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Home My Public Portal About9725 OLIVE ST_Building__ SAG38A Ck*' 809-10.96 APPLICATION FOR BUILDING PERMIT - DDRE BUILDING AND SAFETY DIVISION AN Department of County Engineer ADDRESS County of Los Angeles LOCALI JOHN A.LAMBIE. COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST. FOR APPLICANT TO FILL DIST O. GRO P I TYPE __N SEWER MAP J CONST. BUILDING ' ADDRESS STATISTICAL WSSIFICATION 0 d ' • CLASS.NO DWELL. UNITS LOT NO. OCATE NUMBER Q® HWY YES NO U ZONE SPECIAL NO.OF BLDGS. IC7��j CONDITIONS SIZE OF LOT .1,;10 I NOW ON LOT �� USE OF EXISTING BLDG. • BUILDINGEXIST. SETBACK YARD HWY STREET NAME WIDTH OWNER FP. L. ADDNT ��e ADDRESS SIDE TELA / �� P. L. CITYNO' I INSPECTION RECORD ARCHITECT OR TEL. ENGINEER NO. ADDRESS A TEL. CONTRACTOR ✓/rv�. NO. ADDRESS DESCRIPTION OF WORK NEW ADD ALTE i REPAIR DEMOLISH Sq.FT. O.OF NO.OF SIZE JA STORIES FAMILIES USE O T U- "10/0 IV ' APPROVALS L� SIGNATURE OF �� / APPLICAN ATE INSPECTORS SIGNATURE ADDRESS FOUNDATION:LOCATION .� y y�? la•u•-�A FORMS. MATERIALS R?.. RQ P.C. g FRAME: FIRE STOPS. r� 1 `f•� FEE BRACING.BOLTS �0 121 l `37; e r f e.•. -�—a VALUATION 9// J &160 FURNACE: LOCATION. FEE /'r GAS VENT. DUCTS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH. INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN ES AND LATH. EXT. �I �1 l � -�+• - �' STATE LAWS REG TING BUI I CON RUC SIGNATURE OF p}� / HOUSE NUMBER COR- PERM ITTE RECT AND POSTED ADDRESS / FINAL =/Z5M OHN A.LAMBIE.COUNTY ENGINEER. CLYDE N. DIRLAM.PRI CIPAL STRUCTURAL-ENGINEER PLAN CHRCB VALIDATION OK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH �_ACO 2 3 3 8 SEP 16 1 11.0 0 , A WORKERS'COMPENSATION DECLARATION �s �j I I hereby affirm that I have certificate of consent to self APPLICATION ■ ®� BUILDING P E M I FT I IL JI insure, or a certificate of Workers'Compensation Insurance, A or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY I, Policy No. Company BUILDING f Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS � ,r Q Certified copy is filed with the county building inspec- BUILDING c� /� . 7_ •--. / j tion department. ADDRESS % / �J /® �L U e S ✓ � �� I Date Applicant CITY -e A-" / L ZIP /7S-O LOCALITYIF I CERTIFICATE OF EXEMPTION FROM WORKERS' OF BLDGS. NEAREST i COMPENSATION INSURANCE SIZE OF LOT OW ON LOT CROSS ST. as (.v (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 �` TEL. G r� q, USE ONE MAP I certify that in the performance of the work for which this OWNER 1`q �' Cc 4 J! O. p� !'`!ut NO. permit is issued, I shall not employ a erson in any manner j �'�` SPECIAL , so as to become subject to the Wo ers' ompensation L s. ADDRESS f LL,' `C� CONDITIONS O Date �— —"2 Applicant CITY / e� rae ZIP NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. DISTRICT I GROUP TYPE FIRE PROCESSED BY O E Exemption, you should become subject to the Workers' ENGINEER NO. �-� (� '✓J� W� n CON 57 U Compensation provisions of the Labor Code, you must forth- ADDRESS , with comply with such provisions or this permit shall be tt '' TEL. ,f ' STATISTICAL CLASSIFI ATION APT. DO. Cl) deemed revoked. CONTRACTOR p ,g I"�Fw� NO.T V�l d 33 � LICENSED CONTRACTORS DECLARATION / LIC• CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS �a W��j k c L/ NO. ;35'0 ISI (commencing with Section 7000)of Division 3 of the Business and LIC. SEWER MAP ^^ Professions Code, and my license is in full force and effect. CITY F�/� G��c' c/��a� F CHECK CLASS L& I BK � VALIDATION License Number Lic.Class C / SIIZZE3 �7 STORIES FAMIINC.OF NO.OLIES ONE -T -( VALUATION Contractor�d�G�r�l i6A JFDO1e —Z—�� DESCRIPTION OF WORK f uiL✓t ua 0 NEW $O . . ADD ❑ I am exempt under Sec. U6 ALTER 011. B.BP.C. for this reason REPAIR $ ;5-0 6 0.4 A Date: USE OF (�O DEMOL EXISTING BLDG. ( ❑`,. # 0 0 0 0 2 3 Signature APPLICANT ® ID CL- t.� l NO. SF XILf PRINTFINAL ) 0 0 4 1,p 5 OWNER-BUILDER DECLARATION ) r` DATE ✓ 0 0 0 41.459 1 hereby affirm that I am exempt from the Contractor's License ADDRESS^L �t' �9U �6 C IRc�ds plNp Law for the following reason (Section 7031.5, Business and o9,06-88 Professions Code): By F1BUILDING I, as owner of the property, or my 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. a o 5 9.2 5 NO. El 1, as owner of the property, am exclusively contracting CONTRACTOR o 0 0 5 9,2 5 cis with licensed contractors to construct the project (Sec- tion 7044, Business and Professions Code). ADDRESS 0 9 0 6—8 g REQUIRED TOTAL SETBACK q 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. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name " a2w,.M40 �] LDMA Ref. R Lender's Address P.C.Fee$ v Permit Fee 's I certify that I have read this application and state that the Issuance Fee ) N``� *LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee ord' ces and State laws relating to building construction, Total Fee . LDMA Perm.p a d h eby authorize representatives of this County to enter pon a ove-menti"properfor inspection purposes. ^p2� SEE REVERSE FOR EXPLANATORY LANGUAGE : Signature of Applica or Agent Date .WORKERS'COMPENSATION DECLARATION "r I retiu� affirm that I have certificate of consent to self P®1 'CAT H� IK I IPJ insure, or a certificate of Workers'Compensation Insurance, ®® ` or a certified copythereof (Sec. 3800, Lab. C.) r. COUNTY OF LOS ANGELES BUILDING AND SAFETY PolicyNolQd I �ompony X7A A CD^f,!1afuN� Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ADDRESS Certified copy is filed with the county building inspec- BUILDING g�2 ti department. 7� h // bADDRESS � �v _ -yJf'Date ApplicantD W,QS+I"dG BU/{dev1-/PC CITY � pl•$• C7/ / ZIP /��J LOCALITY ��DGI� iVZI r_ CER FICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT j) NOW ON LOT CROSS ST. 6:,91 �, �✓�J-1 (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 TEL'ff,18 USE ONE 1 MAP I certify that in the performance of the work for which this OWNER 0—11A NO. +1f NO. r- permit is issued, I shall not employ any person in any manner ADDRESS c) d 1 9�+ ✓t� `r� SPECIAL ONS 1 so as to become subject to the Workers'Compensation Laws. U Date Applicant CITY � < `� ZIP CA 7 Q NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL• '? DISTRICT GROUP TYPE FIRE PR ESSED BY O ENGINEER NO. �`i�C/ CONST. �E I-^ Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- ADDRESS Jc 1 with comply with such provisions or this permit shall be �a�z� deemed revoked. h! A:J 4a G EL.772—VO 7 STATISTICAL CLAS FI TION APT. ZNDO. U) CONTRACTOR NO.eZ a � LICENSED CONTRACTORS DECLARATION LIC.I!!s- CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS �� NO. SEWER MAP (commencing with Section 7000)of Division 3 of the Business and �� Q_ C.7 `J LIC. Professions Code,and my license is in full force and effect. CITY � CLASS BK � VALIDATION NO. License Number ",r U X Lic.Class SIFT. STO IE NO.OF CHECK VALUATION SIZE STORIES FAMILIES ONE Contractor A'6bl dt'VE /PC Date a. 'o/ DESCRIPTION OF WORK D b Ly�k!?T IP 49-,6),,6 NEW ❑ $ Jj I am exempt under Sec. J� /o 9 ,'AM M A�V4�E�,/I�rCT ADD (J LTER Pilo B.&P.C. for this reason CA rr PDvrTo 6AYA REPAIR ❑, $ Date: USE OF ]] �. EXISTING BLDG. t.7 417V DEMOL Signature APPLICANT TEL. JP7707 FINAL OWNER-BUILDER DECLARATION PRINT !'1/ J"J ac-8 at,NO. DAT r ;980 1.4A I hereby affirm that I am exempt from the Contractor's License ; ADDRESS QA7 �� FIN o 0 0 0 0 Law for the following reason (Section 7031.5, Business andmom # 1 Professions Code): PRE sY ❑ BUILDING 1 - 323,25 1, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY o o 3 2 3,2 5 C6 7044, Business and Professions Code). MOVING TEL. I, as owner of the property, am exclusively contracting CONTRACTOR NO. 2 $7 with licensed contractors to construct the project (Sec- ADDRESS O9, 9 tion 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTAL SETBACK LIINE WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name r LDMA Ref. # °o P.C.Fee$ Permit Fee 15/ Lender's Address e I certify that I have read this application and state that the Issuance Fee G c S� LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee c 0 ordinances and State laws relating to building construction, Total Fee I LDMA Perm. # 3 and hereby authorize representatives of this County to enter $ upon the above-mentioned property for inspection purposes. i SEE REVERSE FOR EXPLANATORY LANGUAGE Signature o Applicant or Agent Date APPLICATION: FOR BUILDING PERMIT COUNTY OF LOS ANGE,L4ES • BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILgibP ADDRESS I hereby affirm that I have a certificate of consent to self insure, 9 DING ADDRESS or a certificate of Workers'Compensation Insurance,or a certified •ve Copy thereof(Sec.3800,Lab.C.) --f PSIZE CDC— r ZIP71 •��,O LOCALITY Policy No. 2 .2 SD Company�`�"� s^•' OF OT .OF BLDGS.NOW ON LOT 0-e6r"tified copy is hereby furnished. I NEAREST CROSS 6T. 117 ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. Datedepart ent. D � USE ZONE MAP NO. Applicant 7X., �� ASS�'R`MAP BOOK RAG V-�E PANEL J vi ;L D Ott+®,-(, SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER (' `l TEL NO. COMPENSATION INSURANCE 1Q��9/PS• �►i� �s o��— 8�0 WITHIN 1000 FT.OF SCHOOL? ves No (This section need not be completed if the permit is for one hundred ADDRE DISTRICT GROUP I TYP4 CONST. FIRE ZONE PROCESSED BY dollars($100)or less.) CITY ZIP 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 ARCHITECT OR ENGINEER TEL NO. become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CON90 Date Applicant ADDRESS CLASS NO. AE? DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you Should become subject to the Workers' C TRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith 3s-7-314-L FRONT comply with such provisions or this permit shall be deemed revoked: [AD65(ESS(� LIC.NO. / p�7 PL oa/G � & 7 6o / I SIDE LICENSED CONTRACTORS DECLARATION G%X. r LIC.CLASSC'7 p PL I hereby affirm that I am licensed underprovisions of Chapter 9 l SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF ST IES NO.OF FAMILIES Professions Code,and my license is in full force and effect. I NEW Or BK PG ® a License Nu ber 799 if- r Lic.Class 3 7 DESCRIPTION OF W�OR�J Contract Date K ADD ❑ VALUATION C Qo ^Zs—`l'3 ALTER 11 $ !Y ElI am exempt under Sec. REPAIR ❑ $ IC• B.BP.C.for this reason �� '��C`, DEMOL ❑ LDMA P/C e LL Date: USE OF E STING BLDG. URM ❑ V e :ev c i Signature APPLICANT PRINT) /+ A TEL NO. LDMA Perm# 'y' ? ❑ I, as owner of the property, or my employees with wages as �� CT 721 N� 3 Ste— �16� Z ACC I,V their sole compensation, will do the work and the structure is A D SS y� 0 not intended or offered for sale (Section 7044, Business and J'!/ •C FINAL DATE a 66 �J 149.0 Professions Code.) q WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MAT(RIAL s..q J 1 �I LI"�� CC ❑ I, as owner of the property, am exclusively contracting 4 a licensed contractors to construct the project (Section 70444,, ®�-AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE?OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE FINAL BY > TOTAL -949. 10 El and Professions Code.) YES No WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING G 1(t,Cl �� OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH 1� ,yl ('HECK e CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT ISCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINES CHANGE .011 I hereby affirm that there is a construction lending agency for YES❑ NO❑ b<W the performance Of the Work for which this permit IS ISSLIed(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 3097,CIV.C.) CHECKUST I UNDERSTAND MY REOUiREMENTS UNDER THE LOS ANGELES COUNTY CODE. 1 C+ TITLE 2.CHAPTER 2 20 SECTIONS 2.20.100 THROUGH 2 20.140 CONCERNING HAZARDOUS i3liQlj-01] �. _�! ti�C f ,] Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. Lender's Addressof 14 1 Ali 8"-25 OWNER OR AGENT c 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 construction, and hereby authorize representatives of this County ISSUANCE FEE pon the above- entioned pert r inspection purposes. a to n e rp + siD�i} py6 INVESTIGATION FEE TOTAL FEE Xsy,uwm a Mdmw1 a seam Eny�i �/�� Gado v�✓ ! � SEE REVERSE FOR EXPLANATORY LANGUAGE