HomeMy Public PortalAbout4858 RIO HONDO AVE_Building__ N• V
APPLICATION FOR BUILDI G PERMIT '
COUNTY ,OF LOS ANGELES BUILDING 9��.4"� �C 1 ,✓ .b vr.
DEPARTMENT OF COUNTY ENGiNm
BUILDING AND SAFETY DMSION LOCALITY Tom,•, 1°.�� e"fiT
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN SUPT OF BUILDING --CROSS ST.
DISTRICT NO. OUP TYPE F PRO ESSED BY
FOR APPLICANT TO FILL IN .�a :CONST.
BUILDING ��// p STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS 'S' �� F6 01)0/6 �vA'` CLASS.NO�—DWELL.UNIT^S
/T Q � MK�
LOT NO. b D BLOCK WATER NOT REQUIRED I/ 1/ RECEIVED
CERTIFICATE: LLL"7LL7
TRACT /6 MAP. J /1r HIGHWAY
NO.OF BLDGS. NO.e��C� � (CIRCLE>. STATE MAJOR SECOND, LOCAL
SIZE OF LOT. I NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS '
EXISTING BLDG. 11 (i(Jp P
T TEL.
OWNER / ! LcJ9 NO. BUILDING YARD HWY STREET N E EXIST.
J7,9- SETBACK WI H
ADDRESS
FRONT
ARCHITECT OR. TEL ppm P.L.
ENGINEER FP/� dS0.✓ NOS/_,rA d6ST ,
ADDRESS /T(D O if/p Tb Q'7 /[fes/, P.L. �.
�JTEL
INSPECTION RECORD
CONTRACTOR iC q.QUI BO�r NO.5;*KrlgZ (q
ADDRESS J'36 F ,`.ptJ�wl.✓� eol0,1 w IF
O
DESCRIPTION OF WORK ri
W
NEW 'HADD ALTER REPAIR DEMOLISH
SQ.FT. •� NO.OF NO.OF
IZE �I 7D STORIES FAMILIES
USE
STRUCTURE
elf-7/
SIGNATURE OF '/�J�✓
APPLICANT .47
VALUATION S.�'Z
APPROVALS DATE INSPE TOR'S SIGNATURE
�1 FOUNDATION:LOCATION �
PMT. IJ�J e� S/
F E $ �D FEE $ v J FORMS,MATERIALS
FRAME:FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS.CORRECT AND AGREE TO COMPLY FURNACE:LOCATION, /
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS j
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK \
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 COMPENSATION INSURANCE. LATH,EXT. I
SIGNATURE OF / {' HOUSE NUMBER COR-
PERMITTEE ! CMt+V "��// RECT AND POSTED
ADDRESS �• �'9 FINAL
CLYDE N. DIRLAM, 1NC16AL ST RAL ENGINEER
PLAN CHECK VALIDATION ( cK.J M.O. CASH PEMW VALIDATIONM.c. CASH
LMAC 2 4 7 7 SEP 11 2 3 0 6.0 0 ••M
LP..0 2 4 7 E :o SEP 11 1 D -12.0 0 �°
DEPARTMENT OF BUILDING AND SAFETY ArrLacAiLVA rWa r&MMILA
_. COUNTY OF LOS ANGELES 1
WM. J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN 7?&D FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.NO. PERMIT NO.
BUILDING
ADDRESS 48.58 Rio Hondo Avenue
� �.
-
LOCALITY Temple Oity, California RECEIVED BY DATE OF APPL. DATE ISSUED
CROB9BT. SUarklett Street �dss ���"' � �' Z-7 ' f
OWNER TURNER HOMES INC. ADD EISSD S / • p Q
MAIL
ADDRESS /6 East Santa Clara Stu LOCALITY i
NEAREST
CITY Argadia ND.DO 7-3563 CR096 ST.
NO.or
ARCHITECT OR TEL. ZONE PLANS `�� TYPE GROUP
ENGINEER NO.
BLD B. / O O
ADDRESS SETBACK LINE 2..v /
APPROVED
TE
CONTRACTOR Same NOL. BY DATE
USE APPROVED
ADDRESS ZONE BY DATE
LEGAL CORRECTIONS
DESCRIPTION LOT NO. 60 BLOCK
TRACT 16475
N13.13F SLOG
SIZE OF LOT 61 X 110 I NOW CN LOTS No
UBE OF NO.OF NO.OF
EXISTING BLDG. No FAMILIES I ROOMS
DESCRIPTION OF WORK
NEW x ALTERATION ADDITION D
A
REPAIR
��77 MOVING DEMOLISH Gl
SIZ FT.Ya�j n ROOMS 4 STORIES 1 D
SIZE ��JJ iiat7VV
WALL Roar
r
COVERING Plaster I COVERING SO ye
USE OF
BUILDING W Dwelling V
JS1 Y 2,7--
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION RECTOR DA E
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS �.��f
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. 'A
7�ry� �y FRAME: FIRE STOPS, moi✓�� /r
SIGNATURE OF TURNE HMS BRACING,BOLTS
PERMITTE •
AUTHORIZED AST a GII/1�
�- LATH, EXT.
v
76A639A-3 7-49 s p,C,G PLASTER,INT.
FEE 2 •� PLASTER,EXT.
VALUATION $ v jj 4 FEE FINAL ,e� /'� t
®s ��!6CIPIMEV.6/76) t IL
- 1
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN ADDRESS
BUILDING � �
ADDRESS O-� LOCALITY
NEAREST
CITY ZIP CROSS ST. .qf
NO.OF BLDG9. ASSESSO
SIZE OF LOT`` NOW.ON LOT MAP BOOK PAGE PARCEL
TYPE A RETRACT ile �� BLOCK LOT td0. �C� DISTRICT GROUP CONST..r ZONE PRO ESScD B�Y
TEL. ' +�1� "-".'
OWNER NO.
i 'STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS CLASS NO. � DWELL.UNITS --I'Br,?IPG
` CJ"U
CITY ~ ZIP
ARCHITECT OR r YEL.
ENGINEER NO.. VALUATION
ADDRESS BLDG.SETBACK FROM
TEL. FRONT PROP.LINE OF (STREET)
CONTRACTOR NO. TOTAL SETBACK FROM TYPEOF EXISTING
LIC. HIGHWAY + YARD = FRONT•PROP.LINE . HIGHWAY .WIDTH
ADDRESS NO.
LIC... +
CITY CLASS
CONSTRUCTION LENDER BLDG.SETBACK FROM
NAME AND BRANCH SIDE PROP.LINE OF (STREET)
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
ADDRESS CITY _ SIDE PROP.LINE. HIGHWAY WIDTH O
SQ.FT. NO.OF NO.OF CHECK + = V
SIZE STORIES FAMILIES ONE O
DESCRIPTION OF WORK. NEW ❑ P.C.Fee$ Permit Fee f Z
ADD IL
Issuance Fee y
ALTER ❑ Z
r I REPAIR El Iota]Fee (p
USE OF V j 1 v, 7�/ DEMOL ❑
EXISTING BLDG. Z
APPLICANT TEL Q
IPRINTIT l k t ~
BY(SIGNATURE)
I HEREBY ACKNOWLE THAT I HAVE D THIS APPLICATION AND STATE Y X 7 3 7,9 A
THAT THE ABOVE IS ECT AND AGREE COMPLY WITH ALL ORDINANCES
AND LAWS REGO ATIN BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE �Ei➢
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF �o' {� # o o.6 o o
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- {� Z
PENSATION INSURANCE. y+' g 2 1 6 g C C
`r'_
SIGNATURE OF 1 6,q
PERMITTEE
ADDRESS6 Z 1 0,2 lL
TEL. �Q C
CITY NO.2V 5� Q
USE ZONE NO
SPECIAL
17, CONDITIONS
m
FINAL BY d
DATE
BA898A CE#809- - LIGATION FOR BUILDING PERMIT 1
BUILDING AND SAFETY DIVISION BUILDING -
Department of County Engineer ADDRESS
County of Los Angeles LOCALITY
JOHN A.LAMBIE. COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN.SUPT OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE SEWER MAP
BK G
CONST. 4
BUILDING
S 'n� STATISTICAL CLASSIFICATION
ADDRECLASS. NO. DWELL. UNITS
LOT NO. BLOCK MAP STATE
YES
NUMBHWY
ER NO
TRACT 11W L�L USE Z NE SPECIAL
NO.OF BLDGS. 9,0+
SIZE OF LOT I NOW ON LOT CONDITIONS
USE OF
EXISTING BL BUILDING YARD HWY STREET NAME EXIST.WIDTH
SETBACK
OWNS FRONT L n
p Ole
MAIL P. L.
ADDRESS SIDE
/1 TEL. P. L.
Cl
TM C NO' INSPECTION RECORD'
ARCHITECT TEL.
ENGINEER NO.
ADDRESS
CONTRACTOR
ADDRESS
ZFES2�RTION OF WORIC
NEW D ALTER REPAIR DEMOLISH I+
SQ.FT. NO.OF NO,OF 9
SIZE ?;76 STORIES FAMILIES ' f ��
USE OF STRUCTURE _
C#' ka
L,J LAPPROVALS l�
SIGNATURE OF
APPLICANT DATE INSPECTOR'S SIGNATURE
FOUNDATION:LOCATION
ADDRESS FORMS, MATERIALS
$ p,C. 3 FRAME: FIRE STOPS.
} FEE ®� BRACING,BOLTS r�• I,'-7 !-, f
VALUATION $ FURNACE: LOCATION.
FEE GAS VENT, DUCTS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH. INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH.EXT.
STATE LAWS REGUIAT7 BUILDI ONSTRUCTION
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADORES FINAL _
OHN A.LAMBIE. COUNTY ENGINEER, CLYDE N. DIRLAM. PRI NCI AL STRUCT RAL EN(AEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION ) M.O. C"H
CO 3 9 4 0 OCT 31 1- 1 ;00 /
APPLICATION FORBULDING PERMIT
L
), COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION:DECLARATION ? FOR APPLICANT TO FILL IN , BUILDING ADDR SS
I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS, "`'' �o'f
or a certificate of Workers'Compensation Insurance,or a certified ,
copy thereof(Sec.3800,Lab.C.) CITY �� 1`+� ZIP^(�
(,� LOCALITY
Policy No. Company SIZE OF 1310T. NO.OF BLDGS.NOW ON LOT
11 Certified copy is hereby furnished. NEAREST CROSS ST.
❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO.
department. USE ZONE MAP NO.
Date Applicant ASSESSOR MAP BOOK PAGE PARCEL I G�.�cP,GT
SPECIAL CONDITIONS•
CERTIFICATE OF EXEMPTION FROM WORKERS' ER TEL NO. •
OW,
COMPENSATION INSURANCE 1—A3J. wrrHIN,1oo0 FT.OF SCHOOL? YES NO
(This section need not be completed if the permit is for one hundred AD RES `
DISTRICT GROUP TYP CONST. FIRE ZONE PROCESSED BY
dollars($100)or less.) ab 4afmrlo M01 '
�
I certify that in the performance of the work for which this permit CITY ZIP
¢
is issued, I shall not employ any person in any manner so as to 0
become subject to theWorkers`Compensation Laws. ARQHITE OR ENGINEER TEL NO.
\ STATISTICAL CLASSIFICATION APT CONDO.
Date Applicant 4WRESS CLASS NO. 40 DWELL UNITS
NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you should become subject to the 'Workers' CONT ACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH
Compensation-provisions of the Labor Code, you must forthwith FRONT
comply-with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P L
LICENSED CONTRACTORS DECLARATION PILE
CITY LIC.CLASS PL _
I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORIES NO.OF FAMILIES
Professions Code,and my license is in full force and effect. NEW BK PG iL
License Number Lic.Class I DESCRI ON OF WORK App VALUATION nn , Q
Contractor Date ALTER ❑ $ �v U
Qa
❑ 1 am exemptREPAIR ❑ $ }
-under Sec.
B.BP.C.for this reason DEMOL ❑
LDMA P/C'
Date: USE OF EXISTING BLDG. , a
URM. ❑ I CO
I 1Signature APPLICANT(PRINT) TEL NO. LDMA Perm#
[J I, as owner of the property, or my employees with wages as Z W.A."'!
their sole compensation, will do the work and the structure is 'ADDRESS ;F 3303 _dI
not intended or offered for sale (Section 7044, Business and FINAL DATE a
Professions Code.) ,�7 ��
WLL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL 7
OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE
❑ I, as owner of the property, am exclusively contracting with Q
licensed contractors t0 construct,the project (Section 7044, AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY �j tj� f68 .
❑
Business and Professions Code.) YES❑ NO CHECK = t}
WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING
OCCUPANT REQUIRE A COAST AIR QUALITY MANAGEMENT EMENTMIT RCONSTRUCTION DISTRICT(SCAOMDR ORMODIFICATION
CONSTRUCTION LENDING AGENCY PERMITTING CHECKLIST OR CHARGE 01j
GUIDELINES.
I hereby affirm that there is a construction lending agency for YES❑ NO❑
N the performance of the work for which this permit is issued(Sec. J J
O7cli I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING 01000-i-10001 La./v. I +
11 3097,CIV.C.) I CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, ^ i 2 7 4
TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS Jj
Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. 8374 1 AM 10 n 44
O Lender's Address 3
0. OWNER OR AGENT
c. 1 certify that I have read this application and state under penalty
C of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEES
N
• with all county ordinances and State laws relating to building
construction, and hereby authorize repr entatives of this County ISSUANCE FEE ♦ '�o
ato ent he above_mentioned perty �r in 1�ction purposes. (rj
m INVESTIGATION FEE TOTAL FEE / D '
$nneWra of Appfits le, '
SEE REVERSE FOR EXPLANATORY LANGUAGE