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-_