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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 -