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Home My Public Portal About6126 OAK AVE_Building__ 7GA636A CE#8098-64 APPLICATION FOR. BUILDIN PERMI COUNTY -OF LOS ANGELES. BQILD'IN.G DEPARTMENT OF COUNTY ENGINEER ADDRESS ,7 BUILDING-AND SAFETY DIVISION LOCALITY > i JOR A.'LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,SUP•T.OF BUILDING CROSS ST. DISTRICT NO G TYPE. P B FOR APPLICANT TO FILL IN coNST, BUILDING STATISTICAL CL 'SSIFICATION SEWER MAP ADDRESS / Q O / CLASS NO. DWELL UNITS BKPG LOT IVO. '� /� BLOCK USE ZONE MAP /� �j NO. ..V D TRACT J- JP SPECIALQ N0. OR BLD08.. ( CONDITIONS 0_51 SIZE OF LOT 3 NOW ON LOT USE OF GVH' C:E�. 1.0 ' LCW S -S _ BLDG. SETBACK FROM OWNER ` � EL. FRONT PROP. LINE OF - (STREET) r. TYPE OF EXISTINp SETBACK• - HIGHWAY YARD - TOTAL ADDRESS y- .Q HIGHWAY I M C.L. CITY / II E eie - REDO. SETBACK FROM + _ � h ARCHITECT OR TEL. ENGINEER NO. SIDE PROP. LINE OF - STREET) � � TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C..L. TEL. + _ 0 CONTRACTOR NO ADDRESS NO CORNER CUTOFF YES NO O CITY LacAGO 'SEE REVERSE SIDE FOR SPECIAL APPROVALS W DESCRIPTION OF WORK 7_n?lM11d09N7 Z -NEW ADD ALTER REPAIR DEMOLISH 1 SQ.FT. NO. OF NO. OP SIZE STORIES FAMILIES I f �1 A USE OF ,! Al STRUCTURE S 010 M !� � SIGNATURE O f� 9� . 7' , .�°�'��1'... f C. ;, 'i�ak: APPLICANT 6.1 R 11PIE VALUATION'$ J �-� APPROVALS' DATE INSPECTOR'S SIGNATURE; P.C. PMT. .FOUNDATION, LOCATION PEE$ FEE$ .( FORMS. MATE RIALS__ / ! �.'-`r1 ti",t- f% :_FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT 1 • 1.y J AND STATE THAT THE ABOVE IS,CORRECT AND AGREE TO COMPLY FURNACE: LOCATION66 � T t " WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS C I. . BUILDING CONSTRUCTION,•1 CERTIFY THAT. IN DOING THE WORK (� �'� AUTHORIZED HEREBY'I WILL NOT EMPLOY ANY PERSON IN VIOLA- L-A". INT. 1- �� r �/i�l TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATI INSURANCE. LATH: EXT r-• . SIGNATURE OF HOUSE NUMBER COR-' --- PEStMITTEE � REC.. AND POSTED w � ADDRESS FINAL 7 � .01 ;F ; , JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENG.LNEER, o PLAN CHECK VALIDATION K. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH - _i11J0 J 4 i.« i'ttlY 3 1 D 15-0.0- 7GA688A CE BOS 6-62 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT'OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN,SUPT OF BUILDING CROSS ST. D I j. 1 T N G P TY P P E B FOR APPLICANT TO FILL IN , co T. BUILDING !! RATISTICAL CLAS FICATION S ER MAP ADDRESS !CLASS.NO. DWELL.UNITS BKS C) LOT NO. 'I�/ 1A//t70++�L7/ �T BLOCK WATER ��// I CERTIFICATE: NOT REQUIRED RECEIVED TRACT f MAP HIGHWAY STATE MAJOR SECON LOCAL NO.OF SLDGS. NO. (CIRCLE) SIZE OF LOT NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. TEL. OWNER NO. 'BU LDfNG YARD HWYSTREET NAME -EXIST. SETBACK WIDTH ADDRESS FRONT �0 7f ARCHITECT OR TEL. ' P. L. v ENGINEER NO. SIDE P. L. ADDRESS C TEL. �r CONTRACTOR NO. 1 �CG w. A_ DDRESS f - � DESCRIPTION OF WORK L LL NEW ADD ALTER REPAIR DEMOLISH n SQ.FT. NO.OF NO.OF SIZE STORIES FAMILIES USE OF STRUCTURE ,J�.11fitiQi SIGNATURE OF. APPLICANT VALUATION'$ �F APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. ' 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 I FURNACE: LOCATION. WITHALL. COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS l BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- ' LATH. INT. TION OF THE LABO�COM�PENS HE STATE OF C F®RNIELAT TNG TO WORKMEN' SURANCE. LATH,EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTEDUL !y° ADDRESS FINAL. 'y- �lJ�`lI • % � (/1f'�/;�q•�/p�/ JOHN F. LEWIS, PRINCIPAL STRUCTUR IN PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK M.O. CASH 7 7 8 .6 DEC 4 1 D 6.00- � j- was-X X5M"9ET9 X-ae•- ..-•-•-._- _... •. _ .: - r - ��. ... _. i1EPARTmE!T-NT-,_OF :BUILDING- AND_SAFETY" '' APPLICATION:FOR.PERMIT COUNTY OF`LOS A GELES- WIv1. iJ. FOX. CHIEF 'ENGINEER FOR.,APPI,ICARTT TO: FYL,L .INBUILDiN-G .FOR OFFICE -USE„ONLY //�� /J� !�/�/ /� DISTRICT NO. PLAN CK.-NO. PERMIT"NO. ADDRESS : CACii m LOCALITY T 7� , .� - J • REC VED BY DATE OF•APPL. DATE ISSUED NEAREST' —4z6' CROBB ST. UILDING OWNER '� G�3�'`e�-�L� 'PC`}'(�f�2�///S/L+' ADDRE88 ,e�"J MAIL LOCALITY,' \ ADDRESS NEAREST TEL.. CROSS ST.--eber, CITY'.:, ; .i -NO. ENGINEER ` TE :. FIRE' _ NO.OF.` :I TYPE.' 1�"i. GROUP ARCHITECT .O TEL ZONE: PLANS� BLDG.,, ORD. NO. ADDRESS SETBACK' LINE TEL. APPROVED ; CONTRACTOR NO, .' BY.... -DATE ��♦ USE' � AP PROVED ADDRESS. BY DATE'' LEGAL DESCRIPTION ' 'I LOT NO.V ` m'I BLGCR . :'CORRECTIONS TRACT SIZE OF L"OT.•�O'..�1 ?Q ' . .I r NOW ON LOT /•.?. ,' �Z/- -7,:41,.e- ,/ /:�+ti -• .'.. r .r.; USE OF-. ' OF NO. j�j' EXI3TINQ BLD (/�" Q I AMILIts9 B. •F '/ I ROOMS �f!;:t DESCRIPTION-.OF WORK! NEW,: ALTERATION ADDITION , t� :� f�' jn�• 1 f :O V REPAIR MOVINB: DEMOLISH •' U' p r• _ 84.-FT. NO.OF.. /_ i .y` - G r SIZE' �XJ ROOMS STORIES / / in ,f � :.WALL / ` ROOF'. COVERING•.XY C�Z'i r I aOVER,INB &,'rGe,!�d,.� USE ;or,NEw,_on d ^ll BUILDINB G(�(J=C•�°. L�'r-?if d _. J�"✓�- APPROVALS . . ..I HEREBY ACKNOWLEDGE THAT,•I HAVE:READ'THIS APPLICATION'�AND.STATE'THAT•-THE ABOVE 19'.CORRECT• FOUNDATION: LOCATION,. NSPEOTOR DATES I- AND AGREE-TO COMPLY WITH ALL COUNTY-ORDINANCES• FORMS, MATERIALS AND STATE LAWS REBULATINS BUILDING CONSTRUCTION. FRAME: FIRE STOPS, Cj . SIGNATURE OF•` � �• •• BRACING, BOLTS %r F�'J!`�� ,f7`./zf OWNER.- „ LATH,. INT.: AUTHORIZED AOT / ,A- ! Q LATH, EXT.: $ :P: C. S . PLASTER, -INT. r: 'FEE PLASTER, EXT. ��! /�,+! VALUATION. '• l�/ v vvv VVVV FEE•-% 'U FINALL; !SEEN= ;,: ! c — _.... :. _ WORKERS'COMPENSATION DECLARATION Cj hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT ILJI insure, �a certificate of Workers'Compensation Insurance, or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company F1 Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ADDRESS [% Certified copy is filed with the county building inspec- FADDRESS // tion department. B 1 Date Applicant ZIP •�? ZS LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST COMPENSATION INSURANCE Q d NOW ON LOT 2, CROSS ST. (This section need not be completed if the permit is for one ASSESSOR hundred dollars($100)or less.) TRACT BLOCK LOT NO.n �7 MAP BOOK PAGE PARCEL OWNER /.G/O O 1/TCY N0,,2 AP USE ZONE MAP 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 /r • SPECIAL G so as to become subject to the WDDRESS orke CoCom ensation Laws. CONDITIONS U, r CITY .1 f�r ZIP 9/7 92 Date Applicant G�—�� D:: NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY O Exemption, you should become subject to the Workers' ENGINEER NO. CONST ZONE V Compensation provisions of the Labor Code, you must forth- ADDRESS J• 3 aI with comply with such provisions or this permit shall be fTE. STATISTICAL C FICC��44TION APT. CONDO. deemed revoked. CONTRACTOR NO. Z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. I.L.DWEUNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAPIWI (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.FT. NO.OF NO.OF CHECK License Number Lic.Class SIZE STORIES IFAMILIES ONE ❑ VAI I d DESCRIPTION OF WORK NEW �O Contractor Date ADD $ I am exempt under Sec. �� ` S ALTER ❑ B.BP.C. for this reason I REPAIR $ USE OF Date: EXISTING BLDG. I G'40" DEMO"' Signature APPLICANT TEL. Q OWNER-BUILDER DECLARATION PRINT) t D e� e NO• FINALDATE ' V 1 hereby affirm that I am exempt from the Contractor's License , s 0 2 7.7 A Law for the following reason (Section 7031.5, Business and ADDRESS FINA Professions Code): PRESENT By # 0 0 0 0 0 BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and ° ° 4 Q 5 0 the structure is not intended or offered for sale(Section LOCALITY = 7044, Business and Professions Code). MOVING TEL. ° ° ° 4 Q 5 0 3 I,as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- .0 7.26-88 tion 7044, Business and Professions Code). ADDRESS CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTAPROPiINEFR 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.). SIDE P.L. Lender's Name LDMA Ref. # Lenders Address P.C.Fee$ Permit Fee c V✓ ' I certify that I have read this application and state that the Issuance Fee LDMA P/C q Poo above information is correct. I agree to comply with all County Investigation Fee 1 ordinances and State laws relating to building construction, Total Fee ly LDMA Perm.#i and hereby authorize representatives of this County to enter upo the above-mentioned property for inspection purposes. gig SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date