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Home My Public Portal About6517 OAK AVE_Building__ -APPLICATION FOr Il BUILDING PERMIT FOR APPLICANT TO FILL IN ADDRIESSSG 46-17 OA-K 51—, BUILDING r�- ADDRESS LOCALITY •/yft Z.p 9 t!::: 7 NEAREST CITY ZIP CROSS ST. %�L NO OF BLDGS. ASSESSOR SIZE OF LOT' _:k NOW ON LOT MAP BOOK PAGE I PARCEL DISTRICT GROUP TYPE FIRE PROCESSED BY TRACT B �-i� LOT NO. rte- CONST. ZONE OWNER TEL. 09L STATISTICAL CLASSI-FIICCATIION SE ER MAP ADDRESS CLASS NO. DWELL.UNITS 11hBK_F7 PG r� CITY — ZIP `r USE ZONE MAP ARCHITECT OR TEL. ENGINEER NO. 1 SPECIAL �y CONDITIONS /- 73 ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ TEL. CONTRACTOR NO. BLDG.SETB •K FROM LIC FRONT PROP. NE OF (STREET) ADDRESS ✓ NO. TOTAL SETBACK FROM TYPE OF EXISTING LIC. HIGHWAY +. RD = FRONT PROP.LINE HIGHWAY WIDTH CITY CLASS CONSTRUCTION LENDER + O NAME AND BRANCH BLDG.SETBACK FROM U SIDE PROP.LINE OF )STREET) ADDRESS CITY O SQ.FT. NO.OF IN OF CHECK HIGHWAY + YARD = TOTAL SETBA FROM TYPE OF' EXISTING u SIDE PROP.L HIGHWAY WIDTH SIZE STORIES FAMILIES ONE N + = Zi DESCRIPTION OF WORK NEW ❑ -ADD CORNER CUTOFF YESgp- ❑ N .L ALTER IN OPEN SPACE YES ❑ NO ❑ USE OF REPAIR ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG. DEMOL ❑ APPIPRINITI L e,<�alW--NC0 Wlit!bb)ti) A07—:' 5f''mE .51 9,0 BY(SIGNATURE) • I HEREBY 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 WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- PENSATION INSURANCE. SIGNATURE OF FINAL ✓ �j BY PERMITTEE DATE ADDRESS LVALUATIO:N$ w— TE PCFee$ Permit Fee NO. Issuance Fee - Total Fee 1.2— -PLAN CHECK VALIDATION CK. M.o. CASH PERMIT VALIDATION CK. M.O. CASH g 7' 4v--JUN 7 1 D ®S 76A688B CE I80913 6/76 �,Adj 2 -I CATION FOR COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER �3 LD I N G PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN ADDRESS s / 7 L NG ' ""- BUILDING 6 - ADDRESS LOCALITY / _ -7�y NEAREST g ,� CITY ZIP (/p CRO.SS'ST. NO.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LO'i MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE 1--PROC TRACT M BLOCKS TELSia CONST ZONE __ , OWNER% YLCr6 �p NO. STATISTICAL CLASSIFICATION SEWER MAff ADDRESS G�I �I, /(/ CLASS NO._ �DWELL.UNITS BKPG CITY 7 e, ZIP USE ZONE NOP(=;2 MA Gj ARCHITECT OR TEL. ENGINEER NO. 7( . r SPECIAL v� CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NOTE ❑ N L -9& BLDG.SETBACK FROM(g�j� CONTRACTOR _ Cl.l FRONT PROP.LINE OF ISTREETI LI ADDRESS NO.` TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH ' LIC. CITY CLASS 2 __ CONSTRUCTION LEN ER + O NAME AND BRANCH BLDG.SETBACK FROM U ADDRESS CITY SIDE PROP.LINE OF (STREET) 00 SQ:FT. NO.OF NO. CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING SIZE STORIES FAMILIES ONE SIDE PROP.LINE 1HIGHWAYI WIDTH. �++ a + F Z DESCRIPTION OF WORK NEW ADD ❑ CORNERCUTOFF YES ❑ NO ❑ ALTER ❑ IN OPEN SPACE YES ❑ NO ❑ REPAIR ❑ EUSE X STOING BLDG. DEMOL [:] IN COASTAL PERMIT ZONE YES ❑ NO ❑ APPLICANT TEL (PRINT) NO. BY(SIGNATURE) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE j ? THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE " WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- PENSATION INSURANCE. SIGNATURE OF � �l. FINAL BY PERMITTEE DATE ,/�� ✓^� ADDRESS GT ff +� CITY �L NO�3G-19G P.C.Fee$ Permit Fee 1:2 — CITY Issuance Fee VALUATION$ j�� Total Fee PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH`1 926'to-JUL 26 '1 D 3 4.00 ,& ° IRIS 7GA638A CE'803A 6/77 79A11eeA-a4VI,1 APPLICATION FOR BUILDING PERMIT ' COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINM ADDRESS BUILDING AND SAFETY DMSION LOCALITY' ,Q JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN DISTRICT , TYPE P S BY L . CONST. BUILDING; STATISTICAL CLASSIFICATION E ER,MAP ADDRESS y m 0CLASS.NO. DWELL.UNITS ' --,11.13 LOT NO. L BLOCK WATER -r NOT REQUIRED - RECEIVED CERTIFICATE: TRACT MAP. HIGHWAY STATE MAJO SECON LOCAL [ Q� NO.OF BLDGS. G NO. (CIRCLE) SIZE OF LOT. 9 NOW ON LOT USE ZONE .• SPECIAL" USE OF r CONDITIONSAW EXISTING BLDG. TEL: OWNER O. 6 BUILDING YARD HWY - STREET NAME EXIST. SETBACK 91 WIDTH- ADDRESS jakr ,/ :.FRONT / /F ARCHITECT OR//A� f{0 NO r /l d. ' -P:L. V ENGINEER #4 '! SIDE ADDRESS 8• /L/K l�L A G�I Y r3�r1� P L a /nINSPECTION RE ORD g CONTRACTOR 2 AAO IV - (A. NO,4 l,2//0 i c_ / 'ADDRESS Jc L / t J2 4- •DESCRIPTION OF WORK • 121 W ADD ALTER REPAIR DEMOLISHIL T. NO.OF NO.OF s ! ,.`•.F ; :� Z PES'1TO`RIES FAMILIESUSE OF - STRUCTURE If SIGNATURE OF`,:'4 ' " WV-1/04 f I APPLICANT Vol APPROVALS oDATE INSP.ECTOR'S SIGNATURE P.C. PMT. FOUNDATION:LOCATION FEE $ °� FEE $ FORMS,MATERIALS b�Of P" •�...-Yf:rQ.t.r-^+^� FRAME:•FIRESTOPS.' / r �r1' 1 HEREBY ACKNOWLEDGE THAT 1 HAVE'.READ THIS APPLICATION -%-BRACING BOLTS �3.1ij X. 'AND STATE THAT THE ABOVE IS CORRECT AND AGREE,TO COMPLY FURNACE:LOCATION. Ll� -� WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ' GAS VENT DUCTS BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK -- AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA-"" LATH,INT.TION OF THE LABORCODE OF THE STATE OFCALIFORNIA RELAING TO WORKMEN'S COMPENSATION INSURANCE. t LATH,EXT.PERMITTE SIGNATURE OF HRECTANDPOSTEDFINALL r ADDRESS -.o CLYDE N. DIRLAM.. PRINC,PALrST C RAL ENGINEER PLAN CHECK VALIDATION cK ix-O. CASH PERMT VALIDATION cK M,o. CASH �ti o'1.3 9 8 AUGG 11 .'z 3 p ' 22,50",. %o 1 5 5 w AUG 1.6 1' 0 45:C , 2 ` WORKERS'COMPENSATION DECLARATION f I hereby, affirm fhat I have certificate of consent to self APPLICATION � B U��®I N � �� insure, or a certificate of Workers'Compensation Insurance, or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES 8'fLIILDIItBG AND SAFETY Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDR SS 655-17 IV OdlC41/(t7- Certified UG Certified copy is filed with the county building inspec- BUILDING ��l, a /, O� / v� 7— P tion department. ADDRESS A k I� /e c V Date Applicant CITY �P/1� �Y C ZIP Ci C/ �G� LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. G120� This section need not be completed if the permit is for one :71_ 7''G' 1vV1 A �`�l'�J.�- ASSESSOR ( p p TRACT Csf'C BLOCK /� LOT NO.G.�S T i MAP BOOK .5 3 Z PAGE a�S PARCEL OZ hundred dollars($100)or less.) _ EL. /� +, I certify that in the performance of the work for which this OWNER W{V /Q ��.�-� NO. �f+.f�`�O USE ZONE OP permit is issued, I shall not employ any person in any manner SPECIAL so as to become subject to the Workers'Compensation Laws. , ADDRESS f 7 0644t� L CONDITIONS 0 CITY 7P�?d/ a 4J�JL ZIP 917962 Date/ " Applicant Pp f ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY 0 NOTI TO APPLICANT: If, after making this Certificate aENGINEER NO. r. CONST. Z Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- ADDRESS vl _/ a with comply with such provisions or this permit shall be 'STATISTICAL C IFI TION APT. VNDO. tq deemed revoked. CONTRACTOR NO. LICENSED CONTRACTORS DECLARATIONLIC. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP (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 BK PG 3 VALIDATION SQ.FT. NO.OF J NO.OF CHECK License Number Lic.Class SIZE STORIES, J FAMILIES ONE : 17 �/.� � vawnTloN Contractor Date DESCRIPTIOIN OF WORK FJOMf �::�C/, - NEW [] $ I am exempt under Sec. Cz N yo m e;K t Q L i p-r. eon ADD ❑t` ALTER /5 #B 9 9 6'3 B.BP.C. for this reason D M REPAIR ❑►. q Date: USE OF DEMOL I o,3 71,75 EXISTING BLDG. Signature APPLICANT ,r / �- TEL. ) FINAL o a 171.7505 g PRINT /✓ �, �4 NO.ds� y� j v OWNER-BUILDER DECLARATION �+ DATE .� r 1 her by affirm that I am exempt from the Contractor's License ADDRESS 5� �i�,�/�1/�,/fes'!? f? t rl 1�/ FIN 0623-88 Lo for the following reason (Section 7031.5, Business and Pr essions Code): PRESENT By BUILDINGs)'7 I, as owner of the property, ormy employees with ADDRESS wages as their sole compensation,will do the work and LOCALITY CA the structure is not intended or offered for sale(Section 7044, Business and Professions Code). MOVING TEL. ElI, 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). REQUIRED TOTAL SETBACK OM CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE 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 LDMA Ref. # o P.C.Fee$ Permit Fee Lender's Address I certify that I have read this application and state that the Issuance Fee J `' LDMA P/C# lop, above information is correct. I agree to comply with all County Investigation Fee D ordinances and State laws relating to building construction, Total Fee LDMA Perm. # and hereby authorize representatives of this County to enter upon the above-mentioned proper y f r insRection purposes. g eJ a U�� 1/14 6 SEE REVERSE FOR EXPLANATORY LANGUAGE a b Signature of Applicant or Agerit Date WORKERS'COMPENSATION DECLARATION inI nsdew,bysa ter that .I•haver rertCom a ns consent to self APPLICATION FOR BUILDING P E RM I T sG�e, � a certificate of Workers'Compensationrins tante, !; ._ or o cern d copy thereof(Sec. 3800,•Lab. C.) I COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company 1 BUILDING ❑ Certified copy is hereby furnished. FOR APPLICANT,TO FILL IN ADDRESS Certified copy is filed with the county building inspee- BUILDING 7 . /� tion department. ADDRESS �\ LOCALITY ,[ p NEAREST Date l Applicant CITY• Q 1� ZIP O CROSS ST. CERT ICATE'OF EXEMPTIO ROM WORKERS' NO.OF BLDGS, i;•ASSESSOR COMPENSATION SURANCE SIZE OF LOT NOW ON LOT ' MAP BOOK PAGE PARCEL (This section„need 'not-be,:comp eted if the permit is for one � USE ZONE MAP hundred dollars($100)or'less.) TRACT BLOCK LOT NO. NO. I I.. TEL.//q� J SPECIAL >- I certify that in the'performonce of the-work for which this OWNER �� /'Q NO, i 5• s. ” CONDITIONS A. permit is issued, I shall not employ any person in any manner l' /a / DISTRICT GROUP TYPE FIRE P OCESSED BY O so as to become subject to the Workers Compensation Laws. ,r i ADDRESS: �C.� C.� K� V Q+ CONST: ZONE 4i �. Date Applicant I CITY i. ZIP S TISTICAL LASS TION '• APT.. ICOND.O. NOTICE TO APPLICANT: If; after making this Certificate of L ARCHITECT OR TEL. ENGINEER' NO. CLASS.NO.• DWELL.UNITS LU •Exemption, you should become subject:to the'Workers' _ 4. Com.ppnsation provisions of the Labor Code, you must forth- ADDRESS 'SEWER MAP wiW.comply with such provisions or.. o this permit• shall be �, \ Cyu "EL. ' s. c e. deemed revoked. • . ! CONTRACTOR J• W .-A, 0o rrl r1 f BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION•• LIC. p� I heieby affirm that I'am licensed under provision's of Chapter 9 J' ADDRESS �eT. to ��NO.3OZ�a L s VALUATION ,.;(commencing with Section 7000)of Divisiolt 3 of the Business and -M LIC 400 0 - ADD,.",Professions Code,:and my license is.in full force and effect. CITY {�' ' CLASS 3 A. s 70 '� �� SQ.FT. NO.OF' NO.OF' CHECK . , License Number Lir'.Class SIZE STORIES FAMILIES ONE Contractor ate / dV DESCRIPTION OF WORK• �2� p NEW ❑ - ❑ a l am empt.under Sec. ALTER FINAL ❑ &P.C.. for this reason �! REPAIR El DATE ;. USE OF Date: :•`ti•,.\' �',� FINAL EXISTING'BLDG.`' +A DEMOL ❑. B APPLICANT TEL. y �/ + Signature' PRINT NO. ' .OWNER-BUILDER DECLARATION .I hereby affirm that I am exempt from the Contractor's License ADDRESS Law,for'•the following reason (Section 7031.5, Business-and •r. Professions Code): 1 PR E T ❑ Ie BUILDING : , cs owner of the property, or.mjr 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,'a'm exclusively contractirig CONTRACTOR NO. with licensed contractors to construct the project•(Sec- o 0 o e c tion 7044, Business and Professions Code). ADDRESS REQUIRED TOTALSETBACK FROM EXIST. CONSTRUCTION'LENDING AGENCY' SET BACK YARD HW`! PROP.LINE WIDTH hereby affirm,that.there is a cpnstruction lending agency for FRONT e G 9 q 8 x the performance of the work'for which this per is issued P.L: I: Sec. 3097, Civ. C.). SIDE 0 ), �i— I'o 'P.L. , v Lender's.Name Lender's Address 1 P.C.Fee$ Permit Fee �. I certify that I have read this application and state that the Issuance Fee ' above information is correct. I agree to comply With,all County Investigation Fee ordinances and State laws relating to building construction, ' and he uthorize representatives of this County to enter Total Fee ,. $ upon the vsprnentioned p_zlwroperty,for inspection urposes. i, J l Q . SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of PPI' ant or Agent