The URL can be used to link to this page

Home My Public Portal About4834 ARDEN DR_Building__ \Lr�I ai 7SA638A CE#eOS 8137 APPLICATION FOR BUILDING PERMIT 1 COUNTY OF LOS ANGELES BUILDING Je6 (f DEPARTMENT OF COUNTY ENGINEER ADDRESS K/�•G��O� BUILDING AND SAFETY DMSION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST n _ / fA _ ASSATT D GRIFFIN SUPT OF BUILDING CROSS ST i-eV ti�I/V DISTRICT NO GROUP TYPE SEWER MAP OR APPLICANT TO FILL IN ;'- BK PG �� CONST Q� STATISTICAL�CLASSIFICATION dd!! (t/^jam O CLASS NO DWELL UNITS BLOCK MAP STATE NUMBERW HWY USEZONE SPECIAL T K Y� NO OF BLDGS 4fe) CONDITIONS W ON LOT 7� USE OF N 0 EXISTING BLDG T BUILDING YARD HWY STREET NAME EXIST n SETBACK WIDTH OWNER f G/C. FRONT MAIL PL �i ADDRESS SIDE TEL P L CITY NO ARCHITECT OR U PECTION RECORD TE� ENGINEER atp 1 ADDRESS TEL CONTRACTOR O ON ADDRESS DESCRIPTION OF WORK NEW 412 ALTER REPAIR DEMOLISH SQ FT NO OF NO OF ^ SIZE STORIES - FAMILIES USE,n STRUCTURE SIGNATURE If APPROVALS APPLICANT DATE INSPECTOR S SIGNATURE ADDRESS FOUNDATION LOCATION ' dw FORMS MATERIALS $ P C s / FRAME FIRE STOPS /� O O FEE f BRACING BOLTS t761% —a VALUATION Ej,/ Q / FURNACE LOCATION M FEE (• GAS VENT DUCTS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP PLICATION AND STATE THAT THE ABOVE IS CORRECT AND LATH INT Aflm AGREE TO COMPLY WITH ALL COUNTY ORDINANCESAND STATE LAWS REGU T NG BUILDING C NSTRUCTION LATH EXT g SIGNATURE OF HOUSE NUMBER COR PERMITTE r-,-- � . A RECT AND POSTED ADDRESS— v ,I FINAL ��f^ JOHN A LAMBIE COUNTY ENGINEER CLYDE N DIRLAM PRINCIPAL STRU URAL ENGINEER ^ PIAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION cK M o CASH M2202S wR20 1 A 1100 M � c WORKERS COMPENSATION DECLARATION(, _� � ? - _( _ r r / ! y hereby affirm that I have a certificate of consent toself ,t APPLICATION FOR BUILDING PERMIT nsure or atertificate of Workers Compenstion Insurance or i c@rtified copy thereof (Sec 3800 Lab C ) _ - COUNTY OF LOS ANGELES BUILDING AND SAFETY 'olicy No Company C BUILDING ZZ 0�p copy v FOR APPLICANT TO FILL IN ADDRESS Certified co is hereby furnished ❑ Certified copy is filed with the county building inspec BUILDING n tion department ADDRESS LOCALITY sT NEAREST )ate Applicant CITY �Q ♦ ZIP �r O O CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS / ,L /NO OF BLDGS ASSESSOR ' COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL This section need not be completed if the permit is for one USE ZONE MAP undyed dollars ($100)or less ) - TRACT BLOCK LOT NO NO TEL - / SPECIAL � certify that in the performance of the work for which this `) OWNER �g1j `j q,.�, �j NO CONDITIONS V )ermiT is issued I shall not employ any person in any manner v 3 (� DISTRICT GROUP TYPE FIRE PRO SSED BY io as to become subject to the Workers Compensation Laws ADDRESS a 44�Ce r CONST ZONE 0 } t CITY Qv.��\Q, C ZIP p e� V )ate Applicant STATISTICAL CLASSIFICATION APT ICONDO NOTICE TO APPLICANT If after making this Certificate-of - ARCHITECT OR a TEL LU ENGINEER iJ0 CLASS NO_DWELL UNITS d. :xemption you should become subject to the Workers y :ompensation provisions of the Labor Code you must forth ADDRESS - r SEWER MAP z ,vith comply with such provisions or this permit shall be TEL s c jeemed revoked � CONTRACTOR NO BK ` PG VALIDATION� '� � LICENSED CONTRACTORS DECLARATION LIC _ hereby affirm that I am licensed under provisions of Chapter 9 _ ADDRESS _ NO- VALUATION 'commencing with Section 7000)of Division 3 of the Business and I LIC 'rofessions Code and my license is in full force and effect CITY CLASS $ �� d SQ FT NO OF NO OF CHECK .icense Number Lic Class SIZE STORIES FAMILIES I ONE :ontractor Date DESCRIPTION OF WORK NEW ED $ ❑ t - I am exempt from the licensing requirements as I am a 'Q� ADD licensed architect or a registered professional engineer ALTER' ❑ FINAL acting in my professional capacity (Section 7051 - DATE / REPAIR ❑ � Business and Professions Code) USE OF EXISTING BLDG - DEMOL ❑ By �4 „ is or Reg No Dare APPLICANT�J \_ Q� TEL _ OWNER BUILDER DECLARATION e - ((PRINT) V 6tJ �-'C C0. .SS` NO t / hereby affirm that I am exempt from the Contractor s License y� _ow for the following reason (Section 7031 5 Business and ADDRESS Irofessions Code) PRESENT 2 5 2 0-9 A /r BUILDING Jy I as owner of the property or my employees with ADDRESS wages as their sole compensation will do the workand #*0 0 0 0 0 1,, the structure is not intended or offered for sale(Section LOCALITY �" 7044 Business and Professions Code) MOVING TEL 20 0 6 3 0 0 ❑ 1 as owner of the property am exclusively contracting CONTRACTOR NO with licensed contractors to construct the project (Sec - 63006 ADDRESS tion 7044 Business and Professions Code) � - REQUIRED YARD HWY TOTAL SETBACK FROM EXIST l 2-j`7_8 2 CONSTRUCTION LENDING AGENCY SET BACK PROP LINE WIDTH 1 hereby affirm that there is a construction lending agency for FRONT n the performance of the work for which this permit is issued P L n0 C3 .2-'0 ;Sec 3097 Civ C ) r SIDE PL Lender s Name _ Lender s Address L ` P C Fee$ Permit Fee certify that I have read this application and state that the Issuance Fee /,0 ibove information is correct I agree to comply with all County Investigation Fee CIO and State laws relating to building construction Total Fee )nd hereby author a representatives of this County to enter upon t e ove on roperty for mspecti ses - - ` � SEE REVERSE FOR EXPLANATORY LANGUAGE � r � Signature of Applicant or Agent Dote ' �s t 1 h COUNTY OF LOS ANGELES TEMPLE CITY _ # 05U8 BUILDING PERMIT i DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9706170041 PHONE (818) 285 0488 EXT LEGAL ID NO OF COWST NEW BUILDING TR 15098 LT 11 _ SQ FT - STORIES TYPE OCCUP GROUP 4834 ARDEN DR STRUCTURE 72 1 1 VN R3 TEMP CA 917804001 ASSESSOR0 0 GARAGE NEAREST CROSS STREET LOWER AZUSA 8585 016 020 OTHER THOMAS PAGE 597 GRID B5 LOCALITY TEMPLE CITY TENANT EX I D -- PROCESSFD BY EXPIRES EXIST OCC GRP 06/17/97 TC 06/17/98 OW NER TEL NO BLDGS 0 ON LOT LUATION FINAL DATE FINAL B CODE YATES RICK CATHY (818) 444 9962 1 5 000 4834 ARDEN DR TEMP 917804001 FEES PA SC P 0RK BEDROOM EXTENTION OF 72 SQ FT FEE DESCRIPTION QUANTITY UOM AMOUNT APPLICANT0 G T CONSTRUCTION (818) 285 2300 AA BLDG PERMIT ISSUANCE 27 75 AC STRONG MOTION RESID 5000 00 VAL 0 50 SPTCIAL CONDITIONS AX BUILDING REVIEW FEE 54 70 B2 PERMIT W/ENERGYEL E 000-00 VAL 146 36 TOTAL FEES 229 31 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE G T CONSTRUCTION (818) 285 2300 5227 AGNES STREET LIC NO � LOCATION AND S _ TEMPLE CITY CA 91780 484056/B 1 LS N INEEAPPROVAL ARCHITECTAAl N nTM-NffrMWMENCH FORMS l LIC NO ` SLAB/ DER FLOOR §-D FLOOR FRAMING P NO SEWER 14AP BOOK PAGE FIR ZON3 01 CMPn�V�� n�ff�� JI�FLOOR INSULATION �-i v v TP7EVEL FLOOR SHEATH NO OF FAMILIESDWELLING I CLA NO 21 D Q 1 ND LEVEL FLOOR SH TH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY 1000 FEET MATERIALS c O / i NO NO NO FIRE DEPT FRAME INSPECT o REQUIREDTOTAL SETBACK DBLDG DEPT FRWRE 7 SET BACK YARD HWY PROP LINE WIDTH FRONT PL S EAP PANELS I� SIDE PL TVSg 0 T —STRIP ` INTEVIO LATH/DRYWALL EXTERIOR LATH OT DRAINAGEi SMOKEE CT 0 E IC FIRE DEPART T A RO AL r REPORT ID DPR261 ROUTE TO BS0508 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUIL NG AND SAFETY WORKER'S COMPENSATION DECLARATION ' FOR APPLICANT TO FILL IN BUILDING ADDRESS EP I hereby affirm that I have a certificate of consent to self insure, OC"BUILDING ADD•, V,J'o C. V or a certificate of Workers'Compensation Insurance,or a certified ° copy thereof(Sec.3800,Lab.C.) C if— ZIP Q LOCALITY Policy No. Company SIZE OF LOI r NO.7F BLDGS.NOW ON LOT ❑ Certified Copy is hereby furnished. S NEAREST CROSS ST. ❑ Certified Copy is filed with the County building inspection TRACT BLOCK LOT NO. department. SS p USE ZONE MAP NO. ASSESSOR MAP BOOK PAGEPARCEL Data Applicant cJ^ �Q'`1� O `-® Z -1 SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER ' TEL.NO. YES NO COMPENSATION INSURANCE � I 1444—�� WITHIN 1000 FT.OF SCHOOL? ADDRESS (This section need not be completed if the permit is for one hundred �.4 ?j DISTRICT GROUP TYPE CONST.' FIRE ZONE PROCESSED BY dollars($100)or less.) I certify that in the performance of the work for which this permit CIT ZIP_ NO. p n is issued, I shall not employ any person in any manner so as to —ARCHITECT R ENGINEER Y TEL.NO. o e– become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT 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' CONTRACTOR TEL.NO. SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL LICENSED CONTRACTORS DECLARATION CITE' LIC.CLASS SIDELIC. I hereby affirm that I am licensed under provisions of Chapter 9SQ.FTNO. TORES NO.OF FAMILIES SEWER MAP . E (commencing with Section 7000)of Division 3 of the Business and OZ Professions Code,and my license is in full force and effect. f 0 1 NEW Q BK PG CD DESCRIPTION F WORK ► yV,� License Number Lic.Class �. V Q h e ADD C] $VALUATION a Contractor Date ALTER C3y_ z ❑ I am exempt under Sec. REPAIR ❑ $ �f✓ �� B.BP.C.for this reason DEMOL ❑ LDMA P/C A USE OF EXISTING BLDG. URM. ❑ Date: Signature APPLICAT(PAINT) 1 1 1 TEL.NO. LDMA Perm q K `V l Z I, as owner of the property, or my employees with wages as °'f!'� their sole compensation,will do the work and the structure is ADDRESS not intended or offered for sale (Section 7044, Business and 4 T3 `I` A YA-e v FINAL DATE G _ T i EM= Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL < ❑ 1, as owner Of theproperty, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN Q ;f Til 43 � 75 Y 9 THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL B licensed contractors to construct the project.(Section 7044, _ –c Business and Professions Code.) ves❑ No❑ .Ay.: 43 3 WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING ��-•• S OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH A ?_(j(-;j`fIF •�4E!= CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST 1. 1 \ FOR GUIDELINES. 111"' 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. fiil_j_MI_f(1 j s Tia°;`i: _ I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD 3097,CIV.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE,TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING r n, 3 Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. f"f S Lender's Address lO. OWNER OR AGENT o' I 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 ordinances and State laws relating to building construction,and a. hereby authorize representatives of this County to enter upon ISSUANCE FEE the above-mentioned property for inspection purposes. a � INVESTIGATION FEE TOTAL FEE elm+e of App) t a A"M Dec, SEE REVERSE FOR EXPLANATORY LANGUAGE,