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Home My Public Portal About5836 TREE ROSE TER_Building__ APPLICATION FOR BUILDING PERMIT kOR APPLICANT TO FILL IN (P,.nl DI IYPR GDIY) BUILDING -'5— UILDINGG� COUNTY OF LOS ANGELES ADDRESS O e— DEPARTMENT OF COUNTY ENGINEER CITY ZIP BUILDING AND SAFETY DMSION ✓ NO OF SLOGS BUILDING SIZE OF LOT Q A If NOW ON LOT ADDRESS TRAC F BLOCK LOT NO LOCALIT ` TEL NEAREST OWNER SV,� NO .{ CROSS ST ASOR ADDRESS SJ — - /Or/7,.USE / MAP BOOK 3 PAGE 2 PARCELSO CITY DISTRICT GROUP YPE FIRE SSED BY ZIP -7 CONST ZQNE ARCHITECT OR TEL J ../J ENGINEER NO STATISTICAL CLASSIFICATION EWER P ADDRESS r� CLASS NOa DWELL UNITS lz BKG CONTRACTOR JQ_ YTEL 1p L/�P ZONE OP O ADDRESS ^ �Z C[ 'V NO LO 9F.f� — i SPECIAL �v CONDITIONS CITY �`I ` GLASS I ROAD DEPARTENT APPROVAL REQUIRED YES NO CONSTRUCTION LENDER NAME AND BRANCH BLDG SETBACK ROM FRONT PROP LI OF (STREET) ADDRESS CITY HIGHWAY # YAR O TOTAL SETBACK PROM TYPE OF EXISTING SO FT NO OF NO OF CHECK FRONT PROP LINE HIGHWAY WIDTH SIZE Z4O STORIES I FAMILIES ONE DESCRIPTION OF WORK W 7/0 NEW U OD B LOG SETBACK FROM Z-0 SIDE PROP LINE OF )STREET) LTER ❑ HIGHWAY + YARD TOTAL SETBACK FROM TYPE EXI$TIHG EPAIP SIDE PROP LINE HIGHWAY DTN Wd USE OF } = Z EXISTING BLDG EMOL APPLICANTSEL CORNER CUTOFF YES ❑ NO C](PRINT) Q � �J10 7 BY (SIGNATURE) IF IN OPEN SPACE YES ❑ NO t Q IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION? aO I HEREBY ACKNOWL[DO[ THAT 1 HAVE READ THIS •PLICATION AND [TAT[ THAT THE ABOVE I[ CORRECT AND AGREE TO COMPLY WITH ALL 0a DINAMCC$ AND LAWS AEGULATING BUILDING CON- BTRUCTION I CERTIFY THAT IN DOING THE WORK AYTHONI[[D HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE "GOR CODE OF THE $TAT OF CALIFORNIA IN R[LATIN$ TO WORNMCN $ COMPEN ION R• [ SIGNATURE OF PERMITTEE ADDRESS i12 cg 649!2�� FINAL TEL NO CITY / NOZ6 �p DATE -/ BY JIAAE PMT CHEERS COUNTY 7O FEE E FEE S HARVEY T BRANOT.ECKS COUNTY ENGINEER PLAN CHECK VALIDATION cK Mo c.BH PERMIT VALIDATION « CASH 3 4t 9 1 A 8.00A� )Bw$YA C[�$0$$/TA _ APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL 1N (P,IOT*, ,Yo. GHIY) BUILDING COUNTY OF LOS ANGELES ADDRESS cc Te�rr DEPARTMENT OF COUNTY ENGINEER CITY zip 9/774- BUILDING AND SAFETY 91,VISION NO OF SLOGS BUILDING ? SIZE OF LOT O NOW ON LOT ADDRESS .Jb TRACT 8 BLOCK I LOT NO LOCALITY TEL NEAREST OWNER No:.? CROSS ST ASSESSOR J PARCEL 30ADDRESS MAP p PAGE DISTRICT GROUG TYPE FIRE ESSED BY CITY / C ZIP CONST ZON K ARCHITECT OR TEL I ENGINEER NO STATISTICAL CLASSIFICATION�J// S WER MAP ADDRESS CLASS NO�DWELL UNITS BK/2-/PG CONTRACTOR N TELU ZONE MAP O UC NO ADDRESS NO � ' SPECIAL LIC CONDITIONS CITY CLASS CONSTRU ION LENDS ROAD DEPARTMENT APPROVAL REQUIRED YES NO NAME AND BRANCH BLD SETBACK FROM C FRO TPROP LINEOF ISTREETI C: ADDRESS CITY _ TOTAL SETBACK FROM TYPE OF EXISTING SO F OF NO OF CHECK HIG AY } YARD - FRONT PROP LINE HIGHWAY WIDTH CF SIZE � STORIES � FAMILIES ONE DESCRIPTION OF WORN NEW } - fI DO ElBLOGNSK.TUACK FROM SIDE PRO IS TREETI ALTER ❑ HIGHWAY } YARD = TOTAL SETBACK FROM TYPE EXISTING REPAIR SIDE PROP LINE HIGHWAY IDTH E OF } _ EXISTING BLDG DEMOL ❑ APPLICANT TEL CORNER CUTOFF YES ❑ NO P RIHTI NO BY (SIONATU IN OPEN SPACE YES ❑ NO ( IN COASTAL ZONE YES ❑ NO VALUATIONY /061 CATEGORICAL EXEMPTION YESCI NO I HERESY ACKNOWLEDGE THAT 1 HAVE MEAD THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED IRATE) WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- AT RUC TION I CE RTI VY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATEI HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF TMC LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN A COMPENSATION INSURANCE SIGNATURE PERMITTEE ADDRESS �[[�G `Q CITY /J Gpa/�/Y� / NOL Q DATE "?l. BY M 1Kf CIIE f_KS PAYABLE To P C f ((//ter MT $ FEE EE HARVEY T BRANDY COUNTY ENGINEER PLAN CHECK VALIDATION CK Mo CASH PERMIT VALIDATION cN Mo CAA. 1 IA&IN 19 1 A 2.0 0 Asd 76AB3BA CENO03 7/73 / APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (P.1.I D. IVOR Geb) BUI DING ME6 DSL- P,QACE COUNTY OF LOS ANGELES ADDRESS S/ .7 DEPARTMENT OF COUNTY ENGINEER CITY S a ZIP BUILDING AND SAFETY DIVISION NO OF BLDGS BUILDING SIZE OF LOT X�W NOW ON LOT ADDR ESS TRAC G MQBLOCK"�o LOT NO LOCALITY OWNER [L. /'///4/s /4 NOZ� �� CROSS NEAREST 5T .� ASSESSOR ADDRESS�p JG �� OSE /LARRJ4CE MAP BOOK PAGE PARCEL CITU .� (CO. OISTRICT GROUP TYPE FIRE CESS O BY ZIP GONST�- ARCNITECT OR TEL JI/— ENGINEER NO STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CL 55 NO Ay _DWELL UNITS BK,Z PG CONTRACTOR /91f�A/fG�✓ TELL p��6�� USE ZONE NOP ofo rADDRESS-- SS 3Z7 Cco46?L LN 01C 4 �� -/ SPECIAL CONDITIONS CITYellmeE C / C1A05 B ROAD DEPARTMENT APPROVAL REOUIRED YES❑ NO❑ RUCTION LENDER AND BRANCH Al, A BLDG SETBACK FROM Q FRONT PROP LINEOF ISTREET) C1 CITY TOTAL SETBACK FROM TYPE OF EXISTING Lt HIGHWAY 4 YARD OOF NO OP CHECK FRONT PROP LINE HIGHWAYWIDTH STORIES FAMILIES ONESRIPTION OF WORK NEW ❑ BLDG SETBACK FROM jt OD ❑ 0 ,sr�.vc IOEPROP LINEOF (STREET) W ccs Ex LTE HIGHWAY RD = TOTAL SETBACK FROM TYPE OF EXISTING ATO REPAIR C3 SIDE PROP LINE HIGHWAY WIDTH USE OF } EXISTING BLDG y DEJMOL ❑ APPLICANT ��JO✓ NO L"C.74.7 /��8 CORNER CUTOFF YES ❑ NO ❑ PRINT( BY (SIGNATURE) , IN OPEN SPACE YES ❑ NO ❑ nn IN COASTAL ZONE YES ❑ NO ❑ VALUATION E V O CATEGORICAL EXEMPTION YES❑ NO ❑ 1 NEREIV ACKNOWLEDGE THAT I HAVE READ THIS AFILICATION ENVIRONMENTAL AND ST ATL THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION EIOMED (OATC1 WIT. ALL 0RDIYAYCLS AND LAWS REGULATING BUILDING CON STAUC TI ON 1 CEP TIIY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY AMY PERSON IN VIOLATION OI TML LABOR CODE Of TH[ STATE OI CALIFORNIA IM ELATING TO WORKMEN S COMPENSATION INSURANCE SIGNA'URE OF f PERMITTEE nn ADDRESS FINAL BY TEL �7 pATE CITU NO J TAKE CHECKS 1 AYABLE TO PC t FEE PMT $ HARVEY T BRANDY COUNTY ENGINEE $ FEE R PLAN CHECK VALIDATION CK NO CASH PERMIT VMMATION c. M D CASH \^-W) 7GA530A CEP803 7Y73 2 Q 2ZMY 29 l A 1 45 O L5- e$eA •[°"E'°APPLICATION FOR BUILDING PERMIT r COUNTY OF LOS ANGELES ASSESSOR - DEPARTMENT OF COUNTY ENGINEER MAP BOOK✓cen PAGE PARCEL BUUAING AND SAFETY DIVISION ADBUIDR STSLDINgGF~ TtEE jZOsE TF .pkAt JOHN A LAMBIE. COUNTY ENGINEER COLEMAN W JENKINS. SUP T OF SUILDIHG LOCALITY Sa'>7 V^ .¢ t �' r A P`LICANT TO��{ /J� FI N CROSS ST t !!7 OST+- vAQ - ADORHSS �J B //KL /CASE Fj�jC/�� DI$TRISi NO GROUP TYPE PROCESSED BY S T_ CONST $TAT ISI 1C 1_�CL' WELL ASSIFICATION SEWER MAP . LOT NO 6 BLOCK CLASS NO DUNITS_ BK PG TRACT 2- p USE ZONE MAP NO CO BLDG$ NO SIZE OF LOT O /O NOM ON LOT f.O_ -7 1 SP IAL USE OF CONOITIONS EXISTING BLDG OWNER + M.A.✓St/de— TEL NO BLDG SETBACK FROM ADDRESS (P TSE 2aJE 7�ieel FRONTPROP LINEOF Tim �- (STREET) r TYPE OP EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY CJI W HIGMWA WIDTH FROM C L ARCHITECT OR TEL �-Q 11 + = 2,O ENGINEER NO BLDG SFROM ETBACK ADDRESS SIDE PROP LINEOF (STREET( SETBACK 17-T A 7rAA/SoAvNOL 287o73SGWDH1 FROM � HIGHWAY + YARD = TOTAL ADDRESS ^ L CL-D✓ C NO + _ C CITY d�!/'LE C/ IMS CORNER CUTOFF YES E] NO [:1 CONSTRUCTION LENDER O NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS W ADDRESS G N SO FT NO OF NO OF NEW ❑ Z SIZE STORIES FAMILIES ❑ WE 'T'/O 2-Q Q� ` ADDER ❑ SIGNATUREOF REPAIR❑ APPLICANT DEMOL ❑ VALUATION f p QD APPROVALS ATE IN[P w'[ SIGNATURE P C PMT FOUNDATION LOCATION FEE S FEES 739= FORMS MATERIALS 7V FRAME FIRESTOPS I HEREBY ACKNOWLEDGE THAT 1 NAV[ READ THIS APILICAT ON BRACING BOLTS AND STAT[ THAT THE ABOVE It CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL OR DIM NCC$ An LAWS REGULATING BUILDING CON- GAS VENT DUCTS STRUCTION 1 CERTIFY THAT IN DOINS THE WORK AUTHORIZED M[REBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT LA COD[ OF THE TAT[ F CALIFORNIA IN RELATING TO WORKMEN'S COMP[N 1 K G NC[ LATH ENT SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADORE$$ FINAL 41 U PLAN CHECK VALIDATION CK M D CASH JOHN F LEWIS V PRI I L STRII RAL ENGINEER _ MIT ALIDATIO GK o uw i pr_ 7 7 7 4R IM24 1A 8.00- TEASES• CEHEO[ 967APPLICATIONFOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBI E, COUNTY ENGINEER COLEMAN W JENKINS. BYP T OF SUILOINO NEAREST CROSS ST R APPLICANT TO FILLN DISTRICT NO GROUP CTYPE ONST PROCESSED BY Print ort S DTI y BUILDING qqSTATISTICAL CLASSIFICATION SEWS MAP ADDRESS :X NG C�'Y'RC CLASS NO 0 DWELL UNITS_ BK PG LOT NO BLOCK USE ZONE MAP NO TRACT `L SPECIAL NO OF BLDGS NO S1ZE OF LOT, �y� y p�' NOW ON LOT USE OF EXISTING BLD'^? J7 A,7 Mf. BLDG SETBACK FROM TEL FRONTPROP LINEOF (STREET) OWNER G II.NO TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL ADDRESS 2C Co*. e `Y MIGHWA WIDTH FRpA C L ,�yy CITY &/ BLDG SETBACK FROM ARCHITECT OR TEL SIDEPROP LINEOF (STREET) ENGINEER NO TYPE OP )STING SETBACK HIGHWAY } VARO = TOTAL ADDRESS HIGHWAY WIOTH FROM C L TEL } _ CONTRACTOR NO O ADDRESS NO CORNER CUTOFF YES ❑ NO ❑ �l C CD CITY class SEE REVERSE SIDE FOR SPECIAL APPROVALS ESCRIPTION OF WORK ti 2 NEW ADD ALTER REPAIR DEMOLISH SO FT NO OF NO OF SIZE Z STORIES FAMILIES USE OF STRUCTURE tP SIGNATURE OF APPLICANTF VALUATION F APPROVALS DATE IKv[c roA'S SIGNATURE P CPMT FOUNDATION LOCATION FEE t FEES ft C FORMS MATERIALS FRAME FIRE STOPS _ Y 1 "REST AC RMOWLEDO[ THAT 1 HAVE MEAD THIS APPLICATION BRACING BOLTS L AMD $TAT[ THAT THE AEOVE O CORRECT AND AGREE TO COMPLY FURNACE LOCATION C l WITH ALL COUNTY ORDIMAMC[E AND STATE LAWS REaULATIMo GAS VENT DUCTS - I 1 TY EYILDIN6 CONRIIUCTIOM 1 C[IITIIY TN1T IN DOING THE W011[ ALITHOROUD HERESY I WILL NOT EMPLOY ANY P[IIEON IN 1OLA CATH INT T TION OP THE LAID COOK OF THE STATE OF CAL MNI LAT 'NO TO WORKMEN ECOYP�SLMANCE n LATH EXT T SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL JOHN F LEWIS PRINCIPAL UQ,o .. SRAL ENGINE ER Pwj CHI= VAjkLATgIN � D CASH PERMVALIDAM O CA" 4 8i� 12 A 5. 8.8 0 Lft6u 5 b 6 1a AUG12 1 A 9 8.00- WORKERS COMPENSATION DECLARATION hereby affirm that I have a certificate of tionco,nsent to .elf APPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers Comper)}vtion ITurance or o ce"'fle A copy thereof(Sec 3800, Lab C) ' 1Polic B.` fC/ Company —Sa :�/JA/� COUNTY OF LOS ANGELES BUILDING AND SAFETY Cenifled copy is hereby fumnhed FOR APPLICANT TO FILL IN BUBOWG.. , Certified copy is filed with th y unlding spec BUILDING1:1 ADDRESS tion deportment �! Dote —.q Applicant - Cm IC, ZIPLOCALITY CERTIFICATE OF EXEMPTION FRS RKERV NO OF&OGS T COMPENSATION INSURA l SIZE OF LOT NOW l0T ST (This section need not be completed If the permit a for one TRACE BLOCK ASSESSOR LOT NLO MM BOOK PAGE PARCEL LOT hundred dollars($I00)or le ) TEL I cenlfy that In the performance of the work for which this OWNER NO USE ZONE NO Y permit Is issued I sholl not employ any person in any manner SPECIAL d so as to become subject to the Workers'Compensation Lows /c.' CONDITIONS v Date Applicant pry zip' pL NOTICE TO APPLICANT If, after making this Certificate of ARCHITECT RCO IIvffR OR TEL DISTRICT GROUP TYPE NRE SSED BY O Exemption, you should become subject to the Workers p CONST Z� U Compensation provisions of the Labor Code you must forth ADDRESS �IO . 3 with comply with such provisions or this permit shall be �L � 1WdIJ deemed revoked T&coNTRAcraa _ STATISTICAL CLASSIFICATION AFT CONDO = UC LICENSED CONTRACTORS DECLARATION EIC CLASS NO '%�/ DWELL UNITS_ I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO (commencing with Section 7OD0)of Division 3 of the Business arid SEWER MAP Professlom Code,and my license n in full force and effect CITY CLASS �13 f BK PG VALIDATION Q `�P 6 9/IND OF NO OF CHECK License Number •/�' � LK Cla� to STORIES FAMI ES ONE L �y (� VALUATION Contractor �j- ��/ Dote LT 7 �� DESCRrvT10N OF WORK �' ADD I am exempt under Sec 6V ALTER B BP C for this reason a REPAIR f Date USE OF r DFMOL T EXIST04G BLDG a Signture J lam[. LAC / APPLICANT TEL FINAL OWNSR,9 'ILTJER DECLARATION PRT j DATE 1 hereby affirm that 16In exempt from the Contractor s License Low fa the following reason (Section 7031 5 Business and ADDRESS IViAL Professions Code) e 1 O1, as owner of the property, or my employees with BADDRESSUILD4GACLTeA wages as thou compensation,compensation,n,will do the work and LOCALITY , e the structure Is not intended a offered for sale(Section 7044 Business arid Professions Code) MOVING in 7 c 1T; y, OI,as awner of the property, am exclusively contracting CONTRACTOR NO 1 ITEMS with licensed contractors to construct the project (Sec- tion 7044, Business and Professiom Code) AODRFu TOTAL 173. 93 CONSTRUCTION LENDING AGENCY SE7 YAM NWY TOTALPROP UK WIDTH SETBACK 17✓.47 I hereby affirm that there is a construction lending agency fa M FROr93 the Performance of the work for which this permit is issued P L CHAIM (Sec 3047,Civ C ) SIDE g PL �� it Lender's Name LDMA Ref P ODOO-0001 8/'27/r-' $ P C Feell Pa. It Fee Lender.Address 7 5226 1 AN 7:52 I comfy that 1 have read this application and state that the lnuorice Fee /� P. P/C R above information is correct I agree to comp"' –"" ompywh all County In.eat.g0ion Fee D ordinances and State lows relating to building Canaruction, Tocol Fee Ji '� LOA1A Perm • and hereby authorize esentahves of this County to enter upon t ve-men property fa Inspection purposes < 447 REVEW FW EIDLAMATORY LANGUA08 Sigcf Applicant or Agent Dote O i