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Home My Public Portal About5514 MCCULLOCH AVE_Building_7/27/1956_ - 'AP ,1CATI®IV F--6R BUlkl _ IG PERMIT D mcm OF MUM mm SAM=.. BUILDING Depadmant of __. ADDRESS of Zoo LoeALmr Wm.J."x COUNTY SNGINODt NEAREST • FOS APPLtCA1'1't W HM Ili ° MM amour rfTE !� YAP BUILDING DDRESf V NUMBS 9 fi+! ouTp Y4 O LOT NO. BLOCK E SPECIAL CONDITIONS TRACT ' o.CO'ELEMIS.8=car im ~ NOW ON uyr sU�a[ YARD NWT STREET"Nis ADT wE o>' '>�Ir G , OWNERLona . SIDE PAIL ev O. TRAOr a...m■ f FMIT " INDUSTRIAL ADDRESS - CITY Temlo My 1 ^"��■ � f UNIT S PUBLIC BLf�G. $ DUPLEX f UNIT ARCN"IffR TEL. 7 AD=-ALT..E!•C. ENGINEER i1 NO. FO-5�.8 S AM. ��N177 8 MIBCd QW, / D 2650 Durfee Ave. E 4 COYY-�M-• h. CONTRAC7G " As nr_vvn RECORD R Nr oF0- _"{{ -IM TION OF WOBI te, NEW ADD ALTO! REPAIR CKNOLISH GDCt 866 W11=6 RY'lus ,. �• :-. :: . USE OR armu rum dc SIGNATURE -r APPIIOa/ALS e7'� •� ADDRESS r ~L to DATE MCWM*SMGMAltRIL AltR POIINDATIONI LOCATION •f y A. :1 lrIRYS MATERIALS rN- !Vcy PR SDI�RE� . . r �y. VALUA'TI f D - PIIRNACRI LocATION. I HER®T ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENTDUCTS APPLICATION AND STATE THAT THE AS iS CORRECT AND AGREE O WITH ALL BCYOIUN •ORDIN O- LATH INT. T LAIRS LATH QT. !!GCORP 'oA1 ITTES RECi ANI BOI RO •ADDRESS E 1<I ' .*m J.M&COUNTY ENGINEER, VALMJL71 I I F C.M DIRLAM..Claw MUM INSPECtOR i, .o$ 6 4 3'0 JM 27 1 6 _ 11.0 0 �.� .� 2 2 0 �_ } �. 4 �,� ,nn.27 ' :.1/ ®S 76A686A CE/608(RlfV.6/76) , f� COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN' BUILDING ADDRESS C ADDRESS -7 5.7 J J BUILDING 5 7 L / ADDRESS ! vi. O� �. LOCALITY �� j �ry T NEAREST CITY ) / L? ZIP 7 d C) CROSS ST. a? SIZE OF LOT V)"bw7lAt, NOW ON LOT MAP BOOK PAGE PARCEL I {p DISTRICT O YPE FIRE P CESSED BY RACT ) / BLOCK j LOT NTEL.t`L�t� ��L)T CONST. ZONE , OWNER /. IE p / ICy �. N0.777 7�®. �' ^� l� � „ J ADDRESS Al G C`f I Q C � STATISTICAL CLASSIFICATION SEWER MAP r CLASS NO. _DWELL.UNITS—ii BK G CITY g2/ •o �' ZIP ARCHITECT OR TEL. VALUATION ENGINEER NO. ADDRESS BLDG.SETBACK FROM TEL. FRONT PROP.LINE OF (STREET) CONTRACTOR / NO. HIGHWAY + YARDTOTAL SETBACK FROM TYPE OF EXISTING LIC, — FRONT PROP.LINE HIGHWAY WIDTH ADDRESS A14 NO. LIC. + CITY /' CLASS CONSTRUCTION LE ER BLDG.SETBACK FROM NAME AND BRANCH SIDE PROP.LINE OF (STREET( HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING 3„ ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH SQ.FT. NO.OF NO.OF CHECK + _ u SIZE V STORIES FAMILIES ONE @; DESCRIPTION OF WORKNEW P.C.Fee$ Permit Fee ADD 9h, Issuance Fee yp ALTER _ REPAIR ❑ Total Fee us EXISTING BLD DEMOL ❑ Z APPLICANT •d TEL (� 0 (PRINT) ��• 1 P r NO. T g17S� r D BY(SIGNATURE) Q IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPL TION AND STATE Y THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING'CONSTRUCTION.(CERTIFY THAT IN DOING THE S WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF V THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- Z PENSATION INSURANCE.• g 2 5 2 6 3 A SIGNATURE OF '1;•o o e o o 1 PERMITTEE 14000( ADDRESS fZ 2 0 0 5200 o CITY r NO:yy �/_�/. e o a o 520060 USE ZONE Fl, 07,05-79CIAL NDITIONS �7��✓ FINAL `L Zj • Cv/G J W DATE C` / d ATG / WDRKERS'COMPENSATION DECLARATION l�hereby affirm that I have 'certificate of consent to self APPLICATION FOR BUILDING PERMIT ipsare, or a certificate of Workers'Compensation Insurance, or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS S BUILDING ` 5 ❑ Certified copy is filed with the county building inspec- BUILDING �(.,J A✓(G / 0 G tion department. ADDRESS ,C, / 11 I I Nr, J� Date Applicant CITY t ;.-a 1� �t r M ZIP / 7 �t,r LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' I 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 ASSESSOR .hundred dollars($100)or less.) TRACT BLOCK [� LOT NO. MAP BOOK PAGE PARCEL OWNER E: H ell�Dlt/�rllc�,i�+ � 75 4"? USE Z NE MAP I certify that in the performance of the work for which thisNO. !' permit is issued, I shall not employ any person in any manner '�' �/ M l SPECIAL IL so as to become subject to the Workers'Compensation ws. ADDRESS � / 7 /M 1 C Cy k` $ C A 9 p CONDITIONS V CITY 4?- Y�l d1 ��. t 1 ZIP ! / 9 Date Appl icant v1 09 NOTICE TO APPLICANT: If, after making this Certificate ARCHITECT OR TEL. DISTRICT GUP TYPE FIRE PRESY O 0 N D BF Exemption, you should become subject to the Workers' ENGINEER r� CONST. ZONE Compensation provisions of the Labor Code, you must forth- ADDRESS �5s`� K d with comply with such provisions or this permit shall be h TEL. STATISTICAL CLASSIFICATION APT. C DO. deemed revoked. CONTRACTOR NO. 1 ? LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. 1 DWELL. UNITS - I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (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 BK PG VALIDATION SQ.FT NO..OF NO.OF CHECK License Number Lic.Class SIZE 22 STORIES FAMILIES ONE VALUATION +- _ DESCRIPTION OF WORK C� IJ e ya' NEW E] �/p�,v�++�� r✓"'� Contractor Date ❑ $ Pilo,_ ADD ❑ I am exempt under Sec. G �t!r }� /' ALTER B.BP.C. for this reason r, e t!i ,! yy REPAIR ❑ $ Date: USE OF DEMOL EXISTING BLDG. ❑ Signature APPLICANT(PRINT) TEL. FINAL OWNER-BUILDER DECLARATION NO. DATE' I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESSFINA Professions Code): PRE ENT By �t! ry BUILDING A 5 2 Q 3 A L_ I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY ' # 0 0 0 0 0 or7044, Business and Professions Code). MOVING TEL. 1,as owner of the property, am exclusively contracting CONTRACTOR NO. I 0 - 59.25 with licensed contractors to construct the project (Sec- ADDRESS o 0 0 59,25H tion 7044, Business and Professions Code). `•.REQUIRED TOTAL SETBACK FRO EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH O a O 7�-8 6 ' I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE a' P.L. Lender's Name LpMq Ref. # Lender's Address P.C.Fee$ Permit Fee I i I certify that I have read this application and state that the Issuance Fee t S LJ kLDA P/C# ' above information is correct. I agree to comply with all County Investigation Fee S ordinances and State laws relating to building construction, u and hereby authorize representatives of this County to enter Total Fee LDMA Perm. # upo t bove-mentioned pro' r for inspection purposes. a j tt /! •�' SEE REVERSE FOR EXPLANATORY LANGUAGE yrs ^ V/L ~ Signature of Applicant or Agent Date WORKERS'COMPENSATION DECLARATION 2f insure, or a certificate of Workers'Compensation Insurance, APPLICATION F®R BUILDING PERMIT I hereby affirm that I have a certificate of consent tol self or a certified copy thereof (Sec. 3800, Lab. C.) !' Policy No. 730770 CompanySta -e Com_n COUNTY OF LOS ANGELES BUILDING AND SAFETY Certified copy is hereby furnished. i FOR APPLICANT TO FILL IN BUILDING y^ J ADDRESS �J 1 y ® Certified copy is filed with the unty building inspec- BUILDING tion department. ADDRESS 55 McCulloch Date /l /f3f2 Applicant es CITY Temple Cit ZIP 91780 LOCALITY 'mss CERTIFICATE OF EXEMPTIO FROM W. SIZE OF LOT NOW ON LONO.OF TS CROSS ST. /y COMPENSATION INSURANC .(This section need not be completed if the permit is for one ASSESSOR hundred dollars ($100)or less.) TRACT BLOCK LOT NO� MAP BOOK PAGE PARCEL Miller' 818 N44-7507 USEPE nnAP I certify that'in the performance of the work for which this OWNER / NO. permit is issued, I shall not employ any person in any manner SPECIAL so as to become subject to the Workers'Compensation Laws. ADDRESS 1 CONDITIONS U` Date Applicant CITY ZIP NOTICE TO APPLICANT: If, after making'this Certificate of 91780 ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY O ENGINEER NO. CONST. ZONE U: Exemption, you should become subject to, the Workers' �1^ Compensation provisions of the Labor Code, you must forth- ADDRESS with comply with such provisions or this permit shall be deemed revoked. CONTRACTORMOntebello Rt . 1722-6975 STATISTICAL CLASSIFICATION APT. C NDO. Z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 868 Truck Way NO. 2A 7 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and effect. CITY Montebello CLASS C--39 BK. • PG ) VALIDATION SQ.FT. NO.OF NO.OF CHECK / License Num r 248852 Lic.Class C-39 SIZE STORIES FAMILIES ONE 2 existing r00� NEW VALUATION Contractor Predate 8/3x./89 DESCRIPTION OF WORK g ❑ ❑ eroo W sq class ADD ❑ $ , I am exempt d c. ❑ ALTER B.BP.C. for this reason13 31one 3/12 REPAIR ❑X $ Date: USE OF� dwellingDEMOL ❑ EXISTING BLDG. Signature APPLICANT 'TEL• FINAL OWNER-BUILDER DECLARATION PRINT Montebello Rf . No.722--6975 DATED —Qd 1 hereby affirm that I am exempt from the Contractor's License ADDRESS $6$ Truck Sax FI 8 5.Z 5 ALaw for the following reason (Section 7031.5, Business and Professions Code): PR # o 0 0 0 0 ,1 BUILDING 1 .o;0 49.88 I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and o 0 0 [j.,9 8 8 the structure is not intended or offered for sale(Section LOCALITY 7044, Business and'Professions Code). MOVING TEL. 21 4 r'8 7 I, as owner of the property,am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). REQUIREDTOTAL SETBACK FROM CONSTRUCTION LENDING AGENCY SET BACK YARD 'HWY 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.L. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name LDMA Ref. R m P.C.Fee$ Permit Fee Lender's Address I certify that I have read this application and state that the Issuance Fee LDMA P/C p o above information is correct. I agree to comply with all County Investigation Fee q ordinances and State laws relating to building construction, Total Fee ACI AR LDMA Perm. # and hereby authorize representatives of this County to enter upon the bove-mentioned property for inspection purposes. Pres 11 9 87 m SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of 011 or Agent Date -- — — WORK—ERS - 'COMPENSATION DECLARATION �.. �. .I hereby.a certificate that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT ' J4sure, or a certificate of Workers'Compensation Insurance, or a certified copy thereof(Sec. 3800, Lab. G.)- COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS '557/1/ Aie— Certified copy is filed with the county building inspec- BUILDINGr y�/► { r , tion department. ADDRESS �J / I K I I O r—l� LOCALITY Date Applicant CITY \ e-w CIS ZIP NEAREST O CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' N OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT r NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one --� USEVO MAP hundred dollars($100)or less.) TRACT BLOCK—` LOT NO�.J`U NO. OWNER G 1 e N Y�1�t I 'er NOTEL'. /7 - � � CONDITIONS fX_ I certify that in the performance of the work for which this DISTRICT GROUP ITYPE FIRE PR ESSED BY O permit is issued,I shall not employ any person in any manner �$� t11,\C L C.k �`�/y n CONST. / ZQ1VE U so as to become subject to the Workers'Compensation Laws. ADDRESSy 1 t� rXJ K `V/ i✓i �1.7^9�j Z1 }4 0��.. CITY \�-ah C� I ZIP ( ��O STATISTICAL CLASSIFICATION APT. COND A Date Applicant ARCHITECT OR TEL. NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CLASS NO. DWELL. UNITS � 'Exemption, you should become subject to the Workers' 9L Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP H with comply with such provisions or this permit shall be TEL. deemed revoked. CONTRACTOR NO. BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. VALUATION i 21,(commencing with Section 7000)of Division 3 of the Business and LIC. 0 u Professions Code, and my license is in full force and effect. CITY CLASS $ �� q�0 r p SQ.FT. `r NO.OF ` NO.OF CHECK oil. License Number Lic.Class SIZE (/ STORIES FAMILIES ONE NEW fs $ Contractor Date 0.DESCRIPTION OF WORK r �s ADD 1:1 t ❑ I am exempt under Sec. C ` ru ` ALTER 11 DATE / B.BP.C. for this reason ❑ DATE 3($ A 2 Z7 0 REPAIR USE OF FINAL 00000 j Date: EXISTING BLDG. DEMOL ❑ ! By f o 087.38 Signature APPLICANT TEL. OWNER-BUILDER DECLARATION PRINT NO. 0 0 o 81,,3 g 1 hereby affirm that I am exempt from the Contractor's License Poo for the following reason (Section 7031.5, Business and ADDRESS 06,1 6,1 7_85 Professions Code): PRE rENT I, as owner of the property, or my employees with ;BUILDING wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. ❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY 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.L. (Sec. 3097, Civ. C.). SIDE m P.L. f' `o Lender's Name P.C.Fee$ Permit Fee kc rK Lender's Address 012 I certify that I have read this application and state that the Issuance Fee S ¢ above information is correct. I agree to comply with.all County Investigation Fee ordinances and State laws relating to building construction, Total Fee and hereby authorize representatives of this County to enter r ' $ upon the above-mentioned property for inspection purposes. XZ'L.G�¢ 6—17 Qs— SEE REVERSE FOR EXPLANATORY LANGUAGE ®s Signature of Applicant or Agent Date