HomeMy Public PortalAbout9247 SPARKLETT ST_Building__ TeAGSSA CX*603 TO! APPLICATION FOR BUILDING PERMIT Z
iTSAIITG AND SAFETY DIVISION BUILDING
��� of Comte EnNtnew ADDRESS
ComtT of Los Anyalm LOCALITY
JOHN A LAMBIE COUNTY ENaimmm NEAREST
CASSATT D GRIFFIN SUP T of BUILGINO ROSS ST.
FOR APPLICANT TO FILL IN DISTRICT NO I G-r TYPE BEWEK MAP
PG
BUILDING �./ CONST /
ADDRESS STATISTICAL CLASSIFICATION
CLASS NO_DWELL UN ITR
LOT NO BLOCK
MAP Q / � STATE YES
NUMBER HWY
TRACT USE ZONE SPECIAL
NO OF SLOGS CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF J
EXISTING BLDG BUILDINGEXIST
SETBACK YARD I HWY STREET NAME WIDTH
OWNER lot FRONT y J /
MAIZ
V
L P L
ADDRESS 81DE P L / / 0 /
TEL G
CITY NO — INSPECTION RECORD
ARCHITECT OR TEL
ENGINEER NO
ADDRESS
TEL
CONTRACTOR NO
ADDRESS
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
80 PT NO OP NO OF
SIZE STOR IES FAMILIES
USE OF STRUCTURE
Sfgg,,g E
APPROVALS
SIGNATURE OF
APPLICANT
DATE INSPECTOR SSIGNATURE
ADDRESS FOUNDATION LOCATION
FORMS MATERIALS
fo
P C S FRAME FIRE STOPS
/ O O FEE BRACING
BOLTI
VALUATION • S CQ FURNACE LOCATION
FEE 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
STATE LAWS R GU NO BUILD I a TRUCTION
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE / RECT AND POSTED
ADDREs FINAL Z:SAyAww
JOHN A LAMBIE COUNTY EN61NEER CLYDE N DIRLAM PRINCIPAL 13TRUCTURAL ENGINEER
PLAN CHECK VALmATION CN !M O CASH PEEWT VALMATION CK M O CASH
jj, o 0 4 3 9 u, JUL 19 1 600 In m
DEPARTMENT OF WELDING AND SAFETY APPLICATION FOB PERMT
COUNTY OF LOS ANGELES I j ® �
I W lL J. FOX. CHIEFENGINEER
NG
FOR APPLICANT TO Fni. IN FOR OFFICE USE ONLY
BUILDING DISTRICT NO PLAN CK NO PERMIT NO
ADDRESS 1D9247 Sparklett St. :57— -7 _/ Q
` LOCALITY .LLQMple. Cit California RECEIVED DATE OFAPPL. DATE ISSUED
Yi- HJT
aEA"[BT Rio Hondo Avenue use 0 6-Zs7-S 4,- Z
OWNER TURNER HOMES INC.
wcoiNNs" Z MAILL
ADDRESS 26 East Santa Clara St. - LOCALITY c'
NEAREST
TEL [
CITY Arcadi a c DO 7-9563 FIIRER� NO or TYPE GROUP
ARCHITECT OR TEL ION[ PLAN,
ENGINEER NO
,LDO / OR
ADDRESS SETBACK LIN[
APPROVED
DAT[
VNTRTUSE
AOOR SAMA NO
US[ APPROVED
ZONE BY DAT[
DESCRIPTLION LOT NO 75 BLOCK CORRECTIONS
TRADT 1647
NO OF BLOCS NO
BIZ[OF LCT NOW DN LOT
USE Or Nor
N
r O
EO►
x1BTl1 AMI 1 RO
DESCRIPTION OF WORK
NEW X ALTERATION ADDITION o
L
REPAIR MOVING DEMOLISH p
BO NO Or l
BIZ[ ROOMS 5 STORIES
cOVERIKO Plaster cOVr[RINoSomyA
URE Of NEW
BUILDING
1 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STAT[ THAT THE ABOVE IS CORRECT IN R DATE
FOUNDATION• LOCATION
AND STAT[LAWS REGULATING BUILDING CONSTRUCTION /
AND AOR[[ TO COMPLY WITH ALL COUNTY ORDINANCES foRM,.MATERIALS /_ !7
MZZ
J
FRAME
R �
RACINBOLTS
SIGNATURE Or
POMITETvRm OP�SINC, ANT,
Zq
AUTNORaD AST / /
LATH. IDcr. t
9w'✓&-a amQ� P C • PLASTER.INT. O
�E S PLABT[R.EXT.
VALUATION 71 s�
r[c 3' - FINAL ..s L
• 1L"�,•WORKERS COMPENSATION DECLARATION l�i�►
••r•I h' ffirm that I have o certificate of tion Int r self APPLICATION FOR BUILDING PERMft
ir"J � ce.tilicBjn of Workers Compensation Insurance
certified copy thereof (Set 38DO Lab C ) _ COUNTY OF LOS ANGELES BUILDING AND SAFETY
Polity No IcB1 company BUILDINGp 1'I id.4e
Certified copy a hereby furmshADD
ed FOR APPLICANT TO FILL IN - ADDRESS 12 7 5 r
Candied copy is filed with 1 ounfy kiss dig in BUILDING
tion department 1 ADDRESS SPA R.KLez-1
O_ 1 _
Dote2Z! Applicant CITU K 2GI ZIP LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS SIZE OF LOT I3 NOW F BLDGS LOT Z— ASST
COMPENSATION INSURANCE
(This section need not be completed if the permit is for one ASSESSOR
hundred dollars ($100)or less ) TEL
TRACT BLOCK LOT NO MAP Epp( PAGE PARCEL
ONE Z
5E
I certify that in the performance of the work for which this OWNER NO;Z '�Z USE
ZNO
MAP
permit is Issued I shall not employ any person in any manner ADDRESS E K SPECIAL t
so as to become subject to the Workers Compensation Laws CONDITIONS
Dote Applicant CITY ZIP
NOTICE TO APPLICANT If after making this Certificate of =UOR ��_ NO 6 DISTRICT GROUP TYPE FIRE ZONE
O
Exemption, you should become subteor to the Workers' /W
CONST ZONEU
Compensation provisions of the Labor Code you must forth- ADDRESS �-U 3 6wfih Comply with such provisions or this permit shall be CONTRACT t 0 5 2 STATISTICAL CLASSIFICATION APT CONDO ()
deemed revoked 7- 1
Z
LICENSED CONTRACTORS DECLARATION LK ClA-55 NO DWELL UNITS
I hereby affirm that jam licensed under provisions of Chapter 9 ADDRESS S O- NO SODS
(commencing with Section 7000)of Division 3 of the Business and LSEWER MAP
Professions Code, and my license is in full force and effect CITYO%Mt4keCUSS SK AG VALIDATION
SO FT IZ& NO O NO OF CHECK
License Numbers Lic Class SIZE STORIE4 FAMILIES ONE
al�tsdl- tt( Nf. pj ; �n•-Dp DESCRIPTION OF WORK VALUATION
Contractor c�,r a ADO $ SCso �.
I am exempt under Sec ,
ALTER 1
B aP C for this reason $
Date USE OF REPAIR ACMAT
EXISTING BLDG DEMO 3307 96•!.i
Signature APPLPRIC NOL FINAL .�y/SF
OWNER-BUILDER DECLARATION DA C/ S I EMS
1 hereby affirm that I am exempt from the Contractor's License ..pp
Law for the following reason (Section 7031 5, Business and ADDRESS376) ti'17t & 1_ F, TOTAL 96 . 75
Professions Code) BY
0 1 as owner of the property or my employees with BADDRESS
UILDING CHECK 96.75
wogm as their sale compensation will do the work and � � .00the structure is not intended or offered for sale(Section LOCALITY
7044 Business and Professions Code) MOVING TEL
13 1 as owner of the property, am exclusively contracting CONTRACTOR NO
with licensed contractors to construct the project (Sec- 0000-IN 1 3/21/89
lion 7044 Business and Professions Code)
CONSTRUCTION LENDING AGENCYUIRED YARD HWV ALPRpPLINE WIDTH '` 1994 1 AM 8:42
um a
I hereby off that there o construction
BACK
on lending agency for pjLON7 `-� u�
the performance of the work for which this permit is issued p L
(Sec 3097, Civ C ) SIDE / a• Y
Lenders Name ' -
'$ Lender's Address PC F"$ Permit Fee STDMA Ref M
- �=
z i '
rs,
I certify that I hove rood this application and stats that the Issuance 1 0• �+ IDMA P/C• t '
above information Is correct I agree to comply with all County Investigation Fee t `
$ ordinances and State jaws relating to building construction, Total Fee/ 1DMA Perris
R nd hereby authorize repreyntativm of this County to enter
on the also -mens property for inspection purposes -
^/t ��\� RO RRVQfR FOR EXPLANATORY LANGUAGE
Bngnwtvre a Applicant or Agent Dote