HomeMy Public PortalAbout10212 LIVE OAK AVE_Building__ 76A838A CE#8035-B7,A■ Y' UCA LL IVN ■ OR BUILDINGPERMIT
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COUNTY OF LOS ANGELES 'BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY Ci tirvire I f
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST
DISTRICT NO. 1, G5SVP TYPE PROCESSED BY
FOR APPLICANT TO-FILL IN s'0 _.,k CONST r • wH
J
STATISTICAL CLASSIFICATION — WER MA
ADDRESS
BUILDING
K PG
CLASS NO DWELL UNITS •�--
LOT NO. lI BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE
TRACT MAP HIGHWAY
yA� NO OF BLDGS NO a Gd (CIRCLE) STATE MAJOR SECOND, LOCAL
SIZE OF LOT / V NOW ON LOT USE ZONE SPECIAL /7y
USE OF f�` r CONDITIONS t C/
EXISTING BLDG. r1 - • -
TEL. 'T)�O '
OWNER , A' NO BUILDING EXIST.
YARD HWY STREET NAME
SETBACK WIDTH
ADDRESS O - FRONT
ARCHITECTTEL P L
R
ENGINEER G (& SIDE CL
`7 . P L V
ADDRESS P/ 1 '4-el—A4 4 "'g . INSPECTION RECORD
I � TEL /,.y ,,.•
CONTRALTO 6�'RP NO ! 1l Q
ADDRESS51�&AljA v' �� W
DESCRIPTION OF WORK H
Z
NEW ADD ALTE REPAIR DEMOLISH
SO FT. NO OF NO OF
IZE STORIES. FAMILIES _
USE OF ��
STRUCTURE - _
SIGNATURE OF
APPLICANT f ,
VALUATION 5
APPROVALS DATE INSPECTOR'S SIGNATURE
IPC PMT B, FOUNDATION LOCATION �`��� •_„ -.,�"`
FEE $ FEE $ FORMS,MATERIALS I
FRAME FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
BRACING,
RACING BOLTSAND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE. LOCATION, _
WITH ALL COUNTY ORDINANCES A D STATE LAWS REGULATING GAS'VENT DUCTS,
BUILDING CONSTRUCTION I CERTI THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT E PLOY ANY PERSON IN VIOLA- LATH, INT. /%-",%..%'a;' /�/9d[��, r "`,�'..",L �•y`r. ✓/
TION OF THE LABOR C E OFTHE ST94AE OF CALF.4FORNIA RELAT-
ING TO WORKMEN S PENS I INSURANCFY 1 -
LATH,EXT.
SIGNATURE �! HOUSE NUMBER COR-
PERMITTEE r J� RECT AND POSTED
ADDRESS 11
FINAL
l CLYDE N DIRLAM, PRINCIPAL STRY=VRAL ENGINEER
PLAN CHECK VALIDATION cK. M.o. cAsx - PERMIT VALIDATION(cKf// m.o. C"H
L "00. 0 4 2 1tA3 2 6- 1 0 9.0 0 kn.
APPLICATION FOR BUILDING PERMIT I�
FOR-APPLICANT'TO FILL IN (Print or type only)
xCOUNTY'-OF LOS'ANGELES '
ADDRESS DEPARTMENT OF COUNTY ENGINEER
CITY ' (,a. zIP BUILDING AND SAFETY DIVISION
NO.OF SLOGS BUILDING ^^77 -�77
SIZE OF LOT NOW ON LOT ADDRESS DCX�OL �• "
TRACT rt BLOCK LOT NO LOCALITY��
TEL. ��•ppLp6 NEAREST A -
OWNER - NO. OCROSS ST
- - ASSESSOR `
ADDRESS MAP BOOK PAGE PARCEL,
' DISTRICT I GROUP TYPE - - FIRE SED Y
CITY ZIP CONS Z
ARCHITECT R TEL. - °O ,�
ENGINEER NO '
_ STA TISTICALCL'ASSIFICA TION - SEWER AP
ADDRESS - ,CLASS NO.�DWELL UNITS BK PG -
CONTRACTOR TEL USE ZONE NOP O
ADDRESS NO. _ SPECIAL - 1
CITY T� C jl LIC.
CONDITIONS
yoS elC$ C$11fe CLASS 39 ROAD,,DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDO SETBACK'FROM
FROVT PROP'.LINE-OF- (STREET)
ADDRESS CITYHIGH Y + YARD _ TOTAL SETBACK FROM TYPE OF EXISTING -
SQ FT r NO OF' NO:•OF- - _ CHECK FRONT PROP LINE HIGHWAY WIDTH.
SIZE STORIES .FAMILIES ONE ,
DESCRIPTION OF WORK NEW ❑ CD
_ BLDG SETBACK FR
tt tt DD ❑ SIDE PROP.LINEOF •(STREET.),• CD
ALTER ❑ - TOTALSETBACK .FROM T F EXISTING
f HIGHWAY + YARD = U
EPAIR❑ SIDE PROP LINE HIGHWA WIDTH Lu
GO
N
USE TI F EMOL El + Z
EXISTING BLDG. RP a an P
APPLICANT TEL - CORNER CUTOFF YES' E3• NO ❑ _
(PRINT) NO.
BY (SIGNATURE) IN OPEN SPACE YES NO ❑
$ IN COASTAL PERMIT ZONE YES ❑, NO E]
*VALUATION , 1P40-00
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOYE'IS CORRECT AND AGREE TO COMPLY -
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- '� �j��'P O/VD`F=% yf/1•�yR/�T"
STRUC TI ON I CERTIFY THAT IN 'DOING THE WORK AUTHORIZED /� �(� �-./�� �,
HEREBY I WILL'DEOOF OT EMP;OY ANY PERSON 1N, VIOLATION IN THE /yy, � 5 0"yC(�C -L?� ,77- V
'LABOR CODE M THE IO TE OF CALIF jA_1N :INQ. /,(��r_4�/�
WORKMEN'S COMPENSATION INSURANCE G� ``
SIGNATURE OF�
PERMITTEE
ADDRESS
^^LL .
Los
o�, -•t � TELFINAL BY
. COI 1H1
CITY y $ Angeles,, Ca. NO. DATE
P.,MAKE CHECKS PAYABLE 70. r FE Q LFE
T„Q nt :��
FEE' E •D ci
HARVEY T. BRA•NDT, COUNTY ENGINEER
PLAN CHECK VALIDATION CK ,, M 0 CASH a PERMIT VALIDATION CK M O -CASH
05 ,9Lr2nff� 9 ' 1 U ► 21.75 ®98
78A 898A CE#803 574 � f
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