HomeMy Public PortalAbout10140 LIVE OAK AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES
F�6 WM. J. ROX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILOIN@I DISTRICTNO. ;Pq'AN CK.NO. PERMIT NO..
ADDRESS Baldwin. Avenue - ' 31 3�/1 2. 3
LOCALITY Los Anzeles County RECEIVED BY DATE OFAPPL. DATE ISSUED
NNEARE2Live Oak Avenue C.- 3 3'
OWNER Linde Finance & Development Corp.
ADD EIBB _I IMAIL
ADDRESS 232 South Beverly Drive• LOCALITY � I
NEAREST
cI.Ty%verly Hills, Calif. No`• CR 5-L-455e _2141388 ST*
FIRE NO.OF TYPE GROUP
�
ARCHITECT OR TEL. ZONE PLANE
ENGINEER &-ne as above NO.
BLDG. e/ ORD.NO.
ADDRESS SETBACK LINE �"®- ��7
C,,., APPROVED
CONTRACTOR Same as above NO.*
BY DATE
USE APPROV
AD REB ZONE � BY DATE
LEGAL
DESCRIPTION LOT NO. 37 BLOCK CORRECTICORRECTIONS"�
,
TRACT 16957
SIZE OF LOT
55 X 107 (AppNow ONL13TB' none
USE OF NO.OF NO.OF
EXISTING BLDG. FAMILIKS I ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION 0
REPAIR rf MOVING DEMOLISH
SIZE 1239+ ROOMS 6 STORIESWALL 1 D
ROOF
COVERING Stucco I COVERINGWood Shingle 1'
Bye DI D. Dwelling and attached garage
Plan 109-C,
27
I HEREBY ACKNOWLEDGE THAT 1 HAVEREAD THIS APPROVALS'
APPLICATION AND STATE THAT THE ABOVE 19 CORRECT INSPECTOR D
FORMS, TE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION,
FORMS,MAATTLOCATION ERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME: FIRE STOPS.
SIGNATURE OFLlncie Finance & Devel Ent BRACING,BOLTS i>✓t.R/
PERMITTEE r LATH, INT.
AP H RlED AOT
�1_ATI Vu L e, --rresl enZ LATH, EXT. �+
76e.69BA-3 2-50 $ P.C.! q /^ PLASTER,INT.
L 1 FEE �! PLASTER.EXT.
VALUATION FEE �' �.•� FINAL L'r'NM
]8A63BAC1 ,o_ze APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILD'ENG
DEPARTMENT OF COUNTY ENGINEER ADDRSS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING I CROSS ST
DISTRICT NO. 24WP TYPE '�— PROCESSED BY --
FOR APPLICANT TO FILL IN rj I coNST.�V l
rfAA
ILDING STATISTICAL CLASSIFICATION SEWER MAP
DRESS /DI S/O EL/�� BK _ PG
T NO., CLASS.NO.- DWELL. UNITS -BLOCK YESNUMER ��C/ � HWY.SPECIAL
CT 16 /S`7 NO OF BLDGS. U ZONE CONDITIONS '
SIZE OF LOT J J 'ji� I NOW ON LOT - -
USE IN
OF a '• '
EXISTG BLDG. BUILDINGEXIST.
YARD HWY STREET NAME
A -N LL A,,7,7,,,—
� SETBACK WIDTH'
OWNER A�/ on A!7,(E,— ��j FRONT �.V /
ADMA'DRESS �O/ C, / /LJG DLL-k— ,SIDE -P L. - '
TEL P.L.
ITYCZ& "o• -
ARCHITECT OR TEL. INSPECTION RECORD '
ENGINEER NO
S ADDRESS i fil
TEL.
CONTRACTOR NO. -,3 _ 0 '
A60RES,
DESCRIPTION OV WORK
NEW, ADD ALTER REPAIR DEMOLISH _
SQ.FT. oti NO.OF NO.OF SIZE STORIESFAMILIES
J ,
USE OF STRUCTURE � - - - `
CQ/_OGG O/"1-
edl 11�7,17
SIGNATURE OF APPROVALS
APPLICANT
ATE'_ INSPECTOR'S"SLG NATURE - _
ADDRESS �c7 CJ FOUNDATION: LOCATION C
$ -FORMS,MATERIALS 17
P.C. $ FRAME* FIRE STOPS. ��
VALUATION' $
FEE BRACING. BOLTS _
�d FURNACE- LOCATION.; ® ��
FEE GAS VENT,DUCTS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT. / //
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY W TH ALL COUNTY ORDINANCES AND •.
STATE LAWS REG T G UI DING STRUCTION. LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTE � RECT AND POSTED
ADDRESS �IJ� FINAL
CLYDE N. DIRLAM, PRINCIPAL STRU URAL�ENGINEER
PLAN CSECS VALIDATION ,o. CAAH PERM'VALIDATION C M.O. CweH
LG 5 2 3'0 `
I„R 16 1 A 1 2.00
FOGS BULDNIG PERMIT
COUNTY OF.LOS ANGELES BUILDING AND SAFETY
,6fOP,K R'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN * XUI DING ADDR SS
I hereby affirm that I have,a certificate of consent to self Insure, BU DING ADDRESSIII
or a certificate of Workers' Compensation Insurance,or a certified,
Copy thereof,( 3800;Lab C) ��_ CITY ZIP
ZIP LOCALITY
r 'v
Policy O Company SIZE OF LOT N BLDGS NOW ON LOT' •fJ
ertifled copy is hereby furnished NEAREST CROSS ST
Certified copy Is filed with the c nty,building ins tion TRACT BLOCK LOT NO
• dep rtment - - - USE ZONE MAP NO
Dat Applicant ASSESSOR MAP BOOK PAGE' PARCEL
SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTIO OM WORKERS' TEL TEL NO
COMPENSATION INSURANCE �• I WITHIN IOOD FT OF SCHOOL? YES No
This section need not be completed If the permit Is for one hundred A�/gqDRESS ///
( P P / DISTRICT GROUP TY CONST FIRE ZONE&OCESSED 8Y
dollars($100)or less) •
I certify that in the performance of the`work for which this permit �7 tCf 71 V
is Issued, I shall not employ any person In any manner SO as t0 ARCHITECT OR ENGINEER TEL NO �
become subject to the Workers'Compensation Laws STATISTICAL CLASSIFICATION APT CONDO
Date - Applicant ADDRESS - - - CLASS NO DWELL UNITS
r
NOTICE TO APPLICANT If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you, should become subject to the 'Workers' C NT CT�IR ! T SET BACK YARD HWY PROP LINE WIDTH
Compensation provisions'of the Labor Code, you must forthwith, FRONT
comply with such provisions or this permit shall be deemed revoked ADDRE LIC NO ""ems P L
• / SIDE '
.,.LICENSED CONTRACTORS DECLARATION LIC c P L _
I hereby affirm that I am licensed underprovisions'of Chapter,9 SEWER MAP
' (commencing with Section 7000)of Division 3 of the Business and SQ $fin NO OF STORIES NO OF FAMILIES '
/ NEW BK PG d
Professionsi=1
Ben full force and e � O
License NuClc Class D RIPTIO OF WORK - ADD' Q'- 'NACU ON - D
ContractorDate ALTER ❑ $ U
f / cc
Ellam exempt under Sec I r- ice•— REPAIR $ O
B&PC for this reasonDEMOL ❑ CDMA P/C# III
U
Ddte
Uq&EFF E STING BLDG URM ❑ Q
C0
Sigiieture APPLICANT(PRINT) TEL NO - LDMA Perm# - - _ I -ITEMS Z
El I, as owner of the pr y, or my employees with wages as Z �'
their sole compens i will do the'work and the structure Is ADDRESS. 0 I�'r, O
not intended or offered'for sale (Section 7044, Business and FINAL DATE Q r.
'
tb
PfOfeSSIORS Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL - R tet
OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ' J
I, as,owner of the property, am exclusively.contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDES e FINAL BY 5 CHANGE 4 �I
licensed contractors to construct the project (Section 7044, ves❑ No❑ -
Business and Professions Code)
WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING _
,OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTIOWOR MODIFICATION FROM THE SOUTH i'i�i —i�Il�J1 8{wt` ° '
'
CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR LjJ1ry Z
GUIDELINES
1419
3419 - 1 AM 11:31 1o31
I hereby affirm that there Is a construction lending agency for YES 1:1NO El
a the performance of the work for which this permit is Issued(Sec 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
TITLE 2 CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS
Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD
EL Lender's Address •
OWNEfi OR AGENT -
o I certify that I have read this application and state under penalty
'0 of perjury that the above'Information Is correct I agree to comply PC FEE PERMIT FEE
with all county ordinances'and State laws relating to building
con ru tion, and hereby horize representatives Of this County ISSUANCE FEEco
`C L
m to n the above- e tioned proper or Inspection purposes
INVESTIGATION FEE TOTAL FEE 0, -
pnaf of Aophcsni a 1 Gaze A `
SEE REVERSE FOR EXPLANATORY LANGUAGE
.a COINTY 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 1111150028
PHONE (626) 285-0488 EXT.
ILEGAL ID _ NO OF CONST BUILDING ADDRESS 1,
ITR 16957 LT 37 SQ FT STORIES TYPE 1 10140 LIVE OAK AV 1
I ISTRUCTURE V-B I TEMP CA 917802712 1
(ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET BALDWIN
18586-020-008 THOMAS PAGE 597 GRID- B3 LOCALITY TEMPLE CITY, Cl
ITENANT IEXIST BLDG USE RESID USE ZONE. R-1 (ISSUED ON PROCESSED BY: 1
IEXIST OCC GRP 111/15/11 SR
1OWNER TEL NO IBLDGS NOW ON LOT VALUATION IF NAL DATE - - FILNAL BY- CODE 1
ILIM JOHN,BARBARA L (626) 617-8161- 1 1 25,000
110140 LIVE OAK AV - I �
I TEMP 917802712 - FEES PAID - rNESC`'RIPTION OF WORK 1
KITCHEN AND BATHROOM REMODEL, REPLACE ALL WINDOWS, AND DRYWAI
IFEE DESCRIPTION- QUANTITY UOM AMOUNT ILL CEILINGS AND WALLS THROUGHOUT -
1APPLICANT TEL. NO I I '
ISAME AS OWNER - ID1 PLANCHECK W/O EN-HC 25000 00 VAL 399 60 I
I IAA BLDG PERMIT ISSUANCE 27 80 ISPECIAL CONDITIONS: 1
I IAB STATE GREEN BLDG FEE 25000 00 VAL 1 00 1
I 1AC STRONG MOTION RESID 25000 00 VAL 2 50 1
1 ID2 PERMIT W/O EN-HC 25000 00 VAL 470 10 1 1
ICONTRACTOR: TEL NO 1 TOTAL FEES 901 00 (APPROVALS DATE INSPECTOR SIGNATURE 1
ISAME AS OWNER - I-
1 LIC NO ILOCATION AND SETBACKS
I I I
ISOILS ENGINEER APPROVAL 1
(ARCHITECT OR ENGINEER TEL NO IFOUNDATION/TRENCH FORMS I
LIC NO- 1 ISLAB/UNDER FLOOR I
I I I
I IRAISED FLOOR FRAMING I
IMAP NO. SEWER MAP BOOK- PAGE FIRE ZONE CMP - ' (UNDERFLOOR INSULATION 1
1150H273 3 001 - 1
IFLOOR SHEATHING
INO OF FAMILIES DWELLING UNITS APN/COND STAT CLASS
OO
IROOF SHEATHING
I I I
1 SCHOOL WITHIN HAZARDOUS 1 K y ISHEAR PANELS} I 1
1AIR QUALITY 1000 FEET MATERIALS 1
1 NO NO NO 1 1FRAME INSPECTION
1 IFIRE SPRINKLER HANGERS 1 1
11NSULATION/WEATHER STRIPI
I , 11NTERIOR LATH/DRYWALL
1 IEXTERIOR LATH T-
I I I
) 11
1 IRATED FLOOR/CEIL ASSEM 1 I
I I I
iRATED WALL ASSEMBLIES
IRATED SHAFTS/OPENINGS
1 IT-BAR CEILINGS
1 ILOT DRAINAGE 1
1
IRE-PORT ID DPR261 ROUTE TO BS0508 -
' 1I -