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Home My Public Portal About5436 WELLAND AVE_Building__ �eweseAca#eoee:e. APPLICATION FOR BUILDING PERMIT 1 COUNTY OF LOS ANGELES BUILDING -DEPARTMENT OF COUNTY ENGINEER AD°REss sJ BUILDING AND SAFETY DIVISION LOCALITY ' +. JOHN A.LAMBIE.COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN SUPT OF BUILDING CROSS SP. J7 X9 Ir DISTRICT NO. G UP •IypE R CESSED BY 7ADDRESS. R APPLICANT TO FILL.IN �� CONST. BUILDING STATISTICAL CLASSIFICATION I S WER MAP Rear of 5434 Welland K LOT NO. 6 CLASS.NO. DWELL.UNIT BLOCK B MAP STATE YES go NUMBER HWY. TRACT lO----fig y USE ZONE SPECIAL ra SIZE OF LOT 65X300X81 I NO.OF BLDGS. 1 CONDITIONS __- NOW ON LOT none •USE OF ----- , EXISTING BLDG. --" BUILDING YARD HWY STRE T AME EXIST. SETBACK WIDTH OWNER' -Milton Re AmmX Bracy Jr. FRONT MAILADDRESS 4522 Huddart Street SIDE CITY. El Monte Ivo`'GI 315 S P.L. ARCHITECT ORTEL. SP C O EC ENGINEER none NO. _ADDRESS ' CONTRACTOR Santa Anita Const o AT 79744 _ADDRESS 8717 Las Tunas, San Gabriel DESCRIPTION OF WORK +��_ = -� NEW X ADD ALT REPAIR DEMOLISH SIZE - 1118+400r STORIES FAMILIES 1 USE OF STRUCTURE L SIGNATURE OF 1 APPROVALS y APPLICANT •,•e .. ATE I1lSPE.DR.'.S N TURE ADDRESS. FOUNDATION: LOCATION $ FORMS.MATERIALS pI� // 3 P.C. $ ro FRAME: FIRE STOPS.. J FEE f `_' BRACING,BOLTS VALUATION $ FURNACE: LOCATION. FEE d _ 1 HEREBY ACKNOWLEDGE THAT i HAVE READ T IS AP- LATH,INT. i 1 PLICATION AND STATE THA THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH L COUNTY ORDINANCES AND LATH,EXT. STATE LAWS BUILDI NST RUCTION. SIGNATURE OF HOUSE NUMBER COR- (p D PERMITTE RECT AND POSTED. �1, ADDRESS FINAL CLYDE N.DIRLAM.PRINCIPAL STR RAL ENGINEER PLAN CHECK VALIDATION CIC. M.O. CASH PERMIT VALIDATION CK. M.O. CASH { , 6 9 1 0 u- Oily ` ._p.uo 2 2 3 A 1 9,5 0 M 3 9.0 0 �: . J a . WORKERS'COMPENSATION DECLARATION R of insureherebyy br°afcertif cairm rte of Workers's'Compensat oI have a certificate of n Insurance,to self a4 P P L l��I®I� FOR R BUIL®I IOI G PERMIT or a certified copy thereof(Sec. 3800, Lob. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company ` r /'l ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL INF BUILDING r�36 •OGLE ND A V6/Y u& ADDRESS 7 R S7 ❑ Certified copy is filed with the county building inspec- BUILDING a/ ac/ n /� tion department. ADDRESS J{� GC, 14 P L E e4 :F-120 v Date Applicant CITY L C17 ZIP / LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT s�, .NOW ON OT NERE CROSF BLD(JS. S ST. �� COMPENSATION INSURANCE (This section need not be completed if the permit is for one a ASSESSOR hundred dollars($100)or less.) TRACT ® /� BLOCK LOT NMAP BOOK PAGE42 PARCEL `f TEL. USE ZO E MAP I certify that in the performance of the work for which this OWNER U N0. NO. permit is issued, I shall not employ any person in any manner ADDRESS �j �� SPECIALso as to become subject to the Workers' ompensatio Laws. l CONDITIONS 0 CITY �i J ZIP / 0 Date O Applicant ARCHITECT OR TEL. IX NOTICE TO APPLICANT: If, after making this Certific of DISTRICT GROUP TYPE FIRE PROCESSED BY 0 Exemption, you should become subject to the Workers' ENGINEER NO. r�C/ CONST. ZONE �' V Compensation provisions of the Labor Code, you must forth- ADDRESS a with comply with such provisions or this permit shall be TEL, STATISTICAL CLASSIFICATION `" APT. deemed revoked. CONTRACTOR NO. Z LICENSED CONTRACTORS DECLARATION LIC, CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business and LIC SEWER MAP Professions Code, and my license is in full force and effect. CITY CLASS BK PG I VALIDATION SQ.FT. NO.OF n/� NO.OF CHECK License Number Lic.Class SIZE STORIES f%/� FAMILIESO E ONE VALUATION NEW Contractor Date DESCRIPTION OF WORK /� ADD ® $ 3, 2--0 ❑ I am exempt under Sec. PP 1, ❑ , ALTER B.BP.C. for this reason REPAIR ❑ $ USE OF Date. EXISTING BLDG. DL ❑ Signature APPLICANT TEL. FINAL _QC OWNER-BUILDER DECLARATION PRINT NO. DATE # 0 8 5 b A I hereby affirm that I am exempt from the Contractor's License ADDRESS 0 0 0 0 0 Law for the following reason (Section 7031.5, Business and FI 1 0 1 0 6 1 3 Professions Code): PRESENT BUILDING ' 0 - 106135 ❑ I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and LOCALITY ' ( G06-88 �... the structure is not intended or offered for sale(Section 7044, Business and Professions Code). MOVING TEL. ❑ I, as owner of the property,am exclusively contracting CONTRACTOR NO. J� with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). ROM CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTAL SETBACK LIINEF WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P,L. Lender's Name ''ll �.�y/J/) /J / LDMA Ref. N m Lender's Address m.3,�tea/—�-P'/ P.C. Fee$ Permit Fee GI �i 4J I certify that I have read this application and state that the Issuance Fee 16► , V LDMA P/C N lop g above information is correct. I agree to comply with all County Investigation Fee 7x� $ ordinances and State laws relating to building construction, Total Fee U LDMA Perm. 0 R and hereby authorize representatives of this County to enter upon above- a loned property for Inspection purposes. hk- ��=g SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of AppliEoht or Agent Dote