HomeMy Public PortalAbout5470 BARELA AVE_Building__ A ROAD DEPT. PERMIT IS REQUIRE
r' MATERIAL STORAGE OR WORK
I�JI�C W THE ROAD RIGHI OF WAY.
CX&M• APPLICATION FOR, BUILDING PERMIT �.
COUNTY OF LOS ANGELES �oR°, -; 7 0 .
DEPAMU24T OF COUNTY ENGIN&
BUILDING AND' SAFETY DIVISION LOCAL
JOHN A. LAMBIE, COUNTY ENaIMIYR NEAREST
CASSATT D GRIFFIN,SurT of 91JILDING CROSS HT.
D187R1 NO. GROUP
FOR 1'l.CtlalVA1\1 TO FELL INCONE PR E6H1� BY
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESSB
CLAS&.NO.tQ—DWELL.UN
BLOCK N MM R AYE Y-S (N O
TRACT 44tUSIX ZONE SPECIAL
` -NO.OF B CONDITION13
SIZE OF LOT NOW ON L
USE OF
EXI LDO. BU BANG YARD HWY STREET NAME EXIST.
H BACK WIDTH
OWNER FRONT -
MAIL P.L.
ADDRESS SIDE
P.
NO.
ARCCr'rINSPECTION =ORD
ARCHITECT TF1,. '
ENGINEER NO.
DRESS
CO
ADDRESS
D ON OF WORK
NEW ADD ALTER REPAIR DE OLI
8q. FT, NO. OF
SIZE STORIES FAMILIES
USE OF t 1 t .>? f- 6=
STRUCTURE
SIGNATURE OF
APPLICANT
APPROVALS DATE 1145PECTOR'3 31GRATURE
ADDRESS r FOUNDATION: LOCATION
FORMS MATERIALS
VA1r.UAT1ON S FRAME: FIRE STOPS,
BRACING BOLTS
P.C- PMT. d'G URNACE: LOCATION,
FEE FEE F6A6 VENT DUCTS
1 HEREBY ACKNOWLEDGE THAT I HAVE RF-AD THIS AP- I},T-f{ INT:
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY OYNIM
D
STATE I;ZW -4EGULATI GI'1W
LATH EXT.
SIGNATURE O HOUSE NUMBER COR- .
PERMITT RECT AND POSTED
ADDR FINAL. -Z
CLYDE N. DIRLAM, I?RINE
CIPAL STR CT RAL NGINEER'
PLAN CH= VALMATION -L �I+ PERIWT VALIDATION• �++
' ,9 14 19, ;.AN rj 1 A 2.00 m�
DIVFSION OF� atCO=ft BUIf County
AND SAFETY BUILDING
�
Diiof Coant «r t EnQln
Lox
WM. J. FCX,�CcuA!�WB� Mlrme AP` MCATiON
FOS APPLICANT TO FILL IN wno I=
BUILDING V Q LocwLrTy f -� .
ADDRESS
NKAMKffT
LOCALITY 7 O L13 .11106Rwi IT. r �
DISTRICT NO. MAM CE. OR R=C. No. rlcRMTT NO.
i7
OWNQ DATZ OF AITL DATJK ISVUJM
MAIL 477���z �1111
ADDRK" d O ��
/ usrzoN o. OF TYT1< aR u� F1RI zoNs
ARCHIT[CT OR Tm- ZONING
KNQIN[ER NO.
]BUILDING o.
RKIM iKTBACK CIMS -
TII.. ArFROYiD �
CONTRACTOR NO. BTS
1-101MAl NNUUMMI RING
LMAA,_ r� � YAF HUMB>P �O�s+ NO. A1/IGNIm tl(
D[iC G .L ON LOT NO. BLOCK
DATtS COSREMONS INAPKCTOR
TRACT M 1 1 e
i1Zi OF LOT / NOW F 1 LOT y3'
USK OF 113 BLDG, w I NO. OF00
DESCEFnON OF WOBX r , - a
NEW ALTERATION ADDITION
REPAIR DEMOLITION S
&Q. FT. NO. or IV I
SIZE J ROOMB iTORlti �c�'rT -„q lcrc"-- a[ J e
XST. WALL / //`_ ROOF
COVERING I COVCRINO
USH:r STRUCTUE
/S� Gkpim-OvAlig
INSPXCTO i SIGNATURE DATK
t�Q FOUNDATIONS LOCATIO
FORMS iraATZRIALS '/ _ s-
1 HKRmY ACKNCWL M43K THAT 1 HAVIC READ THIS HHNFAF- FRAM[ ��STOPS,PLICATION AND STAT; THAT TK INFORMATION GTVKN IS
CORRKCT. BRACING BOLTS l
1AOREI To COMPLY WITH ALL COUNTY SJRDINANCS FURNACK. LOCATION,
AND STAT[LAWS REGULATING BUILDING CONSTRUCTION. CAG VENT DUCTS
i1CNATUR[ OF LATH INT.
PKRMI
)c" LATH KXT.
_l ADD � "� r
\ PLASTMt, INT.
AUTHORIZID ACT.
QT.
F' C'+ COR-
VALUATIONHOUilNUYDKRQ CCC�ff� �= RXCT AND PO/TKD
S
FQ FINAL w P f
7BApaA Dii.h A-., ,
r APPLICATION FOR ING PERMIT
` COUNTY OF LOS ANGELE'6- BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARMON FOR APPilCANT TO FILL IN `-�
I hereby affirmficide that I have a cwens t i d consent to soft Yaearre, �� I .JAN
or a oerflfloafe d Workers'Carrapeneatbn Inaaance,or a oerffM1ed -
! dpi thered` (Sea G3800,Lab-a) t y� Crl -N 1 PL.E C-n 1-713c;, Loc,,im
Ppppy Na 1�t7 J� 1 pprriDany c/1^ �r �'J� sVE OF LOT FLLA fi T NO.O=ZUDGa NOW ON LOT
❑ Certff{ed oWy Is hereby fT,T,bhed a✓r.pL rEAFEST ST.
TRn BLOCK_ LOT Na
Dopy b filried with irmpection USE ZONE MAP NO.
DE Ite— ApplloerFt , 2 lel I. .�.�a e
L2 �gq sPEc>ALrowrrlo►rs -
CEMV CATS OF EXEM RKERS' cwrFayP+C- Y��.DEZ— Gt1
COM NS 1.5-10 wm rN l000 FT.OF scHocu vas No
(This section need nd be If the for one hundred ADDRESS G.�fi t� Df8T TYPE CONST. FfiE ZONE PFCCE39ED BY
dollars(S 100)or lees) 50'
I cwft that In the performance of the work for wtTich this permit CrTY )
Is bad I-ehafi not ernpioy arty person In any n5eruier so as to —
beeorne eA*d to tfd Workers'C-Or eatlon Laws. �EH�R 3 -124 Z IZ SWW -N- 'AFT COD
Dale Appk rTt h a-4ss Na- ZZA DwEL.L uNrm .
NOTICE TO APPLACANT. If, after rnakkV this Cert)nate of 1713 W - V R- REOUFIED' TO-LL SETBACK FROM EXIST
Exarnpdon, you should become . subject to the YoDrkers' SET BACK YAaD HWY. PROP LAE woTli
C; n
ornpesa on provisions of the Labor.Code, you must forthwkh LA lAl C&4 pL. 44 1-U4q FRONT
con with such"Amlone or this peunit sha be deemed revoked ''�T.�-.ff .,.' ` 4 PL
LICENSED CONTRACTORS DECLARATION E' r"l1rv• V�Gw Iq saw
Cf TY � LK_ PL
I hereby affirm that I am li ole underprovbbne'bf Chapter 8 SEWER
(oommerdrig with Seotion 7000)d Dhri0m 3 of the Budnam and NO.OF STOREB NO.4F FAlAE9 cMAP o
Profeeaform Coda,and rkenUee-is in force and effect NEW ❑ BK 41 PG - C�
Licarm PkrTabeN 2 DateDE 2^OF WORKADD , O
CONS STI f ALTE R ❑ a �
1 ❑ I em exempt under Seo A,DD T i D N -R E P��IR. ❑ �
$ i
B.SP.C.for this reason DEMOL ❑ W)pm Pic t
Date: USE OF EKt$TMK3 BLDG r 1D.: URM -❑
❑J,as owner of or-my employees with wages as r E l-A- TEi� 849 5 LOM"Perm r z L
their eoie do the work and the stTLCture Is AnDRE O AUT.-L
not Inh dad or (Section 704-4, QLtelrom and v RNAL DATE Profession° vvai THE APPLICANT OR FUTBUILDINGEBUILDING OCCUPANT HANDLE A HAZAFlDCLM waa'uc��L '�'Q 5 .='r
L as owner of the property, am exDk*vefy oontWthTg withOR A wrnFE CO►rw+ro A waw
aooue rE]:dAL eauTOcraG
i oa vEp 71-M THE -
AACLNFra%3ECFED ON THE HiQ MgUzaALs +GLADE?
El lceneed coalractom to construct the pro)eot (section 7044, F
Ilmineea and Professlom Code.) TEs �/yy�
.NLL THE mEilbm LBE'OF THE&AD NO By THE APPLrmT OR FUTIFE am-D q - .r .
OCC FwN E FEOIiA rsarr CONerR1CTON OR rAODFFa0TlCN FROM THE soUTH ",i}: l .
CONSTRUCTION LENDING AGENCY co aT A Ouwry F DETFICT MGAQL t BEE PUWT*p a-ff� PORy Stid_t] 7 .S,5
I hereby affb that there Is a cons action iendlrp Wxcy for YEs❑ No
• - - - - ITEJi� - -
S the pwfmTwx>e of the work kc which this permit Is baled(Sea I Awe auDE Aro THE sraao OEFLcTm u 1 -
3097,CAv.C.) I THE LOe Areae ee COUNTY CODE, /. TC IT(�' . 3 17 C
Lenders Name �"1 K 1 2�2Tao CONCERN o FV Aaoous
A PEFUT FAOIA TI-E erX]IQ 1 t-fL�•f\ .}1�.�L-
Lenders Addaw
I oertffy that I KM read this appiicaflon and state under penalty
d perkry that above hrfonnatbn Is correct I agree to conply P.C.FEE �' o
P03W T FEF
wrtth e� caurty
-and stole laws relating to buldng
authorize mpresentaw« ot U* coui ty - qg AN FSE G LSO -lam 1 4/20/94
property fa °`
m Q r� ;VEBTIOATiON FEE TQTAL E fn. D
SEE REVERSE FOR EXPLANATORY LANGUAGE
COAAPENSATION DEaAPATioN
affirm that I have a certificate of tion Insurance,
r self-
Insure,
APPLICATION FOR ..BUILDING PERMIT
Insure, or a certificate of Workers' Compensation Insurance, , . - -
1 r a certified copy Thereof (Sec, 38001.Lab
� COUNTY_OF LOS ANGELES bU1LDING AND SAFETY
Icy No. Company, m �
Certified copy is hereby fumIshed. FOR APPLICANT TO FILL IN ,pow r
tionded��filed waft ttre cu budding Irapec- BUII�ING
e,a,, 570 �h_
Date Applicant' (yTY ZIP wry
�tTIFlcA 0I=WAVRON FROM _ SIZE OF LOT 0 I NNOOW ON LOT NEAJZMTCRCM sr.
COMPlENSATI ON I NSU
(This sodlon need hot be qomleted if the-permit is for one TkACT BLCX7C LOT NO. MAP BOOK PAGE PARca
s.
hundred dolldr}j$100)or.les
ownER /`l� /hRJ AL�EZ NO. — DME-ZOW- ..
I certify:that.ln'the"performance of.The worst for'whlch this
permit h Issued, I shall not employ a[ly. n In any manner ADDRESS " SPECIAL l '
so as to become subIad to the Work". mperisailo'M1 Laws r CCXDffIONS O
CITY. ZIP G
Date Applicant. ARCHITECT OR TEL
NOTICE,TO AP?UCANT: If,.after-making this Certificate of NE�R - NO. GROUIRE PRO(]OSM P CX�15T. ZONE- BY O
Exemption; you: Ohould become subject to the Worke
Compensation provisions of the Labor Coae;..you mr{u*t.forth, ADDRESS r 0 N
with comply with such;provWons or'thls permit shall be TES l STATISTICAL TION Air. CONDO. Z
deemed rgvoked. OONTRACTOR "iZ/� t
UCNSEI?,CONTPACTORS DFCLA9ATlON:. LtC .93CUSS Nd. UNITS
I hereby affirm that I am licensed undgr provisions of ChtrpterY ADDRESS !� NO.
(carrlmencing witr SedlorV7000)of Dtvlslo.n 3 of the Business SEWER MAP
and Profealons Code,qnd my license h In full fora ff
and ead. Crry !�- C VAII, LASS BK PG. VALIDATFON
W'. FT NCF. NO. OF CHECK
Y Llcensi Numb, c;4'Clasta .��b S� �.2� sroRi> FAMIUE3 ONE
1 `�1VALUA N
Contractor e DESCR]FTICXJ OF WORK NEW ❑ _
0 I am exempt der SK L6►S ADD V , .
AL
B.BP.C. for this reason
REPAIR ❑
Date: QSE OF -
EXISTING BLDG. ❑
Signature APPUCNrr Ta
OWNER-BUILDER bECLARATION I No. FINAL it 3
DA
affirm that 18m exempt from the Contractor'*License W �7f'
I hereby . ' 1
he fCodle Ing reason (Ssctlgn 7031.5, Business and SSS
Profeslo 1
BUILDING -
❑ ADD—
RESSt•
• I, as owner of the property; or my employees witK I• -
wages asthelr sple compensation,will doihirwork and .
the structure is not lntencled or-offered fo.T4ale(Section LOCALTy_ `. ISI-13
7041, Business and Profession* Code.) mOviNG TEL _ ►. - - 1
er property,am.exclusl lycontracting NTRAcroR NO.
' ❑. I, as own of the yyee with licensed contractonl.to qc nsifu.ct the Protect-(Sed. ADDS T T - �. 1 f j.
tion 704, Business and Prgfesslgra Code.)
YARD;, -tfWY. TOTAI �CK-
ooNsrRuCnoN LENDIIJ�AG,EIJCY 1$1.13 .
I I hereby affirm that there Is a construogn lending agency for
thT performance of the work for whlcii'thh pirmlt Wtwued F•L ;.-. `�lrT� ■00
(Sec 3097, Civ. C.�. SIDE
I P.L
Lendeet;Name - 1 �
LDMA W i
Lender's Add»ss F.G Fee Permit Fee 1. Ayes 'S:%
I certify that I have read this appllcatlon and state that the Issuance LDMA 0/'c t � 171 ,f7
above Ilnformation is-correct.tagree to QompIy wlth ajl County patron �.
ordinances and State laws relating to building construction, I Total Fee .� LDAMA-Pem'.
qnd hereby authorize repress n tail ves'of this County to enter
upon Th• a n0 property for I-Pact I0 pUrpooses. "
i2 RRVQf!POR t�LANATM LANGUR M
Signature karst or Agent PUtO1.
ti