS RTI BUILDI G CONSTRUCTION. LATH,EXT. SIGNATURE HOUSE NUMBER COR- PERMITT RECT AND POSTED ADDRES FINAL 'OHN A.LAMBIE.COUNTY ENGINEER. CLYDE N.DIRLAM,PRINCIPAL STRUCTURAL E ER PLAN CHECK VALIDATION Cs,' M.O. 'CASH PERMIT VALIDATION C&I M.O. , DBS-3 25M SETS 8-45 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES u e ® � WM. -J. FOX, CHIEF ENGINEER NG - FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING �s DISTRI� PLAN CK. NO. PERMIT NO. _ ADDRESS > ,�- LOCALITY � L a/y ��=� RECEIVED BY / yDATE OF APP/L.. DATE ISSUED NEAREST �,9A1� r�..s f> ']- ORD e-/til CROSS 8T. �I /f/'// BUILDING 4;l1f / tt \/J�t� /r ��1i OWNER �� r" / RE / ADDRESS / fi-C19 !o<<) MAIL LOCALITY fG'( I°�1.�,•`tr�i� ADDRESS / �� a��&� �� _ �` NEAREST CITY 0 J I—1 �. NO.. _ ¢ r..�. CROSS ST. FIRE NO.OFTYPE GROUP�y ARCHITECT OR TEL. ZONE I PLANS ENGINEER. NO. BLDG. ORD. NO. ADDRESS 7r/ SETBACK LINE APPROVED TEL CONTRACTOR NO. _BY DATE USE APPROVED ADDRESS ZONEA BY DATE LEGAL f '/ CORRECTIONS DESCRIPTION I i.OT NO. �"J" I BLOCK - � ++r• yJ TRACT 77 s'�/�/•11%+.I .1 -R.v''.l�t`~� ,J NO. OF SLOGS. r ) SIZE OF LOT ) ?=,_ ul�� I NOW ON LOT j �h m"✓f �1 USE OF NO.OF NO. OF ; f EXISTING BLDG. __ I FAMILIES ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION 1 O REPAIR MOVING DEMOLISH p F Z SIZE '��2"� ROOMS / STORIES / r WALL ROOF COVERING 0 J30VERING 044p� �1�6 USE OF NEW BUILDING APPROVALS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, /1 SPECTOR DATE MATERIALS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, Z, �.��•� ��'`�`� AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, / SIGNATURE OF BRACING, BOLTS OWNER LATH; INT.: �� J AUTHORIZED AST LATH, EXT.: c�;�j'� (� P. C. PLASTER, INT. +/ [� s FEE PLASTER, EXT. ' VALUATION FEE C + FINAL I DEPARTMENT OF BUILDING AND SAFETY. APPLICATION FOR PERMIT COUNTY OF LOS ANGELES m' ' I L M N G 1 WM. J. FOX, CHIEF ENGINEER FADDR OR APPLICANT TO FILL IN / FOR OFFICE USE ONLY .r' DISTRI NO. PLAN CK. NO. PERMIT NO. NG 'n + ., ^"Y` (I 417 SS �`�- ��fi; ' > � �l dTY ` RECEIVEDJL Y DATE OF APPL. DATEISSUED T9T. BUILDING �`,/v .ADDRESS /r✓ (r'. OWN /�9 'T- LOCALITYSS O �a //�f QCROS ST. t! _,( FIRE NO. OF TYPEGROUP IECTIOit TEL. ZONE PLANS (s/ER NO. SETBACK LINESS n APPROVED T `% TEL. „BY A DATE CONTRACTOIi��,�;� /�,� ,I�NO. �r-17,f FUSE �r APPROVED V n I'-'w t Lr;� J ZONE BY DATE ADDRESS 11 J' �>f t�)�1•�/r� /;• P HOUSE NUMBERING LEGAL I DESCRIPTION I LOT NO.v ' r BLOCK s MAP NUMBER FIELD CHECK BY TRACT 3 NO. ASSIGNED BY DATE //1("-[NO. OF SLDGS. . CORRECTIONS SIZE OF LOT 4s �® �v NOW ON LOT USE OF ®/ I NO. OF r s EXISTING BLDG, �v/ + cra-L! FAMILIES .. f DESCRIPTION OF WORK NEW %ISI ALTERATION I I ADDITION REPAIR I I DEMOLITION ' ME G / ROOMS r STORIES Z Err.WAROOF COVERINLG I COVERING 4.�--G� e • r USE OF TRUCT4U' _ aa.-zi V ` Z^ i/ t V APPROVALS INSPECTOR'S SIGNATURE DATE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- . FOUNDATION: LOCATION - 'PLICATION AND STATE THAT THE INFORMATION GIVEN IS . FORMS, MATERIALS CORRECT. 1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, HEREON AND WITH ALL COUNTY ORDINANCES AND STATE + BRACING, BOLTS LAWS REGULATING ILDING-CONSTRUCTION. � FURNACE: LOCATION, V• SIGNATURE OF c� GAS VENT, DUCTS PERM... Egl' "1- / j LATH, INT. ADDRESS 'I � • LATH, EXT. I t` AUTHORIZED AGT. h i PLASTER, INT. 76ABSBA• DBss so-so $ cv ' P. C. $ ® FEE PLASTER, EXT. VALUATION FEE $J !V�-r-�' INAL I i WORKERS'COMPENSAIkON• DECLARATION by affirm that I have a certificate of conse nt'to self cate of Workers' Compensation Insurance, I" F®R BUILDING P E RM I Tin.1,., oracertifiAPPLICATION or a•i:flrtified copy thereof(Sec. 3800, Lab. C.) i• I COUNTY OF LOS ANGELES • BUILDING AND SAFETY Policy No. Company ❑ Certified copy is hereby furnished. i FOR APPLICANT TO FILL IN BUILD ss ❑ Certified copy is filed with the county building inspec- BUILDING � 21 _ tion department. ADDRESS tYO SPIPJ�' (/.6. Date Applicant +CITY . vl� ZIP ( � LOCALITY l/ It NO. OF.BLDGS. CERTIFICATE OF EXEMPTION FROM WORKERS' ' SIZE'OF LOT ��x / S +� NOW ON LOT C OSS ST. COMPENSATION INSURANCE (This section need not be completed if the permit is for one TRACT' B K LOT NO MAP ASSEBOOK nn PAGE PARCEL hundred dollars ($100)or less.) /y� A} TEL. j I OC OWNER R v l!v rO- NO. z-01 G'' USE �JONEMAPI certify that in the performance of the work for which thisSPECIAL >_ permit is issued,I shall not employ any person in any manner - ADDRESS 17�} / CONDITIONS a- so as to ecome subject to the Workers'Compe tion Laws. �• O CITY � C4 ZIP % `�, U Date Applicant. AfjCHITECi OR Y� ;.TEL. DISTRICT . GROUP TYPE :FIRE' P CESSED BY .O NOTICE TO APPLICANT: If,• after making this Certificate of ENGINEER NO. CONST. ZONE Exemption, you should become subject to the Workers' �— ^ l� D�y� �� W Compensation provisions of the Labor Code, you must forth- ADDRESS �j 7 `//a� l�:✓ a with comply with'such provisions or-this permit shall be TEL, STATISTICAL CLASSIFICATION APT. CONDO. deemed revoked. CONTRACTOR NO. _ ' Z LICENSED CONTRACTORS DECLARATION I ��"' /J LIC. CLASS NO. C;% UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS /7 k� 'r NO. (commencing with Section 7000)of Division 3 of the Business • ( LIC. SEWERMAP. and Professions Code,and my license is in full force and effect. CITY' CLASS BK PG. VALIDATION SO. FT. NO. OF NO. OF • CHECK License Number Lic. Class SIZE STORIES FAMILIES ONE VALUATION Contractor Date, DESCRIPTION OF WORK er,� NEW $ El I am exempt under Sec. D '. _S I C;t� � L ' ADD , ❑ ► ALTER ❑ 1 B.BP.C. for this reason $ REPAIR' Date: USE OF DCISTING BLDG. DEMOL ❑ ' Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION (PRINT) NO. �YQFv DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS FINAL i W ssions Code): PRESENT ByhY BUILDING ACCT. I, as owner of•the property, or my.employees with ADDRESS--- wages DDRESS wa es as their sole compensation,will do the work and I 3 the structure is not intended or offered for sale(Section LOCALITY ® �ti1d °v 7044, Business and Professions Code.) MOVING TEL. ITEMS ❑ I, as owner of the property,am exclusively contracting CONTRACTOR' NO, dd 1 ��7 with licensed contractors to construct.the project.(Sec- ADDRESS TOT'� '� tion 7044, Business and Professions Code.) CHECK 1 4 ° U REQUIRED TOTAL SETBACK FROM EXIST.. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction.lending agency for FRONTHAI�ICiE °QCI the performance of the work for which this permit is issued P,L. (Sec. 3097, Civ. C.). SIDE ii p �}`rya PIL. I VtJ��' ��1 pl70/8 Lender's Name 8 P:CI Fee$ Permit Fee �J�g LDMAi Ref. #. vV{y hI+I �.+3 Lender's'Address � i ��+�?? OO rilF I certify that I have read this application and state that the I Issuance Fee J~ LDMA P/C# 3 above information is correct. I agree to comply with all County Investigation Fee Z ordinances and State laws relating to building construction, Total Fee / LDMA Perm. # and hereby authorizp4epresentatives of this County to enter upon the above- nt• ned property for inspection jourpoyes. 1 I c% !� I SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of'Applicant or Agent Dat