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Home My Public Portal About5833 TREE ROSE TER_Building__ 70ASSBA CEAEOS "ll APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS.' BUILDING AND SAFETY DIVISION LOCALITY San JOHN A LAMBIE, COUNTY ENGINEER NEAREST , COLEMAN W JENKINS, SUP T OF BUILDING CROSS ST OR APPLICANT TO FILL IN DISTRICT NO GROUP CONST PROCESSED BY PMGt 0t type GOI BUILDING STATISTICAL CLASSIFICATION SEWERMAP ADDRE55� ,3 !T YC G @Y YNC CLASS NO Q DWELL UNITS BK P6 LOT NO 13 BLOCK USE ZONEI MAP NO TRACT p SPECIAL NO OF BLDGS CONDITIONS SIZE OF LOTPP .2 D NOW ON LOT EXISTING BLD Y I�3'.�O BLOG SETBACK FROM { TEL Z FRONTPROP LINEOF -(STREET( OWNER NO TYPE OF DII STING SETBACK HIGHWAY } YARD - TOTAL ADDRESS - elI" a d 81,41 NIGNWA WIDTH FROM C L CITY a ao - 20 ARCHITECT OR TEL BLDG SETBACK FROM ENGINEER NO SIDEPROP LINEOF (STREET) TYPE OF ISTING SETBACK NIGMWAY } VARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C L TEL } CONTRACTOR 4 19 NO I Q ADDRESS NO Z CORNER CUTOFF YES ❑ NO ❑ CITY CLASS - SEE REVERSE SIDE FOR SPECIAL APPROVALS 8 ESCRIPTION OF WORK 13- NEW NEW ADD ALTER REPAIR DEMOLISH SQ FT NO OF NO OF 91ZE STORIES FAMILIES USE OF STRUCTURE e SIGNATURE OF APPLICANT VALUATIO B APPROVALS DATE INSPECTOR'S SIGNATURE P C ..!L� PMT FOUNDATION LOCATION FEES�J3t D FEES FORMS MATERIALS 9 'GiS ✓/ .�>J I HEREBY ACKNOWLEDGE THAT I HAVE BRAD THIS APPLICATION ":RAC RAFIRE OO S BRACING C TS AND STATE TOUT THE DIVA IB CORRECT AND AGREE TO COMPLY FURNACE LOCATION q� WITH All COUNTY WpIMAMCEE •MO STATE LA" N[OYIATIMO GAS VENT DUCTS BYI101n6 CONSTRUCTION I CERTIFY THAT IN GOING THE MONK AVTHOR¢(D HEREBY I WILL NOT EMPLOY ANY PERwN IN vl • uTM INT TION OF THt LAB011 COD( OF HE STATE 01 CALIIO I• T IND TO WMNY[N S COMP /RAMC g ATH EXT -/ SIGNATURE OF HOUSE NUMBER COR- 1 PERMITTEE RECT AND POSTED �� AGO ADDRESS FINAL JOHN F LEWIS PRINCIPAL STR RAL ENGINEER PLAN CHECK VALIDATION CK Y o CASH PERNIIT VALIDATION « M O DASH �5485tt JLL162 A 53.10 UU58 -57.2 A6G12 1 A 8850, 90� 4" > WORKERS COMPENSATION DECLARATION ^ hereby affirm fica I have r certificate of tionconsent to .elf APPLICATION FOR BUILDING PERMIT ,Lflfll� inure, or certificate of Workers' Compensation Insurance, or�uf�cr copy ereof (Sec 3800, b CU COUNTY OF LOS ANGELES BUILDING AND SAFETY P / L Company Certified copy Is hereby furnished FOR APPLICANT TO FILL IN Certified copy is filed with the building i auIL�ING r T• hon e,p/a ent A�uv Dare / 7 9 Appbcont E LG GL-hl ZIP C( 0-7,2r LOCALITY CERTIFICATE OF EXEMPTION F ERS' SIZE OF LOT NOW ON LOT NO Of BLOCS NEAREST CROSS ST COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for oneTRAR BLOIX l07 NO / MAP BOOK PAGE PARCEL hundred dollop ($100)or len ) OWER !'_ kKLp T LL Z�G G USE ZONE MAP I certify that in the performance of the work for which this D p CIAL >, permit is Issued 1 shall not employ any person In any manner ADO rl _ CONDITIONS d so as to become subject to the Workers'Compensation Laws O CITY ZIP U Date—Applicant ARCHITECT OR the TEL TRI GROUP TYPE FIRE PROCESSED BY Q NOTICE TO APPLICANT If, after making this WN ENCertificate of ENGINEER NO �NST 7 r Exemption, you should become subject to the Workers' W U Y Compensation provisions of the Labor Code, you must forth- ADDRESS with comply with such provisions or this permit shall be TE N O STATISTICAL CLASSIFICATION APT CONDO Z deemed revoked CONTRACT — Q IVO 6 p33'1 LICENSED CONTRACTORS DECLARATION ADDRESS D vi!-e✓ LIC 3� (.�02 CLASS NO DWELL UNITS_ I hereby offum that lam licensed under provisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business LIC and Professioro Code,and my license is in full force and effe�cctt CITY vti `L ClASs G� VALIDATION .�7 G 39 SIZ OD NO OF NO OF CHEIX PG License Numbar� ` Lic Clan SIZE STORIES FAMILIES OFF 1 VALUATION Contractor( 4L' Date �1 7 9 DESCmPnCN OF WORK DD 1 /t NEW ❑ f ��O d ❑I am exempt under Sec �'�A'— — --ci?, o ADD pop ILP C for this reason �0 t�l}X 9(�� ALTER ❑ S REPAIR Date USE OF G EXISTING BDG / OEMOL ❑ Signature APPLI(CANPIaNTT TEL FINAL J 77 OWNER-BUILDER DECLARATION S DATE y —LG ,meq I hereby affirm that I am exempt from the Contractor's License ---- -- Law for the following reason (Section 7031 5, Business and ADDRESS FINAL -'t•�- Professions Code) BY T—[1'I- Eli 1�I, as owner of the property or my employees with ADDRESS wages as their sole compensation,will do the work and I I AL ?QTY �..? the structure is not intended or offered for sole(Section LOCALITY Poor r �- 70", Business and Profenions Code ) MOVING TEL CHt'Vis 2:4.--- ❑ I,as owner of the property,am exclusively contacting CONTRACTOR NO - I with licensed contractors to construct the project (Sec .l.h tion 7041 Business and Professions Code ) ADDRESS CONSTRUCTION LENDING AGENCY SET I YARD MLVY OTAL IXFROM EXIST �I�l��—�jJl 1J1�E/y'. I hereby affirm that there is a construction lending agency for 7 E WIDTH the performance of the work for which this permit Is issued PL ccic' 1 Afli��J (Sec 3097 Civ C ) SIDE PL Lender's Name LDMA Ref { NJ Lender's Address PC Fee f Permit Fee I certify that I have read this application and state that the hawnce F e� LDMA P/C e Poo above information a correct I agree to comply with ail County Investigation Fee ordinances and State laws relating to b construction Toal Fee .� 3 LDMA Perm R < and hereby authorize representotive uny,to enter RY4 upon the abov d props nspection ,> 7 SU RSVEM FOR IKPIANATORY LANGUAGE SgG6epP1rppIiCWt d,Agent Dote