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Home My Public Portal About5745 OAK AVE_Building__ 7 NIM C6:YM.0. APPLICATION FOR BUILDING PERMIT 1 COUNTY OF LOS ANGELES BUILDING J-? YXAl 0'4K - DEPARTMENT OF COUNTY ENG]NEER ADDRESS f BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE.COUNTY ENGINEER NEAREST CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST DISTRICT NO GROUP I TYPE PRO ESSED BY FOR APPLICANT TO FILL IN CONST BUILDING STATISTICALA331FICATION� SEWER MAP ADDRESS .S ? BK PG S / BLOCK4—NUMBER CLASS NO—DWELL UNIT o A 136 LOT NO a MAP % O Q HWY YES O TRACT [ �(/ o�V d VUSE ZONE SPECIAL 1NO OF BLDGS f / CONDITIONS SIZEOF LOT,68 .r NOW ON LOT USE OF EXISTING a D BUILDING EXIST SETBACK YARD HWY STREET NAME WIDTH OWNER FRONT op _ O MAIL a P L ADDRESSle 0 SIDE P L ARCHITE OR TEL (� INSPECTION RECORD ENGINE NO ADDRESS TEL CONTRACTOR ODRESS =01 a t ' DESCRIP°1°ION 09 WO f NEW ADD ALTER REPAIR*-*' DEMOLISH Plyr E SO FT NO OF NO OF SIZE RIES FAMILIES USE OF STRUCTURE SIGNATURE OF ` APPROVALS APPLICANT ADDRESS L DATE INSPECTOR S SIGNATURE FOUNDATION LOCATION s FORMS MATERIALS ' Q P C = FRAME FIRE STOPS FEE BRACING BOLTS FURNACE LOCATION VALUATIONVJ FEE S GAS VENT DUCTS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AX LATH INT PLICATION AND STAT HNT THE ABOVE IS CORRECT AND AGREE TO COMPLY L CO INANCES AND TH EXT STATE LAWS REG N B RUCTIO SIGNATURE OF HOUSE NUMBER COR. PERMITTS RECT AND POSTED DDRE ° FINAL ' CLYDE N DIRLAM PRINCIPAL STRUCTURAL ENRamp PLAN VALIDATION CK. mo CMH PEDW VALIDATION CK M O CABN � Aluo7o21 �; NOV 5 1 a ,300 { Y r ' . APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES t - •46 —BUILDING AND SAFETY WORKER S COMPENSATION DF-CLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS pp r O/'t Jt I hereby affirm that I have a certificate of consent to self Insure BUILDING ADDRESS A , or a certificate of Workers Compensation Insurance or a certified .S OAK .4vC CITY Turn j F L°� copy thereof(Sec 3800 Lab C) ?F� LF ZIP 91790 LOCALITY Policy NO Company SIZE OF LOT INO OF BLDGS NOW ON LOT ❑ Certified copy Is hereby furnished /9S— .5-0NEAREST CROSS ST WOQv Mp 13 Certified copy Is filed with the county budding Inspection TRACT BLOCK LOT NO 1� department I USE ZONE MAP NO Date Applicant ASSESSOR MAP BOOK P Q—E PARCEL SPECIAL CONDITIONS 00,000 O/ CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER..�, TEL NO �/ COMPENSATION INSURANCE J a�N Pl C O�u E WITHIN 1000 FT OF SC HooL� YES NO (This section need not be completed if the permit Is for one hundred ADDRESS '` ��T OAK AVE DISTRICT GROUP CONST FIRE ZONE PROCESSED BY dollars($700)or less) lo#4 W04-4— I certify that In the performance of the work for which this permit CITY E C i ZIP �� O Q IS Issued I shall not employ any p In any manner so as to ARCHITECT OR GINEER TEL NO �QO -� become subject to the Workers m do STATISTICAL CLASSIFICATION 2 APT CONDO Date f0^ZS-9KApphcant ADDRESS CLASS NO DWELL UNITS JL NOTICE TO APPMANT Ifafter making this Certificate of REQUIRED TOTALS�1�FROM EXIST Exemption you should become subject to the Workers CONTRACTOR TEL NO SET BACK YARD HWY PRS WIDTH } Compensation provisions of the Labor Code you must forthwith comply with such provisions or this permit shall be deemed revoked ADDRESS LIC NO PROS 1 IMIS —Tow LICENSED CONTRACTORS DECLARATIONcITY uc cl Ass SIDE - 13 1 hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP .5Q (commencing with Section 7000)of Division 3 of the Business and SQSIZE Professions Code and my license is in full force and effect , NO OF STORIES NO OF FAMILIES Yoo NEW BK PG ► CHANGE DESCRIPTION OF WORK ■OOa License Number LID Class ADD ❑ VALUATI N Q REPAIR ❑ Contractor Date ALTER 13 $ 16049t9.00 QOQQ—QQQ 1 10/25/95U8 E s�t ❑ lam exempt under Sec $ X17 1 PM 5:07 B&PC for this reason DEMOL ❑ LDMA P/C r LU Date USE OF EXISTING BLDG URM ❑ IL Signature APPLICANT fPANVTJ TEL NO LDMA Perm B 1 Z 111 as owner of the property or my employees with wages as z ACCT. their sole compensation will do the work and the structure is ADDRESS 0 3M not intended or offered for sale (Section 7044 Business and FINAL DATE 19-10. e34.�e.6� Professions Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUFANT HANDLE A HAZARDOUS MATERIAL r 1 ITERS OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE licensed sed coo ntractor I owner Of for property am exclusively contractings to construct the project (Section 704444 AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINALBY TOTAL � withQ t > T3.65 Business and Professions Code) YES❑ NO❑ CASH 343.0 WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR DUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR CHANGEnn GUIDELINES .00 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 3097 Clv, e O1 UID C) I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GE AND THE SCAOMD PERMITTING �RJtiO 1 11/ 1I9� CY CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE TITLE 2 CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS /�y iLenders Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD 3097 1 19110:4Z o Lenders Address ail OWNER OR AGENT c I certify that I have read this application and state under penalty oPC FEED PERMIT FEE of perjury that the above Information is correct I agree to comply S N with all county ordinances and State laws relating to building �- constructs and hereby authorize representatives of this County ISSUANCE FEE to t u e ab me ed property for Inspection purposes O CD /O"2_5 INVESTIGATION FEE TOTAL FEE 1� / b mA a Agent Gel. LJ • G0.7 SEE REVERSE FOR EXPLANATORY LANGUAGE