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HomeMy Public PortalAbout9484 OLEMA ST_Building__ APPLICATION � p� /• \ ,BUILDING te ppp`/� PERMIT. .. 78A838A CE#8032-83 r\■ �B�:eYVrl��®l d ®� 2d�'a`g®Y! �fV/ COUNTY OF LOS ANGELES BUILDING d r'DEPARTMENT 'OF COUNTY ENGINEER , BUILDING AND SAFETY DIVISION LOCALITY it JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN,SUPT OF BUILDING CROSS ST. ' ^ DIST ICT IV Q. GROUP I TYPE , CESSED BY FOR APPLICANT TO FILL IN-' (Oy CONST. BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS O `CLASS. NO.�DWELL.UNITS �--- ���K G LOT NO. a� BLOCK WATER VED ❑ ^. NOT REQUIRED RECEI � CERTIFICATE: L�� TRACT MAP HIGHWAY STATE MAJOR SECOND AL NO.OF BLDG S: NO. (CIRCLE) SIZE OF LOT (p D NOW ON LOT USE SPECIAL USE OFCONDITIONS• EXISTING BLDG. O v:&A_� `'` �;•• OWNER (/ O./•J/• 017,7 L BU LDING EXIST. SETBACK YARD HWY TR NAME WIDTH ADDRESS 'FRONT ARCHITECT OR TEL. P• L• ENGINEER NO. . SIDE Ps La ADDRESS O TEL. ir} V CONTRACTOR NO. '.�".' ADDRESS `- - v / _ "''V. • i O� DESCRIPTION OF WORK F j` w 7/1 A4 NEW L E REPAIR DEMOLISH Y Z SQ.FT. �9 NO.Off' NO..OF' LSA �-- SIZE V , STORIES FAMILIESUSE OF ' STRUCTURE y(J —,AV /!. �+ o APPLICANT PLICAN�F VALUATION $ APPROVALS 9)ATg INSPECTOR'S SIGN TU 470, FOUNDATION: LOCATION ) f� F E $ FEE $ - — FORMS, MATERIALS 1 b IGF FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE'THAT I HAVE READ THIS APPLICATION BRACING. BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITH ALL COUNTY ORDINANCES AND' STATE LAWS REGULATING GAS VENT. DUCTS BUILD ING. CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- TION-OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO-WOR;;FN' ATION INSURA E. LATH,EXT. SIGNATUR HOUSE NUMBER COR- PERMITTE RECT AND POSTED ADDRESS ! FINAL /� v JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENG PLAN-CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. cnSH LAC0 4 0.6 2- SEP 2 2 2 p .. 8.00- Fe&t C.E0808 8-68 APP LICATIO F®R BUILDI G RMiT. COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY' ENGINEER ADDREss BUILDING AND SAFETY DIVISION,: : LOCALITY R'..� JOHN A. LAMBIE,'COUNTY ENGINEER NEAREST WILLIAM A.JENSEN, SUPT OF BUILDING - CROSS ST. DIST!RIqT N G U TYP ESSED FOR APPLICANT TO FILL IN 6 , Q . T . coNsr. BUILDINGSTATISTICAL CLASSIFICATION SEIWER MAP ADDRESS 7 . :e _al ��; " ,� _- K G y 'CLASS. NO. DWELL.UNITS yy - LOT NO. ;/, BLOCK WATER NOT REQUIRED , RECEIVED' Al. ERTIFICATE: ����xx TRACT � YMAP 2 a U HCIR WEA: STATE MAJOR SECOND, CAL A `.$IZE OF LOTS Wile CNOW ON LOTS NO*ol��c: �� a/* -A n � • USE SPECIAL USE OF !T CONDITIONS EXISTING BLDG. . ,•OWNER o ,mw � q " BUILDING, EXIST . /� SETBACK YARD' HWY E NAME WIDTH ADDRESS i�,� /`/'� FRONT ENG NEER''ARCHITECTVyN/r I� NO. SIDE 1 ::'ADDRESS - `� ���-i'• /� /— TEL. J � f�u.r/ U/�tCtrG!' ,nc��IrVr) J' I/! CONTRACTOR d• I NO. 119 ADDRESS " F•(7_�f1:; �:3"�� /.a;idf P`�;•''f�}.F, 120 ? !�° DESCRIPTION OF .WORK „ Lu NEW AD ALTE REPAIR DEMOLISH )�9 0 U . SQ.FT. NO.OF NO. OF • f lxi'ice P�1 S_ " t" sf.+ �Lf ;.SIZE glwSTOR USE IES , FAMILIES ( f yr j U. OF STRUCTURE V 1 \ — o � • SIGNATURE OF � . l APPLICANT VALUATION $ � �.�' /.�'►�.,+'X' :I�ar�.�J1� � sdLil! / t/?Li� • ��•. p� APPROVALS DATE NSP 'oR's SIGNATURE. P.C. d- PMT. 6 b FOUNDATION: LOCATION FEE $ �� FEE $v 6 -- FORMS, MATERIALS J , FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS . t - AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO-COMPLY FURNACE: LOCATION. WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS r,� BUILDING CONSTRUCTION. I CERTIFY THAT AN DOING THE WORK n AUTHORIZED HEREBY.I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. .'h TION-OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- , INC TO WOR KMEN'S'C Pj.NSATION INSURANCE. •LATH.EXT. ' SIGNATURE OF HOUSE NUMBER COR- 1 PERMITTEE RECT AND POSTED ADDRESS FINAL • ' JOHN F. LEWIS. P ANCIPAL STRUCTURAL EN PLAN CHECK VALIDATION CK. M.O. CASH I PERMIT--rAUDATION CK. M.O. CASH Liu :SFY25 s D 3 6.04 '' _ . Cj 7 11 6A688A CENB09 H-66 APPLL CA p (ION FOR rBUILDINGPERe�rtl� "A COUNTY OF LOS ANGELES 'BUILDING ��JJ` DEPARTMENT OF COUNTY ENGINEER ADDRESSf�rl (r/L L `-. BUILDING AND SAFETY DIVISION LOCALITY L C L 'JOHN A. LAMBIE.COUNTY ENGINEER NEAREST COLEMAN W. JEN.KINS.SUP•T OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN DISTRICT Ng. G T-YP CONST.• P bc1=s cB BUILDING STATISTICAL CLASSIFICATION SEWER MAP -ADDRESS CLASS NO. DWELL UNITS — B LOT NO: J r. '� BLOCK USE ZONE MAP NO. TRAeL � d - CT r Y 'SPECIAL NO. OF SLOGS. . - d CONDITIONS SIZE OF LOT Q NOW ON LOT .. 'USE OF EXISTING �� Q BLDG. SETBACK FROM 7A NT PROP. LINE OR (STREET) OWNER L TY E OF EXISTING SETBACK HIGHWAY } -YARD = - 'TOTAL ADDRESS O HIGHWAY WIDTH FROM G.L. CITY ` c- BLDG..SE BACK FROM ARCHITECT OR TEL. •SIDE PROP. LINE OF (STREET) ENGINEER NO. • TYPE OF EXISTING SETBACK. HIGHWAY. }. YARD' = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. - TEL. 1 � � � } CONTRACTOR NO ' LIC ' ADDRESS NO CORNER.CUTOFF YES NO C clrY LL SEE REVERSE SIDE FOR'SPECIAL'APPROVALS. f DESCRIPTION OF WORK- I t 0co NEW DD REPAIR DEMOLISH SQ.FT. q NO; OR. NO.'OF SIZE STORIES FAMILIES. USE OF _ ! SWAY APPROA STRUCTURE AND PARKWAY.TR%1.R-;QU: 5D SIGNATURE OF ) ,1 �:'.:Y• =.�Froach i APPLfCANT .A., 1.3 ar. gallations s91culu (E tr'I;:er.-'cu. a: �::.`I_• •"• VALUAT-ION$ CJS , o. - ' of X0 A/�P�T ppOVALS T-�11 .n� PAvrE!a''cs INS;=;& FEE .2FEEPMT.$ tuntilF RN16�gAA�E971P1�$5°�_ Y /f it at MR/AllFIRE STOPS,- I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION -B ACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS I . 9UILDING CONSTRUCTION. I 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 TOWORKMEN'S CnMPENSATION INSURANCE. LATH. EXT. , SIGNATURE OFHOUSE NUMBER COR- PERMITTEE - RECT AND POSTED ADDRESS F1 WA L gpp /'� ;p g� rip _ JOHN F. LEWIS. PRINCIPAL ST RAL ENGINEER PLAN `s tl AN�B!!A'86®N. C.K.)'M:O. CASH I'ERLodYT tl A8�118/A d tl® CK. M.O' CASH ;Nov.. ..1:X2-.3 D 1._ 25•. ' _ �. _.. -'� &5-:57 -NOV 1 2 D . 32.5. 0N' r_- 76A846f1'CCE#808=8-W • ,,' : � :•. • APPLICATION FOR-BUILDING PERS MiWT- Y•OF LOS ANGELES BUILDING �� GLS DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY -`'f [ C(JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS ST. DISTRICT NO. G�LQUP TYPE P-O s EDJBY FOR APPLICANT TO FILL IN CONST. Print or type only) ,�� � BUILDING .6" STATISTICAL CLASSIFICATION SEWER MAP ADDRESS r CLASS NO._!�__DWELL.LIN ITS. PG. LOT NO: s BLOCK USE ZONE MAP NO. ✓v TRACT ', `;� �T / SPECIAL •NO.OF'BLDGS. 11 1 CONDITIONS SIZE OF'LOT S ` LIc I NOW ON LOT ` USE-OE: ` EXISTING BLDG, / BLDG.SETBACK FROM TE FRONT PROP.LINE OF— 63 (QL t 'M-`A � --(STREET). OWNER i N - TYPE OF EXISTING SETBACK 'HIGHWAY {• YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L: , ` j T /'l� . CITY +�� C�� ` + a ARCHITECT TEL. S DEGPROPBACK L NEOF'M 1= (STREET) ENGINEER NO. TYPE OF EXISTING1 SETBACK I HIGHWAY + - YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM G.L. - - . _ TEL.iq4 L.' + _ CONTRACTOR NO. O LIC. CORNER CUTOFF YES ❑ NO ❑ v ADDRESS NO. CD CITY CLASS SEE REVERSE SIDE•FOR SPEgIAL APPR.OVAJ� S DESCRIPTION OF WORK z NEW CDD)-- D (LTEF,. REPAIR DEMOLISH_ •'` SQ. FT. NO. OF NO.-OF.. SIZE STORIES' FAMILIES - i /�. USE OF ./l.f„ /J Ff 1L:Fr �- ► i STRUCTURE- City✓ _ SIGNATURE OF APPLICANT b ' VALUATION S ' `�� PPROVALS - DATE INSPECTOR!S.SIGNATURE -FEE S.. • ' i�S .` FEES 'S='0;r,:1� FOUNDATION:FORMS. MAT-ERICFILSON •� 9 . • I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APFRAME: FIRES OPS,PLICATION BRACING; BOLTS 'd "AND'STATE THAT THE ABOVE IS CORRECT AND AGREE TO'COMPLY FURNACE:-LOCATION, 71 WITH ALL COUNTY ORDINANCES ,AND STATE LAWS REGULATING GAS VENT,.DUCTS• =- BUILD I NG•CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK _ 'AUTHORIZED HEREBY I WILL NOT EMPLOY ANY.PERSON.IN VIOLA- LA •1 -'AUTHORIZED TNE, BOR CODE OF THE.-STATE CF CALIFORNIA RELAT.• LATH, INT: ,e). ING,TO WOR 45 COMPENSATION INSURANCE. } };3 LATH, EXT. SIGNATURE O y HOUSE NUMBER COR- ,r• ' PERMITTEE -RECT AND POSTED ADDRESS FINAL, fil� I `tI� ' :; = JOHN F.-LEWIS. PRINCIPAL STgL{etl} L�fENGINEER PLAN CHECK VALIDATION `cK M:o. CASH. _ PERMIT VALIDATIO �-cK. `pt o. CASH LX;) 6 5 5-7 SEP 2 5 2 3 0 2925- 4 . i} -T.5 5 8:o SEP.2 5 -1. D 4 ,`7�N .q . , WORKERS' COMPENSATION DECLARATION hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING P E RISA I T insure, or a certificate of Workers' Compensation Insura e, or`,a certified copy thereof (Sec. 3800 ab. .) COUNTY OF LOS ANGELES BUILDING AND SAFETY POITcy IpVCompany r ❑ Certified copy is hereby furnished. FOR PPLICANT TO FILL IN BUILDING (� Certified copy is filed with th ounty building inspec- BUILDING (/p tion�d�ep�ajrt�ment. ADDRESS Dategno L=Applicant ` CITY ZIP IV LOCALITY v NO.OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS SIZE OF LOT 'J NOW ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR © ? (This section need not be completed if the permit is for one TRACT X533 BLOCK LOT NO. MAP BOOK PAGE- 2'O PARCEL o35 hundred dollars ($100)or less.) 110 - TEL. OWNER NO. � 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 SPECIAL 5 a so as to become subject to the Workers'Compensation Laws. CONDITIONS O CITY ZIP x Date ICE TO APPLICANT: ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY V NOTT: If, after making this Certificate of ENGINEER NO. CON ZONE Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- ADDRESS 5.Q _ I CL with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO. N deemed revoked. CONTRACTOR NO� Z LICENSED CONTRACTORS DECLARATIONQ r LIC. / CLASS NO. DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 0 NO. �b (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 6J CLASS A BK PG VALIDATION SQ. FT. /� NO. OF NO.OF CHECK License Num er If Lic. Class SIZE �J STORIES FAMILIES ONE -�) � VALUATION Contractor Date (/' DESCRIPTION OF WORK NEW ❑ $ ��� �'' ADD , ❑1 am exempt under Sec. ,Q ALTER B.&P.C. for this reason OZ • a lvREPAIR ❑ $ Date: USE OF DEMOL ❑ EXISTING BLDG. Signature APPLICANT. ,y TEL FINAL OWNER-BUILDER DECLARATION (PRINT) �4. NO. DATE j // dJ'Z� I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS FINAL -- Professions Code): PRESET By BUILDI '• s El 1, as owner of the property, or my employees with ADDRESS P °a wages as their sole compensation,will do the work and -� the structure is not intended or offered for sale(Section LOCALITY ® 337J; 6 °�I 7044, Business and Professions Code.) EL ElCONTRACTOR I,as owner of the property,am exclusively contracting r with licensed contractors to construct the project (Sec- ` ACC tion 7044, Business and Professions Code.) ADDRESS :: °a REQUIRED TOTAL SETBACK FROM EXIST. 117■`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. SIDE =:. _ (Sec. 3097, Civ. C.). i).(�E�I.. :175 o � P.L. Lender's Name t t: $ LDMA Ref. # �•� �'•+ 17 5.94 Lender's Address 13 P.C. Fee$ .� Permit Fee 101 wHa; G= (;l I certify that I have read this application and state that the Issuance Fee 1.S t LDMA P/C# '- above information is correct. I agree to comply with all County Investigation Fee / r1 ordinances and State laws relating to building construction, Total Fee a[i J LDMA Perm. # [!i!'Ffl—_1 i iF '�;tr'.4/L? a and by authorize representatives of this County to enter `'' Vupo a above-men d property for inspection purposes. r r�i I AM 2:52 o t — SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant c A Date