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Home My Public Portal About9652 1/2 LIVE OAK AVE_Building__ 76A636A OBS33 8.69 APPLICATION FOR BUILDING PERMIT 1 DIVISION OF BUMDING AND SAFETY BUILDING ADDRESS y/ E • tY¢- Oa k Deportment of County Engineer County of LOS Angeles - LOCALITY- Q. �e_ Ct K' WM.J. FOX-COUNTY ENGINEER NEAREST 1 CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. DISTR�NO. I GROUP I TYPE SEER MAP PG FOR APPLICANT TO FILL IN � CONST. BUILDINGA• //` Q' ADDRESS r�c l' ,t� _ NUMBER �� d Q HWY YES NO LOT N .,- s � '�,cBLOCK USE ZONE SPECIAL CONDITIONS TRACT 1 " 1 E' !ISO SIZE OF LOT l j .'y I NO. OF BLOGS. ) BU tLDING EXIST. NOW ON LOT ,c t,.,,A SETBACK YARD HWY STREET NAME WIDTH -USE TI .2 Y i i ctA1 t1 q;n ,.y� /�'�!Gam/ 7 t-C.C/ FRONT EXISTING B)LD�G�: P L. ZO L I VsZ OCI OWNER SIDE P. AMAIL DDRESSl[7�{ )s •(y[/SII. O TRACT DWELL. t UNIT aJ INDUSTRIAL /J- TEL. •T' /O/O 9 DWELL. f UNIT 6 PUBLIC BLDG. CITY ! L C.C� NO. 1 (!1 6 ARCHITECT OR TEL. 2 DUPLEX I UNIT 7 ADDN.,ALT., ETC. ENGINEER NO. - 3 APT. UNITS 8 MISCEL. ADDRESS 4 COMMERCIAL CONTRACTOR NO. c L .e� TEL' INSPECTION RECORD - ADDRESS �,L� A/ 5 3/ O F _ c DESCRIPTION OF WORK T 27 NEW ADD ALTER REPAIR - DEMOLISH SO FT. M� NO.OF NO.OF SIZE I q6 STORIES ' FAMILIES I USE OF ASTRRUctrURE 779 SIGNATURE OF APPLICANT APPROVALS A ADDRESS �(�/ ��/- .� , DA E INSPECT� -S SIGNATURE P.C. $ FOUNDATION FORMS, MATERIALS LOCATION FEE FRAME: FIRE STOPS, BRACING VALUATION $ Q� FEE FURNACE:LOCATION. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT, DUCTS / APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT. AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. LATH. EXT. SIGNATURE OF,t)�d /'� HOUSE NUMBER COR- PERMITTEE- RECT AND POSTED i ADDRESS ! .FINALS 24, WM.J.FOX.COUNTY ENGINEER VALIDATION C. N. DIRLAM.CHIEF BLDG.INSPECTOR 6 4 9 5 u° MAY 2 9 1 4.0 09 �. __�ti L-- J ' FIGAII38AM#0032/aG APPLICATION FOR BUILDING PERMIT 1 COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER 'ADDRESS to BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING - CROSS ST. R FOR APPLICANT TO FILL IN D,s�ICT NO. GR P TYPE BY CONST. BUILDING G STATISTICAL CLA IFICATION I ER MAP ADDRESS 4 '��N CLASS.NO. DWELL.UNITS BK P i qq y �ry LOT NO. oG 1 BLOCK MAP (/ STATE YES NO y� n �J n NUMBER HWY. TRACT / 1 A a AA,0'YJ U ,I- (,(,_�L�6 USE ZONE SPECIAL / NO.OF BLDGS. ppp / CONDITIONS SIZE OF LOT `,pf b 3 0 I NOW ON LOT { , USE OF / EXISTING SLOG..!) TELAy''' K WIDTH BUILDING YARD HWY STREET NAME EXIST.- OWNER (�V/eLliV No. Dtoq- SETBACK " P.L. D Q, ADDRESS 1&41? L1 V,0 '- 7(f- SIDE ARCHITECTOR TEL. P.L. ENGINEER No. INSPECTION RECORD ADDRESS TEL. a CONTRACTOR NO. O ADDRESS DESCRIPTION OF.WORK. " H NEW ADD ALTER REPAIR DEMOLISH W SQ.FT. NO.OF NO.OF a SIZE STORIES FAMILIES USE OF "J STRUCTURE FI SIGNATURE OF APPLICANT - - VALUATION$ jQ APPROVALS DATE INSPECTOR'S SIGNATURE FEE $ FEE $ ,3 FOUNDATION:LOCATION FORMS,MATERIALS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME:FIRE STOPS, PLICATION AND STATE THAT THE ABOVE IS CORRECT AND BRACING, BOLTS FU AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND RNACE:LOCATION, GAS VENT DUCTS STATE LAWS REGULATING BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH, INT: WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE WORKMEN'S COMPENSATION LAWS OF CALIFORNIA. LATH,EXT. SIGNATURE OF L Jam. �✓��.41// HOUSE NUMBER COR- PERMITTEE- � RECT AND POSTED ADDRESS �/ I "g FINAL - 4), - CLYDE N. DIRLAM, PRINCIPAL STIR RAL ENGINEER PLAN CHECK VALIDATION cK. M.o. CASH PERMIT VALIDATION CK. M.O. CASH P WORXERS'C0MPEN5AT,10N DECLARATION Isu reby affirm that I�havecertificate of consent to self APPLICATION FOR BUILDING P E RM I T insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFE7Y Policy No.,; 1`Compony ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDINGqg Z -- ❑ 'Certified copy is filed with the county building inspec- BUILDING ADDRESS tion department. ADDRESS 1 2 1 � )y'!( 00,4)c• NSAf- Date Applicant CITY-Ttle c l LOCALITY J CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT J CROSS ST. r (This section need not be completed if the permit is for one ASSESSOR hundred dollars.($100)or less.) TRACT BLOCK I LOT NO. MAP BOOK I PAGE PARCEL OWNER 141�8 ,,rt TNO.EL. / USE Z NE MAP ry -6753 I certify that in the performance of the work for which this NO. permit is issued, I shall not employ any person in any manner f i SPECIAL so as to become subject to the Workers'Compensation Laws. ADDRESS I$ l / C �'� CONDITIONS 8 CITYv� ZIP i V Dote Applicant (� NOTICE TO APPLICANT: If, after making t is Certificat of ARCHITECT OR TEL.N QDISTRICT GROUP TYPE FIRE PROLE ED BY � Exemption, you should become subject to the WorkersENGINEER NO.' CONST. .ZONE U Compensation provisions of the Labor Code, you must forth- ADDRESS �t�� with comply with such provisions or this permit shall be 0. deemed revoked. NO.L. TATISTICAL CLASSIFICATION APT. C fn CONTRACTOR LICENSED CONTRACTORS DECLARATION ` LIC. CLA55 NO. _DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS /4i 1 NO. (commencing with Section 7000)of Division 3 of the Business and r ' LIC SEWER MAP Professions Code, and my license is in full force and effect. CITY 1� CLASS BK. Z__ PCiJf/�)J VALIDATION [EXISTING NO. OF NO.OF CHECK License Number Li ass STORIES FAMILIES ONE '/ // VALUATION Contractor Date PTION OF WORk' / 43ed, -I ba NEW ❑ $ � ew ADD ® U(f ❑ I am exempt under Sec. J 9�fG/ — 3�G6iC�u �11C 0 p ALTER B.BP.C. for this reason REPAIR ❑ $ 277 IL 1 A Dote: DEMOL ❑ # 0 0 0 • 0.1 BLDG. Signature ANT TEL. FINAL ° 23738 OWNER-BUILDER'DECLARATION INT)�LJ -ltC�lq 11�E � NO, SS-(,753A 'I hereby affirm that I am exempt from the Contractor's License 8S/ ` 1/I S C j�L �4-A I A DATE o 0 2 3 7.3 8U Law for the following,reason (Section 7031.5, Business and tSS FIN o8,25 `8 7 Professions Code): PRESENT By BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. ❑ 1, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK F CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH 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 Lender's Name m P.C. Fee$ Permit fee 2 .�g LDMA Ref. # Lender's Address 3oill g I certify that I have read this application and state that the Issuance Fee L t/ J LDMA P/C# o above information is correct. I agree to comply with all County Investigation Fee 0 ordinances and State laws relating to building construction, Total Fee R and hereby authorize representatives of this County to enter LDMA Perm. # upon the above-me 'oneo prope ty for inspection purposes. 0 < SEE REVERSE FOR EXPLANATORY LANGUAGE Signcfiure ol Applicant or gen Dote