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HomeMy Public PortalAbout9658 LIVE OAK AVE_Building__ :t: �,: FI a .,r r-•,�n Tom'\ Frc� .j •�h ;^7 f7 7' .t s.•... 1 v, .�1'y' ' \ �(j.��}II'�'�/III'�'�/.III( IIII Q/�, �'Ip�''� e0.V' II�� II. ��{U '1I(I 1III. - {'�Vr Q/.�p �II'�'�. '��/�III IIII ]6A698A CE�ecT' ,0.66 (gyp p U CA tl I®■ V Y OR 1LJ'V,./Y 11 O I 4!/. Y �'RM IT � COUNTY OF LOS ANGELES B' ILDING DEPARTMENT OF COUNTY ENGINEER AI"REss % L BUILDING AND SAFETY DIVISION LOCALITY .� JOHN A.LAMBIE.COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING mCROSS ST. DISTRICT NO. G� I •TYPE ROCESSED Y FOR APPLICANT TO FILL IN CONST. BUILDING ADDRESS rchi STATISTICAL SSIFICATION SEWERJ. A �f CLASS.NO. DWELL. UNITS IK.L'© s0— W LOT NO.E- ! , l f 332 �e MAP ZTA BLOCK IL ' TRAC Ji� /' '. -i1 NUMBER d - HWYE YES NO Y�ZONE SPECIAL. - SIZE OF LOT It gZ I NOW ON LOTS 1 CONDITIONS USE OF ° ,� EXISTING BLDG. L.CN BUILDING EXIST. YARD• HWY STREET NAME ' OWNER -te.(/j-y�J SETBACK - .WIDTH'.- FRONT MAIL R.L. ADDRESS [ 'TELJ� // ff 'SIDE CITY NO. ,kT IOL P.L. r _ _ INSPECTION RECORD. ARCHITECT OFt TEL: _ ENGINEER NO. -- - ADDRESS - TEL. CONTRACTOR NO. ADDRESS - �.J :S 7 ^/�D G���f.✓Vli+ ., - DESCRIPTION OF WORK ,/P17- A7- Cnrz NEW DD ALTER REPAIR DEMOLISH SQ. FT. NO.OF , NO.OF SIZE S ORIES FAMILIES - USE OF STRUCTURE A ,•' 4 [ SIGNATURE OF APPROVALS APPLICANT - DATE, I .INSPECTOR'S SIGNATURE ADDRESS' FOUNDATION: LOCATION / /� ` $ FORMS,MATERIALS �J7., '/'• /B( 1.. - /$�� P.C. S FRAME: FIRE STOPS. V FEE BRACING. BOLTS '�5 VALUATION $ -•� FURNACE: LOCATION. FEE GAS VENT, DUCTS - Q - I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP. B , LATHINT. /•� T! Qtsa PLICATION AND STATE THAT THE ABOVE IS CORRECT AND .. F q AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULV..IN BUILDING ONSTRUCTIO LATH, EXT. 1 J SIGNATURE OFA d 9/WW. W/1�. HOUSE NUMBER COR- -- PERMITTEE ./G-C/.[x� ..C•G1 RECT AND POSTED [•� '���'j(��'J� _ ADDRESS FINAL I�� D-V-/ �(; ������ :fl •., CLYDE N. DIRLAM, PRINCIPALSTR RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION fck.i M.o. CASH at �981 3 0 `^. JUS21 1 A - :5'.0 0- DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES (� WM. J. FOX. CHIEF ENGINEER L�, P _ FOR APPLICANT TO FILL IN FOR OFFICE'USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING n y ADDRESS OC oC LOCALITY RECEIVED BY i DATE OF APPL. DATE ISSUED NEAREST CROSS ST. BUILDING OWNER ADDRESS MAIL LOCALITY +G r» I-ADDRESB''T2 C / NO. BT �j/f ,/L TEL. R088 —_ a � ITY CROSSST. NO. ARCHITECT OR TEL. ZONE'./, PLANS�— TYPEFIRE No. GROUP ENGINEER NO. BLDG. �.��s' ORO.NO. ADDRESS N, BET13ACK•LIKE W TEL. APPROVED ' CONTRACTOR NO, BY DATE USE APPROVED ' ADDREB ZONEA BY DATE LEGAL 2 CORRECTIONS DESCR/IIP"TION LOT NO. BLOCK TRACT lre w � NO.OF ,:SIZE OF-LOT 0 c7 .� I NOW ON L TBS USE OF: f�IIQ��p N134OF � NO.OFMS EXISTINGC, CXa t.c. FAMILIES / ROO .7 DESCRIPTION OF WORK NEW ,f:LTERATION ADDITION O • 70 REPAIR MOVING L DEMOLISH Sq.FT. NO.OF Z SIZE ROOMS STORIES D r WALL ROOF COVERING I COVERING USE OF NEBUILDINGW I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS - APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION - INSPECTOR i DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE OF BRACING.BOLTS PERMITTEE LATH, INT. AUTHORIZED AGT LATH, EXT. 76A638A-3 7-49 $ P.C. - PLASTER.INT. _FEE _ PLASTER.EXT. , VALUATION n FEE FINAL TEMP Mt. qp. Qy�{/® ,764638A CE•f803 2-63 AO VATiRBU I LD I NU, PERMIT a COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND-SAFETY DIVISION LOCALITY JOHN A.-LAMBI E. COUNTY ENGINEER NEAREST WILLIAM-A. JENSEN, SUP•T.OF BUILDING CROSS ST. �1V .� _ Z DISTRICT NO •G TYPE. CE D B FOR,APPLICANT TO FILL IN �� o ;- -� CONST. 'BUILDING - STATISTICAL CLASS ICATION- SEWER MAP ADDRESS CLASS. NO. •DWELL..UNITS Ei� !7 LOT NO. - BLOCK - WATER NOT REQUIRED RECEIVED lV L��� � CERTIFICATE: TRACTIl I S. ..0 Q� VwnV MAP /� - HCG cWA .. NO. OF BLDGS. NO. [/ STATE MAJOR SECOND, LOCAL SIZE OF LOT/,06 O NOW ON LOT USE ZONE SPECIAL USE OF • CONDITIONS EXISTING BLDG TEL. T OWNER - NO. - BU LDING - EXIST.' •� L SFRONTK YARD HWY STREET-NAME WITH ADDRESS ARCHITECT OR TEL. . P. L. o O ENGINEER - NO. SIDE , ADDRESS, O TEL. V CONTRACTOR NO. . ce ADDRESS -O DESCRIPTION OF WORK- a. NEW ADD ALTER •REPAIR DEMOLISH _ Z SQ. FT. NO. OF NO. OF i --- SIZE f _ STORIES FAMILIES USE OF - '- �' STRUCTURE4�C SIGNATURE OF z APPLICANT VALUATION S _ APPROVALS- AT INSPECTOR' SIGNAT RE 'P.C.' PMT. FOUNDATION: LOCATION FEE $ - FEE 5 % Bom FORMS, MATERIALS FRAME: FIRE,S [,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 BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- TION OF THE.LABOR CODC OF THE STATE OF CALIFORNIA RE LAT LATH. INT, I NG'.TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT:.• . /9.Nn SIGNATURE OF J / HOUSE NUMBER COR- PERMITTEE /G RECT AND POSTED vj ADDRESS- Vtel J/ - - - ` FINAL JOHN F. LEWIS. PRINCIPAL STIR URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION DK. M.O. CASH 1,iso 5. 9. 2 3` FEB 5 1 p DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT ; 1 COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN -FOR OFFICE USE ONLY w DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING ADDRESS - - - LOCALITY RECEIVED BY /ADDAAITE OF APPL. DATEISSUED NEAREST �.q� �• �j �y P "1 7 T rI'�/�f'7 CROSS STBUILDING .6d.L/IaLIJ� 4 dt*Gp_,i �,,• , r OWNER /� � Y•, ADDRESS MAILQ -t� L(.� w LOCALITY ADDRESS fR CJ q( y NEAREST n\Y! TEL. CROSS ST. CITY NO. FIRE NO.OF-14- 1TYPE /�I GROUP ARCHITECT OR TEL. ZONE PLANS V ENGINEER NO. BLDG. J P• ORD.NO. ADDRESS SETBACK LINE APPROVED TEL. BY DATE CONTRACTOR _� NO. USE APPROVED n ADDRESS - ZONE ell BY DATE LEGAL CORRECTIONS I_ DESCRIPT'IOON��y LLyvOf�T NO.�i BLOCK !! TRACT NO.OF SLOGS. ?j SIZE OF LOT1 I NOW ON LOT USE OFEXISTING BLDG. V , I FADM•ILIES /I ROOMOF S DESCRIPTION OF WORK NEW ALTERATION ADDITION j. A REPAIR MOVING DEMOLISH a SQ.FT. NO.OF .,Z '4 SIZE .•ROOMS STORIES D WALL" ROOF P COVERING I COVERING UBE OF NEW BUILDING oe I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS' ' APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT, `'• FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES'. FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION.; e FRAME: FIRE STOPS, SIGNATURE OF BRACING,BOLTS OWNER .v J ��`` LATH,INT.: �P+y"_ ! AUTHORIZED AOTLp r LATH,EXT.: $ P.C.$ PLASTER. INT. ,�`�\� s FEE PLASTER,EXT. ' /a. VALUATION v FEE FINAL �.o�s�,�. 4!z 3,1 --f� e 78A638A CE#803_.=S7. APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICT NO. _ TYPE EWER MAP GRO FOR APPLICANT TO FILL IN I coNsr: SS B� pJ� BUILDING STATISTICAL -I AD RE 9'�w 1./ BLOCK CLASS. NO. DWELL.UNITS LOT NO. MApSTATE. NUMBER BOO C> HWY. YES. TRACT USE ZONE SPECIAL /. NO.OF BLDGS. CONDITIONS SIZE OF LOT ` - - I NOW ON LOT USE OF EXISTING BLDG. BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH " OWNER FRONT �1 �Q ' ..� - /MAIL P.L: ADDRESS SIDE CITY e NO P L ARCHITECT OR TEL. INSPECTION RECORD ENGINEER - NO. ADDRESS - TEL. I CONTRACTOR - NO.ADDRESSDESCRIPTION OF WORK NEW ,ADD ALTER' REPAI DEMOSQ.FT. NO. NO.OFSIZE STORIESFAMILIUSEOFSTRUCTURESIGNATUREOF APPROVALS APPLICANDATE INSPECTOR'S SIGNATUREADDRESS - UNDATION: LOCATIONORMS,MATERIALS AME: FIRE STOPS,FEE " RACING. BOLTS VALUATION ?' $ j ip� FURNACE: LOCATION. FEE FFA...�� GAS VENT,DUCTS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- - LATH, INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING BUILDING ONSTRUCTION. LATH,EXT. SIGNATURE OFHOUSE NUMBER COR- PERMITTEERECT AND POSTED ADDRESS FINAL JOHN A. LAMBIE,COUNTY ENGINEER. CLYDE N. DIRLAM, PRINCIPAL STRU TURAL ENGINEER' PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. M.O. .CASH_ k_.:. -4_ALo5.=4 0' flCT .._ 1 A 4.0 0 �P: 7.FA838A CE#803 a 84 APPLICATION FOR BUILDING PERMIT � - COUNTY .OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION L O C A L 1 r v JOHN A. LAMBIE:COUNTY ENGINEER NEAREST / COLEMAN W. JENKINS,SUP-T.OF BUILDING CROSS ST. L /� ! DISTRICT NO. ROUP TYPE ' P' O ESSED,BY FOR APPLICANT TO-FILL IN -! CONST ( I BUILDING ///]��,,//��CwSTATISTICAL CLASS]FICATION S WER MAP 'ADDRESS 65 U � v.� k CLASS NO.�D ELL UNITS BK ""PG .`�' LOT NO.17YC), D, BLOCKUSE ZONE MAP NO. TRACT IV6�t7�I'QM SPECIAL +� NO. OF BLDGS,. %7 _ CONDITIONS SIZE OF LOT d �. NOW ON LOT USE_LS OF T INGBLDG. SETBACK FROM - EL. I FRONT PROP. LINE OF, ' .(STREET) OWNER O. TYPE OF EXISTING -SETBACK HIGHWAY YARD-- _ TOTAL ADDRESS Y� HIGHWAY WIDTH 'FROM C.L. CITY BLDG, SETBACK FROM - ARCHITECT OR - /' TEL ENGINEER - SIDE PROP. LINE OP .(STREET) / "� N TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL'. �. ADDRESS HIGHWAY WIDTH FROM C.L. d TEL. - ..+ _ 'O CONTRACTOR NO - LIC ADDRESS NC.' CORNER CUTOFF YES NO O H c] CL 'SEE REVERSE SIDE FOR SPECIAL APPROVALS w "DESCRIPTION OF WORK 0- NEW NEW ADD ALTER REPAIR- DEMOLISH SQ,FT. ' NO. OF " NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE ' � 4 SIGNATURE OF APPLICANT VALUATION$ APPROVALS DATE INSPECTOR'SSIGNATURE P.C. PMT. '!�^ FOFORMS,I_MON ATERIALSLOCATI ON FEE$ FEE$ - 'FRAME, FIRE STOPS, - ' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY .FURNACE: LOCATION WITH .ALL COUNTY. ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS ' BUILDING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK 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 OF HOUSE NUMBER COR- PERMITTEE " I R.ECT AND POSTED l 1Il. .:ADDRESS qla X,^ -Fl NAL JOHN F. LEWIS. PRi CIPAL STR TURAL ENGINEER .PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION: M.O. CASH ': 0 o a 7 a APR 2 8 1 A \�.4�...0 0- Ll C� L -LE CIT i6A63r8A:CE 4803263�'�Y•.'P��.Vr9TtlO1 V FOR BUILDING ➢ •�Y \�VYIY COUNTY OF LOS-ANGELES � .v '`BUILDING DEPARTMENT.OF COUNTY ENGINEER ADDRESS 6 •'S %' 1 � , BUILDING.AND .SAFETY'DIVISION LOCALITY JOHN A„LAMB IE.`COUNTYAtNGI'NEER 's NEAREST"'.. WILLIAM A.J'EN SEN. SUPT OF BUILDING- CROSS ST.- r'; '.DIST R�ICT"N " GROUP .TYPE. +' ROCESSED BY.'• 1 ' FORAPPLICANT'TO TILL: IN 0 coNsr. N r BUILDING -\ FI TION` `' SEWERWAP STA ISTICALCLAS CA ADDRESSBK P - CLASS NO. DWELL. UNITS , LOT NO. % •.7�j LOCK WATER " i • - C ERT IF ICATE ..NeOT�.REQUIRED. RECEIVED _T.RA•CT , NOP V® t/-,.. . HIGHWAY ;.' .❑”. ' NO OF.BLOGS_. •(CIRCLE) STATE MAJOR SECOND OCP: "SIZE OF LOT a - NOW ON LOT..' - - USE ZONE "SPECIP.L�. "USE AF, CONDITIONS 'EXISTING EXISTING BLDG., qd4ttcs ' r '- TEL 'OWNER NO.�': Q� BLIPDING '" - . EX'ST `� SETBACK YARD. HWY STREET NAME WIDT,H ADDRESS_., (y.�Q ;I;'. ., ;,:.FRONT ARCHITECT OR TEL. P:,L. - ENGINEER - NO. - SIDE P. L.. ADDRESS •? �, ` - TEL. • s. CONTRACTOR IVO. • _ •- O ':.ADDRESS. O DESCRIPTION'OF WORK W IL NEW..' ADD ALTER REPAIR DEMOL'IS - -SQ. F.T. NO. OF NO..OF• SIZE ` STORIES ;',. FAM.ILIES,,, ' " " ' - • , USE OF .. - •STRUCTURE '} - - - '.SIGNATURE OF - APPLICANT - - -VALUATION$: _ APPROVALS•' DATE,' INSPECTOR'S SIGNATURE PMT. P.C. FOUNDATION: LOCATION. - .::. - FEE - FEE,$ FORMS, MATERIALS =+ .FRAME: FIRE STOPS.'.r;• "t I.HEREBY ACKNOWLEDGE THAT.l HAVE•READ THIS,APPLICATION' ' BRACING. BOLTS' ' ANDSTATE THE-'ABOVE IS C CORRET SAND AGREE TO COMPLY. FURNACE: LOCATION:" WITH ALL COUNTY ORDINANCES :AND STATE LAWS REGULATING' GAS VENT. DUCTS BUILDING CONSTRUCTION. I ;CERTIFY, THAT IN DOING THE WORK• , AUTHORIZED HEREBY I WILL'NOT`FMPLOY ANY PERSON IN.VIOLA (LATH. INT. _ -TION-OF-THE,LABOR,CODE-OF'THE STATE OF CALIFORNIA RELAT.." 'I NG'TO WORKMEN'S COMPENSATION INSURANCE.'. L,AT,H.,,E-XT. - SIGNATURE OF.;. •HOUSE NUMBERCOR " - - PERMITTEE. V3 AND POSTED 4- ADDRESSIFINAL - , JOHN F.,LEWIS. PRINCIPAL STRUCTURAL,ENG ER• PLAN CHECK VALIDATION 1':K,•,l: M.O. CASH PERMIT VALIDATION CK. M.O. CASH WORKERS'COMPENSATION DECLARATLrSN insure, oraafcertif certificate of Worke s'Compensations Insurance, A P IP�'�C[y U 8 0 H POa certificate of conent to self M O U 0 d D N G p E G3M U or 6 certified copy thereof (Sec. 3800, Lab. C:) COUNTY OF LOS ANGELES BUILDING AND AFETY P❑olicyNo.�w 70�aZ Company .(T/�-�'./�/� Certified copy is hereby furnished. FOR APPLICANT TO ,FILL,IN . BUILDING lJ U Url� Certified copy is,filed with the county building inspec- BUILDING tion department. ADDRESS �.� (/ LOCALITY. e NEAREST r Date ! r F2r Applicant c�i� CITY ZIP CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. ASSESSOR ! COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for-one USE ZONE MAP hundred dollars ($100)or less.) TRACT BLOCK LOT NO. NO. TEL. SPECIAL } I'certify that in the performance of the work.for which this OWNER NO CONDITIONS d permit is issued, I shall not.employ any person in any manner DISTRICT GROUP TYPE FIRE PROC SED BY O /ter CONST. ZO E U so as to become subject to the Workers'Compensation Laws. ADDRESS' p Gr �(/' _-� t�, - CITY -�. l � ZIP ( !/d y✓� O Date Applicant STATISTICAL CLASSIFICATION APT. lcobo. V NOTICE TO APPLICANT: If, after making this Certificate•of ARCHITECT R TEL. LLI 'Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO. DWELL. UNITS Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this permit shall.'be TEL. deemed revoked. CONTRACTOR C! !� NO. Q BK.' PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC. J I hereby affirm that I am licensed under provisions of Chapter 9. ADDRESS 1 f NO. %Q�C,-Fk1 VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code;and my license is in full force and effect. CITY Q CLASS $ SQ. FT:. NO. OF NO:OF CHECK License'Number���f%�� Lic.Class rJSIZE STORIES FAMILIES ONE DESCRIPTION OF WORK NEW $ Contractor Date ADD I am exempt under Sec. — I ALTER Q FINAL B.BP.C. for this reason REPAIR DATE ' Date: USE OF FINAL EXISTING BLDG. DEMOL Bdo , V Signature APPLICANT TEL. Y x;3.0 Q'8 A OWNER-BUILDER DECLARATION PRINT NO. 5?d` # o o'o•o,o I hereby affirm that I am exempt from the Contractor's License Law for the following reason.(Section 7031.5, Business and _ ADDRESS D I a'a 7 a O 0 Professions Code): PRESENT 7 S O O BUILDING o a 0 I, as owner of the property,,or 'my employees with ADDRESS wages as their sole compensation,will do the work and o the structure isa not intended or offered for sale(Section LOCALITY Q 2 6-8 5 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 FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWV PROP. LINE WIDTH I heieby affirm tharthere is a construction lending.cigency-for FRONT D the perforniance.of the work for which this permit is issued P.L: (Sec. 3097, Civ. C.). SIDE m P:L. . o Lender's Nome Lender's Address P.C. Fee'$ Permit Fee /rvwy I certify that I have read this application and state that•the Issuance Fee J-0 above information is correct. I agree to.comply with all County Investigation Fee $ ordinances and State laws relating to building construction, Total Fee (J u and hereby authorize representatives of this County to enter . upon th 9bov -mention property for inspection purposes. ' SEE REVERSE FOR EXPLANATORY LANGUAGE ®t Signa a of Applicant or Agent Date .I 4 APPUCAMON FOR B UALUNG P RMT COUNTY.OF LOS ANGELESBUILDING AND SAFETY F FOR APPLICANT TO FILL IN EPJILDIN A,,%RESS WORKER'S COMPENSATION DECLARATION ••� I.hereby'affirm that I have a certificate.of consent to self insure, BUILDING ADDRESS or a certificate of Workers' Compensation Insurance,or a,certified copy thereof(Sec.3800,Lab.C.) CITY , ZIP al i•7 T?) - LOCALITY Policy No. Company SIZE OF LOT NO.OF BLDGS.NOW ON LOT , ❑ Certified copy is hereby furnished. NEAREST CROSS ST. ❑+Certified copy is filed with the county building inspection TRACT BLOCK LOT NO., i department. - - USE ZONE MAP NO. ASSES R_t�QAI;.BO K PAGE '> PARCEL Date' Applicant LJ�lr'J, /V~ SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL No. COMPENSATION INSURANCE E F f✓T WITHIN'1000 FT.OF SCHOOL? YES NO (This section need not.be completed if the permit is for one hundred ADDRE -� �DISTRICT 'GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars ($100)or less.) CITY- - ZIP , I certify that in the performance of the work for which this permit . -3 3 is issued,.l shall not employ any.person in any manner so as to ARCHITECT OR ENGINEER TEL NO. YZ become subject-to-the Workers'Com ens tion'Laws. _ STATISTICAL CLASSIFICATION APT C DO //"Date ;pplicant' ADDRESS CLASS NO. 21 DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST -, Exemption, you should .become subject to the Workers' CONTR CTO�R�al /� FRONT TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor.Code, you must forthwith Ill/ : P" comply with such provisions or this permit shall be deemed revoked.' ADDRESS LIC.NO. P L LICENSED CONTRACTORS DECLARATION SIDE . .. CITY - LIC.CLASS P L _ I hereby affirm that l am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and, SQ.FT.SIZE NO OF STORIES NO.OF FAMILIES - I, Professions Code,and,my license-is In full force and effect. NEW BK 1" ' ❑ PG - DESC TIO F WORK VALUATION 2 License Number Lic.Class ADD O Contractor Date' ALTER ❑ $ � ACCT.V, U ❑ I am exempt-under;Sec. AW-56= REPAIR ❑ $ > 3303 60u'50 0 B.&P.C.for this reason - r DEMOL ❑ 1 ITEMS KiuU • LDMA P/C# III ,..a - TOTAL ��m. �d Date: USE OF E STING B G. URM El - o V) Signature - APPLICANT PRINT)_ TEL NO. LDMA Perm# +� 1 so rFQ Z_ El 1, as owner of the property, or my employees with wages as $ Z '+`• � their sole compensation, will do the work and the structure is ADDR S e not intended,or offered for.sale.(Sectlon 7044, Business and ' FINAL DATE Q Professions Code.) WILL THE APPLICANT OR FUTURE.BUILDING OCCUPANT HANDLE A HAZARDOUS;MATERIAL •/�, �G7t/ OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE - _ • J ❑ I, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY ���� a licensed contractors to construct the project (Section 7044, ,• + ; !' YES o NO❑ 1 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 .M CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. ..� AG{•T a•IP .- . I hereby affirm.that there is a construction lending agency for. YES No❑ a the performance of the work.for which this permit is_issued(Sec. i t 3350('�' 282 72 (HAVE READ THEHAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING' +7:SU>? - S}yola. 3097, CIV, C.) - CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, j (r(�+ 7 TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS ' { 1 ITEMS - Lender's Name _ MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD.. - - A 2 -n p Lender's Address � OWNER OR AGENT TOTAL �+Cv2 ® ems` �, 0 o I certify.that l have read this application and state under penalty CHECK :282.72 0 of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE' _ with all county ordinances and State laws relating to building ��. �� ��� CHANGE .00 constructio , and hereby authorize representatives,of this County ISSUANCE FEE —7 to e thq e above-a entioned property for ins ect�io]n��purposes. a �1�Alf�lil n ��/' _ INVESTIGATION FEE TOTAL FEE �� . f1Af�f1.,,(100 10/20/95 /.. s&awre pT Apphp t or Axn+ LLL Daae VVL�1 VI 4! 7 SEE REVERSE FOR EXPLANATORY LANGUAGE 2919 1 AM 9=1° APPUCAMON FOR BULMHOPEIRM7 • COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS BUILDING ADD ESS I hereby affirm that I have a certificate of consent to self insure, 5 ► �`�� �� C or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800.Lab:CJ CITY��y k Gi a ZIP f el) LOCALITY• �� L Policy No. Company SIZE TOFF LCTT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. USE/Z�ONE MAA too/ P NO. p Date Applicant ASSESSOR MAP BOOK PAGE PARCEL / I NS KSPECIAL CONDITIONS ' OWNER � �.• TEL.NO. CERTIFICATE OF EXEMPTION FROM WORKERS' �� �} V�/ WITHIN 1000 FT.OF SCHOOL? YES No COMPENSATION INSURANCE ADDRESS (This section need not be completed if the permit is for one hundred DISTRICT GROUP TYPE CONST. FIRE ZONE OCES E BY dollars($ or less.) CITY ZIP O� n I certify that in the performance of the work for which this permit r J Is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL.NO. 3 become S N t O the Workers'CQmpensation L/qWS. STATISTICAL CLASSIFICATION APT CONDO Date��_Applicant _ ��� �S/{pUOI� ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST . Exemption, you ShOUId become subject t0 the Workers' CONTTOR TE k'NOSET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith - A ; 2— FRONT comply with such provisions or this permit Shall be deemed revoked. ADDRESLIC. O. Jffyy,� t P L LICENSED CONTRACTORS DECLARATION Cm "` 6 LIC.CLAS SIDE ti- C I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP v S FTAI NO.OF STORES NO. FAMILIES 3 (commencing with Section 7000)of Division 3 of the Business and NEW ❑ BK PG ACCT. Professions Code,and license's in full force and effect. D _ O D E RIPTION OF ORK ''' lV L ADD VALU TIO i= f 34 f°It�•w License Numb Lia Class $ �✓ r.! a Contractor�� Date ALTER !� (© � =' z REPAIR ❑ 4 TOTAL34-5- 40 ❑ I am exempt under Sec. B.&P.C.for this reason LDEMOL ❑ CHECK3".40 USE OF EXISTING BL G. LDMA P/C# __ Date: _ ❑ CHANGE ,t It 1 Signature A S APPLICANT PRINT TEL.No. `—cam/m -f%., ( LDMA Perm# ' ❑ I, as owner of the property, or my employees with wages as ADDRESS O ILI ��— �s1 5/ 7/90 their sole compensation,will do the work and the structure is not intended or offered for sale (Section 7044, Business and FINAL DATJF �/ [Ic? i All PfOfBSSIOriS Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUSMATERIAL -f G ❑ 1, as owner of theproperty, am exclusives contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN Y g THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINM BY licensed contractors to construct the project.(Section 7044, YES❑ NO❑ Business and Professions Code.) - WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. I hereby affirm that there is a construction lending agency for YES ElNO Elthe performance Of the Work for WI11Ch this permit IS ISSUed(SBC. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD r'"} •-••, -••-I K:'•t ' 3097,CIV.C.J. PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES THROUGH 2.20.140 CONCERNING a$ Lender's Name rci RDousoE.MATIER ALS REPORTING AND FOR OBT2,CHAPTE2.20 SECTIONS AINN G A PERMIT FROM THE SCAQMD. ry }i T Lender's Address ,-; C'I yp= to 1 certify that I have read this application and state that the above ���� r__I t information is correct. I agree to comply with all county P.C.FEE PERMIT FEE ordinances and State laws relating to building construction,and ✓J• qt/ Q. hereby authorize repres ntatives of this County to enter upon ISSUANCE FEE 6 the ab e-mentioned r perty for inspection pur 's. 31 _5- C:, t 1 ro INVESTIGATION FEE TOTAL FEE 17-1:1 4- 71-7 y ekamu-m AW&M par° oma SEE REVERSE FOR EXPLANATORY LANGUAGE, ' `0 ' to SEE "I ''�I �'r�` t..; WORKERS' COMPENSATION DECLARATION M ' insureboraafcertif certificate of Worke sr.Compensat on eInsuran nt to elf FOR BUILDING p C G°3G�iv or a certified copy thereof (Sec. 3800,'Lab. C.) COUNTY OF LOS-ANGELES BUILDING AND SAFETY 'Policy NO. ' Company ❑ Certified copy is hereby.furnished. FOR APPLICANT TO FILL IN BUILDINGADDRESS ❑ : Certified copy is filed with`the county building inspec- BUILDING _ Li t/ tion department. ADDRESS: Date Applicant CITY' S j ZIP / Ev LOCALITY N . OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT OW ON LOT CROSS ST.' COMPENSATION INSURANCE ASSESSOR / p� G (This section need'not be completed if,the permit is for one TRACT! BLOCK LOT NO. MAP BOOiS/ PAGE Q PARCEL L/ �• ' h"undyed dollars ($100)or less.)'. TEL. OWNER e _ A0V NO. 2 USE ZONE O. I`certify that in the performance of the work for which this /. SPECIAL•. U permit is issued; Ishall-noT employ any person in any manner ADDRESS — CONDITIONS so as to becom ubjectto the Workers'Compensation Laws. CITY .. , :.ZIP U -Date v A�p.licant"w �r��/L: A ARCHITECT OR TEL. DISTRICT, GROUP TYPE FIRE PROCESSED BY 0 NOTICE TO AP (CANT:. If, after.making this.Certificate,of ENGINEER NO. CONST. ZONE o Exemption, you should become subject to the Workers' U Compensation provisions of the Labor-Code, you must.forth- ADDRESS �� j�-�j• 3 "�L�r�ts� LU with comply with such.provisions .'or this permit shall be TEL. STATISTICAL CLASSIFICATIONAPT. CONDO. N deemed.revoked., CONTRACTOR NO. /J Z LICENSED CONTRACTORS DECLARATION LIC. I CLASS N0.__1 DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP (commencing with Secfion,7000)of Division 3.of the:Business - LIC. and Professions Code,and mylicense is in full force and effect. CITY. CLASS BK PG VALIDATION, 'SQ. FT. 'NO. OF NO. OF CHECK License Number Lic.'Class SIZE �� STORIES FAMILIES ONE 11 IRI-14-11f) G���/ NEW VALUATION Contractor Date DESCRIPTION OF ORK ❑ JZ ADD ❑I am exempt under Sec ' �. a ALTER ❑ B'.&P.C. for this reasonREPAIR ❑ $ Date: USE OF EXISTING BLDG. DEMOL'❑ Signature APPLICANT TEL. FINA OWNER-BUILDER DECLARATION (PRINT). NO. DAT I hereby affirm that I am exempt from the Contractor's License Law for the fol lowing'reason (Section 7031.5,,Business and ADDRESS FINAL Prqfessions Code): PRESENT By . I, as owner of The ro ert or m em to ees with BUILDING ,_,. P P Y Y'. P Y ADDRESS a 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. D _ - CONTRACTOR❑ NO.- " i-I, as owner of the property, am'exclusively contracting - F a!Z with'licensed contractors to construct the project(Sec- -- tion 7044; Business and Professions Code.) ADDRESS j,4 j y; 93,=-6a REQUIRED . TOTAL SETBACK FROM EXIST. €J�t.L CONSTRUCTION LENDING AGENCY YARD" HWY - = 'SET BACK ' PROP. LINE WIDTH. _ v u�� 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.' - L_) Hi'3� a (Sec. 3097, Civ. C.). SIDE Lender's Name £� �4 AW n 0.. / LDMA Ref:# 1}_E_il_ ULIL`i t l�A-,iNi _ P.C. Fee$ - Permit Fee 910i liG.J . . Lender's Address b� 7 't_) t-ft�t f f+�_1 l 0 1 certify that I have read this application and state that the " ' Issuance Fee' LDMA P/C# D 0 8 above information is correct..l agree to comply with all County Investigation Fee R ordinances and Stcite.las relating to building construction, Total Fee �3 wLDMA Perm. # a I and hereby authorize representatives of thi's County to enter upon the above mentioned property'for inspection urposes . a SEE REVERSE FOR EXPLANATORY LANGUAGE C� � Signature of Applicant or Agent - . .. COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0803100013 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST I BUILDING ADDRESS: 1 1BK: 36 PG: 15 PC: 1 I SQ. FT STORIES TYPE I 9658 LIVE OAK AV 1 (STRUCTURE: 2000 V-B TEMP CA 917802522 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: TEMPLE CITY 1.8588-008-018 1 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl (TENANT: 1EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: EXPIRES ON: I 1EXIST OCC GRP: 103/10/08 SR 09/06/08 1 10WNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE: (HUNG, YU (626) 475-1530- 1 4,200 I I 19658 LIVE OAK AV I � -'y ITEMP 917802522 1 FEES PAID 1D SCRIPTION OF WORK 1 I ITEAR OFF AND REROOF INSTALL SHINGLES 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 1 . 1APPLICANT: TEL. NO: I I I IKIM CHRIS (213) 675-6457- 1AA BLDG PERMIT ISSUANCE 27.75 1 1 15830 WOODLAWN AVE. 1AC STRONG MOTION RESID 4200.00 VAL 0.50 ISPECIAL CONDITIONS: 1 ILOS ANGELES CA 90003 ID2 PERMIT W/O EN-HC 4200.00 VAL 132.60 1 1 1 TOTAL FEES 160.85 I I I I I (CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1 1ACETEK ROOFING CO. (323) 231-6060- 1 1 I 15830 WOODLAWN AVE LIC. NO ILOCATION AND SETBACKS I I ILOS ANGELES, CA 90003 820199C39 _' I I I I ISOILS ENGINEER APPROVAL I I I I I I I I I (ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I I I 1 LIC. NO: '1SLAB/UNDER FLOOR I I I IRAISED FLOOR FRAMING I I I I I I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 (UNDERFLOOR INSULATION I I I 1150H269 3 011 I I I I - IFLOOR SHEATHING INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1 NO 21 1 IROOF SHEATHING I I I I I I 1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I (AIR QUALITY: 1000 FEET MATERIALS 1 I I I 1 NO NO NO 1 IFRAME INSPECTION I I I I I I I I IREQUIRED TOTAL SETBACK FROM EXIST 1 IFIRE SPRINKLER HANGERS I I I ISET BACK YARD: HWY: PROP LINE: WIDTH: I I I I I IFRONT PL- I (INSULATION/WEATHER STRIPI I I I SIDE PL- I I I I I I I (INTERIOR LATH/DRYWALL I I I I I I I (EXTERIOR LATH I I I IRATED FLOOR/CEIL ASSEM. I I I I 1RATED WALL ASSEMBLIES I I I I I I I I IRATED SHAFTS/OPENINGS I I I IT-BAR CEILINGS 1 I I I I I I I 1 ILOT DRAINAGE I I I I I I IREPORT ID: DPR261 ROUTE TO: BS0508 1 1 1 1 I I I I I I