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HomeMy Public PortalAbout9232 LIVE OAK AVE_Building__ ` ) ©S 76A638A CE#803(REV.6/78) APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT T FILL IN BUILDING ADDRESS 3 �• �('� �1 �--�..• BUILD) ADDR �ALITY tL ,,2 NEAREST Z CITY ZIP CROSS ST. �C/LQ_Gt NO.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE OC SED BY TRACT BLOCK LOT.NOY �! C1 n��NST Zq TEL. V OWNER NO. STATISTICAL CLASSIFICATION �SEVVER,LAAP '� ADDRESS CLASS NO. DWELL.UNITS BK PG CITY �Gie� ZIP //)J EC TEL. EN IN VALUATION $ ENGINEER NO. ADDR BLDG.SETBACK FROM ``� TEL FRONT PROP.LINE OF (STREET) !/Z` NO. TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY .WIDTH ADD E35 -� J. ! 6 Q LIC. y� + _ CITY r CLASS BLDG.SETBACK FROM CONSTRUCTION LENDER SIDE PROP,LINE OF (STREET) NAME AND BRANCH HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING � ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH SQ.FT. OF NO.OF CHECK + = d SIZE ORIES MILIES ONEag DESCRIPTION ORK NEW P.C. Fee$ � <� Permit Fee ��L971 ADD ❑ Issuance Fee ALTER ❑ g USE OF ,,,�RVLGC ..-e �• '� REPAIR ❑ Total Fee � �7 _ Q _3 DEMOL ❑ Q �, O # o 0 0 0 2 1 EXISTING BLDG. �' Z APPLICANT TEL 1Q, ��7 Q (PRINT) NO. Y Zoo " BY)SIGNATURE) j - 40,3206 I HEREBY ACKNOWLE THAT HAVE READ THIS APPLICATION AND STATE Y THAT THE ABOVE IS RECT A AGRE COMPLY WITH ALL ORDINANCES W 1,0 8-78 AND LAWS REGUL G BUILD G CON ION.I CERTIFY THAT IN DOING THE V WORK AUTHORI EREBY WILL N E Y ANY PERSON IN VIOLATION OF 2 2 THE LABOR CO TH ATEOF CA F I IN RELATING TO WORKMEN'S COM- Z PENSATION I A J d # 0 0 0 0 0 1 SIGNA OF, PER EE ..��/ 2 0 - 79,00 ADDRESS 0 o 0 o 7 9,0 0 TEL. f,. Q CITY NO. C t08-78 USE ZONE MAP !) N(5. c)L-0 _ �7 a SPECIAL r -NDITIONS FINAoc BY W DATE L ' WOR)(ERS'COMPENSATION DECLARATION I'hfreby affirm that 'I have a certificate of consent to self A P PL I CAT I O N ' F O R BUILDING PERMIT insure, or a certificate of Workers' Compensation Insurance, - or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company r Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING - J?� 2 G ADDRESS ✓✓lk--�� Certified copy is filed with the county building inspec- BUILDING C �%� tion department. ADDRESS t /G // _ Date Applicant CITY I ZIP 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 E ' USE ZONE MAP �' certify that in the performance of the work for which this OWNERPa vi k � j NO z � SPECIAL - - � permit'is issued, I shall not employ any person in any manner ADDRES (fig so as to become subject to ih Work rs'Com'p' n�aTion Laws. ,o "`( CONDITIONS 0 Date/� Appljc t t } CITY (_ ZIP . _ � NOTICE TO APPLICANT: If, after making this ertificate of ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY ENGINEER NO. CONST. ZONE Exemption,' you should become subject to -the Workers' /j�j D�� , / Compensation provisions of the Labor Code, you must forth- ADDRESS VQ (j� (� with,comply with such provisions or this permit shall be TEL. - deemed revoked. r /}��-' NO STATISTICAL CLASSIFICATION APT. NDO. CONTRACTOR I 1 le _ LICENSED CONTRACTORS DECLARATION - LIC. CLASS NO. 1 DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division3 of the Business and __ LIC SEWER MAP Professions Code,'and my license is in full force and effect. CITY CLASS - VALIDATION SQ. FT. NO. OF _, ,_ NO.OF _._ CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE •. -"-VALUATION Contractor Date DESCRIPTION'OF WORK"" - AD, ❑ $ I am exempt under Sec. /71� / a4L� � ❑ ' ALTER ❑ B.BP.C. for this reasonREPAIR $ DUSE OF Date: DEMOL EXISTING BLDG. APPLICANT TEL. Signature J� FINAL (PRINT) L - VTIJ NO.OWNER-BUILDER DECLARATION DATE Q� I hereby affirm that I-am exempt from the Contractors License �, �^ � ( , Law for the following reason'(Section 7031.5, Business and ADDRESS V� C)OL�i v'li— l FINAL Professions Code): PRESENT BY ;2 5 25.7 A BUILDING I, as owner of the property, or my employees with ADDRESS ., . . _ _ .. . � # 0,0 0 0 0 wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044; Business and Professions Code). MOVING CONTRACTOR NO. ° ° 6 Q50. I, as owner of the property, am exclusively contracting - o o_0 6 Q 5 0 CE with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). 0 $.1 5—8 6 REQUIRED YARD HWY TOTAL SETBACK FROM I CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH: ' I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. -' (Sec. 3097, Civ. C.). SIDE P.L. _ Lender's Name LDMA Ref. # m Lender's Address P.C. Fee$ Permit Fee • l� a a�/� I certify that I have read this application and state that the Issuance Fee ` v LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, i; and he eby authorize rep entatives of this County to enter Total Fee V v LDMA Perm. # pn t a above en i'R d rolperty f r inspection purposes. a / SEE REVERSE FOR EXPLANATORY LANGUAGE ature of Applicant or gent Date yVOItKERS'COMPENSATION DECLARATION I,hereby affirm that I.o a,?rs' CoaP ns consent t' Self APPLICATION FO R SU-ILDI NG � PERMIT IL insuRe, or 6 certificate rs' Compensation Insurance, 11 or a certified copy thereof (Sec. 38000,,ALob. C.) ''. - - Policy No. Company lWt- Ip! Fes' 0+ ' � COUN-'d OF LOS ANGELES BUILDING AND SAFETY Certified co is hereby furnished. BUILDING 2. copy y FOR APRLICA�3 TO FILL IN ADDRESS 2 3 Certified copy is filed with the county building inspec- BUILDING /1� tion department. ADDRESS ! G� Aut" Date Applicant CITY ~ ZIP LOCALITY C RTIFI ATE OF EXEMPTION FROM RKERS' -- ' 40.OFBLDGS. NEAREST. COMPENSATION INSURANCE SIZE OF LOT t7 vXC, iOW 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.J���' ` '7 USE ONE _ MAP OWNERa. `� y(A J NC} NO. 9L I.certify that in the performance of the work for which this � �=,�� NO. �� p'ermit,is issued, I shall not employ any person in any manner /t SPECIAL so as to become subject to the Workers'Compensation Laws. ADDRESS CONDITIONS t,. {' IM Date Applicant CITY ZIP NOTICE-TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY. p= ENGINEER NO. CONST. ZONE Q� Exemption, you should become subject to the Workers' LM Compensation-provisions of the Labor Code, you must forth- ADDRESSSi,with comply, with.such provisions or this permit shall be TEL. �? STATISTICAL CLASSIFICATION APT7_10-1. deemed,revoked. CONTRACTOR � `';°kJ NO. LICENSED CONTRACTORS DECLARATION' •. �r�� LIC. y/,i CLASS NO. ---DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 6i9 �J �,' NO. 3v 2o� SEWER MAP (commencing with Section 7000)of Division 3 of the Business and ILIC. Professions Code, and my license is in full force and effect. CITY iL+ !4 u' CLASS BK PG4 VALIDATION SQ.FT. NO.OF OF CHECK License Number C/ !J ic.Class SIZE STORIES !kILIES ONE VALUATION n� Contractor Wel3� i Date �Zl av~ DESCRIPTION OF WORK NEW ADD ^❑ $ �„O `! I am exempt under Sec. /vim Q„R_ ��J , - ALTER ';E,1 4'1,9'A' B.BP.C. for this reason REPAIR $ # o a 0"0 0'1' . Date: USE OF DEMOL Q •o o ] Q O EXISTING BLDG. of O2 71 ��o FINAL APPLICANT L 0 o 7 &00;- -or Q Q � a OWNER-BUILDER DECLARATION PRINT) , I hereby affirm that I am exempt from the Contractor's License � DAT � � 1.2 8-$5 Law for the following reason (Section 7031.5, Business and ADDRESS 16V1 FI ' 1; Professions Code): PRESENT BUILDING I, as owner of the property, or my employees with ADDRESS 0? wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY ' . 7044, Business and-Professions Code).' MOVING TEL. I, as owner of the property, am exclusively contracting CONTRACTOR NO. with'licensed contractors to construct the project (Sec- tion 7044, Business and Professions Code). ADDRESS _ REQUIRED TOTAL SETBACK FROM S . • CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH - I hereby affirm that there is a construction lending agency for FRONT -the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE m - ;UO�� P.L. Lender's Name m LDMA Ref. # Lender's Address P:C. Fee$ Permit Fee ; certify.that I have read this application and state that the Issuance Fee �O LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee ,CJs w ordinances and State laws relating to building construction, _ Total Fee S 0V LDMA Perm. # and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ^ OOH Signature of Applicant or Agent - Date - - - -" - - WORKERS'COMPENSATION DECLARATION �u'firm that t have 'certificate of consent to self .in or a•-ertificate Ef Workers' Coensatibn Insurance, APPLICATION FOR BUILDING PERMIT ora czrtified copy thereof(Sec. 3800, Lab. C.) /a COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING El Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS 0%32 Certified copy is filed with the county building inspec- BUILDING C . `A` tion department. ADDRESS • lora Da-K�1.!Iuq Date Applicant CITY ` _& ZIP qr p� 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 oneASSESSOR hundred dollars ($100)or.less.) TRACT BLOCK LOT NO. MAP BOOK PAGE, PARCEL TEL USE NE MAP OWNER (' . O. certify that,in.the performance of the work for which this _ y /� SOCIAL permit is issued, I shall not employ any person in any manner _ CL ADDRESS I; �17� CONDITIONS O so ds to become subject to th 'Works s'Compensati Laws. `�.. / f + CITY..-\.. 'C(_ ZIP5:2 09 Date r ' Applica ARCHITECT OR TEL. ._DISTRICT GROUP' TYPE_.__ FIRE PRO SED'BY NOTICE TO APPLICANT: If, after md1 ng this Certifi to of ENGINEER NO. CONST. ZONE V Exemption, you should become s ject to the Workers' tu Compensation provisions of the-Labor.Code, you must forth- ADDRESS v {/ tu -with comply with such provisions or this permit .shall be - TEL. STATISTICAL CLASSIFICATION APT. C DO. deemed revoked. CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION " LIC:' CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business and LIC. SEWER MAP Professions Code, and my license is in full force and effect. CITY CLASS BK PG - VALIDATION SQ. FT. NO. OF NO.OF CHECK _ License Number Lic.Class SIZE STORIES FAMILIES ONE VALUATION. DESCRIPTION OF WORKi NEW• ❑ /�2 Q D Contractor Date ADD $ d J Q I am exempt under Sec. , ALTER El �49Z4A - B.&P.C. for this reason REPAIR S Date: USE OF DEMOL Q # 0 0 0 0 2 3.... EXISTING BLDG. Signature APPLICANT TEL. FINAL I OWNER-BUILDER DECLARATION PRINT)( NO. r. 2.0 8.7 9 DATE I_Z —� ° I hereby affirm that I am exempt from the Contractor's-License l DRESS r FINAL_720 796- Law for the following reason (Section 7031.5, Business and AD..5, Professions Code): PRESENT By O 7 08-86 BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and ' the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Profess ians'Code). MOVING TEL. 1, as owner of the property, am exclusively contracting CONTRACTOR NO. �5 2 S b A ! with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Cade). # 0 0 0 0 0 1 REQUIRED TOTAL SETBACK FROM T. - CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT •J ° 2 5 6,�1 3 the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE ° - 256.1 3= v o - P.L. Lender's Name LDMA Ref. # 0 1 5=86 m P.C. Fee$' p �" Permit Fee Lender's Address ' I certify that I have read this application and state that the Issuance Fee LDMA P/C# a above information is correct. I agree to comply with all County Investigation Fee j `� ordinances and State laws r platin to building construction, - Total Fee / `'` LDMA Perm. # U 5�n her by authorize repre ent tv sof this County to enter t above-menti e pr perfor in pection purposes. a j r •- f +� -••� SEE REVERSE FOR EXPLANATORY LANGUAGE CJ _ OO ig ture of Applicant or Ag t" Date r