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HomeMy Public PortalAbout5226 BARELA AVE_Building__ APPLICATION FOR BUILDING_ PERMIT FPR, APPLICANT TO FILL IN (Print or type only) ' BUILDING r, COUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER CITY - .Qj?' ZIP BUILDING AND SA TY DIVISION �/ Ed / O rDGS. BUILDING . RC2 ` r SIZE OF LOT 5d PID7 LOT -!/ ADDRESS CZ% G TRACT .5w,n 1BLOdK LOT NO. a LOCALI TE NEAREST. CROSS ST ' ASSESSOR ADDRESS �,A MAP BOOK PAGE PARCEL• DISTRICT GROUP TYPE' FIRE PRO SSED BY CITY 1r�%�lC�i�E efrSe ZIP CONST. - ZO.N ARCHITECT OR TEL. D ENGINEER• NO. STATISTICAL CLASSIFICATION' .SEWER MAP ADDRES)i CLASS No DWELL,UNITS BK PG CONTRACTOR C � OL e'r U ONE MAP /fO +7 NO. ADDRESS3/j /C�� Alde O NO.Is� �!!� SPECIAL CITY S�/{J G^r.Q � CLASS LIC • CONDITIONS R AD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACK FROM ADDRESS CITY FRONT PROP.LINEOF (STREET) HIGHWAY + YARD - ITOTAL SETBACK FROM TYPE OF EXISTING SQ, FT. NO. OF NO. OF CHECK ! i FRONT PROP. LINE- HIGHWAY 'WIDTH SIZE ��® STORIES FAMILIES -ONE _ } + DESCRIPTION OF WORK NEW ❑ _ BLDG,SETBACK FROM � � ADD SIDE PROP.LINE OF (STREET) ALTER ❑ HIGHWAY + YARD !='TOTAL SETBACK FROM TYPE OF EXISTING V REPAIR[] SIDE PROP. ,LINE HIGHWAY WIDTH ly _ � USE J y EXIST NG BLDG. /�/ . DEMOL El + Z APPLICANT� ��� �Yo TEL 8-? CORNER CUTOFF YES ❑ NO •❑ (PRINT) � 7Fla BY-(SIGN IN OPEN SPACE YES-0- NO ❑- a Al LE IN COASTAL PERMIT ZONE YES,❑ NO ❑ VALUATION,' +� IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ;AND STATE THAT THE ABOVE IB CORRECT AND AGREE'TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY T IN DOING T RK AUTHORIZED HEREBY 1 WILL NOT E PL Y ANY PERS IN V10 ATION OF THE LABOR CODE OF'TH ST E OF 'CAL ORN A 1 •RELATING TO WORKMEN'S COMP NS T10 INS URA SIGNATU PERMIT E ADORE SAW � �/�/�p•/ FINAL BY / CITY SAW Lir/K.�/c/>�Cs. ..NO. -0�i/ DATE . IVAKE CHECKS PAYABLE TO: FEE.$ /F FEE.:$\ HARVEY T. BRANDT,'COUNTY ENGINEER], 7 y� s c��J PLAN'CHECK VALIDATION CH. M.O. CASH b PERMIT VALIDATION CK.• O. CASH' 3-:S10JUL :15 2, 3 0 $ 9;2 5 A98 71GA636A CE#803 9/74 ,�, r 'WORKERS'COMPENSATION DECLARATION hereby affirm that I have a certificate stion InsUr to self APPLICATION FOR BUILDING PERMIT Il insure, or a certificate of Workers'Compenstian Insurance,or �" a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGE ES BUILDING AND SAFETY Policy No. Company��� �//h Oyy� t Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING - ADDRESS Certified copy is filed with the county uilding inspec- BUILDING }ion department. ADDRESS i LOCALITY NEAREST Date Applicant c CITY ( ZIP C CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS.- ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE, RCEL (This section need not be completed if the permit is for one US ZON - AP hundred dollars ($100)or less.) TRACT BLOCK LOT NO. �VfFtUAL O. r D TEL.,OWNER % �� NO. ONDITIONS CL I certify that in the performance of the work for which this _ //� '�f - DIS7 ICT GROUP TYPE �FIRE PR C D BY Ly permit is issued, I shall not employ any person in any manner ADDRESS �LJ V c`�� CONSso as to become subject to the Workers'Compensation Laws. 77;Date Applicant CITY —a ZIP `� STATISTICAL CLASS C TION �ARCHITECT OR TEL. APT. CONDO. t UNOTICE TO APPLICANT: If, after making this Certificate of W Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO. DWELL. UNITS (fL A Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER AP Z with comply with such provisions or this permit shall be f%e deemed revoked. TEL.'7 _ BK PG, 7 VALIDATION CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 7 �� � NO�C�acT yS VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full-force and effect. CITY �J�vn-P ��� CLASS $ I�_ ` SQ. FT. STO IE NO.OF CHECK License Number LIC.Class SIZE STORIES FAMILIES ONE _ Contractor DESCRIPTION OF WORK NEW ❑ $ Dafe_ ❑ ADD I am exempt from the licensing requirements as I am a LL / licensed architect or a registered professional engineer � n ALTER ❑ FINAL f ✓� .G;. acting in my professional capacity (Section 7051, ( �(_f 0 REPAIR ❑ DATE j Cf i Business and Professions Code). USE OF DEMOL FINAL EXISTING BLDG. ❑ By Lic. or Reg. No. Date APPLICANTTEL. OWNER-BUILDER DECLARATION (PRINT) ��!�/(.O CSG NO. I hereby affirm that I am exempt from the Contractor's License �J / Law-for the following reason (Section 7031.5, Business and ADDRESS ��C Professions Code): PRESENT ❑ BUILDING I, as owner of the property, or my employees with 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, with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). z 7J'8 2.7 R REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH # ° ° a ° o I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.I. 2 ° ° 4 3, (Sec. 3097, Civ. C.). SIDE /' 3. -A3,000 Lender's Name � � q -9 Lender's Address P.C. Fee$ Permit Fe 1 2 1 —81 W I certify that I have read this application and state that the Issuance Fee / above information is correct. I agree to comply with all County Investigation Fee /J ordinances and State laws relating to building construction, Total Fee and hereby authorize representatives of this County to enter t upop the above-mention roperty for inspection purposes. ad / /���� SEE REVERSE FOR EXPLANATORY LANGUAGE a i Signature of Applicant o Agent Dote - ©s 76A663-CE806 10/74 APPLICATI N F LEC ICAL PERMIT LJ COUNTY OF LQS ANGELES DEPARTMENT BUILDING AND SAFETY DIVISION ER JOB ADDRESS LOCALITY4 NEAREST FOR APPLICANT TO FILL IN CROSS ST. -- OUTLETS NO. EACHI FEE OWNER NAME RECEPT.!Q S $ MAIL LIGHT TOTAL FIRST 20 25 ® ADDRESS-5- CITY 7'. TEL. N0. OVER 20 SWITCH 10 PLAN CHECK LIGHTING 1FIRST 20 25 > APPLICANT FIXTURES .10 J} TOTAL OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMT RANGE DRYER_WTR. HTR. APPLII ANTkA STA. COOK DISP. F.A.U. ADDRESS c SPACE HTR. AIR COND. CITY01J TEL. NO �� CLOTHES WASH. DISHWASH. LICENSE OR aa�s CLASS. r 0. REG, NUMBER ' i FAN OTHER 4'- 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT R'E O COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND S TE LAWS RE LATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY TH I AM PR PERLY REGISTERED ND/OR O — 1 100 LICENSED AS REQUIRED LOS ANG COUNTY AND ST TE OF CALIFORNIA OR THAI AM THE AL OWNER F TH ABOVE p� 1 — 10 3.00 DESCRIBED SIDEN L PROP T CD U 10 - 50 5.00 SER IT-RE J O lrATURIC3 50 — 100 10.00 t; DISTRICT NO. PROC S E BY GW 100 --500 15.00 Z SIGN, GASSIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR' SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK I SERVICE OVER 600 VOLTSOR200AMP 10.00 ROUGH CONDUIT TEMPSERVICE,POLE, &APPURTENANCES 5.00 WIRING15 !yl SDA! TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL ?'z3-16 PERMIT FEE (SUB TOTAL) NOTES; PLAN CHECK FEE PERMIT ISSUING FEE 3.00 J (� TOTAL FEE PLAN CHECK VALIDATION CK. M.O. C sH PERMIT VALIDATION CK. M.O. CASH 8 8 its6 6 2 0 1 1.0 0 A b SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663 CE-60616/78) APPLICATION R ELECT AL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN � New Residential Bldgs.&Pools EACH NO. FEE JOB DRESS 5226 X. Barf-la 1 &2-Family,Sq. Ft. $ .025 — $ LOCALITY R'7 Multi-family Sq. Ft. .02 — NEAREST Residential Swimming Pools 25.00 CROSS ST. WNER OR FOIRM NAME Mr. & Mrs. iioch Outlets: RecLight &Sw. MAIL 50 ADDRESS 522 N.,_ Barela First 20 Total No. Additional .30 CITYTemple City Tel.No.287_8 7 PLAN CHECK APPLICANT Lighting Fixtures First 20 •50 ADDRESS Additional .30 Total No. CITY Tel. No. Fixed Appliances Not Over 1 HP PERMIT AAA Conditioned Air Inc. Range—Heater—D.W. APPLICANT Oven—Dryer—W.M.— ADDRESS 10160 Valley Bly(J . Top _FAU —W.H._ CITY El Monte Tel. No. -1800 Hood—Fan —Other 79 LICENSE OR Disp.—Room Air Cond. 2.50 REG.NUMBER 2 Clas .o I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA. Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size&Type HP, KW, KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS Yp REGULATING ELECTRICAL WIRING. Up to 1 Incl. 2.50O f � I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Over,1 to 10 Incl t 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF IM Over 10 to 50 Incl. 12.50 CALIFORNIA R THAT I AM THE LEGAL OWNER OF THE ABOVE 25.00 DESCRIBED RES ENTIAL PR PERTY. –�, O Over SO to 100 Inc. 40.00 PERMITEE /�/ C W Over 100 SIGNATURE ' ��� IL Services DISTRICT NO. ED BY Z 0-200 Amp. Under 600 V 12.50 201-1000 Amp. Under 600 V 25.00 .� , Over 1000 Amp.or Over 600 V 50.00 Z O Temp. Power Pole&Appurtenances 10.00 �7 Z ��-75 f Q Sign with One Branch Circuit 10.00 2 Additional Sign Branch Circuits 2'00 INSPECTION > INFORMATION Misc.Conduits&Conductors 10.00 ON REVERSE _ Other(See Complete Fee Schedule) SIDE Z -25061 A Z J 6 0 0 0@@ 2 PERMIT FEE (Sub-Total) 2 o@ 1 2 Q 0 Z 7A, PLAN CHECKING FEE (One-Fourth Permit Feel O @ @ ° 12005 PERMIT ISSUING FEE $7.00 c 06,21 -79 J TOTAL FEE 9 > r INSPECTION FINALED j ode W date: 7—2�_J-j B( ©s WORKERS'COMPENSATIONDECLARATIDN CE-806G (2-80) APPLICATION 'FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES T BUILDING AND SAF t insure, or a certificate of Workers'Compensation Insurance,or �7 / a certified copy thereof(Sec. 3800,L .C.}. _ G/ �Q9 76-® FOR APPLICANT TO FILL IN JOB Policy IN o. Compan EACH NO. .FEE ADDRESS ❑ New Residential Bldgs.&Pools Certified copy is hereby furnished. 1 &2-FamilySq. Ft. $ — $ LOCALITY Yoko- UX�L Multi-family Sq. Ft. NEAREST Certified copy is filed with the county building inspection CROSS ST dep rtme t. 011-0 a Residential Swimming Pools OWNER OR Date. Applicant 6b4" r r)C ( FIRM NAME Outlets: Rec.—Light—First MAIL' T_ V � First 20. ADDRESS CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY Tel 4. — >_COMPENSATION INSURANCE PLAN CHECK tl (This section need not be.completed if the work involved APPLICANT 0 by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS 0 Total No. Additional ZZ cc I certify that in-the performance of the work for which this CITY Tel No. 0 permit is issued, I shall not employ any person iri any manner Fixed Appliances Not Over 1 HP PERMIT so as to become subject to the Workers' Compensation Laws. Range_ Heater_D.W. APPLICANT W 0. ' Oven _ Dryer_W.M.� ADDRESS Date Applicant Top _ FAU _W.H.. Z Hood Fan _Other— s� CITY Tel No. NOTICE TO APPLICANT: If, after making this Certificate of Disp. T— Room Air Cond-- `J LICENSE OR -^► Exemption, you should become subject to the Workers' REG. NUMBER CX s y Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROCE SED BY with comply with such provisions or this permit shall be KVAR KVA KW HP &Type ype , , ,or deemed revoked. Si Up to 1 Incl. FINAL Over 1 to 10 Incl. LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. DATE VALIDATION I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL y�r (tel 9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 BY ness and Professions.Code, and my license is in full,force and effect. Services License Number 051 6?061.ic.Class c_� 0-200 Amp. Under 600 V ®C 201-1000 Amp. Under 600 V Contractor Date Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp. Power Pole&Appurtenances I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit 'License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits ness and Professions Code): Misc.Conduits&Conductors El I, as owner of the property;will do the work and the Other (See Complete Fee Schedule)— structure is not intended or offered- for sale (Section 40 R5A 7044,Business and Professions Code). 2 CONSTRUCTION LENDING AGENCY lij 0,0 a o 0 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is PERMIT FEE (Sub-Total) 2 1 200 issued (Sec. 3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) _ °, ° 1 2"-0 0:1: Lender's Address PERMIT ISSUING FEE 1, 0 2 1 ,7-'8 1 I certify that I have read this application and state that the TOTAL FEE l a above information is correct.I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE An 1 )n7tc, rnatOe of Pe mittee Date i ' WORKERS'COMPENSATION DECLARATION' CE-8bCG (2-b0) APPLICATION FOR ELECTRICAL PERMIT E$b6 I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES Gi BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or a certified copp%DDpryyy th/�/ereof�(Sec-3800, b.C.) G r �� U�Com any FOR APPLICANT TO FILL IN SOB h� �/� Policy No. p j �� EACH NO. FEE ADDRESS 1,J 60D New Residential Bldgs.&Pools Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY Multi-family Sq. Ft. NEAREST Certified copy is filed with the county building inspection CROSS ST depart ent. Residential Swimming Pools OWNER OR `� �^ / FIRM NAME Date`_T T' Applicant �L)`' 1 4e1^ Outlets: Rec.!Light_Sw.� MAIL First 20 ADDRESS /4M (AIM.Owt CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY Q Tel Noll -1 } COMPENSATION INSURANCE PLAN C ECK 13 (This section need not be completed if the work involved APPLICANT a0 by the permit is for one hundred dollars ($100). or less.) Lighting Fixtures First 20 ADDRESS U Total No. Additional I certify that in the performance of the work for which thisCITY Tel No. O permit is issued, I shall not employ any person in any manner Fixed Appliances Not Over 1 HP PERMIT so as to become subject to the Workers' Compensation Laws. Range_ Heater D.W. APPLICANT W Oven _ Dryer_W.M. ADDRESS 5JnV� a ) !� Date Applicant Top _ FAU _W.H`. , va Z Hood _ Fan _Other CITY I L Gob. Tel No. NOTICE TO APPLICANT: If, after making this Certificate of Disp. _ Room Air Cond-- LICENSE OR Exemption, you should become subject to the Workers' REG.NUMBER Class Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROCES ED BY with comply with such provisions or this permit shall be r deemed revoked. Size&Type HP,KIN,KVA,or KVAR Up to 1 Incl. Is , -Over 1 to 10 Incl. FINALDATE �� f•�;� -Y�'�' LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. VALIDATION I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL 9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 BY rl "" ness and Professions.Code, and my license is in full force and \I effect. Services 6 I a©� 0-200 Amp. Under 600 V License NumberQ� Lic.Class 201-1000 Amp. Under 600 V r Contractor Ra W 00 'Date q Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp. Power Pole&Appurtenances I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits ness and.Professions Code): 2 4 0 3.3 A Misc.Conduits&Conductors " 0 I, as owner of the property, will do the work and the Other (See Complete Fee Schedule)— } o 0 0 0:o 2 structure is not intended or offered for sale (Section 7044, Business and Professions Code). .210 0 1 3.0 0 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency o 0 0 = for the performance of the work for which this permit is 1 3.0 0 v issued(Sec. 3097,Civ.C.). PERMIT FEE (Sub-Total) i D 0'2,'1, 0•-81 Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE CID I certify that I have read this application and state that the TOTAL FEE � _ above information is correct.I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-mentioned property for inspec on purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE a�aQsuv Sign&e re of Plarmittee Pate