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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