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Home My Public Portal About6418 OAK AVE_Building__ D�AST�iT OF SURDUM AND SAFETY APDL ATION FOR PS@wT COUNTY OF LOS ANGELES -BUILDING WM. J. FOX. CHIEF ENGINEER ' '� FOR JIpmw1 IIT TO FILL M FOR Cwl= umm OmILY DI ICr NO. PLAN CK. NO. MIT NO. BUILDING 7/6 /� P ��p / ADDREM ��pp J 1 T' /�.• R E 11?490 'o ED BY E DATE ISSUED LOCALITY 0 NEAREST CRONST. elm, BUILDING ADDRESS OWNER M� MAIL ,,//�� LOCALITY ADDRESS /�I'�� NEAREST CROSS ST. CITY / c. NO. FINK NO.OF TYPE ZONE Orr d ' PLANS IINGINKKR ADDRESS " � " �as AK LINK R APPROVED TO.. BY TK CONTRACTOR Ow I+ NO. USK APPROVED ZONE BY DATE ADDRESS aa'o G� HOUSE NUMBERING D IR�P'TION _46061 BLOCK %:z N MAP NUMBED+ GELD CHECK BY TRAM NO. ASSIGNED BY nAgv usam am OF LOT D NOOOF ON LOT ' ! f1 ValUSK off No.dir r EXISTING BLDG FAM uM OF WOE NEW ALTMIATION I ADDITION I✓ REPAIR DEMOLITIONNO. or I >0 SUPT. .c ROOM STORIES MIT.WALL 1S mocir COVERING SL' .f 0 COVERING CepipvcLo USE OF STRUCTURE s ' 4w/r CF 7t1OYM. Jrr,�o APPRMALB INSPECTOR'S SIGNATURE DATE 1 HEREBY DGE THAT 1 HAVE READ THIS AP- FOUNDATION:LOCATION PLICATION AN STATE THAT THE INFORMATION GIVEN IB FORMS, MATERIALS SII AGREE TO COMPLY WITH TILE CORRECTIONS LISTED FRAMKI FIRE STOPS. HEREON AND WITH ALL COUNTY ORDINANCES AND NATE BRACING, BOLTS LAWS REGULATING BUILDING CONSTRUCTION. FURNACKI LOCATION. SIGNATURE*TOF! �I L' I �� GAB Val, DUCTS PURI ADDRESS. Zj /� && LATH, INT. L� lee LATH. SET. PLASTER. INT. 7/AMM•SIGN MI-so P.C.a ® 2 ,J PLASTER, EXT. VALUATION 1 FEE 4 FINAL DEPARTMENT OF BUILDING AND SAFETY AFYLIC FION FOR PERMYF COUNTY OF LOS ANGELES 1 WM.J.FOX, CHIEF ENGINEER `e/T ILD NO. OFBLDG. ORD.NO. DISTRICT NO. PLAN CK. NO. PERMIyT* NO. PLANS SETBACK LINE' Qom` / 1 FIRM APPROVED of ( 1 ZONE BY DATE RECEIVED BY DATE OF APPL. DATE ISSUED USEAPPROVED �, y�j ,�- C? ZONE A BY DATE I APPLICANT FILL/ N HEAVILY OUTLINED yfPORTION ONLY' O E NAME ADDRESS p ( v L,+ ' III UW Zd{_ ADDRESS I LOCALITY �+'7•L'J�t'1.� I D NEAREST F 0 W CITY f CROSS ST.STATE � ° a LICENSE NO. TEL. E NAME / /I IIIMAIL ` OE NAME / 3 ADDRESS' ,a- j� C ADDRESS ,q O CITY b NOI Z CITY 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS V `I` R APPLICATION AND-STATE THAT THE ABOVE IS CORRECT STATE TEL.' AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO. NO. AND STATE LAWSPREGULATING_ BUILDING CONSTRUCTION. ZO LOT NO. P- SIZE OF LOT �%�� SI NATURE OF •C�!j, �`(� d�C fl NO. OF BLDGS. Q IL BLOCK �-+� NOW ON LOT AUTHORIZED AGT. �'��`• )�pf��' U A III TRACT .�.:.L: ct i � CORRECTIONS D USE OF BLDGS. NOW ON LOT DESCRIPTION OF WORK BUILDING. t/1.n�33v1G* °' rle✓""j� f // '+t.�L� �fl. �n dl.L, 7w d' Ld-0 J/�/i(X 1. `� !/PY_ \ /W' /�/ - M. �� WWF../��• �K/l/�MI-1 • SI-Y I'I h.�k 4 I v,v4 l� NEW Is TYPE I GROUP NO.OF NO. OF p ALTERATION ROOMS FAMILIES 9 ADDITION SIZE 3 Q REPAIR STORIES MOVING WALL COVERING DEMOLISH ROOF COVERING \f/ � fA P.C.$ FINAL APPROVAL � ,.. FEE VALUATION FEE DATE I INSPECTOR; V o %7 NAME DBS-3 YSM SETS 6-46 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ® I F`q e/► t WM. J. FOX, CHIEF ENGINEER BUILV FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY C19TRICT NO. PLAN CK. NO. PERMIT NO. BUS ILDING / ?. ;•w r/. d ADDRESd C's�. �G +� ?. - 1.`e147 tJ✓-.,'Z.` / �� _ 7 LOCALITY /�/i.!/ ,� �j, Y RECEIVED BY `DATE or 'PPL. r DATE ISSUED NEAREST0 ROSS ST. ) BUILDING OWNELAf 'nAK'�rr} ADDRESSMAIL AD REBS QA o�e-' LOCALITY h7e---Gc a r 4!fp f. L- �- -t NEAREST TEL. ,�M/ CR095 BT. CITY NO' FIRE mor l TYPE GROUP ARCHITECT OR TEL. r ZONE�— I PLANS®- I I J _ENGINEER \ NO. BLDG. ! ORD.NO. ADDRESS \` SETBACK LINE 1 TEL. APPROVED CONTRACTOR.. NO. BY DATE USE APPROVED ADDRESS ZONE/ BY DATE LEGAL DESCRIPTION I LOT NO. "i I BLOCK , CORRECTIONS _TRACT /-'� �I NO. OF 91.009. SIZE OF LOTfp/5 ��o� q� I NOW ON LOT USE OF P I NO.OFNO. OF F®" EXISTING BLDG. /!� ✓ '�d2.FFAMILIES ,/I LIES d DE �®SCRIPTION OF WORK NEW o7 I ALTERATION _ADDITION O R REPAIR MOVING DEMOLISH G_ Sq. NO.OF Z SIZE i��1 �y, gOOM9 STORIES r WALL fry� � I ROOF /- COVERING rs-.r,.i��'�- COVERING L�,,y USE OF NEW , BUILDING ' N 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION' LOCATION, NSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS E`BULATINC BUILDI G CI9 9TRLICT N. F �' � � FRAME' FIRE LTOPB, SIGNATURE OF �P✓,j !� C BRACING, BOLTS r OWNER LATH, INT.' AUTHORIZED AGT--v '+, ��•�-}• -"t "LATH, EXT.' 0 $ p, C,N PLASTER, INT. 976 FEEPLASTER, EXT.VALUATION FEE 3 ! 4, FINAL !�'"3• y� •' oBB-B asN •' — � `J D &ARMM OF BUnMnM AND SAFETY APPLICATION FOR P88lT COIINTY OF LOS ANGELES BUILDING WM. J. ray. OHIER EMSINlER FOR "luc4m TO FML IIi FOR OFFICE USE ONLY ■UILDINS 6� DI■TRIOT NO. PLAN OK. NO. PERMIT NO. ADDRESS Q T J/J'J'641 LOOALITY _RECEIVED ■Y DATE Or NEAREST (! -.2/ i D OWNER ADRESS MAIL ADDRESS . LOOALITY NEAREST CITY NO, /' ORO® or. FIRE NC.O TYPE ORGY ARMIIITE TEL. ZONE PLAN■ Z AROINIER . TE BLD■. i ORD.NO. ADDRESS SET■ACK LIN! � /�- TEL. APPROVED CONTRACTOR AwwoewNO. SY DATE use APPROVED ADDRESS ZON - SY DATE D6■ORE I�PTION I LOT ND. BLOOK �MECTION8 TRAM 1Z 7& ,d ■IZ! OR LOT I,2 I NDIor ON�T� op Ow'C U■E OR NO.OR NO.OR EXISTINS BLDG. �� RAMIYSI ROOM■ DEsaMPMON OF WOKS _ NEW ALTERATION ADDITION O _ R REPAIR �/J MOVING (� DlMOLI■M p a� ��r�/ R mmol y STORIES OOVELRINS Moor, USE OR NEW BUILDIN rr HEREBYACKNOWLED■E THAT 1 HAVE READ THIS APPROVAIj APPLICATION AND STAT! THAT THE ABOVE IS CORRECT ROYNDATIONI LO TIONS OTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMSp MATERUI 1T AND STATE LA LA INS B MIS OQNyTRYOTION. FRmE/ RIR! ■TO ■IOMATURE OR /V/w�K/�i'�G• ■EADIN ■GETS OWNER LATHr IMTJ AUTHORIZED AOT LATHI EKTJ P.O.i D PL ASI'!14 INT. "' re PLASTER. ccr. VALUATION � 6 QO �! 3F0 , ��L 1 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRES I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS or a certificate of Workers'Compensation Insurance,or a certified 641F 1V copy thereof(Sec.3800,Lab.C.) to CITY ZIP 080 � LOCALITY �. Policy No. Company SIZE OF LOT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST. El Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER ., TEL NO. COMPENSATION INSURANCE C �aaa� WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDRESS p dollars($100)or less.) *l D ly. 04h DISTRICT GROUP TY CONST. FIRE ZONE PROCESSED BY I certify that in the performance of the work for which this permit CITY ` ( Kx zIP��80 �� is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINES TEL NO. become subject to the Workers'Compensation Laws. STATISTICAL C SSIFICATI IN APT CONDO Dated Applicant ADDRESS CLASS 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 FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.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 S7eIZW NO.OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. NEW 11 BK PG a License Number Lic.Class DESCRIPTION OF WORK ADD ❑ VALUATION ® Q Contractor Date W Y ALTER ❑ Z • �d °` ❑ I am exempt under Sec. r REPAIR ❑ $ Q B.BP.C.for this reason DEMOL ❑ V Date: USE OF EXISTING BLDG. URM 11 LDMA P/C# :EI e i a a 42 k "1-7 'j '}r f/) Ignature 7_• . . APPLICANT( NT) TEL NO. LDMA Perm# I, as owner of the property, or my employees with wages as ADDRESS ZO their sole compensation, will do the work and the structure is not intended or offered for sale (Section 7044, Business and FINAL DATE Q `;�{� 9 00 o 75 Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL !�r'� 7 } — OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE J i- `=�•r• 74-: f ❑ I, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors to construct the project (Section 7044, vas 11 No Business and Professions Code.) WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR ) GUIDELINES J-1-ll i—f-4.I.r i '"y I hereby affirm that there is a construction lending agency for YES❑ NOA' 9 the performance of the Work for Which this permit Is issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING 7' V1 v 3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE. TITLE 2,CHAPTER 2 0 SE NS 20.100 THROUGH 2 20.140 CONCERNING HAZARDOUS Lender's Name MATERIALS�RTIN9-AN F R INING A PERMIT FROM THE SCAQMD. � Lender's Address /LDl9'A/dv'G OWNER OR AGENT I certify that I have read this application and state under penalty of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE O .'u with all county ordinances and State laws relating to building �• c construction, and hereby authorize representatives of this County ISSUANCE FEE / O� to enter u/g�yn�t;h 3fwv toned property for inspection purposes. (p Q p//, �I V g' + INVESTIGATION FEE TOTAL FEE O nJ.roa c��i Oeo SEE REVERSE FOR EXPLANATORY LANGUAGE APPLICATION FOR BUILDING PERMIT ` COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESEL I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS fd or a certificate of Workers'Compensation Insurance,or a certifiedNZ Copy thereof(Sec.3800,Lab.C.) Ci T� �,,/ ZIP y 1 / , LOCALITY Policy No. Company SIZE OF LOTNO.OF BLDGS.NOW ON LOT 11Certified copy is hereby furnished. r X160' 3 NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS ��/fir CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO. /`� COMPENSATION INSURANCE D ' 6 S 9 WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDRESS dollars($100)or less.) 611 A. Ave DISTRICT GROUP TY CONST. FIRE ZONE PROCESSED BY CITY ZIP 10 I certify that h the performance of the work for which this permit �if� c �T,�` q! no �D _a is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. J oe become subject to the Workers'COm��-ensa''pppn Law //�- STATISTICAL CL SSIFICATION APT CONDO Date 1-Z1—�S Applicant r- -2 Urti ADDRESS CLASS 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 �fiff%r:N�/ FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL LICENSED CONTRACTORS DECLARATION SIDE CI VC.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.SIZE e NO.OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. NEW ❑ BK PG } License Number Lic.Class DESCRIPTION OF WORK ADD ❑ VALUATION a Contractor Date S-416hu ALTER ❑ $ ro U ElI am exempt under Sec. REPAIR ❑ _ - y rt- r - BAP.C.for this reason DEMOL [ILDMA P/C# W Date: USE OF EXISTING BLDG. _ e URM ❑ `: S 1 3 � -- Fco FI Signature APPLICANT(PRINT) TEL NO. LDMA Perm# ❑ I, as owner of the property, or my employees with wages as Z - .•• their sole compensation, will do the work and the structure is ADDRESS O not intended or offered for sale (Section 7044, Business and FINAL DATE <- Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL El I, as owner of the OR A MIXTURE CONDONING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors to construct the project (Section 7044, YES❑ No Business and Professions Code.) �, WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING + ' L FV •• _�- OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. I hereby affirm that there is a construction lending agency for YES❑ NO Of the performance Of the work for which this permit Is issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQV:D PERMITTING 3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE a TITLE 2.CHAPTER 2.20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS Lender's Name MA -SSRREEPRQRTING AND�F O�NTNG A PERMIT FROM THE SCAOMD. o Lender's Address E1 `^ ►`A'd��ti OWNER OR AGENT c I certify that I have read this application and state under penalty of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE N with all county ordinances and State laws relating to building < construction, and hereby authorize representatives of this County ISSUANCE FEE G` atoe upon the above-me tinned property for inspection pur`pos�s. a c3 CD ld�,j/wU �� 7 S INVESTIGATION FEE TOTAL FEE �yI1` sw�uwm o1 nap'.c:'Tm i o:o SEE REVERSE FOR EXPLANATORY LANGUAGE