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HomeMy Public PortalAbout6155 OAK AVE_Building__ 76A658A CE#8035.61APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTB ENT OF COUNTY ENGII�M ADDRESS ' BUILDING AND SAFETY DMSION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER r NEAREST f WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST, DISTRICT NO. G OUP TYPE P SSED BY FOR APPLICANT TO FILL IN ;f� CONST. BUILDING f _ STATISTICAL CLASSIFICATION- — SE ER MAR lt��SL�' a(PG ADDRESS / � CLASS.NO. DWELL.UNITS � Ol/ , LOT NO. 'Vdu •o BLOCK WATER' NOT REQUIRED " RECEIVED `,- CERTIFICATE: Lj TRACT Skxnl; /lhz:& .IJ.G/?i l6,-- MAP IGHWAY STATE MAJOR SECON LOCAL SIZE OF LOT�Gr.�/ JIB , NO OF BLDGS. NO. (CIRCLE) - Ag 3 I NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS 'EXISTING BLDG. TEL � OWNER G•�, \10/ NO.'7Ja 3 BUILDING EXIST. _ YARD HWY REET AME / e? yy- SETBACK' WIDTH ` ADDRESS /�"!. /`/fit%)s!•sZ�i� 1c�Gls/lr Gf�� FRONT ARCHITECT OR EL. I P.L. ENGINEER NO. SIDE P.L. 0 ADDRESS RP%__// TEL/� 009! INSPECTION-RCO ERD,'_ ' CONTRACTO /.i� -/!��/�r > NOG-,iXl?,-3 Q ADDRESS �lC.,s.,,I, / - V Lu DESCRIPTION OF WORK L p Gz. ri c `a.,// ire., r 1r3.;"1`i: 7icr::Lf /cl H a Y • c 1;--•�r,:-�r�✓ .:A�c_SyZr► �.]D OEt':�d)7 � �.��oT Z NEW :ADD ALTER REPAIR DEMOLISH :, r � SQ.FT.,f NO.OF NO.OF J`.f,�te ro /fie t. r' r. i�/-ire�,s ems•0 SIZE /� � STORIES FAMILIES USE OF /y� -- STRUCTURE - %��:/�- �✓'+f:S,ifl7 11' •`i s•! i).�1 C�i �`S•�:c 7,F:: '�� <fieUl"/" SIGNATURE OF APPLICANT VALUATION �'7`CGIJ E� ,=r'�r`a•r� `a-"> �+'I 'e": ` �f APPROVALS i ATE/ INSPECTOR'S SIGNATURE FEE $ !✓ .•4 FEE $ `— FOFORMS.MATERIALS 2 / /jVq.6/ '% FRAME:.FIRESTOPS. � ,/ipr' �� I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION .BRACING BOLTS Ci 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 CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE.' //fJ7� LATH,EXT. PERM SIGNATURE ITTEE OHRECT AND POSTEDR F 3eCOR- 01e ADDRESS. 1-44 All ��� FINAL I�� II fl I �`� CLYDE N. DIRLAM, PRINCIPAL T ORAL ENGINEER PLAN CHECK VALIDATION & M.O. CASH PERMIT VALIDATION CK. M.O. CASH L •_� 059- «D 72 3 D 22.50 '' " ,r, 'BA638A CE*808.8.88 APPLICATION FOR BUILD) G PERMIT COUNTY OF LOS ANGELESBUILDING DEPARTMENT OF COUNTY ENGINEER ADDREss BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE:COUNTY ENGINEER NEAREST WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST. J DISTRICT NOS 'GROUPTYPE P C D BY FOR APPLICANT TO FILL IN d CONST. BUILDINGSTATISTICAL CLASSIFICATION SEWER MAP ADDRESSAil a y� CLASS.NO. / DV1/ELL.UNITS ,cam BK P LOT NO ,BLOCK WATERNOT REQUIRED 1:1 0- ❑ CERTIFICATE:- TRACT MAP HIGHWaY NO.OF BLDGS. NO. (J (CIRCLE) STATE SECOND,LOCAL. SIZE OF LOT NOW ON LOT USE ZONE SPECIAL • USE OF • CONDITIONS EXISTING LDG. TEL OWNER NO.' BUILDING EXIST. SETBACK YARD HWY STREET NAME WIDTH ADD SS &l Qj FRONT �O / /O ARCHITECT O TE fJ ENGINEER NO. I SIDE P. L. ADDRESS TEL. CONTRACTOR ADDRESS a DESCRIPTION OF 'WORK v ' W . IL NEW AD ALTER REPAIR DEMOLISH � SQ.FT. NO.OF NO.OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT VALUATION 550 APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMTO Q FOUNDATION: LOCATION FEE $ FEE.$ FORMS, MATERIALS ' � 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 COUNTY ORDINANCES AND STATE LAWS REGULATING 'GAS VENT. DUCTS ' BUILDING CONSTRUCTION. 1 CERTIFY-THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN.VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S CO PENSATIO INSURANCE. LATH.EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL JOHN'F. LEWIS, RINCI AL STRU RAL ENGAS R PLAN CHECK VALIDATION CK. M.O. GASB PERMIT VALIDATION CK. , M.O. C Aj 0 0 0 1 .1�0 AUG 9 1 D. 9.0 0- .. •> .., • APPLICATION FOR BUILDING PERMIT FQR APPLICANT TO FILL IN (Print or type only) BUILDNGCOUNTY OF LOS ANGELES ADDRESS �'�J�.J� DEPARTMENT OF COUNTY ENGINEER CITY �.`7�yr•7�*,/,e �' ZIP q1,;7,-f40 BUILDING AND SAFETY DIVISION SIZE,OF LOT//f /�!(/ f NOW ON LOT ADDRESS T 44'A AG� 6lfCS�K LOT LDING � ,9- LOCALITY _ TEL ( NEAREST OWNF�/YJ�.S /���J N 49 . CROSS ST. ASSESSOR ADDRESS �J� f✓r ®-4/-/ MAP BOOK PAGE PARCEL r� DISTRICT UP TYPE FIRE PROCESSED Y -CIT.. 6171, 4_1 L" ZIP ,9� G � CONS ZONE ARCHITECT OR TEL. / ENGINEER NO. STATISTICAL CLASSIFICATION SEWEVAP ` J ADDRESS LZJ �� Ul°�� CLASS NO. 2-1 DWELL.UNITS BK PG CONTRACTOR �r.G ��� , �i USEZONE [MANPP �7J 5' LIC. D�j / f/ r ECIAL ADDRESS i9 LIC. ONDITIONS. - CITY GL -_•CLASS CONSTRUCTION LENDER ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.LINE OF" (STREET) ADDRESS CITY TOTAL SETBACK FROM TYPE OF_ EXISTING HIGHWAY + YARD SQ.FT. NO.OF .�j NO.OF l CHECK - FRONT PROP.LINE HIGHWAY WIDTH SIZE�7 /0 STORIES G FAMILIES/ ONE } , DESCRIPTION OF WORK NEW ❑• + O; V77ADD BLDG.SETBACK FROM IDE PROP.LINE OF (STREET) O ALTER ❑ TOTAL SETBACK FROM TYPE OF EXISTING w rO�f/ HIGHWAY + YARD = SIDE PROP.LINE HIGHWAY WIDTH , N USE OF. �. REPAIR ❑ Z EXISTING BLDC�, /EP l L DEMOL ❑ + APPLICA /� //��/� TEL,b/) CORNER CUTOFF YES ❑ NO�❑ IPRINTI C� +�"1 ij NO-170 �e�y /� IN OPEN SPACE ' YES ❑ NO ❑ BY(SIGNATU. !!/ OL IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION$ ]• 4 c,J IHEREBY 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 CONSTRUCTION.I CERTIFY THAT IN DOING THE L WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CO_QE OF THE STATE OF CALIFORNIA IN RELATING WORKMEN'S V COM- PENSATIO SIGNATURE ( PERMITTEE AD C> �L r!� �I '1 FINAL Lf BY CIP X11aLe'^k 1 NO. (JDATF. ✓7 MAKE CHECKS PAYABLE TO: FEE FEET 7 HARVEY T.BRANDT,COUNTY ENGINEER ` /�•� ti _ i / 6 - PLAN CHECK VALIDATION - CK. M-O. CASH .6 ( w PERMGeIIT VALIDATION CK. M.O.- CASH 3 4 912 MAY A! r~ O 1 '7 ti Jtli� 19 U 178-00A36 ®t 76A638A CE#803 3.75• WORKERS' COMPENSATION DECLARATION 4�efe�y.vffirm that I have certificate of consent self APPLICATION FOR BUILDING P M I T irtit'S��e, or a certificate of Workers' Compensation Insurance, or a, ied copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Oils NW!e2�� Compony��{ 6trL�� BUILDING ❑ Certified copy is hereby furnishek. FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with the co ty building inspec- ADDRESS ��f` ` BUILDING tti dep rtment. J Date^ a Applicant CITY &. ZIP LOCALITY ~ NO. OF BLDGS. NEAREST ERTIFICATE OF EXEMPTION F WORKERS' SIZE OF LOT NOW ON LOT CROSS ST. COMPENSATION INS CE ASSESSOR 2 ,/ (This section need not be completed if the permit is for one TRACE BLOCK LOT NO. MAP BOOK / �J PAGE Aja PARCEL hundred dollars ($100)or less.) TEL OWNER Q a4N N "���J-�g� USE ZONE NOP 'Jiro, 3 I certify that in the performance of the work for which this // SPECIAL ��'' } permit is issued, I shall not employ any person in any manner ADDRESS (p S G / CONDITIONS a so as to become subject to the Workers'Compensation Laws. �/` �J pO OU CITY ! (..�d ZIP / 0 U Date Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY O NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CONST. ZONE J Exemption, you should become subject to the Workers'- j'_3 G a Compensation provisions of the Labor Code, you must forth- S ADDRESS !� N with comply with such provisions or this permit shall be I TEL. STATISTICAL CLASSIFICATION APT. CONDO. Z deemed revoked. CONTRACTOR 6,C NO. 6 © — / LIC., CLASS NO. DWELL. UNITS LICENSED CONTRACTORS DECLARATION : ADDRESS OZ,f Aw A,/ h& . NO.j'i`f SO 3 I hereby affirm that I am licensed under provisions of Chapter 9 LIC. SEWER MAP (commencing with Section 7000)of Division 3 of the Business YYT/ir�a �� CLASS C 3 9 and Professions Code,and my license is in full force and�ffect. CIrY. BK. PG. VALIDATION 3 C� SQ FT. NO. OF NO.OF CHECK Q License Number 1 60 r Lic. Class L3 t SIZE STORIES FAMILIES ONE VALUATION Contractor) G 0 t Date`S 30 -1/ DESCRIPTION OF WORK 11-1-"6 6i/I NEW ❑ $ �D9->' �ni,�1e eve,/ �Y ADD 1-1❑I am exempt under Sec. ALTER ❑ pop- B.BP.C, for this reason Gli[? ZVO $ Date: USE OF REPAIR_ 1.v EXISTING BLDG. ' r1� DEMOL ❑ .,.,_,_ Signature APPLICANT Si y TEL. R1 14ti.L_ g (PRINT) 4;b e — NO. 't. OWNER-BUILDER DECLARATION DATE FINAL r—r! I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and r ADDRESS FINAL TOTAL 14-0 m .a Professions Code): PRESENT BY ❑ BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work andLOCALITY ® u•h�i i�l3L "D the structure is not intended or offered for sale(Section 7044, Business and Professions Code.) MOVING TEL. CONTRACTOR NO.❑ , i _ .I,as owner of the property, am exclusively contracting11-1/ j IR I with licensed contractors to construct the project (Sec- ADDRESS '9- tion 7044, Business and Professions Code.) 4.1. 1 AM CONSTRUCTION LENDING AGENCY SETOBACK YARD HWY TOTAPROPALINE ROM 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 �f LDMA Ref. # SP.C. Fee$ Permit Fee Lender's Address i Issuance Fee P/C# I certify that I have read this application and state that the above information is correct. I gree to comply with all County 'Investigation Fee ordinances and State la s r sting to building construction, Total Fee /��0 2 LDMA Perm.# and hereby authorize r r entatives of this County to enter upon the above-menti pr erty for inspectp epos s. S �l SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Appllc\ or Agent Date