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Home My Public Portal About6506 OAK AVE_Building__ A ROAD DEPT. PERMIT IS REQU.IRS6' FOR ANY 'MATEPIAL STORAGE OR WORK - 0 tj o�. DONE IN THE ROAD RIGHT OF WAY. 7QA886A CE#8039-E9 APPLICATION FOR BUILDING PI_.RIV M COUNTY OF LOS ANGELES BUILD.ING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY 12, JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. rDIS RI NO. GROUP TYPE —I' SED BY FOR APPLICANT TO FILL IN •CONST. - IL-DING //� �+ STATISTICAL CLASSIFICATION' E ER MAP DRESS. 10 y V+ K CLASS.NO. WELL.UNITST NO. r' L B CK NUMBERMAP ySTATEYES NO.ACT USE ZONE SPECIAL NO:OF BLDGS. aa CONDITIONS.ZE OF LOT '�0 X a�'$a� 'I NOW ON LOT USE OF EXISTING BLDG. BUILDING YARD HWY STREET N E EXIST. SETBACK WIDTH OWNER FRONT MAILD P.L. pCi ADDRESS p 4 SIDE TEL. 'P.L. FAR `- NO. INSPECTION RECORD ECT OR .., TEL. ER NO. ' S - TE• 'y i D-17-7--.62 e/,ft l 7th/S 1,41 ��S— ,1.9r • ACTOR NO. $ / /9 t`I p-y- p ,y //.S a /. ' SS1..6 up nom• pil{'aoDESCRIPTION OF WORK A/J/�•Y "��-'pADD . ALTER REPAIR DEMOLISH , S SQ. NO. OFSFAMIOLIES �/�Jr/��TJ�j �D� �AY1-RA z0" n USE OF STRUCTURE �/v�..Q4.zc.� ✓/I'��J D/t 1F T� L.!''.I�T ��I7,t0 S^�; rPP/ r ,�;//1 1r� SIGNATUREOFF w /1�///£k Le l 1 J I✓ �tst/`F I`—I 4 ^ - APPROVALS DATE :INSPECTOR'S SIGNATURE ��' ADDRESS Z-�0 &J � FOUNDATION:LOCATION F v ORMS,.MATERIALS- VALUATION $ FRAME:FIRE STOPS, BRACING,BOLTS P.C. PMT. �{ U U FURNACE:LOCATION, FEE $ I FEE Sooz -I GAS VENT,DUCTS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TOCOMPLY WITH ALL COUNTY ORDINANCES AND STATE.LAWS JKEGULATING BU DING C STR CTION. LATH,EXT. SIGNATURE OF / HOUSE NUMBER COR_ PERMITTE �'�" RECT AND POSTED r� ! p ADDRESS— FINAL //. CLYDE N. DIRLAM, PRINCIPAL-STRUCTURAL EN E PLAN CHECK VALIDATION , 0- M•D• cwsH _ PERMT VALIDATION cx- M.o. tCASH ituo o� r'�P2 5 1 A -2.00 to ®P 7BA638ACE0803B-64 APPLICATION FO BUILDING P_ ER T COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS r BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE�. COUNTY ENGINEER NEAREST COLEMAN W. JENKINSSUP•T OF BUILDING CROSS ST. DISTR T NO. ROUP TYPE' P SSED BY. rADDRESS OR APPLICANT TO FILL IN �U CONST. j STATIST.ICA�SSIFICATION SE ER MAP CLASS NO. DWELL UNITS �� BK PG 33 BL CK USE ZONE MAP NO. do 12 fflSPECIAL N0. OF BLDGS. CONDITIONS LOT NOW ON LOT USE OF G BLDG. SETBACK FROM CAM [ TEL FRONT PROP. LINE OF y (STREET) OWNER h 4 NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS r7y !f� HIGHWAY ID FROM C.L. CITY ZC • BLDG. SETBACK FROM ARCHIT CT OR EL. 91DE PROP. LINE OF (STREET). ENGINEER NO. TYPE OF EXISTING I SETBACK HIGHWAY } YARD = TOTAL ',,, ADDRESS HIGHWAY WIDTHfROM C.L. d TEL. } = 0 CONTRACTOR NO LIC ADDRESS NO CORNER CUTOFF YES 1:1NO E 0 H CITY clsA a 5 SEE REVERSE SIDE FOR SPECIAL APPROVALS W DESCRIPTION OF WORK ,A a � h NEW ADD ALTER REPAI SO.FT. O: OF NO. F A SIZE STORIES FAMILIES USE OF O` 4'iJ ' E '' '✓.14/"1 _4, 'STRUCTURE f r1 r SIGNATURE OF K'li' flY'�!Z rLGL,.L.'�' L �t?;='-�, ��q' r •i�p` . APPLICANT f- �i VALUATION$ aAPPROVALS ��(9� .)Q) DATE INSPECTOR'S SIGNATURE FEE$ FEE PMT.$ Q FOUNDATION, LOCATION FORMS, MATERIALS _. FRAME, FIRE STOPS, ? )I/G[�- 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT J / :J AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS ��— .9UILDING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODEALIFOR R I%T• _ INC TO W N'S C NSFeo�,F N IN �)n ill-4 //. LATH. EXT. lz/ ( SIGNATURE / HOUSE NUMBER COR- PERMITTE RE T AND POSTED. �� 1 ADDRESS F I NAL JOHN F. LEWIS. PRINCIPAL STR RAL ENGINEER PLAN CHECK VALIDATION CK M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH. �` LCo 8 1 1 5 G FEB 1 1 D 1 1.50- 0 Mw.AaBa03B.sa APPLICATION FOR BUIL®I G PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY > = - � %r•��-%!t�� JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSCROSS ST, ATT D. GRIFFIN SUPT of BUILDING DISTRICT NO. GROUP--• TYPE i PROG$SSED BYE' FOR APPLICANT TO FILL IN f I ='`' BUILDINGIAV f — I �I, UNITS � 1 STATISTICAL CLASSIFICATION SEWER MA �' P ADDRESS �% / �-� — r K G-- '` i CLASS.NO. `~ DWELL. 4 LOT NO. `1 / I BLOCK' MAPSTATE NUMBER :% .,^ r' HWY. YES LINO J TRACT ..� �'"!!_• rf,G; "^IrC. -` I '••a% ! USE ZONE SPECIAL NO.OF BLDGS. CONDITIONS SIZE OF LOT a b e� I NOW ON LOTS' f� USE OF EXISTING BLDG. BUILDING EXIST. � \ � SETBACK YARD HWY STREET NAME, WIDTH OWNE _- R` FRONT S W� -j 1. MAIL 1 P.L. i.:,! _ ,:✓�- l f ADDRESS -•`CO y� SIDE CITY Il r—Cj� • P.L: NO ARCHITECT OR ••• TEL. IlVSPECTION RECORD ENGINEER NO. ADDRESSyy�� ` CONTRACTOR / lam' '^'`�� NO.//1 Cc•1/V l ADDRESS UlAd—lA, G-Ar DESCRIPTION OF WORK NEW ADD ALTER ;REPAIR DEMOLISH SQ. FT. NO. NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE t , SIGNATURE OF '•. APPLICANT APPROVALS DATE INSPECTOR'S SIGNATURE ADDRESS �� FOUNDATION:LOCATION FORMS,MATERIALS VALUATION FRAME:FIRE STOPS, �...: ,,. .. .. w BRACING,BOLTS P.C. PMT. f FURNACE:LOCATION,FEE $ FEE $ GAS VENT,DUCTS y I � 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS %EGULATING,-BUI DING CO STRU TION. LATH,EXT. SIGNATURE OFt., j�1* HOUSE NUMBER COR- PERMITTE RECT AND POSTED ADDRESS ' FINAL CLYDE N. D.IRLAM, PRINCIPAL STRUCTURAL EI)IGINEERZ PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. i WORKERS'COMPENSATION DECLARATION 1! hereby affirm that I have a certificate of consent to self APPLICATION FOR BUILDING PERMIT insure,or a certificate of Workers'Compenstion Insurance,or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company ❑ - Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ADDRESS S-AQ Certified copy is filed with the county building inspec- BUILDING { f I` tion department. ADDRESS �I ` - _ 1 LOCALITY �t i L Nt rj NEAREST ' Date Applicant CITY 4 ZIP (f V CROSS ST. CLQ—�'l� CERTIFICATE OF EXEMPTION FROM WORKERS' If [ NO.OF BLDGS. J ASSESSOR COMPENSATION INSURANCE SIZE OF LOT 7�� l / NOW ON LOT 1 MAP BOOK PAGE PARCEL ��y 4 USE ZONE MAP (This section need not be completed if the permit is for one TRAC e- RTIDW G at LOT NO. NO. s� d Q hundred dollars ($100)or less.) y ITEL." r J,LL` . v SPECIAL. a, J I certify that in the performance of the work for which this OWNER Y 7" CONDITIONS - O permit is issued, I shall not employ any person in any manner ( d d DISTRICT GROUP TYPE FIRE PROCE ED BY so as tobecomesubject to the Work r 'C=X— NOTICE ADDRESS %/ ! /` r'�8 CONST Zp(VE l it r ;CITY �AC IYO(— ZIP ftl ={t Date Applicant STATISTICAL CLASSIFICATION CONDO.TO APPLICANT: If, after making this Certificate Of ARCHITECT OR ` TEL. Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO.Z.21 DWELL.UNITS— Compensation NITS Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or tKis permit shall be _ deemed revoked. CONTRACTOR [0 �. NO, BK. PG, VALIDATION TEL. LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. VALUAT1 ON (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 $ T SQ. F NO.OF NO.OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE $ Contractor Date DESCRIPTION OF WORK NEW ❑ ElI am exempt from the licensing requirements as I am a f� g r ADD ❑ licensed architect or a registered professional engineer ALTER ❑' FINAL ,_,e �, -�► . acting in my professional capacity (Section 7051, REPAIRDATE ❑: Business and Professions Code). USE OF FINAL DEMOL - EXISTING BLDG. ❑s By Lic.or Reg.No. Dqte APPLICANT r-l��QC TEL: G M } , OWNER-BUILDER DECLARATION PRINT kA9 / NO 7 I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS Professions Code): PRESENT El BUILDING 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. ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). i REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH J.;. 3 3I' I hereby affirm that there is a construction lending agency for FRONT 4 o 0 0 0 0 the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE o o t- P.L. C C Lender's Name = „ r i ii Lender's Address P.C. Fee$ Permit Fee I certifythat I have read this application and state that the — I 1,2 I PP Issuance Fee above information is correct. I agree to comply with'ail County Investigation Fee C ordinances and State laws relating to building construction, Total Fee Jv and eby uthor' representatives•of this County to enter upo e a ve- gen(,t� ned property fo spection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date I ®s I APPLICATION FOA BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION ADDRES FOR APPLICANT TO FILL IN BUIL/DI[JG S BUILDING ADDRESS n I hereby affirm that I have a certificate of consent to self insure, ' C- /U,- I-,AK A �L or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) Cay-1_ ZIP Policy No. Company e=-"7 �f d/X80 LOCALIT SIZE OF LOT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSSOST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. Date Applicant CONDITIONS ASSESSOR MAP BOOK PAGE PARCEL SPECIAL � J010 CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO. COMPENSATION INSURANCE I9Rs: -4Ac./G!1 �=f fE�3� y 7a.3y 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.) - 6-06 N, 0.4 K it-CC- DISTRICT GROUP TYPFONST. FIRE ZONE PROCESSED BY I certify that in the performance of the work for which this permit CIT/ l7"/r tla e rr ZIP �� ,`�/—N�� is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. ✓i( become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO.2�� 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 4546Z67 X006,V& $ ;L-7/—S—;W0 FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS DC.NO. PL LICENSED CONTRACTORS DECLARATION 6 3� /V .41 vT jFl A%e& 6 SS� SIDE CITY LIC.CLAS PL I hereby affirm that I am licensed underprovisions of Chapter 9 /47 G `? c Ge G SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES I NO.OF FAMILIES Professions Code,and my`lice a is in Wil force and effect. NEW BK PG d License Number 985'L 7 Lic.Class G 3 DESCRIPTIO OF WORK ADD ❑ VALUATION , Q Contractor Date — '�i'7 Re POO vv&12 c7e(S�r'7/t ALTER ❑ o" �� ccU Q REPAIR & ❑ I am exempt under Sec. $ 10 BAP.C.for this reason !L � Ips �V DEMOL ❑ LDMA P/C# I III Date: USE OF tXISTING BLDG. URM ❑ IL co Signature APPLICANT(PRINT) T L NO. LDMA Perm# A JL Z El 1, as owner of the property, or my employees with wages as /`Y/yC7LS �9/�"70a Z ACCT.a their sole compensation, will do the work and the structure is ADDRESS O 3303 124.45 not intended or offered for sale (Section 7044, Business and FINAL DATE/ Q i T"" MS Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL W—2J, -� s L I ❑ 1, as owner of the property, am exclusive) contracting With OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE TOTAL +�' i 6. Y Y g AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY 0 i I�i AL 12"F licensed contractors to construct the project (Section 7044, Yes❑ Nof�— Business and Professions Code.) CHECK 124.45 WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH , //'�!!p ^^ CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR CHANGE e Ltt 6 l-HA GUIDELINES. I hereby affirm that there is a'construction lending agency for YES❑ NO a the performance Of the Work for Which this permit is Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING (•� !�1 ;'y i /5.} W 3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LAS ANGELES COUNTY CODE, 0UI0LI-06110 1 bf 7+ 15 TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20..140 CONCERNING HAZARDOUS Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. j 054 1 AM 8 n29 o Lender's Address s � OWNER OR AGENT o 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 p N with all county ordinances and State laws relating to building < constr Vction, anereby authorize representatives of this County ISSUANCE FEEto en ove-mentioned property for inspection purposes. INVESTIGATION FEETOTAL FEEsc Gm. SEE REVERSE FOR EXPLANATORY LANGUAGE