HomeMy Public PortalAbout9887 WENDON ST_Building__ 76AS36A CE#8032/60 APPLICATION FOR BUILDING PERMIT 5
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING I CROSS ST.
Dt§IRIT O. �70'vP TYPE PROCE,S$E B
FOR APPLICANT TO FILL IN , ( � CONST.
BUILD'
A NG, - STATISTICA� SIFICATION I SEWER MAP
ADDRESS/ �', ,r� { BK PG
CLASS. NO. DWELL.UNITS
LOT NO. BLOCK MAP J STATE
NUMBER HWY. YES••
TRACT ✓ ` (/ USE ZONE SPECIAL
/Ji NO.OF BLDGS. /,/� / CONDITIONS
SIZE OF LOT I NOW ON LOT f�
USE OF
EXISTING BLDG. BUILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
OWNER f��/ . - ; i...,'.r TO .: FRONT
ADDRESS -' j /i;,Aj P. L.
SIDE
ARCHITECT OF51'- ,f , TEL. P. L.
ENGINEER NO.
INSPECTION RECORD
ADDRESS/
EL.)
CONTRACT UR-'t-.' % - O:' O
ADDRESS
DESCRIPTION OF WORK
A
NE ADD ALTER REPAIR DEMOLISH >+
FT.r i NO.OF NO.OF
SIZE ' STORIES FAMILIES
USE OF
STRUCTURTY c.-(,/ 1,/l/ .//' : .�_; .. O
SIGNATURE OF H
APPLICANT
VALUATION$
APPROVALS DATE INSPECTOR'S SIGNATURE
/j FOUNDATION: LOCATION
FEE $ '� FEE $/.� 00 FORMS,MATERIALS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS,
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND BRACING, BOLTS
FURNACE: LOCATION.
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
GAS VENT,DUCTS
STATE LAWS REGULATING BUILDING CONSTRUCTION.
1 CERTIFY THAT IN DOING THE WORK AUTHORIZED 1 LATH, INT.
WILL NOT EMP OY AN PERS N IN VIOLATION OF THEj
WORKMEN'S �JMPENS TIO WS QF CA iFORNI� I LATH,EXT.
SIGNATURE, ! �' '//' rr / [HOUSE NUMBER COR-
PERIJ.17 _ "� �� 1 J•l` RECT AND POSTED
AD'6RESS � FINAL
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION i✓i4. M.O. CASH PERMIT VALIDATION l ats M.O. CASH
{.DEPAR7 t= OF BUILDING AND SAFETY U I L ®_1.
COUNTY OF LOS ANGELES , ,
,!:IyWM. J. FOX, CHIEF ENGINEER APPLICATION
FOR APPLICANT TO FILjIN
FOR OFFICE USE ONLY
DISTRICT NO.' PLAN CK.OR REC.No. PERMIT NO.
BUILDING ,/
ADDRESS V �5 ' /
LOCALITY,
/ EIVED BY FDATE OF APPL. DATE ISSUED
r 5-2-
NEAREST
/ �/ - �� J
CROSS ST. I jl t _n !v 1 /��f BUL
ADDRESS �
OWNER i� 1 ! ! i f
MAIL r
LOCALITY /T7 �O
ADDRESS 1 K Ll y-ow NEAREST
CROSS 9T. ®�CITY �. _ / I NDLO �.g FIRENO.OF GROUP
ARCHITECT 13R _ TE ZONE PLANS v
ENGINEER NO SETBA �� ` NO.
CK LINE
ADDRESS- IYI USE APPROVED
CONTRACTDR.� , NO ZONE` BY DATE
HOUSE NUMBERING
ADDRESS ,4 P,`!�/� MAP NUMBER L NO. ASSIGNED BY
LEGAL CORRECTIONS
DESCRIPTION t�LOT NO. BLOC
TRACTNO. OF EL
SIZE OF LOT ' 1 I NOW ON LOT J ml
USE OFO.OF /t
EXISTIN BLDG.( �h— FAMILIES
DESC4IPTION OF WORK �� ��` �Auol �I' Q1.P m C9 1'e,
NEW ALTERATION ADDITION Y
r
REPAIR DEMOLITION
SQ.FT. NO.OF
SIZE 1 ROOMS STORIES
EXT.WALL I ROF .s
COVERING O
I CDVERING (� J I
USE OF STR CT RE
INSPECTION FOR APPROVALS
OCCUPANCYAS IN5PECTORPSSIGNATURE DATE
FOUNDATION: LOCATION 9`
FORMS, MATERIALS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRESTOPS,
CORRECT. l fD
PLICATION AND STATE THAT THE INFORMATION GIVEN I9 BRACING,BOLTS r ErU
I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION,
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT,DUCTS
SIGNATURE OF ` '� LATH, INT.
PERMITTEE -- /
L1 � LATH. EXT.
ADDRESS _ �i0
dt 's I1 ed�_Al
PLASTER, INT.
AUTHORIZED AMT. if i41/
- PLASTER. EXT.
FEE HOUSE NUMBER COR-
� RECT AND POSTED
mnqp /- H-23
VALUATION FEE FI NAL Vii►L
7S,A638A DBS 3 7-51 r
OF BUILDING AND SAFETY BUILDING COUNTY�OF-LGS ANGELES �P 3
FOX, CHIEF ENGINEER 1952 APPLICATION
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
AUILDING 9??7 o a) r �/� DISTRICT NO. LAN CK.OR REC.NO.- ' PERMIT NO.'
iV J/ 73 6'! 97/ YOB
! RECEIVED BY DATE OF APPgL. DATE ISSUE�D<.
LOCALITY n� �.� v��� • >� ��' I _J
NEAREST pp�� 5zi (� �J �//
CRO58 ST. f/� ADDRESS / e e // • V1®^� e/ ey
OWNER M /�
MAIL '' )) LOCALITY -e
ADDRESS ,y� 10 �/ // NEAREST / !//PS 1 r
CITY -- / 4-�� NOL' �A •� `� FIRE ZONECROSS ST. (J� N NS ? (TTYYPE � /T/ GROUP
ARCHITECT OR /�r ,EOL
ENGINEER c BLDG. g+ / O D. NO.
ADDRESS v SETBACK LINE 0q O
USE ,J APPROVED
TEL ZONE N BY DATE
CONTRACTOR, xti NO. oo►� HOUSE NUMBERING
ADDRESS A e MAP NUMBER a•G 03 NO. ASSIGNED BY
LEGAL CORRECTIONS
DESCRIPTION LOT NO. BLOCK
TRACT ( J //J
SIZE OF LOT 0� + /� I NOW ON LOTGB� D/YG r, •L�4,q<J /� �—
USE OF ND.
EXISTIN BLDG. �. C/ _ FAMIL°IE8
DESCRIPTION OF WORK °
A
NEW ALTERATION ADDITION
�?v'��r�. Par s,•b� ��f< . r >
REPAIR DEMOLITION 11r
SIZE ! Q ROOMS STORIES /S 6 , I.I?S 6Xfyv�/,�/✓ ./ /GI 7� ,IC C J�
EXT.WALL ROOF
COVERING��e/ C Q I COVERING J /1'�P4VIj- JV r-'e y )
USEgF STRUCTURE
Jf
'7-,--::- l f) '' rd frn-f
INSPECTION FOR APPROVALS
OCCUPANCYAS INSPECTOR'S SIGNATURE DATE
FOUNDATION: LOCATION
FORMS, MATERIALS G
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-
PLICATION AND STATE THAT THE IN
GIVEN IS FRAME: FIRESTOP96
CORRECT. BRACIND, BOLTS
I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, ���r}��,�"]�
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT,DUCTS `� "'/' �l /r/6//
SIGNATURE OF� j! � LATH, INT. I 17 w/ �� ✓�I/+
PERMITTED '
LATH. EXT. V(/L �Lvli
ADDRES
ip /L PLASTERp INT.
AUTHORIZED ACT.
PLASTER, EXT.
$
H
FEE
�, OUSE NUMBER CDR-
Oro 9 RECT AND POSTED
VALUATION !/ J FEE / FINAL 16
Gtr ' o/ j�41�7
76A638A D88 3 7-SI
w I ,WORKERS'COMPENSATION DECLARATION
her affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT
insure, or a certificate of Workers'Compensation Insurance,
or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No � q— Company -79' T
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING
ADDRESS ?4!R91C(1pd i
Certified copy is filed with the county building inspec- FADDRE7SS
��"
tion department. r�,t.l 100" �vDate 0 7 Applicant � f�E C! ZIP LOCALITY �6J� Cr
CERTIFICATE OF EXEMPTION FRO WORKERS'/ NO.OF BLDGS. NEAREST
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. I
(This section need not be completed if the permit is for one tel/ ASSESSOR
hundred dollars($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL
TEL. USE ZONE NO.
I certify that in the performance of the work for which this OWNER ,�1� % 7"/� NO. A'n _
SPECIAL
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
Date Applicant CITY ZIP ` a� ",1 U
NOTICE TO APPLICANT: If, offer making this Certificate of ARCHITECT OR ,r TEL.AF3 DISTRICT GROUP TYPE FIRE CESSED BY O
Exemption, you should become subject to the Workers' ��
ENGINEER �Jbt • NO. •I�3 CONST. ZONE tU^
Compensation provisions of the Labor Code, you must forth- ADDRESS Q a !C[E P 0 �Z IL
with comply with such provisions or this permit shall be TEL..21-4 STATISTICAL CLASSIFICATION APT. CONDO, N
deemed revoked. CONTRACTOR riY[c[ NO /5•+�i� Z
LICENSED CONTRACTORS DECLARATION LIC. y CLASS NO._DWELL. UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS / �Q {ypir/ NO. J� l� SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and LIC, `
Professions Code, and my license is in full force and effect. CITY A CLASS BK PG VALIDATION
License Number /� �% Lic.Class uan— T& SIZES 11.2— S ORIES FAMIOLIES CHECK
A VALUATION
Contractor/ n�f7 ACt Date DESCRIPTION OF WORK NEW ❑ $ 16)00•
^' ®(�
❑I am exempt under Sec. i0 �,ueC ADD O , ;2 0 5 4,7 A
ALTER
# o 0 0 0 0.1
B.BP.C. for this reason ��� REPAIR ❑. $ o o49,88
USE OF 1-1
Date: EXISTING BLDG. D DEMOL ❑. a 0 0 4 g 8 8 5
APPLICANT TEL Ji
Signature PRINT y/V� �L NO. —g1S FINA �_
OWNER-BUILDER DECLARATION DAT / 0 8 2 9 8 8
1 hereby affirm that I am exempt from the Contractor's License ADDRESS ���2��c$7 FIN
Law for the following reason (Section 7031.5, Business and
Professions Code): PRESENT Byp!�g
a
❑ BUILDING
I, as owner of the property, or my employees with ADDRESS
wages as their sole compensation,will do the work and
the structure is not intended or offered for sale(Section LOCALITY
7044, Business and Professions Code). MOVING TEL.
I, as owner of the property, am exclusively contracting CONTRACTOR NO. -20511,6 A
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code). :V # o o,o a 2
REQUIRED TOTAL SETBACK R
CONSTRUCTION LENDING AGENCY i SET BACK YARD HWY PROP. LINE WIDTH
I hereby affirm that there is a construction lending agency for FRONT t' o 02 b 2 5
the performance of the work for which this permit is issued P.L. _
(Sec. 3097, Civ. C.). SIDE o a a 2 6 2 5 c6
P.L. 0 &29--88
Lender's Name
P.C.Fee$ ��- _ LDMA Ref. q
Lender's Address 2 Permit Fee
I certify that I have read this application and state that theIssuance Fee 5�D LDMA P/C R
g above information is correct.'I agree to comply with all County Investigation Fee
aq ordinances and State laws relating to building construction,
N and hereby authorize representatives of this County to enter Total Fee > LDMA perm.q
upon the bove-mentione property for inspection purposes.
m t� �
r SEE REVERSE FOR EXPLANATORY LANGUAGE �
ignature of Applicaff or Agent Date