HomeMy Public PortalAbout10146 LIVE OAK AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
r JCOUNTY OF LOS ANGELES
WM. J. FOX. CHIEF ENGINEER
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN
DISTRICT NO. PLAN CK.NO. PERMIT NO.
ADD UILDNG
R IBB Baldwin Avenue
LOCALITY Los Angeles County RECEIVED BY DATE OFAPPL. DATE ISSUED
NEAREST 4,
DRoes BT. Live Oak Avenue
BUILDING /
OWNER I i nde Finan oe & Development Cori ADDRESS d (O v
AMAIL
DDRESS 232 So. Beverly Drive LOCALITYNEAREST
TEL CROSS ST.
CITY Beverly Hills, Calif', ND. CR 5-4455.
t,,, FIRE NO.OF TYPE GROUP
ARCHITECT OR Same a3 a bo TEL. ZONE PLANE
ENGINEER NO. BLDG. /�. �//� ORD.NO.
ADDRESSSETBACK LINE /W 7 q-
y
APPROVED
013NTRACT13R Same as aY�OVe NO BY DATE
USE APPROVED
ADDRE10 ZONE- BY DATE
0
LEGAL
DESCRIPTION LOT NO. 38 BLOCK CORRECTIONS ,
TRACT 16957
NO.OF
SIZE OF LOT 55 X 107 (App)i NOW ON LOTB•none
UBE OF NO.OF NO.OF
EXISTING BLDG. FAMILIES I ROOMS
DESCRIPTION OF WORK -
NEW 6 •ALTERATION ADDITION O
A
REPAIR MOVING DEMOLISHQ.FT p
B ZE * 1236 NO.DF ROOMS
6 STORIES 1 D
,,,�qmir
WALL ROOF
COVERING .�"�'t f•(' I COVERING Dolomite
BUIELDFINGI� Dwelling and attached garage
Plan 107-0.
1 HEREBY ACKNOWLEDGE THAT 1 HAVE REATEF
APPROVALY
APPLICATION AND STATE THAT THE ABOVE IS CNDATION, LOCATION I SPECTOR ATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDIORMS,MATERIALS ��
_ AND STATE LAWS REGULATING BUILDING CONSTR /8
ME: FIRESTOPS,
SIGNATURE OF Linde Finance & DevelopmRACING.BOLTS / z /
PERMITTE H, INT.
VVA
AUTHORIZED A P.. A- re&lae H. EXT.76A63BA-3 z-s0 $ P.C.G STER.INT.
FFEE STER,
VALUATION ® 7/ FINAL
FEE �-
WORKERS' COMPENSATION DECLARATION n _
insure hereby
certificate caffirm tte of Workers,'certificate Compensat on Insuranceent to lf �P ����A.
u•v O L1U - O M d D� G°�G�0�"
or a certified 'c'opy'thereof,(Sec- 3800T; Lab C ) i
COUNTY-OF LOS ANGELES BUILDING AND SAFETY
Policy_Nb 1046140'campdny, 'STATE- FUND.
❑ Certified co is hereb ���—" APLICAT TO FIL'L-IN " BUDDING-`
• ,pY. Y furnished FORPN
- ., . , ADDRESS SOI�� •� ���
Certified copy is filed with the county building inspec
BUILDING
tion'department ADDRESS 10146 E. LIVE OAK -
Date 11—.1-93, Applicant RANDOL ROOFING" CITY TEMPLE CITY CA zip 91780.' LOCALITY Y
NO OF BLDGS NEAREST:_
• - ' 'CERTIFICATE.OF'EXEMPTION'FROM WORKERS' SIZE OFIOT NOW ON LOT CRO55 ST
JF
COMPENSATION INSURANCE'' ASSESSOR `
(This-section need 'not be completed'if the permit"is for one TRACT BLOCK - LOT'NO- ` MAP BOOK PAGE PARCEL -
hundred dollars'($100)-or less ) - w TEL
OWNER- f NO _3851USE ZONE ' MAP
t NO 9
I.certify,that in the performance of the work for which this e sg. _ SPECIAL >_i,permit is issued, I,shall not employ any person to any manner ADDRESS 10146 ,-E. LIVES-OAK- CONDITIONS:"— a
sofas to becomublect to the Workers'Compensation Laws., _ Q
r CITY ZIP U
Date Applicant = ARCHITECT OR TEL -
NOTICE TO APPLICANT .If,,.after makin !his Certrfic6te of. - ENGINEER NO DISTRICT GROUP.�TYPE FIRE PROCESSED,BY
g O
Exemption, you" should become subject,to the ,Workers' ST ZONE L' iG a
Compensation,provtsions,of,the Labor Code, you must forth- ADDRESS ���
LU
with comply,with such provisions 6r this' permit shall be L TEL STATISTICAL CLASSIFICATION APT CONDO N
deemed revoked :;•- CONTR4CTOR _RANDOL ROOF_ING' No 288-4040 " Z
LICENSED CONTRACTORS DECLARATION,s,.• a ." LIC CLASS NO DWELL UNITS
I hereby affi-TTriI am licensed under provisionstof Chapter 9 ADDRESS NO
'(commencing with,Section 7000)of Division 3,of the Business LIC SEWER MAP-
and P.rofessrons_Code,and my license is in full force and effect: w CITY,' 'SAN GABRIEL CA 9177.6 CLAssC-39 BK "� ! VALIDATION
SQ "FT - NO OF NO"OF CHECK
'License Number ''`451937 L,c Classy C-39 SIZE STORIES' FAMILIES ONE
VALUATION'
DESCRIPTION OF WORK REROOF,HOUSE- AND, NEW ❑
Contractor RANDOL' ROOFING Date-'1-31`=94r $_2,"600..00' _
El I am exempt under`Sec: WITH 20—YEAR CLASS A aDo' '❑ I„ M
y ALTER ❑
B$P-C, for this reason - S
REPAIR.
Date USE:OF•
i r• EXISTING BLDG DEMOL,
❑ '
Si noture - -APPLICANT r• `
g (PRINT)RANDOL ROOFING' • TEL FINAL•
OWNER-BUILDER DECLARATION, DATE f r
I hereby affirm that I am exempt from the Contactor' s License �t`++�a4
Law for the following reason (Section17031'5,:-Business and AD'DREss 529' E•." VALLEY BLVD. SAN; GABRIEL- I •FINAL , OI1
• Professions Code PRESENT 330 r .
-.• - ,.. _ _ _ - BY. - - .3_ - -•�•--
BUILDING '
❑ I, 'as owner of the property, or my 'empl'oyee's with ADDRESS 1 ITENsw
;.wages as their sole compensation,will do the work'and LOCALITY = jLhj (. a �
the structure is not intended or offered for sdle'(Section ,
7044, Business a"nd Professions Code ) MOVING, TEL
_ _ "" �FV 7
❑ _ CONTRACTOR NO
I as ow m l CHECK 11!.'irk)
ner'of.the property, am exclusively contracting
with Icensed`contractors4o construct,the'prolect (Sec- ;4 - z--
'• DDRESS- - 'C!-it11'tt7E '-.130
tion 7044, Business and Professions Code•)
REQUIRED _ TOTAL SETBACK FROM-- EXIST
CONSTRUCTION LENDING AGENCY ' . SET BACKYARD HWY PROP LINE WIDTH
I hereby affirm,tKat there is a construction lending agency for FRONT 0000-0001 1 4/`�.k q-
the performances of the work-for which-this permit is,issued P'L - r'—
(Sec 3097, Civ C ) SIDE' �, 9210 ' 1 AM11.
P L•
Lender's'Name
-• _ - PC Fee$ ` Permit Fee x 92'-'25." • - LDMA Ref # + -
� - Lender's Address x `• " , •, -, � -
. 25.65
o ('certify that,( have,read this application and state that the Issuance Fee LDMA'P/C# {.
g' above information:is correct I agree to compl"y with all County In gat on Fee {
R ordinances and State"laws relating to buildVectin
struchon, Total Fee 117.90- LDMA Perm'# '
Q and hereb ou hors epreseritatives of This ,t 'enter
upon't o - ned pro eF for ins pp rp6ses.
SEE REVERSE FOR EXPLANATORY LANGUAGE
SignaKre-51 Applicant or gent Date „