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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