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Home My Public Portal About4836 WILLMONTE AVE_Building__ 76A688A CIE#808,0.58 APPLICATION FOR BUILDING . PERMIT • • ' • 1: COUNTY OF LOS ANGELES BUIL13ING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY s JOHN A.LAMBIE.COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN SUPT OF BUILDING CROSS ST. DISTRI NO. UP I �.pE" julQ SSED BY E FOR APPLICANT TO FILL IN TYPE- BUILDING STATISTICAL CLASSIFICATION SE ER MAP ADDRESS K PG ',rte CLASS.'NO. DWELL.•UNITS NO. SOq 249 ._ , W BLOCK MAP / STATE. ly NUMBER ` HWY. YES O TRACT USE ZONE SPECIAL NO.OF BLDGS. 1 CONDITIONS. SIZE OF LOT I NOW ON LOT USE OF I EXISTING LD BUILDING EXIST. SETBACK. YARD .HWY ST EET NAME WIDTH OWNER FRONT MAIL P.L. ADDRESS SIDE TEL.. P.L. CITY TEL INSPECTION_ 'RECORD - ENGINEARCHITER OR NO. P- Q q r r' ENGINEER NO. I ADDRES R �/' TEL CONTRACTOR nNO —ADDRESS.`ti/ l• : I DESCRIPTION dF WORK = NE ADD ALTER REPAIR DEMOLISH SIZE vv ' NO..OF NO.OF SIZE ;;,x n STORIES FAMILIES USE OF STRUCTU SIGNPiTURE O APPROVALS APPLICANT DATE INSPECTOR'S SIGNkTi1RE ADDRESS FOUNDATION: LOCATION FORMS•MATERIALS.. / C_�'e�'i✓ll�-� P.C. .S FRi4ME:.FIRE STOPS, - C FEE BRACING.-BOLTS- VALUATION $• FURNACE: LOCATION, FEE ._� GAS VENT.DUCTS. y I HEREBY ACKNOWLEDGE THAT 1 HAVE READ'THIS AP- LATH,INT. . PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWSEG ING BU DI -CONSTRUCTION. LATH. XT: E SIGNATURE OF HOUSE NUMBER COR - PERMITl E RECT AND POSTED ADDRES6 FINAL. CLYDE N.DFR_LAM.PRINCIPAL ST AL ENGINEER- PLAN CHECK VALIDATION QKV wo. cAsH PERMIT VALIDATION ,CK, M.D. MASH I 11(10 6 7 5 7 Fr,1Y 2 p 3 A . 3.O U M ®F. 1. l�06,7 5 &s, rAY 0 1- A 76A688A CE9808 B_58 APPLICATION FOR BUILDING PER T COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST / WILLIAM A.JENSEN,SUPT OF BUILDING CROSS ST. DISTRIC N TYPE ES B FOR APPLICANT TO FILL IN •� CONST. BUILDING f STATISTICAL CLA I CATION SE E AP ADDRESS (�5 (Q BK PG- CLASS. NO.. DWELL.UNITS ===]LOT NO. * / BLOCK WATER NOT REQUIRED ❑ RECEIVED .❑ CERTIFICATE: TRACT 9^rl MAPHIGHWAY STATE MAJOR SECOND, LOCAL NO.OF BLDGS. NO. (CIRCLE SIZE OF LOT �v NOW ON LOT USE ZOSPECIAL USE OF CONDITIONS EXISTING BLDG. TEL. OWNER NO. B ILDING EXIST. c/ SETBACK YARD HWY STREET NAME WIDTH ADDRESS FRONT ARCHITECT OR TEL. P. L. ENGINEER NO. -SIDE ADDRESS d TEL 7 URB GUTTER, DRIVEWAY APPROACH, 0 CONTRACTO NO l�7I AND PARKWAY TREE u ADDRESSOC DESCRIPTION OF WORK r curb, ufter, sidcw,i'A. and drivewayyapproach rw0 etituaiions should be$a en oUt of t e ,a. i. a NEW ADD ALTER REPAIR DEMOLISH ka, c[ " . �. iro n order n to av i y SQ.FT. NO.OF NO.OF delay. Survey & Casigar�YUlk ft4as iin:e and is not start dZ SIZE STORIES FAMILIES tinhi Pcma has been issued. Appy for pal'Yra USE OF STRUCTURE City H-1k SIGNATURE OF t 4 7 Sr APPLICANT _ VALUATION $ � 6-0 APPROVALS DATE INSPE o •s SIGNATURE FOUNDATION: LOCATION s t� FEE $/ FEE $ a FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK �. AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. —S TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. _ ING TO WORKMEN'S COMPENSATION INSURANCE. r ��/ LATH.EXT. �� SIGNATURE OF -i'/ HOUSE.NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL JOHN F. LF-WI PRINCIP L ST RAL ENGINEER PLAN CHECK VALID �K. M. PERMIT VALIDATIO CK. M.O. CASH 8 4 8 6 MAY 11 23 D 1 2:7 5- L& N d 84 .87% MAY11 1 D 2 5.5 0 a 76ASSBA CE#80811-57 APPLICATION FOR BUILDING PERMIT - -1 COUNTY OF LOS ANGELES BUILDING z / ) ,1 DEPARTNIENNT OF COUNTY ENGINEER ADDRESS b� 1D lij/ BUILDING-AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE.COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPE EWER MAP FOR APPLICANT TO FILI. IN BK PG CONST BUILDING STATISTICAL CLASSIFICATION ADDRESS �-- ` , LOT NO. .�E�� J D/ �+ / BLOCK CLASS.NO.J_DWELL.UNIT MAP STATE YES .NO NUMBER HWY. TRACT USE ZONE SPECIAL �r 0 NO.OF BLDGS.,�j C A CONDITIONS SIZE OF LOT x NOW ON LOT /�� l USE OF EXISTING BLDG. BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH OWNER YJMAIL / !�/� ��,`J! /9!r✓G`��/• FRONT &D' lu ADDRESS / y� �+ S �v N.�J S SIDE C � TEL P.L. CITY NO. ^1X17 ARCHITECT ORTEL. INSPECTION RECORD ENGINEER :/// NO. { ADDRESS 'Sri/ /a' ®S 6-me q a - TEL. CONTRACTOR NO. ADDRESS DESCRIPTION OF WORK E ADD . ALTER REPAIR DEMOLISH NO.OF NO.OF � � N S sr. LORES FAMILIES USE OF STRUCTURE SIGNATURE OF APPROVALS APPLICANT ' ATE INSPE TOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION c $ / FORMS,MATERIALS � m 3 0 �. S� (D.00 P'C' $f� FRAME: FIRE STOPS, FEE �p BRACING.B �OLTS VALUATION S S^y� FURNACE: LOCATION. FEE VV GAS VENT.DUCTS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ'THIS AP- LATH,INT. / PL'1CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS RE T ! DING CONSTRUCTION: 'LATH,EXT. '+.v• SIGNATURE FHOUSE NUMBER COR- PERMITTE ��' RECT AND POSTED ADDRES ' FINAL I� 7 . CLYDE N.DIRLAM,16RI N61 PAL STR UR. EER ' PLAN CHECK VALIDATION cK m.o. CASs PEB=VALIDATION AL-0-CASH f 2 3 4 jUN 27 2 3 A 2 1.7.5'u m OF LAr%3 4 6 2 S- AUG 1 1 A 43.50 s .� - APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, BUILDING DRESS or a certificate of Workers'Compensation Insurance,or a certified ,6 copy thereof(Sec.3800,Lab.C.) _l CITY �/� ZIP t Pol' y NQ.'n� 9�'''a�� mparry 4 LOCALITY �i SIZE OF LOT NO.OF BLDGS.NOW ON LOT Certified copy is hereby furnished. /-� -�/ NEAREST CROSS ST. ,a /,,/� 7 , Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. {�W ey z�lSO �(vrd/l Zf USE ZONE MAP NO. department. Date Applicant �oz P_�— ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO. COMPENSATION INSURANCE AW' A rk .30-3 WITHIN 1000 FT.OF SCHOOL? Yes No (This section need not be completed if the permit is for one hundred ADDRESS h� / )/ �� /rsV dollars($100)or less.) !�/i� 4t ! DISTRICT GROUP TY CONST FIRE ZONE PROCESSED BY CITY � � ZIP I certify that in the performance of the work for which this permit r ? is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. a "� _ •7 become subject to the Workers'Compwennss/a��tion Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant oVC & K/e e- ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT.' If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become Subject to the Workers' CONTRACTORuZEL NO. / SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith WV Lee a — FRONT comply with such provisions or this permit shall be deemed revoked. A D ES UC.N9,(2//n� PL LICENSED CONTRACTORS DECLARATION d .i SIDE CITY LIC.C S PL I hereby affirm that I am licensed underprovisions of Chapter 9 -- (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORIES NO.OF FAMILIES SEWER MAP a Professions Code,and m liicensef is in full force and fect. NEW BK PG O License Number / Lic.Class qDESCRJPTIqN OF �C / � ADD ❑ VALUA ONr� Contractor d�'�� A Date �� 322 ALTER ❑ $ `�v� ❑ I am exempt under Sec. Cpfler C� X REPAIR ❑ O B.BP.C.for this reason �p f �au. DEMOL 11W LDMA P/C# O. Date: E OF EXISTING BLDG. g URM ❑ N Signature APPLICANT(PRINT) TEL NO. LDMA Perm# ,-11,;.;o e ? ❑ 1, as owner of the property, or my employees with wages as Z –,,_., �1 tic their sole compensation, will do the work and the structure is ADDRESS O 1 _3 x_10-- not intended or offered for sale (Section 7044, Business and FINAL DATE G = i Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ,Z J Yy'" ❑ 1, 8S owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY T)"j i:L8 o 25- licensed contractors to construct the project (Section 7044, yes❑ No❑ Business and Professions Code.) WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING _ OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH D �{r 1 (_ CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR f� o L. GUIDELINES I hereby affirm that there is a construction lending agency for YES❑ NO❑ _ N the performance of the work for which this permit is issued(Sec. 0 I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 0,10101 i;ljl,#�. 11/23/f N 3097,Civ.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE. CHAPTERTITLE 2. CONCERNING HAZARDOUS MATERIALS EPORING AND FOR OBTAINING A PERM FROM THE SCAOMD. 9(Lender's Name y1S q Art i i.L'5,i C t 1'71 e.0 Lender's Address 0 OWNER OR AGENT cI certify that I have read this application and state under penalty e of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE / a with all county ordinances and State Laws relating to building construction,and hereby authorize representatives of this County ISSUANCE FEE /,, ro to enter the above-men gond p aerty for inspection purpos [O �p ,—Z INVESTIGATION FEE TOTAL FEE G4nturo r ApCiA - I 0.b SEE REVERSE FOR EXPLANATORY LANGUAGE