HomeMy Public PortalAbout9422 OLEMA ST_Building__ E�,7 PAATXMT OF BUM DING AND BAFAWg dZ rL"%0n A ava� r vis rjQ&LmA a 1�
COUNTY OF LOS ANGELES 1
WM. J. FOX. OHIEF ENGINEER a
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDINO�/�(f 5" DISTRICT NO. PIAN CK-NO. PERMIT NO.
ADDRESS w C+' +�d�
J ! FJ
�` I G/�►�
LOCALITY RECI`V BAY} DATE OF ADPL. DATE JIMBUED
NEAREST � 'i
CROSS ST. ��jj rr�� ' / �}/" �` y
R S7-
OWNER�,���(ll�'�i�tAl2.0,AJ /" �P�J��\ 7 ADDRESS - 106 l= �i .��0
MAIL 'h lop 1 • �/IJP/F�\. LOCALITY �� ISI P� LADDR �I
,!! _ NEAREST 6CITY l/\/�•A-I^ �.�f-C/� fC— C__ NO. FIRE
NO.OF TYPE GROUP
ARCHITECT OR TEL'. ZONE PLANS Z �__
ENGINEER NO.
BLDG. / ORD.NO.
ADDREIIII BETBACKLINE
�9 A , EL.
APPROVED DATE
CONTRACTOR( ��4r1 VVC f Odn'� i l / g� APP/
qq�� ff �1,lfl whyl i .�+ ZONE P- J" BY ROVED DATE
ADDRES9.,R�OC� �a. �/U� f/f.-y�. �I/
LEGAL CORRECTIONS
DESCRIPTIIOON/ .7 LOT NO. / n! r BLOCK '�7d
TRACT /V rh!' 3 opt 4d, - �l
// NO.OF BLOBS.
SIZE OF LOT(�%f Jfi ./ I NOW ON LOT
USE OF NO.OF NO.DF
EXISTING BLDG. FAMILIEH ROOMS
DESCRIPTION OF.WORK I t--Aft S 74 P x/a„ R A
NEW ALTERATION ADDITION
REPAIR MOVING DEMOLISHf1
Sq.FT. NO.OF Z
SIZE /��� ROOMS STORIESS r �py•i��p /►
WALL COF
COVERING U G� 10 I COVERING �f�qjG fti� �s!�G'� -� i�� y () /J,y7��, (_: tplu
USE or NEW
BUILDING AET-14C7/c
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IB CORRECT FOUNDATION:LOCATION
//INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS.MATERIALS �irf-
AND STATE LAWSREGULATING BUILDING CONSTRUCTION.
mei �g, D (Ff. #'glee fJ j/ FRAME: FIRE STOPS.
SIGNATURE OF � BRACING.BOLTS _ C
PERMITTEEk-A� P/ /I I/L- hV
LATH, INT.
AUTHORIZED AST `l • tA /� J
J 7/ ^fi""m' LATH,,EXT.
76A638A-3 3-50 $ 0��D0 P.C.B / PLASTER.INT.
FEE (a—a
PLASTER.EXT.
VALUATION FEE C7�''°2 FINAL
d
1QA88HADHH.3
1•55 APPLICATION FOR -BVIL®ING PERMIT ];
DIVISION OF BUILDING AND SAFETY BUILDING N^ �/"
ADDRESS f 7iJ
Deportment of County Engineer
County of Los Angeles- - LOCALITY
JOHN A.LAMBIE.COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP OSEWER MAP
FOR APPLICANT.TO FILL IN TYPE BK PG
CONST
BUILDING /� / el)„Ad St. NUMBE HWY
ADDRESS , J��/AJ! / MAP STATE YES O
FY
LOT NO. BLOCK USE ZONE SPECIAL
CONDITIONS
TRACT �( ) f -
SIZE OF LOT Vlex!Di I NO.OF SLOGS. O
NOW ON LOT BUILDING YARD HWY STREET NAME EXIST.
USE OF SETBACK WIDTH
EXISTING BLDG. FRONT
'P..L.
OWNER 7 ct YJ•yam e / 9•j- SIDE
MAIL 'J �r P.L.
ADDRESS ��J j®/C� �I O 'TRACT DWELL. 1 UNIT '
TEL [) 5 INDUSTRIAL
CITY / �J7'J f7`>� (r% NO;4r Io 7 6 I DWELL. , 1 UNIT 6 PUBLIC BLDG.
®-' 2 DUPLEX 2 UNITS
ARCHITECT OR TEL. 7 pDDN.,ALT., ETC.
ENGINEER NO. 3 i:APT. UNITS 8 MISCEL.
ADDRESS / 4 COMMERCIAL
CONTRACTOR /� NO IDG INSPECTION RECORD
ADDRESS
DESCRIPTION OF WORK
,!3NEW
- 1
SQ. ADD ALTNO. OF ER REPAIR - NO.OFDEMOLISH l_/r '.t ff� /,6S
SIZE I FAMILIES . l/ s�Ni �T1111 i. s
ff
USE OF STRUCTUR
jj
.SIGNATURE OF
APPLICANT APPROVALS.
ADDRESS 490jDATE INSPECTOR'S SIGNATURE
IF %Px FOUNDATION:LOCATION _
P.C'., $ �7 FORMS.MATERIALS
',,///l � FEE FRAME: FIRE STOPS,
VALUATION � $ BRACING, BOLTS
FEE m FURNACE: LOCATION.
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT.DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH.INT. -
AND STATE- LAWS REGULATING BUILDING CONSTRUC--
TION. LATH. EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL �D L'J"S b 6��XX.
'OHN A.LAMBIE.COUNTY ENGINEER VAIMAT CLYDE N.DIRLr4M, CHIEF BLDG. INSPECTOR
CK MO CASH ,
'JI ri i 1J �� L 2.0 � 1f1
DEPARTNM OF BULDM s m 3 APR=7ox MR per
" . c oosW OF MO AWE=
WM. J. Foot. CHIEF ENGINEER BUILDING
FOR JRPPLICJLII'r TO Fl<.L ZS FOS OFFICE USE ONLY
D16TB NO. CK. NO. P IT NO.
F!CCALITY
ILDING 2 , .�, �Y z F oo 6
DRUfW OR APPL DA'T'E ISSUED
'10 ol
NeARfBr rZ
CROSS ST. BUILDING
ADDRESS
ti OWNER oft.-44xw •
LOCALITY T
MAIL LD
ADDRESS � NEAREST
T� CROSS Sr.
Adel
CTR NO. d` d FIRE NO.OR P
ARCHITECT= TEL ZDNE PL.AIfB 3'
ENGINEER NO. BLDG.
r SETBACK LINK
ADDRESS APPROVED
BY DATE
CONTRACTO JjVdl UseAPPROVED
ZONE - BY DATE
ADDRESS • jj HOUSE NUMBERING
DESCON LOT NO. BLOCK MAP NUMB O 3 —FIELD CHECK BY
TRACT )9 NO. ASSIGNED BYAS
0.OF IILDSS. 'COBBECTKM
r �'
SIZE OF LAT
NNOW ON LOT
EXISTING BLDG. Ir"lu S�'/ R/ �G.f'6 �✓ c
OF wcm
.Il7 r7
NEW I ALTARATION ADDITION I I'
REPAIR DEMOLITION
��//
B
anis e0 v 0 ROOMS STORIES ` .. If
Off.WALL / r
COVERING ROOF COVERING /V Panama slefines
USE OF STRUCruall .�MACato • + . PIPES
•
P
lly-s2Ey = 'ADEINSP R'8SIGNATURE DATE1 HEREBY ACKNOWLiDGE THAT 1 NAVE READ THIS ARATION;LOCATIONPLICATION AND STATJI THAT THE INFORMATION GIVEN ISS. MATERIALSCORRECT.
i AGREE TO COMPLY WITH THU CORRECTIONS LISTED ;FIRESTOPB.
ERBDN AND WI COUNTY ORDINANCES AN E BRACING. BOLTS
LAWS RMUI G CH31MMUCTIOIWFURNACE.LOCATION.
SIGNA�N t AB GVENT. DUCTS ` S
f
LATH. INT. 1 •7
ADDRESS
+ LATH. EXT. &enm ' Z Ll
AUTHORIZED NOT.
••. + PLASTER. INT.
76AMM.°'� '°�°° Ra G L 3 PLASTER. EXr.
VALUATION O
�a P.
FINAL
� I
Y�
It WORKS'COMPENSATION DECLARATION ® ® �°
L to nsur re aafcerfi4i airmtte of Wo ke s'Compen at on Insuran ecertificate of coent to lf A■ P L I CAT ■ ® BUILDING PERMIT
or a certified copy thereof(Sec. 3800, Lab. C.)
COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company 9
r_1Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING C/
ADDRESS (/
❑ Certified copy is filed with the county building inspec- BUILDING
tion department. ADDRESS `.
Date Applicant CITY% '' r ZIP C1 LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLD . NEAREST AV
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST.
(This section need not be completed if the permit is for one ASSESSOR
hundred dollars($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL
TE USE ONE MAP
I certify that in the performance of the work for which this OWNER _ N NO.
permit is issued, I shall not employ any person in any manner (� SPECIALS
so as to become subject to the Workers Compensa ion Laws. ADDRESS .7'T _ CONDITIONS U
NN: • CITY 6Yy LTA ZIP j e3
Date Applicant/ ARCHITECT OR TEL.
NOTICE TO APPLICANT: If, after eking this Certificate of DISTRICT GROUP TYPE FIRE P CESSED BY O
ENGINEER NO. /1 CONST. ZONE U
Exemption, you should become subject to the Workers'
Compensation provisions of the Labor Code, you must forth- ADDRESS
with comply with such provisions or this permit shall be / TEL. STATISTICAL CLAFICATION APT. LNDO. fA
deemed revoked. CONTRACTOR NO. 9 /
LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. L—DWELL. UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO.
(commencing with Section 7000)of Division 3 of the Business and LIC. SEWER MAP
Professions Code, and my license is in full force and effect. CITY CLASS BK PG VALIDATION
SQ.FT. INO.OF NO.OF CHECK
License Number Lic.Class SIZE ISTORIES FAMILIES ONE `
Hc VALUATION 111111111
Contractor Date DESCRIPTIO O WORK r j/ /��r o NEW ❑, $ 46a r O m
❑ fr/I ADD ❑
I am exempt under Sec. U ALTER ❑
1
B.BP.C. for this reason }e USE OF REMOL C1EPAIR E] $ c 8 8?'?
EXISTING BLDG. A
0 0 3 3, 0 b
Signature APPLICANT TEL. o 0 0 3 3 G 0
PRINT NO. FINAL ` x
OWNER-BUILDER DECLARATION DATE
I hereby affirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031.5, Business and ADDRESS FI c 1.29-88
Profs ions Code): PR EN B �
BUILDING
21, I, as owner of the property, or my employees with ADDRESS
wages as their sale 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).
CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTAL SETBACK
LIINE 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
C LDMA Ref. q
i P.C.Fee$ Permit Fee J
Lender's Address
I certify that I have read this application and state that the
i Y PP� Issuance Fee LDMA P/C N
above information is correct. I agree to comply with all County Investigation Fee
ordinances and State laws relating to building construction, Total Fee V LDMA Perm. It
and hereby authorize representatives of this County to enter
upon the above-mentionpd property for inspection purposes.
@ SEE REVERSE FOR EXPLANATORY LANGUAGE
ignature of Appl cant or Agent Date