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Home My Public Portal About5839 OAK AVE_Building__ c • 76AB38A CE#8081 Sz APPLICATION FOR BUILDING PERMI COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGREM ADDRESS BUILDING AND SAFETY DM$ION LOCALITY / JOHN A LAMBIE COUNTY ENGINEER NEAREST WILLIAM A JENSEN SUP T OF BUILDING CROSS ST DISTRIC NO GRP TYPE PRO BY FOR APPLICANT TO FELL IN CONST BUILDING �y O STATISTICAL CLASSIFICATION SEWER MAP ADDRESS zf CLASS NO DWELL UNITS BK LOT N XIC CK WATER CERTIFICATE NOT REQUIRED RECEIVED TRACTA Q cGRCLe) STATE MAJOR SECOND OCAL NO OF BLDGS SIZE OF LOT d NOW ON LOT USE ZONE f SPECIAL f USE OF CONDITIONS EXISTING BLDG LA ck 4e TEL OWNER NO BUILDING YARD HWY STREET NAME EXIST SETBACK WIDTH ADDRESS a FRONT 1 ARCHITECT OR TEL P L ENGINEER NO SIDE _ ADDRESSTEL �7 `� d CONTRACTOR NO �r Jd ` V ADDRESSr AdO DESCRIPTION OF WORK r, f S'i NEW ADD ALTER REPAIR DEMOLISH ✓ z SIZESQ FT dd N DRIES FAMILIES , 4 I USE OF 1 1 STRUCTURE SIGNATURE OF APPLICANT VALUATION $ �� APPROVALS DATE INSPECTOR 8810NATURfi _ FOUNDATION LOCATION FEE $ FEE $ — FORMS MATERIALS FRAME FIRE STOPS 1 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 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH IN TION OF THE LABOR CgjpE OF THE STATE OF CALIFORNIA RELAT INC TO WORKMEN 8ENSATION INSURANCeLATH EXTSIGNATURE OF HOU E NUMBER COR PERMITTEE AND POSTED ADDRESS FINAL PLAN 01ECK VALIDATION CK M O CASH _ JOHNPE�LEWIS VALIDATION TRCK RM O AL EN CASH ER _ACO 5 4 6 5" I lAy 31 1 D 400 NCQ t 4 DMSION OF BDIIDIIqG AND SAFETY BUILDING 'U�L D�N� ` Deportment of Coaaty Engtnew Cocaty�of Los Angeles WM J FOX COUNTY ENGINEER Cg'jAPFUC/Aj�TION BUILDING FOR APPLICANT TO FILL IN , ADDRESS ^ L BUILDING LOCALITY ADDRESS NEAREST f LOCALITY _ CROSS ST DISTRICT NO PLAN CK oR Rao No �PmNO NEAREST CROSS ST I OWNER !� a, l ECEIVED BY DATE OF APPL DATE ISSUED MAIL ADDRESS 3 7 r USE ZOONEE NO OF TYPE GROUP FIRE ZO E CI 01- y/ ` PLANS I ARCHITECT OR TEL ZONING - DATED ENGINEER NO APPROVED BY- ILDING II ORD No ADDRESS ETBACK LINE 1 TEL APPROVED DATE CONTRACTOR NO BY: HOUSE—NUMBERING ' ADDRESS LEGAL MAP NUMBER NO ASSIGNED BY DESCRIPTION LOOTNO& 13 BLOCK c—& / DATE � CORRECTIONS I INSPECTOR TRACT SIZE OF LOTSQ I NO O SLDGS _ NOW ON LOTUSE OF NO OF EXISTING BLDG SIA YI\r% FAMILIES T ga—.4 ' O �• O DFS--MMON OF WORE eca ., , �.P. 'a NEW ALTERATION ADDITION f r REPAIR DEMOLITION SQ FT NO OF SIZE D D ROOMS STORIES EXT WALL ROOF COVERING COVERING /Q e G C �m E3T'Y8 AIS NFC C USE OF STRUCTURE Vol I I APPRO IN OR'S SIGNATURE DATE FOUNDATION TION FORMS M RIALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME IRE STOPS / PLICATION AND STATE THAT THE INFORMATION GIVEN 18 BRACT � lJ a CORRECT 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION GAS VENT DUCTS SIGNATURE OF LATH INT PERMITTE ADDREB 7 LATH EXT PLASTER INT AUTHORIZED AGT PLASTER EXT S � I— FIRg �� HOUSE NUMBER COR- RECT AND POSTED VALUATION FEB '�" FINAL .... jf S 76A88HA`DEG 8 8-88 - .. wb. _ �7 . �� ....o.,a •-...+., .-.w _ - - - -, DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES BUILDING WM J FOX CHIEF ENGINEER OR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILD! G m DISTRIC�O PLAN CK NO PERMIT NO ADDRESSktv: W �� o LOCALITY r I 1 RECEIVED�Y DATE OF APPS �O D�EIB@UED C%REBT //// )�v\ CRO BUILDING �V OWNER M / ADDRESS lJ vvvv MAIL �f]� LOCALITY w ADDRESS L.�t MEAREOT C To i _ CROBB ST �y FIRE NO OF TYP GROUP RCHITECTOR /� NG A�gr/ ZONE PLANE _ 69 fT (� BLDG ADDRESS SETBACK LINE APPROVED TEL CONTRACTOR NO BY DATE USE APPROVED ADDRESS ZONE S BY DATE LEGAL DESCRIPTION LOT NO/�/ _ I BLOCK 6 �� 3 CORRECTIONS TRACT \ NO OF BLDOS SIZE OF LOT 0 NOW ON LOT U9E OF G NO OF NO OF EXISTING BLDG C FAMIL168 ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O REPAIR MOVING DEMOLISHF BO BD PT a. M NO OF Z 91ZE V ROOMS STORIES 30 WALL ROd r COVERIN I COVERIN / USE OF NEW BUILDING \ A 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS, APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATIOW LOCATION IN5PfCjOR DAT AND AGREE TO COMPLY WITH ALL COUNORDINANCES FORMS MATERIALS .� AND STATE LAWS ULATI G BUILDIN CONSTRUCTION 4 .� FRAME FIRESTOPS SIGNATURE OF r , BRACING BOLTS PERMITTE LATH INT AUTHORIZED AST LATH EXT 76AS38A 9'48 DBS 3 DOM BETE PLASTER INT F t PLASTER EXT FINAL ®aa �VALUATION P 3 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES WBUILDING M. J. FOX. CHIEF ENGINEER .Affog FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO - PLANCK NO PERMIT NO BUILDING ADDRESS . s s__ _� 2 \ LOCALITY RECEIVED BY DATE OF APPL DATE ISSUED NEAREST CIT, Zgas BUILDING �t OWNER 1 . 4a7ADDRESS L/ MAIL LOCALITY 0 ADDRESS NEAREST CI oN TEL CRDSS Br FIRE NO OF TYPE GROUP ARCHITECT OR TEL ZONE �� PLANS'�� ENGINEER NO BLDG ORD NCO ADD SETBACK LINE Al i APPROVED TE CONTRACTOR NO` BY DATE USE APPROVED ADD ZONE BY DATE LEGADESCRIPTLION LOT O BLOCK CORRECTIONS TRACT ` ��" NO OF BLDSB SIZE OF LOT NOW ON LOT (¢ V r USE OF c NO OF NO OF EX19TI BLDG G AMILIEB ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O >0 REPAIR MOVING DEMOLISH O_ MUT NO OF SIZE / Z 1 e )e iG ROOMS ( STORIES C rWALL f COVRING COVERING G !//�' BDIG�ULDNCS�� 7A &M/OTt 04 E X mitirG- (rRRI�l�.ff A��TAChL�D a ,4 4 ,.mob RMI 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IB CORRECT FOUNDATION LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUN %ORDINANCES FORMS,MATERIALS AND STATE LAWS REG LATINO BUILDING QNSTRUCTION /YJ FRAME FIREOLTS 910NATURE OF BRACING BOLTS PERM ITTE t1j C-4 LATH, INT AUTHORIZED AST LATH, EXT 76AS38A 9 7v9 $ 3ro P C B PLASTER,INT FEE PLASTER,EXT B /p VALUATION FEE �1� FINAL � �ifb•ti � 3 yo go a a5M SETS 8 44 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES BUILDING I , G WM J FOX,CHIEF ENGINEER ++ �/+++� /' c NO SOF BLDG ORD NO DISTRI NO PAN CK NO PERMOT NO PLANS :LOG LINE / FIREAPPROVED o �J ff[YYY y� ZONE 6Y DATE R ��p�BY DATE OF APPL DATE ISSUED USEAPPROVED i' r�((////(;;�E1��ff�!"" - /-/e �� / u// r ®•slvf ZONE-21C -BY DATE "l APPLICANT FILL IN HEAVILY OUTLINED, PORTION ONLY E BUILDING s o , 019 NAME ADDRESS W I--Z ADDRESS LOCALITY I Z , NEAREST C N CITY CROSS ST STATE TEL 'A/f67 LICENSE NO E NAME Iv /-� IF d' y MAIL /1V�„�!� or O NAME 3AnL-1�- ADDRESS ✓ y O ADDRESS CITY • No E Z CITY 1 HEREBY ACKNAWLEDGE THAT i HAVE READ THIS O APPLICATION AND STATE THAT THE ABOVE IS CORRECT U STATE TEL AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO NO AND STATE LAWS REGULATING BUILDING CONSTRUCTION 816 Z• A� Q` NATUR6�OR O LOT NOd Y �+ SIZE OF LOT �� f/J pWNBR { J F ® NO OF SLOGS ` +f a 0. BLOCK / NOW ON LOT AUTHORIZED- T id .J W TRACT (� �� / CO CTIOIVS O -52 USE OF SLOGS �� NOW ON LAT DESCRIPTION OF WORK USE OF , BUILDINd 7m j' ��•ppt p 1I vid'A:...1.•j .. u L a- ! —1-4 „ q pf War Prcduct.on Bocrd o-ec a Yo.z are Cautioned to consult with your local War a° SP-1-oductlonf3omUOffice belore commenc-authoraed e z a r NEW TYPE GROUP NO OF 3 NO OF ' ALTERATION ROOMS FAMILIES ADDITION SIZE ago • REPAIR STORIES J MOVING WALL COVERING DEMOLISH ROOF COVERING P ` O FINAL APPROVAL 0� + FEB �( INSPBCTOR•8 VALUATION FEE jvS DATE a `Y NAME .,G WORKERS' COMPENSATION DECLARATION I herebffirm that I have a certificate of consent to insure oraa certificate of Workers' Compensation Insuran elf APPLICATION FOR BUILDING PERMIT or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company AD El Certified APPLICANT TO FILL IN ADDRESS Certified copy is hereby furnished. DDRESS ❑ Certified co is filed with the countybuildingBUILDING r" � ^ tion department. Ins pec- ADDRESS !' CITY t't'»".Al, 'F.,'" !. +� l zIP ✓ � d ��/ LOCALITY Date. Applicant NO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT ° " NOW ON LOT CROSS ST. ' 1 COMPENSATION INSURANCE �i ASSESSOR ;. (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK / PAG PARCEL4� hundred dollars ($100)or less.) OWNER E' /" r,+r r/"�J" NO USE ZONE MAP certify that in the performance of the work for which this NO.SPECIAL permit is issued, I shall not employ any person in any manner ADDRESS CONDITIONS so as to become subject to the Workers!Compensation Laws. >- CITY ,I r+ ( f ZIP ,r z d Date Applicant ARCHITECT R � TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY 0 NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CONST. ZONE J Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code,you must forth- ADDRESS with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO. } deemed revoked. CONTRACTORNO. LICENSED CONTRACTORS DECLARATIONUC. CLASS NO. DWELL. UNITS - I hereby affirm that i am licensed under provisions of Chapter 9 ADDRESS /� �IC � -� . LIC. SEWER MAP (commencing with Section 7000)of Division 3 of the Business `+y+ and Professions Code,and my license is in full force and effect. CITY CLASS BK. PG VALIDATION SQ. FT. NO. OF NO. OF CHECK License Number Lic. Class SIZE STORIES f (LIES ONE'. VALUATION Contractor Date DESCRIPTION OF WORK J1 i+ ' L- NEW $ � ADD ❑1 am exempt under Sec. la- *+'' ('S ALTER pop v h f C BP B. . . or this reason $ k _ REPAIR ❑ - Date: USE OF ❑ EXISTING BLDG, DEMOL Signature APP(PRINT) 3ICANT f4 w"* ,1 ts� FINAL OWNER-BUILDER DECLARATION DATE hereby affirm that I am exempt from the Contractor's Licenser t)/� .r '' /,.- 'F.'..; Law for the following reason (Section-7,031.5, Business and ADDRESS v` + FINAL Pro scions 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. ❑ I, 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.) W ED' TOTAL SETBACK FROM EXIST. CONSTRUCTION 1ENDINGAGENCY SETBA K YARD HWY PROP. LINE WI TH 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 P.L Lender's Name LDMA Ref. # Lender's Address P.C. Fee$ Permit Fee � ,a I certify that 1 have read this application and state that the Issuance Fee LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee ordinancs and State laws relating to building construction, Total Fee LDMA Perm. # ' a and here \aumorize representatives of this County to enter upon t♦i" -mentioned property for inspection piurppses. SEE REVERSE FOR EXPLANATORY LANGUAGE Sir 'o Date Applicant or Agent