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Home My Public Portal About9465 WOODRUFF AVE_Building__ BA898A DBS-3 e•SeAPPLICATION PPL.ICATION FOR BUILDING PERMIT 1 DIVISION OF BUILDING AND SAFETY BUILDING / LAI0(/ IptV)q' Department of County Engineer County of Los Angeles LOCALITY WM.J.FOX.COUNTY ENGINEER NEAREST O I/ it' CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP SEWER TYPE MAPPG FOR APPLICANT TO FILL IN •S' y I CONST. BUILDING r + MAP STATE YES O ADDRESS ? 1!� (�/P/J��-.Y� yU' '- NUMBER 8 HWY L �J BLOCK USE ZONE SPECIAL OT NO. CONDITIONS TRACT t e NO.OF SLOGS. BUILDINGEXIST• SIZE OF LOT I NOW ON LOT ' SETBACK YARD HWY STREET NAME WIDTH USE OF /JJe�- /J FRONT EXISTING BLDG. -//-� °��C_ p L. SIDE OWNER G�_t f/t'�9'i_✓! �1 C:r ryt:= Graf. r P.L. MAIL r �y. / �: M1l. a�r ADDRESS } lel :1' 'e_.t' O TRACT DWELL. f UNIT 5 INDUSTRIAL TEL. 1 DWELL. I UNIT 6 pUBLiC BLDG. CITY i+ [1•i :' s°/ NO. ITECT OR TEL.i/ 2 DUPLEX 1 UNIT ARCHADDN..ALT.. ETC. ENGINEER NO. 3 APT. UNITS ' $ MISCEL. ADDRESS 4 COMMERCIAL (ffIClTEL. CONTRACTOR c! Al N04-1-4, OI:7±.J +, TrINSPECTION RECORD ADDRESS i_/� L? 7`•z�r4 r^o.,af) �'`' DESCRIPTION OF WORK NEW ADD ALTER/'�-REPAIR DEMOLISH SQ. FT. NO.OF NO.OF - SIZE STORIES FAMILIES USE OF STRUCTURE r Ill'—i' 7"r) A,,)o f/r1 4 2 SIGNATURE OF APPLICANT APPROVALS " /:'`v"'%�f' - DATE INSPECTOR'S SIGNATURE ADDRESS 9ti FOUNDATION:LOCATION $ •� )•--� P.C. $ FORMS.MATERIALS // FEE FRAME: FIRE STOPS. VALUATION Q fL f p BRACING.BOLTS ( / D ✓•'f� 3='! $ FEE FURNACE:LOCATION. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT.DUCTS "'-'�^ APPLICATION AND STATE THAT THE ABOVE IS CORRECT [�1 AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH.INT. I�A A AND STATE LAWS REGULATING BUILDING CONSTRUC- t✓/yb rr TION. . LATH.EXT. SIGNATURE OF r - �� •-_ 4.� HOUSE NUMBER COR- �— PERMITTEE � ' ' RECT AND POSTED / D i N�/�7f b ADDRESS FINAL WM.J.FOX.COUNTY ENGINEER VALIDATION C.N.DIRL.AM.CHI$F BLDG. INSPECTOR �Co 6 6 4 2- AUG 15 1 1 .0 0 p nSA63BATE 0803 1/71 APPLICATION FOR BUIDYING PERMIT COUNTY OF LOS ANGELES ASSESSOR DE]FARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING �� f ADDRESS COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST Print ort a only) CROSS ST. sA. d DISTRICT NO. GROUP TYPE PROCESSED BY BUILDING i�� / �' �/ CONST. {wGJ,�D ADDRESS (Q �+jU�j(� � �J 9�� LOT NO. .3/3 BLOCK STATISTICAL CLASSIFICATION SEWER MAP CLASS NO.� L.UNITS DWELBK PG TRACT �js' USE ZONE MAP NO.OF BLDGS. ` NO. SIZE OF LOT NOW ON LOT / 1nr ^ SPECIAL USE OF /� CONDITIONS EXISTING BLDG. /K/ ' e* /yh!^ _�`S EL- OWNER L.OWNER �1 _ it B�/ NO. W_ ra BLDG.SETBACK FROM % ADDRESS &S_ 7O FRONT PROP.LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL CITY HIGHWAY WIDTH FROM C.L. ARCHITECT OR TEL } _ ENGINEER NO. BLDG.SETBACK FROM ADDRESS _pp_ SIDE PROP.LINE OF (STREET)19 y TEL TYPE OF EXISTING SETBACK HIG AY + YARD = TOTAL �• CONTRACT , �/� - Np, HIGHWAY WIDTH FROM C.L. C C LIC ADDRESS NO ' LIC, 1- CITY /f CLASS CORNER CUTOFF YES ❑ a CONSTRUCTION LENDER v NAME AND BRANCHSEE REVERSE IDE FO SPECIAL APPROVALS ? ADDRESS [APPLICA Q. FT. NO. OF NO, OF / NEW ❑ �, IZE STORIES FAMILIES SE OF ADD ❑ C� TRUCTURE /s-t e is J ALTER j� REPAIR❑ I AT.J.R F L' ` DEMOLALUATION$ j dU , • APPROVALS DATE I)#.-I.R'i SIG ATURE P.C. PMT. UNDATION: LOCATION FEE$ 77jFEE 5Col� FORMS, MATERIALS 2J J FIRE STOPS, 1/1 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY F ACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- S VENT, DUCTS STRUC TIO CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY WILL T EMPLOY ANY PERSON IN VI O TION OF THE LATH, INT. LABOR CO OFfE TE OF •CALIFORNIA 1 ELATING TOORKMEN'S MTI N IN ANCE. LATH, EXT, SIGNATURE F HOUSE NUMBER COR- PERMITTE RECT AND POSTED ADDRESS FINAL f Ll� JOHN F. LEWIS. PRINCIPAL VK. RAL ENGINEER PLAN CHECK VALIDATION CK. M.0. CASH _ PERMIT VALIDATIONM.O. CASH AID� 2 ? Z� JUL 2 7 1 -D 40 Ncc WORKERS'COMPENSATION DECLARATION hereby affirm that I have certificate of consent to self" APPLICATION FOR BUILDING P E RM I T ' insure,'or a certificate of Workers' Compenl:ation Insurance, or a certified copy thereof(Sec. 3800, Lab..C.) COUNTY OF LOS ANGELES BUILDING'ANO SAFETY Policy No. Company BUILDING ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN " ADQRESS ❑ Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS /f e / i Date Applicant CITYMolt. C t ZIP �/�v LOCALITY NO.OF BLDG& NEAREST /� CERTIFICATE OF:EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT' CROSS ST.' 0 COMPENSATION INSURANCE ' ASSESSOR C(This section need not be completed'if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL dollars ($100)or less.) TEL, ' OWNER fj' Q ��. �9� USE ZONE MAP , I certify that in the performance'of the work for which this i. 'NO. permit is issued, I shall not employ any person in an manner ADDRESS i SPECIAL CONDITIONS O so as to become subject to the Wor Wen on Laws. bfeOW2 V CITY 79 �Daf�� A licant ARCHITE ZIP TEL., NOTICE TO APPLICANT: If, after making this .Certificate of ENGINEER NO. DISTRICT GROUP WNST. ZONE E FIRE PROCESSED BY Q Exemption, you should become subject to the Workers' fJ' �� f Compensation provisions of the Labor Code, you must forth- ADDRESS r rJ b' a with comply with such provisions or this.permit shall .be , / TEL. .�/0 STATISTICAL CLASSIFICATION APT. CONDO. Z deemed revoked. CONTRACTOR v NO. ��bb LICENSED CONTRACTORS DECLARATION LIC. �+7 CLASS NO. DWELL.UNITS I hereby affirm that I am licensed under provisions of Chapter 9' I ADDRESS @ NO. °y J / SEWER MAP (commencing with Section 7000)of Division 3 of the Business I LIC. CITY- VALIDATION and Professions Code,and my license is in full fo nd effect. � 1e' CLASS BK. PG. SQ. FT. NO.OF NO.OF CHECK ~License Nu rA/32/S7 Ltc. Class' SIZE STORIES FAMILIES ONE • • VALUATION • Contractor te. '� ' DE$CRI ION OF WORK NEW ❑ $'• /&0, ' �, ^O ADD ❑ am exempt under Sec. ALTER ElPoo. B.&P.C. for this reason' _ u! REPAIR ❑ $ te: i USE OF i EXISTING BLDG DEMOL ❑ Signature APPLICANT TEL:'• FINAL OWNER-BUILDE DE RATION (PRINT) NO.' DATE I hereby affirm that I am exempt from the.Contractor's License '• �+�v f, Law for the.following reason (Section 703.1.5, Business and ADDRESS FINAL, y Professions Code): PRESENT . ❑ BUILDING By I as owner of the property, or my employees ees with r+L , ADDRESS ,••,w� wages as their sole compensation,will do the work and ``�l� y»43.63 the structure is not intended or offered for sale(Section LOCALITY 7044, usiness and Professions Code. MOVING TEL. , (—wr CONTRACTOR NO. ITEMS I S • ❑ �I,as owner of the property,am exclusively.contracting I TOTAL ,. with licensed contractors to construct the project (Sec- .St.� AL_ �,�9'•+:*+ m-63 tion 7044, Business and Professions Code.) ADDRESS ,7 CONSTRUCTION LENDING AGENCY SEETQBACK YARD HWY TOTA SETBPROPA K ROM WAIST. :•I"E1:°lx It?•:toi DTH I hereby affirm that there is a construction-lending agency for FRONT (;SrS�,(tvj;' n{;t_t the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). E SIDE P:L. Lender's Name //� LDMA Ref.# y/r 3 P:C. Fee$ Permit Fee 1L�� '�;,� Lender's Address � , 1 certify that I have read this application and state that the Issuance Fee C�� S LDMA P/C# above information is correct. I agree to comply with all County Investigation Feb g ordinances.and State laws'relating to building construction, Total Fee �i7 LDMA Perm.# and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. o SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Appltccnt or Agent Date