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