HomeMy Public PortalAbout5546 BALDWIN AVE_Building__ Os 76A63R�
CE#8 ..(REV.1 U.'78) v'
APPLI A�, FOR B DI G PERMIT"
COUNTY OF LOS ANGELES BUILDING AND.SAFETYIJUDING
A
FOR APPLICANT TO FILL IN ADIDRESS �,
BUILDING ' /
) �t7 J LG j,4 LOCALITYADDRESS
CITY ty ZIP 9/ 990 CNEAREST
ROSS ST. 40/15?�
6�
NO.OF BLDGS. ASSESSOR
SIZE OF LOT 11" 401A 9 Cl NOW ON LOT MAP BOOK = PAGE PARC L
l °
A 69 -5 l BLOCK LOiNO.. � � �Rjj G�i CONST FIRE P CESSED� /
TRACT ] (/ �7!//� off"
OWNER Fel r/1 is + NO. .;I�� c
g- STATISTICAL CLASON SEW ER,/pAP
.ADDRESS .7-� 4Q1 �' d�'L? CLASS NO. DWELL.UNITS V BKPG
CITY ( gQ ZIP 9,®F7.R-,Oy
ARCHITECT OR TEL. VALUATION $ �
ENGINEER NO.
ADDRESS BLDG.SETBACK FROM
T FRONT PROP.LINE OF �/��' (STREET)
CONTRACTOR HIGHWAY + YARD = TOTAL SETBACK FROM TYPEOF EXISTING .
LIC. FRONT PROP.LINE 1HIGHWAY1 WIDTH
ADDRESS NO. _
/ LIC. +
CITY v CLASS BLDG.SETBACK FROM
CONSTRUCTION LENDER SIDE PROP.LINE OF (STREET)NAME AND BRANCH >_
HIGHWAY + YARD = TOTAL SETBACK FROM T OF EXISTING IL
ADDRESS CITY SIDE PROP.LINE H HWAY WIDTH O
CJ
SQ.FT. J NO.OF f NO.OF / CHECK + _ ag
SIZE>'a STORIES FAMILIES ONE
❑ USE ZONE MAP
DESCRIPTION OF WORK &J-1 6 a-v,-q NEW NO. u
UA
g� SPECIAL
111'�C`/-y&-W C-71 F he t�J ADD CONDITIONS
�jBY
REPAIR ❑ FINAL. J. rr`"(D
DATE
USE OF / DEMOL
EXISTING BLDG. ! G J77C z
APPLICANT ee` TEL O
1.
(PRINT) 9
, d : �ayF NO. °� Z+� Q
BY(SIGNATURE) � r,�• 4_9 > O �I
kTB REBY ACKNOWLEDGE THAT AFT VE READ THIS APPLICATION AND STATE Y
HE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES W
WS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE u o o o a o ,
UTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF '
OR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- Z
ION INSURANCE.' J 2 0 °-4 J,0 0 I
d
). 0 0 0i
URE OF r e>
TEE ` _ 0 3— 8 0
SS I � /® al i`79 ve• Z
TEL > O
7r� NO. ',e$ Permit Fee >
Issuance Fee' Cr W
6
Total Fee
— - — -- -4
76A688A.soiah4 APPLICATION FOR-BUILDING- PERMIT - -
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT 'OF COUNTY ENGINEER ADDRESS .
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINSSUP'T.OF BUILDING CROSS ST.
DISTRI T NO. G OUP T P SSED-BY-•'.
FOR APPLICANT TO.FILL IN C ST. '
BUILDING �, � ��,� � STATISTICAL C ASSIFICATION *_ ER'MFi
ADDRESS '41
• f CLASS NO. DWELL UNITS
LOT NO. BLOCK USE ZONE MAP
NO.
TRACT f 6 7 SPECIALONS
SIZE OF LOT NOW 1I/ 47J/NO.NOW ONBLOTS TI
CONDI
USE OF
EXIS NG•8 L D G. OL�,�/,'f ` /�6./ BLDG. SETBACK FROM
/'C.�fd� NOLO/�C�_Q�d`r" FRONT PROP. LINE OR "Un"
OWNER • TYPE OF EXISTING SETBACK HIGHWAY '.F YARD = TOTAL,
ADDRESS J Y' / /3/9�O���J HIGHWAY WIDTH' `F. OM C.L. '
y 1 + _
CITY �Lih L0 ���/
ARCHITECT OR �L• 1L .
SETBACK FROM
ENGINEER NO. ROP. LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL. + = 0
CONTRACTOR NO
LIC ADDRESS NO CORNER CUTOFF YES O NO E 0
U
CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS LU
DESCRIPTION OF WORK .' J ' t ` N
NEW ADD ALTER REPAIR DEMOLISH ,jj
SG.FT. NO. OF NO. OF i d - .w1,AAv ? 4� rLa•,f ... E i` "=' ""p
SIZE �r STORIES FAMILIES
,USE OF
'STRUCTURE f
SIGNATURE OF v' 07tr ..A/G�
APPLICANT
• �p
�'VALUAT10N$ [.�ZF6 APPROVALS CIATE INSPECTOR'SSIGNA-fURE�
P.C. // PMT. G L3 FOUNDATION, LOCATION
r FEE$ �� FEE$ p FORMS;,-MATER.IAI45
'FRAME, FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT if-r,7/ /
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION �• .� (j�'Y�" `!
WITHALL 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. - ll. .� ,{••,. ,
TION OF THE LABO ODE OF TH TE OF CALIFORNIA RELAT. _ �,1'�:'
INC TO WORKM SCO NS A CE. f ��L�' ;;/ `L
LATH. EXT. ��a f! ,
SIGNATURE OF HOUSE NUMBER COR--
PERMITTEE �J R CT AND POSTED.
ADDRESS ��YG y �'Q �/� FINAL
JOHN F. LEWIS. PRINCIPAL STFW AL ENGINEER
-PLAN CHECK VALIDATION CK. M.O.. CASH _ PERMIT VALIDATION cK M.O. CASH
0 6.4 3. V2. OCT 14 1 D. 1 8.. OM '
�MM
76A 638A CE'#603 12/69 C 0 q co �
0Z'
APPLICATION FOR BUILDING PE IT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER - . MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING t
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
FOR APP.•LICANT TO FILL IN NEAREST
Print or tvDe onl CROSS ST.
BUILDING
DISTRICT-NO GRCl T E PR S BY
ADDRESS 5546 N. . Baldwin Ave., (j�l NST,
LOT NO, BLOCK STATISTICAL CLASSIFICATION SEWER MAP
TRACT
CLASS NO,--:Z/—DWELL,UNITS BI�
USE ZONEI MAP
NO,OF BLDGS. NO. x(�Cl'
SIZE OF LOT NOW ON LOT SPECIAL
USE OF CONDITIONS
EXISTING BLDG, residence
TEL.
OWNER Ervin H. Rleasche NO. 445 1168 BLDG.SETBACK FROM
ADDRESS5546 N. Baldwin Ave., FRONT PROP,LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY Temple City HIG AY WIDTH FROM C.L.
ARCHITECT OR TEL. + _
ENGINEER NO.
BLDG,SETBA OM
ADDRESS SIDE PROP.LINE O (STREET)
OL'263 5181 TYPE OF EXISTING SETBACK HIG + YARD = TOTAL
CONTRACTOR Rigid Mfg. Com anT
HIGHWAY WIDTH FROM C.L.
ADDRESS P. 0. BOX 6782 NO' 159496 + -
CIT`/ L. A. 90022 - " CLASS C-39 CORNER CUTOFF YES ❑ NO ❑ V
CONSTRUCTION LENDER
CD
NAME AND BRANCH Security Pacific Bank SEE REVERSE SIDE FOR SPECIAL APPROVALS
ADDRESS Atlantic Square Branch LLj
-
N
SQ. FT. NO. OF NO. LIOF NEW El
SIZE STORIES FAMIES
USEOF ADD ElSTRUCTURE house and garage
rerOOf ALTER [:]
SIGNATURE OF REPAIR
APPLICANT DEMOL ❑
VALUATION $ 1,189.00 APPROVALS DATE IN5PECTOR'5 SIGNATURE
FEE S FEE S 17.25 FOUNDATION:
MATERIIALSION
FRAME: FISTOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRA ,
NG,RE 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
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF' THE TATE OF 'CALIFORNIA IN RELATING TO
WORKMEN'S COMPE NSA ON INSURANCE.
LATH, EXT,
PERMITTEE GNATUREO /� y �• OUSE NUMBER COR-
RECT AND POSTED
ADDRESS
• FINAL
JOHN F. LEWIS. PRINCIPAL SL-"K
URAL ENGINEER
PLAN CHECK,VALIDATION CK. M.O. CASH _ PERMIT VALIDATION M.O. CASH
1 0 70c--' JUN 2 5 1 D 1 7.25-
COUNTY OF LOS ANGELES TEMPLE CITY # 0506 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1403060039
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ITR: 16957 LT: 11 SQ. FT STORIES TYPE 5546 BALDWIN AV
I (STRUCTURE: V-B I TEMP CA 917802627
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18586-022-011 1 I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY CAI
I I I I
1TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY:
1 IEXIST OCC GRP: 103/06/14 SR
(OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: (FINAL ATE FINAL BY: CODE: 1
(PHIL, LE (626) 236-2462- 7,500 1 - 1
15546 BALDWIN AVENUE I I I
(TEMPLE CITY CA 91780 I FEES PAID IDEeSCRTPlrl(5NkOF WORK 1
I I (REMODELING KITCHEN AND BAT ROOM 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: I I
1APPLICANT: TEL. NO: I I I
ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 I 1
IAB STATE GREEN BLDG FEE 7500.00 VAL 1.00 ISPECIAL CONDITIONS: I
IAC STRONG MOTION RESID 7500.00 VAL 0.80 I
IB1 PLANCHECK W/ENERGY 7500.00 VAL 171.20 I
IB2 PERMIT W/ENERGY 7500.00 VAL 201.30 I
ICONTRACTOR: TEL. NO: IFR INV WORK W/O PERMIT 344.00 DOL 344.00 (APPROVALS DATE INSPECTOR SIGNATURE I
(SAME AS OWNER - I TOTAL FEES 746.10 I
I LIC. NO I ILOCATION AND SETBACKS I I I
I I I I I
I I (SOILS ENGINEER APPROVAL I I
I I ! I I I
1ARCHITECT OR ENGINEER: TEL. NO: I (FOUNDATION/TRENCH FORMS I
I - I I __ 1-1
I LIC. NO: I ISLAB/UNDER FLOOR I I I
I I I 11 I
I I IRAIS=D FLOOR FRAMING I I I
I I i I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMF: ( 1UNDERFLOOR INSULATION I I I
1 3 001 1 1-1 1
I I IFLOOR SHEATHING I I I
INC. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I 1 11 1
I NO 21 1 IROOF SHEATHING I I I
I I I---
I
1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I I
(AIR QUALITY: 1000 FEET MATERIALS I I I
I NO NO NO (FRAME INSPECTION I
I I IFIRE SPRINKLER HANGERS I I
I I I I I
I I (INSULATION/WEATHER STRIPI I I
I I (INTERIOR LATH/DRYWALL I I
1
I I (EXTERIOR LATH 1 1
I I I I I
I I (RATED FLOOR/CEIL ASSEM. 1 1
I I I I I
I I (RATED WALL ASSEMBLIES I I
I I I I I
I I (RATED SHAFTS/OPENINGS I I
I I I I I
I I IT-BAR CEILINGS I I
I I 1 1-1 1
I I ILOT DRAINAGE I I I
I I I I I
I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I
I I I I I