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Home My Public Portal About10308 LIVE OAK AVE_Building__ 76A630A ABB-HH-$APPLICATI®N FOR BUILDING PERMIT DIVISION OF BUILDING A14D SAFETY ADDRESS BUILDING DepOSIII1eut Of County Engineer _ - County Of L08 Angeles LOCALITY k-C A iA WM.J.FOX, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. .4 ZZ o w e DIST:FO.J GROUPTYPE EWER MAP FOR APPLICANT T FILL IN = I ONST.M " SAL a 0 PG BUILDING /O O ®/"7/` NUMABER ®�� SjTI`Ajyy Y NO ADDRESS LOT NO. W 1 �Z�"O i= �oa/OF BLOCK USE ZOyE SPECIAL CONDITIONS TRACT F-JI LAW r#j D10 * ■�T/�/ - NO.OF SLOGS. , BUILDING EXIST. SIZE OF LOT I NOW ON LOT f YARD HWY STREET NAME SETBACK ,�j � D WIDTH USE OF - �tL>✓'J r.- 6'G EXISTING BLDG. !'e' FP.L. / OWNER - SIDE P.L. MAIL &ia O TRACT DWELL. I UNIT ADDRESS Z'e _ 5 INDUSTRIAL TEL. I DWEL I UNIT CITY !7I~� j� NO. �/�11 6 PUBLIC BLDG. ARCHITECT OR TEL. 2 DUPLEX 1 UNIT- 7 ADDN.,ALT., ETC.- ENGINEER NO. 3 APT. UNITS _ 8 M18CEL. ADDRESS 4 COMMERCIAL - - T€L•� (I/CONTRACTOR INSPECTION RECORD ADDREBSJ/ajj fi-,&2— f a `G/�I"66�GA/ LYYl e"a•�'i DESCRIPTION OF WORK ` NEW ADD ALTER REPAIR DEMOLISH SQ. FT. '7 NO.OF / NO. OF / SIZE / STORIES FAMILIES USE OF STRUCTURE - SIGNATURE O APPLICANT ¢ APPROVALS ADDRESS �: DATE INSPECTOR'S SIGNATURE' $ FOUNDATION: LOCATIONy A 6 ov �'® P.C. S O0 FORMS, MATERIALS `gym' 'FEE FRAME: FIRE STOPS, VALUATION $ ®Q BRACING, BOLTS ( FURNACE: LOCATIONMmo . - HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT, DUCTS 1 f♦ APPLICATION AND STATE THAT THE ABOVE IS CORRECT I�L AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT. v P AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. - LATH, " 0 EXT. _v)144 '.at.-o SIGNATURE OF //te�rr HOUSE NUMBER COR- PERMITTEE�!�-�� '�-t'� RECT AND POSTED - ADDRESS ,,�� __ FINAL _ll 14 - WM.J. FOX,COUNTY ENGINEER VALIDATION C. N. DIRLAM.CHIEF BLDG. INSPECTOR [,G2 2-:5 S-N- -sit 2 6 1 6" 9.0 D e m 1 18.00 ,2(�3 3 5Z9 jh%3 COUNTY OF LOS ANGELES, BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION BUILDING ADDRESS FOR APPLICANT TO FILL IN BUILDING ADDRESS D I hereby affirm-that I have a certificate of consent to self insure, or a certificate of Workers'Compensation Insurance,,or a certified ve ZIP copy thereof(Sec 3800,Lab C) LOCALITY _ Policy No. CompanyIZE F L NO OF BL OW ON LOT ��/� El Certified copy Is hereby furnished / � NEAREST CROSS ST ❑ Certified copy is filed with the county building Inspection CT LOCK LOT NO department USE ZONE MAP NO t ASSESSOR MAP BOOKPAGE PARCEL Date Applicant / O /'�_,i•p YES NO SPECIAL CONDITIONS' CERTIFICATE OF EXEMPTION FROM WORKERS' T oit� ��D COMPENSATION INSURANCE WITHIN 1000 FT OF SCHOOL? ADDRESS (This section need not be completed if the permit Is for one hundred DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY dollars($100)or less.) CITY zip I certify that in the performance of the work for which this permit D� is Issued, I shall not employ any person In any manneZ as to ARCHITECT OR ENGINEER t)Bco Object O the Workers' m nsatl0 STATISTICAL CLASSIFICATION APT CONDO Applican Dat t ADDRESS CLASS NO �'' DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate of CONTRACTOR TEL NO REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' 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 LICENSED CONTRACTORS DECLARATION CITY . LIC cuss SIDE PL O I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP rJ (commencing with Section 7000)of Division 3 of the Business and SO FT SIZE NO OF STORES NO OF FAMILIES Y Professions Code,and my license Is In full force and effect NEW ❑ BK PG O F—, License Number LIC Class D I O WORK ADD VALUATION UATION Contractor Date ALTER ❑ z_ El REPAIR C3I am exempt under Sec ., - $ B&PC for this reason DEM IL ❑ LOMA P/C#' Date us TI L URMe 42 ❑ qq Signature A PLI NT( LDMA Perm# IN S El 1, as owner of the property,'or my employees with wages as ADD O their sole compensation,will do the work and the structure Is not Intended or offered for sale (Section 7044, Business and FINAL C a 7' Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ?� 4 ITEMS t(•�{L, + OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN �' "� 4 1 I!Ll lt! ❑ I, as owner of the property, am exclusively contracting with THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL licensed,contractdrYES❑s to construct the project (Section 7044, NO'❑ TOTAL -.�/ �9�P _6 lig . - , j�7 55 Busiriess'and'Professlona Code (� WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING C OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH �. CL•f\ ��a�_ CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST ' i 1 FOR GUIDELINES ' ,� CHANGE n L I I I hereby affirm that there is a construction lending agency for YES❑ No❑ the performance Of the work for which this permit is issued(Sec I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD 3097,CIV C) PERMITTING CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES y� y ' COUNTY CODE,TITLE Z CHAPTER 220 SECTIONS 2 20 100 THROUGH 220140 CONCERNING t,030-1300y 9/13/90 Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD Lenders Address X856 1 AM 9:47 ,0 OWNER OR AGENT 0 1 certify that I have read this application and state that the above $ information is correct I agree to comply with all County PC FEE PERMIT FEE r ordinances and State laws relating to building construction,and dpi r �hethorize rep tives of this County to enter upon ISSUANCE FEE e�vemen n r rty fo Inspection pu A� / Q� INVESTIGATION FEE TOTAL FEE n � SEE REVERSE FOR EXPLANATORY LANGUAGE '