HomeMy Public PortalAbout5435 BALDWIN AVE_Building__ (2) 76A896A CF#603 1056 APPLICATION FOR BUILDING PERMIT � 1
BUILDING AND SAFETY DIVISION ADDRESS,5-'�/ J
Department of County Engmeer
County of Los Angeles LOCALI
JOHN A LAMBIE COUNTY ENGINEER NEAREST
CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST
DISTR O GRO ypE SEWER MAP
FOR APPLICANT TO FILL IN
ONST
BUILDING -
ADDRESS STATISTICAL CLASSIFICATION
CLASS NO WELL UNITS
LOT NO Or
LOCK MAP STATE
NUMBER HWy YES 10
TRACT T USE ONE SPECIAL
NO OF BLDGS ^ CONDITIONS
SIZE OF LOT.r, X NOW ON LOT �'+ �L��g
USE OF p J
EXISTING BLDG l�� ..Z. BUILDING EXIST
®� ( SETBACK YARD STREET NAME WIDTH
OWNER -J FRONT -� / /,�//pa�r SO
O
MAIL P L `41/ V
ADDRESS 70V899,SA,4 Qv`� SIDE
TELZ rl aoQ P L
CITY NO O INSPECTION RECORD
ARCHITECT OR TEL
ENGINEER NO .,a��jr A/O /(,,P--!!—
TEL
ADDRESS /Yi '4�
TEL
CONTRALTO t t 60Y��^ NO
ADpRESS
DESCRIPTION OF WORK
r �
NEW ADD REPAIR DEMOLISH
SQ FT NO OF NO OF
SIZE STORIES FAMILIES
O RUCTU
r
APPROVALS
SIGNATURE O
APPLICA DATE INSPECT NATURE
u
ADDRESS FOUNDATION LOCATION
FORMS MATERIALS
yl FRAME FIRE STOPS
FEE BRACING BOLTS
VALUATION V y �.0 FURNACE LOCATION
GAS VENT DUCTS
FEE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP LATH INT
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH EXT
STATE LAWS RE• LATING B DING CONSTRUCTION
SIGNATURE O HOUSE NUMBER COR
PERMITT RECT AND POSTED
ADDRESS FINAL 8 �/
JOHN A LAMBIE COUNTY ENGINEER CLYDE N DIRLAM PRINCIPAL STRUCTURAL NG
' PLAN CHECK VALIDATION CK mo CASH PERMIT VALIDATION CK m o CASH
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I
L o1709F JM 10 1 A` 200
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,dwsaawDSBaaBAPPLICATION FOR BUILDING PERMIT � 1
DIVISION OF BUILDING AND SAFETY ADDRESS S
DDRE9
Depo=-meat of County Engineer
County of Los Angeles LOCALITY
WM J FOX COUNTY ENGINEER NEAREST t I
CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST
DISTRICTNO GROUP TYPE S BK ER MA P6
FOR APPLICANT TO FILL. IN 4 I CONST
BUILDINGt MAP HWY
ADDRESS NUMBER YES O
LOT NO-07V
y V - a J �v _ ay gL K USE ZONE SPECIAL
CONDITIONS
TRACT lZi� O F
NO OF BLDG$ BUILDING
SIZE OF LOT O d NOW ON LOT YARD HWY STREET NAME EXIST
USEOF /� � �j/,, SETBACK WIDTH
EXISTING BLDG� �^'�� �+ FRONT
POL T �LLK
i
OWNER gdnt
SIDE
P L
MAIL ��' �+G O TRACT DWELL 1 UNIT
ADDRESS 5 INDUSTRIAL
TEL 1 DWELL 1 UNIT
CITY NO 6 PUBLIC BLDG
ARCHITECT TEL 2 DUPLEX 1 UNIT 7 ADDN ALT ETC
ENGINEER NO 3 APT UNITS
- 8 MISCEL
ADDRESS 41 COMMERCIAL
TEL
CONTRACTOR NO ' INSPECTION RECORD
ADDRESS
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLIS
SO FT NO OF N O
SIZE STORIES FAMILIES
USE OF STRUCTU Ti t
SIGNATURE OF
APPLICANT APPROVALS
DATE INSPECTOR S SIGNATURE
ADDRESS
FOUNDATION LOCATION
$ P C $ ✓' FORMS MATERIALS
/ FEE FRAME FIRE SOTOPS
$ BRACING BLTS
VALUATION FEE / FURNACE LOCATION
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH INT
AND STATE LAWS REGULATING BUILDING CONSTRUC
TION LATH EXT
SIGNATURE OF HOUSE NUMBER COR
PERMITTEE RECT AND POSTED
ADDRESS FINAL
WM J FOX COUNTY ENGINEER VALIDATION C N DIRLAM CHIEF BLDG INSPECTOR
35431 DEC 19 1 100 0
L-
76A638A CE #803 3 69 APPLICATION FOR BU ILDI G PERMIT ul
COUNTY OF LOS ANGELES BUILDING -�
DEPARTMENT OF COUNTY ENGINEER ADDRESS )
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUP T OF BUILDING NEAREST
CROSS ST
;FOR APPLICANT TO FILL IN DISTRILI N'C�O GRO TY(PRINT OR TYPE ONLY) DBU]REO
G / STATISTICAL CLASSIFICATION SEWER;MAPAD '; L/./ Iy(J/t� C
CLASS NO DWELL UNITS BK PG
LOBLOCK USE ZONE MAPNO ( 'TRQ ( SPECIAL
NO OF BLDGS I
COND TIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG 4 BLDG SETBACK FROM
OWNER ��/ � /� NO
FRONT PROP LINE OF - (STREET)
(TYPE OF EXISTING SETBACK HIGHWAY + YARD' - TOTAL
WAY WIDTH FROM C L
ADDRESS� �,� � L t�� _
L + _
CITY / ' 7 f _
ARCHITECT OR TEL BLDG SETBACK FRO (STREET)
ENGINEER NO SIDE PROP LINE OF
TYPE OF EXISTING SETBACK HIGHWA + YARD = TOTAL
ADDRESS n HIGHWAY WIDTH FROM C L
TEL +
CONTRACTOR C • �^ I� ti NO ��- -
ADDRESS �j -2 �� L )g NO 7O?q/ CORNER CUTOFF YES ❑ NO ❑
CITY ��� �/'� S CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS
CONSTRUCTION LENDER
NAME AND BRANCH
ADDRESS
SQ FT NO OF NO OF ❑
SIZE STORIES FAMILIES NEW
USE OF _ ADD ❑
STRUCTURE S f F 'r ❑
ALTER
L=`C� REPAIR
SIGNATURE APPLICANT 0 Q� } J`--,t-,, DEMOL
VALUATION $ mU APPROVALS DATE INSPECTOR S SIGNATURE
P C PMT FOUNDATION LOCATION
FEE $ FEE $ / FORMS MATERIALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME FIRE STOPS
BRACING BOLTS
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC GAS VENT DUCTS
TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 �Q
WILL NOT EMPLOY PERSON IN VIOLATION OF THE LABOR CODE LATH INT
OF THE STATE OFA IFORNIAJINELATING TO WORKMEN S COM
PENSATION INSURA CE SIGNATURE qLATH EXT
PERMITTEE /s/ HOUSE NUMBER CORRECT
AND POSTED
ADDRES L' � � .4 FINAL
JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINE
PLAN CHECK VALIDATION CK M O CASH - PERMIT VALIDATION CK M o CASH
IPr- 4359 RN 6 1 D 1200
WORKERS COMPENSATION DECLARATION t
a of consent to
insure -or a certrf cane of Wo ke srlComtpen ation Insuran elf ' APPLICATION F,O R BUILDING PERMIT '
orra certified copy thereof (Sec 3800 Lab C )
p COUNTY OF LOS ANGELES I BUILDING AND SAFETY-
Policy No Company r i' M BUILD
Certified copy is hereby furnished FOR APPLICANT TO FILL IN ING '
ADDRESS' t
x r'1/Certified copy is filed with"the county building mspec { BUILDING ' _
LLd" tion department ADDRESS f LOCALITY
r " r '+ NEAREST r
Date App
Icant ` � CITY e e ) ZIP CROSS ST
CERTIFICATE OF EXEMPTIO FRO WORKERS r S NO OF BLDGS t ASSESSOR
' ?_ +" COMPENSATION INSURANCE I SIZE OF LOT NOW ON L07 MAP BOOK e PAGE PARCEL
+ + t i USE ZONE MAP 1'
(This section need not be completed rf the permit is for one TRACT � BLOCK LOT NO NO
hundred dollars ($100)or less )
t+r" a TELSPECIAL r }
ER pL w NO TIONS
�'%/ CONDIt
I certify that m the performance of the work for which h This x r J DISTRICT GROUP TYPE v FIRE PROCESSED BY
dpermiT is issued I shall not employ any person m any manner ADDRESS i ? / CONST ZONE V
so}as to become sublect to the Workers Compensation Laws
CITY ZIP !1 O
' 'Date X93 °Applcanf ✓ gRCHITECTtOR i f TEL STATISTICAL C SSIFICATION a APTJONDO U
NOTICE TO APPLICANT If afte make this Certificate,of ENGINEER- + �NO" CLASS NO DWELL UNITS � - IL
Exemption you should become sublect to the Workers a G.
Compensation provisions of the Labor Code you must forth ADDRESS r SEWER MAP , N
with comply with such provisions or this permit shall be a _ k Cs 7Z
deemed revoked y Y TEL ��,// -v VALIDATION,
CONTRACTOR NO t BK PG
" LICENSED CONTRACTORS DECLARATION VDESCRIPTION
LICI hereby affirm that I am licensed under provisions of Chapter 9 � (�o ) y ! NOVALUATION
(commencing with Section 7000)of Division 3 of the Business and " t LICProfessions Code and my Icense is m full force and effect Q�, CLASS / $NO OF NO OF CHECK
License Number Lc Class STORIES FAMILIES ONE((;; ������ rOF WORK „ NEW
+Contractor, ate tr ADD �I am exempt'under Sec`` O� LTER � FINALB 8P C for This reason ' & ' t TC � REPAIR DATE ! (fes r
w '❑Date t G DEMOL FINAL }
BY
Signature APPLPRINT�r�O_" ` ��! NO
OWNER BUILDER DECLARATION S'�-ZGO
I hereby affirm that I am}exempt from the Contractor s License
Law for the following reason (Section 7031 5 Business and ADDRESS _ # ttF d
Professions Code) a P ENT
BUILDING r a o go 0
�+ I as owner of°the property or my employees with ADDRESS -
wages as their sole compensation will do the work and `
ti the structure is not intended or offered for sale(Section LOCALITY
7044 Business and Professions Code) S MOVING TEL s
❑ a
I as owner of the property am exclusively contracting CONTRACTOR NO
< with"licensed contractors to construct the project (Se{ ADDRESS <
tion 7044 Business and Professions Code) t y
` a REQUIRED TOTAL SETBACK FROM EXIST
CONSTRUCTION LENDING AGENCY } SET BACK YARD HWY PROP LINE WIDTH 8
I hereby affirm that there is a construction lending agency for FRONT
the performance of the work for which this permit is issued P L t° d c
(Sec 3097 Civ C ) i SIDE
m PL
d Q Lender s Name
PC Fee$ Perm,trfee
Lender s Address
I certify that I have read this application and state that the t 'D Issuance Fee
above information is correct 18gree to comply with all County Investigation Fee
g ordinances and State laws relating to building construction Total Fee c %-'' ~' d
IJ s and hereby authorize representatives of this County to enter
upon the above mentioned property for inspection purposes
SEE REVERSE FOR EXPLANATORY LANGUAGE a o
n „
S+ ature of Applicant or Aga I Date
DEPARTMENT OF BUILDINu APl .ICA i avid FUR rr:tcMT
' COUNTY�OF LOS ANG
WM J FOX, CHIEF ENGIALER y
C.t
FOR APPLICANT TO FILL IN, FOR OFFICE USE ONLY
BUILDI1 /(�� �} /8� DISTRI NO PLAN CK NO PERMIT NO
ADDRE69 41 -7 � o r��JB��'�'^�.�+ "".i �` .� � dl o?, �0
LOCALITY ��p:..+^�'�"- �'" R JIVED BY DATE OF APPL �d/(DAATE ISSUED
NEAREST
_
CR099t]'9T
OWNERJ-WA..,�„ /f�„�G� BUILDING ii. I a ,�f I , , _
.--' ADDRESS T ""'L'V'^"�'�"
MAI LE/ LOCALITY
ADORES 9 r1 ) J /
i NEAREST
�N rr. �i� � > CROSS 6T
CITY
FIRE NO OF TYPE GROUP
ARCHITECT OR TEL. ZONE PLANS �.
ENGINEER NO
BLDG ORD NO
ADDRESS
SETBACK LINE
TEL.—---' APPROVED
CONTRACTOR NO BY r /��%1'! 4..r DATE
USE >/ APPROVED
ADDRESS ZONEBY DATE
LEGAL
DE9CRIPT.ON I LOT NO BLOCK y0c) y CORRECTIONS
TRACT ' T :1 '7 o r � O
0 14 -A-
OF LOT 7�'�USE OF "D �/��v� g 1i,. NPOW ON LOT _ 0714—
SIZE
L EXISTING BLDGµ"/ /q rF ^I)F'Y[IuiOi0 OF
[s �I RO M9 "1
YC/ i
DES/CRIPTION OF WORK /
NEW ALTERATION ADDITION .�d
REPAIR MOVING DEMOLISH
GI
9O FT NO OF
SIZE v{L✓ ROOMS BTO IES ll/O W / r/ h' tf / ti f, D
WALL COVERING L I COVERIN t-
i
USE OF NEW _
BUILDING
9q-
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS MATERIALS
AND STATE LAWS RE LATINO BUILDING CONSTRUCTION
FRAME FIRE STOPS,1jrp
SIGNATURE OF ,.y/�/_ BRACING BOLTS (/✓�Q/(J J /` �J /
PERMITTE �'ckcr
r r LATH INT
AUTHORIZED A
LATH EXT
oes 3 60M SETS t .te $ F C PLASTER,INT
FEE ® PLASTER,EXT
VALUATION FEE FI NAL
1
c
COUNTY OF LOS ANGELES TEMPLE CITY # 0-08 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1402100033
PHONE (626) 285 0488 EXT
(LEGAL ID I NO OF CONST NEW I BUTLDING ADDRESS I
ON FILE 1 SQ FT , STORIES TYPE OCCUP GROUPI 5435 BALDWIN AV
STRUUCTURL 0 1 V B R s ''EMP CA 917802625 1
(ASSESSOR INFORMATION NUMBER _ GARAGl- 1 NEAREST CROSS STREET OLIVE
18588 019 023 1 OTHER THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY CAI
ITENANT IEXIST BLDG USE USE ZONE (ISSUED ON PROCESSED BY I
I (EXIST OCC GRP 102/10/14 SR 1
I I i I
(OWNER TEL NO IBLDGS NOW ON LOT VALUATION (FINAL DATF FI BY CODE
YANG CHRIS (626) 378 6222 i 6 000 I ��f' —
6289 BION AVENUE
ISAN GABRIEL CA 91775 FEES PAID IDESCPIPTION OF WORK
1KITCmEN BATHROOM REMODEL AND REPLACE 12 WINDOWS
I _(FEE DESCRIPTION QUANTITY DOM AMOUNT
(APPLICANT TEL NO I
ISUN MAN YAT (626) 354 3886 IAA BLDG PERMIT ISSUANCE 27 80 1
1937 S RAMONA STREET IAB STATE GREEN BLDG FEE 6000 00 VAL 1 00 (SPECIAL CONDITIONS 1
ISAN GABRIEL CA 91776 IAC STRONG MOTION RESID 6000 00 VAL 0 60 1 1
1 IBI PLANCHECK W/ENERGY 6000 00 VAL 139 70
I _IB2 PERMIT W/ENERGY 6000 00 VAL 164 30 1
ICONTRACTOR TEL NO IFS INV WORK W/O PERMIT 344 00 DOL 344 00 (APPROVALS DATE INSPECTOR SIGNATURE
IMAN YAT SUN (626) 780 8728 1 TOTAL FEES 677 40 1 r
1937 S RAMONA STREET LIC NO 1 ILOCATION AND SETBACKS 1 1 1
ISAN GABRIEL CA 91776 689505 1
1 ISOILb 1-NGINEER APPROVAL I 1
(ARCHITECT OR ENGINEER TEL NO 1FOUhD4TION/TRENCH FORMS I I I
1 LIC NO 1 1SLAB/LTNDER FLOOR 1 1
(RAISED FLOOR FRAMING 1 1
I I I I I 1
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I 1UNDER-LOOR INSULATION I
1 3 JCI —1-1
I I 11ST LESEL FLOOR SHEATH 1
INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I
0 NO 21 (INP IEVLL FLOOR SHEATH 1
1 SCHOOL WITHIN HAZARDOUS I (ROOF SHEATHINC 1 1
(AIR QUALITY 1000 FEET MATERIALS i I
NO NO NO (FIRE DEPT FRAME INSPECTI I
I I 1 1-1 1
1 I 1BLDG DEBT FRAME INSPECTI I I
1�
1 1 ISHEAR PANELS I I I
I I I 1 -1 I
1 I (INSULATION/WEATHER STRIPI I I
I I I I
I I (INTERIOR LATH/DRYWALL 1
I I
I IEXTERIOR LATH 1 1
I I I I I I
ILOT DRAINAGE
1 (SMOKE DETECTION DEVICES
(FIRE DEPARTMENT APPROVALI
I I I I I I
I I I I I I
f
IREPORT ID DPR261 ROUTE TO BS0508 1
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