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Home My Public Portal About5143 BARELA AVE_Building__ • � - r 76A633A Cf BD3.a-e� APPLICATION FOR BUILDII dG PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALI Y r JOHN A. LAMBIE'. COUNTY ENGINEER NEAREST , • COLEMAN W. JENKINSSUP•T.OF BUILDING CROSS ST. DISTUACT NO GROUP TYPE. PRO SS Y ; FOR APPLICANT TO FILL IN - CONST. ,BUILDING STATISTICAL SSIFICATION• SEWE AP ADDRESS .,e/Z BK PG D CLASS NO._ DWELL UNITS LOT NO. 7pw,9 BLOCK USE ZONE MAP16A NO. TRACT SPECIAL NO. OF BLDG3. / CONDITIONS SIZE OF LOT /{'�.�� Now ON LOT USE OF EXISTING BLDG, BLDG. SETBACK FROM TEL. FRQNT PROP. LINE OF '� (STREET) OWNER A` /If NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS( -&- A HIGHWAY WIDTH _'FROM C.L. ' .�' � CITY _ sl DG. BE BACK FR M _ ARCHITECT OR - TEL SIDE PROP. LINE OF (STREET) ENGINEER NO. - - TYPE OF EXISTING SETBACKHIGHWAY + YARD = TOTAL ADDRESS - HIGHWAY WIDTH FROM C•L. d TEL q + = 0 CONTRACTORy., NOLIC- ADDRESS ;� jryZq NO !j4 •' d CORNER CUTOFF YES NO c' 0 CITY 7e, CL SS SEE REV E�ID FR R ROVALS W ESCRIPTION OF WORK ' H Z NEW ADD 'ALTER REPAIR DEMOLISH Note: Permits for Curb, gutter;, si oWe,•, ano u o SQ.FT. NO. OF NO, OF , ' .. -+ sl 1 'A .^. ' tioad Dept., Alfaden SIZE STORIES FAMILIES s a - Office. or T. C. Co. Engineer's O¢nco irvaxdiatDly in order 4o a USE OFwl� STRUCTU �— a lengthy delay. Survey & Ussign work , {or arkwa troo pornlif•e4 T. SIGN F City Hall.�r �19✓�l�nd'irnfAra! /"/vf /�Cf APP CANT VALUATION$ a�� ,�f3CJ I• .� �. yyi1JL�i rf'� APP' OVALS r(�)R ATE INSPECTO"SIGNATURE +� FOUNDATION, LOCAIT--I.ON JJ r 7 FEE$ 7FE `� FEE$ W FORMS, MATERIALS_- NA • FRAME, FIRE STOPS, •�f°'ry■f I HEREBY ACKNOWLEDGE'THAT 1 HAVE READ THIS APPLICATION BRACING BOLT - I ! r•'s AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION Q+,�l'�k�� '—"�,r•�r,�/st:1%' rj� WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING vG:AS-AVjE+NT:DUCTS f C 'BUILDING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK 7- , AUTHORIZED HEREBY•I WILL NOT EMPLOY ANY PERSON IN VIOLA. : LATH. INT. f�-�IrG- TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. , INC TO WORKMEN'VCLSA TIONINSURANCE. LATH. EXT.SIGNATURE OF HOUSE NUMBER COR-PERTY RECT AND POSTED ! ADDRESS ,G.`at 'r o FINALS �-3 JOHN F. LEWIS, PRINCIPAL ST GTURAL ENGINEER PLAN CHECK VALIDATIONcK. M.D. CASH _ PERMIT VALIDATION �- .. CASH 22 Q 1 L2 ",11(+ I 9 - A wp �� T.EMPLE CITY 70A000A CE#008.1-61 •APPLICATION FOR BUILDING PERMIT - COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF..COUNTY ENGD= ADDRESS BUILDING AND SAFETY DMSION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST ' WILLIAM A.JENSEN SUP'T OR BUILDING CROSS ST. .f DISTRICT GAO JP I •IYPE � PR CESSED BY FOR APPLICANT TO FILL IN `1J'�' �JI� corvsr BUILDING STATISTICALCLASSIFICATION SEWER MAP ADDRESS BK PG CLASS.NO.--f—DWELL.UNITS 6 v LOT NO: BLOCK WATER NOT-REQUIREDLfj' RECEIVED p CERTIFICATE: TRACT '11� Q MAP HIGHWAY STATE MAJOR SECOND, LOCAL /7 NO.OF BLDGS. NO. (clltcLE) SIZE OF L07L. I NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. CYC r OWNER ly y /� /) _ BUILDING. YARD HWY STREET NAME EXIST. ADDRESS/ I L lff,, ra/QeAy SETBACK WIDTH' FRONT q ARGHIT•ECT R TEL. -P.L. ENGINEER S. NO. SIDE' ADDRESS P•L. } TEL, INSPECTION RECORD 0 CONTRACTOR NO. ADDRESS O DESCRIPTION OF WORK W l d. NEW ADD ALTER!/ REPAIR DEMOLISH Z SQ.FT. NO.OF NO.OF IZE STORIES FAMILIES USE OF _ STRUCTURE s //JJ 9 SIGNATURE OF a`_ ' APPLICANT JrI N VALUATION$ / APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATION:LOCATION • FEE $ FEE $ FORMS,MATERIALS �. /►. FRAME:FIRE STOPS, I HEREBY ACKNOWLEDGE THAT.] HAVE READ THIS APPLICATION BRACING,BOLTS • t "' :J "`)P t-wW'�d1 AND STATE'THAT'TH E;:ABOVE IS CORRECT AND AGREE TO-COMPLY FURNACE'LOCATION; I ' WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS' BUILDING CONSTRUCTION: 1-CERTIFY,THAT IN.DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH,INT. TION OF THE LABOR CODE OF THE STATE.OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURA CE. - • LATH,EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTE RECT AND POSTED 6 ADDRES /• FINAL d CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL EN N PLAN-CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cr. m.o. CABH LAC0.0 1 2 8 JUL I. D 6.0 0 �� i APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDIN pit sS� J I hereby affirm that I have a certificate of consent to self insure, BUILD Dyp�E ` l or a certificate of Workers' Compensation Insurance, or a certified copy thereof(Sec.3800,Lab.C.) CITY----,- /J. ZIP LOCALITY f Policy No. Companq- SIZE OF LOT NO.OF BLDGS.NOW ON LOT El Certified copy is hereby furnished. � NEAREST O$,S ST. ❑ Certified copy is filed with the count ilding ins 6'bn TRACT BLOCK LOT NO. l rmen US ZONE MAP NO. de tt. ASSESSOR MAP BOOK PAGE PARCEL Dat - Applican SPECIAL CONDITIONS CERTIFICATE OF EXEMPTIONowN T ,ryo. FROM WORKERS' YES 9 NO COMPENSATION INSURANCE ••✓i ��J"7 WITHIN 1000 FT OF SCHOOL. (This section need not be completed if the permit is for one hundred ADDRE DISTRICT GROUPTMST. FIRE ZONE PROCESSED BY dollars ($100)or less.) CITY ._� ZIP _� - I certify that in the performance of the work for which this permit _ � /� is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. �• � �� become subject to the Workers'Compensation Laws. STATISTICAL CL SSI KATION 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' TR OR TEjNO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith i , `,5! /Y FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS ` LIC.N P L LICENSED CONTRACTORS DECLARATION 3 •• , �-�� r `J�` SIDE I hereby affirm that I am licensed underprovisions of Chapter g CITY / �� C/ A �O� SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAM IES Professions Code,and lice s in full force and effect. NEW BK PG } License Numb Lic.Clas ( --39 DE IPTI•N OF ADD ❑ VALUATION O �J C21 1�z Contract ate `� ALTER ❑ 0 REPAIR ❑ Q El am exempt under Sec. � BAP.C.for this reason LC? DEMOL ❑ LDMA P/C# W Date: USE OF EXIgTrffG BLDG. URM ❑ _ Signature APPLICANT(PRINT) TEL NO. LDMA Perm;4 __ z ❑ 1, as owner of the property, or my employees with wages as ZO , _ their sole compensation, will do the work and the structure is ADDRESS not intended or offered for sale (Section 7044, Business and FINAL DATE a Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL13 € 1 M .._.._ El I, as owner of the property, am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE AMOUNTS,SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY r I' rtl_ r_ licensed contractors to construct the project (Section 7044, a-Z Business and Professions Code.) VES El No El ` D•I•.y �s L 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 QUAUTY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR i Lfl GUIDELINES. ••• .... _. I hereby affirm that there is a construction lending agency for YES ElNo Ela the performance of the work for which this permit is issued(Sec. rnI HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING 3097,Civ.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, it I 1 F j f l r4',•� 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. o Lender's Address E - 0 OWNER OR AGENT o I certify that I have read this ap IiEAtion and state under penalty 4 of perjury that the abo for at.d'n is correct.I agree to comply P.C.FEE PERMIT FEE civ with all county Ord nc /State laws relating to building mconstructio , and h eb ut rize representatives of this County ISSUANCE FEE J (j m to e a ov toned property for inspctioUu�poses (4 !J a !r INVESTIGATION FEE TOTAL FEE / /� m a",V1 / �.J Q-wdof Ap li-�i or Ar 0- JJ\\7�SSEE REVERSE FOR EXPLANATORY LANGUAGE