HomeMy Public PortalAbout6365 BARELA AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES
WM. J. FOX. CHIEF ENGINEER BUILDING
7
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN
BUILDING ` /� DISTRICT 0. PLAN CK.NO. PERMIT NO.
ADDRESS
LOCALITY RECEIVED BY ^DATE OF APPL. DATE ISSUED
NEAREST :°�' f: Z ��3-fQ1 (_0
CROSS ST.
BUILDINGB_4 r
OWNER _ ADDRESS /V , ��Z IBJ^L^''`
MAIL _LOCALITY
ADDRESS -
. NEAREST
_ TEL. CROSS 5T.
CITY NO.
FIRE NO.OF TYPE_ GROUP
ARCH I"rECT OR TEL. ZONE PLANS JTi`�'
_ENGINEER _ NO. ,
ADDRESS
BLDG. ORD.NO.
ET ACK LINE
APPROVED
CONTRACTOR NS. BY DATE O
USE APPROVED
ADC)RESS ZONE BY DATE
LEGAL CORRECTIONS
DESCRIPTION LOT NO. BLOCK �V 7
TRACT sG
NO.OF BLDGS.
SIZE OF LOT I NOW ON LOT Q
USE OF NO.OF NO.OF
EXISTING BLDG. I FAMILIES I ROOMS
DESCRIPTION OF WORK
" NEW ALTERATION ADDITIONamu _ O
REPAIR MOVING DEMOLISH M� IEj✓E� P/'II}. L)
Sq.FT. . ' NO.OF Z
SIZE ROOMS STORIES D
r
WALL I ROOF
COVERING COVERING
USE OF NEW
BUILDING -
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
FOUNDATION:
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, LOCATION INSPECTOR DATE
FORMS,MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME: FIRE STOPS,
SIGNATURE OF BRACING,BOLTS I `S
PERMITTEE LATH, INT.
AUTHORIZED AOT - LATH, EXT.
76A63SA-3 7-49 \ 6,.D P,C.$ PLASTER, INT.
7 FEE PLASTER,EXT. c
VALUATION -� �'UFEE FINAL
1
r
78A838A CE#803-B-S7 APPLICATION FOR BUILDING PERMIT 5
COUNTY OF LOS ANGELES BUILDING
j i ADDRESS r I�r' .-'r'.:.f. ;
-DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST a/
CASSATT D.GRIFFIN,SUPZ ,T OF BUILDING CROSS ST.
DISTRICT NO. I GROUP .TYPE SEWER MAP
FOR APPLICANT TO FILL IN ? I CONST. L�^I BK 1%G
BUILDING I
ADDRESS / I STATISTICAL CLASSIFICATION
LOT NO. BLOCK CLASS.NO.__ DWELL.UNITS
MAP STATE YES j NO-
f, r NUMBER T (a f� HWY. I
TRACT 1 - � USEZONE SPECIAL '
INO.OF BLDGS. ) } CONDITIONS
SIZE OF LOT _ NOW ON LOT '...t7..5
USE OF r,
III EXISTING BLDG. BUILDING EXIST.
- (^ SETBACK YARD HWY STREET NAME WIDTH
OWNER :_r FRONT „ s -�' .
MAIL ] - P.L:
ADDRESS - SIDE
P. L.
CITY '. No PECTI RECORD
ARCHITECT OR r' ,- TEL. —
ENGINEER '�� t"'f+.`' '!No.
ADDRESS
TEL.
CONTRACTOR NO.
00,
ADDRESS 00,
DESCRIPTION OF WORK
NEW .ADD ALTER REPAIR DEMOLISH
SQ.FT. - NO.OF NO.OF
SIZE `�` STORIES FAMILIES
USE OF STRUCTURE
j �-
SIGNATURE OF APPROVALS
APPLICANT
DATE INSPECTOR'S SIGNATURE
ADDRESS FOUNDATION: LOCATION
FORMS,MATERIALS
P.C. $ FRAME: FIRE STOPS,
FEE BRACING,BOLTS
VALUATION $ l - 'r" FURNACE: LOCATION.
FEE GAS VENT.DUCTS
I HEREBY ACKNOWLEDGE THAT I HAVE REA THIS AP- LATH,INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH-4–L COUNTY ORDINANCES AND LATH,EXT.
STATE LAWS PAGULATIN� BUILDING CONSTRUCTION.
SIGNATUREOFHOUSE NUMBER COR-
PERMITTEF �t' - -I I' ' "' RECT AND POSTED
ADDRESS C" ti ; FINAL
JOHN A. LAMBIE COUNTY ENGINEER. CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL EI�LGINEER
PLAN CHECK VALIDATION CK.' M.O. CASH PERMIT VALIDATION cK. M.O '-CAS
OF
1
i
COIIYT'7 OF IAB ANGILa TEMPLE CITY f 0508 - - HD7T,DI�iG PMUCIT
DEPARTMENT OF PU3LIC WORKS 9701 LAB TUBAS A.LT=RATIOY/RIPAIE
BDTLDING AND SAYrfY / L1YD DIVEIAPMINT TEMPLE CITY CA 91700 BL 0508 0508180059
PHONE. (626) X85-0408 IIT:
T•TKILT• ID: Y0. OF CONST BUILDING ADDRESS.
TR: 16867 LTA 19 BQ. FT STORIES TYPE 6365 A1RYT.1 AV
STRUCTURE: 2000 VY TEMP CI 917801404
ABSESSOR IYPORXATION &CPBIRi NZARIST CROSS STRI T: VAI,
5383-014-015 THOMAS PAGE: 596 GRID: J7 LOCALIT7. TEMPLE CITY, C
TRIELNT: EXIST BLDG USE: REBID USE EONEi R-1 IBSUID OYl PROC19SHD BY: EXPIRES ON
EXIST OCC GRP: 08/10/05 JK 08/13/06
OWNER: TEL. Y0. BIJGS. YOM ON LOT: VALUATION: FINAL DATE FINAL BY: QpDZ.
BHONBORN ROBERT L;ALVI19A C (626) 574-7746- 4,000
6365 BARRT,>, AV
T3MP 917801404 FEEB PAID DEBCR.IPTIOiY OF WORK
TSAR OPT SaKET WITH PLYWOOD, COVER WITH 30-YR COMPOSITION
PIE DESCRIPTION: QUANTITY: UOM: AMOIIYT: SHINZI, 8 HOUSE AND GARAGE
APPLIC09T, TYL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 77.75 -
AC STRONG MOTION REBID 4000.00 VAL 0.50 SPEC�AL CONDITIOYB:
D2 PERMIT W/O EY-HC 4000.00 VAL 115.80
TOT1L FEES 144.05
CONTRACTOR. TEL. NO: APPROVAL9 DATE IYBPHCTOR SIGNATURE
SAME AS OWNER
LIC. NO _ LOCATION AND SZTBlCCB . .
BOILS EYGIYEHR APPROVAL
ARCHITECT OR INGIN•NZR. TEL. p0: FOUi'DITION TYZaICH FORMS
LIC. NO: BLAB UNDZR FLOOR
RATSICD FLOOR PRAMIYG
M1P NO. SEWER MAP BOOK: PAZZ: FIRE ZONE: CMP. UNDERFLOOR IIBULATION
153H269 3 01 1
FLOOR SHEATEIHG
NO. OF FAMILIISi D"IULING UCITSz APT CONDI STAT CLUBS:
NO 21 ROOF SHRATHSYG
OLD
SCHOOL WITH ZY HAZARDOUS SHEAR PANELS
17R QUALITTt 1000 FST MITIRIALS ,
NO NO NO FRAME INSPECTION
REQUIRED TOTAL S TSACX FROM EXIST FIRE RPR NXI YR HANC"M
SET HACK TIL HWY� PROP LINZ� WIDTH:
FRONT PL- INSULATION WEATHER STRIP
BIDE PL-
INTERIOR LITH DRYWALL
EXTERIOR LATH
RATED FLOOR CEIL ASSEM.
RATED WALL ABBMB.LIRS
RATED aRA TLS OPEYLEGS
T-W CEILINGS
IAT
REPORT ID: DPR261 ROUTE TO: B90508
#930141 SB APPLICATION FOR WILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION36 6FOR APPLICANT TO FILL IN BUUIN
that I hereby affirm at I have a cerUfla t as,of coneent to self meBtFADDRESS
or a certfl a of Vnbrkers' Compensatbn Ineurance or a certified 6365 Barela
ooW thereof(Seo.3800,Lab.C.) TZP
em le Cit 91780
�y No, �l2710598 ry Cal Comp
S2E OF LOT" NO.OF BLDGB.NOW ON LOT
NEAREST CRASS 87-
Certified copy h hereby fmrmlehed. -
CKCertHied copy 18 flied with the county buldtng Inspection TAT BLOCK LOT Na
d9parbrn mt USE ZONE MAP Na
Date 7/1/93Virgin Roof Co. ASSESSOR MAP BOOP( PAGE Plwca
sPEcuAl COrDTIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' B b 8honborn 574-7246 wrr r� ,000 Fr.Cf sctloo+? NO
COMPENSATION INSURANCE
(Ts section need not be completed If the.p9rmlt Is for one hundred
hi
dalara ($aoo> or Leas.) 6365 Barela D1'�"� °� TYPE � �Of''E�D�
I owtffy that In the performArpe of the wont for which thIa parmk arTem le Cit 9178G fnr
La lamed, I shall not employ any peraorl lo arty Manner so as to. ARCHTE,.T OR ENGNEER TEL NO.
beoorne sLfp}Bct tO the Vrbrkers'ConVensabw Laws. S"D1TI.9TICAL CLA33,FtClTION APT Corso
Date "Kent ADDRESS CLASS"a MVELL LRZ-M
NoTICf= TO APPUG4mT.- If, after makty thle Certificate of REQUfFED TOUAL SETBACX FROM E LET
E-va ptbn, you should become aA)ject to the Vkrkers' CONTRACTOR la No. SET RACK YARD HWY PROP LINE WOTH
Compenaatbn provfalorn of the Labor Code, you must forthwlfh Virgin Roof C o. 287-0507 FRONT
comply with arch provhk ms or this permit&hail be deemed revoked. ADDRESS _ LIC.No. P L
LICENSED CONTRACTORS DECLARATION P.O. Box 5010 160650 SAE
affirm I hereby that I am l bar>sad u ndarprovlela,e of.chapter a bean Gab i e 1 91778-5010 PSEWER P L L MAP
(oomn- nctnp with Section 7000)of Dlvblon 3 of the Bualneas and Sa FT.SIZE NO.OF ST
C'RiES NO.OF FMiEB
ProfeAabrrp Code,and Ilcerme Is In full fomes and effect 2700 1 NEW ❑ BK FG
Licanse Num¢er > 16 0 6,A C lIB", C 3 9 DESC*'FK)N OF WOW ADD ❑ W&UCION > p
�,Ttr Virgin Roof C� 6/30/93 Over e istin apply 8
Class A ALTER El $ 4000.00
composition shin les. 27 71DEMOL
El I am exempt under Seo. REPAIR El
BAP.C. for thla reason. ElLDMA P/C 1
USE OF DQSTING BLDG. Q„
dwellingURM E7 (fin
3iture APPLK ANf f AW!J TEL NO. tDAN Penn• 13 Z
❑ 1, as owner of the property, or my ohployeea wrfth wages as Q ACCT.i
&o* sole COmpenaatiorT w01 do the work and the QtirOture is ADORE F _
not Intended or offered for sale (Section 704-4, BLArKm and PO Box 010 San Gabriel CA 91778-5040 ANAL DATE yq a
Profeaalor� ')
V .THE APPLICANT OR FUTUCE 910!10 OCCUFAW HANDLE A HAZARCOA"'Ir L 4 ��� r ] i
El 1, as owner of the property, am exc wNe4y contwung wfth OR A MUTIFE COW"ANG A KkZAFDOkreYy UEFt�N-EQUAL TO OF,GFIE E
"XL C�HII THAN T 3Q y
AIePEOrr T-E HAZAR[)0UB IFORkWON QUIDE? FINAL BY
Ilcerl contractors to Corenict the project (Section 7044, YES El No a faGGT■i
L�Lr moss and Profasslom& Code.) f 7�
TALL TI-E ME7O® UaE OF THE BY T,-e k4trI f On FRp�U1 E
MIST W D-AL" AA AN•[3E]E?R aff P9�TFN0 C-ECKLtB-r� 2
CONSTRUCTION LENDING AGENCY ITEMS
I hereby affb,, that there la a coretnbn 1endlrQ agerxy for YE&❑' No 50 Ar
cv the performance of the work for which ti,la permft fs leered(Sec. TOTAL 2?-729.96
- 96
HOLE FEAR TFEFIAZAFDOLLBY R OI.FE.►@ITa «FE LDB.A 0ELE9THE�COlMY .. �_I.74
m PERmrFnNG
3097,CN.C.) a ec�a.tsT.i LFDarawo WY RE
TLTLE 2• 220 , THROUGH 220.,40 CONCEF004G W.ZAFD0.U8 CWX
Lafldere Name M41�L� �A F'EFMT FROM TFE BCJCPQ - .�I
Lenders Addreaa (✓ t
I certify that I haae read thb app0aatlon and state under penalty P.C.FEE PEAAtIf'F FEE -
of perjury that the aboNe Hormarion Is correot.I agree to comply ith 107.85.- ]Q— 1 6/ lfrg
wall county orzflnancee and State la
te lathe raffng b buBdng
Z hereby authortre repreeentativee of this County fBSUANCF FEE 17.10, 0109 1 AM g:14
Lpgn the 6he e Inspection purposes
6/3/93 '"VEST�� TO-DL FEE 175.45
AprA
SEE REVERSE FOR EXPLANATORY LANGUAGE