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Home My Public Portal About5837 TREE ROSE TER_Building__ 76AG38A CER803 ""APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS.Se BUILDING AND SAFETY DIVLSION LOCALITY JOHN A LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W JENKINS. SUP T OF BUILDING CROSS ST $ , FOR APPLICANT TO FILL IN DISTRICT NO GROUP ITYPE PROCESSED BY Pn Rt Or aml CONST BUILDING STA STICAL CLASSIFICATION SEWE MAP ADDRE s C CLASS NO DWELL UNITS SK PG LOT NO yp� BLOCK USE ZONE MAP TRACT C p NO SPECIAL SIZE OF LOT S'O 9EI,SD NO OFBLDGS A�,R — CONDITIONS NOW ON LOT V/A�� USE OF — /< �! / S' EXISTING BLDG BLDG SE CK F TEL FRONT PROP LINEOF (STREET) OWNER �- NO 2 TYPE OF IXISTING SETBACK HIGHWAY } YARD = TOTAL p/ .J HIGHWAY WIDTH FROM C L ADDRESS 1 lJ ✓N CITY O } O BLDG SETBACK FROM RHI ACTECTOR TEL SIDEPROP LINEOF (STREET) ENGINEER NO TYPE OF EHG CK HIGHWAY } YARD = TOTAL WIDTH ADDRESS HIGHWAY WIDTH FRONIRDM C L _ CONTRACTOR TEL NO } odo ADDRESS NO CORNER CUTOFF VES ❑ NO ❑ U C CITY CLASS - SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK a N 2 NEW ADD ALTER REPAIR DEMOLISH — SO FT NTGF NO OF SIZE SRIES �FAMILI ES USE OF STRUCTURE SIGNATURE OF APPLICANT VALUATI �! APPROVALS DATE INSPECTOR 3 SIGNATURE P CQ'�O PMT s FOUNDATION LOCATION FEE 5 r FEE 5 7 Q FORMS MATERIALS -43- FRAME FIRE STOPS I HrwEer ACKNOWLEDGE TWAT I HAVE READ THn APPLICATION BRACING BOLTS AND [TAT[ THAT THE ABOVE IS CORRECT AND AGR[[ TO COMPLY FURNACE LOCATIONS Q. WITH ALL COUNTY ORDINANCEAND STATE LAW[ REGULATING GAS VENT DUCTS -6 SUILOI NG CONSTRUCTION I CERTIFY THAT IN DOING THE Wo K AUTH OR wo HEREBY I WILL NOT EMPLOY ANY PERSON 12 VI A LATH INT TION OF THE NDOW COOS OF THE STATE OF CALIFORH T INC To WORKM[N•coMP[Ns on RANCE TH EXT ��b! SIGNATURE OF E HOUSE NUMBER COR- PERMITTEE y— RECT AND POSTED - , e// / ADDRESS FINAL JOHN F LEWIS PRINCIPAL STR URAL ENGINEER PLAN CHECK VALIDATION WK M O CASH PERMIT VALIDATION CK M O CASH �5486�8 &L16 2 'A 58.80 •• - Lfu o 0 a 5 6� AUG 12 1 A 9 8.0 0, APPLICATION JF6 R BUILDING PERMIT rT3 COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN SUIZING 5AD ;F I hereby affirm that I have a certificate d cor nt to self insure BULGING or a certificate of Workers Compensation Insurance or a certified copy thereof(Sec 3800 Lab C) C1rY ZIP LOCALITYPolicyCompanySIZE OF LOT NO OF BLDGS NOW ON LOT ❑ Certified copy is hereby furnished NEAREST CROSS ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO I-lea-WAA • department USE ZONE MAP NO Data Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECUL CONDRIONS CERTIFICATE OF EXEMPTION FROM WORKERS' owNER O IJ7 D TEL .3 vES NO COMPENSATION INSURANCE WITHIN 1000 FT OF SCHOOLS (This section head not be carpleted if the permit O for one hundred 5Z gSTPoCT GROUP FIRE ZONE PROCESSED BY Idlers IS 100)or lass) CITY _ I certify that in the performance of the Hark for whiU thio permit is issued I shall rot employ arty m any manner 0o e9 t0 ARCF#TECT ENGIN R TEL NO become O[tJhe YJorkers Bonn STATISTICAL CLI$ RCATION APT CONDO JData / Apploen y ADDRESS CV59 NO �L DWELL UNITS n Atl7R:E TO APPLKANT If after the Cerbf.te of REWIRED TOTAL SETBACK FROM EXIST Exemption you should become Subject to the Workers CONTRACTOR TEL NO SET BACK YAfin Hwy PROP old: WIDTH Compensation prolsone of the Labor Code you must forthwith FRONT comply with such provisions or thm permit shall be deemed revoked ADDRESS LIC NO PL SIDE LICENSED CONTRACTORS DECLARATION CITY LIC CLASS P L I hereby affirm that I am licensed undarprowsoru of Chapter 9 SEWER MAp (commencing with Station 7000)of OMieon 3 of the Business and SO FT SIZE NO OF STORIES NO OF FAA9JE9 Prdessioris Code and mry license is In full force and effect Pi1� I NEW BK PG ► d License Number Luc Class DE 2 /,� /� ADD ❑ VALUATION O Contractor Date '3 L� A ALTER ❑ $ �'D• U¢ ❑ 1 am exempt under Sec + O REPAIR ❑ $ BBPC for this reason DEMOL ❑ LDMA P/C• W Date U`�iE OF E%ISf1N URM ❑ C0 Signature PRrwT) NO LDMA Perm A 1 Z ❑ 1 as owner d the property or my employees with wages as O Siem — —� ZO ACC r.i their sole canpeneaaon will do the work and the structure is ADDRESS rot intended or offered for sale (Section 7044 Business and FINAL DATE G :�IIJ 169.65 Profession Code) H THE APPIICINr ORF RE BUILDING OCGUMNT IW42 A KV1fA011a WiTERW. l ❑ I as owner d Ing the property am exCkisrmly contract with GA A MIXTIXE CON9J A 141ATpdiS IMTEPIN-EO To IX GREATER THAN TIE 1 ITEMS AMpW19 9FECFIED Orr TIE HAZMD0113 MATERYL9 NFON.wTttxi OIlGE9 FINAL BY > licensed contractors to construct the project (Section 7044 Ee❑ Nig❑ TOTAL 169 . 6[5 Business and Professions Code) wLL THE MENDED LEE OF THE euaL.AT By Tri APPUGNP OR Fuv+E auLuu ,`_ NECK 169.b` OCcle1NT REOIME A PERWT FOR CON8TRl1CTICN OR 1 01001 CArpN FROM THE SOUTH CONSTRUCTION LENDING AGENCY c AA awnrY MAroa 147 DISPR T(srw )ME FEw.anrvp CHECKLIST FOR aoEUrEa LHANGE .QO I hereby affirm that there is a construction larding agency for YEs❑ No 11 the performance of the work for which this permit 19 issued(Sec �IW£REID i1E INZIAOCUs iMTERV.SfEOPAUTgNOIOEAPO THE SV-0n.OPEMfRjia m` 3097 Civ C) C ECKUST i VLERmNlI MY REQUIrEnE UNDER Tl1E LDS ANOEas COUNTY CODE (ir1(I(� T�i�� [� iv TITLE 2 CHIPPER 120 MCT[X19 2 to 100 TNROUGN 1101.0 LONCEPMA IVTAnp0115 O V OD-0001 10/ J/9 Lender a Name iMTEPou.9 PEPOf11Ne Alp Fps Oae1NNV A PERAR FROM TI1E 5 •^"^ Lender s'Atltlress a,,,o,w,pp1 7119 1 ANIO,11 0 I certify that I have read this applcaton and state under penalty g of perjury that the above Informelxn is correct I agree to cmpy PC FEE PERMIT FEE $ with all county orchnances and State Lays relating to building construct and hereby aLII1XIrIZe representatN��d1� this County ISSUANCE FEE • O to enter on the above-m netl grape far inspections VESTIGATION FEE TOTAL FEIVs 6 SEE REVERSE FOR EXPLANATORY LANGUAGE