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Home My Public Portal About5438 BALDWIN AVE_Building__ M4128A U#8011 V60 APPLICATION FOR I3UI DING PERMIT COUNTY OF LOS ANGELES BUILDING 7 DEPARTMENT OF COUNTY ENGINEER ADDRESS B=ING AND SAFETY DMSION LOCALITY JOHN A `LAMBIE COUNTY ENGINEER NEAREST WILLIAM A JENSEN SUP T OF BUILDING CROSS ST L DISTRICT N I GROUP TYpE P SSED BY FOR APPLICANT TO FILL IN D CONST BUILDING �7 �� I , STATISTICAL CLASSIFICATION _ S ER M_APl ADDRESS ' Al.AA.. CLASS NO DWELL UNITS P7 16 LOT NO O Sf�> fJ TACK MAP NUMBER HATE YESN TRACT Z NE SPECIAL ✓ NO OF BLD /�,q� CONDITIONS SIZE OF LOT 1LiCJ I NOW ON OT - USEOF EXISTING BLDG b�� C` 1UPIODMIG YARD HWYSIRE T AME EXIST TEL STBACK WIDTH OWNER ' • IL. NO FRONT P L ADDRESS ;SIDE ARCHITECT OR 5 TEL I P L ENGINEER �T NO INSPECTION RECORD ADDRESS - ��Ae4 TEL a CONTRACTOR NO O ADDRESS J V DESCRIPTION OF WORK O- r r W NEW ADD ALTER REPAIR DEMOLISH SQ FT a NO OF NO OF - I j a SIZE STORIES FAMILIES USE OF STRUCTURE I`J iI SIGNATURE O ' APPLICANT VALUATION d0 APPROVALS DATE, INSPECTOR S SIGNATURE `_ PMT FOUNDATION LOCATION w� F E $ 47 FEE $ FORMS MATERIALS v4 5' fop FRAME FIRE STOPS I I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP BRACING BOLTS PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE LOCATION n AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT DUCTS STATE LAWS REGULATING,BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH INT WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE �. WORKMEN S COMPENSATION� AW CALIFORNIA LATH EXT - A SIGNATURE OF HOUSE NUMBER COR _ /` PERMITTEE �VVVaa�� RECT AND POSTED I G/1-1 ADDRESS FINAL 1 -� / CLYDE N DIRLAM PR NCI",SST CTU L ENGINEER PLAN CHECK VALIDATION CK. MO CASH PERM VALIDATION cK m o , CASH } t ✓ y / AC DEPT IT13' I IQUIP6 OR ANY MATERIIL STO'?AG- R WORK DONE IN THE ROAD RIGHT OF WAY# 78AC38A CE#8038 EY APPLICATION FOR BUILDING PERMIT 1 COUNTY OF LOS ANGELES ADDRESS� � , DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY �pt JOHN A LAMBIE COUNTYIENGINEER NEAREST t�Ll v CASSATT D GRIFFIN SUP T OF BUILDING CROSS DISTRICT NO I GROUP- TYPE- P ESSED BY FOR APPLICANT TO FILL IN Jb CONSTa Lt c� BUILDING STATISTICAL CLASSIFICATION SE ER MAP CLASS NO_-K—DWELL UNITS - zp 131 LOT NO-<,O !O/- /5/ a'�/j , OCK MAP STATE � NUMBER HWY YES O TRACTG/' %?f�ify,D(�/.(//meq/- /j�/�/9 U$EiONE SPECIAL NO OF BLDGS CONDITIONS f�q �Q SIZE OF LOT v�C/ NOW ON LOT USE OF D r EXISTING BLDG FES 6,q,",6,F BUILDING EXIST ARD HWY STREET NAME SETBACK YWIDTH OWNER ' 1�7T /CE�. FRONT MAIL < P L ADDRESS SIDE TEL P L CITY NO INSPECTION RECORD ENGINEER OR TEL NEERAA1'r NO ADDRESS CONTRACTOR �4¢/>yE NOL w ADDRESS DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SO FT I NO OF NO OF IZE LSTTORIES FAMILIES USE OF STRUCTURE (C)tij, � � SIGNATURE O APPLICANT APPROVALS JDATE INSACTOR S SIGNATURE ADDRESS SA tc-- FOUNDATION LOCATION sP J�jj VALUATION $ FORMS MATERIALS , FRAME FIRESTOPS 1-/ Vwlwa_Tm� OEM _BRACING BOLTS PC FURNACE LOCATION FEE S FEE $9��r I _GAS VENT DUCTS " (Q v � I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP LOTH INT PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULAJING BUILDIN ONSTRUCTION LATH EXT a { SIGNATURE OF i�� HOUSE NUMBER RECT AND POSTEDR PERMITTEE J / 67 ADDRESS FINAL cic m o caste MI CLYDE N DIRLAM PRINCI AL ST IJ T 11,11,11L ENCAeH ER PLAN CHECK VALIDATION PERT VALIDATION KhO a _ a r _ o LAC01 6 8 IS July 2 1 0 3 0 0 knop J � t 'v 76AG38A CE#8035 61 APPLICATION FOR BUILDING PERMIT " COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS �7ji� ate/ BUILDING AND SAFETY DMSION LOCALITY TE' ^ �� } JOHN A LAMBIE COUNTY ENGINEER NEAREST WILLIAM A JENSEN SUP T OF BUILDING CROSS ST DIST CT N GROUP TYPE PVSED Y FOR APPLICANT TO FILL IN p coNST BUILDING-.5- STATISTICAL C SIFICATION SEWER MAP ADDRESS -l�"7 a /V �/�.' !�Vit// 4' CLASS NO DWELL UNITS B PG LOT NO 10 ./ BLOCK WATER �71 CERTIFICATE NOT REQUIREDni RECEIVED TRACT C I / /U��l/ �p f MAP pp-1 /1 HIGHWAY STATE MAJOR CON LOCAL NO OF BLDGS NO L� C.� (CIRCLE) SIZE OF LOT USZ ZONE SPECIAL USE OF p CONDITIONS EXISTING BLDG �C-+�.�5 `�' TLl OWNER N l{�ySlj��e' NO' 13T11 BUILDING YARD HW TREET NAME XIS SETBACK WID ADDRESS �' C FRONT ! it ARCHITECT OR TEL P L 1 CJ �. ENGINEER C NO SIDE d P L O ADDRESS TEL INSPECTION RECORD U CONTRACTOR rz A1C NO O 1-� ADDRESS V W DESCRIPTION OF WORK - H Z NEW X ADD /ALTER REPAIR DEMOLISH SQ FT NO OF NO OF IZE Ot> STORIESc� FAMILIES USE OF STRUCTURE J�SO �D S'Q Te, S" . 5, SIGNATURE F�( APPLICANT_ � VALUATION S APPROVALS DATE INSPECTOR S SIGNATURE P C /J PMT (f-V FOUNDATION LOCATION FEE $/ FEE $ FORMS MATERIALS FRAME FIRE STOPS / y 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS HCl AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION r u I WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH{INT r ` TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT INC TO WORKMEN 5 C ��R�ANCE LATH EXT SIGNATURE HOUSE NUMBER COR PERMITTEE RECT AND POSTED ADDRESS FINALr J z CLYDE N DIRLAM FlfilNCIPAL STRUCTURAL E PLAN CHECK VALIDATION m mo cABH PERMITVALIDATION cK. mo ZCABH7 Y 9527VAR13 1 p 200 I t l 3 1 f 4 ~ V r WOI EFTS' CIDWENSAT19N DECLARATIOI* ent to s insure,hereby certif catte of Workers' Comtpensat on Insurancef APPLICATION FOR BUILDING PERMIT or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES _ BUILDING AND SAFETY Policy No. Company BUILDING ' ,/l/]A ❑ Certified copy is hereby furnished. FOR APPLICANT � DO/ )CANT TO FILL IN ADDRESS W.! ❑ Certified copy is filed with the county building inspec- BUILDING ADDRESS tion department. Date Applicant CITY' vc ZIP LOCALITY pp O. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT O O NOW ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100).or less.) OWNER (J�s TEL. USE O ZONE MAP NO. I certify that in the performance of-the work for which this SPECIAL } permit is issued, I_shall not employ any person in any manner ADDRESS � �i G( (� (� CONDITIONS so as to become subject to the Workers' Compensation Laws. �/ O CITY �/�/UD ZIP �! `� Date Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE. OCESSED BY Q NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. r ?i/6 CONST. Z U Exemption, you should 'become subject to the Workers' /� I,Q J w Compensation provisions of the Labor Code, you must forth- ADDRESS ZZ IU. �`� rlj o g� �— I U1 with;comply with such provisions or this permit shall be T TEL STATISTICAL CFICATION APT. CONDO. h deemed revoked. CONTRACTOR (� E_ e, O. Z, LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS - I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP (commencing with Section 7000)of Division 3 of the Business LIC. and Professions Code,and my license is in full force and effect. CITY CLASS BK PG 23 VALIDATION SQ. FT. .. NO. OF r7 NO. OF CHECK I�/�!7 License Number Lic. Class SIZE STORIES G/ FAMILIES ONE "' iyi.•4t■T ' VAC ATION n�9 t t Contractor Date DESCRIPTION OF WORK NEW El330 409.2 ` ADD ► 1 ITEMS ❑1 am exempt under Sec. / 2� S �N O ALTER ❑ 1 //�� /�/C�/� 1 __137 B.BP.C. for this reason cU 'u �� REPAIR ❑ $/nt / U/ ,/ / D 0 TOTAL 409 i�❑ Date: USE OF BLDG. DE 01 ❑ V'V CHECK 409.`9 EXIAPPLICANT �11)� TEL. f�, CHANGE .00 Signature (PRINT) IAII� u/�� NO. _fig FINAL OWNER-BUILDER DECLARATION DATE! I hereby affirm that I am exempt from the Contractor's License G /� Law f& the following reason(Section 7031.5; Business and ADDRESS (� �, �91n6 FINA 0000-0001 9/27/89 Professions Code): PRESENTB BUILDINGV5977 1 AM10:39Y ❑ I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and x; the structure is not intended or offered for sale(Section LOCALITY , 7044, Business and Professions Code.) MOVING TEL. ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. f with licensed contractors to construct the project (Sec- ADDRESS , 1' tion 7044, Business and Professions Code.) '0 REQUIRED TOTAL SETBACK FROM' EXIST. r t .+ AC. T. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP..LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT i�( r 533.25 the performance of the work for which this permit is issued P.L. _ (Sec. 3097, Civ. C.). SIDE 1 ITEMS' �� ,�� Lender's Name n TOTAL 53131' ®.25 P.C. Fee$ 0 C7( Permit Fee LDMA Ref. # <� '=s Lender's Address p{ C.HE{.I', "'t`!'`•- 0 1 certify that I have read this application and state that the ► Issuance Fee ►cJO LDMA P/C# , ;_;HANGE ,ill. O above information is correct. I agree to comply with all County Investigation Fee Rordinances and State laws'relating to building construction, Total Fee 1.9-5 LDMA Perm. # and h authorize-representatives of this Count to enter up tha7 Bove-mentioned property for inspection purposes. 011 !-�ii��k1 11{�,� 9/K SEE REVERSE FOR EXPLANATORY LANGUAGE 6677 1 AM 9:4: Signature of Ap icant or ent Date