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Home My Public Portal About9520 OLIVE ST_Building__ try... /a1TION FOR BUILDING 78A639A CE#9082-63 APPLIC • - : . COUNTY OF LOS ANdELES BUILDING DEPARTMENT OF COUNTY ENGINEER . ADDRESS O 14 ' BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAM61E,'COUNTY ENGINEER NEAREST ' WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN o1srRleT No. G OUP TYPE P BY • � � CONST. BUILDING 0q I S.ATISTICAL CL SSIFICATIP. .ON SEWER MA ' ADDRESS (�/ G gK CLASS.NO. . DWELL.UNITS LOT NO. S' J' BLOCK WATER, CERTIFICATE: NOT REQUIRED RECEIVED, TRACT MAP HIGHWAY STATE MAJOR SECON C AII NO.OF.OLDGS. NO. (CIRCLE) SIZE OF LOT X NOW ON LOT USE OF 4.ZONE COND TIIONS EXISTING 6L6G. ( - ` 'OWN ER O. A;rZ G H411LDING EXIST. YARD •HWY STREET NAME S /-� r. SETBACK WIDTH ADDRESS' j7 2 A' 7r• 4, r FRONT ARCHITECT'OR TEL. P. L. ENGINEER NO. -SIDE' ADDRESS � TELO . _ _ - F9 (1 � CONTRACTOR N.O 7 p� w ry a ADDRESS.5J�- 3.2. . f Y DESCRIPTION OF WORK __ � r"l '� c:�" :+AM Icu k ZNEW ADD ALTER REPAIR DEMOLISH FT. _ NO,OF NO.OF sP w� .L ,. .: . SIZE. STbRIES 'FAMILIES We,.yy J USE OF STRUCTURE ®. _ SIGNATU,RE OF APPLICANT z� 3 ' VALUATION $ 4.low �®�p + - -". v, •` APPROVALS KATE/ INSPECTO"SIGNATYJR-E, FEE FOUNDATION: LOCAT:IO.N PFEE, $ f77„S C. PMT'$ 0 . FORMS,:MATERIALS '— I HEREBY ACKNOWLEDGE THAFRAME: FIRE STOPS, T I.HAVE READ.THIS APPLICATION .BRACING, BOLTS AND STATE' THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITH ALL COUNTY ORDINANCES AND STATE.LAWS REGULATING' -GASVENT. 'r�` ` DUCTS 4' '� -• „A' :' BUILDING CONSTRUCTION. I CERTIFY THAT IN 'DOING THE WORK ' AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN viOLA- LATH, INT. yf ,•� i4/ TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN-S•COMPENSATI ON INSURANCE. LATH, EXT. Yr f SIGNATURE !D HOUSE NUMBER COR- o� / PERMITTEE RECT.AND POSTED • f7 A zz. 's ..q ADDRESS •�' G FI .. rf•� .. NAL L JOHN F. LEWIS, PRINCIPAL ST C URAL ENGINEER PLAN CHECK VALIDATION CK: M.O. .CASH _ t' -PERNIIT'VALIDATION CK M.O. CASH, Lrsl,o 7:1 7. l`•3- JUL r� 2 '3 'Q ':7 .; T MPL • ITS MAMBA CE#809.1-91 APPLICATION FOR BUILDING PERMIT', COUNTY OF LOS ANGELES . BUILDING DEPARTMENT OF COUNTY ENGU EER ADDRESS 9° O BU11DING AND SAFETY DMSION LOCALITY JOHN A. LAMBIE, COUNTY ENQINEER NEAREST WILLIAM A.JENSEN SUPT OF BUILDING CROSS.ST. DISTRICT NO. GROUP TYPE P OCE HY FOR APPLICANT TO FILL.IN CONST. JR BUILDING' 8 _ STATISTICALIFICATION SEWER MAP. ADDRE 3 / D�O B+ HK PG•. L� a CL•AS,S.NO.' DWELL.UNIT Z LOT cs: WATER NOT REQUIRED RECEIVED �7 CERTIFICATE: TRACT- S-0 MAP 'HIGHWAY O. STATE MAJOR SECOND,' CAL l' NO.OF BLDG S: NQ (CIRCLE) SIZE OF L xl� I NOW ON LOT USE ZONE SPECIAL' a USE OF �Qj�, CONDI•TIONS EXISTIN TEL' /J� 7 O / I - OWNER -o NO.'"`"'►► BUILDING - EXIST. SETBACK YARD HWY STREET NAME; WIDTH' ADDRESS /aJ o2 d' Q�C�-4u ' �� °' FRONT ARCHITECT OR- TEL P.L. ENGINEER i NO. SIDE' a �. ADDRESS' TEL. IIVSPECTION,RECORD' CONTRACTOR NO. U ADDRESS .r''(� /V DESCRIPTION:OF WORK :; "s'a--c_ ' =,✓ y�,'-'� O ' % W NEW - ADD- ALTER REPAIR DEMOLISH / Q' ` y.;�J SQ.FT. kyr /� NO OF / NO.OF (fir( r j�^ .' -� :':>` L. Z $IZE /"RS .X �V STORIES S FAMILIES• �� - USE OF STRUCTURE / �' /,, jff'/ SIGNATURE OF APPLICANT VALUATION 5 APPROVALS D TE INSPECTORS SIGNATURE P.C. �/' PMT...,;. �f-CT FOUNDATION:LOCATION FEE $ /� FEE •.$" -�} FORMS,MATERIALS h, •�� r,� ! FRAME:FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STAT.E'THAT THE ABOVE IS CORRECT AND AGREE-TO COMPLY FURNACE;LOCATION. •-' WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1'WILL NOT EMPLOY ANY PERSON IN VIOLA- [FINAL-"" ATH,INT. ' TION OF THE LABOR CODE-OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE. -' -LATH.EXT. SIGNATURE OF - OUSE NUMBER COR- PERMITTEE �� RECT AND POSTED ADDRESS -oxx :CLYDE'N. DIRLAM',.PRINCIPAL STRUSTURAL ENGINEER PLAN•CHECK VALIDATION cK- M.G. CASH PEE IIT VALIDATION : cK N.C. CASH ril,o:2 0 3.-.-4','a' 1-3Atia 14 1 0 WORKERS'COMPENSATION DECLARATION " hereby affirm that I have certificate of consent to.� APPLICATION F R ! BUILDING P�E RM I T insure, or a certificate of Workers'Compensation Insurance,, , or a certified copy-thereof(Sec. 3800, Lab: ) No. • Company COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy Certified copy is hereby furnished. . FOR APPLICANT TO FILL IN BUILDING V ' Certified co is filed with the c �j ADDRESS V•' �� PY Y building irispec- ADDRESS C�0 e-i V <_ I /�'` �fon'deP/art n ��.. L"G Date��GL` �plicant CITY /`'(M L. [ ZIP LOCALITY RTI ICATE OF EXEMPTIOkFROM WORKERS'.. N OF BLDGS. NEAREST COMPENSATION INSURANCESIZE OF LOT NOW ON LOT CROSS ST. (This section need not'be'completed if the permit is for oneASSESSOR hundred.dollars($100)or.less..) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL / ] TEL. r� US ZO(VE MAP I certify.+dt in the performance of the work for which(this OWNER (J�./0 0 NO. �' l NO. }� peimit is ied ssu , I shall not employ any person in any manner SPECIAL ' so-as'to become subject to the Workers'Compensation Laws. ADDRESS CONDITIONS U, Date 'Applicant CITY .. ZIP 0! NOTICE;TO APPLICANT: If,,-after making'this Certificate Of INEER ARCHITECT OR TEL.NO. DISTRICT GROUP TYPE FIRE PROCESSED BY �j O • Z Exemption; you should become subject to the Workers' ENGCONSTONE��C/ 2 � Compensation provisions of the Labor Code,•you must forth- ADDRESS t b �J 3• 11 IL with comply with.such provisions or this permit shall, be �v J EL. 7 STATISTICAL CLASSIFICATION' APT. C DO. ' Z deemed revoked. CONTRACTOR O. �j LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS Ge�-� C� NO. Zd yyER MAP (commencingg with Section 7000)of Division 3 of the Business and ' CJ v AJ LIC. Professions Code, and my license is in full forice avid effe CITY C CiASS` �` BK '' VALIDATION SQ.FT. NO.OF NO.OF CHECK License N � � Lic.Class SIZE STORIES FAMILIES ONE y re ,- aeo NEW ❑ VALUATION .Contract ate S • / DESCRIPTION OF WORK ADD ❑ I am'exempt under Sec. 401 ALTER B.BP.C. for this reason �/+-[ / / N REPAIR 9 2 02 7,A" - Date: USE OF OL I . D EXISTING BLDG. [3 .. ' # '0 0 0 0 0 Signature '' '' APPLICANT TEL. FINAL " OWNER-BUILDER DECLARATION PRINT NO. DATE o o 7 a p Q I hereby affirm that I am exempt from the Contractor's License " Law for the following Peason (Section 7031.5, Business and ADDRESS FINATV -a 'Professions Code):' PRESENT Y ❑ BUILDING I, as owner of the property, or my employees with ADDRESS ;0 ra• 1•;[(:.•$Jr wages as their sole compensation,will do the work7bnd the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). i MOVING- TEL. - 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 SETBACK pL NE. WIDTH 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 m P.L. o Lender's Name LDMA Ref..# $ P.C. Fee$ Permit Fee Lender's Address certify that.l have read this application and state that the Issuance Fee J v LDMA P/C# , ...•. . ¢ above information is correct. I agree to comply with all County Investigation Fee P ordinances and State laws relating to building construction, IS U and hereby authorize representatives of this County to enter Total Fee' tDNA Perm. # upo he above-m�entiti�oned•property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Vol Sign Lure of Applicant or Agent Date @ t i