HomeMy Public PortalAbout10514 LIVE OAK AVE_Building__ TEMPLE ,CHTY
76AG38A CIE#9031-6I APPLICAT90N FOS EU9L®9NG PERMOT ftp
COUNTY OF LOS ANGELES BUILDING ,O
DEPARTMENT OF COUNTY ENGIIVEER ADDRESS 7 ,
BUILDING AND SAFETY DMSIO14 LOCALITY %/2
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST ]
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST
,1 DISTRICT NO. GROTYPE P E SED BY
FOR APPLICANT TO FILL IN �'O UPCONST.
BUILDING Q / j �O ^ STATISTICAL CLASSIFICATION SE ER MAP
ADDRESS / /� V i7 K
CLASS NO DWELL UNITS-_/—I
LOT NO G lG h O BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE
TRACT MAP HIGHWAY STATE MAJOR SECON L CAL
NO OF BLOGS. NO (CIRCLE) L,
SIZE OF LOT ® 7 NOW ON LOT USF ZONE SPECIAL y Of
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USE OF /� / CONDITIONS
EXISTING BLDG OV E /JC,Jji )
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OWNER CL° NO. ti-3! BUILDING
SETBACK YARD HWY REST AME EXIST
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ADDRESS ��� ( Sereho WIDTH
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ARCHITECT OR TEL. • P L /t,•C� ff
ENGINEER w e r NO _ SIDE T ?}
ADDRESS P L `�
TEL. INSPECTION RECORD / e ti�O
CONTRACTOR in W f'1 ey NO
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ADDRESS DESCRIPTION OF WORE �) (sy ^ r O
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FT. NO OFNO OF
IZE STORIES FAMILIES
USE OF
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SIGNATURE OF '
APPLICANT �/
VALUATION$ S lJ`Q ~ �}
APPROVALS ADATE INSPECTOR'S SIGNATURE CI
FEE $_ l9 PMT• ,S—(J FOUNDATION- LOCATION 913Iri
FEE $ Q FORMS, MATERIALS 1,
FRAMEFIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE r0 COMPLY FURNACE LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK I'M
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. /' ✓ X
LG
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA REI S
ING TO WORKMEN'S COMPENSATION INSURANCEV
/� LATH,EXTs-.1 , _ V
SIGNATURE OF // HOUSE NUMBER COR- I/ 1
PERMITTEE C.'1 RECTAND POSTED
ADDRESS 'L- FINAL
T_GCLYDE N DIRLAM, PRINCIPAL STR RAL ENGINEERI�
PLAN CHECK VALIDATION cK. M.O. CASH PFJMM VALIDATION cK.I M.O. CASH r -
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APPLICATION FOR BUILDING PERMIT
"FOR APPLICANT TO FILL IN--(P,,r o.'rvpe 61Y)
BUILDING- COUNTY OF LOS ANGELES
ADDRESS 10514 Live 'Oak- - DEPARTMENT OF COUNTY ENGINEER
CITY Tem - - ZIP - - - BUILDING AND SAFETY DIVISION
NO OF BLDGS BUILDING
SIZE OF LOT NOW ON LOT ADDRESS
TRACT BLOCK LOT NO - LOCALITY
TEL NEAREST
OWNER -Albert Noelte NO. _ CROSS ST - - -
ASSESSOR /
ADDRESS 5342 La Madera MAP BOOK PAGE CEL
DISTRICT jGROUPj_TYPE FIRE PROC SSED BY
CITY E1 Monte ZIP - T Q - CONST,�//� _ZON
..
V
ARCHITECT OR - TEL- - - - , '�Q
ENGINEER NO
STATISTICAL CLASSIFICATION SEWER MAP
,ADDRESS - CLASS NO.- _DWELL,UNITS BK PG
CONTRACTOR TEL. USE ZONE MALICP
N _ NO
-ADDRESS 337 S.- Woods Ave. NO 159496 SPECT L
LICCONDITIONS -
CITYLos-Angeles _ CLASS
ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH DG SETBACK FROM
RONT PROP LINE OF (STREET)
ADDRESS CITY _ TOTAL SETBACK FROM TYPE OF EXISTING O
SQ- FT NO OF NO. OF CHECK HIGHWAY } YARD - HIGHWAY WIDTH
FRONT PROP LINE
SIZE STORIES FAMILIES ONE C=
CD
DESCRIPTION OF WORK NEWLu
ADD ❑ BLDG SETBACK FROM (ST ET) N
Re-roof with composi In .SIDE PROP,LINE OF Z
L T E R ❑ TOTAL SETBACK FROM TYPE OF ISTING
_ -HIGHWAY } YARD = SIDE PROP LINE HIGHWAY DTH
REPAIR❑ -
USE OF ' +
DEMOL
EXISTING BLDG, Residence - ❑
APPLICANT TEL - CORNER CUTOFF YES ❑ NO El .
(PRINT) _- NO.-
IN OPEN SPACE - - YES ❑ NO ❑
BY (SI G_NA TUR E)
_ Q IN COASTAL ZONE YES E] NO
VALUATION$ 1,000 ,00 _ CATEGORICAL EXEMPTION YES❑ NO ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL
AND STATE THAT-THE ABOVE IS CORRECT AND AGREE-TO COMPLY - IMPACT EXEMPTION DECLARATION SIGNED (DATE)
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE)
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE -
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSATIOMhNBUtRv\NC'`9FG.00MPANY
SIGNATURE OF 1�1V.LL 11''l1CC VV
PERMITTEE_ �LA _ _
_
ADDRESS 337 S. Woods enue~ Y
FINAL BY
_ TEL
CITY Los Angeles NO DATE / -� y
i
11 1 hL (-HL-("RS P 11 A BLL 10 FEE $ FEE $15.00
HARVEY T. BRANDT, COUNTY ENGINEER
.PLAN CHECK VALIDATION- CK N,o CASH a PERMIT VALIDATION CH M o CASH
76A638A CE#80312/72 + _