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Home My Public Portal About4818 WILLMONTE AVE_Building__ Y iaweaewceaeoee-ae APPLICATION FOR BUILDING P MI COUNTY OF LOS ANGELESBUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING .AND SAFETY DMSION LOCALITY JOHN A.LAMBIE.COUNTY ENGINEER NEAREST CASBATT D.GRIFFIN SUPT OF BUILDING 'CROSS ST. DISTRIC NO. GROjJI I•P I I YPE I PR Y FOR APPLICANT TO IN , / coNs 13UILDIWG STATISTICAL C SSIFICATION SEWER MAP PG ADDRESS /� CLASS.NO. / DWELL.UNIT LOT NO. BLOCK MAP STATE YES O 9 NUMBER O HWY. TRACT8 USE ZONE SPECIAL SIZE OF LOT I NO.OF HLDGS. CONDITIONS NOW ON LOT 2 USE OF EXISTING BLDG. BUILDING YARD HWY STREET NAME EXIST' SETBACK WIDTH OWNER Nnrma.n T Leavitt FRONT - MAIL. RONT MAIL. P.L. �CL ADDRESS lL823 N. Ba n SIDE CITY TemPl_P City NO. P..L. ARCHITECTOR TEL. INSPECTION RECORD ENGINEER %=3-3-=3-3- CAAS�'ra CO- NO. • �`� ,d l•S -e9/^sw 4.�� ,yam a ADDRESS TEL. CONTRACTOR Jeletell Const•. Co,NOATm33191 ! ADDRESS 5LL5 W. Valley Blvd., El Mont --��/'s" GK ��t� aI-c•,.•��o� ��G �. �; DESCRIPTION OF.WORK NEW .X ADD ALTER REPAIR DEMOLISH S ZE ' 952 STORIES 1 FAMIOL ES 1 USE OF STRUCTURE SIGNATURE OF APPROVALS APPLICANT DATE INSPECTOR'S SIGNATURE ADDRESS W. Valle B1Vd• El O e FOUNDATION: LOCATION $ FORMS.MATERIALS P.C. $ FRAME: FIRE STOPS. C� FEE BRACING. BOLTS VALUATION / $ FURNACE: LOCATION. r / FEE GAS VENT.DUCTS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH.INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUN ORDINA E. AND STATE LAWS R ATING �L k C ISION. LATH.EXT. SIGNATURE OF HOUSE NUMBER COR. PERMITTEE = RECT AND POSTED .� t ADDREs _ FINAL CLYDE N.DIRLAM. PRINCIPAL ST URAL ENGINEER PLAN CHECK VALIDATION c M.O. CASH PERMIT VALIDATION CK. M.O. CASH 1 'tr,06 9 7 7 iA" 22 2 3.A 15.0 0 v 7 1 8 7� •� nn n i.?utJ n ,i,t')' '�8 1 A 3 V.0 0 `3 a Jr If WORKERS'COMPENSATION DECLARATION hereby affirm that I have certificate of consent to self APPLICATION FOR �U I L D I N G PERMIT • � �Snsure, Ut a certificate of Workers'Compensation Insurance, � yor a certified copy thereof(Sec. 3800, Lab. C.) I COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No.—Company LDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with the county building inspec- BUILDINGEl tion department. ADDRESS / LOCALITY o�yC NEAREST Date Applicant CITY ZIP T CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' If 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 USE ZONE ESPECIAL P 6V 6.1 hundred dollars ($100)or less.) TRACT BLOCK LOT NO. . ��(([[ _,�/ /� C4 j TEL.Icertify that in the performance of the work for which this OWNER [/ w� "`1 � 3 r V"" NO. NDITIONS LL permit is issued, I shall not employ any person in any manner �_ DISTRICT GROUP TYPE FIRE PRO ESSED BY so as to become subject to the WoZ=17�x- ADDRESS(. (, _ CONST. ZONE 4i cc Date Applicant CITY ZIP ( STATISTICAL CLASSIFICATION AFT. CONDO. V OTICE TO APPLICANTam : If, after making this Certificate of ARCHITECT OR TEL. Ex mption, you should become subject to the Workers' ENGINEER NO. CLASS NO. DWELL.UNITS Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this permit shall be TEL. deemed revoked. CONTRACTOR NO. BK. to PG„S([ / VALIDATION LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 _'ADDRESS NO. 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 CLASS $ SQ. Fr. NO.OF NO.OF CHECK110111. License Number Lic.Class SIZE STORIES FAMILIES ONE DESCRIPTION OF WORK NEW ❑ $ Contractor Date F 0 ADD I am exempt under Sec. ALTER ❑' FINAL B.&P.C. for this reason REPAIR ❑ DATE s/ n Date: USE OF FINAL (' EXISTING BLDG. DEMOL ❑ . By r/ Signature APPLICANT TEL. OWNER-BUILDER DECLARATION PRINT NO. ® _��_ Y�' yj S' js i'G:� f t� C r�l:'r I hereby affirm that I am exempt from the Contractor's License / Law for the following reason (Section 7031.5, Business and ADDRESS 3 r n e, ..r Professions Code): `PRESENT BUILDING 3 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 C NTRACTOR NO. - with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SMACK YARD HWY PROP. LINE WIDTH 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. _2 d s S-6 _ tSec. 3097, Civ. C.). SIDE 's P.L. Lender's Name P.C. Fee$ Permit Fee Lender's Address U I certify that I have read this application and state that the Issuance Fee . �G above information is correct. I agree to comply with all County Investigation Fee sordinances and State laws relating to building construction, Total Fee O ' 00 9 and hereby authorize representatives of this County to enter upon t e bove-mentioned r rty foczinspection purposes. t i / I Signature of Applicant or Agent SEE REVERSE FOR EXPLANATORY LANGUAGE Date es Jr �r WORKERS'COMPENSATION DECLARATION 1 / I It,4 I hereby affirm that I have a certificate of consent to self IAPPLICATION F O R- WILDING P E RM I T Shsure, &a certificate of Workers'Compensation Insurance, -vor a certified copy thereof(Sec. 3800, Lab. C.) I COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No-'I Company BUILDING5 E] certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with the county building inspec- BUILDING LOCALITY tion department. ADDRESS SLG EZ7NEAREST J l Date Applicant CITY ZIP �� CROSS ST. t�C 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 USE ZONE MAP hundred dollars($100)or less.) TRACT BLOCK LOT NO. NO. J / r TEL. � SPECIAL } I certify that in the performance of the work for which this Y OWNER l rd Ci��`�c( ` ?� �f V�� NO. CONDITIONS O. permit is issued, I shall not employ f person in r manner DISTRICT GROUP ITYPEST.J/ FIRE PR ESSED BY O so as to become subject to the Wor y PCompensatY n ws. ADDRESS �'v r /� CONZONE li Date Applicant cc CIN ZIP ! STATISTICAL CLASSIFICATION APT. CONDO. U OTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. x mption, you should become subject to the Workers' ENGINEER NO. CLASS NO. DWELL. UNITS Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this permit shall be TEL �I C� deemed revoked. j CONTRACTOR NO. BK. /L PG„S / VALIDATION LICENSED CONTRACTORS DECLARATIONLIC. I hereby affirm that I am licensed under provisions of Chapter-9 ADDRESS NO. 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 CLASS $ s aU d , SQ. FT. INC.OF NO.OF CHECK License Number Lic.Class SIZE /� STORIES FAMILIES ONE DESCRIPTION OF WORK NEW ❑ $ Contractor --Date ADD I am exempt under Sec. _ ALTER E] FINAL � B.&P.C. for this reason REPAIR E-11DATE1 Date: USE OF DEMOL y j l t_c EXISTING BLDG. � By Y Signature APPLICANT TEL. T— OWNER-BUILDER DECLARATION PRINT NO. —�f �'j• /i' G-c-- e_0 C..O(c:r— I hereby affirm that I am exempt from the Contractor's License , Law for the following reason (Section 7031.5, Business and ADDRESS i 3 -7 cl6, Professions Code): PRESENT U BUILDING I, as owner of the property, or my employees with ADDRESS h wages as their sole compensation,will do the work and t i 1 the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. ❑ C t.' u v o I,as owner of the property,am exclusively contracting CONTRACTOR NO. V•, t i with licensed contractors to construct the project (Sec- ADDRESS % (1 tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH •1! -_� 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. �� d �v I I _5-3 ` tSec. 3097, Civ. C.). SIDE m P.L. a Lender's Name $ P.C.Fee$ Permit Fee V � 15-6Lender's Address xI certify that I have read this application and state that the Issuance Fee . �G above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee 70 , 00 and here y authorize represen atives of this County to enter upon t e bove-mentioned r rty forditspection purposes. t ✓ SEE REVERSE FOR EXPLANATORY LANGUAGE o ®s Signature of Applicant or Agent Date I