HomeMy Public PortalAbout6262 AVON AVE_Building__ 76A638 CE #803 12/69
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APPLICATION FOR BUILDING PERMIT fJ
COUNTY OF LOS ANGELES ASSESSOR }
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DMSION BUILDING ZP D
JOHN A LAMBIE, COUNTY ENGINEER ADDRESS &2 (�
COLEMAN W JENKINS SUP T OF BUILDING_ LOCALITY
FOR APPLICANT TO FILL IN NEAREST p
Print or tVDe onl CROSS ST 0 tw
BUILDING DISTRI T NO GRO TYPE P CESSED BY
ADDRESS 6262 No Avon o CONST d '
LOT NO
L
Ld( LOCK STATISTICAL CLASSIFICATION SEWER MAP CLASS NO�� +
DWELL UNITS — K PGrGZ
TRACT USE ZONE MAP !
NO OF BLDGS NO
SIZE OF LOT NOW ON LOT SPECIAL
USE OF CONDITIONS
EXISTING BLDG Residence I
Z TEL' a I
OWNER James Barrows NO f BLDG SETBACK FROM
ADDRESS 6262 No. Avon fFRONTPROP LINEOF G (STREET)
TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CITY Temple City, California HIGHWAY WIDTH FROM C L
ARCHITECT OR f TEL ��/ }
ENGINEER NO 5 7
BLDG SETBACK FROM
ADDRESS SIDEPROP LINEOF ' (STREET)
TEL �f a TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CONTRACTOR Rigid Mf Com as O 268-5181 HIGHWAY WIDTH FROM C L
ADDRESS P O ox 6782 rLio 15 496 q } _
LIC C:)U
CITY CLASS CORNER CUTOFF YES ❑ NO ❑
CONSTRUCTION LENDER p
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS c~.
LL
ADDRESS m-
SO FT NO OF NO OF ® Z
NEW
SIZE STORIES FAMILIES
USE OF ADD ❑
STRUCTURE
ALTER ❑
❑
SIGNATURE OF REPAIRI
APPLICANT DEMOL ❑
VALUATION $ 849.00 APPROVALS DATE INSPECTOR 5 SIGNATURE
P C PMTFOUNDATION LOCATION
FEE S FEES 15.00
FORMS MATERIALS
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON GAS VENT DUCTS
STRUCTI ON I CE IFY THAT IN DOING THE WORK AUTHORIZED
HEREBY COWILL O EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT
LABOR CDE F HE STATE OF CALIFORNIA IN ELATING TO
WORKMEN StF�j
NC6 'LATH EXT
SIGNATURE HOUSE NUMBER COR
PERMITTEE J RECT AND POSTED
ADDRESS 337 So. Woods, Los Angeles Ca 1; -FINAL /f 7 7.-l—
JOHN F LEWIS PRINCIPAL STRUCT RAL ENGINEER
PLAN CHECK VALIDATION CK M o CASH
_ PERMIT VALIDATION`SCK o CASH
a
z
�+0 '7 ? � flout 1 0 15 0 0
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DEPARTMENT OF COMM ENGIIIEER BUILDING DIVISION OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J FOX COUNTY ENGINEER APPLICATION
CASSATT D GRIFFIN SUP T OF BUILDING
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING DISTRICT NO PLANCK oR REc No PERMIT NO
ADDRESS 1� D ) 5 9 2
LOCALITY T1Iv C� 1w RECEIVED BY DATE OF APPL DATE ISSUED
J � Q
IST
CROSS ST t7/� D /\/ f�a�v�r
r -, BUILDI G
OWNER D 1MAIL61 (.02-
/, t/�[�001 I ADDRESS � 2 / /B�/V/ {/E
ADDRESS d� tP Z /� N v NEAREST
TEL 'r 'ry / LOCALITY
CITY 1)3/x+ I��.
NO, 1 / �/��1 CROSS ST �OI7 CIO 0#7
ARCHITECT OR TEL FIRE NO OF TYPE -�� I GROUP
ZONE PLANS
ENGINEER NO ��
BLDG rpf
ADDRESS SETBACK LINE �
TEL USE / APPROVED
CONTRACTOR NO ZONE BY DATE
ADDRESS } * HOU7NUMBERING
�/ e
LEGAL 6 BOCK �'1 , MAP NUMBE v NO ASSIGNED BYkN1I✓7"
DESCRIPTION LOT NO
CORRECTIONS
TRACT O
4 6m`y /A/IT I NO OF BL T h
SIZE OF LOT;J USEOFQQ /e�,t c7 '-` NOW ON LOT Fs
EXISTING BLDG 31 N6LP_ DWI-LL I IJle I FAMILIESNO I + r
DESCRIPTION OF WORK o -
NEWI I ALTERATION _I ADDITION
Z
REPAIR �I DEMOLITION r
r
SQ FT NO OF E
SIZE ROOMS STORIES f'
p
COVER NG R� s I COVERING C P SH11vt
USE OF STRUCTURE
}
S46 D o,c 6 Vge PA-r/0 r
A- c,N- n 7z 4 tj
' APPROVALS
INSPECTOR S SIGNATURE DATE
FOUNDATION LOCATION
FORMS MATERIALS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP FRAME FIRE STOPS
PLICATION AND STATE THAT THE IN
GIVEN IS BRACINGBOLTS N
CORRECT
IAGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE LOCATION
AND STATE LAWS EGU TING BUILDING CONSTRUCTION GAS VENT DUCTS
SIGNATURE OF LATH INT
PERMITTE
ADDRESS L*M V LI Q>'J {y-VE LATH EXT
PLASTER INT
AUTHORIZED AGT
PLASTER EXT
$ p d P C ffi HOUSE NUMBER COR_
a O L..�...�.. FEE RECT AND POSTED
VALUATION
L ® `
FEE ffi FINALQ��b
7GA638A DBS H B-BB
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S } A ROAD DEPT Dru4 q;T IS FECUIPCt3 ~
FOR ANS Mr-,Trdl-"L . 10—\_� C-,< \, _.RK
T 1: DONE IN THE ROAD RIGHT OF WAY
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7GA688A CE#8003a sOK APPLICATION ' FOR, BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING J
/ ' L
DEPARTMENT OF COUNTY ENGINEER ADDRESS
B=ING AND SAFETY DMSION LOCALITY
(JOHN A LAMBIE COUNTY ENGINEER CROSS ST 7 r
CASSATT D'`GRIFFIN SUP T OF BUILDING
v DISTRICT NO GROUP PEI PROCESSED BY
FOR APPLICANT TO FILL IN I i CONST
STATISTICAL CLASSIFICATION -S ER MAP
ADDRESS ✓ / �' C� }� s K PG
144-
CLASS NO DWELL UNITS ��
LOj!� BLOCK MAP - STATE
NUMBER HWY YES
TRACT p USE ZONE ' SPECIAL 't t"
r
NO OF SLOGS CONDITIONS s
'SIZE OF LOT22
Q I NOW ON LOT 'S s
USE OF / I f
EXISTING BLDG BUILDING h. EXIST
'41 SETBACK YARD HWY STREET NAME„ ;r WIDTH
OWNER t ,, s FRONT
MAIL o <P Lt r!f
ADDRES LSC.>y SIDE - �� 2
TE { L ° t
CITY N INSPECTION,RECORD
ARCI4ITtCT O TEL r
ENGINEER NO
ADDRESS '
TEL
CONTRAC NO
,
r
ADDR
DESC TI OF W RKt w _ `
NEW ADD ALTER i REPAIR DEMOLISH ft l
SQ--FT -NO OF NO OF
SIZE STORIES FAMILIES' 4 4
3
USE OF
STRUCTURE
4
SIGNATURE OF
APPLICANT -'
,.n APPROVALS 8 DATE INSPECTOR S SIGNATURE
ADDRESS 7/, ,dL FOUNDATION LOCATION 4 1
e FORMS MATERIALS ' a
VALUATION $ 0 O FRAME FIRE STOPS "y Y
lygm BRACING BOLTS J
PC PMT „ (�' FURNACE LOCATION 2
FEE $ I FEE' $ I -G` GAS VENT DUCTS n 0�✓��� /
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 REG LATIN G BUILDI CONSTRUCTION LATH EXT
�. �) HOUSE NUMBER COR
PERMITTE ' t^
SIGNATURE OF s� J ��Ldt i1 RECTAND POSTED
j
ADDRES t -e_ INAL
n CLYDE N DIRLAM PRINCIPAL ST RALFENGINEER
PLAN CHECK VALIDATIO CK m o CASH PERMIT�VALIDATION cK M O CASH
V
1 0'
r + v
T
1
WORKERS COMPENSATION DECLACATION
hereby affirm that I hove a certificate of cort self APPLICATION F O B U I L D I N C P E RM I T
nsure or a certificate ci,.Workers Compenstion Insurance
e or ..�
t certified copy Thereof (Sec 3800 Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY
' cy No CompanyBUILDING
J 1
Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS
VON Ave-
Certified
e-
Certified copy is filed with the county building inspec BUILDING / / T
tion department ADDRESS (Q�wP VOn Ave- LOCALITY GeO
n /7 NEAREST
)ate Applicant CITY tl !. ^ ri*e ZIP / / CROSS ST
CERTIFICATE OF EXEMPTION FROM WORKERS NO OF BLDGS ASSESSOR r
` COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
This section need not be completed if the permit is for one t ` USE ZONE MAP
iTRACT BLOCK LOT NO NOundred dollars ($100)or less ) ti TEL n SPECIAL �
OWNER 1' il!% (S NO� / � �/ CONDITIONS
certify that in the performance of the work for which this - DISTRICT GROUP TYPE FIRE PROC SED BY O
)ermit is issued I shall not employ any person to any manner � Avon V
;o as to become subject to'the Workers Compensation Laws ADDRESS LL ]�]�]Sf CONST Z E f�
-i-�,
)ate Applicant t ( CITY on G14ri / ZIP / / 5 STATISTICAL CLA IFICATION APT CONDO u
VOTICE TO APPLICANT If after making this Certificate of ARCHITECT OR -TEL
UJ
:xemption you should become subject to the Workers
ENGINEER SQ e- NO CLASS N DWELL UNITS
Compensation provisions of the Labor Code you must forth ADDRESS + H
� SEWER MAP Z
,vith comply with such provisions or this permit shall be
jeemed revoked I CONTRACTOR TE BK PG VALIDATION
LICENSED CONTRACTORS DECLARATION
hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO VALUATION QO
(commencing with Section 7000)of Division 3 of the Business and LIC oOX
Professions Code and my license is in full force and effect CITY CLASS d$
SQ FT I J� O OF NO OF CHECK
License Number Lic Class SIZE VVIISTORIES FA IES ONE
,t $
CI NEW t
Contractor Date DESCRIPTION OF WORK b V e-
I am exempt from the licensing requirements as I am a worksLw
ADD
licensed architect or a registered professional engineer ALTER FINAL
acting in my professional capacity (Section 7051 REPAIR DATE
Business and Professions Code) USE OF
EXISTING BLDG DEMOL FINAL
Lic or Reg No Date APPLICA 1 QR15 No By
'OWNER BUILDER DECLARATION (PRINT) 01W4 p p 7,P,�5
I hereby affirm that I am exempt from the Contractor s License N vdH Ay Q SQ4/ r/e s� (�(a 3 A
Law_for the following reason (Section 7031 5 Business and ADDRESS
Professions Code) PRESENT Y _
BUILDING # at* 0 o e 1i
I as owner of the property or my employees with ADDRESS
wages as their sole compensation will do the work and 2 e+�3 O O
the structure is not intended or offered for sale(Section LOCALITY +
7044 Business and Professions Code) = MOVING TEL
❑ 1
CONTRACTOR NO e 00340020:
I as owner of the property am exclusively contracting �
with licensed contractors to construct the project (Sec ADDRESS ` 0 7 2 2—8 1
tion 7044 Business and Professions Code)
REQUIRED TOTAL SETBACK FROM EXIST
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY 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 i
(Sec 3097 CIV C ) s SIDE
PL
Lender s Name
r
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 j _
ordinances and State jaws relating to building construction Total Fee
and hereby authorize representatives of this County to enter s
!upgonthWneclpnoperry for inspectio pur oses y rt y SEE REVERSE FOR EXPLANATORY LANGUAGE
ignature of Applicant or Agent to ( es
r +
BUILDINrOF BUILDING AND SATY APPLICATION FOR PT;RhtFETY OF LOS ANGELE, C
' f
J FOX CHIEF ENGINEER
..�....�
�- ULUG ORO NO DISTRICT NO PLANCK NO [RMIT NO.
'CTOACK LIN[ ��.. �"'�
A-PROVED { 1
r DATE [C Y DATEOF APPL DAT[ SRU[a
T, DAT[
Irl ROVED , '^ ` j- Al/ ,b ! I
_ r� y (�
APPLICANT FILL IN HEAVILY OU'1LINED PORTION ONLY
aUILOIN0
ADDRESS
LOCAL/VY
NEAREST ��t
cRoss ST /
TEL
f
I I
NAME
^lr (� �,elL MAIL
J O AOOR[SP
TEL
�w
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
-- - — APPLICATION AND STATE THAT THE ABOVE IS CORRECT
TEL
r f / r-`3 AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCLS
AND STATE LAWS REGULAjING B fLDING CONST)RVCnOf�l.
1 SIZE OF LOT �� J SIGNATURE OFJ%1
OWNER
NO OF BLDGS �' (+ AUTHORIZED AGT - r
NOW ON LCTT
i + CORRECTIONS
r i�'�,CRIPTION OF WORK
` + t ♦"''.'�.,t�M �4rr .r to�v �` +_.�C 1..i+C~i Yi(r'P .0414 14.04♦ 7444 L- 4-314 tiWr
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+ TYPE GROUP t
f ROOMM9No F _ AMIOF.S
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yl
WALL COVERING [
I I ROOF COVERING
- s c'o P c a 0 C� FINAL APPROVAL t
'36 O 0•.- trER •,
• el Aq INSPECTOR f
v �N FER DATE NAME
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APPROVED ISS' TO ZONING ♦'\
UNDER ORQINENCE 1/a4 N S
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to `
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knATION la Eftm t 7, C' i
,f consent
hon Insu , ArrUCATIO FOR IL S PERMIT
c or or
COUNTY OF LOS ANGELES BUILDING AND SAFETY
BUILDING
FOR APPLICANT TO FILL IN ADDRESS
y building inspec FE
//JJ T
4 � VOi'1 er9Je. LOCALITY
bf I e ZIP l 7�� CROSS NEARESTT a
/ORKERS NO OF BLDGS ASSESSOR
NOW ON LOT MAP BOOK PAGE PARCEL
permit is for one USE ZONE MAP T��j
BLOCK LOT NO NO PC }
l TEL p/� �/ t / SPECIAL 0.
xk for which this r/-`- �S NO Q/� ✓Fo CONDITIONS O
on in any manner l�1� DISTRICT GROUP TYPE FIRE PROC ED BY V
mpensation Laws ADDRESS 6p��//a I�_ A� ,�`v _'� p� CONST , / ZONE wz,�4
CITYSCIn G4rlF J C ZIP j s7 Q 4� //J/ 11
F
STATISTICAL CLASSIFICATION A T CONDO V
ARCHITECT OR�/���' ((`� TEL /� �[rny) W
this Certificate of ENGINEER Amn k �gN �1C c�Y(V90'0 ']� /7 / CLASS NO DWELL UNITS d
to the Workers J }_ jQ in
you must forth ADDRESS 51 1- 0.14,I'll.6il V- C� w-4 I( \ SEWER MAP a
permit shall be /y�
TEL
CONTRACTOR O 011 er NO BK A PG 6.2 VALIDATION
ATION LIC +�
tsio of Chapter ADDRESS NO VALUATION 4 )
of AJL-
thee Business andd LIC
orce and effect CITY CLASS $ PdC1
SQ FT o NO OF NO OF CHECK
ass SIZE 3STORIES IFAMILIES / ` ONE 1
DESCRIPTION OF WORK
4 10 .�I- NEW ❑ $
irements as I am a p r ADD
S� R
P �ts,�... �mI c�vr '
essional engineer - I ALTER ❑ FINAL
y (Section 7051 1 REPAIR ❑ DATE
USE OF
EXISTING BLDG e5 C� DEMOL ❑ FINAL
_
By
TEL y
)N (PRINT) Q C7f-� C_,C)P 1r,%5 NO
/t
//--nn
on}ras License
Business
1 5 Business and ADDRESS WrX� 1kn 1)z Stn
PRESENT7 - 052311
BUILDING
V employees with ADDRESS Z �j
Ill do the work and ,Z�3� At o e o • •
d for sale(Section LOCALITY / •
MOVING TEL 7���� 2 8 6 0 C
.isively contracting CONTRACTOR NO
t the project (Sec (� o ° 2 �z r' c
--ode) ADDRESS J
ENCY RETQBACD YARD HWY TOTAL PROP SETBACK FOM EXIWST IDTH 0 ' 2 S+ P 1
ending agency for FRONT �`�R°/, /J,/!!
is permit is issued P L (I/ f L/(•'(i
SIDE
PL
1 /
P C Fee$ Permit Fe,,�/
and state that the Issuance Fee
oly with all County Investigation Fee
ding construction Total Fel--12 � V
is County to enter
pection purposes
7 If' / SEE REVERSE FOR EXPLANATORY LANGUAGE
Date Os
1