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HomeMy Public PortalAbout9155 OLIVE ST_Building__ 76A6VA CE#8032-63 APPLICATION FOR: BUILDING PERMIT - COUNTY OF-LOS ANGELESADDREISS DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY'DIVISION LOCALITY 7 Cj JOHN A. LAMBIE, COUNTY ENGINEER NEAREST , _n WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST. DISTRICT NP.' GROUP TYPE CESSED Y FOR:APPLICANT TO FILL IN CONST. .JJJVVV BUILDING STATISTICAL CLASSIFICATION EWER MAP 4 ADDRESS � L CLASS. NO. DWELL.'UNITS` K t LOT NO. BLO .3 WATER NOT REQUIRED RECEIVED CERTIFICATE: TRACT 7;? MAP HIGHWAY No OF BLDGS. NO. (CIRCLE) STATE MAJOR SECOND, OCAL SIZE'OF LOT � e /L NOW ON LOT USE ZONE SPECIAL .: USE OF - CONDITIONS EXISTING BLDG. TEL OWNER NO BUILDING EXIST. SETBACK YARD HWY TREE NAME. WIDTH ADDRESS7Qp2,' E FRONT ARCHITECT-OR TEL: P. L. ENGINEER NO-' SIDE > P. L. 4i ADDRESS- - I 0 TEL. CONTRACTOR V/ NO. I ADDRESS 0 n� U DESCRIPTION OF WORK. . • I Z ADD ALTER - REPAIR DEMOLISH ` 1� SQ.FT. NO.OF NO:OF SIZE. STORIES FAMILIES USE OF STRUCTURE /� Y SIGNATURE OF APPLICANT - VALUATION $ �. . APPROVALS DATE INGPECVR'S SIGNATURE PP.C. PMT.. 0� FOUNDATION: LOCATION ' {a . FEE $ ® FORMS,'MATERIALS FRAME: FIRE STOPS,' I•HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS /1I 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 I WILL NOT EMPLOYANY PERSON IN VIOLA- LATH. INT. �' . TION OF THE LABOR CO F THE STATE OF CALIFORNIA RELAT-' ,� ` .ING TO WORKMEN'S CO E ATION INSU A"CE, LATH. EXT. - 11 SIGNATURE Q ' HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS ® C FINAL JOHN F. LEWIS, PRINCIPAL•STR URAL ENGINEER .PLAN'CHECK VALIDATION CK. ,'•M:o. CASH _ PERMIT' VALIDATION ' .CK. - M.O. CASH L,t,n 0'-2.1 O a -SEP 1 6 2 D 2 8.-5 L�'iLf1.0 3 -9— OCT- 4 ' ,1. D' 5 7.00~ � TEMPLE -CITY 76A63f1'ACE#803 2-63APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING ��.� GJv� • a DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER •NEAREST. WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST. DIST CT NO. R TYPE SSED BY FOR APPLICANT TO FILL IN U CONST.` BUILDINGr T ADDRESS �/.3'� ( Jd� /�9t-Le �"� STATISTICAL CLASSI KATION S,�/BK R MAP �5T CLASS. NO:�aDWELL.UNITS • '[ LOT NO. dop 2:-Try BLOCK WATER NOT REQUIRED RECEIVED ❑ CERTIFICATE: . TRACT 77MAP .HIGHWAY STATE*MAJOR BE SIZE OF LOTSCOND, O AL NO.OF BLDGS. NO. 1CIRCLE) /� ���,6 NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. TEL OWNERNO. �� UI NG YARD HWY R NAEXIST. SETBACK MEWIDTH ADDRESS O.,?. �� AG FRONT I' ARCHITECT OR _ TEL. P. L. ENGINEER NO. SIDE r >, • P. L. O. ADDRESS Q 7 TEL. r' V CONTRACTOR �i ,k.V.1 0jZ& NO. J ADDRESS S" - 0 DESCRIPTION OF WORK w a h NEW ADD ALTER REPAIR DEMOLISH Z SQ.FT. Z� NO.OF NO. OF SIZE v STORIES FAMILIES , USE OF T ' STRUCTURE 3a SIGNATURE O APPLICANT41�=9_4 . VALUATION $ QQ APPROVALS DATE - INSPECTOR'S SIGNATURE FOUNDATION: LOCATIONf F E $ _ FEE $ FORMS. MATERIALS FRAME: FIRE STOPS. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. TION OF THE LABOR C F THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S,. PE ATION URANCE. LATH,EXT. SIGNATURE F HOUSE NUMBER COR. PE RECT AND POSTED ADDRESS VZ it �f"V FINAL JOHN F. LEWIS. PRINCIPAL STRRAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH Ltt�o 1 0 3 '6-to" OCT 4 .•1 D 1 1.5 0r:, „ APPLICATION- FOR COUNTY OF LOS ANGELES " BUIL D I N G PE R M I T DEPARTMENT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN ADDRESSBUILDING - ADDRESS / VZ/� / , LOCALITY �L.� ZIP // 7Q 'C/ SSAl-, r+ CITY � CROST. p- SIZE OF LOT NOW ON LOT-,S OTS NO.OF BLDG . / MAASSP BOOK 'D PAGE v0 PARCEL0*3 DISTRICT JPROUP ITyp BLE FIRE PROCESSED BY TRACT LOT NO. (� CONST.- ZON OCK OWNER IC/y �CUSNO.�& STATISTICAL CLASSIFICATION SEWER,MAP ADDRESS /,/ [/C V CLASS NO-12-0 DWELL,UNITS BK PG CITY z ZIP USE ZONE MAP NO. ARCHITECT OR TEL: ��' —/ SPECIAL ENGINEER NO. CONDITIONS I ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONTRACTOR EL' BLDG.SETBACK FROM NO FRONT PROP_.LINE OF (STREET) ADDRESS JIV NO. _ TOTALSETBACK FROM TYPE OF EXISTING HIGHWAY + YARD - CITY VLIG. FRONT PROP. LINE HIGHWAY WIDTH , - CLASS CONSTRUCTION LENDER } NAME AND BRANCH BLDG.SETBACKFROM a ADDRESS CITY SIDE PROP.LINE OF (STREET) SQ. FT. NO. OF NO. OF CHECK- HIGHWAY + YARD = TOTAL SET'BAAC FROM TYPE OF EXISTING d' SIZE STORIES FAMILIES ONE SIDE PROP. LMLME HIGHWAY WIDTH DESCRIPTION OF WORK �Cx NEW •❑ +• `,\ ADD CORNER CUTOFF YES ❑ NO ❑ Z A �K ll ALTER ❑ IN OPEN SPACE YES ❑ NO 1:1REPAIR[] USE OF IN COASTAL-PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG./��//►►�r t• DEMOL ❑ ,,,�0 APPLICANTII/JCrlr7G� ,p;C,U NEOLy �f/ ,�•�O ©� � !rV7 %✓r$"t„"G (PRINT)' �J//���, F BY (SIGNATURE)r - • I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION - AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. IC THAT IN DOING THE WORK AUTHORIZED - HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO W.ORKMEN'S COMPENSATIf�A�URANC, SIGNATURE F/� ��� FINAL��/�'Z�+ BY PERMITTEE T -DATE I ADDRESS €• ��/� �ry CITY ��AE �"-�” / NOL/-o 7 P.C.Fee$ - Permit Fee �n fl Issuance Fee VALUATION$ Od>'o e Total Fee Kew PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K M.O. CASH - 1..6 8�td{I l 8 �. D 1 2.0 0 ,& 76A698A CH 080319 12/79;. (?1� 'r< WORKERS'COMPENSATION DECLARATION �QQ hereby affirm that I have a certificate of consent to self P P L I CAT I R B CMD 1 N G PERMIT 'insure, or a certificate of Workers'Compensfion Insurance,or a cerfifir6R0 1CM (Sec. 3800, Lab. C. _ Policy No. -Qil Company COUNTY OF LOS ANGELES BUILDING AND SAFETY Certified co BUILDING copy is hereby furnished. /_.� FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with the count/buil i n BUILDING tion department. .-\\ ADDRESS S� �.OL\ LOCALITY Dat �4leA Applicant% 6� `� \ CITY NEAREST ZIP l CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. ASSESSOR v COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one �/� I USE ZONE MAP hundred dollars ($100)or less.) TRACTZ�J G_'i BLOCK LOT NO.� 4j NO. 4:5W7 TEL. SPECIAL � I certify that in the performance of the work for which this OWNER .L� �C:. NO.Za0��Cc CONDITIONS O permit is issued, I shall not employ any person in any manner DISTRICT GROUP TYPE FIRE ESSED BY V ADDRESSG�-1\ c d`�..s4 /`+^ CONST. ZONE 'n so as to become subject to the Workers'Compensation Laws. A/ CITY t �� C.► ZIP �,�� b Date Applicant STATISTICAL CLMS�ATION APT. CONDO U ARCHITECT OR TEL. �1/ NOTICE TO APPLICANT: If, after making This Certificate of `l— v\ � Exemption, you should become subject to the Workers' ENGINEER t��—�u NO. CLASS NO. DWELL. UNITS IL Compensation provisions of the Labor Code, you must forth- ADDRESS �5" � `1 SEWER MAP with comply with such provisions or this permit shall be ZIM TEL. deemed revoked. CONTRACTOR 1 GO -;)k-doZ BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION 1 e' LIC. •p I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS`d I� t� N0.3v o\�1 VALUATION (commencing with Section 7000)of Division 3 of the Business and , LICC--(— // Professions Code, and my license is in full force and effect. CITY ^� �•L CLASS C(—\ $ a SQ. FT. NO.OF NO.OF CHECK License Number 3 Z Lic.Class SIZE (Q ORI ILIE ONE q EW $ Cantractor�+``�' +� 1 Dot eZ`'�� ` DESCRI I fSRK ❑ ADD El 4 9 o .j I am exempt from the licensing requirements as I am a � �� 1 licensed architect or a registered professional engineer ` ALTER E] FINAL acting in my professional capacity (Section 7051, �� W� REPAIR DATE �5 `� -���} P {t o 0 0 0 2 Business and Professions Code). USE OFy�/�ice_ DEMOL FINAL r o o 2 EXISTING BLDG. I d��,� By , c_� .-d p� Lic.or Reg.No. Date APPLICANT T 0 0 0 •; z OWNER-BUILDER DECLARATION (PRINT) - .. I hereby affirm that I am exempt from the Contractor's License ADDRESS 0 �V. 1 � � � 2 — Law for the following reason (Section 7031.5, Business and 8 1 Professions Code): FIRES. T BUILDI ❑ BUILDING I, as owner of the property, or my employees with ADDRESS 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. I, as owner of the property, am exclusively contracting ; CONTRACTOR NO. 4 9 Q 9 P with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). ! 0 0 0 0 0 REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT o - 34,00 the performance of the work for which this permit is issued P L (Sec. 3097, Civ. C.). SIDE o 0 0 3 k Q 0 v P.L. Lender's Namec h.2 ' Lender's Address P.C. Fee$ Permit Fee+ �— I certify that I have read this application andistate that the Issuance Fee z ` above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee -� and hereby authorize representatives of this County to enter i;,.,.. ., UpW the above-mentioned property for inspectionPur d�oses. I �� CJ i SEE REVERSE FOR EXPLANATORY LANGUAGE IS�— ®s ignature of Applicant or Agent Date