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HomeMy Public PortalAbout5232 BARELA AVE_Building__ 76A638A CE#8033-68 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING r DEPARTMENT OF COUNTY ENGINEER ADDRESS pC ��ui,.P_ BUILDING AND SAFETY DIVISION LOCALITY �— JOHN A. LAMBIE, COUNTY ENGINEER , COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST tl� Z CROSS ST. lJ I �C k/ FOR APPLICANT TO FILL IN DISTRICT NO. CaBQUP TYPE PF�I6CESSE❑ BY ��� 0 q _� CONST_ I.'l C (Print or type 02l) a BUILDINGSTATISTICALCCpLASSIFICATION flqSEWER MAP ADDRESS J �� ` CLASS NO.;ZDWELL.UNITS 't BK PG C r LOT NO. �; BLOCK US ZONE MAP D d ✓ NO. 9 TRACT SPECIAL !s� s3 s' NO.OF BLDGS. Lam? CONDITIONS SIZE OF LOT60^0 NOW ON LOT USE OF / EXISTING BLDG. BLDG.SETBACK FROM ���f/� TEL. FRONT PROP.LINE OF-U. (STREET). OWNER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL. ADDRESS HIGHWAY WIDTH FROM C.L. off- s-Ll fl 6 + 2d = 2-0 . CITYO`-��'�'L� BLDG.SETBACKFROM ARCHITECT OR TEL/ SIDE PROP.LINE OF -(STREET) ENGINEER NO TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL. i } _ C RAG 0521 NO. S/ J� /JJ/� ADDRESS .� ;J,. _��� No--/Z. p U 3 v CORNER CUTOFF YES ❑ NO ❑ LIC. CITY CLASS C -97 SEE REVERSE SIDE FOR SPECIAL APPROVALS o U DESCRIPTION OF WORK 1-'-I NEW ADD ALTER REPAIR DEMOLISH — ,, SQ. FT. NO. OF NO. OF /I✓ a� F -< SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATU E OF APPLICANT VALUATION $ _�7 APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. �+ R i FOUNDATION: LOCATION FEE S FEE S 3� �� FORMS, MATERIALS FRAME: FIRSTOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION RA E NG, BOLTS AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL 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- TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. LATH, INT. ING TO WORKMEN'S COMPS SAT NOFINS•RANCE. ATH, EXTSIGNATURE HOUSE NUMBER COR- 7A OR- / r PERMITTEE J % / / RECT AND POSTED t }r ( f ADDRESSFIN .,C ✓ �/ �✓r't'- /i/�-c`Cii�t ®F° /AL .N(� rl JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINES PLAN CHECK VALIDATION CK. M.D. CASH _ PERMIT VALIDATION CK. M.O.(13 �:IvJ i t PDE�ARTCOUNTNENT Y OF LOS . GENDS RFET tai U LICA� 'IL D I IV G ' WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FII.L IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK. NO. PER/M�ITT NO. BUILDINGf.-i�.y (= / C. (, S 7 v 5—/if'V 5 ADDRESS C Z_ _ "`•'� LOCALITY Pi, e F./ RECEIVED BY DATE OFAPPL. DATEISSUED NEAREST ✓�1w3 G &-0—,57/ CROSS ST. ',+�}��J,V BUILDING ` J � ADDRESS OWNER 1` �T�I - US l: �- L. �+ MAIL1 }. _ LOCALITY ADDRESS _ I� y.r I mI11¢S Q�` INEAREST EL. CROSS ST. T �i 1•= lriC L- �� CITY �, 4 8- 13R - NO.�Q /.p A - FIRE NO. OF I TYPE�-t%- I GROUP-T ARCHITECT OR TEL ZONE PLANS �f/� f ENGINEER NO. BLDG, r ORDdNO. / SETBACK LINE •9• ADDRESS L APPROVED TEL. BY DATE CONTRACTOR NO. USE APPROVED ZONE f BY DATE ADDRESS HOUSE NUMBERING LEGAL DESCRIPTION I LOTNO. I BLOCK MAP NUMBER FIELD CHECK BY — TRACT TRACT 3 NO. ASSIGNED BY aryl/S- TF NO. OF BLOGS. CORRECTIONS SIZE OF LOT Q b I NOW ON LOT USE OF NO. OF EXISTING BLDG. /Q/iIL I FAMILIES DESCRIPTION OF WORK NEW I iI ALTERATION I I ADDITION O REPAIR I I DEMOLITION D Q. FT. ,+ NO. OF .� Z SIZE / ROOMS STORIES Y EXT. WALL �A! WQ ROOF r COVERING b U/ COVERING USE OF STRUCTURE "0-- -r = l5 }C " APPROVALS �e INSPECTOR'S SIGNATURE 'DATE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION sl-lyI, � PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS _fy'_ - lr/ CORRECT. 1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS / f LAWS REGULATING SUILDIN ST TION. FURNACE: LOCATION, n,e / SIGNATURE OF U/ GAS VENT, DUCTS PERMITTE r I ((�� + ep N LATH, INT. ADDRESS ,1 S In^ I ).4041 SOR. AlAi I /� let LATH, EXT. —k AUTHORIZED AGT. PLASTER, INT. 76Af98A• D899 10-SO Fp ��/v I P.E $ Mo FEE / T� PLASTER, EXT. VALUATION FEE $ �© FINAL APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) 5-.Z dB ' �ADDRECOUNTY OF LOS ANGELES ` DEPARTMENT OF COUNTY ENGINEER CITY Z/i' Z P BUILDING AND- SAFETY DIVISION NO.OF BLOGS. BUILDING SIZE OF LOTjrp5AOX I -6 NOW ON LOT ADDRESS TRACT 4%;'-s BLOCK LOT NO. 5(> LOCALITY TEL. NEAREST OWNER OiLL JA.A9 /i NO. ,Z �� CROSS ST. ASSESSOR ADDRESS ) Z JN � f. .. - Ay i6 MAP BOOK PAGE PARCEL DISTRICT JGROUPJTYPE FIREESS€D BY CITY %x/� .F % Z ZIP L_ CONST. ZONE ARCHITECT OR TEL. DO ENGINEER NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS .CLASS N�DWELL.UNITS BK PG CONTRACTOR ®� /0� a Np. j.d;j ZONE MAP C.z/f� NO. ox/_, LIC. ADDRESS,Z o NO. .Zf iS y SPECIAL LIC. CONDITIONS CITY sioa— ICL !h>aPo'fG CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONSTRUCTION LENDER NAME AND BRANCH BLD ETBACK FROM } FRO T PROP.LI NE OF (STREET) d ADDRESS CITY - TOTAL SETBACK FROM TYPE OF EXISTING V SQ. FT. NO. OF NO. OF CHECK HIGH Y + YARD - FRONT PROP. LINE HIGHWAY WIDTH C SIZE STORIES FAMILIES ONE CD DESCRIPTION OF WORK NEW ❑ LL1 �dd ��ajae NADD BLDG.SETBACK FROM y A7 FeA �O ❑ SIDE PROP.LINE OF (STREET)0 MA Z. + ALTER ❑ HIGHWAY + YARD TOTAL E BACK FR TYPE OF EXISTING REPA111109 SIDE PROP. LINE HWAY WIDTH USE OF + DEMOL EXISTING BLDG. ❑ APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) NO. BY (SIGNATURE) � IN OPEN SPACE _ YES ❑ _ NO ❑ Q IN COASTAL ZONE YES ❑ NO ❑ VALUATION A CATEGORICAL EXEMPTION' YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. SIGNATURE OF.10 t-4f� PERMITTEE ADDRESS _&E-Ar 07 .STEL., FINAL BY CITY Bt(.Z67 ,Cj-I91d•1//� N0. t'+(3-036 DATE IIA.KE C HEC KS PAYABLE TO: FEE s` J FEE HARVEY T. BRANDT. COUNTY ENGINEER ` D PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK: M.O. CAGH 7,9.RFEB 4.. 1• � � �.0.0'o�a 76A63BA CE0803 12/72 / APPLICATION. -FOR BUILDING PERMIT - FOR APPLICANT TO FILL IN (Print or type only) ABUD Bess r (,Z COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER CITY ZIP ( BUILDING AND SAFETY 'DIVISION 7"0.OF BLOGS. BUILDING SIZE OF NOW ON LOT_ ADDRESS TRACT BLOCK LOT NO. LOCALITY ��. �(,^ c t TEL" NEAREST OWNER- /%$ CROSS ST. ASSESSOR ADDRESS as' >,/ MAP BOOK PAG PARCEL DISTRICT I GROUP ITYPE FIRE PROCESSED BY CITY ZIP r C ONS e/- ZON Q ARCHITECT OR TEL. ` (D C ENGINEER NQ. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS :CLASS NO, DWELL,UNITS .., BK :PG CONTRACTOR NAL` USE,ZONE MAP _ r LIC. NO. ADDRESS / NO, SPECIAL r CONDITIONS ' CITY LIC.CLASS •- _ ' ROAD DEPARTMENT APPROVAL REQUIRED YES ElNO❑ CONSTRUCT N NDER NAME AND BRANCH BLDG.SETBACK FROM FRONTPROP. INE (,STREET) V ADDRESS CITY / _ TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY .YARD - SQ. FT NO. OF NO. OF CHECK• FRONT PROP. LINE HIGHWAY WIDTH O SIZE Q STORIES FAMILIES ONE . FC-7 + Lai DESCRIPTION OF WORK NEW 1:1 - h ADD ❑ BLOG'.SETBACK FRO M SIDE PROP,LINE OF (STREET) _ ALTER•❑ HIGHWAY + YARD = TOTA E'FjBA FROM .TYPEOF EXISTING �• REPAIR SIDE P INE HIGHWAY WIDTH USE OF ' + _ EXISTING BLDG. DEMOL JA APPLICANT TEL CORNER CUTOFF YES ❑ ❑ (PRINT) NO. _ BY (SIGNATUR w IN OPEN SPACE .YES ❑ NO IN COASTAL ZONE YESO, NOEl � ®VALUATION.$ CATEGORICAL EXEMPTION YES❑ NO I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE.ABOVE IS.CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TING TO WORKMEN'S COMPE ATION INSURANCE. w SIGNATURE PERMITT ADDRE FINAL BY CITY NOL• DATE a -7 rye r' I [i PMT.Q MAKE CHECKS PAYABLE TO.-­ FEE F EFEE �' HARVEY T. BRANDT, COUNTY ENGINEER b d PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK M.O. sH.," 9rfl'�5NSfP r' 76AS38A CE0803 7/73 _ - ' AOPLICATION FO '�LDING PER l T FOR*P ICANTTO FILL IN (Print or type only) ,(/ /� COUNTY OF LOS ANGEL LDING ADDRESS 3 DEPARTMENT OF COUNTY ENGINEER CITY zIP Q BUILDING AND AFETY DIVISION OF BLDGS. BUILDING � �`+ SIZE OF LOT r 0 WON LOT ADDRESS TRACT BLOCK LOT NO. J LOCALITY TL.OWNER W e NO. —: CROSS ST. QC ASSESSOR ADDRESS a5z 3 Z_ MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE 'PROCESSED BY CITY ZIP 01I j CO ST. ZONE ,� ARCHITECiOR TEL. � � (j'(�I 6,VfI,^ �j /I V ENGINEER NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO. =3 DWELL.UNITS BK PG + TEL.�j CONTRACTOR NO.G6� USE ZONE MAP LIC. NO. t ADDRESSg*M i?� NO �� �•s SPECIAL e LIC. •V CONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.LINE OF (STREET) ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING SQ.FT.( NO.OF NO.OF CHECK HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH SIZE �O STORIES FAMILIES ONE DESCRIPTION OF WORK NEW + O ADD ❑ BLDG.SETBACK FROM (STREET) O SIDE PROP.LINE OF ALTER ❑ TOTAL SETBACK FROM TYPE OF EXISTING w HIGHWAY + YARD = SIDE PROP.LINE HIGHWAY WIDTH N USE OF REPAIR ❑ Z EXISTING BLDG. DEMOL ❑ + APPLICANT TEL CORNER CUTOFF YES ❑ NO E](PRINT) NO. IN OPEN SPACE YES ❑ NO ❑ BY)SIGNATURE) IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION$ ©� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE �0 ce- t& THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCESGaV, (} AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- PENSATION INSURANCE. /V•rr /3 jJs �!/o... /.'Jl iC�•-., SIGNATURE OF PERMITTEE 4b.A., ADDRESS r0 L)"4 CITY y1� NODATE FINAL BY MAKE CHECKS PAYABLE TO:A1FEE FEE T+2 , HARVEY T.BRANDY,COUNTY ENGINEER v> PLAN CHECK VALIDATION C/M.O. GASH PERMIT VALIDATION <CW: M.O. CASH 6 4 e.I-SEP 72'1 B 1,8.6 8 ,&,- &.4 4 BSEP ' 7 1 D 6 2.2 ®s 76A63BA CE#803 3.75' -- _ _ - APPLICATION FOR BUILDING PERMIT FOR'�APIkICANT TO FILL IN (Print or type only) B.UILDI c COUNTY OF LOS ANGELES./ ADDRESS DEPARTMENT OF COUNTY ENGINEER CITY 7,, P.,4r 7y zip n?/•7,?0 BUILDING AND SAFETY DIVISION NO.00 BLDGBUILDING SIZE OF LOT /1 'coNOW ON LOTS Jy- ADDRESS SZ Z Q TRACT AT 619 BLOCK LOT NO. � LOCALITY NEAREST OWNER L/.414 CROSS ST. ASSESSOR ADDRESS T" e MAP BOOK PAGE ]PARCEL -�}�/ DISTRICT GROUP TYPE FIRE PROCESSED BY CITY i�f ZIP L /d ©� TO CONST. f ZONE TEL. ARCHITECT OR V 3 ENGINEER NO. STATISTICAL CLASSIFICATION 4LL 4EWERTP ADDRESS CLASS NO.�_DWELL.UNITS BKPG CONTR TEL. USE ZONE MAP Qt.- X ' NO 2D q N0. ADDRES "/� �� �!O NO ZS ��D� '",L� SPECIAL LIC. CONDITIONS CITY 5'' �',QBR/E'L, CLASS 40 ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.LINE OF (STREET) ADDRESS CITY HIGHWAY •F YARD -_ ITOTAL SETBACK FROM TYPE OF EXISTING SQ. FT.:gr NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH SIZE 3 STORIES FAMILIES ONE + DESCRIPTION OF WORK NEW ❑ SI LIN V ADD BLDG. FROM (STREET) 1 @� �ic« SIDE PROP.LINE OF CD ALTER ❑ HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING V REPAIR❑ SIDE PROP..LINE HIGHWAY WIDTH cn _ y EXISUSE OT NG BLDG. DEMOL ❑ + Z y �/ �• �y (,/' Q CORNER CUTOFF YES ❑ NO ❑ A P(PRINT)Ni(,.•.�J �7 �/7�1� N LLO _ BY (SIG TORE) IN OPEN SPACE YES ElNO ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION; kVLE]na IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY /� WITH ALL ORDINANCES AND LAWfJ�.tit �• STRUCTI ON. I CERTIFY THAT IN DOIN THE RK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PE 0!1 IN VI CATION OF THE LABOR CODE OF. THE STATE OF •C BeIFORNIA 1 RELATING TO SI WORKMEN'S COM GENSATINSURAN SIGNATUR PERMITT ADDRESS FINAL�f�jX/�f / BY C I T Y�/J:�e� (�/S)G/G%G L- N O TEL �+7 DATE P.C. T MAKE CHECKS PAYABLE TO: FEE' j.FPEE*"'1 HARVEY T. BRANDY, COUNTY ENGINEEReel PLAN'CHECK VALIDATION CK. CASH G� PERMIT VA I ON CK. M.O. *CASH 6879110V- 12-23 .0 45.45 &98 ✓c-� Y . 051594DEC 9? 2, 8:10d" R (J 76ASSBA CE*809 5/74�� - _ ' _5 6 t,DEC 9 1 D: 8 92 5 ,&w - APPLICATION FOR BUILDING PERMIT �1 COUNTY OF LOS ANGELESi-.., fir BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS B DINGppDRESS sa y •rte o� I hereby affirm that I have a certificate of consent to self insure, ."7 4,CS.►. f/'1' or a certificate of Workers'Compensation Insurance,or a certified I1 ZIP copy thereof(Sec.3800,Lab.C.) LOCALITY Policy No. Company L . SIZE LO OF NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS SV.' ❑ Certified copy is filed with the county building inspection TR Ml s� BLOCK LOT NO., department. �II, USE ZONE MAP NO. ASSESSOR MAP BOOK PAGE PARCE Date ApplicantL�D �6 SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' Ow Jp _ a TEL.NO. (J YES NO COMPENSATION INSURANCE /v WITHIN 1000 FT.OF SCHOOL? ADDRESS (This section need not be completed if the permit is for one hundred ' " DISTRICT GROUP TYPE CONST.' FIRE ZONE PROCESSED BY dollars($100)or less:) CITY ZIP 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 CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. .Z/ DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the WorkersCONTRACTOR TEL.NO. SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P IL SIDE LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS p L hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP v (commencing with Section 7000)of Division 3 of the Business and S . ZE„„ NO.OF STORES NO.OF FAMILIES !� Professions Code,and my license is in full force and effect. z NEW ❑ BK PG , v DESCRIPT1QN OF WO ADD VALUATION �U d License Number Lic.Class Lo Contractor DateALTER ❑ I am exempt under Sec. REPAIR ❑ B.&P.C.for this reason DEMOL El P/C# Date: USE OF EXISTING BLDG. URM. ❑ gnature APPLICANT(PRI T) � -`_ / LDMA Perm# - I, �S�°wV TEL.NO. Z as owner of the property, or my employees with wages as �( O :+''•C•T2% their sole compensation,will do the work and the structure is ADDRESS not intended or offered for sale (Section 7044, Business and '/e,Ile— —FINAL DATE ® r= ❑ — Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL `� .� J =1, as owner of theproperty, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN ; Y g THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY' licensed contractors to construct the project.(Section 7044, YES❑ NO❑ Business and Professions Code.) WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIREA PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. i=I i ime i- I hereby affirm that there is a construction lending agency for YES❑ No❑ y. ''' he performance of the work for which this permit is issued(Sec. " t the p CIVI HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD 'I- ^•^--''--"--r -� •-- p� .C. ). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES r,;ai,.:_,,•; m, COUNTY CODE.TITLE2,CHAPTER 2.20 SECTIONS 2.20.100THROUGH 2.20.140 CONCERNING Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. a Lender's Address OWNERORAGENT o" I certify that I have read this application and state that the above RC.FEE g information is correct. I agree to comply with all county r PERMIT FEE ��7� a ordinances and State laws relating to building construction,and _ /12, ¢. hereby authorize r prey tatives of this County to enter upon ISSUANCE FEE �S - t J the above io d pr erty for inspection purposes. rJ t`' 41'i ='` ¢ INVESTIGATION FEE TOTAL FEE n sieen ofM � c ra I one ___ SEE REVERSE FOR EXPLANATORY LANGUAGE • COUNTY OF LOS ANGELES TEMPLE CITY t+ 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9806090021 PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 15683 LT: 58 SQ. FT STORIES TYPE OCCUP GROUP 5232 BARELA AV STRUCTURE: 0 1 VN R3 TEMP CA 917803848 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: BLACKLEY 8589-011-030 OTHER: 112 1 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 06/09/98 UT 06/09/99 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY CODE: JOHANSSON ALF A;MARGIE L WARNER (818) 285-3521- 1 1,500 5232 BARELA AV -,M r TEMP 917803848 FEES PAID DESCRIPTION OF WORK OPEN WOOD PATIO/DECK 81 X 14' - 2 SQ. FT. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 1500.00 VAL 0.50 SPECIAL CONDITIONS: AX BUILDING REVIEW FEE 54.70 D2 PERMIT W/O EN-HC 1500.00 VAL 82.20 TOTAL FEES 165.15 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 01 ST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT /J SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS SIDE PL- INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508 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 0609210013 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 15683 LT: 58 SQ. FT STORIES TYPE 5232 BARELA AV STRUCTURE: 2400 VN TEMP CA 917803848 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8589-011-030 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 09/21/06 JK 09/16/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE Y: CODE: ZOCCOLI, CONNIE (626) 833-4950- 4,980RRI 5232 BARELA AV q TEMP 917803848 FEES PAID DESCRIPTION-OF' ORK REMOVE COMPOSITION INSTALL 30 YR CLASS A COMPOSITION FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: GRATER (626) 926-1091- AA BLDG PERMIT ISSUANCE 27.75 7115 MONTEREY ST. AC STRONG MOTION RESID 4980.00 VAL 0.50 SPECIAL CONDITIONS: LA VERNE CA 91750 D2 PERMIT W/O EN-HC 4980.00 VAL 132.60 TOTAL FEES 160.65 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE D AND G ROOFING (909) 593-4982- 2115 MONTEREY ST LIC. NO LOCATION AND SETBACKS LA VERNE, CA 91750 534986C39 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 144H269 3 01 ' FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS I SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO I FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST I FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL lar/d ��®✓S� (r,Yrlg I EXTERIOR LATH RATED FLOOR/CEIL ASSEM. -- i RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 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 1004190062 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: ITR: 15683 LT: 58 SQ. FT STORIES TYPE I 5232 BARELA AV I ISTRUCTURE: V-B TEMP CA 917803848 1 ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: BLACKLEY 18589-011-030 1 _ 1 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl (TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: I 1EXIST OCC GRP: 104/19/10 SR 1 (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE: I ICONNIE & JOSEPH JORDAN (626) 291-2906- I 2,000 15232 BARELA AV ITEMP 917803848 FEES PAID IDE�CRIP ION OF WORK I I IRE-STUCCO EXISTING HOUSE I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( (APPLICANT: TEL. NO: I I ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.75 I I IAB STATE GREEN BLDG FEE 2000.00 VAL 1.00 ISPECIAL CONDITIONS: I IAC STRONG MOTION RESID 2000.00 VAL 0.50 ID2 PERMIT W/O EN-HC 2000.00 VAL 82.20 I:^ IFR INV WORK W/O PERMIT 128.50 DOL 128.50 Ii , I ICONTRACTOR: TEL. NO: I . TOTAL FEES 239.95 (APPROVALS DATE INSPECTOR SIGNATURE I ISAME AS OWNER - I I I LIC. NO I ILOCATION AND SETBACKS ISOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I LIC. NO: I ISLAB/UNDER FLOOR I I I IRAISED FLOOR FRAMING I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I I I I147H269 3 001 I I I IFLOOR SHEATHING INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I 1 NO 21 1 1ROOF SHEATHING SCHOOL WITHIN HAZARDOUS - I ISHEAR PANELS I I I (AIR QUALITY: 1000 FEET MATERIALS I I 1 NO NO NO 1 1FRAME INSPECTION IREQUIRED TOTAL SETBACK FROM EXIST I IFIRE SPRINKLER HANGERS I I ISET BACK YARD: HWY: PROP LINE: WIDTH: IFRONT PL- I (INSULATION/WEATHER STRIPI I I I SIDE PL- I I 1-1 I (INTERIOR LATH/DRYWALL I IIy I I EXTERIOR LATH IRATED FLOOR/CEIL ASSEM. (RATED WALL ASSEMBLIES I I I I IRATED SHAFTS/OPENINGS I I I IT-BAR CEILINGS I I I ILOT DRAINAGE I I I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I I I J