HomeMy Public PortalAbout9202 LIVE OAK AVE_Building__ 76A638A CE#80310-58 APPLICATION FOR BUILDING. PER
COUNTY OF LOS ANGELES BUILDING //�9-® �
DEPARTMENT OF COUNTY ENGINEER ADDRESS ! G�
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST Orf-
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. Y s4
DISTRICT NO. GROUP TYPE �/r PROCESSED BY
FOR APPLICANT TO FILL IN
7r-
FOR CONST.: I
BUILDING 9209 +' Live Oak STATISTICAL CLASSIFICATION -SEW-ER MAP P
ADDRESSd I BK PG
_ CLASS.NO._j—r_'�DWELL. UNITS
—
LOT NO. BLOCK .MAP STATE
NUMBER HWY. YES NO
TRACT USEZONE SPECIAL
NO.OF SLOGS. ,�' CONDITIONS
SIZE OF LOT 75 X 137 I NOW ON LOT 3
USE OF 2 Dwelling & Garage ,,.
EXISTING BLDG. g BUILDINGYARD HWY EES NEXIST.
AME
�
_ SETBACK � iiWIDTH
OWNER Lester Ames FRONT
AMAIL DDRESS 9202 E. Lve Oak P L.
SIDE
CITY Temple City - No A7 6198 P L
INSPECTION RECORD
ARCHITECT OR TEL. .
ENGINEER - NO.-
ADDRESS / 7��.•
CONTRACMMshall Builders No OI 30910 9 �� .=' ��� `s1 T�DU�C' l
ADDRESS8428 Melrose Placr LA 46
DESCRIPTION OF WORK
NEW X* ADD ALTER "REPAIR DEMOLISHSQ. F _
—SIZE 360 STORIES 1 FAMIO LI - -
.USE OF STRUCTURE -
Detached Garage 182 X 20'
SIGNATUREO'Iarshall Builders APPROVALS
APPLICANT DATE INSPECTOR'S SIGNATURE-
ADDRESS 8428 Melrose Place LA46 FOUNDATION: LOCATION
_ FORMS,MATERIALS
$ -- P,C, -$.. FRAME: FIRE STOPS,
p} c� FEBRACING, BOLTS "" % (/✓/"� CiCX�/
VALUATION Q' 00 - $ , ''e FURNACE: LOCATION.
FEEGAS VENT,DUCTS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT.
PLICATION AND
II��STATE THAT THE
��JABOVE
ggIS11CORRECT-EZ AND Z
ANDAGREE TO
STATE LAWSMI#'i� BLiFLMJ�A` Bh1N�P$LO_TION. LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERM]TTE RECT AND POSTED
ADDRESS 8428 Melropee FINAL �'�� �aSq ' ll4;0,41
'�..0.
CLYDE N. DIRLAM, PRINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH - PERMIT VALIDATION cK. M.O. CASH
�1C�8 3 1 3 JUN ?2 1 A 6.t� 0 �.:
NG
BUILDING
U ' LD1NG ADDREISS f,2 O a AIS
APPLICATION LOCALITY r'-
DIVISION OF BUILDING AND SAFETY CROSS ST. i Q� :.• (` .,
Department of County Engineer DISTRICT NO. RECEIPT NO. PERMIT NO.
County of Los Angeles S_ 6 l L 9 -a
WM. J. FOX, COUNTY ENGINEER GROUP DATE RECEIVED DATE ISSUED
CASSATT D. GRIFFIN, SUPT OF BUILDING
FOR APPLICANT TO FIL--L IN TYPE CONST. RECEIVED BYSFSUED BY
r
AMAILDDRESS - . __ NUMBER �(�OWNER MAP STATE
YES
p USE ZONE SPECIAL
CITY F
TEL 0-7-/
CONDITIONS
N O. -y�
ARCHITECT OR TEL. 6atl V
ENGINEER NO.
BUILDING YARD HWY STREET NAME EXIST.
SETBACK WIDTH
ADDRESS FRONT ��e
TEL, dd P.L.
CONTRACTOR (� NO. �' J SIDE
ADDRESS .C1 _ �+« P. L.
BUILDING � DATE CORRECTIONS INSPECTOR
ADDRESS o2 46 a2
LOT NO. -�6`�y BLOCK
TRACT "P�b
M ) NO. F SLOGS. e�
SIZE OF LOT p' O � I ONOW ON LOT p�
USE OF
EXISTING BLDG.
DESCRIPTION OF WORK
Q
NEW ADD ALTER (REPAI_V DEMOLISH Z
So.FT. NO.OF NO.DF r
SIZE STORIES FAMILIES
USE OF STRUCTURE
1
,�
's-i �
NO.OF
EMPLOYEES
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN IS APPROVALS INSPECTORIS SIGNATURE DATE
CORRECT.
I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FORMS,MATERIALS
FRAME: FIRE STOPS,
SIGNATURE OF BRACING,BOLTS -
PERMITTEE FURNACE: LOCATION,
ADDRESS`®® `�""� OAS VENT,DUCTS
LATH, INT.
AUTHORIZED AOT. A-y"
LATH, EXT.
$ P• •S HOUSE NUMBER COR-
0 RECT AND POSTED
VALUATION S-6 FEE FINAL
76A63BA DBS 3 12-53
WORKERS' COMPENSATION DECLARATION
insure,oraafcertit cane of Workers' Compensation Insurance, APPLICATION FOR BUILDING PERMIT
or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company
E] "Certifiedcopy is hereby furnished. '' FOR APPLICANT TO FILL IN ADDRESS We,
❑ Certified copy is filed with the county building inspec- BUILDING(� AM
tion department. ADDRESS -{�Q I e.
CITY"e r^ / ZIP I O LOCALITY C_(> e O
Date Applicant NO. OF BLDGS. NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST.
COMPENSATION INSURANCE ASSESSOR
(This section need not be completed if the permit is for one TRACT BLOCK LOT NO. //'�..//,, MAP BOOK PAGE PARCEL
hundred dollars ($100) or less,) NO.��f 6� tpG—►j
OWNER USE ZONE MAP
I certify that in the perform nce :of +e-work for which this / NO.
permit is issued, I shall not mploy any pers n in.any manner ADDRESS Z45'7G 5� / /f �� SPECIAL
CONDITIONS
so as to become subject to 1 Wo errs'Co pe raft n aw!0 q O
CITYe G , ZIP y! I o U
Date �G Applica A - ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE ROCE SED BY O
NOTICE TO;APPLI ANT: If, ter a mg Thi rti icate o GINEER NO.
Exemption, you should become subject to, the 'Workers' � CONST. ZOO U
Compensation provisions of the Labor Code, you must forth- ADDRESS J ' �� /3 (1 a
with comply with such provisions or this permit shall be TEL- STATISTICAL CLASSIFICATION APT. CONDO. N
deemed revoked. CONTRACTOR NO. Z_
LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. Z DWELL. UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS / NO.
i'
(commencing with Section 7000)of Division 3 of the Business LIC. SEWER MAP
CITY" CLASS
and Professions Code,and my license is in full force and effect. BK PG VALIDATION
SQ. FT. NO. OF NO. OF CHECK
License Number Lic. Class SIZE STORIES FAMILIES ONE,
VALUATION
Contractor Date DESCRIPTION OF WORK NEW LYJ S� 5
ADD ❑ ,
El am exempt under Sec. 8
ALTER ❑
B.&P.C. for this reason I REPAIR ❑ $
Date: USE OF ,
EXISTING BLDG. DEMOL ❑
Signature APPLICANT TEL. FINAL
OWNER-BUILDER DECLARATION (PRINT) NO.ZS,S165 f
I hereby affirm That I am exempt from The Contractor's License / DATE
Law for The following reason (Section 7031.5, Business and ADDRESS Z r v& sT �G r FIN y
,Professions Code): PRESENT By `-y
BUILDING
I, as owner of the property,. or my employees with ADDRESS
lu
wages as their sole compensation,will do the work-and
the structure is not intended or offered for sole(Section LOCALITY
❑ ,7044, Business and Professions Code.) MOVING TEL. a C
I, as owner of The property, am exclusively contracting
CONTRACTOR NO. `•-t t"•
with licensed contractors to construct the project (Sec- � , . 6S ,,, _.,
tion 7044, Business and Professions Code.) ADDRESS T'
REQUIRED TOTAL SETBACK FROM EXIST. ;` - S31
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH e
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 .
P.L. '
Lender's Name.
m LDMA Ref. #
Lender's Address P.C. Fee$ Permit Fee
a I certify that I have read this application and state that the Issuance Fee 0 5-D LDMA P/C#o _ s
8 �Mie
is Corr ct. I agree to comply with all County Investigation.Fee f/ _:•.
o tate la s relating to building construction, Total Fee �K�J LDMA Perm. #
a rize re resentatives of this County to enter '
t d prop for inspection purposes.
a �
SEE REVERSE FOR EXPLANATORY LANGUAGE
'Sigikatureof Applicant or Agent Atte