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Home My Public Portal About9655 WOODRUFF AVE_Building__ 76A888A CE#8085-BI APPLICATION FOR BUILDING PERMIT - COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUMING AND SAFETY DMSION LOCALITY .JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. ' DISTRICT NO. G OUP TYPE SED BY• . FOR APPLICANT TO FILL IN cons BUILDING STATISTICAL CLASSIFICATION - S WER MAP ADDRESS 9655 Woodruff �t K CLASS.NO. DWELL.UNITS- LOT NO. NITS LOTNO.. . J BLOCK WATER NOT REQUIRED RECEIVED !p CERTIFICATE: TRACT .7 MAP HIGHWAY STAT MAJOR SECOND, OCAL Na.OF BLDGS. NO., .CIRCLE. SIZE OF LOT I NOW ON LOT USE ZONE SPECIAL USE OF 1r� CONDITIONS 'EXISTING BLDG. ilk 'J OWNER B. L. Meek NO. BUILDINGEXIST. ADDRESS 6004 N. Rosemead . T.C. SETBACK YARD . HWY STREET NAME WIDTH FRONT ARCHITECT OR TEL. P. L.. ENGINEER NO. SIDE P.L. 0 . ADDRESS L I�t� INSPECTION RECORD CONTRACTORVirgin Roof C o* NoA l 050 IN IN ADDRESS600 R_0,aYI CrS;hri A.1 BIyd, V DESCRIPTION OF WORK S.G." N Z NEW ADD ALTER REPAIR DEMOLISH SQ.FT. NO.OF NO.OF' SIZE STORIES FAMILIES USE OF ti STRUCTURE SIGNATURE OF APPLICANT . VALUATIONS 160.00 APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT.i FOUNDATION:LOCATION FEE $ FEE $3.00 FORMS.MATERIALS FRAME:FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION .'BRACING BOLTS _ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:-LOCATION. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION. I CERTIFY TH. IN DOING'•THE WORK AUTHORIZED HEREBY I WIL NO EM LO ANY-PERSON IN VIOLA- LATH,INT: TION OF THE LABOR COD OF: A OF CALIFORNIA RELAT- _ ING TO WORKMEN'S CO ENS '1 URA CE. _LATH,EXT. / SIGNATURE O ✓� HOUSE NUMBER COR. PERMITTEE RECT AND POSTED / ADDRESS 6 S an Gab;02- • FINAL. Y 6 CLYDE N. DIALAM;• RINdIPAL ST RAL ENGINEER PLAN CHECK VALIDATION CIL M.O. CASH ti PERMIT V ATION (.PK.):M.G.. .CASH LAla a 8.5 7 6� f EB 16 1 D 3.00 OFBURDOM ill guy APPLEATMNME PEBMcomrry cr mm jWdLuffik1 WM. J. FOX. CHISF SNalms 1V5 U I L •r Fcm OFF= m MY/FrO$�+iPPLZC '1O P= IIS DISTRICT NO. PLAN CK. NO. MIT NO. ADDRESS 9675 P,QPp u F J .rI 6 uF LOCALITY.n -e� , SIVSD BY DA'I'S OF APPL TS ISSUED -J'g_, .� NEAREST CROSS ST. BUILDING ,�,/�Jl ADDRESS q CLf`r -0.0 uF OWNER v MAIL / LOCALITY "a M L£ ADDRESS 1 MKARwr e- 117' CROED ST. CITY efG .,� NO. FIRE NO.OR TYPE v G rye. ARCHITECT •�L, ZONE PLANE • ENGINEER �f NO LDG. ORD.NO. KTRACK LINE�O . ADDRSM� TSL YPROVm DATE CONTRACTOR NO. E APPROVED NE - EY DATE ADDR NOUDK NUMDURING LEa /99�7 DEDCRIPnON LOT NO. BLOCK M C MB-RFISLO CHECKTRACTNO. IGNSD EY ■IZE OR LAT / NO.OF BLOOD. NOW ON Jim UxxOF or MINTING ELM. FAM up d � DRIMMM CV W= NEW 1 00TAVMRATIOM I I ADDITION I I I0 REPAIR DEMOLITION E O_ :I7, o NO. OF 4c ROOMS STORIEDCftlulrr Z �ERINa G'." I COVERING UDs OF STRUCTUR .. A+1/L• I,.wF. Z ✓< JIPPSOVALB INSPKCTOR'S SISMATURK DATE 1 HERESY ACKNOWLEDGE THAT 1 HAVE BRAD THIS AP- POUNDATIONi LOCATION PLICATION AND STATZ THAT THE INFORMATION GIVEN IB FORMS. MATERIALS •+ CORRECT. FRAMES FIRK STOPS. 1 AGREE TO COMPLY WITH TIE CORRECTIONS LISTED NKRBDN AND WITH ALL COUMY ORDINANCp BRACING. BOLTS AND STATS _ LAWS RMUL.ATIM BUILD G CONS'jRU N. FURNACRi LOCATION; SIGNATURE OF L '- 4 GAS VENT.DUCTS PERN f'' 7 LATH, INT. A.1381001114,Wd 22 LATH. Off. i 1 AUTHORIZKD ACT. PLASTER. INT. 7�ah•fMMS faro i P.C.E 000 ® �/S�- FQ /if. PLASTER. KZT. 00 1�• �1 vALuwnoN (� FQ f FINAL I APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES j BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOP APPLICANT TO FILL IN BUILD! ADDRESS I hereby affirm that I have a certificate of consent to self insure, Bu G DD or a certificate of Workers'Compensation Insurance,or a Certified copy thereof(Sec.3800,Lab.C.) CI �� ZIP I LOCALIAROSS�� Policy NO. Company SIZE OF LOT NO.OF BLD S.N WON LOT ❑ Certified copy is hereby furnished. NEARE ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OW c' � j N O YES NO COMPENSATION INSURANCE ✓ 1 WITHIN 1000 FT.OF SCHOOL? (This section need not be completed if the permit is for one hundredA R ^ � DISTRICT GROUP TYPE CONST, FIRE ZONE PROCESSED BY /�/ dollars($100)or less.) p I certify that in the performance of the work for which this permit a PA - c-liry I ZIP (+� is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER EL NO. become subject to the Workers' per"t'�� STATISTICAL C�TION APT CONDO Date€$-1783 Applicant ADDRESS CLASS NO. d DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate Of LFRONT LYARDHWY TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRA R , T L NO. ryn PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith — J comply with such provisions or this permit shall be deemed revoked. ApDgE LIC.NO.LICENSED CONTRACTORS DECLARATION (� -axtge ed CITLIC I hereby affirm that I am licensed underprovisions of Chapter 9 fQQ11� SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ FT.SIZE NO.OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force and eeff ct. L, t NEW ❑ BK PG , a License Number Lie.Class C3 DESCRIP�`N QF WORK /t ADD ❑ VALU TION C Contractor Date TL 1611 ` ALTER ❑ $we, a IN-if C [II am exempt under Sec. /� REPAIR ❑ $ BAP.C.for this reason tjQ Y 6N DEMOL ❑ LDMA P/C# LL Date: USE OF EXISTING BLDG. URM ❑ n Cr Signature APPLICANT(PRINT) TEL NO. LDMA Perm# ❑ I, as owner of the property, or my employees with wages as ZO °•^'T a their sole compensation, Will do the work and the structure is ADDRESS 'i t1 I oe' not intended or offered for sale (Section 7044, Business and FINAL DATE G ;7fl- pc Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL p�!jr 3 ❑ 1, as Owner of theproperty, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ITEMS Y g AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY 0 licensed contractors to construct the project (Section 7044, 8= Business and Professions Code.) ves❑ No El TOTAL �, + -.e WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CHECK '37.45 CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR I hereby affirm that there is a construction lending agency for YES 13 No El GUIDELINES. ►HE . 0 fli7!ANG!�] athe performance of the work for which this permit is issued(Sec. I I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING 3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, i cm TITLE 2.CHAPTER 2 20 SECTIONS 2 20.100 THROUGH 2 20.140 CONCERNING HAZARDOUS I]I�I]I�—i]i]I��, 4f 17 9" Lender's Name I MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. o Lender's Address 11302 1 AM 10=D55 OWNER OR AGENT o I certify that I have read this application and state under penalty Oof perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE N with all county ordinances and State laws relating to building I �p construction, and hereby authorize representatives of this County ISSUANCE FEE C-- to upon jpe a ve- nt ned property for inspection purposes. m _j)�K,p.ZZ INVESTIGATION FEE TOTAL FEE SynptM d AppEWM oFftant OpM SEE REVERSE FOR EXPLANATORY LANGUAGE