The URL can be used to link to this page

Home My Public Portal About9566 OLIVE ST_Building__ ®i 76A638A �• _ CE#803(REV.11/78) APPLICATION- FOR BUILDING 'PERMIT -COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN ADID ESS L. �Lt�2J BUILDING ADDRESS j LOCALITY NEAREST CITY ZIP CROSS ST. / v0.OF BLDG& ASSESSOR SIZE OF LO NOW ON LOT , MAP,BOOK eAGE PARCEL DISTRICT GROUP TYPE FIRE -PR ESSEDpBY TRACT BLO LOT NO.- 0� CONST -s TEL. OW N • STATISTICAL CLASSIFICATION SEWER MffAAP�P ADDRESS .. CLASSNO. Q21 DWELL.UNITS BK `PG CITY' ZIP. ARCH( CT OR TEL. VALUATION $ ENGINEER NO. • ADDRESS BLDG.SETBACK FROM. TEL. FRONT PROP.LINE OF (STREET) CONTRACTOR j NO ° HIGHWAY t YARD _ TOTAL SETBACK FROM TYPE OF EXISTING LIC. — FRONT PROPe LINE HIGHWAY WIDTH ADDRESS NO LIC. + _ CITY ' j CLASS CONSTRUCTION LENDER BLDG.SETBACK FROM NAME AND BRANCH SIDE PROP.LINE OF (STREET) HIGHWAY + YARD __ TOTALSETBACKFROM TYPEOF EXISTING . ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH. 0` SQ.FT. NO.OF NO.Of CHECK ,t = SIZE STORIES FAMILIES. ONE. USE ZONE MAP DESCRIPTION OF WORK . ` NEW ❑ �2C0 NO. p?D 9 SPECIAL � ADD ❑ CONDITIONS ALTER ❑ FINA TEL 1�•� BY f ,r Z REPAIR USE OF DEMOL ❑ EXISTING BLDG. Z APPLICANT TEL C (PRINT) NO. BY(SIGNATURE)` 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE t,7 y O O �1 1 n THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES bd V n AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE S ` WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF V ' THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- Z o b-0 e e 1 PENSATION INSURANCE.' 2:o e 2 Jr,•0 0 SIGNATURE OF PERMITTEE j o 0 0 2 0 0 F.I 'ADDRESS ~ Z 0 0 , 18-80 CITY N Q _ _ O P.C.Fee$ Permit-Fee- Xx > .Issuance Fee K � IL Total Fee OBS-3 2SM'SETS B-45 - bEPARTMENT OF BUILDING AND SAFETY �� ® APPLICATION FOR PERMIT -,`9OUNTY OF LOS ANGELES BUILDING 1 WM. J. FOX,•CHIEF ENGINEER FOR APPLICANT -TO FILL IN FOR OFFICE USE ONLY P DISTRICT NO.- ' PLAN CK.-NO. PERMIT NO. BUILDING 1.4 �. /�'� �:•, //� � }�+o �{/ ADDRESS ( 2 J��Fd�/ �J 5;6 f ! 3 ' C{ lv LOCALITY � /J 14P GY/ �(/ 1 R,E/C"pEIVED BY ! DATE OF AQP/PL, DATEy SSUED. NEAREST _-J CROSS ST. .9 IL111:ING OWNER %(✓/,//A 'Fy6 i n'J (,7� ADDRESS /�)Gr,., l_.}( J`'f.— `h•+'/ MAIL ADDRESS �j /1..`0� // l,S a�' f�'./ r •LOCALITY !..�a b. i%� :r� 4.�4. 'l-'i/E `.4 ( TENOL. CROSS CITY NEAREST t',,re f[?•a` �= _'f ' ! �.�iti� / r`.! . r\ a FIRE I NO.017. 'rl TYP,E - '^i GROUP ^ J ARCHITECT OR TEL. ZONE PLANE ENGINEER NO. BLDG. ORD:NO. ADDRESS SETBACK LINE '�� APPROVED TEL. CONTRACTOR ,/�{JA p r NO. BY DATE USE 1 APPROV ADDRESS ZONE ! ,BY , ,/f DATE DESCERIPTION I GAL LOT NO.f7/001 BLOCK,"' / CORRECTIONS TRACT r 5 Si In i!t•+° e-y' "}'L/' l�aG,' l •i\� t•'i� r' ti /1•}�,.� l'•l �y<• Lr 1' r - ' �� it J % NO. OF BLDGS.)�J f /. \ _•n SIZE OF LOT%. /f.� /�' I NOW ON LOT fry�_ I/G -U�'\. Cr b-� `� h " G r IIF USE OF r.�7A - I ND.OF rl NO. OF t r fe EXISTING BLDG. FAMIL16a ROOMS" /n �91'i;,, ;-af Z DESCRIPTION OF WORK vs 7` t,y .? e o k J /►� ly f NEW ALTERATION I ADDITION �e fTs�F[�r W htiry ' % pp // REPAIR MOVING DEMO4 LISH /4- Q•ATF 6 G,C/.i �✓O�iA ? 814.-FT. NO.OF l �~ SIZE! r-l_ . ROOMS ` STORIES / /�/<�-c/!Oy' / r 4 ` WALL r ROOT' COVERING,it sF .-�!� �[� I COVERING ( �h;,L�.•;,J/� 'J -I / F USE OF NEW� BUILDING/ 1'r - 1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT FOUNDATION: LOCATION, INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY•ORDINANCES FORMS,, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, ' SIGNATURE OF BRACING, BOLTS • OWNER LATH,, INT.: AUTHORIZED AST.��T��r'�-Ai°^_7//-C�./ .,.�=LI . v � :LATH,.EXT.: rj P. C,6 Q PLASTER, INT. FEE / PLASTER, EXT. Y / aILI VALUATION FINAL °DEPARTMENT OF BUILDING AND SAFETY AFFLICATIUM YVIE FLHMTI- .COUNTY OF LOS ANGELES S U I L ® i N G s• WM. J. FOX, CHIEF-ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY A r DISTRICT NO. PLAN CK.NO. PERMIT NO. ADD EISS (/// j G'J ! LOCALITY RECEIVED BY DATE OF APPL. DATE ISSUED r..Ef'i 1.�. i � _ NEAREST j11— '5— r -f CROSS ST. �'�'.n'�!�/�-'i�-o� BUILDING i ADDRESS 5 OWNER ra, VVVV��%i.I -�// MAIL yy J ray ! LOCALITY -.1-r -yrkzr/ iw DDREBO / //•y _ /` NEAREST ,r CITY r/ l►! NO� �//P✓Z� CROSS ST. ✓� L9�'1.r�2pp_�s' i FIRE NO.OF / TYPE _ GROUP"T=: ARCHITECT OR TEL. ZONE m"�- PLANS 1 ENGINEER NO. BLDG. ORD.. NO. ADDRESS SETBACK LINE TEL f/ � APPROVED DATE CONTRACTOR 4/f-�, [r r• /� / /4_NO. 7 BY ( ' USE / APPROVED ADDRESS �1)1C "ratl Jr •-��0..� /'=�•�II ZONE- I BY DATE LEGALRl CORRECTIONS DESCRIPTIIONN} LOTNOd/�)&f �BLOCK •� TRACT /t/! ! 73 yNO.Or (J a SIZE OF LOTS�� 1 I NOW ON LNO. 1OT USEEXISNO or �NG BLDG. g A /1� p I FMIDL ce I I ROOM9 DESCRIPTION OF WORK NEW ALTERATION ADDITION — O A REPAIR MOVING DEMOLISH 0 q.FT. 6 ! t ') _ROOMS D8N13-13F -SIZE — STORIESt WALL �``r''rl�/-Lard ROOF r� t- COVERINIIIO �1`Ut"/fit .�ir3ol COVERING USE OF NEW BUILDING / �'L��y 1-� /r1�-• r.• 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION:LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. d FRAME: FIRE STOPS, SIGNATURE OF I BRACING,BOLTS �'= / PERMITTED - LATHAdC ,INT.: 1 AUTHORIZED AST LATH,EXT.: 13BB-3 50M BETB 1-48 P.C.6 PLASTER,INT. [FEE FEE PLASTER,EXT. VALUATION FINAL APPLICATION FOR BUILDING PERMIT • COUNTY OF LOS ANGELES BUILDING AND SAFETY `WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILD A S� I hereby affirm that I have a certificate of consent to self insure, BUIL G ADDR SG r or a certificate of Workers'Compensation Insurance,or a certified Z, ZIP copy thereof(Sec.3800 Lab.G.) �� ,-� le � LOCALITY Policy No. G 11 Company `� �7 I h.t'� SI tQ`C•�� O.OF BLDGS NOW ON LOT 5❑ Ifled copy is hereby furnished. NEAREST CROSS ST. Certified copy is filed with the county building inspection T A BLOCK LOT NOa Date it Applicant 's�� /�f��/fGj ( USE ZONE MAP NO. ASSESSOR MA�OK PAGE _ PARCEL L12 SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' oN R / TEL NO. YES NO COMPENSATION INSURANCE WITHIN 1000 FT.OF SCHOOL? (This section need not be completed if the permit is for one hundred AD RESS �G DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY dollars($100)or less.) CI �� ZIP I certify that in the performance of the work for which this permit ��'L �L C`� n r/ / ��G�GL� is issued, I shall not employ any person in an manner so as to Jqg�/�/� � O become subject to the Workers'Compensation Laws. ARc�ifTCj� RL=✓' !,.(��! �vS TEL NO. STATISTICAL CLA SI ICATION APT CONDO Date Applicant ADSDRES3 / CLASS NO. 27 DWELL UNITS A10710E TO APPLICANT If, after making this Certificate of 1 510 l l%� REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL NO SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith ✓Y� .� _ lLS FRONT :: comply with such provisions or this permit shall be deemed revoked. RES �i uC.NO. P L _ LICENSED CONTRACTORS DECLARATION �� !L '36' 7 7 b63r�� SIDE y'_'_•1 eTf CITY LIC.CLASS P L •.M ,•� •, r; I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP Gti, (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES ITP,:_ Professions Code, m licens is in full force ap effect. NEW ❑ BK PG 1 I EM, Q L DESCRIP NOF WORK ✓ ® TOTAL 14-a¢ :L0 C I✓ df VAL N License Nu er Lic`Cl�ass ADD Contractor Std' l��'' ALTER ❑4A1,105r,0 AMC' ` CHECK ill_■1[I a ❑ 1 am exempt under Sec. R e REPAIR 11 �i °(�)�i F. B.BP.C.for this reason DEMOL ❑ C LDMA P/C# Date: USE OF EXISTING BLDG. URM ❑ I�QI?I,j—I]I�Il f j% ULF U Signature APPLICANT(PRINT) TEL NO. LDMA Perm# Ara,.- ;is — � 17' ❑ I, as owner of the property, or my employees with wages asZ _` 1�°` _ their sole compensation, will do the work and the structure is ADDRESS FINAL DATE F not intended or offered for sale (Section 7044, Business and Q �,-i-� Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL r Z�� G i s I E1 I ❑ I, as owner of the property, am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE y y g AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY T10T AL 12-45 ®.85 licensed contractors to construct the project (Section 7044, YES❑ NO❑ _ Business and Professions Code.) y�L r•y arc '+�' WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING �•ili,.srll I�:i°•J•. OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR i• f'1 it1C °I!,S GUIDELINES I hereby affirm that there is a construction lending agency for YES❑ NO❑ a the performance of the work for which this permit is issued(Sec. r 01 HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING C, 3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, j�jy)j(^iJ;J_i �• ;+! - TITLE 2,CHAPTER 2 20 SECTIONS 2 20.100 THROUGH 2.20 140 CONCERNING HAZARDOUS 3 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD f; C3 Lender's Address r M -- - ti G OWNER OR AGENT o I certify that I have read this application and state under penalty q 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 •AD constru ion, and hereby authorize representatives of this County ISSUANCE FEE C9 to er I n the ab -men ion d(}ro r for inspection purposes. A A INVESTIGATION FEE TOTAL FEE ° Q APPS-1 a Ag.l Oct. U SEE REVERSE FOR EXPLANATORY LANGUAGE Al ' COUNTY OF LOS ANdELES _GING AND t '� U SAFE r 1 WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN I hereby affirm that I have a certificate of consent to self insure, a LDIN ADDRESS or a certificate of Workers'Compensation Insurance,or a certified COPY thereof(Sec.3800,Lab.C.) ZIP Policy No. Company LOCALI Y SIZE OF L �� NO.OF BLDS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST ❑ Certified copy is filed with the county building inspection TRACT BLOCK OT NO. :JM ` USE ZONE MAP NO. ^ ' department. �(p Date Applicant ABBE K PAGE _ _ PARC �� 015 'e—/ SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' NER j TEL NO. / YES NO COMPENSATION INSURANCE N �1i WITHIN 1000 FT.OF SCHOOL? (This section need not be completed if the permit is for one hundred DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars($100)or less.) p I certify that in the performance of the work for which this permit ZIP co— is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. AW HITECT R ENGINEERTEL NO. 3 STATISTICAL CL SSIFICATION APT CONDO Date Applicant DD SS �,/nf G�,` c Jyz CLASS NO.� DWELL UNITS NOTICE 70 APPLICANT If, after making this Certificate of WN Vv •'J•�L�F v�'�J REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL NO. `� SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthw•h !� FRONT comply with such provisions or this permit shall be deemed revok . ADDRESS LIC.NO. P L LICENSED CONTRACTORS DECLARATION SIDE CITY VC.CLASS P L I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP •7 (commencing with Section 7000)of Division 3 of the Business and SQ. IZE NO. STORIES NO.01 FAMILIES Professions Code,and my license is in full force and effect. NEW ❑ BK PG j � y RIPTION OF WORK V TION ® TOTAL 715 a 70� License Number Lic.Class `l_ ADD Contractor Date , qwyEfALTER ❑ $ • LIr ElI am exempt under Sec. It aN A REPAIR ❑ OOD• i B.BP.C.for this reason , DEMOL ❑ LDMA P/C# f~=-,1r • Date: SE OF EXISTING URM 13 _ 13� •;��{ AU# I3-ISI iL 1 `6121/91-5 Signature APPLICANT(PRINT) TEL NO. LDMA Perm# 101 ❑ I, as owner of the property., or my employees with wages as ADDRESS O HIc.�j 07 i Phi 1 C i v _ their sole compensation, will do the work and the structure is �, not intended or offered for sale (Section 7044, Business and FINAL DATE Q ,:,303 946.7o.: Professions Code.) LL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL TTEI'�E. I, as owner Of theproperty, am exclusive) Contract) With OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE G I Y AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINALBY _ icensed contractors to construct the project (Section 7044, utas❑ No❑ � TOTAL�t�iL ],�1;�1,f til Business and Professions Code.) � WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING .CHEC\ 1005.60 I �'� OCCUPANT REQU.RE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH '� 1 05 a 60 CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR YrfTl'ti]G 1 GUIDELINES •i•1-1 I hereby affirm that there is a construction lending agency for YES❑ NO❑ 411 the performance Of the Work for which this permit IS ISSUed(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING ` 3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LAS ANGELES COUNTY CODE. 9/24/93 i 1��L TITLE 2,CHAPTER 2.20 SECTIONS 2 20 100 THROUGH 2.20.140 CONCERNING HAZARDOUS Li V Ct J.0 4 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. ��T AM VAR Ir o Lender's Address OWNER OR M1ENT iJ•sJ'F 0 0 1 certify that I have read this application and state under penalty 9 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 m n, and here b orize representatives of this County p /�A ISSUANCE FEE n o property for in do oses. a � INVESTIGATION FEE TOTAL FEE zMVENOP SEE REVERSE FOR EXPLANATORY LANGUAGE