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HomeMy Public PortalAbout9842 OLIVE ST_Building__ rTEMPLeciTy 76A638A CE#8032-63 APPLICATION FOR BUILDING PERMIT '• COUNTY OF LOS ANGELES BUILDINGg I� L- r ' DEPARTMENT OF COUNTY ENGINEER ADDRESS �' BUILDING AND SAFETY DIVISION LOCALITY pG JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A.JENSEN.SUPT OF BUILDING CROSS ST. DI ICT G P TYPE P C S Y T&) APPLICANT TO FILL IN �D CONS . BUp� r -STATISTICAL CLASSIFICATION SEWER MAP AD00pCLASS. NO.- DWELL.UNITS LO �L ,r !�yr BLOCK WATERFz;l_ NOT REQUIRED RECEIVEDED , CERTIFICATE:TRS MAP HIGHWAYSTATE MAJOR SECON CA NO.OF BLDGS. NO. (CIRCLESIZX/Ov,1-7 NOW ON LOT ^� USE ZONE SPECIALUSCONDITIONEXG. TLOW , E N�� o�eA N0.77�`J BUILDI G YARD HWY ST EET NAME EXIST. ADDRESS QC,S' /eEG� SETBACK' WIDTH FRONT ARCHITECT O ,� TEL. P. L. - ENGINEER NO. SIDE [ > P. L., 0 TEL. r :' CONTRACTOR NO. ADDRESS /A V `'� l i r FO DESCRIPTION'OF WORK " �� r"� ° °j ® ADD' ALTER REPAIR DEMOLISH / YJ e (/ ��?- t'v^ •� SO.FT.// 'NO.OF ' NO. OF SIZE 2-c STORIES, ® FAMILIES USE OF !�pp l�'-.✓� /�• �.+e'.'+�i�il "'�!-s�1'�. STRUCTURE SIGNATURE OF APPLICANT VALUATION S. / ` AP OVALS R I . PC PMT. FOUNDATION: LOCATION FEE FEE S FORMS; MATERIALS FRAME: FIRE STOPS, ' , ,E/1, 1 H REBY ACKNOWLEDGE THAT I HAVE READ"THIS APPLICATION _ BRACING. BOLTS i :.� ,A AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY .FURNACE: LOCATION. b `�- �•!�.A• /'� "'" WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS _ � ✓ �� BUILDINGCONSTRUCTION. I CERTIFY THAT IN DOING THE WORK ; AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. ,LATH, INT. 'I�j- /J• TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION I SURA f yg+ V •''�''� ' LATH•EXT.' V _ SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESSO©� G' d - FINAL •� �, P �• ,�',r/ 'JOHN F. LEWIS. P NCIPAL STRU TURAL EN NEER PLAN CHECK VALIDATION CK. M.O'. CASH PERMIT VALIDATION GK: M:O.: CASH C 7 J f 9�j bAL0 0 9 9 2 G OCT : 3 ' •1 D ' . 2.5.0 0~ 7 •o 000/4 ( ,6A688A CE 805 6-62 APPLbICATI`ON.� �'OR, BUILDING PERMIT COUNTY,.OF LOS ANGELES BUILDING „L ^ / , ✓`= DEPARTMENT OF COUNTY ENGINEER 1; ADDRESS' L- BUILDING AND SAFETY DIVISION t LOCALITY %'G Al JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST: DISTRI T NO. GROUP PECE5SED BY FOR APPLICANT TO FILL IN . ' coNsr. L BUILDING �/ c� ,A STATISTICAL CLASSIFICATION EWER MAP ADDRESS q vq i ��-J ✓ i /j BK PG CLASS. NO. DWELL.UNITS L cJ LOT NO. �e L L�O T <, BLOCK WATER / CERTIFICATE: NOT REQUIRED RECEIVED ❑ TRACT (O .2 MAP NO. (GGRCVLE) STATE MAJOR SECOND,L h NO.OF BLDGS. SIZE,OF LOT SZ)C OCI. -7 �',NOW ON LOT USE ZONE SPECIAL USE �11 oo pas ,� CONDITIONS ` EXISTING BLDG. '�`6`� 1° 1 "4) // OWNER ./,-J?C-j,q � 7Q NO. / 3t/G2- BUILDING EXIST. SETBACK YARD HWY STREfT NAME WIDTH ADDRESS�QO•s '��Ei1} FRONT' •i � ARCHITECT OR TEL. ENGINEER NC ) I S d iJ:NO. SIDE n , /,/J C ADDRESS ''` -TEL c�`;IIr /Y S f%f_.'�Cr117C' /�/�!r'• t/�! .B�l/L�i" CONTRACTOR W N -_ NO. ADDRESS ����•�) 'Y' �( DESCRIPTION OF WORE t f c NEW ADD ALTER REPAIR DEMOLISH FT. NO.OF NO.OF J SIZE- �j S ORIES FA (LIES USE OF STRUCTURE ". SIGNATURE OF t APPLICANT y, - VALUATION $ ,Y C} 3 M }� APPRO�",Iµ4LS R;s A IN..PECTOjsIG A UR FOUNDATION:"L i 1� P.C. �" (J— PMT. �� .1. FORMS, MAT L �1 -r FEE $ O" FEE $ O FRAME: FIRESPa S, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING B Sd AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCA w \ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DU ,nt BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK , yar AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH;•INT. A W R ♦ i� TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN' P NSATION INSURAN E. MEN / LATH,EXT. p r SIGNATURE OF HOUSE NUMBE COR- �l 1 PERMITTEE �i RECT AND P STED ADDRESS O : G T ' FINAL hr J N F. LEWIS. PRI?44;I AL STRU URAL LNGI.NEER PLAN CHECK VALIDATION- cK. M;O. CASH PERMIT VALIDATION CK. M.O. CASH I• � _ 0 • 5_�1'1J�J i ��1STl���G,rte WORKERS'COMPENSATION DECLARATION r l►� r I hereby affirm that I have a certificate of consent To "elf � P insure;'or a certificate of Workers'Compensation Insurance, A p P L U CL'!- T i O I NPERMIT or a certified copy thereof(Sec.'3800, Lab. C.) ����. ��� � C®191VTX OF LOS ANGELES BUILDING AND SAFETY - Policy No. Company I ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ADDRESS Z. Certified copy is filed with the county building inspec- BUILDING tion depart Qenn��t. �J ADDRESS �� '7� O /�� LOCALITY NEAREST Date •7 0.'Applicant //>" CITY /v�7 C r �.Ol` ZIP CROSS ST. CERTI LATE.OF EXEMPTION FROM WORKERS' N BLDGS. ASSESSOR COMPENSATION INSURANCE- SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL ' . (This section need not be.compfeted,if-the petmit is'for one ,. USE ZONE. MAP hundred dollars($100)or less.) TACT BLOCK LOT NO. •Z(� r NO. •. . TEL. J :SPECIAL, I certify that in the performance of the work-for which this OWNER / �lJ2%S NO: / CONDITIONS DISTRICT GROUP .TYPE FIRE PROCESSED BY O permit is issued, I shall not employ any person in any manner LJ so as to become subject to the.Workers Compensation Laws., ADDRESS O - ��/U ,br xv CONST. ZONE 0 Date Applicant CITY Z 6 !. ZIP STATISTICAL CLASSIFICATION PT. 1CONDO. NOTICE TO APPLICANT: If, after-making.this Certificate bf ARCHITECT OR V TEL. - / U ENGINEER NO. CLASS NO.- DWELL. UNITS LLI Exemption, you should become subject to the Workers' 0. Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply' with'such provisions or this permit shall be l' / /— deemed revoked. CONTRACTOR d1 L� ` ,JQ N BK. VALIDATION LICENSED CONTRACTORS DECLARATION LIC, jf I hereby affirm that I-am licensed under provisions of Chapter 9 ADDRESS 7�0� S U</'v N�P!�Z VALUATION (commencing with Section 7000)of Division 3 of the Business and ��f� LIC. Professions Code, and my license is in full force and effect. CITY CLASS $ Q� SQ.FT.ori NO OF NO.OF CHECK t; License Numblsa. _J' Lic.Class SIZE /U STORIES FAMILIES ONE /)p' DESCRIPTION OF WORK NEW ❑ $ Contract3 �CP co oT� Date �� /?70 g'e ' ADD .�: ....._-. ❑ I-am exempt under Sec. }• • ALTER ❑ FINAL B.BP.C. for this reasonREPAIR ❑ DATE jl,f USE OFFINAL Date: f �� EXISTING BLDG. eS/ Fri(f DEMOL ❑ Signature a, - APPLICANT TEL. PRINF - 1� ` h N OWNER-BUILDER DECLARATION p _ I hereby affirm that I am exempt from the Contractor's Licensee Law for the following reason (Section 7031.5; Business.and ADDRESS P� �U�/� � �v�' > Professions Code): PRESENT ❑ BUILDING 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 Q -4_82 7044, Business and Professions Code). MOVING TEL. ❑ CONTRACTOR NO. I,as owner'of the property,am exclusively coittracfing with licensed contractors to construct the project-(Sec- ADDRESS tion 7044, Business and Professions Code). I. o 0 0 0 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 �' 0 l' "•U the performance of the work for which this permit is issued ( P.L. �i -r tSec. 3097, Civ. C.). SIDE _ m P.L. - 3 2 Q Lender's Name "' „r�/, . f P.C.Fee$ i.2(� Permit Fee Lender's Address I certify that I have read this application and state that the I OL7 Issuance Fee above information is correct. I agree to comply with.all County Investigation Fee - ordinances and State laws relating to building construction, Total Fee • •� - ' and hereby authorize representatives of this County to enter `� upon a bov/e- n' ned property for�pectionzpurp es. :I, a r 7 I SEE REVERSE FOR EXPLANATORY ANGUAGE , ignature of Applicant or Agenf ate i