HomeMy Public PortalAbout5445 WELLAND AVE_Building__ 76AS88A CE#8081-62 APPLICATION FOR-BUILDING PERM(
COUNTY OF LOS ANGELES ,-BUILDING
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN,SUIP'T OF BUILDING CROSS ST.
DIST ICT NO. GROUP TYPE ESSED BY
FOR APPLICANT TO FILL IN CONST.
BUILDING. STATISTICAL CLASSIFICATION WER MAP
ADDRESSSqSt. A A., _L] K PG
CLASS.NO. DWELL.UNITS
LOT NO. BLOCK WATER' NOT REQUIRED ❑ RECEIVED El
TRACT / MAP HtGHwnY STATE MAJOR SECOND, C
NO.OF BLDGS. NO. (CIRCLE)
SIZE OF LOT NOW ON LOT USE-ZONE SPECIAL
USE w CONDITIONS
EXISTING BLDG. -
L.
OWNER BUILDING YARD HWY STR AME EXIST.
SETBACK WIDTH
ADDRESS ` FRONT
ARCHITECT OR TEL. P. L.
ENGINEER NO. SIDE
ADDRESS
CONTRACTO tj Q Q Of
ADDRESS Za.-L9,o ac
ILA
DESCRIPTION OF WORK
O
NE ADD ALTER REPAIR DEMOLISH v
L
SIZE J� STORIES FAMILIES/
USEo
STRUCTURE
SIGNATURE
!FA
VALUATION$
APPROVALS A ATURE
�i PMT. FOUNDATION: LOCATION
FEE $ . FEE $ FORMS, 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. 1 CERTIFY THAT IN DOING THE WORK -
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA-
TION OF THE LABOR CODE OF THE STATE OF CALI ORNIA RELAT-
ING TO WORKMEN' OMPENSATION INSURANCE. .LATH,EXT.
SIGNATURE OF HOUSE NUMBER COR.
PERMITTEE RECT AND POSTED
ADDRESS [FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATIONO M.D. CASH PERBUT VALIDATION CK. M.O. CASH
JACO 4 2 1 O'N.-D MAY j 2 3 D 2 5.O G A
_JA�
76AG38A CE x8032-63 APPLICATION FOR BUILDING PERMIT . ; ;ry• '
COUNTY OF LOS 'ANGELES BUILDING i
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST (�
WILLIAM A.JENSEN. SUPT OF BUILDING CROSS ST. J074J
DISTRICT NO. I GROUP TYPE PR BY
FOR APPLICANT TO FILL IN CONST.
BUILDING '� ,.. n STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS ` BK
GLASS. NO. DWELL.UNITS
LOT NO.
BLOCK WATER
CERTIFICATE:I F 1 GATE: NOT REQUIRED ❑ RECEIVED
{
TRACT / D MAP e /� HIGHWAYNO.OF BLDGSTATE MAJOR SECOND,LOCAL
SIZE OF LOT `� .2/p NOW ON LOTS NO. SP (CIRCLE)
USE ZONE SPECIAL
USE OF ) / CONDITIONS
EXISTING BLDG. / 9"
A&dATEL
OWNERB. NO BUILDING YARD •HWY STREET NAME EXIST.
SETBACK WIDTH
ADDRESS FRONT 0 El
i'
ARCHITECT OR TEL. P. L. /-
ENGINEER NO. SIDE
,P. L.
ADDRESS I a
TEL 0
CONTRACTOR A_, NO a r
ADDRESS 91Z �At.r,O..
. O
DESCRIPTION OF WORK v
• W
a
NEW ADD ALTER REPAIR DEMOLISH co
Z
SQ.FT. //� -�. NO.OF NO.OF Y �'
SIZE / . A STORIES I FAMILIES
USE OF
STRUCTU§g • JAP
1/
SIGNATURE OF -PAP- 614
pAJ e� :!f9Gw tr4
APPLICANT
VALUATION $ ^'30 / 3� r�
APPROVALS ;DATE INSPECT�'S SIGNATUISE
��+ (� $ 0� FOUNDATION: LOCATION 17 / •y { te r /�''
FEE $ o 4 FEE PMT. �( FORMS, MATERIALS
FRAME: FIRE STOPS. f I h Y
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP LIGATION BRACING. BOLTS 121-13-61
AND
2- 3-
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, aa
WITH ALL COUNTY ORDINANCES AND STATF. LAWS REGULATING GAS VENT. DUCTS 3 F�
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK /t
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFO IIA RELAT.
1 GTO WORKMEN'S PENSATION 1 SURANCE. LATH, EXT. f ,•�
IGNATURE OFF. HOUSE NUMBER COR- f
PERMITTEE. RECT AND POSTED 1 .R ?
ADDRESS FINAL I�_1 q, � y y U
JOHN F. LEWIS. PRINCIPAL STRU URAL ENGINEER.
PLAN CHECK VALIDATIONcK. M.O. CASH _ PERMIT VALIDATION r CK. M.O. CASH
9�wo 6 8 5 2 JUL 1 2 3 D 2 5.0 0'
�,,-Go 7,6 4 0`Z2 JUL 2'2 1 D 05 7 0 0
WORKERS' COMPENSATION DECLARATION
hereby affirm that I have certificate of consewdo,self#
insure, or a certificate of Workers' Compensation Insurance, I APPLICATION FOR BUILDING PERMIT
or a certified copy thereof(Sec. 3800, Lob. C COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No ompany '1?J11411
BUILDNG
ElCertifiedcopy is hereby furnished. /—/-?2- FOR APPLICANT TO FILL IN ADDRESS Cdr ,yrc
❑ Certified copy is filed with the county building inspec- i BUILDING gA/ �
, tion department. ADDRESS
� �
Datb�/ Applica CIN "`" ZIP LOCALITY
NO.OF BLDGS. NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST.
COMPENSATION INSURANCE ASSESSOR
(This section need not be completed if the permit is for one I TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL
hundred dollars ($100)or less.) TEL USE ZONE MAP �/
OWNER O• NO. At27 7
I certify that in the performance of the work for which this
permit is issued, I shall not employ any person in any manner ADDRESS ys '� CONDITIONS a
so as to become subject to the Workers'Compensation Laws. OO
CIN ZIP
Date Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY 0
NOTICE TO APPLICANT: If, after making this Certificate of i ENGINEER NO. CONST. ZONE o
Exemption, you should become subject to the Workers' i yy��
1, V
Compensation provisions of the Labor Code, you must forth_ ADDRESS •U a
with comply with such provisions or this permit shall be STATISTICAL CLASSIFICATION APT. CONDO. Z
deemed revoked. CONTRACTOR
LICENSED CONTRACTORS DECLARATION LIC. a CLASS NO. DWELL. UNITS
—
LICENSED
hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS /�'�ir,TlO'�/S-$77j SEWER MAP
(commencing with Section 7000)of Division 3 of the Business LIC. C_
and Professions Co e,and my license is in full force and effect. CI CLASS "3 BK. PG. VALIDATION
SQ. FT. NO. OF l NO. OF CHECK
License Number 5'5 `f 22 Lic. Class C- 3 SIZE STORIES FAMILIES ONE
LZ
VALUATION _
DESCRIPTION OF WORK �`y NEW ❑ J
Contractor I D ❑ $
❑I am exempt Adler Sec. ,
ALTER ❑
W.C. for th' r son 30P I REPAIR ❑ $
Date:
UNE F IF
EXISTING BLDG. DEMOL ❑
Signature APPLICANT TEL. FINAL
OWNER-BUILDER DECLARATION (PRINT) NO.
I hereby off that I am exempt from the Contractor's License DATE
ff
Law for the following reason (Section 7031.5, Business and ADDRESS FINAL
Professions Code): PRESENT By _
❑ 1, as owner of the property, or m employees with BUILDING
P P Y� YADDRESS
wages as their sole compensation,will do the work and - -,
the structure is not intended or offered for sale(Section LOCALITY ® Lu1-'! �'A2 41-'
7044, Business and Professions Code.) MOVING TEL.
❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO.
with licensed contractors to construct the project (Sec- ADDRESS 1 Fti 602-00
tion 7044, Business and Professions Code.) •. _n r
CONSTRUCTION LENDING AGENCY REQUIRED BACK YARD HWY TOTAL PREOTP ACNE FROM WIDTH � t�. i,.4
I hereby affirm that there is a construction lending agency for FRONT CHANGE
the performance of the work for which this permit is issued P.L.
(Sec. 3097, Civ. C.). SIDE
P.L.
Lender's Name 0-7100-000
i
LDMA Ref. # �i
P.C. Fee$ Permit Fee B'� , i:,:JT3 111 i n I1 c
Lender's Address �6
I certify that I have read this application and state that the Issuance Fee / LDMA P/C#
above information is correct. I agree to comply with all County Investigation Fee c/ "
ordinances and State laws relating to building construction, Total Fee O LDMA Perm. #
and hereby authorize representatives of this County to enter
z upon the above-mentioned property for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant or Agent Date
I
i
COUNTY OF LOS ANGELES + TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS ' 9701 LAS TUNAS C ALTERATION/REPAI•Rr
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 .,BL 0508 9911160028
PHONE: (626) 285-0488 EXT:
LEGAL ID: - -- - NO. OF CONST - - II--DI.NG-ADDRESS:-
TR: 10260 LT: 20 UN: -002 SQ. FT STORIES TYPE F445 WELIAND AV
STRUCTURE: 0 VN TEMP CA 917.80351.0
ASSESSOR I FORM TIO NUMBER: NEAREST-CROSS STREET: FREER
8573-016-041 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY
EXIST BLDG USE: RESID URE ZONE: R---Z ISSUED -—PROCESSED BY: EXPIRES ON:
- -- _ - - EXIST OCC GRP: _— 11/16/99 UT 05/14/00
OWNER: TEL. NO: BLCGS. NOW ON LOT: VALUATION FINAL DATE FINAL B CODE.
ADEVOSO CARLITO C;ELIZABETH - 1 2,500 MA ,/�
5445 WELLAND AV _ _ 66 6 ql
TEMP 917803510 — FELS ID__ DESCRIPTION OF WORK
SECURITY BARS & 2 RELEASE BAR 0 8 EXISTING WINDOWS
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
UNITED REMODELING (818) 753-2044- AA BLDG PERMIT ISSUANCE 27.75
5437 LAUREL CYN. BL. AC STRONG MOTION RESM2500.00 VAL 0.50 SPECIAL CONDITIONS:
NO. HOLLYWOOD, CA D2 PERMIT W/ EN!lfi'-®SOAF�.00 VAL 99.00
GELES ® 127.25
CONTRACTOR: TEL. NO: OCJ ��/,. APPROVALS DATE INSPECTOR SIGNATURE
UNITED REMODELING (818) 753-2044-
5437 LAUREL CYN BLVD. LIC. NO LOCATION AND SETBACKS
NORTH HOLLYWOOD, CA 91607 647338B
SOILS ENGINEER APPROVAL
ARCTIITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. NO / 1111111 SLAB/U DER FLOOR
L
RAISED-FLOOR FRAMING
f—
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: TR0-1
UNDERFLOOR INSULATION
147H277 3 %5 MBORM WGU iK S
lS FLOOR SHEATHI G
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLAS
I
NO 21 -. ROOF SHEATHING
f'8m,
SCHOOL WITHIN HAZARDOUS t+. SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS ! ❑ j
NO NO NO El �; FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST4�� 0 FIRE SPRINKLER HANGERS
FRONT
SET ACK YARD: HWY: PROP LINE: WIDTH: �C �+�PVIC e,���� INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED LOO /CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508