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HomeMy Public PortalAbout9678 LIVE OAK AVE_Building__ 76AG36A DF. 3-bb APPLICATION FOR. BUILDING PERMIT DIVISION OF BUILDING AND SAFETY nno Els"st<y ,+�� Department of County Engineer County of Los Angeles LOCALITY 7_5 c WM.J. FOX, COUNTY ENGINEER NEAREST /%f�1 CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.. DISTRICT O.- GROUP SEWER MAP TYPE - FOR APPLICANT TO FILL IN I ,�I B' �o coNsr Ir- BUILDING - BUILDING �/ - qSTATE ADDRESS (f3 'Q /�. NUMBER. tsC.E�a HWY YES NO LOT NO. c�'�s/� �/ BLOCK USE ZONE SPECIAL - CONDITIONS ' y NO. OF BLDG SIZE OF LOT (� I NOW ON LOTS BUILDING YARD, HWY STREET NAME. . EXIST. SETBACK WIDTH USE OF _ EXISTING BLDG. FRONT P.L. OWNER - SIDE - P.L. MAIL (� ADDRESS / - O 'TRACT-DWELL. f UNIT - 5 INDUSTRIAL: TEL. X-76_91&. WELL. f UNIT 8 PUBLIC BLDG. - CITY NO." ARCHITECT OR TEL. 2 ,DUPLEX f UNIT 7 pDON.,ALT., ETC. ENGINEER NO. 3 APT. UNITS 8 MISCEL. ADDRESS 4 COMMERCIAL CONTRACTOR TNo' INSPE2C�TION RECORD ADDRESS �1�• _ 2Z+t�G '"1---f�� Iil c"\ k-C m Nt,� lu, - DESCRIPTION OF-WORK Q? SAau.p NEW ADD' ALTER REPAIR DEMOLISH SQ. FT. - NO. OF NO.OF SIZE jp C STORIES FAMILIES A / USE OFSTRUCTURE . rz- SIGNATURE OF APPLICANT APPROVALS ADDRESS ODATE INSPECTfSR'S SIGNATURE FOUNDATIOW LOCATION $ �AG9 P.G. S /� FORMS, MATERIALS GGii FEE �/ FRAME: FIRE STOPS.. VALUATIONBRACING, BOLTS FURNACE: LOCATION, I HEREBY-ACKNOWLEDGE THAT 1 HAVE ..READ THIS GAS VENT, DUCTS l - APPLICATION AND STATE HAT THE ABOVE IS CORRECT AND AGREE TO COMPLY Y1,T, ALL COUNTY ORDINANCES LATH. INT. �yG AND .STATE LAWS RE LATING BUILDING CONSTRUC- TION. .. f LATH.'EXT. "SIGNATURE-OF HOUSE NUMBER-.COR- -- PERMITTEE RECT AND POSTED C 11 ADDRESS FINAL 10 WM.J. FOX,COUNTY ENGINEER VALIDATION C. N. DIRLAM, CHIEF BLDG. INSPECTOR 1 C0 6 5 9-7—Lf) Juga 1 1 6 1 1 .0 0 A � to _ f. 6 6 13 O J���v 6 1 2'2.0 0 - `�° pl N 1�'`�� gyp( jp� IAA\Q1 VIII I11I ILII�1�1I�/'�1q III�� 76A6 38A CE M80310-58 AY PL IC�TI®■ ®�• ���LLu�®.Y■ 4V� ��■ \..... COUNTY OF LOS ANGELES Bu1LDING ' DEPARTMENT-. OF COUNTY ENGINEER gDDREss . BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST. - .CASSATT D.GRIFFIN,.Sup•.T OF.BUILDING CROSS ST. f .S DIST:; O. 7GROUP TYPE ESSED BY _ FOR APPLICANT TO FILL IN 1. cotsr BUILDINGS WER MAP STATISTICAL CLASSIFICATION_ -- ADDRESS 6t (1 /� . .I v -'(n, JIZ .• .. y _ w- CLASS. NO:- WELL:UNITS' LOT BLOCK MPTP' = STATE /7_"e, NUMBER HWY. YES TRAC . l'�fls>Lt� e0 — USEZONE —SPECIAL �� � Q l -A: S , SIZE OF LOT Ld / /1, / I NOW ON LOT ` � CONDITIONS - USE OF " EXISTING'BLOG.. - - BUILDING .EXIST.. SETBACK _ YARD' HWY. '4REET NAME . WIDTH OWNER °`v ° �.Q .S�I�'�� T _ .� 'FRON MA REBS. ' �'�� ®�/� �� ,SIDE �- a ' ADDRESS � TEL. P,.L. .. CITY NO. ARCHITECTOR TEL. INSPECTION RECORD ENGINEER. - NO. ' - •• ADDRESS . . TEL. r; CONTRACTOR- NO. .ADDRESS DESCRIPTION OF WORE NEW ADD ALTER REPAIR DEMOLISH SQ S ZET. O N OOF NO.OF �7 RIES FAMILIES y USE OF STRUCTURE SIGNATURE OF - APPROVALS. - - APPLICANT 'DATE "INSPECTOR.'S,SIGNATURE ADDRESS 77 FOUNDATION: LOCATION IyjA� _ -� - FORMS;MATERIALS U/AfY - - P.C. $ 'FRAME: FIRE STOPS. '---�� FEE - : BRACING,.BOLTS - VALUATION $ FURNACE:r LOCATION;' FEE l GAS VENT,DUCTS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP-� LATH.INT: "- .PL CATION AND STATE THAT THE ABOVE IS CORRECT AND - AGREE TO COMPLYWI &COUNTY ORDINANCES ANDLATH,EXT. STATE LAWS REGU IL ING ON UCTION. ' 'SIGNATURE OFHOUSE,NUMBER COR- PERMITTE f -FiECT AND POSTED ADDRESS - L�INAL ��. It ...CLYDE N. DIRLAM,"PRINCIPAL STRUCTURAL-E PLAN CHECS VALIDATION CK. hl.o. CASH PEBMIT.VALIDATION cK. M.O. CASH �� 6 1 7 .9 P'IkY 5 1 .t1 1) .00 s 01 WORKERS'COMPENSATIONjDECLARATION M I hereby affirm that I have,a,certificate of consent to,self D O Al D D D D nn nsure, or a certificate of Workers' Compensation'Insurance, - Q p p d 0 C�QT d ] Oo Q• Q d D D GAJ Ccs p C QG O _ V6 certified copy theieof (Sec.;3800, Lab- C )'; Pottcy,rvo .1039547-, .•'cormPony.State Compensation COUNTY OF LOS'ANGELES BUILDING i4ND SAFETY .f . ❑ Pv v Insurance Fund FOR�APPLICANT TO FILL 1IN. Cy/ `r te BU' - ' Certified.co ,is hereb'-furnished g I -..ed`copy is filed W, The ounty b ding ins c ILD'ING. _ ,BUILDING ADDRESS - ^ :ADDRESS 9678 .Liveoak �' tion department, t Date Applicant CITY -- - - - - 6 28-89 y Temple Clty ZIP .91780 LOCALITY •_� j ' CERTIFICATE OF EXEMPTION F M WO RS ":" -`'NO. OF•BLDGSr -•-- s, NEAREST.:., - `COMPENSATION:OI' RANC SIZE OF LOT NOW ON LOT CROSS;ST. A, t (This section,ne'ed not be completed if=the.permit is for:one - - - - - - ASSESSOR hundred or, or les's.;) TRACT BLOCK LjO�T NO. MAP:BOQK ^- PAGE{ PARCEL r 'OWNER "cyrit xla Eichorst... - '28'7-14'65 US ONE MAP 1 certify' that m the performance of the work for"which this .OW' O i>. z L� permit is issued,tl shall not employ any person in any manner _- ADDRESS 96.78..:L1V20a1t _ _-. .. ._. ' f SPECIAL, - "" CONDITIONS so as to'becorne subject to the Workers .Compensation Laws. - ®' s,�. cliY._. .Temple` it.y Date APPlicant _ ARCHITECT�{�R TEL. NOTICE'TO APPLICANT` If after' moking'this Certificate of ENGINEER""n.e NO, DI$ UP-t CONST �' TRICT. -GROUP! P, FIRE PROCESSED BY Exemption `.you should 'become sublect to ether'Workers } J ZONE U \1// t 3 Compensation•provisions-•of,4he°Labor'•Code, you:mustforth- ADDRESS _ = _ _ _ _ LU with,comply. with"such;:provisions;or,this permit shrill be' - - - _ J; deemed,reyoked.,- .. • ,. r. ' United ROOfiri CO PT. ;r•ti STATISTICAL CLASSIFICATION � • • CONTRACTOR g �,�3-223-408TH +. _ LICENSED CONTRACTORS DECLARATION , -- -• -- - - . -•�.-- -. STCLASS NO: l DWELL UNITS — I A CONDO g LIC._.._ , - y under provisions,of Chapter 9 ADDRESS 1821 Daly St., NO: 137650 (here affirm that I am dicens)df.Division 3 of tr a Business and ,,-- _ ! commencin with Section 7000 o, EW P .,. _. L. Professions Code, and m license' in full"force and effect. CITY LOS .Angeles CLASS C-39 - -' S ER MA Y T SO, FT. . NO.OF ^:- NO._OF CHECK DA 10 BK. PG. 13` '50 7' C-39 SIZE STORIES FAMILIES`• ONE ^t nVA 11 IN: license Num r Gc:.Class r, r „ VALUATION i ' .,. DESCRIPTION Ot."WORK 'R2IilOVe' eXlSt'lri NEW :_ }. .; _ Conlracto ate 6 28'.8'9 f 5703-.'00 roof. -Install 19 s s. 3-tab _ ADD I am ex pt unde ea. __ : q •. >, Insta '1 3 sqS — — LTE - A R B.&P.C. for this reason Ply built—& S _ P RE AIR- _ Date: USE OF C� $SS 'B. Smok detectors :r 'DEMOL ❑ # i EXISTING BLDG. ' re uireed. . ._, -.. Signature APP PR NT)United ROOF ing CO. T `3-223-4081 FINAL OWNER-BUILDER DECLARATION _ _ _ DATE.- -- t hereby affirm•that,]-am exempt from.the.Contractor's License -' y Law fdr the faljowing:reason'(Section 7031 5 Business and ADDRESS 1821 Daly' St." 'Los Angeles, .9003 FIwA'' ... 'Profe"ssi'ons Code): _ PRESENT e I, as owner of the property, or my employees with ADDRESS _ wages as their'sole cam ensotion',will do the work and _ _} _ �`� a A:. ✓. the structure isnot:intended r.offered for sale(Section LOCALITY g ;t x ,jl� t ►o•!tl 7044:Business:'and ProfessionsCode). 'MOVING ."' "'TEL. - CONTRACTOR NO. ( ' J> as owner of the property, am exclusively contractinga�r , with'licensed contractors to construct the ro'ect Sec- ' ' "- - - ITEM r rr T/;��...T t Et 1� )P I ADDRESS v. "Illli7L t m � .tion 7044, Business and Professions Code ' •' �(ryry REQUIRED.. „ HWY TOTAL SETBACK fROM_ _ EXIS .: _ �. {a�__. vESocV CONSTRUCTION'LENDING AGENCY: ` SET BACK YARD PROP. LINE WIDTH' I hereb affirm that there is a construction lending a enc for AA , ! Y 9 9 Y FRONT �rt1 -the performance of-the•work-for which-this permit-is issued - F:L. • ..... :_ __, .. . .. .. v _ _ _ __ -Sec 8097; Civ.•C.). - SIDE _ - • P.L. �}�y `� Lender's Name 13000'j�Vs31 b/10,/89 o _ s LDMA Ref # r .. ^a m .c.. _. - -_-._. -S- - -_._.... -•-- P.C. Fee$ . ..__. Permit Fee--7 OO xlxx, 6. 1 Fhi Lender's Address .I_certify.that_1 have.read this.application and state..that.the _. .: _: -- :.+. Issuance Fee--•=-10 50. LDMA-U& D above information is correct. I agree to comply with all County. Investigation Fee a\ 0 ordinances'and State laws relati to buildin construction, m ., -_ - _.- - ... .- _g.. _ _ _._: __.. _ _ _ .. _ -Totol Fee.:- �LDMA'Perm-;#••,_' 86..-50 - and hereby autho' represe' trues of this County to enter • m =upon th "above entionecJ roperty for inspection purposes. t 6 6-28-89 SEE.REVERSE FOR EXPLANATORY LANGUAGE"• t Sjgnature of/j plicontor