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Home My Public Portal About5013 WILLMONTE AVE_Building__ FGA986A CZ#i.._!9 APPLICATION FOR BUILDING PERMIT �� 1 .DEPCOUNTY .OF LOS ANGELES BUILDING Jr O13 ARTM OiT OF COUNTY ENGINEER ADDRESS - BUILDING AND SAFETY DIVISION LOCALITY�j'" ��' JOHN A.LAMBIE.COUNTY ENGINEER NEAREST D w d`�Q �� CASSATT D.GRIFFIN,SUP•1.OF BUILDING CROSS ST. -9 DISTRICT NO. GROUP n.PE PROCESSED BY FOR APPLICANT TO FILL IN Ir ,1 I coNs-r I G-,;— BUILDING SEWER MAP ADDRESS Wilmonte st- Temple C I.$�ATISTICAL�SSIFICATION I PG LOT'R�rtion of lot 1 BLOCK �.CYLASS.NO. DWELL/.UNITS MAP�} �} NUMBER �d / G STATE NUMBERYES N� TRACT 9040 US ZONE SPECIAL NO.OF SIZE OF LOT 4ft104 I NOW ON LOTS r CONDITIONS USE OF EXISTING BLDG. BUILDING EXIST. SETBACK YARD HV" STREET NAME WIDTH OWNER Jack Stevensnn FRONT ''tt rr AMAIL DDRESS Q T' P.L. yd (N�Ld.�/ypa/ f!= �U SIDE T.C TEL P.L. crrt NO. INSPECTION RECORD ARCH ITECT OR TEL. ENGINEER NO. -7 ADDRESS �7`Z l TEL CONTRACTOR N D RE 511303 Lower -Azusa-El Mnnt. DESCRIPTION OF WORK NEW X ADD ALTER REPAIR DEMOLISH ^ SQ.F7. NO.OF NO.OF SIZE 1001 STORIES FAMILIES USE OF STRUCTURL)„ell iri : & Gar. Standard Plan# 16203 .4 G-Y—' SIGNATURE OF APPLICANT �' +—Cf�73:// DATE INSRECTOB•S SIGNATURE ADDRESS 'FOUNDATI ON,/LOCATION $ FORMS.MATERIALS Y a tl P.C. $ /� F_ R Mel'FIRE STOPS. FEE — BRACING,BOLTS I VALUATION 1 ) $ FURNACE: LOCATION, i FEE r D GAS VENT.DUCTS 1 HEREBY ACKNOWLST'HE HAT 1 HAVE EAD T IS AP- PLICATION AND STATE ABOVE1, CORRECT ANDLATH,INT.AGREE TO COMPLY WI COUNTY DINANCES AND STATE LAWS REGU BU .CON RU ON. . LATH,EXT. SIGNATURE O HOUSE NUMBER COR- 0 RECT AND POSTED .I ADDRESS FINAL /. CLYDE N.DIRLAM.PRINCIPAL ST RAL ENGINEER PLAN CHEM VALIDATION cK M.O. CASH PERMIT VALIDATION k_:K.l M.O, CASH • n ®v �.: -" �~� f A ROAD DEPT. PERMIT - IS REQUIRED 'FOR-ANY MATERIAL STORACE OZ WORK DONE IN THE ROAD RIGHT OF:WAY. 76AS38A CC#6096.69 APPLICATION FOR BUILDING PERMIT - 1 COUNTY OF LOS ANGELES BUILDING' ✓ DEPARTMENT OF COUNTY ENGINEER ADDRESS -::Ye J BUILDING AND SAFETY DIVISION LOCALITY P JOHN A. LAMBIE. COUNTY ENGINEER NEAREST / CASSATT D.GRIFFIN SUPT OF BUILDING CROSS ST. i �e (Ll r DISTRICT NO. I GROUP TYPE P OC.ESSED BY FOR APPLICANT TO FILL IN �— coNsr. J rADDRESS UILDING / Jw STATISTICAL CLASSIFICATION S W�R MAPP �I J ��J LGA / CLASS.NO.—/—DWELL.UNITS S/ �s d is('�• .sem. OT NO. (,r r L� MAP STATE NUMBER -,7--e-9HWY, YES NO TRACT USE ZONE SPECIAL p SIZE OF LOT�/-l7sS^X jc p , I NOW ON LOTS /� CONDITIONS ✓ I �i USE OF EXISTING BLDG. BUILDING EXIST. SETBACK YARD HWY STREET NAME WIDTH OWNER _.'C.e 'Me rljj FP.L T L 5 MAIL ADDRESS /fQ� 's (may SIDE TEL P.L. CITY a 4--La- NO. INSPECTION RECO D ARCHITECT OR TEL. ` ENGINEER NO. ADDRESS 6) r-eaA 6 4!r T-6 ° 1. TEL. CONTRACTOR NO. _ ADDRESS -- DESCRIPTION OF WORE W ADD ALTER REPAIR DEMOLISH FT. NO. OF NO. OF SIZE STO IES FAMI IES USE OF STRUCTURE [ �: ad. i SIGNATURE OF APPLICANT l r APPROVALS - DATE INSSkCTOR'S SIGNATURE ADDRESS CJl(� FFORMS.MATERIALS ION VALUATION $ b DQ I FRAME:FIRE STOPS, BRACING.,BOLTS � (� FURNACE: LOCATION, / Ly)� 1 - FEE SG / OSI FEE S�`r!'d� I 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 J� STATE LAWS RE LAT G BUILDIN CONSTRUCTION. LATH,EXT. SIGNATURE OF HOUSE NUMBER COR- PERMIT"WERECT AND POSTED ADDRESS-47-19 :7�W. e FINAL CLYDE N. DIRLAM, PRINCIPAL STRU=URAL ENGINEER PLAN CHECK VALIDATION M.C, CASH PERMIT.VALIDATION ax M.O. CASH 1 ;i 0 0 8 7 1 t,A 17 2 3• A 2 4.0 CI ' 1 1 0 J "o sits: ?0 1 A /4 8.0 % r _ 1krz. r 111�TORKERS'COMPENSATION DECLARATION w ", , offc that I have r certificate of consent to self APPLICATION F R BUILDING PER I T or a c ificate of Workers'Compensation Insurance, tified c3py thereof(Sec. 3800, L b. C.)b 300*-57-Ji i� COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company s ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS 1ZeCertified copy is filed with the county building inspec- BUILDING tion department. ADDRESS Date Applicant CITY 1 f?)%VL s ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' O.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT 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 ONE MAP I certify that in the performance of the work for which this OWNER NO. NO. permit is issued, I shall not employ any person in any manner SPECIAL so as to become subject to the Workers'Compensation Laws. ADDRESS d .�i� J_,23 his 1 CONDITIONS 0 Date Applicant CITY p Crri(. ZIP NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. _ DISTRICT G UP TYPE / FIRE P CESSED BY 0 Exemption, you should become subject to the Workers' ENGINEER NO. Jil, � CONST. / O E I-- Compensation Compensation provisions of the Labor Code, you must forth- ADDRESS Uf/Y V W with comply with such provisions or this permit shall be deemed revoked. EL STATISTICAL CLASSIFI TION APT. CONDO. Z CONTRACTOR O. O Z V LICENSED CONTRACTORS DECLARATION d LIC, n CLASS NO. DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS /y /j�` NO. ! SEWER P (commencing with Section 7000)of Division 3 of the Business and LIC• Professions Code, and my license is in full force and effect. CITY b'caC� CLASS BK 3 VALIDATION SQ. FT NO.OF NO.OF CHECK License Number Lic.Class SIZE 6 t< STORIES FAMILIES ONE �Q V TION Contractoate 0 ,� DESCRIPTION OF WORK (�l yx� NEW $ ADD ❑ �� 7 2 1.2 A r 7� ..�AA , I am exempt undo Sec. ALTER # 000,b23 B.BP.C. for this reason /� ' REPAIR ❑ $ I - 25a83 Date: USE OF EXISTING BLDG. - ti, G DEMO" ❑ ° O 2 5&8 3 Signature APPLICANT Jit TEL FINAL n 0 609-87 OWNER-BUILDER DECLARATION PRINT44 _ NO. -� DATE tJ I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS ad a v c,c d cec., FIN Professions Code): PRESENT B ❑ BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and ' the structure is not intended or offered for sale(Section LOCALITY 11 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). REQUIRED YARD HWY TOTAL SETBACK FRO CONSTRUCTION LENDING AGENCY SEr BACK PROP. LINE WIDTH �]5 1.5 A 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. # o o a o 0 1 (Sec. 3097, Civ. C.). SIDE P.L. I 031 5.00 Lender's Name m LDAAA Ref. # m P.C. Fee$ permit Fee 0 ° 31 S000, Lender's Address I certify that I have read this application and state that the Issuance Fee M kLD P/C# 0 7.23-87 o• above information is correct. I agree to comply with all County Investigation Fee 0 ordinances and State laws relating to building construction, Total Fee LDMA Perm. # N and hereby authorize representatives of this County to enter 5 upon th bove-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applican or Agent e