The URL can be used to link to this page

Home My Public Portal About5030 WILLMONTE AVE_Building__ 76AG38A CE 803 6-62 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS •BUILDING AND SAFETY DMSION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A.JENSEN,SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPE ESSED BY FHE OR APPLICANT TO FILL IN $! CONST. — NG STATISTICAL CLASSIFICATION S ER MAP SSJ�O,D !` /Y) D BKcl; G CLASS. NO. DWELL.UNITS ,f&r? 'OM r�O� �I BLOCK WATER ' pCERTIFICATE: NOT REQUIRED ❑ RECEIVED ❑7 A MAP / HIGHWAYSTATE MAJOR SECOND,NO.OF BLDGS. NO., (CIRCLE)F LOT.4-O X /3-(w NOW ON LOT /I/D � USE ZONE SPECIAL CONDITIONSCENG BLDG. A/.USSp1/N NA/r�•'oi ` NO.,j-�ajl1�7 BUILDING EXIST. SS 1�62,ly 1j�M !CC/1SA4t,A1�E SETBACK YARD HWY ST ET NAME WIDTH FRONTECT OR TEL. P.EER NO. SIRE ADDRESS a TEL. Q CONTRACTOR SA M NO. h ADDRESS DESCRIPTION OF WORK 0 W NEW ADD ALTER REPAIR DEMOLISHSQ y S ZET '„Z.30 �, TORIES FAMILIES ? USE OF �/ STRUCTURE � S i e7 F/4/e -t-oocza .0�'/AoA1E8 &A A�6.� SIGNATURE O APPL 1 CAN ' s VALUATION$ / 7 Q d/j .� 9�U APPROVALS ' DATEf INSPECTOFZ'S SIGNAJ E P.C. �� PMT. FOUNDATION: LOCATION FEE $ (pO EE FORMS, MATERIALS, i FRAME: FIRE STOPS, �+ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AOREE 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 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH•_INT. 1[�1 �,;, '�. 4 +•r.• TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S C ENSATION INSURANCE. LATH,EXT. I (•61 ` t� e SIGNATURE HOUSE NUMBER COR- t PERMITTEE RECT AND.POSTED 1;filo ADDRESS FINAL. JOHN-F. LEWIS, PRINCIPAL STRU URAL ENGINEER PLAN CHECK VALIDATION M.O. CASH PERMIT VALIDATION CK. cK. M.O. CASH 'LA,;o 3 4 8 21, APP 17 2 3 D 28.500. IT LAUD 4 7 4.8%2l 9�IY 15 1 D .5 0 76ABBBA CE0803 8-83 APPLICATION FOR BUILDING PERMIT - COUNTY OF LOS ANGELES BUILDING ' DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION . :CocALIrY 1� JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A.JENSEN,SUPT OF BUILDING CROSS ST. DISTRICT NO UP TYPE ESSED BY FOR APPLICANT TO FILL IN �� CONST.211 BUILDINGSTATISTICAL CLASSIFICATION SE ER MAP ADDRESS. (rBK G CLASS.NO.---;?—DWELL.UNITS LOTNOr -�2 BLOCK WATER CERTIFICATE: NOT REQUIRED RECEIVED TRACT MAP H]GHWAv NO.OF BLDGS. NO� ,e� r (CIRCLE) STATE MAJOR SECON ,LO AL SIZE OF LOT NOW ON LOT USE ZONE SPECIAL USE OF /1, CONDITIONS EXISTING BLDG. il� - TEL. /P - ' OWNER , NO. `a . -ILDING EXIST. YARD HWY ST TNA SETBACK WIDTH ADDRESS OAQ. A.L-Noty7K if✓F FRONT ARCHITECT OR TEL. P•.L. ENGINEER r O. SIDE P. L. }. ADDRESS „ o TEL. CONTRACTOR N O.. Q u ADDRESS - O DESCRIPTION OF WORK Lu I N NEW ADD I ALTER- REPAIR DEMOLISH SQ.FT: / .1,9 NO.OF NO. OF SIZE STORIES/ FAMILIES USE O STRUCTURE t SIGNATURE OF APPLICANT' VALUATION S APPROVALS .4DATq INSPECTOBS`SkWVVT RE P.C. PMT. FOUNDATION: LOCATION FEE S. 'FEE S FORMS, MATERIALS FRAME: FIRE STOPS, HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMP-.LY FURNACE: LOCATION. ' WITH ALL COUNTY ORDINANCES"AND STATE LAWS REGULATING GAS.V•ENT. DUCTS _ BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE`WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- •,1}�.I.}� fNT. ,� py ., TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. 1,. ING TO WORKMEN'S COMPENSATION INSURANCE. • / ' ' EXT. J 16 SIGNATUR OF HOUSE-NUMBER'COR- PERMITTE RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS. PRINCIPAL STRUCTURAL EnCAS R PLAN CHECK VALIDATION CK. - M.D. CASH PERMIT VALIDATION CK. M.D. 9.2 818'- MAY 26 1 0 WORKERS'COMPENSATION DECLARATION hereby affirm that I have certificate of consent'to self A P'P L I CAT I® FOR �U I L N G . PERMIT insure, or a certificate of Workers'Compensation Insurance, or a certified copy thereof(Sec. 3800, Lab. C.). COUNTY OF LOS ANGELES BUILDING /BIND'SAFETY Policy No.IV83m225154mpdny Fremont• and: nni ty 1:1Certified co is hereby furnished. ;: BUILDING PY Y FOR APPLICANT TO•FILL IN gDDREss ® Certified copy is filed with.the county building inspec- BUILDING " }ion department. ADDRESS '9157 Wo Ol� LOCALITY Date 2/8/84 Applicant virgin Roof Co. CITY Temple City zIP /_' CROSS NEARE. a ,� CERTIFICATE OF EXEMPTION FROM WORKERS' I, NO.OF BLDGS. ASSESSOR ' COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is.for one USE ZONE MAP hundred dollars($100)or less.) TRACT BLOCK LOFT NO. TEL. SPECIAL I certify that in the performance of the work for which this {{ OWNER RS h uinonez NO. / "� CONDITIONS A. permit is issued,I shall not employ any person in any'manner 't (STRICT GROUP TYPE FIRE PROCESSED BY so as to become subject to the•Workers:Compensation Laws. ADDRESS 9157 -Woole CONST. Z E IX CITY Tem ZIP ... Date Applicant STATISTICAL CLASSIF ION APT. CONDO. NOTICE TO APPLICANT: If, after:making this Certificate of ARCHITECT OR TEL., ENGINEER NO. CLASS NO. DWELL.UNITS 'Exemption, you should become subject to -the Workers' D, Compensation provisions of.the Labor Code, you must forth- ; •ADDRESS SEWER MAP with comply with such provisions.or this permit shall.be• y : TEL. CONTRACTOR NO. 9-187-0507 'deemed revoked: BK,• -PG; VALIDATION • �, ' LICENSED CONTRACTORS DECLARATION LIC, I hereby affirm that I am licensed under provisions of Chapter 9 I ADDRESS P O BOR NO. VALUATION ' t (commencing with Section 7000)of Division.3 of the Business and LIC.' Professions Code,,and my license is in full-force and.effect: :l CITY Son GabtdpIl 93772CLASS $2079000 9! $Q. FT. NO.O NO.OF CHECK ` License Number lfin65n Lic.Class C39 i: j' SIZE STORIES FAMILIES ONE 77 i Contractor Vi rgi'n Reef Ce^.Date 9118184 I';" DESCRIPTION OF WORKRA®roof house with NEW ❑ $ ADD 01.m exempt under Sec. 220# C1as8 A Co • A&n le ALTER ❑ FINAL I B.BP.C. for this.reason ! .5. (26 •1/'2 -8 S REPAIR DATE USE OF ❑ � ' Dare: dwellin DEMOL - Fy AL - f USE BLDG. g ❑ Signature APPLICANT TEL. OWNER-BUILDER DECLARATION PRINT Virgin Roof Co. NO. 2870507 I hereby affirm that I am exempt from the Contractor's License Law for the following.reason (Section 7031.5, Business and' j Q ADDRESP s s $OS J San Gabriel 1 ° Professions Code): BUILD NG 8 9 118 A I; as owner of the property, or my, employees with I ADDRESS i• wages as'their sole compensation,will do the-work and the structure is not intended or offered for sale(Section %� LOCALITY ` 0'0-.Q o 0 1 7044, Business and Professions Code).- j `_A6VING TEL. 2"°' 5 9, .5 ' I, as owner of the property,am exclusively contracting, CONTRACTOR. NO. , with licensed contractors to construct the project'(Sec- I ADDRESS �° ° ° 9, 5 ' i tion 7044', Business and Professions Code). 4• REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET•BACK YARD HWY PROP. LINE WIDTH 0 2 1 5-84 4• I hereby offirm that there is a.cQnstructiori lending agency for FRONT t$eperformance of the work for which this permit.is issued P:L. c. 3097, Civ. C.). I SIDE Lender's Name I Lender's Address P.C:Fee$ Permit Fee X1.8.75 r 'I certify.that I have read this application and state that the '� Issuance Fee 50 I above-information is correct. I agree to comply with,all County i Investigation Fee I •ordinances,and State laws relatin to buildin construction, ' Total Fee Y and h reby authorize representativves. this County to enter' S9 25 ! upon e�above-mentioned p perty ins action PR S. a! I l SEE REVERSE FOR EXPLANATORY LANGUAGE' !; ature of App scant or a Abs WORKERS'COMPENSATIO�'dmv. .RATI -I. hereby affirm .that I hf Workers'certificate of consent to self ' A 1-L I I AT I O N /�®R U 1 L D I N G P E RM I T insure, ora certificate of (Sec. 800, Lob. Insurance, or a certified copy thereof(Sec. 3800, Lab. C.) s ' COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company / Certified copy is hereby furnished. I FOR APPLICANT TO FILL IN ADDRESS . Certified copy is filed with the county building inspec- BUILDING tion department. ; ADDRESS 0 6 t- �L �� LOCALITY NEAREST Date Applicant ` CITY�� L. ' ZIP CROSS ST. _ CERTIFICATE OF EXEMPTION FROM WORKERS' I NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGEJ (This section need not be completed if the permit is for one ! _ USE ZONE MAP hundred dollars($100)or less.) ) TRACT _ BLOCK LOT NO. NO. TEL. IJ t1 i� SPECIAL y. I certify that in the performance of the work for which this ; OWNER No. 7 7— 7 CONDITIONS CL permit is issued,I shall not employ any person in any manner +•: 'DISTRICT .GROUP ITYPE . FIRE PROCESSED BY O so as to become subject to the Workers'Compensation Laws. i ADDRESS L LOtifE2 _ CONST. ZONE U UG Date Applicant .CITY G Z� (_J ZIP 80 STATISTI LC IFICATION APT. CONDO. 0 NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO. DWELL. UNITS a Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this permit shall be TEL. deemed revoked. -CONTRACTOR NO. BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 : ADDRESS NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and " LIC. ) Professions Code, and my license is in full force and effect. CITY ` CLASS SQ.FT. ^,' IVO.OF i NO.OF CHECK License Number Lic.Class 1: SIZE . //(/ STORIES / FAMILIES ONE $ Contractor Date DESCRIPTION OF WORK NEW ❑ I am exempt under Sec. 6"T &FP900M ADD 50 o ALTER El FINAL ]✓ B.BP.C. for this reason ❑ DATE t'•_�_.9 f'`hL REPAIR USE OF DEMOL ❑ FINAL Date: EXISTING BLDG. ( FSlS rF g Signature APPLICANT /Y � TEL Y OWNER-BUILDER DECLARATION PRINT S%f� Lr A NO. *V11— 43 I hereby off irm'that I am exempt from the Contractor's License {�lL/7� Ll1�2 RD Law for the following reason (Section 7031.5; Business and ADDRESS Professions Code): PRESENT 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 7044, Business-and Professions Code). MOVING TEL. I, as owner of the property, am exclusively contracting �, CONTRACTOR NO. 0 3 Q h 11 with licensed contractors to construct the project (Sec- � ADDRESS tion 7044, Business and Professions Code). �t o a o o o REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP.LINE WIDTH I hereby affirm that there is a construction lending agency for -FRONT 2 0 2050 (1 the performance of the work for which this permit is issued P.L:'` r tSec. 3097, Civ. C.). SIDE o 2 (1(, ii P.L. Lender's Name 1' '`" Q 4 1 7-r 2 ii P.C.Fee$ Permit Fee `� Lender's Address I certify that I have read this application and state that the Issuance Fee aboveinformation is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee { i and hereby authorize representatives of this County to enter ? upon the above-mentioned pro erty for inspection purposes. II (,7o tG 7" I SEE REVERSE FOR EXPLANATORY LANGUAGE Signatur Applicant YAW, Date ;` ®s