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HomeMy Public PortalAbout6542 OAK AVE_Building__ 7GA698J.WSpj,•8-" APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING ~+' DEPARTMENT OF COUNTY ENGINEER ADDRESS �� t BUILDING AND SAFETY DIVISION' LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINSSUP'T,OF BUILDING CROSS ST. A DISTR CT N GROUP TYPE. PRM*BY FOR APPLICANT T'O,FILL IN - ' G x CON . 'BUILDING STATISTICAL CLASSIFICATION SE MAP ADDRESS CLASS NO.-/-n—DWELL'UNITS v�� BKPG 33 LOT NO. BLOCK USE ZONE MAP NO. TRACT- J SPECIAL' NO-OF SLOGS. CONDITIONS SIZE OF LOT '/ J NOW ON LOT USE OF' S G BLDG, BLDG. SETBACK FROM ' �i TEL. FRONT PROP. LINE OF w VTREET) OWNER.` O TYPE OF EXISTING SETBACK HIGHWAY + YARD TOTAL ADDRESS IiLJ HIGHWAY I FROM C.L. CITY 1 - _ .• - •• +� _ • BLDG. SETBACK FROM ARCHITECT-OR TEL SIDE PROP.-LINE OF (STREET)�� ENGINEER - NO. - TYPE OFEXISTING SETBACK 19-HWAY -1• YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L., p� TEL. + CONTRACTOR zcl&-9i64e- NO LIC ADDRESS NO. CORN CUTOFF ' YES El No 1:10 H CITY IL s 'SEE R VERSE SIDE FOR SPECIAL APPROVALS W. DESCRIPTION OF WORK Z NEW ADD ALTER- REPAIR EMOLISH SQ,FT. NO. OF NO. SIZE STORIES FAMILIES USE OF STRUCTURE —AL ell-7 SIGNATURE OF APPLICANT VALUATION$ I A . APPROVALS DAT INSPECTOR'SSIGNATURE P.C. PMT. 4:t FOUNDATION, LOCATION \ �' FEE$ FEE$ FORMS,•.MATERJALS,_ FRAME, FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION I 1 WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS r J 9UILDI NO CONSTRUCTION. 1 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 COMPE R• CE. ' LATH. EXT. ) � SIGNATURE OF HOUSE NUMBER COR- RECT AND POSTED +c ADDRESS - F I N A L /,kJ• / +� JOHN F. LEWIS, PRINCI AL STRUCTURAL ENGINX&R PLAN CHECK VALIDATION CK. M.D. CASH _ PERMIT VALIDATION CK. M.O. CAS. LriUo 5 00 !-Z PUG 2 6 1 D 4.00- 1 .0C7 l 76A638A, 080s-am—-' APPLICATION, FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS AE Y/ r BUILDING AND SAFETY DIVISION LOCALITY GJi T JOHN A. LAMBIE". COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,SUP'T.OF BUILDING CROSS ST. DIST CT GR TYPE PRO D BY FOR APPLICANT TO FILL IN o coNST_ BUILDING • STATISTICALJCLASSIFICATION SEWER MAP ADDRESS (j / CLASS NO.�DWELL UNITS BK LOT NO. BLOCK USE ZONEMAP NO. TRACT I SPECIAL CONDITIONS SIZE OF LOT a<, 33 NOW NO. OF.SLOGS. ON LOT G.r USE OF E ISTINGBLDG. SETBACK FROM TEL. FRONT PROP. LINE OF (STREET) OWNERLL' TYPE OF EXISTING SETBACK HIGHWAY -+ YARD T -AL t ADDRESS -, -T zip—Mol,#9 HIGHWAY WIDTH 'F OM C.L. rr CITY ,42G` BLDG. SETBACK FROM ARCHITECT OR TEL. ENGINEER NO. SIDE PROP. LINE OF _ (STREET) . 19 TYPE OF EXISTING SETBACK HIGHWAY •}- YARD = TOTAL ADDRESS _ HIGHWAY WIDTH FROM C.L. ,/• a TEL. -I' = O CONTRACTOR 40fG NO V LIC- CORN&RCUTbFF YES NO O ADDRESS NO. - CITY CLCASs SEE FRSE SIDE FOR SPECIAL APPROVALS IU DESCRIPTION OF WORK y / Z NEW ADD ALTER REPAIR DEMO LIS _ ///• ` SQ.FT.. NO. OF NO. �-'�. i��� 7v SIZE STORIES FAMILIES USE OF / �i AZZ STRUCTURE � /i • /Jr, r SIGNATURE OF —/ IXXFy J/ APPLICANT VALUATION$' ` j-�" ARPROVA _ DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION, LOCATION FEE$ FEE$ FORMS,-MATERIALS FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT-[ HAVE READ THIS APPLICATION BRACING BOLT 1 AND STATE THAT THE.ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION / 11 WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS-VENT. DUCTS- 9UILDi NG 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 COMPENSATION INSURANCE. LATH. EXT. f `�^--- SIGNATURE OFk -�� HOUSE NUMBER COR-• / PERMITTEE _ REC1 AND POSTED t n ADDRESS 1 '`F I N A L Mg Af r JOHN F. LEWIS, PRIACIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION 'CK. M.D. CASH _ PERMIT VALIDATION CK. M.O. AS AC) 5 0 0 2 n AUG 26 1 D. 4v00N ?a � 76A638A CE#803 8-64 APPLICATION FOR U ILDI NG PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY r JOHN A. LAMBIE. COUNTY ENGINEER NEAREST / COLEMAN W. JENKINS.SUP'T OF BUILDING CROSS ST. DIST T NO. GROUP TYPE P C SSED BY� FOR APPLICANT TO FILL IN , --r- CONST. GS"(- BUILDING - ` /J STATISTICAL CLASSIFICATION S ER MAP ADDRESS V � CLASS NO.�D�W7ELL U/NNjIT�SJ_� BK PG• LOT NO. Awig. o'. Q BLOCK USE JZ9,NE� NO. Z� `' TRACT 4.3� /[. �% SPECIAL NO. OF SLOGS. �„� CONDITIONS - SIZE OF LOT AV X G) NOW ON LOT USE OF NG BLDG, A J ,� ' �1���l��••/��l/�- BLDG. SETBACK FROM � A w4 oNOL FRONT PROP. LINE OF (STREET) OWNE '1 r TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL ADDRESS OY�V7'� HI WAY FRQM C.L. CITY $:�?f"'rCt4f r-> /^ We7, . /,-" C) + _ !� ARCHITECT ORTEL. BLDG. SETBACK FROM ENGINEER NO. SIDE PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL } ADDRESS /� �.,` HIGHWAY WIDTH FROM C.L. CL CONTRACTORG: f4&e ,4-r/lNOL ^ + 0 ADDRESS /I�o N• NO �Z � 3 CORNER CUTOFF YES NO _ O LIC CITY L ItT� CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS w DESCRIPTION OF WORK n --� Z NEW ADD ALTER REPAIR DEMOLISH _ SQ.FT, NO. OFnn NO. OF SIZE STORIES 4 FAMILIES( ' USE OF STRUCTURE (�•/(J��C �. pz 4 SIGNATURE OF APPLICANT VALUATION$ , ,`��© APPROVALS DATE INSPECTOR'S SIGNATURE P.C. Z S PMT. //�� _�� FOUNDATION, N,ERIA LOCATION FEE FEE$ FRAME, FIRE STOPS, f. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT Ti AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUGAS VENT. DUCTS NTY ORDINANCES AND STATE LAWS REGULATING e 9UILDING CONSTRUCTION, I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT. TION OF THE LABO C - OF T^STATE OF CALIFORNIA RELAT- ING TO WORKMEN' P SATO INSURA C LATH. EXT. _' SIGNATURE OF HOUSE NUMBER COR- PE'RMITTEE ,A RECT AND POSTED ADDRESS G 16 L NZ FINAL ,l v JOHN F. LEWIS. PRINCIPAL STftJ4CTURAL ENGINEER PLAN CHECK VALIDATION C M.O. CASH _ PERMIT VALIDATIO CK. M.O CASH WORKERS'COMPENSATION DECLARATION I hereaffirm that I have a certificate of consent to insurebor a certificate of Workers'Compensation Insuran elf P PU CAT O G N FOR OU L D O N G PERMIT or a certified copy thereof(Sec. 3800, Lob. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADD Ess .•G.c--O- Certified copy is filed with the county building inspec- FS,ZE tion department. f�oL1l7 f7 Q� ©�" O LOCALITY ec,NEAREC� Date Applicant g ��h C�T ZIP 70 CROSS ST. T. CERTIFICATE OF EXEMPTION FROM WORKERS' / NO.OF BLDGS. ASSESSOR ' COMPENSATION INSURANCE OT W X NOW ON LOT MAPBOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP C hundred dollars($100)or less.) TRACT BLOCK LOT NO. NO. kj�L Z TEL. y q tel- SPECIAL �• I certify that in the performance of the work for which this OWNER CA ,e l NO. CONDITIONS Q. permit is issued, I shall not employ any person in any manner ��jj ,�//�. hh. DISTRICT GROUP TYPE FIRE PRO ESSED BY O o as to become subject to the War rs' mpensation Laws. ADDRESS ,r.5/ Q/r/t v A. p r d C ST. ZONE V CITY F///'" ,E 01�Y ZIP g17O 0 J - 1� 0 ate�A) F3 Applica • � STATISTICAL C SIFICATION APT. CONDO. V OTICE TO APPLICANT: If, after making this Certificate ' ARCHITE&OR TEL. Exemption, you should become subject to the Workefs' ENGINEER NO. CLASS NO. DWELL. UNITS 0. Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP W with comply with such provisions or this permit shall he 7 CONTRACTOR deemed revoked. NO. �✓ TEL' BK,M PG,J3 VALIDATION LICENSED CONTRACTORS DECLARATION LIC. 1 hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. ya C? Professions Code,and my license is in full force and effect. CITY CLASS $ E� SQ. FiNO.OF NO.OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE LJ $ DESCRIPTION OF WORK ry '/O /4B NEW Contractor Date ❑ `"ID 0o a ADD I am exempt under Sec. - yyro ALTER ❑ FINAL DA B.$P.C. for this reason r REPAIR ❑ USE OF FINAL Date: EXISTING BLDG. DEMOL E] By --� Signature APPLICANT L /, 2 TEL. [� 7 g PRINT I�. �C �� NO. 7� T�B 11TMI OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License ADDRESS l0�r O� �/�i� U� 7-�. D Law for the following reason (Section 7031.5, Business and L{. 5,2 A Professions Code): PRE ENT BUILDING c 0 0 o a 1 I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and �• 0 0 59 G r_ the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. c 0❑ 9 - c s I, as owner of the property,am exclusively contracting CONTRACTOR NO. C.3 with licensed contractors to construct the project (Sec- ADDRESS 1 0 — 7J tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP.LINE WIDTH D 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. JSec. 3097, Civ. C.). SIDE m P.L. .... .. . . �:r�. :..: ... ...... . . o Lender's Name �j $ Lender's Address P.C. Fee$ Permit Fee o i I certify that I have read this application and state that the Issuance Fee O s Q above information is correct. I agree to comply with all County Investigation Fee G� ordinances and State.ldws relating•to building coinstructiori, Total Fee �! and hereby authorize representatives of this County to enter Upon Lb e-mentioned propert for inspectpion purpoppses. �p 77 ,I SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Age Date as