HomeMy Public PortalAbout10022 LIVE OAK AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES
~ -' WM. J. FOX. CHIEF ENGINEER
' FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING /
DISTRIy�T NO. PLAN CK.NO: PERMIT NO.
_ �.
ADDRESS R' l .n venue
LOCALITY Los Aneeles County RECEIVED BY DATE'OF APPL. DATE ISSUED
MEARH TE
C BBT Live Oak Avenue
BUILDING
OWNER LinderfF;.nance & Development Corp* ADDRESS I 12. �' j V A�
MAIL
ADDRESS 232 So. Beverly Drive LOCALITY
NEAREST -
CITY Beverly Hills, Calif Jc CR 5-14d4455 cROBB ST.
IRE 40.OF ARCHITECT OR TEL. ZONE PLANS TYPE OROI{�
wane as above -I-
ENDINEER NO.
BLDG. / ORD.NO.
ADDHES11 SETBACK LINE
APPROVED
CONTRACTOR same as above NO1. S U
' DATE
USAPPRO
ADDRESSZONE _, M
BY �iti.� DATE
LEGAL r� - � CORRECTIONS
DESCRIPTION I LOT NO. BLOCK
TRACT 16`957 -
SIZE OF LOT 55x105 (AnNOW ON LOTS-ncne
USE OF NO.OF NO.OF
EXISTING BL D. FAMILIES ROOMS
DESCRIPTION OF WORK
NEW b ALTERATION ADDITION D
A_
REPAIR MOVING L L.DEMOLISH O_
Sq.FT. ,�2 NO.OF 6 1 Z
SIZE �✓3C ROOMS STORIES y,, r
CROF
OVERING WALLStucco COVERING Dolomite '
USE
8 ILDFING W Dwelling and attached garage _
pp
Plan lo6--B . // ''77
7&7e
r
I HEREBY ACKNOWLEDGE THAT. I HAVE READ THIS APPROVALS/
APPLICATION AND STATE THAT THE ABOVE IS CORRECT INSPECTORtDATEAND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION FORMS.MATERIALSAND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS,
SIGNATURE OF BRACING,BOLTSPERMITT ' C!aelO�lent LATH, INT.
00,100,
AUTHORIZED A Au LATH, EXT. 07 +
o Ti' nn } -
76A638A-3 7-49 `$ P.C.41 PLASTER,INT.
I O ` /0 0�-� FEE . `a�,•�� PLASTER,EXT.
t
VALUATION / FEE 33 �'� FINAL
APPUCAM09�FOR BULUNG PERMT
COUNTY OF LOS ANGELES ' BUILDING-AND SAFETY
WORKER'S COMPENSATION DECLARATION' '" FOR APPLICANT TO FILL IN, f BUILDING
BUILDING'ADDRESS t• !' `• a; O``
I hereby affirm that Ihave a certificate of consent to self nsure, rt L•N/�
or a certificate of Workers' Compensation Insurance, certified
A copy thereof(Sec'3800,Lab C) CITY / ZIQP
XID
Policy No,— Com ✓� & "�� G(r LOCALITY
SIZE OF LOT NO OF BLDGS NO ON LOT - -
❑ Certified copy is hereby fur ed 1 1e (AD NEAREST CROSS ST
•' ElCertified copy IS fd Ith the county budding Inspection TRACT - BLOCK- LOT NO -
department y - USE ZONE MAP NO ,
• �' I S O AP OOK � PAGE -PARCEL � _
Date Applicant •ZI , SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO - [J
COMPENSATION INSURANCE_ Uex!:,"Qrz-9 0S WITHIN 1000 FT OF SCHOOLS YES No
(This section need-not be completed If the permit_ls for one hundred ADD ES§/,__.. DISTRICT GROUP TYPE CONST FIRE ZON4PESSED BY
dollars($100)or'less) S
-
I certify that Iri the performanceyof the work for which this peCITY ZIPrmit _ ���"
Is Issued, I`shall'not employ, any'person in any-manner'so as to 10
ARCHITECT OR ENGINEER TEL NO yi
bedome'subject t6 Workers'Compensation Laws STATISTICAL CLA�jggSl/F,ICATION APT CONDO ' {
Date Appllca ADDRESS CLASS NO �L- DWELL UNITS71-1
NOTICE TO APPLICANT f, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST;
Exemption; your should _become subject' to the Workers' CONTRACTOR TEL NO SET BACK YARD HWY PROP LINE WIDTH
Compensation proves ns of the Labor Code, you must forthwith (J —� a FRONT
comply with SucF visions or this permit shall be deemed revoked ADDRESS TIC'No P L
L SIDE -
LICENSED CONTRACTORS DECLARATION ClT FrA['Z, LIC C S P L
I hereby affirm that I..am licensed underprov151ons of Chapter 9 SEWER MAP 4
(commencing with Section_7000)of Division 3 of the Business and Sy I E �. NO OF;TORIES NO OF FAMILIES
Professions Code,
/'and
t/my_license Is In full force and effect a� ` NEW ❑ ',BK PG > a
_License Number I!l�L 1�' � LIc'Class 02 DESCRIPTION OF WOFK 'b� ADD ' VALUATIQN s '' 0
Contractor g7LLr�(^�tL3 Date"4— 101 Q� L/ ALTER ❑
I am exempt under Sec0
REPAIR ❑
B&P C for this reason ��-�i{fin- PQfliZJ�i9>~4f�GO DEMOL• El" V
_ GLDMA P/C#• IJ,I
Date Qi G S_ USE OF EXISTING BLDG URM ❑ r ^. a
r� U)
Signature. - _ APPLICANT(PRI T TEL NO LDMA Perm#-• f •" _ !P y.a ' Z
❑ 1, as ow er t �property, or my-employees with wages'as y '` iY 1_ OZ t hA._, x it
their sole compensation, will do•the work and the structure Is 'ADDRESS _ �,
not Intended or offered for sale (Section 7044, Business and �� .FINAL DATE .Q L_3 w• r(!„ ;I; '
Professions Code) o
% WILL THE.APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS_MATERIAL' _�'�
OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE, i
❑ 1, as owner of the property, am exclusively'contracting With AMOUNTS SP CIF ED N THE HAZARDOUS MATERIALS INFORMATION GUIDE' FINAL BY t y -50
licensed contractors to construct the project,(Section 7044, ves❑ No j ^'�, ( ;` $
Business and Professions Code)
WILL THE INTE ED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING
_ OCCUPANT REG RE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH / i+" 1 t 'i i'!—^� Sc�I"'t
CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR {{//''/yyJJ 1tQ`�`•/.,J�/J(� '1'' j
GUIDELINES ^ ..✓ —v'�+ '• i I tr ��• ,.
I hereby affirm that there Is a construction lending agency for Yes 1:1 No
Cq the performance of the work for which thispermis Issued(Sec IHAVE READ THE AZARDOUS MATERIALSINFORMATION GUIDE AND THE SCAOMD PERMITTING, "^+4-� V{ t` �J t t'L 5 - 94
3097,CIV C) CHECKLIST I UNIDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE,
TITLE 2 CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS ( •'e !_ r�+ .!$i'�u.',
3 Lender's Name MATERIALS REP TI D FO INING A PERMIT FROMtTHE SCAOMD
oL`ender's Address E I t �3 •'_Is'
O ;
o« I certify that I have read this application and state under penalty
o PC FEE L PERMIT FEE
of perjury that the above Information Is correct I agree to �J Q
with all county'ordinances and State laws relating to building �/ / ts!'S 1 {il i� E ,J.
m construction;and hereby authorize representatives of this County - - ISSUANCE FEE • -� ,
-�+/ c/ tet✓s« 1`a 3'
•to enter upo the above-men oned property for Inspection purposes 7
a
INVESTIGATION FEE TOTAL FEE
5 lure ¢aM or Date
SEE REVERSE FOR EXPLANATORY LANGUAGE
' - WORKERS' COMPENSATION DECLARATION -
L'1 here6,y'affirm that I have a certificate of.consent to self �, .� O M : O 0 L 0�N
insure, or a certificate of Workers'Compenstion Insurance, or_ ALI LI A LI V
a certified copy-thereof (Sec 3800, Lab C ) COUNTY OF LOS_Cy ANGELES { BUILDING AN AFETY "
Policy No Company �C4 VV1Af�VC��1@
Certified copy is.hereby furnished FOR APPLICANT TO FILL IN A' Ss
i
r Certified copy is filed with the county building mspec- BUILDING ` Q
Y�I h n dep rtment ADDRESS `Q LOCALITY
' NEAREST
Date - Applicant CITY ZIP CROSS ST
ERTI ATE OF EXEMPTION FROM W 'ORKER / NO OF BLDGS f ASSESSOR
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT \. MAP,BOOK• n PAGE PARCEL
(This section need not be completed•if the permit'is for one // USE,,,ZZZ���NE MAP
hundred dollars ($100)or less ) TRACT, (9 BLOCK LOELNO }( - NOCIAL a
I certify that in the performance of the work for which this OWNER NO - I �- NDITIONS - - O
permit is issued, I shall not employ any person in'any manner D T GROUP TYPE FIRE OC ED BY V
so as to become sublect'to the Workers'Compensation Laws ADDRESS /�y`� 42 CONST ZONE
<(/
Date Applicant I CITY ZIP O '
ARCHITECT OR - - TEL STATISTICAL CLASSIFICATION AP CONDO
LU
NOTICE TO APPLICANT If, after,making this'Certificate of ENGINEER NO
Exemption,you should become 'subject to the Workers' CLASS NO_�DWELi UNITS H
Compensation provisions of the Labor Code, you must forth-
ADDRESS SEWER MAP
with comply with such-provisions or This permit sholl\be _
deemed revoked - CONTRACTOR TEL BK PG, VALIDATION
LICENSED CONTRACTORS DECLARATION LIC ry '
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS. NO / VALUATION
(commenting with Section 7000)of Division 3 of the Business and LIC
Professions Code,-and my license is m full force and effect CITY CLASS
' SQNO OF NO OF i CHECK , ' - L '
Licerise NumbeF Lic Class SIZE, TORIES IES \ ONE
5.6
I S OF W K L
Contracto Date
y _ ADD • - 'e ,.
I am ex pt frothe licensing requir merits s I am a
NEW El
licensed architect or a registered professional engineer ALTER FINAL
acting in my professional capacity (Section 7051; LDEMOL
AIR DATE
Business and Professions Code)' USE OF
EXISTING BLDG O—V FINAL
B / r
Lic or Reg No Date APPLICANT TEL Y
`' NER-BUILDER DECLARATION (PRINT) NO ,
I hereby off
that I am exempt from the Contractors License r
Low for the allowingreason Section 7031,5, Business and ADDRESS c,
( ;94`557A
Professions ode) PRESENT
❑, °BUILDING #, °to.° 2,1
p
I, a owner of the proer ,•or my employees with ADDRESS
wa es as their sole co , sation,will do the work and
the tructure is no e ed oro ed for sale(Section LOCALITY, 2 0 ° 1 ,5J 9 ,
704 Busin nd ofess Code) MOVING TEL
aI, aro e_r of t pr rty, a ely cantracting CONTRACTOR NO o 0 0 1 5 1 9 0
with licen ractors t' tr 1 the project (Sec- ADDRESS 0 .2 -8 1
tion-7044,,Business ofes s Code)_ ; 1 - I
REQUIRED YARD HWY TOTAL SETBACK FROM EXIST
CONSTRUCTION LE A NCY SET BACK- PR P LINE WIDTH '
I hereby affirm that there is a c structs lending agency for FRONT
the performance of the work for which his permit is issued P L
(Sec 3097,•Civ C ) SIDE ^
PL
Lender's Name
--- A. :x.4'5 5 8 A
m - P C Fee$ Permit Fe _ - r
Lender;s,Address
w 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 L o 0 34,0 Q
ordinances and State laws relating to,building construction, Total Fee
and hereby authorize representVives of this County to enter
Qupo he above-men n d pr or inspection purpo es �.o;c `3,G O Q v
m
a SEE REVERSE FOR EXPLANATORY LANGUAGE
a
%�' Signature o Applic Qd jAg,nt D Y.
- i t ®s