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Home My Public Portal About9641 VAL ST_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES I DIN WM. J. FOX. CHIEF ENGINEER BUG FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO PLAN OK NO PERMIT NO BUILDING _ ADDRESS J J LOCALITY C /C �� R IVEDBY DATE OFAPPL oATQIBeueD NEAREST C n C ` ' NELJ O- T--g-o ' 0 ` m EO •/ / �ry BUILDING ' OWNER IC {� C li- ADDRESS MAIL LOCALITY/ v) 2 z'S' fan. f D}/g/ LOCALITY � v)EBH �- ADORL CITY S v !/• NO ,fir 9yj TEL NEAREST !. CROSBBT J FIRE NO OF TYPE GRDU ARCHITECTOR TEL ZONE PLANS ENGINEER NO ORD ND BLDG ADDRESS SETBACK LINA / APPROVED /( CONTRACTO - � Lam{' NO b BYDAT[ UDE APPR ADDR Z7z�_S. SG �1 q�hiQ/ ZONA BY DATE/49— LEGAL ATE —LEGAL �- CORRECTIONS DESCRIPTION I LOT NO BLOCK TRACT GS BIZEDFLOT it / S WOOD LOOT e 1 USCF NO OF NO OF 1 BQ FAM RORMIJ DESCRIPTION OF WORK / NEW ALTERATION ADDITION A'I T 6701 r.,. O REPAIR MOVING DEMOLIBNJ�/I` ` G eL0 L S or ZE ROOMS YomEm V Z WALL COOP COV[RINO [! [I COVERING USE OF NEW BUILDING // V rVa't ` I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STAT[ THAT THE ABOVE IS CORRECT ALS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUN DATIONI LOCA N INSPECTOR DATE FORMS.MATERI AND STATE LAWS REGULATING BUILDING CONSTRUCTION //l& / FRAI FIR[STOPB. ry ��/q/// SIGNATURE OF WBRACING.BOLTS P[RMITT[ Y ! ( LATH. INT. AUTHORIZED AOT LATH. EXT LVALUATION -110 0 P C • Q PLASTER.INT F[[ •' PLASTER.[xT 1 a� '� FEE B Z 6 u FINAL 4 u roan In APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING ADDRESS BUILDING ADD= VAL Sr LOCALITY CITY rem PLE I r/ t ZIP l8o CROSS ST G NO OF BLDGS ASSESSOR SIZEOF LO7SZ X 1.56 ' NOW ON LOT MAPBOOK PAGE I PARCEL DISTRICT I GROUP TYPE FIRE ROLE DBY TRACT C BLOCK LOT NO si Q y A� CONSTV Z(�JE OWNER J E Ae LUYA4/ NO Q.45 10 3 `.'� s r _ STATISTICAL CLASSIFICATION EWER MAP ADDRESS b V AL S CLASSNO DWELL UNIT$ N BK,/ PG CITY �iNrL.E 01,7, 1" -TZIP . clilro ARCHITECT EN GINEER OR TEL hicee owkieg NO VALUATION $ oZV/ v (1 (/ ADDRESS I 1, BLDG SETBACK FROM 1 TEL FRONT PROP LINE OF (STREET) CONTRACTOR NO HIGHE TOTAL SETBACK FROM TYPEOF EXISTING LIC FRONT PROP LINE HIGHWAY WIDTH ADDRESS NO IC CITY CLASSCONSTRUCTION LENDER� � ""��I ` BLDG NAME AND BRANCH LLO DS BANK SIDE P (STREET( yI, .�/ HIGHTOTAL SETBACK FROM TYPE OF EXIS ADDRESS 7740 L.M AS CITY D ur / SIDE PROP LINE HIGHWAY WIDi O 50 FT NO OF NO OF CHECK + V SIZE STORIES FAMILIES ONE O DESCRIPTION OF WORK NEW PC F"$ Yr' _ Perme Fee j *VC 910TH WAIL g tw4AA4E 2 PMS ADD n/ //�f R�] y Li7L �OI G Issuance Fee / vJ Am AI AD1240, MAI B F ALTER REPAIR .3 fee USE OF DEMOL ./ EXISTING BLDG APPLICANTC TEL (PRINTI AA4UCL a NO 4.+S-4115 .e.L ''`` p e eto a BY ISIGNATURE) V � _ 2 ^ e - I HEREBY A WLEDGE THAT I HAVER D APHIUTION AND STATE n 6 LILAi THE ABOVE CORRECT AND AGREE TO CO Y WITH ALL ORDINANCES o e • 4 (y 1: AND LAWS REGULATING BUILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORT(AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF n THELABOR CODEOF THE STATE OF CALIFORNIA IN RELATING TOWORKMEN SCOM / / Com/ 1 ll -7r PENSATION INSURANCE Go T//J� SIGNATURE OF " /I J J b PERMITTEE / �/ i' 0 0 o e c T ADDRESS v ^ rINAL T- �. TEL 445- 7 I Q z e Q , • MAP NO IAL DITIONS BV /a l CE IIIb!IFJkv enol l,ISll APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN ADDDRESS BUILDING •.,( / �Q.L ADDRESS 91&� / UC LOCALITY NEAREST CITU IP NEAREST NO F BLDGS ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL \ DISTRICT GROUP TYPE FIRE ?ifKESpDBY TRACT/& V& BLOCK I LOT NO 3 A�J O d CONST ` / ZOyE �) c V d! L OWNER AA4 &L G �NO Lj4.!;- ADDRESS - �/�� ,S V STATISTICAL CL�FI TION E)M P \ CLASSNO DWELL UNITS BK CITY ZIP Q ARCHITECT OR TEL VALUATION $ENGINEER Q(.L�/.� NO ADDRESS BLDG SETBACK FROM TEL FRONT PROP LINE OF IST REED CONTRACTOR bp, NO HIGHWAY + YARD _ TOTAL SETBACK FROM TYPEOF EXISTING LIC FRONT PROP LINE HIGHWAY WIDTH ADDRESS NO IC + CITY CLASS CONSTRUCTION LENDER BLDG SETBACK FROM NAME AND BRANCH SIDE PROP LINE OF (STREET) HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS CITY SIDE PROP LINE HIGHWAY WIDTH G SO ST FT NO OF NO OF CHECK + - V SIZE ORIES FAMILIES ONE -Q DESCRIPTION OF WORK NEW PC Fee$ Perm It Fee rJ-' rj ADD �11 �� ' Issuance Fee y, ALTER / Z [J REPAIR Total Fee USE OF DEMOL EXISTING BLDG z APPLICANT TEL Fp (PRINT] NO t BY ISIGNATUREI ; IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATKNJ AND STATE ,Y{ THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES 3y I AND LAWS REGULATING BUILDING CONSTRUCTK I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM I PENSATION INSURANCE ;25428A SIGNATURE # • • • • • 1 PERMITTEE , ADDRESS• 57� 2 • • 1900 CITY T L - TNO 71- - • • • 1 9 O O V 4 USEZNE MAPF O D 0712-79 /� -;�IFUTIONS FINAL 'j-//�� vig BY DATE OC Oji a C7L rWOgK€RS COMPENSATION DECLARATION •_ -- - _ - - --- - - - - - - here,'o affirm that I have certificate of consent to .elf APPLICATION FOR BUILDING PERMIT insuwre, or a certificate of Workers Compensation Insurance, ,or a carti id ecopy thereof(Sec 3800 Lob C ) - -- W U 'O"'4J lr FP4*Lor V1_Z:A.1� COUNTY OF l05 ANGELES BUILDING AND SAFETY Poln:y No Company BUILDING Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS 9 6LI VpF C� S TP'�QI Certified copy a fled with the ounry budding mspec- BUILDING / 1 �� '+ hon deportment ADDRESS G l 1 L iC_( v Date SAN- ApplicantCITY LOCALITY C ZIP r CERTIFICATE OF EXEMPTIOPFWORKERS - NO OF BLDGS - NEAREST—COMPENSATION IE • ' i SIZE OF LOT NOW ON LOT ST LV (This section need not be completed if the permit is for one - ASSESSOR - hundred dollars({100)or less ) I TRACT BLOCCK- �`LjOtEETINO f/ MAP BOOK t PAGE PARCEL OWNER Ar{a. -L4 rLFitO 445'(?l ONEMAP I certify that m the performance of the work for which this (J ' NO t Permit is lowed, I shall not employ any person In any manner , _ �.�,� Y/►(`� SPECIAL,- d so as to become subject to the Workers Compensation Laws ADDRESS - CONDITIONS V Dara Applicant t CITY ZIP ar NOTICE TO APPLICANT If, offer making this Certificate of ARCHUE0 OR ll�'�TTJt(� lEl DISTI _ UP TYPE FIRE BY G Exemption, you should become subject to the Workers - NGINEER NO J s T J� CST ZONE t W Compensation provisions of the Labor Code, you must forth ADDRESS (� - t/U3 0. with comply with such provisions or this permit aftall be ^ LII ` ^ h0 4,L4 STATISTICAL CLASSIFICATION APT ' deemed revoked v coNTRAcToR1jA 1�. n _ LICENSED CONTRACTORS DECLARATION .,,.1 LK CI 5 NO �/r�DWELL UNITS_ I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 31F 3 ,st^r NO (commencing with Section 7000)of Division 3 of the Business and --LC SEWER ANP Professions Code and my license is in full force and effect CITY fTli `V 1 CLASS BK PG I - VALIDATION 4��(p�y 1 _ SO FT _ NO OF NO OF CHECK License Number. 17[J L¢ Class SIZE STORIES F ILIES ONE ��Y,sv-� � VALUATION oC nnaaLTD Ar"Is"J _kL! DESCRIPTION OF WORK - NEW L ADD I am exempt under Sec ALTER B 8P C for this reason REPAIRDEM $ - - - *'& *Date USE OF ^ � TEL 14 ,rSignature - PRINT M1\� Z9 FINAL .OWt I ameILDER DECLARATION - DATEhereby affirm that j g r exempt from the Contractor s License ADDRESSL ! 6s4U�•IgPrd"J ��Law fw rfie following reason (Section 70.31 5 Business and U Professi6naCode) " BUILDING I, as owner of the property, or my employees with ADDRESS # wages as their sole compensation,Will do the work and locALm ' the structure is not intended or offered for sale(Section -70M Business and Professions Code) ) • 09675 - MOVING - TEL ' I in owner of the property, am exclusively contracting CONTRACTOR NO _ • • - 96755 i with licensed contractors to construct the project (Sec- ADDRESS -• - tion 70" Business and Professions Code) 05 1 4-8 6 ' - - CONSTRUCTION LENDING AGENCY - RECIUIREDSET BACK - YARD HWV pSOp LIFE WIDTH SET I hereby affirm that there u a construction lending agency for FRONT - the performance of the work for which this permit is nsued P L - (Sec 3097 Civ C ) SIDE 8 I I P5: -- A/ _ P L - - - - Lender s Name r LDMA Ref Lender s Address P C Fee f Perms Fee r i I certify that 1 have read this application and state that the - Inuonce fee LO! P/C E above information o correct I agree to comply with all County Inveriigotion Fee __ , �� - - ti t- T - ordinances and State laws relating to building construction _ Total Pec _ O a hereby authorize represent fives of this County to enter LDMA Pom,�# - u the abovef/, a ra try for impaction purposes ^ SH EEVOW FOR EXPLANATORY LANGUAGE Ignature of Applicant or Agent - Dote - - - A, � WORKERS COMPENSATION DECLARATION •-insure, o affirm that fryer as Come of tion Int to ,elf APPLICATION FOR BUILDING PERMIT r• insure, or a cerTficate of Workers Compensation Insurance, R or a certified copy thereof (Sec 3800, Lab C) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company ❑ Certified copy is hereby furnished FOR APPLICANT TO FILL IN = '71,,41 VAI S ' ❑ Certified copy is filed with the county building inspec- BUILDING (o/j (1./ rCite- �/ tion department ADDRESS Yr —7 1 E T Date CITY I G zip I ( LOCALITY Applicant NO OF BLDGS NEAREST Liz a CERTIFICATE OF EXEMPTION FROM WORKERS SIZE OF LOT SO S NOW ON LOT cR055 ST C., L/ L COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK A 1 'I.,L,� /LOT NO MAP BOOK PAGE PARCEL hundred dollars ($100) or less ) /rW&U MJ1' 44S' (�, USE ZONE MAP OWNER ` I certify that in the performance of the work for which this _� INO permit in issued I shall not emplo ny person in any manner ADDRESS176W Vo�-L. ST CODITIONS d so as to c e subject to the ern Com sotto ws �7p O CITU 2 u ZIP �1[O 0 U DateF&X Applin t ARCHITECT OR TEL � NOTICE TO APPLICANT If, a making this C of ENGINEER �' NO DISTRI GnROUP TYPE T `', FZI�E D BY Q Exemption YOshould be a subject to the WorkersRc 12 �J Compensation provisions of a Labor Code, ou must forth- ADDRESS 11-21 1` 111111 with comply with such provisions or this permit shall be TEL STATISTICAL CLASSIFICATION APT CONDO Z deemed revoked CONTRACTOR ts^�F�4c NO LICENSED CONTRACTORS DECLARATION LIC CLASS NO DWELL UNITS_ I here off that I am licensed under ADDRESS NO SEWER MAP by Aron 3 of of Chapter 9 LIC (commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect CITY NO CLASS CHECK BK A) PG VALIDATION License Number Lic Class SZEO ! CV ORIES FAMILIES ONE VA11 LUATION Contractor Date DESCRIPTION OF WORK �L.r��'� NEW ❑ W Il"OdwS 7000 ADD ❑ ► ❑I am exempt under Sec /1�.�� p�- B 8P C for this reason kJINVauS 126 �& �Jm ❑ REPAIR ® $ Date USE BLDG Sn16L� O DEMOL ❑ Signature APPLICANT((PRINT) Tj LL - FINAL 8� i OWNER-BUILDER DECLARATION DATE I hereby affirm that I am exempt from the Contractors License Law for the following reason (Section 7031 5 Business and ADDRESS FIN 1 Prafesa1, s Coda) IN B T.&V `}��^ I, as owner of the property, BUILDING p party, or will employees with ADDRESS wages ct their nolo comped or on, red do the work and , - 7=7 59.75 the structure is not intended or offered for sale(Section LOCALITY cmc 7044 Business and Professions Code ) MOVING TEL 1 IT[J ILL ❑ I, as owner of the property am exclusively contracting CONTRACTOR NO wnh licensed contractors to construct the project (Sec- ADDRESSs \ s TOTAL 59.25 hon 7044, Business and Professions Code ) ' ` 1 1 ` �.' -_ 59.75 REQUIRED TOTAL SETBACK FROM EMS - "k CONSTRUCTION LENDING AGENCYT YARD HWY PROPINE >` s 1 I hereby affirm that there is a construction lending agency for FRONT - l (,' .00 the performance of the work for which this permit is issued PL (Sec 3097, Civ C ) SIDE nnrn_nnrf PL { G] ,per y Lenders Name 110W VLJiIl 8/7L PC Fee f Permit Fee "/ LDMA Ref A17y Lenders Address 10. 5186 1 1 8:14 I certify that I hove read this application and stole that the I.auonR <e Fee s LDMA P/C above information is correct I agree to comply with all County Inve.hgonon Fee _ ordinances and State laws relating to building construction, Total Fee 115 9, LDMA Perm N ` and reby authorize representatives of this County to enter ^ i n he above- property for inspech n p ses S SEE REVERS!FOR EXPLANATORY LANGUAGE Signature of Applicclin o tit Date —WORKERS' COMPENSATION DECLARATION + 7 hereby affirm that I have ccertificatee of convent ,elf APPLICATION FOIL' BUILDING PERMIT insure or a certificate of Worr kers Compensation Insurance FOR ' BUILDING a certified copy thereof (Sec 38DO, Lob C ) T COUNTY OF LOS ANGELES r � BUILDING AND SAFETY Policy No Company ❑ Certified copy is hereby furnished FOR APV7'� APPLICANT TO FILL IN qj WINGS ❑ Certified copy Is filed with the county building IRSpec- '°mom BUILD( I 6- hon department Q (� Date Applicant CITY RME G Zip /I-7o LOG4Lm X NO OF BL NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT X 150 NOW ON LOT / CROSS ST COMPENSATION INSURANCE (This section need not be completed If the permit a far one TRACT BLOCK LOT NO MAP NOOK hundred dollars ($100)or less ) ��++��L �L e L 3 3 PAGE d l3 PARCEL OSS OWNER "• o"i MA6 LUVO NO K{-w}M'?Tb USE ZONE MA certify that in the performance of the work for which this �} �/ permit is issued, I shall not employ any person in any manner ADDRESS%4! 67 -�L q p� CONDITIONS a sa as to become subject to the sera,C�omm7nsotion Laws CCTV CII' G/ / ZIP L ��O`'' O Date` u• ' ApplicantOf w4m ARCHITECT OR •4,.�� TEL DI51RI GRWP TYPE CORE PROCESSED BY O NOTICE TO APPLICANT If, ah making this Cert of ENGII�R /`�•I`� NO 7 ZONE Exemption, you should beco a sublecl to the Workers Compensation provisions of the Labor Code you must forth ADDRESS �'� IrLe- with comply with such provisions w this permit shall be TEL STATISTICAL CLASSIFICATION tl APT I CONDO to deemed revoked CONTRACTOR tU� - f�� NO LICENSED CONTRACTORS DECLARATION LIC CLASS NO 4:;O" DWELL UNrtS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO SEWER MAP (commencing with Section 7000)of Division 3 of the Business LIC and Professions Code,and my license is in full force and effect CITY CLASS BK PG VALIDATION Siff 0V NO OF NO OF CHECK License Number Lic ClassSTORIES I FAMILIES ONE VALswv UATIO 49,Contractor Date DESCRIPTION OF WORK AOD ❑❑ $ ❑I am exempt under Sec RtZFW if rH SG9HEr ALTER ❑ pop �r� B 8P C for this reason CFF REPAIR ❑ $ Date USE OF T"CO[ l lkL MOL ❑ EXISTING BLDG DE Signature APPLICANT 144, �L1C,Y/h '0 (445-476 FINAL DECLARATION .L��y� 7y DATE I hereby affirm that I am exempt from the Contractor s License ADDRESS E �� `Zr "�/1'r/'s"Z- C477 Low for the following reason (Section 7031 5, Business and FINAL essiona Code) PRESENT 6Y r_ BUILDING , I, as owner of the property or my employees with jpjtE5d g5 b-t/!_ /I)/f G �— wogesmthmrsale compensauon,will do the work and J K4CiZ/ Yfv/ �^ 'c the structure is not intended or offered for sale(Section LOCALITY loop7044, Business and Professions Code ) MOVING TEL ❑ 1, as owner of the property, am exclusively contracting CONTRACTOR NO __ with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code ) CONSTRUCTION (ENDING AGENCY _VUt YARD HWY FROMEXISTWID7H Ca_ i'd_ I hereby affirm that there is a construction lending agency for FRONT -the performance of the work for which this permit is issued P L (Sec 3097, Civ C ) SIDE PL Larder shame P - 72 IDMA Ref 0 P C Fee Perms Fee Lender's Address �( c I certify that I have read this application and state that the Issuance Fee �"/ LDMA P/C M 8 above information n correct I agree to comply with all County Invesapoeon Fee R ordinances and State jaws relating to budding construction, Tonal Fee LDMA Perm e an reby auflronze representatives of this County to enter u the above- JJeynyone ropeny for inspection purgosesi !///` /q�i� 2 SEE REVERSE FOR EXPLANATORY LANGUAGE I Signor"of Appl nt Agent Date