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Home My Public Portal About6013 OAK AVE_Building__ APPLICATION FOR COUNTY OF LOS ANGELES COUNTY BUILDING PERMIT DEPARTMENT BUILD NG OF SAFETY DIVISION ENGINEER FOR APPLICANT TO FILL IN A"AL RIESS W (3'-g A K 4Z%0- ' BUILDING ADDRESS LOCALITY NEAREST CITY L E L ZIP CROSS ST y A Sr/) r NO F BLDGS ASSESSOR SIZE OF LOT JL J NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE P ED Y TRACT lv BLOCK TEL C G� " NST _ OWNER % L i u NO 9 7 !�^ STATISTICAL CLASSIFICATION SEWER MAP ADDRESS6niA 61n CLASS NO d? DWELL UNITS /_BK G CITY P L_r— CL ZIP J' ZONE NOP O ARCHITECT OR TEL /� ENGINEER �1SPECIAL cJ 5 NO Z"-1�y U CONDITIONS ADDRESS �72Q 9jft0K SL- p� f/ ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NOTEL ❑ CONTRACTOR& S NO aL�yy7 BLDG SETBACK FROM �,/ G FRONT PRO LINE OF (STREET) ADDRESSISW IJ�C C;L NO L.S�1'y O TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY + YARD = FRONT PROP LINE HIGHWAY WIDTH CITY V 1� IV S C� CLASS _ CONSTRUCTION LENDER + - a NAME AND BRANCH bJ�� BLDG SETBArK FROM OV ADDRESS CITY SIDE PROP LI QF (STREET) 0 SQ FT NO OF NO OF / CHECK HIGHWAY + YARD = TYPE Of EXISTING �' SIZE STORIES L FAMILIES 1 ONE SIDE PROP LINE GHWAY WIDTH cn cn DESCRIPTION OF WORK e,OI�S'�'�1,1 C NEW ❑ + -j ADD CORNER CUTOFF YES ❑ NO [3 ALTER IN OPEN SPACE YES ❑ NO ❑ REPAIR USE OF RRE AIR IN COASTAL PERMIT ZONE YES C] NO ❑ EXISTING BLDG 311*e APPLICAN c'/IPRINTI NO U� '1"7��1 � �J,6�T � �y BY(SIGNATURE, 7/7 /" F /`t9/•� �K I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRICTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM PENSATION INSURANCE SIGNATURE OF a�,� //�� PERMITTEE y� FINAL BY DATE ADDRESS lie l' CITY 1 proN� S NO 7y PC Fee$ Permit Fee Z. Issuance Fee VALUATION /� �� Total Fee oza PLAN CHECK VALIDATION cLc M o CASH PERMIT VALIDATION Z_ M o cAsH { 6 4 r AUG z3 ® 1 U 2.7 5 sits a � 0% 7GA638A GE 0803A 6/76 ,...y p i AEPARTNlENT OF BUII.DING AND SAFETYLIC BUILDING FOR PERM COUNTY OF LOS ANGELES WM J FOX CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING � ®�� 416 DISTRICT NO PLAN` C�K !O PERMIT NO ES41 ADDRS C 3 LOCALITY RECEIVED BY^ DATE OF APPL DATE ISSUED NEAREST CROSS ST Woo 0AVA1,04 BUILDING `� ADDRESS 3 /1/ (�R OWNER LOCALITY ESS /y �/ MAIL 0 .4 vA NEAREST ADDR G' TEL gg CROSS ST B d /� V CITY • ®Y. FIRE NO OF r TYPE GROUP ARCHITECT OR TEL ZONE PLANS ENGINEER �p0g" NO BLDG ORD NO SETBACK LINE ADDRESS APPROVED TEL BY e-- DATE CONTRACTOR NO USE APPROVED ZONE BY DATE ADDRESS HOUSE NUMBERING LEGAL DESCRIPTION I LOT NO BLOCK MAP NUMBER D CHECK BY TRACT NO ASSIGNBD BY DAT NO OF SLOGS CORRECTIONS SIZE OF LOT NOW ON LOT USKOF NO EX STING BLDG FAMILOIES Z _ /J 2� �r DESCRIPTION OF WORN //d NEW I ALTERATION I I ADDITION Q J T REPAIR DEMOLITION I I I x Q FT No OF 8 ZE ROOMS STORIESF OWZ yj Y CWALLr OVER NG Q (,QQ/� COVERING kj{j/k/%�Q/ USE OF STRUCTURE . 0 Dp- 1—D 0 A F Of-, APPROVALS INSPECTOR S SIGNATURE DATE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP FOUNDATION LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS MATERIALS r=7)61S7/NG CORRECT 1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME FIRE STOPS HERRON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING BOLTS ( Z d LAWS REGULATING BUILDING CONSTRUCTION FURNACE LOCATION SIGNATURE OF �� GAS VENT DUCTS PERMITT66��yw/ 10 1. 94et /Q/ _1 VA4/r ✓ LATH INT ADDRESL-- LATH EXT AUTHORIZED AGT EL PLASTER INT 78ASaaA DSM W80 S P C S FEE f PLASTER EXT VALUATION �J FEB $ 9�_ FINAL rL y'WORKERS MAPQ45AATION DECLARATION �insureby affirm fe96tI of certificateoof consent to self APPLICATION FOR BUILDING PERMIT insure or a certlficote of Workers Com naation Insurance or o certified copy thereof(See 3800 Lab C) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company BUILDING O Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS 0 Certified copy is filed with the county building inspec BUILDING tion department ADDRESS 0 Date Applicant CITY =ZOse ! ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS SIZE LOT NOW F BLDGS LOT QST COMPENSATION INSURANCE (This section need not be completed if the permit is for one ASSESSOR .bundred dollars($I W)or less) TRACT BLOCK LOT NO MAP BOOK PAGE PARCEL 1 certify that in the performance of the work for which this OWNER NO oZ 8�9Jr11 NO } permit is issued I shall not employ any person in any manner ' d. so as to become subject to the Workers Compensation Laws '4DADDRESSONS 8 Date T�—FL CRY ZIP Applicant W NOTICE TO APPLICANT If after making to Certffieate of ENGINEER NO �� 3_sly DISTRICT GROUP TYPE FIRE BY O Exemption you should become subject to the Workers ••,, �( CONS Z Compensation provisions of the Labor Code you must forth ADDRESS ,� �� V s�t+ R ✓ � a . d with comply with such provisions or this permit shall be STATISTICAL CLASSIFI TION APt NDO deemed revoked CONTRACTOR `NO r r!'I�S LICENSED CONTRACTORS DECLARATION LIC CLASS NO Z DWELL UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS .76,0 NO 7 T? SEWER MAP (commenang with Section 7000)of Division 3 of the Business and LIC Professions Cade and my license is in full force and effect CITYCLASS A / SK PG VALIDATION SO FT G. NO OF NO OF CHECK License Number Lic Class SIZE �/ STORIES FAMILIES ONE rG bV�'V7 VALUATION by Contractor Date DESCRIPtION OF WORK : 0 d ADD I am exempt under Sec ALTER B ILP C for this reason REPAIR : Date USE OF pE EXISTING BLDG Signature APPLICANT TEL FINAL r n OWNER BUILDER DECLARATION PRINT NO DATE V I hereby affirm that I am exempt from the Contractor s License ADDRESS FINAL Law for the following reason (Section 7031 5 Business and Professions Code) By BUILDING 1 as owner of the property or my employees with ADDRESS A 4 5&0 A wages as their sole compensation w111 do the work and the structure is not intended or offered for sale(Section LOCALITY Poo # • • e • e 1 7044 Business and Professions Code) NKMNG VIOL 919988 I as owner of the property am exclusively contracting with licensed contractors to construct the project(Sec tion 7044 Business and Professions Code) ADDRESS • - 199889 UIRED CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH 1 hereby affirm that there is a construction lending agency for FRONT 0502-86 the performance of the work for which this permit is issued P L (Sec 3097 Civ C) SIDE I8 PL Lender s Name Lender a Address PC Fee i PermN Fee LOMA Ref # //�� I certify that I have read this application and state that the Issuance Fee 4/ � MAI►LIP/C# above information is correct I agree to comply with all County Investigation Fee Q ordinances and State laws relating to building construction Total fes y TDMA Perm 0 and hereby authorize representatives of this County to enter upon the above mentioned property for inspection purposes SEE REVERIE FOR EXPLANATORY LANGUAGE Sign of Applicant or Agent Dote ®1 APPLICATION FOR BUILDING PERMIT tCOUNTY OF LOS ANGELE8 BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPUCANT TO PU M I ADDS I hereby affirm that 1 have a certlHeate of consent to self insure, or a certiHcata of Workers Compensation Insurance,or a certifled 50 Oapy tilefeof a 00 Lab C) �'� renq lZZ& LOCALITY PDlkmy No Company�4�� ` SIZE OF LOT NO OF BLDGS.NOW ON LOT copy Is hereby furnished NEAREST CROSS ST ❑ Carom copy, a filed with the county bui ITspectbrm TRACT BLOCK LOT NO LIGE ZONE MAP NO &WeDat r nt � PA ASSN"MAP BOOK PAGE R� SPECIAL CONDITIONS TELDO CERTIFICATE OF EIIE11111 OM WORD COMPENSATION INSURANCE "��ADO EM WITHIN tOGeFTOFSCHOOL? Y� NO (Thledollas onneedor dnnot be completed If the permR Is for one hundred8/3DISTRICT GROUP CONST RE ZQNE PROCESSED eY I ow#fy that in the performance of the work for which this permit C V 7IV 0 N issued 1 shall not employ any person In any manner so ae to TEL NO become subject to the tAAwkere Compensation Laws. STATISTICAL IF APT CONDO Data Applicent ADDRESS CLASS NO OWELLUNITS NOTICE TO APPLICANT If after making this Certificate of REOUIRED TOTAL SETBACK FROM EXIST Exemption you should become subject to the WorkereSET BACK YARD HIWY PROP LINE WIDTH Compensation provisions of the Labor Code you must forthwith 7'Ap FRONT comply with such provisions or this permit shall be deemed revokedEB$f r- f LIC NO PL ®® SIDE d LICENSED CONTRACTORS DECLARATION c LIC PL I hereby affirm that I am licensed under provisions of Chapter gsO FT 9 SEWER No No of FAMIu�3 MAP m (Commencing with Section 7000)of Melon 3 of the Business and / NEW [3BK PG Professions Code andF A- kmen b In full force and effect , License Number UC Clave IPTION OF WORK �-.� ADD ❑ 11 ContractorWALTER ❑ $x7p O 1 z ❑ I am exempt under ser PAIR $ AGGT■T S&P C for this reasonOte9ArDEMOL ❑ LOMA P/C a 3M7 102.30 Data it °BLDG 7W,%JV gp?n;F, I URM ❑ 1ITM N9 + APPLICANT PWW" TEL NO LDM FWM e ❑ I ss owner or" or my employees with wages n o TOTAL _ 102.30 their sole Com will do the work and the structure Is ADDRESS PENAL OATmL ` IM.31I not Intended or offered for sale(Section 7094 BMslnes and CK Professions Code) W LTHEAPr+LMWORRMffEewLDMOCCUPLsXTMN EAHAZARDouawaBWLL y—! —` 3 •� ❑ I M owner Of the property am eHtrl OR A MIXTUM CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GROOM THAN Ikma o er of he o City a construct ngTHE AMCUNBSPEMOONTHE HAZARDOUS MATERIALS WFORMImONMADE? PRIALBY "Es❑ NO❑ Business and Proteasions Code) MENDED 4/ 7/9 i WELL THE BMOED USE OF THE euALDIMG 6Y THE APPLICANT'OR FUTURE BUILDING CONSTRUCTION LENDING AGENCY �� As+T m sDIFICKTIONFROUTHESOUTH ■ 1 Atm $'13 I hereby affirm that there is a construction lending agency for T>s❑ No❑ the performance of the work for which this permit Is Issued(Sec. I WIVE READ THE HAZARDOUS MATERIALS INFORMATION eUIDE AND THE SCAGMD 3W Civ C) PERMITTING CHECKLIST I UNDERSTAND Mr IEDUW 309M UNDER THE LOScouNTY LandeftName HA R� REPOWnNSAHDFCROB 1INMA T� --- Landers Address I certiy that 1 have read this application and state that the above PC FEE PERMIT FEE Information is correct I agree to Comply with all oounty ordinances and Slate laws relating to building OOnebUCtlon and ISSUANCE FEE ' of this County to enter upon tisoned for i pu r•7 INVESTIGATION FEE TOTAL FEE .puss SEE REVERSE FOR EIGR AMATORY LAN