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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 t- 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