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Home My Public Portal About6018 OAK AVE_Building__ 1_1� r {� 76A688A CEOS08 868 APPLICATION FOR BUILDING PERMIT I..i COUNTY OF LOS ANGELES BUILDING 6019 No. Oak 3t DEPARTMENT OF COUNTY ENGDFESR ADDRESS II BUILDING AND SAFETY DIVISION LOCALITY TeMp16 'I,� y JOHN A LAMBIE COUNTY ENGINEER NEAREST G8T1b8ldi WILLIAM A JENSEN SUP T OF BUILDING CROSS ST DISTRICT NO GROUP TYPE PROCESSED BY FOR APPLICANT TO F= IN L^ SU Z" CONST ADDRESS 6019 NO. Oak St STATISTICAL CLASSIFICATION SEWER MAP G CLASS NO DWELL UNITS LOT NO BLOCK WATER NOT REQUIRED RECEIVED C ERTIFICATE TRACT MAP HIGHWAY NO OF BLDGS NO (CIRCLE) STATE MAJOR SECOND LOCAL SIZE OF LOT NOW ON LOT USE ZONE SPECIAL USE OF dwellingCONDITIONS EXISTING BLDG OWNER Bernice O3en T $ BUILDING YARD HWY STREET NAME EXIST ADDRESS 6019 No Oak St SETBACK WIDTH FRONT ARCHITECT OR TEL P L ENGINEER NO SIDE ADDRESS ��T P L CONTRACTOR L M HAM INC NO�-21 v ADDRESS DESCRIPTION OF WORK _J N NEW ADD ALTER REPAIR DEMOLISH Z SQ FT NO OF NO OF SIZE STORIES FAMILIES WUMmws Install 50 OOOBTU dusal E oor ce vent 'iF 3 5• APPROVALS DATE INSPECTOR 6 SIGNATURE PC rr�� FOUNDATION LOCATION FEE $ FEE $ W 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 I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF THE LABOR CO E OF THE STATE OF CALIFORNIA RELAT ING TO WORKMEN S CO ENSATION7SURANCE LATH EXT SIGNATURE OF HOUSE NUMBER COR PERMITTEE �' RECT AND POSTED ADDRESS FINAL JOHN F LEWIS PRI CI L STJI RAL EINSGINEER PLAN CHECK VALIDATION CK M O CASH PERNIIT VALIDATION CK M o CASH 1 8 5 5e 12y 6 1 0 6.00- 0 6p CE 0803 1/71 APPLICATION FORUIL JNG PE IT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION ADDRESS jA COLEMAN W JENKINS SUP T OF BUILDING OCALITY FOR APPLICANT TO FILL IN NEAREST (Print r t only) CROSS ST BUILDING DISICT NGR�SJp CONST-_ vFrTqpSED BY ADDRESS �� C..�� av �'fT'� STATISTICAL CLA SIFICATION SEWE MAP LOT NO BLOCK S CLASS NO � DWELL UNITS B PGISF TRACT ZONE MAP lb '�f NO OF SLOGS NO LVO / SIZE OF LOT NOW 014 LOT SPECIAL USE IST NG D CONDITIONS TELN1_4 / OWNER NOQ BLDG SETBACK FROM ADDRESS FRONTPROP LINEOF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY HIGHWAY WIDTH FROM C L /.� ARCHITECT OR TEL �� + �i� =2 d ENGINEER NO BLDG SETBACK FROM ADDRESS SIDE PROP LINEOF (STREET) TEL TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL C CONTRACTOR NO HIGHWAY WIDTH FROM C L V LIC + - O ADDRESS NO LIC CITY CLASS CORNER CUTOFF YES ❑ NOCONSy1 TNAME AND BILENDER BRANCH SEE REVERSE SIDE FOR SPECIAL AP OV S ADDRESS SQ FT NO OF NO OF NEW El SIZE ST IES FAMI IES USE OF � / ADD STRUCTUR I 1,I ALTERtL"Al ❑ SIGNATURE OF REPAIR❑ APPLICANT DEMOL ❑ DVALUATIONS APPROVALS DATE INSPECTOR S SIGNATURE ON FEE S FEE E e rOFORMS IMATERIAALS PC FRAME FIRE STOPS I 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 ORDINANCES AND LAWS REGULATING BUILDING CON GAS VENT DUCTS STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COMP ATION INSURANCE LATH EXT SIGNATURE OF HOUSE NUMBER COR PERMITTE RECT AND POSTED ADDRESS&&ACV a FINAL 5 DoHSTRxk:TURAL EN PLAN CHECK VALIDATION CK M o CASH IDo_ PERMIT VALATION 1 M cpBH R Lo4v OW 5 1 D 3100 P PL I CATION FO ' COUNTY OF LOS ANG ELEs BUILDING PERMIT `f� DEPARTMENT OF COUNTY ENGINEER �. BUILDING AND SAFETY DIVISION BUILDING FOR APPLICANT TO FILL IN ADDRESS BUILDING P _ ADDRESS LOCALITY CITY ZIP NEAREST CROSS ST NO OF BLDGS ASSESSOR SIZE OF LO NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE 1,PECEED BY TRACT45"4 / BLOCK I LOT NO3 p X CONST ZQdjE / TEL vO1:/ V �j OWNERJ, NO STATISTICAL CLASSIFICATION SEWER MAP ADDRESS Q t- CLASS NO / DWELL UNITS BK *J-li6 CITYZIP U�E�ZONE NO ARCHITECT OR TEL /1�//joj�FECIAL ENGINEER NO ON DI TIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONTRACT05gf TEL BLDG SETBACK FROM 0. LIC FRONT PROP LINE OF (STREET) ADDRESS R N HIGHWAY + YARD TOTAL SETBACK FROM TYPE VOF EXISTINAY G CITY LIC FRONT PROP LINE C LASS CONSTRUCTION LEN ER + NAME AND BRANCH BLDG SETBACK FROM p ADDRESS CITY SIDEPROP LINEOF (STREET) G9 iQ FT,,, NO OF NO OF CHECK HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING C SIZE STORIES FAMILIES ONE SIDE PROP LINE HIGHWAY WIDTH k3 LLJ DESCRIPTION OF WORK NEW ❑ + N DD CORNER CUTOFF YES ❑ NO ❑ z LTER ❑ ETE R❑ IN OPEN SPACE YES [:1 NO ❑ USE OF IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG EMOL ❑ APPLICANT TEL (PRINT) NO 6 //��,�"/�' BY (SIGNATURE) 7/Z4/7 -% ArA0�J~41240 1"ems ofthA- IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION / j 7f AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY sO {'• WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON STRUCTION 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED IO w r ��`/� • HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF C IFORNIA IN R LATINO TO WORKMEN 9 COMPE NSATIO INSUR E SIGNATURE OF FINAL BY PERMITTEE DATE `$O If ADDRES CITY NOL PC Fee$ Permit Fee Is VALUATION S ,G' ODry Issuance Fee Total Fee PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION (jK' MO CASH 2 5 PMR 2i L 1 1 6.2 5 � 78AB78A CB•BOfB it/7S #910319 SB APPLICATION FOR BUILDING PERMIT � COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS �j� -G �.t �Q G%� 1 hereby affirm that I have a certificate of consent to self Insure BUILDING ADDRESS or a certificate of Workers Compensation Insurance,or a certified 6019 N Oak Ave �thereof(Sw 38W Lab C) Republic cm em e C t zIP 1780 Locum' PWICY o PC997500 Company Indemnity gIZEOFLO 71 NO OFBLDO.4 Now ON LOT ❑ Certified copy Is hereby furnished NEAREST CROSS ST iq ® Certified copy Is filed with the county building Inspection TRACT BLOCK LOT NO department USE ZONE MArr 0r D� 7-1-92 ApplicantVirgin Roof Co ASSESSOR MAP BOOK PAGE FARCEL /AL 0 y SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER net to D T Andria TEL No YES NO COMPENSATION INSURANCE WmHIN 1000 FT OF SCHOOL? ADDRESS (rhis section need not be completed H the permit Is for one hundred 6019 N Oak Ave DISTRICT I GROUP IrYPECONST FIRE ZONEPROCESSED BY dollars($100)or less.) CITY performance of the work for which this I certify that in the pe permit _Me e Cit LP 91780 Is issued 1 shall not employ any person in any manner so as to ARCHITECT ENGINEER TEL NO become subject to the Workers'Compensation Laws STATISTICAL CLASSIFICATION APT CONDO Data Applicant ADDRESS BASS NO DWELL UNITS NOTICE TO APPLICANT If after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption you should become subject to the Workers CONTRACTOR TEL NO SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code,you must forthwith Virgin Roof Co 287-0507 FRONT comply with such provisions or this permit shall be deemed revoked ADDRESS UC NO P.0 Box J 160650 SIDE a LICENSED CONTRACTORS DECLARATION CITY uc CLASS PL g I hereby affirm that I am licensed under provisions of Chapter g San GorielC SEWER MAP (commencing with Section 7000)of Division 9 of the Business and SQ FT SIZE NO OF STORES NO OF FAMILIES NEW E3Profession Code and my license Is In full force and effect 31 s s one 160650 C39 DESCRIPTION OF WORK ADD ❑ BK Pa Ucense Number Uc Class VALUATION a Tear off roof then a1 Contractor Virgin Roof C%� 6-30-93 ; 30 ALTER ❑ S 8948 00 z 13 I am exempt under Sec Class A Fiberglass Shingles REPAIR 11 $ B&PC for this reason DEMOL ❑ LOMA USE OF EXISTING BLDG P/C 1 Date DwellingURM 11 1 Signature APPLICANT(PRINT) TEL NO LOMA Perm 1 ~ 3 ❑ 1 as owner of the property or my employees with wages as Virgin Roof Co 287-0507 C H4�l °H their sole compensation will do the work and the structure is ADDRESS F � ! 293.97 not intended or offered for sale (Section 7044 Business and I N&DATE C 1 ITEMS Professions Code) WILLTHEAPPUCANTORFUTUREBUILDINGOCCUPANTH NDLEAXAZAFMOUSUA7IIUAL ❑ 1 as owner of ther0 OR A MIXTURE CONTAINING A HAZARDOUS MATEIM EDTO OR GREAM THIN p party em exclusively contracting with UAL THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? Rum BY :10TGfiAL ?' licensed contractors to construct the project (Section 7044 TEs❑ NO KI Business and Professions Code) WILL CHECK Z93.97 LL THE INTENDED PE MIT FOR OONSTRUCTION OR MOOIFWxnON FROM THE BUILDING By THE APPLICANT OR E BUILDING CHANGE .(X1 CONSTRUCTION LENDING AGENCY OOMT AIR OUAIM MANAGEMENT 09STR=(SCAOMD SEE PERMITTING THE a�T CHANGE FOR Gu10BINm I hereby affirm that tem Is a construction lending agency for YES❑ No 191 the performance3097 of the work for which this permit Is Issued(Sea OC L'—I VSD 1 10li�5� 1 1 HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING OHECKLW 1 (3 NDEIMAND MY REQUIREMENTS UNDER THE LOS ANGELES ��, O° 1 Lenders Nemo COU OODQRMAM TFTLEZ 27D oNa2MIODTHROOM M14000NCENO 7 FROM THESCAOMD Lenders Address 1 certify that I have read this application and state that the above Information is correct I agree to comply wlfh all county PC PERMIT FEE ordinances and State laws relating to building construction and 269-22 hereby authorize representatives of this County to enter upon ISSUANCE FEF e above-m Ione propert for inspection purposes 24.75 10-23-91 INVESTIGATION FEE TOTAL FEE sAp�° OXY SEE REVERSE FOR EXPLANATORY LANGUAGE