HomeMy Public PortalAbout8701 WENDON ST_Building__ DE=TIOMTF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES ®�
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN N G
RE FOR OFFICE USE.ONLY
BUILDING DISTRICT O. PLANCK. NO. PERMIT NO.
ADDRESS 8701 Tendon Street g fj 9 s/y/
LOCALITY RECEIVED BY DATWOF/AP L. /DATE IS,S/UEDy
NEAREST Gabriel. li
CROSS$T, BUILDING
ADDRESS
OWNER F. L. McNutt'
MAIL LOCALITY q,
ADDRESS Gabriel Blvdo NEAREST
TEL CROSS ST.. aj�n�..
CITY Gabriel No. At. 9-4.364 FIRE 140. OF I TYPE
GROUP
ARCHITECT OR TEL. ZONE PLANS i
ENGINEER NO. BLDG. ORD- N
SETBACK LINE (�
ADDRESS APPROVED � •
TEL. BY DATE
CONTRACTOR N tt NO. At. 9.4364 USEAPPROVED
- APPROVED DATE
ADDRESS HOUSE NUMBERING
LEGAL �79 L$ FIELD.CHECK BY
DESCRIPTION LOT NO. 5 BLOCK MAP NUMBE
TRACT NO. ASSIGNED BY DATE
NO. OF BLDGS. CORRECTIONS
SIZE OF LOT NOW ON LOT None.
USE OF NO. OF +
EXISTING BLDG, I FAMILIES
•DESCRIPTION OF WORK
NEW I X I ALTERATION I I ADDITION
REPAIR I I DEMOLITION I I I• s T� , A/
ME ROOMS 6 STORIF0• 1 1V V I ` Q Y+ Z
EXT. WALL ROOF R itp a,� PL s g , >
COVERING I COVERING QQ . -je Q Wks P (lr..-x
USE OF STRUCTURE
Residence �l, �sl. r•`
APPROVALS
INSPECTOR'S SIGNATURE DATE
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION I �+ ^
PLICATION AND 'STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS'. tj
CORRECT.
1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED , FRAME:FIRE STOPS, -
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS
LAWS REGULATING BUILDING CONSTRUCTION.
- FURNACE: LOCATION,
SIGNATURE OF GAS VENT, DUCTS C
PERMITTER P. Le MCNutt
LATH, INT. � �,n 1 a
Y ADDRES. rle $ludo v N
LATH,.EXT. !
+ AUTHORIZED AG/T�.` - -
r
PLASTER, INT.
7GA638A•DHtI �"to-so $
PLASTER, EXT.
VALUATION FEE ffi - �' FINAL J 0"v1 `�Z`( �•�:
!1.115 AD6E.8' APPLICATION FORBUIL.®IN�G .PERMIT `
,1.88 1
ION OF BUILDING AND SAFETY BUILDING � �,
ADDRESS.
Department of County Eagineer ."
- County of Los Angeles LOCALITY �r V
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CA88ATT D.GRIFFIN.SUP'T'OF BUILDING CROSS ST. ✓ 0/4/-
DISNO. GSEWER MAP
FOR APPLICANT TO FILL IN T ICT R U TYPE ,
QJ_ P
^� CON8T. ',y
BUILDING MAP' A STATE d�
ADDRESS �} { ��/y��► LLQ r NUMBER {� Hwy YES NO
SPECIAL .
LOT NO. BLOCK USE ZONE
ONDITION3°
TRACT'. ✓ J 1` / 1 s '
/IS+ 6��-//J., � �c�./�j NO.OF 66
SIZE OF L T- NOW ON LOT BU IC EXIST.
LT - YARD. HWY STREET NAME
USE OF $ BACK WIDTH..
EXISTING BLDG. 'V�.� ��' IZ; ",FRONT
OWNER % r SIDE
�!
i
MAIL P.L.
(i'l #101-' ��
ADDRESS �>. O TRACT DWELL.: 1,UNIT
^� TEL , 5 INDUSTRIAL
CITY% Jff1I /,-�/-) , �, NO./ /'/ .019 2 1, DWELL. f UNIT 6 PUBLIC BLDG.
ARCHITECT OR TEL. Z DUPLEX E UNITS 7 pDDN,.ALT., C.ENGINEER NO. 3 APT: UNITS
MISC
ADDRESS A / 4 COMMERCIAL
TEL'
CONTRACTOR NO. INSPECTION RECORD
Ow
ADDRESS
DESCRIPTION OF WORE o ,o`5U z—L HI GA/
.NEW ADDS ALTER REPAIR•• DEMOLISH !_ A4 _ X,•
SQ:FT. t NO. OF NO.OF , OST
SIZE 0 STORIES FAMILIEB
USE OF STRUCTURE I O . e Al.P_C14 t3
Aft 7.
SIGNATURE OF
APPLICANT f APPROVALS
ADDRESS I DATE INSPECTOR'S SIGNATURE
'FOUNDATION:LOCATION
P.C. $ ..FORMS,.NIATERIALS �S
FEE FRAME:.FIRE STOPS.
VALUATION $ BRACING.BOLTS
FEE 6/ FURNACE: LOCATION,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT.DUCTS. .
APPLICATION AND STATE THAT THE.ABOVE IS CORRECT
AND AGREE TO COMPLY WITH.ALL COUNTY ORDINANCES LATH,INT..
AND STATE LAWS REG LATING BUILDING CONSTRUC-
TION.
LATH.'EXT. 7"
SIGNATUREO �, HOUSE NUMBER COR-
PERMITT•EE RECT AND POSTED
• ADORES- FINAL
JOHN A.LAMBIE.COUNTY ENGINEER VALIDATION', CLYDE N.DI°RLAM. CHIEF BLDG. INSPECTOR.
< CK NO CASH -
��Co U' 1 jUL 13 6.00
►� .
L
WORKERS' COMPENSATION DECLARATION ,
sure'y;affirm that I have certificate of consent to self APPLICATION FOR O U�'L D I N G P E RM I T
jnsure, or a certificate of Workers' Compensation Insurance,
or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
P_oI* y No.1 223829 Company State C . Insur.
❑ Certified co is hereby furnished. Un FOR APPLICANT TO FILL IN BUILDING 70 LT/.fiy.�B�cJ
PY Y ADDRESS /
Certified copy is filed with t e county building i ec- BUILDING
tion department. ADDRESS n Street
Date 4/1/92 APPIic CITY ZIP LOCALITY
NO. OF BLDGS. NEAREST
CERTIFICATE OF EXEM ION F OM WORK SIZE OF LOT NOW ON LOT CROSS ST.
COMPENSATION INS RANCE ASSESSOR
(This section need not be completed if the permit is for one TRACT BLOCK LOT LVO. MAP BOOK PAGE PARCEL
hundred dollars ($100)or less.) TEL. �� USE ZONE MAP
OWNER NO. NO.
I certify that in the performance of the work for which this SPECIAL n}.
permit is issued, I shall not employ any person in any manner ADDRESS CONDITIONS
so as to become subject to the Workers'Compensation Laws. O
CITY San Gabriel zip 91775 U
Date Applicant ARCHITECT OR TEL. Dz
NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. DISTRICT 7RP ONST. TREE PROCESSED BY O
Exemption, you should become subject to the Workers' '/ 13
Compensation provisions of the Labor Code, you must forth- ADDRESS �Qf �/ c� a
with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO. N
deemed revoked.
CO
deemed — ?
LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. �� DWELL. UNITS
—
;)948 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 VALIDATION
License Number 186303 Lic. Class a9 SQ.SIIZEF7 q al STORINO.IEES FAMILLIIES ONE
K
Lytle RcIffing Inc. DESCRIPTION OF WORK NEW ❑ VALUATION
ContractorJ'� Date 3/31/�3 $
ElI am exempt under Sec. ADD 1:1 ,
ALTER ❑
B.&P.C. for this reason ' OMM REPAIR ® $
USE OF
EXISTING BLDG. DEMOL ❑
Signatur2,4 APPLICANT TEL. FINAL ,
OWNER- ILDER DECLARAT (PRINT)LytleRgigifing NO — DATE V.>f/��
I hereby affirm that I a exempt from theContractor's License
Law for the following reason (Section 7031.5; Business and ADDRESS FINAL I _
Professions Code): PRESENT By A4
BUILDING f �/s•�� JJ yaEl I, as owner of the property, or my employees with ADDRESS
wages as their sole compensation,will do the work and LOCALITY �'%
the structure is not intended or offered for sale(Section
7044, Business and Professions Code.) MOVING TEL. _
ElCONTRACTOR NO. mL
I,as owner of the property,am exclusively contracting '��+� s 63
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code.) }
VJo _
CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTAL PSETBACKOE ROM WIDTH C'r . ='-
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 _
P.L. cr
Lender's Name N�1—N E
I p . p p LDMA Ref. #
P.C. Fee$ Permit Fee O 88
Lender's Address ,
I certify that I have read this application and state that the Issuance Fee LDMA P/C#
above information is correct. I agree to comply with all County Investigation Fee
J ordinances and State laws rel at' to building construction, Total Fee LDMA Perm. #
and ereby authori rese ryes of this County to enter
up he above nt' ed erty for inspection purposes.
1 2,Z �q SEE REVERSE FOR EXPLANATORY LANGUAGE
nature of Applic n or Age DT'��