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Home My Public Portal About6616 OAK AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY liWri.tU&t JLuiN r vtc r T�tuvil i COUNTY OF LOS ANGELES J�.J 1l'�11�G WM.J.FOX, CHIEF ENGINEER 1 �l � NO. OFBLDG. ORD.NO. DISTRICT NO. PLAN CK. NO. PERMIT NO. PLANS SETBACK LINE �+f FIRE APPROVED ZONE `� BY DATE RECEIVED BY DATE OF AP,yPL. DATE ISSUED USE APPROVED ZONE 41 BY DATE APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY BUILDIN OQ'E NAME ADDRESS F_•,III W Z ADDRESS LOCALITY 4 _4..,A,. C,0, -wk, FO NEAREST U I oz CITY CROSS ST. � ", U K Q STATE Ly- LICENSE NO. fN nQA-ge TENO.. E NAME �r �/ f•t,�:n.•k �v Z MAIL - C 3 NAME ADDRESS U 1f p Q ADDRESS i CITY E F 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS Z O CITY APPLICATION AND STATE THAT THE:ABOVE IS CORRECT U STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO. NO. AND STATE LAWS REGULATING BUILDING CONSTRUCTION. Z LOT NO. / SIZE OF LOT fiaL:/ /� SIGNATURE OF d .' O NO. OF BLDGS. ® I OWNER �lp/ i�'•�1-�f ,� .�' Q C BLOCK NOW ON LOT ( AUTHORIZED AGTp• /" '•' - f.•` r'1•"'�"/ w w 'J CORRECTIONS IW TRACT vF USE OF BLDGS. NOW ON LOT DESCRIPTION OF WORk USE OF BUILDING e �..�..t� �.. / '�•.4a/ C�.��r'�+. /��l-� ��^'t GK. �rRi�utl-ll-o� p A ' � a NEW V TYPE GROUPJ / NO. OF"— I NO. OF ALTERATION ROOMS $� FAMILIES w ADDITION SIZE REPAIR STORIES MOVING WALL COVERING w• �'^�" DEMOLISH ROOF COVERING -�?-`%�'f FINAL APPROVAL FEE INSPECTOR'S VALUATION / f FEE ` �' DATE I NAME DEPARTMENT OF COUNTY ENGINEER � DIVISION OF BUILDING AND SAFETY COUNTY OF LOS ANGELES BUILDING... WILLIAM J. FOX; COUNTY ENGINEER APPLICATION CASSATT D. GRIFFIN, SUPT'OF BUILDING FOR APPLICANT TO' FILL IN j FOR OFFICE USE ONLY BUILDING // DISTRICT NO. PLAN CK.on REc.No. e�PERMIT NO. ADDRE88 (D F I �� 3.0-1!r15 .' LOCALITY � /_ (� ] I R RIVED BY DATE OF APPL. CD�AT 1QSUED NEAREST //oF !- `•�� f / ,�' CROSS T. � t� BUILDING OWNER ADDRESS ��aA; 0 06 MAIL �J LOCALITY -ADDRESS ,S Fpp . I D v NEAREST CITY II l i NO TEL• I CROSS ST. - ®/•� ARCHITECT OR ii TEL. j FIRE ZONE FIRE PLACIFNS TYPE GROUP ENGINEER f-+ /- NO. LDG LDG. / (� ADDRESS BE LINE G. [� f TEL . USE APPROVED CONTRACTOR �] P NO.'PQ ZONE BY DATE ADDRESS 4,616 / I / HOUSE NUMBERING 7 ` .�P • 'F NI LEGAL MAP NUMBER ?�� - NO. ASSIGNED BY_45L; DESCRIPTION BLOCK CORRECTIONS. ` TRACT _ NO.OF BLDGS. SIZE OF LOT d'Lloa I 'M - 1 USE OF c Ym O.OF EXISTING BLDG. Q 6 FAMILIES DESCRIPTION O WoRt 'j o - f X NEW HDEMALTO(TION TION _1 ADDITION I F REPAIR X SQ. FT. ` NO.OF SIZE // ROOMS STORIES EXT.WALL a O c- � IT ROOF, r COVERING ^r Z & 1 COVERING S USE OF STRUCTURE S "o E a a APPROVALS INSPECTO SIGNATURE DATE FOUNDATION:LOCATION . `� /NYf i� FORMS. MATERIALS Nl/ I' HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-•f FRAME: FIRE STOPS, n /J PLICATION AND STATE THAT,THE INFORMATION GIVEN IS BRACING, BOLTS !.f��I �� .• ... CORRECT.. I AGREE•TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE:LOCATION; AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT. DUCTS SIGNATURE OF LATH, INT. PERMITTE ' LATH. EXT. / ADDRESS 6.616. NIP+ PLASTER, INT. AUTHORIZED AGT. ' PLASTER, EXT. FEE ffi HOUSE NUMBER COR- RECT AND POSTED FINAL VALUATION FEE S O O t 7 y1 (�I1 f'!�/ ,F J, 7sA63" 1788 8 SO*=.- . 1 „yy^RKERS COMPENSATION DECLARATION il�-%, u cer that I have r 5ertCom a of consent to self APPLICATION FOR BUILDING PERMIT z;'or„certificate of Workers'Compensation Insurance, ora certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Pciicy Iqa. Corgpany BUILDING / ❑ Certified copyhs hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING W1 Al. �x tion department. ADDRESS (O(� J7 /'� Date Applicant CITY //Lt� T ZIP 917 PO LOCALITY / / CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT 60 K X01 VJ ' NO.OF BLDGS.NOW ON LOT NEARESST. G COMPENSATION INSURANCECROSS (This section need not be completed if the permit is for oney3�t� ASSESSOR C?b2 O hundred dollars ($100)or less.) TRACT BLOCK LOT NO. MAP BOOK r7 JQ PAGE PARCEL OWNER �} /190AJ V Z Np,7 q C,(P`ft USE ZONE MAP I certify that in the performance of the work for which this NO. permit is issued, I shall not employ any person in any manner ADDRESS �p N ('' SPECIAL so as to become subject to the Workers'Compensation Laws. CONDITIONS O CITY LE zip /7 V Date — Aplicant 1" �� TEL. D' NOTICE TO APPLICANT:';f, after mak'' this Certificate of �' DISTRICT GROUP TYPE FIRE PROCESSED BY O Exemption, you should become subject to the Workers' Ef rANEER G I ANO' �p -� CONST. ZONE ? U Compensation provisions of the Labor Code, you must forth- gDDRE55 /a V Pt /GAJ pCE `/6 .CC W with comply with such provisions or this permit shall be TEL. STATICAL CLASSIFI ATION APT. JfONDO. N deemed revoked. CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION LIC, 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 VALIDATION SQ. FT NO.OF NO.OF CHECK License Number Lic.Class SIZE FT ok STORIES FAMILIES ONE �+ / VALUATION DESCRIPTION OF WORK h y' NEW ❑ / Contractor Date ADD $ b $�2 8 7 1.3 A I am exempt under Sec. AVA.C14154 fliSVA00^ 6A) ALTER ❑ I o 3 ] 1. B.BP.C. for this reason U�OF Q/f`�{ C-`vrc - REPAIR 13 $ °� i AL� Date: EXISTING BLDG. S DEMOL ❑ o Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION PRINT )4ymoA)Q xu-L NO. ft—c.4, 4, DATE I hereby affirm that I am exempt from the Contractor's License ADDRESS L17�GL° FINAL Law for the following reason (Section 7031.5, Business and Prof ssions Code): By BUILDING 1, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and LOCALITY the structure is not intended or offered for sale(Section 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- tion 7044, Business and Professions Code). ADDRESS F REQUIRED TOTAL SETBACK �9 3 1.7 A CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH # o o a o 0 1 1 hereby affirm that there is a construction lending agency for FRONT 1 o447.00 the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE a a 4 4 7,0 0 P.L. Lender's Name Gf LDMA Ref. # 4. 05 -88 P.C. Fee$ 311 Permit Fee r*� Lender's Address _- i I certify that I have read this application and state that the Issuance Fee v LDN P/C q i above information is correct. I agree to comply with all County Investigation Fee i ordinances and State laws relating to building construction, Total Fee r D LDMA Perm. q 3 and hereby authorize representatives of this County to enter s upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ' S&ature of Applicant or Agent Date