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HomeMy Public PortalAbout5314 WELLAND AVE_Building__ APPLICATT64 WbF;N U1rLDING PERMIT F0,&APPLICANT TO FILL IN (Print or type only) BUILDING COUNTY OF LOS ANGELES ADDRES 5 19 Well and a DEPARTMENT OF COUNTY ENGINEER CITY Temple City ZIP BUILDING AND SAFETY DIVISION NO.OF SIZE OF LOT 71-x 87 NOW ON LOTS BUILDING J3 ADDRESS 19-10 TRACT 10260 BLOCK LOT No- 32 LOCALITY NEAREST U OWNER T014AS ZAZUETA NOL � CROSS ST. ASSESSOR ADDRESS Same. above MAP BOOK PAGE PARCEL DISTRICT I GROUP TYPE FIRE I PBOCESSOO BY CITY bb. ZIP 'r, O CONST 7�E v ARCHITECT OR TEL. s:�S ENGINEER NO. _ STATISTICAL C..��LASJJSIFICATION WER MAP ADDRESS CLASS NO.-DWELL.UNITS •� P BK/ �C-- CONTRACTOR OwnerNO. JTEL. USE ZONE MAA ` 0 J V LIC. ADDRESS NO. SPECIAL LIC. CONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONSTRUCTION LENDER NAME AND BRANCH Cad. BLDG.SETBACK FROM FRONT PROP.LINE OF (STREET) G ADDRES CITY _ TOTAL SETBACK FROM TYPE OF EXISTING C SQ. FT NO. OF NO. OF CHECK HIGHWAY + YARD - HIGHWAY WIDTH FRONT PROP. LINE � SIZE STORIES FAMILIES ONE C ❑ + 1 DESCRIPTION OF WORKAddition NEW i BLDG.SETBACK FROM c 2- edroom and bath conc• ADD SIDE PROP.LINE OF (STREET) , ALTER ❑ HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF HIGHWAY EWS TING FlloDr,Stucco and As h Sh1 REPAIR❑ SIDE PROP. LINE USE OF + = EXISTING BLDG. Residence DEMOL ❑ APPLICANT TEL �7 CORNER CUTOFF YES ❑ NO ❑ (PRINT) NO.5 1 97 .58 BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ QQ / j l IN COASTAL ZONE YES ❑ NO ❑ VALUATION A .. �(� i- CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THISATION ENVIRONMENTAL AND STATE THAT THE ABOVE 15 CORRECT AND AGRMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORD NANCES AND LAWS REGULATING CON- STRUCTION. I RTIFY THAT IN DOING THE WORRIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WI OT EMPLOY ANY PERSON IN VIOLF THE LABOR CODE 0 THE STATE of CALIFORNIA INNG TO WORKMEN'S OM ENSATION Jj!§ AN E. - SIGNATURE ADDRESS INAL _ BY,TEL. DATECITY NO. P.C. .� PMT.11:1(�t GN!C:I:S YA}'rl!3l_I '!'OrFEE FEECHARVEY T. BRANDY, COUNTY ENR (a J PLAN CHECK VALIDATION CK. M.O. CASH / ERMIT VALIDATION CK. M.O. CASH 1 4 8Ni40V 15 '1 u 116.25 a::6 76A638A CEN803 12/72 APPLICATION FOR COUNTY OF LOS ANGELES ',BUILDING PERMIT DEPARTMENT COUNTY BUILDING AND FETDIVISION ENGINEER BUILDING HADDRE R APPLICANT TO FILL IN ADDRESS v LA/V LOCALITY Or J. " Zip NEAREST CROSS ST. OF BLDGS. ASSESSOR NOWON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE P SED BY O BLOCK L N0.3 2. }-^ y� CONS ZOE E NO. SVS STATISTICAL CLASSIFICATION f - . SEWER MAP ADDRESS 'LASS NO. DWELL.UNITS-------] BK PG 7_ /�' �j�y 'US ONE MAP �yy CITY L Cir ZIP 8 V/ N NO. ARCHITECT OR TEL. tPECIAL CONDITIONS ENGINEER ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONTRACTOR TEL. BLDP.SETBACK FROM NO FROt4T PROP.LINE OF (STREET) LIC. ADDRESS NO. HIGH Y + YARD TOTAL SETBACK FROM TYPE OF HIGHWAY EXISTING WIDTH LIC. FRONT PROP. LINE CITY CLASS _ CONSTRUCTIOR LENDER NAME AND BRANCH a BLDG.SETBACK FROM Q ADDRESS CITY SIDE PROP.LINE OF (STREET) C..) SQ. FT. NO. OF NO. OF CHECK HIGHWAY + YARD = TOTAL SETBAC OM TYPE OF EXISTING Q SIZE STORIES FAMILIES ONE SIDE PROP. LINE IGHWAY WIDTH C~7 + — W DESCRIPT N OF WORK NEW ElC4 ADD ❑ CORNER CUTOFF YES ❑ NO ❑ Z ALTER ❑ oe 5!,0REPAIR❑ IN OPEN SPACE YES ❑ NO ❑ USE EMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING DNG BLDG. APPLICANT TEL (PRINT) NO. BY (SIGNATURE) 73 ^ • ��/r / I HEREBY ACKNOWLEDGE THATC1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY YY// WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- ., STRUC TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY. PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WgRKMEN'S COMPENSAT INSURANCE. PERMITTEE. DIATE -� �s" `4L7 BYIC ADDRESS TEL. P.C. Fee$ Permit Fee CITY NO. Issuance Fee VALUATION Total Fee ,__2 PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. 9 9 7 L DEC 3.1 i 0 2 76AG36A CROB038 12/75 APPLICATION FOR BUILDING PERMIT FO .AP;P�;ICANT TO FILL IN (Print or type only) Bull INc • COUNTY OF LOS ANGELES ADDRESS �1" i=���/�r� DEPARTMENT OF COUNTY ENGINEER - CITY �, /Y — zIP 471"-?j"9 BUILDING AND AFETY DIVISION ,,-r NO.OF BLDGS. BUILDING SIZE OF LOT S s NOW ON L//O��T � ADDRESS �• TRACT '� /0 BLOCK LOOT O 2_ LOCALITY / TEL NEAREST OWNER /L�/ V" NO. �'r�' CROSS ST. ASSESSOR ADDRESS (�f 11 `Citi`.-J iw MAP BOOK PAGE PARCEL _ �y p- DISTRICT GROUP TYPE FIRE SSED BY .CITY leXe C,` ZIP rl7 d �^D� CONST ZONE ARCHITEC ORIlTEL. J r ENGINEER g!j Y' NO, STATISTICAL CLIFICATION SEWER MAP ADDRESS CLASS NO DWELL.UNITS / BK//) BC_ CONTRACTOR N0. USE ZONE MAP LIC. NO. ADDRESS NO. SPECIAL LIC. CONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONSTRUCTION LENDER NAME AND BRANCH d B G.SETBACK FROM F NT PROP.LINE OF (STREET) c ADDRESS CITY - TOTAL SETBACK FROM TYPE OF EXISTING C SQ. FT. NO. OF NO. OF CHECK HIG AY + YARD - FRONT PROP. LINE HIGHWAY WIDTH SIZE •Q STORIES FAMILIES ONE DES' RI PTION OF WORK 6,V14 br�y,.'it NEW 1-1V - ADD BLDG.SETBACK FROM (SeDi La. GIC, fL'Lei� SIDE PROP.LINT - TREET) _ ALTER ❑ HIGHWAY + YARD -_ TOTAL SETBACK FROM TYPE EXISTING r' J�^+�•' -D62A + SIDE PROP. LINE HIGHWAYWIDTH USE` ® REPAIR❑ EXISOT NG BLDG. �S j. � DEMOL ❑ + APPLICANT. TEL CORNER CUTOFF YES ❑ NO ❑ IN OPEN SPACE YES ❑ NO ❑ BY (SIGNATURE) r •6 � - QQ IN COASTAL ZONE YES ❑ NO ❑ VALUATION A y7�L�CJ CATEGORICAL EXEMPTION YES❑ NO ❑ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT. EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. IC THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED --:.(DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING To 77jj WORKMEN'S COMPENSATION INSURANCE. SIGNATURE OFtE „_Q 0 "? PERMITTEE ADDRESS Gv � TEL J DATE nI BYr� CITY ✓+i r'/ ' NO. Vr F2:1r�E (: 1L''(:tiS P:1}'rl/3LC TO: FEE /�/L MT. FEE 11 PP HARVEY T. BRANDT. COUNTY ENGINEER (((J/I �+ .�]� PLAN CHECK VALIDATION CK. M.O. CASH PERMITV LDATION CKr_ O. CASH 76A638A CE#803 12/72 i.BA698A DBS-9 12-54 ' APPLICATION FOR', BUILDING PERMIT 1, DMSION-OF BUILDING AND SAFETY BUILDING Department of County Engineer ADDRESS County of TAS Angeles LOCALITY WM.J. FOX, COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICTO. GROUP. SEWER MAP FOR, APPLICANT TO FILL IN I TYPE BK PG BUILDING CONST. ADDRESS 5M,9 Welland AVE, MAP �/ 11 0 STATE YE!C NO 77 Lot !f HWY LOT NO.N 1 ft ®f Lot # 32 . ._ , BLOCK USE ZONE SPECIAL. 9 - CONDITIONS " TRACT 10260 /q —r SIZE OF LOT 711 X 884 I NO. OF BLDGS. I/ NOW O.N LOT BUILDING YARDHWY STREET NAME EXIST. USE OF 7� SETBACK �WIDT�H" EXISTING BLDG. - Dwelling FRONT P. L. OWNER Helen Ra in SIDE MAIL Welland AV4 P. L. ADDRESS tR TEL 1 DWELL. I UNIT 5 INDUSTRIAL CITY, L 0212 O3'�1T NO,NOZI@ 2 DUPLEX_UNIT 6 PUBLIC BLD ARCHITECT OR TEL. ENGINEER NO. 3 APT. UNITS 7 ADDN.,AL TC. ADDRESS 1� p,� J,p� 4 COMMERCIAL MISCEL, CONTRACTOIzIQarshall BuildersMOL 5i°18`�fG7V INSPECTION RECORD ADDRESS g51 Ne LS Qi@riEEt3 BlVd,. LA s DESCRIPTION OF WORK eO r r NEW JC ADD ALTER REPAIR DEMOLISH " SQ. FT. NO. OF q NO.OF SIZE 0 STORIES FAMILIES USE OF STRUCTURE — [ Garage SIGNATURE A APPLICANT +�ubIder� ! APPROVALS ADDRESS t,A DATE INSPECTOR'S SIGNATURE FOUNDATION:LOCATION S Q P.C. S FORMS, MATERIALS ��bb O � FEE F13AME: FIRE STOPS. _ VALUATION 5 RACING,BOLTS FEE 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. INT. AND STATE LAWS REGULATING BUILDING CONSTRUC. TION. LATH,EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE Bl y RECT AND POSTED 9 ADDRESSN La MenaBlv(1 LA 4& FINAL -W S Vii. J. FOX.'COUNTY ENGINEER - VALIDATION BY .. ACO ZV1 5—Ln AUG 29 1 6.0-0 to DEPUTY DEPUTY BY BY 01 ® DEPUTY J / DEPUTY MA636A D55.3 12.54 ' APPLICATION FOR BUILDING- PERMIT ]. DIVISION OF-BUILDING AND SAFETY BUILDING q ��- ` Deportment Of County Engineer ADDRESS 7 _ County of Los Angeles LOCALITY I it"I ` t£ WM.J. FOX, COUNTY ENGINEER CASSATT D.GRIFFIN, SUPT OF BUILDING NEAREST Fla-e- e v- CROSS ST. DIST CT NO. GROUP .�� SEWER MAP FOR APPLICANT TO FILL• TYPE- Ay, BK PG BUILDING Q CONST:T ADDR02, ESS �� 7 ��I k /X/I•� MAP 0�;�(� STATE NO �/ NUMBER HWY LOT NO. /y6 s 32 BLOCK USE ZONE SPECIAL -CONDITIONS r TRACT JD•�-I0 - - — f }. rNO.OF BLDGS. r, SIZE OF LOT I NOW ON LOT BUILDING YARD HWY STREET NAME EXIST. USE.OF SETBACK WIDTH EXISTING BLDG. (�ial/1 �'r,L^Oi FRONT P. L. OWNER SIDE MAIL ADDRESS, �7 TEL. t DWELL. I UNIT 5 INDUSTRIAL CITY XJitii NO. 2 DUPLEX UNIT— 6 PUBLIC BLDG. ARCHITECT R TEL. ENGINEER NO. 3 APT. UNITS 7 ADDN:,ALT., ETC. ADDRESS 4 COMMERCIAL 8 MISCEL. 1eI'.6LE CONTRACTOR a[4�.S s4� TEL g' 7 INSPECTION RECORD ADDRESS �, �CZA �i•� ct1�. �i t; r - DESCRIPTION OF WORK NEW /--ADD ALTER REPAIR DEMOLISH - SO. FT. .� / NO. OF NO. OF SIZE �GG�y STORIES LFAMILIES ���/ f USE c(7 e _.1fr NV SIGNATURE 0 ,7 4 APPLICANT -G- � APPROVALS ADDRESS eZ(�tLGd f DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION P. C. S FORMS, MATERIALS FEE FRAME: FIRE STOPS, VALUATION S/®C BRACING, BOLTS FEE '� FURNACE: LOCATION, GAS VENT, DUCTS' 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS 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. LATH, EXT. SIGNATURE OFsfry HOSE NUMBER COR- PERMITTEE , ��y , Y✓ REUCT AND POSTED ADDRESS-- �� FINAL WM. J. FOX. COU14TY ENGINEER VALIDATION BY V7 5 5S MAY 16. 1. 6.0'0 �. DEPUTY - 'DEPUTY BY BY DEPUTY V �EPU�Y-_