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HomeMy Public PortalAbout9566 LIVE OAK AVE_Building__ Poll . EPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES 1 WM. Ii J. FOX. CHIEF ENBEER DEC1, 2 mmammalmosm FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING� //I�� DISTRICT NO. PLAN CK.NO. PERMIT NO.. ADDRESS 1 A 6 I 'S r O Q �� 5 73 LOCALITY RECEIVED BY DATE OF ADPL. DATE ISSUED NEARESTZ //�1 � CR BB T. OWNER AJA ADD ES13 MAIL II LOCALITY Tm L _ ADDRESS 6.2.A 6 4 L ^tqj�%, 3 PU m NEAREST TELNO. -.CITY A � i�,4sw.a�bD�.w CROSS 9T. FIRE NO.OF - TYPE GROUP ;'��+ ARCHITECT OR TEL. ZONE PLANS �� Z L.P., ENGINEER No. � BLDG. � ORO.NO- ADDRESS SETBACK LINE TS L 41 �I L�.� APPROVED CONTRACTO 81M-j NO.re R ft jpt4<1 ©Y DATE-USE APPROVED ADDREBB ZONE BY DATE LEGAL DESCRIPTION LOT NO. BLOCK �'� O CflRMCTIONS 761, o ir Air - 0k4 GA It-ILS'. TRACT E• NO.OF BLOBS' SIZE OF LOT D NOW ON LOT. QNB USE OF NO.OF NO.OF EXISTING BLDG. /al7�A �. FAMILIES I ROOMS l s DESCRIPTION OF WORK NEW VT ALTERATION ADDITION r 11 Lj e,''') �'t�n.9�U�d /� Q FP O REPAIR MOVING DEMOLISH 9q.F . NO.Of z 31ZETZr O ROOMS BTORIE9 WALL ROOF COVERING I COVERING 4.E. GC7NN LST/Lil.:� T USE OF NEW j'10 BUILDING L P W / l .OAF ii✓ .'�1 D G® I/� 40%4 4 LI Y I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE 16 CORRECT INSPEOTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION �. AND STATE LAWS RE ULATING BUILDING CONSTRUCTION. FORME.MATERIALS 12 - FRAME: FIREBTOPE:6 SIGNATURE BRACING.BOLTS PERMITTE - , ATH, INT. /� f1 AUTHORIZED GT LATH. EXT. l 76A638A-3 2-50 $ p C 4 /7 7 �e PLASTER.INT. _--+- � FEE pLABTCR.EXT. VALUATION III�1 4 aI FINAL FEE- —� /" zJ APPLICATION FOR BUILDING PERMIT FOP,�'A'PRLICANT TO FILL IN-(Print or type only) " 1 ?4 BUIL,tING �6 G L. COUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION CITY I ZIP 71770/ O SIZE OF LOT 710 ;L Z NOWOON LOTS i ADIDRESS 6 • /v� G � TRACT .)Z"� LOCK -{� LOT NO I •'� LOCALITY •�-�,��h/`A"��L� NEAREST OWNER F'r J L W �•1i NOL ( J CROSS ST �� ASSESSOR ADDRESS �p// O v e, 0-4-1. MAP BOOK PAGE PARCEL '117 �Jn DISTRICT GROUP• TYPE FIRE PROCESSED BY CITY � ZIP 8 v __-F;06f CONST ZONE ARCHITECT TEL -•! -Of I ENGINEER NO _ STATISTICAL CLASSIFICATION SEWER MAP ADDRESS i CLASS NO ZZ // DWELL UNITS BK`L TELA CONTRACTOR NO i USE ZONE MAPS LIC NO CJ ADDRESS NO SPECIAL LIC CONDITIONS CITY CLASS ROAD•DE PARTM ENT APP RO1IIAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER y NAME AND BRANCH BLDG SETBACK FROM m FRONT PROP INEOF � (STREET) L ADDRESS CITY TAL SETBACK FROM TYPE OF EXISTING SO FT �j NO OF NO. OF CHECK HIGHWAY '� YA FRONT PROP LINE HIGHWAY WIDTH SIZE 3 { STORIES -� FAMILIES / ONE L; d DESCRIPTION OF WORK 3/y, NEW ❑ ADD BLD16 F M S P LIN (STREET) ALTER TOTA TBACK FROMI TYPE OF EXISTING OREPAI } YARD = SIDE PR LINE HIGHWAY WIDTH USE OF t = EXISTING BLDG APPLICANT d✓f r TE /a� CORNER CUTOFF YES ❑ NO ❑ (_PRINT) rG 0 BY (SIGNATURE)47' IN OPEN SPACE YES ❑ NO ❑ IN COASTAL ZONE YES NO ❑ .VALUATION�• CATEGORICAL EXEMPTION YES❑ NO ❑ (_HEREBY ACKNOWLED 11.H AVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ,�t CRRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) W I7H ALL ORDINA NC D LAWS REGULATING BUILDING CON- STRUCTION I CERTIF AT IN DOING THE WORK AUTHORIZED - IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY_ANYPERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RE TING TO �/ ,/ WORKMEN'S CO MPENSA ON INSURANCE 2, ���7 I SJ'r " rA-n Vi SIGNATURE OF ?�.' - •` T*' r14 PERMITTEE ADDRESS ^'UJ FINAL5-4 -(y/-� TEL SCS I/� •i• CITY / NO WWW + DATE�1•. J AKF_ CHECKS 1 AYABLF_ TOP •I' ;� I FEE PMT $ HARVEY T. BRANDT. COUNTY ENGINEER PLAN CHECK VALIDATION CK M O CASH PER VALIDATIO cK M o CASH 76A 638A CE#803 7/73 4 8.7 5 ®�r, APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUIIr DING - COUNTY OF LOS ANGELES ADDRESS & - rc0A15 DEPARTMENT OF COUNTY ENGINEER CITY 7Cj)nW ' ZIP BUILDING AND SAFETY DIVISION NO OF BLDGS BUILDING SIZE OF LOT'O /�yZ. NOW ON LOT ADDRESS A TRACT/?B,/%,/-V BLOCK LOT- NOtt I Z LOCALITY TEL NEAREST OWNER ,SSC NO CROSS ST ASSESSOR ADDRESS 6 c - MAP BOOK - PAGE PARCEL DISTRICT, GROUP TYPE FIRE ROC SED BY CITY �, ZIP "� - CONST ZONE ARCHITECT OR TEL --� It ENGINEER NO STATISTICAL CLASSIFICATION SEWER M P ADDRESS CLASS NO _DWELL UNITS �• B/-LG CONTRACTOR ,v� _ NEOL ONE MAP M' 1•-� t,,� NO "2 60 ADDRESS� C, 0V NO�ta"cr/� Z SPECIAL - ��y f LIC CONDITIONS CLA SS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER } NAME AND BRANCH LDG SETBACK FROM C ONT PROP LINE OF (STREET) G: ADDRESS • CITY _ TOTAL SETBACK FROM TYPE OF EXISTING OC SQ FT NO OF _ NO OF _ CHECK HIGHW } YARD — FRONT PROP LINE HIGHWAY WIDTH F SIZE —TO STORIES / FAMILIES J ONE L; LL a DESCRIPTION OF WORK NEW Z A r E] BLDG.SETBACK FROM (STREET) 4 �}��` . SIDE PROP LINE OF ALTER ❑ HIGHWAY + YARD TOTAL SETBACK FROM TY OF EXISTING = - REPAIR❑ SIDE PROP LINE HIG AY WIDTH USE OF } _ EXISTING BLDG c$. DEMOL ❑ APPLICANTt /+/ NOIy�2 3 CORNER CUTOFF YES_ ❑ NO ❑ (PRINT) �oO PI• • , - BY (SIGNATURE) / - �J IN OPEN SPACE YES ❑ NO ❑ 7 IN COASTAL ZONE YES ❑ NO ❑ VALUATION - CATEGORICAL EXEMPTION YES NO 60 ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO-COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PRO CISSED (DATE) r HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S CO MPE NS NS/U�CR.�A/N�E ° „t ��- •�• '•? �a•h �" SIGNP TUBE OF y.��Y �j � a~7 X�..i-.' ,y .s�•g>.4 -c - PERMITTEE - ADDRESS h- F I A L CITY��„ V '� NOL /�3A1J DATE PMT Q• MAKF CIIE_CKS-PAYABLE TO FEE p FEE •V [HARVEY T. BRANOT, COUNTY ENGINEER '] 'PLAN CHECK VALIDATION ' CK M O CASH _ PERMIT VALIDATION CK M O CASH 0 2,t`ZJuL 1 1 0 ! ; 4 8.7 5,.98 76A638A CE#803 7/73 BD P IcATI N F BA838A CE# 3 8 63 AP OR BUILDING PERMIT L O I U L COUNTY OF LOS ANGELES BUILDING A DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST �/ WILLIAM A JENSEN, SUPT OF BUILDING CROSS ST DT ICT NQ/ GR P TYPE P E ED Y FOR APPLICANT TO FILL IN o CONST BUILDING Q.S STATISTICAL CLAS IFICATION SEWER MAP ADDRESS / (p QA/e � � Y CLASS NO DWELL UNITS BK LOT NO W, D �Al. r WATER ["� _ CERTIFICATE NOT REQUIRED II XI RECEIVED TRACT 1 JP �? _ NO OF BLDGS ss�� NO ,�, a (,CGRC LE7 STATE MAJOR SECON , LOCA SIZE OF LOT7,/) ��f..• NOW ON LOT Oar USE ZONE SPECIAL USE OF �1 CONDITIONS EXISTING BLDG fq/ 4ev 4 ` /� TEL OWNER `p NO .- BUILDING EXIST SETBACK YARD HWY STREET NAME WIDTH ADDRESSS -�^'? LVD• FRONT ARCHITECT OR TEL P L (�V ENGINEER NO -j 7 D SIDE P L ADDRESS / A4,o,l/� .jI P- d CONTRACTOR +,? i�� NO (,� -yI4 _ O U ADDRESS O DESCRIPTION OF WORK W d NEW A D ALTER REPAIR DEMOLISH Vf SO FT NO OFA NO OF SIZE STORIES' FAMILIES J USE OF STRUCTURE SIGNATURE OF APPLICANT ' VALUATION $ d v ' APPROVALS DATE INSPECTOR'S SIGNATURE PMT FOUNDATION LOCATION $ FEE FORMS MATERIALS ol FRAME FIRE STOPS L ,J I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS t/I� AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION ^ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS J \ BUILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK 1 AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH INT TION OF THE LABOR CODE OF THE STATE OF CALIF/per /IA� RELAT- ING TO WORKMEN S COMP NSATION INSURANCE J //•�_—/ LATH EXT �� \ SIGNATURE OF `/ HOUSE NUMBER COR- t `4 PERMITTEE GL RECT AND POSTED ADDRESS-q,(-7) O [I_QAA.A-LAA__ FINAL' JOH PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION rRCKTUR . ER o ENGINEER '9 3 8 7 ZZ MAY 2 7 1 D 8.0 0'" �