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Home My Public Portal About4819 WILLMONTE AVE_Building__ ADBS-a 11.59 APPLICATION FOR BUILDING PERMIT 11•SS '�• DIVISION OF BUILDING AND SAFETY BUILDING V ADDRESS `7 G L 1�tlV PV Deportment of County Engineer County of Loa Angeles LOCALITY C JOHN A.LAMBIE.COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN.SUPT OF BUILDING CROSS ST. DISTRF NO. GROUP TYPE SEWER MAP FOR APPLICANT TO FILL IN77v I BK PG CONS . BUILDING `r //�� ADDRESS 4 q 1A i�,�� [•', y NUMBEMAPR V HWY YES NO LOT NO. BLOCK USE ZONE SPECIAL ' CONDITIONS TRACT NO.OF BLDGS. SIZE OF LOT I NOW ON LOT BUILDING YARD "WY STREET NAME EXIST. USE OF SETBACK WIDTH-- EXISTING'BLDG. FRONT P.L. OWNER 'SIDE MAIL . P. L. ADDRESS O TRACT DWELL. I UNIT � `� TEL. 5 INDUSTRIAL CITY .CJ-tL NO, T DWELL. 1 UNIT 6 PUBLIC BLDG. ARCHITECT ORV I TEL. 2 DUPLEX 2 UNITS 7 ADDN..ALT., ETC. ENGINEER NO. 3 APT. UNITS ADDRESS 4 COMMERCIAL 1 8 MISCEL. CONTRACTOR TNO' INSPECTION RECORD ADDRESS DESCRIPTION OF WORK +.! .O..t�fes......-.. NEW ADD ALTER REPAIR DEMOLISH J SO.FT. NO. OF NO.OF SIZE STORIES FAMILIES USE OF STRUCTURE � 1 - SIGNATURE OF APPLICANT APPROVALS ADDRESS DATE INSPECTORS SIGNATURE . FOUNDATION:LOCATION P.C. $ FORMS.MATERIALS FEE FRAME: FIRE STOPS. VALUATION $ BRACING.BOLTS FEE FURNACE: LOCATION. / n I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT. DUCTS APPLICATION AND 'STATE THAT T ABOVE IS CORRECT AND AGREE TO COMPLY WITH AL OUNTY ORDINANCES LATH.INT. AND STATE LAI S E ULATIM-Y TRUC- TION. C LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESSS `r I FINAL IOHN A.LA BIE.COUNTY ENGIFIEER VAUDATION CLYDE H.DIRLAM. CHIEF BLDG. INSPECTOR• C MO CASH �Ll 6 5.3.E OCT-24 Z .2..0 +� r WORKERS'COMPENSATION DECLARATION " ere, affirm that I have certificate of°Finsen"fo self^' 'f! A Iy L I CATION FOR BUILDING PERMIT � ureor a certificate of Workers'Compensation Insurance, } a certified copy thereof(Sec. 3800, Lab. C. e COUNTY OF LOS ANGELES, BUILDING AND SAFETY Iicy No. Company 11 Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING f ADDRESS /'q f Certified•copy is filed with the county building inspec-' BUILDING C tion department. ADDRESS . SL /�/ LOCALITY �� NEAREST to Applicant CITY ZIP CROSS ST. L.LFJ -CERTIFICATE OF EXEMPTION FROM.WORKERS' ex NO.OF BLDGS. -ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL USE ZONE MAP J its section need'riot be completed,if the permit is for one TRACT BLOCK LOT NO. ndred dollars($100)or less.) _ t ` f TEL. j //�� SPECIAL IL erti that in the performance of the work'for which this OWNER ��./ L NO.y g 7r /' CONDITIONS p DISTRICT .GROUP TYPEFIRE PROCESSED.BY 'O rmit:is issued, I shall not employ any person in any manner - CONST.. ZONE V as t41 o become subject to the•Workers'Compensation Laws. ADDRESS Pr3. to -Applicapz �&- CITY ZIP STATISTICAL CLASSIFICATION APT.. CONDO. )TICE.TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. smption, you should become subject 'to the Workers' ENGINEER NO. CLASS NO. _DWELL. UNITS W mpensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP N th comply with. such provisions.or this permit shall be " TEL.:. Z ' erred revoked. -BK. : PG,'• . VALIDATION CONTRACTOR NO.. LICENSED CONTRACTORS DECLARATION ``� LIC.. ` ereby;affirm that I am'licensed under provisions of Chapter 9 ` -ADDRESS NO... VALUATION ' tmmencing with Section 7000)of Division 3 of the Business and. : LIC. o� 3fessions Code', and my license is in full force and effect. CITY CLASS $ 9E0 e ' t SQ. FT. NO:OF NO.OF CHECK , ense Number Lic.Class SIZE STORIES FAMILIES ONE ; niractor Date r'I. DESCRIPTION OF WORK NEW I am-exempt'under Sec. ��G��%T'!�c FINAL sr ALTER i ••B.BP:C: for this reason REPAIR ❑ DATE .` USE OF FI i Date: I EXISTING BLDG. DEMOL B. Si.gnafure '' ; ,l APPLICANT �� TEL. p� OWNER-BUILDER DECLARATION PRINT A Z1 x11/10-/.Q,/'fNO. iereby.affirm that I am exempt from the Contractors License f w for the following reason (Section 7031.5, Business and ADDRESS' ofessions Code): PRESENT BUILDING I; as owner of the property; or my employees with ADDRESS' wages as their sole compensation,will do the work and %1" . . 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. ! .• with licensed contractors to construct the project (Sec- I ADDRESS t tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM WIDTH 1 L ` 0 C,T .CONSTRUCTION LENDING AGENCY ' i SET BACK YARD HW`! PROP.LINE "�' tereby affirm that there is a construction lending agency for �. ;;{ FRONT, - :- I•{ f;r,.Y ;� e performance'of the.work for wh'icli fhis permit is issued ( P:L.. " ec. 3097,.Civ,. C.): SIDE P..L. �. rider's Name P.C.Fee$ Permit Fee i �nder's Address � .,� `, . . ..• - .• -• . :ertify'that I have read this application and state that the i ;": issuance Fee 0 t .' iove information is correct. I agree to,comply with.all.County 111 Investigation Fee dinances and State laws relating to building construction, Total Fee / id hereby authorize representatives,of this County to enter ';.iI ton the abovrwjnention?d pr erty for' sp ton purposes. ! • SEE REVERSE FOR EXPLANATORY LANGUAGE ` Signature bf'Applicant.•or Age Date �'I ®s WORKERS'COMPENSATION DECLARATION �t reby affirm that I have certificate of consent to self APPLICATION F O U I L D I N G PERMIT insure, or a certificate of Workers'Compensation Insurance, el or a certified copy thereof(Sec. 31300, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING J 41- Certified ADDRESS ! ❑ Certified copy is filed with the county building inspec- ADDLD RESS' ��GG��gJ�� LOCALITY tion department. ADDRESS OO!! /(/ NEAREST / � Date Applicant CITY ZIP CROSS ST. A0 IN CERTIFICATE OF EXEMPTION FROM WORKERS' &Q7 o OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT U e�S, OW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP d D hundred dollars($100)or less.) TRACT BLOCK LOT NO. NO. OWNER ' "��/7 SPECIAL I certify-that in the performance of the work for which this CONDITIONS permit is issued,I shall not employ any person in any manner DISTRICT GROUP TYPE FIRE PRO ESSED BY Q ADDRESS ,/ CONST. ZONE U so as to become subject to the Workers'Compensation Laws. i. �, ,.Y 2 r _ -.� L X Date"" 'O— iApplican+� /✓� „ CITY ZIP STATISTIWCALCLASSIFICAATION V APT. CONDO. ARCHITECT OR TEL. NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. Exemption, you should become subject to the Workers' CLASS NO. DWELL. UNITS Compensation provisions of the Labor Code, you must forth- ADDRESS /y t L L��l�/ SEWER MAP with comply with such provisions or this permit shall be TEL. / Z deemed revoked. CONTRACTOR �G NO. T BK. PGS, VALIDATION r LICENSED CONTRACTORS DECLARATION . LIC, I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. r VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC 3�D 00 Professions Code,and my license is in full force and effect. CITY CLASS $ , SQ.FT. NO.OF NO.OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE Contractor Date DESCRIPTION OF WORK �-s✓ (,i NEW $ ❑I am exempt under Sec. ADD ALTER ❑ FINAL B.&P.C. for this reasonDATE �f REPAIR ❑ ; USE OF DEMOL Date' EXISTING BLDG. ❑; FINAL n J Signature APPLICANT TEL. OWNER-BUILDER DECLARATION PRINT NO. I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS Professions Code): PRESENT � LI 0,8 A ❑ BUILDING I, as owner of the property, or my employees with ADDRESSF c o 0 0 0 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. L o 0 2 a 5 O ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS. c,0 " 2 Z' E 0 06 tion 7044, Business and Professions Code). REQUIREDTOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH ® 0 3 1 4 -3,5 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. tSec. 3097,Civ. C.). SIDE P.L. ? Lender's Name OV 3 Lender's Address P.C.Fee$ Permit Fee - r I certify that I have read this application and state that the Issuance Fee Sv above information is correct. I agree to comply with all County Investigation Fee /l ordinances and State laws relating to building construction, Total Fee and hereby authorize representatives of this County to enter upon the above.-mention�rop t or 1 pection purposes. Jr1 /d' ' M9� 0 - SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date as WORKERS'COMPENSATION DECLARATION ., , 1, hereby affirm that I have certificate of consent �.to self I �Ap p L I CATION 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. Company I T BUILDING -�,� ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS/18/q /I , ❑ Certified copy is filed with the county building inspec- BUILDING �` A/ l�!`�/ f /� ^ Z® tion department. ADDRESS Y otv o moi/ G Imply LOCALITY !�G n(�!/1 �/J NEAREST Date —Applicant CITY �� 417V ZIPiQl 0117 CROSS ST. �i/(!� ewL CERTIFICATE OF EXEMPTION FROM WORKERS' O.OF BLDGS. ASSESSOR �'.�? PAGE 67 PARCEL COMPENSATION INSURANCE SIZE OF LOT ON L07 MAP BOOK. (This section need not be completed if the permit is for one 00% USE ZONE AP MTRACT BLOCK LOT Nd. ! NO. hundred dollars ($100).or less.) SPC TEL. /� j CONDITIONS G. I certify that in the performance.of the work for which this OWNER t7�� NO. i permit is issued, I shall not employ.any person in any manner ' s /��A ISTRICT GROUP TYPE FIRE PROCESSED BY O so as to become-subject to the Warkers�ompensa• n a s. ADDRESS /J21 q Al./l WUU MO CONST. ZONE V Date m pplicant<- W 2w CITY !C/`'/ L46 C ZIP C O STATISTICAL CLMSIFICATION PT. CONDO. NOTICE TO APPLICANT: if, after makingthis Certificate•of ARCHITECT OR n TEL. ENGINEER d NO. CLASS NO.2-1 DWELL:UNITS 'Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- ADDRESS J DAG SEWER MAP with comply with such provisions or this permit shall be deemed revoked. n TEL' BK. PG, VALIDATION .` CONTRACTOR tI NO. LICENSED CONTRACTORS DECLARATION LIC. I hereby off irm'that I am licensed under provisions of Chaptet 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. I CITY CLASS SQ.FT. NO.OF NO:OF CHECK 'License Number Lic.Class SIZE ISTORIES FAMILIES ONE Contractor Date t DESCRIPTION OF WORK NEW ❑ d �Q ADD ?• F1 am exempt under Sec: — AW!4.v. ALTER E] FINAL Y�^2-3B.BP.C. for this reason ! � / REPAIR ❑ DATE USE O. Date: EXISTING BLDG. bEMOL ❑ FINAL }(' Signature - ` ,� APPLICANT TEL. q By rl OWNER-BUILDER DECLARATION l PRINT NO. . G, f I hereby affirm that I am exempt from the Contractor's License ;, �/ .t/i, Law for the following reason (Section 7031.5, Business and „ ADDRESS , W// Professions Code)• PRESENT ! 13UILDING ,.. I, as owner,of the property,,or my employees withADDRESS' ,. wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section + ''i LOCALITY n 7044, Business and Professions Code). : ,! MOVING TEL. 7.'r 1:1 I,as owner of the property,am exclusive) contractin CONTRACTOR NO. P P Y, Y 9 f. c o 2'57,5 with licensed contractors to construct the project (Sec- k ADDRESS. 'tion 7044, Business and Professions Code). I' G 5— G REQUIRED TOTAL SETBACK FROM EXIST.. CONSTRUCTION LENDING AGENCY I SET BACK YARD HWl' PROP.LINEWIDTH I hereby affirm that there it.a construction lending agency for it FRONT the performance of the work for which this permit is issued P.L.. pop - (Sec. 3097, Civ. C.). II SIDE ' ;i -P.L. - ' ? Lender's Name r f P.C. Fee$ Permit Fee Lender's Address r .j I certify that I have read this application-andst tae that the l+, Issuance Fee �jZa 'I above information is correct. I agree to comply with.all County , !� •Investigation Fee e i ordinances-and State laws relating to building construction, Total Fee and hereby authorize representatives of this County to enter - upon-the.aboyq rationed ope for inspection purposes. !4� SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date :r ®s WORKERS'COMPENSATION DECLARATIONI hereaffirm tha insurebor a certif ca'te of Wo ke s'tificate Compensat on Insurancof coent to e, APPLICATION F OR L13P U I L D I N G PERMIT or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING / ADDRESS Certified copy is filed with the county building inspec- BUILDING / C y�/ tion department. ADDRESS . LOCALITY NEAREST ` / L y ld Dare Applicant CITY ZIP `1 fa CROSS ST. L�/L!/r ��V f&1 cV15X4z CERTIFICATE OF EXEMPTION FROM WORKERS' �A g• N OF BLDGS. tt ASSESSOR COMPENSATION INSURANCE SIZE OF LOT S NOW ON LOT 1 MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE I MAP } hundred dollars($100)or less.) TRACT BLOCK LOT NO. INO. �` �/�j,f} `O TEL. �% / i SPECIAL } I certify that in the performance of the work for which this OWNER � NO. 7 7 ` CONDITIONS permit is issued, I shall not employ any person in any manner L1 �p d/J� DISTRICT GROUP TYPE FIRE PRO ESSED-BY O so as to become subject to the Wo es'Compen ' n L ws. ADDRESS S r� !�"� CONST. ZONE U Dat r Applica CITY �. ZIP STATISTICAL CLASSIFICATION PT. CONDO. U AN OR TEL. ,�``� / NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER � � NO. G/ �/ CLASS NO. DWELL. UNITS U Exemption, you should become subject to the Workers' 1L Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this permit shall be �r—r �' z deemed revoked. CONTRACTOR ��—�{ NO. BK. PG," 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 $ o d 6i ► SQ.FT. N .OF /' NO.OF CHECK License Number Lic.Class SIZE OZ STORIES. / FAMILIES ONE s Contractor Date DESCRIPTION OF WORK NEW ❑ ❑ I am exempt under Sec. �► Q e �' ADD ❑ r^ f ALTER ❑ FINAL B.BP.C. for this reasonDATE REPAIR ❑ < < Date: USE OF FINAL EXISTING B G. DEMOL ❑ By Signature APPLICANT TEL. OWNER-BUILDER DECLARATION PRINT NO. C 1 2 0 A I hereby affirm that I am exempt from the Contractor's License i' a o a o a 1 Law for the following reason (Section 7031.5, Business and ADDRESS Professions Code): PRE ENTIIIIIIIIRIIIIIIIIII 2'r o 4 050 BUILDING I, as owner of the'property, or my employees with ADDRESS wages as their sole compensation,will do the work and u ° a .10.51 0 x the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. C C 3-84 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 EXIST. CONSTRUCTION LENDING AGENCY SET BACK 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. iSec. 3097, Civ. C.). SIDE a P.L. o Lender's Name a P.C.Fee$ Permit Fee �� $ - Lender's Address rI certify that I have read this application and state that the Issuance Fee above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee d � 9 and hereby authorize representatives of this County to enter ' upon the vAxmentioned prorty or'nspection rposes. el' _74 a - SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date es • J WORKERS'COMPENSATION DECLARATION cl re' affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT c insusure,, 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. Company / ❑ Certified copy is hereby furnished. BUILDING FOR APPLICANT TO FILL IN ADDRESS G&_/�L/1ZD7c.�T E] Certified copy is filed with the county building inspec- BUILDING tion department. d ADDRESS f Waz Date .-- •f Applicant � CITY "'1-Z ZIP LOCALITY CERTIFICATE OF EXEMPTIONFROM WORKERS' y Q � NO.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT /�J NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one ASSESSOR hundred dollars ($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL TEL. �, USE ZONE MAP n I certify that in the performance of the work for which this OWNER f /!� �/NO.• NO. >- permit is issued, I shall not employ any person in any manner SPECIAL d so as to become subject to the Workers Compensation Laws. ADDRESS CONDITIONS V Date -Applicant CITY a ZIP QC NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. DISTRICT I GROUPTYPE FIRE PROCESSED BY ENGINEER /tet' NO. CONST. ZONE l7 Exemption, you should become subject to the Workers' -� LU Compensation provisions of the Labor Code, you must forth- ADDRESS t IL with comply with such provisions or this permit shall be H deemed revoked. TEL. STATISTICAL CLASSIFICATION APT. N55. Z CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION LIC, CLASS NO. _DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business and LIC SEWER MAP Professions Code, and my license is in full force and effect. CITY CLASS BK PG VALIDATION SQ.FT. p NO.OF NO.OF CHECK License Number Lic.Class SIZE O STORIES FAMILIES ONE VALUATION ❑ Contractor Date DESCRIPTION OF WORK jj.��-- . ADDNEW $ �' . ADD ❑I am exempt under Sec. � -�'LLQ Cr ❑ ALTER A@ � 7 9 2 A Date: B.&P.C. for this reason Z- 6 REPAIR ❑ $ USE OF EXISTING BLDG. �� ❑ # o a 0 0 0 1 APPLICANT TEL. _ Signature FINALE- OWNER-BUILDER DECLARATION (PRINT) NO. DATE/-/ o o 6 &6 3 I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS Professions Code): PRESENT BUILDING � ( r � /� ` v I, as owner of the property, or my employees with ADDRESS '� U o o a 6 8,6 3= U wages as their sole compensation,will do the work and ' the structure is not intended or offered for sale(Section LOCALITY O I. 03 —8 5 7044, Business and Professions Code). MOVING TEL. ❑ 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). CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY ED TOTAPREOTPAINEFR 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. (Sec. 3097, Civ. C.). SIDE 3 P.L. Lender's Name LDMA Ref. # 3 Lender's Address P.C.Fee$ Permit Fee 1 r I certify that I have read this application and state that the Issuance Fee ( (f ,J V LDMA P/C# / above information is correct. I agree to comply with all County Investigation Fee / I ordinances and State laws relating to building construction, Total Fee �7_3 LDMp;Perm. # 1) and hereby authorize representatives of this County to enter ;6 upon t b e_mentioned property for inspection purposes. � � `� c t'!•-�� SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date