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HomeMy Public PortalAbout9532 LIVE OAK AVE_Building__ TEMPLIE CHTY 70AS38A CIE#8032/60 APPLICATION FOR BUIL3 G PER COUNTY OF LOS ANGELES BUILDING - C DEPARTMENT OF COUNTY ENGINEER ADDRESS _ r BUILDING AND SAFETY DMSION LOCALITY �e��• JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. q DISTRICT NO GROUP YpE- PR SY 3 FOR APPLICANT TO FILL IN CONST BUILDING - STATISTICAL CLASSIFICATION WER MAP K' PG ADDRESS CLASS.NO DWELL.UNITS LOT NO. 7 BLOCK MAPSTATE NUMBER Q HWY "YES O TRACT 'fJ-.�d� c,\ Are—S USE ZONE SPECIAL J/ // fNO OF BLDGS. ��� CONDITIgQSf SIZE OF LOT S X_ q7�'f NOW ON LOT USE OF EXISTING BLDG. BUILDING YARD STREET NAME EXIST =-^ / TEL./; j SETBACK WIDTH OWNER _J Q(tkl Z C`�X NO.C' 34�JAI( FRONT- ADDRESS �.� .� �)f�l�lc! r.-l�c nL SIDE ' ARCHITECT OR TEL. o L• ENGINEER NO. INSPECTION RECORD i ADDRESS TEL.,, ! CONTRACTOR L /Il •c i C P I'/;t NOG l7�`/ Q ADDRESS .\ / o /Lt��'I��I T / 0 DESCRIPTION OF WORK ! C,, 7'n F, /?1. ?'n/ d 0 /On,61r era,9Af, AeJr>evCR,00 NEW ADD r ALTER REPAIR DEMOLISH sal `�' STOR ES / NO FAMIOLIES USE OF S RUCTURE «a, /c �^ cl- f ico -3-3 -6/ /° 0 ,S'rfi k/5C /95 1 1� SIGNATURE OF C f ��UESTFns NSI /✓�/� I� E APPLICANT `� -�- L,�FT /3y �S"Q/LJ,EO �� •�7�f7� VALUATION$ a�• I APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMTFOUNDATION. LOCATION FEE $ �� FEE $ (] FORMS,MATERIALS - FRAME* FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- 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 I CERTIFY THAT IN DOING THE WORK AUTHORIZED I LOTH, INT. WILL NOT EMPLOY'ANY PERSON IN VIOLATION OF THE - WORKMEN'S CO jvf ENS TION LA S F CALIFORNIA. lee\/ LATH,EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEEJ RECT AND POSTED ADDRESS FINAL CLYDE N DIRLAM, I6RINCI AL STRU RAL ENGINEER PLAN CK VALIDATION. aK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH LAC6,1 5 7. 2 JA l 2 52 3 D 2 1 .t7 0 v I Ar01 7 2.7 JAN27 1 D 4 2 .0 LP 76A 63 BA CE4803 5-65 APPLICATION O �I L FOR B DI G PER COUNT"? OF LOS -ANGELES ABUILDING DDRESS 2 Avenue k DEPARTMENT OF COUNTY ENGINEER = BUILDING AND`-SAFETY DIVISION LOCALITY Te le Cit JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W JENKINS,SUP T OF BUILDING CROSS ST Cloverl & Te le City Blvd. DIST CT N OU TYPE PR BY FOR APPLICANT TO FILL IN &' a � CONST '/ BUILDING STATISTICAL CL SSIFICATION . SEWER MAP ADDRESS 9532 Live Oak Avenue-_ BK f PG CLASS NO DWELL UNITS �-r LOT NO _ -BLOCK .USE ZO421NE MAP NO TRACT Mission Tract SPECIAL NO OF BLDGS CONDITIONS SIZE OF LOT - NOW ON LOT ' USE OF EX ' TING 131-OG BLDG SETBACK FROM - TEL FRONT PROP LINE OF (STREET) OWNER NO TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS9532 .ve Oak HIGHWAY WIDTH FROM C L CITY Temple City , _ a + BLDG S TBACK FROM - ARCHITECT OR TEL C� SIDE PROP LINE OF (STREET) ENGINEER C Adams En NO SP -2210 TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS 5U -E Fipre tone. Blvd HIGHWAY WIDTH FROM C L TE CONTRACTOAYntho r©Ol8 NOL SP 3-2210 + 0 p �L, O S ADDRESS 1 E. Firesto4� 190179- CORNER CUTOFF YES NO V C 1 19 CITY South-Gate CILASSIF EVERSE SIDE FOR SPECIAL APPROVALS O DESCRIPTION OF WORK �j a N NEW X ADD ALTER REPAIR ///// �SQ.FT NO OF SE2 STORIES USE OF STRUCTURE SWim POO1STAND #12 O OSIGNATURE FAPPLICAVALUATION$ 000.00PPROVALS D TE INSPE IGNATUE P.T5.63 FEE$ 22,50 FORMS, MATERIALS FRAME, PMT �G FEE$ 3 (� FRAME, FIRE STOPS, 1 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 9UILD I NG CONSTRUCTION I CERTIFY THAT IN DOIN E WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANV PE ON IN VIOLA. LATH INT TION OF THE LABOR E F THE STAT OF.0 IFO IA RE AT. ING TO WORKMEN CO SATION INS A LATH EXT SIGNATURE F OUSE NUMBER COR- PERMITTE RECT AND POSTED /f ADDRESSF INAL !Y•�y'/�� � G. JOHN F LEWIS PRINCIPAL S�TRRALENGINEER PLAN CHECK VALIDATION GK M D CASH PERMIT VALIDATIONM D CASH ' A 0 4 6 7 SEP 6 a 0 5.5 3 N f` Lko 0 4 6 81. SEP 6 1 0 2 2.5 0 76A838A CEa 032-63 APPLICATION_ :FOR BUILDING PER T- ,N ' COUNTY OF 'LOS ANGELES' '• BU-ILDING DEPARTMENT:%OF COUNTY ENGINEER ADDRESS BUILDING AND' SAFETY(DIVISION LOCALITY. „ JOHN A.,L.AMBI E; COU NTY.ENGINtER -NEAREST R f ~ F WILLIAM A JENSEN, SUPT OF BUILDING' CROSS ST DISTRI T N GROUP TYPE :P ESSED.BY t; FOR;APPLICANT'TO FIL IN CONST ,BUILDING a SS' • STATISTICAL CLASSIFICATION - SE ER MAP. ' -ADDRESS. J o[. T - BK CLASS NO DWELL UNITS ! � `• _ L'OT NO' `'�• ,(,i BLOCK WATER ) CERTIFICATE NOT REQUIRED RECEIVED,: TRACT- �L.-f/- /.1G.L� MAP HIGHWAY - i NO OF BLDGS NO. (CIRCLE) STATE,MAJOR SECOND SIZE OF LOT .0 /L ,jt NOW ON LOT USE ZONE SPECIAL USE•OF�,' CONDITIONS ' EXISTING TEL OWNER E? NO-r• BUILDING r EXIST SETBACK' •YARD HWY REET NAME WIDTH 1`3 '�- •ADDRESS " _ /� a +. � FRONT` - ,ARCHITECT OR- - •TEL - P L - -ENGINEER NO - •SIDE ADDRESS - r� •t _ / ;�� _ IG:•,. TEL �t�f3� ('1•c�a�>fv�I £.aN='� f� CONTRACTOR NO - _ J Yc' -ADDRESS DESCRIPTION,OF WORK H I / P � W f NEW ;- ALTER - REPAIR ,DEMOLISH' ?° SQ_'FT NO OF FO OF S -� SIZE STORIES, USE OF 'STRUCTUR424 Cc' tjE•r - /•a - - - r� .. SIGNATURE O APPLICAN ' ' VALUAT GG��GG�J APPROVALS /DATE' INSPECTOR„SLSIGNATURE ` PIC`. - .}°y' :PMT s'� 'FOUNDATION LOCATION / / !J 3, FEE,•S '��"�- . - •, ..p ,FEE $ FORMS, MATERIALS 6' Qy/'�3,--- ” _ FRAME* FIRE.STOPS, r/� I THEREBY A'CKNOWLEDGE'T_ C HAT;;1 H'AVE•READ THIS'APPLICATION - BRACING, BOLTS —/ ��/�•/ , AND,STATE THAT THE"ABOVE IS CORRET,AND AGREE TO COMPLY FURNACE LOCATION •/I V/T r"`� _ ,,, • WITH ,ALL COUNTY ORDINANCES AND STATE LAWS REGULATING - GAS VENT DUCTS d ' BUILDINGy CONSTRUCTION~ I CERTIFY"THAT ,IN'DOING THE' WORK_• - •,.� •AUTHOR IZED'HEREBYy,I WILL- NOT EMPLOY ANY PERSON IN VIOLA- - L•ATH:INT TION OF THE LABOR COLLC OF.TH E;STATE OF,CALIFORNIA.RELAT= „'ING•TO-WORKMEN S C P SATION"INSURANCE " - _ '-LATH EXT SIGNATURE ,HOUSE NUMBER COR-/ r� /n ' PERMITTEE. ,��'�'�•� I RECT AND POSTED ADDRESS' ` _ _ { `'FINAL' � Jr9 ' ~'I ,y+••r`•'F `.. -� r e JORN•F LEWIS R_INCIPAL STR RAL ENGINEER'( U [[[ PLAN'CHECK VALIDATION" ICK 'M O ,I-CASH _I PERMIT-VALIDATION M O CASH ff, hhI,{••%- V �:✓ �.+y••`GI`4c s' i 1 c' 'r`- ria� 1 Y.. �, . , ... •' j r •x:• `� r, �. ' � ..• V ;t u 411, _ � = ",APPLICATION -FORBUI•LDIN-G;RERIVIM _ - COUNTY OF LOS ANGELES' BUILDING AND SAFETY y FOR APPLICANT TO FILL IN BUILDI ADDRESS WORKER'S COMPENSATION DECLARATION;, 32 s, Lf'�G, I hereby affirm that I'have a certificate of cohsent to self Insure, BUILDING ADDRESS or a certificate•of'Workefs' Compensation Insurance!.or'a certified �-3 7^1�' copy thereof(Sec 3800,Lab"'C ;' '_. - CITY�e ` /e Cr w ZIP !'7 IJ LOCALITY ,T .�-� a - POhCy No ,Company,' SIZE OF LOT _ l NO OF BLDGS NOW ONLOT - I ' NEAREST CROSS ST ❑ Certified copy Is hereby furnished �� �" :�. - ,. _ - ❑ Certified copy Is filed with the county building inspection TRACT BLOCK Y /� BLOCK LOT NO department 7 /` ' �" USE ZONE MAP NO " w u 'ASSESSOR MAP BOOK PAGE PARCEL - Date .Applicant= _ _ SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS'" OWNER TEL NO 'V COMPENSATION INSURANCE_ �eLh *3 617 S WITHIN-1000 FT OF SCHOOLS , YES NO ' ADDRESS • ' (This section need not be completed If the permit is for one hundred /, L Q�JL /u. ��� DISTRICT GROUP TYPE CONST FIRE ZONE PROLES D p ' dollars s($100)or less) ' ,f, - - -:.s, 1 �f r CITY - '. -, - ZIP _4 Z V �. 2 . . I certify that In the performance of the work for•which"this permit', r^e Is Issued, I shall not employ_any person to any manner so as to `, becom�je the Workers'Compensatio^n�,L�aws / .-, ARCHITECT OR�EN-G-INFER TEL NO;' 71 / ,t� thes,5'hfL e/. STATISTICAL•CLA ION APT O ODateApplicant ` ADDRESS CLASS NO DWELL UNITS. ,NOTICE TO APPLICANT If, after "making this Certificate of REQUIRED TOTAL SETBACK FROM l EXIST Exemption, you should become. 'subject to.- the Workers"' CO TRACTOR' �'I TEL NJ"�1T' SET-BAC KI,_ YARD HWY PROP LINE WIDTH'. -Compensation prowswns of the`Labor Code; you must forthwith •Gc{•.-t r �4n, Y J3 r!_ FRONT comply with such.provisions or this permit shall be deemed revoked ADDRESS_ ` LIC NO P'L r ( LL(hf G[�/(1 �!/`� J' �l�d�Z SIDE - a LICENSED CONTRACTORS DECLARATION CITY ` uc PL OU I hereby.affirm that I am licensed,underprovisions of'.Chapter'9 ���'` ~L�� Ct SEWER MAP (commencing with-Section 7000)of'-Division 3 of ttie•Business and SO FT,rJ�IZE NO OF STORIE NO OF`FAMILIES 0 Professions Code,and my license is in full force and effect IFS a1�s NEW ❑ BK PG 23 O License,Number. . , LIC Class DESCRIPTION,OF WORK„ I ADD vALUAnQN vc9 ACCT. U G1{h•f ►r i c vC r[.c ba - Q d vC �O /,/ /�(J /� F1{•{•,1 e s - LSI Contractor Y,�'I f���J Ch[S A;sp-ate. $ ALTER Pf $ '! `� v �U'a ' n- t QAi -/� Y'®u� �o GvQcf I C REPAIR '❑, J`r 3 I a�_ Z ❑ I am,exempt under Sec cn in $rcC - B&PC for this reason' q V0oAn DEMOL ❑ i ����� rc USE OF EXISTING DG LDMA P/C M _ T11T�... Date USE G Q URM ❑ v _S CHECK 50.50 SignatureT APPLICANT,(pRfNT) TE NQ LDMA Perm ❑ I, as owner of the property, or my employees with wages',as 4 ►`I �l e -5 "', gG� L����76 Z {HANGE ,i ll - their solecompensation,•will'do the work and the structure is ?DDRE/SS f t (� O not intended or offered;for sale (Section 7044, Business and lG/ r e`!lG � « �;�r l I_71P FINAL DATE ,f) a ' Professions Code) Y, WL URE APPLICANT O UTURE BUILDING OCCUPANT HANDLE A-HAZARDOUS MATERIAL -_/�.-�, ? fNI. 't('t�f'�—CI['��i • . C'j•I C"/t7� OR A MIXTURE CONT ING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE IV VV v i /7 ❑ I, as owner of the property, am exclusively contracting Wlttl r AMOUNTS SPECIFIE ON THE HAZARDOUS MATERIALS INFORMATION GUIDES FINAL BY + > t t q o licensed contractors•to construct the protect (Section 7044, 6428, 1 A f 7=47 . YES❑- .NO - Business and Professions Code) WILL 1 e-- - L THE•INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING -J' - _ OCCUPANT REQUIRE A RMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALTY .AGEMENT DISTRICT,(SCAQMD)SEE PERMITTING CHECKLIST FOR, GUIDELINES - 1,i ACCT.'tr w, ' hereby affirm that there is a construction lending agency for YES❑ No e n 3303 ii [`� the perfOrmanCB Of the Work for Which this permit IS ISSUed(Sec I HAVE READITHE HAZARDOUS MATE RI GUIDE AND THE SCAQMD PERMITTING " 3097,CIV C) CHECKLIST I UNDERSTAND MY REQUIREMENTS'UNDER THE LOS ANGELES COUNTY CODE ,1 ; ` • TITLE 2 CHAPTER 2 20 SECTIONS 2 20.100 THROUGH 2.20 140 CONCERNING HAZARDOUS ,• -1 ' Lender's Name,, MATERIAL REPORT NG AND FOR O YAWING A PERMIT FROM THE SCAQMD �' c-h�ss �-- TOTAL1-_g•" _ 62 Lender's Address = aN ea OR roe T 3 1-certify that I have read this application and state under penalty {CHECK, i_rte; a 6� a PC FEE PERMIT FEE 0 of perjury that the above.Information is correct I agree to comply CHANGE .00 with all county ordinances and State laws relating to building m- construction, and hereby authorize representatives of this County ISSUANCE FEE Uproe'above=me Ioned operty for inspectio purposes 2�. 3CT { il-yf�f5 �t i5/15/96' d toerli �� SIS INVESTIGATION FEE TOTAL FEE L+000-0001 153 . �Z 29 1 A : £ SEEREVERSEFOR EXPLANATORY LANGUAGE