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HomeMy Public PortalAbout5612 BALDWIN AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES WM. J. FOX. CHIEF ENGINEER BUILDING 1 FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING DISTRICT NO. PLAN CK.NO. PE MIT NO. ADDRESS Bal-dwin Avenue X410. .�� 4-Z LOCALITY Loa Angeles County RECEIVED BY DATE OF APPL. DATE ISSUED NEAREST Live Oak Avenue 3 CROSS ST. / / NG BuIL OWNER Linde Finan e & Devel ent Corp• ADDREI9B S� ,L /v, MAIL EBB 232 So. Beverly Drive LOCALITY / i .� !�\ CITY verl Hills Calif]* :NE CR 5-1455• NEAREST �3D(a(JL ARCHITECT OR ` ZONE PLANS IRE NO.or TYPE BROUP TEL, ENGINEER Same as above ND. •G^ BLDG. ORD.NO, ADDRESS SETBACK LINE Irl f8 y APPROVED CONTRACTOR Sallie as above NEL' BY DATE USE /1� APPR01%ED ADDREB - 2ONE�! �� BY DATE DE CRIPTION I LOT NO. lj.L BLOCK `?.d-C7 CORRECTIONS- TRACT 1 ( �/ 57 x 105 (App NOW ON LOT' None SIZE OF LOT � �, -7•�b �� �" , �p,G7 USE OF I NO.OF NO.OF EXISTING BLDG. FAMILIES ROOMS DESCRIPTION OF WORK NEW X ALTERATION ADDITION `4-3ca °Y'I O REPAIR MOVING DEMOLISH 94.FT-12o6 // r SIZE 1200 ROOMS STORIES 1 � - L �GT a 7 n BiLC S WALLROOF r COVERING StuccoI COVERING Wood Shingl .USE ODrNG elling and detached garage Plan 111 C 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVAL- APPLICATION AND STATE THAT THE ABOVE IB CORRECT FOUNDATION.LOCATION IN ECTOR ,D TE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORM9,MATERIALS lr, r� AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME' FIRE STOPS, 7 SIGNATURE OF . BRACING,BOLTS PERMITTE de asgW plfia qpmpt _ TH, INT. �f AUTHORIZED ~AG� �� • //y J eT LATH, EXT. Af 76A638A-3 7-49 �$- C '7 Vv P.C.6 3 PLASTER,INT. 7 FEE -7 `• PLASTER.EXT. VALUATION / Q $ FEE 31S�. FINAL J„r-1 - I 6 M ` APPLICATION FOR BUILDING PERMIT- COUNTY OF LOS ANGELES — BUILDING_AUP SAFETY WORKER'S COMPENSATION DECLARATION FOR 6PSYCANT TO FILL IN BUILDING ADDR l BUILDING AD pR S I hereby affirm that I have a certificate of consent to self insure, /Wf➢ `✓1 `J or a certificate icate of Workers' C pens surance r certified copy they 3 L .) CITY /f ZIP /j� `�(�^ i11!/� , _` so (� LOCALITY Policy Com SIZE OF LOT O.OF BLDGS.NOW ON LOT i ❑ Certified Copy is hereby furn' ed. NEAREST CROSS ST. I ❑ Certifie coy is iled with C y building n ti n TRACT BLOCK LOT NO. a USE ZONE MAP NO. 99 P fd ASSESSOR MAP BOOK PAGE PARCEL A icant SPECIAL CONDITIONS - CERTIFICATE OF EXEMPTION FROM WORKERS' OWNE T L COMPENSATION INSURANCE ��lL� WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for One hundred ADD E ©f dollars ($100)or less.) _VONSCJ DISTRICT GROUP TYPT. FIRE ZONE PROCESSED BY - � gt (/ I certify that in the performance of the work for which this permit. CITY ZIP Ua is issued, I shall not employ any person in any manner so as to � become Subject to the Workers'Compensation Laws. ARCHITECT OR ENGINEER TEL NO. STATISTICAL CL SIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT: If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you Should become subject to the Workers' CONTRA /c SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith ��/( (/l/ t G FRONT comply with such provisions or this permit shall be deemed revoked. ADDRE LIE, P L qVT LICENSED CONTRACTORS DECLARATION ` ", C SIDE CITY LIC.CLAS d� P L I hereby affirm that I am licensed underprovisions of Chapter 9 ( SEWER MAP (commencing wi h 70 f Division 3 of th Bu e nd SO.FT.SIZE NO.OF STORIES NO.OF FAMILIES Professions Cc e n e Is in full force a�;$t. NEW BK PG ® }_ License NU Lie.ClaSS /�� DESC T K r ADD ❑ VALUATI J�(�_" Contractor Lv t�G Date _ c ALTER ❑ $ [/ V�`vl3'— O ❑ I am exempt under Sec. ` v REPAIR ❑ 0 B.&P.C.for this reason ( J S t r p2.�. DEMOL ElO LDMA P/C# Date: USE OF EXISTING BLDG. URM El co .i. Signature APPLICANT(PRINT) TEL NO. LDMA Perm# Z ❑ 1, as owner of the property, or my employees with wages as Z their sole compensation, will do the work and the structure is ADDRESS O "' _ , •�• F- E's;;;y� L�" _sem not intended or offered for sale (Section 7044, Business and FIKL DATE• /— Q �E-., ;' 1-3 •� • Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL /q 1, � OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL-TO OR GREATER THAN THE / _ ❑ I, as owner of the property, am exclusively contracting with FINAL B j AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? Q licensed contractors to construct the project (Section 7044, YES 1-1 No El Business and Professions Code.) WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. I hereby affirm that there is a construction lending agency for YES❑ No Ela the performance of the work for which this permit is issued(Sec. I HAVE READ THE TTING 3097,Civ.C.) CHECKLIST.I UNDERSTAND UMY REQUIREMENTS S MATERIALS MUNDDER THE LOS ANGELES ATION GUIDE AND THE QCOUNTY MD (CODE, TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. IL Address O - OWNER OR AGENT o I certify hat I have read this application and state under penalty o of per' ry thaa�t above information is correct.I agree to comply P.C.FEE PERMIT FEE N with I c ty ordinances and S e laws relating to building�/ co to d hereby auth ri•e re resefor I �on#o ISSUANCE FEE J�JY a er up he - enti e ro erty for i e p7 � o INVESTIGATION FEE TOTAL FEE � signawre Dale SEE REVERSE FOR EXPLANATORY LANGUAGE