Loading...
HomeMy Public PortalAbout6014 BARTLETT AVE_Building__ 78A838A CE 9803 3-N APPLIOTION FOR BU ILDI N ERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS 60/c,-- BUILDING AND SAFETY DIVISION LOCALITY /C Z JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS STai . D.f FOR APPLICANT TO FILL IN DISTRICTyO. GROUP T�tfST. SED BY (PRINT OR TYPE ONLY) S BUILDING STATISTICAL C SIFICATION SE ER MAP ADDRESS CLASS N0. / DWELL.UNITS BK PG LOT NO. BLOCK USE ZONE MAEP N0. TRACT I SPECIAL N0. OF BLDGS. CONDITIONS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. BLDG. SETBACK FROM TE�97�} ry FRONT E OF (STREET) DWNE Lp NO p _ TYPE OF EXISTINGTBACK HIGHWAY + YARD - TOTAL ADDRESS y HIGHWAY WIDTH FR C.L. CITY L ARCHITECT OR TEL. BLDG.SETBACK FROM (STREET) ENGINEER N0. SIDE PROP. LINE OF TYPE OF EXIST Me SETBACK HIGHWAY YARD � TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. yy��� TEL. + k CONTRACTOR /fes N0. ADDRESS LIC. CORNER CUTOFF YES ❑ NO ❑ 0 04 CITY CLALICSS SEE REVERSE SIDE FOR SPECIAL APPROVALS 0 CONSTRUCTION LENDER NAME AND BRANCH OAA!g ADDRESS Sq FT. NO. OF N0. OF i��� SIZEl STORIES FAMILIES NEW � USE OF ` ADD ❑ STRUCTURE ❑ r` ALTER REPAIR GNATURE OF DEMOL ❑ APPLICANT VALUATION APPROVALS DATE IM■P[C n'■ •IGNATU_K P.C. PMT. O FOUNDATION: TOCATIIOON FEES FEES G+ FRAME: FIRE STOPS, " I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION L S AND STATE THAT THE ABOVE 17 CORRECT AND AGREE TO COMPLY 08-5 VENT, QXT5 FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- � TION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT. OF THE STAT CALIFORNIA 15 EATING TO WORKMEN'S COM- PENSATION I URA CE. \/\J/r LATH, EXT. SIGNATURE HOUSE NUMBER CORRECT PERMITTEE AND POSTED ADDRE& l FINAL ol JOHN F. LEWIS, PRINCIPAL ST R CTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CABH - PERMIT VALIDATION cK. M.O. CAIH -1 AP,4 a'8 W312 - 1 A 1 1.50N i WORKER$'COMPENSATION DECLARATION / I hereby affirm that I have a certificate,of consent to "If Insure, or a cgrtlflcate of Warkers'Compenatlon'Insurance, or APPLICATION OJ� I ED I N C. PERMIT. a certlfied'.copy thereof (Sec. 3800, Lab. C.) = _. Cflk1NTY OF LOS 'ANG ES AFE BUILbING AND STY. 'Policy.No.' Company ' Certifled copy Is hereby f-umished; .FOR AP LI-ANT TO FILL IN S ' Geftffied cbpy Is filed with the county bhlldlnq Inapec= BUILDING • ,� lien department. ADDRESS Q� T►�/ Lr-� / Avf, LOG41frY r - N ' Ogle kppllcartt CFTY ZIP CROSS ST. I •CERTIFICATE OF EXEMPTION FROM WORKER5'. �+d x /s NO. OF��. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT Y �JOSV ON LOT - MAP BOOK PAGE ARt�$ (This section heed not be.com leted if the permit Is for one _ 115E ZONE BLOCKhundred dollars ($TOO)or lea. OT NO. NO. } IVO.t pw TJ[J77_ CONDfT}ONS �• I. certify that In TEL SPKIAL the,pprform4t5ce of'the wgrk for which this — DISTRICT-,. GRCKJ TYPE; Fl BY• q 0 permit is issued, I shQll not employ"any n in an mannerV so.aa to become sufJlect to the Wofkers'�CoRmperuatlnn Larva. AMfISS 416041(,11iT��TT T ? - cm' y' . Date Applicoht STAT15TICi CLISSIFICA APT. 103NDO. NOTICE TO APPLICANT` af,- after'rnakfing this Certlf1gdte of ARr -lNEER t TEL CLASS'No. DWELL.UNFfS, 4 d Exemptlon,,'you'-sHObld become sublect to the Worker!' y CQmpenatrtlon provisions of the Labor Code, you,muff forth- �, $Eyyg2 � -with comply wlih such provisions or this permit shall be deemed revoked., + CONTRA(TOR BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION uC n I hereby affirm that I om licensed under provisions of',Cbppter 9_ ADDRESS_ - •VALUATFON .(commendn9 with Sectlgn 7000y of Division 3 0 the Busineo and - �. ; " Professions Cdde;dnd Tfi'y license Is In full force and effect. (STY CLASS_ S I h SQ. NO. NO. OF CHC�C Llceno NuMber LIc.CIast SIZE STORIES Z FAMILIES ONE DESCR I PT}ON OF WORK _ Confractor 1.Date �. _ ._ . 1. ADD I am exempt from the.licensing requirements asJ am a e �/R R .© Ilcunsedfarchltect or a reglstered professlon8l engineer , . ALTT� DATE aating In. my professlgnal, oapadity ($ectron, 7Q51, r� g DATA Business and Professions Code): � REPAIR - alar riG BLDG. oFsroL wu G--�-} LIc. or Req.'No: Data APPLICANT I NT) L=d , I _ 0"ER-BUILDER IDECLA'RATION I hereby afflrm that I am exempt from the Contractors Llcenie I ADDRESS � Law.for the�followlnq,reason (Sectlgn 7031.5, 3uslnya,and' :4 Prof :Code): BUILDING.. .- 2'9 x+29- I nai oyvnei of the property, or my employees with - ADDRESS y wages as thefr sole compensation,will-do fhe work and #�o o`.o o•o `. thes"Oure Is not Intended•:or offered foriale(Sbttlori' ' LOCALS ' 7044, Busln.grid�Yofesslons Code). MOVING OR TSL 2!oj0c 2 Q'a . ElI, at owner of the.property,.am exclusively coptracting NO.u q with licensed c9nfractorls to construct.the project (Seo- ° • s 2,&0 0 9 tlon 7044, Business and Professions 4.PIDE 4 _ _ _ coda).; 0.2 .1'6'—.H 2 . TOTAL FROM EXIST. . CONS°FRUCTION LENDING AGENCY YAPb I'[WY PROP. LINE DTH I hereby.afflrMithatthere Is'a cdnstructlon lending agency-for' . "' - the performance of the work (qr which this permit Is,lssued ry (Sec. 3047,Civ. C_). _ _ _. _... _ - Lender's Nam4 - $ ParmN Fee _ Lender's Address � - ._I certify that 1, have reod this application and state that the lisuoncu Fee above Information la correct. 1•agree to campp.ly wlth.gll County n a ordinances and--State lows.relating to building coristructlon, Total Fee Cl and hereby authorize representatives of this County to enter, upon the .a above-mentlo—nneed pprro'pertty for'Inapectlon R!1/MS PofzixnwHwrorn utroiJAoE � Slghgturn'of Appllcqnt or Agent .. ora �' COUNTY OF LOS ANGELES TEMPLE CITY 0 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC.WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING-AND SAFETY / LAND DEVELOPMENT TEMPLE'CITY CA 91780 8L 0508 0110300008 �. PHONE: (626) 285-0488 EXT: 7. , iBUILDIKG f BK: 24.i',%. ;. PG: 87 PC: 2 `� '.' 's . SO.- FT STORIES TYRE: 6014 BARTLETT AV � +. . firi• .. STRUCTURE: VN �SGAB CA 91 775 261 2 ASSESSOR INFMtkTION NUMBER. ir- lNEAREST CRQS8, STREET: GARIBALDI 5386-013-028 "': THOMAS PAGE; 596 GRID:,G3 LOCALITY: TEMPLE CITYTENANT: MffrrllDC_ME: REBID USE ZONE: R-1 I w ON: PROCESSED BY: EKPIRES . EXIST DCC GRP: 10/30/01 JK 04/28/02 : . UWNLK: -TEL. *0: BLDG& NiOW -ON LOT: 'VALUATION: FINAL.'DATE CODE: RACKEARITLE -CRAIGE. - 1 ? Ll. .o tIKAL BY 6 r . SCAB 917752612 . c REMOVE EXISTING COP ROOF- INSTALL 300 FELT i METRO SHINGLE FEE DESCRIPTION: QUANTITY: U04: AMOUNT: OVER EXISTING PLYWOOD, 50fR APPLICANT: TEL. NO: SIERRA PACIFIC ROOFING (909) 949-7663- AA BLD6'PERMIT ISSUANCE. 27.75 1042 N.MOUNTAIN B3$3 AC STRONG MOTION R 2800.00 VAL 0.50SPECIAL CONDITIONS: - • UPLAND, CA 9179 D2 PERMIT Y .00 VAL 99.00 5 ELES 127.zs DATE INSPECTOR 916UTuffr EL IM SIERRA PACIFIC ROOFING (909) 949-7663- 1042 N. MOUNITAIN 08383 -.J. :LIC. NO UPLAND, CA. 917m 627233 C39. LOCATION AMD SETBACKS SOILS ENGINEER M45� ARCHITECT OR ENGINEER: TEL. NO: FOUNMTION/TffmmF7mw LIC. MO MAP NO: SEVER MAP BOOK: llllll RAISED FLOOR FORTU JULATION 150H261 .. 3, FIRE : . , W-0 LD) . LIES, DWELLING UNITS: APT/COND: STAT NO 21 RMF.,SHEATHINFr WITHIN 'Fumaazw O AIR QUALITY: 1000 FEET MATERIALS Q. ❑ NO NO NO n SET BACK YARD: Hwy: PROP LINE:.' WIDTH: FRONT PL- `SerVICA Tr►0 SIDE PL- INTERIOR.LATVDRT9EE___ LOT I NAGE REPORT ID:.DPR261 ROUTE TO: BSO508 A .