HomeMy Public PortalAbout9151 WOOLLEY ST_Building__ ' APPLICATION FOR COUNTY OF LOS ANGELES
RTMENT OF COUNTY
'" IB U I L D I N G P E R-M IT °BUILDING AND SAFETY DIVISION ENGINEER
BUILDING /
11 FOR APPLICANT TO FILL IN ADDRESS
ADDRESS 1 .J ' � w(xL� LOCALITY /
CITY �\; l ZIP 131-2M CREST
N -OF BLDGS. ASSESSOR
SIZE OF LOT ��/Lr) NOW ON LOT MAP BOOK ` PAGE PARCEL
f� �—y DISTRICT GROUP TYPE FIRE CESSED BY
TRACT+�+�/ �B1LOCK �'� - LOT NO. �cs ��� CONST _• ZONE
OWNS 1 �S 1 4L�:i�l INfS�IO• 'oZ.S7
_ , t STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS ,GJt}Ou�t CLASS NO. DWELL.UNITS �BK () PG
CITY .7 L:rM OF ZIP E ZONE MAP a•3
ARCHITECT OR TEL. -J NO. �
ENGINEER NO. �9V SPECIAL
CONDITIONS
ADDRESS ROAD DEPARTMENT-APPROVAL REQUIRED YES ❑ -NO❑
TEL.
CONTRACTOR NO.. BLDG.SETSK FROM
LIC. FRONT PR .LINE OF' (STREET)
ADDRESS NO. HIGHWA + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
LIC. 'FRONT PROP.LINE HIGHWAY WIDTH -
CITY CLASS _ `
CONSTRUCTIO LENDER 0
NAME AND BRANCH BLDG.SETBACK FROM U
SIDE PROP.LINE OF (STREET) ix
ADDRESS CITY O
SQ.FT: NO.OF NO. CHECK HIGHWAY + YARD = TOTAL SETBACK FROM OF EXISTING V
SIZE ✓� STORIES FAMILIES ONE SIDE PROP.LINE HIGH WIDTH N
0
DESCRIPTION OF WORK , o Q NEW. ❑ + = Z
v,. ADD CORNER CUTOFF YES ❑ NO ❑
ALTER ❑ IN OPEN SPACE YES ❑ NO ❑
USE OF L� REPAIR ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑
EXISTING BLDG. 9 DEMOL ❑
APPLICANT TEL
IPRINTI NO..
BY[SIGNATURE) *
us
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 CONSTRUCTION.I CERTIFY THAT IN DOING THE Q"2 `7 •' /r'�z__
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF /` '^ '(`-�✓ vr•
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO VyORKMEN'S COM- ,
PENSATION INSURANCE.
SIGNA F FINAL iZz ( BY
PERMITTEE n. F DATE.
ADDRESS
TEL. ,• P.C.Fee-$ Permit Fee �^
CITY - -No
VALUATION.p
Q@ 9 Issuance Fee ^�
/� 5�
«vv � � Total Fee ���~' -s-0
PLAN CHECK VALIDATION. : CK. M.O. CASH PERMIT VALIDATION CK. m.o. CASH
,4UG 1:0 1 ® 55.50A!
DS 78A838A GE 1803A 6/76 -
APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Print or type only)
_ COUNTY OF LOS ANGELES
BLDING
ADDRESS 6 G � DEPARTMENT OF COUNTY ENGINEER
CITY e/yj /,e �� zIP 7/7�0 BUILDING AND SAFETY DIVISION
SIZE OF LOT 5 S'X 102 NO.OF BLDGS_ BUILDING
Q NOW ON LOT r ADDRESS
TRACT/,'-' �/ BLOCK LOT NO. G.J NEARESTEL, //� LOCALITY
OWNERQ ae / TO. (per CROSS ST. I
ASSESSOR
ADDRESS S , QQ MAP BOOK PAGE I PARCEL
DISTRICT G OUP TYPE FIRE ESSED BY
-CITY Q �,I ZIP 7�0 �� . U CONS
ARCHITECT OR TEL. 1 Q
ENGINEER NO. STATISTICAL CLASSIFICATION EWER AW
ADDRESSCLASS NO. DWELL.UNITS BK 0 PG
TEL.
CONTRACTOR NO. U ZONE [N�
P - ,LIC. CIALADDRESS NO.LIC LONDITIONS
CITY CLASS ROAD DEPARTMENT APPROVAL.REQUIRED YES ❑ NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH -BLDG.SETBACK FROM
FRONT PROP.LINE OF (STREET)
ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING
SQ.FT.
NO.OF NO.OF CHECK HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH
SIZE STORIES FAMILIES ONE >_DESCRIPTION OF WORK `w NEW [I + O
,y �•�.e T ADD BLDG.SETBACK FROM 0
-' 3�w u .3 ❑ SIDE PROP.LINE OF (STREET) O
ALTER ❑ TOTAL SETBACK FROM TYPE OF EXISTING w
US OF ` REPAIR ❑ HIGHWAY + YARD = SIDE PROP.LINE HIGHWAY WIDTH Z
EXISTING BLDG. DEMOL ❑ + -
APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑
(PRINT) NO.
IN OPEN SPACE YES C] NO ❑
BY(SIGNATURE)
_ IN COASTAL PERMIT ZONE YES ❑ NO ❑
VALUATION U U
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 CONSTRUCTION.I CERTIFY THAT IN DOING THE L'Iti� • �fi (iG
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF ,
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM-
PENSATION:
OM-
PENSATION:INSURANCE. /1 J
SIGNATURE CA
PERMITTEE All
ADDRESS rn
FINAL / BY
TEL. DATE �J
CITY NO. /]
MAKE CHECKS PAYABLE TO: F E C. $ FEE
T S
HARVEY T.BRANDY;COUNTY ENGINEER
PLAN CHECK VALIDATION Cm M.O. GASH PERMIT VALIDATION �C M.O. doAs.m
5 4:c'u-'APR 26 :j, 0 3 4.0 0 A94
®s 76A638A CE#803 3-75'
APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Print or type only)
BUILDING e �Da COUNTY OF LOS ANGELES
ADDRESS DEPARTMENT OF COUNTY ENGINEER
CITY , /f ZIP 7 U BUILDING AND FETY DIVISION
NO.OF BLDGS. BUILDING
SIZE OF LOTgs NOW ON LOT I ADDRESS
TRACT ,d BLOCK ` LOT NO._/C/ LOCALITY
OWNER L - - dGiN0.TELAy4.s CROSS STNEAREST. o
ASSESSOR
ADDRESS (.� MAP PAGE PARCEL
BOOK
CITY _ ��' `�( ZIP /70 U
DISTRICT GP CONST, Z INE 0 SED BY
ARCHITECT OR' TEL. �OQ �.J
ENGINEER NO. STATISTICAL CLASSIFICATION
SEWER MA
ADDRESS CLASS NO.t-"-- DWELL.LIN ITS BK PG
CONTRACTOR TEL. 'USEZONE MAP O 3
NO
LIC. NO.
ADDRESS NO, ` 1 SPECIAL
LIC. ` CONDITIONS
CITY CLASS
ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
CONSTRUCTION LENDER
NAME AND BRANCH ` BLDG.SETBACK FROM
1 / FRONT PROP.LINE OF (STREET)
ADDRESS CITY HIGHWAY + YARD ;TOTAL SETBACK FROM TYPE OF I EXISTING
Q. FT. NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH
SIZE �f(� STORIES FAMILIES ONE
_ y
DESCRIPTION OF WOR NEW ❑ +
ADD BLDG,SE ROM
SIDE PROP.LINE —ISTREET) C
LTER ❑ HIGHWAY' + YARD = TOT TRACK FROM TYPE OF EXISTING CZ
EPAIR❑
SIDE PR LINE HIGHWAY WIDTH a
EXISOT NG BLDG. DEMOL 1:1 +
USE
Z
APPRIN INT �! T L CORNER CUTOFF YES ❑ N
J IN OPEN SPACE YES ❑ NO ❑
BY (SIGNATURE)
IN COASTAL PERMIT ZONE YES ❑ NO ❑
VALUATION$ 0
1 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 I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSA N INSURANCE.
SIGNATURE OF
PERMITTEE
ADDRESS /9
CITY /S �(� ` NO. FINAL +� `- � BY/,
Y /t
TEL. DATE J( //�f-s
PT
MAKE CHECKS PAYABLE TO: FEE s FEE"$
HARVEY T. BRANDT, COUNTY ENGINEER
PLAN'CHECK VALIDATION CK: M.O. CASH PERMI ;,WLIDATION CK. I M. CASH
78A898A CC*803 5 74 3 2 3rAUG 27 1. 0 6.0 0 A96
APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Print or type only)
BtWLDING:9.
�) L� COUNTY OF LOS-ANGELES
ADDRESS DEPARTMENT OF COUNTY ENGINEER
CITY w ZIP BUILDING AND SAFETY DIVISION
r O.OF BLDGS. BUILDING
SIZE OF LOTJ NOW ON LOT - ADDRESS.
TRACT BLOCK LOT NO� LOCALITY r
TEL. NEAREST
OWNER N NO. CROSS'ST.
ASSESSOR L11 1
ADDRESS 9 idbAL�Q MAP BOOK PAGE. . PARCEL
19ISTRICT GROUP TYPE FIRE PRO SSED BY
CITY ZIP 7 CONS Z
ARCHITECTbVt TEL. O�
ENGINEER NO.
STATISTICAL CLASSIFICATION ER 1910AP
ADDRESS- \ -,CLASS NQ �DWELL,UNITS / 0 P G
CONTRACTORNOL . OE PONE MAP
LIC. NO.
ADDRESS NO,- SPECIAL
LIC. CONDITIONS
CITY C LASS
ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDG.SETBACK FROM
FRON PROP.LINE OF (STREET)
ADDRESS . CITY
f •HIGHW + YARD - TOTAL SETBACK'FROM TYPE OF EXISTING
SQ. FT �/ NO. OF NO. OF CHECK FRONT PRO.P.•L'INE HIGHWAY WIDTH
SIZE ,Sb STORIES FAMILIES
ENEW'.
❑ - C
S'CRIPTION OF WORK G.SETBACK FROM
ADD SIDE PROP.LINE OF IS
Cr
10A) e5 AE '❑ C
LTER � _ TOTAL SETBACK'..FROM T OF :EXISTING.
HIGHWAY + YARD - C:
REPAIR❑ SIDE PROP. LINE HIGHW.IDTH
USE DEMOL 10
+
EXISTING BLDG. .
APPLICA - TEL CORNER CUTOFF YES ❑ NO ❑ `
(PRINT N0.
BY (SIGNATU IN-O.PEN.SPACE YES ❑ NO ❑ ,
IN-COASTAL PERMIT ZONE YES ❑ NO ❑
VALUATION:$ 00 1,
! 1
I HER ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION / �?? 3� D `� "r��`�J�oits NO]-IGE '„•'� ��
AND STATE THAT THE ABOVE IS. CORRECT AND 'AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING. CON- -
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE. -
A
LABOR CODE OF THE .STATE OF •CALIFO IA IN RELATING 70
. WORKMEN'S COMPENSATION I Al ,
SIGNATUR -O '
PERMITTEE
ADDRESS • r,
FINAL / J 7� BY
TEL.
15`-7,7
CITY '\ Np;• DATE
P.C. PMT,;.
h1AKE CHEC S PAYABLE TO: F.EE'$ FEE $
HARVEY T. BRAN'DT, COUNTY ENGINEER -
PLAN'CHECK VALIDATION CK. M.R.- CASH::'®- PERMIT VA TION CK. .o. ' CASH
3 2 2�""-AUG 27 6 9.0 0 Aga .
7GA638A CE#603 5/74 - -
' _AP P L I CATION FO R COUNTY OF LOS ANGELES
OF COUNTY
iJ
B U ILD ING PE RM IT DBUILD NG AND SAFETY DIVISION ENGINEER
FOR APPLICANT TO FILL IN, ADDRIESS
BUILDING
ADDRESS LOCALITY
_ f NEAREST
CITY .� / ZIP CROSS ST.
n% OF BLOGS.. ASSESSOR
SIZE OF LOT `� OW ON LOT MAP BOOK PAGE PARCEL
DISTRICT GROUP PE FIRE SSED B
TRACT BLOCK LOT NO. �'""'rCONST. 1-4C1E- L
OWNER : ted/ j NO. STATISTICAL CLASSIFICATION SEWER M
ADDRESS CLASS NO.-4-217-0 DWELL.UNITS /I/*`� BK O PG
CITY -e ZIP MUONE MAAP�dARCHITECT OR TEL. SPECIAL
ENGINEER NO.
yet' CONDITIONS '
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
TEL. `,
CONTRACTOR Ir `� T� BLDG.
LD.SETBACK
-Lit. LINE OF (STREETI ADDRES , NO. �`y�/
TOTAL SETBACK FROM TYPE OF EXISTING
LIC. HI HWAY + YARD = FRONT PROP.LINE IHIGHWAYL WIDTH
CITY 04 CLASS `
COISIRTRUCTION LENDER + _ }
NAME AND BRANCH BL SETBACK FROM OV
SIDE OP.LINE OF ISTREET)
ADDRESS CITY O
SQ.FT. NO.OF NO.OF CHECK HIGHWAY _ TOTAL SETBACK FROM TYPE EXISTING U
SIZE STORIES FAMILIES ONE ' ROP.LINE HIGHWAY WIDTH h
DESCRIPTI N OF W KNEW ❑ + = Z
G ADD ❑ CORNERCUTOFF YES ❑ NO
s/ ALTER ❑ IN OPEN SPACE YES [INO ElREPAIR ❑
EX STOIF.NG BLDG. DEMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑
APPLICANT TEV -7P 4::5
(PRINT) ,� /v
BY ISIGNATUREI
I HEREBY ACKNOWLEDGE THAT I E D_THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND GREE T eLY WITH ALL ORDINANCES
AND LAWS REGULATING ING I I ERTIFY THAT IN DOING THE ,
WORK AUTHORIZED HE Y1 ILL NOT EMPLO AN PE )NtNVIOLATIONOF '
THE LABOR CODE OF T STAT OF CA RN I REL TI TO RKMEN'S COM.
PENSATION INSURAN
SIGNATURE OF FINAL (J r��' 7 BY
PERMITTEE / DATE
ADDRESS
1 r .
TEL. Fee$ 1 Permit Fee
CITY NO
Issuance Fee
VALUATION$ /L
Total Fee J
PLAN CHECK VALIDATION' CK, M.o., CASH - PERMIT VALIDATION CK. M.O. CASH
3 AUG '2.3 ,1 D 1 5.0 0 ®yo
�f 76AG38A CE/803A 6/76
Kf /o�/ -
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES . BUILDING AND SAFETY
FOR APPLICANT T FILL IN R S
WORKER'S COMPENSATION DECLARATION BUILDING AD
I hereby affirm that I have a certificate of consent to self insure, BUILD TJp IE 6a e rJ `• vr'�
or a certificate of Workers'Compensation Insurance r a certified CITY rJ ZI C
copy thereof(Sec. ��ab.C.) � �
LOCALITY
Policy No. Compa SIZE OF LOT NO OF BLDGS.NOW ON LOT
❑ Certified copy is hereby furnished. NEAREST CROSS ST
+ISCertifie copy is filed with the county building ins p tion TRACT BLOCK LOT NO.
depart ant USE ZONE MAP NO.
Date a pplicant ASSESSOR MAP BOOK PAGE PARCEL
SPECIAL CONDITIONS
CERTIFICATE OVnyperson
PTION FROM WORK S' OWNER/-
COMN INSURANCE (``T �Llf WITHIN 1000 FT OF SCHOOLS YES NO
(This section need not ted if the permit is for one hundred ADDRESS
(�f �i DISTRICT GROUP TYP CONST FIRE ZONE PROCESSED BY
dollars($100)or less.
CITY ZIP •e/
I certify that in the peof the work for which this permit
is issued, I shall not eperson in any manner so as to `" eaQ-f d&ev
become subject to theCom ensation Laws. ARCHITECT OR ENGINEER TEL NOp STATISTICAL CLASSIFICATION APT CONDO
Date ApADDRESS CLASS NO DWELL UNITSNOTICE TO APPLICAf er making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you should become subject to the Workers' CONT CTOR TEL[N�O. SET BACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code, you must forthwith �) V 1 a- i
FRONT
comply with such provisions or this permit shall be deemed revoked. ADORES i LIC�O� l P L r-
LICENSED CONTRACTORS DECLARATION O� SIDE
CITY� LIC.�.ASS�C PL
1 hereby affirm that I am licensed underprovisions Of Chapter 9 ` SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and SO.FT SIZE NO OF STORIES NO.OF FAMILIES
Professions Code,and my lipenne Is in full force and eff t�. NEW ❑ BK PG 1_}1�_ = "a
License Number ` Lic Class l DESCRIPTIONVF WORKADD 11VALUATIO !h Q
Contractor Date �� ALTER ❑ l/ CASHCC
❑ I am exempt under Sec. REPAIR 1=y-irNK C „(" C
B.BP.C.for this reasonDEMOL ❑ LD1AA P/C W
Date: uSE OrEXUIIG ALD ��A URM ❑ C000-000i 7/1,0/95
Signature APPLICAN (1"NTJJ T L LDMA Perm r7 - z ! }r 10
❑ I, as owner of the property, or my employees with wages as CO •� 'v Z `r
their sole compensation, will do the work and the structure is ADDRESS V O ten'
not intended or offered for sale (Section 7044, Business and FINAL DATE Q 3. +j
Professions Code.) WIG
LL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL �/ � J l !I r`•'(-
OR A MIXTURE CONTAIN NG A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE
❑ 1, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON E HAZARDOUS MATERIALS INFORMATION GU'DE? FINAL BY
licensed contractors to construct the project (Section 7044, TOTAL
YES 11N
Business and Professions Code.) /�
OWLLCC THE IREOU ED USE MI THE BU DUNG BY THE APPLICANT OR FUTURE BU SOUTH
CASH
OCCUPANT REOU RE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH '
CONSTRUCTION LENDING AGENCY COAST AIR OUAUTYENT DISTR CT(SCAOMD)SEE PERMITTING CHECKLIST FOR �•, T
GUIDELINES ..HA� ,E 11
I hereby affirm that there is a construction lending agency for YES❑ n
(y the performance Of the WOfk for Wt11Ch this permit IS ISSUed(.Sec.
O1 I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING
3097,CIV.C.) CHECKLIST I UND R3TAND MY REOUIR ENTS UNDER THE LOS ANGELES COUNTY CODE f5 "� +' �-
_iRf -�)E0 ��1� �
TITLE 2 CHAPTE 2 SECTIONS 2 1 0 THROUGH 2 20 140 CONCERN%G HAZARDOUS L__ t i J. _
Lender's Name MATERIALS REPO FOR O IN NG A PERMIT FROM D `
o Lender's Address
o a.AL x OR x-ti
o I certify that I have read this application and state under penalty
of perjury that the above information is correct.I agree to comply PC FEE PERMIT FEE
$ with all county ordinances and State laws relating to building
Go constru ion, and hereby authorize representatives of this County ISSUANCE FEE
to enter n e above-Tfehtioned property for Inspection p rposes, o
a r I n O-r
INVESTIGATION FEE TOTAL FlE `/, '^
m
n
SEE REVERSE FOR EXPLANATORY LANGUAGE