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HomeMy Public PortalAbout5004 ARDEN DR_Building__ "E)B9-3 2508ET8 6-46 �. 'DEPARTMENT*®F i ffisv D SAFETY AP ,',ICATION FOR PERMIT ,COUNTY OF LOS ANGELES -a 'WM. J. FOX, CHIEF ENGINEER - I " 13 FOR APP ANT TO FILL IN FOR OFFICE USE ONLY BUILDIND DISTRICT NO. PLAN CK. NO. PERMIT NO. 'i ADDRESS .i.'-.d,L' rp�"? O LOCALI �. RECEIVED /BY DATE OF APPL. DATE 189UIE�D,!f NEAREST CROSS ST. OWNER ADDRESS ,���'V MAIL LOCALITY � aJl� ADDRES _ ,� ,fit s t ., NEAREST TOL' CROSS ST. F Af�P <'�i�CJI/10V%/ ARCHITECT OR TEL. ZONE I PLANE I TYPEFIRE DROUP = I - ENGINEER NO. - "'�., BLDG. �. �' ORD. NO. ADDRESS SETBACK LINE 'EJ TE APPROVED' CONTRACT N , — , BY DATE USE _ APPROVED ADDRESS ZONE —I--BY-_ DATE LEGAL CRIPT ° CORRECTIONS.. DESCRIPTION I LOT NO. I BLOCK - - TRACT s /" '�; /FY`� ff/ 4—j-4 oll SIZE OF LOT NOW ON LOT $1 �., 2 �.�,.� ,� USE OF .,.,.n.�- NOOF NO. c)!,, ✓� .t'-� - �e�t /l /r EXISTING BLDG. ' I FAM-1,098 I ROOM ' 4 DESCRIPTION OF WORK NEW ALTERATION ADDITION O REPAIR MOVING DEMOLISH S4. FT. NO:OF /� Z SIZE - ROOMS STORIES / D r WALL ROOF - COVERING COVERI ,p USE OF NE G BUILDI 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS .. .� APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, INSPECTOR DATL- AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS �fAND STATE LAWS REGULATING BUILD.I.N.G CONSTRUCTION. FRAME: FIRE STOPS, - - BRACING, BOLTS - SIGNATURE OF OWNER LATH, INT.: AUTHORIZED `�,''"'Y "`� _. LATH EXT.: P. C. PLASTER, INT. ®0 00 FEE - PLASTER, EXT. VALUATION FEE X144 O— FINAL .t: BUILDING AD NG DREBUILDISS // APPLICATION LOCALITY ie NEAREST DIVISION OF BUILDING AND SAFETY CROSS ST. Department of County Engineer DISTRICT NO. RECEIPT NO. PERMIT NO. County of Los Angeles L� WM. J. FOX, COUNTY G ENGINEER ROUP DATE ECEIVED DATE'ISSUED T CASSATT D. GRIFFIN, Sua• OF BUILDING 's. FOR APPLICANT TO FILL IN TYPE CONST. AE�CCEEE-VED BY� ISS ED Z OWNER G C&/ 'IiW / .ADL 9 ®© Alf 17{'f NUMBER �O D STATE YES �3 USE ZONE SPECIAL CITY / � G. .Fee CONDITIONS ARCHITECT O �J ENGINEER 1 l Fk BUILDINGYARD HWY STREET NAME EXIST. 9 - /' L SETBACK / -WIDTH ADDRESS FRONT V C9 O NE •,,y /��C3 P.L. CONTRACTOR �J SIDE ADORES ® r G i e P.L. BUILDINl3 /' DATE CORRECTIONS INSPECTOR ADORES / < , �j,,�?,�/ /• LOT NO. BLOCK TRACT z'-/ NO.OF BLDG SIZE OF LOT /i 3o I NOW ON LOTS USE OF EXISTING BLDG.fg L T JZ p DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH Z 80.FT. NO. OF NO.OF D r SIZE STORIES FAMILIES USE O�RUCTURE 12- X 2— :7 pW �5'rvr POO C— S�'c6 oaL/,Z/v :7 �G l NO.OF EMPLOYEES I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IS APPROVALS INSPECTORIB SIGNATURE DATE CORRECT. iAGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION AND STATE LAwElEPEOULATING BUILDING CONSTRUCTION. FORMS,MATERIALS FRAME: FIRE STOPS, SIGNATUREF BRACING,BOLTS PERM ITTE F4a6_.) FURNACE: LOCATION, G►i GAS VENT,DUCTS ADDRESS LATH, INT. AUTHORIZE LATH, EXT. �y�J P• C•$ .HOUSE NUMBER COR- FEE RECT AND POSTED � VALUATION FEE FINAL A • � �'� 7GA63BA DBS 3 12-53 v l� • 76A638'A CE #8031/71 • APPLICATION FOR BUILDING PERMIT • COUNTY-OF LOS ANGELES ASSESSOR r DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING ,o ADDRESS COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST Print or type only) CROSS ST. _ ,�y�/��/ /�,� �]�j}���l `�� - DISTRICT NO. GROUP TYPE P OCESSED BY BUILDING FI��'{/ztx=_,V MifgrC. r CONST, �. LOT NO. BLOCK STATISTICAL CLASSIFICATION SEWER MAP CLASS NO.- DWELL,UNITS BK/ PG_5�e TRACT /a. � USE ZONEI MAP SIZE OF LOT �)X 1 3a� NOW ON LOTS SPECIALSE D OF NG BLDG, Edi'/.L?L_vV7 '��,� CONDITIONS EXISTING TEL fr OWNER A--,eA, NO. . BLDG.SETBACK FROM IADDRESS ��a e FRONT PROP.LINE OF -(STREET) TYPE OF EXISTING SETBACK HIGHWAY } YARD - TOTAL CITY � I�I/Z-� �/ HIGHWAY WIDTH FROMC.L. ARCHITECT OR TEL. D O } ENGINEER NO. BLDG.SETBACK FROM ADDRESS SIDE PROP. LINE OF (STREET) Lam/ _ n TEL �� TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL U CONTRACTOR a �" NO. - HIGHWAY WIDTH FROM C.L. ADDRESS,6l &,5,AN ,.9 /�[ NO. - t CC O �` /'',II' LIC. CITY S-4�V (*; 4wc1_ CLASS CORNER CUTOFF YES ❑ NO ❑ W CONSTRUCTION LENDER N NAME AND BRANCH SEE REVERSE IDE FOR SPECIAL APPROVALS Z ADDRESS SQ. FT./�JJ ® NO. OF NO. OF NEW ❑ SIZE `T STORIES FAMILIES - USE OF /z ADD STRUCTURE ALTER ❑ REPAIR❑ SIGNATURE OF APPLICANT - �Q�y�il''�Y� ' DEMOL ❑ _ VALUATION S �s. 7690 � `APPROVALS DATE IN3PE TOR•5 SIGNATURE P,C, PMT. FOUNDATION: LOCATION T' FEE $ FEE $ D FORMS, MATERIALS FRAME: FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS 'L AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUC TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY COWILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CDE OF THE STATE OF -CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATIONINSU ANCE LATH, EXT. - •7 �(_� SIGNATURE OF HOUSE NUMBER COR- fv/ PERMITTEE RECT AND POSTED n ADDRESS ")'O Ar- JOHN FINAL F. LEWIS. PRIN (PAL STRU R'AL ENGINEER PLAN CHECK VALIDATION CK. M.C. CASH _ PERMIT VALID I N CK. vM.O. CASH L1l,o - DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES U I L®I WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK. NO. PER(MIIT NO. BUILDINGADDRESS le- z/`� S^ ! �� LOCALITY � - V / /� �+ �,CEIVEDBY DATE OFAPPL. @�DAT/EISgS�UED NEAREST ° 4.sj CROSSST e l m �'•� / ADDRE►S3B S OWNER MAIL LOCALITY �A /�/f'/A ADDRESS Q ° a/1 NEAREST TEL. CROSS ST. CITY NO.,-xj FIRE I NO. OF I TYPE - GROUP / ARCHITECT OR TEL. ZONE PLANS ENGINEER NO.• SETBACK NO. BACK LINE ODS. ADDRESS APPROVED TEL. BY DATE CONTRACTOR _� NO. USE APPROVED ZONE�0 BY DATE ADDRESS f HOUSE NUMBERING LEGAL DESCRIPTION I LOT NO. BLOCK MAP NUMBER FIELD CHECK BY r TRACT / ` - NO. ASSIGNED BY DATE NO. of BLDGS. CORRECTIONS SIZE OF LOT ® I NOW ON LOTS USB OF _. I NO. OF _ EXISTING BLDG p FAMILIES - DESCRIPTION OF WORK a NEW I I ALTERATION I I ADDITION 0 REPAIR I I DEMOLITION SQ. FT. NO. OF D SIZE / ROOMS STORIES Z EXT. a WALL ^ I ROOF S! COV r COVERING .4 COVERING/ � USE OF STRUCTU APPROVALS INSPECTOR'S SIGNATUR DATE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS CORRECT. FRAME: FIRE STOPS, p(� 1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED HERRON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS LAWS REGUUA-TI BUILDING CONSTRUCTION. �% FURNACE: LOCATION, S►GNATURfi OF p�„ GAS VENT, DUCTS p a PERMITTE ��� L9 ' v LATH, INT. ADDRESS AUTHORIZED AGT. LATH, EXT. /��sPLASTER, INT. w� 76A638A• D633 t0-so ,y P. C. $ ® 0 �Y FEE y PLASTER, EXT. VALUATION FEE $/ - FINAL AP 'LICATION FOR BUILDING PERMIT ] ' COUNTY OF LOS ANGELES ,. BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TC-FILL IN BUILDING ADDRESS I hereby affirm.that I have a certificate of consent to self insure, BUILDING ADDRESS 4 �t.« or a certificate of Workers' Compensation Insurance,or a certified A � r copy thereof (Sec.3800,Lab.C.) L CITE ZIP*C1 o Policy No. 104932-1& S�G�� 4 eL4^ ' • - 1 VV LOCALITY Company SIZE OF LOT V NO.OF BLDGS.NOW ON LOT ❑'Certified copy is hereby furnished. � o 87 NEAPS �wCRwOSSS ST. G! Certified Copy is filed with the County building inspection TRACT BLOCK LOT NO. department. I I I USE ZONE MAP NO. Date 6-13-43 Applicant � 9C o ASSE ORy1AP BOOK PAGED/ PARC© / / �� If, OOJ! SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNERr A • TEL NO. COMPENSATION INSURANCE CC�1 -CX V 1 ( 3S WITHIN 1000 FT.OF SCHOOL? YES No This section need not be completed if the permit is for one hundred ADDRESS ( P P 60 n�,,,,d Q�� Iv.. DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars ($100) or less.) 7 �.J 1 certify that in the performance of the work for which this permit C1,IX.— (Q :6 ZIP ' is issued, I shall not employ any person in any manner so as to ARCHITECT OR NGINEER TEL NO. 3 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 t0 the Workers' CONTRACTOR TE NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith Q r 1� O�.� 79 327 FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS [ LIC P L LICENSED CONTRACTORS DECLARATION S EiL W old e' oc- 4lb60� SIDE CITY LI LASS PL I hereby affirm that I am licensed,underprovisions of Chapter.9 'e-• ea�zq SEWER MAP (commencing with Section 7000);of Division 3 of the Business and SQ.FT.SIZE o. ST O IE NO.OF FAMILIES NEW 1:1 BK L Professions Code,and my license is in full force and effect. <<j ' P1yrs d License Number Lic.Clas DESCRIPTION OF WOR ADD ❑• VALUATION Contractor HcxQ b Se n�Dlte 6-23-4� Y ALTER El U cc ❑ I am exempt under Sec. �/�� ®® / -45 2- ( REPAIR ❑ B.&P.C.for thiSlfeaSOn s%�l- e, DEMOL ❑ LDMA P/C# - U .v Dat USE OF EXISTING BLDG. URM ❑ D_ Signatu e Z APPL�IC(A,N•�T(PRINT) TEL NO. LDMA Perm# _ ' ❑ I, as owner of the p rty, or my employees with wages as • ""� ��"� 5 3 Z p NL!.COT.ag their sole compensation, will do the work and the structure is ADDROS A _ not intended or offered for sale (Section 7044, Business and s • J e• FINAL D �✓4� o Professions Code.) il� v WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL J ❑ I, as owner of the OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER JT AN THE property, am exclusively contracting with AMOUNTS SPECIFIED THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors to construct the project (Section 7044, ves❑ No Lei Ar-Cl Business and Professions Code.) t a a WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING- ; r 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. ' 'X2I hereby affirm that there is a construction lending agency for ITEMS YES❑ NO a "the performance of the work for which this permit is issued(Sec. N I HAVE THE HAZARDOUS MATERIALS GUIDE AND THE SC RM } JT}( 652 . 68 3097, CIV.C.) CHECKLIST. UNDERMQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, TITLE 2,CHAPTER 2.20 SECT S 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS L{�/••I/ 3 Lender's Name MATERIAL REPORTING AN R OB T WING A PERMIT FROM THE SCAOMD. CHECK ICK• 65 i a o Lender's Addressis HANk-JE C lI OWNER OR AGENT o o I certify that I have read this application and state under penalty o P.C.FEE PERMIT FEE of perjury that the above information is correct.I agree to comply N with all county ordinances and State laws relating to building17 �7{� f, �{ ;r m construction, and her authorize representatives of this County ISSUANCE FEE eJlJt�V-" �t'1 6/'=�°/ ` Cl) to ent upon the abo e entio ed property for inspection purposes. jp j � i !M a -2 C -,q INVESTIGATION FEE TOTAL FEE _ y n m—of Aeoliw m Dere i SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY # 05G8 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9902080036 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE OCCUP GROUP 5004 ARDEN DR STRUCTURE: 202 1 VN R3 TEMP CA 91780 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: LA ROSA 8585-018-083 OTHER: THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON:. PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 02/09/99 UT 19 02/ %00 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: AVILA DAVID .R;VICKI L (626) 350-1736- 1 25,000 2 5004 ARDEN DR TEMP 917804004 FEES PAID DESCRIPTION OF WORK FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: KITCHEN REMODEL AND ADD 202 SQ. F TO EXISTING FAMILY ROOM APPLICANT: TEL. NO: TOM O'LEARY (626) 287-0922- AA BLDG PERMIT ISSUANCE 27.75 5823 AGNES AVE AC STRONG MOTION RES.ID 25000.00 VAL 2.50 SPECIAL CONDITIONS: TEMPLE CITY, CA AX BUILDING REVIEW=FEES, 54.70 82 PERM IT,,W%ENEE����L-�f 25OOD:EES VAL 600.41 CONTRACTOR: TEL. NO: ®� 0 At��1�� APPROVALS DATE INSPECTOR SIGNATURE TOM O'LEARY CONSTRUCTION (818) 287-0927- 5823 AGNES AVENUE LIC. NO LOCATION AND SETBACKS TEMPLE CITY, CA 91780 489354 B-1� / SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: - FOUNDATION/TRENCH FORMS LIC. N0: 1111111 SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP0,:1=�U D (� �� (� �O(ro--R J UNDERFLOOR INSULATION U Ith \�\/I/� IfJ�UG ILJK`v ST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:- NO 21\W O 0 ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS \ t; ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS \ ❑ Q i NO NO NO ' FIRE DEPT. FRAME INSPECT REQRWIDTH:REQUIRED YARD: HWY• TOTAL SETBACK FROM EXIST ��Bg ❑ ®�� BLDG DEPT. FRAME INSPECT FRONT PL- SHEAR PANELS SIDE PL- INSULATION/WEATHER STRIP ,�� INTERIOR LATH/DRYWALL EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508