HomeMy Public PortalAbout4832 WILLMONTE AVE_Building__ 76A*Rj ACE#,8Or
08 9-67 �.
``:` APPLICATION Ff .. UILD G PER
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER AADDRESj -_?
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST.
DISTRICT NO GROUP TYPE P D B
FOR APPLICANT TO FILL IN !Y CONST.
(Print or type only) �e �r
BUILDINGSTATISTICAL CLASSIFICATION SEWER •AP
ADDRES CLASS NO. DWELL.UNITS BK PG
LOT NO. BLOCK USE ZONE MAP
NO.
TRACT SPECIAL
NO.OF BLOGS. CONDITIONS
SIZE OF LOT NOW ON 40T
USE OF o
EXISTING B D BLDG.SETBACK FROM
p E FRONT PROP.LINE OF (STREET)
OWNER TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRES
3 `_9 HIGHWAY WIDTH FROM C.L.
GL/
ARCHIT TOR TEL. BLDG.SETBACK FROM
ENGINEER NO. SIDE PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
AD SS 9g �7 HIGHWAY WIDTH FROM C.L.
C T NOL rs� B/® + a
c
ADDR O 0e oe'll� CORNER CUTOFF YES ❑ NO ❑ C.%
CLASS
C SEE REVERSE SIDE FOR SPECIAL APPROVALS
CLASS
10,
C:
DESCRI ION OF WORKLL
;
r
NEW ALTER REPAIR DEMOLISH• r f/
SQ. F NO. OF O. OF Z *1x11 I3 G' I /rte (fJ
SIZE STORIES FAMILIES
USE O
STap
6
SIGNATURIfOF
APPLICANT
VALUATION$ �� AP ROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. OUNDATION: LOCATION
FEE S FEE f� FORMS, MATERIALS
FRAME:.FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS t•.ti
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, Y /
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN D THE WORK zi 01
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY RSO N VIOLA-
7
IOLA- f'
TION OF THE LABOR CODE OF THE STATE OF LIF NI REL_AT• LATH, INT. I
ING TO WORKMEN'S COMP. SATION INSURAN
LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE- RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL STR URAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATIONCK. M.O. CASH
i o.30 7-.9 G Fa 13 A.. D
1 .2'.'00-
APPLICATION FOR'BUILDING PERMIT
F21i PLICANT_TO FILL IN (Print or type only) '
FADeDRESS
ING /� / COUNTY OF LOS ANGELES
7 3` /� &"111-/r?a1JT� � DEPARTMENT OF COUNTY ENGINEER
/✓IDLE L/—y ZIP BUILDING AND SAFETY DMSION
NO.OF BLDGS: BUILDINGF LOT NOW ON LOT ADDRESS'
TRACT BLOCK L T"NO. LOCALITY
JAn �J,/n TEL. NEAREST
OWNER /'�/jL /-yC�S; //f `('/Z/fNED. CROSS ST.
ASSESSOR
ADDRESS „f /t/J� MAP BOOK PAGE PARCEL
DISTRICT GROUP ITYPE FIRE SSED BY
CITY ZIP, Q CONST
ARCHITECT OR TEL. a
ENGINEER NO.
STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS CLASS.N.O- DW/ELL,UNITS BK PG
CONTRACTOR Ab" 6,7 A/Sj�(�[T/Qyi 0L-ZUSE ZONE NO. O
LIC.
ADDRESS Q S oPOSEME r7 NO. :r- J _f SPECIAL i
CITY �f LIC, 1 CONDITIONS
/C,Ofd/,.? CLASS / ROAD DEPARTMENT APPROVAL REQUIRED- YES[:]: NO❑
CONSTRUCTION LENDER �r
NAME AND BRANCH e.,,,wFo BLDG.SETBACK FROM
FRONT 'ROP.-LINEOF (STREET)
ADDRESS CITY HIGHWA •+ YARD TOTAL SETBACK FROM TYPE OF EXISTING
SQ, FT NO. OF- NO. OF CHECK, FRONT PROP. LINE HIGHWAY WIDTH
SIZE '6�]9 STORIES FAMILIES -ONE
DES'CRIP'TION OF WORK NEW ❑ C
ADD
BLDG,.SEN ACKFROM v
SIDE PROP. OF (STREET)
LTER-❑ TB K FROM TYPE OF EXISTING
I� ' jJ(, c, —REPAIR
+ YARD - V
REPAIR❑ 1 INE HIGHWAY WIDTHUSE OF
W
EXISTING BLDG, �LI/OE/I.�GG DEMOL'❑ + Z
APPLICANT 11 e TEL CORNER CUTOFF YES ❑ NO ❑
(PRINT)- fqIKF !/1 /L//r�b • NO.z99
G_,, IN OPEN SPACE YES ❑ NO ❑
BY (SIGNATUR.E) �� - -
IN COASTAL PERMIT ZONE YES ❑ NO ❑
VALUATION;$ -QH-$' �O O
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS-CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- ��zS g'JDYff2�f�y':' � �,?'�-.�•.
STRUCTION: I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON 1'N VIOLA'TION OF THE
LABOR CODE OF THE STATE• OF -CALIFORNIA IN RELATING TO '
WORKMEN'S COMPENSATION INSURANCE, ,
SIGNATURE OF
PERMITTEE. q
ADDRESS-
�1 J S$ Q SG C�7 ,./p7 NAL �]
/C._O.fG'/�L`.�p NA L
DIATEe`l/ 9Y
TEL.
CITY_ NO.
MAKE CHECKS PAYABLE TO: FEE'P FEE'
HAkVEY T. BRANDT. COUNTY ENGINEER 10
PLAN'CHECK VALIDATION CK. M.o. CASH • m PERMIT VALIDATION CK . M.O. CASH
2 WO JAW 22 . 1 U 1 0 9.5 0
7GA63BA C6#805 5/74 -
Y APPLICATION O� BUIL IN G PERMIT
FOIR APPLICANT TO FILL IN (Print or type only)
BLNLDING COUNTY OF LOS ANGELES
ADDRESS 1/ •z /� l�i[L O.s�TE DEPARTMENT OF COUNTY ENGINEER
CITY ZIP BUILDING AND SAFETY DIVISION
NO.OF BLDGS. BUILDING .[ f
SIZE OF LOT NOW ON LOT ADDRESS ✓
TRACT G BLOCK 1qODT NO 7 LOCALITY '
TEL. NEAREST
OWNER �a� NO. CROSS ST. Q/
ASSESSOR
ADDRESS MAP BOOK PAGE PARCEL
DI TRICT GROUP TYPE FIRE. P OC SSED BY
CITY ZIP p S CONST./ ZOa
ARCHITECT OR TEL. �/
ENGINEER NO.
STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS CLASS NO.A/
DWELL,UNITS BK PG
CONTRACTOR �Ll� S TEL. _ 'USE ZONE MAP
C NO. a 40 �7
ADDRESS S� fJ0 NO. Cf0 D _ SPECIAL
LIC. r� CONDITIONS
CITY CLASS O f
ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDG.SETBACK FROM
FRONT PROP.LINE OF (STREET)
ADDRESS CITY HIGHWAY + YARD = [TOTAL SETBACK FROM TYPE OF EXISTING
SQ, FT. NO.'OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH
SIZE •� STORIES FAMILIES ONE
DESCRIPTION OF WORK NEW ❑ ci
+ C
ADD BLDG.SETBACKFR
SIDE PROP.LINE OF (STREET) C
/ r ALTER ❑ HIGHWAY + YARD = Ila AL BACK FROM TYPE OF EXISTING v
T REPAIR[] HIGHWAY OP. LINE HIGHWAY WIDTH Wa
_ e USE OF In-
EXIST NG BLDG. DEMOL ❑ + Z
APPLICANT TEL CORNER CUTOFF YES NO ❑
(PRINT) N0.
e IN OPEN SPACE YES ❑ NO ❑
BY (SIGNATURE)
IN COASTAL PERMIT ZONE YES ❑ N`❑
VALUATION$ 6"C
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODEOF THE STATE OF 'CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSATION INSURANCfA.
SIGNATURE OF Q//J(/
PERMITTEE
ADDRESS -3fitlo
f FINAL l'7 �] BY'
CITY Ul OfL� �'i9� ', NOL•2 'tel'' DATE �L /•�!�y 4
MAKE CHECKS PAYABLE TO: FEE FEE•Q
HARVEY T. BRANDT. COUNTY ENGINEER (9
nj
PLAN'CHECK VALIDATION CK. M.O. CASH PERM ALIDATION CK. CASH
0 1 2 eV V
76A638A CEi 9k 609 574 s n`Fg b i �/
APPLICATION FOR BUILDING PERMIT .I8A688A " '808.7•$e
_ 1
BUEDING AND SAFETY DIVISION BUILDING `
ADDRESS
Department of County Engineer.
County of Los Angeles LOCALITY—70
JOHN A.LAMBIE. COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN. SUPT OF BUILDING CROSS ST
DISTRI GROG I IYP SEWER MAP-
FOR
_APPLICANT TO FILL IN . �ITs B
CONST, i
BUILDING STATISTICAL C SSIFICATION
ADDRESS ! (�
LOT NO. . ,D 141. 1S16 M� VZ rHLOCK CLASS. NO.�DWELL. UNIT - I
MAP STATE yES NO
TRACT % LJ / !J NUMBER �o-� HWY
J 1 U E Z NE SPECIAL
NO�Dx /`� I .OF BLDGS`. ,. CONDITIONS
SIZE OF LOT
NOW ON LOT :OZVL�
USE OF _
EXISTIN'G BLDG. BUILDING EXIST.
_ J SETBACK Y4RD HWY STREET NAME WIDTH
OWNER m IV FRONT
MAIL )/syo v A` n
ADDRESS r7 •/ /r0 ��/V �`J II� SIDE •
t� T L: • P. L.
CITY Tg U Pk i f Y No. �.�y- INSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO.
ADDRESS
TEL.
CONTRACTOR -.il rJ NO.
ADDRESS
DESCRIPTION OF WORK
NE . ADD - ALTER REPAIR DEMOLISH
SQ.FTy�/�"" NO. OF NO..OF 1
SIZE _ 440 . STORIES FAMILIES f
UaE OF STRU,C�U
—fir!'• o l,�•l�RA-rd
71
1
I„ APPROVALS
SIGNATURE OF I
APPLE, , r DATE INSPECTOR'S SIGNATURE
J.i y FOUNDATION:LOCATION
ADDRESS, // 481
,{
FORMS, MATERIALS dam•, ."
5 _ FRAME: FIRE STOPS.
FEE S BRACING.BOLTS
VALUATION FURNACE: LOCATION,
FEE GAS VENT, pUCTS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH. INT
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH. EXT.
STATE LAWS REGULATING B ILDING CO TRUCTION.
1)4
SIGNATURE OF 1• HOUSE NUMBER COR-
PERMITTEERECT AND POSTED
ADDRESS FINAL r
OHN A.LAMBIE.COUNTY ENGINEER, CLYDE N. DIRLAM. PRiiGcipit- !RrRt]CTURAL\EL4GLAgrig
PLAN CHECK VALIDATION cK. M.O. cases PERMIT VALIDATION CK. M.O. CASH
'AP 8749- JUN 3 16 1_ 7.00de:
76AGSBA C6-,#809.7-091APPLICATION FOR BUILDING PERMIT 1
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
Department of County Engineer
County of LOS Angeles LOCALITY
JOHN A.LAMBIE. COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN.SUPT OF BUILDING CROSS ST
NG
TN
APPLICANT TO FILL IN D1srR GROUP I TYPE I SEWER MAP
CONST.
ADDREBUILDSS I
STATISTICAL CLASSIFICATION
BUILD
/ CLASS. NODWELL. UNITSLOT e l� (� BLOCKMAP '1 �1 6 STATE YES
NUMBER G«J HWY
TRACU E ZO E SPECIAL
NO.OF BLDGS, � CONDITIONS
SIZE - � I NOW ON LOT
USE OF 1p
EXI3TING BLDG. BUILDING EXIST.
YARD HWY STREET NAME
�/ � SETBACK WIDTH
OWNER F !"( A h/ /Y. FRONT
MAIL / Pi
ADDRESS y� �^ SIDE
P. L.
CITY = lI�' NOL' t G�7 INSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO.
ADDRESS
TEL.
CONTRACTO NO.
ADDRESS
DESCRIPTION OF WORK
EW • ADD ALTER REPAIR DEMOLISH
FT NO. OF NO. OF
SIZE '" STORIES FAMILIES
USE OF S CTU.RE
QIg
APPROVALS
SIGNATURE OF
APPLICANT
grL d _ �{ /� • DATE INSPECTOR'S SIGNATURE
ADDRESS/#8%d Yr 14,f)vJf%1 1"1' Ve F FOUNDATION: LOCATION
FORMS. MATERIALS )��]
$ =FEE
FRAME: FIRE STOPS.
BRACING. BOLTS -7 T h1��.VALUATION� d�C7 FURNACE: LOCATION.o 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 COUNTY ORDINANCES AND LATH. EXT.
STATE LAWS REGULATING BUILDIN��T'�! TRUCTION.
SIGNATURE•OF ° HOUSE NUMBER COR-
PERMITTEE �� ,y^ /�✓✓�� RECT AND POSTED
ADDRES - a ' �E he V�' 4 FINAL r
IOHN A.LAMBIE,COUNT NGINEER, CLYDE WDIRLAM, PRI CIPAL STRUCTURAL ER
PLAN CHECK VALIDATION CK.' M. cgsH PERMIT VALIDATION CK. M.O. CASH
,09 0 0 0 JUN 7 1 8.00 L
WORKERS' COMPENSATION DECLARATION
hereby 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. 38QO,,,�Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
o.l'
Policy N �gSc 6Company a I"tYP' ►A 1.�
ElIV
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN :BUILDING
��ADDRESS �j 2• I
Certified copy is filed with the county building inspec- BUILDING
/ftion department. ADDRESS �? i� • t.l�� n
Dat ApplicantAom.5���"y CIN-7a,4401• V ` ZIP�I 7 g� LOCAUTy I�- C,L T l
NO.OF BLDGS. NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS" SIZE OF LOT NOW ON LOT CROSS ST.
COMPENSATION INSURANCE ASSESSORC
(This section need not be completed if the permit Is for one TRACT BLOCK LOT NO. MAP BOOK !95 PAGED J PARCELvv `
hundred dollars ($100)or less.) TEL.
OWNER Sc• 12..a NO. USE ZONE NOP y y a
1 certify that in the performance of the work for which this e —/ SPECIAL '
permit is issued, I shall not employ any person in any manner ADDRESS 2 T-e CONDITIONS a
so as to become subject to the Workers'Compensation Laws. / O
CIN ,�! I(� t f zIP ! �v V
Date Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIREW, �PCESSED BY O
NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CONST. 7,Q E
Exemption, you should become subject to the Workers'
Compensation provisions of the Labor Code, you must forth- ADDRESS d� -3 Lz�-..L a
with comply with such provisions or this permit shall be L• STATISTICAL CLASSIFICATION. APT. CONDO. N
deemed revoked. CONTRACTOR tft- /V' &i L NO.3S 1 3 1 t4�/ Z
LICENSED CONTRACTORS.DECLARATIONLIC.(�/G CLASS NO. 1=2'/ DWELL. UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS i �] ef 1t,� �j '.2 NO:[ O E C[
(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 S CLASS C BK PG. VALIDATION
NO.License Numbea(� �' 4 4), Lic. Class c7 �'SIZE.G� STOSTO OF CHECK
�� / RIEE S IFAONE
VALUATION
Contractot` , If S_1'r :Z Date `vim 3 If_ f D CRIPTION OF WORK ,JLv i CPPV NEW ❑ $ rD T
ADD El `
El ►I am exempt under Sec. f .4 VC) ALTER ❑
BAP.C. for this reason l�1 Got 9.6L ��g REPAIR ❑ , $
. . Date: U
G BLDG. u l[ ' DEMOL ❑
Signature PPLI T ' TEL. FINAL
OWNER-BUILDER DECLARATION. (PRINT) NO... DATE
I hereby affirm that I am exempt from the Contractor's License.
Law for the following reason (Section 7031.5, Business and ADDRESS FINAL
Professions Code): PRESENT By
❑ I, as owner of the property,Y• or my em Id ees with BUILDING
ADDRESS
wages as their sole compensation,will do the work and LOCALITY "` =F'!s! .r:1 i iti=
the structure is not intended or•offered for'sale(Section /y
7044, Business and Professions Code.) MOVING' TEL. Q—zq "L / i;ENS
❑ I, as owner of the property,am exclusively contracting CONTRACTOR NO.
• with licensed contractors to construct the project (Sec- .F i. 219 38•
tion 7044, Business and Professions Code.) ADDRESS - -
REQUIRED TOTAL SETBACK FROM EXIST. ':r7E..K w;aiiV
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH
�. . ... Flt 1
I hereby affirm that there is a construction lending agency for FRONT C.I-(ANG-jE o ti•ti,
the performance of the work for which this permit is'issued P.L.
(Sec. 3097, Civ. C.). SIDE
P.L: ;a(il11,1 (flf.� 11.;/2 I� i
Lenders Name
iiLDMA Ref. # Cj.'• j t•'+j s 'LI`a Ct.
P.C. Fee$ Permit Fee
Lenders Address
I certify that I have read this application and state that the Issuance Fee o1 7 ' 7 S LDMA P/C#
'- above information is correct. I agree to comply with all County Investigation Fee, p
ordinances and State laws relating to building construction, Total Fee J a LDMA Perm. #
= and hereby horize repr tatives of this Cou to enter
upon the a-menti ed operty for ins //yyo��n purposes.
o 01�/'-6f r SEE REVERSE FOR EXPLANATORY LANGUAGE
SI ur ,cant or Agent --Daate r -