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HomeMy Public PortalAbout10010 LIVE OAK AVE_Building__ �A ROAD DEPT. P.Er;JIT IS" REGUMEb FOR ANY MATERIAL S10RALE O,t -0vRK DONE I}t•`Thf- OAD RIGHT -OF' WAY.. sAS;e�CE#6086 'APPLICATION FOR BUIL.®I"IVG PERMIT COUNTY OF LOS ANGELES• BUILDING UIL INADDU - r DEPARTMENT OF 'COUNTY ENGINEER BUILDING AND- SAFETY_DIVISION L06ALITY Te, (c ti ,JOHN-A. LAMBIE, COUNTY ENGINEER NEAREST CROSS ST _ CASSATT D GRIFFIN SUPT OF BUILDING I _ DISTRICT NO I GROUP TYPE SSED BY FOR APPLICANT TO FILL IN �- coNsr BUILDING DO ,,. ^ STATISTICAL CLASSIFICATION SEWR MAP ADDRESS (,% .FK- -f PG CLASS.NO 'DWELL UNITS LOT NO _ BLOCK. • MAPSTATE YES" '7 NUMBER'r HWY TRACT 677 - USE ZONE SPECIAL NO OF BLDGS CONDITIONS SIZE OF LOT O / I NOW ON LOT o? USE OF EXISTING BLDG /_/_4F72,-7 LU •P BUILDING' YARD HWY EET NA EXIST SETBACK WIDTH OWNER /• FRONT f1 ADDRESS D f,-e- ✓ < •SIDE TEL. P L CITY• `� ° INSPECTION RECORD ARCHITECT OR EL ENGINEER' - NO '' ADDRESS TE. _ �..-.,lf�/Cm w i rSa�� .�'�Co� .i l6'75.../�nY.4� .• CONTRACTOR O.�P ADDRESS / �'1 •r r - DESCRIPTION OF-WORK NEW ADD J, ALTERtREPAIR"00' DEMOLIS , SQ FT, NO OF NO OF SIZE STORIES FAMILIES - USE OF STRUCTURE d7w 77 SIGNATURE OF _ APPLICANT APPROVALS - DATE INSPECTOR S SIGNATURE ADDRESS „} FOUNDATION •LOCATION S�•� _C p ���:,r.l;�- FORMS, MATERIALS VALUATION $ Q�9 d I_ FRAME FIRE STOPS, - BRACING, BOLTS _ PC - PMT O FURNACE LOCATION, FEE $ FEE $ GAS VENT, DUCTS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH, INT 1),-v WOW PLICATION AND STATE THAT THE ABOVE IS CORRECT AND - AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND• - �' 'l' �'�G STATE LAWS'REGULATING BUILDING CONSTRUCTION. CATH,EXT • SIGNATURE OF; '' HOUSE NUMBER COR- P-ERMITTE / RECT AND POSTED �aao/fnn• ADDRESS FINAL � CLYDE N. DIRLAM, PRINCIPAL ST K cK: m o. casrt : RAENGINEER. PLAN CHECK VALIDATION PERMIT-VALIDATION cFo CASH Lr 9942 nFR 7 1 A 27.00 = ��' ;6A1.Ks39A ' APPLICATION FOR BUILDING PERMIT - - DIVISION OF BUILDING AND SAFETY ADo elss tea Q ' r ;= Deportment of County Engineer County of Loa Angeles - LOCALITY - JOHN A. LAMBIE. COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST. FOR APPLICANT TO FILL INDI TIll C�NV: GROUP TYPE SEWER ,MAP ra BK PG CONST I IT BUILDING 1 MAP /� STATE $ ADDRESS NUMBER 'C.J HWY YES Sa :7 Z - BLOCK USE ZONE SPECIAL ;D LOT NO. � CONDITION i Q8 TRACT' .� NO.OF BLDGS. BUILDING EAST. SIVE OF LOT NOW ON LOT YARD HWY STREET NAME SETBACK WIDTH -4 USE OF EXISTING BLDG FPROINT OWNER SIDE A'LP.L AD RESS O TRACT DWELL: I UNIT yey 5 INDUSTRIAL TEL. I DWELL. I UNIT CITY NO. 6 PUBLIC BLDG. AR9444- 6'P 2 DUPLEX 2 UNITS 7 ADDN..ALT., ETC. ENGINEER 3 APT. UNITS MISCEL. �Op J ADDRESS / - 4 COMMERCIAL CONTRA T INSPECTION RECORD ADDRESS ZDESCIUPTION OF WORK of- NEW ADD ALTER REPAIR DEMOLISH NO F NO OF S 1 e, ti • iCB. U STR7l C � I- ya SIGNATURE O { APPLICANT lv APPROVALS ADDRESS - DATE SPECTOR' SIGNATURE FOUNDATION LOCATION P. C. $� ,1 FORMS,MATERIALS v��0a FEE V FRAME' FIRE STOPS, r ' VCCALLUUATIONBRACING. BOLTS - FEE D FURNACE: LOCATION, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT, DUCTS _ APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNT RDINANCEs LATH. INT. AND STATE LAWS REGULATING BUILD COC AND , TION. LATH, EXT. SIGNATURE O HOUSE NUMBER'COR- .PyE'R�M TTE RECT AND POSTED ADITRESsA FINAL JOHN A.LAMBIE. COUNTY ENGI ER VALIDATION CLYDE N. DIRLAM. CHIEF BLDG. INSPECTOR CK MO CASH 'AC0 6 0 3 6 MAY 17 1 6 5 .0 O d N 1 � 0.0 0 �n MAY 25 I DEPARTNIIENT OF BUILDING AND SAFETY APPLICATION FOR P_ERMIT COUNTY OF LOS ANGELES "�• "�' wm. J. FOX. CHIEF ENGINEER ` FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY j DISTRI NO. PLAN CIC.NO. PERMIT NO. ADDRHISS Baldwin Avenue i LOCALITY los Angeles County RECEIVED BY DATE OFAPPL. DATE ISSUED NEAREST CROSS®T. T ivp Qalc Avenue BUILDING OWNER nae Finance & Development Corp• ADDRESS G r••� ADDRESS 232_ So. Beverly Drive - LOCALITY - NEAREST � ,,,Beverly Hills, Calif TENO.• CR s-�1�1�5e CROSS ST. FIRE NO.OF TYPE GROUP•_ ARCHITECT OR TEL. ZONE PLANS �� ENGINEER A as above NO. ADDRESS SETBACK LINE APPROVED CONTRACTOR same as above TEL . BY DATE U3E( APPROQ AD RES ZON _ BY ED DATE LEGALCORRECTIONS DESCRIPTION I LOT NO. 22 BLOCK TRACT 16957 r NO OF SLOGS. SIZE OF LOT 5u $ 101 (ApID NOW ON LOT none USE OF NO.OFNO.OF EXISTING BLDG. FAMILI[a ROOMS DESCRIPTION OF WORK NEW x I ALTERATION ADDITION O A REPAIR MOVING DEMOLISH p Q. 1239 NOOM g ROOMS h STORIESWALL 1 ROOF COVERING itl1CCO I COVERING Wood Shin—al $ BUILDING Dwelling and attached garaOr NEW ge Plan 109 C. - 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS' APPLICATION AND STATE THAT THE ABOVE IS CORRECT INHPE TOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE OFBRACING,BOLTS PERMITTEE Id nde Finance & Development li orp m LATH. INT. AUTHORIZED AGT_ LAIC. - I y ppr A I IP vT.Eine. V- L e L"CCiU 1. LATH. EXT. 76A63BA-3 2-50 $ P.C.® PLASTER,INT. r FEE 1 0 J PLASTER.EXT. � VALUATION ¢ t FEE � , �� FINAL WORKERS' COMPENSATION'DECLARATION }` sI hereby affirm that 1-.'have r certificate of consent to self insure, or ereificate of Workers' Compensa{tori Insurance, • o a cep copy thereof (Sec 3800, LaC) � � - " ' .. . ' COUNTY OF LOS ANGELES BUILDIPIG AND SAFETY .• --;---�•- y o Company ❑ ;Certtfied~copy is hereby furnished tY FOR APPLICANT TO FILL'IN ADDRESS j �. ESS L' � BUILDING l L � gtiopy wfiled•with,thekcounuil ing mspec- ADDRESS0 (Jeriment CITY �� CST. LOCALITY ZIPD'aApplicant .,NO,OF BLDGSNEAREST TE OF.-EXEMPTION FRO RKERS' SIZE OF LOT• NOW ON LOT CROSS ST ,'COMPENSATION-IN5URANCASSESSOR (This section need not be completed if the permit is'for'one TRACT' BLOCK LOT NO MAP BOOK ,. a ;PAG y PARCEL_ hundred dollars ($100)-or less ) TEL 7 1 ° OWNER NO`/' .T USE ZON 3} MOAP x 1 �i 3 I certify that in the performance of the work'for'which this __ v _ SPECIAC�,• } permit is issued,•I shall not employ any person,in any manner ADDRESS- ~G D CONDITIONS • "so,as to become subject to the Workers Compensation laws - , O 1 CITY ZIP' -- - U Date Applicant' ARCHITECT OR TEL DISTRICT„' G OUP' TYPE- _ FIREn CESSED BY 4 NOTICE TO APPLICANT 'If, after making.this Certificate of ENGINEER - NO ' CON- Z _ Exemption;,you ,should become subject'to the Workers' . ' • `---��/� U .Compensation provisions'of the Labor Code;you must forth- ADDRESS �� ��' t• a _ with complyr with such provisions ,or.jhis permit shall be / TELQ/ ?Q STATISTICAL CLAQIFI ATION APT CONDO Z deemed revoked CONTRACTO - G / " NO((, 7 fJC) — LICENSED CONTRACTORS*DECLARATION r / LIC ^�qCLASS NO DWELL.`UNITS %I-hereby affirm that I am licensed,under provisions of Chapter 9 ADDRESS- `� N�! _v-3 SEWER P { ' _. (commencing with-Section 7000)of Division 3 of the Business UC 2 , and Professions Code,and my license is-.in full force and' ffect CITY w�K CLASS G7 -9 BK � i VALIDATION SQ FT NO OF NO OF CHECK License NumberJ� `' Lic Class ` SIZE ��� STORIES' FAMILIES S ONE •' VALUATION ��'/� �;y O / DESCRIPTION OF WORK C O 6 .NEW ❑ S �}�D Contractor Date ADD,_ a ❑I am exempt under,Sec: -^ eeC4 B&P C for this reason L O 3. v ALTER. s REPAIR �.x Date USE OF, EXISTING BLDG �'�7 DEMOC''❑ ^a ;? APPLICANT _ p TEL _ Signature' (PRINT) �U!T1- "y�'Z FINAL NO ; OWNER-BUILDER DECLARATION DATE l I hereby affirm that I am.ezempt',from the Contractor's License = k •-- _ �•'- ADDRESS � • Law for the following re' ?o ,,(Sect_ion 7031 5; Business and FINAL-, Professions Code) `r. PRESENT I� T ❑ I, as' ownef of the,property'y or m employees with BUILDING ACCT.T . , YADDRESS 'wages as their s'ole,compensation,will do'the work-and + 3W7 the structure is not intended or offered for sale(Section' LOCALITY 7044, Business and Professions Code ) MOVING TEL-' CONTRACTOR' NO ;- 1.ITEM ❑ I, as owner of the property,,am exclusively contracting 51. with licensed contractors to construct the project (Sec- - ' - -'r "' TOTAL �,�6 m.� tion 7044, Business'and Professons Code ) ' ADDRESS M f r� REQUIRED• -TOTAL SETBACK FROM­ EXISP "' 4Lft 1�,y �Q1 CONSTRUCTION LENDING AGENCY SET BACK, YARD. HWY PROP LINE- WIDTH h�� I hereby affirm that there is a construction lending agency for FRONT _ 'CHANGE .0I the performance of the work for hich,this permit is issued P L' (Sec 3097, Civ C ). wSIDE a P Li71 Ld ' Ny -0031 enersame` _ $ LDMA Ref-# • Lender's Address P C'Fee.$ Permit Fee �/ 1 1 9:52 ° d ('certify thaT I have read this application and state that the Issuance Fee CDMA P/C# 8 above information is correct I agree to co PI all County Investigation Fe_e ¢ ;'ordinances and State laws relotmg to b i construction, Total Fee CDMA Perm # a and hereby horize representative t County to enter _, pon'the 46ve-me prope inspection p 5 � ;r / a S_EE REVERSE FOR EXPLANATORY LANGUAGE { Signature of plicant or Agent Date ,I'y