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HomeMy Public PortalAbout9704 LIVE OAK AVE_Building__ ' APPLICATION ..FOR VR �!BU I L®p mo.E R M LL T7GA638A CE#8062/60 . COUNTY- OF LOS ANGELES BUILDING �- !� DEPARTMENT OF.COUNTY ENGINEER ADDRESS. BUILDING AND -SAFETY DIVISION LOCALITY '- -� JOHN A. L'AMBIE, COUNTY ENGINEER NEAREST Q " WILLIAM A. JENSEN SU;' OF BUILDING CROSS ST.' .:.� DIS�TRICTIV^O. G UP TYPE - P CESSED BY V FOR APPLICANT TO FiLL.IN /� I I CONST a ' BUILDING +ry /� j ,g ` STATISTICAL CLASSIFICATION - SEWER MAP ADDRESS � % 4�7 h J V e I � �` (;LASS.NO. / , �6K . PG . s DWELL.UNITS LOT NOJE BLOCK MAP STATE- - NUMBER GI HWY. YES NO TRACT M S sl;On' /e_.A.). /4-C A-B.S b USE ZONE SPECIAL NO.OF BLDGS. f5 / <CONDITION SIZE OF LOT IN OW ON LOT uM USE OE EXISTING BLDG. 4 BUILDINGEXISTi' YARD HWY STREET NAME OWNER O NO. - )26s1L SETBACK WIDTH +� FRONT ADDRESS 27 a /!/ Df�.� /J,- P. L. ;IDE ARCHITECT-OR TEL. 'I'-L• " ENGINEER No. IN,SPECTION'RECORD ADDRESS - /� TEL. CONTRACTOR �/�s"rn NO,&' - 0 ADDRESS DESCRIPTION OF WORK h' Y2i12 �, aq 4H 11 f', AL/ kelAS O°f3,/Va.7 5Q U NEW ADDEL .ALTER REPAIR DEMOLISH C _ q S. T /.V� STOR ES .NO.O IES ` W6W AvRmf En USE OF jj // 1 2G7' /ixqw`w._AIIAS7/5p- FI STRUCTURE E h h! c S IGNATURE PPLICAN L APPROVALS DATE .i NSPECTOR'SSIGNATURE .C. PMT.' �f�/'j.�0' FOOUNDAT-ION: LOCATION• f��j� - •� FEE '$•d' m I [m-V FEE �`/aC_,,r- _FORMS,MATERIALS 'I,HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- .FRAME:,FIRE STOPS, BRACING, BOLTS PLICATION AND STATE THAT THE ABOVE.IS CORRECT AND FURNACE: LOCATION, AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT, DUCTS STATE LAWS REGULATING BUILDING CONSTRUCTION. i - ,2cy��yrlA I -CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH,'INT. �r `7 ?•© L/d✓�IY2 >.O WILL NOT. EMPLOY'ANY PERSON IN VIOLATION OF THE nn WORKMEN'S COMPENSATION AWS OF CALIFORNIA., LATH, EXT. 1.�Y4Q SIGNATURE OF / / HOUSE NUMBER COR- - PERMITTE (IIrRrR6/ _RECT AND POSTED ADDRESS F FINAL CLYDE N. DIRLAM,-PRINCIPAL ST .RAL ENGINEER PLAN. CHECK VALIDATION M.O." CASH PERMIT VALIDATIONCK. M.O. _CASH- . ��?6A638A CE#8035-66 APPII CATIION FOR 8UIL I G PER -IT COUNTY OF LOS ANGELES BUILDING. ' DEPARTMENT OF COUNTY ENGINEER ADDREss - BUILDING AND SAFETY DIVISION -- JOHN A. LAMBIE-. COUNTY ENGINEER NEAREST C. " COLEMAN W. JENKINS,SUP'T.OF BUILDING CROSS S'T. 1 .. DIST I T NO. GR0U TYPE P.. .CE S FOR APPLICANT-TO FILL IN CONST. ' BUILDING - nn STATISTICAL CL SSIFICATION SEWER-+MAP - ADDRESS — \v� 'T•Y : CLASS NO. DW ELL UNITS . BK-• - PG/O LOT NO. O 3 ' O USE ZONE MAPNO. TRACT,A S ® �� C S '�: /_ SPECIAL. - NO. OF BLDGS. 1 CONDI TIO �SIZE OF LOT 5 {='T NOW ON LOT or -USE OF - A-EXISTING BLDG.. G'— BL .-SE BACK FROM / i= :•• _ TEL. FRONT PROP. LINE OP REET) OWNER C \tR.S NO. - TYPE.OF EXISTING SETBACK HIGHWAY +_- YARD r' _ 'TOTAL- , ADDRESS �1, (; HIGHWAY WIDTH FROMC_L. - CITY .\ h l "1. ARCHITECT OR 'TEL. 'BLD TBACK FROM ENGINEER NO. SID P OP. LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + 'YARD- _ ° TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. - ,� TEL. - +. .-- a CONTRACTOR © /G� NO - - O ' - LIC CORNER CUTOFFS YES. .N' V� . ADDRESS NO p' city cuss SEE REVERSE.SIDE FOR SPEC_IAL.APPROVALLS d DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISHN.. SQ.'FT. NO. OF No OF WAY TREE REQUIRED' . SIZE J STORIES FAM LIF_S f - lo USE OF STRUCTURE }, Permits for cut gu ,r 5 ' rcpt., AltaBena S er-10 avol SIGNATURE O �' ICe, 'or T. C. Co. Er,9;Pc0 - J .I ._6.. i not Started' APPLICANT a.,eng y Cay. Ur .u4 .c_:y ._ �e VALUATION$ u, it has been issued. Apply for parkway tree permit-atT:ylm. r - .y H8I1. APPROVALS DATE .INSP ECT�O '.§SIGNATURE P.C. PMT. FOUNDATION, LOCATION w FE FEE$ FORMS,_MATERLALS-.- FRAME, FIRE ST'OPS,. -/•J ✓ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION - WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 9UILDING CONSTRUCTION, I CERTIFY THAT. IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT,EMPLOY ANY PERSON IN VIOLA- LATH. I,NT. 'TION OF THE LABOR CODE,OF THE STATE OF CALIFORNIA RELAT- .ING TO WORKMEN'S COMPENSATION INSURANCE. _ LATH. EX,T. SIGNATUREOF ,�. A HOUSE NUMBER COR- PERMITT.EE ' vv � –7 RECT AND POSTED � ADDRESS ��- L K, cG F-1.N..A L JOHN LEWIS. PRINCIPALST' RAL'ENGINEER PLAN CHECK VALIDATION cK. M.O. CASH PERMIT VALIDATION %CK: M:C CASH L�Lo-0 1 17\8 R 1 1 D 1 1. :�N rI ~�IVORKERS-."COMPENSATION DECLARATION >> I, y affirm that, I have.r certificate..of consent,to self Alp �L � � `� ®�; insure, or a cert#icate`ofJNorkers' Compensahon'Insurance, (rJ U M �` LJC (fvu � �Oo Irl .C� _ 0� or a certified copy thereof(Sec. 3800,'Lab: C ), • "' � '' ,- • TY'O . Policy,No Company C OURS F LOS'ANGELES BUILDING AND SAFETY . 0 Certified copy is hereby.furnished. �r FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with'the county building inspec BUILDING" J, t �. tion department:`: ADDRESS W 1i A - ,_._ _ _.-.. • Dare ,< 4'• Applicant:, e ,t, l CITY ,l p ZIP... r �Ls L LOCALITY'• v _•_r. NO OF BLDGS - -' - NEAREST ` CERTIF}C60M F EXEMPTION•FROM'WORKERS' � ' -" _ -' _ ' PENSATION'INSURANCE -? SIZE OF LOT NOW.ON LOT CROSS ST. s (This's"ection'need`not-be.completed'if the permit'is for one - - ASSESSOR. s;. -' • hundred dollars,($100)or less:.) TRACT BLOCK OT NO. MAP BOOK, ~].PAGE PARCEL r OWNER ' NO. y:LF. . �` .c USE ONE MAP. rt I certify,That in the.performance of the;_work for which,This „ , �r NO. permit is issued, I shall not employ any person in any manner ADDRESS - ` -�d SPECIAL - - - IL - so as To'become subject'To"the'Workers'Compensation Laws. D "tl CONDITIONS . ,R - - - U 5.. ,,. CITY .J. ZIP._41=242) Date "Appli_.-ft an f m is`Certificate of - .. ARCHITECT OR; TEL. DISTRICT __ :GROUP-' TYPE._. FIRE PRO SE BY -® ENGINEER., NO. Compensation prov Bioou s'of the Labor to 'this Worker's' J� LLI V NOTICE TO APPLICANT`. If, after m (1 P Y �1(, CONST ZONE' r-Code you must forth- ADDRESS with.�comply with_such provisions or this permit shall be ..• -- - - of deemed revoked.- TEL: STATISTICAL CLASSIFICATION APT. CO O . : � ;- +^. .. CONTRACTOR _ NO t_ LICENSED CONTRACTORS DECLARATION CLASS NO. DWC UNITS I hereby affirm that I am licensed under provisions of Chapter 9 .. ADDRESS NO. (commeinang with,Section 7000)of Division_3 of the Business and ,._, .. __-' LIC _•- - EL „z 'SEWER MAP ` Professions.,Coile, and my license is_m full force and effect.. CITY CLASS . SQ. FT. NO. OF y NO.%OF CHECK ; SIZE [_V,_5 STORIES ! FAMILIES ONE License Number Lic.Class _. DESCRIPTION OF WORK... :T -'NEW - �:�� VALUATI Contractor Date ❑ D . - u ._. --- - ADD 1 am exempt under Sec r G e GtCL'� IF ALTER _ B.BP.C. for this reasonR a _ i REPAI - _ .x._.- ., USE OF Date': EXISTING BLDG. DEMOt• ❑ _,_ - 6Sa�-_ ,- Si nature`,,. .. . _ _ • '" APPLICANT -" hh c +. TEL 6f b g. PRINT) LrJ l� J! NO �j FINAL OWNER-BUILDER DECLARATION _ _ _ -DAT' -• r I hereby affirm that-I am exempt from•the Contractor-s License _ gg 1 Business ADDRESS 6 �• Ll(1���z�; l FI Law for the followmg'.reason (Sechon'703 5, usiness and: Professions Code)`: .. PRESENT g - BUILDING r I, as owner of the;property, or my employees with• ADDRESS r d wages their sole compensation,will do the work and , the structure.is not intended or offered for sale(Section LOCALITY 7044,'Business'and"Profession's Code):- ons " .. -" MOVING" I, as owner of the property, am exclusively contracting CONTRACTOR NO. with Iice nsed-contractors to'-construct the prolect'(Sec- tion 7044, Business and'Professions Code). ADDRESS REQUIRED TOTAL-SETBACK.FROM._.. - EXIST., $ `_ 'CONSTRUCTION LENDING AGENCY '.` SETBACK 'YARD PROP. LINE, WIDTH I hereby affirm that there is a construction lending agency for _ FRONT " ) the"performonce of-the,work for-whjc'h-this'permit'is issued P.L:` (Sec. 3097, Civ..C:). SIDE t _ , P.L _ Lende'r's Name LDMA Ref. # . P:C. Fee$ ._ _,... Permit Fee. Lender's Address _. 42 V. _.I certify-that I.have-read•th,is.ap'plication_and stateYthatahe ;... _ is Fee Cd -1/ LDMA'P/C# -•- A._ -,•-i ' ! above information is correct. Logree to comply with all County Investigation Fee 0 ordinances and State laws'relatin to.buildin construction; -and , _. _. 9. 9 Total-Fee i LDMA"Perm. u and hereby authorize representatives-of this County to enter upon the above-mentioned property for inspection purposes. i d. - y „✓(.iyo -w ` SEE REVERSE FOR EXPLANATORY LANGUAGE - -• at ofApp licant'or.Agent- - - - •- Date--- _ - - � •