HomeMy Public PortalAbout5303 WELLAND AVE_Building__ 7BA638A CE#803 3-68
APPLICATION FOR BUIL ING PER /T
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS UIi/
BUILDING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER "f
COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST
CROSS ST.
DISTRICT NO. G TYPE R E B
FOR-APPLICANT TO FILL IN -/� CONST.�_
(Print or type-only) � Q .
BUILDING �ySTATISTICALCLA SIFICATION SEWER MAP,
ADDRESS 5303 Wel3md Avenue CLASS NO- DWELL,UNITS BK PG
LOT NO. BLOCK USE ZONE MAP -- '
NO.
TRACT SPECIAL
NO.OF BLDGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG, a ,BLDG.SETBACK FROM
TEL. FRONT PROP.LINE OF (STREET).
OWNER jar, Carl She1Rq�0. -2609 _
.TYPE OF EXISTING SETBACK HIGHWAY •F YARD - TOTAL
ADDRESS H WAY WIDTH FROM C.L.
CITY T=16 C BLDG.SETBAC OM
ARCHITECT OR TEL. SIDE'PROP.LINEO (STREET)
ENGINEER NO. _
TYPE OF EXISTING SETBACKGHWAY . + YARD - TOTAL
ADDRESS pp HIGHWAY WIDTH FROM C.L.
CONTRACTOR V Roof NOL•ZU CL-287-0501
ADDRESS 600 Man Gabrieto.• 160650. CORNER CUTOFF YES F] NO c7
LIC.
CITY San Gabriel CLASS -C- 9 SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK a
ti
yyyy''yy z
NEW ADD ALTER RLf'Ph#1'R DEMOLISH
SQ. FT. NO. OF NO. OF
SIZE STORIES 1 FAMILIES
USE OF
STRUCTURE geroof Rouse & Garage with
Cm. Shing-les.
SIGNATURE OF
APPLICANT
VALUATION$ 00
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT, •FOUNDATION: LOCATION
FEE$ FEE$ 9600 FORMS,
ORMS MATERIALS
FRAME: FIRE STOPS,
1,HEREBY ACKNOWLEDGE THAT I 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 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- . LATH, INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA ELAT-
ING TO WORKM N'S OMP ISOATTIf:N�S RANCE.
-y xx �I LATH, EXT,
SIGNATURE O HOUSE NUMBER COR-
PERMITTEE• RECT AND POSTED /
ADDRESS 600 S.SanGabriel,SanGa el FINAL
JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION c M.O. .ASH
- rl .
TEMPLE 0TV
,UMA=#908.2/60 .APPLICATION FOR BUILDINGPERMIT •; :1.
COUNTY OF LOS ANGELES BUILDING ,a
DEPARTMENT OF COUNTY ENGINEER ADDRESS ✓
BUILDING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.-JENSEN .SUPT of 13MLOING I CROSS ST.
DISTRICT NO. GROUP 'T YpE P O ESSED'BY
FOR APPLICANT TO FILL IN coNsr.
BUILDING STATISTICAL CLASSIFICATION -SEWER MAP
ADDRESS b A CLASS.NO. WELL.UNITS `'A ^BK
1pf
LOT NQ.. aBLOCK MAP ATE NUMBER / H " YES O
TRACT USE ZONE SPECIAL
NO.OF BLDGS. % CONDITIONS
SIZE OF LOT I NOW ON LOT
USE OF
EXISTING BLDG. BUILDING EXIST..
TEL SETBACK YARD HWSTREET (AME / ,WIDTH
OWNER NO. FRONT �. , •`
�7P.L.
ADDRESS O✓ l L /T v g-' SIDE
ARCHITECT OR TEL. P.L.
ENGINEER No. INSPECTION RECORD
ADDRESS
TEL
CONTRACTOR NO. _ O
ADDRESS*
DESCRIPTION OF WORK e.,�1..j n<,
-rr-t-L:t_� �-/i9 -��A c�.A�- �"'� /.••moi II^.!•A 4�f ��rH��'
NEW ADD ALTER REPAIR DEMOLISH
SO.FT. NO.OF NO.OF� :.•r / /}�-/SI✓ � �
SIZE Q STORIES FAMILIES �� �r f �jy�►
USE OF
STRUCTURE / Ir=EL' _f/J•h /al"' �1/ _s�Fl
SIGNATUREOF—,,I QC% .4- 4w. L
APPLICANT
VALUATION. •M I_ �. / 1./._1l7r-.
APPROVALS DATE'. INSPECTOR'S SIGNATURE
PMT. Q O FOUNDATION:LOCATION
FEE $ FORMS,MATERIALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME:FIRE STOPS,
PLICATION AND STATEJTH�AT THE ABOVE IS CORRECT AND BRACING,BOLTS 7s� 7 ;tL•,,.;.
FURNACE:LOCATION,
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
GAS DUCTS /I
STATE LAWS REGULATING BUILDING CONSTRUCTION. /
I CERTIFY THAT IN DOING THE WORK AUTHORIZED 1 LATH,INT.WILL NOT NOT EMPLOY ANY PERSON IN VIO N OF THE
WORKMEN'S COMPENSATI N LAWS O NIA. LATH,EXT. y
SIGNATURE " t HOUSE NUMBER COR-
PERMITTE O RECT AND POSTED
ADDRESS FINAL ! /
' CLYDE N. DIRLAM, PRI CIPAL UCTURAL E>___�-_•..j�
PLAN CHECKIT VALIDATION CM M.O.M.o. CASH PERVALIDATION' CK. m'O.:�
,'1, {'
TEMPLE CllTU
79AOB ACE#8032/60 APPLICATION FOR BUILDING PERMIT ' 1
COUNTY OF LOS ANGELES BUILDING A--, //�
DEPARTMENT OF COUNTY ENGINEER ADDRESS J C
BUILDING AND SAFETY DIVISION LOCALI
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST.
DISTRICTN GROUP TYPE P CESSED BY'
FOR APPLICANT TO FILL IN ��°-��} s� coN-T
BUILDINGA,163 STATISTICAL CLDIWELL.IUNITs ON SEWER MAP
ADDRESSK PG
CLASS.NO �•-�f'� - ,
LOTNO.� BLOCK NUMBER CS`� Cl TATHWYE 'YES NO
TRACT D USE ZONE SPECIAL
NO.OF SLOGS. CONDITIONS
SIZE OF LOT I NOW ON LOT f
USE OF
EXISTING BLDG. BUILDING EXIST. '
TEL. SETBACK YARD HWY S REET NAME WIDTH
OWNER . NO. FRONT
ADDRESScJ �
ARCHITECT OR TEL.
ENGINEER NO. INSPECTION RECORD
ADDRESS
TEL. Q1
CONTRACTOR NO. O
ADDRESSO.`J. 1.' V
DESCRIP ON OF WORK ca
H
NEW ALTER REPAI DEMOLISH
SQ.FT. NO.OF NO.OF
SIZE STORIES FAMILIES
USE OF 'L
STRUCTURE FI
SIGNATURE OF
APPLICANT
VALUATION
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. �� FOUNDATION:LOCATION
FEE $ FEE FORMS,MATERIALS /
FRAME:FIRE STOPS, !
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- BRACING,BOLTS T-A-%/q>
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE:LOCATION,
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT.DUCTS
STATE LAWS REGULATING BUILDING CONSTRUCTION.
I CERTIFY THAT IN DOING THE WORK AUTHORIZED 1 LATH,INT.
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
WORKMEN'S COMPEN ION LA S LIFO NI LATH,EXT.
SIGNATURE OF + HOUSE NUMBER COR-
PERMITTE RECT AND POSTED
ADDRESS FINAL
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL EN R
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. N.D. caSH_
L!'�J4 4 0 AR Q 1 D 5.00ko
ii TMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
'O�a
COUNTY OF LOS,,ANGELES
G WM. J. FOX, CHIEF ENGINEER IPa B U ' L ® ' N
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY.3`3,p
DISTRICT NO. PLAN CK.NO. PERMIT NO.
I BUILDING C -5- -76 �G� 9
ADDRESS
LOCALITY RECEIVED BY DATE
a�OFAPPL. / DATE ISSUED
NEARES
OR09S 5T
T.
BUILDING
OWNER1`k�� ADDRES
MAIL LOCALITY C
ADDRESS
x `1- ( f /� �y NEAREST
CITY M 1 Q(4A6%tdj O.//I / NO. I � �,�r�3 CRO96ST.
_ ^®o FIRE NO. TYPE 6ROUP'�"
ARCHITECT OR TEL ZONE PLAN9�
ENGINEER NO. `
BLDG. � �` �I;Dd��NO•,
ADDRESS SETBACK LINE / % (,_
��AA APPROVED
CONTRACTOR �' �`I �� NOL 7-7 BY DATE
P c USE �J ) APPROVED
Z O
ADDREBS �. l ZONE ✓�// BY DATE
LEGAL
DESCRIPTION LOT NO. BLOCK CORRECTIONS
TRACT G S 04
NO. OF
SIZE OF LOT �gl+, NOW ON LOTGS.
USE I OF I I NO. M
EXISTING
FAM NG BIDG. FAMILIES ROOMS
DESCRIPTION OF WORK _
NEW ALTERATION ADDITION
O
REPAIR MOVING DEMOLISH
P. O
SIFT. NO or Z
SIZE WALL �+ t /p�R\OOMS STORIES r
OF
COVERING.';At)(le0 Com) I�(COVERING Vjmo jS a
USE Or BUILDING S l L71 lA P.d.
�1 Q]P lr e!►f r/J ��X7�
I 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE 18 CORRECT ' .`
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION. LOCATION I B ECTOR•-' _ DATE
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FORMS, MATERIALS ��I
SIGNATURE OF ¢ t C -' ' FRAME:BRACING,BOLTS 9,
PERMITTEE ��•� tC r
LATH. INT.
AUTHORIZED AGT. sv-
LATHS EXT.
7GA63BA-3 10-50 $ �/ Q"� P.0.41 Q PLASTER, INT.
FEE �41- PLASTER, EXT.
VALUATION FEE t� .� FINALL`/"� f ~ ` u 'L/