HomeMy Public PortalAbout10040 LIVE OAK AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES Im is la � LDH ,
7°P '• WM. J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING '7 DISTRICT NO. P N CK.NO. PERMIT NO.
ADDRESS 32.1"c3Y .I1 Avenue 3_r�D L- 2.7 Y1123-1 -7
LOCALITY Los Angeles County RECEIVED BY DATE OF APPL.- DATE IBBUED
CRAR98 T. Live` Oak Aveme �s 1 `
OWNER Linde Finance & Development Corpi ADDREISB o od- onlG
AMAIL DDRESS 232 So, Beverly Drive LOCALITY /
y( NEAREST / I
CITY Beverly Hills, Calif Mo• CR 15-- ' 155 cROBB ST. 4//✓!
ARCHITECT OR TEL. ZONE PLANS TYPE GROUP
ENGINEER Sante as above NO.
BLDG. _ ORD.NO.
ADD ESS SETBACK LINE
APPROVED
TEL_ BY
CONTRACTORSame as above NO. US DATE
USE APPROV
ADDRES1 ZONE BY DATE
LEGAL
_ DESCRIPTION LOT NO. 27 BLOCK CORRECTIONS
TRACT 16957 I }
NO.OF BLDGS.
SIZE OF LOT 5 05 -A NOW ON LOT none
USE OF NO.OFNO.OF
EXISTING BLDG. FAMILIES ROOMS
DESCRIPTION OF WORK
NEW x ALTERATION ADDITION O
REPAIR MOVING DEMOLISH O
NO,93F
sE 1239 ROOMS 6 STORIESr
WALL ROOF
COVERING Stucco I COVERINGWOOd Shingle
o�LDINGOF NEW Dwelling and attached garag
Plan 109-0
"17 4:67 9
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS/'
APPLICATION AND STATE THAT THE ABOVE IS.CORRECT INSPECTOR D TE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION.: LOCATION
FORMS, MATERIALS lilt. zG
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME: FIRE STOPS, /
i
SIGNATURE OF j,• de F t'e a "�-q�e-�t BRACING,BOLTS
t"
PERMITTE STH, INT. /rl
AUTHOR ZED _ '
E'.S• v • Q s •O LIC ! LAT H, EXT. ��v
V
76A638A-3 7-49 $ - P.C 9PLASTER,INT..
C ('`J , FEE .p� PLASTER,EXT.
$ V
VALUATION 3I �� FINAL r�+-/ ) V-'►.� -'eFEE
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1 y
Job ` 6x47 C(!
76A`638A CE#803 3-68APPL'C/'Y APPLICATION FOR Bu ®I c. MIS"
�.
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER', ADDREss -
BUILDING AND SAFETY DMSIONLOCALITY �' t
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUP T OF BUILDING NEAREST �•
CROSS ST
DISTRICT NO GROUP TYPE // P ESS B
FOR APPLICANT TO FILL IN CONST.
Print or type only)
BUILDING STATISTICAL-CL SSIF,ICATION .-' SEWER MAP
ADDRESS10040 LivjP Nlc CLASS NO. DWELL,UNITS B PG
I
LOT NO. BLOCK USE ZONEMAP '
N O [/
'TRACT SPI
SPECIAL
- CON DIT ONS
NO.OF SLOGS
SIZE OF LOT NOW ON LOT
USE OF - - -
EXISTING BLDG. BLDG SETBACK FROM f' +
TEL FRONT PROP.LINE,OF- - - - - (STREET)
OWNER NO. 447-4691 TYPE OF EXISTING SETBACK HIGHWAY, •+• YARD = TOTAL
ADDRESS10Live (HIGHWAY WIDTH FROM,C.L.
CITY Tem le Cit;
ARCHITECT OR TEL BLDG.SETBACK (STREET)
ENGINEER NO. ,SIDE PROP:LINEOF
ITYPE OF EXISTING -SETBACK- HIGHWAY- - YARD = TOTAL
ADDRESS - HIGHWAYI WIDTH FROM C.L
TEL j I. - + _ 1
CONTRACTO 7 NO a
L'IC. �
ADDRESS O, _ CORNER CUTOFF YES ❑ NO 1 U
CITY' San Gabriel V-71(o CLASS C-3 SEE REVERSE SIDE'FOR SPECIAL APPROVALS o
U
DESCRIPTION OF WORK
C/')
NEW ,ADD ALTER REPAIR X DEMOLISH -
SQ FT. NO OF NO OF
SIZE STORIES 1 FAMILIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION $ •�.I/�' '
y� APPROVALS DATE INSPECTOR'S SIGNATURE
P.C• PMT, FOUNDATION: LOCATION
FEE $ FEE $ X00 FORMS, MATERIALS
;FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE•ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, _
WITH ALL COS TY•OR)INANCES AND STATE LAWS,REGULATING GAS VENT, DUCTS
BUILDING CONSTRUCTION, I CERTIFY THAT IN DOING THE+WORK _
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA. -
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. LATH, INT.
ING TO WORKMEN S COMPE ATION INSURANCE -
• LATH, EXT,
SIGNATURE OF OUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS I N AL
N CK M O CASH JOHN F•,LEWIS PRINCIPAL STIR RAL ENGINEER-
PLAN CHECK VALIDA
_ PERMIT VALIDATION CK M O CASH
- 1
APPUCAMON F
�,
• _
COUNTY-OF LOS ANGELES � BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN ` BUILDINGADDRESS
I hereby affirm that I have a certificate of consent to self Insure, BUILDING ADDRESS - -i L I vxs !%
ora certificate of Workers' Compensation Insurance,or a certified
copy there 3 00,Lab C) CIT �� �/ Z
_ LOCALITY
Policy Company IZE OF LOT NO OF BLDGS NOW ON LOT
Certified copy Is hereby furnished NEAREST CROSS_ '
1 TRACT BLOCK LOT NO -
❑.Certfied copy Is flied wi4counildm ectiondepartm USEZONE MAP NO
Date ppllca ASSESSORMAP BOOK PAGE' PARCEL1 � " SPECIAL CONDITIONSCERTIFICATE OF EOM WORKERS', OWNER /�/ TEL NO COMPENANCE li✓A "-'V ���� WITHIN 1000 FT OF SCHOOLS YES NO'
(This section need not be completed If the permit Is for one hundred ADDRESS
dollars($100) or less)` DISTRICT GROUP TY 'CONST FIRE ZONE PROCESSED BY
ZIP
I certify that In the performance of the work for which this permit ./
is Issued, I shall not employ any person in any manner so as to
become Subject to the Workers'Compensation Laws fA.�_R�e'HITECT OR ENGINEER TEL NO
STATISTICALCI�S�TION APT CONDO
Date Applicant ADDRESS CLASS N( �( DWELL UNITS
NOTICE TO APPLICANT If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM 'EXIST
Exemption, you, should become subject to the Workers' i O'TRACTORTEL NO0 ^, _ SET BACK YARD HWY PROP LINE WIDTH
Compensation provisions of,the Labor Code, you must forthwith W /� C�it/VLJ�7CJGv�
FRONT
comply with such provisions-or this permit shall be deemed revoked A DRESS LIC NO P L
�
LICENSED CONTRACTORS DECLARATION ISIDE
Y uc cLA$S�� P L
I hereby affirm-that I am,licensed underprovisons of Chapter 9 �•� LPA SEWER MAP
(commencing with Section 7000)of Division 3 of the Business.and SQ-E-T�SI7F NO OF STORIES NO OF FAMILIES NEW MBK PG
Professions Code,and my license Is In full force and effect, o. S 6 D a
License Number• Llc Class / RIPEN OF ^�� ADD ❑ VALUA-T17ON Q
ALTER ❑ � CJ•r 7PJ'
Contractor Date,-
-
❑ 1 am exempt under Sec V� REPAIR
B RP C for this reasonr/ -(�� L ❑ LDMA P/C#-
Dat ez UK QF EXISTING BILDGY URM ❑
Signature
APPLICANT(PRINT) TEL NO LDMA Perm# Z
❑ Cas owner of the erty, or�my employees with'wages as Z rh.l'T.11 a
their sole coni en ion, well do the work and the structure Is ADDRESS O 't
not Intended or offered for Sale (Section 7044, Business and 'FINAL DATE Q +1' t-' 12,�'°I t
Professions Code) f / .i9 1 ITE-Ils-
wILL THE APPUCANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL / `Z I ,.=
OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE
❑ 1, as Owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDES FINAL BY 5
licensed contractors to construct the project (Section 7044, YES El NO ElTOTAL 1 2 1 i.,35
Business and Professions Code) -BY
i J --r
• WILL THE INTENDED USE OF THE BUINS R TI THE MODIFICATION
OR FUTURE BUILDING CHECK i�..i a�•.1
' OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH -
CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKUST FOR '• °I•I�I
GUIDELINES CHANGE -
I hereby affirm that there Is a construction lending agency for YES❑ No❑
a the performance of the work for which this permit Is Issued(Sec
� I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING
3097, CIV C) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, '� -1..-"" Jar'
N i,I I,t. I ti,�l 1 11! ". J-t
TITLE 2,CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS -
3 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD
IL Lender's'Address f'�
O OWNER OR AGENT '
o I certify that I have read this application and state under penalty
O of perjury that the above Information Is correct I agree to comply PC FEE PERMIT FEE
N with all county ordinanAid
State laws relating to building L�
construct) , and hereby ona representatives of this County ISSUANCE FEE
to ent _n f above- propert f8r Inspepn puses
a
INVESTIGATION FEE TOTAL FEE
SEE REVERSE FOR EXPLANATORY LANGUAGE