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HomeMy Public PortalAbout10260 LIVE OAK AVE_Building__ i DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY-OF LOS ANGELES ®� WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY - DISTRICT NO. PLAN CK. NO. PERMIT NO. BUILDEI NG ADDSS Q .tJ R«►�sind I / /, r v LOCALITY RECEIVED BY DA OF APPL. DATE ISSUE NEAREST CROSS ST. BUILDING ^ ADDRESS OWNER MAIL LOCALITY �✓� C. ADDRESS. 0 ✓ �' � NEAREST TEL./� CROSS ST. CITY NON,0 -�I FIRE NO OF C.) I TYPE �/ I GROUP �^ ARCHITECT OR TEL. ZONE PLANS ENGINEER NO. BLDG. SETBACK LING ADDRESS APPROVED - TEL. BY DATE CONTRACTOR NO. USE APPROVED ZONE /,(-/--BY DATE ADDRESS HOUSE' NUMBERING LEGAL DESCRIPTION LOT NO. BLOCK MAP NUMBER.�� FIELD CHECK BY _ c_ TRACT _1 NO. ASSIGNED BY----------DATE NO. OF78LDGS. - CORRECTIONS -- SIZE OF LOT NOW ON LOT , USE OF I NO OF / EXISTING BLDG. FAMILIES ' DESCRIPTION OF WORK NEW ti'I ALTERATION I I ADDITION I , 0, REPAIR I I DEMOLITION SQ. FT. NO. 'OF SIZE d ROOMS STORIES Z EXT. WALL ROOF I COVERING COVERING USE OF STRUCTURE APPROVALS INSPECTOR'S SIGNATURE DATE - I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS CORRECT. I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS >• �+'✓r7 /L�'u�.r'J LAWS REGULATI� DING CONSTRUCTION. FURNACE: LOCATION, SIGNATURE OF GAS VENT, DUCTS PERMITTE LATH, INT. ADDRESS /�L�r � LATH, EXT. AUTHORIZED AGT. , PLASTER, INT. - 76waSaA- 0e83 to-ao P. C. $ • �/J)iY1� FEE PLASTER, EXT. f VALUATIONv $ O FEE /l'✓.. '� FINAL DEPARTRENT OF bUII.DING AND SAFETY APPLICATION FOR PMLMIT COUNTY OF LOS ANGELES Z WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING .{� //� r DIS RI NO. PLAN CK.NO. PERMIT NO. ADDRESS �d -�G� .�.� C(G 5 33 ), D 1 LOCALITY �1 E EIVED BY -DATE OF APPL. DATE ISSUED NEAREST •�, CROSS BT r yA�r(.•'��""�'� UBUILDING OWNER ADDRESS MAIL ///�) �/+��- LOCALITY I✓ ADDREBSrr�••41 � �� /1/ _ NEAREST ��}} TEL.A d ��y n� CROSS 97. CITY Ya �1 NO. �^ l+aT / FIRE NO.OFTYpt�_ GROUP ARCHITECT OR }{ Al /� NEO ZONE PLANE J� ENGINEER dl...I �/ .N BLDG. /� ORD.NO. A DREB ss SETBACK LINE APPROVED TEL. By DATE CONTRACTOR NO. , USE APPROVED ADDRESS + ZONE A BY ppm+ DATE LEGAL i �®.� CORRECTIONS DESCRIPTION LO OY 30 BLOCK TRACT �/ i 4 �' �Tl iar_"� G.fl�� /`h✓�—� SIZE OF LOT ,� �(� NO.OF BLOTS. NOW ON LOT USE TI �r+.r 4_,;g..P...-�LFAMIL Qe RD0'I NO or EXISTING BLDG. DESCRIPTION OF WORK NEW ALTERATION ADDITION f O I .'a REPAIR MOVING DEMOLISH O Sq.FT."' y' NO.OF I Z SIZE ��- ROOMS 8 RIEH j WALL ROOF COVERING COV ERIN USE OF NEW BUILDING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS, APPROVALS APPLICATION AND STATE THAT THE ABOVE 19 CORRECT,' INSPECTOR DATE FORMS, AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FLOCATION AND STATE LAWS REGULATING BUILDIJG CONSTRUCTION. FORMS,MAATT ERIALS / ^ I FRAME: FIRE STOPS. SIGNATURE OF /ate 1y BRACING.BOLTS "O PERMITTEE,Q ,�( -tfATH, INT. AUTHORIZED AOT LATH, EXT. 76A63BA-3 2-513 $ P.C.al PLASTER;INT. FEE r PLASTER,EXT. VALUATION FEE � �� FINAL DEPARTMENT OF BUILDING AND SAFETY iii=PLICATION FORPERMIT Y COUNTY OF LOS ANGELESu& WPW. J. FOX, CHIEF ENGINEER _ FOR PLICANT TO FILL IN FOR OFFICE USE ONLY [in UILDING DISTRICT NO. PLAN CK.NO. PERMIT NO: DDRESS _ ,�7 7 2 3��4' J LL LOCALITY RECEIVED BY DATE OF APPL. yR� DATE ISSUED NEAREST 1 C,jf�„ CROSS ST. OWNER .f!/t/L�. J ADDRESS 2�e "-• _ L� Ve MAIL LOCALITY /`1/"-G. ADDRESS G NEAREST TEL. ,AUI CROSS ST. CITY d-O� NO. li FIRE NO.OF 7, TYPE GROUP 0— ARCH ITECT OR "'ARCHITECTOR . ZONE`- PLANS ENGINEER NO. t BLDG. ' / ADDRESS I _� SETBACK LINE. , 6, t`d'V�'� ��`�'I b,... APPROVED { V • /TEL BY � DATE CONTRACTOR �/,,/ O. USE A�I APPROVED ADDRESS ZONE ,�3.u-*BY DATE LEGAL Y' 2_p O CORRECTIONS DESCRIPTION LOT NO. BLOCK TRACT I ..�. �� (�e r'P NO.OF SLOGS. SIZE OF LOT NOW ON LOT USE TI I F O.OF'Ee/ I ROOMS EXISTING BLDG. - DESCRIPTION OF WORK NEW ALTERATION ADDITION O ,y REPAIR MOVING DEMOLISH p Sq.FT. NO.OF Z SIZE 40 ROOMS STORIES / r WALL ROOF COVERING COVERING i USE OF NEW BUILDING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROV S APPLICATION AND STATE THAT THE ABOVE IB CORRECT FOUNDATION: LOCATION INS CTOR ATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS.MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPB, �{� BRACING,BOLTS lam- SIOPERMIT / TEF �• I LATH,INT.: S ttc/y AUTHORIZED AGT LATH,EXT.: e DBS-3 SUM BETS 1-48 $ P.C.B PLASTER,INT. FEE PLASTER.EXT. VALUATION I �' FEE /2 I FINALdC9 ­NC � :31 S_ `KERS' COMPENSATION DECLARATION ., ht?I�y'affvm that I have a certificate of consent to self O O O O p p insure, e,-.i certificate of Workers' Compensation Insurance, A P P d�C AU� N �FOR Q M 0�D 0 M IG p RPA FT u "or a certified copy thereof (Sec 3800, Lab C ) • Policy Nai6qC073- Sfi;rnpany '.l{% '(,ZA�d COUNTY OF LOS ANGELES BUILDING AND'SAFETY Certified co is hereby furnished BUILDING copy y FOR APPLICANT TO FILL IN ADDRESS U (Tri Certified copy is filed with the couritybuilding inspec- BUILDING 1 tion department ` 'NA �//� ADDRESS /v Q Date—8// Applicant i�,170 NA11�eo CITY (ZG 0'14 ZIP qf0a& LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' . NO OF BLDGS NEAREST •COMPENSATION INSURANCE _ SIZE OF LOT NOW ON LOT CROSS ST (This section need not be completed if the permit is for one ASSESSOR hundred dollars ($100)or less ) TRACT BLOCK LOT NO MAP BOOK PAGE PARCEL TEL USE ONE MAP I certify that in the-performance of the work for which this OWNER d NO NO permit,s issued, I shall not employ any person in any marinerADDRESS L r� / SPECIAL so as to become subject to the Workers'Compensation Laws t/ ' CONDITIONS DateApplicant CITY ZIP d !k Q ARCHITECT OR ,TEL NOTICE TO APPLICANT- 'If, after making this Certificate of DISTRICT GROUP TYPE FIRE PROCESSED BY ENGINEER' NO O, Exemption, you should become subject to the Workers' c_� ( CONSTL J ZONE Compensation provisions of the Labor Code, you must forth- ADDRESS JcIJ R� V 3 W• with comply with such provisions or this permit shall be 9 a.t deemed revokedTEL Lg l9 STATISTICAL CLASSIFICATION APT NDO CONTRACTOR R S, M A NO .657 t� N LICENSED CONTRACTORS DECLARATION LIC CLASS NO ----?e-(—DWELL UNITS Z I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS G v NO 4 SA `.� (commencing with Section'7000)of Division 3 of the Business and a-At LIC gg 3 SEWER MAP Professions Code, and my*license is in full force and effect CITY Los ?��G 1 CLASSX BK PG VALIDATION d� ��6 B—C/34 SIOZE FTY'v1 STORII" INO ES` FAMILINO IES CHECK ' License Number�' � �Lac Class VALUATION/�' ti� s _Date 3 e f IS DESCRIPTION OF WORK C NEW ❑ $ /� vl( �? .� Contractoi�fi 11,,, (1 ( "( I am H1Ft Jrider Se � ® _ ADD ALTER ❑ • B 8P C for this reason REPAIR ❑ $ Date USE OF /J / EXISTING BLDG DEMO ❑ Signature r � . �6y _/_��-%� �� APPLICANT TEL OWNER-BUILDER DECLARATION PRINT FINAL NO DAT Ef � _� ;2'9 0 9,.0 A I hereby affirm that I am exempt from the Contractor's License Law for the following reason,(Section 7031 5, Business and ADDRESS FI # 0 0 0 to io sl Professions Code) POSENB ❑ BUILDING`` 12 2 x 0 0 I, as owner of the property, or my employees with ADDRESS _ wages as their sole compensation,will do the work and LOCALITY % a o o'2 2 0 0'c=i the structure is not intended or offered for sale(Section 7044, Business and Professions Code) MOVING TEL 0 0 2..8 1, as owner of the property, am exclusively contracting CONTRACTOR NO with licensed contractors to construct the project (Sec- gDDRE55 ' tion 7044, Business and Professions Code) REQUIRED TOTAL SETBACK t ' CONSTRUCTION LENDING AGENCY SET 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 permit is issued P L (Sec 3097, Civ C ) SIDE PL Lender's Name 'A m LDMA Ref # P C Fee Lender's Address S' Permit Fee J certify that I have read this application and state that the Issuance Fee V L� O LDMA P/C# a above information is correct I agree to comply with all County Investigation Fee q ordinances and State jaws relating to building construction, c/� R and hereby authorize representatives of this County to enter Total Fee V ) LDMA Perm # �.1 upon the above-mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date i WORKERS'COMPENSATION DECLARATION I hereby affirm that I have a certificate-of consent to self ( D D P�� rinsure,%or a certificate of,Workers' Compensation Insurance, L S [P CL/ UPON F l C�U�d M N� P E RIS 0 'or a certified copy thereof (Sec 3800, Lab C ) - COUNTY OF LOS ANGELES• BUILDING AND SAFETY,, Policy No Company Certified copy ,s,hereby furnished a FOR APPLICANT TO FILL IN BUILDING ADDRESS 'O strC.� Certified copy is filed with the county,building inspec- BUILDING - ,tion department ADDRESS LOCALITY (� NEAREST Date Applicant . CITY Zl ZIP CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS' NO OF BLDGS ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL ,(This section need not be completed if the permit is for one USE ZONE MAPQd hundred dollars ($100)or less ) TRACT BLOCK LOT NO / NO - TEL %/ SPECIAL. I certify that in the performance of the work for which this OWNER 2 NO CONDITIONS d permit is issued, I shall not employ any person in any manner j /� pj // DISTRICT GROUP TYPE FIRE PR SSED BY. O so as to become subject to the Work Compensation Laws. ADDRESS dJ �'Tt n ✓L (t� } CONST ZONE U, �Q Date 3Applicant CITY ZIP STATISTICAL CLASSIFICATION APT „ CONDO _ O NOTICE TO APPLICANT If, of r making this Certificate of ARCHITECT OR TEL ENGINEER & NO CLASS NO �� r DWELL UNITS W Exemption,- you should bec a subject-to the Workers' Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with' comply with such provisions or this permit shall be deemed revoked CONTRACTOR � � NO 'BK PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC 1 ty- 1'hereby affirm that,I am licensed under provisions'of Chapter 9 ADDRESSPon k NO f/Lu" VALUATION (commencing with Section 7000)of Division 3 of the Business and �y 'LIC -Professions Code, and my license is in full force and effect CITY 1 CLASS O C 5 ZEA NO STORIES OF l NO OF CHECK License Number 9 7s,3 Lic Class $ Contractor L tel^ 11 z S Date'µ" 2—�� DESCRIPTION OF WORK 1Y/� NEW ❑f � `; ( _ j� ADD O a lam exempt under Sec 6^t J E]• - � ALTER FINAL B&P C for this reason V U REPAIR DATE }, - USE OF, '� Date EXISTING BLDG y DEM�pOL ❑, BY PPLAL CANT EL Signature A''(PRINT) C��tr NO O'�vJZ OWNER-BUILDER DECLARATION c I hereby affirm that I•am exempt from the Contractor's License ADDRESS 5 /1/ -�` c7�2 0� Law for the"following reason (Section 7031 5, Business and, TS, Professions Code) PRESENT E ®U � I ❑ BUILDING " " _ 1.1 2,'8 A I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,'will do the work and LOCALITY the structure is not intended or offered for sale(Section 7044, Business and Professions Code). MOVING TEL p I, as owner of the property, am exclusively contracting CONTRACTOR NO 12 0 0 6 a63 with licensed'contractors to construct the project (Sec-. ADDRESS e1, 0 (j o6 3 tion 7044, Business and Professions Code) _ t REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LIN WIDTH ® 4 1'2—8 3 I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued , P L Sec 3097, Civ C ) SIDE m PL o Lender's Name Lender's Address P C Fee b Permit Fee i 3 I'certify that I have read this application:and state that the Issuance Feb b `� above information is correct I agree to comply with all County Investigation Fee G ], ordinances and State laws relating to building construction, Total Fee d �J and hereby authorize representatives of this County to enter u above-mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE 1g nature of Applicant or Agent Date ®s •I !^+WORKERS' COMPENSATION DECLARATION — � I hereby affirm that I have a certificate of consent to self DAWN ,AWN insure, or a certificate of Workers'Compenstion Insurance, or L/�jlJ IJ Lam, L/Z1 tl 1J�1�JVIJ lJ a//ce'rtified copy theLrreeof (Sec 3800, Lab.C ) ,N' COUNTY OF LOS ANGELES ' BUILDING AND SAFETY, P81i�YNo `.3_- / Company \_oot SNC n ` _ Certified copy is hereby furnished FOR APPLICANT TO FILL IN BUILDING, Y ADDRESS I'l,� Certified'copy is filed with the'county"building inspec- BUILDING _ do cepa imeni ADDRESS LOCALITY �- NEAREST- Date Applicant CITY ZIP CROSS.ST ' CE FIC E OF EXEMPTION FROM WORKERS'✓ -NO OF BLDGS' ASSESSOR OMPENSATION INSURANCE SIZE OF LOT NO ON LOT d� MAP BOOK PAGE PARCEL (This section-need'not bie'completed if the permit is-for one USE ZONA MAP- LOT TRACT BLOCK LOT NO I NO 'hundred dollars ($100)or less) _ QO SPECIAL Q TEL 1 ceO4' that in the performance of the work for which this OWNER NO CONDITIONS O 'permit is issued, I shall'not employ any person in any manner ` DISTRICT GROUP - TYPE FIRE PROCE E�BY," V so as to be ome's Iect to the Workers'Comjiensation`Laws ADDRESS, �io r/ CONST ZONE, O 1 - c 'CITY ZIP dd lV/ 3 �— `Date licant STATISTICAL.CLASSIFICATION APT CONDO ARCHITECT OR, TEL NOTICE TO PPLI NT "If; after making this 'Certificate of W Exemplton, 'you` ould become• subject to the,Workers' ENGINEER NO CLASS NO :DWELL UNITS N Compensation'provisions bf the:Labor Code, you'must forth- ADDRESS SEWER M P i with_comply with such provisions or this permit shall be /3� VALIDATION deemed revoked ;, - CONTRACTOR NO�J BK WPG' 2Y LICENSED CONTRACTORS DECLARATION , ) -- IC , I hereby affirm that I am licensed undenprovisions of Chapter 9 ADDRESS_ VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC Professions Code, and my license is-in full force and effect CITY CLASS. $ SQ FT" O OF NO 'OF- CHECK ' License Number Lic Class' �� SIZE O STORIES FAMILIES ONE , h $ Contractor ate DESCRIPTION OF WORK NEW ADD am exem from the licensing requir 'einen as I a , licensed or itect or a registered professions engineer• ALTER FINAL acting in my professional capacity, (Section' 7051, \ DATE REPAIR _ Business'and Professions Code) / USE OF _ FINAL EXISTING BLDG •DEMOL7 � By 8 Q 8 A Lic or Reg No Date APPLICANT tJ TEL . IJ OWNER-BUILDER DECLARATION ' PRINT) NO ` '# o e o o 2 3 +, I'hereby affirm that I am exempt from the Contractor's License-' !` .p� • ADDRESS Law for the following reason (Section 7031 5, Business and l ^ / r 2 0 0 2 ,6 0, Professions Code) PRE ENT �S 7S BUILDING . ��o oo I; as-owner of.the property, or my employees witli ADDRESS 3 2 ,6 0'� wages as their solecompensation, will do the work and the structure is not intended or offered for sale(Section LOCALITY 10,2 7-8 0 7044, Business and Professions Code) MOVING TEL I^as owner of the property, am exclusively contracting CONTRACTOR NO 2.8 0,9 A with licensed contractors to construct the project (Sec- ADDRESSr tion 7044,"Business and Professions Code) - # etio•o 0 0,1 , REQUIRED TOTAL SETBACK FROM EXIST ,CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH 2 4 34,00 I hereby affirm,that there is a construction lending agency for FRONT o:o the performance of the work for which this permit is issued Io 3,U 0 0 o.o (Sec 3097, Civ C ) SIDE - " ___PL ( 10,27-80 Lender's Name _' _ _. Lender's Address P C Fee$^ ,24v Permit Fee 7 w. I certifythat I have read this application and state that the ` " PP Issuance Fee _ ° above information is correct I agree-to comply with all County Investigation Fee ordinances and State laws relating to building construction, and hereby authorize representative f this County to enter Total Fee, ,p upon th ove-m ntioned pro rty f inspection Pur' ses C C ](I J SEE REVERSE FOR•EXPLANATORY LANGUAGE t Signature of Applicant or Agen Dot V v ®s .. ,