The URL can be used to link to this page

Home My Public Portal About10306 LIVE OAK AVE_Building__ 76A6X8A DHS-3 H-SB APPLICATION FOR BUILDING PERMIT DIVISION OF BUMI)ING AND SAFETY BUILDING Dep=tment of County Engineer ADDRESS ' County of Los Angeles LOCALITY WM.J. FOX. COUNTY ENGINEER NEAREST 1J A ' 'f��„ , CASSATT D. GRIFFIN, SUPA L`tl T OF BUILDING CROSS 8T. T� W DISTRICT NO. GROUP TYPE SEWER MAP FOR,APPLICANT TO F111 I��N/��/ �' .L CONST. K z P ADDREBUILDSS I W `�� "^ MAP - O ® STATE HWY YES L...J NUMBER W (20'OF N 2 00"O F L07 USE ZONE SPECIAL LOT NO. (� I LOCK CONDITIONS TRACT E'J� U LO Wi N A DD soon NO. OF BLDG8. BUG EXIST. SIZE OF LOT Y NOW ON LOT SETBACKILDINILDINYARD HWY STREET NAME WIDTH USE "',� �d6 a' FRONT -20/ i' P L EXISTITI NG BLDG. ` !' P. L. � OWNER waine"` SIDE P. L. MAIL ADDRESS SC O TRACT DWELL. I UNIT - /�-/'`•y�/p,/,,�p 5 INDUSTRIAL - CITY !'�rG%.�afi� TNO.EL. '/ ,/ /7 %/ , DWELL I UNIT 6 PUBLIC BLDG. ARCHITECT OR TEL. 2 DUPLEX I UNIT ENGINEER NO. 7 ADDN.,ALT., ETC. 3 APT. UNITS $ MISCEL. - ADDRESS /'�7,/� {` " / 4 COMMERCIAL CONTRACTOR y `(///,71 NO.,} // INSPECTION RECORD /' /� ADDRESSIlk f' C�r6 ! 1'i'� / '4{,�f'/� ✓(t DESCRIPTION OF WORK ` NEW ADD ALTER REPAIR DEMOLISH FT. NO.OF NO.OF SIZE 7a g STORIES FAMILIES I USE OF STRUCTURE�i 61.E gPAAI SIGNATURE O APPLICANT4560APPROVALS ADDRESS&J"4'4 _ DATE INSPECTOR'S SIGNATURE $ FOUNDATION: LOCATION C. 8 FORMS, MATERIALS FEE / l� FRAME: FIRE STOPS, VALUATION >$ QO BRACING,BOLTS ' 'f FEE /yp�V FURNACE: LOCATION, s'ig9 � B f 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT, DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT �S?_ A AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT. ,AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. LATH. EXT. �s-2-' SIGNATURE SOF / �� HOUSE NUMBER COR- �. PERMITTEE --�� /_�_ RECT AND POSTED ADDRESS "FINAL WM.J. FOX,COUNTY ENGINEER VALIDATION C. N. DIRLAM. CHIEF BLDG. INSPECTOR LAC�2.23 9JAN 26 1 6 9.00A ID 1 1 500- In Asa I 3.35sA30 APIPIL OO MOON FOR SU 0 L NQ PERM ff � COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING AD WORKER'S COMPENSATION DECLARATION - BUILDIN d` hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers'Compensation Insurance,or a certified ZIP copy thereof(Sec 3800,Lab C) Policy No. Company LOCALITY SI O OT NO OF BIS NOW ON LOT �i�, L` •' �J ❑ Certified copy Is hereby furnished kt ANEAREST CROSS ST ❑ Certified copy is filed with the county building Inspection ACT BLOCK - LOT NO department ' USE ZONE MAP NO ASSESSOR MAP BOOPAGC` / 0SPECIAL CONDITIONS PARCEL ' Date Applicant 8K V CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE R7,01 Liu LMjn6V WITHIN 1000,FT OF SCHOOL? YES NO A (This section need not be completed If the permit is for one hundred G DISTRICT GROUP TYPE CONST' FIRE ZONE PROCESSED BY dollars($100)or less) -CITYZIP I certify that in the performance of the work for which this permit Is Issued, I shall not employ any person In any manner so as to ARCHI TEL NO becom subject to the Workers'COTpensatlOn Laws /) STATISTICAL CLASSIR ATION APT CONDO Date 94 0 Applicant f�,7 J J7 iC/lL ADDRESS CLASS NO DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL NO SETBACK 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 ADDRESS LIC NO PL SIDE LICENSED CONTRACTORS DECLARATION CITY LIC CLASS P L hereby affirm that I am licensed under provisions of Chapter 9 SQ FT SIZE NO OF STORES NO OF FAMILIES SEWER MAP (commencmg.with Section 7000)of Division 3 of the Business and E Professions Code,and my license Is in full force and effect ❑ "BK PG D OW VALUATION ADDLicense Number LIc Class aF vW r Contractor DateALTER ❑ � z 131 am exempt under Sec REPAIR 13 $ - B&P C for this reason DEMOL ❑ LOMA P/C# Date. USE OF G BL URM ❑ Signature PPI NT LDMA Perm# 111, as owner of the property, or my employees with wages as v p r.. their sole compensation,will do the work and the structure Is AD ss H ::• e s not Intended or offered for sale (Section 7041, Business and FINAL DATE < ; 7 cC 7� Professions Code) G _ r .8.7 _ WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL J ITEMS ❑,1, as owner of the r0 OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN p party, ru exclusively contracting 044, THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FI > ' {licensed contractors to construct the project Section 7044, - - Business and Professions Code) P j ( YES❑ No❑ TOTAL 53 = 75 WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING / C1 q .•�4 o OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROMTHESOUTH t CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST e� ++ ///JJJ �• t • J / FOR GUIDELINES Thereby affirm that there is a construction lending agency for YES El No ElT + L S'tlyL. ^•HANGL. el is the performance of the work for which this permit is Issued(Sec. 3097,Civ C) _ I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE ANGELES PERMITTING CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES 03- L-0-000 '�( (� i r�y Lender's Name HAZARDOUS MATERIALS REPORTING DFOR OBCOUNTY CODE.TITLEZ CHAPTER 2 20 SECTIONS 2 TAINIINGAPERMIT FROM THE SCAOMD J3-)-'0001 9/13/9,-I Lenders Address OWNER OR AGENT ',?��`! 1 AN 9a42 c 1 certify that I have read this application and state that the above PC FEE PERMIT FEE Information Is correct I agree to comply with all county ordinances and State laws relating to building construction,and hereby authorize representatives of this County to enter upon ISSUANCE FEE e /9— _ bove-mention r for In tion p / G INVESTIGATION FEE TOTAL FEE a SEE REVERSE FOR EXPLANATORY LANGUAGE, r.