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Home My Public Portal About9308 OLIVE ST_Building__ �4r ,:-•��'. -DiPARTMSNT OF COUNTY IIdGIIdBER Ul , - w'. . :' 1ISION OF BUII.DING AND SAFETif Y COUNTY OF LOS ANGELES IW hh WILLIAM.J. _FOX, COUNTY ENGINEER IWAY 2 o_is APPLICATION f� CASSATT D..GRIFFIN, SUPT OF BUILDING FOR AP$LICANT TO FILL M ;` FOR OFFICE USE ONLY BUII-DING• DISTRICT'NO., PLAN CK.OR R C. o. PERMIT NO. ADDRESS ' i O d / �•-2.� LOCALITY Y G C` R VED BY DAT /FAP L.�r D ss D NEAREST r / 10✓ (Lt , � 1 I CROSS ST -� BIiLDNY �� •ADDoSS N J. OWNER MAIL ,1,p LOCALITY ADDRESS ��7'"o9NO fJ� ' /�+p NEAREST CITY .: '03 ,.S -TO r 4 J � CROSS ST.. ARCHITECT OR TEL. ,• FIRE' NO'. OF T.16P - UP F. ENGINEER NO. ZONE PLANE �/ ADDRESS— SETBACK LINE r / • �-� -/.T C USER AP OVED CONTRACTOrRU y-A�� J/ NO'.A ZONE • z BY DATE ADDRESS /�Z /N��i(��J1' S7, -+oY1JL�l HOUSE NUMBERING LEGAL MAP NUMBER �201& NO. ASSIGNED BY DESCRIPTION F LOT NO. BLOCK A45 /} Iy /3at e— CORRECTIONS' TRACTI'T rr . _NO.OF BLDGS. / �'-6 c'rj / sOv!�� s i SIZE OF.LOT •'7 I NOW ON LOT �l� USE OF I NO. OF EXISTING BLDG. a"�"" FAMILIee�o Q DN OF WORK O - NEW ALTERATION ADDITION REPAIR DEMOLITION I I I > r SQ. FT. NO.OF' SIZE . ROOMS STORIES EXT.WALLROOF COVERING 57V44cfl I COVERING v USE OF STRUCTURE APPROvals INSP R.'S SIGNATURE: DATE FOUNDATION:LOCATION FORMS, MATERIALSNr f-C I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN 18 BRACING, BOLTS r CORRECT. I AGREE TO COMPLY W#TH ALL COUNTY ORDINANCES FURNACE:LOCATION. AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT,-DUCTS � � . f� LAT.H, INT. -1/.--' SIGNATURE OF � �J�1117 11 —� PERMITTER rr��" LAH LATH. EXT. / fC�I/1••'�� -PLASTER, INT. IZED AGT. TER; EXT. �� FEE / �,...�- HOUSE NUMBER COR- q RECT AND POSTEDION V O� FEE S FINAL 78A888A 0983 9-82 T i 1 � 1 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING ADDRESS G►?�� py�l� WORKER'S COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self insure, BUILDIN D ZE ��G or a certificate of Workers'Compensation Insurance,or a certified CITY ��J G ZIP copy thereof(Sec.3800,Lab.C.) G, LOCALITY 07 Policy No. Company SIZE OF LOT NO OF BLDGS.NOW ON LOT e- ❑ Certified copy is hereby furnished. NEAREST CROSS ST LOCK LOT NO. 11 Certified copy is filed with the county building inspection TRACT B department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' ow COMPENSATION INSURANCE R TF= ® WITHIN 1000 FT OF SCHOOL? Yes No � �� w� (This section need not be completed if the permit is for one hundred ADDRESS DISTRICT GROUP TYPE CONST FIRE ZONEOPROCESSE.,D BY dollars($100)or less.) "FGn �L�d�� CITY ZIP r I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to �� 6' "� become subject to the Workers'C pensation aws w ARCHITECT OR ENGINEER TEL NO -� //��.��- �,%%% STATISTICAL CLAS IFICATION APT CONDO Dat ,►Dplic , ADDRESS CLASS NO- DWELL UNITS NOTICE 710 APPLICA T' If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject t0 the Workers' CONTRACTOR n T L N SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith G 4011FRONT comply with such provisions or this permit shall be deemed revoked. ApD SS LIC.NO P L LICENSED CONTRACTORS DECLARATION �� ''M� ��5a' c.2 SIDE CITY �f LIC.CItAS� PL I hereby affirm that I am licensed underprovisions of Chapter 9 ` v � J SEWER MAP y (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.QF STORIES NO.OF FAMILIES a Professions Code, n m Iicemis in full force and effect. ` NEW BK PG C DESC TION OF RK License Numb Lic.Clas ADD ❑ VALUATION ContrectoP l� fl—A&Z Date %�- ,J� �� A111T ALTER ❑ �� J v' C ❑ I am exempt under Sec. REPAIR ❑ $ I- BAP.C.for this reason DEMOL ❑ LDMA P/C W CIL Date: USE OF EXISTING BLDG. URM ❑ N 9 ? Si nature A PLICANT PRNT) TERN ` LDMA Perm# 1 �/S !.t/� ❑ I, as owner of the property, or my employees with wages as f%Q S Z y(::`;To their sole compensation, will do the work and the structure is AD S �y not intended or offered for sale (Section 7044, Business and G+'� /L_ FINAL DATE C 3303 Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCU14ANT HANDLE A HAZARDOUS MATERIAL OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE -J licensed contractors to construct the project (Section 7044, ❑ I, as owner of the property, am exclusively contracting 44, AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY >4 _ 9 o 65 Business and Professions Code.) YES El No 13 1 I!��iii_ 1:1 WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH •- CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES >< �.,�� r 0 I hereby affirm that there is a construction lending agency for YES 11 NO ❑ a J Wthe performance Of the Work for which this permit Is issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING E3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE. TITLE 2,CHAPTER 2.20 SECTIONS 2 20.100 THROUGH 2 20 140 CONCERNING HAZARDOUS i_i,;l,{ —t" I,;a 4 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. a Lender's Addressl i-63 1 M o Z 0 OWNER OR AGENT o I certify that I have read this application and state under penalty of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE N with all county ordinances and State laws relating to building I construction, and hereby authorize representatives of this County ISSUANCE FEE ro to r upontheboventione propert ,r inspecti n purptis. fd_ urwm INVESTIGATION FEE TOTAL FEEOpnalum al d Oho SEE REVERSE FOR EXPLANATORY LANGUAGE