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Home My Public Portal About9534 LIVE OAK AVE_Building__ C 76A 638E CE#83 O 8.63 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING / DEPARTMENT OF COUNTY ENGINEER ADDRESS f BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPE PR CE ED BY FOR APPLICANT TO FILL IN 'j; 09 Ll/ CONST` BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS J r BK'4 _PC�� CLASS. NO. DWELL. UNITS // LOT NO. L-./<G- L /�/ �/L BLOCK WATER CERTIFICATE: NOT REQUIRED 2— RECEIVED ❑ TRACT MAP �/ HIGHWAY NO.OF BLDGS. NO. /` d� (CIRCLE) STATE MAJOR SECON C SIZE OF LOT Y2 lS NOW ON LOT USE ZONE SPECIAL USE OF /y -y-- CONDITIONS EXISTING BLDG. _14 _ TE OWNERC� ND �d j7BUILDING - EXIST. SETBACK YARD HWY STREET NAME WIDTH ADDRESS FRONT ARCHITECT OR TEL, P. L. ENGINEER NO. SIDE P. L. ADDRESS 4, TEL. 0 CONTRACTOR NO --(r r /,{ _ U ADDRESS („ dw DESCRIPTION OF WORK 0� and v $ le*j 3 NEW ADD ALTER Me' REPAIR DEMOLISH $Q. FT. - NO. OF NO. OF ov ��'� -lie, SIZE <QO ,X STORIES FAMILIES " USE OF STRUCTURE od I ! APPLICA SIGNATURE „y VALUATION $�0 O. ��- f APPROVALS � DATE INSPEC OR' SIGNATURE P C PMT /l FOUNDATION: LOCATION //rte. gyp•j' .�� FEE $ FEE U FORMS, MATERIALS FRAME: FIRE STOPS, IHEREBY ACKNOWLEDGE THAT-I HAVE READ THIS APPLICATION BRACING. BOLTS AND STATE THAT THE ABOVEIIS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS t BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK e AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE. LATH. EXT. SIGNATURE ��y �. HOUSE NUMBER CO ((�� PERMITTEE r� RECT AND POSTED O' 6 'r ADDRESS FINAL 't ,_ JOHN F. LEWIS. PR NCIPAL STR RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH LA'uO o G 8 7 SEP 2 6 I D 6.0 0 76A638A CE#8038-64 APPLICATION FOR BUILDING PERMI _ °d COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS9534 E. Liveoak Avenue BUILDING AND SAFETY DIVISION LOCALITY Temple Cit JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,SUP'T.OF BUILDING CROSS ST. DIST ICT N OU TYPE. PR 'ED FOR APPLICANT TO FILL IN CONST. BUILDING9531 STATISTICAL L SSIFI ATION yJER MAP ADDRESS 4 E. Live Oak Avenue � CLASS NO. DWELL UNITS . BK4 PG LOT NO. ll BLOCK USE ZONE MAP /�p"� NO. (/(J TRACT Mission View Acres � SPECIAL N0. OF BLDOS. CONDITIONS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. BLDG. SETBACK FROM TEL. FRONT PROP. LINE OF (STREET) OWNER NO. "� TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS 9534 E. Liveoak Avenue HIGHWAY WI TH 'FROM C.L. CITY Tample City + ARCHITECT OR TEL. BLDG. SETBACK FROM ENGINEER C. Adams, Eng o NO. SP 34;2210 TYPE PROP. LINE OF (STREET) E. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS 5871 E Firestone Blvd. HIGHWAY WIDTH FROM C.L. d CONTRACTORAntho POO1S NOLSP 3-2210 + - OV ADDRESS 5871 E:' Firestone NO 190179- CORNER CUTOFF YES NO El _ O CITY South Gate LIC ASS C53 SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORKa NEW XX ADD ALTER REPAIR DEMOLISH SIZE T 4OU N O. O F N O. O F STORIES FAMILIES USE OF Swim I--/- /• L.-.A STRUCTURE 16' X 281 Swim ool �.�i4P f6bf O �A� � !I I3 Jf 1�/i •. .P�II��l�`�EJ-.'��l SIGNATUR F APPLICA VALUATI N$ 2500.0 APPROVALS DATE INSPECT OR'S SIGNATURE FEE$ 11 e25 $ 22PMT' FOUNDATION, LOCATION �. FEE FORMS, MATERIALS 'FRAME, FIR OPS ' -2 `A^ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 9UILDING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY A Y ON IN VIOLA. LATH. INT. TION OF THE��E BOR CO C 0F.THE ST E F A FORNIA RELAT. ING TO WORK 0 ENSATION IN A E. LATH. EXT. SIGNATUR F HOUSE NUMBER COR- PE4RMITT POSTED /� J ADDRESS F I N A L j dWOW JOHN F. LEWIS. PRINCIPAL STR RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH i ri uCT 10 2 3 D 1 1 —25 a . Lti,o 1 15 3 1 OCT 13 1 D 2 2.5 0 . ' WfJRKERS' COMPENSATION DECLARATION insureboroafr:ertifcatte'of Workers' ComtpensatoneInsuran ent to lf APPLICATION FOR BUILDING PERMIT or a certified co/lllgCom on 45,81 E EU�p''y,,thereof (Sec. 3800, Lab. C.) 7II�` p yr� COUNTY OF LOS ANGELES BUILDING AND SAFETY PolicyNo. �j ® Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING U ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS i /, Date _ �Applicant X/L/��j1�jl� LL � Q J t wr CITY <�!J I ZIP LOCALITY 'i / CERTIFICATE OF EXEMPTION FROM WORKERS' OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT 140 NOO.W ON LOT CROSS ST. (This section need not be completed if the permit is for one ASSESSOR hundred dollars ($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE I PARCEL OWNER L t� � GHA46 NO. USE ONE MAP I certify that in the performance of the work for which this NO. permit is issued, I shall not employ any person in any manner S �—�`/��A K— i SPECIAL ADDRES so as to become subject to the Workers'Compensation Laws. CONDITIONS CITY Jri��L.t C.kT ZIP Date Applicant ARCHITECT OR TEL. NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. DISTRICT GROUP TYPE FIRE PROCESSED BY Exemption, you should become subject to the Workers' CONST. ZONE Compensation provisions of the Labor Code, you must forth- ADDRESS S ,0 with comply with such provisions or this permit shall be i �11EL. ` 1C,2 STATISTICAL CLASSIFICATION APT. CONDO. deemed revoked. CONTRACTOR \�� 51 1N0. Ol- l lJ LICENSED CONTRACTORS DECLARATIONLIC. p CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS �' Z /� NO. "}T 1 (commencing with Section 7000)of Division 3 of the Business and LIC. SEWER MAP Professions Code, and my license is in full force and effect. CITY L i CLASS '— BK PGVALIDATION y; g r� SQ. FT. NO.OF NO.OF CHECK (L License Number �Z 1 "1 Lic.Class SIZE 15 ZD STORIES FAMILIES ONE 0 VALUATION C F7 U Contractor �/�/� awl/��_ Date I Z DESCRIPTION OF WORK GAT tA--- A D ❑ $ ✓ l 0 ❑ I gm exempt under Sec. sV� __ _J_ ALTER ❑ , LLI B.&P.C. for this reason REPAIR ❑ $ Date: USE EXIS WG BLDG. r 1 t DEMOL ❑ Signature �4 .� APPLICANT i 7TEL. ,^ PRINT) ��(1� 1 `�v. 0l..ptO. C��—1 FINAL OWTY R-BUILDER CLARATION �� Y _ DATF� I hereby affirm that I am exempt from the Contractor's License ADDRESS �'`h 1.7 �-'*A �^ �' '�'`f� Law for the following reason (Section 7031.5, Business and L Professions Code): PRESENT 1 ❑ BUILDING I, as owner of the property, or my employees with ADDRESS p wages as their sole compensation,will do the work and A; �_tT a 4 the structure is not intended or offered for sale(Section LOCALITY ' :i?o-7C 7044, Business and Professions Code). MOVING TEL. �� ❑ I, as owner of the property, am exclusive) contracting CONTRACTOR NO. t_ P P Y• Y 9 � i�E��"• with licensed contractors to construct the project (Sec- tion 7044, Business and Professions Code). ADDRESS TOTAL 273 - 75 REQUIRED TOTAL SETBACK CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH (: �,� �?`o FROM EXIST. I hereby affirm that there is a construction lending agency for 75 FRONT the performance of the work for which this permit is issued P.L. (:H(s _00 (Sec. 3097, Civ. C.). SIDE P.L. , Lender's Name /_ 2 I J LDMA Ref. N I� f ! j� 1 1/12/89 m P.C. Fee$ Permit Fee 1 0_ Lender's Address Poo I 1 �9 $ I certify that I have read this application and state that the Issuance Fee ) LDMA P/C# 2 above information is correct. I agree to comply with all County Investigation Fee /� o ordinances and State laws relating to building construction, g Total Fee / LDMA Perm. q a and hereby authorize representatives of this County to enter upon the obUementioed property for inspection purposes., , ��Z� SEE REVERSE FOR EXPLANATORY LANGUAGE Signature ciftApplicbrit o nt Date E WORT ERS' COMPENSATION DECLARATION {Inre affirm that I have a certificate of consent to Self APPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers' Compensation Insurance, y or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING ❑" Certified copy is hereby furnished. />$Lz L+��fj FOR APPLICANT TO FILL IN ADDRESS '�/ .1 �i�:C� ❑ Certified copy is filed with the county building inspec- BUILDING f tion department. ADDRESS J DateApplicant CITY ZIP LOCALITY _ NO. OF BLDG NEAREST t CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOTS CROSS ST. . COMPENSATION INSURANCE BLOCK LOT NOASSESSOR Q J� (This section need not be completed'if the permit is for one TRACT . MAP BOOK ��Cqv PAGE OA657 PARCEL hundred dollars ($100) or less.) TEL. _�J// OWNER /� z,J Gt}tl t�C,� NO. �j� aAb USE ZONE MAP I certify that in the performance of the work for which this S NO. SPECIAL >_ permit is issued, I shall not employ any person in any manner ADDRESS CONDITIONS Q_ soas to become subject to the Workers' Compensation Laws. . 0 CITY ZIP Date Applicant ARCHITECT OR TEL. (3 De ENGINEER �� NO. _ ( DISTRICT �OUP TYPE FIRE LPROCESSED BY 0 NOTICE TO APPLICANT: If, after making this Certificate of CONST. ZONE U Exemption, you should become subject to the Workers' iJtfITT(G— Compensation provisions of the Labor Code, you must forth- ADDRESS D b 3 ��a U with com ply with such provisions or this.permit shall be / TEL. I STATISTICAL CLASSIFICATION APT. I CONDO. N deemed revoked. CONTRACTOR NO. Z LICENSED CONTRACTORS DECLARATIONLIC. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS � '�� NO. SEWER MAP (commencing with Section 7000)of Division 3 of the Business LIC. and Professions Code,and my license is in full force and effect. CITY CLASS BK PG VALIDATION SQ. FT. NO. OF NO. OF CHECK License Number Lic. Class SIZE I STORIES FAMILIES ONE ElVALUATION / Contractor Date DESCRIPTION OF WORK NEW 0_h� atLA El am exempt under Sec. ADD [Ell $ O , ALTER ❑ " B.&P.C. for this reason t REPAIR ❑ $ Date: USE OF EXISTING BLDG. DEMOL ❑ Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION (PRINT) U 'NO.r} S DATE I hereby affirm that I am exempt from the Contractor's License — Law for the following reason (Section 7031.5, Business and ADDRESS FINAL Professions Code): PRESENT By "'' a s R in v(_. s 4 El 1, t _I, as owner of the property, or my employees with ADDRESS •-�dt-; fir.. wages as their sole compensation;will do the work and .: .. r_:r 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 exclusive) contracting CONTRACTOR NO. " P P Y� Y 9 with licensed contractors to construct•the project (Sec- ADDRESS tion 7044, Business and Professions Code.) -. "' REQUIRED TOTAL SETBACK FROM EXIST. _f CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH " "r•ir ::1•. I hereby affirm that there is a construction lending agency for FRONT --•-- —•• • - the performance of the work for which this permit is issued P.L. -: (Sec. 3097, Civ. C.). SIDE '- it"3r { PA.- Lender's .L. _ v9 Lender's Name, _ LDMA Ref. # 4� 2 C� P.C. Fee$ Permit Fee �/ o / :2 :'{•''" ?'; Lender's Addresspol' _19_ o I certify that I-have read this application and state That the Issuance Fee � LDMA P/C# "'' above information is correct. I agree to comply with all County Investigation Fee �f Cy 8 ordinances and State laws relating to building construction, Total Fee �j a / LDMA Perm. # a and hereby authorize representatives of this County to enter Pont abov mentioned property f'r inspection purposes. a � �� SEE REVERSE FOR EXPLANATORY LANGUAGE Signot' e 0 pli nt or Agent Date"