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HomeMy Public PortalAbout10543 OLIVE ST_Building__ 7eikesu cE#B08.1-81 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS,. BUILDING AND SAFETY DMSION LOCALITY �.' L JOHN A. LAMBIE. COUNTY ENQ114EER NEAREST WILLIAM A:,JENSEN SUPT OF BUILDING CROSS ST. �L j DIST�T NO. G OUP TYPE MESSED BY FORFAPPLICANT TO FILL IN z �j S. CONST. G IBUILDI .NG F'7 STATISTICAL CLASSIFICATION S WERMAP 'ADDRESS ' BK PG ' r y CLASS.NO. DWELL.UNITS [� LOT NO.Ze541i1� 7 O/ �6/ BLOCK. WATER NOT REQUIRED RECEIVED TRACT ! /O� �rj. -VC &I- CERTIFICATE: 4 SIZE OF LOT. J �® NNO.OF OW ON LOTS '� NOF�P_ CJ (CCGRCyLE)AY STATE MAJOR SECOND, CAL SPECIAL USE OF — U//I� 1 E CONDITIONS G - EXISTING BLDG. 'r�//ii 1 t 1 TEL. d U 1 OWNER rI�yTOt ry oldies` NO. BUILDING YARD HWY STREET NAME EXIST. ADDRESS 5 32 /y, ',�d/1pa �c_ SETBACK _ WIDTH FRONT ARCHITECTOR TEL P..L. �° ?r J•• ENGINEER NO. SIDE ADDRESS �� P L .} TEL. INSPECTIO, CORD d CONTRACTOR / .a I NO. L 3I� O ADDRESS sZ kR G O DESCRIPTION OF WORK 0 LU NEW. ADD ALTER REPAIR DEMOLISH Z ^.SIZE ! /�� Y O NO,OF / FAMILIES1 STOR 1 E3 USE OF. STRUCTURE j i SIGNATURE OF�/ , / s APPLICANT VALUATIONS � APPROVALS DATE INSPECTO SSIG'NATURE FOFORMS' LOCATION FE FEE Jf MATERILS - FRAME:FIRE STOPS. shee 1 HEREBY'ACKNOWLEDGE•THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS AND STAT"7:iAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:LOCATION, WITH ALLeCOIINTY ORDINANCES AND STATE LAWS REGULATING GAS.VENT DUCTS ' BUILDING"CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH,INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- �- ING TO WORKMEN'S COMPENSATION INSURANCE. 61 vy LATH,EXT. / SIGNATURE OF. O HOUSE NUMBER COR - PERMITTE eRECTAND POSTED ADDRESS -rll r ry/, ' e FINAL CLYDE N. DIRLAM, PRINCIPAL ST CT AL ENGINEER PLAN CHECK VALIDATYON cK. M.O. calx PERMIT VALIDATION cK.. M.o. cAsH LA C0,11,22 5 . JUL 1:3 2- 3 D 2 6 07 5.4 b _. .... LA - 6 4 8G JUL 2 2. I D 5 350N N v . C . T eAaasA cE#soa a-aa APPLICA ION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING �C7��4r3 DEPARTMENT OF COUNTY ENGINEER ADDRESS "Ll BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE,COUNTY ENGINEER NEAREST tim WILLIAM A.JENSEN,SUPT OF BUILDING CROSS ST. DISTRICT NO. GRO P TYPE PROC SED BY FOR APPLICANT TO FILL IN Z7-->eO� CONST. BUILDING STATISTICAL CLASSIFICATION i SEW R MAP ADDRESS ias�/3 o�dC' ''��.,''�� PC CLASS. NO._�WELL.UNITS LOT NO. BLOCK WATER NOT REQUIRED RECEIVED ❑ y��dO CERTIFICATE: LJUU TRACT / MAP �- HIGHWAY NO.OF BLDGS. NO. STATE MAJOR SECO D,LOCAL SIZE OF LOT ,% �® NOW ON LOT 'USE ONE SPECIALUSE OF lj� /� EXISTTING BLDG. .b [J j CONDITIONS �-1�� OWNER RAr/, &a /11 NO ATG3��7 BUILDING EXIST SETBACK YARD HWY STREET NAME WIDTH ADDRESS J J p�-p �d�'1� `i FRONT • U f, ARCHITECT OR TEL. P. L. ENGINEER �^ NO. SIRE P. L. .� ADDRESS n ZD J� / � i p, CONTRACTOR 011 It B/�7( NO?.dgr40/ G7 ADDRESS f*7 If 1011 A /. of DESCRIPTION OF WORK ua d nVALUATION D ALTER REPAIR DEMOLISH to NO.OF NO. OF0U STORIES / FAMILIES//.lo.ryaa iO Ai >�oJ� 6i 40 NduNd442bm 16t OF ���ips T S � APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEES �--�-- FEE $ FORMS, MATERIALS 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 BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE. LATH. EXT. SIGNATURE OF && // HOUSE NUMBER COR- PERMITTEE �//��///���CCCCCCS���sy���� .moi �y RECT AND POSTED ADDRESS ,�X� /�• Ld»et / •�� FINAL JOHN F. LEWIS. PRINCIPALS C URAL ENGINEER PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATIO C M.O. CASH LAC01 6 4 6% JUL22 1 0 6.00^' v PPL I CAT 1 O N FOR COUNTY OF LOS ANGELES , BUILDING PERMIT DEPARTMENT BUILDING AND COUNTY FETY DIVISIONER UDING FOR APP2LICANT TO FILL IN ADIDRESS BUILDING ADDRESS IOS�3. �' �L/✓� S/' •C LOCALIT NEAREST CITY / 5/0p[,,_ Cfry ZIP 917YO CROSS ST. NO.OF BLDGS. ASSESSOR SIZE OF LOT 7_7 �� NOW ON LOT MAP BOOK PAGE PARCEL / q 9 DISTRICT GROUP TYPE FIRE SSED BY TRACT //7� / BLOCK LOT NO. O CONST', Zp OWNER +��5/��=R/O A33�A = No`'�f�/3•/G7� �/ �� STATISTICAL CLASSIFICATION SEWER M P ADDRESS I oJ�43 I=. OL/V r_ S1 �p CLASS NO.�OWELL•UNITS SK PG CITY / �P[% G!T ZIP �7 0 U ZONE MAP O� NO. ARCHITECT OR TEL. SPECIAL ENGINEER NO. CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONTRACTOR NEL" BL G.SETBACK FROM LIC. FR NT PROP.LINE OF (STREET) ADDRESS NO. NI WAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING LIC. FRONT PROP. LINE HIGHWAY WIDTH CITY CLASS CONSTRUCTION LENDER + NAME AND BRANCH BLDG.SET OM C ADDRESS CITY SIDE PROP.LINED (STREET) E NO. OF NO. OF CHECK HIGHWAY + YARD — TOTA ACK FROM TYPE OF EXISTING ft SQ. FT. — HIGHWAY WIDTH C SIZE O STORIES FAMILIES ONE SIDE PROP. DESCRIP ION OF WORK NEW ❑ + EL ADD CORNER CUTOFF YES ❑ NO ❑ ? ALTER ❑ TDEMOL EPAIR❑ IN OPEN SPACE YES ❑ NO 1:1USE OF IN COASTAL PERMIT ZONE YES NOEXISTING BLDG. A ❑ AP PRIN'NT.�CS/QCrQlQ A&SiAlao. BY (SIGNATURE) I HEREBY ACKNOWLEDGE THAT 1 HA E RE 1'rON AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO C. MPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION, I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S C.MPENSAT ON INSURANCE. ( I SIGNATURE O J M FINAL /'� � r• BY PERMITTEE �'"� _ f`+•s_ DATE f r ADDRESS 10S4e-g i=- ✓�-� L 1^. TE L. CITYNO. P.C. Fee$ Permit Fee G :j�� _(r011P[/ Cl%T VALUATION Y Issuance Fee ` MoIj & Total Fee Z. PLAN CHECK VALIDATION CK. M.O. CASH m PERMIT VALIDATION cK. M.o. CASH 47210-OCT 1 1 0 8 2.5 0 ©id 76ASSBA CE#80301 12/79 WORKERS'COMPENSATION DECLARATION hereby affirm that I have a certificate of consent to self M LIC®T I®N F®� D ��� 'N G PERMIT insuref oda ceT;ificate of Workers' Compensation Insurance, �® J Ow or a certified co y thereof(Sec. 3800, Lab. C.) q 9(� COUNTY OF LOS ANGELES ;1�11L•C51�IG AND SAFETY ; o icy o. Company f(�/1 FiILITY -. ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN • BUILDING ADDRESS a re ❑ Certified copy is filed with the county building inspec- BUILDING, tion department. 6` JRNs3'&nrs �> ADDRESS �/ Date Applicant CIN ZIP /�Q LOCALITY NO.OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKER ' SIZE OF LOT ?�X NOW ON LOT 2 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 d hundred dollars ($100)or less.) TEL. USE ZONE NOP a OWNER NO. .- ; I certify that in the performance of the work for which this �_ / SPECIAL } permit is issued, I shall not employ any person in any manner ADDRESS + CONDITIONS t1 so as to become subject to.the Workers'Compensation Laws. O, QTY ZIP - �; U Date Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CONST. ZONE OF Exemption, you should become subject to •the Workers' /��D 2 U Compensation provisions of the Labor Code, you must forth- ADDRESS tom' �J a with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO. N deemed revoked. CONTRACTOR NO. _ Z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO.�DWELL. UNITS rde ,* I hereby affirm that I am licensed ADDRESS 1 under provisions of Chapter 9 NO. - SEWER MAP (commencing with Section 7000)of Division 3 of the BusinessLIC.' y, and Professions Code,'and my license is in full force and effect. CITY (' f.d�6 CLASS BK /q PG a% �, VALIDATION NO.License Number 4 57 Lic. Class SIZE STORIESNO. OF e FAMILOIES A&� ONEK 7 P •VALUATION Contractor - •/ gift Date DESCRIPTION OF WORK NEW ❑ ;r3 $ Elam exempt under Sec. ADD ALTER Z❑ y; h. BAP.C. for this re REPAIR ❑ $ _4a USE OF EXISTING BLDG. qlAfk4f. A DEMOL ❑ '�. SignatureJIL - APPLICANT TEL. FINAL -BUILDS D C TION (PRINT) NO DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031:5, Business and ADDRESS FINAL i Professions Code): PRESENT By BUILDING El 1, �. I, as owner of the property, or my employees with ADDRESS MIX.I �a wages as their sole,compensation,will do-the work and _ the structure is not intended or offered for sale(Section LOCALITY ® Jsi 7044, Business and Professions Code.) MOVING TEL. IIS ❑ i,as owner of the property,am exclusively contracting CONTRACTOR NO. _ =..� :j with licensed contractors to construct the project (Sec- ADDRESS T�11L 1 tion 7044, Business and Professions Code.) ' _ �am33 REQUIRED YARD HWY TOTAL SETBACK FROM ICH CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH Ht s1 =' 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+(�ritil3 (Sec. 3097, Civ. C.). SIDE P.L. fir,S i!j IVI 1 Lenders Name V t vs 1 !_,1i' S ji o LDMA Ref. q ' P.C. Fee$ Permit Fee O Lender's Address •5'r. ti y.: I certify that ais,, re4d this plication and.state that the Issuance Fee �J LDMA P/C q above info ati no rect.,I a ee to.comply with all County Investigation Fee / �ordinanc ws rel t ng to building construction, Total Fee LDMA Perm. # and her yu epres Lives of this County to enter upon th ab oneO pr t .for inspection purposes. oSEE REVERSE FOR EXPLANATORY LANGUAGE - Signattuure of Applicant or ent D to