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Home My Public Portal About9544 LIVE OAK AVE_Building__ 7EA699A CE II9�8;0_E9' APPLICATION FOR -BUIL DIN6_,PE,RMIT • - �.' - COUNTY, OF LOS ANGELES ADD EISS }• DEPARTMENT OF COUNTY -ENGINEER BUILDING AND SAFETYDIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST _ CASSATT D. GRIFFIN, SUP'T OF BUILDING -CROSS ST. DISTRICT NO. GROU_ _ `TYPEJlrPRpQESSED BY FORE-APPLICA!FILL IN CONST. BUILDING STATISTICAL CLASSIFICATION SEWER ER MAP ADDRESS ''A � -4 VIE BK PCLASS.NO WELL UNITS _ 5LOT NO. BLOCK N[MABER }{yyilSTRACT USEZONE SPECIAL--OF.BLDGS CONDITIONS �l �_ pyUi.SIZE OF LOT O W ON LO7USE OFEXISTING BLDG BUILDINGYARD HWY •*' 7REET,NAME EXIST. SETBACK :WIDTHOWNER IiFRONT-MAIL P L. 4=0— ADDRESS Q W- SIDE.P LCITY T�i ; rNEoLA G; INSPECTION RECORD•ARCHITECT ORTELENGINEERNO _ ,_, • -.IL ;,� , ADDRESS ]]�� - J CONTRACTOR AJ'�"J► /" iJ!"r'1� TEL NO—a40 [-:).0 ADDRESS s S� �C tt rr✓/ ti , - DESCRIPTION OF WORE �� NEW ADD ALTER REPAIR DEMOLISHSQ FT NO OF NO OFSIZESTORIES -FA LIESUSE OFSTRUCTURE- 0dJ ferIV c' 711� -�''"SIGNATUREOFc�/L•APPLICANT PPROVALS DATE INSPECTOR'S SIGNATURE • ADDRESStaTION:LOCATION,MATERIALS VALUATION FIRE STOPS, �g�c ONG,BOLTS 1L'alb J 1 FEE S. FEE $ F'GAS VENT,DUCTS LOCATION. !/2K�AiWY PMT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH INT. 2� .�ia'ti(A�✓"�9/ PLICATION AND-STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH-ALL COUNTY ORDINANCES AND STATE -LAWS REGULA G /gJ�.JILDI ONSTRUCTION - LATH,EXT - SIGNATUREQFC HOUSE NUMBER COR- PERMITTEE 7` —� LLC�14�•�— (� _ERECT AND POSTED ADDRESS - SSS', FINAL- CLYDE'N. DIRLAM, PRINCIPAL STRUCTURAL ENrANZER PIAN CHECK-,VALIDATION CE-K; mo CASH ` PERMIT VALIDATION, CK M O. CASH = '_�74 5 3,-) E.IQ,1132 .3 A .. f'Q 7 9 7 3 a; 10V_231 A"�5 q 0,0 ` P ai APPLICATION FOR BUILDING PERMIT 'COUNTY'OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDIN tA s I hereby affirm that I have a certificate of consent to self Insure, BU DING ADDRESS ^ V or a certificate of Workers' Compensation Insurance, or a certified', CITY' ZIP f!J copy thereofS c 380 , LabyC) . LOCALITY Policy No Company G SIZE O OT NO OF BLDG$.NOW ON LOT 1:1 Certified copy Is hereby furnished !/ NEAREST CROSS ST >kCertrf[ed copy is filed with the county budding Inspection TRACT BLOCK LOT NO departm nt ��// Jam, USE ZONE PNO Date�Appltcant%Ll jSr ��/ ASSESSOR MAP BOOK :PAGE PARCEL -TTTTT �MA SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TELL NO C/ f/ COMPENSATION INSURANCE WITHIN 1000 FT OF SCHOOLS YES NO (This section need-not be completed If the permit Is for one hundredAD &,0!6 DISTRICT GROUP TY CONST FIRE ZONE PROCESSED BY dollars ($100)or less) CITY ZIP I certify that in the performance of the work for which this permitO� is Issued, I shall not employ any person In any manner so as t0 gRCH1T OR ENGIN ER TEL NO become subject to the Workers'Compensation Laws STATISTICAL CLLq,SSSIIFICATION APT CONDO Date Applicant ADDRESS - CLASS NO 12LI DWELL UNI S NOTICE TO,APPLICANT If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you`should become subject to the Workers' C T - - TE 07 SET BACK YARD HWY PROP-LINE WIDTH Compensation provisions of the Labor Code, you must forthwith - t7 FRONT comply with such provisions or this permit shall be deemed revoked AD S LIC NO P L LICENSED CONTRACTORS DECLARATION "�� LIC CIL P L 3 �-� SIDE CIT I,hereby affirm that I am licensed underprov[s[ons of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ FT SIZE NO OF TORIES NO OF FA 1LIES Professions Code,and my license is in full force and effect NEW BK PG , a License Number LIC Class DESCRI TION OF W K ADD ❑ VALUATION 0 Contracto ate ALTER El $ U ! 0 El am exempt under Sec REPAIR El L) B&PC for this reason -/ ! DEMOL ❑ V LDMA P/C# a Date [USE OF ING BLD�i URM ❑ Signature APPLICANT(PRINT) TEL NO ,_ I LDMA Perm# 1 i3EN C1 1, as owner of the property, or my employees with wages as OZ ,� their sole compensation, will'do the work and the structure Is )ADDRESS N 'F€_I' 121 ® :3 r not Intended or offered for sale (Section 7044, Business and FINAL DATE Q 0. 1 [,,� Professions Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ��N,• 0 `=t E ' * OR A MIXTURE CONTAIN2V ING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE El 1, as Owner Of the property, am exclusively contracting W1th AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDES FINAL AY 9 c EAN:S.t licensed contractors to construct the project (Section 7044, YES❑ No❑ 7 Business and Professions Code) WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH _ y } /c,4 f_/' CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR S(€I�I€—:ki i{ }y, i GUIDELINES I hereby affirm that there Is a construction lending agency for YES❑ NO❑ _ y tt 1°!� a the performance of the work for which this permit Is Issued(Sec [HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMO PERMITTING 3097,Civ C) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, _ N - TITLE 2 CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS - Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD o Lender's Address OWNER OR AGENT . 1 O 0 1 certify that I have read this application and state under penalty 0 of perjury that the-above Information Is correct I agree to comply PC FEE PERMIT FEE with all county ordinances and State laws relating to building construction, and hereby authorize representatives of this County ISSUANCE FEE00 (� " to enter u n the above-mmenytioned property for Inspection rpos Qj w' T0 INVESTIGATION FEE' TOTAL FEE- '0 $! w e of Ami «A�nc oei SEE REVERSE FOR EXPLANATORY LANGUAGE