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Home My Public Portal About9090 OLIVE ST_Building__ DIVISION OF BUILDING AND SAFETY ® � 1 ® � Department of County Engineer p - County of Los Angeles APPLICATION WM. J. FOX, COUNTY ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY UILD1NG DISTRICT NO. PLAN CK:DR RED.No. q CPERMIT NO. ADD DRESS . rgECEIYE^D BY DATE OF APPL. DA,T�{E IBSUED LOCALITY �`f iO CJ/ / ,�T�i• {e��Jl�, `- L �. NEAREST BT. BUILDING O v sf (/ -h��A TO-.✓ ADDRESS OWNER ¢�1/ MAIL / LOCALITY [rWt�jll.�q C�Dt : ADDRESS 67Q Q // 1 V 4: sr" NEAREST J �+ (. I/ CITY / /� LD/7 • TEL `, CROSS ST. ll ,7_��lk r--A-e- / NO. �0h C FIRE NO.OF TYPE GROUP ZONE -�� PLANS `m_1 ARCHITECT OR EGINEER ��/„ To!,/ NO.EI-EI / 13EEE ACK LINAPPROVED `� / � NO. ADDRESS �//1 �l) �, l 1%f i �r _ ,j / 06 TEL ZONE BY , DATE CONTRACTOR �Q/7j y „�„/` NO /1//)h�P _ HOUSE NUMBERING ADDRESS PI)470 F- 01// AEw ✓/ (� MAP NUMBER '%:5- 1 NO. ASSIGNED BY LEGAL DE CRIPTION LOT NO. � BLOOK= ,� CORRECTIONS TRACT r p - SIZE OF LOT N , �J v I v�J I OW ON LOTSLO USE CFf doNO.OF A EXISTING BLDG. O/'T/� FANILIEB DESCRIPTION OF WORK NEW Yl ALTERATION ADDITION Z s REPAIR DEMOLITION r NIL OF go. ZE �o� E pG{er ROOMS �`=�F STORIES EXT.WALL 1 ROOF ��'' COVERING STf�',& OOVERJNG 7AV tl/i1 n,-•I.• USE OF STRRUbTURE / Y INSPECTION FORJJ APPROVALS OCCUPANCYAB �/�.R�� /.�G�/�1G7�1� INSPECTOR'SBIGNATURE DATE FOUNDATION: ION: LOMATERICATION ON -„ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRE BTOPS, CORRECT. BRACINS■BOLTS [L✓ivvL.. \Y IAGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND AND STATE LAWS REBUL-ATING BUILDING FURNACE: LOCATION,CONSTRUCTION. La e�j GAB VENT.DUCTS r 7 BIBNATURE OF "�y�,� LATH, INT. er PERMITTEE �� i / ADDRESS in li4 —'0/// y I'�fi/_' ��/ LATH, EXT. AUTHORIZED AGPLASTER, INT. 4, �' el 10 T- r I�� P.C PLASTER, EXT. 0 /!! "Co n _ - FEE HOUSE NUMBER COR- J O ,. RECT AND POSTED .f VALUATION FEE KJ �� FINAL f 76A638A D883 1-52 ' WORKERS'COMPENSATION DECLARATION +~ �� APPLICATI N FOR BUILDING PERMIT l here4 affirm that I h6ve a certificate of consent to self :�iasure'or a certificate of Workers'Compensation Insurance, or a certified copy thereof (Sec. 3800 Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY P tcy Not+K�t97� M3-o4Company_ r n S_ �r rc en ` Certified co is hereby furnished. .z BUILDING PY Y � FOR APPLICANT TO FILL IN :. ADDRESS �, Certified copy is filed with the county building inspec- BUILDING _ tion department. ADDRESS Date L - �I -Applicant fJ1.T��ont� (,a,- cry'70,A ` ZIP LOCALITY �� NO.OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' ;SIZE OF LOT /� NOW ON LOTt7 CROSS ST. COMPENSATION INSURANCE (This section need not be completed if the permit is for one ASSESSOR hundred dollars($100)or less.) TRACT BLOCK LOT NO. ZO :MAP BOOK PAGE PARCEL TEL. MAP I certify that in the performance of the work for which this OWNER C. NO. USE NE NO L 7-r�C permit is issued, I shall not employ any person in any manner l SPECIAL so as to become subject to the Workers'Compensation Laws. ADDRESS !tf L CONDITIONS 40 Date Applicant CITY (_ �— ZIP NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PR C SED BY '. Exemption, you should become subject to the Workers' ENGINEER NO. CONST. ZONE Compensation provisions of the Labor Code, you must forth- ADDRESS �- ��lvi�i[ �� ,V/ 2) � with comply with such provisions or this permit shall be TEL. ►� IFI STATISTICAL CLAS ATION APT. NDO. deemed revoked. CONTRACTOR �� w�a NO. -670 LICENSED CONTRACTORS DECLARATIONLIC. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS p 0, yr . [ NO. (commencing with Section 7000)of Division 3 of the Business and LIC v'SEWER MAP _ Professions Code, and my license is in full force and effect. CITY G CLASS § �- BK �5 VALIDATION SIZE FT STORIES AMIOLIES CHECK License Number 27WO O Lic.Class ' VALUATION Contractor rb..# fd�;,tsm I LWC Date CI-Q%I-S'� DESCRIPTION OF WORK 114C2 c I � NEW C:: /'� ADD $ v(0O O I am exempt under Sec. at ALTER B.BP.C. for this reason REPAIR 03 $ Date: USE OF EXISTING BLDG. DEMOL ❑•, Signature APPLICANTTEL.WY FINAL OWNER-BUILDER DECLARATION 71 (PRINT)4V IL d NO. - Q U ' DATE I hereby affirm that I am exempt from the Contractor's License 6 91.7 A Law for the following reason (Section 7031.5, Business and ADDRESS/0 ! { FI t # 0 a 0_0 0 1 Professions Code): PRESENT B n ; ❑ BUILDING I, as owner of the property, or my employees with ADDRESS I o - 87.38 wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). " MOVING TEL. o o o 8 Z 3 8 I,as owner of the property,am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- /a,2 4-$'] tion 7044, Business and Professions Code). EADDRE CONSTRUCTION LENDING AGENCY YARD HWY TOTAL LINEFRO WIDTH µ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). $ d Lender's Name LDMA Ref. # Lender's Address PermitFeeI certify that I have read this application and state that theIssuance Fee LDMA O/C ffabove information is correct. I agree to comply with all County eordinances and State laws relating to building construction,and hereby authorize representatives of this County to enterTotal Fee LE perm. N 3 upon the above-mentioned property for inspection purposes. D (,(•9Y S� SEE REVERSE FOR EXPLANATORY LANGUAGE Signof Applicant or Agent Date 0 t