HomeMy Public PortalAbout6359 BARELA AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY O APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES BUILDING
WM. J. FOX. CHIEF ENGINEER
FOR APPLICANT TOFILL IN FOR OFFICE USE ONLY
BUILDING �L��` R Pi DISTRICT NO. PLAN CK.NO. PERMIT NO.
ADDRESS / ��77 .�^ �� Q/}/ p { /S y/�
LOCALITY RECEIVED BY DATE O(F/APfff PL. DATEISSUED
NEAREST
CROSS ST. � G /2. —
BUILDING -f
OWNER ,' ADDRESS , �r
MAIL
ADDRESS LOCALITY /
NEAREST t
TEL. CROSS ST.
CITY NO.
FIRE NO.OF TYPE GROUP
ARCHITECT OR TEL. ZONE PLANS
—ENGINEER NO.
BLDG. ORD.NO.
ADDRESS _SETBACK LINE
APPROVED
TEL. By DATE
CONTRACTOR NO.
- UF„E APPROVED
ADDRESS ZONE BY DATE
AL
DESCRGPTION LOT NO. BLOCK ?�O /L CORRECTIONS
TRACT �K �. `� :•
NO.OF SLOGS. ^�
SIZE OF LOT NOW ON LOT lzg
USE I OF I NO. M " Q
EXISTING
FAmNG BLDG. FAMILIE6 ROOMS �7 _
DESCRIPTION OF WORK
NEW r ALTERATION ADDITION
O
REPAIR MOVING DEMOLISH �
T.
SIZE a ROOMS STORIES
� C�' I i' /1I.FEo S.Flv°Ek P#9 T
WALL I ROOF t
COVERING COVERING it
USE OF NEW
BUILDING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION!: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME: FIRE STOPS,
SIGNATURE OF }"` �r J��i BRACING,BOLTS
PERMITTEE /
f LATH, INT.
AUTHORIZED AOT
LATH, EXT.
76A63BA-3 7-49 rT"$_ f Z P.C. PLASTER,INT.
J Q� FEE PLASTER,EXT.
VALUATION
FEE Z 6 FINAL ( Z
76A638A CE#8036-58 APPLICATION FOR BUILDING PERMIT 5
COUNTY OF LOS ANGELES AD RESS
DEPARTMENT OF COUNTY ENGINEER s
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. '--DISTRICT NO. GR_,Q-, P -TYPE PROCESSED BY
FOR APPLICANT TO FILL IN I CONST.
___ -
BUILDING J.� I SEWER MAP
ADDRESS 3 �J vQ STATISTIC LASSIFICATION I B1 _ /,P
CLASS. NO. DWELL. UNITS '":�'� 1 `''••'
LOT NO. BLOCK MAP - - STATE YE
` NUMBER HWY. "�'
TRACT I !!// USE ZONE SPECIAL
y, d I NO.OF BLDGS. 2 CONDITIONS
SIZE OF LOT t NOW ON LOT I
USEOF
EXISTING BLDG. +'c..+wr EXIST.
�BUILDING YARD HWY STREET NAME
�}. /���c� ACK WIDTH
OWNER iD1 ♦ �iJc� } �I NT
MAIL L r e(.. 1 L.
ADDRESS /V� 1(„Jl I' p SIDE
("N�10 �1'71 �' P.L.
INSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO.
ADDRESS
CONTRACTOR ►^r I 1 WO. / 7
yNt
ADDRESS /Q I 1 t o
DESCRIPTION OF WORK
NEW ALTER REPAIR DEMOLISH
SO. FT. p L7 NO.OF NO.OF
SIZE U STORIES FAMILIES
E OF ST
USv
SIGNATURE OF APPROVALS
APPLICAN�TJ i1��
ADDRESS 1� D IV e ✓a I k FOUNDATION: LOCATION DATE INSPECTOR'S SIGNATURE
FORMS.MATERIALS
$ E-0 FRAME: FIRE STOPS.
��► FF $ BRACING, BOLTS
VALUATION g. I FURNACE: LOCATION,
` •-�"� GAS VENT,DUCTS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY�1lITH ALL COUNTY ORDINANCES AND
STATE LAWS RECjUj..�Tl L SIG CONSTRUCTION. LATH,EXT.
SIGNATURE OF ��y((J HOUSE NUMBER COR-
P
M RECT AND POSTED
ADDRESS -7C r � I f= tie
FINAL
CLYDE N. DIRLAM, PRINCIPAL ST5I3CTU)RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK_' M.O. CASH
®F
WORKER*' COMI'E 4TFON'DECLARA K)N .{
I her affirm that I have a certificate of consent to self
lnsu or a certificate of workers° Com : on Insurance, APPLICATION.-FOR. BUILDING P E RAM T
or o carolled copythersof. (Seca'�Q00; COUNTY flF LOS ANGELES 61JILDING ATlD''SAFETY. .-
Poncy No. �vll /'Co�rtpariy BUILDING
Certified copy Is hereby fernlahed.. FOR APPLICANT TO Mi IN ADDRESS
�Certified copy itftled with tfie county�u►ldl, J BUrDING
ffon,depariment. rrpeo- ADDRf55
j % Lp LOG�l71
ID`3 -'dot a ,ilcb
i NEAREST .
CERI'IRCA7E OF.EXf1J1Pi1 WORKERS'. OF LOT ON LM - CRO55 ST;
COM�ENSaTIOtJ I - ASSESSOR -
(Thla section heed not be'com lete� tf the.permit Ir•for ane BLOCY '' LOT NO. '�. +
hundred dollgrs.(5100).gt aeas A PARCEL
Z_ 115E A4AP -v
I,certtfy tfwt Irl-the.perfQr once of thb.worJoLr w�'Ich thl?i
pet"It 1s Isued,1 shall not.employraay p*rson Ip any mounb r' AD.ORE�S " - rrkONS
aq as to,becolnti so-bled to the Wgrkers,Compenagtlorr ja wr Q,
CITY
Date 1'' ppllcant a • ' ARC7� .. . OR TEE, SRI
I4NT: I CROUP TYPE: El BY
NO T•Q> 1f; fter`-makrng:thla Csirtiflcate of ._ INFHZ' Nor. T. - O.
Exemption,:yoa .shourd'. becgme iubjec# to the.Workers'
G.ompensatlop provlslons-of,th a Labor-Code,you must'f h-- '. ADDRESS
�Wlth'.comp,Y wlthl,wh �rovlslons or •thtb permit aha1l 'be NO l AT15T1CAL_C�AS� TbN APT. CONDO.
deerhavl revoked.' - _
4 Ct?1rSED CONTRA6TOiLS_DECIARATION CLASS
I hereby affirm that I am licensed Under proVWoni of Ch4tw 9 _ ADDR!~SS p
(gJmrrrsn l pg with,Settlon 7000)of DlyWorr 3:af the'$vsloess
�d�rofeirilons Qbde;apd my I.Ioansa 4 In full force-and effed,. ASS
CRYO Q '�� BK PG. VALIDATION'
LIcerue Numl}w e- c.'CI,oa`T ✓ t� .. SZE STORM _ FMAILIES ONE +' -
r, VALUATKM f .
Contractor pQfq �I'r.. DESCRIPT1ON QF WORK
Q I aro exempt under'Spc. w
ADD`_
:B.BP.C..for }hits reason - REPAIR i
a 1
Date: -, IxlmLI E Nc
SlpftatUre r -
owNER-Bu i a DEcLARATlor f DATE: -
F I hereby affirm.that I am expmpt from the Contractoes Llterue ADDRESS - i A
Law for the fblrowi,nfl reason (Sqatlon,7031.5, BusIn, ,`apd
Profesalprn C6de.): '. .,' _ -- -. i1i 1.'•. ., ''
0 I"as Qwn0r of the property my implayris with' BUI INC A•. q t
wages as their sole compensation whl do the work dnd - ._ -_1_l _ .c, - 17 .._
the structure b not Intended or.gfferedfor able(Section L r. > I�c
7041, "mess and,Pro{nsslorFs C,ode:) MOVING ,
CONTRACTOR
' �.. 1, azowriet•.of n'Le property,-arYt,excluslvery contra Iriq it '. '.
�ltb Iltenied contractors to'.construct the projec� (Sec- AbDRESS' ¢_ Ti)TAL' IL43 —'6 3
'Hort 7W-0, Buslam anti"fesiloni Code.)
C6NSTRUCI•ION LENDINGIRRD YARD HWY y �f7[4Ti 14]rfsu,
ti I her�ebyy affirm that there h a Gonitrudlon.iendl ooncy fix '
the p.rformapbb of'the,work'foT�drilcka this perTTllt li ti.,�.d,.; P:L - '' : C
(5eG 3091, Civ.-C:). SIDE ;
P:la - - '�.{
Kerlders'.NaMR _Q tDAAA Rafe
P.'c Fee Permit Fee t•. C/.• ��?
Lenders Address ,_ J9;7 1. AM 7:46
I certify that i-have.road t}ili appjlcgtlon arty state that th» ' latuanv Fri Lb+HA"rr/ci!`
above information Is correct. l ree to compply wIthl all CoOnty- Irrvsatl Ion fee
ordlnartces.ant! S taws' .to bul{dlrtq ponatrudlon, Total F. , LDAkA`i'�rrn
'and h a totivps-qf this County to enter - _ -
upon a bo enti fo(Irtipe Loh purpQs�s. `
l MINVEM.Km DJ'LANATO;Y LANGUAGIt-
Slpnatvre Iicartt or.