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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