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Home My Public Portal About9851 OLIVE ST_Building__ APPLICATIOI j FOR BUILDING PERMIT- FOR�:P.PLIeANT TO"FI -L IN (Print or type only) BUILDING COUNTY OF LOS ANGELES ADDRESS 7 DEPARTMENT OF COUNTY ENGINEER CITY -- zIP BUILDING AND SAFETY DIVISION NO.OF BLDGS. BUILDING SIZE OF LOTT/L NOW ON'tLOT ADDRESS TRACT (/' BLOCK LOT NO. LOCALIT OWNER jr TOL �� CROSS ST ASSESS + A KESS _ MAP BOOK PAGE P L DISTRICT I GROUP TYPE FIRE OCESS D BY CITY r ZIP �� CONST.( ZONE ARCHITECT OR TEL. ENGINEER NO. STATISTICAL CLAS//SIFICATION, SEWER MAP ADDRESS CLASS NTA�L WEOLL,UNITS BePG CONTRACTOR O ( USE ZONE@EC1AL P O 8" '' VA LIC. ADDRESS O, LI NDITIONS CITY 4 CLAS `• ROAD DEPARTMENT APPROVAL R gUIRED YES❑ NO❑ CONSTRUCTION LEN R NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.LINE OF (STREET) ADDRESS CITY C_ TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY + YARD FRONT PROP. LINE Sq. FT NO. OF NO. OF CHECK - HIGHWAY WIDTH p SIZE STORIES r FAMILIES ONE C + -� _ rAPPLICANT. 10N OF � RK i NEW C DD BLDG.SETBACK FROM vSIDE PROP.LINE OF (STREET) ALTER HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING REPAIR❑ SIDE PROP. LINE HIGHWAY WIDTH BLDG. DEMOL USE OF +T CORNER CUTOFF YES NOTIN OPEN SPACE YES ❑ NOIN COASTAL ZONE YES • NON�PCATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE ISCORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AN WS REGULATING ILDIN CON- STRUCTION. I CERTIFY A IN D G THE OR IMPACT REPORT P CESSED (DATE) HEREBY I WILL NOT E A SOH I VI O T �- LABOR F TH AT OF A IF O IA R G 0 W.R. EN'S CO E ION S NCE SIGN PER MITT E ADDRESS - CIT00oo. TE NO. DIATE 9, _�/i / P.C, q PMT, Ilr1l�E C: /'DT, P NTT TO: FEE I' FEE HARVEY T. BRAN•DT, COUNTY ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.C. CASH 2 6 9 5?3 AUG 13 1,D 5 5.5Ce 7BA638A CENS03 12/72 APPLICATION FORBUILDING •PERMIT ::, - ' - FOR-APPLIOANT TZO-FILL IN-•"(Print or type'only) BUILDING L /� COUNTY OF. LOS ANGELES ADDRESS - IJ 4.� DEPARTMENT"-OF-COUNTY ENGINEER CITY L=� ( ZI -- BUILDINGANDSAF�ETrY.DIVISION SIZE OF LO S C NOW ON-LOTO.05A -r] ADDRESS �` TRACis � OCK' LOT.NO. LOCALITY lyw1 i STEL. NEAREST OWNS �'1/� O. G(J. CROSS ST. ASSESSOR ADDRESS 0 �P MAP BOOK... PAGE CEL DISTRICT/ GROUP TYPE FIRE ROC S513 BY CITY ij I P CON-§Sz. ARCHITECT O TEL. IV/ � J ENGINEER NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS nn -CLASS NO.�DWELL.UNITS - BKPG CONTRACTOR �f� +�V b.``f t TEL O USE ZONE MAP -7 p O // � I LIC. . NO.. ADDRES r C_ L.II/'I� NOi SPECIAL LIC CONDITIONS CITY :L r CLASS_ ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONSTRUCT ON LENDER NAME AND BRANCH BLDG.SETBACK FROM C FRONT PROP.LINE OF (STREET) _ ADDRESS CITY C HIGHWAY + YARD TOTAL SETBACK FROM TYPE-OF EXISTING SQ. F_T NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH p SIZE ORIES FAMILIES ONE F gES'CRIPTION OF WORKnez fJ(��' NEW.. ❑ e �, - _ BLDG.SETBACK FROMco J•: Jj';'y' '1 % i�A/�i)iYy ADD ❑ SIDE PROP.LINE OF. (STREET) ALTER _.TOTAL SETBACK FROM TYPE OF EXISTING _ ;HIGHWAY •+ '_ YARD - HIGHWAY WIDTH —REPAIR❑ SIDE PROP. LINE USE OF -EXISTING-BLDG. DEMOL ❑ + ' APPLICANT TEL CORNER-CUTOFF YES- ❑ _ NO ❑ (PRINT) - NO. BY (SIGNATURE) IN`OPEN SPACE YES ❑ NO- Cl. IN COASTAL ZONE YES ❑ NO ❑ VALUATION (Y 7CATEGORICAL EXEMPTION ' YES❑ NO ❑ 1 HEREBY ACKNOWLEDGE-THA-T,. I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE-IS CORRECT-AND.AGREE TO COMPLY ;-IMPACT EXEMPTION DECLARATIONSIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- S TRUCTION. ON-STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY_I .WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR' CODE OF THE STATE OF CALIFORNIA IN RELATING TO - - - W.ORKMEN'.5 COMPEN§kTION INSURANCE, SIGNATURE OF PERMITTEE ADDRESS FINAL - B EL.- DATE CITY ' NO., ,Nr KE CHECKS PAY BLE 7'Or F E $ FEE HARVEY T. BRANDT, COUNTY ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH /PERMIT VALIDATION CK. M.O. CASH 7.- .D. 6.00 A96 76AGSBA CE 11803.12/72 TEMPLE APPLICATION FOR' BUILDING PERMIT COUNTY OF LOS ANGELES BUILDINGy g 4-4 oCi V(E DEPARTMENT 'OF COUNTY ENGINM ADDRESS BUIMING AND SAFETY DMSION LOCALITY T EP_4 PLG_ Gi JOHN A. LAMBIE, COUNTY ENQINEER NEAREST WILLIAM A.JENSEN SUPET OF BUILDING CROSS ST. mfr(9 Le • TV B LVWZ DISTRICT NO. GROUP TYPE ` / PROCESSED BY FOR APPLICANT TO FILL IN CONST. V Got.ovrJ BUILDING r _ STATISTICAL CLASSIFICATION SEWER MAP ADDRESS G• -/�L T SK PG I p CLASS.NO. DWELL.UNITS LOT NO. BLOCK WATER NOT REQUIRED RECEIVED _ CERTIFICATE:, �LLLrFt-r-_ 11 TRACT i • ; MAP HIGHWAY STATE MAJOR SECOND, CA ' 'NO OF BLDGS. NO. OD p (CIRCLE) SIZE OF LOT. � Z7S NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. J WaLA-mi 6' V.svop . OWNER L,e� 4/V2r9N TE BUILDING EXIST. �-/ADDRESS � T- C „ SETBACK YARD HWY STREET,NAME WIDTH' Rg- i� ARCHITECT OR TEL. FP.O L.T Z$' OLi�j s• f ENGINEER NO. SIDE d ADDRESS P:L. INSPECTION RECORD O CONTRACTOR '�MCE`"O&V-7 NW/f ADDRESS-4>-d02- SL �E � v'4 Q DESCRIPTION OF WO SE 7 G� A-G h NEW ADD ALTER REPAIR DEMOLISH f Z SQ.FT. NO.OF NO.OF I IZE STORIES FAMILIES USE OF /STRU�JCTURE 12..r'o �� C SIGNATURE OF APPLICANT VALUATIONS i APPROVALS DATE INSPECTOR'S S NATURE P.C. PMT. p0 FOUNDATION:LOCATION FEE $ I FEE '$ �' ',FORMS,MATERIALS FRAME:FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 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 GAS VENT DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK , AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- ,� TION OF THE LABOR C OFT STATE OF CALIFORNIA RE AT- LATH,INT. INC TO WORKMEN' EN ION INSURANbE. LATH,EXT. SIGNATUREOF HOUSE NUMBER COR- PERMITTE , RECT AND POSTED AD J [ �ba/-A.7 rT✓ ✓v: CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL EN PLAN CHECK VALIDA cK. M.O. CASH PERM-VALIDATION m M.O. CASH �i�o2.,3 8 HAR22 1 p 4.0Q-