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HomeMy Public PortalAbout5424 ARDEN DR_Building__ 78A888A`CE#8092/80 APPLICATION FOR BUILDING PERMIT Z COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST _ WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. DIST iCT 1,LQ GROUP TYPE Y FOR APPLICANT TO FILL IN T- CONST. BUILDING r STATISTICAL CL SIFICATION I SEWER MAP B K P ADDRESS14- --�' CLASS. NO. DWELL.UNITS LOT NO. � � y}�c Ya E' BLOCK MAP �r STATE NUMBER 002 C HWY. YES O TRACT USEZONE SPECIAL NO.OF BLDGS. CONDITIONS SIZE OF LOT NOW ON LOT A—/ USE OF EXISTING BLDG. .5, a'(%�.aG.�— BUILDINGEXIST. TEL. SETBACK YARD H Y ST' ET NAME WIDTH OWNER @'.' [ NO. FRONT + S r ADDRESS ��''7H GI v � lwt t SIDE ARCHITECT OR TEL. P.L. ENGINEER NO. - INSPECTION RECORD ADDRESS TEL. QI CONTRACTOR NO. O ADDRESS V DESCRIPTION OF WORK O9 H //' NEW ( ADDS ALTER REPAIR DEMOLISH W SIZE T STORIES FAMII IES En a USE OF STRUCTURE SIGNATURE OF APPLICANT VALUATION$ APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE $ FEE. $ FORMS, MATERIALS _ EREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS, PCATION AND STATE THAT THE ABOVE IS CORRECT AND BRACING, BOLTS FURNACE: LOCATION, AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT,DUCTS STATE LAWS REGULATING BUILDING CONSTRUCTION. — 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED 1 LATH, INT. WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE WORKMEN'S COMPENSATION LAWS OORN+4. LATH,EXT. SIGNATURE OF r HOUSE NUMBER COR- PERMITTEEL'� cY lL:'� RECT AND POSTED ADDRESS INAL CLYDE N. DIRLAM, PRINCIPAL ST76CTUqAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION(_::'.'144.o. CASH J ®! DEP$RTMENT CZ��UN1DING AND SAFETYi APPLICATION FOR PERMIT COUNTY OF LOS ANGELES tJ � WM. J. FOX, CHIEF ENGINEER r%7^7 6 j;j�lf 1 Y C 7 FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY . A DISTR�I(CT NO. �PLAN K. NO. /PERMIT NO. BUILDNG ADDRESS e, !-7 ,..'Y l'�' / A Rim ti+ LOCALITY 91), & ��V� RECEIVED BY DATE OFF ApPPLL. DATEISSUED NEAREST CROSS ST. -_ 1J/# BUILDING / ;�, / J ' ADDRESS � �/��� OWNER po" ',� _ '• P MAIL liA LOCALITY 4 . �/ ADDRESS' QS tn �fva��{�' .0 NEAREST , „ TELQ71j, CROSS ST. NO. INO. OF I TYPE GROUP IGROUPCITYjd + ARCHITECT OR TEL, ZONE PLANS ENGINEER NO. BLDG. /� � ORD.NO., SETBACK LINE `�e'�- ADDRESS APPROVED TEL. BY DATE CONTRACTOR �/ 'r" �9�. •,1f r,X,NO.. ZUSE ONE / APPROVEDBY DATE ADDRESS - HOUSE NUMBERING LEGAL/ DESCRIPTION I LOT NO.P—_IJ I BLOCK ,,MAP NUMBER�d ;FIELD CHECK BY TRACT NO. ASSIGNED BY_2k GATE ® NO. OF BLDGS. CORRECTIONS SIZE OF LOT - I NOW ON LOT USE OF NO. OF FJCISTING BLDG. I FAMILIES e�'L 15;54.7 T Ve�p - DESCRIPTION OF WORK 11J NEW I I ALTERATION I I ADDITION REPAIR I I DEMOLITION SQ. NO. OF ,•may / 6) SIZEFT. ROOMS STORIES �L �- COG1� V nlL� �� EXT. WALL ,�— ROOF..- r' COVERING cam- I COVE RI_N_6 � J�G G�5, �/' W l 04 Q-0W S I L L-S pcb°Ils�ly R USE OF STRUCTU „ APPROVALS INSPECTOR'S SIGNATURE DATE I HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN IS • FORMS, MATERIALS CORRECT. — I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, HERRON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS f t- 'j�esiiv LAWS REGULATING UILDING CONSTRUCTION? A FURNACE: LOCATION, SIGNATURE OF GAS VENT, DUCTS PERMITTED LATH. INT. ADDRESS,� � .Pn��lI r� i✓t t-.-v.LGd�% _ LATH, EXT. r� / AUTHORIZED AGT. PLASTER, INT. 7GA575A, DBfI 10-50 P. C. >8 - ® O`;' ®n FEE �/ F3 0 PLASTER, EXT. VALUATION / FEE $9161 A FINAL I A ROAD DPT PERMIT IS RE FOR-ANY M.H;7-,;;AL SI OPAGE O, WORK p DQNE IN THE ROAD RIGHT OF WAY. 78A88BACE#8098-89 APPLICATION FOR. -BUILDING PERMIT 'COUNTY OF LOS ANGELES- BUILDING DEPARTMENT.OF COUNTY -ENGINEER A°DREss BUILDING AND SAFETY DIVISION LOCALITY Aki C✓� JOHN A. LAMBIE, COUNTY ENGINEER NEAREST' -- CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST.. AIWA.T - DISTRICT NO. U -HYPE ,:rte• PRO S BY FDRE OR APP CANT TO FILL IN ti� �. !CONST.`3 ' e IN1G�, ? STATISTICAL CLASSIFICATION - SEWER'MAP ADORES - �.I•� - ;.�„�,. B) PG . CLASS.NO. DWELL-.UNITS O..: �J 1'J �� QI�I �p� BLOCK MAP NUMBER y HW YE -YES NO�' - TRACT - USE ZONE SPECIALNO.OF SLOGS. d NDITIONSF..LOTZ � I NOW ON-LOT FNG BLDG. R..' 'Q�� Ce �/ BUILDING YARD HWY -STREET NAME � EXIST..��aaSETBACK WIDTH R MAIL - r 2a 2 Af- FRONT .. vfMA ISS�.7. jayy --- P.L. V rSIDE TEL. P.L. dti.. ¢., cNO. INSPECTION- RECORDTECT OR TEL.EER NO. tasm A DRESS TEL ftpA_ w9v Z-1-12 A1#4 L L ADDRESS C4 J— .o. DESCRIPTION OF WORK �- - 3M L NEWS ADD ALTER REPAIR DEMOLISH SQ..FT. NO. OF NO. OF. ZE USE O� //5�S7� STORIES FAMILIES 71.1401 •L�� B / STRUCTURE SIGNATURE APPLICA - � ��j/'� �,�1 APPROVALS -DATE INSPECTOR'S SIGNATURE ADDRESS ]�"' is l�s F'ORDATION: LOCATION CA ION A VALUATION $ �C: I• FRAME'FIRE STOPS;- _,n K3`` BRACING, BOLTS - ?9 7i'"'- P.C. PMT. � FURNACE: LOCATION, - �` ,)•�'` FEE $- I FEE $ I- GAS VENT, DUCTS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH, INT. U•i�d - PLICATION AND STATE THAT THE ABOVE IS CORRECT AND -� AGREE TO COMPLY Y91TH ALL CO RDIN NCES AND STATE L EATING DING - TRUCT' N. - LATH,EXT. SIGNATUR HOUSE NUMBER COR- .. - PERMITT RECT AND POSTED ADDRESS FINAL CLYDE N. DIRLAM, PRINCIPAL STRU RAL ENGINEER PLAN CHECK VALIDATIO CK. M.o. CASH PERMIT VALIDATION UK M,O. CASH. u APPLICATION FOR ' 3U1LD.ING PERMIT' BUILDING FOR APPLICANT TO FILL IN ADDRESS BUILDING ADDRESS �} LOCALITY N EA R EST CITY ZIP 6?LI CROSS SL NO.OF BLOGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP P FIRE PRO SED BY TRAC BLOCK LOT NO: �� p , ) ST.Ct Z E EL. GGG•ttt/// OWNER STATISTICAL CLASSIFICATIONSEWER MAP Mol o f �• CLASS NO. ` D DWELL.UNITS ^+ BK -/G CITY ZIP USE ZONE MAP ARCHITECT OR TEL. NO. � O O ENGINEER NO. SPECIAL CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO❑ TEL. CONTRACTOR' NO, BLDG.SETBACK FROM LIC., FRONT PROP.LINE OF (STREET) ADDRESS NO, NOTAL SETBACK FROM TYPE01- EXISTING HIGHWAY + YARD = LIC. FRONT PROP,LINE HI AY WIDTH CITY CLASS CONSTRUCTION LENDER + a NAME AND BRANCHO BLDG.SETBACK FROM' U ADDRESS CIT..Y SIDE PROP.LINEOF. (STREET) SQ.FT. . NO.OF NO.OF CHECK HIGHWAY + YARD = TO AL SETBACK FROM TYPE OF EXISTING V SIZE STORIES FAMILIES ONE ROP.LINE HIGHWAY WIDTH 1:1 + = Z DESCRIPTION OF WORK og NEW ADD ❑ CORNER CUTOFF YES ❑ NO ❑ 4 ALTER ❑ IN OPEN SPACE YES ❑ NO RR ❑ USE OF IT N DEMOL ❑ IN COASTAL PERME YES ❑ NO ❑ EXISTING BLDG. APPLICANT TEL2 -,,lo lo `7 (PRINT) NO. L/x ��"`/7�'�,B'U�� ! —177 7 i��eO�-- BY(SIGNATURE( •-I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE - THAT THE ABOVE IS.CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES. -- AND LAWS REGULATING BUILDING CONSTRUCTION,I CERTIFY THAT IN.DOING THE WORK AUTHORIZED HEREBY I WILL NOT'EMPLOY ANY PERSON IN VIOLATION OF - THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM_ , PENSATION INSURANCE. - SIGNATURE OE / FINAL BY LADDRESS DATE' -TEL. P.C.Fee$ PermitFee N . Issuance Fee o ( Fee / PLAN CHECK VALIDATION cK: M.O. CP.SH PERMIT VALIDAT O CK. M.O. CASH • .. , :. Acv 9 $ 21-JJi. ©S 76A636B CE#6038 6/76 w' DIVISION OF BUILDING AND SAFETY B glueI I Depart4nent of County Engineer County of Los Angeles :WM. J. FOX, COUNTY ENGINEER APPLICATION ilmama 11111 FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILD � ((� -Dll ND. PLAN CK. OR RED.NO. P RMIT NO. ADDR ISS J/-/,�A' f i •OEIV D BY DATE OF APPL DATE ISSUED LOCALITY2-0 AREsir ROS.ST.--_ L �.)L_✓ BUILDING /ppb// � /sem ADDRESS Z. MAILOWNER id. ! tel. V t< 4,'t/. LOCALITY LA 1;?, ; ADDRESS E� jj Qd°%! t+�,/ F'+�,. ,f NXAREBT /'•� / l �,vr+ �:)'1 / 1. .TEL,�-,.��/c�Q tJ CROSS ST. CITY �I .t�-%L'1 4111- � !." � NO. i,�L,V r�L � c3 f FIREND.OF TYPGRDUP— ARCHITECT OR .-.r TEL ZONE , PLANS ENI3INEER NO. BLDG. SETBACK LINE L.J ADDRESS UBE /J l APPROVED lA xy TEL. ZONE ld—/ BY DATE CONTRACTOR /�" Hn ��, n �,NO, d HOUSE NUMBERING ADDRESS ��<�r• LL ,� Z,,,- <^,�D ,Z,. !;� MAP NUMBER NO. ASSIGNED BY LEDAL ,CORRECTIONS DESCRIPTION LOT NO. BLOCK TRACT 4Mr 9 j 01C,�,wDA Vc 6re A-S e SIZE OF LOT/1)\eJY J/4— I NO..OF SLOGS. ate. NOW ON LOT o USE OF l ' gyp/�r/��J A NO. OF f EXISTING BLDG. �?i.� LCt,i',.0, ,'l FAMILI6B tr. - _ DESCRIPTION OF`WORK A NEW � ALTERATION ADDITION /\; D _ r REPAIR DEMOLITION ! . NO.OF 91ZEFTC`/ ROOMS I-XI'L�STORIES ,� L EXT.WALL 11 / ( ROOF COVERING sj".;/o� ,pIIOVERIN0Jd.n.:-.l ct USE OF STcRUU..CTU�RE.�... '.A �,f. � d INSPECTION FOR APPROVALS OCCUPANCY AS I N PEOtORISsiGNATURE DATE FOUNDATION: L13CATION - it F=MS, MATERIALS ` I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- PLICATION AND STATE THAT THE IN OWEN 19 FRAME: FIRESTOPB, CORRECT. BRACING, BOLTS 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE:,LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT,DUCTS l SIGNATURE OF !'��' Y/ � iLATH, INT. PERMITTEE ADDRESS / LATH: EXT. V may' t f rP. PLASTER, INT. AUTHORIZED AG4 A PLASTER, EXT. FEES �� ..�/' HDUSE NUMBER CCR- o`/`_r`J RECT AND POSTED VALUATION FEE 2 FINAL 7GA636A DES 3 I-S2 T WORKERS''COMPENSATION DECLARATION -" I hereby affirm that I.haver certCom a"of consent.to self A P P�I CAT I O N FOR'. BUILD I N'G P E RM1 T nsure, or a certificate of Workers' Compensation Insurance, or'p certified copy'fhereof (Sec. 3800, L`ab. C:) —_._.._ tiitid COUNTY OF LOS ANGELES BUILDINr;-AND SAFETY Policy No. 6 347 8�mpanState F y •' _ j q❑' Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS BUILDING �ia ® Certified copy is filed with the county'building inspec-- BUILDING tion department: ADDRESS 5424 Arden St. , Tenp1e Cit Dcite 1/26/88. Appiic6nt Cedar: ROOfS'.CO. CITY. TgWle City ZIP 91780 LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' I NO: OF•BLDGS.- _ - — NEAREST- COMPENSATIONINSURANCEr SIZE OF LOT NOW ON LOT CROSS ST. (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 ". -r_:_ ,. TEL. USE P I certify that in the performance of the work for which this OWNER NO: Np ; - - U Z E 'permit is issued, I shall not employ any person in any manner 'IL -/- -SPECIAL- so SPECIAL so as,to.becorrie subject-to the Workers'Compensation Laws. ADDRESS- CONDITIONS � `; • - • •' -. --- - CITY __ �ZIP //�/ _ _.._ _. -•- - - ..:_ Date Applicant ARCHITECT OR TELA NOTICE TO APPLICANT: If, after making this Certificate of DISTRICT_ GR UP TYPES- FIRE•- PROC SEDBY._ ENGINEER NO. Exemption, you `shou•Icl !9i;cortie subject to the Workers' CON T. Z J�E Compensation provisions of the-Labor'Code, "you must forth- ADDRESS \ -" -- •- _, 9116 with;comply,with' such provisions or-this permit shall be TE r1A deemed revoked.• L" STATISTICAL CLASSIFICATION APT. C NDO. CONTRACTOR Cedar ROOfS CO. NO. 284-7167 , r LICENSED CONTRACTORS DECLARATION R LIC. - CLASS NO. ` DWELL. UNITS I.hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS P.O. BOX $7 NO. (commencing with Section 7000)6f Division 3'of the Business and _ -LIC:- 157613 SEWER MAP Professions Code, and m license is it full force and'effect. CITY Alhambra" 91802 CLASS C-39'^ - Y„ VALIDATION BK. PG SQ.-FT. NO,OF. NO. OF CHECK 157613 ',' , & 39 sIZE STORIES FAMILIES ONE License Number Lic.Class • ' - :: . . . _ VALUATION- `edar,1�00fS•'CO.' -1/26/88 DESCRIPTION OF WORK 'ReS'e & att; Ca . _❑ Contractor Date _. ADD ❑ a 1986.00 '- lam exempt under Sec. _ _ • ALTER ❑ B.BP.C. for this reason' -. REPAIR. Date: ... USE OF DEMOL EXISTING BLDG. reSldenCe ❑ Signature - APPLICANT NT) Cedar RO)fS CO. TEL 284-7167 FINAL OWNER-BUILDER DECLARATION _2 DATE M c -I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section Section 7031.5, Business and ADDRESS FI t 8 8'&"5 A • Professions Code): - PRESENT •-_ ' BUILDING # o 0 I, as owner of the property, or my employees with ADDRESS _ wages as theirsole compensation,will do the work and the structure is not intended or offered for sale(SectionLOCALITY o 0 7044,-Busioess and Professions Code). MOVING' `"` "" TEL""' - ' _ e o.0 8 92 6 35 I, as-owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS 7-8 8 tion 7044, Business.and Professions Code). r REQUIRED YARD HWY TOTAL.SETBACK FROM -. -_ XIST... _. CONSTRUCTIONIENDING AGENCY SET BACK PROP. LINE WIDTH. I hereby affirm that there is a construction lending agency for FRONT the-performance of the war k"for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE 7t7 7 P.L. O Lender's Name LDMA Ref. #. . Lender's Address P.C. Fee$ Permit-Feb I certify that I have.read this application and state that the Issuance Feee' ( CDMA P/C# a above information is correct. I agree to comply with all County Investigation Fee I o ordinances and State laws relating to building construction, ' and hereby�Lihorize representatives of this County to enter Total Fee LDMA-Perm. # upon the above,; entione,4 property for inspection purposes. a SEE REVERSE FOR EXPLANATORY LANGUAGE G� - Signature of pplicant or Agent -- - Dat