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Home My Public Portal About6213 OAK AVE_Building__ BUILDING ADD EIBS ,l� /�. / .►� CJ 41 /`°�y� APPLICATION LOCALITY DIVISION OF BUILDING AND SAFETY NEAREST L ()"0,496 CROSS ST. Department of County Engineer DISTRICT NO. RECEIPT NO. PERMIT NO. County of Loe An 7 WM. J. FOX, COUNTY ENGINEER GROUP DATE RECEIVED DATEISSUED CASSATT D. GRIFFIN, SUPT OF BUILDIND FOR APPLICANT TO FILL IN / IS B S TY NBT. RECEIVED BY ISSUED BY OWNER MAP STATE MAIL NUMBER HWY YES' . ADDRESS ®, USEZONE SPECIAL TEL / d� CONDITIONS CITY 1 N O. �M ARCHITECT OR TEL. ENGINEER _ NO. _ • BUILDING YARD HWY STREET NAME EXIST. IJ\ ADDRESS �� SETBACK WIDTH .O i �/ FRONT CONTRALTO 1 V "'NE,f � . SIDE ADDRESS c, P.L. BUILDING DATE CORRECTIONS INSPECTOR ADDRESS A. Vv. LOT NO. BLOCK TRACT A '/ / y9 Ald6?0, o- SIZE OL F OT CD X / I NO.OF SLOGS NOW ON LOT USE OF FXIRTING BLDG. DESCRIPTION OF WORK as 0 NEW ADD ALTE REPAIR DEMOLISH Z 9q.FT. NO.OF NO.OF Y SIZE STORIES FAMILIES r UBE OF STRU TORE g 4 / / ne MOA014 fI.I p sa b NO.OF EMPLOYEES 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IS APPROVALS INSPECTOR'S SIGNATURE DATE CORRECT. 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION AND STATE LAWS GULATING BUILDING CONSTRUCTION. FORMS,MATERIALS FRAME: FIRE STOPS, SIGNATURE OF BRACING,BOLTS PERMITT 92 FURNACE: LOCATION, GAS VENT,DUCTS ADDRESS- /�� r LATH, M4-- ��LE (ia:/l�ZI.:lGLG®(' >_I- S� AUTHORIZED AOT. -rLATH, EXT. v / FEE.� HOU BE NUMBER COR- RECT AND POSTED VALUATION FEE FINAL /! ✓ff,.( , Z-/-54- WARZRA I1RC'i I.1I. LCA •,?GA038ACE#80811-87 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDREss.G;� / t 'BIMING AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST '~ f • CASSATT D.GRIFFIN,Sur'T of Bu1LDING CROSS ST. c� ,�¢ i DISTRI O. GROUP SEWER -MAP FOR APPLICANT TO FILL IN TYPE s ; PG �T ; I CONST: BU'12ING STATiSTICALCLi4�SSIFICATION I Df#ESS y � .� / L07 N0 }' fG NMAP CLASS.NO�DWELLL.UNITS NUMBER (' -3 SH yy. YES NO TRACT v USE ZONE. SPECIAL / -NO.OFBLDGS. ` ICONDITIONS SIZE OF LO !; I NOW ON LOT !► USE OF ' EXISI ING:BLDG. _ 15 BUILDING YARIJ HWY STREET NAME EXIST. SETBACK WIDTH OWNER /C FRONTr ✓. MAIL �7 P•L., ADDRESS C4 //�ISIDE 'TEL P.Li CITY . ' TEL INSPECTION RECORD ARCHITECT O TEL. ENGINEER �✓lf� NO. ADDRES _,!;- S•ip,Plf /^ CONTRA /felC/C'.S Jrr��ltj / CUN ~ DESCRIPTION-OF WORK'' NEW 'ADD ALTER REPAIR DEMOLISH SQ:FT. NO.OF NO.OF SIZE STORIES FAMILIES USE OF STRUCT 8 0 191 A/!� 43711 SIGNATURE OF APPROVALS APPLI CANT DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION $ FORMS,.MATERIALS / 'ItsP.C. $ �� FRAME: FIRE STOPS. as xy FEE 'BRACING.BOLTS VALUATION. !' S B'✓' FURNACE: LOCATION. GAS VENT.DUCTS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT. PLICATr6N AND STATE THAT THE ABOVE IS CORRECT AND `AOREE TO COMPLY yYlY ALL COUNTY O INANC S AND ' STATE hAW.S R LAT NG BU DIN ONST CTION. LATH.EXT. SIGNATURE OF +'� . HOUSE NUMBER COR. PERMIT7'E RECT AND POSTED ADORES 9 FINAL CLYDE N.DIRLAM,PRINCIPAL STRIJGTURAL ENGINEER - PLAN CHECK VALIDAI:TIO cK; M.O. CASH PERMIT VALIDATIONCK' M.O. CASH TEMPLE CHTY ;B.as..Cr,:803.1 APPLICATION FOR BUILDING PERMIT COUNTY OF'LOS ANGELES BUILDING 2-1 ADDRESDEPARTMENT OF COUNTY ENGINEER SUII.DING AND SAFETY DMSION LOCALITx;� JOHN A. LAMBIE. COUNTY ENRINEER NEAREST WILLIAM A.JENSEN SUP'T OF BUILDING CROSS ST. D1S1$6CT N GROUP pE CESS BY FOR APPLICANT TOM IN p7' coNsr: BUILDING r_ /t� /�w��; STATISTICAL-C SIFICATION SEWER MAP _ ADDRESS lfL ,_104le 4 Zz. BK PG B CLASS.NO. DWELL.UNITS— LOT NIT LOT NO. •4pZ �. BLOC WATER NOT REQUIRED RECEIVED p y� CERTIFICATE: TRACTS MAPHIGHWAY ' NO.OF BL'DGS. NO. 0 0, ICIRCLE) STATE MAJOR SECOND, CAL SIZE OF LOT NOW ON LOT USE ZONE - SPECIAL USE CONDITIONS EXISTITI NG H DG. .Sr TE ' OWNER . jWkN �e�G BUILDING WEXIST. / /qq SETBACK 'YARD HY STREET NAME WIDTH ADDRESS l& V .4�'� NMI. FRONT ARCHITECT OR TEL. P.L.. ENGINEER NO. SIDE ADDRESS TEL. INSPECTION RECORD Q CONTRACTOR NO. V ADDRESS DESCRIPTION OF WORK -' • W ADD ALTER REPAIR' DEMOLISH rn —915 FT. NO.OF NO.OF IZE OR ES FAMILIES USE OF ` STRUCTURE SIGNATURE OF APPLICANT VALUATION$ ` ` APPROVALS IDATE INSPE R'S IG. AT RE' FOUNDATION:LOCATION p/ FEE FEE $ �^ FORMS,MATERIALS }yd rf( r FRAME:FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS •�� •1 I I.,1 //N1��/I AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:LOCATION. I I ` 1/1 " WITH ALL COUNTY ORDINANCES*AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK 1 - 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. LATH,EXT. SIGNATURE, Apr HOUSE NUMBER COR- PERMITTEE- RECT AND POSTED I r I //14/0! ADDRESS J FINAL i lffix CLYDE N. DIRLAM, PRINCiFk&'STRU AL ENGINEER PLAN CHECK VALIDATION cK. M.O. CASH PERM VALIDATION cK. M.o. CASH DEE-14 1 D 6.0 0 76Atl : CE7l8_03 12/69 _/- �� APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK / PAGE PARCEL BUILDING AND SAFETY DIVISION ADDRESS (v 1 . _ JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY r FOR APPLICANT TO FILL IN CROSS ST. - /� Print ort a onl BUILDING •.•� DIS NO. CRO TYFJ R SS D BY ADDRESS 1x13 ' • o ,G �� `� O � C00's T.� STATISTICAL CLASSIFICATION — SEWER MAP LOT NO. � �� BLOCK CLASS NO. =2 DWELL-UNITS BK e-PG TRACT J�i � UM� ) � �� ✓ USE ZONE MAP NO.OF BLDGS. NO. ) 9 SIZE OF LOT NOW ON LOT t CONDITIONS d / USE OF �/� �C EXISTING BLDG, w G 67 OWNER TEL. S NO' BLDG.SETBACK FROM ADDRESS ZI3 ♦ O FRONT PROP.LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITYcin HIGHWAY WIDTH FROM L.L. ARCHITECT OR TEL. O + ENGINEER NO. BLDG, ETBACK FROM ADDRESS SIDE PROP.LINE OF (STREET) TEL TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CONTRACTOR �� NU. I a HIGHWAY WIDTH FROM C.L. ADDRESS W. OLIC. t = C C. CITY liG{►{161 CLASS f CORNER CUTOFF YES ❑ NO ❑• CONSTRUCTION LENDER C NAME AND BRANCH SEE REVFRSE SIDE FORSP IAL PPROVALS u ADDRESS � SQ. FT. NO. OF NO. OF NEW ❑ e SIZE STORIES FAMILIES /(/. USE OF ADD �D///�Q l/A/�7i i!t ir., /�r! �in�i��1 .c!/J•�L. r sl . STRU��CjjTU/RA�E (� ❑ �� . ALTER .+�fi//�'.� /J/,F.f_-�.✓/ Si L��//�t-v J ��Jil•71. SIGNATURE OF • REPAIR[] /lir /� I' i f✓� / APPLICANT DEMOL ❑ //1! / 1/1 ke Lo, VALUATION$ BIG APPROVALS _gATEJ NSPFC 'S SIG TURF P.C. PMT. FOUNDATION: LOCATION i FEES FEES �i �U FORMS, MATERIALS FRAME: FIRE STOPS, 1 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. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VI LATION OF THE LATH, INT. LABOR CODE OHqA"EF •C I ORNIA RELATING TO WORKMEN'S COM • LATFI, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS. PRINCIPAL ST AL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATIO CK. M.O. CASH ILAr68 5 1R SEP 21 1' D 3 3.00- ,i WVKRtIXJ Cl11I1YtNbATIIUN vet-LAKAI ON 51 herebls'affirm that I have a certificate of consent to selfAPPLICATION F U I I N G PERMIT insures or 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 BUILDING Certified copy is hereby furnished: FOR APPLICANT TO FILL IN ADDRESS' ❑ - - 1 ' ❑ Certified copy is filed with the county building inspec- BUILDING ' tion department. ; ADDRESS. LOCALITY •y Q�� NEAREST Date Applicant CITY_ ZIP A.pLJ CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' ( I NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE. SIZE.OF LOT NOW ON LOT MAF BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP hundred dollars($100)or less.) TRACT BLOCK LOT NO. NO. PE • TEL, , SPECIAL �• I certify that in the performance of•the wo for ich this OWNER 1' l ( 1.29 -VG21 � T CONDITIONS DISTRICT GROUP TYPE FIRE PROCESSED BY �• permit is issued, I shall not employ any perso any anner .�� CONST. ZONE so as to become su s'Comp atio Laws. ADDRESS (' r --'. . CIT ZIP rj S D '" Date Applic STATISTI C. SI ICATION sR CONDO. I- ARCHITECT'OR TEL: NOTICE TO APPLICANT: If, after makirig thisDth fl is a of - LU Exemption, you should become subject to (Worsees' ENGINEER NO. CLASS NO. DWELL.UNITS' IZ SENSE Compensation provisions of the Labor Code, ymins orth- ADDRESS SEWER MAP z with comply with such provisions or this,permit shall be TEL deemed revoked. BK. PG, VALIDATION CONTRACTOR. NO. LICENSED CONTRACTORS DECLARATION . LIC. _ -' I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. LUATION (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 ODD I " SQ.-Fr.Fr. NO.OF"' NO.OF CHECK y L•icenseNumber Lic.Class SIZE STORIES FAMILIES, ONE _ $ Contractor Date' DESCRIPTION OF WORKF. ❑ ELTEW . ❑ ❑ am exempt under Sec.' 0 FINAL~' • '.&P.C. for this reason REPAIR ❑ DATE B ✓. USE OF FIN Date: EXISTING BLDG.' LDG. DEMOL• 0 B Signature APPLICAN ,• TEL. OWNER-BUILDER DECLARATION PRINT y' Lh �lr�/IryWO.Z�J ZE I hereby affirm that I am exempt from the Contractor's License ADDRESS 3 0.1.2'A. Law for the following reason (Section 7031.5, Business and Professions Code): ' PRESENT, a.0 0 0•o ❑ BUILDING I, as owner of the property, or my employees-with ADDRESS 2 e 0 4 9.:8.P . wages as their sole compensation,will do the work and the structure.is,nof intended or offered for sale(Section LOCALITY ! x• 7044, Business and Professions Code). MOVING TEL. ;j a 0`n`(r 9.R't�:U_ ' ❑ I,as owner of-the property,*am.exclusively contracting . - CONTRACTOR. NO. ;' 07.27 -84 with'licensed contractors to construct the project (Sec- ADDRESS I i tion 7044, Business and Professions Code): REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWl' PROP.LINE WIDTH ' I hereby affirm that there is c 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 Lender's Address P.C.Fee$ Permit Fee \ti I certify that I-have-read this application and state that the Issuance Fee above informat' n Is correct. I agree.to comply with.all County Investigation Fee g ordinances.on s relating to building construction, Total Fee.. U ' and hereby ou a rep sentatives'of this County to enter `. upon above ioned roperty for inspection purposes. o pl6- SEE REVERSE FOR EXPLANATORY LANGUAGE Signature PPI' .nt 'Agent Date WORKERS'COMPENSATION DECLARATION I hereaffirm that I have aof coent to self insurebor a certificate of Wo ke s'tificate Compensation Insurance, '.' % tULJ IJ 10 C R BUILDING PERMIT or a certified copy thereof(Sec. 3800, Lab. C.) 31WC1406� 1 COUNTY OF LOS ANGELES BUILDING ARID SAFETY Policy No. ny �'--- - .. . -.�•..� Certified copy is hereby furnished.Mission Iris. FOR APPLICANT TO FILL IN ADDRIESS tl ® Certified copy.-is-•filed with the county building inspec- BUILDING r ` tion department': ADDRESS 62] 1 Oak Ave, TeMple City LOCALITY Date-11-4-83 ApplicanLytle Roofing Co-. CITY Temple City' ZIP 91780 CCROSSST. CERTIFICATE OF.EXEMPTION FROM WORKERS' NO.OF BLDGS: +-ASSESSOR COMPENSATION INSURANCE SIZE OF LOT jr --i-NOW ON LOT MAP,BOOK PAGE PARCEL (This section need not be completed if the permit is for on ::.. :. USE MAP hundred dollars($100)or less.) TRACT ;BLOCK;,. LOT NO. S �. NO. :TE I certify that in the performance of the work for which this OWNER Mrs Girvin N "C SPECIAL 87-0759 r �< . CONDITIONS IL permit is issued, I shall not employ person in an manner DISTRICT GROUP TYPE FIRE PROCESSED BY p P Y an Y p ZONE so as to become subject to the Workers'Compensation ADDRESS Ave CONST. Laws. Date Applicant CITY Temple Cit Ca ZIP 91780CI ARCHITECT OR TEL STATISTICAL TIO PT. ONDO. U NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER. NO. CLASS NO. DWELL. UNITS w Exemption, you should become subject to the Workers' �.., Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply,with such provisions or this permit shall be deemed revoked. CONTRACTOR t e Roof i n No. 7 9 2—5.171'"}' BK. a PG, VALIDATION LICENSED'.CONTRACTORS DECLARATION LIC. ° I hereby affirm that Earn licensed under provisions of Chapter 9 ADDRE NO. .186303VALUATION Pasadena Sadena Ca (commencing with Section 7000)of Division 3 of the Business and 9110 7 'uC., 3 9 ' Professions Code, and my license is in full-force and effect. CITY CLASS ;�. $ nn SQ.FT. NO.OF NO.OF CHECK License NumberLic.Class 3-9 SIZE STORIES FAMILIES ONE ' NEW $ Contractor T,ytl a :Roof ingD�• 11-4-83 DESCRIPTION OF WORK _ a ❑' shin le. ADD 1 am exempt under Sec. g Class A ALTER FINAL B.BP.C. for this reason REPAIR DATE r USE OF FINAL ✓' Date' EXISTING BLDG. re DEMOL ❑'.' Signature " APPLICANT TEL. By OWNER-BUILDER DECLARATION PRINT O. — ,: I hereby affirm•that I am exempt from the Contractor's License ADDRESS P a a 1 I� ' R Law for the following reason (Section 7031.5, Business and 6 8 9.0 A Professions Code): PRESENT '� 0 0 a a a I, as owner of the property, or my employees with .ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. 2!0 0 !I.J,0 0 I, as owner of.the property,am exclusively contracting "CONTRACTOR NO. with licensed contractors to-coristruct the project (Sec- o o _!L 3 0 0= tion 7044, Business and Professions Code). ADDRESS' REQUIRED TOTAL SETBACK FROM EXIST. j �' ' S 3 CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP.LINE WIDTH I hereby affirm that there is a construction lend!ng•agency for FRONT the performance of the work for which this'perniit is issued C P:L. tSec.3097,•Civ. C:-). & SIDE a Lender's Name ' P.L. '< < 32.'50 i P.C.Fee$ Permit Fee' Lender's Address r I certify that I have read this application and state that the Issuance Fed' 10. 50 above information is correct. I agree to comply with.all County Investigation Fee ordinances and State laws relating to building construction, Total Fee 943. 00 9 and hereby authorize representatives of this County to enter x upon the ab ve-m nntlionned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE .. ¢ Signature of Applicant or Agent Date ®s