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HomeMy Public PortalAbout6153 OAK AVE_Building__ 76A638A'CE #803.1/7APPLICATION FOR BUILDING PERMIT v -� COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING ADDRESS ( COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST �• ,a� V . Print ort a onl CROSS ST. F BUILDING DISTRICT NO. GROUP ITYPE PROCESSED BY ADDRESS OAK. All CONST. c LOT NO. BLOCK STATISTICAL CLASSIFICATION 'SEWER-MAP � s CLASS NO. �DWELL.UNITS SK-6 PGAO TRACT A,/P .4 A,l a USE ZONE MAP SIZE OF LOT NO.OF BLDGS. 1 NO. 0� r� SNOW ON LOT SPECIAL USE OF NG BLDG. SI 0CA)C- w� CONDITIONS EXISTING TEL. OWNER NO. BLDG.SETBACK FROM ADDRESS FRONT PROP.LINE OF- (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY Lr HIGHWAY WIDTH FROM C.L. ARCHITECT TEL + ©� _ ENGINEER NO. I BLDG.SETBACK FROM ADDRESS �y'� �j , SIDE PROP.LINE OF (STREET) TEL. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL C CONTRACTO Np, HIGHWAY WIDTH FROM G.L. v ADDRESS hh, NO + _ �Q. CITY �i/y CLASS CS'3 CORNER CUTOFF YES E] NO W CONSTRUCTION LENDER m CA NAME AND BRANCH jEPAIRC:l RSE SIDE FOR SPECIAL APPROVALS z ADDRESS SQ. FT. NO. OF NO. OF. N7ZZd" AA SIZEOF STORIEES /FAMI ES USE A >�STRUCTU m /, ��i/ 00� ARSIGNATURE ftAPPLICANT DVALUATIO 5 ,s oVALS D 'TE INSPE�PR'S SIGNyrUR: LOCATION 6 FEES �Pr FEES FORMS, MATERIALS FRAME: FIRE STOPS, / I HEREBY ACKNOWLEDGE THAT 1 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. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OF%�k F •CALIFORNIA IN RELATING TO WORKMEN'S COMPANCE. - LATH, EXT, SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS MadFINAL ,_ . JOHN F. LEWIS. PRI CIPAL STRUCTUR L ENGINEER PLAN CHECK VALIDATION cK. M.O. CASH _ PERMIT VALIDATION SCK. ! M.O. CASH LACp.:6842 JUL4:6 1 D 10.5. 8- Q .iGeI5843N JUL 6 1 0 35.25, ca !aAaaaA Cess 12.54 _ APPLICATION FOS, BUI L®I NG .PERM'S,' ]. DIVISION OF BUILDING AND SAFETY BUILDING 1 Deportment of County Engineer ADDRESS County of Los Angeles LOCALITY WM.J. FOX, COUNTY ENGINEER CASSATT D.GRIFFIN,SUPT OF BUILDING NEAREST I CROSS ST. .Cr FOR APPLICANT TO FILL IN - DISTRICT!40. TYPE O. GROUP SEWER MAP +� �BUILDING y CONST. B ADDRESS /�' �Ve MAP /}- STATE WSS -- NUMBER NUMBER '�O HWY LOT NO. BLOCK USE;PNESPECIAL CONDITIONS TRACT NO.OF ErLDGS.+ SIZE OF LOT l I NOW ON LOT / BUILDING -EXIST. USE OF SETBACK WIDTH EXISTING BL G. FRONT P. L. iGL� OWNER SIDE MAIL - ff P..L. ADDRESS140 TEL D 1 DWELL. 1 UNIT 5 INDUSTRIAL CITY, . NO 2 DUPLEX UNIT- 6 PUBLIC BLDG. ARCHITECT OR TEL. ENGINEER NO. 3 APT. UNITS 7• ADDN.,ALT., ETC. ADDRESS 4 COMMERCIAL 8 MISCEL. � CONTRACTOR ./ i/�/t.[ o INSPECTION RECORD ADDRESS DESCRIPTION OF WORK NEW ADIr" • ALTER .' REPAIR DEMOLISH SO.FT. NO. OF NO.OF SIZE STORIES FAMILIES USE TRUCT E SIGNATURE OF i APPLICANT APPROVALS ADDRESS �•CEO •/ DATE INSPECTOR'S SIGNATURE $ OUNDATION, LOCATION P.C. S FFORMS, MATERIALS- 00 FEE - FRAME: FIRE STOPS, VALUATION �J 60 BRACING,BOLTS ///-�'c�CS~ (s�•r��� ,'A ��"// FEE 0C F=URNACE: LOCATION, mg - GAS VENT,DUCTS 1 HEREBY ACKNOWLEDGE THAT 1. HAVE READ THIS APPLICATION AND STATE THAT THE OVE IS CORRECT AND AGREE TO CO MPL WITH ALL NTY RDINANCES LATH, INT. AND STATE LAWS NG ILDIN CONSTRUG TION. LATH, EXT. ' SIGNATURE OF HOUSE NUMBER'COR' PERMITTEE ,! RECT AND POSTED ADDRESS/ ��-� FINAL WM: J. FOX. COUNTY ENGINEER VALIDATION 9Y. 'IP-2B3 1 51S APR DEPUTY u DEPUTY ' BY BY 8 DEPUTY . DEPUTY 'GAGSSA CE4809 8-63 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 F WILLIAM A.JENSEN,SUP'T OF BUILDING CROSS ST. �•' DIS IC NO G TYPE P S BY FOR APPLICANT TO'FILL IN �' coNsr. , BUILDING STATISTICAL CLAS ICATION EWER MAP ADDRESS BK P� 3 X, CLASS. NO. DWELL.UNITS r LOT NO. BLOCK 1� WATER (� CERTIFICATE: NOT REQUIRED � RECEIVED. TRACT°' AY NO O CMAP GRGVLE) STATE MAJOR SECOND LOCAL NO.OF BLDGS: SIZE OF LOT " NOW ON.LOT U E ZO E SPECIAL USE OF - J CONDITIONS EXISTIN LOG. rL TE ? OWNE BU L•DI.NG EXIST. . SETBACK YARD HWY STREET NAME WIDTH, ADDRESS k/WSor, FRONT., w3� ARCHITECT OR TEL. •P• L. O� ENGINEER NO. _ SIDE P 4 ADDRESSLo CONTRACTOR NO. ADDRESS DESCRIPTION OF WORK y-A •�. J ) "� ar' ! ;fig pe,r, ,ui.,�, ' �.d,\ '/�/�rl •�� .d� —•, ;� �. .��1�r'�il.11 La NEW ADD ALTER REPAIR DEMOLISK, ' " _r��.�xry,��'° .y!•� SQ.FT. NO.OF NO.OF A •I_ r SIZE STORIES FAMILIES _ �. F� Q e� p/��r/J ✓,"'.,,�✓ USE OF .I .1 �- STRUCTURE r t 7 SIGNATURE OF APPLICANT / VALUATION S APPROVALS. PATE INSPECT RB P.C. PMT. / D FOUNDATION: LOCATION_ "yiI FEE FEE S ! b � FORMS, MATERIALS. �`. r ?r�t"�E_+?l+e' :s!r�/� FRAME: FIRE STOPS, 1 HEFiEBY•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 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH,'INT. ) TION-OF THE LABO CODE OF THE STATE OF CALIFORNIA RELAT- GM IN 'TO WORKE 5 C PENSATIO RANGE. LATH, EXT. - r SIGNATURE O / HOUSE NUMBER COR- , PERMITTEE RECT AND:POSTED i ADDRESS FINAL JOHN F. LEWIS. PRfNCIPAL ST URAL ENGINEER PLAN CHECK VALIDATION •CK. M.O. CASii PERMIT VALIDATION...- CK. M.O. CASH LA�o s 2 0 NOV 5 1 "D 1 S.5 . , 1 DEPARTMENT*OF BUILDING AND SAF7ft APPLICATION FOR PERMIT t COUNTY OF LOS ANGELES 'WILDING WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK. NO. PERMIT NO. lEctc UILDINGADDRESS e(e 1.f3 �� J .t RECEIVED BY DATE O/FAPP L.�t DAT ISSU7,- CROSSST, OCALITY, .:, '.. u I �NEAREST BUILDING -ADDRESS OWNERMAIL LOCALITY („L� DDRESS 7 , NEAREST TEL gy CROSS ST. ITY NO: ��0AJ FIRE NO. ON I TYPE I GROUP .�• ARCHITECT OR '"TEL.' ZONE PLANS ENGINEER -NO. ; BLDG. NO. SETBACK LINE 7— // ADDRESS APPROVED • .-... .. TEL. BY DATE CONTRACTOR NO_. USE APPROVED - y•ZONE A _l BY DATE I ADDRESS _ ," HOUSE 'NUMBERING LEGAL FIELD CHECK BY DESCRIPTION - LOT '- I BLOCK �' MAP NUMBER TRACT. SaJ .. - lLd Ell NO. ASSIGNED BY BATF - NO. O BLDGS: 4 � ;L..,....,`�,. CORRECTIONS SIZE OF LOT j�J I'NOW ON LOT `� 71'O 'USE-OF �•I NO. OF _ EXISTING BLDG. FAMILIES I DESCRIPTION OF W6& , t J -0 ,s�� 15174 �P o f✓/,2/Nr'r d '. NEW: I /l I ALTERATION .I I: NAODI9'IO ' REPAIR .I ('DEMOLITION' I .. I . I 0 SQ. FT. NO. OF r SIZE �Q ROOMS STORIES Y 7 EXT. WALL ROOF , r COVERING I COVERING USE OFRUCTURE IF APPROVALS I INSPECTOR'S SIGNATURE DATE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION ,g /S ` PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS / , h! CORRECT. I AGREE TO COMPLY .WITH THE CORRECTIONS LISTED + FRAME: FIRE STOPS, HERRON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS LAWS REGULATING BUILDING CONSTRUCTION. FURNACE: LOCATION, SIGNATURE OF GAS VENT, DUCTS (/(.` J fj �r PERMITTERI (141191 LATH, INT. - 1 ADDRESS- sc L�V'f Y LATH, EXT. twc AUTHORIZED AGT. PLASTER, INT. 76A878A- Dim• 10-80 $ L..EF ® D T 7' r� PLASTER, EXT. 8 � U /0 •' �� , / S VALUATION r FINAL (C_,� jii '�r��(•!./ �.���-3 APPLICATION FOR BUILDING PERMIT 1 COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN 7IB?ILD1 G�o SSI hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS or a certificate of Workers'Compensation Insurance,or a certified 41 5�3 IVB copy thereof(Sec.3800,Lab.C.) CRY p� ZiR y?v LOCALITY Policy No. Company SIZE OF LOT NO.OF BLDGS,NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT N0. department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' ER TEL NO. [�6 COMPENSATION INSURANCE a WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred AD RESS_ d�f dollars section nor less.) 3 d nI`� DISTRICT GROUP ZTYPO'N11 FIRE ZONEgPROCESSED BY I certify that in the performance of the work for which this permit CITY is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. dpi �� becomesubject to the Workers'Compensation Laws. STATISTICAL CLA SIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. V DWELL UNI 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 comply with such provisions or this permit shall be deemed revoked. FRONT ADDRESS UC.NO. PL LICENSED CONTRACTORS DECLARATION SIDE CITY LIC.CLASS PL I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIz NO.OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. -ZG NEW BK PG d License Number LID.Class DESORIP ION OF WORK ADD ❑ VALUATION • , Q Contractor Date �C ' 1 'Rf S� ALTER ❑ .ADD• ❑ I am exempt under Sec. c?,(s've e'X5JJM alp dwv REPAIR ❑ $ U BAP.C.for this reason R�� qyr� -(ta, Wasp DEMOL ❑ LDMA P/C s W Date: USE OF EXISTING BLDG. URM ❑ CL Ignature APPLICANT(PRINT) TEL NO. LDMA Perm 0) 1 1, as owner of the property, or my employees with wages as i 4(• 4 v their sole compensation, will do the work and the structure is ADDRESS 405 r not intended or offered for sale (Section 7044, Business and FINAL DATE Q .�i=I !=1 = Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL 1 -I- `tL OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE41 M 1 .11 CIT, ❑ licensed a3 owner of the property, am exclusively contracting 44, AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY n r • s_ 5 licensed contractors to construct the project (Section 7044, YES❑ No❑ /' fI}f I�L Uv�� '� "="—e Business and Professions Code.) r 122-'. WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING 1_I"r .'f1 1 -'a til I OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKUsT FOR , GUIDELINES ;_. ��=,"-I a CI._ I hereby affirm that there is a construction lending agency for YES❑ NO❑ w the performance of the work for which this permit is issued(Sec. m I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING 3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, N r TITLE 2,CHAPTER 2.20 SECTIONS 2.20,100 THROUGH 2.20.140 CONCERNING HAZARDOUS I_I,..,I I"I ilk�• �( i•�J r Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. a *t o Lender's Address �'i J%' 1i It � OWNER OR AGENT c I certify that I have read this application and state under penalty I of perjury that the above information is popect.I agree to comply P.C.FEE PERMIT FEE N with all county ordinances and S aws relating to building i(p bC 6cconstruction, and h r y a resentatives of this County ISSUANCE FEE ro - to enter up h do r0 erty for inspection purposes. L (0 _ — INVESTIGATION FEE TOTAL FEE SEE REVERSE FOR EXPLANATORY LANGUAGE