HomeMy Public PortalAbout4852 RIO HONDO AVE_Building__ DEf%XT=NT OF BUILDING AND SAFETY AVIOLLGATION YOU Jebk="
COUNTY OF LOS ANGELES
WM. J. FOX. CHIEF ENGINEER U L D
FOR APPLICANT TO FILL M � 7K 7 FOR OFFICE USE OxLm5g4"
DISTRICT NO. PLAN or..No. PERMIT No.
BuILD'Im 4852 Rio Hondo Avenue <.........
LOCALITY Te=le Olty, Calif ornia RECEIVED BY DATE OF ADPL. DATE ISSUED
c"EuRal"32j. S12arklett Street r X", /,—z-r--
13U
ue
ornia
OWNER TURNER HOMES INC. ADDRESS
MAIL it LOCALITY
ADDRESS 26 East Santa Clara Stv I
NEAREST
63 11 -
TEI- DO 7-35 DRoss"TIRE NO.OF GROUP
--CITY Ar2adia, TOL.
OR TIM-
ENGINEER No. ORD.No
SLOG.
,SETBACK LINE
ADDRESS APPROVED DATE
TEL. By
CONTRACTOR S=e No. use APPROVEDZONE DATE
DAT
ADDRESS
LEGAL. LOT N CORRECTIONS
DESCRIPTION 5 9 BLOCK
TRACT 16475
NO.OF
SIZE OrLOT 59 x 110 NOW 13N LOT81-DGB. No T,
WF ns NO.OF I NO.OF
IN BLRG. 0 MIL.IE9 I ROOMS
DESCRIPTION OF WORK
NEW X ALTERATION ADDITION m
REPAIR MOVING DEMOLISH R
Z
No.or r
arT Rooms 5 STORIES
siz,,-e ROOMS
WALL' ROOF
COVERING Plaster I COVERING
Bu Lois Dwrelling A=i et:::;2 12—
/9— �
ly—
EREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
AP;LICATION AND STATE THAT THE ABOVE 18 CORRECT rauNDATlQN,*LOCATION ING OTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
FORMS.MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FIRE STOPS,
All-Ar
SIGNATURE or
PERMITTEE. TURNER HOMES I.NCI /,91 LATH, INT-
AUTHORIZED AST LATH, EXT. rl
7C.A63BA-3 7-49 PLASTER,INT.
PLASTER,EXT.
FEE
VALUATION /y,8 FINAL
Idmi I,
COUNTY OF LOS ANGELES ,
!F�P L I CAT I O N FOR DEPARTMENT OF COUNTY ENGINEER
BUILDING l� BUILDING AND SAFETY DIVISION
- BUILDING FOR APPLICANT TO FILL IN ADDRESS , "� r. � / (C�, T-_zn C C.CG
BUILDING f- ,
ADDRESS `�!N oJ� /J+ do LOCALITY
NEAREST
CITY �G//l)PlL Cif ZIP i I4 CROSS ST. ,000rJCit, IZLrS /r-fi(•
$0.OF BLDGS. ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARC L•
DISTRICT GROUP TYPE I FIRE OC D BY
TRACT/64i75B(LOCK�r �p LOT NO.\S �`! O B -Y CONSV Zrp�lE
OWNER DU �7 ` /i" NOL -' {/ v1
/� STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS / ,� �/�.�y/���/� ylSd�JCGiL+ CLASS NO.�DWELL`•_UNITS Q B�3-
MA
CITY - T�7]frZ(�C I' Ip '?P USE ZONE NOP tf 10
ARCHITECT OR TEL phi/ SPECIAL
ENGINEER NO. CONDITIONS
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES NO
CONTRACTOR TEL. BLDG.SETBACK FROM
NO FRONT PROP.LINE OF (STREET)
LIC.
ADDRESS NO. i41GHWAY + YARD TOTAL SETBACK FROMI
H PE OF E I DTHG
LIC. FRONT PROP, LINE
CITY CLASS
CONSTRUCTION LENDER +
NAME AND BRANCH O %P BLDG.SETBACKFROM
ADDRESS CITY SIDE PROP.LINE OF (STREET) CC.3
SQ. FT. NO. OF NO. OF CHECK HIGHWAY + YARD = TOTAL SECK ROM TYPE OF EXISTING C
SIZE STORIES FAMILIES ONE %.C. SIDE INE HIGHWAY WIDTH F
DESCRIPTION OF WORK NEW ❑ + _ y
L ADD 1:1 CORNER CUTOFF NO ❑ Z
ALTER
REPAIR❑ IN OPEN SPACE YES NO ❑ '
USE OF IN COASTAL PERMIT ZONE Y ll -NO ❑
EXISTING BLDG. DEMOL [:3
APPLICANT ` I TEL ```f J, .•"•, /��..
(PRINT) J N0. 9
BY (SIGNATURE) A_ :�'t-i-•�'P ,ry.A��,T� rT -7/
I HEREBY ACKNOWLEDGE THA J:1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. IC
THAT IN DOING THE WORIf AUTHORIZED
HEREBY i WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSATION INSURANCE,
SIGNATURE OF �,4,. FIN B
PERMITTEE. DA
ADDRES
///
�y�(.L<✓
TEL P.C. Fee$ Permit Fee
d
CIT Y\ / (. NO.
Issuance Fee
VALUATION$0.10� �'1 Tot e $
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATI N , CK. M.O. CA6�
9 3 6 OCT 26 . 1 D 6.0 0 ,&�
78A638A CB#803B 12175
FfAnBACRjitVia :APPLICA'T'ION• FOR BUILDING FERMI
COUNTY OF LOS ANGELES BUILDING
DEPARTNENT OF COUNTY ENGDEM ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY ` - . V- C i
JOHN A. LAMBIE, COUNTY, ENGINEER NEAREST
WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST.
- FOR APPLICANT TO FILL IN D12r1RICT N OU TYPE Y
CONST.
BUILDING STATISTICAL CLASSIF! 'ONSgWZR MAP
ADDRESS SK PG
CLASS.NO DWELL.UNITS
I-tTLOT NO I-T
Cl�y BLOCK MAP NUMBER H ATE YES O
TRA / USE ZONE SPECIAL
1 NO.CIF BL"DGS. CONDITIONS
SIZE OF LOT O I u` NOW ON LOT
USE OF
EXISTING BLDG. BUILDING YARD HWY STREET'NAME EXIST.
..,A EL. SETBACK -WIDTH
OWNER I{.ft O. FRONT
ADDRESS 4��-a 4Z 1(� �A/06 SIDE
ARCHITECT OR TEL P.L.
ENGINEER n NO. .2 G( INSPECTION RECORD
ADDRESS
TEL.
CONTRACTOR L NO.
ADDRESS
DESCRIPTION OF W RS Vit+'�'.' t� I - ate' .' ra .�'/ . :� a
O
NEW ADD ALTER . REPAIR DEMOLISH /' � - f� A/ ,•p �+
SQ.FT. NO.OF NO.OF •. Y .r.�
SIZE STORIES FA IES
USE OF
3TRUC:TURE
,51 3 } "
SIGNATURE OF
APPLICANT uom_�
VALUATION
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. j PMT. l FOUNDATION:LOCATION
FEE '� vv FEE S /
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME:FIRE STOPS, _ .r
PLICATION AND STATE THAT.THE ABOVE IS CORRECT AND BRACING,BOLTS
FURNACE:LOCATION,
AGREE'TO COMPLY WITH ALL COUNTY ORDINANCES AND
GAS VENT DUCTS
'STATE LAWS REGULATING BUILDING CONSTRUCTION.
I CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH,INT.
WILL NOT EMP Y ANY PE ON IN VIO,�C ON THE
WORKMEN'S C SA IOI� WS F C� LATH,EXT.
SIGNATURE OF `` HOUSE NUMBER COR-
PERMITTEE"
OR-PERMITTE " RECT-AND POSTED
ADDRESS FINAL
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER
PLAN C =K VALIDATION. M.O. CASH PERMIT VALIDATION cx M.O. CASH
LF14rJ 7 9 9 32 C�',II 47Z-03) 0-, ` DO6,-z :L � J_ 2 Of �' Or
TEMPLE CITE'
FUGSBACZ#808.1 APPLICATION FOR- BUILDING -PERMI
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGDIEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY -c
JOHN A.LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST. /
FOR APPLICANT TO FILL IN DI�tT lcT N P TYPE s BY
v CONST. MCA
BUILDING rrJJ STATISTICAL CLASSI TION S ER MAP
ADDRESS U 1'1 0 ale,
I O V e HK JG
CLASS.NO. DWELL.UNITS r
LOT NO. BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE:
TRACT y 7S' ��II
NO.OF BLDGS.
NOP V I(CIRCLE) STATE MAJOR SECOND, LOCAL
SIZE OF LOTAY
Q I NOW ON LOT J USE ZONE SPECIAL
USE OFL�5 1 G�h C eTE CONDITIONS
7�
EXISTING BLDG. C{
OWNER G. C f1 6 ,LJ NO / BUIL'Ll YARD HY STREET NAME EXIST.
W
ADDRESS �d S o�Z T; o .141-
1 O h QL o Ayc SETBACK WIDTH
FRONT 7 A it
ARCHITECT OR , TEL. - P.'-L.
ENGINEER .. NO. SIDE
ADDRESS INSPECTION RECORD' a
TEL. H
/
CONTRACTOR W 1. E � NO. -5 /�7' � � /,•
t � ,
ADDRESS � /��yf` IM
O
DESCRIPTION OF WORK
-�'-w� � /rc /_;r .s
U
w
NEW ADD ALTER REPAIR DEMOLISH V)
N
SQ. NO.OF NO.OF / Z
IZE j a STORIES r FAMILIES.
USE OF'
STRUCTURE A D ID fO ,�//G dl E hl
SIGNATURE OF \
APPLICANT
VALUATION$ 0 �D I 11
APPROVALS ADATE�` INSPECTD.R'S 316NATURE
P.C. PMT. ���) FOUNDATION:LOCATIONr
FEE $ FEE $ e �/ 1/ FORMS,MATERIALS J `
FRAME:FIRE STOPS, % J
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING,
RACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:.LOCA'I'ION, r
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS 1`1 ■ .•'n ��.•fJ/
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK •p�, f f� '�
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH,INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S MPENSATION INSURANCE. ( '
SIGNATUR OF� � LATH,EXT !
HOUSE NUMBER COR-
PERMITTE _-ECT AND POSTED /a
i
ADDRESS FINAL I�
'+ CLYDE N. DIRLAM, P INCIPAL STRUCTURAL E
PLAN CH= VALIDATION CK: , M.D. CASH J PEBiIIT VALIDATION CK. , M.C. CASH
9 8 0 8 1ft 1 >('ll ;_ n
3.00 m
;WORKERS'COMPENSATION DECLARATION
i herby affirm that I have
iriAPPLICATION F®R BUILDING P E RM I T
a• sur� or a certificate of Workers'
certificate of consent to self
kers'Compensation Insurance,
4 or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company
1:1Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING
ADDRESS
Certified copy is filed with the county building inspec- BUILDING
tion department. ADDRESS 8�i � mom.)0 LOCALITY
NEAREST
Date Applicant CITYZ_F /- 1,1 C4zlp CROSST.
PARCEL
CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLD ASSESSOR MAG
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT AP BOOK E
(This section need not be completed if the permit is for one USE ZONE
EONDITIONS
AP
hundred dollars($100)or less.) TRACT BLOCK LOT NO. O.
TEL.4Jt8 SPECIAL }
I certify that in the performance of the work for which this OWNER ,NO. (��� a
-
permit is issued, I shall not employ any person in any manner DISTRICT J.G71—
UP EFIRE PRO SED BY O
so as to become subject to the Workers'Com ensation Laws. ADDRESS O � �ITY1
CONST. Z E U
I P 51[!U V ad
CITY PIS ZIP 907 o O
Date � � Applican STATISTICAL CLASSIFICATION APT.
NOTICE TO APPLICANT: If, after making this C rtificate f ARCHITECT OR TEL.
'Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO. DWELL.UNITS LU
Compensation provisions of the Labor Code, you must forth- Ch
ADDRESS SEWER MAP
with comply with such provisions or this permit shall be TELZ
deemed revoked. BK, PG VALIDATION
CONTRACTOR .NO.
LICENSED CONTRACTORS DECLARATIONLIC.
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. VALUATION �A1
(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 $
License Number Lic.Class SIZE 135 STORIES AMILNd.OF NO.LIIES CO EK
DESCRIPTION OF WORK NEW �: $' 2 9 7 5 a
Contractor Date ADD # 0 0 0 0 0 1
I am exempt under Sec.
ALTER L
B.BP.C. for this reason
REPAIR ❑: DATE �, I ° o87,38
❑'
Date: USE OF DEMOL- ❑ AL f'FIN0 0 0 8 7.3 8 0
EXISTING BLDG. By
Signature APPLICANT TEL.
OWNER-BUILDER DECLARATION PRINT NO. ® 09 23-85.
I hereby affirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031.5, Business and ADDRESS
Professions Code): PRESENT-
.BUILDING
RE ENT•BUILDING
I, as owner of the property, or my employees with ADDRESS
wages as their sole compensation,will do the work and
the structure is not intended or offered for sale(Section LOCALITY
7044, Business and Professions Code). MOVING TEL.
I,as owner of the property,am exclusively contracting CONTRACTOR NO.
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code).
REQUIRED TOTAL SETBACK FROM EXIST.
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH
I hereby affirm that there is a construction lending agency for FRONT
the performance of the work for which this permit is issued P.L.
tSec. 3097, Civ. C.). SIDE
P.-L.
Lender's Name
Lender's Address P.C. Fee$ Permit Fee SCJ
I certify that I have read this application and state that the Issuance Fee
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
upon the above-mentioned property for inspection purposes.
9 Ph A _ � SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Ap licant or A nt Date ®s