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HomeMy Public PortalAbout5328 ROSEMEAD BLVD_Building__ 76A686A CE#606.1-61 • APPLICATION FOR BUILDING PERMIT"- COUNTY OF LOS; ANGELES BUILDING 7 DEPARTMENT OF COUNTY ENGINEER '4DDRESS :BUILDING AND SAFETY,DIVISION LOCALITY . ! JOHN A.'.LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A:..JENSEN SUPT OF BUILDING CROSS ST. t - DISTRICT NO GR P TYPE "` r[, •.�Q .. E - . IP' O CF D BY. FOR APPLICANT TO FIN- CONST-.& BUILDING 1 �4IJ -�3f STATISTICALLLL&99SIFICATION SEWER MAP ADDRESSCLASS.NO. DWELL.UNITSB JWLOTNO. J. or / gLF CERTIFICATE:. NOT REQUIRED RECEIVED TRACT R. S, /y Q I3. MAP ',,j 'HI.GHWAv STATE MAJOR SECON / NO.OF BLDGS. .NO!" (CIRCLE) SIZE OFLOT. 4�" b� INOWONLOT USF ZONE `•SPECIAL 'USE OF /'Q R W CONDITIONS - EXISTING BLDG.,' (7''f//jQ, -- - OWNER QOtW p�C �1 2�''+�• No.•r1'l ' UILDING - EXIST. •.: Jp( �V Q �OJ 1�I� I�J� YARD HWY STREET NAME SETBACK - WIDTH' ADDRESS FRONT.L. ARCHITECT TEL.'ENGINEER- C SIDE p�(I�'I✓e 'Vi/ �.. - P.L:. ADDRESS TEL. INSPECTION` RECORD'+'• „_,.� ''~N p .CONTRACTOR.(n ��/ > (r��.. NO. i V 1 ADDRESS DESCRIPTION. OF' WORE �V NEW 'ADDS r FALTER -` REPAI OF NO.OF R.�DEMOLISH' .�T �' j /! N SQ.FT rt � II ,.NO. P r)L,�1 Z - � ' - IZE .-'3 �.j `-STORIES- ,,'I 'FAMILIES - .:aCd +•tp"* y '•�...., y--w.,„.,,,., /Cd , -'USE OF.,' � /^�. /�, :, � Y /% n"' ^•-�, r L.,' ="1• ,., ;•�,-�,;,.,. STRUCTURE .f ✓ Sry . 'S NATURE ' APPLICAN VALUATION$.. I -p 2_�✓l.. U- ... �. r -PP,ROVALS ,,;;DATE IINSPECTOR S'�.SIGNATURE, FEE .....I FEES$ ✓ � FOUNDATION: LOCATION 4` •� "'/I rr(` . / { c ✓' FORMS,'MATERIALS '" f� (♦ _�_ ' ..v;" �.'�✓�F/d.' `- - , FRAME:FIRE STOPS, EBWBRACING, I'H Y ACKNOLEDGE THAT I HAVE READ THIS APPLICATIONS B RACING, BOLTS AND STATE-THAT THE'ABOVE IS CORRECT'AND AGREE'TO-COMPLY , FURNACE: LOCATION, f WITH ALL COUNTY'ORDINANCES AND STATE LAWS REGULATING GAS•VENT DUCTS' .BUILDINGCONSTRUCTION. I CERTIFY THAT IN DOING THE WORK f f AUTHORIZED;HEREBY'I,WILL NOT EMPLOY,ANY PERSON IN VIOLA- 'LATH, INT. - I-� / �,� •/� TION OF THE'LABORC ODE OF TH AI R F CALIFORNIA RELAT- ING TO WORKMEN S _ 1 A I - -T �/ �n I• /,///�///{G/' " LATH,_EXT. SIGNATURE OF .)COr/ HOUSE NUMBER COR PERMITTEE - RECT AND POSTED l 41 ADDRESS - - I I. ,IFINAL / -�` ��♦ 'CLYDE N. DIRLAM, PRINCIPAL,STRUCTURAL EN PLAN CHECK'VALIDATION cK.' M.O. -.CASH PERMIT VALIDATION cK M.o. cnsH ell j s ? 0 8 v rari�'i 1 .4. " DEPARTMENT OF BUILDING AND SAFETY. . APPLICATION FOR PERMIT COUNTY OF LOS ANGELES `gR� o �. V T� �T WM. J. FOX, CHIEF ENGINEER �V `�J 1 'el NO. OF �[7J� BLDG. ORD.NO. - DISTRICT NO. PLAN CK. NO. -PERMIT NO.. PLANS 1✓'°Z SETBACK,LINE . Z— ` Z/ \ �-,., FIRE APPROVED J ( ?, J _ ZONE "` �' BY DATE - r./ RECEIVED BY DATE OF`yA+PPL. DATE'ISSUED' ZONE - BYPROVE f .DAT �/- / / pyy PLICANT FILL IN HEAVILY OUTLINED PORTION ONLY Ix ) yam, ,�/j� (7� �.Jy+^ BUILDING ) J ,�vQ9 O � NAME ✓ fr V Y' vy ' /�I./E�.t./'y - ADDRESS ✓� /G j G! PFJ!J t, U w F Z -ADDR,ESSr- ,� ��>:r*�✓ ""����il ;A,y°' L�snP. _LO.CALITY NEAREST Z CITY ' 6✓/ U CITY- CROSS ST. Q STATE - TEL. LICENSE NO. NO. tl;' NAME � �//. W 0: NAME _ Z MAIL �7✓ // r-• O - 3 ADDRESS O � � ®� QADDRESS - . CITY �Gy>ts� ,�,�j'IeL.W_ Np, v �(J✓�/.s r K F Z 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS , O CITY _ / APPLICATION AND. STATE THAT THE ABOVE IS,CORRECT U STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTYORDINANCES:' LICENSE NO. Jap' NO. yAND-STATE LAWS REGULATING BUILDING CONSTRUCTION. Z LOT NO. SIZE OFXO 4 p W - "' ✓.S�i SIGNATURE OF '��., ' OWNER I- JI; NO. OF BLDGS. Qa jA%�'/f BLOCK NOW ON LOT /Y'L4!>`1,a�w� AUTHORIZED AGT. Jm TRACT /?I S / � (� CORRECTIONS. D USE OF SLOGS. NOW ON LOT _ ' ``� ?'IJI'•e.� v ' (/j/(;� `^ , DESCRIPTION OF WORK USE OF V. BUILDING i O. D r NEW TYPE GROUP - NO. OF NO. OF ALTERATION ROOMS �( s. FAMILIES ADDITION SIZE 1(/�i C , s REPAIR - STORIES MOVING WALL COVERING II DEMOLISH. ROOF COVERINGC�ri"'A"'�^R«*�rc ''' _ FINAL APPROVAL FELE INSPECTOR'S - VALUATION"® FEE A DATE ���.--,~//ifl NAME ®3.3 26M SETS a.44 APPLICATION FOR PERMIT . DEPARTMENT OF BUILDING AND SAFETY - COUNTY OF LOS ANGELES. JT WM. J. FOX, CHIEF ENGINEER v' NO. OF' •BLDG. - — ORD.NO. DISTRICT NO. PLAN'CK. NO. -PERMIT NO.' PLANS - SETBACK LINE. ,'• _ ._ FIRE 'APPROVED - - ,f fluff!!! ZONE --__7 'BY, • DATE _ RECEIVED BY DATE OF APPL DATE ISSUED USEf ,BAYPROVED .ZONE'. �J..ATI APPLICANT FILL HEAVILY OU'T'LINED '`XPQORTIO_ N ONLY. .BUILDING O It NAME �, ADDRESS u III W Z ADDRESS LOCALITY��.D'Q .NEAREST - ` U , CITY l.. CROSS ST. ,.,- - 1 - Q STATE TEL. LICENSE NO. r NO. NAME o /•. / MAIL 0 J 3 - O NAME ;-. ADDRESS ~1 O t _ �J TEL Q ADDRESS � � � � 'CITY 7i" NO. ' CITY + I HEREBY. ACKNOWLEDGE THAT I HAVE READ THIS 0 I - APPLICATION AND STATE THAT THE ABOVE IS CORRECT U' STATETEL. AND' AGREE.TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE-NO. / QQ. tNO. - AND STATE LAWS REGULATING BUILDING CONSTRUCTION. /•, I� /yu` I � �P v'S�I �/�p�'y/�, - Z LOT'NO. OF LOT SIGNATURE OF SIZE OWNER 0 NO. OF BLDGS. - Q IL �/7 f� AUTHORIZED AGTr - O _ BLOCK NOW ON LOT W � (� J. . 13 3 CORRECTIONS 'J,W TRACT DESCwRI�P�TION OF QWORK, USE OF BUILDING 4� 0 j NEW TYPE GROUP NO. OF (q� .NO. OF ALTERATION ROOMSy/ FAMILIES ADDITION' SIZE / 2:0 " ' J REPAIR, _ STORIESif + MOVING WALL COVERING . �� DEMOLISH. I RnOF-COVERING FINAL APPROVAL FEE. U $ INSPECTOR'S VALUATION (((/// - FEE DATE _ �I NAME DEPARTMENT' OF BUILDING.AND SAFETY APPLICATION FOR"PERMIT.' . COUNTY OF LOS ANGELES •�WM',�'J: FOX, CHIEF. ENGINEER' FOR.APPLICANT TO FILL-IN FOR OFFICE USE,ONLY - DISTRICT NO. PLAN CK NO. PERMIT:NO: BUILDING ADDRESS. ✓ .U. !.Y .Jt-tT�wi�:•r'%C- :� .�.L' .. _ ,/. E. LOCALITYfy 7 RECEIVED BY DATE OF AP, L. DATE ISSUED NEAREST' //" / ) ! /� '. -27 CROSS ST.. l�s �[�t� -.�/ BU1L"DING i +7 v� -'7� ///� •7.�•'-'1r��� ADDRESS 3' .OWNER I:/`! e:%•J/ tSlrrL.'./YY.�✓v' MAIL - E` ( /��• _ _ ,�-, LOCALITY e-, ^�"" C •, ADDRESS �•:S 1 / IY:(//V�-.G:z•-�'/z�'¢=p;" y/4'L.� •" NEAREST CITY Y4 z{ •- -__moo\ - �TE•1'\r( 6.7`x,1/(`;5 ; ERRE S ST.' - N�L O. OFTYPE GROUP.t ARCHITECT OR =,:' TEL. -i ZONE I'PLANS. ENGINEER NO. BLDG. ORD. NO. SETBACK-LINE':. • G.J... ar ADDRESS - APPROVED TEL. -BY DATE - CONTRACTOR .NO: - USE'. I ..APPROVED'...'. - . ZONE , BY ` .. .,. •DATE , ADDRESS - HOUSE NUMBERING - .,,. - LEGAL .. p - ,. '.. - . ,' ''•-. :•f DESCRIPTION I'LOT_NO. I.- / .BLOCK MAP NUMBER,- FIELD CHECK BY TRACT . tic .'I, -(} ^..; y.''r NO. ASSIGNED BY- `DATE �I J No. bF BLDGS. CORRECTIONS. SIZE OF,LOT'�, 7 9/,, 7S �,�.,J NOW ON LOT .USH'OR. -.- - •-. .NO. OF - - .. EXISTING BLDG, I FAMILIES _ DESCRIPTION OF-WORK` :.. NEW - ;I- G�I ALTERATION I- - ;.I ADDITION I - �. .. O -- REPAIR DEMOLITION ' SQ FT.- SIZE ..: � •�.ROOMS e -STORIES: ,- • - .D EXT. WALL - ROOF r COVERING COVERING USE OF STRUCTURE - -z� APPROVALS. =.INSPECTOR'S SIGNATURE ,DATE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ. THIS AP.-' FOUNDATION.:'LOCATION - PLICATION AND STATE'.THAT'THE INFORMATION GIVEN IS FORMS,-MATERIALS . . - .. CORRECT. - . r... • 1 'AGREE TO`COMPLY WITH'-THE'CORRECTIONS LISTED; FRAME: FIRE STOPS, - HEREON AND•WITH ALL COUNTY ORDINANCES AND. STATE'- BRACING, BOLTS LAWS -REGULATING BUILDING .CONSTRUCTION? F - RE OF - FURNACE: LOCATION, •7 ///� GAS VENT, DUCTS .SIGNATU �� -/- / tiL.-sL2_-,;..>.-^�,...� PERMITTEE - -- - ' j LATH,.INT: . ;:.. U �� ^-'—'E=-•IPJ s `.ADDRESS - •. �• ! LATH, EXT:., 'AUTHORIZED,AGTr - : - PLASTER,. INT.. 76ASSSA DBAE -10-00. P. C. ® SSS'.• FEE PLASTER, EXT. VALUATION FEE $ "' FINAL 1S'COMPENSATION,DECLARATION 7Mr at-1 h6ve'd te of Worke s'certificate of co ensatoneInt,to nsuran of APPLI ATION .FOR BIJILDLf IG "PERMIT' P :copy thereof (Sec:3800, Lab:'C.) olicy NO2y)-ii) a1 8?Company ,COUNTY OFIOS ANGELES BUILDING.AND`SAFETY Certifisd•:copy is'hereby.furnished. -FOR APPLICANT TO'FILL.IN ADDRESS t Certified copy is.filed with the county building inspec BUILDING tion departments ADDRESS �'.,/� )� TVA !�h© 5IJ , Datery 1 Applicant CITY' / `�-'y aJ ZIP LOCALITY ~ CERTIFICATE OF EXEMPTION'FROM WORKERS SIZE OF.LOT 4' " NOW ON•LOT C OSSSST. COMPENSATION INSURANCE" (This section need-not be completed if the permit is for one TRACT BLOCK` LOT NO. . hundred dollars ($100)'or less.) „ JEL.:,. ASSESSOR MAP BOOK P E, PARCEL certify that m:the performance of"the work for' which this.. w v` " NO. ON oP USE E P P Y Y P Y OWNER. O` 7� / SPECIAL' permit is issued, l shall not em to an erson�n an manner ADDRESS STS L/ CONDITIONS' so os to become''--sublect to the Workers'Compensation Laws. . U Vis. - . . � ,,., �� V :CITY -,. 4L �! ZIP, Date 'Applicant v LRft R -ARCHITECT OR TEL. NOTICE;TO APPLICANT: If, after Makin this Certificate of g ENGINEER NO. DISTRICT GR UP TYPE FIRE PROCESSED BY Exemption, you should..becorne subject fo.the Workers Compensation.provisions of the Labor'Code, you must,forth :, ADDRESS LU ' CONST .- ZONE with comply;..with.such provisions.or this permit shall be - �� - deemed revoked., �i+ TEL. STATISTICAL•CLAS)FI�TION v: APT. CONDO. N •fill CONTRACTOR �It R r7 NO. Z LICENSED CONTRACTORS DECLARATION - LI CLASS NO DWELL. CONTRACTOR C. I hereby affirm'that I am licensed under provisions of Chbpter 9'. ADDRESS 1375/ O ,�(/ L� NO. (commencing with Section 7000)of'Division 3 of the Business,and. - LIC.' ' Professions Code; ond•my license:is in full force and effect:" CITY +,.��� To l/9- �� CLASS VALIDATION . , SEWER P SQ. FT.' N0. INC. OF :.CHECK . License'Number �� Lic:Class /- 000 STORIES FAMILIES`/ ONE BK. PG o NEW'.. VALUATION; ^b (� `, (1 SIZE LTE /`7 / -A V Date 3--J�'� U DESCRIPTION OF WORK Contractor_T / ADD. $ F7 I'om exempt under`Sec :-.;. ALTER B.BP.C. for this reason REPAIR Q $ „ Date.- DEMOL USE OF EXISTING BLDG. Signature' FINAL , APPLICANT - TEL._ PRINT NO. 9 7, A OWNER-BUILDER DECLARATION ::; ;DATE `+I hereby affirm that I am exempt,from the Contractor s.License Law for the following'reason'(Sectiion'7031.5, Business,bnd ADDRESS •i' Professions Code) * PRESENT f) BUILDING °' ° b:O,5 O' �. I, os owner of ane property or. my employees.with ADDRESS wages as their sole compensation;will do the work,and °,7p °.6.0,5 O:;c=� IF OCALITY - the.stiucture is bot intended or offered"for sale(Section , A 7044, Business and Professions Code). . MOVING TEL.' y. Q 3 1 5;x;8 8� CONTRACTOR' NO. ® ' 'I, as owner of the property, am.exclusively contracting .. with licensed`contractors to construct'th`e"project(Sec ADDRESS 4+ ° tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROV CONSTRUCTION LENDING AGENCY` .-SET-BACK YARDy, HWY PROP.LINE WIDTH ' I hereby affirm thai.there is a construction lending Agency for FRONT the performance of,the work for which this permit is issued P:L.: SIDE P.L. Lender's Name .C:-Fee,$ Permit Fee LDMA Ref. # Lender's Address ' I certify that I have read this application.and'.state,that the Issuance Fee kLDA P/C# above inf rmation is correct. I agree to comply with all County nvesigarion Fee_ S ordinan and State laws relating to,building:construction, Total Fee 1 and her outhori representatives of this County to enter LDMA Perm. upon t bo tinned property for.inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Rill ' ` . Signature'of Applicant or Agent Date