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HomeMy Public PortalAbout5216 WILLMONTE AVE_Building__ GE/riy"%bp 6/78) _ - c M APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN ADDRESS 6-2146 r BUILDING . / �/J ,;.j-}' ADDRESS W r� / ��I LOCALITY b r NEAREST CITY ZIP (7 C) CROSS ST. V ' NO.OF BLDGS. ASSESSOR SIZE OF LOT 4 75 NOW ON LOT. MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE ESSE BY TRACT �.� BLOCK LOT NO. J CONS,T./ ZONE , OWNER dS, �( tN �. STATISTICAL CLASSIFICATION . SEWERM��AllP ADDRESS S %U CLASS NO. DWELL:UNITS CITY a Q_c,X ZIP (..7 g10 ARCHITECTTEL• /� VALUATION ENGINEER ^ NO. ( -Y�/ ///h v•d %r ADDRESS 7 clue;LI4 BLDG.SETBACK FROM FRONT PROP.LINE OF (STREET) CONTRACeTOOl J &C [/I P NO. `� HIGHWAY• +'YARD = .TOfAL FRONTP SETBACK FI OM TYPEOF HIGHWAY EWIDTHG LICADDRESS � NO. . // LIC. QL4*s+7 CITY (OI•vt t o C,fi CLASS 8 4 L P CONSTRUCTIO LENDER BLDG.SETBACK,FROM_ a NAME AND BRANCH SIDE PROPAINE OF (STREET). HIGHWAY + YARD - TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS CITY - SIDE PROP.LINE HIGHWAY WIDTH SQ.FT NO.OF NO.OF CHECK + _ U SIZE STORIES FAMILIES ONE as %DESCRIPTION OF WORK Q tt/1/ Ll V LV NEW [3P.C.Fee$ Permit Fee � a 40,. . 1 Z, ADD Issuance Fee Ub ALTER . EPAI ► Total FeeUSE F a✓ EXISTOING BLDG. DEMOL ❑ Z APPLICANT +YJ �p '� (� TEL (PRINT 'ILS _ �rj'(rSJ i'NO' 3,09.3' 1' ,. BY(SIGNATURE( IHEREBY ACKNOWLEDGE THAT I HAVE READ HIS APPLICAT100AND STATE V 'r THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES W AND LAWS REGULATING BUILDING CONSTRUCTION.(•CERTIFY THAT IN DOING THE _ WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF T• V r•. ,L 11. THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- 3 Z .��•tJ A .d PENSATION INSURANCE. - ,,r _ 5 ,' ' 004001 PERMITTEE SIGNATURE OF sl� •; 2'p 1 IL 2 C ll. ADDRESS �/L!IL'LMOn1 a Z o 1 4 2 C(� CITY Tumpce ( NO. A� _ 0 -321 — 7 USE ZONE MAP / �~ 916 NO. c2o (p 6 SPECIAL CONDITIONS ,- FINAL BY DATE Vit' '� d _ FBAS33A 1188•3 3.56 ` I APPLICATION FORBUILDING PERMIT 1 DIVISION OF BUILDING AND SAFETY BUILDING5 7 Q ADDRESS 1 Deportment of County Engineer County of TAB Angeles LOCALITY WM.J.FOX.COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS BT: DISTY NO. GO PI TYPE I SEWBER MAPP6 FOR APPLICANT TO FILL IN CONST. ADD EISB ��a�l b i._.;��. NUM ER �/MAP STATE YES NO LOT NO. BLOCK USE ZONE SPECIAL •� CONDITIONS TRACT 2- 2-64 l i 3"A 0 NO.OF SLDGS. BUILDING EXIST. SIZE OF LOT \ 6 I NOW ON LOT SETBACK. YARD HWY STREET NAME WIDTH i USE OF �G _EXISTING BLDG. ; Ill as Fp OL T SIDE OWNER `` t P. L. MAIL ADDREESj•S+ "O � � NJ 1 I lam/(���9� ••) O TRACT DWELL. f UNIT 5 INDUSTRIAL _CITY l • • �Q T�pl,•b• �y P DWELL. f UNIT 6 PUBLIC BLDG. ARCHITECT OR TEL. 2 DUPLEX f UNIT 7 ADDN..ALT.. ETA. ENGINEER NO. 3 APT. UNIT 8 ISCEL. ADDRESS _ _ 4 COMMERCIAL CONTRACTOR? R % a y [- INSPECTION RECORD ADDRESS V of f� r DESCRIPTION OF WORK NEW DD ALTER REPAIR DEMOLISH BQ. FT. �©' STORIES F ML IES USE OF STRUCTURE SIGNATURE CF APPLICANT APPROVALS ADDRESS `� e .`' DATE INSPECTO SIG ATURE FOUNDATION:LOCATION $ P.C. S FORMS.MATERIALS .2o© f� FEE FRAME: FIRE STOPS. f ' VALUATION (�/ S BRACING.BOLTS �/ FEE � FURNACE:LOCATION, HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT,DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH.INT. AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. f� + ,,• LATH.[DCT. NATURE /�.�/ U SIGPERMIT TEE HRMBER COR- OF ECT AND POB ED ADDRESS O/P,- r/ t 76L1� Z 7FINAL WM.J.FOX.COUNTY ENGINEER VALIDATION C.N. C)IkLXM.CHIEF SLDG�-IN PECTOR LG3 13 2� JUL 23 1 A 8.50 E 76X838A CE+r603 9-67 APPLICATION F R BUILDIG PERMIT L`J COUNTY OF LOS ANGELES BUILDING / 1 DEPARTMENT OF COUNTY ENGINEER ADDRESSZ�� BUILDING AND SAFETY DIVISION LOCALITY 'T JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST r CROSS ST. PEXISTING OR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE PROCESSED BY n CONST, 7j � (Print or type only) Jc.. STATISTICAL CLASSIFICATION SEWER MAP 17�. CLASS NO. _DWELL.UNITS BK t PG !! BLOCK USE ZONE MAP / 7n` NO. ZO/ � , /` / CONDSPECIAL IT ONS NO.OF SLOGS.NOW ON LOT LDG, 7!11/V�"Q BLDG.SETBACK FROM :/ /' C , Le (STREET) ( TE �.} FRONTPROP.LINEOF / "r, <i �J NO.Lq 1 3 -6 _ TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL f _ ) ADDRESS L � HIGHWAY WIDTH FROM G.L. _ CITY �`., , c u� O + Z v = C7 BLDG.SETBACK FROM ARCHITECT OR TEL. SIDE PROP.LINE OF (STREET) ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TE + _ CONTRACTORNO. n�` rjILIC a ADDRESS147t.p� OL NO. _ CORNER CUTOFF YES ❑ NO ❑ V LIC. CITY PK . CLASS l SEE REVFcWW ®kj ?F,-;4L�Aj? OVALS DESCRIPTION OF WORK _.. .- , a z NEWADD ALTER REPAIR DEMOLISH "%%4 PIITMt e�tt, - SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OFJJ�� tNt T, C. C. STRUCTURE f3j2 6q' SIGNATURE OF APPLICANT VALUATION $ L APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE S FEES �'7 p-� FORMS. MATERIALS rf1 FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE 15 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- TION OF THE LABOR DE OF THE STATE OF CALIFORNIA RELAT. LATH, INT. ! ING TO WORKMEN'S O PENSATION PAN)E. (? LATH, EXT. � SIGNATURE OF !MilHOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS O R i s FINAL JOHN F. LEWIS. PRINCIPAL STRU TURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION C . M.O. CASH L 2641"a JAff17 I D 27.75~ WORKERS' OMA,lNSATION DECLARATION hereby affirm tha I have.a certificate of consent to self j APPLICATION P L I CATI O N FOR .�U I L D I N G P E RM I T insure, or a certificc�e of Workers'Compensation Insurance, r �C; n d" � eV c. 3 - COUNTY OF LOS ANGELES BUILDING AND SAFETY L� / J BUILDING I Certified copyPhurnished. R PLICANT TO FILL IN ADDRESS ❑ Certified copyt e:c buildin i BUILDING tion departme ADDRESS r Date CITY' ZIP LOCALITY OF BLD.GS, NEAREST 'CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON'LOT CROSS ST. '-COMPENSATION INSURANCE ASSESSOR .(This section need-not be-completed'if•the permit is for one•..: TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100)or:less.) , OWNER p, USE ZONE MAP i N I certify that in the performance of the work for which this '' - O.• SPECIAL• �• �•• permit is issued, I shall not employ .any.person in any manner ADDRESS CONDITIONS CL so as;to become subject to the Workers'Compensation;Laws. O -` � -CITY ,ZIP. U Date Applicant ' ARCHITECT OR TEL, ad NOTICE TO APPLICANT: If, after•making this-Certificate of ENGINEER NO DISTRICT GROUP TYPE FIRE PR ESSED BY O Exemption, you 'should become -subject,-to, the.Workers' CONST. ZONE w Compensation provisions of:the Labor Code, you must forth- ADDRESS �� —3 v a with comply with such' provisions or this..permit shall be j'y) TEL• STATISTICAL CLASSIFICATION APT. ' CONDO. N deemed revoked. ' CONTRACTO /V/ No-12 Z �� .. LICENSED CONTRACTORS DECLARATION ICLASS NO. �� DWELL. UNITS I hereby affirm that I am licensed•under provisions of Chapter 9 ADOR SS •SEWER MAP (commeLI ncing it io ) iyision 3 of the Busin CITY CLASS �j and Professions d ce is in full for an c ' l gK PG. VALIDATION SQ.FT. NO.OF NO.OF CHECK „ License N er c.,Class, i SIZE STORIES FAMILIES ONE UI VA AT19N///��I Contra or ate DESCRIPTION OFAmi&E �j W ❑ + I 6, - / 7 e+ ADD ❑ ((-CC// ► ❑.I am exempt under-Sec. �- ALTER', ❑• ' B.&P.C. for this reasons~G �1 C61ff y�� REPAIR-❑ ; Date: USE OFEXISTING BL'DG.I t/ J 3U DEMOLEl Signature APPLICANT r TEL- (PRINT)( EL. (PRINT). U !NO. I FINAL - OWNER-BUILDER DECLARATION I DATE Q�� fj•, ' I hereby affirm that I am exempt from the Contractor's License , Law for the following reason.(S.ection 7031.5, Business and ADDRE : I® � f�:+�� L j FINAL. .E Professions Code): PRESENTB g.l i Y ElI, as owner of the property, or my'employees with ADDRESBUILDINS, 1=`dCCI C:i" wages as'their,sole compensation,will do the work.and.;' ;t - : •• ` the structure is not intended or offe'red for sale(Section LOCALITY i L,93 7044, Business and Professions Code.) -MOVING TEL: - _ I,as owner of the property;am exclusively contracting CONTRACTOR NO. I f `I. J r EIN-.- With licensed contractors to construct the project (Sec- I ADDRESSr'"—' '—° tion 7044, Business and Professions Code.) = REQUIRED TOTAL SETBACK FROM EXIST. = ! - CONSTRUCTION LENDING AGENCY 3E7 BAS YARD HWY PROP. LINE WIDTH tl L.� I hereby affirm that there is a-consiruction lending agency for FRONT., I _ the performance of'the work for which this permit is issued I P:L I s•?e 't�{= ,( I� (Sec. 3097, Civ. C.). SIDE P.L. I Lender's Name n ! Q ?1•10-, d, / I LDMA Ref. # t_ :f , . r s: P.C. Fee$ 'Permit Fee i Lender's Addr J _6',:1 :Am 10-IN I certify th I'have 'read this lication and state that.the j Issuance Fee. / CDMA P/C# , above inf ation is co re t. I g e to rn y 'h all County investigation Fee Q ordinanc s nd St to aws r la rig to b i ding nstructi n, Total Fee ✓• I LDMA Perm.* and hereb utho ize pr atives of t is Cou ty ter upon the o - tione pro r i k n SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Da