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Home My Public Portal About5137 SANTA ANITA AVE_Building__ eA989ADH9.ae.sAPPLICATION FOR BUILDIN-G PERMIT DIVISION OF BUILDING AND SAFETY AopREss � �3 u,�al_r 4t,'''. J_ Deportanent of County Engineer County of Los Angeles LOCALITY T C WM.J.FOX,COUNTY ENGINEER NEAREST ' CASSATT D.GRIFFIN,SUP'T OF BUILDING CROSS ST. T_- DISTRICT NO.J GROUP I TYPE I SEWER SK MA PG FOR APPLICANT TO FILL IN J CONST. BUILDING6_ /X ? /� MAP g STATE YES NO ADDRESS e� /X `J Q O U b le D I I V R. _ NUMBER 'Z o �y� HWY 'Lot NO.. BLOCK. USE ZONE SPECIAL CONDITIONS TRACT d L� NO.OF BLDGS. BUILDINGEXIST••. SIZE OF LOTNOW ON LOT CSG r SETBACK YARD HWY STREET NAME WIDTH USE OF �// f1 ' FRONT Yn EXISTING BLDG. NU F G i r P.L. TPJ .� OWNER V �'+Vt SP.L. MAIL- ADDRESS /� 7 ry r UP O TRACT DWELL. f UNIT �p+ /� / `, n / 5 INDUSTRIAL TEL CITY f e W, 11 I�. �+•f 1 LI NO."�V d� l�b� I DWELL. f UNIT 6 PUBLIC BLDG. ARCHITECT OR TEL. 2 DUPLEX f UNIT 7„ ADDN.,ALT., ETC. ENGINEER NO. 3 APT. UNITS • - 8 MISCEL.. ADDRESS _ 4 COMMERCIAL TEL* INSPECTION .RECORD CONTRACTOR NO. ADDRESS DESCRIPTION OF WORK NEW AD ALTER - REPAIR DEMOLISH SQ. FT. .2 �p NO.OF NO.OF SIZE 6�(i STORIES FAMILIES USE OF STRUCTURE 44 QAA_ -40 ic par SIGNATURE T OF h /,/• � , _ APPROVALS APPLICAN ,y► ADDRESS r�! �(/ s DATE INSPECTORS SIGNATURE so-"'• FOUNDATION`LOCATION $ P.C. S FORMS,MATERIALS `Ale .•v �l' FEE FRAME:FIRE STOPS. . //�/// VALUATION r,_._ BRACING.BOLTS f1`6-Q� A a EB FURNACE:LOCATION. 1 HEREBY ACKNOWLEDGE' THAT 1 HAVE READ THIS GAS VENT.DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH.INT. AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. EXT- SIGNATURE - U ) Al; • LATH.EXT. . �iL,•,�i�, .- SIGNATURE OF >�f� ,/I.fi f!/l//7ar,:� HOUSE NUMBER COR- y PERMITTEE _ ' RECT AND POSTED ADDRESS hgi-1. IU�(�'Y.-i..f[!' _/Y./'�G' • FINAL /��li�4[O Yi t�.%�✓1� � WM.J.FOX,COUNTY ENGINEER VALIDATION C.N. DIRLAM�,CHIEF BLDG.INSPECTOR l Co'�3 8 5 i� OC 11 1 2.0 0 �' A63BAo�-y APPLICATION FORBUILDING PERMIt :?DMSION�v OF.BUILDING AND SAFETY BUILDING Drive Deportment of'County Engineer ADDRESS 5137 No. Double Engineer County of Los Angeles LOCALITY Temple city JOHN A.LAMBIE,COUNTY ENGINEER NEAREST T CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.. .Las Tunas FOR APPLICANT TO FILL IN DISTRICT No. GROUP ,TYPE SEWBK ER MA PG CONST. BUILDING Double Drive MAP STATE YES To - U 5137 No,. NUMBER HWY• LOT NO. BLOCK U E ZONE SPECIAL CONDITIONS_ TRACT s� " y B I NO.OF BLDGS. SIZE OF LOT NOW ON LOT 2 BUILDING YARD HWY STREET NAME EXIST. USE OF SETBACK l. WIDTH EXISTING BLDG. Re s idenC a & garage FRONT / T P.L. - a OWNER H.E.Willams SIDE MAIL P.L- ADDRESS 5137 No. Doubl B 'nriy . O TRACT DWELL. 1 UNIT TEL* 5 INDUSTRIAL _CITY Temple City NO. FO 8716 1 DWELL. 1 UNIT .6 -PUBLIC BLDG. ARCHITECT OR A TEL. 2 DUPLEX 2 UNITS ADDN..ALT.,ETC. ENGINEER A.N.George THE C1. 51606 3 APT. _4p_UNITs - ADDRESS 1230 Knoll-e Ave. .So.Pn.Ga.- 4 COMMERCIAL 8 MISCEL., CONTRAQ,TPRCalii.Swim.Po(M'At62004 INSPECTION RECORD ADDRESS ®8561 Duarte Rd. DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ.FT. NO. OF NO.OF SIZE STORIES FAMILIES USE OF STRUCTUR wi_mmiTIR Pool_ S74d. - *f SIGNATURE-OF a dI�YI 1 POOL C s APPLICANT APPROVALS ADDRESS 8561 Duarte Rd.San Gab, DATE INSPECTOR'S SIGNATURE 5 D Z_ v..�, P.C. $� FOUNDATION:LOCATION ��$ FORMS.MATERIALS FEE / FRAME: FIRE STOPS. VALUATION $ M BRACING.BOLTS FEE G FURNACE: LOCATION. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ_THIS GAS VENT.DUCTS '. APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH.TNT. AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. SWC. * LATH. EXT. ng POOL CO ' SIGNATURE OR b all a PERMITTEE HOUSE NUMBER , RECT AND POSTED ADDkESJq 8561 Dllagte ]Rd -SLpig /'' FINAL 1OHN A.LAMBIE,COUNTY ENGINEER ATION CLYDE N.DIRLAM. CHIEF BLDG. INSPECTOR C• MC CASH . 1C08 6 7 i JUL 2 7 1 6 21.7C8 6 7 -2 Z�,° JUL 2 7 1 1 ,0 ,0-0 'BA888MCE'.#809•7.58 APPL.ICATIOIV FOR BU1LD1NG 'P_ERMtjT 1 BUILDING AND SAFETY DIVISION BUILDING ADDRESS Department of County Engineer County-of LOS Angeles LOCALITY JOHN A.LAMBIE. COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS S ~ FOR APPLICANT TO FILL IN DISTRICTO. GR UP TYPE I SEWER MAP ...� P71 CONST: BUILDINGa STATISTICAL FICATION I ADDRESS C , LOT NO.' 4 BLOCK CLASS. NO. DWELL. UNITS —1 �J A STATE YE r ✓ NUMBER V_ HWY S O TRACT USE ZONE SPECIAL f NO.OF BLDGS. /J CONDITIONS SIZE OF LOT JK42 I NOW ON LOT USE OF pp EXISTING BLDG. c 4.� BUILDINGEXIST. SETBACK YARD HWY STR514T,NAME WIDTH OWNER t FRONT MAIL �J P. OWNER /ZL. ADDRESS / SIDE TEL P. L. CITY NO ARCHITECT O ` TEL, T 21 INSPECTION RECORD ENGINEER NO. s ADDRESS J TEL. C1�•! C!�ieA C CONTRACTOR NO. ADDRESS D CRIPTION OF WORK • - �i!T� I.fs^m f��'s��!,n: .. -<•. .f:G�•I�L-rfa, (;s/� NEW ADD ALTER REPAIR DEMOLISH SQ. FT. 'aa@@ NO.OF NO.OF ` SIZE dv STORIES FAMILIES / USE OF STRUCTURE APPROVAE:s SIGNATURE OF � � » APPLICANT �!�A-0, DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION:LOCATION ' �J FORMS, MATERIALS G' i� /�./ I/a/fi'',t;?-1 f/s•1*1-• $ ✓ P.C. F FEEE BRACING. BOLTS FURNACE: LOCATION. VALUATION g r FEE �` GAS VENT. DUCTS �0 I T I AK /J s 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ'THIS AP- LATH: INT.. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND J. AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH. EXT. STATE LAWS REGU 1TING BUI IN• CONSr UCTION. — r SIGNATURE OF F" ` r HOUSE NUMBER COR- PERMITTEE RECT AND POSTED �rer ps ADDRES ®�/ FINAL �� s`rS.✓lJfiC�`1 �611i!' IOHN A.LAMBIE, COUNTY ENGINEER, CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CH= VALIDATION M.O. CASH PERMIT VALIDATION ac n, M.O. -CASH` Iuw 61 r, .., � � 6. mo 9.9 4 AUG 6 1 1 8,5 0a) ,AA��C � APPLICATION FOR BUILDING PERMIT ^ COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS S !37 J Ch d J-A IJIJ(?A A VG or a certificate of Workers'Compensation Insurance,or a certified ^'t copy thereof(Sec.3800,Lab.C.) CITY l T_fAPlZ C lT-( ZIP /� /t J 7 40 LOCALITY Policy NO. Company SIZE OF LOT / r / NO.OF BLDGS..•NO ON LOT 0 ❑ Certified copy is hereby furnished. Vh J NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TR^ BLOCK LOT NO. department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER /`r �tk L YES NO COMPENSATION INSURANCE W / 3 WITHIN 7000 FT OF SCHOOL? (This section need not be completed if the permit is for one hundred ADDRESS Z c r _ Si 37 3/yi-r �4 41/& DISTRICT GROUP TY ONST. FIRE ZONE PROCESSED BY dollars($100)or less.) �7�+ O p I certify that in the performance of the work for which this permit CITY -(l t LZ' �-I z ZIP � ^1 70`D is issued, I shall not employ any person in any manner so as to ARCHITECT O ENGINEER TEL NO. t� become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL LICENSED CONTRACTORS DECLARATION SIDE CITY LIC.CLASS PL I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. (4-OD NEW 0r BKPG , n License Number Lic.Class D S RIPTION OF WORK ADD ❑ VALUATION$ Ito C �aG.e. � C. Contractor Date S� ALTER ❑ D ❑ I am exempt under Sec. `�'t'� REPAIR ❑ $ C B.BP.C.for this reason DEMOL ❑ LDMA P/C# t. Date: USE OF EXISTING BLDG. T ` URM ❑ U ignature APPLICANT( rN=J / 1 `J T L N PMA Perm# I as owner of the property, or my employees with wages as t/� WIC al 4¢�- �3 Z ACCT.E their sole compensation, will do the work and the structure is ADDRESS - O -,- -, 1= not intended or offered for sale (Section 7044, Business and i r c-+-' LZ Ct'7 FINAL DATE Q -3303 ITEMS �a�° -� Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATER L Q 1TEi 1 OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ❑ I, 8S owner of the property, am exclusively contracting with AMOUNTS SPECIFIED THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY 5 licensed contractors to construct the project (Section 7044, YES 1-1NOTOTAL �'�3'° � Business and Professions Code.) (y (' WILL THE INTENDED USE MI THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING CASH -1 OCCUPANT OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH Illy CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MA EMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKUST FOR GUIDELINES. CHANGE .00 I hereby affirm that there is a construction lending agency for YES 11 NO C4 the performance of the Work for which this permit is Issued(See. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION G AND THE SCAQMD PERMITTING "7/26/93 C} W 3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDE E LOS ANGELES COUNTY CODE. �Id��7"1QLi 1!26,r�r a TITLE 2.CHAPTER 2.20 SECTIONS 2.20 100 THROUG 2 20 0 CERNING HAZARDOUS Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PER D Lender's Address _ 0931 3 Aft 9:44 OWNER OR AGENT O Q I certify that I have read this application and state under penalty of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE N with all county ordina s and State laws relating to building m construction, and her authorize representatives of this County ISSUANCE FEE ro to enter upon the ab -mentioned property for inspection ur OSOS INVESTIGATION FEE TOTAL FEE /1 , a v ftnaWm a Apoh-1 C/✓ SEE REVERSE FOR EXPLANATORY LANGUAGE