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.