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HomeMy Public PortalAbout9942 LIVE OAK AVE_Building__ 76A638A CE #803 1/7����6 � ION/ O bI NG PERMIT COUNTY OF LOS ANGELES AssEs oR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING qq'pA ADDRESS ,- Z> .��•VI•'�� - Avr " COLEMAN W. JENKINS, SUPT OF BUILDING. LOCALITY�jFiM e ; C,_ 1'�� FOR APPLICANT TO FILL IN NEAREST l� (Print or t'pe only) CROSS ST ADDRESS �' . � L DISTRICT NO. GROUP TYPE P OCESSED BY- BUILDING �•©� 1 CONST1%� STATISTICAL CLASSIFICATION --ate•-- SEWER MAP LOT NO l.�T BLOCK ' O • CLASS NO. DWELL UNITS BK•� PG 77'TRACT USE ZONE MA NO OF BLDGS ..- ( NOP: GC/ SIZE F LOT NOW ON'LOT PECIAL USE OF " e' CONDITIONS EXISTING BLDG S/ ' TEL. OWNER NO. BLDG SETBACK FROM ADDRESS S CLM FRONTPROP LINEOF '(STREET) TYPE OF EXISTING SETBACK HIGHWAY } YARD = •TOTAL CITY mO HIGHWAY WIDTH FROM C L ARCHITECT OR u TEL. - ENGINEER NO. BLDG.SETBACK FROM ADDRESS - SIDE PROP.LINE OF (STREET) I ` TEL TYPE OF EXISTING SETBACK HIGHWAY } YARD - = TOTAL, a_ CONTRACTOR Al Cd fWof,NnA NO. CRI HIGHWAY WIDTH FROM C.L CD itzi aL LNO.IC. = v :x , ADDRESS • LIC ,CITY 00 ` .0 ASS � 1 CORNER CUTOFF YES El NO ❑ M1- '�^W CONSTRUCTION LENDER, NAME AND BRANCH ' SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS _ -2- SO FT NO OF NO. OF NEN, F] SIZE STORIES FAMILIES � USE OF ADD ❑ /10 Ii✓S/�. Gr�-�L " `— .STRUCTURE ALTER ❑ SIGNATURE OF REPAIR �Jq,j�tee• APPLICANT �p�,,(� �. �I/YLA DEMOL El �^'`d/JLC` /J`•' I ., VALUATION s APPROVALS DATE INS PEC TOR•5 SIGNATURE , P,C PMT - FOUNDATION: LOCATION FEE $ - •�� FEE S FORMS,'MATERIALS FRAME: FIRE STOPS, d9 IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND,STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE- LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING,BUILDING CON- GAS VENT,'DUCTS STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED ' HEREBY I WILL NOT EMPLOY ANY PERSON -IN VIOLATION OF THE LATH, INT. - LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPEN TION'IN RANG } �' '� LATH, EXT;, SIGNATURE OF C /�/J �///�-j�/�{'-�, HOUSE NUMBER COR- PERMITTEE RECT'ANO POSTED" ' ADDRESS Q q VD31 FINAL JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER " PLAN CHECK VALIDATION CK M o CASH _ PERMIT VALIDATION CK Mo CASH"101 WORKERS COMPF: IKlcA_-rIOI 15 0 6FEB POLICY HOLDER: 1?,LS. FL� POLICY NUMBER: 17e�4e,---5(' -7,17 DEPARTP&NT OF,BUILDINGAND SAFETY. APPLICATION FOR PERMIT - CQUNTY OF LOS ANGELES. au-- WM. J.-FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN t FOR OFFICE USE ONLY DISTRICT NO. -�,••""f�,"(PL4N'CK:NO: 'PERMIT NO' BUILDING/,/� •Tc �j �.i/,y' �T _I �__ �� /� ADDRESS v/ (�./(rj1// G!i`•/� ' lh DATE IBSUED LOCALITY �-. R�E,C/EIVED'BY DAT15OFAPPL. NEAREST -t - -CROSS ST. `�y� o �"BUILDINO OWNER ,/J/ ADDRESB Z/ v,;=- ez:: o,!! MAIL �� LOCALITY ADDRESS " ' • NEAREBT t TEL / l / CROBSST. CITY ? "' NO� 7f. ^ FIRE ' NO.OF TYPE OROUPI, a ARCHITECTO / TEL ZONE ( PLANS ENGINEER 'OC27/ O k � y��J�_M9�•/.�/� �Qia�!/f79CC�r!r17� BLD . . I __......a._�,..,,./�. ORD. NO. ADDRESS � SETBACK LINE Zl� APPROVED E CONTRACT BY 1 DATE 5 rJ LI' , USE - APPROVED ADDRESS - ZONEe--1 BY, ++ t DATE LEGAL J 20 ' + CORRECTIONS DESCRIPTION LOT NO. BLOCK TRACT c-/O ` NO. SIZE OF LOT J I NOW ONF LOTBLDD9 UBE OF NO.OF NO.OF __EXISTING BIDD. _ I FAMILIES I NO. - - �•^ 'f` JJ DESCRIPTION OF WORK GAJ 5 nt NEW ALTERATION ADDITION p ............ ......................:a`.9C{.fCiFli Izl, A REPAIR - MOVING DEMOLISH 3q. FT. NO. OF rt3 ��4�11 Z SIZE ROOMS STORIEH ' A/,�.�r� T.I!i'.1/1.f/re> P uvD�,P D WALL ROOF t •�•----• --.. :.....sura �;��.f,) SF�i`•I r COVERING I COVERING a� �'Imo•, - ' - USE OF NEW q ',� ,-_,,O BUILDING ',-/AA� �(,� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND-STATE THAT THE ABOVE 19 CORRECT INSISECT13R DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION ' AND STATE LAWS REDULATIND.BUILDIND CONSTRUCTION. FORMS, MATERIALS a"-•" FRAME: FIRE STOPS, SIGNATURE OF _ �� BRACING, BOLTSl PERMITTE - /✓ ' .. ' LATH, INT. AUTHORIZED ADT. LATH, EXT. /2q 7SA63BA-3 is-ea $ 4�c�oo P.C,9 IB SG7 PLASTER, INT. 00 FEE �j PLASTER, EXT. O � VALUATION 9�o FEE �Z-�- FINAL" WORKERS' COMPENSATION-DECLARATION I herebyaffirm that;I`have a certificate of-consent to self insure, r a certificate of Workers' Com ensation Insurance, �u-`U� �•�! V-; �;O ,LJ U V�, �L��LIVLI lJ" or a certified copy thereof (Sec 3800, Lab {C) - '" "' t• 'r�? b COUNT,.bF LOS;ANGELES.,- _ BUILDING AND SAFETY Policy No Compny a .: "tKM.w h: ,.y BUILDING O� u 'Certified copy,is herek5y-furn'rished r FOR APPLI'CANT�TO,FI IN M ADDRESS+ Certified copy-is-filed with the county buildirig'inspec- ADDRESS �', � • C Vie; ; �'� A tion department r Date Applicant n CITY �` ZIP *._ LOCALITY NO OF BL GS NEAREST, CERTIFICATE OF EXEMPTION FROM -WORKERS'_ SIZE OF'LOr Now ON Lor 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-) TEL 1• OWNER NO i USE ONE MAP /' Q NO- - I certify that in the performance dfahe work for which this `` ` y�.• SPECIAL: P , is.issued, I shall not employ any,perso n any manner ADDRESS G< - CONDITIONS a so-as,to' a me sublect,to the Workers' p sa CITY: ZIPT Q c�/ U Dat Applicant ARCHITECT OR TEL a N 6-APPLIC NT If,•after Maki his,C rtificate-of ENGINEER NO :SDI CT GROUP'_,TYPE_ FIRE PROCESSED BY. - O 11 CONST �jNE F- E tion, you should become s cT• to the,Workers' O U Compensation provisions of The Lab,r Code. you must forth- ADDRESS a with•-comply with such, proyisions,or-this°permit. shall -be " L STICAL CLASSI KATION APT CONDO Z deemed revokedCONTRACTOR Q NO,-, LICENSED CONTRACTORS,DECLARATION' LIC `L Q CLASS N��DWELL UNITS - I hereby affirm that I-am licensed under provisions of Chapter 9' ADDRESS'15 I NO 4 l (J LIC .. SEWER P - TV- (commencing with Section 7000)of Division 3 of the Business I' - .. .' and Professions Code,and my licenseism full force and effect CITY; CLASS BK VALIDATION ' 9 SQ"FT _ NO"OF NO OF CHECK"t License Number' 7 i Lic Class �— �' IZE STORIES' FAMILIES ONE . / - r ❑ VALU%ATI Contractor, at ESCRIPTION OF WORK "NEW. ; �' , ✓ r /r ADD ❑ ~' ;+ am exempt, un'er Sec ' ALTER ❑ .. B&PSCfor this reason -% call U F REPAIR ; Da �94STING BLDG DEMOL ❑ APPLICANT TEL ' Signature ,,. -FINAL OWNE IL ER D CLARATION (PRINT) L' NO 7 C1'�I�g.' -DATE I hereby affirm tha m exempt from the Contractor's License - ; Ldw.for the:foll mg'reason,(Section 7.031 5, Business Iand ADDRESS, c `^/u LI-At, l�lB FI 1 Professions Code)'- PRESENT BUILDING ��+�•.r ❑ I, as owner of the property, ,or my employees with ADDRESS - ACC .T wagesas`the'ir sole compens6tion,'-will do the work and - 7 R• -78.00 the structure is not intended or offered for sale(Section LOCALITY i -70 , Busmess•and Professions'Code ) - MOVING TEL 44 v 1-A1G.I ,h7 ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO 1 A L[.I,h7 with licensed contractors to'construct the piolect (Sec- » a -- T - o IQIQ� ADDRESS' " tion 7044, Business and Professions Code-)•' .. 78.6oREQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY- SET BACK YARD HWY PROP LINE WIDTH „•„M I hereby affirm-that-there is,a construction lending agency for• FRONT _ e- _ - __ _ lc n the performance'of The work fof which this permit is issued, P L ' (Sec 3097, Civ G) SIDE, �L 'R L Lender's'Name6 1' .,' 7/20M' ? » r P C Fee$ Permit Fee LDMA Ref # C45 i eo ' Lender's Address 1 7 o I certify that I have read this application and-state that•tke' ~ Issuance Fee O O ~ LDMA P/C#, \t 8 :above mformafiori is correct I agree to comply with all County Investigation Fee /h'� /` `,+ \ ',i , �`�`✓,'' '•�,;:” R ordinances and State laws relating to-building construction, Total Fee V U LDMA,Perrn # . and hereb �� r�ze re'resent v of this Couni o nterupon t ae "ned y for mspectio' -moo r _ vvll/ / SEE REVERSE FOR EXPLANATORY LANGUAGE ature of Applicant or Agent Date - : -