HomeMy Public PortalAbout9923 LIVE OAK AVE_Building__ DtPARTMENT OF BUILDING AND SAFETY I L Ullis-9 Im ,
COUNTY OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER APPLICATION
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK. ❑R REc:N PERMIT NO.
BU DIN
ADDRE9
If ECEIVED BY DATE OFPPLSUED
LOCALITY /J�4 . ATE IS_
NEAREST ��
CROSS ST. ADDRESS
OWNE r
LOCALITY
MAIL
ADDRESS NEAREST; J /
CROSS ST.
TEL
CITY NO. FIRE I NO.OF UP
ARCHITECT - TEL. ZONE PLANS-7�
ENGINEER NO. BLDG. I
SETBACK LINE
ADDRESS USE APPROVED
00=11T ZONE BY - t DATE
CONTRA HOUSE NUMBERING
ADDRESSMAP NUMBER-- NO. ASSIGNED BY
LEGAL ' CORRECTIONS
DESCRIPTION 'LOT NO. ®LOCK
C
TRACT 4
NO. OF BLDG '
SIZE OF LOT - NOW ON LOT, 74enge -
USE OF NO. OF
EXISTIN BLDG. FAMILIES
DESCRIPTION OF WORK A
'NEW ALTERATION -ADDITIONZ
D
REPAIR DElAOLITION _ r
-
SQ. FT. NO.OF
SIZE ROOMS STORIES
� 1Cg"4' RfAke / 'GD LJ 4""eG' D �C 1.@r'w.I T""
EXT. L ROOF
COVERING COVERING
USE OF
STVJCTU&E '
INSPECTION FOR APPROV LS
OCCUPANCYAS INSPECT 'S SIGNATURE/ DATE
FOUNDATION: LOCATION /i 7�T�•
FORMS, MATERIALS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AQP-°
PLICATION AND STATE THAT THE INFORMATION GIVEN 18 FRAME: FIRE STOPS,
CORRECT. ` BRACING, BOLTS
I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION,
AND STATE LAWS REGULATING B LDING CONSTRUCTION. GAS VENT, DUCTS
SIGNATURE LATH, INT.
PERMITT
LATH, EXT. J
ADDRESS
PLASTER, INT.
AUTHORIZED AOT.
PLASTER, EXT. n
FEE C. HOUSE NUMBER COR-
RECT AND POSTED 5'Zi
VALUATION Too FEE FINAL
76AG38A DBS 3 7-51
WORKERS; COMPENSATION DECLARATION a
herb affirm that 1-have a certificate of consent to self M M O nn
_�a,or a certificate'of Workers' Compensation.Insurance,
-eriifled copy thereof(Sec, 3800, Lab C ) '
104768((,� qq((�� State ,Fund COUNTY OF LOS ANGELES BUILDING.AND SAFETY
Policy'No Cortfp ny -
_❑ Certified4copy,is hereby`furnishe� „ FOR 'APPLICANT TO FILL IN . a��Ress �10)3 =--
Certified copy,is filed wi • e untt�y�bu in ms ec- " BUILDING
tion departmentAme iCa '15 lael ADDRESS E j,' 0
l 2 11/90:: 'CITY-'� ZIP 91780 LOCALITY
Date' ApId>� NO OF BLDGS Y
CERTIFICATE CE,EX WO , d SIZE OF LOT SOX1O4 NOW ON LOT 2 NEAREST.CROSS �'
COMPENSATION INSURANCE ASSESSOR' ;
(This section.rieed'not be,completed:if°The permit is for one TRACT. "t . BLOCK LOT NO MAP BOOK, PAGE PARCEL (�
hundred•dollars-($100) of less.)'-. TEL
�1 "-• OWNEur 'Oris -I• Cude '" 'NO-287-5068 ° USE ZONE oP -� a
I certify that in the-Performance of the•work for which this 1�
;,permit is issued, I shall not employ any-person in any manner ADDRESS -9.923_-E .' .Live Oak - /, SPECIAL •
CONDITIONS
_so.as to-become subject to the Workers:Compensation Laws F 1, ,,, - _ O
CITY Temple,•City z,P -91780 U
,Date - Applicant ARCHITECT OR TEL ck'
NOTICE_TO`APPLICANT,If, after-making this Certificate of ENGINEER NO DISTRICT 'GROUP TYPE FIRE PROCESSED'BY Q
r g CONST ZONE
Exemption, you should become subject •to the Workers' ;� w
Compensation provisions-of the Lab6r-Code, you must'forth- ADDRESS10432a
with ,comply with such,proyislons:or;this:permit shall be TELA - STATISTICAL CLASSIFICATION APT CONDO
deemed xevoked CONTRA z
LICENSED CONTRACTORS DECLARATION ..• Jpfi42C LowerAzus and, 'LIC CLASS NO DWELL!
UNITS
O 5
N
,I hereby affirm that I am licensed under provisions of Chapter-9 SEWER MAP
.(commencing with Section 7000)of Diwsion•3 of the Business ' 91731 LIC
and Professions Code,;and eCITY E1 M
my licenses in full'force and effect onteCa. ASS B- BK p` ' I -VALIDATION
B-l' SQ' FT NO OF NO OF CHECK -
License +�AJQ4 S - c I ss SIZE Q STORIES l FAMILIES 1 ONE
III •r _ _ VALUATION
Cant rac to 2 1 O DESCRIPTION-OF WORK NEW ❑ `,o�
• - ❑ e` aster Bed' oo bc� B ADD. $ �7,
I,am exempt un er•sec" r m a th•.Ad.Cd�,. ? r
_ 1 ALTER
.❑ '
B BP:C' for this reason $
' USE,OF i•�1..�� REPAIR ❑
Date _ EXISTING BLDwWellln Gara a ,DEM61.
APPLICANT
Signature (PRINT)Amer1C'an Builds o 87-9744 Fir,A� ? e�` , '::.+ �:.,• �'�'
OWNER-BUILDER DECLARATION DI►TE'�3-
I hereby affirm that I am exempt from the Contractor's License LowerAzus and Ca 91731� /
Law for'the following reason (Section 7031'5, Business and -FINAL*
Professions Code)•• = PRESENT - BY
"
BUILDING• ' 'tom- I °a
❑ I, as owner of the property,',or my employees with ADDRESS _4t}
wages as thelr,sole compensation,will do the work and ti .r 3' ??j 17 45
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
79 ,
•with licensed contractors to-construct the project (Sec- "' _i)!II s
tion 7044, Business and Professions Code ) ADDRESS __
s.• •• REQUIREDTOTAL SETBACK FROM, -EXIST "' '�• "^- "r\ ,. �'�E��,: •j><,t,a.,A�x ,
CONSTRUCTION LENDING AGENCY SET BACK YARD HW Y PROP LINE WIDTH
I hereby affirm that there is a construction lending agency for FRONT i'� ° . J '•s =-I'-
The performance'of,the work for which this,permit is issued P L
(Sec •3097, Civ. C ) SIDE
Lender's Name PL _ E h'iEi-Iif:L(;
LDMA Ref #TC.
PC Fee$
Lender's Address Permit Fee '
; - ^
a• I certify that] have read this application and'state that the - - Issuance Fee /5 LDMA P/C# - -
o +
8 ' above information is correct I agree to comply with all County - Investigation Fee
ordinances and`State laws relating to building construction,' Total Fee" i LDMA Perm-# - �t �• ' }
a and hereby authorize representatives of this County to'enter _ ; YJ
m upori.thee rn�entl �1- r n"spection purposes
a L�
f,7 yj r rQrF SEE REVERSE-FOR EXPLANATORY LANGUAGE
natur a Ica r t i-i'D-at'e—"�'"- -
76AS63 DBS 5A 11-510 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY` I
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR PB, NT O l�L IN DIST I NO. GROUP ZONE PERMIT NO.
'ELECTRICIAejY_
-6
R 1 D Y READY FOR DATEISSUED
ADDRESS I FIRST INSPECTION
CITY 44/ (7
COUNTY (CENSE NO. EXPIRES UILDING
PERMIT FEES � ADDRESS
NUMBE FEE EACH LOCALITY
t
LIGHT OUTLETS NEAREST
„r
RECEPTACLES CROSS ST.
WALL SWITCHES ///???///111 OWNER
TOTAL OUTLETS �� B 5c' $ 2- MAIL
ELEC RANGES 25 S' ADDRESS
ELEC HEATERS 25 1'S CITY EL. NO.
FIXTURES 5 0 I HEREBY KNOWLEDG THAT I HAVE READ THIS
MISC. APPLICATION AND STATE AT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
ANGELES COUNTY LI NSE, OR 1 AM THE LEGAL OWNER
NUMBER HORSEPOWER FEE
I OF THE RESIDENTIA P ERTY ESCRI D O
NEW M4E. HP OVER INC. EACH
1/2&LESS $ .25 SIGNATURE OF
I/2 2 50 I. PERMITTE
EE
2 5 100 INSPECTION RECORD
P 5 1s 1 50
Ifr 15 s0 2 50
30 200 9,00
200 Soo 10.00 J
Soo 1000 16.00 Q
Z
OVER 1000 20 00 (�
M G SET/FREQ. CHANGER-HP (Y
WELDERS- AC-KVA 0
GENERATORS-KW L
TRANSFORMERS-KVA '
TEMP. MOTORS (75%OF ORIG.)
MOVED MOTORS (7S%OF ORIG )
M ISC
SIGNS
NO NO. TRANS. I APPROVALS
NO NO LAMPS
' DAJE INSPECTOR'S NAME
FOR EACH PERMIT
WIRING $1 00 f 0 , CONDUIT
FIXTURES $1 00 P WIRING $''SUPPLEMENTARY .50.50 FIXTURES '
2 POWER
TOTAL FEE $ 3,� UTILITY CO. NOTIFIED
® FINAL