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HomeMy Public PortalAbout5435 BALDWIN AVE_Building__ 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 s I L o1709F JM 10 1 A` 200 r I � ,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 l