HomeMy Public PortalAbout9872 WENDON ST_Building__ @s 7BA638A
GE/803(REV.6/78).
• APPLICATION FOR- BUILDING- PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETYBUILDING
'
FOR APPLICANT T,C/i FILL IN ADDRESS 5 .� Z 7 ���✓.L lrc�l
LDING
ADIDRESSOEM /Vr✓/® LOCALITY ]
NEAREST -�
CITY ZIP CROSS ST. / �t
NO.OF BLDGS. ASSESSOR
SIZE OF LOT t,,7U' X, 3. NOW ON LOT MAP BOOK, PAGE PARCEL
�J p� DISTRICT GRO E FIREESSED BY-.
TRACT l Z BLOCK LOT NO: may(,J' o�-� ST. ZO�fy� rr�
OWNER .1--r
STATISTICAL CLASSIFICATION SEWER MAP'
ADDRESS CLASS NO.,3/FIDWELL.UNITS BK PG
CITY -ZIP
ARCHITECT O TEL VALUATION.
ENGINEER /-�• N
ADDRESSfO/d ./ �/� BLDG.SETBACK FROM
TEL. r FRONT PROP.LINE OF (STREET)
CONTRACT N. ,6 TOTAL SETBACK FROM FTYPE OF EXISTING
LIC. v HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH
/+ y
ADDRESS/7eJ = NO.J
LIC. �y t
R,� C. =
CITY 'bf CLASS — l�
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
SQ.FT NO.OF NO.OF CHECK + _
SIZE STORIES FAMILIES ONE y C C99
DESCRIPTION OF WORK NEW P.C.Fee$ S yl Permit Fee / r,-
ADD Issuance Fee J N
—"_.r�.� ALTER El
REPAIR ❑ Total Fee ( �j
USE OF DEMOL ElEXISTING BLDrw_ Z -
APPLICANTTEL N [/ r -135 1,8 A
(PRINT) NO
a
IZ o 2 1
BY(SIGNATURE( ��+ I • > - 2 c o 55. 1. 1�
1HEREBY ACKNOW EDGE THAT I HAVE REAi;W." V ATE (Y
THAT THE ABOVE IS RRECT AND AGREE TO COMPLY WI ORDINAN bd
AND LAWS REGULATIN BUIL G CONSTRUCTION.I CERTIFY THA DOING THEV a c o r•,G
WORK AUTHORIZED HEREBY WI T EMPLOY ANY PERSON IN IOLATION OF
THE LABOR CODE OF THE STAT RNIA IN RELATING TO WORKMEN'S COM- Z
PENSATION IN NCE. g G 6,02-7Y.
• 6
SIGNATURE OF
PERMITTEE
AD zf
TEL. O 2 ° I lJ 0 l !-
CITY
USE ZONE MAP -7�� o o ' 4•'-1
No. CYC a
.1 >
.� SPECIAL a �•C��- r; Y' I
D CONDITIONS
B W
FINADA EL -'/ �'' "�d°
t DEPARTMW OF COUNTY ENGnMM
DIVISION OF BUILDING AND SAFETY'
COUNTY OF LOS ANGELW NAY ` BUILDING.
WILLIAM.J. FOX, COUNTY ENGINEER lAPPLICATION
CASSATT D. GRIFFIN, SUPT OF BUILDING
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING h DISTRICT-NO. PLAN
CK.oR Rsc.No. PERMIT NO.
ADDRESS :. t .G w � f{;�� C•1�QL 10 D. /�
.v!i ^r ''�•�' ej'! 1 REDA_TEOF'APPL. DATEISSU
LOCALITY ;LD
NEAREST � t7/.! +
CROSS ST., 'kr [t
BUILDING
a (�
OWNER .s y.' ADDRESS-' A.
C„s> '"s +IS +�`o
ADDRESS �j f LOCALITYMAIL I
NEAREST
CITY TEL IJ AA 7 CROSS ST. L Al eft AE ar 7
ARCHITECT ORTEL• i ZFIRE NO.ONE I PLANS a I TYP :lrI GROy�
ENGINEER NO. } / L
ADDRESS n A.
M1 BLDG.SETBACK LINE (, '� , ./" 6r ORD. NO.
It TEL• e�r'-r s USE APPROVED
CONTRACTOR ?iz- 4'ig�� -�j'�'- NO. f Z;f1 4; ZONE. BY .DATE
ADDRESS c1 t•.d�f 41 I"i. 0�I
HOUSE NUMBERING j
LEGALI �a R MAP NUMBER `�(J.� "0. ASSIGNED '
DESCRIPTION LOT NO. K• �3 BLOC
CORRECTIONS -
TRACT
/s o - ,I I NO.OF BLDGS.
SIZE OF LOT
NOW ON'•LOT
USE OF
EXISTING BLDG. FAMILIES ,{�✓ ` Cfi Yd '
DESCRIPTION OF WORK , ll�i� 15"I. )r' `�'l�1.%E;�• o —
NEW. ALTERATION ADDITION _ �Y �A �,g A wa' / A
RE
DEMOLITION I { Al` E r, [J-41�J ��/" ��S`'��'� a
8 . FT. i JI.; NO. OF A I
E [ ROOMS' ' STORIESROOF
CVSRING _ COVERING / ��'• :/ /A.��i�tiS!�f`
USE OF STRUCTURE C-��� 7 �/ 1AZI
167 947�epl
7 _T.i..+4s'z�}•'.� Y•-•tea, .•Ir
APPROVALS
- INSPECT •8 PIGNATU.RR DATE
FOUNDATION:LOCATION
FORMS, MATERIALS
:1 HEREBY ACKNOWLEDGE-THAT I HAVE READ THIS AP-' FRAME: FIRE.STOPS,
PLICATION AND STATE THAT THE INFORMATION GIVEN IS. BRACING, BOLTS
CORRECT. ,
I AGREE TO COMPLY WITH ALL COUNTY 'ORDINANCES, FURNACE:LOCATION,
AND-STATE LAWS REGULATI BUILDING CONSTRUCTION. GAS VENT, DUCTS O I
SIGNATURE OF LATH. INT. i
PERMI7TE ,
V-1 Y 0 v 4•/
�w '' LATH..EXT. l
ADDRESS' 33 P
PLASTER, INT.
AUTHORIZED ACT. ' lt�✓ f '
PLASTER, EXT.'
FEEC.*]
•S HOUSE NUMBER COR-
$ 12.0
• �'•0 0 - RECT AND POSTED
VALUATION FEE Cp max" FINAL (Z �!� $ /� �� '
'76A888A DBS 3 9-62 ', V V
APPLICATION FOR .BUILDING PERMIT
FOR APPLICANT TO FILL IN (printpr type only)
BUILDING l/ f . COUNTY OF LOS ANGELES
ADDRESS DEPARTMENT OF COUNTY ENGINEER
CITY ZIP BUILDING AND SAFETY DIVISION
SIZE OF LOT 3 NOW ONB OTS ADIDRESS �?y
TRACT BLOCK LOT NO. LOCALITY
le—
TE� � NEAREST
OWNER � � S 1 NO ,' CROSS ST.
ASSESSOR
ADDRESS r UjEwP,0KJ MAP. BOOK PAGE PARCEL
DISTRICT GROUP TYPE FIRE SSED BY
CITY ZIP �7 /�
CONST ONE
ARCHITECT O TEL. v.O g ---
ENGINEER NO.
_ STATISTICAL CLASSIFICATION WE MAP
ADDRESS CLASS NO,;-2=t DWELL.UNITS BK PG
CONTRACTOR Np� +' �' 'USE ZON NADP .20U3
LI C
ADDRESS N0. �^ SPECIAL
CONDITIONS
CITY .r LIC.
CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
CONSTRUCTI N LENDE
NAME AND BRANCH BLW.SETBACK FROM
FRONT PROP.LINE OF (STREET)
ADDRESS CITY HIGH + YARD ;TOTAL SETBACK FROM TYPE OF EXISTING
W Y
SQ. FT NO. OF t NO. OF CHECK FRONT PROP. LINE HIGHWAY .WIDTH
SIZE STORIES FAMILIES ONE
+ = a
DESCRIPTION OF WORK `7 'F' NEW ❑
rn�I C d�� �' ADD SIDE BLDGPROP•LINE OF (STREET) Q
9 .+
' LTER� HIGHWAY + YARD = O AL AC OM TYPE OF EXISTING 1Cj
-jeklu -
OF
SIDE P P. LINE IGHWAY WIDTH d
USE
.� z
EXISOT NG BLDG. eC ISDEMOL ❑ +
APPLICANT i TEL CORNER•++ CORNER CUTOFF YES ❑ NO ❑
(PRINT) ; ,r - •sil� NO.
IN'OPEN SPACE YES ❑ NO ❑
BY (SIGNATURE)' `�
IN COASTAL PERMIT ZONE YES ❑ NO ❑
VALUATION,$ / . auca < T
1 HEREBY ACKNO 'J LEDGE THAT 1 HAVE READ THIS APPLICATION `j ` /'r �-7 7 r� / Qm/
_ G = 1"7,9)'v1i,5
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYWITH ALL BUILDION- _
NG
STRUCTION.ORDCERTII THAT S ANDL NW DOING LITHE I WORK AUTHOR IC ED �' `� r�,' /J/
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR
WORKMEN'S COMPE NSE STATE CA
F LIFORNIA IN RELATING TO
SIGNATURE OF
PERMITTEE _�
ADDRESS '� ' � � A ,T �- NAL 'y/ I 1A �/I/ f.! /71./
1 1�
CITY NOL /J• DIATE J/�'/�� 1�� BY
MAKE CHECKS PAYABLE TO: P C `///��/ /fff��, " v PMT., U,IJr
FHARVEY T. BRANDT, COUNTY ENGINEER FEE FEE
F�
r.
s
PLAN'CHECK VALIDATION 'CK. M.O. CASH PERMITA �TIO CK. O. CASH
0 0 9,tiAUG 13 )1 b 7 5.7 5
76AG58A C6#805 5/74
P. WORKERS' COMPENSATION DECLARATION w
insure or
cer that I have r certificate of consent to self g p P L l C;�►TJ O N FOR' BUILDING P E RM I T
insure, or a certificate of Workers' Compensation Insurance, , '
M or a-iertified copy thereof(Sec. 3800; Lab. C.) COUNTY OF'LOS ANGELES ;BUILDING AND SAFETY -
Policy No g� - 'Corripany �r�� ��7 u
BUILDING
❑. Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS
❑ Certified copy is filed with the county building inspec- BUILDING
tion department.' ADDRESS Qs Z �ZJoa bowlC�-
Date �pplicant CITY' rVIPLST� "( t ZIP• (7 LOCALITY
NO. OF BLDG . NEAREST '
CERTIFICATE OF EXEMPTION FRO WORKERS', SIZE.6F LOT L13 NOW ON LOT J CROSS ST. f 1—DF-A \NJ
COMPENSATION INSURANCE ASSESSOR CC GG
(This section need not be completed if the permit is for one TRACT BLOCK• , LOT NO. MAP BOOK "551!0;7_457 PAGE PARCEL
hundred dollars ($100)or'less.)'. TEL. n
OWNER A � t j `�Sy g USE ZONE MAP
I certify that in the performance of•the work'for which this NO. t '
permit is issued, I shall,not employ any person in any manner ADDRESS SPECIAL
°g Z "�/��9� a
CONDITIONS
so as to become subject to the Workers'Compensation Laws. --�-r O
CITY •-V (>LE �l ZIP l-7Fj O U
Date Applicant' ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY O
PLICAN '
NOTICE TO APT: If, after making this Certificate of ENGINEER NO. CONST. ZONE FV-
Exemption, you should become subject to the Workers' y
Compensation provisions of the Labor Code, you must.forth-• ADDRESSnw
with comply with such provisions or this permit shall be TEL ' , STATISTICAL CLASSON APT. CONDO. N
deemed revoked. CONTRACTOR �1% tL1Fi�Za NO7-0S vim+ Z
LICENSED CONTRACTORS.'DECLARATION n I LIC. CLASS NO. DWELL..UNITS
-
ADDRESS hereby affirm that.-I am licensed under provisions of Chapter 9 ADDRESS'��I 3 �1 f AI�+�01� NO.3 , ZtJS$
L'IC. SEWER MAP
(commencing with'Section 7000)of Division 3 of the Business CITY�N C T 7 CLASS r3
and Professions Code,and my license is in full force and effect. �-� BK. PG. VALIDATION
ST. NO. OF NO. OF CHECK
License Number Z•Qs� L'ic. Class SIZE. STORIES FAMILIES ONE BISBEE
VALUATION
Contractor• Date=��-'z�' -Z DESCRIPTION'OF WORK NEW ❑ �� p apo
�-�•
22s- $
ZZ 1 OW �t�riril�.E� ADD
❑I am exempt under Sec.
• p ALTER O
B.&P.C. for this rens ITG�+EA)-\�01 DOkJ'S`•`; .� r $?�/, •
USE,.OF. _. f2EPA R
Date: EXISTING BLDG. Y' ••(e_.\ DEMOL ❑ D U�
- APPLICANT.- �`' ' FINAL
Signature �R -rs' / l ) �► •�SCN�Yz N0.2 X60100 ,r L
OWNER-BUILDER.DECLARATION PRINT p
I hereby affirm that I am exempt from the Contractor's License DATE
Law for the following reason (Section 7031.5, Business and ADDRESS U EE11Z OO Sa,�lT1? �-- FINAL
Professions Code): PRESENT By ��j/%�' •V 1-
BUILDING
❑ I, as owner of the property; or my employees with: ADDRESS
wages'as.the ir.sole compensation,will db-the work and ' . ;` ` "` ;'`, , '•i 1% 24.7'
-'
the structure is not intended or offered for sale(Section LOCALITY , t . '
7044, Business and Professions Code.) MOVING TEL. M i Vii#_•:
CONTRACTOR NO. --y 1
•, ❑ • I, as owner of the property,am exclusively contracting i'i i �( "�„Z.�.,�..
with licensed'contracfors to construct the project (Sec- ' (,,
tion 7044,'Business and Professions Code.),: ADDRESS -1 ._ t J vw y 4.�:``.� `.Pk '44.,
44o, +
REQUIRED TOTAL SETBACK FROM EXIST.•:
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP..UNE WIDTH. CH
Ci
' I hereby affirm that there is a'construction lending agency for FRONT ~' ATC•
the performance of the work for which this permit-is.issued P.L.
(Sec. 3097, Cly. C.). SIDE .
P.L.• riNCjln^^(i`Gsi F`-/:,7- sr``2
Lender's Name I + _
' , LDMA Ref.# 349 1 ;f l 5101-1
,,a E1.L .
- P.C. Fee$ Permit Fee -
Lender's Address
' I'certify that I.have read this application and state that the Issuance Fee • 767 LDMA P/C#
above information.is correct. I agree to comply with all.County Investigation Fee
! ordinahces and State laws relating to building construction, Total Fee S LDMA Perm. #
( and hereby authorize.representatives of this County to enter
upon the above-mentoned pr rty for inspection urposes.
`, SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature'of Applicant or Agent Date r
gORKERS' COMPENSATION DECLARATION
•hereby r D certificate
that I have certificate of consent self APPLICATION FOR BUILDING P E RM I T
Insure, or a certificate of Worr kers' Compensation insurance,
or a certified copy thereof(Sec. 3800, LLaab.. c..) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy NoQ�Company-s=
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING (�g� I ,���BN
p� ADDRESS W
Certified copy is filed with the county building inspec- FR
Q cp �1 �1 �T`
tion department. I a ' 1 d fV C� + e I C,
DateLpplicant �jAA-- I zip 1 g d LOCALITY
. NEAREST
CERTIFICATE OF EXEMPTION F ORKERS' LOT&& 3 NOW ON LOTS I, CROSS ST. Ct l d e wit s
COMPENSATION INSURANCE ASSESSOR
(This section need not be completed if the permit is for one f (� �� BLOCK LOT NO: MAP BOOK PARCEL
hundred dollars ($100)or less.) TEL,NOa���Sy USE ZONE MAP
I certify that in the performance of the work for which this �+ 1 �► NO.
permitis issued, I shall not employ any person in any manner ADDRESS O ;k1N��I U Q 0 SPECIALO
CNDITIONSCL
so as to become subject to the Workers'Compensation Laws. 11 O
CITY �.`e,f*� L , ZIP 7,8o U
Date Applicant ARCHITECT OR TEL.
NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. DISTRICT GROUP TYPE. FIRE PROCESSED BY
Exemption, you should become / of CONST. ZONE
subject to the Workers'
Compensation provisions of the Labor Code,.you must forth- ADDRESS b�(d V JrLU
with-comply with such provisions or this permit shall beTEL• STATISTICAL CLASSIFICATI APT. CONDO. Z
deemed revoked. CONTRACTOR ' NO. S- 0 _
LICENSED CONTRACTORS DECLARATIONLIC. CLASS NO. ELL. U TS
I hereby affirm that I am licensed undeir provisions of Chapter 9 ADDRESS 913 qtr WwP NO.3 k.A ,s(Y
(commencing with Section 7000)of Division 3 of the Business / LIC. SEWER MAP
and Professions Code,and my license is in full force and effect. CITY SAP G/� �I CLASS � BK PG VALIDATION
SQ. FT: NO.OF NO. OF CHECK
License Number Z Lic. Class SIZE STORIES FAMILIES ONE
VALUATION
Contractor, Date .-- DESCRIPTION OF WORK NEW ;
❑I am exempt and r Sec. �� ADD ❑ o ►
ALTER ❑
B.&P.C. for this reason W ' &'ate REPAIR ❑ $
Date: USE OF
EXISTING BLDG. DEMOL ❑
Signature APPLICANT AA TEL•
g OWNER-BUILDER DECLARATION (PRINT) 5 SCx1 NO� DATEFINA /Ji 2
I hereby affirm that I am exempt from the Contractor's License3 n '
Law for the following reason (Section 7031.5, Business and ADDRESS lJ' Qe N toa'd'y FINA
Professions Code): PRESENT By � I. a
❑ LDING
I, as owner of the roe or m employees with ��''`'
property,rtY� YADDRESS u� �
wages as their sole compensation,will do the work and _L ;;° ,. ,:j_;
the structure is not intended or offered for sale(Section LOCALITY
7044, Business and Professions Code.) MOVING TEL. ���� a T Tr ra=
❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. r -Z.-
with licensed contractors to construct the project (Sec- ? f:L_ v.rII •� z'
ct
tion 7044, Business and Professions Code.) ADDRESS
REQUIRED TOTAL SETBACK FROM EXIST. ��k�4'ti (-' '—
CONSTRUCTION LENDING,AGENCY SE7 BACK YARD HWY PROP. LINE WIDTH ;.,..
1 herebyaffirm that there is a construction lending agency for FRONT �' ` "t'= �.I.'•
9 9 Y t•("ir�i;•s�
the performance of the work_ for which this permit is issued P.L.
(Sec. 3097, Civ. C.). SIDE
P..L.
Lender's Name I tlJllf '/ u r"
3 �f'l�� LDMA Ref. N 5
P.C. Fee$ Permit Fee a ��'�' t' i N�J :r
• Lenders Address r _"=o - ��l i}"`-
I certify that I have read this application and state that the Issuance Fee �3 LDMA P/C#1
above information is correct. I agree to comply with all County Investigation Fee p
V ordinances and State laws relating to building construction, Total Fee O .41 W/ 10 LDMA Perm. #i
5 and hereby authorize representatives of this County to enter
upon th ab ve-mentioned grope y fgr�' spection purposes.
p� SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant or Agent Date