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HomeMy Public PortalAbout5464 BALDWIN AVE_Building__ (2)r i DTVI-9IrDN OF BUILDING AND SAFETY M ' L ® IG Department of County Engineer County of Los Angeles WM. J. FOX, COUNTY ENGINEER APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DIBTRIC.T NIL P AN CK. OR REC.NO. y PERMIT NO. ADDRESS ( (� G'. l_rC'Y' /e.JiP ,°i-'`'�'t.'�", ,; �•..i `�,_. �••� €-"r � "' .,�` i RECEIVED BY DATE OC F APPL. 'AT.EfiIBSUED LOCALITY,,..`O: NEAREST f:, CROSS ST. ' BUILDING ADDRESS OWNER LOCALITY MAIL ADDRESS NEAREST CROSS ST. TEL. GRQIJP CITY F •`•* : �r .'t� i NO. FIRE NO.OF TYPE'�""�—R -- ZONE - PLANB ARCHITECT OR TEL ENGINEER NO. BLDG. 7 ,� .� ORD. NO. BET19ACK LINE � �a� � ADDRESS e • UBE APPROVED ZONE BY DATE CONTRACTOF HOUSE NUMBERING ,a r MAP NUMBER NO. ASSIGNED BY LEGAL i CORRECTIONS DESCRIPTION LOT NO. ? BLOCK .r TRACT i ,t,!� ` '•� 7 NO. OF SLOGS. BIZE OF LOTI NOW ON LOT USE OF NO. OF EXISTING BLDG. FAMILIER DESCRIPTION OF WORD z° NEW ALTERATION ADDITION Z D REPAIR DEMOLITION r 91ZE n,r'Fy ROOMS ,/J STORIES i EXT.WALL I ROOF COVERING COVER]NO_1 USE OF STRUCTURE INSPECTION FOR APPROVALS OCCUPANCYAB I NSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION f FORMS, MATERIALS ay -• ;_- �p-.'�,-�- I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- v PLICATION AND STATE THAT THE INGIVEN IS FRAME: FIREBTOPB, CORRECT. BRACING, BOLTS 1-U-11114-1— f:.,_... . _ I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES ACE: LOCATION, t AND STATE LAWS REGFURNACE:REGULATING BUILDING CONSTRUCTION. GRN VENT,DUCTS `7 / BIGNATURE OF �t .I_�_ f LATH, INT. 2 a PERMITTEE �� - i5 ", -- __ LATH, EXT. ADDRESS �—�-- �� PLASTER, INT. AUTHORIZED ADT. /,,�,• PLASTER, EXT.P. s� FEE IP HOUSE NUMBER COR- s�"1 RECT AND POSTED VALUATION (�� FEE (i>'•'.'r =~ FINAL 76A639A DBS 3 1-52 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES BUILDING WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY �,ZDISTRICT NO. PLANCK.NO. PERMIT NO. BUILDING ADDRESS Tli&bn. .A venue �� LOCALITY Los II1geles Col itv RECggg IVFD BY DATE OFAPPL. DATEISSUED 11A1CROS.BT. `�f' Oak- f§, i6?Yllil9 y �h BUILDING T �� . n ADDRESS �CC- �f �,L.��• �'P l 6:L,t• OWNER uncle Finance & �ev_lopment U'orpo ADDRESS S0° B£'.v6'I`1,j1' DriveMAIL LOCALITY NEAREST TEL �-+ II 1 CROSS ST. CITY RC?�PP.x' ZP Hills. C 11-f rtNO.C.R gaL;d.1. � ARCHITECT OR, TEL. ZONE PLANS FIRE NO.OF TYPE ` GROUP - ARCHITECT i g�. as above NO. ((JJ /y � r `.f BLDG. ADDRESS SETBACK LINE-,M /ll�I C! OR� t / APPROVED CONTRACTOR wc'LTli6 P-s above NO. BY % ,DATE USEED ZONE BYPROV �f/ ADDRESS /! /' „�` DATE LEGAL.DESCRIPTION LOT NO. l BLOCK CORRECTIONS TRACT 16957 NO.OF BLOB SIZE OF LOT 68xic)5 I NOW ON LOTS none USE OF NO.OFNO.OF - EXISTING BLDG. FAMILIES I ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION p A REPAIR MOVING DEMOLISH 0 SQ.FT. NO.OF Z ch SIZE 12ROOMS 6 STORIES l r WALL ROOF COVERING c c o COVERIPIG 1'f00d Shing- USE OF NEW UILDING t��ellingCy and detached g a-ra e B Plan ll1-A �® 7 7c ) 4169 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS/ APPLICATION AND STATE THAT THE ABOVE IS CORRECT INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION {� FORMS.MATERIALS /. .7 j//,,_- AND STATE AWS REGULATING BUILDING CONSTRUCTION. / 1 ; FRAME: FIRES OPS, V ✓ - - �' SIGNATURE OF xade v�lp ni;1y',• BRACING,BOLTS - �'a ars �: .. �i �,. . PERMITTE '` ^ '= LATH, INT. AUTHORIZED AG`Sv� a�•y / : �,r,; / f?If J, _? ,,h =g /�' �/•,. ,44-% fin-1T W.4 ArInTrism - LATH, EXT. (,onst; Mgr l 76A63BA-3 7-49 ° , ® / p,p, �-7 PLASTER, INT. FEE 7 4.. PLASTER, EXT. r VALUATION .1f �•� FINAL ON FEE ©S 76A638A -CE#&:;(RE^V.6/78) — APPLICATION FOR BUILDING PIE RM IT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL.IN ADIDRESS E XML ..fc . a BUILDING ADDRESS ti LOCALITY NEAREST ' CITY � ZIP CROSSST. NO.OF BLDGS. ASSESSOR SIZE OF LOT J�XI�`-�7 NOW ON LOT MAP BOOK PAGE PARCEL _ DISTRICT IGROUP TYPE FIRE CESSED BY TRACT ���� BLOCK LOT NO. -'^ I L^ CON5T� TEL. C�LCL ULA ,llJ �- //� tiaLsLcT i OWNER l�{ vl �f Z L'{ NO.4/ STATISTICAL CLASSIFICATION SEWER MA ADDRESS CLASS NO. / DWELL.UNITS BK PG CITY ZIP ARCHITECT OR TEL.. VALUATION $ ENGINEER NO. ADDRESS BLDG.SETBACK FROM TEL. FRONT PROP.LINE OF (STREET) CONTRACTOR a NO. TOTAL SETBACK FROM TYPE OF EXISTING r� ^3}r� LIC. HIGHWAY .+_YARD = FRONT PROP.LINE HIGHWAY WIDTH ADDRESS CL d, c C� ✓�C�tF NO.3*1 /1 k. LIC. + CITY W e L,Vt.)� AJD� .)- CLASS BLDG.SETBACK FROM CONSTRUCTION LENDER NAME AND BRANCH SIDE PROP.LINE OF )STREET) HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS j CITY SIDE PROP.LINE HIGHWAY WIDTH SO.EFT. V STORIES P INOAMIOLIES CHECK + ONE DESCRIPTION OF WORK NEW ❑ P.C. Fee$ Permit Fee O ��� U ear ADD ❑ Issuance Fee � ALTER ❑ Z REPAIR ❑ Total Fee � USE OF DEMOL EXISTING BLDG. J El APPLICANT E [� TEL ~- (PRINT) !w ®~�k 7 ��j O. �� G ^+ J BY(SIGNATURE) IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS A L A 1 ND STATE. Y THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY W ALL INANCES Vee AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE _ WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF V 2 5&9 A THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM. Z PENSATION INSURANCE. g 9L # 0 0 0 0 0 1 SIGNATURE OF 2 - 1 6 0, 0 0 PERMITTEE ADDRESS a QL «. Z 0 0 1 60. 00c') TEL 1 O CITY V��+ � `�/✓�Crl NO,3 1 / 0 .02.05-79 USE ZONE MAP NO. c. SPECIAL CONDITIONS' i / es BY / FINAL a DATE _ f WORKERS'COMPENSATION DECLARATIONr- e f � y insureboraacertifcatteofWorkes'tCompenatoneInsurane, APPLICATION FOR BUILDING PERMIT or a certified copy thereof (Sec. 3800, Lab:C.) COUNTY OF LOS ANGELES. BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished.. FOR APPLICANT TO FILL IN ADDBUILREING SS 0 Certified copy is filed with the county building inspec- BUILDING q` 1 s,� /� V tion department. ADDRESS -1 �s=�/ rY 77�f��i.41d� (,� LOCALITY NEAREST t Date Applicant CITY F C ZIP CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. ,s ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT d MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP C hundred dollars ($100)or less.) TRACT BLOCK LOT NO. NO. ® d -� TEL. �d�Jf SPIV ECIAL OWNER �v NO. r Y 43 S CONDITIONS I certify that in the performance of the work for which This 's permit is issued, I shall not employ any person in any manner ,✓ DISTRICT .GROUP TYPE FIRE PR ESSED BY so as to become subject to the Work s'Com ensation La ADDRESS CONST. ZONE, f,Xr, r 1 ate pplicant CITY ZIP STATISTICAL CLASSIFICATION APT. ICONDO. NOTICE TO APPLICANT: If, aft akin is ertificate of ARCHITECT OR TEL. 8.0 ENGINEER NO. CLASS NO. DWELL. UNITS E8 Exemption, you should b o e su ct, to the Workers' eL Compensation provisions a La r Code, you must forth- ADDRESS SEWER MAP with comply with such .visions or this permit shall be deemed revoked. . TEL., BK PG VALIDATION CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION LIC. ;i I hereby affirm that I am licensed"under provisions of Chapter 9 ADDRESS C NO. VALUATION (commencing with Section 7000)of Division 3 of The Business and LIC. Professions Code, and my License is in-full force and effect. CITY CLASS $ sQ Ptd SQ. FT. NO.OF NO.OF CHECK License Number Lic.Class SIZE ISTORIES FAMILIES ONE Contractor Date DESCRIPTION OF WORK NEW $ , ADD I am exempt under Sec.- Q ALTER EJ FINAL B.&P.C. for this reason [EllDATE REPAIR Date: USE OF DEMOL Q FINA EXISTING BLDG. BY Signature APPLICANT TEL. OWNER-BUILDER DECLARATION PRINT NO. I hereby affirm that I am exempt from the Contractor's License Poo.Law for the following reason (Section 7031.5, Business and ADDRESS Professions Code): PRESENT ) L Q y O A BUILDING I, as owner of the property, oCmy employees with ADDRESS wages as their sole compensation,will do the work and ,r•o'.0 o 0 0 the structure is not intended or offered for sale(Section LOCALITY J 7044, Business and Professions Code). MOVING TEL, f ❑ CONTRACTOR NO. I I, as owner of the property, am exclusively contracting '2+�i� � 8:� with licensed contractors to construct the project (Sec- ADDRESS "'� o'? q, 0 077 tion 7044, Business and Professions Code). REQUIRED YARD HWY TOTAL SETBACK FROM EXIST. Q 5 0 2'_R.(4 CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE 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. (Sec. 3097, Civ.C.). SIDE P.L. v Lender's Name Lender's Address P.C. Fee$ Permit Fee " I certify that I have read this application and state that the Issuance Fee above information is correct. I agree to comply with.all County Investigation Fee $ ordinances and State laws relating to building construction, Total Fee �o u and eby authorize representatives of this County to enter m upo - eabove-mentioned pr e o inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE SiAgnat, plicant or Agent Date Os