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HomeMy Public PortalAbout10018 LIVE OAK AVE_Building__ DEPARTMENT'OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES WM. J. FOX. CHIEF ENGINEER I LID I RIM FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY t DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING ADDRESS Baldwin Avenue LOCALITY LAS Angeles rnt]ntt r RECEIVED BY DATE OFAPPL. DATE ISSUED NEAREST � CRO B T. Live Oak Avenue / /fy BUILDI OWNER Linde �`inance Rr l)RVR'I P.n+. CA ADDRESS �i Lig/6 1:21-Me— MAIL ADDRESS 212 So. RevRrl v nrS VA LOOALITY / C NEAREST CITY Beverly Hills, Calif m ND.'CR U��o CROB99T. GCi� FIRE NO.OF TYPE GROUP ARCHITECT ORTEL. ZONE PLANS ENGINEER Same as BhAtTA NO. BLDG. ORD.NO. ADDRESS SETBACK LINE APPROVED Swig t. TEL. BY DATE CONTRACTOR Swig a8 ciboy NO. USE APPROV / AD REB! ZONE _3 BY DATE LEGALDESCRIPTION LOT NO. 23 BLOCK �-p-O CORRECTICORRECTIONSL TRACT 16957 �+�+ NO.OF SLOGS. SIZE OF LOT 55 X 107(Apu NOW ON LOT none ' USE OF ND.OFNO.OF EXISTING BLDG. FAMILIES ROOMS DESCRIPTION OF WORD yy NEW A ALTERATION ADDITION O REPAIR MOVING DEMOLISH BQ.FT. NO.OF SIZE 1202 ROOMS 6 STORIES 1 D WALL .1 �ry r COVERING Stucco I cOVERINGWgOd ShinglE USE OF NEW BUILDING Dwelling and detached garage Plan 114 De — R GAB. 1=214-- '2 7 G. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION INSPECTOR DATE AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FORMS,MATERIALS _1j�7 /loZ FRAME: FIRE BTOPS, SIGNATURE OF BRACING,BOLTS PERMITTE LinGP F'YIa.TI(`R k 7)PVP1 eynm n+. LATH, INT. / lll�rp e AUti yyORIZED AGT LATH, EXT. yn (% t' 4-L 1e11 V e 91IJUL'• G['J—rrasiaen�e 7- $ I • �® P.0:67J s �� STER,INT. '.FEE ' IrASTER, VA9AYCN �•g� L FEE r� FINAL TL 7�py yv APPUCAM,CSN FOR BUL©NIG PERNT COUNTY OF LOS ANGELES.. BUILDING AND'SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS _ -1 hereby affirm that I have a certificate of consent to self Insure, BUILDING ADDRESS �-t lie QG( or a certificate of Workers' Compensation Insurance,or a certified 019E- L l✓c ©� T r � ' CA (�f copy•thereof(Sec 3800,Lab C) , CITY -•� ZIP -7 l l I l POIIcy.NO Company �t t 6�V LOCALITY - SIZE OF LOT NO OF BLDGS NOW ON LOT ❑ Certified copy is hereby furnished NEAREST CROSS ST, l / ElCertified`copy is filed with the county budding Inspection TRACT C BLOCK - LOT NO 2 8AlW M department J USE ZONE MAP NO Date' Applicant ASSESSOR MAP BOOK PAGE PARCEL ' i - SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' , owNER TEL o,• t COMPENSATION INSURANCE T 1A /1.//12>iA T r g�g��;7y -0jo2.d WITHIN 1000 FT OF SCHOOL? YES NO) (This section need not be completed rf the permit is for one hundred ADDRESS ' d _ �Q O v Q(�,�� DISTRICT GROUR TYPE CONST FIRE ZONE PROC' ED BY dollars ($100) or less) I certrfy that in the performance of the work for which thlsspermd CITY Tel ��` C ZIPQ l� a U ©� �� Is Issued,<I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO become subject to the Workers'Compensation Laws _ STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADD R - CLASS NO DWELL UNITS NOTICE' M APPLICANT If, after making` this Certificate ,of REQUIRED TOTAL SETBACK FROM, EXIST Exemption, you should become subject t0 the Workers' CONTRACTOR - - TEL NO SETBACK YARD HWY PROP LINE WIDTH Compensation provisions`of the,Labor Code, you must forthwith FRONT- comply,with such provisions or this permit shall be deemed revoked ADDRESS LIC NO P L LICENSED CONTRACTORS DECLARATION SIDE CITY LIC CLASS P L - I hereby affirm that I am licensed underprovisions Of,Chapter 9 SEWER MAP a (commencing with Section 7000)of Division 3 of.the Business avid SQ FT SIZE NO OF STORIES NO OF FAMILIES 0 Professions Code;and my license is in full force and effect `,1 O N�, NEW BK PG DEIPTION OF WORK ,VALUATION /f�D, Lti•� License Number Lic Class ADD U ❑ Contractor Date ALTER ❑ $ 0 ❑• r I am exempt under Sec REPAIR � P t_, �, , �" $ — U B&PC for this reason 'DEMOL .,❑ LU 'Date USE OF XISTING BLDG 1~(L / URM ❑ DMA P/C# i W Si nature ,APPLICANT(PRINT)',' TEL NO LDMA Perm � ' s owner of the - property, or my employees with wa es as - . Z their sole compensation, will do the work and the structure is ADDRESS O 3603 60J , not Intended or offered for sale'(Section 7044, Business and FINAL DATER / {{ ITEMS Professions Code) - " 1 WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL /]; +' OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE s ` TAII IS �6 ❑ 1, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE' FINA 8Y _ TO O t'"� ® _ _ .licensed contractors to constPuct the project .(Section 7044, i•, q I., Business and Professions Code) , , ves El Eli;HECT, e ` WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING `./ �t/�h'.3E_ e{} t OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH �, J i't-fANIGL �0J CONSTRUCTION LENDING AGENCY COAST AIR OUAUTY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINES I hereby affirm that there is a construction lending agency for YES❑ No❑ /(T {{ 7 the performance of the work-foe which this permit is issued(Sec I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCACMD PERMITTING v ' til —I�[II}j 7�fii ��- 3097,-Civ C) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, TITLE 2 CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS - d�L�'��r AM "?.C771 i Lender's Name A MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD i o Lender's Address — 0 OV ER OR K ENT ' oI certify that I have read this application and state under penalty 4 of perjury that the'above information is correct I agree to comply PC FEE ' PERMIT FEE N with all county ordinances'and State laws relating to buildingco Op�� const nil hereby authorize r presentatives of this County ISSUANCE FE ato ter up the ab a-me io perty for inspection pur oses V ZI INVESTIGATION FEE TOTAL FEE ID r N v/pen Date SEE REVERSE FOR EXPLANATORY LANGUAGE APPUCAMON F0 BULMNC. PERMIT , 1 - COUNTY OF LOS'ANGE4ES - BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO'FILL IN BUILDNG'IADDRPSS I o Q L v L' BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self Insure, j O O l S L r'v e- Q uk ��e copyereo (Sec or a certificate of Workers' Compensation Insurance,or a certified thereof(S ,3800,Lab C) CITY 1 ZI-P ' T21'>" lecr - CA q (7$o LOCALITY Policy NO Company SIZE OF LOT NO OF BLDGS NOW ON LOT • ❑ Certified copy Whereby furnished /00 )(5 6 NEAREST CROSS ST • ❑ Certified Copy Is filed with the county building Inspection TRAJT BLOCKLOT NO department r + -7 ° 2 3 USE ZONE MAP NO • - Date Applicant ASSESSO PAGE41i�� PARCEL _ Q� -0/0 SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER A rr nn O COMPENSATION INSURANCE A4T 0, y' /7��� 57q-1010 WITHIN 1000 FT OF SCHOOL? YES NO (This section need not be completed if the permit Is for one hundred ADDRESS dollars($100)or less) S Q k,'e DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY •--��- Icertify that in the performance of the work for which this permit CITY ZIP � �d I f f is Issued, I Shall not employ any person in any manner SG as t0 ARCHITECT OR ENGINEER TEL NO b become subject to the Workers'Compensati _!J- on Laws Np h Q—_ STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO 1,Z DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you Should become Subject t0 the Workers' CONTRACTOR TEL NO SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must,forthwith FRONT comply with such provisions or this permit shall be deemed revoked ADDRESS LIC NO PL LICENSED CONTRACTORS DECLARATION SIDE CITY LIC CLASS P L I 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 - Professions Code,and my license is in full force and effect . 2-G8NEW ❑ BK PG D U DESCRIPTION OF WORK VALUATION License Number LK; Class / ADD ❑ Ot7 Contractor Date T�t¢_ $ IZ 1010 611D'ALTER El ❑ I am exempt under Sec of l O 4o eXTe_1„11),L- Akni REPAIR ❑ $ V B8PC for this'reason yoor-'ali ►'ea0cX17 LM SkW� DEMOL ❑ W LDMA P/C# d. Date - USE OF EXISTING BLDG uCu3 1 !J 1�� oSe-�!T RM ❑ 7 Signature APPLICANT(PRINT) (��i TEL NO LDMA Perm# as owner of the property, or my employees with wages as I �� r7 �7� d 2 !ii e a their sole compensation, will do the work and the'structure is ADDRESS O not intended or offered for sale (Section 7044, Business and ��� � �� FINAL DATE Q ==f Professions Code) O - WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL El 1, as Owner Of the property, am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE •2� Q '�"�'`` AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDES FINAL BY ; licensed contractors to construct the project (Section 7044, b° 3 ITEMS � Business and Professions Code) VES El- NO El � • -�+ WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING - TOTAL �y ' OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH - 02 CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDEUNES t_.('ECK ._+C 9 u f_i th I hereby affirm that there Is a construction lending agency for VES❑ NO❑ a e performance of the work for which this permit is issued(Sec CHANGE W 3097,Civ C) I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAGMD PERMITTING f N CHECKLIST I UNDERSTAND MV REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, Z I TITLE 2 CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS I a Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD _ Q Lender's Address ONNER OR AGENT - ^�; T- o I certify that I have read this application and state under penalty ,�,��� j tti!y j 0 of perjury that the above Information IS correct I agree to comply PC FEE /•�D /.� PERMIT FEE o with all county ordinances and State laws relating to building •l��J construction, and hereby auth0'Ze representatives of this County ISSUANCE FEE , to ente 1 the ove-merglo �d property for inspection ppur s IO - I/ INVESTIGATION FEE TOTAL FEE O O' ID Q � e a 1 a m Dale SEE REVERSE FOR EXPLANATORY LANGUAGE