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Home My Public Portal About5305 BARELA AVE_Building__ DIVISION OF BUILDING AND SAFETY BUILDING Department of County Engineer County of Los Angeles WM. J. FOX, COUNTY ENGINEER APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY � G�� DISTRICTQ PLAN CK.OR REC.NO. MIT NP. BUILDING b 3 0,5 ADDRESS _ S IVEDBY DATE OFAPPL. DATEIBSUED LOCALITY ��" `� / Vrv'�� " �ro�/ _. /BUILDING NEAREST CROSS ST. ADDRESS OWNER ' MAIL, j-q�, LOCALITY ADDREBB- 3Q%5 �+ ¢ PC P _f NEAREST TEL ' f'�4% CROSS ST. V CITY NO. FIRE -. NO.OF .r TYpE GROUP ARCHITECT OR TEL ZONE PLANS EN131WEER NO. BLDG. SETBACK LINE ALO r l D ADDRESS _ USE APPROVED TEL ZONE BY DATE CONTRACTOR NO. !, HOUSE NUMBERING ADDRESS MAP NUMBER v� l f0 NO. ASSIGNED SY LEGAL CORRECTIONS DESCRIPTION I LOT NO. I BLOCK TRACT 102-10 No. or SIZE OF LOT / 3 2 I NOW ON LOTSS. �� USE p y��l�� I OF � v EXISTING FANG BLDG. FAMILIES DESCRIPTION 01yWORK °� - o NEW ALTERATION ADDITION y REPAIR DEMOLITION gC BFT. ! G NO.OF SIZIZ E / ROOMS STORIES EXT.WALL ROOF COVERING � COVERING V�' y°F �� USE OF STRUCTURE INSPECTION FOR APPROVALS OCCUPANDYAB INSPECTOR'S SIGNATURE! (DATE FOUNDATION: LOCATION J FORMS, MATERIALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIN AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IB FRAMES FIREBTOPS, i CORRECT.AGES TO COMPLY WITH ALL COUNTY ORDINANOES• BRACING,BOLTS AND STATE LAWN REDO TING BUILDING CONSTRUCTION. FURNACE: LOCATION, DAB VENT.DUCTS an it OF LATH, INT. PERMITTE • r ADDRESS LATH. EXT. PLASTER, INT. AUTHORIZED AGT Q Q P.O.. PLANTER, EXT. -35-6 FEE HOUSE NUMBER COR- 1 POSTED VALUATION FEE !✓ RINAL �ie.�C , G'E' �- .a!" 76A63EA DBE 3 1-68 f ABT�iT OF BUMDEFFFM SAFETY u>Prn'-ATION FOR PEDUr w°°." OFmSASN BUILDING WM. J. I=. CNIEF ENGINEER FOS APPIACm TO Pm 111 FCa OFF= = MY DISTRICT NO. PLANCK. NO. PERMIT NO. BUILDING ADDRESS LOCALITY c BBC;=BY DA OFA PL. DATE ISSUED NEAREST +,y CROSS ST. BUILDING � ADDRESS S�d � GJ�/ owMES V MAIL LOCALITY ADDRESS CRESB>;S ST. ♦ (, C L� CITY NO.TEL FIRE NO. OF 'Z TYPE tlP ARCHI a Ed.OR TXI- ZONE PLANS ENGINEER NO. BLDG. r D. O. SETBACK LINO?O L Q S L ADDRESS APPROVED .RL BY A DATE CONTRACTOR NO. USK A J MON ADDRESS O BK NUMBERING LEGDESCRIPTION LOT MO. BLOCK MAP NUMB IELD CHECK BY •�p� O NO. ASSIGNED BY T NO.OF BLDGS. Ccm=TXs GIME OF LOT NOW ON LOT USE OF NO.OF " EXISTING ELDG. FAMIUM DST= OF wcm NEW ALTERATION I ADDITION I E REPAIR I DEMOLITION aimIrr� ROOMS STORIES / L T16Y EXT.WALL ROOF r COVERING GG 0 COVERING Jbjj&j" .DJ#y USK OF STRUCTURE i mr --A ,v r 700 i '" �l.I� SAm DATK 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATIONILOCAT PLICATION AND STATE THAT THE INFORMATION GIVEN IB FORMS. MATERIA CORRECT. � 1 AGREE TO COMPLY WITH THE CORRECTIONS UST® FRAMKI FIRE STOPS■ WBON AND WITH ALL COUNTY ORDINANCES AMD BiATK BRACING■ BOLTS LAWS RESULATING B ILDINGSTRUCTION. FURNACKi LOCATION. SIGNATURE OF jp. n PrVn d GAS VENT,DUCTS FREE i LATH, INT. ADDRESS / ' ' LATH. SIT. �. AUTHORIZED AST. PLASTER. INT. 70AMM•EMIG 0.00 P.C.4 • `��. ® I �� I= ..+r PLASTER. EXT. on VALUATION FEE S FINAL 7—?�'� 7 ' A BY'L I CrA'T'I O N FOR COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER `W I LD IN G PERMIT BUILDING AND SAFETY DIVISION BUILDIN FOR APPLICANT TO FILL IN ADDRESS BUILDING ADDRESS S_l tos_/®n` OLI q 'f{/ LOCALITY _ NEAREST CITY rdhl j Ck% ZIP i ! O CROSSST. NO.OF BLDGS. ASSESSOR SIZE OF LOT 3?� NOW ON LOT MAP BOOK PA PARCEL DISTRICT UP TYPE FIRE SSED BY TRACT D BLOCK LOT NOO..� �. CONST ZONE OWNER *WX961 No.o�tD 1 STATISTICAL CLASSIFICAT ION SEWER. P ADDRESS u;3 09- �/J� CLASS NO. DWELL.UNITS BK PG CITY , �� -G1 ZIP 9j Z8 `� US ZONE NOAP ARCHITECT OR TEL. J SPECIAL ENGINEER NO. fry CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL'REQUIRED YES❑ NO'❑ TEL. CONTRACTOR NO. BLDG.SETBACK FROM LIC. FRONT PROP.LINE OF —ISTREET) ADDRESS AA A NO. HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING LIC. FRONT PROP.LINE HIGHWAY WIDTH CITY CLASS _ } CONSTRUCTION L DER + a NAME AND BRANCH O BLDG.SETBACK FROM V ADDRESS CITY SIDE PROP.LINE OF (STREET) i O SQ.FT. NO.OF NO.OF CHECK HIGHWAY + YARD TOTAL SETBACK FROM TYPE EXISTING SIZE STORIES FAMILIES ONE SIDE PROP.LINE HIGHWAY WIDTH . w N + = Z DESCRIPTION OF WORK Rod.-, NEW ❑ — ADD ❑ CORNER CUTOFF YES ❑ NO ❑ ALTER ❑ IN OPEN SPACE YES ❑ NO ❑ REPAIR ❑ USE OF BLDG. EMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NOEXI ❑ APPLICANT' TEL / J /� (PRINT) Tgfr �+Ct! efiS�✓JNO.��-I � �•/�i� +r `Z? 7' .'1•'.(161- 'dl� - r BY ISIGNATUREI T/+CJ. �U�►''`�' O w CtI.ICI I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES 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. SIGNATURE OF` r' FINAL a BY PERMITTEE _ DATE •Cly ( Gl •--ti ADDRESS 6 86 5 i 1 -7 TEL. —L3S�. P.C.Fee$ Permit Fee off. 7 CITY e NO. Issuance Fee VALUATION 4r3, ! Q! Total Fee :PLAN CHECK VALIDATION' CK. M.O. CASH PERMIT VALIDATION --d-K- M 0 CASH 5 4 6 co JUL 10 .1 A 3 4.0 0 ASU ®S 76A888A CE/808A 8/77 I' f 1 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS- 7C - �� I hereby affirm that I have a certificate of consent to self insure, BUILDINP-ADDRESSr or a certificate of Workers' Compensation Insurance,or a certified ' .3 4 eZ4 copy thereof(Sec.3800,Lab.C.) ` CITY ZIP II JLj r I 1 .� "�� t C, / ✓ LOCALITY �f Policy No. Company SIZE OF LOT NO.OF BLDGS.NOW ON LOT �✓ El Certified CROSS ST.Certified copy is hereby furnished. _ ❑ Certified copy is filed with the count b ildin�ppecon' TRACT BLOCK LOT NO. department. USE ZONE MAP NO. DateApplicant '" ASSESSOR MAP BOOK PAGE PARCEL / ' ale GZ OL• 7 /� SPECIAL CONDITIONS ,("✓O / CERTIFICATE OF EXEMPTION FROM WORKERS' owN //� /� pTEL/NO. COMPENSATION INSURANCE �� d,D' �� -/ WITHIN 1000 FT OF SCHOOL? YES NO ADDF;�SS (This•section need not be completed if the permit is for one hundredC "� DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars ($100) or less.) ) J eeel-. CITY,v ZIP I certify that in the performance of the work for which this permit •I` J� 0 o ' is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. i7 /1�1'� �e3 become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION 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' CO T ACTOR I CEL NO. y SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith �;�JiJ�f/I LnC111�C!w�i- X l �'S 9 `� FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P L LICENSED CONTRACTORS DECLARATION SIDE CIT �j,/� �� LIC.CLASS;L PL I hereby affirm that I am licensed underprovisions of Chapter 9 ( �1/ SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force anY effect. 2100 NEW ❑ BK PG } lj'�j DESCRIPTION OF RK License Number Lic.Class -�. ) ADD ❑ VALUATION O Contractor1CA119-P-19%Sf ate d-ZA5-r.j— d� � � _ �p ALTER ❑ $ s CC I am exempt /�under Sec. "` ��/ V,1� ��\� � REPAIR ❑ $ 0 B.&P.C. for this reasons "�D•�✓9L j//:9��( DEMOL ❑ LDMA P/C# W Date: USE OF EXISTING BLDG. URM ❑ 0- Signature APPLI AiJTTOPRINT) ,� eU TEyL.NO /" _ C LDMA Perm# I j Z ❑ I, as owner of the property, or my employees with wages as y�f/� AV0 1 1-` �w 1��%-�S Z _ their sole compensation, will do the work and the structure is ADDRESS ,1 O (-() __ not intended or offered for sale (Section 7044, Business and 7 �G ��°111/�'y K.1FINAL DATE Q - -•�: Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ❑ I, as owner of the property, am exclusively contracting with FINAL BY > I I C !-:i AMOUNTS SPECT r ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? _ licensed contractors to construct the project (Section 7044, ry{ � - �: .� ;c- Business and Professions Code.) YES❑ No ,t.WILL THE USE OF THE OCCUPANTINTENDED REQUIRE A PERMIT OR BCONST UIDUNG UCTION OR MO IFIC TION FROM THEBY THE APPLICANT OR FUTUREUILDING SOUTH 1;,�1e_�.(':, r eT o f_._: CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. I hereby affirm that there is a construction lending agency for YES El NO a the performance of the work for which this permit is issued(Sec. rn I 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, _ r TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS I;t Fi•�I—E �t 'Cr Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. — i ! ''' IL Lender's Addressf? j. 0 OWNER OR AGENT •'— o I certify that I have read this application and state under penalty 0 of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE �! .y�R $ with all county ordinances and State laws relating to building JV m construc�JJJon, and eby authorize representatives of this County ISSUANCE FEE m to ente/Upon the e-mentioned property for inspection purposes. 6r INVESTIGATION FEE TOTAL FEE fir \x/ s9�am,a& prim o.AW,t Dasa f SEE REVERSE FOR EXPLANATORY LANGUAGE