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Home My Public Portal About9731 WOOLLEY ST_Building__ AEPLICATION FOR COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER f EfUll—DING PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN ADDRESS 3� BUILDING ADDRESS '" ► LOCALITY • CNEAREST ITY �' G ZIP �� CROS ST. NO.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL $ H7 17 ' DITRICf TYPE FIRE ED BY TRACT/ BLOCK �/ LOT NO. d1SO 1 OWNER�cQ3✓ , /U�ilJYOCj/ NO.. _IJ� , ADDRESS /'/c7 �C [�l'/UQ/!e s��jG STATICLA S NO STICAL AS DWELL.UNITS IFICAJION SEWER ERM PG CITY L eYY1 1<� �/� ZIP / t9 D ZO E NO. AP a ARCHITECT OR TEL• � SPECIAL ENGINEER NO. CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ TEL. CONTRACTOR NO. DG.SETBACK FROM LIC. F ONT PROP.LINE OF (STREET) ADDRESS c NO. TOTAL SETBACK FROM TYPE OF EXISTING LIC. H GHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH CITY CLASS CONSTRUCTION LENDER + a NAME AND BRANCH O BLDG.S FROM V ADDRESS CITY SIDE PROP.LINE (STREET) oe O SQ.FT. NO.OF NO.OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROM OF EXISTING SIZE 441 STORIES FAMILIES ONE SIDE PROP.LINE HIGH WIDTH h DESCRIPTION OF WORKeA720 ROOL NEW ❑ + Z ADD CORNER CUTOFF YES ❑ NOALTER ❑ REPAIR 1:1IN OPEN SPACE YES ElNO [:1 USE OFs ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG. kll S/4V__y Cy� DEMOL' APPLICANT' A.A. 77Z GrV71� C:�'H //f F, (PRINT) `'? OsD � !'� BYISIGNATUREI 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 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 INSURANCE. SIGNATURE 0"7-FINAL BY PERMITTEE DATE ADDRESS. AVVela TEL. �D P.C.Fee$ Permit Fee CITY NO. Issuance Fee VALUATION$ A000 Total Fee PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK: M.O. CASH 5 7 AUG S 1 D - 1 5.0 0 +id ®S 76A638A CE 0803A 6/76 'BA68BA OSB-88-BAPPLICATION FOR BUILDING PERMIT 1 DIVISION OF BUILDING AND SAFETY ADILDING DRESS Department of County Engineer County Of Los Angeles LOCALITY + WM.J.FOX,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICT O. GRo� I TYPE I S BK MA PG FOR APPLICANT TO FILL IN /TTT� CONST. ER BUILDINGp" MAP STATE ADDRESS �IJ17r(Ma•�Y NUMBER HWY YES NO LOT NO. BLOCK USE ZONE SPECIAL CONDITIONS TRACT ,c 0 NO.OF IRLDGS. BUILDING EXIST. SIZE OF LOT I NOW ON LOT SETBACK YARD HWY STREET NAME WIDTH U9E OF FRONT EXISTING BLDG. P.L. OWNER SIDE P.L. MAILO TRACT DWELL. 1 UNIT ADDRESS �- 5 INDUSTRIAL CITY p j=I E ,!,(11 19-nn 't0 7�f I DWELL. 1 UNIT 8 PUBLIC BLDG. ARCHITECT 04 TEL. 2 DUPLEX 1 UNIT 7 ADDN..ALT.. ETC. ENGINEER NO.- 3 APT. UNITS 8 MISCEL. ADDRESS 4 COMMERCIAL CONTRALTO -�' TE V NO:' G[[3 INSPECTION RECORD ADDRESS DESCRIPTION OF WORS NEW ADD ALTER REPAIR DEMOLISH 9Q. FT. NO.OF NO.OF SIZE STORIES FAMILIES USE OF STRUCTURE i SI IATURE OF ,e , PLICANT - APPROVALS ADDRESS .QRS DATE INSPECTOR'S SIGNATURE FOUNDATION:LOCATION $ / fl � P.C. S FORMS.MATERIALS FEE FRAME:FIRE STOPS, ffi BRACING.BOLTS VALUATION FEE FURNACE:LOCATION, I HERESY ACKNOWLEDGE THAT I HAVE READ THIS :6A8 VENT,DUCTS APPLICATION AND STATE THAT THE.ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH.INT. AND STATE LAWS R6 ULATING BUILDING CONSTRUC- TION. LATH,EXT. SIGNATURE OF // HOUSE NUMBER COR- .PERMITTEE T RECT AND POSTED. ADDRESS FINAL I—If� ✓� '�� WM.J.FOX,COON ENGINEER VALIDATION C. N.DIRLAM.CHIEF BLDG. INSPECTOR wf 1 .9 9 1: jig 2.0=0 78A688A DBS•8 12•B4 - • APPLICATION FOR.- BUILDING PERMIT 1 DIVISION OF BUILDING AND SAFETY BUILDING »- .j '� Department of County Engineer ADDRESS e County of Los AngelesLOCALITY .c WM.J.FOX, COUNTY ENGINEER NEAREST �1 CASSATT D."GRIFFIN,SUPT OF BUILDING b �J CROSS ST. + v FOR APPLICANT'TO FILL IN DISTRICT NO. GROUP j, TYPE pe�� SEWER BK MAPPG BUILDING - �. CONST.'V je: ADDRESS q -I � MAP -- STATE Y� NO E•. J..O .S/EjR„S', ..7 NUMBER c��./..,D J2 HWY T NO.A BLOCK L us N SPECIAL / CONDITIONS TRACT.S&4j4 A,;/g 4,f"_•/ eol j NO OF BLDGS. SIZE OF LOT )C /LAS' NOW ON LOT C✓ BWILDING EXIST. YARD HWY STREET NAME USE OF SEWACK WIDTH EXISTING BLDG. jlOJ7 e- FRONT ,�yyamy ))/ //� J P. L. OWNER/Y/1'.s,.oV l�T/� 6:1 .SZO 4e T SIDE Q.- MAIL 7 1� J / ,/ :P. L. ADDRESS, /#- �1G'.cJ�Q�/.'JG%/E? S 1 TEL . p 7 DWELL. I UNIT 5 INDUSTRIAL CITY,g /. NO B' ,3' ' 2 DUPLEX_UNIT 6 PUBLIC BLDG. ARCHITECT OR TEL. ENGINEER ••-�, NO. g APT. UNITS 7 ADDN.,ALT.,ETC. ADDRESS 4 COMMERCIAL 8 MISCEL. TEL. CONTRACTOR NO. -INSPECTION RECORD ADDRESS DESCRIPTION OF WORK — 8V NAO NEW bf ADD ALTER REPAIR DEMOLISH- SO SO.FT. � v��OF NO. OF — /A-/I-,-;i F !r . f - &Y. Ar Ie /.S SIZE !F-9 /--STORIES FAMILIES "USE FSTRUC URE a 6 r e. lr� ��-2FFr PA✓iA��c- GvNi�H /.P 3�fr Gy�DE SIGNATURE OF APPLICANTAPPROVALS ADDRESS DATE INSPECTORS SIGNATURE .H s FOUNDATION: LOCATION 4c P.C $ �� FORMS, MATERIALS v -Z!, (FAIR 4YI�li1LGX�. FEE J FRAME: FIRE STOPS. VALUATION I / �{C nU . $ C.0 BRACING.BOLTS L I is /�J(G•"l"f Iof•- -1, Y v- FURNACE: LOCATION, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT.DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT. �i 7 AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. LATH. EXT. 2222r SIGNATURE OF HOUSE NUMBER COR- v PERMITTEEt'l-a " _RECT AND POSTED ADDRESS trINAL WiLi. J. FCX,- CouNZY ENGINEER VALIDATION BYCp1 3,4 0"-.. 1 1 .0 ( SYS .5 14 1 2 4 .0 0 JDEPUTI�,- / UTY BY BY ® DEPUTY DEPUTY 76A638A CE 8803 12/69 APPLICATION FOR BUILDING P�RM1 fl T COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DMSION BUILDING I JOHN A. LAMBIE, COUNTY ENGINEER „ ADDRESS 'COLEMAN W. JENKINS, SUPT OF BUILDING .LOCALITY FOR APPLICANT TO FILL IN NEAREST f Print or tvoe onl CROSS ST. 1. BUILDING DISTRICT NO. GROUP TYPE SSED BY ADDRESS 9731 Woolley Street . ),; �} T CONs� LOT NO. STATISTICAL CLASSIFICATION SEWER MAP BLOCK CLASS NO. DWELL.UNITS BK PG TRACT ONEI MAP NO.OF BLDGS. / NO. SIZE OF LOT NOW ON LOT .¢ / SPECIAL. USE OF CONDITIONS EXISTING BLDG. TEL. OWNER Charles L. LOOS NO. BLDG.SETBACK FROM ADDRESS Same FRONT PROP.LINE OF (STREET) Temple Cit HP OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY y H AY WIDTH FROM C.L. ARCHITECT OR TEL. .I. -_ ENGINEER NO. BLDG,SETBACK ADDRESS SIDE PROP.LINEOF (STREET) TEL TYPE OF EXISTING SETBACK WAY + YARD = TOTAL CONTRACTOR Virgin Roof CO. NO 287"0507 HIGHWAY WIDTH FROM C.L. ADDRESS 600 S. San Gabriel Bl No'160650 + = o C CITY San Gabriel 91776 LIC. CORNER CUTOFF YES ❑ N D CONSTRUCTION LENDER NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS c u ADDRESS SQ. FT. NO. OF NO. OF ❑ SIZE STORIES 1 FAMILIES NEW USE OF STRUCTURE Reroof with 2354 ADD ❑ composition shingles ALTER ❑ REPAIR SIGNATURE OF APPLICANT DEMOL ❑ VALUATION$ 690.00 APPROVALS DATE INSPECTOR'S SIGNATURE SESSIONSON FEES FEES 12.00 rOUNDATFORMS!MATERIAALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS, BRACINGBOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE T0.COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, IMT. LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATI MV2 SURANCE. LATH, EXT, SIGNATURE OF , HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL r� JOHN F. LEWIS. PRINCIPAL STR U /ML ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH L,-.juo NOV 10 :. D 1 2,o ON Y WORKPS'COMPENSATION DECLARATION herpby�affirm that I have a certificate of consent to self ..iv1s�;�e, oro'certificate of Workers'Compensation Insurance, A L IAT 1 FOR IL � PERMIT or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company q13LDGS. NEAREST ;;BUILDING Certified copy is hereby furnished. FOR APPLICA IN gODREss 7 f ' as�t-e" Certified copy is filed with the county building inspec- BUILDINGf�❑ tion department. ADDRESS "773I (� � �1^��LL ((V �, Date Applicant CITY TL A/1 P L r LI LC-1 f 76� t LOCALITY GCERTIFICATE OF EXEMPTION FROM WORKERS' S. NEARESTCOMPENSATION INSURANCE SIZE OF LOT �Q0 ( �� T ,CROSS ST.(Thissection need not be completed if the permit is for one ASSESSOR hundred dollars($100)or less.) TRACT BLOCKOT NO. "MAP BOOK PAGEPARCEL OWNERn4 ( E �S71�U USE ZONE MP I certify that in the performance of the work for which this O.permit is issued, I shall not employ any person in any manner '�a sSPECIALso as to become subject to the W r ers' ompensation Laws. ADDRESS �n CONDITIONS 0O Date Z— ^�SApplicant °" CITY TC-Mn LO C1-r"" ZIP �{f 7 t ci 29 NOTICE TO APPLICANT: If, after m king this CertiOsall of ARCHITECT OR TEL. W. DISTR�lCr ;GROUP TYPE FIRE PRO SED BY 0 ENGINEER NO. CONST.��' ZONE Exemption, you should bec me bject to theers'Compensatin provisions of tF�e L or Code, you mrth- ADDRESS "J with comply with such provisi ns or this permit be „ TEL. STATISTICAL CLASSIFICATION APT. CONDO. deemed revoked. CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION I" LIC. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP (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 BK VALIDATION SQ. FT. NO.OF NO.OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF WORK A D ❑. $z 2 ❑ I am exempt under Sec. poll, ALTER B.&P.C. for this reason REPAIR $ USE OF � ^ � � ET Date: EXISTING BLDG. L�C:' DEMOL ❑ APPLICANT r 1 TEF, FINAL # o o a o o Signature OWNER-BUILDER DECLARATION PRINT V l .ti dVl u RC1,-(` y LFA *a . DATE ) ° 2 3 7 3 8 I hereby affirm that I am exempt from the Contractor's License ADDRESS FINAL Law for the following reason (Section 7031.5, Business and o o ] _ Professions Code): PRESENT By F] 1, r I, as owner of the property, or my employees with ADDRESS ( 1,G —85 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. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED YARD HWY TOTAL 5ETBACK FROM CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name LDMA Ref. # 3 P.C. Fee$ Permit Fee - Lender's Address [� e I certify that I have read this application and.state that the Issuance Fee 140o LDMA P/C# r above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fe 3 LDMA Perm. # andreby authorize representatives of this County to enter upon a above-m htio d propertyor inspection purposes. 11 3 SEE REVERSE FOR EXPLANATORY LANGUAGE ignature of Applicant or Agent Date ®t WORKERS'COA)IPENSATION DECLARATION I her` affirm that I have a certificate of consent to self A ®LIC [;� B IO N F Q I PERMIT t ej`nste, aria•certificate of Workers'Compensation Insurance, G7 �j=� or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company :...;..•,:.....,..:•.,- • ... BUILDING / 1:1Certified copy is hereby furnished. j FOR APPLICANT TO FILL IN ADDRESS _3/ C'° Certified copy is filed with the county building inspec- ' BUILDING tion department. ti ADDRESS ' LOCALITY s� NEAREST Date Applicant CI �i l.L/�a' ZIP �v CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' AfNO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT , NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ONE MAP hundred dollars($100)or less.) TRACT BLOCK LOT NO. NO. TEL. SPECIAL I certify that in the performance of the work for which this OWNER O. CONDITIONS (±e permit is issued,I shall not employ any person in any manner DISTRICT GROUP TYPE FIRE PROC ED BY ADDR /� 7 CONST. ZONE U so as to become subject to the WorPre Com sation Laws. r J DateATO 1 Applicon Cl H r / �v STATISTICAL CLASSIFICATION/' .R" APT. CON NOTI APPLICANT: If, aft r making this Certificate o ARCHITECT O TEL. (7/rti�� Exemption, you should become subject to the Worker ' ENGINEER NO. CLASS NO. �� DWELL. UNITS 01 Compensation provisions of the Labor Code, you must fort - ADDRESS SEWER MAP W with comply with such provisions or this permit shall be TEL. deemed revoked. CONTRACTOR NO. BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. VALUATION ' (commencing with Section 7000)of Division 3 of the Business and a. LIC. Professions Code,and my license is in full force and effect. kDESCRIPTION CLASS $ NO.OF NO.OF CHECK License Number Liz.Class STORIES FAMILIES ONE r $ Contractor Date OF WORK NEW ❑1 am exempt under Sec. ADD ALTER ❑ FINADATE B.&P.C. for this reason REPAIR ❑ DATEDate: FINZ�Jr G BLDG. DEMOL BySignature ;APPLICANT T L. C/ L OWNER-BUILDER DECLARATION PRINT /�' O. I hereby affirm that I am exempt from the Contractor's License ' ADDRESS t0 D ,2 9 Q,�l /{ Law for the following reason (Section 7031.5, Business and ,..,;,. ., ...-_ Professions Code): .,PRESENT # 0 0 0 0 0 BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and j - 6050 the structure is not intended or offered for sale(Section LOCALITY o 009992;2 7044, Business and Professions Code). MOVING TEL. 0 O 1 I,as owner of the property,am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SMACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. tSec. 3097, Civ. C.). SIDE 0 P.L. T Lender's Name 3:• N, �) h 3 P.C.Fee$ Permit Fee Lender's Address I certify that I have read this application and state that the Issuance Fee above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee and hereby authorize representatives of this County to enter upon•the above-rtiqntioned property for Lnspection urposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ®: Signature of Applicant or Agent Date