HomeMy Public PortalAbout5324 BALDWIN AVE_Building__ (2) ( lid
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#803
76AC38ACE#8032/60 APPLICATION FOR BUILDING PERMIT Z
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS J ;4'-17 A1_.D ✓E
BUILDING AND SAFETY DIVISION LOCALITY ,.,
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. J
DISTRICT NO ROU TYPE -^ 29ES5543 BY _
FOR APPLICANT TO FILL IN �� CONST. I
BUILDING _ `_ STATISTICALCLA$SIFICATION -I SEWERMAP
!, /1
ADDRESS SSZ q ✓✓ CLASS. NO. G DWELL.UNITS BK PG
IIS
LOT NO. BLOCK MAP
� STATE
�- NUMBER a ( V HWY. YES NO
TRACT /�� USE ZONE SPECIAL
99 7 NO.OF BLDGS. CONDITIONS
SIZE OF LOT /f,�. )< d 4 tY I NOW ON LOT j
USE OF l
EXISTING BLDG. Ai2r tL6vejC- BUILDING EXIST.
TEL. SETBACK YARD HWY STREET NAME
WIDTH
OWNER e� I .2 o�t (]tS Yl) �S�_ NO. FPROIN7 g,�
ADDRESS A OF (" A4 SIDE
ARCHITECT OR TEL P. L.
ENGINEER -S NO.
_ G- INSPECTION RECORD
ADDRESS �� 7�) S . S �ur�LSL,, �SA .Jy
lZd�E J 3J QI
CONTRACTOR O
ADDRESS (S h. E UC 4 1 6 ^✓[= S!r ! V
DESCRIPTION OF WORK
O
E�
NEW ADD ALTER REPAIR DEMOLISH w
SQ. FT. NO.OF NO.OF a
SIZE >�i?✓J/Z. 5100 STORIES FAMILIES
USE OF '5"_1
'� )-
STRUCTURE =J w G-O C.... --
-d -p -� c-
SIGNATURE OF
APPLICANT
VALUATION
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. � FOUNDATION: LOCATION
FEE $ �/ vy I FEE $ �v o-t✓ FORMS, MATERIALS - ;,.�,..• �i
y FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- BRACING, BOLTS
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE: LOCATION,
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT, DUCTS
STATE LAWS REGULATING BUILDING CONSTRUCTION.
CERTIFY THAT IN DOING THE WORK AUTHORIZED 1 LATH, INT.
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
WORKMEN'S CO ENSA�TION S OF CALIFORNIA. LATH,EXT.
SIGNATURE )F �� /i� � ,7 HOUSE NUMBER COR-
PERMITTE -%�C� RECT AND POSTED
ADDRESS S �� ' / Q� FINAL
CLYDE N. DIRLAM, PRINCIPAL STR TURAL ENGINEER
PLAN CHECK VALIDATION cK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
OF
�� r4
A ROAD DEPT. PERMIT IS REQUIRED
�- FOR ANY MATERIAL STORAGE OR WORK
DONE !N THE ROAD RIGHT OF WAY.
1
76A69ACE#aos .69 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS .�.0
BUILDING AND SAFETY DIVISION LOCALITY f
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN SuP'T OF BUILDING CROSS Si '
DISTRIC NO. I 77PI PROCESSE BAY
FOR APPLICANT TO FILL IN I CONST I S
BUILDING�-?_-- - STATISTICAL CLASSIFICATION SEWER A
ADDRESS + t'j7'� �L. /x` B JG
CLASS.NO._4__ DWELL.UNITS_ 5 �5
LOT NO. f[7 , BLOCK MAP <� STATE
NUMBER Com- CJ L� HWY. YES NO
TRACT ✓'t9 S`,� p USE ZONE SPECIAL
ry/ NO.OF BLDGS. ! 3 CONDITIONS
1 SIZE OF LOT OI%b �GJr I NOW ON LOT
USE OF
_EXISTING BLDG. BUILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
A'�.CJr�CL•LF!/l: (_..-r FRONT i-/ 1 )
MAIL _ -3� // P. L. O •J ,�GL � -t:.i..`'f/L'I-�' l�,/..
ADDRESS 4 �-^�- 4bT 14a w//'ab/f��1% � SIDETEL
r" '
CITY + 1��C t b �? � 1� NO.�7/`L.a� INSPECTION RECORD
ARCHITECT OR ` TEL.
ENGINEER ��v/'� v`'�' TI`I �/ NO.
ADDRESS/f-7/.17 /J Lr
CONTRACTOR P C_CA�lr. �I•'Lhtl�CJS TEL
7•
ADDRESS �'z t-h6 /
DESCRIPTION OF WORK
_ f T q
W ° ADD ALTER REPAIR DEMOLISH
SQ. FT. NO. OF �7 NO. OF
T� —
SIZE STORIES R� FAMILIES
USE OF
STRUCTURE
40 in P, i.
SIGNATURE OF -
APPLICANT
APPROVALS DATE INSPECTOR'S SIGNATURE
ADDRESS FOUNDATION: LOCATION
��,��,[ ) FORMS, MATERIALS
VALUATION $CT`T v�a�.+.. ,,O U �/ FRAME: FI
AME: I BOLTS STOPS,
BRACINCcs(^ \ '
I P C.FEE $; ' 7?J� FEE $ ��:� �� � FURNACE: LOCATION,
/ y GAS VENT,DUCTS r'
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP_ `? ^
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND LATH. INT.
3GREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
ATE LAWS REGULATING BUILDING CONS RUCTION. LATH,EXT. 44
''3NIATURE OF .� /�fy r1 HOUSE NUMBER COR-
ERMITTEE -
i. �//,�i/ r. RECT AND POSTED
e
rDRESS FINAL /',
CLYDE N. DIRLAM, FSRINCfPAL ST CT AL ENGINEER
,AN CHECK VALIDATION CK. M.O. CASKPERMIT VALIDATION CK. y,M.O. CASH
OF
1 o600Z1. 1 A 33L.51t,'
- � 1
q t
A ROAD DEPT PEP%T 13 REQUIRED - -
FOi< ANY IAAT--K AL )d WORK
p ' r DONE IN THE ROAD RIGIl l OF WAY
tl1
76AGSBA CE 6G1669 APPLICATION FOR BUILDING PERMIT ' �.
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION { LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST < Y
CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST
DISTRICTNO GRO rTyPE
P SSED BY
FOR APPLICANT TO FILL IN /CONST
BUILDING
Z �J (,�,y " ,� STA ISTICAL,�yyCL``A��SSIFICATION SI� MAP
�. CLASS NOgt-..ZDWELL UNITS J
LOT NO BLOCK MAP STATE YES NO
/ �! NUMBER HWY
TRACT / Q USE ZONE -SPECIAL n
NO OF SLOGS CONDITIONS /" J
SIZE OF LOT �� 2 � NOW ON LOT
USE OF
EXISTING BLDG BUILDING YARD HWY STREET NAME EXIST
/,/IIlR2 O�ls7'fz✓G "/dam! �O SETBACK WIDTH
OWNER FRONT
�,OZ- NT
MAIL �/� P L
ADDRESS � +�-< SIDE
Or
CITY 1 Gl�tc�t NO "~ `INSPECTION RECORD"
ARCHITECT OR TEL
ENGINEER 00
ADDRESS Z 5,vV' %IS N p ,L•� d/w
CONTRACTOR !J R ���Vg? NOL
ADDRESS
DESCRIPTION OF W(:Yft
NEW i-<DD ALTER REPAIR DEMOLISH
SQ FT NO OF NO OF
SIZE -2-!270 STORIES FAMILIES
USE OF � N,�
STRUCTURE 6�
l ir e T S
1
SIGNATURE OF
APPLICANT APPROVALS
/ q/]
ADDRESS o Z / fj�R,.� FOUNDATIONLOCATION /DA/T,E/ INSPECTOR S SIGNATURE
y FORMS MATERIALS -4 7'�'—�
VALUATION $ U FRAME FIRE STOPS �"
BRACING BOLTS /) - (/ . �
PC DO PMT Q GAS VENT DUCTS
FURNACE LOCATION `, v
FEE $ FEE $
1 HE EBY ACKNOWLEDGE THAT I HAVE READ THIS AP LATH INT ,
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REG TING BU LDING CONS RUCTION LATH EXT
SIGNATURE OF
�� ® HOUSE NUMBER COR a
PERMITTEF RECT AND POSTED
ADDRESS FINAL
CLYDE N DIRLAM P INCIPAL STR' RAL ENGINEER
PLAN CHECK VALIDATION CK o CASH PERMIT VALIDATION cK M o CASH
y , r
LAC08 0 0 41 I AR 21 2 3 A 9001
T ®P
80-0520 W 1 A 1800 P,
: y
A ROAD _ _... to r_'CUl D
FOR hN'r wlAle�?!:`:' 2 1^•i0:
DONE IN THE ROAD RiO'HT OF WA;'.
76A638A CE#8038-SB APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING ✓•
DEPARTMENT OF COUNTY ENGINEER
ADDRESS +'f
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN,$UP'T OF BUILDING CROSS ST. s
DISTRICT NC GROU, I TYPE PR- SED BY
FOR APPLICANT TO FILL IN �j CONST.
BUILDING !��!'_ _ STATISTICAL CLASS ]CATION I SEWER MAP
ADDRESS _ --'�, Ar �7��^.!.. __5K G
_ CLASS. NO DWELL.UNITS
LOT NO. Ire BLOCK MAP STATE
' NUMBER HWY. YES O
TRACT `fi � {'"- :'�� USE ZONE SPECIAL
NO.OF BLDGS. / ��y7 CONDITIONS :f d��'
SIZE OF LOT ` l �p NOW ON LOT
USE OF �A
EXISTING BLDG. BUILDING EXIST.
T SETBACK YARD HWY STR E NAME WIDTH
OWNER PA (Z e a�V ✓�-/ e}jt^A, � FRONT ,/ '\
MAIL �01- �{..t•C- ti�.T
ADDRESS ., PDE
CITY '��% �R•C-- ,. NL.
o /
ARCHITECT OR INSPECTION RECORD
TEL.
ENGINEER AIX i/ily i
/y'.�.z 7 ``.<.G• ,,�.:_>. ���fid'
ADDRESS S*lHS�sT- �,3L�.�p P,
TEL
CONTRACTOR /9/A P � /y( J. NO.
ADDRESS ?vZ L,w {.
" DESCRIPTION O WORK
NEW ke"/ADD ALTER REPAIR DEMOLISH
SQ. FT. NO. OF 1 NO. OF
SIZE G� STORIES ! FAMILIES
USE OF
STRUCTURE //
e fy 14 P T s s' c
SIGNATURE OF �+ -
APPLICAN
APPROVALS DATE INSPECTOR'S SIGNATURE
�
ADDRESS ,•^u�Ad/y� --A. FOUNDATION: LOCATION
FORMS, MATERIALS
VALUATION 5 S FRAME: FIRE STOPS,
BRACING,BOLTS
P.C. PMT. Q U FURNACE: LOCATION,
FEE S I FEE S �I GAS VENT, DUCTS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH, INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATIN BUyLDING CON TRUCTION. LATH,EXT.
SIGNATURE OF �,..� - ! /// HOUSE NUMBER COR-
PERMITTE �/ RECT AND POSTED
ADDRESS I FINAL / •71 �.'
CLYDE N. DIRLAM, PRINCIPALS UCTU AL ENGINEER
PLAN CHECK VALIDATION 9K. M.0. CASH PERMIT VALIDATION CK. ' M.O. CASH
.Ar-S0O6w MAR ,'.) L;
1 23 A 9.0 • v,
tAw
"' ®r
{ , o8007I'l-D MAR ---)1 1 A 18.00 `°
4 v
A ROAD DEPT PERMIT IS PEOUIRED
FOR /ANY /VATE' %L S4,11 C,, VVORK
AA DONE IN THE ROAD R,(-r-,] OF'WAY s
76AMBA CE#803 B 09 APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING
° DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST
DIS}RICT NO I GRO TYPEPR SSED BY
FOR APPLICANT TO FILL IN CONST
BUILDINGSTATISTICAL CLASSIFICATION SEVAER MAP
5- 41
ADDRESS 2? 2- c'8K
CLASS NO DWELL UNITS =�
LOT NO - BLOCK MAP STATE YES
NUMBER HWY
USE ZONE ��Al��raE
`TRACT SPECIAL
NO OF BLDGS '�- CONDITIONS
SIZE OF LOT a NOW ON LOT
USE OF V��
EXISTING BLDG BUILDINGEXIST
SETBACK YARD HWY STR Ey NAME
WIDTH
OWNERP# N 15/T/2 eC> FRONT
MAIL r P L
ADDRESS -102- SIDE
TEL IF
CITY No `INSPECTION RECORDARCH
}
EN"NEERT O / TEL �^ 4
ADDRESS/S `c� V 'V TELQCT —
CONTRACTOR DfPIZQ S- NO',-
ADDRESS JPO - *C: U p/ �
DESCRIPTION OF wl6RK
NEW _ ADD ALTER REPAIR DEMOLISH ., + i g
SQ FT NO OF NO OF J L s!,s
SIZE t STORIES FAMILIES ! 1/
USE OF
STRUCTURE e k
/OP 0-T
SIGNATURE OF --
APPLICANT G?,:z
APPROVALS DATE INSPECTOR S SIGNATURE
ADDRESS ?o � � FOUNDATION LOCATION ,/' �/ �� -.��K
FORMS MATERIALS `-+'J�u U
VALUATION $ '� O O I FRAME FIRE STOPS +
BRACING BOLTS // CQm
FURNACE LOCATION _
°
FEE $ FEE $ IZ O I GAS VENT DUCTS /
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP LATH INT 2 � err
cPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING BUILDING CONSTRUCTION LATH EXT r y
SIGNATURE OF 'l' t� //� HOUSE NUMBER COR
PERMITTEE l RECT AND POSTED
ADDRESS FINAL
CLYDE N DIRLAM PRINCIPAL TT:? C RAL ENGINEER
PLAN CHECK VALIDATION (.)KM D CASH PERMIT VALIDATION CK M O CASH
t
s r e•0 0 2 G �p
2 3 A V O 0 M Or
�_ L,1CO8 0 0 3 So 'sA� 21 11 A 1200,
WORKERS',COMPENSATION DECLARATION ~
r .I hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT'
insure, or a certificate of Workers' Compensation Insurance,
or ci certified copy thereof (Sec.'3800, Lab. C.) ,
Policy NoWCP004639. Company .C 1 tat l On COUNTY OF LOS ANGELES 1. BUILDING AND SAFETY
❑ v FOR APPLICANT TO FILL IN BUILDING
Certified copy`.is hereby furnished. ADDRESS
❑ Certified copy is filed with the county building in"spec- BUILDING
tion department. ADDRESS 5324 Baldwin Ave.
Date 9-12-85 -ApplicantAtk i ns-Reed Roofing CITY Temp 1 e City ZIP 91780 . LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS'• NO. OF BLDGS. NEAREST
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST.
(This section need not be completed':if the permit is for oneASSESSOR
-hundred dollars ($100)or less.,) TRACT BLOCK LOT NO. •�qp MAP BOOK PAGE PARCEL
OWNER Mr's-Evelyn Zager- - N�$18-446-9W USE ZONE MAP
I certify that in the performance of the work for which this NO.
per"mit is issued, I shall not employ any person in any mannern LL_ - — SPECIAL CL
so as to become subject to the Workers'Compensation Laws. ADDRESS P.O. BOX 914' _ CONDITIONS
CITY 'T le.Cit J zip 91780 , _ U
�— Date Applicant im
NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE y
SED BY
ENGINEER NO. CONST. ZONE �
Exemption, you 'should become subject to the' Workers' O
Compensation provisions of the Labor Code, you must forth- ADDRESS �Jl V-V �/ .- - 5
with comply with such. provisions or this permit shall be" •• sy
TESTATISTICAL CLASSIFICATION APT. CO DO.
deemed revoked.. CONTRACTOR Atkins-Reed RoofingN(.--18-338-7351
LICENSED CONTRACTORS DECLARATION LIC CLASS NO. �/ DWELL. UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 5147 Elton St. N0. 462883 SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and _.- LIC.
Professions Code, and my license is in full force and effect. CITY -Baldwin Park CLASS C39 VALIDATION
SQ. FT, NO. OF NO. OF CHECK BK" PG.
License Number 462883 Lic.class C39 SIZE STORIES FAMILIES ONE
❑ VALUATION -
Contractor Atk i ns-Reed Roof Wg 9-11-85 DESCRIPTION OF WORK - NEW
❑
Reroof i ng
AD° ; ,I am exempt under Sec. - - - - ❑
ALTER
B.&P.C. for this reason REPAIR ® $
Date: USE OF DEMOL
EXISTING BLDG.
Signature APPLICANT TE FINAL
OWNER-BUILDER DECLARATION PRINT) Atkins—Reed ROOF I ng N18-338-7351 DAT -`Z' . ;9293,6A
I hereby affirm that I am exempt from the Contractor's License 514.7 Elton St. Baldwin P 91706
Law for the following reason (Section 7031.5, Business and ADDRESS > ark> FIN # o o' o o"0 1
Professions Code): PRESENT B
❑ BUILDING
I, as owner of the property, or my employees with ADDRESS 1 0 049.88
wages'as their sole compensation,will do the work and
the structure is not intended or offered for sale(Section LOCALITY ' 0 0 0 4'9 8 8
7044, Business and Professions Code).-- MOVING TEL. -
❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. 0 9, 1 7_8 Jr
with licensed contractors to construct the project-(Sec- ADDRESS
tion 7044, Business and Professions Code).
CONSTRUCTION LENDING AGENCY" SETT BACK 'YARD HWY TOTAPROP.SETBAINEFRO 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. •.' • - . W. • - - •. - • . . -
(Sec. 3097, Civ. C.). SIDE
P.L. _
Lender's Name
o p LDMA Ref. #
- - •- - -P.C:Fee$ - - - - - Permit Fee 39.38 `- -
Lender's Address ,
>
certify that I have read this application and state that the _ .--Issuance+ee 10.50- LDMA•P/C#
above information is correct. I agree to comply with all County Investigation Fee
$ ordinances and State laws relating to building construction, Total Fee LDMA Perm. #
u and hereby authorize representatives of this County to enter
upon the above-mentioned property for inspection purposes.
a SEE REVERSE FOR EXPLANATORY LANGUAGE
a
- - Signature of Applicant or Agent Date - - - - -
WORKERS COMPENSATION DECLARATION , V
�
hereby affirm that I have a certificate of consent self APPLICATION FOR BUILDING PERMIT
insure or a certificate of Workers Compenstion Insurance
e or �
a certified copy thereof (Sec 3800 Lab C )
Policy No i/�-�%Z'� ' Eptny �/§�f9G�JPJ� 1 COUNTY OF LOSS ANGELES BUILDING AND SAFETY
Certified copy is hereby furnished �} FOR APPLICANT TO FILL IN BUILDING
f—Q // ADDRESS ::K,T
Certified copy is filed with the county building mspec BUILDING
tion department ADDRESSo�� LOCALITY
NEAREST
Date /— App CITY ZIP 91 O CROSS ST
CERTIFICATE OF EXEMPT N M WORK S OF BLDGS ASSESSOR _
COMPENSATIO I UR NCE SIZE OF LOT NOW ON LOT MAP BOOK IPAGE PARCEL
(This section need not be com t ermit is for one TRACT BLOCK LOT NO USE ZONE NOAP 4
hundred dollars ($100)or less ) �
TEL yJ��/�y ) SPECIAL d
I certify that in the performance of the work for which this OWNER �4�c NO CONDITIONS O
permit is issued I shall not employ any person in any manner DISTRICT [GROUP TYPE FIRE OC ED BY 11
so as to become subject to the Wo&ers Compensation Laws ADDRESS � ZONE OC
Date i Applicant CITY ZIP STATISTICAL CLASSIFICATION APT CONDO e. V
NOTICE TO APPLICANT If after making this Certificate of ARCHITECT OR TEL J L W
Exemption you shouldbecome subject to the Workers ENGINEER NO CLASS NO DWELL UNITS CLH
Compensation provisions of the Labor Code you must forthZ
ADDRESS SEWER MAP
with comply with such provisions or this permit shall be
BK �
deemed revoked �I� �yJ�,NO �l VALIDATION
CONTRACTOR '
LICENSED CONTRACTORS DECLARATION ll o
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS O ✓J/t)�Q NO ZV6 '�t( VALUATION
(commencing with Section 7000)of Division 3 of the Business and LIC 7 Elm'
Professions Code and my`license is in full force and effect CITY Z, hT4 V L CLASS $
SQ FT INO OF NO OF CHECK
License Number1>40 Lic Class_ �� SIZE STO IES' ILIES ONE t
❑ $
Contractor Date 1 Z� DESCRIPTI OF WORKV. NEW 4
❑ I am e t fromressional
requirements as I am a ADD ❑
licens d rchitect d professional engineer ALTER FINAL
actin apacity (Section 7051 REPAIR DATE
Business and Professtons Code) USE OF
.. EXISTING BLDG
DEMOL ❑ FINAL
Lic or Reg No _Date APPLICANT TEL y
OWNER BUILDER DECLARATION Gi NO
1 hereby affirm that I am exempt from the Contractor s License
Law for the following reason (Section 7031 5 Business and ADDRESS
Professions Code) PRESENT
❑ BUILDING yQa,l-- N,45W rJ
I as owner of the property or my employees with ADDRESS
wages as their sole compensation will do the work and LOCALITY 4 3 U 3 A
the structure is not intended or offered for sole(Section
7044 Business and Professions Code) MOVING TEL
❑ CONTRACTOR NO # e o e o o
I as owner of the property am exclusively contracting �
with licensed contractors to construct the project (Sec
I tion 7044 Business and Professions Code) ADDRESS 2 0 e 2 a Q O
REQUIRED TOTAL SETBACK FROM EXIST 2 O O U
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH 'o o o =
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 8 2
(Sec 3097 Civ C ) SIDE
PL J
Lender s Name
Lender s Address P C Fee$ Permit Fee
w I certify that I have read this application and state that the - Issuance Fee
aabove information is correct I agree to comply with all County Investigation Fee
$ ordinances and State jawsrelating to uilding construction Total Fee �� 1
and hereby authorize representative f this County to en r
a u on the e�ipror inspection rp
m r 1
SEE REVERSE FOR EXPLANATORY LANGUAGE
of Applicant Agent 6ote s
` 1
_.
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 90r1 LAS TUNAS - - + ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA . BL 0508 9611070043
PHONE (818) 285 0438 EXT
LEGAL ID NO OF CONST BUILDING DRESS
TR 10558 LT 6 BL 001 SQ FT STORIES TYPE 5324 BALDWIN AV
STRUCTURE 0 V TEMP CA 917803203
ASSESSOR INFORMATION NEAREST CROSS STREET OLIVE
8585 001 006 THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY
TENANT EXIST BLDG USE RESID USE ZONE R 3 ISSUED 0N- PROCESSED BY EXPIRES 0
EXIST OCC GRP 11/07/96 TC 11/07/97
OWNER TEL NO BLDGS NOW ON LOT VALUATION FINAL DATE FINAL CODE
PODROVSKY PHILIP,LIBBIE TRS 3 12,000 -1-S- /
TEMP 917800914 FEES P DESCRIPTION WO K
CONVERT CARPORTS TO GARAGES WITH DOORS (7)
FEE DESCRIPTION �QUANT�I��TY�UOM^, p AMOUNT
APPLICANT �!/
SAME AS OWNER AA BLDG PERMIT ISSUANCES 27 75
AC STRONG MOTION RESID1 12000-00-VAL a1-�20 SPECIAL CONDITIONS
AX BUILDING REVIEWaFEEr 54%70
D2 PERMIT W/0(EN HC 12000 00 VAL\251 70�
\J TOTAL FEES O 335 35G�
CONTRACTOR TEL NO ��\� O APPROVALS DATE INSP CTOR SIGNATURE
SAME AS OWNER LIC NO 1 +�� o O LOCATIONAND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT ORENGINEER TEL NO 3�1 eo. n(d FOUNDATION/TRENCH FORMS
LIC NO a MittSLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP G UNDERFLOOR INSULATION
147H269 3 01
�CFLOOR SHEATHING
NO OF FAMILIESDWELLING UNITS STAT CLASS
YES 21 Q� ROOF SHEATHING
SCHOOL WITHIN \CL\ SHEAR PANELS
AIR QUALITY 1000 FEET MATERIALS D _
NO NO NO FRAME INSPECTION
1-1117
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD HWY PROP LINE WIDTH
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL 14
INTERIORLATH/DRYWALL
EXTERIOR LATH q�
RATED F 0 CEIL ASSEML
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
i
i T BAR CEILINGS
OT DRAINAGE
REPORT ID DPR261 ROUTE TO BS0508
COUNTY OF LOS ANGELES ' TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0911050038
PHONE (626) 285 0488 EXT
ILEGAL ID 11 NO OF CONST I BUILDING ADDRESS 1
ITR 10558 LT 6 BL 001 1 SQ FT STORIES TYPE 1 5324 BALDWIN AV
I ISTRUCTURE 22000 V B TEMP CA 917803203 1
(ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET OLIVE
18585 001 006 ) THOMAS PAGE 597 GRID 24 LOCALITY TEMPLE CITY Cl
I I I I
1TENANT II EXIST BLDG USE APART USE ZONE R 3 (ISSUED ON PROCESSED BY
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I 11 1 1
(OWNER TEL NO 1BLDGS NOW ON LOT VALUATION IFINAL DAT FINAL Y CODE 1
IBALDWIN ARMS APARTMENT 1 80 000 I I
15324 BALDWIN AVE
ITEMP 917800914 1 FEES PAID 1VSCRiPTION OF WORK I
I 1 IREMOVE EXISTING ROOF INSTAL BUILT UP MODIFIED BITUMEN 1
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1APPLICANT TEL NO 1 I
IROYAL ROOF CO (800) 400 7692 1AA BLDG PERMIT ISSUANCE 27 75 1 I
1996 E PRICE ST IAB STATE GREEN BLDG FEE 80000 00 VAL 4 00 ISPECIAL CONDITIONS I
IPOMONA CA 91767 1AC STRONG MOTION RESID 80000 00 VAL 8 00 1 I
ID2 PERMIT W/O EN HC 80000 00 VAL 1 097 85 1 I
I TOTAL FEES 1 137 60 1 I
ICONTRACTOR TEL NO 1 (APPROVALS DATE INSPECTOR SIGNATURE 1
IROYAL ROOF CO #1 (800) 400 7692 1 1- 1
1996 PRICE ST LIC NO 1 ILOCPTION AND SETBACKS 1 1
IPOMONA CA 91767 413067 C39 I I 1 1 I
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COUNTY OF LAS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0806120026
PHONE (626) 285 0488 EXT
I
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ITR 10558 LT 6 BL 001 �1 SQ FT STORIES TYPE I 5324 BALDWIN AV 1
I (STRUCTURE V B I TEMP CA 917803203 1
(ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET I
18585-001 006 I THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY CI
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ITENANT IEXIST BLDG USE RESID USE ZONE R 2 IISSULD ON PROCESSED BY EXPIRES ON
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CANDY LINDA i 9 000 EXPIRLU
5324 BALDWIN AVE
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I IRETROFIT 22 WINDOWS
IFEE DESCRIPTION QUANTITY UOM AMOUNT
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I IFR INV WORK W/O PERMIT 257 00 DOL 257 00 1 1
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0812160028
PHONE (626) 285 0488 EXT
ILEGAL ID I NO OF CONST BUILDING ADDRESS
ITR 10556 LT 6 BL 001 I SQ FT STORIES TYPE 1 5324 BALDWIN AV 1
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(ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET
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ITENANT (EXIST BLDG USE RESID USE ZONE R 2 (ISSUED ON PROCESSED BY
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ICANDY LINDA (626) 442 1176 1 50 000
5324 BALDWIN AVE
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I I (REPLACE 130 WINDOWS WITH RETROFIT VINYL WINDOWS NO STUCCO I
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1HUNTINGTON BEACH ID2 PERMIT W/O EN HC 50000 00 VAL 797 70 1 1
1 1 TOTAL FEES 830 45 1 1
1 I 1 I
ICONTRACTOR TEL NO I 1APPROVALS DATE INSPECTOR SIGNATURE 1
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