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HomeMy Public PortalAbout10619 SPARKLETT ST_Building__ DEP ` °F "` BUILDING DIVISION OF BUIt.DIIdG AMID SAFETY wumm Cr cos "ate IMLLUM J. PDX. COUNTY BNalNcmt AMMI.ICATION- — - CASSATT D. GRIPPIN, MWT of BUII.mMa FOR AMMLICANT TO FU IN FOR OFFICE USE ONLY B UILDINO f DISTRICT PU/ CK OR REC NO PERMIT NO- ADDR G 5 (j d LOCALITY RECEIVED BY DATE OF APPL DATR IBBUED NEAREST a / - ADDRNG BUILDIS /a/ cr ESIAIL OWNER � ADD �L/ �.- /v LOCALITY ' / NEAREST. C � Tm- b CROBH BT ARCHITECT OR TA FIRE NO OF -TYPE GROUP.' 'T ENGINES NO ZONE PLANS 11Z I 1 BLDG D OO SETBACK LINE 3�(J ' COMRA (! yy TQL UBE APPROV® DATE ('' ONR' HOUSE NUMBERING ADD S, 1 LEGAL MAP NUMBKR t+ � �O ASSIGNED BY- DESCRIPTION Y DESCR PTIO M _ p CORRECTIONS TRACT O i BI2s OF LDT X DD No °ONmgBLDas S ! USE OP NO.OF I -• - - NG BLPQ DESCRIPTION OF WOES G NEW ALTIMATION ADOMONa 2 REPAIR DEMOLITION r :?ZrNO OP 818 AI c ROOMH B'TOR to OVER N6 J UCG I VRRINa USE OF STRUCTURE ra TS£S-s/ APPEOV INSP R'S SIGNATURE PATFJ FOUNDATION LOCATION .l FORME MATRRIALB 7 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- PRANK PIRESTOPS PLICATION AND STATE THAT THE INFORMATION GIVEN IR BRACING BOLTS CORRECT FURNACE LOCATION. L 1 AGREE TO COMPLY WTTN ALL COUNTY ORDINANCES GAS VENTDUCTS AND STATE LAWS REGULATING BUILDING CONSTRUCTION SIGNATURE OF LATH IM PERM • 1 R LATH EEr ADD '17�/ u A4. PLASTER IM AUTHORIZED AOT O. PLASTER E(T s po ;.c • S= HOUSENUMBERCOR- qs- RECT AND POSTRD VALUATION FEE E�y �� FINAL ERMIT IS RE RED R ANY MATERIAL STORAGE OR WORK DONE IN THE ROAD RIGHT O .. .,.,�.e.m... APPLICATION FOR BUILDW6y PERMIT 1 COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALITY JOHN A LAMBIE, COUNTY ENGINFER NEAREST G88ATT D GRIFFIN SUPT o BUILDING CROSS ST DI RICT Nps GROUP TYPe PR E58ED B FOR APPLICANT TO FILL IN o d o CONST BUILDING STATISTICAL C IFICATION SEWER ADDRESS �� BK PG CLASS NO DWELL UNIT LOT NO BLOCK MAP HTATE YES NO NUMBER HWY TRACT USE ZONE SPECIAL / NO OF BLDGS / CONDITI DNS SIZE OF LOT L 4 X NOW ON LOT USE OF EXISTING BLDG _ BUILDING EXIST SETBACK YARD HWY STREET NAME WIDTH OWNER FRONT / MAIL P L ADDRESS SIDE P L Cm No INSPECTION RECORD ARCHITECT OR TEL ENGINEER NO ADDRESS TEL ,_CC,(lll6CC/ / .d1 /• CONTRACTOR NO /J ADDRESS DESCRIPTION OF WORK N ADD ALTER REPAIR DEMOLISH HO FT / / NO OF NO OF SIZE STORIES FAMILIES USE OF e STRUCTURE SIGNATURE OF APPLICANT APPROVALS DATE INSPECTOR 5 SIGNATURE ADDRESS O G FOUNDATION LOCATION FORMS MATERIALS VALUATION $ FRAME FIRE STOPS BRACING BOLTS 30 PC PMT OD FURNACE LOCATION / FEE f FEE GAS VENT DUCTS f / \ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LATH INT PLICATION AND STATE THAT THE ABOVE IS CORRECT AND ND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REG EATING BUI I NSTRUCTION LATH EXT SIGNATURE F HOUSE NUMBER COR- PERMITTE REGI ANO POHTED ADDRE88 FINAL CLYDE N DIRT RINCIPAL STR eCTURY Ld_1GE PLM CHF= VALIDATION CK Y o �j,�N PERMIT VALIDATION MI 9 6 3 JUd 8 1 D S U�U m. APPLICATION FOR BUILDING PERMIT FOR !"DLICANT TO FILL IN (PrIKr or rvoB oplY) BUrLDING COUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER cIT P G/ zIJON O BUILDING AND SAFETY DIVISIONOOF BUILDSIZE OF LOT NOW ONG ADDRESS TRACT BLOCK J l LOCALITY NEAROWNER �' CROSS ASSESADDRESS MAP BOOK PAGE PARCEL DISTRICT GROUP TYPEFIRE PROCESSED BY CITY J ZIJ] _ // ( CONST ZO E tARCHITECT OR .�;D YZJ.II rENGINEER STATISTICAL CLASSIAFICATION SEWER MAP ADDRESS CLASS NO�-1,LOWELL UNIT$ SK PG CONTRACTOR USE ZO EMAPNOADDRESS �� SPECIAL CITY CONDITIONS ROAD DEPARTMENT APPROVAL REQUIRED YES NOCONSTRUCTION LENDER NAME AND BRANCHBLDG SETBACK FROMFRONT PROP LI NE OFADDRESS CITY _ TOTAL SETBACK FROM TYPE OF EXISTINGHIGHWAY } YARD -SQ FT NO OF NO OCHECK FRONT PROP LINEHIGHWAY WIDTHSIZE STORIES FAMILONE �J IC-.. DESCRIPTION OF WORK 1p ❑ } Ao 'oe ] v f ! BLDG SETBACK FROM (STREET) Z _ C-O/. D SIDEPROP LINEOF Cr TER HIGHWAY } YARD _ TOTAL SETBACK FROM TYPE OF EXISTING RA 6 /� SIDE PROP LINE HIGHWAY WIDTH PAIR❑ USE OF } / {+H tj_,fiA EXISTING BLDG OL ❑ U L/ &� APPLICANT TELCORNER CUTOFF YES ❑ NO ❑ (PRINT) � � � ND B / IN OPEN SPACE YES ❑ NO ❑ BY ISIGNA TUR EI / IN COASTAL YES ❑ NO ❑ VALUATION$ ybo, CATEGORICAL EXEMPTION 3❑ NO ❑ HEREBY ACKNOWLEDGE THAT I NAVE READ THISICATION ENVIRONMENTAL AMp !TATE THAT THE ABOVE IB CORRECT AND AGRCOMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING G CON- STRUCTION I CERTIFY THAT IN DOING THE WOORIZED IMPACT REPORT PROCESSED IDATE) HEREBY WILL NOT EMPLOY AMT PER90M IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IMIMG TO I WORKMEN 9 COMPf 11TIOX IMI URA NC9l. Vv V SIGNATURE _.` D 7- —u v O vrwi NF PERMITTEE 'ADDRESS ! V w u(J rNG o TEL �• DATE CITY - e FINAL NOS6 MA KF CHECKS P YA BLL TOP C $ PMT $FEE FEEOHARVEY T BRANDY OUNTY ENER PLAN CHECK VALIDATION CK M 0 CASH NN PERMIT VALIDATION CK M 0 uBH JUN 10 ID 9.0 76A638A CEIe803 ]/]3 APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN JIPrintortype only) a BUILDING COUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER Clr ZIP BUILDING AND SAFETY DIVISION NO OF BLDGS BUILDING SIZE OF LOT NOW ON LOT ADDRESS 1,0612 TRACT BLOCK LOT NO LOCALITY TEL ! NEAREST OWNER NC �b ST ASSESSOR ADDRESS MAP BOOK PAGE PARCEL DISTRICT GROUPTYPE FIRE FSSED Y QTY ZIP r, o CONST ZONE A 717 TEL a ENGINEER STATISTICAL CLASSIFICATION SEWE P ADDRESS CLASS NO od/_DWELL UNITS BK PG CONTRACTOR IN!TEL O l/1 /�ONE NO / /Y ADDRESSC l/� V LL IUD CONDITIONS CINC ROAD DEPARTMENT APPROVAL REQUIRED YES LJNO ❑ CONSTR ION L NAME AND BRANCH BLDG SETBACK FROM FRONT PROP LIN OF (STREET) ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING SO FT NO OF NO OF CHECK HIGHWAY + YARD FRONT PROP LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE DESCRIPTION OF WORKT NEW ❑ + ADD ❑ BLDGSETFRO SIDE PROP N OF ISTREETI O ALTERTAL SETBACK FROM TYPEOF EXISTING Tri HIGHWAY + YARD lAE REPAIR P LINE IHIGHWAY1 WIDTH `L EXISTING BLDG DEMOL ❑ + APPLICANT TELd CORNER CUTOFF YES ❑ NO O I PRINT) NO IN OPEN SPACE YES ❑ NO ❑ BY 1SIGNATUREL IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLITE THAT THE ABOVE IS CORRECT AND AGRFE TO COMPLY WITHCES AND LAWS REGULATING BUIIDING CONSTRUCTION I CERTIFY THE WORK AUTHORIZED HEREBY WILL NOT EMPLOY MAY PERSONOF NELABORCODEOT UATEOF MIHNMIAIN GTOM PB6ADON1 SIGNATURE OF PERMITTEE ADDRESS FINAL CI "E TPlgOYU DATE ✓7 VAt� MAKE CHECKS PAYABLE TOPC $ PMT $ NARVEYT BRANDT COUNTY ENG FEE FEE Pu"�fWM)MPE eX-104 PERM VALIDATION iO14. YC CA{H POLICY HOLDER: 6 11;DEC 6 .1 D �9.0 0 A� / mLh1MB /f/ 3/ 7/`e 3 ✓� APPLICATION FOR .BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER S COMPENSATION DECLARATION FOR APPu FILL IN BDILDM ADa+Ess I hereby affirm that I have a certdcate of consent to sell `cure But or a certificate d Workers Compensation Insurance or a cernfwd( cop/ thereof Sec 3B� O as C) �V LOCALITY Pricy No Camper, SIZE OF LOT O OF BLDOS NOW ON LOT ❑ CeAlhed copy 6 hereby toms NEAREST CROSS Sr ftll Cqp 0 filed Wrth t ly bllldlnp InepeCton TRACT BLOCK LOT NO r t USE Il7NE MAP NO Date Applicant ASSESSOR ANP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' TEL NO COMPENSATION INSURANCE W 114 loon FT OF SCHOOL? YES NO (This Section need not be competed If the permit D for one hundred DISTRICT GROUPST FIRE ZONE PROCESSED BY dollars($100)or less) I T2 I certify that In the performance of the work for which thisv D � IS mWOd 1 Shall not em perml .Q y pby, any penpal In arty mender eo BS to C7 ENGW TEL NO A become 9Ublect to the Wakem ComPensalKxl Laws :ER STATISTICAL CLASSIFICATION APT CONDO Dale Applcant ADDRESS CLASS NO ;2 MELL UNITS NOTICE TO APPLICANT If after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption you should become sub)ect to the Workers CPNTPAC NO SET BACK YARD ffWY PROP LINE WIDTH Compensator, proasons of the Labor Code you must forthwith FRONT comply with such provpere or this Permit shall he deemed revoked ��� P L LICENSED CONTRACTORS DECLARATION 510E LIC PL I hereby affirm that I em licensed underprov�ons of Chapter 8 q Mqp (canrimenClrg with Sect=7000)of DrvIsKKI 3 d the Business and NO STORIES NO FAMILIES Professions Code a my Ince In full force of�1�t� NEW BK PG , d Lcense Nu bar Lx: Clas� ON OF MM i• ADD ❑LAAO� $L 1 �� O Cmtract Date r��, ALTER ❑ l (�� ❑ I am exempt under SecbAsi �^—� REPAIR ❑ $ BAPC far this reason ' DEMOL ❑ LDAM PTC W Date UIWOF EMSTING BLDG URM ❑ a Signature APPLICANT IR60T) TEL NO LDMA Perm• 1 Z ❑ I as owner of the property or my employees with wages as = AC C,T.i their sole compensation will do the work and the Structure Is ADDRESS not Intended or offered for sale (Secton 7044 Business and FINAL 3303 142.20 Professions Cade) w LL E APP CN oR U R E e xpwo oawwr Rua e A NAzrgoous MA EPu `l I 1 ITEMS ❑ I as owner of the property, am exclusively contracting with as A AmcTurE mNvnrlAT A NAZANoous MATERIAL[Dori To OR GREATER TRVI THE NAOUNre SPEMED ON TIE HAZIRD0119 MATERIALS KOfLMTpN DUCE? FINAL By Busmed contractors to construct the protect Isedcn 7044 vas❑ No❑ TOTAL 14-2 - 20 a e nsss am P class ons code) ffqj (HECK 142.20 WLL TIE MEICED USE(F TIE el.®llnO aT TIE r➢fVUM OR MULE BlAfM16 °LronRrPNA'IR'ouunp16rr AMAw IAENT DI�T DD)MRM Mmii'Nn`Rc°IMiEa S`r FORwR nn CC CHANGE CONSTRUCTION LENDING AGENCY a IJN,4ES BK ) .OD I hereby affirm that there is a construction lending agency for YEs❑ No El a the Pedormarce of the work for who h this Permit Is Issued(Sec r}(1�I m IWAEREAD IJNDE AlCOUS MATERH I,MlrUTC RT-IR ANO NGEI-RHE WOrE COCq ©/ DDDD—V11V1 7/iD/9J 3087 Civ C) ITILE 2 I$i UNDERSPNO rrV F£GU6iEAEKr9lRCER TIE LOe rNGELEs aa1NrY CODE t: N Lenders Name � Im s ins oMn ATlsaolpN s c E wswDovs Lenders Address 1231 1 AM 10:09 o a.nax w rocxr I cMrfy t I have read this application and state order penalty d that the abOva Stell Is Car.ct 18gm. to cOmpY PC FEE PERMIT FEE O `mR wi el county ordlnan S e Stet. laws relating to bulk6np upm the o e m r ins u� a m�esefpat,vesjof Ihs My ISSUANCE FEE 1 7 �D l y a WNESTX)ATION FEE TOTAL FEE d SEE REVERSE FOR EXPLANATORY LANGUAGE