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Home My Public Portal About8602 WORTHINGTON DR - Building - 1960-04-01 A ROAD DEPT. PERM? IS FOR ANY MATERi.=,L Plan 1 r Oy DONE IN THE ROAD ,�, � n v II 'Y^, , 78ABBBA C13#803 B.0. APPLICATION FOR BUILD PERMIT COUNTY OF LOS ANGELES BUILDING /n DEPARTMENT OF COUNTY ENGINEER P`DDRESS G/ BUILDING AND SAFETY DMSION LOCALITY r JOHN A. LAMBIE, COUNTY ENGINEER NEAREST �C 1. CASSATT D. GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPE PROCESSED BY FOR APPLICANT TO FILL IN cONS� BUILDING STATISTICAL CLASSIFICATION_ SEWER MAP ADDRESS&60 7— Worthington Dr. SK PG CLASS.NO-19—DWELL.UNIT LOT NO. 9 BLOCK MAP ��yy0STATE NUMBER -5 - YES HWY. (970-) USE ZONE TRACT SPECIAL -4 1 NO.OF BLDGS. CONDITIONS l�" ,' `;f� :•, SIZE OF LOT 64 X. 80 I NOW ON LOT 0 ( i �'.oS.[�• ^'=C ;�^r' USE OF ____ _�.C.?• 1..wc,. `. 1� .�1� .+° •is EXISTING BLDG. BUILDING � STREE AME SETBACK YARD HWY ``G%WIDTH OWNER i FRONT / MAILj O P.L. � ADDREss10227 Fair novo Ave SIDE CITY Tujunga NOP.L. �1.38273 I -. ARCHITECT OR TEL. NSPECTION RECORD ENGINEER NO, 1 ADDRESS L CONTRACTOR NO ADDREss10227 Fairgrove Ave Tujunga DESCRIPTION OF WORK NEW x ADD ALTER REPAIR DEMOLISH SIZE FT 1400 STORIES 1 FAMILIES 1 USE OF STRUCTURE SIGNATURE OF APPLICA � APPROVALS DATE INSPECTOR'S SIGNATURE ADDRE S • grovo FOUNDATION:LOCATION N FORMS,MATERIALS _ o VALUATION $ - BQ aQ �d L FRAME: O ' BRACING,BO . P.C. q� QO I PMT. �s �d FURNACE:LOCATION, n I FEE S�7'� FEE $�7 '�' I GAS VENT,DUCTS94 FEE uunJ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH,INT. a PLICATION AND STATE THAT THE ABOVE IS CORRECT AND ` COMPLYAGREE TO AIX COUNTY UN Y ORDINANCES AND STATE LAWSREG LATH BU ION. LATH,EXT. SIGNATUREOF HRECT AND POS OUSE NUMBER EDR 7— PERMITTE ADDRE S FINAL 7-19—,go �• ,-J CLYDE N. DIRLAM, PRINCIPAL ST C RALE ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. CASH 1 CICO 7 5 0 8 5 AIR 2- 3 A � 24.00 :: _ ®B LAC" cm nl n. �- d. A 5 i 8A 898A CE0809 83 B_ APPY L ICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY J JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN,SUP'T OF BUILDING CROSS ST. E DISTRIGT,�O. G� TYPE P BY FOR APPLICANT TO FILL IN CJ( –/Y coNs . BUILDING / 7 �A STATISTICAL CL S (CATION SEWER MAP ADDRESS �L d OS - VieY I" 1� 1a el CLASS. NO. DWELL.UNITS —_ �/ P LOT NO. BLOCK WATER NOT•REQUIRED RECEIVED ❑ [� CERTIFICATE: TRACT 7 MAP HIGHWAY STATE MAJOR SECON / a NO.OF BLDGS. NO. OYJd (CIRCLE) SIZE OF LOT`n r NOW ON LOT USE ZONE SPECIAL USE OFCONDITIONS EXISTING BLDG. - �f ,I7 TEL. OWNER Ot t 7I (q✓1 n1 NO. - ILDING EXIST. SETBACK YARD HWY STREET NAME WIDTH ADDRESS �f7Z•Wd/` ti FRONT ARCHITECT OR TEL. P• L• 2 6 ENGINEER NO. SIDE P ADDRESS I V Cf It ✓t h7 +� _. Sep TEL. _ fi • NTRACTOR NO. �!'✓S U ' ADDRESS 9.0.3 �. Lis �c� �JNs baZ-- °0 ES PTi0_'k OF WORK _ a NEW ADD LTE REPAIR DEMOLISH N SQ.FT. NO.OF NO. OF SIZE STORIES FAMILIES USE OF 1 STRUCTURE SIGNATURE OF APPLICANT ` VALUATION $ �f n� d � _ APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. p FOUNDATION: LOCATION FEE FEE' FORMS, MATERIALS FRAME: FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA-. LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. ING TO WORKMEN'S COMPENSATION INSURANCE. LATH. EXT. SIGNATURE OF /�� HOUSE NUMBER COR- PERMITTEE i RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS. PRINCIPAL STRUCTURAL I PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. - M.O. GASH L&O 0 7 0 1 SEP 6 1 A 4.00- Q WORKERS'COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers'Compensation Insurance, APPLICATION FOR D U I L D I N G P E RM I T or a certified copy thereof(Sec. 3600, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING E] Certifiedcopy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ?Gd ❑ Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESSLOCALITY i NEAREST Date Applicant CITY ZIP /� (� CROSS ST. ®yti CERTIFICATE OF EXEMPTION FROM WORKERS' NO.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 ZONE MAP ,, hundred dollars($100)or less.) TRACT / BLOCK LOT NO. /� NO. Q TEL. {L�/I SPECIAL I certify that in the performance of the work for which this OWNER NO ,\ CONDITIONS IL permit is issued, I shall not employ any person in any manner DISTRICT tGROUP ITYPE FIRE PROCESSED BY O . ^ U so as to become subject to the Workers'Compensation Laws. �.�`v ADDRESS CONSTZONE ad ate i II �•�3— 2 Applicant a CITY ZIP STATISTICAL CLASSIFICATION APT. CONDO. 11— N TICE TO APPLICANT: If, afte aking this Certificate of ARCHITECT OR TEL. 2 Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO. DWELL. UNITS 0. Compensation provisions of the Labor Code, you must forth- ADDRESSSEWER MAP ^ - with comply with such provisions or this permit shall be TEL. deemed revoked. CONT ACTOR N0..1 BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS S�/ ( ��C NO. ' VALUATION (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 Poo. FT. NO.OF NO.OF CHECK License Number-3 2 2 Lic.Class IC-31 SIZE STORIES FAMILIES ONE Contractor Date 73— DESCRIPTION OF WORK NEW ❑ $ ADD ❑ ❑I am exempt under Sec. s ALTER ❑ FINAL -�r•/� a.t ►�)` B.&P.C. for this reason REPAIR 1Z DATE � Date: USE OF FINAL r EXISTING BLDG. DEMOL ❑ By Signature APPLICANT TEL. Wq ER-BUILDER DECLARATION - PRINT - L NO.. qq � I hereby affirm that I am exempt from the Contractor's License ADDRESS S ALAve � �y Law for the following reason (Section 7031.5, Business and Professions Code): PRE EN ❑ BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sole(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. o u a o v ❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS o o 6 I r C tion 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY REQUIRED YARD HWY TOTAL SETBACK FROM EXIST. Doo 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. _ JSec. 3097, Civ. C.). SIDE 'o P.L. d Lender's Name P.C. Fee$ Permit Fee Lender's Address r 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, 16 / 60 and hereby authorize representatives of this County to enter Total Fee upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date ®f WORKERS'COMPENSATION DECLARATION hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers'Compensation Insurance, ' or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company DING f%/ PY' Y FOR APPLICANT TO FILL IN ADDRESS ? Certified co is hereby furnished. d ❑ Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS LOCALITY G / NEAREST Date Applicant CITY i' ZIP CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' I NO.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 ZONE MAP hundred dollars($100)or less.) TRACT cQ �/ BLOCK LOT NO. n r NO. Q TEL. A'r I SPECIAL I certify that in the performance of the work for which this OWNER NO CONDITIONS IL CT GROUP TYPE FIRE PROCESSED BY 0O permit is issued,I shall not employ any person in any manner DISTRI ADDRESS �c CONST. ZONE so as to becomev subject to the Workers'Compensation Laws. ^` ate f I—Z�3 APPlicont CITY ZIP STATISTICAL CLASSIFICATION APT. ICONDO. N TICE TO APPLICANT: If, afte aking this Certificate of ARCHITECT OR TEL. 2 V Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO. DWELL. UNITS W Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP �a with comply with such provisions or this permit shall be TEL. deemed revoked. CONT ACTOR NO..Z (s."�s� U BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS S]/ - R NO.Z'A' VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and effect. CIfY CLASS L"31 $ qtr , SQ. FT. NO.OF NO.OF CHECK License Number-3 _3 Lic.Class -3 SIZE STORIES FAMILIES ONE n NEW ❑ $ Contractor • Date �'—��"'a� DESCRIPTION OF WORK I ADD ❑ ❑ I am exempt under Sec. ALTER ❑ FINAL f,//�✓� -� B.&P.C. for this reason REPAIR Ord DATE i USE OF FINAL ' Date: I EXISTING BLDG. DEMOL ❑ By Signature - APPLICANT TEL. ' CS&ER-BUILDER DECLARATION PRINT . 'L NO. I hereby affirm that I am exempt from the Contractor's License ADDRESS Al, Law for the following reason (Section 7031.5, Business and 1 Professions Code): PRESENT ❑ BUILDING I, as owner of the property, ormy employees with ADDRESS wages as their sole compensation,will do the work and 78-57A the structure is not intended or offered for sale(Section j LOCALITY 7044, Business and Professions Code). i MOVING TEL. 0 0 0 0 0 ❑ I, as owner of the property,am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- I ADDRESS 2 0 - 61,00 tion 7044, Business and Professions Code). REQUIRED YARD HWY TOTAL SETBACK FROM EXIST. ® 0 - 61.006 CONSTRUCTION LENDING AGENCY I sEr BACK PROP.LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT ) �(_ 2 the performance of the work for which this permit is issued I P.L. tSec. 3097, Civ. C.). ' SIDE P.L. Q Lender's Name Lender's AddressP.C. Fee$ Permit Fee I 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 i6t Q o �+ and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. I SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date I ®s