HomeMy Public PortalAbout10124 LIVE OAK AVE_Building__ _DEPARTMENT OF BUILDING AND SAFETY ;• APPLICATION FOR.PERMIT
COUNTY OF LOS ANGELES-
An
i
<I WM. J. FOX. CHIEF ENGINEER -
L� FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN
BUILDING DISTRICT NO. ' PLAN CK.NO-. PERMIT NO.
ADDRESS Baldwin Avenue
LOCALITY Los 'Angeles County 'RECEIVED BY r DATE OF APPL. DATE'ISSUED
f NEAREST Live Oak Avenue' v -p�j ''-
CROSS ST.
9UILDING
OWNER Linde Finance & DeveloDment Corn. ADDRESS L
MAIL
ADDRESS 232 So• B evert Drive LOCALITY
NEAREST
CITY
Beverly Hills Calif TEL'CR m CROSS ST. • /�=Q.. �Lv�✓I
FIRE NO.OF TYPEOROUP�
ARCHITECT OR TEL. ZONE PLANS
ENGINEER same. as above NO.
- BLDG. % - ORD.NO.
ADD ESS BETBACK.LINE
L, APPROVED '
BY
1 CONTRACTOR saaue a8 aboVe EUSE APPRV DATE
ZONE- d
BY �.✓��_ DATE
LEGAL CORRECTIONS
DESCRIPTION LOT NO. 44(.,�j�+y BLOCK
TRACT 1695 -
NO.OF BLDG
SIZE OF LOT 55x!:05 (App) I NOW ON LOTS none
USE OF NO.OFNO.OF
EXISTING BLDG. FAMI LIS. ROOMS
DESCRIPTION OF WORK
NEW X ALTERATION ADDITION O
REPAIR MOVING DEMOLISH D
Sq.FT. r NO.OF L _ Z
SIZE 1� O ROOMS 6 STORIES �_ agl
1 r
S
WALL ROOF
COVERING Stucco I COVERING Wood h7_n
USE OF NE
BUILDING W Dwelling.and attached garage
Plan 107—D
0210, 2 7�, 7,3
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVAL
APPLICATION AND STATE THAT THE ABOVE IB CORRECT ,FOUNDATION: LOCATION INS ECTOR DATE
AND'AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS �g/jv
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME: FIRE STOPS,
BRACING,BOLTS _� / 1�./
PERMITTE
SIGNATURE OF , e F' arc- D e ent �
TH, INT.
AUTHORIZED T
P LATH, EXT.
nQA&;! M 10
7SA63BA-3 7-49 $ Q� P.C $ PLASTER, INT.
FEE PLASTER,EXT. -
$ rnO
/
VALUATION FEE 3/ FINAL
WORKERS' COMPENSATION DECLARATION ,
I hereby affirm-<.that I have a,certificate of consent to self , TM
�(�A U�O,M
insure, or a certificate of Workers Compensation*lnsurance, L/�LI LI LS L/-ll LI V
or a•certified copy the
(Sec"3800,'Lab.CSAFETY
.) f''
s COUNT OF' CIS ANGELES, BUILDING'AND
Pohcy No.- Company': _
BUILDING
❑ Certified copy is'hereby furnished:�' FOR APPL`ICANTyTO FILL IN ADDRESS �Q/a/54EJ
Certified copy is filed with the county building mspec- BUILDING,._, 4, ✓ ,
Tion department. ADDRESS d (:, G• _
CITY,, �F'E, ,O�' ZIP f
'Date Applicant, "' _ C� LOCALITY t
NO'OF BLDGS NEAREST ^J
CERTIFICATE OF•EXEMPTION FROM'.WORKERS' SIZE OF LOT NOW ON LOT CROSS S7 !
' COMPENSATION INSURANCEEi✓ _ ASSESSOR q ph " ^�_ r
.(This section'•rieed not be completed'if,The permit iS-for one TRACT BLOCK' LOT'NO ' MAP`BOOK "O�'8 PA,,"&A� PARCEL Q�J
hundred dollars,,($100)'-or-less,)
•r OWNER Q &— N(L) "5-16k& USE ZONE 'MAP• '
I certify That in the performance Yof the-work'for which this NO '`a• '-
-permit is issued;alishall not employ-any person in any.man'ner ADDRESS/D/ E ' �/� SPECIALqr• �:
CONDITIONS-
so
- as to•become su6lecYTo ihe`Workers,'Compensation Laws. �/ �� - Q
4 CITY '. L(.- T ZlP _ _ a U
rS�
TDateApplicdnT ARCHITECT OR.. ' TEL. DISTRICT. GROUP TYPE. FIRE PROCESSED BY
NOTICE TO'APPLICANT:; If,. affermakingtihis Certificate of ENGINEER _ _ NO. CONST. ZONE
Exemption, you 'sh'ould become subject to,the' Workers' U
Compensationrprovisions,of,the'Labor-Code,••you must forth ADDRESS ; - a
with comply with such Provisions.or-this permit shall be" STATISTICAL CLASSIFICATION APT. CONDO. N
-_deemed revoked; CONTRACTOR
Z
LICENSED,CONTRACTORS-DECLARATION LIC CLASS NO �"/ --DWELL UNITS '
NO.
I hereby affirm that.l am licensed under provisions,of Chapter 9•' ADDRESS SEWER MAP
(commencing with Section 7000)of.Division 3,of the"Business . •. " ' LIC.
and Professions'Code,and my license;is in full force and effect CITY-- - CLASS BK PG VALIDATION
a SQ'FT NO. OF` NO OF CHECK"
License Number ` Lie:Class ' SIZE- '�� STORIES FAMILIES ONE t
z .. VALUATION'
DESCRIPTION OF WORK NEW ❑'
Contractor, •r Dote ; 3
❑Tarn exempt,under,Sec:' ��E n� ADD ' LJ '
ALTER! E1 r
•B.&P.C.,for this reason * G REPAIR•❑ $
Dote: USE OF
EXISTING BEDG• DEMOL'❑
FSignature •- " APPLICANT, TEL -FINAL
OWNER-BOLDER'DECLARATION•• (PRINT),• NO- _
I hereby affirm that I'am exempt from th'e'Contractor's License ;. .. . _ DATE
Law for the following,reason•(Section 7031:5, Business,and ADDRESS FINAL
Professions Code .:.' _ d
Profession's
Code):'" n= PRESENT B
BUILDING
.I,:as owner of•the 'proper"ty,:or my employees with ADDRESS
a
wages as their sole'corn=dtion,will do'the work and
the structure is not intended or offered for sale(Section LOCALITY i ram
7044; Business and Professions Code.) MOVING= - .. - _ TEL. 1E)^'
❑ I,,as owner of the property,,am exclusively contracting CONTRACTOR NO.
-with licensed contractors to construct the project (Sec-
-tion 70 , Business and Professions Code. - ~ '"ADDRESS
44
• REQUIRED TOTAL SETBACK FROM- EXIST
CONSTRUCTION LENDING AGENCY- REQUIRED
BACK YARD "HWY PROP LINE WIDTH-
I hereby affirm that there is a construction-lending agency for FRONT'
the-performance of the work�for which-this'pe�mit is issued P.L -
(Sec. 3097, Civ. C.). "; SIDE
ii'}r_,i
Lender's Nome "- "
LDMA Ref.
Lender's Address P C. Fee$ Permit Fee _ a 0 �O
o
.1 certify that I have read Ais-application and state that the Issuance Fee /� LDMA P/C#
8 above information is correct. 1=6gree to comply with 611 County Investigation Fee a
ordinances and State'16ws.relating to building"construc{ion, Total Fee //e' (�� LDMA Perm, #
a- and h reby authorize rept "ent`fives of this'County to enter
u The above-me o r erTy,for'inspection purposes.
a
yz, SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant or Agent Date'•' e
4 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1006280002
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: 1
ITR: 16957 LT: 34 I SQ. FT STORIES TYPE 1 10124 LIVE OAK AV
ISTRUCTURE: 2500 V-B I TEMP CA 917802712 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: BALDWIN 1
18586-020-005 I I THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY, Cl
I I I
(TENANT: IEXIST BLDG USE. RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: 1
(EXIST OCC GRP: 106/28/10 SR
I
I I
(OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IF AL DATE FINAL Y: CODE: 1
IPETERSEN, KAREN - 1 6,000 1 , 1
110124 LIVE OAK AV 1 _
II_ 1
ITEMP 917802712 I FEES PAID I SCRIPTS N OF WORK I
I ICOMP.;ETE TEAR OFF (E) ROOF REPLACE ANY DAMAGED WOOD INSTALL I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 11/2"OSB PLYWOOD INSTALL 1 1/2"X 1 1/2" EDGE METAL INSTALL * 1
(APPLICANT: TEL. NO: I I 1
ILAM BRUCE (626) 393-9089- 1AA BLDG PERMIT ISSUANCE 27.75 1 1
19640 OLIVE STREET JAB STATE GREEN BLDG FEE 6000.00 VAL 1.00 ISPECIAL CONDITIONS: 1
ITEMPLE CITY CA 91780 JAC STRONG MOTION RESID 6000.00 VAL 0.60 I 1
ID2 PERMIT W/O EN-HC 6000.00 VAL 149.40 1 1
I TOTAL FEES 178.75 I 1
(CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1
IBUILT TO LAST CONSTRUCTION (626) 393-9089- I 1 1
19640 OLIVE STREET LIC. NO I ILOCATION AND SETBACKS I I 1
ITEMPLE CITY, CA 91780 904168 1 1 1 1
I 1SOII.S ENGINEER APPROVAL I I
(ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS I I
LIC. NO: i 1SLAB/UNDER FLOOR I
I I IRAIEED FLOOR FRAMING
I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: _ CMP: I (UNDERFLOOR INSULATION I I I
1150H273 3 001 I I I 1
I I IFLOOR SHEATHING I I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I i
I NO 21 1 IROOF SHEATHING
I I
I SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I 1
1AIR QUALITY: 1000 FEET MATERIALS II
I NO NO NO 1 FRAME INSPECTION
I I I
I IFIRE SPRINKLER HANGERS 1 I
I I I
I I 11NSULATION/WEATHER STRIPI I I
11NTBRIOR LATH/DRYWALL I I
I I I
I I IEXTERIOR LATH 1 1
I I I
I IRATED FLOOR/CEIL ASSEM I 1
I I I
I IRATED WALL ASSEMBLIES I 1 1
I I I
1 I IRATED SHAFTS/OPENINGS 1 1
I I I
IT-BAR CEILINGS I I I
I* ADDITIONAL DATA ON FILE I I I
I ILOT DRAINAGE
I I I
I IREPORT ID DPR261 ROUTE TO: BS0508 I 1-1I
1 I
I I I I I I