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Home My Public Portal About9207 OLIVE ST_Building__ r.mn CRA03e.30 APPLICATION FOR BUILDING. PERMIT �. COUNTY OF LOS ANGELES BUILDING , DEPARTMENT OF COUNTY ENGINEER AD SS BUILDING AND SAFETY DMSION LOCALITY , JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN SUPT OF BUILDING CROSS ST. - _ DISTRI NO. GROUPP SEED BY FOR APPLICANT TO FILL IN T' ONW r BUILDING t7 Qki yg i Q ADDRESS STATISTICAL CLASSIFICATION SE ER MAP PG s0 nn CLASS.NO. DWELL.UNIT Z- LOT NO.. B 6C MAP STATE - ° NUMBER HWY. YES TRACT S. •Q • G USE ZONE SPECIAL NO.O "t3 DGS, CONDITIONS N SIZE OF LOT x 73t NOW ON LOT USE OF V V r EXISTINBL'D BUILDING EXIST. YARD HWY STREET NAME SETBACK �Wli7I'H OWNEREA FRONT t MAIL - P.L. � c ADDRESS SIDE q +� CITY TEL Z P.L. aKJ ARCHITECT OR TEL. INSPECTION'RECORD ENGINEER 4r-r NO. ADDRESS ' TEL. CONTRACTOR NO. ADDRESS DESCRIPTION OF WORK NEW-- /A�DDALTER REPAIRNO OF // DEMOLISH i. SIZE a 96 STORIESO& FAMILIES US�RUCTURE' SIGNATURE OF APPROVALS APPLICANT DATE INS TUBE ADDRESS FOUNDATION: LOCATION $ FORMS.MATERIALS P.C. $ �+ FRAME: FIRE STOPS, FEE BRACING, BOLTS VALUATION $ - A-V FURNACE: LOCATION, FEE pfi ��' GAS VENT,DUCTS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT. 'PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COU Y 9RDINANCES AND LATH,EXT. ` STATE LAWS REGU I BUIL .CONSTRUCTION, SIGNATURE OFHOUSE NUMBER COR. PERMIT RECT AND POSTED ADDRES 'giliFINAL CLYDE N.DIRLAM,P NCIPAI_ST URAL.WA.. PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK� M.O. 2`57'64k f•CD 1•.8 1 A 2.00 Nei ` iORKERS' COMPENSATION DECLARATION acertificate e rtifcate of Workes' CompensationInsurance, ' APPLICATION FOR BUILDING PERMIT oropy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. a Company ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS Q Q cue GA_- ❑ Certified copy is filed with the county building inspec- FAUDDRESS �i0 11 V 5 tion department. (� �j �C P�/�' G Ir zip / 70 LOCALITY Date Applicant NO.OF BLDGS, NEAREST L CERTIFICATE OF EXEMPTION FROM WORKERS' F LOT NOW ON LOT tlNg CROSS ST. e COMPENSATION INSURANCE ASSESSOR (Thissection need not be completed if the permit is for one BLO7C�K — LOTNO. MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) R NNIS !fid Z'�9 E NO. ��7 USE ZONE MAP I certify that in the performance of the work for which this i NO.permit is issued, I shall not empl pe to y manner SS d OW c!� ��1 SPECIAL a}.. CONDITIONS so as to become subject to th orker' am ensu ion Laws. �� ! /,t, O CITY J U 14n L�r/ G I ZIP %17 0 Date 2 2,7 Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PRKESSED BY CO NOTICE O APPLICANT: If, after making this Certificate ENGINEER .51IEL NO. CONSZ E t— Exemption, you should become subject to the Wor rs' Q m 2 w Compensation provisions of the Labor Code, you must f ADDRESS �(�() J 13- with with comply with such provisions or this permit shall be i TEL. STATISTICAL CLASSIFICATION APT. Z deemed revoked. CONTRACTOR (� �. NO. _ LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business LIC. SEWER MAP and Professions Code,and y license is in full force and effect. CITY CLASS BK D PG 2-6 VALIDATION SQ. FT. / NO. OF NO. OF CHECK License Number Lic. Class SIZE Q(p STORIES FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF WORK 0d� NEW ❑ $ 9 UCS•UO ADD yX114..900_00 - ❑I am exempt under Sec. kaX ALTER ❑ BAP.C. for this reason ��:�J" REPAIR ❑ $ Date: USE OF EXISTING BLDG.S1NIpruG F 1(, �(PiL. DEMOL ❑ Signature APPLICANT TEL. �p g (PRINT) N 1'S 310 NO.`0 —(�7 3 FINAL OWNER-BUILDER DECLARATION DAT ,•I o v I hereby affirm that I am exempt from the Contractor's License 7 ou v 15,r, -MNFLG City* Law for the following reason (Section 7031.5, Business and ADDRESS FIN "'7"- Professions Code): PRESENT g �. 1 f 1 BUILDING 1 _ I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and LOCALITY I I-I(L 171 . 75 the structure is not intended or offered for sale(Section 7044, Business and Professions Code.) MOVING TEL. ` V `7i.7-7 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 SETT BACK YARD HWY TOTAL ETBACK FROM W II I hereby affirm that there is a construction lending agency for FRONT O ISI?I _ the performance of the work for which this permit is issued P.L. f Y .,.: (Sec. 3097, Civ. C.). SIDE. O 0 �s: _ �i:'t 1 ,r, N/A P.L. �� o Lender's Name _ $ P.C. Fee$ Permit Fee , .L5 LDMA Ref. # Lender's Address 0 1 certify that I have read this application and state that the Issuance Fee ICS• 7t✓ LDMA P/C# , above information is correct. I agree to comply with all County Investigation Fee ordin and St ws relating to building construction, I Total Fee I LDMA perm. # an ereb ou Drize r resentatives of this County to enter u on the a o e-me do ed property for inspect' n pu poses. 3 ?/� SEE REVERSE FOR EXPLANATORY LANGUAGE ignature of Applicant or Age D to �J WORKERS'COMPENSATION DECLARATION , APPLICATION FOR BUILDING PERMIT ereby offIrm that I have a certificate of consent to self' l bre, or a certificatepf Workers'Compenstion Insurance,or _ ertified copy thereof (Sec. 3800, Lab. .) COUNTY OF LOS ANGELES BUILDING AND SAFETY icy BUILDING (ep Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS I Certified copy is filed with the county building ins ec- BUILDING 1 tion department. ADDRESS LOCALITY NEAREST to pplicanf CITY ZIP4:nJ CROSS ST. CERTIFICATE OF EXEMPTIO FOM WORKERS' NO.OF BLDGS. ASSESSOR COMPENSATION INENVANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL is section need not*be completed4f the permit is for one USE ZONE MAP v ndred dollars($100)or less.) TRACT BLOCK LOT NO. /� NO. ��/ TEL. /[ter SPECIAL ertify that in the performance of the work for which this OWNER NO. – z` CONDITIONS rmit is issued, I shall not em to person in an manner DISTRICT GROUP TYPE FIRE PROCESSED BY U P Y any y ADDRESS CONST. /, ZONE cc as to become subject to the Workers'Compensation Laws. V� 3 CITY ZIP 01 to Applicant ARCHITECT O TEL. STATISTICAL CLASSI CATION APT. CONDO. U )TICE TO APPLICANT: If, after making this Certificate�of ENGINEER NO. CLASS NO. DWELL. UNITS ®. amption, you should become subject to the Worker's' N mpensation provisions of the Labor Code, you must forth- ADDRESS 5 SEWER MAP Ih comply with such provisions or this permit shall be ``,,,,�__ TEL //�� p� emed revoked CO TRACTOR�V-VA NO. BK. LJ PG,/d--,V VALIDATION LICENSED CONTRACTORS DECLARATION LI . ereby affirm that I am licensed under provisions of Chapter 9 ADDRESS. ^ p.. N VALUATION ,mmencing with Section 7000)of Division 3 of the Business and t LI �vO ifessions Code, and my license is in full force and effect. CITY q CLASS $ SQ. FT NO.OF NO.OF CHECK ense Numbea361� � Lic.Class SIZE STORIES FAMILIES ONE ntractor-�0.�Rte, Date DESCRIPTION OF WORK NEW $ I am exempt from the licensing requirements as I am a ' 's ALTS ❑ ! S, 1.5 A licensed architect or a registered professional engineer ALTER ❑ DA TEL c o a a 7 1 acting in my professional capacity (Section 7051, REPAIR ❑ / -gFINA – Business and Professions Code). USE OF FINAL n EXISTING BLDG. _ pZ �' DEMOL ❑ By � �� 2 0 0 59.6 or Reg.No. Date APPLICANT TEL. OWNER-BUILDER DECLARATION (PRINT) NO. aP� u o a r 9 U ? `2 ereby affirm that I am exempt from the Contractor's License 7 17_ 6v for the following reason (Section 7031.5,. Business and ADDRESS C (I C )fessions Code): PRESENT BUILDING a r 1, as owner of the property, or my employees with ADDRESS 076t n nQ �l LI y•�,� 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. ' u 21,`/ 11 ] I, as owner of the property,am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- % " n ` .° tion 7044, Business and•Professions Code). ADDRESS REQUIRED TOTAL SETBACK FROM EXIST. 2 a C C CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH ereby affirm that there is a construction lending agency for FRONT V V / c �, 1 ;� z i- e performance of the work for which this permit is issued P.L. 1� ac. 3097, Civ. C.). SIDE /Q P.L. rider's Name ��,<.y—, o rider's Address 4 P.C. Fee$ 4P Permit Fee �. :ertify that I have read this application and state that the Issuance Fee e S ' ove information is correct. I agree to comply with all County Investigation Fee / I finances and State laws relating to building construction, Total Fee s d hereby authorize representatives of this County to enter on the ab&-menti roperfy for inspection pyL oses. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date ®s