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Home My Public Portal About5547 WELLAND AVE_Building__ DING . ADDRESS �, lL.. C. APPLICATION i LOCALITY NEAREST 1 DIVISION OF BUILDING AND SAFETY CROSS ST 1 Department of County Engineer DISTRIC O. RECEIPT NO. PERMI�NO. County of Los Angeles ' ( 6 ,.JVop WM. J. FOX, COUNTY ENGINEER DATE RECEIVED DATE ISSUED CASSATT D. GRIFFIN, SUPIT OF BUILDING 7 j FOR APPLICANT TO FILL. IN i. TYPE CONST.' RECEIVED BY - ISS D BYJ, OWNER I If� � A MAP MAIL NUMBER STA oG•D . D ,TYE YES NO ADDR S USE ZONE SPECIAL ()j TE - J. CONDITION13 CITY v� NO. (/ 0 ARCHITECT OR TEL. 'D 0 ENGINEER NO. BUILDINGYARD HWY STREET-NAME EXIST. SETBACK _d WIDTH ADORES' FRONTTEL CONTRACTOR NO." • P. i�-� i •T P.L. ADDRESS BUILDING .�� i DATE CORRECTIONS 'INSPECTOR ADDRESS LOT NO. /�� BLOCK TRACT /Q � (p SIZE OF LOT ' 1/X�!..J�_�jV� 40 I NOW ON LOT usEor B� F_XISTING BLDG. I�✓(oF!{.. .l tel.{_rl~�� ' DESCRIPTION OF WORK (� G NEW ADD ALTER REPAIR DEMOLISH Z FTv 3. NO.OF NO.OF r SIZE IJ 'TORIES FAMILIES _ USE OF STRU URE NO.OF EMPLOYEES I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IS APPROVALS INSPECTORPS SIGNATURE DATE CORRECT. 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION AND STATE LAWS REGULATING BUILDING CONSTRUCTION._ FORMS,MATERIALS FRAME: FIRE STOPS. SIGNATURE OF BRACING.BOLTS "✓' 6/}JLA.:i.ri.s� .� PERMITTEV FURNACE: LOCATION, / ♦r .V1 GA'VENT,DUCTS ADDRESS )AJ jtjAe4�, •— LATH, INT. AUTHORIZED AST. LATH, EXT. $ P.C.$ HOUSE NUMBER COR= ��. FEE RECTAND POSTED A w VALUATION FEE !s FINAL /f/vf� - 76A M DBS 3 Ob 5-54 z -5338Ao--: APPLICATION FOR SUILDI G PERMIT =� DIVISION OF B=DING AND SAFETY ABUILDING DDRESS , ' /lr, Department of County Engineer County of Los Angeles LOCALITY C JOHN A.LAMBIE,-COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT of BUILDING CROSS ST. FOR APPLICANT. TO FILL IN DISTRICT NO. GROUP SEWER ,MAP TYPE p CONST. / BUILDING//,, / STATEMAP ADDRESSb-/ /� �J�( �✓` ( NUMBER V �� HWY. N LOT NO. r BLOCK USE ZONE SPECIAL CONDITIONS _ TRACT �j �j NO:OF BLDGS: . a SIZE OF LOT. /' / I NOW ON LOT B ILDING YARD HWY STREET NAME EXIST. .USE OF ( SETBACK WIDTH EXISTING BLDG. I(-C�, FRONT P.L. OWNERSIDE MAILL_ P. L. ADDRES 5 6 — �� O TRACT DWELL. I UNIT TEL 5 INDUSTRIAL CITY NO. 1 DWELL. I UNIT 6 PUBLIC BLDG. ARCHITECT 0% T EL. 2 DUPLEX 2 UNITS ADDN.,ALT., ETC. ENGINEER NO. 3 -APT. UNITS o M ISCEL. ADDRESS 4 COMMERCIAL TEL. r CONTRACTOR NO. INSPECTION RECORD ADDRESS DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ.FI. %J O.OF NO.OF SIZE / STORIES FAMILIES USE'OF STRUCTURE t SIGNATURE OF APPLICANT APPROVALS .r ADDRESS , G3/V�Aa DATE INSPECTORS SIGNATURE FOUNDATION:LOCATION J $ Q efi� FEE $ FORMS,MATERIALS' '� ,• ./[!!/!/Flr , l FRAME: FIRE STOPS. VALUATION $ / '(,� BRACING.BOLTS /� / IA FEE . l tr FURNACE: LOCATION, f (/ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GASAND VENT.DUCTS /r�. IS CORRECT AND AGAREE TION TO COMPLYTWI HAALL C UNTYTHEEORDINANCES L_ATH.INT. AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. LATH. EXT. ... V SIGNATURE HOUSE NUMBER COR- PERM ITT OR-PERMITTEE RECT AND POSTED v.. 3 `Lp` FINAL Id JOHN A.LAMBIE,COUNTY ENGINEER VALIDAT� CLYDE N.DIRLAM, CHIEF BLDG. INSPECTOR CK Mo - CABH WORKERS'COMPENSATION DECLARATION i insure,hereby a certificatffirm e of Workers'Compensat on InsurancI have a certificate of coent to e, APPLICATION-FOR BUILDING P E RM I T or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING,_ V Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDINNCL tion department. � Date Applicant CIN AV I& GISL 9 S ZIP C /7Po LOCALITY . CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT NO. OF BLDGSNEAREST CROSS ST. COMPENSATION INSURANCE ASSESSOR �i� (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK D PAG90/,6__ PARCELIPI5 hundred dollars ($100)or less.) TEL USE ZONE MAP OWNER AoP NO. NO. I certify that in the performance of the work for which this SPECIAL � permit is issued, I shall not employ any person in any manner ADDR Q CONDITIONS so as to become subject to the Workers'Compensation Laws. 0 CITY , ZIP / V l�"- Q Date Applicant ARCHITECT OR TEL. NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO DISTRICT GROUP TY; FIRE PROCESSED BY Exemption, you should become subject to the Workers' CO ZONE w Compensation provisions of the Labor Code, you must forth- ADDRESS ea_ with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO. N deemed revoked. CONTRACTOR NO. �j Z o` DWE LICENSED CONTRACTORS DECLARATION ADDRESS NO. LIC. CLASS NO. LL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business LIC. and Professions Code,and my license is in full force and effect. CITY CLASS BK PG VALIDATION SQ. FT. NO.OF NO.OF CHECK License Number Lic. Class SIZE RIES FAMILIES ONE VALUATION Contractor Date DESCRI ION OF WORK ONEW $ " ❑I am exempt under Sec. ADD ❑ ► ALTER ❑ B.BP.C. for this reason REPAIR ❑ $ Dote: USE OF EXISTING BLDG. DEMOL ❑ Signature APPLICANT TEL.Oy�J FINAL OWNER-BUILDER DECLARATION (PRINT) NO. DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS O + C- FINAL Professions Code): PRESENT By (j(jToa I as owner of the roe BUILDING property,rty, or my employees with ADDRESS ��0� 142.20 wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section [ADD LITY ITEMS 7044, Business and Professions Code.) ING .TEL. RACTOR NO. I,as owner of the property,am exclusively contracting TOTAL 114-2.20 with licensed contractors to construct the project (Sec- ESS tion 7044, Business and Professions Code.) CHECK 142020 UIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY BACK YARD HwY PROP. LINE WIDTH CHANGE v00 I hereby affirm that there is a construction lending agency for NT the performance of the work for which this permit is issued(Sec. 3097, Civ. C.). E 0000-0001 6/17/96 Lender's Name LDMA Ref. # 6907 1 PM 5:27 Fee$ Permit Fee Lender's Address 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 ordinances and State laws relating to building construction ITotal Fee "a LDMA Perm. # r and hereby authorize representatives of this County to enter upon t above-mentioned pr perty for inspection purposes. '/&-' —/7 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of ocint or Agent Date I =y APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS J� I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS, or a certificate of Workers'Compensation Insurance,or a certified 'CITY !^!- ZIP Q Poe C thereof(Sec.3800,Lab.C.) z ,�, ! p LOCALITY Policy No. Company S E OF T NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE NPPARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS OWNER �� Gv �`� TEL JS ,�N 1000 FT.OF SCHOOL? YES No COMPENSATION INSURANCE O(i wO� (This section need not be completed if the permit is for one hundred AD RES p G!�GG-.a777 DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars($100)or less.) Q I certify that in the performance of the work for which this permit IT ZIP^f� ! n is issued, I shall not employ any person in any manner so as to ARCHITECT R ENGINEER TEL No. d'U cdd�l,U 6A Ipe become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATI014 VAPT CONDO Date Applicant ADDRESS CLASS NO.6 DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become Subject t0 the Workers' CONTRACTOR //,�,,�� TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith /X�avQ?L�/IJ FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL LICENSED CONTRACTORS DECLARATION SIDE CITY LIC.CLASS PL I hereby affirm that I am licensed underprovisions of Chapter 9 JBK MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. NEW PG aLicense Number Lic.Class DESCRIPTION OF WORK ADD ION C Contractor Date ALTER❑ 1 am exempt under Sec. REPAIR I-- BAP.C.for this reason �r GC�' �� I— DI ❑ LDMA P/C# M U E OF XISTING BLDG. U Date: ae URM ❑ i (not re APPLICANT PRI ) TEL NO. LDMA Perm# 1 Z wner of the property, or my employees with wages as K' - ZO ACCT°v le compensation, will do the work and the structure is ADR SS ✓_ _ e^ nded or offered for sale (Section 7044, Business and • ` d�`'�� + C � �' FINAL DATE a �'I1371{�� - Professions Code.) 900 WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL 7j` 1 ITEMS EMS 1, as owner of the property, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE P P Y. Y 9 AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY 7 licensed contractors to construct the project (Section 7044, YES 11 No Eli TOTAL 2 10-('�1�I2 Business and Professions Code.) WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING CHECK ?1Ga 1i OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH )))��/ CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR �� / GUIDELINES CHANGE .00 I hereby affirm that there is a construction lending agency for YES❑ NO❑ w the performance Of the Work for which This permit IS Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING a 3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS_ANGELES COUNTY CODE, TITLE 2.CHAPTER 0 SE IONS 2 20 100 THROUGH 2 20 1 ONCERNING HAZARDOUS0000-0001 4/ 7/9" Lender's Name MATERIAL FOR OBTAIN IQI HE SCAQMD. Lender's Address °114 1 Aid 10:17 �-R G I certify that I have read this application and state under penalty '/ 0 of perjury that the above information is correct.I agree to comply P.C.FELL' PERMIT FEE/J;;-..,/ i �0 a with all county ordinances and State laws relating to building construction,and hereby authorize representatives of this County ISSUANCE FEE co co to enter on the above-mentioned party for Inspection ur�poses. a ro INVESTIGATION FEE TOTAL FEE Bgeelu a Ape,„ SEE REVERSE FOR EXPLANATORY LANGUAGE