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Home My Public Portal About8712 WENDON ST_Building__ •. APPLICATION FOR COUNTY OF LOS ANGELES BUILDING PERMIT DEPARTMENT OF-COUNTY ENGINEER BUILDING AND SAFETY DIVISIONBUILD NG FOR APPLICAN��""T��TO FILL IN ADDRESS Z o� LDING ADDRESS 81 /2 &)k ND C N S T LOCALITY CITY S ,V /t: ZIP f!J S� CROSS ST. No.OF BLDGS. ASSESSOR SIZE OF l0 NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GRID P TYPE' FIRE ESSED BY TRACi`' BLOCK LOT NOTEL. q.p �+D� CONST. ZONE OWNER -a. /�/E, NO.Ao /' ��5� `)` _ STATISTICAL CLASSIFICATION SEWE P ADDRESS `a , GI.FNJ)mJLJ .SS/. CLASS NO.�_DWELL.UNITS BK PG CITY 9AAJ �7A/3 /,i IL ZIP 9f7�,} USE ONE No b ARCHITECT OR TEL. ��/ SPEC) ENGINEER NO. AL CONDITIONS ADDRESS RO D DEPARTMENT APPROVAL 401-11 RED YES❑ NO•❑ TE CONTRACTOR BLDG.SETBACK FROM LIC. FRONT PROP.LINE OF (STREET) ADDRESS NO. TOTAL SETBACK FROM TYPE OF EXISTING Vv LIC HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH CITY CLASS CONSTRUCTION LEN + - a NAME AND BRANCH 0 BLDG.SETBACK FROM U ADDRESS CITY SIDE PROP.LINE OF (STREET) ce SO.FT. NO.OF NO.OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING SIZE STORIES FAMILIES ONE SIDE PROP.LINE HIGHWAY WIDTH m tn DESCRIPTION OF WORK NEW El + = Z RE and DOr N ADD .. ❑ CORNERCUTOFF YES ❑ NO ❑ ALTER ❑ IN OPEN SPACE YES ❑ NO ❑ USE OF REPAIR El IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG.'f /, DEMOL ❑ APPLICANT (PRINT) TEL )�II/�//AH s ' BY(SIGNAT.URE) • I HEREBY ACKNOWLEDGE THA E 012RELAYTING 5 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AN A EE PLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING STRUI CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL TEMP PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNI TO WORKMEN'S COM- PENSATION INSURANCE. SIGNATURE OF l FINAL BY PERMITTEE DATE ADDRESS TEL. P.C.Fee$ J Permit Fee CITY12 NO. ,, @ Issuance Fee / VALUATION$ /�QO . 6 C/ Total Fee PLAN CHECK VALIDATION CK. M.O.' CASH PERMIT VALIDATION CK. M.O. CASH 1 2 3 N AUG 4 1 D 3 4.0 0 A" 0f 7GA638A CE/803A 8/77 APPLICATION FOR BUILDING PERMIT �1 COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUM A DRESS BUILDING ADDRESS �r I hereby affirm that I have a certificate of consent to self insure, �� /� or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) C� w L ZIP ?� J' is LOCALI Policy No. Company SIZE OF LOT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAR OSS ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. Date Applicant ASSESSOR MAP BOOK PA ®� PAR® USE ZONE MAP NO. � �� SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OW ER V L NO. WITHIN 1000 FT.OF SCHOOL? YES NO COMPENSATION INSURANCE ADDRESS (This section need not be completed if the permit is for one hundred DISTRICT OUP TYPE CONST.' FIRE ZONE RRQCESSEDBY dollars($100)or less.) CITYCL zip I certify that in the performance of the work for which this permit ) 3 11 is issued, I shall not employ any person ny ARCHITECT OR ENGINEER TEL NO. v becomes )e o the Workers'Come n TISTICAL C I ICATI O A CONDO ( �Date G Applicant ADDRESS CLASS NO. DWELL UNITS NO TIC O APPLICANT: If, r fsha th ificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should b C e o e Workers' CONTRACTOR TEL NO. SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of aboyo ust forthwith ® FRONT comply with such provisions 2 is pereemed revoked. ADDRESS LIC.NO. PL LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS SSP L CD I hereby affirm that 1 am licensed under provisions of Chapter- I SEWER MAP v (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF 97599i-PO.OF FAMI7ADD Professions Code,and my license Is in full force and effect. EW BK PG ► License Number Lic.Class DESCRIPTION OF WORK ❑ VALUATIO Contractor Date TER � COD ❑ ❑ I am exempt under Sec. REPAIR p BARC.for this reaso Odf2ZYD DEMOL ❑ LDMA P/C# Date: USE OF EXISTIN URM ❑ Signature APPLICANT(PRINT) TEL NO. LDMA Perm N 1 1, as owner of the property, or my employees with wages as p their sole compensation,will do the work and the structure is ADDRESS FINIAL DATE Q A v�o a not Intended or offered for sale (Section 7044, Business and Lha ri v I Eli Professions Code.) WILLTHEAPPLICANT OR FUTURE BUILDING OCCUPANT HANDLEA HAZARDOUS MATERIAL -/��` _ OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN '� 4 T F y�'� ❑ 1, as owner of the property, am exclusively contracting with THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY i t E LLE :J licensed contractors to construct the project (Section 7044, YES❑ NO❑ Business and Professions Code.) TOTAL 32 m 00 WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIREA PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST C1ESCK 8-2.01; FOR GUIDELINES. I hereby affirm that there is a construction lending agency for YES❑ NO❑ CHANGE .00 the performance Of the Work for Which this permit is Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD 3097,CIV.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE.TITLE2,CHAPTER 220 SECTIONS 220.WDTHROUGH 2.20.140 CONCERNING t-!y r• Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING APERMIT FROM THE SCAOMD. fi�l �1—I� ILI =1�i ;':I r : Lenders Address 3c AM t I06 a ovrNmon�eeur i+6,3 o I certify that I have read this application and state that the above PC FEE PERMIT FEE information is correct. I agree to comply with all county /. 771 ordinances and State laws relating to building construction,and 10 hereby authorize representatives of this County rater upon i ISSUANCE FEE r the above-me tioned pro e : 6Q 9a.g INVESTIGATION FEE TOTAL FEE Iry egnaW,eMAppOmMaMM DMn � SEE REVERS_E FOR EXPLANATORY GUAGE i J T' WORKERS'COMPENSATION.DECLARATION � hereby affirm that I have a certificate of consent to self APPLICATION FOR BUILDING PERMIT insure,or a certificate of Workers'Compenstion Insurance,or a certified cop thereof(Sec. 3800, Lab. COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. 0" Company &Yic,�� Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING �® f� d ADDRESS w Certified copy is filed with the county building inspec- BUILDING 93 7 tion department. ADDRESS 12 WE Al Q LOCALITY �r /�- �1 NEAREST Date a Applicant CITY L/ZZIP CROSS ST. CERTIFICATE OF EXEMPTION FROM 1<VORKERS' IF NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT ®Ale! MAP BOOK PAGE PARCEL (This section need not be completed if the'ermit is for one c USE ZONE ESPECIAL TRACT �Q BLOCK LOT NO. O hundred dollars ($100)or less.) 1- � 'rte ] TEL. / IL I certify that in the performance of the work for which this OWNER -to f �/ / NO DITIONS 0 permit is issued, I shall not employ any person in any manner _ DISTRICT GROUVCYO FIRE PRO SSEf2 BY (� so as To become subject to the Workers'Compensation Laws. ADDRESS .�� f/ � ST.i E W Dare Applicant CITY el,k ZIP STATISTICAL CLASSFICATION�V/ PT. CONDO. NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO.-124 DWELL. UNITS N Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this permit shall be J deemed revoked. CONTRACTOR r NO. Z( BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC., y/�j I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS /r%L NO /( 9 VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and effect. CITY dy CLASS Z10-3 � �j3 SO. FT. INO.STORIES IE FA OF CHECK License Number O Lic.Class SIZE STORIES FAMILIES ONE Contractor - //1� A(l1/'r Date 6 DESCRIPTION OF WORK g.47-14 'e� NEW ❑ r ADD I am exempt from the licensing requirements as I am a licensed architect or a registered professional engineer ALTER E] FINAL ' acting in my professional capacity (Section 7051, REPAIR DATE Business and Professions Code). USE OF DEMOL FINAL EXISTING BLDG. By _ Lic.or Reg.No. Date APPLICAN TEL. OWNER-BUILDER DECLARATION PRINT NO. I hereby affirm that I am exempt from the Contractor's Licensef,'IL— Professions , Law for the following reason (Section 7031.5, Business and ADDRESS I7 Professions Code): PRESENT Gj yl ❑ BUILDING 1, as owner of the property, or my employees with ADDRESS 1 9 Q 0 ,9 wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 0 0 0 0 0 1 7044, Business and Professions Code). MOVING TEL. I, as owner of the property, am exclusively contracting CONTRACTOR NO. 2 - 1 00.60 with licensed contractors to construct the project (Sec- rADDRE tion 7044, Business and Professions Code). ° ° 1 Q Q D TOTAL SETBACK FROM EXIST. ` CONSTRUCTION LENDING AGENCY K YARD HWY PROP. LINE WIDTH , I hereby affirm that there is a construction lending agency for ) 1.C 9—8 1 the performance of the work for which this permit is issued c� (Sec. 3097, Civ. C.)., Lender's Name PermitFeeLender's Address I certify that I have read this application and state that the Issuance Fee above information is correct. I agree to comply with all County on Fee ordinances and State laws relating to building construction, Total Fee and hereby authorize representatives of this County to enter i upon above-mentioned r erty for inspection purposes. I �� f SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date as I WORKERS'CtMPENSATION DECLARATION ! insure hereoar afc�erti #'cotelof Worke se rtificate Compenstion In urance,or of consent to self APPLICATION F O.RPUILDING PERMIT ' a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELS BUILDING AND SAFETY Policy N &AA-5Company nl BUILDING Certified copy is hereby furnished /� FOR APPLICANT TO FILL IN ADDRESS r W Certified copy is filed with•the county building inspec- BUILDING ��A tion department. ADDRESS 1 vL/lJ LOCALITYST NEAREST , Date l Appjtcan ]i ` 'f3)qW�--k CITY ZIP CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. ASSESSOR COMPENSATION-INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one US;;��SPECIAL P hundred dollars($100)or less.) TRA BLOCK LOT NO. _ TEL. USP ' g OWNER NO NDITIONS I certify that in the performance of the work for which this O permit is issued, I shall not employ any person in any manner DISTRICT G TYPEJ FIRE P C D BY V ADDRES CO T. ZONE so as to become subject to the Workers'Compensation Laws. r r a� Date -Applicant CITYPAPU� ZIP STATISTICAL SS ICATION APT. CONDO. LU ARCHITECT TEL. '!1I'� LU NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER � N l�1-i' CLASS NO.� DWELL. UNITS Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this,permit shall'be ' �o deemed revoked. CONTRACTO TEL.NO. "Tife'� t , BK. FIG,, VALIDATION `Gb !v LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm thdt I am licensed under provisions of Chbpter 9 ADDRES N VAL. TION (commencing with Section 7000)of Division 3 of the Business and Professions Code,'and my license is in full force and effect. CITY C LIC{\JI AJ CLASS,"3 $ SQ. NO.OF NO.OF- • CHECK License Number, v 0 Lic..ClassfvQ l SIZE STORIES FAMILIES `ONE 1 � � Date �1 V/ $ - Contractor DESCRIPTION OF WORK NEW ❑ � A I am exempt from the licensing requirements as I am a F>mV p � �ac�� l'T ADD licensed architect or a registered professional engineer- ALTER ❑ FINAL �i 1 8.5 7 A acting in my professional capacity (Section 7051 DATE REPAIR 1 f Business and Professions Code). USE OF DE OL/ ❑ FINAL o o. 0 0 2 EXISTING BLD M •, ❑ Lic.or Reg.No. Date APPLICANT TEL By r 2 o a 5 Q 4 0. OWNER-BUILDER DECLARATION (PRINT)/ N I hereby affirm that I am exempt from the Contractor's License ADDREIR0 L o a o 5j 0.4 0 6 Law for the following reason (Section 7031.5, Business and Professions Code): --PRESENT ( 1.0 —8 1' F] BUILDING I, as owner of the property, or my employees with ADDRESS wades as their sole compensation,will do the work and the structure is not intended or offered for sale(Section. LOCALITY _ 7044, Business and Professions Code). MOVING TEL. j ❑ I, 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). REQUIRED TOTAL SETBACK FROM r XIST. S.. ., CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH 1 8" 8 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. 0 0 0 l0 0 1 P. (Sec. 3097; Civ. C.).• SSIDE - , 2 ° �' 9,7,0 0 L. ` Lender's Name � n 0 o C•'! f' (y x d P.C. Fee$ Permit Fee Lender's Address \ ' I certify that 1 have read this application'and state that the Issuance Fees -. J ( 1.0,5-81 above information is correct. I agree,to comply with all County Investigation Fee ` ordinances and State laws relating to building construction, Total Fee I and hereby'atithorize presentafNes of this County to enter e r S upon th o nti ned property for inspection purposes. , SEE REVERSE FOR EXPLANATORY LANGUAGE a Signature of Applicant or A Date ®s