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Home My Public Portal About5807 OAK AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY i� COUNTY OF LOS ANGELES �4 a BUILDING 'L WM J FOX, CHIEF ENGINEER FEBAPPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY ADDRESS Q� -^DISTRIC 0. Pu4CK� v ��C N13 M7PERMLT BUILDING LOCALITY CIT R EIVED BY DATE OF APPL DATE ISSUED NEAREST 11,,.. 2-13--Q- - y7- r CROSS ST W b�K Ii?gN BUILDING A� O,�/ �� ADDRESS ,ro T!�- OWNER ALOCALITY 7, MAIL DDRESS s *N oeO NEASEST CRO: ST V/nA/!L / �+V CITY �Q C I� NO FIRE NO OF P ARCHITECT OR TEL ZONE PLANS�� 44 ENGINEER NO BLDG ��+� SETBACK LINE / L ADDRESS '1 j USE L E APPROVED {T �PiAR / TEZONBY DATE O CNTRACTOR - i y NO HOUSE NUMBERING ADDRESS SAME 4.) de, MAP NUMBER 'A-0 NO ASSIGNED B LEGAL y17 CORRECTIONS DESCRIPTION LOT O ��`J BLOCK TRACT 1j t SLOGSNO or )Jalle 812E DF LOT �7 I NOW ON LOTNO EXISTIN BLDG P FM�ES Z $Y �� DESCRIPTION OF WORK NEWALTERATION ADDITION L �'Lo G REPAIR DEMOLITION SOFT ) ryn NO OF SIZE / 7 V ROOMS ST,OpRIES EXT WALLRo COVERJNG �J�I(,PO I COVERING USE Pf78TPUCTU E vs Pef 6,vel g- o� 4� INSPECTION FOR APPROVALS OCCUPANCYA9 INSPECTOR�SSIGNATURE DATE FOUNDATION LOCATION 1 HEREBY ACKNOWLEDGE THAT I HAVE READ TH19 AP FORMS MATERIALS PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME FIRE STOPS CORRECT BRACING BOLTS J /� I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE LOCATION AND STATE LAWS REGULATING BUILDING CONSTRUCTION pqg VENT SIS AN TURF OF LATH INT �� 7J �.� yet PERMITTE J ADORE Sg �� ` LATH EXT -//2,147 2- PLASTER INT AUTHORIZED AOT PLASTER EXT P E EEIII / Fb HOUSE NUMBER COR RECT AND POSTED VALUATION QV l FEE *�` FINALI 76AS38A DBS 3 7 51 ®s 78A68e CE/60 r V 6/78) APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN VALRIESS NG U `7'I Q�cJ BUILDING 0 /J � &W N� ADDRESS /y�y Ali" rT 19 LOCALITY NEAREST CITY ��/Ze t �T ZIP CROSS ST NO OF BLDGS ASSESSOR SIZE OF LOT NOW ON LOT a' MAP BOOK PAGE I PARCEL DISTRICT GROUP TYPE FIRE 1OCES#D BY TRACT BLOCK LOT NO CONSTZE TEL OWNER D? JC NO��S/ O Ir- STATISTICAL STATISTICAL CLASSIFICATION COWER MAP ADDRESS 7i� CLASS NO DWELL UNITS �-' BKS CITY ZIP 7 ARCHITECTOR TEL VALUATION $ ENGINEER NO ADDRESS BLDG SETBACK FROM TEL FRONT PROP LINE OF (STREET) CONTRACTOR QLK' h NO HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING LIC FRONT PROP LINE HIGHWAY WIDTH ADDRESS NO LIC + CITY CLASS BLDG SETBACK FROM CONSTRUCTION LENDER NAME AND BRANCH �-- SIDE PROP LINE OF (STREET) HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS CITY SIDE PROP LINE HIGHWAY WIDTH O SO F�-- NO OF NO OF CHECK + = V SIZ STORIES FAMILIES ONE O DESCRIPTION OF WORK NEW PC Fee$ Permit Fee ADD 29 ❑ Issuance Fee ALTER _ REPAIR ❑ Total Fee 0 USE OF DEMOL ❑ EXISTING BLDG ZO APPLICANT TEL (PRINT) NO D BY(SIGNATURE) IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE b{�d THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES Id AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING HE Z 4 4 5,5 A WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATIO V THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S C Z # • • • • • 1 PENSATION INSURANCE • SIGNATURE O� 2 - 7 0.00 PERMITTEE ^ • - • 7 0 0 0 ADDRESS 0 ,V Z C_ TEL ,ar- ° 0521 -79 rDATE N C NE MAP NO -1 D Q SPECIAL CONDITIONS VI/ 1 /7� B� 0/VCi� 14 6 WOI&ERS COMPENSATION DECLARATION , C r affirm that I have a certificate of consent to self APPLICATION FOR BUILDING PERMIT insu a or o certificate of Workers Compens�ition Insurance t or a certified copy thereof(Sec 3800 Lab C ) COUNTY OF LOS ANGELES _ BUILDING AND SAFETY _ Policy No Company BUILDING '1 Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS (f ❑ Certified copy is filed with the county building inspec BUILDING tion department ADDRESS Date Applicant CITY ® GL•�`�" ZIP v LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS NO OF BLDGS NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST (This section need not be completed if the permit is for one ASSESSOR hundred dollars($100)or less ) TRACT �J)/ /BLOCK_/ LOT NO MAP BOOK PAGE PARCEL OWNER 1 !/4frN F D / a 9� p 1 USE ZONE NO 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 ADDRESS SPECIAL O so as to become subject to the Workers Co pensation Law / CONDITIONS Date Applicant + CITY 725-� G ZIP l /�v NOTICE TO APPLICANT If after making this C t icote of ARCHITECT OR TEL F„ DISTRICT GROUP I TYPE FIRE CE D BY O Exemption you should become subject to the Workers NGINEER IIV,v NO J �^ ^ CONST / [�;E G Compensation provisions of the Labor Code you must forth K with comply with such provisions or this permit shall be ADDRESS _ Z deemed revoked TEL STATISTICAL CLASSIFI TION APT DO CONTRACTOR NO LICENSED CONTRACTORS DECLARATION LIC CLASS NO DWELL UNITS - I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO SEWER MAP (commencing with Section 7000)of Division 3 of the Business and LIC Professions Code and my license is in full force and effect CITY CLASS BK PG VALIDATION SQ N OF NO OF CHECK i License Number Lic Class SIZ STORIES FAMILIES ONE VA N Contractor Date DESCRIPTI $ I IfLvADD lollp.WORK NEW U ❑ am exempt under Sec T ,/ A'- ❑ B&P C for this reason ( I/ ,vAV 0 R AIR ❑ $ USE OF Date EXISTING BLDG Signature 0000, APPLICANT TEL FINAL OWNER BUILDER DEC ATION PRINT DATE I hereby affirm that I am exempt from the Contractor s License Law for the following reason (Section 7031 5 Business and ADDRE FINAL Profpssions Code) PRESENT - my 6 8&6 A BUILDING I as owner of the property or my employees with ADDRESS _ _ # • • • • • wages as their sole compensation will clothe work and - he structure is not intended or offered for sale(Section LOCALITY ' ( • 23738 7044 Business and Professions Code) MOVING - TEL 237 3 8 c=i ❑ I as owner of the property am exclusively contracting CONTRACTOR NO - • • with licensed contractors to construct the project (Sec ADDRESS o4.21 —87 tion 7044 Business and Professions Code) REQUIRED TOTAL SETB CONSTRUCTION LENDING AGENCY 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 ) n SIDE m 1 PL Lenders Name/ P C fee$ Permit Fee LDMA Ref # Lender s Address ' I certify that I have read this application and state that theIssuance Fee S LDMA P/C# above information is correct I agree to comply with all County Investigation Fee- g ordinances and State laws relating to building construction Total Fee LDMA Perm # d and hereby authorize representatives of this County to enter Q upon thbove mentioned property inspection purposes V � ^ SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or AgJW- Date