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HomeMy Public PortalAbout5744 RIO HONDO AVE_Building__ r-a Iy.1:M.•t'- 1 O Y�ail PL ®II�� ' 76A636A CE 6092-63 APPLICATION FOR BUILDINGPERMIT ? COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY ..JOHN A. LAMBIE, COUNTY ENGINEER NEAREST 'WILLIAM A.JENSEN. SUPT OF BUILDING CROSS ST. /V DIST�IICT NO. GRO P TYPE 1 / C ED BYf FOR APPLICANT TO FILL IN (,D t 0 —s� CONST.. a AJ BUILDING STATISTICAL CLASSIFICATION S WER MAP ADORE DWELL. CLASS. NO. DWELL.UNITS BK`^ LOT N. . Q ,AWT LOCK WATER NOT REQUIRED RECEIVED CERTIFICATE: El TRACT MAP HIGHWAY STATE MAJOR SECON LOCAL NO.OF BLDGS. NO. (CIRCLE) SIZE OF LOT NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. TEL. PJ OWNER' _ )OC NO. 3BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH ADDRESS L�% ,05 ;Ts)VAW,EC If FRONT ARCHITECT OR TEL. P. L. 4 ENGINEER NO. SIDE > P. L. ADDRESS I O TEL. CONTRACTOR NO. I O ADDRESS V DESCRIPTION OF WORK oW. I � NEW ADD ALTER REPAIR DEMOLISH SQ.FZ `G �y NO.OF NO. OF SIZE ` 1� STORIES FAMILIES USE OF STRUCTURE �/�}• „r, �//JC/b / SIGNATURE OF APPLICANT VALUATION $�j'&v d� APPROVALS DATE INSPECTOR'S SIGNATURE P.C.• PMT. FOUNDATION: LOCATION FEE $ FEE'$ FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. J WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH, INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. INC TO WORKMEN'S COMPENSATION INSURANCE. LATH,EXT. !p p SIGNATURE O ` HOUSE NUMBER COR- ° v PERMITTEE RECT AND POSTED ADDRESS y 69INAL JOHN F. LEWIS. PRINCIPAL ST RAL ENGINEER PLAN CHECK VALIDATION K. M.O. CASH _ PERMIT VALIDATION CK M.O. CASH 454563 JAN17 1 D 6.00- v -CITY, IT i� ' 76A636A CE aB032-63 APPLICATION FOR BUILDING PERMIT COUNTY OF. LOS ANGELES = ,BUILDIADD s V ' RE DEPARTMENT OF COUNTY ENGINEER. BUILDING AND-SAFETY DIVISION LOCALITY JOHN A. LAMBIE; COUNTY ENGINEER•-• NEAREST WIL'LIA14 A.JENSEN, SUP'T OF BUILDING CROSS ST. DISTRI.0 IN G TYPE P1 5 Y� FOR APPLICANT TO FILL IN CONST. BUILDING ^ STATISTICAL CLASSIFICATION � S WER MAP. ADDRESS' j7 /Q�O/f�JZ� GLASS. NO. (�DWELL.UNITS—' � 1K LOT N.O: TIP .lT -7d,* W-iff K WATER CERTIFICATE: NOT REQUIRED ❑ RECEIVED TRACT / MAP1 HIGHWAY STATE MAJOR SECON LOC NO.OF BLDGS. NO. d C (CIRCLE) SIZE OF LOT ,(• N_OW ON LOT USE ZONE SPECIAL• USE OF ' CONDITIONS EXISTING BLDG. TEL. off OWNER No..,, BUIL ING YARD HWY STREET NAME EXIST. SETBACK WIDTH ADDRESSrJfj% jl.Dy' FRONT ^ ? ARCHITECT OR TEL. P. L. ENGINEER A1, ,E NO. "SIDE • P. L. LL ADDRESS —' O .. TEL.. ..• _ V CONTRACTOR NO., me ADDRESS i OO DESCRIPTION OF WORK Lu • - a N NEW ADD ALTER REPAI DEMOLISH; Z SQ.FT. / NO.OF --- - SIZE „� ® STORIES.' FAMILIES USE OF-' + " STRUCTURE Mo Ai6 14 SIGNATURE OF ' • APPLICANT VALUATIONS C-0 APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION FEE $" FEE $ (I FORMS, MATERIALS FRAME': FIRE STOPS, It I'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 BUILDING CONSTRUCTION. I 'CERTIFY'THAT IN DOING THE WORK• AUTHORIZED HEREBY I 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 f 1 SIGNATURE O HOUSE NUMBER COR- !' PERMITTE oe RECT AND POSTED , ADDRESS FINAL JOHN F. LEWIS;PRINCIPAL STRIUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. . CASH _ PERMIT VALIDATION.. cK. M.O. CASH t. X0 4 5 6 2. JAN 1:7 1 D• 4.0 0 d 76A63§A CE#8032-63 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES - BUILD(s DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY , JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN,SUPT OF BUILDING CROSS ST. DISTRIC N G TYPE OC W'�S�D FOR APPLICANT TO FILL IN ", CONST. - C _ UILDING ^ STATISTICAL CL FICATION EBWKR MAP I, DRESS / ]� C CLASS. NO. DWELL.UNITS LOT NO, If " I BLOCK WATER. NOT REQUIRED RECEIVED CERTIICATE: TRACT MAP /i HIGHWAY NO.OF BLDGS. NO.. (f (CIRCLE). STATE MAJOR SECOND,LOCAL. SIZE OF LOT NOW ON L:OT USE ZONE ISPECIAL USE OFR� /p/ CONDITIONS EXISTING BLDG. � TEL. OWNER /,e}O O. st BUILDING YARD HWY STREET NAME EXIST. ADDRESS S i j -• /J SETBACK WIDTH LL FRONT ARCHITECT OR TEL. P. L. © ") d o ENGINEER NO. SIDE ADDRESS CONTRACTOR �� �� TEL. \-LI/r�( �'I + 4 'fkd V NO. r _ ADDRESS 'n `-` �+tl� O �r.�., Lt./A �fiitt....V .rr�fS+• �•�i.'st. DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ.FT. NO.OF NO. OF. _1t'K. .� Grro'7 /�-eC_! SIZE STORIES FAMILIESUSE OF STRUCTURE SIGNATUREO.F /J` , ':, y:tv� > 'yer � ( .Jsti�Jrf APPLICANT 4+' A t (� �c /�q ✓ ® VALUATION $ 7�'9/�.�... f. ,f tm. l 'wte APPROVALS DATE I SPECTOR'S SIGNATURE P.C. PMT. �} FOUNDATION: LOCATION ��t FEE $ FEE $ aL/ FORMS. MATERIALS FRAME: FIRE STOPS. ��/CA//14,/ 1 HEREBY-ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS /99 ."' "�•+ w- _l.�"' AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. - WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS. BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. G / -� �j TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ® r. r.y.- INC TO WORKMEN'S COMPENSATION INSURANCE. LATH.EXT. SIGNATURE OFV HOUSE NUMBER COR- PERMITTEE RECT AND POSTED F ! c �J ADDRESS uJ FINAL l?p Lt n' 7Itit MAY- JOHN F. LEWIS, I'Ri'NCI'PAL ST URAL ENGIPItER PLAN CHECK VALIDATION cK.' - M.O. CASH _ PERBUT VALIDATION CK. • M.O. CASH i_IIUo 4 2 2 5 JJAN 8 1 D 22.00- cv DIVISION OF BUILDING AND SAFETY ® U I L D I N G Department of County Engineer County of Los Angeles WM. J. FOX, COUNTY ENGINEER APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PUN CK.DR RED.No. PERMIT ND. BUILDING /� / _ADDRESS jp -wi R/ ® �4VI. 0 TdyC. L��.?... RECEIVED(r/�✓I EDBY DATE OF"PL. DAlE�ISSUUE LOCALITY ��.� G CROSS ST. G� F ���S� -BUILDING ADDRESS �-7 % // • � � '•" .'- ++"? OWNER IW 100 IT e ' MAIL LOCALITY ADDRESS NEAREST CROSS ST. CITY NO. FIRENO.OF I TYPE ROUP ARCHITECT OR TEL IZONE PLANS .4.s1-A":I-c- Y-L. ENGINEER NO. BLDG. ORD. NIL SETBACK LINE ADDRESS ,/ USE APPROVED CONTRACTOR & 1/JV e,_d�''0 ��,'�'/�/9tc�. ZONE BY DATE MR HOUSE NUMBERING ADDRESS 20Z>7 W ArAolY x..910 MAP NUMBER NO. ASSIGNED Br LEGAL ' CORRECTIONS DESCRIPTION LOT NO. BLOCK f TRACT �' Z lav 1 1 NIL OF BLOBIL /�� SIZE OF LOT I NOW ON LOT USE OF NO.OF Qg G�cl J;°S 9'/",l EXISTING BLDG. FAMILICE / �, � DESCRIPTION OF WORK X ° m NEW ALTERATION ADDITION 2 X= r a`• D REPAIR DEMOLITION r Sq.FT. NO.OF / r�• r+7 ��"1.R>>•C? l fes! ef7 SIZE ROOMS STORIES / , e-�� - EXT.WALL I ROOF COVERING COVERING �� 58E OF STRUCTURE V 01 000 INSPECTION FOR APPROVALS OCCUPANCY AS INBPECTOR'SBIGNATURE DATE FOUNDATION:LOCATION FORMS, MATERIALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN 18 FRAME: FIRE 8TOP8, CORRECT. BRACING,BOLTS 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION. AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT,DUCTS SIGNATURE OF �� 6�c)1�rA�t_ LATH, INT. PERMITTEE + LATH, EXT. ADDRESS O d '/it. PLASTER, INT. AUTHORIZED AMT.- / �I O1 PLASTER, EXT. HOUSE FEE HOUSE NUMBER COR- RECT AND POSTED VALUATION f FEE FINAL 76A63SA DBS 3 I-S2 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES " V, BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING I hereby affirm that I have a certificate of consent to self insure, BUILDINGADS or a certificate of Workers'Compensation Insurance or a certified CITY 9DS `L [O ZIP copy thereof(Sec. 00, ab.C.) 19 0 LOCALITY Policy No. Compan SIZE OF LOT NO OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. CJ NEAREST CROSS ST. ❑ Certified copy is filed with the county buildin inspectio TRACT BLOCK LOT NO. dep �`i� L USE ZONE MAP NO. Date�ivAppliCant / ✓ ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS ��/ CERTIFICATE OF EXEMPTION FROM W KERS' /� COMPENSATION INSURANCE 01,p—t♦.-.�G CS O� TEL q.� y„( WITHIN 7000 FT.OF SCHOOL? Yes No (This section ne d not be completed if the permit is for one hundred ADDRESS �S V DISTRICT GROUP T CONST FIRE ZONE PROCESSED 13Y dollars($100) less.) AS aCL— 13 I certifythat in CITY ZI performance of the work far which this permit f� is issued, I shall t employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. v� - -3 become subject to a Workers'Compensation Laws. STATISTICAL CLA SIFICATION APT CONDO Date plicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICA T If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you shoul 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 comply with such provisions or this permit shall be deemed revoked. FRONT ADDRESS LIC.NO. PL } LICENSED CONTRACTORS DECLARATIONSIDE U CITY LIC.CLASS PL 1 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 Ot Professions Code, nd my Ito is in full force anit effegt. NEW ❑ BK, PG O (� D APT F WORK VALUATIO , U License Number Lic.Class jQ _ ADD ❑ (� ,rte C'7 Contract Date CJ LTER ❑ `v O �— N ❑ 1 am exempt under Sec. EPAIR $ Z BAP.C.for this reason o4 IR eDEMOL ❑ LDMA P/C# Date: USE OF EXISTING BLDG. UURM ❑ Signature APPLICAT(J)TJ O. LDMA Perm# 1 ❑ I, as owner of the property, or my employees with wages as _ ZO ACCT.s their sole compensation, will do the work and the structure is ADDRESS not intended or offered for sale (Section 7044, Business and FINAL DATEa �; `} 175°rr Professions Code.) –f'f�Q WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ` J i ITEMS I C�` OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL To OR GREATER THAN THE S i G J ❑ I, as owner of the property, am exclusively contracting 44, AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors to construct the project (Section 7044, � TOTAL 125 Ir"..D5 NES❑ NO �' '— '� Business and Professions Code.) WILL THE INT DED U THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING CASH 125.55 OCCUPANT REQUIRE RMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALIT AGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. C;HAI4GE °00 I hereby affirm that there is a construction lending agency for YES❑ NO❑ the performance Of the Work for which this permit is issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING -k (y{� �}{� i (�+1' 3097,Civ.C.) CHECKLTITLE 2.IC�I UNDERSTAND 20 SECTIONSQ2..1 .1 0 THROUGH 2 20.1WMENTS UNDER THE 140 CONCERNING S ANGELES UHAZARDOUS I! tJV"d Q 1 `I'! .L8/96 LenderNTY CODE. 's Name MATERIALS REP D FOR O INING A I THE SCAOMD. Lender's Address5934 1 AM 9:10 OWNER OR AGENIF 1 certify that I have read this application and state under penalty 0 of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE % with all county ordinances and State laws relating to building m construction, and/hereby authorize representatives of this County ISSUANCE FEE o9/JO to upon th ab ve-mentioned property for inspection purposes. INVESTIGATION FEE TOTAL FEE N 491m M Aacumm a AWS Do. SEE REVERSE FOR EXPLANATORY LANGUAGE