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Home My Public Portal About9076 WOOLLEY ST_Building__ oy — - - ,� .�'�/•rll:/Is� D��y'/�yl�f:i�� f .!'�4°�i'"'f ��r� ��,•-�.C:1.``��,'••2,,> 76AS38A CE#SOS.1-37 APPLICATION FOR BUILDING PE ; aT 1- COUNTY OF LOS ANGELES BUILDING Gj�-rJ� i' DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAMStIE.COUNTY ENGINEER NEAREST ti CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPE SEWER MAP FOR APPLICANT TO FILL IN I x _ CONST. 'r ADDRESS 57 Dj7e STATISTICAL CLASSIFICATION CLASS.NO. DWELL.UNITS LOT O - LOCK MAP STATE NUMBER HWY. YES O TACT US1F ZpNE SPECIAL NO.OF BLDGS. �S��J�/j CONDITIONS SIZE OF L _ I NOW ON LOT USEOF EXISTING BLDG. t•5 Y e+ BUILDING E 1 1 r 1�� SETBACK YARD HWY STREET NAME WIDTH OWNER /L O/Y FRONT P.L: ADDRESS 2 L}iV SIDE P.L. CITY ARCHITECT OR TE' EL.TZ•3 J� INSPECTION RECORD ENGINEER NO. ADDRESS TEL. CONTRACTOR _ NO. ADDRESS' DESCRIPTION OF WORK NEW Z-_ADD ALTER REPAIR DEMOLISH p SQ.FT. NO.OF NO.OF .DD i /l SIZE 42-21 y STORIES FAMILIES USE OF STRUCTURE r;'ox-, nj. 'Ic SIGNATURE OF/� i APPROVALS APPLICANT ll ' � DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION �y [ !'1 FORMS,MATERIALS r w/l/frf.!rl�✓l �p P.FEE C. $ Q FRAME: FIRE STOPS. l 3 �v BRACING.BOLTS VALUATION 1 FURNACE: LOCATION. FEE GAS VENT.DUCTS 7 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT. - PLICATION AND STATE THAT THE ABOVE IS CORRECT ANDAGREE TO CO AND TATE LAWSMPLY REGULATINGWITHLBUILDING COCOUNTYIN TRUCTION. LATH.EXT. SIGNATURE OF HOUSE NUMBER COR- / PERMITTE RECT AND POSTED 7' Aqolffhf ADDRES �� 'w' FINAL CLYDE N.DIRLAM, PRINCIPAL STRU AL ENGINEER _ PLAN CHECK VALIDATION K. m.o. CASH PERMIT VALIDATION CK. .O. CASH LACD1. 8 2 9 JUN 12 1 6 A 1 8.0 0 � ®� LG; 2 0 6.6 JUN 19' 1 A 36-00 6A638ACEaj. 6-62APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY NN , JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. DISTRICL� G P TYPE S B FOR APPLICANT TO FILL IN CONST. BUILDINGO LA) �` STATISTICAL CL ICATION EWER MAP ADDRESS7 (v CLASS. NO. DWELL. UNITS LOT NO. y 1A� Fit V Al lTLlCKK ope �'Oy7 WATER NOT REQUIRED RECEIVED R..�/b CERTIFICATE: TRACT - MAPA— ` NO. OF BLOGS. NO. (CIRCLE) STATE MAJOR SECOND LOCAL SIZE OF LOT O ,,` �p NOW ON LOT USE ZONE SPECIAL USE OFnCs I CONDITIONS EXISTING BLDG. k I TEL �p OWNER a a U►# BUILDING EXIST. �+ � // SETBACK YARD H STREET NAME WIDTH ADDRESS � / k�-!1' FRONT / ARCHITECT OR TEL. P. L Ao ENGINEER NO. SIDE } P. L. 4 ADDRESS C ILL CONTRACT ✓M NO.I��7097 ADDRESS ) DESCRIPTION OF WORK EL NEW AD ALTER REPAIR DEMOLISH SQ. FT. NO.OF NO. OF ' ? SIZE 3.2 STORIES FAMILIES ' ,�, _�. y✓. �j-'vj:<�' USE OF STRUCTURE - i SIGNATURE OF ` �'/ - .� . .-� ;� APPLICANT , VALUATION $ APPROVALS DATE INSPECTOR'5_SIGPMTURE P.C. PMT. /� FOUNDATION: LOCATION FEE $ FEE $ FORMS, MATERIALS i FRAME: FIRE STOPS, '>7 1 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 THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA. .� TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- LATH, INT. ING TO WORKMEN' OMPENSATION INSURANCE. LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED _ ADDRESS 'y FINAL JOHN F. LEWIS, PRINCIPAL STRUCTURALE R PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.G. CA I APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES I BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS 1*27 I hereby affirm that i have a certificate of consent to self insure, BU ANG ADDRESS or a certificate of Workers'Compensation Insurance,or a certified copy f thereoSe . 800b.C.) CITY. ZIP LOCALITY � Policy No� Company r SI OF LOT NO.OF BLDG&NOW ON LOT ❑ Certified copy is hereby furnished. .�-3 //v NEAREST CROSS ST. I Certified copy is filed with the county b ' 'ng in action TRACT BLOCK LOT NO. u 1, dap rtment. USE ZONE MAP NO. Date 0�Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO. COMPENSATION INSURANCE GU w Efr WITHIN 1000 FT.OF SCHOOL? vas No (This section need not be completed if the permit is for one hundred ADDR S dollars($100)or less.) DISTRICT GROUP T NST. FIRE ZONE PR( O,C,ESSED BY CITY ZIP _ i C4 I certify that in the performance of the work for which this permit Q{� �J( is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. ARCHITECT OR ENGINEER TEL NO. STATISTICAL CLA IFICATIONAPT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate of t aqREQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR /� 07 TEL NO. `` / SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith 00 !,r A67 FRONT comply with such provisions or this permit shall be deemed revoked. A ES LIC. PL ' LICENSED CONTRACTORS DECLARATION SIDE r CIT '/n LIC.C S PL I hereby affirm that I am licensed underprovisions of Chapter 9 V C �fEWER MAP a ( commencing with Section 7000)of Division 3 of the Business and 80.FT.SIZE NO.OF STORIES NO,OF FAMILIES Q Professions Code,and my license is in full force and effect. NEW BK PG , C License Number �L !27 Lic.Class '� DE RIPTION OF WORK j&4 el Q ADD ❑ VALUATION a1� Contractor Date ZALTER ❑ C 11 , � ti C1 I am exempt under Sec. � Al 1ee REPAIR 11 $ i W BAP.C.for this reason $Nq DEMOL 11LDMA P/C a Date: USE OF EXISTING BLDG. URM ❑ Z Signature APPLICANT(PRINT.) TEL NO. LDMA Perm# _ 11 Z (CCT R4 ❑ I, as owner of the property, or my employees with wages as PONWI 11 their sole compensation, will do the work and the structure is ADDRESS 'O 3313 145.S not intended or offered for sale (Section 7044, Business and FINAL DATE a,10' 4.11-10 }j Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL +�" 1 3 6'� ` OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE 3'P [ C' ❑ 1, eS owner of the property, am exclusively contracting 44, AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY 2 ITEMS lS licensed contractors to construct the project (Section 7044, LFT./ Business and Professions Code.) YES 11 TOTAL TOTAL 1 9 -85 WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH ` C CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKUST FOR S G 'lY1�rTl�� b J\ CHECK i��-85 5 GUIDELINES ,VES❑ 1 hereby affirm that there is a construction lending agency for I NO�r CHANGE ■00 CM the performance of the work for which this permit is issued(Sec. p lC I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING a 3097,CIV.C.) CHECKLIST.I UNDERSTAND MV REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS r Lender's Name• (MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. -� 1 � IQ,- Lender's Lender's Address ■ p 1OWNER OR AGENT 1972 1 AM 8■iu o I certify that I have read this application and state under penalty of perjury that the above infora8tate ct.I agree to comply P.C.FEE PERMIT FEE ,J N with all county ordinances arelating to buildingconstructio and hereby authoatives of this County ISSUANCE FEEiy/ Dc to ante the ab io r inspection purposes. i V rD r INVESTIGATION FEE TOTAL FEE n Ag� oax I I SEE REVERSE FOR EXPLANATORY LANGUAGE