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HomeMy Public PortalAbout6027 BALDWIN AVE_Building__ .�. "BUILDIi�G ND SAFETY IL AAPPLICATION FOR PERMIT COUNTY OF LOS ANGELES S ' WM. J. FOX, CHIEF ENGINEER "' FOR APPLICANT TO FILL IN- FOR OFFICE USE ONLY BUILDING j /V��r�U�� (;�M DISTRICT N/O..y PLAN CK. NO. PERMIT NO. ADDRESS r� _ Z�� I �C. LOCALITY &4 P LC_- ` T- RECEIVED BY DATE OF APPL, DATE ISSUED NEAREST I •..� /� - 7. CROSS ST. }.L. ",f �c. p•�l_,. `w,.. yr t'' :. '.:! BUILDING /'� ..., .- ` / OWNERIC. iMAIL ,�}rt��(4hh-i.{.^.�4 t �,1'+►" 1 ►.{ ���•, . ADDRES9 �l✓►•�� / L L,\/{V `�/' ADDRESB10VUY k1J,1-��--. VA 1_,.Q L.�`.,.%I Ll A VrLOCALITY 4"� 4 FF 6 f NEAREST CITY�AIPLE. f / TEL. CROSS ST. FIRE NO.OF�I TYPI GROUP ARCHITECT (/ ' TEL.`. ., .• ZONE PLANS ENGINEER �r ,�}F. it�}t-�'{[^� °�'�}�'=�. NO. = �_ � �_ ? �I I� w'7 ,... �- _ _ BLDG. ��1 J ��ORO O. ADDRESS �' I '�- f',`..� SETBACK LINE - APPROVED CONTRACTOR Q l ,L/ r G' '' BY DATE USE •`'' APPROVED r- ADDRES9 ZONE Jw r �,-,✓'Gt.J -,$� - BY DATE LEGALCORRECTIONS DESCRIPTION I LOT NO. S I BLOCK �^ TRACT 64 ' 4 'y t,', "'1A �"tr- NO. OF SLOGS. SIZE OF LOT' r dl ( NOW ON LOT USE OF R5 I NO.OF ( I NO. OF \` EXISTING BLDG. J f FAMILIES ROOMS - DESCRIPTION OF WORK NEW r ALTERATION ADDITION O S REPAIR MOVING DEMOLI_9H p Sq. FT. 3 NO.OF " Z SIZE 4So ROOMS STORIES IF WALL i( ROOF y, *<✓ COVERING ". � � I COVERING \ C USE OF NEW 11 I } t J BUILDING T� l.� (FE-1-L0 u) 5K t P 4ALL 9 N tL_ drmLy) I 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 lo AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, J' SIGNATURE OF Ir. r BRACING, BOLTS 2 OWNER ,�;" LATH, INT.: AUTHORIZED AOT LATH, EXT.: P. C. !/ PLASTER, INT. FEE /�d _ � PLASTER, EXT. VALUATION FEE �'D FINAL t 7GA638A CE#803 a-63 APPLICATION FOR' BUILDING PERMIT COUNTY OF LOS ANGELES auILDING ;/ DEPARTMENT OF COUNTY ENGINEER ADDRESS , BUILDING AND SAFETY DIVISION LOCALITY l ` JOHN A. LAMBIE, COUNTY ENGINEER NEAREST I WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. j/ t lC , DISTRICT N.O. GROUP TYPE --- ESSED BY/ FOR APPLICANT TO FILL IN coNsr. BUILDINGSTATISTICAL CLAS ICATION WER MAP ADDRESS4%7 W1syvu1no-jor •C� BK PG �r CLASS. NO. DWELL. UNITS l- -S f LOT NO.',r a ZIL� BLOCK WATER CERTIFICATE: NOT REQUIRED ❑ RECEIVED ❑ TRACT MAP ) HIGHWAY STATE AJOR SECOND, LOCAL NO. OF S SIZE OF LOT rp f J4v S F/ NOW ON LOTU (CIRCLE) USE ZONE SPECIAL (� `�- USE OF �j / � . I z CONDITIONS EXISTING BLDG. /1{� 'L''4 L TE ZST- -�-{ OWNER /�/ NO ` 2� X. INQ BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH ADDRESS ♦ ♦ FRONT _ ARCHITECT R TEL.j P. L. r �`= / i r ENGINEE NO. o SIDE s P. L. a ADDRESS90? '♦ IZAM O TEL U CONTRACTO NO e J ADDRESS - i<berlkdw - v O DESCRIPTION OF WORKLu NEW r000'ADD ALTER REPAIR DEMOLISH N Z SQ. FT. // //� NO. OF NO. OF - - SIZE 7 VlD(f/ STORIES JFAMILIESUSE OF ST U CTURE ChC/ SG"NE7O� Qta C/ 4 rc.CC,de-e40 4 SIGNATURE OF4, APPLICAN li - ` VALUATION $ Z4AT/� S'ce; -- ®Q APPROVALS, 'DATE INSPECTOR'S SIGNATUR& �../" FOUNDATION: LOCATION F E $ Ll -y� FEE $ �// FORMS, MATERIALS ' FRAME: FIRE STOPS, DI HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS u- AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, \ :ib- )'` WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS i BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. 4 TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. ING TO WORKMEN'S COM PENSAZ NSU RANCE. LATH. EXT. , SIGNATURE OF HOUSE NUMBER COR- PERMITTEE OR-PERMITTEE RECT AND POSTED ADDRESS FINAL rljl . ? W JOHN F. LEWIS. PRINCIPAL STI:.11-)' TRAL'ENGI ER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. CASH U"0158-: JUN1623 D 207.0014 y AUG 12 1 D 414.00- V'.v0 7GA688A CE#809 8-G3 APPLICATION FOR BUILDING PERMIT n COUNTY OF LOS ANGELES BUILDIISNs DEPARTMENT OF COUNTY ENGINEER ADDRE BUILDING AND SAFETY DIVISION LOCALITY ( j JOHN A. LAMBIE,•COUNTY ENGINEER. NEAREST WILLIAM A.JENSEN,SUPT OF BUILDING CROSS ST. DISTRI T NO. GROUP TYPE i PCESSED BY FOR APPLICANT TO FILL IN �� _� CONS ` L BUILDING / STATISTICAL CLASSIFICATION WER MAP ADDRESS s*A1w/J'2Ave' ' e o= K ` CLASS.NO.-LI—DWELL.UNITS LOT NO. S ZsZO P'.{ BLOCK WATER CERTIFICATE: NOT REQUIRED ❑ RECEIVED TRACT <2).5 ! MAP HIGHWAY LLJJ NO.OF BLDGS..'rj NO.p!�D' (CIRCLE) .STAT AJOR SECOND, LOCAL SIZE OF LOT 5QO r. NOW ON LOT !r USE ZONE SPECIAL ' USE OF, C.!____ _/ d�__ f_ /�_�/ rti�/� CONDITIONS EXISTING BLDG. /�!J'Ci9��/QTY �•fi/ ! y 1' _ TEL. OWNE S•`y (/ NO BUILDING EXIST. /'� SETBACK YARD' HWY STREET NAME WIDTH_ ADDRESS�lw(� &7 Co./�ceo I 1 FRONT / ARCHITECT YR TEL. 7 P. L. ENGINEERS, NO.;kl"// SIDE ' ADDRESSTE��++ ♦ fWe NO �'J��O O • CONTRACTORCtiY1� V' a Kdl ezghN�CAI ADDRESS TJ~Ip J 4 /J ��°1Ldig& �� Q DESCRIPTION OF WORKLu . a. NEW ADD ALTER v/_ REPAIR DEMOLISH y _ Z SQ.FT. pompsm NO.OF NO. OF SIZE 36®- STORIES / FAMILIES i USE OF. STRUCTURE CIWI.V116 SIGNATUREO APPLICANT 00 VALUATION $ APPROVALS .. DATE . INSPECTOR'S SIGNATURE �/ FOUNDATION: LOCATION P.C. /* O�� PMT. �-.�� FORMS, MATERIALS FEE $ (i FEE $ FRAME: FIRE STOPS, ),sp �J ��..c;•,.,.{ ��`!�/ I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. M WITH ALL. COUNTY ORDINANCES AND STATE-LAWS REGULATING 'GAS VENT. DUCTS . BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK y AUTHORIZED HEREBY I WILL NOT'EMPLOY ANY PERSON (N VIOLA- LATH. INT. `"^Q�j� �••-_1(..( ,�! „ + TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. I/ ..i"` ' ING TO WORKMEN'S COMPENSATION NSURA . LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE wLbt -,RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS. PR NCIPAL ST RAL°ENGINEER PLAN CHECK VALIDATION cK. M.O. CASH PMBGT VALIDATION CK. M.O. GASH 'pM0;1 5 9 o JUIN 16.2 3 D., 9.�J�b '•`�r — - .�, l . �.. ._ .. _. .. Jtl,o 2 4 9 4 Zip AUG 12 1 D 1 8.5 0 19 DEPARTMENT OF BUILDING AND SAF�'1'Y T APPL CATION FOR~PERMTT COUNTY OF LOS ANGELES i U I L D I N G - WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY •- DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING ADDRESS f LOCALITY T- r 'R.L L� L.a/ Y -RRE�CCEII�VED BY DATE OF APPL.�j DATE ISSUUED 11A EST BUILDING OWNER '//Q T A P-rI S C. e7'ogeM ADDRESS 69- : Irl t i �' �fc'./��L•E�L.c r� MAIL LOCALITY ADDRESSNEAREST CITY / � NO. CRO869T. r w FIRE NO.OF / TYPE_,. GRO_p ARCHITECT OR /y� TEL. ZONE PLANE .i�yl IT ENGINEER (J �/ f� NO. G, BLDG. ORD.NO. ADDRESS SETBACK LINE APPROVED CONTRACTOR /�[��� TEL. EBY DATE USE APPROVED ADDRESS ZONE . I BY DATE LEGAL4aAT T s o r CORRECTIONS DESCRIPTION LOT NO. BLOCK r1_-p 1/ TRACT SIZE OF LOT `, X l f�)f I NOW ON LOTSAiA 1 USE OF I NO.OF I NO.OF EXISTING BLDG. FAMILIES ROOMS //' DESCRIPTION OF WORK m I ALTERATION ADDITION R MOVING DEMOLISH X G Sq.FT. NO.OF Z SIZE A / ROOM6 STORIES y WALL r COV RING STilr.r_/9 I COVERING fQ D/V/P- USE OF NEW BUILDING f I r I- 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 REGULATING BUILDING CONSTRUCTION FRAME: FIRE STOPB, SIGNATURE OF BRACING,BOLTS PERMITTEELATH,INT.: AUTHORIZED AGT `• % !f tf S ' - LATH,EXT.: D133-3 513M BETS 7-47 $ Q� P.C.Ns— PLASTER,INT. FEE PLASTER,EXT. VALUATION FINAL - FEE DE-ARTINENT OF BUILDING AND'SAFETHA Ci W pl,jAp,pLICATION-FOR PERMIT �. GrOUNTY OE C�LOS ANGELES WM. J. Fi]Xr CHw-F ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY Z)t DISTRICT NO. PLAN CK.NOV.� PERM✓IT�NO. BUILDING q�ADDRESS / LOCALITY 1EiMPLLC17 �!1 Y RECEIVED BY D TE OFA P DATE ISSUEDNEAREST CROSS ST. BUILD y�•�+M p +;.. T `]�1,y� ADOREINI SH OWNER' 1 e m?Lr- CITY D Av 1 I S I CSU IV,1� MAIL9 B A L D�I M VS LOCALITY / C�/I.f/�L I_ [" ' I ADDRES'� � TEL I CROSS ST. ll f� )P(J 10=-r-- / CITY 1 L•�M lp yLIF c r J e NO. FIRE NO.OF TYPE' •�" GROUP � ARCHITECT OR PF-D612.iGK TEL S C�Z y ZONE PLANS ll ENGINEER YVp hj%jnaW .1 NO. y BLDG. ORD.NO. ADDRESS SETBACK LINEIf(-Q(V CONTRACTOR ®� -- NOI.' BYPROVED V� DATE'/ldwI/��% USE APPROVED / ADDRE9 ZONE -�• BY � DATE LEGAL 7 v� CORRECTIONS ' DESCRIPTION LOT NO. // �j I BLOCK S e7O7 f 117 TRACT lS+� �� R ' / >-. `�T' y2v �a• l��iit1 SIZE OF LOT y� D 'e fl I NOW ON LOTH' F+ ' ` I USE OF G V P.0 2 4- NO.OF 1 I NO.OF EXISTING BLDG.EAP..C.AVAA41 ( FAMILIES ROOMS i ��'�f.�'�.�,,,��''� ����y"��-C �•-�� _ DESCRIPTION OF WORK O .1 .41-4. A Aj ef NEW ALTERATION ADDITION V REPAIR MOVING DEMOLISH1�;/ 84•FT. n NO.OF SIZE 3 2. 3D ROOMS ) STORIES , /' � Cji D iPgl/r•J���/ WALLO. COVERING`3'c --_RIGK-STU6CC IROOF GOMP ,COVERING USE or NE BU LDING W5 G !max l�Il.�r_e.• J; /'.f�/�.rcC_�.,•.p► SIP.-/:��.�./ .�Q.�-✓/�.Cf h.el jr G GY.�dF•,i4 s. 1 HEREBY ACKNOWLEDGE THAT I 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 //✓rv� ��✓�: . AND STATE LAWS REGULATING BUILDING CONSTRUCTION. /�/ - 7 E1` " C I `I l eAVTI%- FBRACING,,BOLT99r RAM E: rl RE STOP SIGNATURE OF� � -- �e PERMITTEE C 1-4 V SZ C� , r AUTHORIZED AST- /> t Gl 'Lf- -" �- / LATH,EXT.: DBS-3 SUM SETS 7-47 $ �Q(� P.C.$ s d PLASTER,INT. FEE Jy PLASTER,EXT. VALUATION FEE � / �O FINAL � v OB-3 8-40 25M APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER NO. OF BLDG. Z"y� 1 ORD. NO. DISTRIC NO. PLAN CK. NO. PERMIT NO. PLANS SETBACK LIN rl V (;Lo FIRE APPROVED (1 ZONE BY D'A'TE` RE EIVED Y DATE OF APPL. DATE ISSUED USE APPROVED ��` ZONE P-1 BY DATE I APPLICANT FILL IN HEAVILY OUTLINED J'PORTIONN+O(J�jN®LY ' / Q , NAME ADDRfiS82�3 �2retl fey F W '" N Gr �• W Z ADDRESS LOCALITY NEAREST U Ld CITY CROSS ST. Q STATE TEL. /�4 LICENSE NO. NO. W NAME A-It �tJdl .s%/. ° MAIL 1. ,• 1, NAME /i, p ADDREBB .l+rsA �F� C�tl,rl.-�.•--I:�tr+ QADDRESS i.. *"mac rth- Q CITYyllrilb �fGE.- v NO IC �' I- 1 HEREBY A'CKNOWLEDGF THAT 1 HAVE READ THIS 0 CITY APPLICATION AND STATE THAT THE ABOVE IS CORRECT U STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO. NO. AND STATE LAWS REGULATING BUILDING CONSTRUCTION. "ll �f ! Q LOT. NO. / SIZE OF LOT SIGNATURE OF �J -I NO. OF BLDGS. AUTHORIZED AGT. ^`����f 't<9 BLOCK "� NOW ON LOT ` U `t,�'� CORRECTIONS NTRACT Ill 1 D USE OF BLDGS LIA 6, NOW ON LOT R=fmg©— f DESCRIPTION OF WORK USE OF BUILDING r sy �., J i r _ z 0 NEW TYPE GROUP O NO. OF NO. OF ALTERATION ROOMS FAMILIES ADDITION SIZE / REPAIR STORIES MOVING WALL COVERING DEMOLISH ROOF COVERING $ FINAL APPROVAL PEE INSPECTOR'S VALUATION FEE DATEI NAME 76A638A CE0803 8-64 APPLICATION FOR 'BUILDIN PERMIT ' COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE'. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,SUP'T.OF BUILDING CROSS ST. 'DISTR CT NO. G OUP TYPE.. O FOR APPLICANT TO FILL IN , Q � _lcoNST. BUILDING STATISTICAL CLASSIFICATION SEWER MAP�, 1 - " ADDRESS . 4u. CLASS NO. DWELL UNITS .BKO PG . . LOTNO. 'Z� ;t,0-�- a;�� J g BLOCK USE ONE AP �� NO. TRACT &T& SPECIAL NO. OF SLOGS. CONDI O S SIZE OF LOT �oI 'S-Od S NOW ON LOT ' Z USE OF '� - • MXLSTLNGc�S. CIA-1 BLDG. SETBACK FROM OWNER V; TOL' O /✓O�L{ FRONT PROP. LINE OF (STREET) TYPE OF' EXISTING SETBACK- HIGHWAY. + YARD = TOTAL ADDRESS 7 � HIGHWAY D M C.L. ' CITY l c+-i'L i J + _ ARCHITECT OR. TEL. BLDG. 9ETBACK FROM ENGINEER NO. SIDE PROP. LINE OF _ (STREET) TYPE OF EXISTING; SETBACK HIGHWAY + YARD — TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. a TEL.• + CONTRACTOR NO ADDRESS NO CORNER CUTOFF YES NO O U CITY c� SEE REVERSE SIDE FOR SPECIAL APPROVALS W DESCRIPTION OF WORK 'n yr . J/gyp y -lam/W z NEW ADDALTER REPAIR DEMOLISH SQ.FT. NO. OF NO. OF ! s' r.?' Yti.d�'J r1. . i=+ �I•f.�....'.$._+ .,y: J SIZE STORIES FAMILIES Y' s5? USE OF �ratrlC SS,TRU.CTUR _ • F�I(,e,.,S Hall W LA.w ..A .-1d, I t w a,,.c>I•u a s l SIGNATURE OF APPLICANT VALUATION$ a oe APPROVALS DATEr !INSPECTOR'SSIGNATURE 'P.C. PMT. FOUNDAON, LOCATION FEE$ FEE$ r FORMS,TI••MAT,ERIAL$.__, f ! FRAME, FIRE STOPS, / 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT7 i AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNA•C,E7 LOCATION �. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 1 GAS VENT. DUCTS 9UILOING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. 1 JI TION OF THE LABOR CODE OF THE STAT OF CALIFORNIA RELAT• ING TO WORKMEN'S COMPEN6 HE INSUR E. LATH. EXT. SIGNATURE F �, �Q HOUSE NUMBER COR-• PEftMITTE I RECT AND POSTED t ADDRESS e O < FINAL ,9'tnf JOHN F. LEWIS. PRIdCIPAIC.STRUCTURAL ENGI R PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH Lr�L 9 1 9 7 FiAR 5 1 D 6.00- 7GA638A CE#803.8-64 APPLICATION FOR:BUILDIN PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER' ADDRESS K BUILDING AND SAFETY DMSION LOCALITY / v JOHN A. LAMBIE'. COUNTY ENGINEER NEAREST COLEMAN W. JENKINSSUP'T.OF BUILDING CROSS ST. 'DIST CT N G OUP TYPE' FOR APPLIC T TO FILL IN CONST.' Al, . - _ BUILDING STATISTICAL CLASSIFICATION. SEWER AP' ADDRESS CLASS NO. DWELL UNITS BKPG LOT NO. BLOCK USE ONE AP /� O NO. V TRACT �q SPECIAL /1 NO. OF SLOGS. Z CONDI IONS SIZE OF LOT 4!' COQ NOW ON LOT -• , USE OF e EXISTIN -G K BLDG. SETBACK FROM TEL. `2� FRONT PROP. LINE OF (STREET) OWNER S NO. L d TYPE OF EXI9TINA .SETBACK HIGHWAY YARD. .= TOTAL ADDRESS (F'D HIGHW Y I 'FR6M C.L. CITY BLDG. SETBACK FROM . - + •. - ARCHITECT ORtl TEL. SIDE PROP. LINE OF (STREET) ENGINEER NO TYPE OF 'EXISTING SETBACK HIGHWAY + YARD"= TOTAL } ADDRESS FIIGHWAY WIDTH FROM C.L. - CL ,O TEL. + = V CONTRACTOR' NO LIC "g ADDRESS NO CORNER CUTOFF YES El NO O F- CITY CICS 'SEE REVERSE SIDE FOR SPECIAL APPROVALS w DESC.RIPTIW OF WORK N z NEW ADD TE REPAIR DEMOLISH ` � 71 � 11 SQ.FT. NO. OF NO. OF lf i • ' ifw of i-.���r SIZE STORIES FAMILIES r USE OF /� Iry v Er-hPj �r�i STRUCTURE L RE OFNTON$ APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATION, LOCATION FEE$ �� FEE'$ 7W FORMS,.MATERIAL.S FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT ' AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 13UILDING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STME OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION 1 RANGE. LATH. EXT. SIGNATURE OF HOUSE NUMBER COR­ t PERMITTEE' RECT AND POSTED. _ ADDRESS FINAL j/-/.3 JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENG R PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH _ .5 2 0 WE OCT-1 0 1 8.a ' \ I o3aA dB 3.3 9-56 D ' APPLICATION FOR BUILDING PERMIT 5 Z BUILDING (,• DIVISION OF BUILDING AND SAFETY ADDRESS , ,• / Y _ fn Department of County Engineer -1 County of Los Angeles . LOCALITY / m WM.J. FOX, COUNTY ENGINEER NEAREST -7 CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPE i SEWER MAP Z FOR APPLICANT TO FILL IN ._ '"""�� CONST.A�' I91 ADDREBUILDSS .YJ O / /� t.i/"1 h•L'WIN t'i Y N MA ER i' - HWY YES P TE > D LOT NO./, V BLOCK USE ZONE SPECIAL J r' 7 CON ITION97� /. ,/�`� / D TRACT t.r" / &1 Ctl G 1 -moi y ,t NO. OF BLDGS. EXIST. to SIZE OF LOTy"'� +'1- ..' I NOW ON LOT BUILDING YARD HWY STREET NAME A WIDTH SETBACK m USE OF �( EXISTING BLDG. �-° 'f ✓�r FRONT I �._.'7 �.yC�/ ,jr �l y A OWNER s:. �; r.-1 ;`i:.. ,".J SIDEMAIL C�7 'ADDRESS O TRACT DWELL. 7 UNIT ✓ 5 INDUSTRIAL '} 1",I r_�,._. TEL. f '7 I DWELL. I UNIT ' CITY / y' NO.i ` `• ""`" CFY PUBLIC BLDG. ARCH ITEGT OR r _ TEL. r ,/, 2 DUPLEX I UNIT ENGINEER 1 �-+ NO. �.r"?-�f 7 ADDN., ALT.. ETC. 3 APT.- UNITS r, ,I 8 MISCEL. ADDRESS lrr• ! Yw, r` 4 COMMERCIAL TEL. INSPECTION RECORD CONTRACTOR '7 NO. ADDRESS DESCRIPTION OF WORK NEW ADD ALTER , REPAIR DEMOLISH SO. FT. NO. OF NO. OF SIZE - STORIES .-^"' FAMILIES USE OF STRUCTURE SIGNATURE OF .�..� APPLICANT APPROVALS ADDRESS r _ �,,� DATE INSPECTORS SIGNATURE _ FOUNDATION: LOCATION FORMS, MATERIALS FEE ,� � FRAME: FIRE STOPS, VALUATION J BRACING, BOLTS FEE / _ FURNACE: LOCATION, 1 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 r tMPENSATION DECLARATION rm that,I have a,Fertificate of onsent,to'self .,�:iri5' ,'r a certificate of Workers Compensation Insurance, •A P P•L I CAT�I O N F O Ry:BU I L D I N�G 'P E•RMI T or a certified.ctipy tlierepf'(Sec. 3800;Lab.`'C.) �.:I.ce ;• „l.; COUNTY-OF LOS'ANGELES I BUILDING AND SAFETY P.blicyNb.•- Company y❑ Certified copy is`hereby furnished:. _FO:R APPLICANT TO FILL IN,'' BUILDING 6 O ~ = ADDRESS' Certif ed.'copy is,filed with•the couni 'building n'' BUILDING - �.tlbn:depaWhent. ADDRESS & � d + IN e, pp 'Date,- ,Applicant CITY Oar _ ZIP g Q�V® LOCALITY .,„ .. ,. ` CERTIFICATE OF EXEMPTION'FROM WORKERS' " f e- N L -- t % COMPENSATION INSURANCE �jpo 66 O.OF B DGS. NEAREST SIZE OF LOT • NO 'ON LOT CROSS ST.' (This section-:need•ndt'be'•coriipletecl if'the permit is:.for one - - �- T/ ASSESSOR TRACT �9 y • BLOCK LOT NO.' MAP BOOK As PAGE` - PARCEL . hundred dollars($100)or,less.),. ,; . . ` : '- �i T O�j.'r C41 UV'GLL TEL. � 101. y'�-I.. USE`ZONE - MAP ' Q�/j�- . OWNER'. NO. (�C ff I�cerfify�that'in•.the performance of the`work.fo►whicli,fhis� _ •-O permit is issued,•I'sFiall not employ;any persgn Tri any manner' ADDRESS O I "IJJOi-�Wi CONDITIONS s'o'astto become subject to the 11Yorkers'Compensafibn•Laws. V. Ddte'.' 'IQ^`'� �'Applicarit ��r'��i" CITY `'li;' C-i. O }j: ' Jam, . NOTICE-'•T.O APPLICANT:'If; lifter mbkin ' thiS''Ceetificate of ARCHITECT OR TEL. DISTRICT G UP TYPE _. F,IRE_ -PRO. SSED.,BY.' g EP161PJfiER G C'+ NO. S 9E9 CONST.` ZONE = ' Exerriptibri,- you':should beeorrie' subject'-to-the''Wo�kers' '6 �j �� W •compensation provisions.of;•the Labor..Code,.you must forth= - ADDRESS . 9 I.LfNiO �l('e,• i^ciCOi� . !• -• d with =complye with- such.provisions or. this:permih•shall. be -=•-•- - _. _• •- = AT r deemed:revoked,: •:.:.., •• ',_: :t• « ' CONTRACTOR : " NO..- ISTI _ ST CAL CLAS�IFICAT.ION APT. � NDO• : : Z LICENSED CONTRACTORS DECLARATION; 7 - -' LIC, CLASS IVO. DWELL UNITS I.hereby affirm that I am licensed under,proyisions of Chapter 9 ADDRESS NO. SEWER P (commencing with Section 7000)of Division 3 of the Business grid _ _ .: :_. LIC. - P,-rofessons Code,and my license;is in:full force'and effect. CITY CLASS' BK l - '-' i- -VALIDATION ' SQ. FT. NO.OF NO.OF _ CHECK License Number' " ' Lia Glass ' SIZE 5 STORIES 2 FAMILIES b .0 E �:: s, .�.'• .. Tort. 6-1�:.. ❑ VALUATION.- is t•v_ 'DESCRIPTION.OF'WORK'.: n NEW r� j Contractor....,.,. Date pp ADD 3 Coo,'Ct O ll� f ;•t,. ,,C, ❑I am exempt under Sec.' I 1�:Qdr• ►�U r 1.VlL 1LS d-5{-itceQ ❑ ,. , - -- - - .; �. ii ALTER ' B.&P.C. fdr this reason 4.��i l 5� bYy. U/�l i �n' iw,r iUa 1 0 $ _ 2 0 3-4 Al-: �. REPAIR _. ... - -Ddte:' - - USE OF ` [bEM0L ❑ # s o 0-:6 2 3 EXISTING BLDG.Su S O O 1 __ - Signature _.__.. _ APPLICANT �" TEL. .E1JIf ) FINAL _ I' 6 7 3 4 4 OWNER-BUILDER'DECLARATION• PRINT Gri'1/CY`IrZS ICT krl� NO. --14-90 DATEt^~ f --�i .1-hereby affirm that I om•exempt..from the Contractor.'s.License `��� �- iv�0�1 A� — Law for-the following"iedson!(Sedtibn 7031..5, Business and ADDRESS C�.l t FIN 0' ,_6.7 3,4-4 'PFdfes§ions-Code):.._ : . .-. PRESENT _.. _ BUILDING' B _ I, as owner of the propert or,my employees with ADDRESS _-• j•', !` .:: s'': 5;J;4=$'S'= wages as fh@r sole compensation,will.do the work and t 'v the structure is not'intended or offered for sale(Section' LOCALITY } `'`•;'•- '� ; -•'--7044;.Business-.and,Professions Code). '' `'-' MOVING - -.-,.TEL. �'�"��- =i•i •, �I'J r, _ . CONTRACTOR NO. `,; , r.;•,ter I, as owner of the property,am exclusively contracting _:;�, i �; `a: 4\,._`a" :,�•`;\� �----with-licensed,contractors to construct the project,(Sec- - - tion 7044, Business and Professions Code). ADDRESS _ _REQUIRED .YARD HWY TOTAL SETBACK R _ .... _. _ 1... - , ;#.$�..'I�, .0- ... CONSTRUCTION LENDING AGENCY' -SET BACK PROP. LINE WIDTH, ; I hereby affirm that there is a construction lending agency.for FROM the performance.of.the-work•for-which this permit,is issued - P.L:--_ . T :_.. __ •' -- J 1,9.7'9:2 5: (Sec. 3097;Civ..:C.)._ SIDE ;•.; i. `,} .: '• '1t 1,9 7 9 25 Lender's Name - - - . . ... ic - - - s\'::• ti �;... - P. , _ / d �J(� LDMq`Ref. fi, \•.r.:�'` ic.� '• :..�:i I]'�.05:.-,8.6 _. P..C:Fee$ 1" 7 Petmit Fee ! L `V t� .. ,..-�.j_; ^ Lender's Address C�) ' Lcertify,fhat'I have.read.this application and state that the __. Issuance Fee •- !J V LDMA•PiC# '• '''• ' "' a above information is correct.I agree to comply with all County Investigation Fee s ` • •.ordinances and State.laws•relating to building construction, .- :, _..._._.. Total Fee / u` LDMA Perm:a - -- - >• •- - mak• - and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. • �f� SEE REVERSE FOR EXPLANATORY LANGUAGE E� © ......,....-Signature iof Applicant or Agent •rte.. Date i WORKERS'COMPENSATION DECLARATION, _ •. ..w ;• „.._,.,- „-..,, _ . I; _ . ," ~ hereby affirm that I have a certificate of,corisent-to self. APP I CAT 10 N FOR. B-lJ I L�D I N G PERN I T 'Insure, ora certificate of Workers'Compensation Insurance, ora certified copy thereof (Sec. 3800, Lab. C:)'= COUNTY OF LOS ANGELES BUILDING,AND'SAFETY .. Policy No. 04557 •Company Certified'copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING • l-r �.: ADDRESS•' XX{ Certified copy is filed with the'county building inspec- BUILDING u tion dep`artmeht. ADDRESS 6019 Baldwin Ave. i ' "8%T4/8'S Massie Rf I Temple City; .Ca. " zlP '91.780",' Z SLE Ci Date'' Applicant g• CITY. LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' _ =.NO.OF BLDGS. NEAREST. = COMPENSATION"INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. QZJ X1121 �f- i- (This section need'not be?completed-if•the'permit.is for one - • - - . <= - ASSESSOR,.; ' hundred,dollars($;1.00)or less.). TRACT BLOCK LOT NO. w MAP600K PAGE PARCEL . . t•. •: -First Baptist Church No 286-3126 usE.zoNE MAP I certify that�rn'the performance of the work for wHit.',this9 -OWNER perrriit.is.issued, I shall not employ aria person in any mariner OECIAL - - /.2. SP116 ADDRESS 6019--Baldwin- Ave. --- CONDITIONS :,, O 20 G so�as'to become subject to the-Workers'Compensation Laws. V it..,.•:,- ;, ,-i :y.:, :.: •:�. - � ._ CIN... _ •..zIP.. 1 80 _ - .. •)_ - '- - -'-. ._ ._.. .�_._ -,:i•� Date' APPlicant'.:. `•' . O NOTICE TO'i4PPL'ICANT: If;.'after making this Certificate of ARCHITECT OR TEL.' DISTRICT- GROUP TYPE...':;_ .: '. FIRE, ., . PRO• SSED BY_._ ENGINEER NO. CONST.; ZONE U Eiiemptioii; .you should 6" rrie subiectl'to the Workers' '.. ��^^ '1 ;, LU Compensation' provisions of the Labor Code,.you must.forth= ADDRESS J�•v-- d U._.._ �.;. ' with::comply,•.with. such provisions or. this perTnit shall be -•• - • ••- -- TEL: STATISTICAL CLASSIFICATION' APT. NDO: a deemed revoked:•,;, :•, CONTRACTOR NO: - __ LICENSED CONTRACTORS DECLARATION -=• Ic._448 r 38 NO. LOtLIS AVe. L 101 ' IfI CLASS NO. DWELL. UNITS I hereby affirm,that.l am licensed under provisions of Chapter 9. ADDRESS NO: (commencing wlth�Section.7000)of Division Y6 the Business and _.LIC: SEW MAP c:t:ti: s.'••.::• I ER Profess ons'Code;and mjr license is'jri'full force'and 'effect.• CITY Pasadena CLASS C-39 E - VALIDATION . •.,.' }, � ., ... SQ.FT. _.. ._. NO. F NO.OF _. CHECK. License NuinFi'er 4'48101' Lic.Class �-�0''' SIZE STORIES FAMILIES , r' ::.::.• VALUATION.. _ r DESCRIPTION OF�WORKRemOVe••rOOf�ing-.An-- NEW -� Coiwactor'MacGi LRfg�('n._'pO}e ''8 f 14/85 S 19,454.00; ❑ ,..:. a ops roo s; ap Y ADD p 1 am exempt under Sec. tr r , _ RLTER ' B.&P.C.•for this reason j. u NEPA Date:'-_._... o o, USE OF •#;l•� e e j EXISTING BLDG.. ChurCh. DEMOL Q -- Signature _.. _.- APPLIC NT)MaSS1eANT ROOfl Co. NOTEL'. 796-3928 FINAL .�� ;��° 2:1'8 63 OWNER-BUILDER DECLARATION 1-hereby affirm that I am.exempt-from.the:Contractor's License 0,••'2,1.8,6;3 Law for the-follo*ing ieason,(Section 7031.5, Business and ADDRESS 8 NO. lotus AVe. •.Pasadena � FINA � :•Professions Code): :-_.: __ ....- ._ _. PRE EN By' - - -.._ __..:=i 8,1 6 B,Jr.'+ ::'s• 1„as owner of. the property, or my employees with ADDRESS wages as tlieif sole compensation,,will do the work and. the structure.is not intended or offered for sale.(Section LOCALITY "Business'and'Professions Code)-.- 7044; "' MOVING I,as'owner of the property,'am exclusively contracting CONTRACTOR NO. _ a f' _ with-licensed contractors to-construct the projecf'(Sec- ADDRESS. - - tion 7044, Business.and Professions Code). :.. „_..' REQUIRED: .. TOTAL SETBACK FROM. CONSTRUCTION LENDING AGENCY SET BACK' YARD HWY PROP.LINE WIDTH t '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 - - - - Q Lender's Name r g 3 LDMA Ref.# P.C.Fee$ Perm""Fee-... .. _ . -. Lehder's Address �pn• �. •' . ' . I•-certify..that.I..have read.this application and state-that the.' _ Issuance Fee 56 LDMA•P/C'# above information is correct. I agree.to comply with all County Investigation Fee ' .. ordinances and State laws-relating_'to building.,construction, ._. ota le `3 -t LDMA Perm. U and hereby authorize representatives of this County to enter ; 'g' upon;he.a o-v-e-mentionsPperty for inspection purposes., " 5_ SEE REVERSE. 8/14/8FOR EXPLANATORY LANGUAGE• t • Keiif� Yr ArA���Il01nt Date " - -•- - - -- . .. _ ._ _.- - - --• t -eNbECLA' PATION 1-hisreby • .artificate,at;:�onsent to self insureelpr a �s'Com•penscrtion insurance, .c ' - A �L I �-®�I `_.e `may WING. PERMIT;; or a certified, "L. 3800,•Lab. C:)' - SAFETY . . SUILDIRIC•.AIdD S —�,.1 i�v'o�'�ht�tl�- I PIS: COUNTY OF LOS,ANGELES Policy No. ompany-: - .. .. _ - �J V�. BUILDING Certified;:copy is herebyfurnished:•' - FOR APPLICANT TO.FILL1N ADDRESS ElCertified•'copy isliled with'the`cooiitj-%building inspec- BUILDING . fi6n,department. ADDRESS Gi. &VI/114 - � f Date f6'_7 Applicant. 'c�LGi.y`f os CITY Te C✓L - ZIP a°J 4 + LOCALITY CERTIFICATE OF EXEMPTION`FROM''VIIORKERS' " ' . . 0:OF BLDGS. - - NEAREST• ' - • ' COMPENSATION INSURANCE r" R SIZE OF LOT - NOW ON LOT CROSS.ST._, his section need not'bwtornpleted if-the permit'is for one ASSESSOR,�,� hundred dollars($100)or less.).,• , TRACT BLOCK LOT NO. MAP BOOK' ' PAGE PARCEL F� bt'-t Lb't. VYC4}L TEL. pp USE ZONE MAP /F/J OWNER r - NO.ZG '.7' L5 N0. (J v I certify that in the performance of the work for which„this ppCL Permit is issued,I shall.not gmploy.any perrson'in any manner ADDRESSd' '� �� V(+' A-V C-- -�• SPECIAL O so,as to become sukije&To-the Wdrkets'Compensation Laws. CONDITIONS • { ZIP Z l�!C CITY .L G c:.. --• Date Apolicant, ARCHITECT OR EL,. DISTRICT GRGP TYPE. FIRE PROCESSED BY NOTICE'To.-APPLICANT:-'If, afteY milking this Certificate of -ENGINEER, C�1/L y"�tS �` TN —,l.Q'�� CONST,' ZONE- Exemption, rU Exemption, 'ybu should become subject':to 'the Watkers' ' Compensation provisions•of•the Labor Code,you must forth- ADDRESS L--'wt” A-ve— 5.P H with comply with such provisions or. this permit shall be -- - TEL. STATISTICAL CLASSIFICATION APT. COND Z deemed revoked: • • .' -• CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION,. - - LIC: -t CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWS MAP (commencing with Section 7QW)-6f Division.3.of the Business,and _ ..._ LIC. -- - -• R Professions Code,and my license is.in full force and effect. CITY CLASS BK 'PG. f '� VALIDATION SQ.FT. NO`QF• NO-01'... •. - CHECK License NurAer Lic.Clas's SIZE STORIES I FAMILIES ONE $ VALUATION . DESCRIPTION OF WORK 10 L Cr - T L LAS %'� NEW $ �. Contractor DateADD I arri exempt under Sec. "•x%+ S•LO�i�L• »��i71L , AL- TER B.&P.C.for this reason . _ REPAIR. Q $ Date: EX STUNG BLDG. DEMOL Q 21'3 Q 8 A USE OF Signature - APPLICANT ii TEL. . # 2 3 OWNER-BUILDER DECLARATION PRINT)LJ�i0L1e"Lf.S V�-ai� NO. I (? FINAL J� �.Q _ e o e o {�. DATE O' I hereby-affirm that I am exempt-from the.Contractor's License ADDRESS `� L�-vH 9/i d� ITV' LCL FIN' '' •1 o e'�`.5 0 Law for the following.Pedsori"' ectron 7031.5, Business and B - 'Professions Code): BUILDING " o;e,e 3 7�5 V 1, as owner of the property, or my employees.with _ ADDRESS -- -- ' - S their sole compensation,will do the work and LOCALITY 5 wages a the structure is and'Prdfessions Code). MOVING not intended or offered for sale(Section _ p 1, Q 7— 7044,'Business 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 REQUIRED BACK YARD" LHWY TOTAPROPACNEFR -WIDTH •42 1.6 2-7 A 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. : - -- # 0 0 0 0 0 (Sec. 3097, Civ. C.). SIDE -- P.L. - - - 1 ­ 49,-8-8 Lender's Name 2 ( LDMA Ref. # j -. .. P.C..Fee$ (V' Permit Fee 3 qt-M-Q- .` o o e 4 9.8 5 Lender's Address one J.certify that I.have-read this application and state that the - - - - Issuance-Fee . r -t P/C#• - 0 3.05-85 ! above information is correct. I agree.to comply with all County Investigation Fee - �t ordinances and State laws relating to'building construction, Total Fee,- 9 --LDMA Perm.# u and hereby authorize representatives of this County to enter MISI upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE i Signature of Applicant or Agent 'Date" WOkKERS'COYPENSAT10N DECLARATION insure,or a ce;tificate of Workers'Compensation Insurance, - •!7" �K FJ ._ 'I L I N PERMIT I hereb affirm that I have a certificate of convent to serfam or a t:ertified copy thereof(Sec. 3800 Lab. C.) r '2.04-3(0808K t�>n7avlrs ,f toLsv�� et'1 COUNTY OF LOS ANGELES BUILDING AND'SAFETY Polity No. any Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with the county building inspec- BUILDING tr� iLvtion department. ADDRESS ji, ` LOCALITY ,{ 8 � y NEAREST Date �O'3 "' "Yr 'Applicant Ckt0ItS G*�+�'�. CITY C44 1,_ a +'f✓� ZIP ,y`Z� CROSS ST. CERTIFICATE OFEXEMPTION FROM WORKERS' :.' SIZE OF LOT ZiG�/( �J(pCj NOW ON OT NO OF BtDGS. ASSESSOR � . MAP BOOK PAGE PARCEL COMPENSATION INSURANCE . (This section' need nol be completed if.the permit is for one• ' USE ZONE MAP hundred dollars($100)or less.) TRACT BLOCK LOT N0. NO. it 9i4;}i.S-*'6 Z'Vt�`mk TEL. -y SPECIAL, I certify that in the performance of the-work for which this OWNER _ NO.� �-y CONDITIONS L permit is issued, I shall not employ any person in any manneroo DISTRI GROUP TYPE FIRE PROCESSED BY so as to become subject to the Workers'Compensation Laws. ADDRESS CONST. ZONE a CITY �-_W( k C_,&4 CA- ZIP J ��8� 0 1 w Irk'- J � (r1kGj,IrtCS� �-fIA IGi/� ATISTICAL SSIFICATION CONDO. Date Applicant ARCHITECT OR TEL. NOTICE TO APPLICANT: If, after making this Certificbte of ENGINEER e I1 c II&W NO.4 5"'i4-90 CLASS NO. Z, UNITS Exemption, you should become subject to the'Workers' pp 'Compensation provisions,of the Labor Code, you must forth- ADDRESS . L_C W3 /T1fC'- A SEWER MAP with comply with such provisions or.this permit shall be r.. deemed revoked. .0 NTRACTOR NO. BK.� PG, Z, VALIDATION LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS • NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and U., LIC. Professions Code,and my License is iri full force and effect. CITY CLASS $ 2-Z)0 1313 SQ.FT. NO.OF NO.OF CHECK • License Number Lic.Class SIZE STORIES FAMILIES ONE ' N Jul H1,W W116 6 $ Contractor Date DESCRIPTION OF WORK ADD + y f I am exempt under Sec. �z�+4}Z' 4 t�iri'' � J"L I4-to FINA ` ALTER B.&'P.C.for this reason .— comM XROEPAIR 11DAT + Date: EXISTING BLDG. #l DEMOL ❑ FIN BUSE OF* y r APPLICANT �t �] TEL.��r Signature PRINT��a ��s 1`+ a r- .lid NO.445--114-96 OWNER-BUILDER DECLARATION. A A I hereby affirm that I am exempt from the Contractor's License gDDREss. DNS; � Lxasio"i W. 1k 1 N',- Law for the following reason (Section 7031.5, Business and Professions Code): 'PRESENT ❑ I, as owner of the property, or my employees with BUILDING ADDRESS wages as their sole compensation,will do the work and 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. l 2 3 7.3 8 with licensed contractors to construct the project.(Sec- °. ADDRESS tion 7044, Business and Professions Code). CONSTRUCT'ION�LENDING AGENCY' SETT BACK' YARD HWY TOTAL SETBACK L NEFROM WIDTH 7 l I hereby affirm that there lb a construction lending a en for FRONT I Y g g cY ® 1 0,03"8G- the performance of the work for which this permit is issued P.L. . JSec. 3097, Civ. C.). SIDE , 'o 'P:L. Q Lender's Name �°' �%•- - + P.C.-Fee$ Permit Fee Lender's Address o�e I certify that•I hove're'd this'appiigation and state that fhe ; Issuance Fee ect:I a re to com I .'viii h.tlll County ' is carr t above information. .g ,e y .. •Tnvesti.atign�.F.ee•=;;' •�-•'. . . g ordinances pnd.State:Idws`relating•to:btYi din ctinstructroii; d and hereby authorizti representatives of this County to enter N v upon the above-meFntioned pri peety for i.nspoction'purposes. 7 ~' +j .,::. SER,.REVERSE FOR EXPLANATORY LANGUAGE � — Signature of Applicant or Agerit Date•' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS COMMERCIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1306030012 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST NEW I BUILDING ADDRESS: I ITR: 6561 LT: 7 BL: .001 UN: .002 I SQ. FT STORIES TYPE OCCUP GROUPI 6019 BALDWIN AV I ISTRUCTURE: 0 1 V-B A-2 1 TEMP CA 917802240 (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: WOODRUFF I 8587-032-001 I I THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, Cl � I I TENANT: IEXIST BLDG USE: COMMS USE ZONE: C-2 (ISSUED ON: PROCESSED BY: IEXIST OCC GRP: A-2 106/03/13 SR 1 (OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IF AL DATE FI BY: CODE: IFIRST BAPTIST CH OF TEMPLE CITY (626) 286-3125- 1 45,000 1 16019 BALDWIN AV I I ITEMP 917801709 I FEES PAID IINSCRIPT101T OF WORK 1 NEW ADA RESTROOMS ADDED/REMODEL TWO EXISTING RESTROOMS NON- 1 I _(FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ADA NEW FIXTURES, TILE, COUNTERTOPS ETC. I [APPLICANT: TEL. NO: . I I I KITTERMAN, JOHN (626) 301-9546- 1AA BLDG PERMIT ISSUANCE 27.80 1 1 823 S MAGNOLIA AVE JAB STATE GREEN BLDG FEE 45000.0.0 VAL 2.00 ISPECIAL CONDITIONS: 1 MONROVIA CA 91016 JAE STRONG MOTION OTHER 45000.00 VAL 9.50 [ [ IA1 PLANCHECK W/EN-HC 45000.00 VAL 717.001' I IA2 PERMIT W/ENERGY-HC 45000.00 VAL 843.50 N , 1 Cee_j 6,,( t� 1 CONTRACTOR: TEL. NO: I TOTAL FEES 1,599.80 APPROVALS DA INSPECTOR SIGNATURE 1 IFINISHLINE CONSTRUCTION (626) 301-9546- 1 823 S MAGNOLIA AVENUE LIC. NO 1 1LOCATION AND SETBACKS I I MONROVIA CA 91016 884981 I I I I ISOILS ENGINEER APPROVAL I I I I I I (ARCHITECT OR ENGINEER: TEL. N0: I IFOUNDATION/TRENCH FORMS I I I I - I I I--[ LIC. NO: (SLAB/UNDER FLOOR I I I IRAISED FLOOR FRAMING 1 I [ IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 JUNDERFLOOR INSULATION I I I 1 3 001 1 1-1 I I I [FLOOR SHEATHING I I [ INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I [ I 1 0 NO 22 1 1 ROOF SHEATHING 1 [ I SCHOOL WITHIN HAZARDOUS I ISHEt?R PANELS I I I [AIR QUALITY.: 1000 FEET MATERIALS I [ [ I NO NO NO IFRAME INSPECTION I I IFIRE SPRINKLER HANGERSII I 'I I I (INSULATION/WEATHER STRIp1 1 I I I [INTERIOR LATH/DRYWALL I Ir 1 I 1EXTERIOR LATH 1 RATED FLOOR/CEIL ASSEM. 1 RATED WALL ASSEMBLIES I I RATED SHAFTS/OPENINGS I [ [ IT-BAR CEILINGS [ [ [ / (LOT DRAINAGE [ [ [ [ IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS COMMERCIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1404300013 PHONE: (626) 285-0488 EXT: LEGAL ID: I NO. OF CONST NEW I BUILDING ADDRESS: 1 TR: 6561 LT: 7 BL: .001 UN: .002 I SQ. FT STORIES TYPE OCCUP GROUPI 6019 BALDWIN AV ] STRUCTURE: 0 1 V-B A-2 TEMP CA 917802240 (ASSESSOR INFORMATION NUMBER: 1 I NEAREST CROSS STREET: WOODRUFF ] 18587,032-001 1 I THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, Cl [TENANT: (EXIST BLDG USE: COMMS USE ZONE: C-2 (ISSUED ON: PROCESSED BY: I 1EXIST OCC GRP: A-2 104/30/14 SR [OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: I FINAJ, DATE FI Y CODE: 1 IFIRST BAPTIST CH OF TEMPLE CITY (626) 286-3125- 1 8,608 I � I 1.6019 BALDWIN AV 1 S I ]TEMP 917801709 I FEES PAID IDESdRIPTION OF WORK I I ]RELOCATE LAVATORY & INSTALL C LINTER THEREFOR AT BACK OF 1 FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:ISANDTUARY 1 (APPLICANT: TEL. NO: I 1 [ IDAVILA, RAY A (626) 216-7547- IAA BLDG PERMIT ISSUANCE 27.80 1 1 12402 N PAL JAY AVE JAB STATE GREEN BLDG FEE 8608.00 VAL 1.00 ISPECIAL CONDITIONS: [ 1ROSEMEAD CA 91770 JAE STRONG MOTION OTHER 8608.00 VAL 1.80 I JAI PLANCHECK W/EN-HC 8608.00 VAL 195.30 I 1 JA2 PERMIT W/ENERGY-HC 8608.00 VAL 229.80 ] 1 [CONTRACTOR: TEL. NO: I TOTAL FEES 455.70 ]APPROVALS DATE INSPECTOR SIGNATURE ] 1NU WAY BUILDERS (626) 216-7547- I I 12402 N. PALJAY AVENUE LIC. NO I ]LOCATION AND SETBACKS I I t IROSEMEAD CA 91770 771401 * 1 ] ] I I I I ISOILS•ENGINEER APPROVAL 1 I ARCHITECT OR ENGINEER: TEL. NO: - i (FOUNDATION/TRENCH FORMS 1 I I LIC. NO: i ]SLAB/UNDER FLOOR I I ] I iRAISED FLOOR FRAMING ]MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION ] I I 1 3 00 I 1 IFLOOR SHEATHING I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1 I I I I 0 NO 22 [ IROOF SHEATHING I I I SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS JAIR QUALITY: 1000 FEET MATERIALS 1 I 1 I ] NO NO NO I [FRAME INSPECTION [ I I I IFIRE SPRINKLER HANGERS I I i I I I I JINSULATION/WEATHER STRIPI I I ] I I NTERIOR LATH/DRYWALL i 1 1 [ JEXTERIOR LATH 1 ] I I I ]RATED FLOOR/CEIL ASSEM. I 1 1 [ ]RATED WALL ASSEMBLIES ] I 1 iRATED SHAFTS/OPENINGS I I I [ I IT-BAR CEILINGS I I 1 I J* ADDITIONAL DATA ON FILE I [LOT DRAINAGE I I I I I I I I ] 1 (REPORT ID: DPR261 ROUTE TO: BS0508 -COUNTY OF IAS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9761 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1405150013 PHONE: (626) 285-0488 EXT: ]LEGAL ID: I NO. OF CONST BUILDING ADDRESS: I ]TR: 6561 IT: 7 BL: .001 UN: .002 I SQ. FT STORIES TYPE 1 6019 BALDWIN AV 1 I ISTRUCTURE: V-B I TEMP CA 917802240 (ASSESSOR INFORMATION NUMBER: ] I NEAREST CROSS STREET: WOODRUFF 18587-032-0011 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, Cl 1EXIST TENANT: BLDG USE: COMME USE ZONE: C-2 (ISSUED ON: PROCESSED BY: ] 1 1EXIST OCC GRP: 105/15/14 SR 1 10WNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: [FINAL TE FI B CODE: 1 IFIRST BAPTIST CH OF TEMPLE CITY (626) 286-3125- [ B00 1 I 16019 BALDWIN AV [ Ily (TEMP 917801709 1 FEES PAID ]DE CR IO F RIC 1 I ]CLOSE EXISTING 28" DOOR OPENING, RELOCATE TO WEST WALL 36" 1 1FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:]DOOR OPENING AT EXISTING WOMAN RESTROOM 1 (APPLICANT: TEL. N0: IDAVILA, RAY A (626) 216-7547- IAA BLDG PERMIT ISSUANCE 27.80 1 [ 12402 N PAL JAY AVE IAB STATE GREEN BLDG FEE 800.00 VAL 1.00 ISPECIAL CONDITIONS: 1 [ROSEMEAD CA 91770 AE STRONG MOTION OTHER 800.00 VAL 0.50 1 I I 1A1 PLANCHECK W/EN-HC 800.00 VAL 94.40 1 [ I 1A2 PERMIT W/ENERGY-HC 800.00 VAL 75.20 1 [ ICONTRACTOR: TEL. NO: I TOTAL FEES 198.90 (APPROVALS DATE INSPECTOR SIGNATURE [ INU WAY BUILDERS (626) 216-7547- 1 I I 12402 N. PALJAY AVENUE LIC. NO 1 (LOCATION AND SETBACKS I I I IROSEMEAD CA 91770 771401 * [ I I I I I 1SOILS ENGINEER APPROVAL ] ] I (ARCHITECT OR ENGINEER: TEL. NO: I [FOUNDATION/TRENCH FORMS ] I ] 1 LIC. NO: 1 ]SLAB/UNDER FLOOR' I I 1RAISED FLOOR FRAMING 1 I I ]MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 (UNDERFLOOR INSULATION I I I 3 001 IFLOOR SHEATHING [ I ] INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I [ [ I I NO 22 1 IROOF SHEATHING [ I I 1 SCHOOL WITHIN HAZARDOUS 1 ISHFAR PANELS I I I ]AIR QUALITY: 1000 FEET MATERIALS1 I I NO NO NO 1 1FRAME INSPECTION 1 1 1 1FIRE SPRINKLER HANGERS 1 I I ]INSULATION/WEATHER STRIPI I I ]INTERIOR LATH/DRYWALL [ I I 1 I 1 1EXTERIOR LATH I I I [ 1 1RATED FLOOR/CELL ASSEM. I I ] 1 I IRATED WALL ASSEMBLIES 1 I 1 1 1 1RATED SHAFTS/OPENINGS 1 1 1 I I IT-BAR CEILINGS I I 1 I I* ADDITIONAL DATA ON FILE 1 1 1LOT DRAINAGE I [ I 1 1REPORT ID: DPR261 ROUTE TO: BS0508 ] I I I COUNTY 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 1202130011 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: 1 ITR: 6561 LT: 7 BL: .001 UN: .002 I SQ. FT STORIES TYPE I 6019 BALDWIN AV 1 I STRUCTURE: 50 V-B 1 TEMP CA 917802240 (ASSESSOR INFORMATION NUMBER: 1 I 1 NEAREST CROSS STREET: WOODRUFF 18587-032-001 1 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, Cl 1 I ! I TENANT: (EXIST BLDG USE: CHURC USE ZONE: R-2 ISSUED ON: PROCESSED BY: 1EXIST OCC GRP: 102/13/12 SR 1 (OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IFINAL DATE FI/DIAL BY: CODE: 1 (FIRST BAPTIST CH OF TEMPLE CITY (626) 286-3125- 1 13,800 16019 BALDWIN AV I I V I 1TEMP 917801709 I FEES PAID IDESCRIPTION OF WORK 1 IREROOF OVER EXISTING 1 LAYER OF COMP ROOF TWO BUILDING NORTHI I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:tVE T4XDE ON WOODRUFF, OFFICE BUILDING, FLAT FOOT WHITE COATII (APPLICANT: TEL. NO: I ING 1 ISALAS, JOSE C (323) 500-8366- IAA BLDG PERMIT ISSUANCE 27.80 1 1200 N. ROWAN AVE IAB STATE GREEN BLDG FEE 13800.00-VAL 1.00 ISPECIAL CONDITIONS: 1 ILOS ANGELES 90063 IAE STRONG MOTION OTHER 13800.00 VAL 2.90 I ID2 PERMIT W/0 EN-HC 13800.00 VAL 284.60 TOTAL FEES 316.30 ICONTRACTOR: TEL. NO: I (APPROVALS DAT 'INSPECTOR SIGXATqRE I (JCS ROOFING (323) 500-8366- I I I 1200 N ROWAN AVE LIC. NO I ILOCATION AND SETBACKS I I I ILOS ANGLES,CA 90063 943575-C39 •I I I I I I I ]SOILS ENGINEER APPROVAL I I I 1ARCHITECT OR ENGINEER: TEL. NO: I IFOUNPATION/TRENCH FORMS I I _ 1 I LIC. NO: I ISLAB/UNDER FLOOR I 1 I 1 I 1RAISED FLOOR FRAMING ] I ] IMAP NO: 'SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( ]UNDERFLOOR INSULATION 1 I I, 1150H269 3 001 1 1-1 I I I IFLOOR SHEATHING I I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I_ I I I I 0 NO 22 I IROOF SHEATHING I I ] SCHOOL WITHIN HAZARDOUS ] ISHEAR PANELS 1 1 (AIR QUALITY: 1000 FEET -MATERIALS 1 I I I 1 NO NO NO 1 1FRAME INSPECTION I I 1 I 1FIRE SPRINKLER HANGERS I I I I 11NSULATION/WEATHER STRIPI I I I I I INTERIOR LATH/DRYWALL I I 1 I I (EXTERIOR LATH I I I I I IRATED FLOOR/CEIL ASSEM. I I (RATED WALL ASSEMBLIES I 1 I I I IRATRD SHAFTS/OPENINGS ] I I I I �' I I I I I 1T-BAR CEILINGS I I I I I* ADDITIONAL DATA ON FILE -ILOT DRAINAGE I i ] I IREPORT ID: DPR261 ROUTE TO: BS0508 I I ] I I I I I I