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Home My Public Portal About9210 WOODRUFF AVE_Building__ APPLICATION FOR w `� COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN LDING ADIDRESS /J /n J t t _ BUILDING ADDRESS OG/ v vo VJF LOCALITYNEAREST / ��Jj L CITY r� e-JT ZIP / / g� CROSS ST. (Jy� NO.OF BLDGS. 9 ASSESSOR SIZE OF LOT JG NOW ON LOT / MAP BOOK � 70 PAGE PARC ' DISTRICT GROUP TYPE FIRE OGE S D BY TRACT - [j BLOCK L NQ - 08 y CO S ZONE TE HIPOWNE J• / NO. ter' G STATISTICAL CLASSIFICATION SEWER MAP ADDRESS (� CLASS NO.-A 0 DWELL.UNITS EK&49PG ,,A» l y 'r-71 USE ZONE MAP o� OD CITY /r�/-L6 �� zip 'r-71 NO. ARCHITECT OR TEL. SPECIAL ENGINEER NO. CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ TEL. CONTRACTOR NO BLDG.SETBACK FROM LIC. FRONT PROP.LI NE OF (STREET) ADDRESS NO. HIGHWAY + YARD _ TOTAL SETBACK FROM TYPE OF EXISTING LIC. FRONT PROP. LINE HIGHWAY WIDTH CITY CLASS CONSTRUCTION LENDER J/ Ay + NAME AND BRANCH JJ n c BLDG,SETBACK FROM ADDRESSCITY SIDE PROP.LINE OF (STREET) SQ, FT. NO. OF NO. OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING Ct SIZE STORIES FAMILIES ONE SIDE PROP. LINE HIGHWAY WIDTH C: _ t. ILL DESCRIPTION OF WORK NEW ❑ + d V .� �/l ADD ❑ CORNER CUTOFF YES ❑ NO ❑ L` ALTER ❑ FDEMOL EPAIR❑ IN OPEN SPACE YES NOEXISOT NGUSE BLDG• iVATI ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ APPLICANT -_ O2d qw (POINT) h �*lOy/� BY (SIGNATURE) f I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. IC THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE ' LABOR CODE OF THE STATE OF CALIFOR IN RELATING TO ry WORKMEN'S COMPE NSATIONI INSURANCE, / SIGNATURE OF FINAL PERMITTEE DATE / BY ADDRESS pp ,�,, TEL' P.C. Fee$ Permit Fee CITY wJ�1fce- NO. Issuance Fee VALUATION$ X- Total Fee 3 PLAN CHECK VALIDATION CK. M.O. CASH o PE T VALIDATION CK. M.O. CASH 0 3 5 '`ti0V 2 1 D� 3.0 U 76AG38A C6#8030 12/75 DEMMME ANT OF COUNTY E MMM DIVISION OF BUILDING AND SAFETY ®� � COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER APPLICATION LLLJJJ CASSATT D. GRIFFIN, SUPT OR BUILDING FA3DR OR APPLICANT TO FILL IN FOR OFFICE USE ONLY G ,- )) / / DISTRICT PLAN CK,on RBC.No. PEO IT�[O/ S o�a. rJ !moo o./ ra_.t/ 5 ��J(ov Y �` REC VED BY DATE OF APPL. DA E ISSU D TP may, !� �`; �,� , T GI �� 3��s� T 7vL 7-y� ADDRESSC� D (�a o /r fes_ �` LOCALITY • ,1/ rim a NEAREST � TE . CROSS 9T. /rf!'OffP yri b C T�. OR OR, J NpL� ZONE PLANS I V: FIRE NO. OFTYP I GROUP ADDRESS /� / SETBACK LINE �� '/ •/• ,L !c ' Di'1G- CONTRALTO / /� Trs1" USE // APPROVED ��, n NO. . ZONE -lig' /BY DATE HOUSE NUMBERING . - 1 /V �� ADDRESS n! I �;5ir LEGAL �vr r wrD MAP NUMBER �� ! NO. ASSIGNED BY DESCRIPTION I LOT NO. o� BLOCK CORRECTIONS z' TRAh6CT(//i�CO 9 e 3�/ T VNO.OR BLDGS. SIZE OF LOT S4t� X Al r1 I NOW ON LOT USE OF I NO. OF / EXISTING BLDG. a LO -..9 FAMILIES DESCRIPTION OF WORK O - ALTERATION RE AIR HDEMOLITION -I ADDITION r SQ. FT. NO.OF SIZE s ROOMS STORIES COT. WALL ROOF VER NG I COVERING /R S S USE O STRUCTU�,E ' . APPROVALS INSPECTOR'S SIGNATURE_ DATE FOUNDATION:LOCATION FORMS, MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS, J PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING. BOLTS CORRECT. I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, AND STATE LAWS REGULATIG BUILDING CONSTRUCTION. GAS VENT. DUCTS f SIGNATURE OF LATH. INT. � �� / y,��f�f',.. PERMITTE i{ LATH. EXT. ADDRESS (/ PLASTER, INT. � AUTHORIZED AGT. $ ,/ Nf 1 PLASTER, EXT. -�-�'" FEE H HOUSE NUMBER COR- �. V.--- �j RECT AND POSTED n VALUATION REE HOC ®� FINAL 76AGSBA 0883 8^82 _ QD DEPARTMENT OF BUILDING AND SAFETY i Aldi LL XKluim run FznmaT 4 COUNTY OF LOS ANGELESffift H H N® ,! WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING �` n tt [y '' / . DISTRICT NO. PLAN UK.NO. PERMIT /P•,ERMIIIT7 NO. ADDRESS ! �y/ 1 �1� I.i t; r/r Aw go 6 / rJ LOCALITY j0,/),fD RECEIVED BY DATE OF APPL�(.j7 DATEISSUED NEAREST `�� CROSS ST. Aw OWNER U l-,Y /I7MAIL ' /Y 7 [`. ADDRES9BUILDINGGd IJV Y.Y/�4(i/�yyL� �- `1_ Ue ADDRESS /_j (7,,L ,?� 1�!vR'Q LOCALITY-j^ • ti-� 1� ` NEAREST CITY �I`; /r1 I+7�D (o [,/I-AE s CROSS ST. , FIRE NO.OF TYP GROPR_. ' ARCHITECT OR /y TEL. ZONE PLANS �,,,�- .,� ENGINEER NO. BLDG. ORD/.') NQ. ADDRESS SETBACKLINE ry--� / /��a / �/� (/ DATE CONTRACTOR APPROVED CONTRACTOR /R/fs' �� USE NO. E APPROVED ADDRESS ZONE BY DATE LEGAL ` � BLOCKS- ��— P_ CORRECTIONS DESCRIPTION LOT NO. TRACT c 1 6-0 r 0-/ V � NO.OF BLDG8. )� d� (/ SIZE OF LOT ¢ `/A to I NOW ON LOT 1 6, e USE OF NO.OF NO.OF EXISTING BLDG. 1�/�Y�.�IJ FAMILIES—I ROOMS DESCRIPTION OF WORD NEW I< ALTERATION ADDITION O REPAIR MOVING DEMOLISH F p 94.FT. f L� NO.OF Z _SIZE: U ROOMS STORIES D WALL /-LI°� S R�I ROOF COVERING COVERING '' L T r �'t--� ' T�•r y0 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROV i APPLICATION AND STATE THAT THE ABOVE 19 CORRECT FOUNDATION:LOCATION I PECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS e�y,.�/ AND STATE LAWS .EGULATIND BUILDING CONSTRUCTION. FRAME, FIRE STOPS, SIGNATURE OF 91 BRACING,BOLTS PERI �� [� -• - LATH,INT., AUTHORIZED ADT LATH,EXT., DSS-3 soM SETS 7=47 $ u P.C.19 /+ PLASTER,INT. FEE C� I PLASTER,EXT. VALUATION l FEE 'Dc FI NAL WORKERS'COMPENSATION DECLARATION hereby affirm that I have a certificate of consent to self P'P L I ATI R BUILDING P E RM I T insure, or a certificate of Workers'Compenstion Insurance,or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN• BUILDING ADDRESS • 9 c�C/ ❑ ' Certified copy is filed with the county building inspec- BUILDINGr J tion department. ADDRESS G 10 r 'I' LOCALITY NEAREST SS r Date Applicant CITY a ZIP ` CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' NO.TOF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE 7PARCEL (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. pC d Q 7 tl / TEL. �1 SPECIAL I certify that in the performance of the work for which this OWNER CJI,�Y NO. CONDITIONS permit is issued, I shall not employ any person in any manner /q ed DISTRICT GROUP TYPE FIRE PRO SSED BY 6J so as to become subject to the Workers'Compensation Laws. ADDRESS �� CONST. ZONE 09 Date - Applicant � CITY ! ZIP / STATISTICAL CLASSIFICATION CONDO. IyOTICE 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 J1 Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP am with comply with such provisions or this permit shall be o deemed revoked. TEL' BK. PG, VALIDATION CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 1 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 $ C ,v SQ. FT. NO.OF NO.OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE Contractor Date DESCRIPTION OF WORK NEW ❑ I am exempt from the licensing requirements as I am a r R r7/I42& ADD El licensed architect or a registered professiopal engineer ALTER FINAL acting in my professional capacity (Section 7051, REPAIR ❑ DATE Business and Professions Code). USE OF rFINAL EXISTING BLDG. DEMOL ❑ By Lic.or Reg.N9. Date APPLICANT TEL. OWNER-BUILDER DECLARATION (PRINT) NO. I hereby affirm that I am exempt from the Contractor's License 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. c 3 1 9,4 A I with licensed contractors to construct the project (Sec- ADDRESS # 0 0 0 0 0- 1 tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. . CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH 2 a o 2 Q 5 0 1 hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. i o 0 0 2 a O 0 H (Sec. 3097, Civ. C.). SIDE , Lender's Name - P L • 0 3,0-9-82 i , P.C. Fee$ Permit Fee r Lender's Address _ I certify that I have read this application and state that the Issuance Fee d I above information is correct. I agree to comply with all County =tigati.n ordinances and State laws relating to building,construction, and hereby authorize representatives of this County to enter Total Fee upon the above-mentioned operty for in ection purposes. N. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of App icant or Agent Date ®s