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HomeMy Public PortalAbout10034 OLIVE ST_Building__ 1-A-VISION OF BUILDING AND SAFETY � ' ® I G Department of County Engineer County of Los Angeles WM. J. FOX, COUNTY ENGINEER APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.OR REO.NO. PERMIT NO. BUILDING ADDRESS I 003 !:' ® L.i, ✓ e cc LOCALITY79 M rd L e• Cl -,- RECEIVED BY DATE OF APPL. ^DATE ISSUED NEAREST CROB8 ST. to W 1 N II BUILDING .,s T C ADDRESS t OOH�• �. ©I i V G Ste, OWNER I• J V ®7 LOCALITY—r: C MAIL ADDRESS ® ® ®L- ✓ 1 NEAREST e, TE-1-0 �. _ CRONO BT�A1--UW 11V V CITYe cl NO. � O�`4-� s FIRE NO.OF TYPE GROUP ARCHITECT OR TEL ZONE I' PLANS I - Imo; ENGINEER TNO.EL 0. •T� SETBACK LINE . -FL- R; L- hoe ADDRESS USE APPROVED TEL ZONE ` BY CONTRACTOR C�eG a C— DATE ®V�/N NO. HOUSE NUMB RING C& � ADDRESS 1451 L.1 Ve C efA `e MAP NUMBER-2--0-1 `, NO. A 38113NED BY:F l S ` LEGALI r CORRECTIONS' 1. DESCRIPTION LOT NO. � BLOCK ' 4 TRACT IDS �5 / XrV SIZE OF LOT 0 No.I NOW r BLDG LOT S. B hrraG'f� 5Tialt r�1� G� /t5 'Y fOu/ar0�� USE OF A NO.OF EXISTING BLDGce I FAMIL:60 ^ ��_ fir; v DESCRIPTION OF WORK ° ,! Cas. V•_nA p NEW ALTERATION ADDITION � Z REPAIR^^ DEMOLITION IGARAQ T. r� E O[g x e Y NRCMS // STORIES B Z EXT.WALLLf�____ ROOF h •1 COVERING0frd L. Q B COVERING 71.5 X Iy USE OF STRUCTUREri 1 � Ai G � d-(• ). 4 A p D INSPECTION FOR A K A CT—R, Q 2- )e I 40e Po yT r5v_APPRO\f/ALS OCCUPANCYAB �r'c�.F-• "_-';�INSPECT,OR'9SIGNATURE DATE FOUNDATION: LO A- f-ION ,�,r�;Fr.�.�• •- ��rl��� 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- •- PLIFORMS, MATERIXCB-,;, CATION AND STATE THAT THE INFORMATION GIVEN 18 FRAME: FIRE'STOP9, CORRECT. BRACING,BOLTS 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION. AND STATE LAWS GU TING BUILDING CONSTRUCTION. GAS VENT,DUCTS SIGNATURE•OF LATH, INT. a PERMITTE / ADORES ® LATH, EXT. rn-t(lc.•✓ Z Z�j Com,M L✓�. 1 7 PLASTER, INT. l�ft�jVyVlw�` �f�j/ AU�THeRIsZ^ED PLASTER, EXT. FEES HOUSE NUMBER COR- S QRECTAND POSTED VALUATION 1� O p� FEE 8 o FINAL I��i�iVlrroi...wOf `!f 76A638A D883 2-57 i OF BUMMG AND SAFETY APPLZCATMN FOR PE DW •' ` °� LOS �' - 24 i92 BUILDING • WM. .I. FOX. CHIEF ENGINEMR FOS APPLLCALIZ Z'O FILL >� �' FOIL OFFICE Li88 OLfLZ r!t7:mla33vepL% vsr DIBTRI�1'7i0. PLAN CK. NO. PERMIT NO. 1'L S oo TY e1V BY TE OF APDL. DATE ISSUED r r NEAREST • s CROSS ST. AIUILDING DORE09 o j ) L of OWNER r S MAIL • .,,r�AJ N1G4R1 LOCALITY ADDRE NEAREST ftL. CROSS ST. Aw CITY 1%WVZ., I NO. FIRM NO. OR UP ARCHITECT OR TEL ZONE PLANS ENGINEER NO. BLDG, SETBACK LINE ADDRESS 'L/APt APPROVED //�� TRL- BY DATE CONTRACTOR to A, RaIKLLNO. Z pj&3&LL ZONE '� BY ROVED DATE ADDRESS �E�� HOUSE NUMBERING DEECL RIAPTION LOT NO. BLACK MAP NUMB IELD CHECK BY TRACT 'C's)54r9,-% NO. ASSIGNED BY NO. OF BLOGS. SIZE OR LOT NOW ON LOT Use of NO. OP EXISTING BLDG. FAMIUS .. MIMI= OF wcm NEW cw -ALT�IATION I ADDITION ✓ O REPAIR DEMOLITION >0 SQ. FT. NO. OP SIZE %di::%— ROOMS STORIES _ b Z EXTVERING.WALL I ROOF COCOVERING UBE OF STRUCTURE AMMAN INSP TOR' SIGNATURE DATE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATIONI LOCATION PLICATION AND STATi THAT THE INFORMATION GIVEN in . CORRECT. FORMS, MATERIALS I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME'FIRM WMP16 NeRBDN AND WITH ALL COUNTY ORDINANCES AND 1i1'ATE BRACING. BOLTS LAWS REGULATING BUILDING CONSTRUCTION. FURNACE:LOCATION■ SIGNATURE OF �� . D L GAB VENT. DUMB PERMITr 10 MPS -gI.,y LATH. INT. ADDR • Mr. 'G k • on 7 LATH. r. AUTHORD:ED AST. PLASTER. INT. LVA M•DW ftFq ; P.RES-E PLASTER. EXT. /( /A 1� wTIon FMa d FlNAL '-2 1'I+- A f ' 76A638A CE#8032-63 APPLICA.T;IO.N :FOR BUIL®IN6 PERMIT COUNTY OF LOS ANGELES BUILDING / /�z%!UCS DEPARTMENT OF COUNfiY,$NGINEER ADDRESS /©� ,� 6 BUILDING AND SAFETY •DIVISION LOCALITY JOHN A. LAMBIE.%COUNTY ENGINEER NEAREST WILLIAM A.JENSEN,SUP.'T�P O&IL'-DING CROSS ST. DISTRICT NO ROUP TYPE P OCE S D BY FOR APPLICANT TO FILL IN a coNsr. FLOT ILDING STATISTICAL CLASSIFICATION_ SEWER MAP DRESS J -� .CLASS. No.� DWELL.UNITS NO. BLOCK WATER CERTIFICATE: NOT REQUIRED RECEIVED ❑ • _ ��ivvv TRACT f^ MAP. �"'� HIGHWAY NO.OF BLDGS. , NO. V ICIRCLEI STATE-MAJOR SECOND, OCAL SIZE OF LOT NOW ON LOT - USE ZONE SPECIAL USE OF � CONDITIONS B EXISTING LDG. -(�� 60 _ OWNER I ,, I TEL. / 1 �/� 1 NO. BUILDING EXIST. SETBACK YARD HWY STREET NAME WIDTH ADDRESS we FRONT I 1 ' ARCHITECT ORITEL.•' P. L. ENGINEER NO. SIDE y; a P. L. ADDRESS a TEL: rV CONTRACTO l..l NO. � ^"�. (/ li 11 ADDRESS )(�3 LAl /arvi[�A/L DESCRIPTION OF WORK w a y NEW ADD ALTER REPAIR DEMOLISH Z SQ. FT. �.•� ry 0 NO.OF NO. OF SIZE V ( STORIES FAMILIES USE OF STRUCTURE Vj/jr rW 'M Lh} SIGNATURE O APPLICANT D APPROVALS DATE INSPECTOR'S SIGNATURE P.C. E? I PMT. Igo FOUNDATION: LOCATION } FEES FEE S �.�-�� FORMS, MATERIALS �( 7 FRAME: FIRE STOPS, I HEREBY A KNOWLEI GE THAT I HAVE READ THIS' APPLICATION BRACING'. BOLTS AND STATE TH THE A OVE IS•CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITH ALL COU TY OR NANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONST CTIO . I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREB I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THEi�t OF THE STATE OF CA�LIFAR A RE' INC TO WORKOM INSURANCE. LATH. EXT.' SIGNATURE KA G HOUSE NUMBER COR- PERMITTEE RECT AND POSTED �./•� ADDRESS 5A �zC' FINAL ' JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER PLANHECK ALIDATION M.O. CASH _ PERMIT VALIDATION CI M.D. CASH ia�Il,O 6 1 :o !`YR 3 2 3—D 4.63 c . �r��� 6 1 73— iwiiR 3 1 'D 1_ J� °, r, y WORKERS'COMPENSATION DECLARATION I` reby affirm I have certificate of consent to self APPLICATION FOR BUILDING PERMIT � 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 ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDED 0 e ❑ Certified copy is filed with the county building inspec- BUILDING / tion department. ADDRESS 03 — 't !•T Date Applicant CITY ;rfZIP r LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' / e' G NO.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT i� O NOW ON LOT G/YjtF CROSS ST. / (This section need not be completed if the permit is for one ASSESSOR hundred dollars($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL TEL. USE ZONE MAP 7-1010 1 certify that in the performance of the work for which this OWNER ,/% An NO. 'e5 NO. permit is issued,I shall not employ any person in an a ner ` ��e —r+ SPECIAL _ so as to become subject to the Work rs'C nsa n ws ADDRESS f @ V l/ e .s/ � CONDITIONS 0 CITY mP/a c• / ZIP f�$Q m Date /19-31-A3 APPlicant o NOTICE TO APPLICANT: If, after making this Certificate o ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PR CESSED BY ENGINEER NO. Exemption, you should become subject to the Workers' Q� � 2 CONS r/ ZONE Compensation provisions of the Labor Code, you must forth- ADDRESS / �/� 3 with comply with such provisions or this permit shall beto deemed revoked. r TEL. STATISTICAL CLASSIFICATION APT. CONDO. Z CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION i 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 Is LIC. Professions Code, and my license is in full force and effect. CITY ® CLASS BK Pc VALIDATION SQ. FT. NO.OF NO.OF CHECK License Number Lic.Class SIZE QQ STORIES z FAMILIES ONE VALUATION NEW � '00 DESCRIPTION OF WORK C`O J�9 ,�_- Contractor Date ADD El $ .7 (� - I am exempt under Sec. '► E]ALTER B.$P.C. for this reason REPAIR ❑ $ USE STOI F BLDG. DEMOL ❑ iP 3 3 5 5 A Signature APPLICANT TEL.O. FINAL //r L� 6 # 0 0 0 0 0 1 OWNER-BUILDER DECLARATION PRINT N '"� DATA'/ ✓C� I hereby affirm that I am exempt from the Contractor's License - 59.25 Law for the following reason (Section 7031.5, Business and ADDRESS FI�IIA�y i o Professions Code): PRE ENTIIIIIIR o o - 59.250' BUILDING I, - I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and ' 1 a 3 1 —85 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 SEQBACK YARD HWY TOTAPREOTP SETBACK 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 g P.L. Lender's Name LDMA Ref. # Lender's Address P.C.Fee$ Permit Fee ' rI certify that I have read this application and state that the Issuance Fee LDMA P/C# r above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws r lating to building construction, Total Fee LDMA Perm. # and hereby authoriz r pr ntatives of this County to enter 5 up he o -m i ne roperty for inspection purposes. 3 r, SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant ar Agent Date O WORKERS' COMPENSATlihN DECLARATION hereby . C., that I'have a c�j rf ificate of cdnsent to self APPLICATION FOR BUILDING P E RM I T ' irafufe, or a certificate of Workers' Compensation insurance, or d.certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING 1 /` 034 j�L� ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS (J 01- ILIE C� ❑ Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS Date Applicant CIN d GI Y ZIP 117 80 LOCALITY NO.OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT' BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) TEL, OWNER nQo/`7 C USE ZONE MAP I certify that in the performance of the work for which this SPE permit is issued, I shall not employ any person in any manner ADDRESS 60,3 6 � t. SPECIAL a- so as to become subject to the Workers'Compensation Laws. 9/78 } p CONDITIONS 0 CITY tr b- ` 7 9'ZIP /7 8 a Date Applicant ARCHITECT OR TEL. DISTRICT G jJC TYPE �� FIRE OCE D BY De NOTICE TO APPLICANT: If, offer making this Certificate of ENGINEER NO. De yV/'� r TYPE w Exemption, you should become subject to the Workers' XX V Compensation provisions of the Labor Code, you must forth- ADDRESS n with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO. N deemed revoked. CONTRACTOR NO. z LICENSED CONTRACTORS DECLARATIONLIC. CLASS NO. DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. i (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. I ACCTVI/tLIDATION SQ. FT. NO.OF NO.OF CHECK License Number Lic. Class [SIZE STORIES i FAMILIES ONE 3307 455.1:. VA U TI N Contractor Date DESCRIPTION OF WORK NEW ❑ _ _ _ 1 ITEMS ❑I am exempt under Sec. D m ADQR-'aq,1 ADD El POO, TOTAL 4-55. 18 ALTER ❑ h{;/� CHECK t i B.&P.C. for this reason USE OF' REPAIR ❑ r Cn V V ('rl� r� 'te Sv Date: EXISTING BLDG. DEMOL ❑ "' ���a CHANGE .00 Signature APPLICANT �L• FINAL OWNER-BUILDER DECLARATION (PRINT) b r n NO. - 6 DATE �y I her affirm that I am exempt from the Contractor's License I �J�Q -13001 11/15/89 Law for the following reason (Section 7031.5, Business and ADDRESS QO / U t^ FINAL b814 Prof ssions Code): PRESENT By 1 AM10` 13:�'' BUILDING I, as owner of the property, or my employees with ADDRESS ACC T o a wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY , ?307 589.110 7044, Business and Professions Code.) MOVING TEL. "' Q I,as owner of the property,am exclusively contracting CONTRACTOR NO. 1 ITEM with licensed contractors to construct the project (Sec- ADDRESS TOTAL 589 o 00 tion 7044, Business and Professions Code.) `t� REQUIRED YARD HWY TOTAL SETBACK FROM EXIST. HE:�'i ,,,, CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT �ATjE o SI[I the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name 01300-0001 1% 9/9111 3 P.C. Fee$ Permit Fee 0 LDMA Ref. a 9437 1 At 111 Q 1'f Lender's Address 2 I certify that I have read this application and state that the Issuance Fee 3. V LDMA P/C# 011. '- above information is correct. I agree to comply with all County Investigation Fee Q �} ordinances and State laws rel ting to building construction, Total Fee�V , v 0 LDMA Perm. N = and ereb outhori re res tatives of this County to enter up the a-me 'o operty for inspection purposes. o ���-�S—�' SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Tppli—carif or Agent Date