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HomeMy Public PortalAbout5302 BARELA AVE_Building__ T OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES BUILDING 1 WM. sl. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY 10ONTRArs-raite, UILDINO n h �/� DISTRICT NO. PLAN CK.NO. PERMIT NO. 1-00 DDREBB /'i /� /J�T / �i A3,�3�- OCALIYY X/// / W RECEI�V D BY DATE OF/APPL. DATE ISSUED EAREST ROES ST NB WNER Cr/I2 L�_D..O ' w+ ADDRESSMAIL DDREBB �, 0 ..y '• }� LOCALITY ITY / o�e l NO.� / w G Q` NEAREST TYRE /r CROON ST. for RCHITECT OR �, FIRE NO.OF TYP � ®ROUP TEL. ZONE PLANS NGINEER NC. BLDG. '` �•S ORD.NO. DDRESS SETBACK LINE ZO '27— APPROVED 7 Q//////// �� r APPROVED ' LQ--GL/ NO� J d o4BY O^TE ADORE—HEUSE / APPROVED ' w ZCN �/ BY DATE MAL DESCRIPTION LrO�TNO. /� g�pC .... CORRECTIONS TRACT / Y L/ Z) ' r/ S (ep / NO.OF BLOBS. / SIZE OF LOT V (/usEarnY ` NOW ON LOTj�s.Rs EX BTINB BL G. VY NO.OF f NO. MB a FAMILIES Y or ROOMS O DESCRIPTION OF WORK NEW ALTERATION ADDITION � � R REPAIR MOVING DEMOLISH �y�T�✓! p Bq.FT. /� NO.OF t 91ZE y J/ ROOMS ty� STORIES `�/ �Q /.(i,(�Q� To,f WALL ROOF COVERINB USE OF NEW BUILDING pi 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPS/ APPLICATION AND STATE THAT THE ABOVE 18 CORRECT FOUNDATION: LOCATION INS CTOR D TE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES r-� FORMS,MATERIALS /� � h� s� Z'Ary AND STATE LAWS REGULATING BU.IL�N& CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE OF BRACING.BOLTS , 1 PERMITTEE LATH, INT. ' '' fn AUTHORIZED AGT � LATH, EXT. !/ x 7 r.A638A-a 2-50 'Fa 7(/r: P,C,B (/� PLASTER,INT. Z ^ G (�-QFEE +� PLASTER, VALUATION ��/ FEE L���/ FINAL �v WORKERS'COMPENSATION DECLARATION = •: ' insure,bor a certif carte of Workers've a lCompensificate aconsnt to t on Insurancef APPLICATION FOR B dJ I L D I N G PERMIT _ or d certified copy'thereof•(Sec: 3800, Lab.It. ..- ' - `- -' -`- - _- Policy NP.r9R7492 company Republic Indemnity COUNTY OF LOS ANGELES BUILDING,AND SAFETY ❑ _Certified co is hereby furnished. BUILDING PY• Y FOR APPLICANT TO FILL IN ADDRESS ® Certified copy is filed with'thie couWy building inspec- BUILDING 5302 Barela. 'Ave, T.Cy. 91780 tion department. ADDRESS Dates = 87 Applicant $and01 loon i-i nq CITY ZIP •. LOCALITY a CERTIFICATE.OF EXEMPTION-FROM WORKERS' }n - -NO.•-OF BLDGS.- NEAREST..., .. COMPENSATION'INSURANCE' - - SIZE OF LOT .(Y'JI NOW ON LOT CROSS ST. (Thissection,need not.be completed if the,permit_is for one ASSESSOR: hundred dollars ($100)or„less.) ., : TRACT �� BLOCK„ LOT NO.- MAP BOOK' PAGE PARCEL l' certify that in the performance.of the work for which this OWNER "'-`" NL.' NOP permit,is`issuea, I shall not employ any person,in any manner O�EI - SPECIAL' USE � so,as to become subjectto the Workers'Compensation Laws. ADDRES55302 Barela ---- CONDITIONS 2-26-8T RandoL Roofing CITY T.Cy. ZIP. 91780 : Date .. Applicant OC DISTRICT' GROUP TYPE._- FIRE PRO ESSED BY-•.. ARCHITECT OR, TEL. O I NOTICE TO APPLICANT: If, after making this Certificate of u'' I ENGINEER NO: `/ Exemption,' you should become subject to the Workers' ©� C W Compensotion provisions of the Labor Code, you must forth- ADDRESS �. _-- j� . _ ._ NST' ZONE with comply•with such provisions or, This, permit shall be _ . � H TEL. STATISTICAL CLASSIFICATION APT. CO O. z deemed revoked. CONTRACTOR NO. — LICENSED CONTRACTORS DECLARATION - - CLA55 NO. 7 DWELL'. UNITS a 529�E. Valle Blvd No' 451937 I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS y NO. (commencing with Sectiori 7000)of Division 3 of the Business and _ Sa71' Gabr-lel ;`-,- - - LIC. SEWER.MAP Professions Code, and my license is in full force and effect. CITY CLASS 39 VALIDATION C 4519.37 C-39{ SQ. FT. NO.OF NO.OF-_ •_ CHECK BK. PG License Number Lic.Class SIZE '�STORIES FAMILIES �ONE DESCRIPTION OF,WORK Re roof.-house 'and- NEW VALUATION _-." . VAL Contractor R�nrinl Rr�nfiTDate •',�=R7 ❑ 1861.00 I ADD ❑ ❑ I am�exem t under Sec. --• ara e with lber- S a.P. _ „ ALTER shin les Class A.. Roof. B.&P.C. for this reason g ' REPAIR. 0 Date: USE EXISTING BLDG. SFT)' DEMOL ❑ t APPLICANT TEL. Signature PRINT Randol 'Roofing No 288-4040 FINAL OWNER-BUILDER DECLARATION 1 _ -DATE . 7 ,I hereby affirm that I.am exempt from the Contractor's License' Law for the following.reason•(Section 7031.5, Business and ADDRESS 529 E. val'lE Blvd S.G. 91776 FIN 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" A 7044, Business and Professions Code). - MOVING TEL ' s �y4 6 6"6.7 A CONTRACTOR NO. a ❑ [, as owner of the property, am exclusively contracting ,¢ With-licensed contractors to construct the project (Sec- '` " ' w # s ®• •.o..• �., tion 7044, Business and Professions Code). ADDRESS REQUIRED TOTAL SETBACK FROM.. ' XIST., ;•� ®4 9.-,8 8. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY;; PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT o418 _` the performance of the-work for which thispermit-is issued P.L. -- $v (Sec. 3097, Civ. C.). SIDE P.L. 3,,1 3. 8 7 0 Lender's Name o LDMA Ref. # P.C. Fee-$ - �: Permit Fee• .-$39.38 Lender's Address .I certify that I have read this a lication.and state that the .. _. ,_ .. .. . _. 10.50 - LDMA P/G# � y pp Issuance Fee --�` - -- -- -- - above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, $49..88 $ 9 9 _..... Total-Fee LDMA Perm. u an a by a oriz epresentatives of this County to enter T ) u on T 'e-m 'one ro erty for inspec��ur - es. - - SEE REVERSE FOR EXPLANATORY LANGUAGE -• ' n Signature of Applicant or Agent p• - -- ate. - -_. ..__ __. _ .. .. ._ _ -- _ ._. . ..._- __ _ ._. ... __ .. Q P 1 1