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HomeMy Public PortalAbout5430 BALDWIN AVE_Building__ (2) 76A638A CE#803 3 66 APPLICATION B I I NG PERMIT IJ O R U L COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS _ BUILDING AND SAFETY DMSION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST _ COLEMAN W JENKINS SUP T OF BUILDING CROSS ST DISTRICT NO GR,Ot1P TYPE P CESSED BY_ FOR APPLICANT TO FILL IN S" 0 T- _L CONST BUILDING STATISTICAL ASSIFICATION SEWER MAP ADDRESS d _.LASS NO DWELL UNITS 6KSP C LOT NO F BLOCK USE ZONE MAP " No Ooo TRAC J '� SPECIAL NO OF BLDGS CONDITION SIZE O LOT NOW ON LOT USE OF 1 < BLDG SETBACK FROM TEL pp FRONT PROP LINE OF (STREET) OWNER NO 03 TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS w HIGHWAY F M C L CITY � z ARCHITECT OR TEL BLDG SETBACK FROM OW _ ENGINEER NO SIDE PROP LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C L TEL �' _ CONTRAC R NO a ADDRESS LI CORNER CUTOFF YES NO L CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS c DESCRIPTION OF WORK a 06 NEW ADD ALTER EPAIR DEMOLISH ? Sq FT NO OF NO OF SIZE STORIES FAMILIFS LAPPLtCANT m/{!C n/6 C URE — �- Za�IP U OF t TION$ 'OOAPPROVALS DATE INSPECTOR S SIGNATURE PMT FOUNDATION LOCATION FEE$ FORMS MATERIALS FRAME FIRE STOPS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION / v WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS 9UILDI NG CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT / ING TO WORKMEN S COMPENSATION INSURANCE LATH EXT Ei SIGNATURE OF HOUSE NUMBER COR PERMITTEE ' RE AND POSTED s� ADDRESS 61 FINAL JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK M o CASH _ PERMIT VALIDATION cK M o CASH 7 9 0 9% APR -4 1 0 1150- 4 D� 4 1 76A638AG3U APNTYoPLIICA LOS LEON FO LESBBUILDIIN PERMIT r DJJJEPARTMENT OF COUNTY ENGINEER ADDRESS - - - L+Z 'e BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST _ COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST. DISTR CT O. GROUP CTYPE ONST. P ESSED B FOR APPLICANT TO FILL IN p ' BUILDIr=G STATISTICALLASSIFICATION SEWER MAP �. ADDRESS �© �DLj,�f�/ y� SK57 PGG/ CLASS NO. DWELL UNITS . I LOT NO. BLOCK USE ZONE MAPS] N O. TRACT SPECIAL y �} OB12 CONDITIONS SIZE OF LOT �Ll � 14 NOWONLOTS USE OF EXISTING BLD . v /4 �t BLDG. ETBACK FROM p TEFRONT PROP. LINE OF '� (STREET) OWNER C j5jP7 VlA'ACkCP_ NO.L. �13 - TYRE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS 2 b HIGHWAY WIDTH FROM C.L. CITY BLDG. SETBACK FROM ARCHITECT OR TEL. SIDE PROP, LINE OF (STREET) ENGINEER Q�/F NO. _ TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. d .A/ TEL. + - 0 CONTRACTO NO V LIC CORNER CUTOFF YES NO O ADDRESS NO CITY LIC SEE REVERSE SIDE FOR SPECIAL APPROVALS w DESCRIPTION OF WORK OIL V) Z NEW ADD ALTER REPAIR DEMOLISH SQ,FT. NO. OF NO. OF SIZE _3 � STORIES FAMILIFS USE OF STRUCTURE SIGNATURE OF APPLICANT VALUATIONS �sLa APPROVALS QATE INSPECTOR'SSIGNATURE P.C. PMT. FOUNDATION, LOCATION ,p"^ FEE$ FEE$�j J v FORMS, MATERIALS i"7Y FRAME, FIRE STOPS, J I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS - AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION -- - WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 9UILDI NG CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATI'1. INT. {'� n n �•M i?'" TION OF THE LABORCODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE. LATH. EXT. SIGNATURE OF, HOUSE NUMBER COR- PERnMITTEE RECT AND POSTED ADDRESS 414"-4:4 F I N A L JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O CASH Lt1�01 1 i A'r 1 1 D 1 1.5 z/ APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN -W BUILDING A DRESS WORKER'S COMPENSATION DECLARATION r 3, DRESS hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS Q:j ♦ _ or a certificate of Workers' Compensation Insurance,or a certified -:5 y30 copy thereof (Sec.3800,Lab.C.) I CITY /� ZIP / LOCALITY ��- Policy NO. Company 7 81 SIZE OF LOT NO.OF BLDGS.NOW DN LOT ❑ Certified Copy is hereby furnished. NEAREST CROSS ST.. ❑ Certified copy is filed with the county building inspection TRACT, BLOCK LOT NO. department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER d '9 TEL NO. COMPENSATION INSURANCE / �f; y DR",d V Z G7l WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDRESS �^' ` ' DISTRICT GROUP ONST. FIRE ZONE PROCESSED BY dollars($100) or less.) 90 ,✓ ll �3 I certify that in the performance of,the work for which this permit CITY ZIP Fte a- is issued, I shall not employ any person in any manner so as to ARCHITECT ORFENGINEER TEL NO. become subject t0 the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO, DWELL UNITS NOTICE TO APPLICANT.' If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject t0 the Workers' CONTRACTOR LCA TEL NO. - SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P L LICENSED CONTRACTORS DECLARATION SIDE CITY LIC.CLASS P L I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES } Professions Code,and my license is in full force and effect. NEW BK PG ► d License Number Lic. Class DESCR�TOt/ W RK ADD ❑ VALUATION ` Q Contractor Date �� ALTER ❑ $ a26W` ElI am exempt under Sec. REPAIR $ BAP-C. for this reason • DEMOL ❑ LDMA P/C# Date: USE OF EXISTING BOG. a.URM ❑ x CD Si ature APPLICANT(PRINT) TEL NO. LDMA Perm# Z , as owner of the property, or my employees with wages as {�. •; F ompensation, will do the work and the structure is ADDRESS not intended or offered for sale (Section 7044, Business and FINAL DATE Q �.:'s_€._I �t •w• Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL t OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE QL3!i' ❑ I, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? licensed contractors to construct the project (Section 7044, FINAL B > :+, YES❑ NO Els A` Business and Professions Code.) A ;- {{ _ WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING CASH .4 at._ OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR "•y-G''•ti tt•;Si 'f GUIDELINES. ?.t" _ I hereby affirm that there is a construction lending agency for YES❑ NO❑ N the performance Of the Work for Which this permit IS issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 3097, CIV.C.) CHECKLIST.I UNDERSTAND MV REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, ;:I jl k tt+F_:J• �,i�! '`•a-� N TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. o Lender's Address O OWNER OR AGENT .. o I certify that I have read this application and state under penalty q of perjury that the above information is correct. I agree to comply P.C.FEE PERMIT FEE with all county ordinances and State laws relating to building 5 CID construction, and hereby authorize representatives of this County ISSUANCE FEE / �Appkwi above- entioned property for inspection purposes. INVESTIGATION FEE TOTAL FEE enl t0 SEE REVERSE FOR EXPLANATORY LANGUAGE 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 1007150019 PHONE (626) 285 0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS ON FILE SQ FT STORIES TYPE 5430 BALDWIN AV I STRUCTURE V B TEMP CA 917802624 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET OLIVE 18586 023 016 THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY Cl TENANT 1EXIST BLDG USE RESID USE ZONE R 1 IISSUED ON PROCESSED BY EXIST OCC GRP 07/15/10 SR OWNER TEL NO IBLDGS NOW ON LOT VALUATION IF AL DATE FINAL BY CODE IWIN SANDA (626) 321 2572- I 1 300 1 {� 15430 BALDWIN AV I w�/`Iy l TEMP 917802624 FEES PAID IDESCRIPTION OF WORK KITCHEN REMODEL I FEE DESCRIPTION QUANTITY UOM AMOUNT APPLICANT TEL NO I SAME AS OWNER IAA BLDG PERMIT ISSUANCE 27 80 IAB STATE GREEN BLDG FEE 1300 00 VAL 1 00 ISPECIAL CONDITIONS I IAC STRONG MOTION RESID 1300 00 VAL 0 50 I JB2 PERMIT W/ENERGY 1300 00 VAL 90 50 TOTAL FEES 119 80 CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE ISAME AS OWNER LIC NO ILOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL NO IFOUNDATION/TRENCH FORMS LIC NO (SLAB/UNDER FLOOR IRAISED FLOOR FRAMING IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I Y (UNDERFLOOR INSULATION I I 1147H269 3 001 r I 1-1 I I IFLOOR SHEATHING INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS I I I I NO 21 I IROOF SHEATHING SCHOOL WITHIN HAZARDOUS ISHEAR PANELS I I I (AIR QUALITY 1000 FEET MATERIALS I NO NO NO IFRAME INSPECTION FIRE SPRINKLER HANGERS I IINSLLATION/WEATHER STRIPI I I IINTERIOR LATH/DRYWALL I I I (EXTERIOR LATH IRATED FLOOR/CEIL ASSEM I I IRATED WALL ASSEMBLIES IRATED SHAFTS/OPENINGS IT BAR CEILINGS I I I ILOT DRAINAGE I I IREPORT ID DPR261 ROUTE TO BS0508 I