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HomeMy Public PortalAbout5214 DALEVIEW AVE_Building__ aA.. �E ....a APPLICATION FOR' BUILDING PERMIT �. COUNTY OF LOS ANGELES BUILDING + DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY .. JOHN A.LAMBIE,COUNTY ENGINEER NEAREST �a CASSATT D.GRIFFIN,6up;OF BUILDING CROSSST. L-C.r'�/- DISTRICT NO. GROUP TYPE P SEDBY rFOR,APPLICANT .TO FILL IN I CONST. BUILDING;i-A ) %� SEWER MAP ADDRESS, 1P T a /ey/ eW STATISTICAL C�LA/S�SIFICATION ,,. / . CLASS NO. X DWELL UNITS �—� I c `L LOT NO. N BLOCK MAPSTE- �u NUMBER �/l 1• HWY. YES TRACT 1? O .9 O USEZONE " SPECIAL T • NO.OF ILDGS, - / CONDITIONS SIZE OF LOT OX of -NOW ON LOT / USE OF EXISTIN2 BLDG. np.A BUILDINGEXIST. SETBACK YARD HWY STREET NAME WIDTH OWNER FRONT / p� MAILP.L. ADDRESS L' _ SIDE i TEL. _ .. P.L. clr4 No. i i. - INSPECTION RECORD - ARCHITECT O TEL ENGINEER I SO4 NO. / ADDRESS - /�yy TEL. CONTRAOTOR 0.1 h C r NO. 'ADDRE• .. DESCRIPTION OF WORE 13' /moo 'eY W°tiK NEW .. ASD ALTER REPAIR DEMOLISH - S `37 STORIES FAMILIES SIZEIZE J -USE OF STRU URE i'� SIGNATURE ( APPROVALS - APPLICANT lA DATE INS ECTOR 5 SIGNATURE ADDRES 1 'e � FOUNDATION: LOCATION FORMS,MATERIALS S F C�©'� P. FRAME: FIRE STOPS. � y FEE BRACING, BOLTS -1'71 ' / VALUATION 5 - S'1 0� FURNACE: LOCATION. _ FEE CJ 'GAS VENT..DUCTS THEREBY ACKNOAL&2GE THAT I HAVE READ THIS AP- . LATH. INT: ! �" PLICATION AND THE ABOV IS CORRECT AND s AGREE TO CO Y ITH COU T RDIN NCES AND STATE LAW _REG BUI 1 CO TRUCTION. - LATH,EXT. SIGNATURE F HOUSE NUMBER COR- PERMITTEAND POSTED J ADDRESS r� FINAL ,, -' - ✓ CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENQjhLFgR �,. PLAN CHECK VA.LIVATION K. M.D. DASH PERMIT VALIDATION" cK. M.o. cAstl ( 1'5:8 .70%`r,JAN :76`2 3` A `9.0 O A r LACO1 9 3' 2'�; JAN19 1 A 1 $.0,0 .. >aAes =Ea os -_> APPLICATION FOR BUILDING P MIT �. COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER nnDREss / BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER 'NEAREST CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST. DISTRICGRO P TYPE SE R MAP TN FOR APPLICANT TO FILL IN ,T I CONST. K Z� .BUILDING STATISTICAL CLASSIFICATION ADDRESS L - (<G / CLASS.NO.Z �WELL.UNITS LOT NO. ' BLOCK MAP STATE h'oNUMBER HWY. VES NO TRACT V USEZO E SPECIAL NO.OFBLOGS. i• / ONDITIONS SIZE OF LOT D/ I NOWOf{ Lj N LOT USE OF �Cc J 0 _ 049 EXISTING BLD G. CJ - (i BUILDING YARD HWY STREET NAME EXIST. 1 SETBACK WIDTH a OWNER `/ � �i / FRONT MAI LPADDRESS /L/ � I I1�,-Tc SIDE - - TEL P.L. CITY _ rvo. INSPECTION RECORD ARCHITECT OR TEL. ENGINEER NO. ' ADDRESS - - 2p�,, - .. TEL. - G',r' O A'.f J+0/O. %/. 79 CONTRACTOR NO.. Y sti 41 G /-P /1�1 ADDRESS DESCRIPTION OF WORK lh e.-Lrs�ay NEW ADD ALTE REPAIR, DEMOLISH SQ. FT. NO.OF NO.OF (. a,-ID- fY�I M �G:J� ��-� / L, 7 SIZE 6�/lo q! STORIES FAMILIES V . USE OFSTRU CTURE C70 SIGNATURE OF APPROVALS APPLICANT - )DATE INSPECTORS SIGNATURE ADDRESS FOUNDATION: LOCATION 4 _ $ -/ O d O C PFORMS, MATERIALS —_ P. . .$ FRAME: FIRE STOPS. FEE BRACING.BOLTSm�, " VALUATION - $ FURNACE: LOCATION.FEE GAS VENT,.DUCTSHEREBY ACKNOWLEDGE;THAT I HAVE READ THIS AP- LATH, INT. /`IPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL C TY ORDIN ES ANDSTATE LAWS REGULATING B IL IAF TR TION. LATH.EXT.SIGNATURE OF / HOUSE NUMBER COR-PERMITT " RECT AND POSTEDADDRESS FINAL JOHN A. LAMBIE. CO' UNTV ENGINEER. CLYDE N. DIRLAM. PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.. CASH (ACp l'.3 2'4 S .FES 17 1 A 2.00 ° ®,• DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES p Wk. J. FOX, CHIEF ENGINEER v FOR APPLICANT TO FILL RQ FOR OFFICE USE ONLY DISTRICT NO. PLAN CK. NO. PERMIT NO. BUILDINGADDRES ` , /z/ � —_ ��� I BUILDING ✓ �S 7 :�j • + RECEIVED BY DATE OF APPL. DATfi 1850 ED LOCALITY N w� NEAREST CROSS BT. -V(J• BUILDING ADDRESSg L✓ c''2-,, OWNER MAIL //,�_ QQ � � LOCALITY / C ADDRESS y �� {/LVN!' NEAREST GG� le /-/ TEL. CROSS ST. V E CITY V NO. FIRE NO. OF �.TYPE� GROUP T ARCHITECT GTC - TEL ZONE PLANS V ENGINEER NO. BLDG. /O O L+ OR�1 SETBACK LINE -7-el)-7-el) / '•�" ADDRESS - APPROVED TEL. BY DATE CONTRACTOR ("/ 67L�NO. USE APPROVED ZONE BY DATE ADDRESS HOUSE NUMBERING DF = CTION I LOT NO. BLOCK MAP NUMBE 2C , FIELD CHECK BY TRACT a q Z-O NO. ASSIGNED BY DATE NO. OF BLDGS. + CORRECTIONS SIZE OF LOT �i�i I NOW ON LOT / USE OF fj_ NO. OF EXISTING BLDG, S • FANluas DESCRIPTION OF WORK _ NEW I ALTERATION I I ADDITION REPAIR I I DEMOLITION I "" 0 D SO. PT. NO. OF SIZE 7 7 ROOMS STORIES Z 1 EXT. WALL-,IP ROOF 90 T COV ERINGIPM� 'I COVERING lT USE OF 6TpIyV CTU R¢ 4 APPROVALS INSPECTOR'S SIGNATURE DATE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS / ` I-1.rN CORRECT. ,.�L 1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: BRACI FIR STOPS, / HEREON AND WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING/GS LDING CONSTRUCTION /y FURNACE: LOCATION. SIGNATURE �?` / / GAS VENT, DUCTS PERle— M EF / ,A "��iCCC / , + ADDR[8 0 Y LATH, INT. - LATH, EXT. AUTHOR ED AGT. PLASTER, INT. oeeeseA Dasa fOw .4 / P. C. 8 �, r © 7�-� FEE PLASTER, EXT. VALUATION FEE 8 / O FINAL � 1 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES. tal WM. J. FOX, CHIEF ENGINEER EMILDING LJ FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING r�J _y� �) DISTRICT NO. PLAN CK.NO. -S PERMIT NO. ADDRESSI(I�C LOCALITY �® • A R C/�D/Ac R/E'CEE II/I VV]EEDDBY /DA E OF/APAP//L�. � DATEISSUED NEAREST �HUILDING /,t/ OWNER � 6AI Ave 1DDRES9 (/ d 2 r//�.[-� �1�/_' 1/1)//U MAIL ADDRESS V - 'T. �A/R P/�K//S /V'�pC LOCALITY CITY A .L/Y IT NO.S✓O�'���Y/ �G NEAREST TEL CROSS ST. FIRE No.OF TYPE ° GROUP ARCHITECTOR TEL. ZONE PLANS � 7 ENGINEER NO. BLDG. / /f ORD.NO. ADDRESS SETBACK LINE APPROVED CONTRACTOR TOL BY _ DATE USE ,,��)/ APPROVED ADDRESS ZONE /T/ BY DATE LEGALo�y CORRECTIONS DESCRIPTION LOT ^No. BLOCK TRACT SIZE OF LOT d NOW ON LOTS O N i USE OF ND.OF —I NO.OF _ EXISTING BLDG. FAMILIES i4 ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION �I} O REPAIR F MOVING I I DEMOLISH p SO FT. - NO.OF 2 SIZE ROOMS STORIES08 " D WALL RDOF' r COVERING O vp COVERIN USEOBUILDIINGW Dw Jj LLi dcr ,S/A/is/,-E Ill. 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. FRAACIFIRE NG,BOTOP9.. SIGNATURE OF BRACING, STOP OWNER LATH,INT.: / r AUTHORIZED AMT LATH,EXT.: vas-a 25H SETS 4-49 $ C $ PLASTER,INT. >O / - ' �9Q� FEE 'PLASTER,EXT. VALUATION ��r � y�� FINAL � � WORKERS'COMPENSATION DECLARATION" - jI hereby affirm that I haver cerlCome of consent to self APPU //1" /Rs lT�®ILII FOR Bn nQII D�N�' PER (a(�T - uTlull insure, or a certificate of Workers' Compensation Insurance, F�a(r1� u u�' �J LJL u�f �fNfU or a certified copy thereof(Sec 3800; Lab. C.) '- I - Policy No. 1046140 Company fit-at-a FTTnd COUNTY OF LOS ANGELES BUILDING AND SAFETY ❑ Certified copy is herebyfurnlshe&7 FOR APPLICANT TO FILL IN BUDILDINGDRESS 4� / © Certified copy is filed with the county building inspac- BULLRING - - tion department. ADDRESS 5214 Daleview Date 11-1-88 Applicant Randol:Roofine CITY Temple City ZIP 91780 ocAuiY 'CERTIFICATE OF EXEMPTION FROM WORKERS' - NO.OF BLDGS. NEAREST. COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT . CROSS ST. (This section need not be completed if the permit is for one TRACT BLOCK LOT'NO. ASSESSOR - - .hundred dollars ($100)or less.) MAP BOOK PAGE PARCEL TEL. USE ZO MAP OWNER Theodore Br Jr; o. - _ " I testify that in the performance of the work for which this — No. P ermit is issued,'I shall not employ any person in any manner - .il SPECIAL, - t "so as to become subject to the Workers'Compensotion'Lows. ADDRESS Sallie as miiove CONDITINS C). Date 8-1-88 Applicant Randol Roofing CITY iIP ARCHITECT OR TEL. NOTICE TO APPLICANT: If, after.making this Certificate of DISTRICT GROUP TYPE FIRE PROCESSEDgyO 4 Exemption, you should become subject to the Workers' ENGINEER NO. {ONES/T9 ZONE U 1 Compensation)provisions of the Labor Code, you must forth- ADDRESS a �v L/ L+� r with comply,with such provisions or this .permit shall be _ - - - ) IL { deemed revoked. TEL STATISTICAL CLASSIFICATION APT. ONDO. " i (O [ CONTRACTOR NO. _ ,�Ls +� Z LICENSED CONTRACTORS DECLARATION .- LIC . CLASS'NO.�L —DWELL. UNITS- 1 T ' I hereby affirm that am licensed under provisions of Chapter 9 AD DRE55 - 2 NO. 451937 (commencing with Section 7000)of Division 3 of the Business and _ LIC SEWER MAP Professions Code, and my license is in full force and effect. CITY CLASS —IQ VALIDATION 50. FT. NO. OF . NO. OF CHECK BK PG. 1 . License Number 451937 ` Lic:class C-39- SIZE � STORIES FAMILIES :oNE Re-roof house NEw ❑ EVALUATION-.Contractor Date •TyDESCRIPTION OF WORK ' with Genstar 22011 shingle ADD ❑ D ❑ 1 am exempt under Sea g ❑ - ALTER , B.BP.C. for this reason - Class A REPAIR ❑ s' - Dote: USE OF ' EXISTING.BLDG. ❑ - - Signature - APPLICANT PRINT - •TEL DEMOI FINAL ' OWNER-BUILDER DECLARATION Randol Roofing No288-4040 DATE ,I hereby affirm that.I am exempt from the Controctor's License - 529. E. Valley S.G.. 91776 . iO�C U �0 4 3,9 A Law for the following reason (Section 7031.5, Business and . ADDRESS FINA i Professions Code): - PRESENT BY( 00 r#'! e)� BUILDING I, as owner of the, property, or my employees with ADDRESS - •1,a wages as their sole compensation,will do the work and 5:9,2 5 the structure is not intended..or offered for sale(Section LOCALITY D • 'a ; ',5 925' 7044,,Business and Professions Code).' - MOVING - TEL. 0 � ' U ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. 8 8 with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). - CONSTRUCTION LENDING AGENCY REQUIRED , YARD HWY TOTAL SETBACK FROM I SET BACK PROP. LINE. WIDTH I hereby affirm that there is a construction lending agency for - FRONT the performance of the:work for which this permit is issued P.C. , (Sec. 3097, Civ. C.). 'SIDE - _ d .P.L Lender's Name LDMA!Ref. N s m Lender's Address P.C.Fee E-- Permit Fee xry ,l certifythat I have read this application and state that the L0,50 t 'q PP : Issuance Fee LDMA P/C It, ' 0 above information is correct. I agree to comply with all County Investigation Fee o ordinances and State laws relating to building construction, 59.25 S'" ,, y .1 • v - iatalFea LDM4 Parm. M +-- � \ - a ond�he'i y' ize rapresantatives�of this County to enter, -- ,. $ upon t b - anti a property for inspe 'on purpo e e SEE REVERSE -. •' - - FOR EXPLANATORY LANGUAGE /Sigfiature-of Applicant or Agent - Dole-