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Home My Public Portal About5322 WELLAND AVE_Building__ 'f6&38 -6EtiRB034"APPLICATION FOR BUILDING PE4RMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING-3=� MAKE CHECKS PAYABLE TO: ADDRESS 11. HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN NEAREST Print or tyge oni CROSS ST. �� DISTRIIC�T NO. GROUP TYPE PR CESS D B BUILDING Q CONST ADDRESS ��/brh Lf�i !� ► O o STATISTICAL CLASSIFICATIONSEWER M P bT NO. BLOCK CLASS NO.A2_L_DWELL.UNITSj_'' BK r7PG//L TRACT UZONE MAP �1 NO.OF BLDGS. NO. SIZE OF LOT lPe 0140? NOW ON LOT .-Z SPECIAL USE OF CONDITIONS EXISTING BLDG. ��/��'a TEL OWNER/y.7 r ' NO.. BLDG.SETBACK FROM ADDRESS � FRONT PROP.LINE OF (STREET) iC/ye TYPE OF EXISTING SETBACK HIGHWAY -I• YARD = TOTAL CITY HIGHWAY WIDTH FROM C.L. ENGINEER NOD ARCHITECT OR O / L ., ozo r ` > ' D + 02-.1902-.19/? BLDG.SETBACK FROM a ADDRESS fF.? . SIDE PROP.LINE OF (STREET) C /ai� /j �>)) /fir C TEL ! �� TYPE OF EXISTING SETBACK HIGHWAY f YARD = TOTAL Ch CONTRACTOR,0&2" �Ohdl/ NO. 9 v HIGHWAY WIDTH FROM C.L. = ADDRESS d9 Al. / a ! NO./t + 4LL a CITY CLASS CORNER CUTOFF YES ❑ NO ❑ 2 CONSTRUCTION LENDER /-b��.>fS;� S07d�r.s�f NAME AND BRANCH � 2 cgjSEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS,7 j P-1,/Via;,? J!� ZAJ1 r .1 75 SQ. FT , NO. OF N OF NEW SIZE /4d V,0 STORIES FAMILIES USE OF y ADD ❑ MA STRUCTURE @Jeae G ALTER ❑ � `! ?, REPAIR❑ SIGNATURE O ' APPLICANT DEMOL ❑ VALUATION S � QAD• r"�` APPROVALS . c7 AT 1Ns ECTOR'S 510NA TU RE FEE 5 ..Rob FEE S 7. y'n rOFORMS(MATER ALS LOCATION FRAME: RE FISTOPS, t, -7 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS _ LL�r AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. O _7 g/• LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO WORKMEN'S COMP iSATION IOURANCE. LATH, EXT. Q SIGNATURE O y HOUSE NUMBER COR- PERM ITTEE RECT AND POSTED ^' ADDRESS !d y FINAL �J,7 /! f /!�(j��je.-y� PLAN CHECK VALIDATION �CK'. CASH PERMIT VA TION CK. M.O. CASH gf1„ 076473 ;R26 z-; D 19620A � 1('„ 1 6 5 173 JUn111 7_ D 3 2 7.0 0-4 v �76A636A CE #603 4/72 FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING MAKE CHECKS PAYABLE TO: ADDRESS �T 3-Z2- HARVEY -HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. Print ort a onl BUILDING // A DISTRICT NO.— GROUP TYPE RO EASE BY ADDRESS672 2 E3/ d�.�7 LY 6j`p ` c v•Qa CONST. STATISTICAL CLASSIFICATION SEWER MAP LOT NO. BLOCK CLASS NO.-I-3--DWELL.UNITS BK/r—PC// TRACT - USE ZONE MAP NO.OF BLDGS. NO. SIZE OF LOT NOW ON LOT �� SPECIAL USE OF a �� .7a (((�J�� CONDITIONS EXISTING BLDG. g� OWNER �j ��' NOLO BLDG.SETBACK FROM ADDRESS,/o �/ FRONT PROP.LINE OF (STREET) r i e/-,6" TYPE OF EXISTING SETBACK HIGHWAY -F YARD = TOTAL CITY ,:� 9�� IGHWAY WIDTH FROMG.L. ARCHITECT AR TEL { .�J Q �j • _ E��r�,.,OOe d /Ae@C N0.4� /"/�Pr D BLDG. BACK FROM CL ADDRESS 4"g� J :E;� SIDE PROP. (STREET) TELTYPE OF EXISTING SETBACK + YARD = TOTAL cm CONTRACTOR _ & jj f- NO., yL , HIGHWAY WIDTH FROM C.L. C LIC ADDRESS_;U J if p . NO.*,2%7 + G c LIC. Z CITY �D�t- �/J,I� CLASS CORNER CUTOFF YES ❑ NO CONSTRUCTION LENDE po ?'dl,Pf✓e 5opd,i/y NAME AND BRANCH L SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS /,2/`&lI d,J/7 • . 17a T SQ. FT. NO. OF NO OF NEW Q SIZE STORIES FAMILIES USE OF ADD ❑ STRUCTURE ALTER ❑ SIGNATURE O p REPAIR❑ APPLICANT i DEMOL IK VALUATION$ a�Q�a d APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE$ FEE$ FORMS, MATERIALS FRAME: FIRE STOPS, I 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 ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. - LABOR CODE OF THE STATE OF -CALIFORNIA IN RELA ING TO WORKMEN'S COMPENSATION IN URANCE. LATH, EXT. SIGNATURE O r HOUSE NUMBER COR- PERMITTEE RECT AND POSTED 42 ADDRESS d• / hGH L-e v t�. FINAL PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH ( ', G 7 6 5713 ASR 2 1 .00- '7 r - APPLICATION FOR BUILDING PERMIT � COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION BUILDING ADORESFOR APPLICANT TO FILL IN BUILDING ADORESs�.3� �ELG/4nl� S I hereby affirm that I have a certificate of consent to self Insure, QJ::W or a certificate of Workers'Compensation Insurance,or a certified CI ZIP copy thereof(Sec.380.Lab.C.) Policy No. I& 9O--?JQ Company S%ATE�d/�� LOCALITY SIZE OF LOT NO.OF BLDGS.NOW ON LOT Certified copy Is hereby furnished. TRACT BLOCK LOT NO. NEAREST CROSS ST. Certified copy is filed 4WLh the county building inspection department. USE ZONE MAP NO. Date Appllcant 9 Vi*A ASSESSOR MAP BOOK PAZ.9 PARCEL f7/ 9 �/� �� SPECIAL CONDITIONS CERTIFICATE OF EX 'I IPTION FR DM WORKERS' owNER�/C°/+f.4Rb SI,CE1 TELL��S YES No COMPENSATION INSURANCE G WITHIN toxo FT.OF SCHOOL? ADDREss� (This section need not be completed if the permit is for one hundred /E!l7i�L e� /Ty DISTRICT GROUP TYPE CONST.' FIRE ZO PROC ED BY dollars($100)or less.) CITY c— ZIP TEL /L/�� ` �B I certify that In the performance of the work for which this permit v ��2 W�Ly� /�,d'v iL'lI �$ Is issued, I shall not employ any person In any manner so as to ARCHITECT OR ENGINEER TEL NO. become subject to the WOrkere Compensation Laws. STATISTICAL CLASSIFICATION APT eONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of CTOR TEL NO. REQUIRED TOTAL SETBACK FROM EXIST CONTF4Exemption, you should become subject to the Workers' 1- SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code,you must forthwith E�iV�4NJE2 yid 4i &50- 47.r4FRONT comply with such provisions or this permit shall be deemed revoked. 9ZADDR LIC.NO. PL SIDE LICENSED CONTRACTORS DECLARATION cl ' LI A LLASSS P L CD I hereby affirm that I am licensed under provisions of Chapter 9 G G a;, �i�• 3 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORES NO.OF FAMILIES OC Professions Code,and my license is in full force and effect. I NEW ❑ BK PG ® R DESCRIPTION OF WORK ADD ❑ 63 License Number Lia Class VALUATION 00 a Contractor Date TF.ttiZ-OFF Gxrs,1^1�1(,' �prl�8 ALTER ❑ � xgoo — Z ❑ IamexemptunderSec. //��O�� SI•(eur"mag- - (2001- w/fto REPAIR BAP.C.for this reason W 64;. %I41,'-1 .LCS• DEMOL ❑ Date: USE OF EXISTING BLDG. URM LDMA P/C IL Ela Signature APPL ICANT(PRIM A TEL NO. 47r� LDMA Perm N 1 ❑ I,as owner of the property, or my employees with wages as Y 1 O IL C�E1Z+11r�lnla�LL .250^ z ks- 0 ;�4!-T=v their sole compensation,will do the work and the structure Is ADDR p V ,II not intended or offered for sale (Section 7044, Business and «�3 l�*�-1-\l�aV �L Yom` t 91,V FlNAI DATE Q �� += Professions Code.) WILLTHEAPPLICANT OR FUTURE BUILDING OCCUPANT HANDLEA HAZARDOUS MATERIAL 0 1 ITEM ❑ I, as owner of theproperty, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN A Y 9 THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL tt4 licensed contractors to construct the project (Section 7044, YES❑ NO❑ TOTAL 7 0 Q 3131 Business and Professions Code.) WILL THE INTENDED USE THE BUILDING BY THE APPLICANT OR FUTURE BUILDING CHECK�}� (7 0 o 38 OCCUPANT REAUIREA PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THESOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST r�/ �`r— r FOR GUIDELINES. C EMAIL .0D ILK I hereby affirm that there is a construction lending agency for YES❑ NO❑ the performance of the work for which this permit is Issued(Sec. 1 HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD 3097,CIV.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LAS ANGELES '} '1' COUNTY CODE.TITLE2,CHAPTER 2.20 SECTIONS 2.20.100THROUGH 2MI40 CONCERNING 1,11111,13-0).,01 3! 71'50 Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. 9367 1 AN 9:2:_: L Lender's OWNMORAGMT 0 1 certify that I have read this application and state that the above P.C.FEE PERMIT FEE Information is correct. I agree to comply with all county j, ordinances and State laws relating to building construction,and hereby authorize representatives of this County to enter upon ISSUANCE FEE m p party for InspBction purposes. 1 n �IG9�ra•ir1r�ZZ �'.-�.9� INVESTIGATION FEE TOTAL FE 6mMPaAc l Deo SEE REVERSE FOR EXPLANATORY LANGUAGE APPLICATION ®R BUILDING PERMIT �1 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, BUILD; G ADDRE or a certificate of Workers'Compensation Insurance,or a certified copy thereof Sec.MIX). b.C.) IUD� CI C i �� ZIP9 917910 LOCAL; Policy No. Company ,f FU SIZE OF LOT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CR SS ST Certified copy is filed with the county building inspection TRACT 2 BLOCK LOT NO. department ,(� 1 USE ZONE MAP NO. . Date Applicant AWMCRMoP BOOK AS720 PARCEL SPECIAL CONDITIONS EL NO. CERTIFICATE OF EIIEkl7PTION FROklI WlORKERS' OW C!� �' T Z PI 4 WITHIN 1000 FT OF SCHOOL? YES NO COMPENSATION INSURANCE ADDRESS (This section need not be completed if the permit is for one hundred S—rr*C DISTRICT GROUP TYPE CONST' FIRE ZON OCESPED BY I e tify that or less.) p CITY zIP 56y 9J3I certi that in the erformance of the work for which this ermit Is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION A 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' CO OR EL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code,you must forthwith u0c 0" Vi4/-Zz71 comply with such provisions or this permit shall be deemed revoked. / C p0� ADDR �[I/ �� ®�►�/7��0 I N9. PL SIDE LICENSED CONTRACTORS DECLARATION CITY w n w LIC.CLASS PL p I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP V (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORES NO.OF FAMILIES NEW Professions Code,and my license is in full force and ct. & BK PG License Number Uc.Class DESCRIPTION OF WORK ADD ❑ VALUATION ® 13- Cont rector��►u�� Date�'ge gt�G,� ® 004-7-7 C7 REPAIR E]ALTER 11,W- ❑ I am exempt under Sec. ��! BARC.for this reason DEMOL ❑ LDMA PIC M Date: USE OF EXISTING BLDG. URM ❑ Signature APPLICANT(PRINT) TEL.NO. LDMA Perm# ❑ 1,as owner of the property, or my emO employees with wages as ACCT.v their sole compensation,will do the work and the structure is ADDRESS 1, not intended or offered for sale (Section 7044, Business and FINAL A < 3307 912XV. Professions Code. _ WILLTHEAPPLICANT OR FUTURE BUILDING OCCUPANT HANDLEA HAZARDOUS MATERIAL T OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN 1 1 i EI'L ❑ 1, as Owner tr the property, ru exclusively contracting with THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL licensed contractors to construct the project (Section 7044, -�I�-��` �, Business and Professions Code.) YES❑ NO❑ 92 00 WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REOUIREA PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THESOUTH f•l��(�1\ ��La).als CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. in�+HAING a CC; I hereby affirm that there is a construction lending agency for YES❑ No 11 the performance of the work for which this permit is Issued(Sec. 'PERMITTING READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD 3097,CIV.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELESCOUNTY CODE _ i J Lender's Name HAZARDOUSMATERIALSREPORTTICHAPTER NGANDFOROBTAINNGAPERMI220.140 ROM THE SCAQMD. 1300�-I,�I—I2y 6+ 4/90 Lenders Address 1078 1 AN 7 o a amen on AOEIar 0 1 certify that I have read this application and state that the above FC-1 FEE PERMIT FEE Information is correct. I agree to comply with all county o— re and State laws relating to building construction,and q `� hereby orize representatives of this County to enter upon ISSUANCE FEE thea mentioned property for Inspection puoses. 13i m INVESTIGATION FEE TOTAL FEE r JVD SEE REVERSE FOR EXPLANATORY LANGUAGE