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Home My Public Portal About5139 BALDWIN AVE_Building__ (2) DEPARTMENT OF B*lLDIN A' D S ' ,,�` I PLICATIO�"FOR PERMIT i BOUNTY OF LOS ANGELES WM J FOX CHIEF ENGINEER / FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY \ NG BUILDIDISTRICT NO 1`INO PERMIT AY3 ADDRESS 1,316E -7 �< q LOCALITY �� i RECEIVED BY DATE OF APDL /) DATEISSUED NEAREST t♦ ,)� // /�- / 9 ! •'�� ,/ 1 CROSS ST /ZIP A / BUILDING , OWNED �� ADDRESS ® �J��/ 191911D4111,14-1 / ,,fi�r/// Q _ADDRESS f MAIL LOCALITY T�/�/ L� /Y NEAREST CITY / TEL FQ - / CROSS ST s FIRE NO OF TYPE GROU ARCHITEC�I ENNTGgqNEERT OR '��yffB /lo- pg'Tfa ZONE PLANS C 1 A D' AZ►d/®R4li/LA N —,oCi � BLDG �G D F LO7 V __ O00"' SETBACK LINE //� APPROVED I \ CONTRACTORL.� i� Np 57-7 BY _ DATE ADPRESB ® `j USE APPROVE `1 C� Y &bNE / BY DATE LEGAL -' ' �Q CORRECTIONS DESCRIPTION LOT NO 2, v BLOCK i z zG 8 TRACT NO OFBLDGS / SIZE OF LOT NOW ON LOT USE OF -�//a+nI-]Yn� NO OF NO OF EXISTING EXISTING BLDG I ES rC�r-Iv�FAMILIEB��ROOM.rC�+�/'�`�FAMILIEB��ROOM. ' DESCRIPTION OF WORK NEW ALTERATION ADDITION a REPAIR MOVING DEMOLISH Sq FT NO OF SIZE ROOMS ✓ STORIES ✓� D WALL / ROOF / [- COVERING I COVERING ✓ 1 USE OF NEW \ BUILDING i I I HEREBY ACKNOWLEDGE THAT I HAVE READ THISAPPROVALS APPLICATION AND STATE THAT THE ABOVE 18 CORRECT FOUNDATION LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS MATERIALS ,rfN$ AND STATE LAWS REGULATI G BUILDING CONSTRUCTION V 1 FRAME FIRE STOPS SIGNATURE OF BRACING BOLTS PERMITTEELATH INT AUTHORIZED AGT-/-Yf ~ i LATH EXT 76A639A 3 7 49 P C III PLASTER INT FEE \ o PLASTER EXT VALUATION FEE [ /�' ` FINAL ��,.►� �� / Y'C r _ h #803 - f 78A83BA CE o SB APPLICATION FOR -BUILDING PERMIT 1 COUNTY OF LOS ANGELES BUILDING �j _ DEPARTMENT OF COUNTY ENGINEER ADDRESS 5/ m) BUILDING AND SAFETY DIVISION LOCALITY �gvll ,67 _Tli JOHN A LAMBIE-COUNTY ENGINEER NEAREST - CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST t TRICT NO GROUP TYPE PRO ES BY FOR APPLICANT TO FILL IN1j S coNs� BUILDING ,(' _ TISTICAL CLASSIFICATION SEWER MAP ADDRESS �I I I P LASS NO MAP �7 W/ELL UNITS LOT NO // BLOCKNUMBER OHO/fes S.jWYE YES O TRACT- (OQ ZON SPECIAL' ' CONDITIONS` NO OF BLDGS SIZE OF LO NOWONLOT USE OFEXISTING BLDG DING YARD HWY STREET NAME EXIST BACK WIDTH OWNER /` ONTAMAILDDRESS ,/ L�Y / TEL DE CITY T• NO C/ INSPECTION RECORD ` �V ARCHITECT OR TEL ENGINEER NO /f t ADDRESS TEL CONTRACTOR r NO Qy? ADDRESS r �C.. �1 . DESCRIPTION OF WORK T. G NEW" ADDVX ALTER REPAIR DEMOLISH � SO FT +- NO OF NO OF ` (�t�( a A(" D SIZE y7 STORIES / FAMILIES USE OF STRUCTURE � _ l SIGNATURE OF APPLICAryS/- APPROVALS DATE INSPECTOR S SIGNATURE ADDRESS FOUNDATION LOCATION FORMS MATERIALS VALUATION 5 FRAME FIRE STOPS ZL!S r v f BRACING BOLTS PC I PMT _ FURNACE LOCATION FEE FEE J`' GAS VENT DUCTS �y I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP I J PLICATION AND STATE THAT THE ABOVE IS CORRECT AND LATH INT AGREE TO COMPLY IT LL COUNTY ORDINANCES AND T STATE LAWS RE G BU ING CONSTRUCTION LATH EXT HOUSE NUMBER COR- f SIGNATURE OF RECT AND POSTED f PERMITTE ADDRES FINAL T CLYDE N DIRLAM RINCIPAL ST RAL ENGINEER PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O CASH - 3 ' b- LACo 1 6 s Fv� 13 17 A "7.0 U 10 4 I - DEPARTMENT OF BUILDING AND SAFETY Y ' R COUNTY OF LOS ANGELES WM J FOX, CHIEF ENGINEER APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY Q DIBTRI NO PLANCK OR REc'NDF b11T�Ol 3 SUMADDRESS ,'S / � / Q' ✓ �/O 33 R&PEIVED BY DATE OF APPL DATE ISSUED LOCALITY _ `� NEAREST ' •c� CROSS ST BUILDING 3 �/ 1�G N ADDRESS I Lam/ OWNER /J J . LOCA f MAIL / ADDRESS �� f//��(�y�Aa NEAREST' -y- TEL CROSS ST Z_ CITY / NO , FIRE I I NO OF G ; _ ARCHITECT R f TEL ZONE PLANE + ENGINEER NO BLDG O/ I SETBACK LINE 26 L��, ADDRESS n �/ �-� USE �,AL APPROVED L f TEZONE // , - BY ' DATE CONTRACTOR 9.S NO g HOUSE NUMBERING I ADDRESS MAP NUMBER 14 NO ASSIGNED BY LEGAL CORRECTIONS DESCRIPTION LOT NO BLOCK TRACT / / /�4 / NO OF BLDOB + SIZE OF LOT R 3 /,J NOW ON LOT , USE OF NO OF EXISTIN BLDG �/}�yN1,Q FAMILIES DESCRIPTION OF WORK A NEW ALTERATION x ADDITION ZD r REPAIR DEMOLITION NO OF 9 ZE F-T /�� ROOMB STORIESEXT J COVERING Q �,rY I COOF/ 9oaS/I// /Al USF OF STRYCT RE 16 ]L/ f7 P e I v G r r L INSPECTION FOR APPROVALS OCCUPANCYAS INSPECTOR S SI GNATURE DATE FOUNDATION LOCATION FORMS MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME FIRE BTOPB, CORRECT BRACING BOLTS 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE LOCATION AND STATE LAWS REGULATING BUILDING /CEINSTRUCTION GAS VENT DUCTS SIGNATURE OF/ V ,�/ ! l L14 LATH INT PERMITTEEav ��A 4n n "`]SXX.L.L�1L�1777 h ADDRESS �Y �C�� A(j A� �c LATH EXT 'C _ PLASTER INT AUTHORIZED AOT PLASTER EXT $ P C III FEE HOUSE NUMBER COR- RECT AND POSTED VALUATION FEE o FINAL 76AS38A DBS 3 7 51 IDBS 3 SSM SE644 DEI ARTAENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT .i /"COUNTY OF LOS ANGELES BUILDING UILD ' NG WM J FOX, CHIEF ENGINEER FOR APPLIICANT TO FILL IN FOR OFFICE USE ONLY BUILDING �� r DISTRICT NO I PLAN CK NO PERMIT NO g / ADDRESS ® �(eLP'S/ s f / y,,, 9- 3 LOCALITY , ��14AII RECEIVED BY DATE OF APiPL '%DATE ISSUED NEAREST ,1 ��(/!� � J� 7,1 ov -4,1- 6 CAOSS ST BUILD NG OWNER r/ {�/ , �/"Cid ADDRESS / t�✓//7,, Z,6 XMAIL ADDRESS /,si.� � LOCALITY NEAREST TEL CROSS BT CITY NO J FIRE NO OF ,TYPEGROUP/_/_,� �r ARCHITECT OR C�� TEL ZONE ! PLANS I v I lA1/I ENGINEER NO N BLDG ORD NO ADDRESS SETBACK LINE APPROVED TEL BY DATE CONTRACTOR , it/Q_A i NO PROVED ADDRESS / l {.Q Q_��7� �"�"'W�"1,( "ZONE/ BYDATE LEGAL -� CORRECTIONS DESCRIPTIA{ON�j,��'() LOT NO f� � I BLOCK _- LOCK q TRACT ��// /7 S SIZE OF LOT[��5'G/`�J I NO OF BLOT _ NOW ON LOT �A�N�! �•{�`Ll� !/ USE OF NO OF -NO OF EXISTING BLDG f I FAM' LI[B ROOMS V��,��// ��/ �A➢ "' �',� /� �N.�,,,.,�.i DESCRIPTION OF WORK NEW wALTERATION ADDITION O REPAIR MOVING DEMOLISH SQ .(^'IDO ,�d U ROOMS 9TORIE9 D SIZE r WALL ROOF COVERING �+ '� I COVERING +sl USE OF NEW BUILDING o Id APPROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS N PECTOR DATE APPLICATION AND STATE THAT THE ABOVE 19 CORRECT FOUNDATION LOCATION, Ir � AND AGREE TO COMPLY WITH ALL COLNTY ORDINANCES FORMS, MATERIALS q � xu. AND STATE LAWS REGULATING BUILDING CONSTRUCTION FRAME FIRE STOPS, SIGNATURE OF /\ BRACING BOLTS 3Q^^r OWNER LATH INT �ptis /1 / y AUTHORIZED AOT . LATH EXT p C p�� PLASTER INT FEEtiy'` PLASTER, EXT VALUATION / Cf ( lJ FINAL FEE=7/4 WORKERS' COMPENSATION DECLARATION "—,C,— w 000 to sf insure, or afirm certif carte of Worke s' Comtpensat on of coent Insuran e, APPLICATION FOR BUILDING PERMIT or a certified copy thereof (Sec. 3800, Lab. C.) 1039547 State Compensation . COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. CompanyBU DING �-� ❑ Certified copy is hereby furr�gfrance Fun FOR APPLICANT-TO FILL IN ADDRESS -3 I�CLI T Certified copy is filed with the county bu'ding in c- BUILDING El 5139 R,Idwin tion department. ADDRESS Date 2-3-89 Applicant CITY Temple City ZIP 91780 LOCALITY CERTIFICATE OF EXEMPTION FR96 WO ERS' NO. OF BLDGS. NEAREST COMPENSATION INS ANCEI SIZE OF LOT NOW ON LOT CROSS ST: L� (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. USE ZONE MAP I certify that in the performance of the work for which this OWNER Al Trivett NO.401-3501 NO. permit is issued, I shall not employ any person in any manner 5139 Baldwin SPECIAL so as to become subject to the Workers'Compensation Laws. ADDRESS �— CONDITIONS CITY Tem ZIP Date Applicant ARCHITECT O TEL. TYPE FIRE PROCESSED BY NOTICE TO APPLICANT: If, after makingthis Certificate of `hone DISTRICT GROUP Exemption, you should become subject to the Workers' ENGINEER NO. CONS ZONE Compensation provisions of the Labor Code, you must forth- ADDRESS ✓ - ('J/ with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO. deemed revoked. CONTRACTORUnited Roof ing N — /J LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. v DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 1821 DAly ST. NO 137650 (commencing with Section 7000)of Division 3 of the Business and SEWER MAP Angeles 90031 An eCL Professions Code, and my license is in full force and effect. CITY Los g CLASS C-39 •. BK PG. VALIDATION ff SQ. FT. NO. OF NO. OF CHECK License Number 1 5.0 tic.Class C-39 SIZE STORIES FAMILIES ONE existing NEW VALUATION 2-3-89 DESCRIPTION OF WORK Tear off HIR ❑ 7800.00 O Contractor ate I n ADD Si .1 ppod bake. Instasta l plywood ❑ I am exe under c. ri t In 1 erg ass S ing a LTER ❑ L,E f' i•-'f' B.BP.C. for this reason Class A REPAIR ❑ $ CL N Date: USE OF DEMOL, ❑ s f EXISTING BL 'S((AL .�..U6 o !-3 Signature APPLICANT United Roofing CO. NO.223-4081 FINAL _. ,Y..-.• I��=€ OWNER-BUILDER DECLARATION PRINT DATE ;-? CK I hereby affirm that I am exempt from the Contractor's License 1821 DAly St. , Los Angeles, CA 90031 #y: °4°Iii_ _�?i 1 Law for the following reason (Section 7031.5, Business and ADDRESS FINAL F •1 Professions Code): PRESENT By BUILDING I, as owner of the property, or my employees with ADDRESS ._YOy ii wages as their sole compensation, will do the work and Pi•._ the structure is not intended or offered for sale Section [AD LITY , � ;,; f"a -s i 7044, Business and.Professions Code). ING TEL J , I, as owner of the property, am exclusively contracting TRACTOR NO. with licensed contractors to construct the project (Sec-. tion 7044, Business and Professions Code). ESS ' UIRED TOTAL SETBACK FROM YARD HWY CONSTRUCTION LENDING AGENCY BACK PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for ONT ' the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). E G. ✓> . Lender's Name LDMA Ref. # Fee 5 none Permit Fee Lender's Address I.certify that I have read this application and state that the Issuance Fee LDMA P/C#above information is correct. I agree to comply with all County tigation Fee 0 ordinances and State laws relating to b Haling construction, Total Fee 106. 13 LDMA Perm. # o and hereby authorize re sentative this County to enter upon the a ave-ment' d proper r inspection purposes. 9 SEE REVERSE FOR EXPLANATORY LANGUAGE Signotu of Applica r Agent Date APPLICATION FOR BUILDING PERMIT � COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate ADDRESS of consent to self Insure l3lfied LJ t VA 1 Wo or a certificate of Workers Compensation Insurance or a ceVqh,6 C) etiwl �-e Cs ZIP LOCALITY Ori N ' Company �' SIZE OF LOT O OF BLDGS NOW ON LOT IV112LE \/� / / rl ❑ led Copy 18 hereby furnished NEAREST CROSS ST Certified copy Is filed with the c u ty building Inspection TRACT BLOCK LOT NO d rt ant USE ZONE MAP NO � -I U ASSESSOR MAP B�pp PAGE PARCEL j Date Applicant74 F0 1' l SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION M WORKERS rl Q -J S TE NO COMPENSATION INSURANCE V�' 0 WITHIN 1000 FT OF SCHOOL? vas No F ADDRESS (This section need not be completed If the permit Is for one hundred A;f o l<f_ D STRICT GROUP TYPE CONST FIRE ZONE TSSED BY dollars($100)or less) CITv zip �''D(/ ///►� �'I certify that In the performance of the work for which this penult `I,/1 (J/� IX . 3is Issued I shall not employ any person In any manner so as to ARCHITECT OR ENGINEER TEL NOV\ �/ become subject to the Workers Compensation Laws STATISTICAL CLASSIFICATION APT e CONDO Date Applicant ADDRESS CLASS NO DWELL UNITS NOTICE TO APPLICANT If after making this Certificate ofREQUIRED TOTAL SETBACK FROM EXIST Exemption you should become subject to the Workers CTORjL O��7D SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code you must forthwith (P comply with such provisions or this permit shall be deemed revoked ADDRESS et `4 FRONT I �O PL LICENSED CONTRACTORS DECLARATION CITY t Q LIC CLASS C PIDE S I hereby affirm that I am licensed under provisions of Chapter 9 / SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SFfyS17F NO OF ORES NOJ0,1AMIES Professions Code an�d7 y lice Is m full force andff�ct� ( O CJ NEW ❑ BK PG U License Num r I LIC CI CCiiSS DESCRIPTI N OF WO ADD ❑ VALUATION �oa c�W( poli. LL a Contractor JLqL Date ALTER ❑ $ Z GV ' REPAIRI am exempt under Sec $ B&PC for this reason DEMOL ❑ LDMA P/C# Date USE OF EXISTING BLD URM ❑Signature APPLICANT(PR NT) LDMA Perm k ❑ I as owner of the property or my employees with wages as - 6 ;17— &-Al'JB A-1 O their sole compensation will do the work and the structure Is ADDRESS 0 not Intended or offered for sale (Section 7044 Business and FINAL D TEQ Professions Code) G 1017 116.3:' WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ❑ I as owner of the r0 am eXCIUSIVBI contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN i property Y 9 THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL `J 1 ITEMS licensed contractors to construct the project (Section 7044 YES❑ No❑ Business and Professions Code) TFITA,_ :1 -16 WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THESOUTH (j j'K,,// 116.&0 i CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST HE(t 116•LGn4_ FOR GUIDELINES I hereby affirm that there is a construction lending agency for YES❑ NO❑ C HANGE a 0LI the performance of the work for which this permit Is Issued(Sec I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD 3097 CIV C) PERMITTING CHECKLIST I UNDERSTAND MY REOUIREMENTS UNDER THE LOS ANGELES COUNTY CODE TITLE Z CHAPTER 220 SECTIONS 2 20 100 THROUGH 220140 CONCERNING ��,,�� 1 4/-2`tf � Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD I I �J Lender's Address OWNER OR AGENTy 3-J51 1 AM 9:r�J 0 1 Certify that I have read this application and state that the above PC FEE PERMIT FEE Information Is correct I agree to comply with all county ordinances and State laws relatin to building construction and hereby authonze representativ of this County to enter upon ISSUANCE FEE / the above-mentioned pro r Inspection pu i / !Q INVESTIGATION FEE TOTAL FEE (j Slg_.IAP0k n DAY o SEE REVERSE FOR EXPLANATORY LANGUAGE t