The URL can be used to link to this page

Home My Public Portal About9404 OLIVE ST_Building__ 18A688A CE#809.7-86 APPLICATION FOR .-B U I.L®I IN G P E R M I T 1 BUILDING AND SAFETY DIVISION BUILDING. Ar ' Department of County Engineer ADDRESS ' ' County of Los Angeles LOCALITY Y JOHN A.LAMBiE. COUNTY ENGINEER NEgREST CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST DISTRICT NO. GROUP- I TYPE SEWER MAP 7ADDRESS OR APPLICANT O FILL IN a---'^ BK PG CONST. STATISTICAL CLASSIFICATION CLASS. NO': DWELL. UNITS I' BLOC q� MAP STATE TRACT./�'"&'� �zNUMBER IIWy YES O DNE SPECIAL O.OF BLDGS. CONDITIONS SIZE OF L'OT NOW ON LOT USE OF EXISTING BLDG.• Iu BUILDING EXIST. 'SETBACK YARD HWY STREET NAME_ WIDTH. OWNER FRONT MAIL � ' ADDRESS U 4SIDE - TE P:L. CITY NO r INSPECTION RECORD ARCHITECT OR ENGINEER v ' ADDRESS TEL. CONTRACTOR NO. ADDRESS . DESCRIPTION OF WORN NEW ADD ALTER REPAIR DEMOLISH SQ'FT. - NO.OF NO.OF SIZE / STORIES FAMILIES r - USE OF STRUCTU APPROVALS SIGNATURE OF APPLICANT DATE INS ECTOR'S SIGNATURE ADDRESS FOUNDATION:LOCATION '7 FORMS• MATERIALS �7 l .L�G �•' m P. C, g __ FRAME:FIRE STOPS, + 1 FEE BRACING.,BOLTSn•'G 4•��'+�"� FURNACE: LOCATION VALUATION , FEE $ �""°' GAS'VENT.'DUCTS I Cti�l iiz . 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH. INT PLICATION AND STATE THAT THE ABOVE 1S CORRECT AND AGREE TO COMPLY'WITH ALL COUNTY ORDINANCES AND EXT. - STATE LAWS EGULATIN BUILDING CON R =wRECT SIGNATURE OF E NUMBER COR- PERMITTE �j � AND POSTED ADDRES v v o FINAL / -6 1,0 _ r IOHN A.LAMBIE. COUNTY ENGINEER, I < I CLYDE N. DI.RLAM. PAINCI AL STRUCTURAL EN'GI EER PLAN CHECK VALIDATION ' CK. M.O. CASH PERMIT VALIDATION. ,cK. M:o_ SH o 0 1 7 4 [SRR 19 ' 1 6.00- N { " 1 _ /BA888A Cfi 808to A.PPLICpr" ION FOR BUILDING PERIVII'I" COUNTY OF LOS ANGELES ADDRESS 0 Olive DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY Telly le Cite JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN SUPT OF BUILDING; CROSS ST. DISTRICT NO. TYPE PROCESSED BY OUP.. FOR APPLICANT TO FILL IN co BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS 0 011ve - CLASS.NOng I U DWELL:. NITS BK , IPL -LOT NO. dr7— BLOCK MAP ' STATE YES NO NUMBER -2-6 HWY. TRA Q�e J''- •. USE ZONE SPECIAL NO.OF SLDGS. CONDITIONS SIZE OF LOT I NOW ON LOT USEISOF EXTING BLDG. P BUILDING YARD HWY STREET NAME EXIST' TELyy�� SETBACK WIDTH OWNER' M L S f NO.AT 8 FRONT ' ADDRESS O Olive SIDE ARCHITECT OR- TEL: -P•L. ENGINEER NO. INSPECTION RECORD ADDRESS Acs ,CONTRACTORCa!if ornia Poo7.�..'At6-20 a ya - 2� 8806 E. Las -Tunas s ,-L IAA S' e�Q -- O ADDRESS DESCRIPTION OF WORK ��,.�,_� :..1/1_AtZe%,,- Ad"11,7 !!./ci e. .sClel fad.[.P NEW ADD ALTER REPAIR DEMOLISH Sal T. O N.O.OF _ __ NO.OF U STORIES - FAMILIES � ,f W USE OF STRUCTURE SWimmin - Pool ra Standard Plan 16791 SIGNATURE OF APPLICANT VALUATIONS 2500,00 APPROVALS DATE INSPECTQJt'S SIGNATUR ' FEE '$ FEE $ .�Q^a FOUNDATION:LOCATION FORMS;MATERIALS 2, 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME:FIRE STOPS, PLICATION AND STATE THAT THE ABOVE IS CORRECT AND BRACING,BOLTS FURNACE:LOCATION, AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT DUCTS 1-CERTIFY THAT IN DOING THE WORK-AUTHORIZED 1 LATH,INT: WILL NOTEMPLOY'ANY PERSON IN VIOLATION OF THE WORKMEN'S COMPENSATION LAWS OF CALIFORNIA. LATH,EXT. SIGNATURE OF ` HOUSE NUMBER COR- RECT AND POSTED /1 ADDRESS � 'S /`� FINAL �/G/&. CLYDE N. DIRLAM, PRINCIPAL ST RAL ENGINEER PLAN CHECK VALIDATION . cK: M.C. GASB PElWT VALIDATION C. M.O. CASH 3833 - Lrt�,o JLL 2.Q 2 3 d. 3.G 0 . • ®R WORKERS'COMPENSATION DECLARATION here, a:fcer that of W r certificate of consent to self P L I CAT I®N F®IK WILDING P E RM I T � *jniure, or a certifice. of Workers'Compensation Insurance, or a certi i th reo. 14 . .;900 ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Polity �C pany Certified copy is hereby furnished. FOR APPLICANT TO F LL IN ADDRESS �[J� Certified copy is filed with the un y build inspet- BUILDING �J tion epart I. ADDRESS LOCALITY 7 NEAREST Date Applicant -.CITY CROSS ST. RTIFI TE OF EXEMPTION FROM WORKERS' NO.O BLDGS. 4 ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be comple if the permit is for one USE NE MAP hundred dollars ($100)?not s 'TRACT BLOCK LOT NO. NO. TEL. �j SPECIAL >_ I certify that in the pance of the work for which this OWNER NO. D � CONDITIONS ®- permit is issued,I F II mploy any person in any manner DISTRICT GROUP TYPE FIRE P C ED BY 0 so as to become subject to the Workers'Compensation Laws. ADDRESS +� 5L/I(/ ,{ CONST. / ZQNE � Date Applicant CITY /yJ ZIP STATISTICAL CLASSIFICATION V J%, APT. C DO. hO NOTICE TO APPLICANT: If, after making this Certificate of :ARCHITECT OR TEL. (� g ENGINEER NO. O CLASS NO. DWELL.UNITS Exemption, you should become subject to the Workers' @e Compensation provisions of the Labor Code, you must forth- ADDRESS 7`�� v SEWER MAP with comply with such provisions or this permit shall be deemed revoked. CONTRACTOR _ BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC. aa I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS - N0.7/ ` VALUATIQN (commencing with Section 7000)of Division 3 of the Business and LIC, UOUf Professions Code, and m license is in full force and effect. CITY CLASS $ / SQ.FT. NO.OF NO.OF CHECK License Number r Lic.Class� r SIZE STORIES �` FAMILIES ONE Contractor Date 1�5 DESCRIPTION OF WORK �.J �/� NEW ❑ $ I am exempt under Sec. 1 ADD 00� �!✓ ALTER FINALL� USE OF REPAIR ❑ DATE CJ G� '7 p 3 3 A B.&P.C, for this reason L/ dal-1 EXISTING BLDG. �� DEMOL [_-]'; FIN Signature APPLICANT TEL. By # ° 0 0 0 0 1 OWNER-BUILDER DECLARATION PRINT NO. _ I hereby affirm that I am exempt from the Contractor's License c ° ° 7 aoo Low for the following reason (Section 7031.5, Business and ADDRESS U = Professions Code): i PRE ENT 0 o o 7 a Q Q X BUILDING I, as owner of the property, or my employees with ADDRESS 1 2-87 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. r: with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). 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 the performance of the work for which this permit is issued P.L. tSec. 3097, Civ. C.). - SIDE P.L. e Lender's Name Lender's Address d P.C. Fee$ Permit Fee I certify that vera t s a plication and state that the Issuance Fee above infp ti is r . I ag ee to comply with all County Investigation Fee ordinan es and . s rela ng to building construction, Total Fee a d h a ri re rese atives of this County to enter eby E 10 up e a e- a 0perfy for inspe<� purpos s. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of pylic nt orAa nt D e Os WORKERS,'COMPENSATION DECLARATION hereby affirm f of I have certificate of consent to self ICA T I FOR' BUILDING PERMIT ' insur$, or a certificate of Workers'Compensation Insurance, or a certified rtified p t� (Se cr3 COUNTY OF LOS ANGELES BUILDING AND SAFETY Polic N c` Co a Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING </ O ADDRESS Certified copy is fi(ed with the county buil n spec- BUILDING �^ tion depart ent. < ADDRESS C/ Date .36� Z Applicont i CITY Z. dA ZIP LOCALITY CERTIFI ATE OF EXEMPTION FROM WORKER N6.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. ) (This section need not be completed if the permit is for one ASSESSOR .hundred dollars($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL r-' TEL. USE ZONE MAP I certify that in the performance of the work for which this ' OWNER �v NO. NO. permit is issued, I shall not employ any person in any manner `� (/ �' SPECIAL ADDRESS so as to become subject to the Workers'Compensation Laws. CONDITIONS Dote Applicant CITY ZIP dA NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE SED BY Exemption, you should become subject to the Workers' ENGINEER NO. /� CONST. / ZONE Compensation provisions of the Labor Code, you must forth- ADDRESS �Jt(J try/ with comply with such provisions or this permit shall be' deemed revoked, CONTRACTOR STATISTICAL CLASSIFICATION APT. ONDO. g LICENSED CONTRACTORS DECLARATION 7 / IC. CLASS NO. DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS (commencing with Section 7000)_of Division 3 of the Business andLIC SEWER MAP Professions Code,and my license is in full force and ffect. CITY CLASS t., BK VALIDATION / SQ. FT. NO.OF NO.OF CHECK License Numb / Lic.Class ( ;SIZE ISTORIES FAMILIES ONE DESCRIPTION OF WORK NEW VALUATION E"i Contractor Date &2V $ ADD ❑I am exempt under Sec. ® 6 7 1.2 A ALTER ❑l` B.BP.C. for this reasonREPAIR !! $ # 0 0 0 0 0 1 ❑',: :' USE OF Date' EXISTING BLDG. D DEMOL I a a 6 Q 5 O Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION (PRINT) RIM f tC NO. DATE 0006(15050 I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS ® uv. �'� FIN 0320-87 Professions Code): PRE ENT B BUILDING I, as owner of the property, ormy 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. lop, 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). REQUIRED TOTAL SETBACK F CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP.LINE WIDTH 1 hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. e Lender's Name LD MA Ref. # P.C. Fee$ Permit Fee Lender's Address r I certify that I h4ent' application and state that the Issuance Fee 3 v =° tDMA P/C# above informatioagree to comply with all County Investigation Fee ordinances anlati building construction, cC 0 and reby thn five of this County to enter Total Fee OC-1 LDMA Perm. # 3 upo h ve- r r inspection purposes. x o SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Age Date O