Loading...
HomeMy Public PortalAbout9105 OLEMA ST_Building__ I � DEPARTNIENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY i DISTRICT NO. PLAN CK. NO. PERMIT NO. BUILDING ADDRESS 'tIrk� + 0/0 dg b ti LOCALITY m �� �Q�f R EiVED BY DATE gOpF�APPL. DATE ISSUED NEAREST j`�r� y" CROSS ST. L/1�/�Cli BUILDING ADDRESS ,G f//O�� �� •� L ` A Cr G] OWNER ,D D/V L 7 MAIL r �y LOCALITY 6[ } t ADDRESS �O J - 0/�C.m l? S� NEAREST �1 // TEL. CROSS ST. / (// A / fG CITY m'gle C�i 74 y NO. T/_L��� FIREO. OF I I GROUP 9 ARCHITECT OR TEL. ZONE PLANS ENGINEER / NO. BLDG. �D / % D. -g. SETBACK LINE V ADDRESS / APPROVED I(' .v 5 19 d9l TEL. BY DATE CONTRACTOR NO. / USE AZONE *— _/ AAPPROVED ADDRESS �/ By HOUSE NUMBERING DATE LEGAL D b 3 DESCRIPTIONOJ I LOTCNO. 33 BLOCK MAP NUMBER FIELD CHECK BY — TRACT TRACT ✓� NO. ASSIGNED BY;,/ , /S / eATE b NO. OF BLDGS. epor CORRECTIONS SIZE OF LOT ��/ 6 x Q I NOW ON LOT USE OF NO. OF EXISTING BLDG, I�¢S %L Ct 7/ I FAMILIES DESCRIPTION OF WORK ,/} ti NEW I ALTERATION I I ADDITION I I 0REPAIR /J� DEMOLITION I II./A/D&Ie .-)L/�r Nk {-� �h G 6 ZE /d x Ahl NO. OF 7 ROOMS / STORIES / gr-- koie p d �V� --7 -719 EXT. WALL [' ROOFr COVERING StGC{i4�t� COVERING �� h /e //i7f//•n USE OF /STRUCTURE fl, �I�.- zLt_ s� a d d l'-1i b ZX► *i vl f C74 v4Q T /7n�HSJ C1//JaI N5y rya?d/:IC 7, APPROVALS INSPECTORS SIGNATURE DATE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN IS . FORMS, MATERIALS CORRECT. 1 AGREE TO COMPLY- WITH THE CORRECTIONS LISTED FRAME:FIRE STOPS, / HEREON AND WITH ALCOUNTY ORDINANCES AND STATE 7 BRACING, BOLTSf LAWS REGULATING B DING CONSTRUCTION. y �� y� L FURNACE: LOCATION, 1/7 SIGNATURE OF /Vy` f!/, l GAS VENT, DUCTS PERMITTED ADDRESS 1 •"^'�""� �^ LATH, INT. LATH, EXT. wl ryL u F AUTHORIZED AGT. PLASTER, INT. 76ABSBA- DO93 10-170 P. C. $ ®.O FEE PLASTER, EXT. VALUATION I ' OS 76A638A- GE/803(RgV�) APPLICATION FOR, BUILDING PERMIT _ COUNTY OF LOS ANGELESBUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING / Q ADDRESS � � St BUILDING ADDRESS -Jlfl� . LOCALITY NEAREST � CITY /��/�!f- ZIP q/7�� CROSS ST. !i NO.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT I GROUP TYPE- FIRE PROCESSED BY TRACT BLOCK LOT NO. CONST: / . , ZON TEL.NO. R3 1 M- oU �7. e OWNER .�� -�J STATISTICAL CLASSIFICATION SEWER MAP ADDRESS lD CLASS NO.- DWELL.UNITS BK xPG CITY c 1r=fir�L ZIP `% 7�, �j Q ARCHITECT OR G��--��• TEL. VALUATION $ �O J ENGINEER NO. ADDRESS BLDG.SETBACK FROM O C+JL4 TEL. FRONT'PROP.LINE OF (STREET) CONTRACTOR NO. TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY. + YARD. - -FRONT PROP:LINE 'HIGHWAY WIDTH ADDRESS NO. LIC. + 0�0 = Z-O L G Q CITY CLASS CONSTRUCTION LENDER / BLDG:;SETBACK FROM.. O'•L j U' NAME AND BRANCH N SIDE PROP.LINE OF (STREET) HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING 'ADDRESS / -CITY SIDE PROP.LINE HIGHWAY WIDTH �E� STORIES / - FAMIOLIES I ONEK C 60 I IN C7m©_ DESCRIPTION OF WORK . AA;7- 70�. C& NEW ❑ P.C.Fee$ Permit Fee N ADD ❑ Issuance Fee / ' QR , ALTER REO PAIR Total Fee ! C9 :USE OF DEMOL ❑ EXISTING BLDG. 2 APPLICANT TEL G (PRINT) �jf 6C/c l� NO. C ' BY(SIGNATURE) I HEREBY ACKNOW DGE THAT I VE D THIS APPLICATION AND STATE Y THAT THE ABOVE IS RECT AND REE COMPLY WITH ALL ORDINANCES AND LAWS REGULATING NSTR CTION.I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF {.7 THE LABORH F tIFORNIA IN RELATING TO WORKMEN'S COM- Z PENSATION SURANCE. - g 6 SIGNATURE OF� PERMITTEE ADDRESS o +o. IV _ �/ o o •� IVo CIN N L' ��Q O o o a N USE ZONE MAP NO. Gst {J O c)-* CD SPECIAL L d CONDITIONS CH FINAL f �*� BY DATE ) / �/ CLAS 7SA688A t 808(%V.8/78) APPLICATION. FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY BUIL FOR APPLICANT TO FILL IN A�oe�ss ADDRESSDING. C7 O (C- LOCALITY ` NEAREST CITY C-,-I IQe C- 1 7:-1 - ZIP / �� CROSS ST. NO.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE. PARCEL DISTRICT 'GROUP TYPE FIRE PR ESSEDBY TRACT IZ- S BLOCK LOiNO. _ .. CONST. ZONE OWNER kv'cS.� C^ C.C29 • NO, _ 3 _ STATISTICAL CLASSION 4rW E ADDRESS S 7S :,v C A CLASS NO DWELL.UNITS, B PG CITY — pL.C- C.T;,7- ZIP-•_ ARCHITECT OR TEL. - v ENGINEER NO. VALUATION ADDRESS BLDG:SETBACK.FROM TEL. FRONT PROP.LINE OF )STREET) CONTRACTOR !�O Z.4 C N •VA a Do NO.oZ 117.I 7.5 7 HIGHWAY. + YARD = TOTAL SETBACK FROM TYPE OF EXISTING / LIC, FRONT PROP.LINE HIGHWAY,WIDTH ADDRESS 2 I L d ti C- a C- �+. NO G e,.Z-7. + _ CITY ) E/Ll PL N C 1 I' •CLASS-' .� CONSTRUCTION LENDER BLDG.SETBACK FROM , NAME AND BRANCH SIDE PROP,LINE OF (STREET) HIGHWAY +• YARD = TOTAL SETBACK FROM TYPEOF EXISTING ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH SQ.FT - NO. NO OF' CHECK _ ' . h- = I �A SIZE 6 STORIE(S� �. FAMILIES. 1 ONE DESCRIPTION'OF WORK F Dlz D n H �- NEW ❑ P.C.Fee$: Permit Fee 117 ldI L ADDIssuance Fee ALTER El .. REPAIR ElTotal Fee v s dd USE OF DEMOL ❑ EXISTING BLDG. Z APPLICANT TEL 0 (PRINT) NO. BY ISIGNATUREI " I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE bd THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES Yi AND LAWS REGULATING BUILDING CONSTRUCTION.1 CERTIFY THAT IN DOING THE Z i WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF , FJ' 2'Q/7 1. 1 A THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO•WORKMEN'S COM- .Zz *� _ - PENSATION INSURANCE.+ o/ PERMSIGNT TEES OF /Z o 1 2 6-00 �. ADDRESS z 1 ey b „� • Z a o 1 2 4 0'0 TEL. CITY TO,— P C r-. r••?y . 140.2771 93;? 0 1• Q 1 1 -78 ) USf ZONE MAP SPECIAL 7/ CONDITIONS - FINAL - BY` 6 /p. .jQ� ! DATE f/ '� -l�' Od✓! . . WORKERS'COMPENSATION DECLARATION I h�ereby affirm that I have a certificate of consent to self I L I CAT N FOR B I L D I N G PERMIT 'trriure, or a certificate of Workers'Compensation Insurance, �`� ?� °or a certified copy thereof(Sec. 3800, Lob. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS /fif.�ri ❑ Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS Q Date Applicant CITY r L /((/ ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST COMPENSATION INSURANCE i SIZE OF LOT NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one ;ASSESSOR TRACT BLOCK LOT NO. , MAP BOOK PAGE PARCEL hundred dollars($100)or less.) Q Le. J�D/Lf O. %j�I Z�EL* USE ZONE NO �� P I certify that in the performance of the work for which this OWNER �/,� sem-- N „ t permit is issued, I shall not employ any person in any manner ADDRESS /(//� 1 / SPECIAL CONDITIONS ai I so as to become subject to the Workers'Compensation Laws. '� � Date - Applicant //✓DA aA�2Dp/! CITY /L` R-2 tai- (2f I& ZIP NOTI E TO APPLICANT: If, after makingthis Certificate of ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE ROCE ED BY O ENGINEER NO. CONST. ZONE Exem tion, you should become subject to the Workers' �.�' Compensatin provisions of the Labor Code, you must forth- ADDRESS 3 W with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. I CONDO. U) deemed revoked. CONTRACTOR NO. Z LICENSED CONTRACTORS DECLARATION LIC, CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. S WER 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 96-PI VALIDATION SQ.FT. NO.OF NO.OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF WORK NEW p ❑ $ I am exempt under Sec. ❑ ALTER ❑ B.BP.C. for this reason REPAIR $ Date: USE OF DEMOL EXISTING BLDG. ❑ Signature APPLICANT TEL. FINAL i OWNER-BUILDER DECLARATION PRINT NO. DATE -1b I hereby affirm that I am exempt from the Contractor's License AL Law for the following reason (Section 7031.5, Business and ADDRESS F �Profe ns Code): PRESENT BUILDING L�! '� 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). c 9 1 33 3 A REQUIRED TOTAL SETBACK F CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LI WIDTH # 0 0 0 0 0 1 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. i o o 4 Q 5 0 (Sec. 3097, Civ. C.). SIDE a o 0 4 a 5 0'0 P.L. Lender's Name 0 3,09-88 o Lender's Address P.C.Fee$ Permit fee 0- M O v LDMA Ref. q I certify that I have read this application and state that the Issuance Fee C �- LDMA P/C# lop ° above information is correct. I agree to comply with all County Investigation Fee aq ordinances and State laws relating to building construction, Q -67)Total Fee LDMA Perm.q R and hereb9 authorize representatives of this County to enter upyth,,above-mentiop� property for inspectj�purposes. 9 >>� 09 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date VV6RKERS'COMPENSATION DECLARATION APPLICATION FOR BUILDING PERMIT I hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers'Compensation Insurance, or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company ElCertified copy is hereby furnislied. FOR APPLICANT O FILL IN BUILDING ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESSCt Date Applicant CITY ZIP LOCALITY NO.OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT OW ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOC LOT NO. MAP BOOK PAGE�� PARCEL hundred dollars($100)or less.) TEL. jO OWNER NO. USE ZONE MAP I certify that in the performance of the work for which this NO. �O J.-, a permit is Issued, I shall not employ any person in any manner ADDRESS SPECIAL i"" CONDITIONS O so as to become subject to the Workers'Compensation Laws. U CITY ZIP Date Applicant ARCHITECT OR TEL. NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. DISTRICT GROUP TYPE FIRE PROCESSED BY O Exemption, you should become subject to the Workers' / CONST. ZONE Compensation provisions of the Labor Code, you must forth- ADDRESS �� .hf � 3 � o a with comply with such provisions or this permit shall be TEL• STATISTICAL CLASSIFICATION APT. CONDO. to deemed revoked. CONTRACTOR NO. Z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. 02/ DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. mini (commencing with Section 7000)of Division 3 of the Business LIC. SEWER MAP and Professions Code,and my license is in full force and effect. CITY CLASS BK. PG VALIDATION SQ. FT. NO.OF NO.OF CHECK ����.�` License Number Lic. Class SIZE STORIES FAMILIES ONE /� DESCRIPTIO F W RK NEW ❑ VALUATION „�J / A`_/A16 l Contractor Date ✓ (`"' C.� J ADD ❑ ❑I am exempt under Sec. Poo �k*.4LO • ALTER B.BP.C. for this reason REPAIR ❑ $ r Date: USE F EXISTING BLDG. DEMOL ❑ Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION (PRINT) NO. DATE 1 I hereby affirm that I am exempt from the Contractor's License L,aw for the following reason (Section 7031.5, Business and ADDRESS FINAL Professions Code): PRESENT By _ ILTIy BUILDING L.t i UTI, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and t� the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code.) MOVING TEL. i ❑ 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.) t�l_ REQUIRED TOTAL SETBACK FROM EXIST. 1 -.J 7 , 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. (_ Ai (Sec. 3097, Civ. C.). SIDE ). 192 � 38 P.L. t.Ft-t^/ +r_ Lender's Name d 46fLDMA Ref.# r.• P.C. Fee$ 13 Permit Fee // �.JgAN 1 Lender's Address =- 1 certify that I have read this application and statethat the Issuance FkA P/C N above information is correct.I agree to comply with all County Investigation Fee / g ill�L--Il(;(7 r ordinances and State laws relating to building construction, Total Fee ��o (� ✓ LDMA Perm.# L and hereby authorize representatives of this County to enter u n the above-men ioned property for inspection purposes. o �/ SEE REVERSE FOR EXPLANATORY LANGUAGE Si nature f Applicant o ent• _ Date