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HomeMy Public PortalAbout4847 WILLMONTE AVE_Building__ ,BA688A CES#808.6-57 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING. DEPARTMENT OF COUNTY ENGINEER A°OREss BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUP'T OF BUILDING CROSS ST. DISTRICT NO. G OUP SEWER MAP ' FOR APPLICANT TO FILL IN TYPE BK P CONS BUILDING Q4� 11 J4QAI7�, ADDRESS LC�J ,C !�/ �J / 8 STATISTICAL CLASSIFICATION - LOT N05- �6O L- IM.4 f`�LIICK CLASS.NO - DWELL.UNIT Q MAP STATE YES NO (#D.sem NUMBER HWY. TRACT !U 6f�� USE Z. NE SPECIAL r C� ► NO OF BLDGS. CONDITIONS. SIZE OF LOT X X �•�J.Z I NOW ON LOT USE OF EXISTING BLDG. BUILDING YARDHWY STREE NAME EXIST. ©G O 4eA6 SETBACK WIDTH OWNER MAILf�f� FRONT k ADDRESS �V V O �IQTGt9lZ/(7 P L' SIDE CITY ,Sad DCNy NO� ' P.L. ARCHITECT OR TEL. INSPECTION RECORD ENGINEER NO. 1 } ' ai-4'• �''ice'-� �'�.1.i�,"`� G"(." /��'� ADDRESS k ,` -""_--• . : 41 CONTRACTOR �•iqq•41lvIE 6aTNEOL. y-?4t �� •r.._: .�`! u v ADDRESS - - ' DESCRIPTION OF WORK •` ` �"=- . NEW A ADD ALTER S ALTER REPAIRNO OF / DEMOLISH SQ. STOR E 1.349-7 / FAMILIES • :�'��� ,r e5.�!_'�.`��_ ��./F:' �'a°�_� SIZE USE OF STRUCTURE �.gTs - E X ". �'��, C 1 ,L_A�,, AM4YE4 G /zG i:—,_,1.""t-- 'L- v'I— --a,rt✓.7te s SIGNATUREOF �• APPROVALS APPLICANT+��j /� r DATE INSPEC OR'S.S G ATURE ADDRESS 178`50 AzlmTIN FOUNDATION: LOCATION, r _FORMS-MATERIALS $ /.WOO P.C. $ � FRAME: FIRE STOPS. FEE BRACING,BOLTS _ J .r••^r VALUATION `� D D S 0 c7 FURNACE: LOCATION. FEE GAS VENT, 1 HEREBY A LEDGE 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 LAWS REGULATING BUILDING CONS UCTION. LATH,EXT. SIGNATURE OF ' / (�,� / I HOUSE NUMBER COR. 7— PERMITTE • LO. 7 RECT AND POSTED /h 443 ADDRES mw NAL IOHN A.LAMBIE.COUNTY ENGIN ER. 43 •CLYDE N.DIRLAM,PRINCIPAL STRUCT GINE PLAN CHECK VALIDATION K. M.O. CASH PEBMT VALIDATION cK. M. CASH Ll '1.3 63S FEB 18 1 6 A 192 5 ®P LACo 1 s. 21 ° W 3 1 AA// 41-00 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS 4-1k q 1 hereby affirm that 1 have a certificate of consent to self insure, BUILDING ADDRESS or a certificate of Workers'Compensation Insurance,ora rtifled W f copy thereof(Sec.3800.Lab. CITY zIP G v u j o LOCALITY Policy No. ��_Company `� SIZE OF LOT NO.OF BLDGS.NOW ON LOT rtified copy is hereby furnished. NEAREST STC ROSS STT, 1pertified copy is filed with the county building inspection TRACT BLOCK LOT NO. USE ZONE MAP NO. department. C U 1/L/� PAGE Date `� 1� 7 Applicant VOR MAP BOOK PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO. YES NO ADDR COMPENSATION INSURANCE WITHIN 1000 FT.OF SCHOOL? (This section need not be completed if the permit is for one hundred ES (� 1 1,L vk p DISTRICT GROUP TYPE CONST.' FIREZONE PROCESSED BY dollars($100)or less.) -�� ode I certify that in the performance of the work for which this permit CITY / C -^ �+ - C ! ZIP /� �� . —11� �- 3 IS Issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. Iet��r•• become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. �.2/ DWELL UNITS NOTICE TO APPLICANT: If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR IJ%r L.NO SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code,you must forthwith 7 U r' FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESSG 1 n / IC.N!. U 3 C (7Y C PL LICENSED CONTRACTORS DECLARATION CITY �'U vI N LIC.CLASS —3 S PIL a s C' g I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORES NO.OF FAMILIES G Professions Code,and my license is in full force and affect. NEW ❑ BK PG Q i J DESCRIPTION OF WORI�( �O VALUATION V ti License Number �-V Lic.Class 88 ADD ❑ Contractor ate 1D//!!z _ ALTER ❑ Q " � El am exempt under Sec. ` REPAIR B.BP.C.for this reason on DEMOL ❑ LD MA P/C# Date: USE OF EXISTING BLDGn. ' URM ❑ 0 Iv D Signature APPLICANT(PRINT) ❑ I, as owner of the property, or my employees with wages as ) / !/, 7 A T r their sole compensation,will do the work and the structure is ADDRESS k not intended or offered for sale (Section 7044, Business and b ( UVIa S FlNALD TE _ _ Professions Code.) � — ��� ® -"�(� WILLTHEAPPLICANi OR FUTURE BUILDING OCCUPANT HAPIOLEA HAZARDOUS MATERIAL OR A MIXTUr,U,R., ING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN 4 ^'*'^r+_• ❑ 1, as owner of the property, am exclusively contracting with THE AMOUNT ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? BY L S 11-- licensed contractors to construct the project (Section 7044, YES❑ TI_ liL �_ Business and Professions Code.) �+'._ WILL THE INOF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING OCCUPANTRRMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH rr ( +C+ '-kr CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST 1'•iL= i v i FOR GUIDELIN ES I hereby affirm that there Is a construction lending agency for rEs❑ ),C3t ,1_i the performance of the work for which this permit is Issued(Sec. I HAVE READ DOUS MATERIALS INFORMATION GUIDE AND THE SCAOMO 3097,CIV.C.). PERMITTINGKUST.1 UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE.TITLE 2,CHAPTER 220 SECTIONS 2.SD.100THROUGH 240.140 CONCERNING SS - Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. Ll'3{.Ii_i Lenders Address �a,� �1 i;J a�I o I certify that I have read this application and state that the above RC FEE PERMIT FEE Information is correct. I agree to comply with all county ordinances and State laws relating to building construction,and c�a authoil representatives of this County to enter upon ISSUANCE FEE e oven n Zoned property for it action purposes O �_ 1QINVESTIGATION FEE TOTAL FEE / o1APPB=dNAo=d Dub SEE REVERSE FOR EXPLANATORY LANGUAGE