The URL can be used to link to this page

Home My Public Portal About5532 MCCULLOCH AVE_Building__ i6A686A OBS•S 12.34 APPLICATION FOR BUILDING PERMIT ]. DIVISION OF BUING AND SAFETY r BL'IILDING ILD ��ADDRESS �� ,_ U�� 0 Deportment of County Engineer 3-, County of Los Angeles t: LOCALITY WM.J. FOX. COUNTY ENGINEER NEAREST f'1 CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. J/ DISTRICT NO. ROUP [SEWER -MAP FOR APPLICANT TO FILL IN � I _ /� CON BK PG BUILDING /� ^� ^ //��% rr ' U ADDkESS�.:' J !'I/: i.lL�,%'!$ +-"f MAP �.� �q CONST STATE 727 LOT / NUMBER {/ v HWY LOT NO. PQ,`I FBLOCK USE ZONE SPECIAL _ CONDITIONS TRACT •7 NO.OF BLDGS. SIZE OF LOT tr [,� tti .r �r I NOW ON LOT 2 B ILDING ygRD HWY STREET NAME EXIST. USE OF SETBACK WIDTH EXISTING BLDG. FRONT ' OWNER f/I_--f•.._t SIDE MAIL .r J P. L. ADDRESS i' ,.L~ ;�L.t (.fry • l•f�,. l_t -o (�/ i• —t TEL A q^s-I 1 DWELL. I UNIT 5 INDUSTRIAL c' CITY.• I� �iyr r,�\.l (: . , NO.i !c' i L Z DUPLEX UNIT— 6 PUBLIC BLDG. ARCHITECT OR 1 TEL. ENGINEER I NO. 3 APT. UNITS 7 ADDN.,ALT.,ETC. ADDRESS 4 COMMERCIAL 8 MISCEL TEL CONTRACTOR NO. INSPECTION RECORD ADDRESS �L-•-;•1_-..-_..- =;lr.� /.l�.t��4^/' .y % G�/;.. 1_ ynf ,j '.ii DESCRIPTION.OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ. FT. NO.OF NO. OF ' SIZE (i' STORIES FAMILIES USE OF S R TURE SIGNATURE OF, �• ,� .•� %� APPLICANT---K ° •11 �•=' f APPROVALS ADDRESS` � �) `l�'� =i�C = i�" �•'Iti ,> DATE. INSPECTOR'S SIGNATURE FOUNDATION: LOCATION { r9• �lC+ GfM P.C. S FORMS, MATERIALS , (/!/! FEE FRAME: FIRE STOPS. S� BRACING,BOLTS 57';f Vlo,f.tn.�iCY VALUATION FEE � FURNACE: LOCATION, 1 HEGAS VENT,DUCTS REBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT. AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. ^ r LATH. EXT. �j'�''+ Ar - HOUSE NUMBER COR- PERMITTEE SIGNATURE OF A�' '� " 4 RECT AND POSTED ADDRESS �� .f -I'.r:, .. FINAL WM. J. FOX. COUNTY ENGINEER VALIDATION EtYK:1V0' 7 0 21L'rl- APR 18 1 8.0 0 DEPUTY - DEPUTY r n ` _ - BY BY ��_�../(� / . DEPUTY DEPUTY i6A638A DBS-3 12.54 ' APPLICATION .FOR - BUILDING PERMIT 1 DIVISION OF BUILDING AND-SAFETY BUILDING ADDRESS Deportment of County Engineer County of Los Angeles LOCALITY Gr WM.J.FOX, COUNTY ENGINEER NEAREST ` CASSATT D.GRIFFIN,SUPT OF-BUILDING CROSS ST. DISTRICT O. GROUP_ TYPE SEWER MAP FOR APPLICANT TO FILL IN ��' �i I B PG 2 BUILDING' f� /� d � CONST. r ADDRESS S` C ti• lr/ i MAP O�[[� STATE O. NUMBER � V HWY' . LOT NO. s BLOCK U*E ZONE SPECIAL r-- CONDITIONS TRACT-_ NO.OF BLDGS. SIZE OF LOT-G o:x I NOW ON LOT BUILDINGEXIST. YARD HWY STREET NAME USE OF - SETBACK WIDTH EXISTING BLDG. !`�+'A•C_-r�� ----�" • FRONT / Q P. L. v OWNER -`� A C-7'Yti��-"" SIDE MAIL- jJ' P. L. ' ADDRESS ,-�. I` C:CS-� 't``':'._:�""►� pp I [ / "' Sj w I DWELL. 1 UNIT 5 INDUSTRIAL CITY h.-lL'.-t-•,.J.•& ( dC—�EP NO.� A l F=t �7� P_ DUPLEX_UNIT 6 PUBLIC BLDG. ARCHITECT ON TEL. ENGINEER / NO. g APT. UNITE 7 ADDN.,ALT.,ETC. " ADDRESS 4COMMERCIAL 8 MISCEL. TEL. CONTRACTOR INSPECTION RECORD -sl.�r �.. ..�_-rt+-�'--+^^''NO. ADDRESS .e...:� DESCRIPTION OF YORK- NEW ADD ALTER REPAIR "DEMOLISH SQ.FT. NO. OF NO. OF - SIZE V STORIES FAMILIES USE OF STRUCTURE C 0,41 ll _ G ae TZ SIGNATURE OF APPLICAN//T _ n ^ - APPROVALS _ ADDRESS ,r7t�S °a �6 �.lPZd.('��t-'b�-� DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION •' r / P.C. $ FORMS, MATERIALS FEE FRAME: FIRE STOPS, r VALUATION $ / BRACING,BOLTS �Z /1 �- /- FEE rS FGAS VENT,DUCTION. I HE ACKNOWLEDGE THAT 1 HAVE 'READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT /4�/ � �Q AND AGREE TO COMPLY WIT ALL COUNTY ORDINANCES LATH, INT. �/1�� e AND STATE LAWS REG&IL G BUILDING CONSTRUC- TION. LATH, EXT. &� SIGNATURE OF (�(t [t/�p r HOUSE NUMBER COR- PERMITTEE h( f�� RECT AND POSTED ,� / ADDRES �~ 3- Bf Y k fi!a E{ `/ r i. FINAL /� , 'U % WM. J. FOX. COUNTY ENGINEER 'VALIDATION BY o ZY7 0 3 US APR�.$ 1 4.0 0 to DEPUTY ' DEPUTY BY BY ® DEPUTY DEPUTY BUILD UILDING t AD DRS S 3 Z. /!!. a y J L e C�a lLOCALITY �` /� g C/t 1 APPLICATION r I DIVISION OF BUILDING•AND SAFETY NEAREST C .) A IV ROBB ST. Department of County Engineer DISTRICT NIL- RECEIPT NO. PERMIT NO. County of Los Angeles �-'` `✓ 147 [p fc ;7/ WM. J. FOX, COUNTY ENGINEER GROUPDATE RECEIVED DATE ISSUED CA99ATT D. GRIFFIN, Buwr DF BUILDING T FOR1 APPLICANT TO FILL IN TYPE CDNBT. JRECEIIVED/BY� AY �B/u�D�B. OWNER C /`/AA P'S:;+/1 L t`.' MAIL >17J., �rr 1 MAP �1 /{ /{ STATE '-YES NO ADDRESS�S'a tj ,!",7' .° Oz.l I{•c y NUMBER Q�l/ f J HWY USE ZONE SPECIAL '�7� Cr-p NOL% /� / CONDITIONS CITY Y 1�d�a�.P' cL �/17� A ARCHITECT OR TEL. /!�I ENGINEER NO. BUILDING YARD HWY STREET NAME EXIST.' ADDRESS r1 SETBACK WIDTH CONTRACTOR D Inc/A/JC--R NO. PR T SIDE ADDRESS P.L. BUILDING n DATE CORRECTIONS INSPECTOR ADDRESS�� I r, Cr• f I L L o r �. �`.al� )� .P-lJll J f il.�/!'�/'1�/13 .9�� /'irt-1] �t,lt-a• LOT NO. 0V/,J1 BLOCK TRACT Cr}a f3/ ' �/ SIZE OF LOT `i' �; [31 / I�/fl NOW ON LOT OF a / �/ta y UBE OF / a EXISTING 81.121. DESCRIPTION OF WORK 5Y;I'4 A,� �''�`'t"`� 0 "' . o NEW V ADD ALTER REPAIR DEMOLISH ✓� 90.FT. l' NO.OF NO.OF f �Ti ID y"•.'/T` �S>R///q^-t /� j %® l I/r� ltD SIZE .2 �� STORIES FAMILIES UBE OF BTRUCT E X �� _/ _ A',i4,t° •/ Ia �s')1y /Fjt"'�iy NO.OF EMPLOYEES I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN 18 APPROVALS INBPECTORIB SIGNATURE DATE CORRECT. I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION / AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FORMS,MATERIALS �V 011' •. FRAME: FIRE BTOPB, /4 r 81GNATURE 13 �J Y1 r BRACING,BOLTS �1.,�11d1+� PERMITTED / @ f t'N , . .l`�-t t �t J r• r FURNACE: LOCATION, L GAS VENT,DUCTS �)((>7�;."dL_ ADDRESS`1.r yI ' �I` t! C LATH, INT. AUTHORIZED AST. LATH, EXT. �'/ .X 7 P.FEES gi HOUSE NUMBER ED ((' Q� RECT AND POSTED VALUATION FEE l f-r FINAL 76A630A D88 3 4-54 a -r' APPLICATION FOR BUILDING PERMIT A-R APPLICANT TO FILL IN (Print or type only) ADJ'LD7OFLOT NG �' a COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER CITE ZIP y/ BUILDING AND SAFETY DIVISION O.OF BLDGS. BUILDING �� _ SIZX OW ON LOT ADDRESS Al TRACT BLOCK LOT NO. LOCA LIT TEL NEAREST OWNER NO. CROSS ST. ASSESSOR ADDRESS MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE R ES�DB r CONST. ZO E CIT ZIP � �j ARC IT R TEL. v-0 ENGINEER NO. STATISTICAL CLASSIFICATION SEWERTEL. Ayy��,,P�� ADDRESS CLASS NO.�DWELL,UNITS FBK/p®G ' CONTRACTOR �� NO US ZONE NOP ADDRESS LIC. NO. �� SPECIAL CITY LIC. CONDITIONS CONSTRUCT(ORILENDER CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ NAME AND BRANCH BLr.SETBACK FROM FR NT PROP,LINE OF (STREET) ADDRESS CITY HIG WAY } YARD - iTOTAL SETBACK FROM TYPE OF' EXISTING SQ, FT. NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH SIZE 0 STORIES FAMILIES ONE ❑ } _ O DESCRIPTION OF WORK NEW C2ADD BLD ETBACKFROM SIDE P P.LINE OF (STREET) o WTI- LTER ❑ HIGHWAY } YARD = SETBAC YPE OF EXISTING I~ REPAIR❑ SIDE PROP. LINE HI Y WIDTH L7J CL N USE OF DEMOL [:]EXISTING BLDG. } T APPLICANT TELLf CORNER CUTOFF YES ❑ NO ❑ (PRINT) NO. ,/ IN OPEN SPACE YES ❑ NO ❑ BY (SIGNATOR �r QQ IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION:P b IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION _ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. IC THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF +CALIFORNIA• IN RELATING TO WORKMEN'S CO MFE NS ION IN ANCE. , SIGNATURE PERMITTE ADDRESS LI{I 7 TEL. i FINAL /�r 7, `/7 B ✓'A��"i^a'�.+ CITY NO. DATE MAKE CHECKS PAYABLE TO: FEE' FEE'41 HARVEY T. BRANDT. COUNTY ENGINEER t� PLAN'CHECK VALIDATION CK. M.O. CASH _ PERMI ALIDATION CK. M.O. CASH 78Afi98A CE#809 5/74 0 2 U'DICT 7 1 0 2 O•5 O..J8 WORWR,S'"C MPENSATION DECLARATION I hereby affirm,fiat I have' certificate of consent to Self APPLICATION FOR BUILDING PERMIT insured 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 BUILDING ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS • 6 ,552 I, Certified copy is filed with the county building inspec- BUILDING �/ /� ,. , tion department. AFRO'M'WORKERS' SIZE ADDRES u� ``� �C.L� ` A 1 Date Applican7 CIT ZIP LOCALITY CERTIFICATE OF EXEMPTIJ/ NO.OF BLDGS. NEAREST COMPENSATION INSURANCE OF LOT Q /` 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 TEL. I certify that'in the performance of the work for which this OWNER l NO��7'`�� USE ONE OP permit is issued, I shall not employ any person in any manner G �Z SPECIAL d� ADDRES / f,• �L �V CONDITIONS .so as to eco ubject to the Wor ers'Opens tion Law V. Dat Applican CITY G i_zip � � NOT E T" AP ICANT: If, after making'this Certificate of ARIHI CT OR TEL. DISTRICT G OUP TYPE FIRE PROC ED BY O EN (NEER 90 �` �;h 5 CONST, ZO 0 • Exemption, you should become• subject to the Workers' (/ ,/ Q Compensation provisions of the Labor Code, you must forth- ADDRESS �/ with comply with'such provisions or this permit shall be TEL. STATISTICALCLASSIFCATION APT. NDO. I deemed revoked. CONTRACTOR ' NO. / z LICENSED CONTRACTORS DECLARATION LIC, CLASS NO. f DWELL. UNITS - I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. 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 CLASS BK F PG/Uff' VALIDATION SQ.FT. NO.OF NO.OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE, 1 10/ VAL TION Contractor Date DESCRIPTION OF WORK / .A D 0 $ Q �� ❑ I am exempt under Sec. ALTER ❑ , B.BP.C. for this reasonREPAIR ❑ $ Date: USE OF DEMOL El -a 7 8 a 6.A EXISTING BLDG. Signature APPLICANT TEL. FINALi # o 0 o e.o OWNER-BUILDER DECLARATION PRINT NO. DATE s� �� ( o a q 66 7 5 .I hereby affirm that I am exempt from the Contractor's License r Law for the following reason (Section 7031.5, Business and ADDRESS FIN .� Professions Code): PRESENT By �� o .-- 9&755 BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and09. 03-687 the structure is not intended or offered for sale(Section LOCALITY 7044, BuslAess 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). CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTAL SETBACK NE WIDTH I hereby affirm that there is a construction lending agency for FRONT the performaytce of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name LDMA Ref. N Lender's Address P.C. Fee$ Permit Fee r ' I certify that I have read this application and state that the Issuance Fee O J LDMA P/C q above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee LDMA Perm. N and hereby author rppresentatives of this County to enter upon the above-m (. ,one property for in peic urpo. _ SEE REVERSE FOR EXPLANATORY LANGUAGE 10/1 gnature of ApPific6rit or Agent Date WORKERS' COMPENSATION DECLARATION APPLICATION FOR BUILDING PERMIT I hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers' Compensation Insurance, or a certified co thereof (Sec. 3800 ab. C. COUNTY OF LOS ANGELES BUILDING AND SAFETY. Policy No<�� Compari "` 91 /t Certified copy,is hereby furnished. FOR APPLICANT TO 'FILL IN ' BUILDING ADDRESS ❑ Certified copy is filed with the county building i pec- BUILDING ry_?7 /7"(-Vf Oc / rr tion department. y,• ADDRESS G •�+-/,/ ` /5 Dates " ' Applicant y�� '� CIN 1?fi' �� i/ ZIP LOCALITY NO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION•FRO WORKERS' SIZE OF LOT NOW ON LOT CROSS ST. G COMPENSATION INSURANCE ASSESSOR (This section•need not be completed if the permit is for one TRACT BLOCK LOT NO. v MAP BOOK PAGE ' PARCEL hundred dollars•($100)or less:) OWNER / TEL.Z�' Z�a USE ZONE MAP / GJf1.lr�itj� NO. NO. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner ADDRESS / SPECIAL so as to become subject to the Workers'Compensation Laws. CONDITIONS O(J CITY ZIP Date Applicant ARCHITECT ORix TEL. DISTRICT GROUP TYPE FIRE PR ESSED BY Q NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CONST. ZONE F- Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- ADDRESS with comply with such provisions or this permit shall be L // TEL• /,,ss Z STATISTICAL CLASSIFICATION APT. CONDO. Z •deemed revoked. CONTRACTOR /-�'+�� .�C�IIGYc�if NO. �v� 79� N LICENSED CONTRACTORS•DECLARATION / LIC: �� CLASS NO. DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 3iz S17av NO. �� SEWER MAP • ' (commencing with Section 7000)of Division 3-of the Business , LIC. q and Professions Code,and�mjyGlicense is in full force and effect. CITY. ��'� /ac CLASS C=�/ BK. VALIDATION License Number /��! ! .� Lic. Class SQ.EFT STORIES FAMILLIIES ONEK �^_ J a�n� a .S= . �� DESCRIPTION OF WORK /gyp fid N ❑ VALUATION' Contractor- Date r$ r.ZDCJ El1 am exempt under Sec. ! 961f a W! `p/+T �LlAo-� ADD , ALTER ❑ - -- B.BP.C. for this reason �f�7/h lS REPAIR ❑ $ Date: USE OF EXISTING BLDG. DEMOL 71 Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION (PRINT)' NO. DATE I hereby affirm that-I am exempt from the Contractor s License _ Law for the following reason (Section 7031.5, Business and ADDRESS FIN Professions Code): PRESENT B BUILDING y ❑ 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 7044, Business and Professions Code.)❑ CONTRACTOR NO. -I,as owner of the property,am exclusively contracting with licensed contractors to construct the project (Sec- ,"ADDRESS = - - tion 7044, Business and Professions Code.) CONSTRUCTION LENDING AGENCY' REQUIRED TOTAL SETBACK FROM EXIST.' ! SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT 7- l the performance of the work for which this permit is issued P.L. -- (Sec. 3097, Civ. C.). i SIDE ! P.L. Lender's Name I LDMA Ref. # P.C. Fee$ Permit Feertl- Lender's Address I certify that I have read this application and state that the Issuance Fee J LDMA P/C# Pilo jabove information is correct.•I agree to comply with all County Investigation Fee I ordinances and State laws relating to building construction, Total Fee / LDMA Perm. # and hereb r ayto,LWorize represenWives of this County to enter upon t Eve-mentio d p 8'perty fo inspection urposes. �- � SEE REVERSE FOR EXPLANATORY LANGUAGE Signatur Applicant or Agent Date