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HomeMy Public PortalAbout5342 BARELA AVE_Building__ DEEkAAbMqT OF BUILDING AND SAFETY APPLICATION FOR PERMIT GOUM OF LOS ANGELES 'WM...J. FOX, CHIEF ENaIHEER BUILDING FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DIfTR-I(C"TT _0. CK. NO. PERMIT NO. BUILDING ADDRESS .Y /� Lt 'ei 4-�' V �y G� •.J�) LoawLlTr /� �� VBY DATE OF APPL DATE ISSUED LI ED X / � �K.�r /O_�] Q_ NKARYOT ` J CROSS ST. ell BUIL-DIN ADDRESS C`L OWNER MAILLOCALITY r C. ADDRESS O. j NEAREST .w_ CROSS BT. %00-*.,• - crryGG�� G NO. FIRE NO. OF i _ TYPE GROUP OARCHI O l J GL ]BLDG. PLANS C• ADDRESS ?If.) !b' (�' A APPROVED LINT ID TEL. 19Y DATE CONTRACTOR NO. USE ATPROVI}9 ZONE CY' DATE ADDRESS HOU8Z NUMCERING DESCRIPTION' LOT NO. / CLOCK MAP NUMB Q.D CHECK CY TRACT NO. ARDIaNED CY *Jr A SIZE OF LAT, �� NO. OPeLDGo CO O NOW ON LOT USRoF NO. OR � EXIf1TING CLOG. FAM1uie 3 D ON OF WORK NEW ALTERATloN ADDmoN /'� /o J p ✓ b a? p REPAIR ommourlom I I 1a .f Q.v r✓ � _ ,&FT. NO. OF GILE �� ROOMS sTORIEe COVER N - /(t• / COVERIN Z/7� ROO Ir USE OF STRUCTURE APPEOVAI S INspiccTOR'S SIGNATURE DATE 1 HERESY ACKNOWLEDGE THAT I HAVE READ. THIS AP- FOUNDATIONS LOCATION PLICATION AHD CTATE THAT THE INFORMATION GIVEN IS FORM7, YATMUALB / -• CORRECT. 1, AGREE TO COY FLY WITH TF{t CORftEC'I'ION9 LISTED FRAMQI FIREBTOTS, ��iI<itEON AND WITH ALL COUNTY ORDINANCEe AND $TATE DRACINO, COLTS .J. . ! LAWB REGULATING 1LDIN NSTRUCTION. FURNACE, LOCATION, SIGNATURE OF ,, GAS VENT, DUCTS ADD AYv[Yd LATH, OCT. AUTHORIZED AaT. PLASTER, INT. 174A63alA, Dsa fw-w /�� O F. C. hr7'� FL.AOTER, IflCT. vwiuwno" FEE i O FINAL � MA$TRUMN'f OF BUILDING AND ����, �a� �' APPLICATION FOR PEgAIIT R r COUNTY OF LOS ANGELES BUILDING� � �� � � 1 WM.'J. FOX, CHIT, ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING �• / DISTR1 NO. ' ZCK. NO. PERMIT NO. ADDRESS p ��il• Qr'410 LOCALITY /RECEIVED BY DATE OF APPL. DATE IBHUQD NEAREST ._e T t +.I n{ /J�f f CROSS ST. BUILDING ADDRESS OWNER t � I MAIL LOCALITY ADDRESS Y., NEAREST hf .rte CROSS ST. CITY G'. NO. FIR 'NO. OP TEP[ GROUP' I ARCHITE O /�, �/ ZONE r1-ANB ENGIN EQ vi+4 LL l'7/ 1'I�jL BLDG. ` 'd• ',_. /��f O r SETBACK LINE ADDRESS e/Q � (n [•f1 fir ! �{J� APPROVED . TL. BY DATE CONTRACTOR NO. USE / APPROVED _ ZONE B ONY DAYK DSS ADRE HOUSE NUMBERING , LEGAL DESCRIrTION LOT NO. BLOCK M" NUMBER ��.J� lln D CHECK BY TACT ,4. .J1 a NO. A81aNm V/ NO. OF BLDGS. COREE=ONB SIZE OF LOT 1�.IS NOW ON USE OF NO. OF EXISTING CLDG. FALIUKX .� DESCRIPTION OF WORE r� NEW 1>< ALTJUtATION I ADDMON ' o REPAIR DEMOLITION - - -- - -� BQ. FT. NO. OF BIZI ` Z ROOMS STORIp EXT. WALL,fjL JUN ROOF COVERING QfJ/'' COVERING r �� �/ u _,n USE OF STRUCTURE !14 APPROVALS INSPECTO S 81aNATUR[ DAT[ I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATIONS LOCATION PLJCATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS COI AGREE TO COMPLY WITH E CORREcT16Ng LISTED FRAMES FIRE STOPS, FIQREON AND WLTH COU RDINANCp AfiD ST.,T6 BRACING, QOLTB LAWS REGULATIN I UCT10N. FURNACES LOCATION, EAS VENT, DUCTS SIGNATURE OF U-�l�_ / P[RMITT �•` �l�yF ,/�,I ADDR�B8��3 ` d�4 Vt.� 4�� c�t�f;�;•,�,f�� LATH, INT. LATH, WIT. AUTHORIZED AGT. PLASTER, INT. . 7aA63BA• Db= Io-�O � / O 4J r. C. $ m /O G O FE[ PLASTER, KXT. VALFEZ UATION ; U FINAL 5t/ 1 D 1 t i s DIRICI O ADDRESS APPLICATION LOnALITY - P�•*� / NEAR�, Q � DIVISION OF BUILDING AND SAFETY OR bil"of Como lhelwu DISTRICTEO NO. R [IFT NO. PERMIT NO. Caun 7 of Los Angeles WM. J. FOX, COUNTY ENOINKER ORDur DATtt REO[IVED DA If_ U CAJQSATT D. GRIFFIN, QUP7 or ■u1LDIM0 +� 6 FOR APPLICANT TO FILL IN TYPEDD WT. RECEIVED SY I � 3 1 � BTAT[ Hy, AR[Di Y N T[ �� UOc/[ZONE GOND dN■ AROHITEOT Oh TEL. [N13INCER — NO. ■UILDINO YMD HYi[Y STw[[r NAM[ G(IdrT. 91-r ADK WIDTH FRONT Z � TKL. P.L OONTT AIIT'OR ND. SID[ r.L MUILDINO � �� � VAT[ INEr[DTnR rr Lin ir• ./ ! LOT N0. ■LOCK TRAOT O . NO. OF■LDOL ■IZ[OF LOT 1.1-4 NOW ON LOT L ulm"10tilill BLOB.- DESCRIPTION OF WORK 0 NEW ADD ALTrR REPAIR D[MOLINH SIZE FT. 2 �� STORI[1 FAMOLFIO uf[OF STRUCTURE T NO.OF I HERKSY AOKNOWLEDOE THAT 1 HAVE READ THIS Ar- PLIDATION AND STATE THAT THE INFDRMATION OWEN I■ A"ROVALM IN/P[OTOR'R■IONATURE DAT[ OORRKCT. I AOR[E 7D OOMFLY WITH COUNTY ORDINANOES FOUNDATIONI LOQATION AND IMITATE LA1N0 LAT UILDINO OONiTRUOTION. FORMS,MATKRIALS ■IONATUR[OF IA�r F ANKKIN IRE WTOP 14 PERMITTrr FURNAO[I LCICIATION, OAD VENT DUOTR ADDR f+ LATH I MT. AUTHORIZED AJ:T LATH [XT. P-O.S p� HOURK HUMMER 1313R- FEE REOTAND POSTED VALUATION FEE FINAL 76•aMR• DLO7 4-k •,.WORKERS'COMPENSATION DECLARATION —AC ox that l �e a a' Comp afconsent to s.l, APPLICATION . FOR BUILDING .PERAMIr Insure, or a cerTlficah of Woiken' Compensation Insurance, or a certified copy thereof (S.c. 3800, Lab. C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No.-----,--Company BUILDING Certd copy Is herslby famished. FOR APPLICANT TO FILL IN e ffle ,4 W_= Cortffled w is flled'wlth the countybuildingto - i tion department. BUILDING Z/,s /l 91'A � Date Applicant CITY ZIP LOCAL CERTIFICATE O E)MMPTK)N FROM WORKER$' NO. OF BLDcrS., COMPENSATION INSURANCE Sig OF LOT x f NOW L ST. (This section need not be com Wed if the pbrrnit is for one L� hundred dollors ($TOO)or I9sa. TRAcr 2 eLoac Lcrr rto. . MAP ' D PARCEL To tj"Ct I cgrtlfy that In the performance of thq work for %Wch.thls OWNER NO. - pwrnitls owed, Ishall not employ a'ayPerron In any manner' � �CL/F y/ � SPECIAL tb as to becom♦subject to the Work Corn anlayvs. 64 CbfDrrIONS Q Applrcaat f F. LP fl NOTlq TO APPLICANT: -If, after making4ls Certtfipate of ARCHITECT OR NO TELaDtSTR1Ci GROUP TYPE BY Q Exemptlqn, you 'should become sublott to the-Workers' FU- `�°' � Compensation provlYlonsof the Labor Code,,you must forth- Alm with Comply with such provisions or this peFmlt shall be dpeirmd revoked.• TEA: STA CAL CLASWCA t/} oR ' Z IACEMSED CONTRACTORS DECLARAtf N LC - CLASS NO. DWELT_ UNfrS I hereby gffkrn thdt I am licerued under provWors,of ChaPter Q ADDRESS NO- Gbrp. nd nQ with Section 7000 of Dtv Won 3 of tis'Buri nen and SflVER loodi, a na Crtsl my Ilcense Is In fvl(force and effW. CITY pLAM V BrL PO. J LlcensaNufnbar Uc.Char � G— / OrE # c c .,.23 . .. .. . V contractor Datdt OF VOORIK . f rG NM_ l e 3.5(1'0 ADO ' n I am exempt under Sec., sQ 77 ALTER ' ° ° 5 Q 0'04 5.&P for this Mason USE + RVAIR �1, O y.8 8 Date. -- NG Signature APPUCANT �^ PMrAI OWNER-BU I LDEk.DECLARATION PRINT NO. DA13 I tweby.afftrm that-I-am exempt from the Contractarillconse I'll, . Law for the following tstatson (Settlon 7031.5, Buglrms and Profesis l o n s'Code): ' X142 A I, as owner of the property,. or my employees with ADORBSAl '� � o o,' wdgei'as their sole compensation,will do the work and T D ;` 0,° the structure Is not Intended or offered for sale-(Eectlon ' ', T 22 8 7044,Business and Prgfesslons Code). MOVING TEL I, as owner of the property, am exclusively contracting CONTRACTORNO. with licensed contractors to wnstruc7 the projicl (Sec- - tlgn 7044,Buslrless and Professlons Code} ADDRESS FFRKOW)M t CONSTRUCTIONUNDING AGENCY YARD HWY TQT I hereby gfflrrn that there Is q construction lending agency f the nce of the work for which this It Is tsw°( tln�yewLVot�w (Sec 7, Cl v. C. Pett^ eG `4 9 20'0 Lenderri Nomr \ �'r4 9 2 0 0.�P.rm n F..Lenders Address i { 2 2 9 `.$8.,•I cddtfy that I have rood thio gppllcation and state that the r ` Issu. .Fee CJ LDIA k/6 .iabove lnformallon is correct. I agree to comply wrth all County .eordinances and State laws relating to building construction,and hereby aythorixe representativoi of this County to-enter Total F.. (� LD"Perm * 1; o upon abo Vtoned pro for Irtapectlort 1 ' M VVIIIIIIIIIS1111 PQ!OC14AlIMTOLY LAi,ouAo. Slgnahu.of App4omt or Agent Dot.