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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