HomeMy Public PortalAbout6358 BARELA AVE_Building__ T
7GA15aA—#k4.,D APPLICATION FOR -BUILDING P RIVIJT 1,
BtUMTNG AND SA[f+ll DITON 'BUILDING
_ -EngineerADDRADDRESS1 Di Cot7 EaQtar _
County of Lom Angeles LOCALITY
JOHN A. LAMBIE, COUNTY ENCIIINMM
NEAREST
CASSATT D. GRIFFIN, 'BUP'T OF]BUILDING -
DISTRICT NO. G U yyPE -T-!!EWER MAP
FOR AMUCANT TO FILL IN Q CONST.
BUILIJING STATISTICAL CLASSIFICATION
ADDRESJ!
CLAi". NO DELL
WUNIT
BLOCK -
LOT No. MAP -7 O . STTAVTZ YES O�
NUMBFIR
TRACT - - U ZONE SPECIAL
i .I I NO.OF BLDGS. / CONDITIONS
SIZE OF LOT 7 I d NOW ON LOT �J
UAE OF
EXISTINGIKXISTING13LP TZIE BUILDINGYARD HWY STREET NAME. EXIST.
SETBACK WIDTH
OWNER - FRONT _
IL P. L.
MA �.
DRFISS WDE _
P. L�
FEL
IN )ECt N BDGOHD
ARCHITECT OR Tom-
ENOINEftR NO.
FIL '
CONTRACTOR TT 19
p
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
Sq, IT. NO. OF NO. CF
SIZE STORIFIS FAMILIKS -
USE OF STRUCTURE
APPROVALS
SIGNATURE OF ._
APPLICANT DATI IXDPECTOtt'6 SIGNATURE'
ADDRESS FOUNDATION: LOCATION '']]
FORMS MATERIALS JD- i
3 O P. C. S� I FRAME: FIRE STOPS-
FEE BRACING. BOLTS
VALUATION /W✓`� 15,0 FURNACE:GAA VHNf `TISON.
FEE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LA EXT -
STATE LAWS RRGULATIN D 1 G RUCTION.
SIGNATURE OF HOUSE NUM BELRPOS PC16f GOR-
PIRMIT7.Yi RECT AND IID
Al DR FINAL Jr .
JOHN A LAMMEErtdbENCIINXM, CLYDE N. DIRLAM�PRINCIPAL. UFTURAL ENtsmam
PLAN CEa= VALMAM N Cx. M.D. CASH FEUM VALMATION cr?L M.O. CAAH
412t; su 2 5 1 6 2.13 e ;
.a 64 MA Se25 .1 8.50
.
CITY OF TEMPLE CITE' �
76A638A CE#803 5-61APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BU'LADDRESS �/,' 3,5S l5d,-e`7 Al
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY t
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST I
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST.
DISTRICTNO GROU TYPE SSED BY
FOR APPLICANT TO FILL IN 5;/1 coNsr. /�
BUILDING / _ {� STATISTICAL CLASSIFICATION SE ER MAP
ADDRESS ("'�J O ��'C/c� �j�� r� I BK PG
CLASS. NO. DWELL. UNITS—7=
LOT NO. BLOCK WATER NOT REQUIRED ® RECEIVED
CERTIFICATE:
TRACT L / MAP ^ /� HIGHWAY STATE MAJOR SECOND, LOCAL
SIZE OF LOT .�J x �� NO.OF SLOGS. NO. D 1./.� (CIRCLE)
NOW ON LOT / USZ ZONE SPECIAL
USE O NG BLDG.G. 5/I�� CONDITIONS
EXIST
TEL.
OWNER NO. BUILDING EXIST.
C SETBACK YARD HWY STREET NAME WIDTH
_ADDRESS - ��nj rr° FRONT ) Y7 j
ARCHITECT OR TEL. P. L. i?C D I �7, re-1-7
ENGINEER NO. SIDE
P. L. O
ADDRESS 'n TEL INSPECTION RECORD IX
CONTRACTOR 4 lel,) N NO. O
ADDRESS V
W
DESCRIPTION OF WORK N
_ Z_
NEW 41SD ALTER REPAIR DEMOLISH
SQ. FT. �' NO. OF NO. OF
SIZE STORIES--ff--f FAMILIES
USE , la ;/z Ll L) AJ c4�✓D[1vYr
STRUCTURE !7 A
SIGNATURE OF //`//
APPLICANT / )
VALUATION$ a I
APPROVALS DATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION
FEE $ I FEE $ FORMS,MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS I
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA, LATH, INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT.
ING TO WORKMEN'S COMPENSATION IN URA
LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE 4 �/j RECT AND POSTED _
ADDRESS (�' ���U LLQ-L,LP FINAL
CLYDE N. DIRLAM, P NCIPAL STRUCTURAL ENG.144SER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT V ATION CK. M.O. CASH
! ; 47003 3.00 "'
r -T
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES r .� 1 L D 1 N G
%M- J. FOX. OHIEF EN13IN[[R
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDINGDIBTRIOT NO. PLAN OIL NO. PERMIT NO.
ADDR[BS AV,-- D If 9
I
LOCALITY R IVED MY DAT[OF APPL DATE IMUEDy�
ol
N EAR EBT /F a-• �10/I� ��� ( 0^�� '� V
OER r
ADDRESS
WrI
MAIL �q � LODALITY
ADDREEM i� I^/Cr
TEL / N OE38 B
b ORB�BT.
O.
FIR[ f NO.OFTYPE GROUP
ARCHITECT OR T[L PLA-Ns ZONE PLNH
ENGIN[[R NO.
BLDG. ORD.NO.
A D ■ETBAOK LINE
it APPROVED
L TEL. �. .y'r/y7 RY DATE
OONTRADTOR NO //
L� UBE APP D
S S f Lo ZONE SY DAT
-
APIPPKINI
LEGAL CORRECgIONS
DEBORIPTION LOT NO. ■LOOK
TRADT U/I C
NO.OF 0LDGlL
■IZE OF LOT D NOW ON LOT II
NO.OF
O S
DESCRIPTION OF WORK _ G; t d
A
NEIN ALTERATION ADDITION D
A
REPAIR MOVING D[MOLIBH p
Bq FT. NO OF L_ _ T{ (� v
SIZE ROOM■ STORI[0
r
WALL
OOVE7lINO C pOVERINO i
USE OF NEW
BUILDING
�— h-Cacj i Q K,
IHEREBY ADKNOWl-KDG[ THAT I HAVE READ THIO APPROVALS
APPLIDATION AND STATE THAT THE ABOVE IN DORREDT FOUNDATIONII LODATION INBI-EDTOR DATE
AND AGR[[ TO COMPLY WITH ALL DOUNTY ORDINANO[S FORMS,MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAMEI FIRE WMM
SIGNATURE OF [ BRACING,■OLTE
FKRmrrriEw LATH, INT.
AUTHORIZED ADT
LATH, IDCT.
7&AAL3=._3 7-49 Tip— 8Zo D P.D.• 4 O I'LAI•T[R, INT.
J' 1n ricK
P LA!•T[R.IXT.
- 9 Z d ' (i
VALUATION FEE �O FINAL r
TEM P LE CI'T'Y
• _r1I
7fA618A CE 1.... APPLICATION FOR BUILDING PERMIT '
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS �j
BUII.DING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT of BUILDING CROSS ST. ji ,
lee-
DISTRICT NO. GRO P E ESSED BY
FOR APPLICANT TO FILL IN j_ CONST.
[ADD
ILDING - STATISTICAL CLASSIFICATION ER MAP
RESS 3 G $ Y
CLASS. NO. DWELL. UNITS
T NO. / BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE: .ACT �� MAP HIGHWAY STATE MAJOR SECONNO.OF BLDGS. NO. 3 (CIRCLE)
ZE OF LOT NOW ON LOT UBEZONE SPEC. L
E OF CONDITIONS
ISTING BLDG. cS
TEL
OWNER NO.. BUILDING YARD HWY STREET NAME EXIST.
SETBACK WIDTH
ADDRESS L FRONT n
ARCHITECT OR TEL. P. L. 20 �d">rG>/1 v
ENGINEER NO. SIDE 4
P. L.
ADDRESS 0
TEL.
CONTRACTOR NO. CC
O
ADDRESS
DESCRIPTION OF WORK CL
i
NEW ADD (ALTV REPAIR DEMOLISH
SQ.PT. NO. OF NO. OF -
SIZE - STORIES FAMILIES
USE OF { 1
STRUCTURE /
SIGNATURE O
APPLICANT
VALUATION S
APPROVALS D TE INBPECTOR'B NATVRX
P.C_ PMT. rpm. FOUNDATION: LOCATION 1,21
FEE S FEE -S FORMS, MATERIALS
FRAME: FIRE STOPS,
I H�1EBY ACKNOWLEDGE THAT 1 HAVE READ THIR APPLICATION BRACING BOLT.
AND STATE THAT THE ABOVE IR CORRECT AND AOR[[ TO COMPLY FURNACE. LOCATION.
WITH ALL COUNTY ORDFNANCEi AND STATE LAWS REGULATING GAS VENT. DUCTS
BUILDING CONSTRUCTION. 4 CERTIPY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PZFSON IN VIOLA- LATH. INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORK MEH'B COMPENGATIO INBURA '
LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE REC7 AND POSTED
ADDRESS FINAL.
JOHN F. LEWIS. P .NCI AL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION cK_ M.O. cmw _ PERMIT VALIDATION. M.G. cABH
LACo 3 5 1 6 SEP 4 1 D 6.00 1
I
APPLICATION FOR, BUILDING PERMIT
COUNTY.OF LOS ANGELES . „ BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT T FlU:1" BUGJD-M ADDRE89
I hereby affirm that I have a certtFlcate of coruart to metf irmurs, BUfLDl10
or a cer-Inicatu of vNxhers' Compensation Insurance, or a certfiled
copy thereof (Sec.3800,Lab. C.)C-nCrfY aP
. ' LOGAIJTY
��No. ry 817E OF LOT f 40.OF 3LDGk NOW 01A LOT .
❑ Certified ocpy Is hereby furnished. NEAREST CAO38 ST.,
❑ Certified oopy le flied with the coumy building fnmpeotlon TRACT BLOCK LOT Na
USE DONE AAAA NO.
Date AP�YCe7rt ASSES90R MAP BOOK FADE PAFra
SPECW-CONDMONs
CERTIFICATE OF EXEMPTION FROM WORKERS' r YES NO
COMPENSATION INSURANCE IN t000 Fr.of 9crYooL7
ADD`tE� DISTPoCT FRE DOME PROCESSED BY
(TF,fs mbctbn need not be meted K the permit Is for one hundred r
ddtarn ($100) or l�ea.p C✓1"1' �
I cerft that In the performance of the work for which this permit
Is issce .I shall not employ any person In erry manner mo as to ARCHITECT OR EN TEL
become sub}eCt t0 VYbrrkefm'Com Leve. SIATOTrAL F:Kw" APT CONDO
Date ' ADDFESS OLAss NO. DWELL Liters
NOTCE TO APPLrANT lf, after thlm . of REOUFED TOTAL SETBACK FFIOIA EXIST
ExBRlptbn, you should become ,mLrb}ect to theCONTRACTORW. SET BACK )ARD1-lyyy PROP UNE WDTH
Compensation provlebne of the Labor Code, you rust fo
FRONT
corroy with such provfabns or this permit'mhs11 be deened revoked. ADDRESS LY-- NO. P L
LICENSED CONTRACTORS DECLARATION SIDE LYG CLA39 P L
I affirm hereby arm that I am'Ibd Ludiml
enaeerprovone Chapter 9 SEWER MAP
(commencing with Section 7000)of Dlvfsbn 3 of the ream and 9Q FT.84ZE NO.OF BTOFbES tJO.OF FM S '
Profeaabn8 Code,and my license Is In fill force and effectNEW BK Po ,
LJcerrae Number Lfc.Clean DEWL
OF ADD ❑ � V
Contractor Date ALTER ❑ !/ `
❑.I am exempt under Seo. REPAIR. q 1
B.SP.C.for this reason MMOL ZI
LDI.L4 P/C+ AGCT.T
Date of 3D URM z❑ 7�}
APPUGf ANT %ml 3+ 07 117.90 z
%I, as owner of the property, or Rry enpb �aNTyeae with wages em •
o 11TEMS
their soie coffX>w tion, will do the work and the stricture Is ADDFAE
root Yntsoded or offered for male (Sectio, 7044, Bush,saa and MiAIL DATE TOTAL 117-90
ProfsBslo,a code.) Y&L T�APRXANT�FUNFE eunrr+o A — z CHECKTAL 117.90
❑ 1, an owner of the property, am exclusively Grp w rcb
OR A M SIFSLFE carpusT A FWXUOUm w EFVkSrU*kL 1NFCFEOU- Kr oR ori v Es TrrAN - -
A►I011rfB aPE�ON ll-E FNZAFUUU6 AIVFFlALB FFOfi4AlON OlIlE9 RNAI.
fbenmed contracture to construct the pro)ect (Section 7044, YES C1 YES OWE 'CID
Buminema and Pru(esabne Code) nu. THE N-r r LAE OF TI-E BUb-M BY THE APPLICANT RIFU E atnr�
OCCUPANT AP ANA MT FOR MILT MCJCA OR RFOAI TFE F0 fl. -
CONSTRUCTION LENDING AGENCY coAmT"}'o uAr�NT 01�T tmc-'�> �H°a�T FOR CR?Y
GMEI Fa 0000-0001 2/25/93
I hereby affirm tint thane Ls-a ocrietrucrioh lending agency for
v the performance of the work for which th1a permit fe�aaue l(Sec. YES No� 11=F"
1 ~�12%24
p I HA?E FEAR RE HAZAFDOUe►Aae�a GLUE AID TFE scvao -
n X097,Civ.C.) I LROH�WO 4f1 L"dF- TFtF Los AllC�EEB
Lender s Name sC zsa100 TFFJaJG"2-M 140 CONCaVANG i NZAFtoais
a
Lender's Address
o owe
O 1.certify that I have road this application end state under penalty
RQ of pero-y that the above Mormatbn Is correct I agree b oompty P.C.FEE PERW /,' �y�
with all county ordlnencee and State Yews ��Q b buldlnp d d
construction, and hereby authotze repreeentatlyea c( thla County rSSUANCE FEF
trNerr6er above mentioned property To himpecifonJ� f�
ra MIVESTlOAIION FEE TOU1L FEE .//
/• 1+.
SEE REVERSE FOR EXPLANATORY LANGUAGE