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HomeMy Public PortalAbout5307 BALDWIN AVE_Building__ ©S 7 9A s (REV(§7/78) 4 ' :APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING --30 -7 �-3 ADDRESS U 7 `77 LDING ADDRESS �P 7 �Ql'!!�/�/J(/�. LOCALITY t NEAREST CITY ZIP CROSSST ~7C�nM O OF BLDGS ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE OCE ED BY TRACT & y BLOCK LOT NO J 3 0 8 �Q CONST � Z(y lE OWNER i" Gf 0l/ 0 _I STATISTICAL CLASSIFI ATION WER MAP ADDRESS O 7 �'U�'v CLASS NO `A- DWELL UNITS BK PG CITY TC ZIP _ ARCHITECT OR TEL VALUATION $ ENGINEER NO i ADDRESS BLDG SETBACK FROM TELFRONT PROP LINE OF (STREET) CONTRACTOR '/� T Eli.q 77�0�- HIGHWAY + YARD - TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS7/O .sU.✓.v FRONT PROP LINE HIGHWAY WIDTH Q / + - CIT I� � B�/�/ CLASS BLDG SETBACK FROM CONSTRUCTION LENDER NAME AND BRANCH SIDE PROP LINE OF (STREET( HIGHWAY + YARD = TOTAL SETBACK FROM I TYPE Of 1EXISTING ADDRESS CITY SIDE PROP LINE IHIGHWAYI WIDTH O SO FT NO OF NO OF CHECK + = V SIZE STORIES FAMILIES ONE J a I ag DESCRIPTION OF WORK NEW ❑ PC Fee$ Permit Fee / �� 9 .4/4w eA,- `O-I A,' ADD ❑ Issuance Fee � N ALTER [Ell USE REPAIR El Total Fee ° ❑ EXISTING BLDG ��// DEMOL APPTEL IPRNTI�� WV14F NPP-71 �7 .tea-y - -7 c/ 0 BY(SIGNATURE) Q 1 � IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE t{x,,� THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES t �L AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY IWILL NOT EMPLOY ANY PERSON IN VIOLATION OF V THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM V g4 9 0 9 A PENSATION INSURANCE d 0 a 0 0 0 1 SIGNATURE OF 1�0% PERMITTEE !J2 I u 1 G ADDRESS �GL 6 ✓ , 0 O CITYSQ /_ N�k7� Q o o 5d U USE MO O f CfJ a 0613-79- 7� CIAL r CONDITIONS FE FINABY u°Ci DATE L t reasasaDBS aaeAPPLICATION FOR BUILDING PERMIT 1 DIVISION OF BUILDING AND SAFETY ADD ESS �J~ f ri Deportment of County Engmeer County of Loa Angeles LOCALITY �� w WM J FOX COUNTY ENGINEER NEAREST �- CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST DISTRICT O GROU�I TYPE SEWER MAP FOR APPLICANT TO FILL IN CONST 171 a" BUILDING �t1 I/ MAP tSTATE r ADDRESS ,x'36 7 i _DMV iN AVF- NUMBER om` ( HWY LOT NO BLOCK USE rrZONE SPECIAL CONDITIONS TRACT / 7 5Z5 50, 7 �i O OF NBLDGS SIZE OF LOT /�f NOW ON LOT / BUILDING YARD HWY STREET NAME EXIST SETBACK WIDTH USEEX OING BLDG S� �� G FRONT STL OWNER AX,, SIDE P L MAIL O'7 / ) 41,1 /� ADDRESS (J `L1 1/U O TRACT DWELL I UNIT //�� n�f� 5 INDUSTRIAL CITY /V� l.1/ TE - �,� I DWELL I UNIT g PUBLIC BLDG ARCHITECT OR TEL 2 DUPLEX 1 UNIT 7 ADDN ALT ETC ENGINEER NO 3 APT UNITS 8 MISCEL ADDRESS 4 COMMERCIAL Q 4 e 40 INSPECTION RECORD CONTRACTOR �� No ADDRESS /_'41 1, / ).- DESCRIPTION OF WORK V NEW AD ALTER REPAIR DEMOLISH e SQ FT / O NO OF NO OF SIZE 6 STORIES FAMILIES ' /✓ i USE OF UGTURE �1 r"� , I' `'N -- C [ice f � SIGNATURE OF A /V !. _ J�f��` -I[i[/ �l PPROVALS / APPLICANT n,/ /�A '/ ADDRESS I� �1�/ V �� IV, DATE INSPECTOR SSIGNATURE FOUNDAAON LOCATION /��17 P C $ FORMS MATERIALS !/ I �J FEE FRAME FIRE STOPS or ." BRACING BOLTS VALUATION FEE r� FURNACE LOCATION I HEREBY ACKNOWLEDGE THAT 1 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 B/;UII�L/DDIING CONST_RUC TION ri!:/C�ll !.[iiRr/ /t1,// TH EXT SIGNATURE OF HOUSE NUMBER COR- PERMITTEE //�J RECT AND POSTED ADDRESS ��.0 -2 ` �� � FINAL WM J FOX COUNTY ENGINEER VALIDATION C N DIRLAM CHIEF BLDG INSPECTOR '�Cp 8 6 5 1 OCT 5 400 c � ADBBH 11 55 APPLICATION FOR BUILDING PERMIT - 1 11 SS DIVISION OF BUILDING AND SAFETY ADDRESS Dep. ent of County Engmeer County of Los Angeles LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST DISTRIW�10 GROUPTYPE SEWER MAP FOR APPLICANT TO FML IN ,� i PG BUILDINGhh [ // CONS MAP ADDRESS ✓ 7 / L, l,� NUMBER STATE2%9/4ES N LOT NO BLOCK USE ZONE SPECIAL ON DITIONS TRACT �` / 616y &;qI NO OF BLDGS SIZE OF LOT � NOW ON LOT BUILDIiGG YARD HWY STREET NAME EXIST USE OF SETBACK WIDTH EXISTING BLDG / FRONT Q P L r OWNER i ,QQ�, SIDE P L MAIL ADDRESS //yyy. p} O TRACT DWELL I UNIT CITY l TF rCl DO / 5 INDUSTRIAL 1 DWELL I UNIT 6 PUBLIC BLDG ARCHITECT OR TEL 2 DUPLEX 2 UNITS . ENGINEER NO 7 ADDN ALT ET 3 APT UNI M 1 SCEL ADDRESS 41 COMMERCIAL TEL CONTRACTOR TJ /✓�2 NO INSPECTION RECORD ADDRESS DESCRIPTION OF WORK ' NEW A ALTER REPAIR DEMOLISH So FT NO OF NO OF SIZE STORIES FAMILIES �t C a�1 L-CrL USE ST -MATURE OF \ APPLICANT APPROVALS ADDRES91✓D ^ DATE INSPECTOR S SIGNATURE FOUNDATION LOCATION P C $ FORMS MATERIALS FEE FRAME FIRE STOPS / + VALUATION $ 0 BRACING BOLTS FEE �� FURNACE LOCATION F 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 OF PERMITTEE '� RECT AND POSTED C)UADDRESS b 01 INAL JOHN A LAMBIE COUNTY ENGINEER VALIDATION CLYDE N DIRLAM CHIEF BLDG INSPECTOR CK Mo CASH LAu no7 5x5 .6,-1 JUN 29 1 200 In J WORKERS'COMPENSATION DECLARATION �i sbre, o.aaffirm certif carte of Worke s' Compensat on a certificate of coent Insuran elf APPLICATION FOR BUILDING PERMIT . o'r'a certified copy thereof (Sec. 3800, Lab. C.) - COUNTY OF LOS ANGELES BUILDING AND SAFETY . - Policy No. Company BUILDING 0 Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with the county building inspec- BUILDING !L� *tion ep ment. J ADDRESStJr � /Z' I Date Applicant CITY �, j7Zl= C ZIP LOCALITY CER KATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. NEAREST COMPENSATION INSURANCE 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 TEL. - C U�ZQNE MAP I certify that in the performance of-the work for which this OWNER _ NO. 8 \ NO. } permit is issued,,I shall not employ any person in any manner SPECIAL IL so as to become subject to the Workers'Compensation Laws. ADDRESS. U �,>,IIV CONDITIONS t V CITY G/7 .Z _ ZIP OC Date Applicant ARCHITECT OR TEL. O DISTRICT GROUP TYPE FIRE PROCE ED BY NOTICE TO APPLICANT` If, after making'this Certificate of N Exemption, you should become subject to the Workers' ENGINEER NO. CONST. ZONE U S0� Compensation provisions of the Labor Code, you must forth- 3 ADDRESS L o - H with comply with .such provisions or this permit shall be TEL. STATISTICAL CLASSIFI ATION APT. COND deemed revoked. CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION - LIC CLASS NO., DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business and LIC SEWER MAP Professions Code, and my license is in full force and effect. CITY CLASSBK �i VALIDATION ol of SQ. FT. NO. OF NO. OF • •CHECK License Number ALV4 Lic.Class SIZE STORIES FAMILIES ONE VALUATION �yy DESCRIPTION OF'WORK' Contractor��-7�i ,T/�TDate .• � � $ ��O © + F-1 ADD 3 , I am exempt under Sec. �"�' ALTER B.&P.C. for this reason �. L.. E $ � 1 REPAIR - 3 1.6A ' Date: USE OF DEMOL EXISTING BLDG.._ " / # ® 0,0 0 0 1 Signature APPLICANT TEL. FINA PRINT) D I ux NO_ {� C OWNER-BUILDER DECLARATION ., DATEL �v ® 10613, csi I hereby,affirm that I am exempt from the Contractor's License O Y 'Law for the following reason'(Section 7031.5, Business and ADDRESS_ �Z 0 FIN Professions Code): PRESENT By BUILDING ) rrl� � I, as owner of the property, or my employees with ADDRESS �] vVL' wages as their sole compensation,will do the work and �+ n the structure is not intended or offered fof sale(Section LOCALITY ' 7044, Business and Professions Code). MOVING TEL. I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project'(Sec- ADDRESS tion 7044, Business and Professions Code). CONSTRUCTION.LENDING AGENCY SETT BACKK YARD HWY TOTAPROP.SETBAL NECK FROM 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. Lender's Name o " 2 LDMA Ref. # Lender's Address P.C. Fee$ Permit Fee i 3 certify that I helve read this application and state.that the - - •• Issuance Fee- � (/ LDMA P/C# - above information is correct. I agree to comply with all County Investigation Fee m ordinances and State laws relating building construction, -_ Total Fee LDMA Perm. # u and hereby authorize representatives of this County to enter m upon the above-mentioned property for inspection purposes. a ' a SEE REVERSE FOR EXPLANATORY LANGUAGE 0 -Signature of Applicant or Agent •- - Date i CGUNTY 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 0904210014 PHONE (626) 285 0488 EXT (LEGAL ID I NO OF CONST I BUILDING ADDRESS 1 ITR 6755 LT 14 I SQ FT STORIES TYPE 1 5307 BALDWIN AV 1 I ISTRUCTURE V B I TEMP CA 917803264 1 (ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET OLIVE I 18589 005 010 I I THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY Cl I I I I ITENANT (EXIST BLDG USE RESID USE ZONE R 1 (ISSUED ON PROCESSED BY 1 I (EXIST OCC GRP 104/21/09 SR I I I I (OWNER TEL NO IBLDGS NOW ON LOT VALUATION IFINAL DATE FIN Y CODE 1 IYANG CHENGFU (626) 347 3862 1 1 000 5307 BALDWIN AV ITEMP 917803264 1 FEES PAID IDE P ION OF WORK I I IENCLOSED DINING AREA TO CREATE A 3RD BEDROOM 1 I IFEE DESCRIPTION QUANTITY DOM AMOUNT I (APPLICANT TEL NO I I ISAME AS OWNER IAA BLDG PERMIT ISSUANCE 27 75 1 I 1 IAB STATE GREEN BLDG FEE 1000 00 VAL 1 00 ISPECIAL CONDITIONS 1 I IAC STRONG MOTION RESID 1000 00 VAL 0 50 1 I I IB2 PERMIT W/ENERGY 1000 00 VAL 71 94 1 1 I 1 TOTAL FEES 101 19 I I ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE 1 ISAME AS OWNER I I I I LIC NO I ILOCATION AND SETBACKS I I I I I I I I I I ISOILS ENGINEER APPROVAL I I I I I I I I I (ARCHITECT OR ENGINEER TEL NO 1 1FOUNDATION/TRENCH FORMS I I I I I I I I LIC NO I ISLAB/UNDER FLOOR I I I I I I I I IRAISED FLOOR FRAMING I I I I I I IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I (UNDERFLOOR INSULATION I I I 1147H269 3 001 1 11 1 1 _1 IFLOOR SHEATHING I I INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I I I I I NO 21 1 IROOF SHEATHING I I I I I I I I SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I 1AIR QUALITY 1000 FEET MATERIALS I I Ih 1 NO NO NO I IFRAME INSPECTION I I I I I I IREQUIRED TOTAL SETBACK FROM EXIST 1 IFIRE SPRINKLER HANGERS I ISET BACK YARD HWY PROP LINE WIDTH I I I I IFRONT PL I 11NSULATION/WEATHER STRIPI I I I SIDE PL I I I I (INTERIOR LATH/DRYWALL I IEXTERIOR LATH I� I I I I I I I IRATED FLOOR/CEIL ASSEM I I I I I I I I I I IRATED WALL ASSEMBLIES I IRATED SHAFTS/OPENINGS I I I I I I I IT BAR CEILINGS I I I I I I I ILOT DRAINAGE I I I I I I I I IREPORT ID DPR261 ROUTE TO ES0508 I I I I I I I I I