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Home My Public Portal About5508 SARA MAR LN_Building__ 76AS30A"9803-6_97 APPLICATION FOR BUILDING PERMIT Z' COUNTY OF LOS ANGELES BUILD DEPARTMENT OF COUNTY ENGINEER ADDREINS BUILDING AND SAFETY DMSLON LocAUTr JOHN A LAMBIE,COUNTY ENGINEER NEAREST CASSATT O GRIFFIN SUrT OF BUILDING CROSS ST FOR APPLICANT i0 FILL IN DISTRICT GROUP True 8 ER MAP e / i co BUILDING �1 STATIST]CAL 891FI CATION i ADDRES 7 p LOT NO SOI s�/��(,�P� CLA65 NO WELL UNIT MAP Q HWYSTATE YES TRACT ' J / Ve NUMBER E NE SPECIAL �` NO OF BLDGB N r CONDITIONS SIZE OF LOT •7 NOW ON LOT '[O BO USE OF EXISTIN Q BUILDING EXIST �. SETBACK YARD HWY STREET NAME WIDTH OWNER FRONT / /LI / MAIL P L ADDRESS OVA&g SIDE TE ` I P L CI N ARCHITECT TEL INSPECTION RECORD ENGINEERO✓ NO DD HH�r31 r, r rD a TE CONTRALTO I ,Y I ADDRESSDESCRIPTION OF WORE N NEW ADD ALTER REPAIR DEMOLISH _ SO FT NO OF NO OF SIZE STORIES FAMILIES USE OP STRUCTU ` ewr 2� _ Y BIGNATUREOP ^ ,i APPROVALS APPLICANT DATE IN9PB URE ADDRESS • FOUNDATION LOCATION E FORMS MATERIALS y _ P C. f a FRAME FIRESTOPH Q Q V PEE BRACING BOLTS VALUATION O 00 FURNACE LOCATION E GASVENT DUCTS I HEREBY ACKNO EDGE THAT 1 AVE READ THIS AP- LATH IRT PLICATION AND STAYE THAT THE AELOVE IS CORRECT AND AGREE To COM LTH L COU OR INANCES AND STATE LAWS TI BUI INO CTION LATH EXT SIONATUREO HOUSE NUMBER COR- IM AND POSTED ADDREAR y'' FINAL LAX JOHN A LAMBIE COUNTY ENGINEER CLYDE N DIRLAM PRINCIPAL STUFMMZfflGJNEER PLAN CHECK VALIDATZON M D CAIN Pmw VALMAMONV M D WN - M2 6M34A m 4 ILA 1 925 a m, QO2 7 s o �— APR11 1 4100 ;Ir_� 76AGSOACE&803 logo APPLICATION FOR BUILDING PERMIT- 1 BUnDI NG AND SAFEf4 DIVISION BUILDI DeD�ew of County En9t is ADDRESSNO OI lA�ABgelm - J County LOCALITY JOHN A LAMBIE. COUNTY ENGINEER NEAREST CASSATT D GRIFFIN SUP T OP BUILDING DISFI ICT NO GROUP .n.PE SEWlK MAFF FOR APPLICANT TO FIL IN i_ a TYP ICONSTI-f::i Pp BUILDING ADDR CL . MQV�lL.L"Z STATISTICAL CLAHBIRICATION �~,P/1 CLASS NO DWELL UNIT LOT NO i ✓ BLOCK MAPSTATE YESTRACT S♦ 1 r✓I S NUMBER HwY UHE Z NE SPECIAL NO OF BLDGS CONDITIONS SIZE OF LOT.SSX C� NOW ON LOT USE OF EXISTING BLDG BUILDING YARD HWYi STREET NAME fiX18T �/ SETBACK WIDTH OWNER Tl /J �Y FRONT MAIL U /� ADDRESS I SEI • ' IV HIDE CI O t$p d TEL • a Al� . P L ARCHITECT OR THL INSPECTION RECORD iNGINHER NO \ ADDRESS TEL OY6o CONTRACTOR F /� /70,5/-'N9r'rr.. NO o ADDRESS ✓ . Q J DESCRIPTION OF WO NEW l" ADD ALTER REPAIR DEMOLISH ME Z! ��7 STORIES FAMILIES IES USE OF STR CTUR1: I a.c61Ve e — S/JL /! GA-11 SIGNATURE O A ROYALS APPLICANT ,//� y�• �� DATE INSPECTOR S SIGNATURE ADDRESS�yyy JE/..fS �G /. SO 2S/ A ..�a FOUNDATION LOCATION FORMS MATERIALS S p C E FRAME FIR!STOPS �f BRACING BOLTS VALUATIC,r7, FEE OL FURNACE LOCATION F!! GAS VENT DUCTS 1 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 ORDINANCES AND LATH EXT LAWS REGULATING BUILDING CONSTRUCTION SIGNATURE OF HOUSE NUMBER COR- PERMITTKE RECT AND POSTED ADORES A FINAL JOHN A LAMBIE COUNTY ENGINEER CLYDE N DI RLAM PRINCIPAL STRUCTURAL ENGINEER PEM � VALWATIOA Mo CAIIN PIRLOT VAL=nOR GK M o GIH `X00 0 1 5 '- JUL 9 1 6 G 0,5 0 1 ! _ m APPLICATION FORSUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKERS COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUI ^ RE�53 I hereby affirm that I have a certdtcate of consent to sed ensum sill �� Jr OY , s/adv a a certificate of Workers Compensation n Insurance, or a cerhled copy thereof (See Q38�000 Lab C) �'f�� ZIP LCCALRY ,l�,icy��No B�J 7+4— Com%^�.2;; , �� !q OF ON lOi Slr .fSl.efinied copy n9 hereby furnished NEAREST CROSS ❑ Cerhhed copy is filed with the co ty budding I ctcn TRACT BLOCK LOT NO department� USE ZONE MAP NO Q Date641 picant D ASSESSOR MAP BOOK RAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF'EXEMP •ROM WORKERS R TEL NO ' COMPENSATION INSURANCE L^. VlfTHN 1000 FT OF SCHOOL? 'YES NO (This section deed not be completed d the permit is for one hundred _`- DISTRICT GFICUP TYPE GQfJST FIRE ZONE PROCESSED BY doper ($100)or lose) I certify that in the performance of the work for which the permit M issued I shell not employ ary person in any manner eo e8 to Cr OR ENGINEER TEL NO l• ✓ become sublact to the Workem Compensation laws ARCHITESTATISTICAL CLAASSSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO �(_ DWELL UNITS ' NOTICE TO APPLICANT If after makmig this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption you should become subject ,two the Workers TEL Np �� I MCK ygRD Ifi4Y PROP LINE WIDTR Compereaton provisions of the Labor Code must forthwith �+ b 91 FRONT coney with such provisions or the permit shall be deemed revoked ADDfJESS LIC NO ESIDE LICENSED CONTRACTORS DECLARATION �3 LICI hereby affirm that I am licensed underprovisors of Chapter 8 M(commencing wdh Secton 7000)of Divunon 3 of the Business and SO FT SIZE NO OF STORES NO OF FAMILIESProlesscru Code a loen88 s in lull farce end eHec NEW LicenseNumber 7LD Class a3z RIS OF t'ARK /r ADD ❑Cammctor a � q'-Y �� C97� ALTER ❑ v� ❑ 1 am exempt u Sec REPAIR $ BSPC for Ma reason �- DEMOL ❑ Lona P/C r l}l Date USE OF EX3STIN3 IN URM ❑ Signature ! LOMA Penn ACCT.t ? X03 189.15 ❑ 1 as owrnr of the property or my employees with wages as weer tela d or offered will ale the work and the si structure a d ! �u C FINAL —� 1 ITEMS not intended or offered for sale (Becton 7044 Business and Rdeaslms Code) vwL THE APPl1CVfr oR Funx+E Blaaeq oawNT HNI A HAZAPaOna WTERUL ❑ I as Owner of the Property am exclusively contracting with wwE OR A xTcoHwwNO A HAVRoous MATERML.EQUAL.TD oR GREATER THAN THE TOTAL J;S AMOMna SPEOFED ON THE HAZMp'e•R MATERIALS IIFCRAIATION GLIDE? FINAL BY licensed contractors to construct the protect (Section 7044 YEs❑ ro❑ CHEC K Business and Professions Code) 189.15 OCC THE INTENDED use of THE auoLrvQ By TIE A{R1UNr ON FUTURE E UDINGSOUTH C�C7E OCGIMKI fEOIiE A PEPWr FOR LOIBiRUCTDN OR MODIFICATION FROM THE 90Un1 .00 CONSTRUCTION LENDING AGENCY GUIDE �'GIIALITY MVNC£MENr eX3TfOm IecvDMDI sEE RERwnum ctECKusr FON LIIJ GUIDELINES I hereby affirm that there s a corstructon lending agent' for vEs❑ Np❑ n the performance of the work for which this permit s sued(Sec m IIMVE RE/a TIE HA2Afi0DUa WTEfML9 aFORMATDNGUOE ANO TIE aGOMDPEW.ATTMG VUll1! W�1 6/ 1/95 3Og7 CN C) i CHECKLIST I UNDER30fA AIY REQUIRil NTt AIDER THE LOe ANGELES COUNTY CODE TITLE 2 CHAPTER 2 20 SECI10143 2 20100 THIOU3H 2 20140 CONCERNING I W.ARDOIIS 1�(�C �n ,]�I Lenders Name MATEHAIS REPIXnHG AND FOR OBTAINING A PePoAT FROM THE 9CAQMD 068 J 1 A7 110 i 270 Lenders Address Q C.OFA 01 IQDIr I I certify that I have read the applpatan and state under penalty of perpiry that the above information is correct I sgme to comply PC FEE PERMIT FEEG� 0 with all county ordinances and State laws relating to building constru anoz d tlembY oe representatives of this County ISSUANCE FEE o an up n the aV tent ned PIOPertY f ron/� HVESTgATK]N FEE- TOTAL FEE m / SEE REVERSE FOR EXPLANATORY LANGUAGE