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Home My Public Portal About6439 TRELAWNEY AVE_Building__ 76API BA CE,.603 4/72 I F APPLICATION FOR ILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIMION BUILDING ? ,VAhE CHECKS PAI ABLE 70 ADORESS V Al HARVEY T BRANDT, COUNTY ENGINEER LOCALITY R APPLICANT TO FILL IN NEAREST nt CR CSS ST BUILDING DISTRICT GROSS TYPE R SSE BY ADDRESS �y�� 1 R.lLL'A.J N1r G 57 CONST LOT NO I S BLOCK STATISTICAL CLASSIFICATION SEWER MA CLASS NO ..DWEI UNITSSK PG TRACT 12.'106 EAST ZONE MAP '�JJ w ' NO OF BLDGS NO _ L^_3 S1ZE OF LOT tooI NOW ON LOT Y. SPECIAL USE OF - I CONDITIONS EXISTING SLOG I {t II OWNER �Q E F�R.S ALO(-IOI.I NOLCkI1 (aclb4 BLDG SETBACK FROM ADDRESS T(LCLP.A)"8 FRONT PROP LINE OF (STREET) TYPE OF EXIBTI ND SET BACK HIGHWAY } YARD = TOTAL CITY 7�tJ.l I�L/G CL GAL,Ic- HIGHWAY WIDTH FROM C L ARCHITECT OR _ TEL } _ ENGINEER /� NO BLDG SETBACK FROM ADDRESS 17 S SI1wBTQ Qw11TA IDE PROP LINE OF (STREET) U TEL T OF EXISTING S C HIG AY } YARD = TOTAL CONTRACTOR NO (gyp MIG WIDTH F G ImoH-.. IC ADDRESS •I j>_I NO 7448' - W �^�^`l�^�_� LIC CITY Ifll.�A CLASS E, CORNER CUTOFF YES ❑ NO i CONSTRUCTION LENDER NAME AND BRANCH h1OAlE SEE REVERSE SIDE FOR SPEC?L APPROVALS ADDRESS1 NO OF NO SO ZE T IY7 STORIES I FAMIOFLIESNEW ❑ /�� b USE OF ADD STRUCTURE NO6LE ALTER ❑ SIGNATURE OF REPAIR❑ APPLICANT DEMOL �e ❑ VALUATION S J100 APPROVALS ATE 1 aE TOR S SIGNATURE P C PMT FOUNDATION LOCATON Z FEES FEE sp� FORMS MATERIALS, �! FRAME FIRE STOPS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS L AND STATE THAT THE ABOVE IB CORRECT AND AOREL TO COMPLY FURNACE LOCATION WITH ALL ORDINANCES AND LAWS REGULATING BUIL 1NNO CON- GAS VENT DUCTS STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED / 7 HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION Of THE LATH INT 1p / LABOR CODE OF TNL OF CALIFORNIA IN RELATING TO WORKMEN B COMPE ION UPANCE LATH EXT SIGNATURE OF HOUSE NUMBER COR- PERMITTEE (J RECT AND POSTED ADDRESS IZ yWJT 1TY} FINAL PLAN CHECK VALIDATION CK M o CASH _ PERMIT qF4ATION "/ M o CASH I af, 1 1 2 473 ISA o 35254 70A63er CEP8031-67APPLICATION FOR BUILDIN PERIV COUNTY OF LOS ANGELES EUI LDINO DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST COLEMAN W JENKINSAUP T OF BUILDING CROS! ST DIST T NO G TYPE P ET FOR APPLICANT TO FILL IN CONST BUILDING "ag T�/'1p A()r STATISTICAL Jf.,1/.ESDI PICA TION SEWER MAP ADDRESS / CLASS NO _(„L_DWELL UNIT9 BK PO LOT NO 6 BLOCK USE ZONE MAP a NO TRACT SPECIAL xD of noa• SIZE OF LOT MOW OM LOT VSE OF SLOG SETBACK FROM .S ' TIO NOL FRONT PROP LIN[ OF (STREET) OWNER TYPE 01 EXISTI NO SETBACK HIGHWAY YARD = TOTAL ADDRESS IROM C L 4 z)CITY / + n�-[./T - ARCHI ECT OR TEL FLOG SETBACK FROM ENGINEER NO SIDE PROP LIN[ OF STREET TYPE 01 [X ISTINO SETBACK HIGHWAY + YARD = TOTAL AD[[O'ppR��N//Syy �d 6v n' HIGHWAY WIDTH FROM C L C 3;;A'CT qrW�1,/ a NOL + IC ADDRESS r/lC E, NO CORNER CUTOFF res NO CL CITY c'✓ LIC AV. SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK a NEW A CIA ALTER REPAIR DEMOLISH V 2 90 PT / NO OP NO OF SIZE JC STORIED FAMILIES USE OF STRUCTURE N J IV $IONA TORE O■ APPLICANT VALUATIONS O •00 APPROVALS DATE IMBPECTON'S SIGNATURE P C GMT FOUNDATION, LOCATION FEE S Fee (/ v FORM9 MA TE RIA l9 FRAME /IRE STOPS rl/ I HEREBY AC RNO ILEDOE THAT I HAVE "AD THIS APPLIGTION BRACING BOLTS b ANO STAT[ THAT TA[ ASCV[ IG CORRECT AND AGR[[ TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND RATE LAWS REGULATING GAS VENT CT BUILDING CONSTRUCTION 1 CERTIFY THAT IN GOING THE WORK AUTNORII[G HEREBY I WILL NOT EMPLOY ANY MASON IN VIOLA LATH INT TOM OF THE LABOR CODC OF TMC STATE OF CALIFORNIA RELAY ING TO WORKMEN 6COMPENBATION INSURAANNCCEEp LATH EXT H IGNATURE O�i �� -7� HOUSE NUMBER COR- PERMITTEE``.!.'pp951BIwI VVV"'��/•••fQ(W�� p T ADDRESSAM - FINAL JOHN F LEWIS PRINCIPAL ST5YCTUqALENGINEIER PLAN CHECK VALIDATION cK MD cAsH _ PERM VALIDATION—C s.J M o uw LAL.01 3 7 5G .00T25 1 D 12.00- WORKERS COMPENSATION DECLARATION 1 hereby affirm that I have a certificate of consent to self APPLICATION FOR-BUILDING PERMIT insure, or a certificate of Workers Compensation Insurance or a certified copy thereof'((IISec 3800 L b C ) COUNTY OF LOS AN BUILDING AND SAFETY Pool icy No g'S X40 umpany /C'ertified copy Is hereby fur FOR APPLICANT TO FILL IN BUILDIN '.3 rX Certified copy a f, the n udding in c BUILDING I ton department ADDRESS Date Appllc CITU ZIP LOCALITY + CERTIFICATE OF EXEMPTI F W RKERS - NO OF BLDGS NEAREST - COMPENSATION INSURANCE SIZE OF LOT NOW LOT ST ASSESSOR(Thu section need not be completed If the permit a for one BLOCK LOT NO MAP BOOK PAGE PARCEL hundred dollon (5100)or less ) ' Ovv ER .A, 5 NO USE TELL ZONE I certify that'in the performance of the work for which this permit is issued I sholI not employ any person In any manner - i' SPECIAL - - d so as to become subject to the Workers Compensation Laws ZIP ADDRESS- E CONDITIONS 3 Date Applicant CITU ._ I O NOTICE 70 APPLICANT If after making this Certificate of ARCHITECT OR TEL DISTRICT I GROUP TYPE FRE PROCESSED BY Exemption; you should become subject to the Worker NEER NO CONST ZONE G Compensation provisions of the Lobo. Code you must forth ADDRESS 14 �^ _ 3 s6� with comply with such provisions or Ithis permit shall be CONTRACTOR /yt ATELNO / STATISTICAL CLASSIN TION APT CON Z deemed revoked _ LICENSED CONTRACTORS DECLARATION - LIC �p 7?� CLASS NO Z DWELL UNITS_ I hereby off um that I am licensed under provisions of Chapter 9 ADDRESS NO ✓Oa?JR (commencing with Section 7000)of Mvrucn 3 of the&isu>ev;Arid Y / t LIC MAP Profession Code �, anndQQmy�ylicennssse iso n full force and effect CITY Is!^O L CLASS BK F PG 3 VALIDATION NO NO OF CHECK License Number�Sl1G7S.LlZ-LIc Clan (f-39 SIIZZE� ORIE FAMILIES ONE ?,a �s DESC721p toWORK-70 EL001C 0l,6 vALuaVALUATIONConnacto� /¢U��/� ��7's`Date �� N OF NEW ADD I am exempt under Sec y S plot, ALTER B 8P C far this reason USEEel LASS REPAIR $ 3 171.6 A EXISTING BLD(' DEMOL g _ . . . . . � S natu FINAL BUILDER DECLARATION APPL�ICPhNT S l/ DATE - - I hereby offtrm that 1 am exempt from the Contractor s License ADDRESS la r q I • • 59.25 Law for the following reason (Section 7031 5 Business and f�/�� -Professions Code)" - • • • 59255 ❑ I, g owner of the property or my employees with h {/ wages then sole compensation, ADDRESS tion,will o the work and 2-Q o 0320-85 the structure for Is not intended or offered for sole(Section LOCALITY 7044 Business and Professions Code) - MOVING - TEL 1, as owner of the property am exclusively contracting CONTRACTOR NO with licensed contractor to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code) REQUIRED - SETBACK FROM �W - CONSTRUCTION LENDING AGENCY SET BACK YARD HWY TOTAL PROP LINE WIDTH - I hereby affirm that there is o construction lending agency for FRONT the performance of the work for which this permit is issued P L - (Sec 3097, Civ C ) SIDE Lender's Name ` LDMA Ref Y a - - P C Fee f' - Permit Fee 5 , ov read this appbcahon and state that the nuance Fee S LDMAP/C/on nett 1 ogroe to comply with all Countya laws rolatinq to budding consM1udlon Tobl Fee IDMA Perm •Ize repro tatives of this County to enter entton operty for InspectionpurrposessSEE RIVEM FOR EXPLANATORY LANUAGE f Applicant or Agent Date