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HomeMy Public PortalAbout5028 ARDEN DR_Building__ 76A6313ACE 803 1-62 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS L% , BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPE SSED BY FOR APPLICANT TO TO FILL IN C' coNsr. ADDRESS s76 2� /v• /.���lrn �Jr ?,Cc-, STATISTICAL CLASSIFICATION S ER MAP BK CLASS. NO. DWELL. UNITS LOT NO. BLOCK WATER NOT REQUIRED RECEIVED CERTIFICATE: TRACT MAP HIGHWAY STATE MAJO SECOND LOCAL NO.OF BLDGS. NO.. - (c IRCLE) :� .4 SIZE OF LOT 7-fX 7� NOW ON LOT USE ZONE SPECIAL USE X 105 CONDITIONS EXISTING BL/ OWNER �"+`wC'✓ I��SQ NO. /'�0�1(s� BUILDING EXIST. /' SETBACK YARD HWY STREE ;NAME WIDTH ADDRESS.3C'2 4( rc%n /-lfJ 7%l� , FRONT f ARCHITECT OR TEL. P. L. L (ell2.J ENGINEER NO. SIDE P. L. ADDRESS n' TEL / 7 O CONTRACTOR 1 /^ NO./i e6*733 - V ADDRESS,(QZS�f FE . c, / T.( ad DESCRIPTION OF WORK ~ W CL NEW ADD ALTER REPAIR DEMOLISH N Z SQ. FT. NO. OF NO. OF pgCG SIZE a�Q STORIES ane FAMILIES USE OF • STRUCTURE - SIGNATURE OF APPLICANT VALUATI $ ►i OO APPROVALS PATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION �- FEE $ FEE $ FORMS, MATERIALS FRAME: FIRE STOPS. ' I 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. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. TION OF THE LABOR COePETION THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S C INSURANCE. LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRES-$___ Ac-t7.4, FINAL JOHN F. LEWIS. PR NCIPAL STR J URAL EINGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION `c K. M.O. CASH WORKERS'COMPENSATION DECLARATION ^ to sf insure �cer?if carte of Workers' Compensation consent Insuran e, A P P L I CATION" FOR BUILDING PERMIT or a certified copy thereof (Seca 3800;'Lab. C.) COUNTY OF LOS ANGELES BUILDING,AND SAFETY Policy N06a03f,fi Company.: <:9i47-AC ru.�iJ BUILDING ^ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with the county building inspec- BUILDING "tie�o-ndeparTment. ADDRESS .�� 6 28 ✓� -yam y Date •S'�l��Jr Applicant /� �D�T CITY 1¢z/v �/T ZIP LOCALITY / CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. `` NEAREST �J COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT ( CROSS ST. LOC1/�/L- - 7Zu ZA _ (This"section.need not be completed,if the:permit is for one ASSESSOR hundred dollars ($:1.00)or, less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL TEL. USE MAP . I,cerfify that in the performance of the work for which this OWNER W+S�r2 NO. 43'3 7 NO. ; >.permit is issued, I shall'not employ ariy person in any.manner S �v SPECIAL so as'to become`subject'to the Workers'Compensation Laws. ADDRESS ���/�" CONDITIONS 0 � _ F. CITY ZIP Date Applicant ARCHITECT OR TEL. .NOTICE TO APPLICANT: If, after'rraking this Certificate of DI IC TYPE FIRE PROCESS BY_. U ENGINEER NO. CONST. ZONE u Exemption, you should become,subject-to the Workers' FIRE ya Compensation provisions of the Labor Code; you must forth- ADDRESS r D�.GROUP � d/ ; N with •comply with. such provisions or this permit shall be -• TEL STATISTICAL CLASSIFICATION APT. COND #A deemed revoked. CONTRACTOR 1—'L-3 C6�f7. NO.,924 STb ' LICENSED CONTRACTORS DECLARATIONLIC. CLASS NO. LDWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS !L7 �L PiQr/LkSrd7(C NO. 3 72 5%v (commencing wLIC with Section 7000)of Division 3 of the Business and SEWER MAP . . Professions Code, and my license is in full force and effect. CITY Grin It `bs CLASS BK. P6:' VALIDATION SQ. FT. TNO.OF NO, OF CHECK License Number,3Z Lic.Class �✓—� SIZE 3C J> ISTORIES I FAMILIES I ONE VALUATION /• DESCRIPTION OF WORK .HO 131CO &47W NEW ❑ 1 6 oL /� " Contractorz�3 l G../S 7 Date ADD ❑ I am exempt under Sec. G6�rT/C�L A7� f�F�©r -rp ❑ , # 1 �1 8 ALTER B.BP.C. for this reason /t xrf7 REPAIR ❑ ;' ( o0 0 S^�Q USE OF ❑ y Dater DEMO' EXISTING BLDG. - APPLICANT—}� TEL. Signature (PRINT) /�6+�/ 1S07-� NO. FINAL / 5 _8 5 OWNER-BUILDER DECLARATION ee�� /� DA ` 0 0 I hereby affirm that I am exempt from the Contractor's License ADDRESS/6 7 /'L S • / +�f r/J� Law for the following reason.(Section 7031.5, Business and Professions Code): PRESENT ❑ BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and .L �•-� ` the structure is not intended or offered for sale(Section LOCALITY , 7044, Business and Professions Code). MOVING -TEL. ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. F with licensed contra tors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). ^ REQUIRED TOTAL SETBACK FROM S . CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE 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 m P.L. Lender's Name C m A LDMA Ref: P.C. Fee$ Permit fee _flO0 Lender's Address #.•' i r' I-certify that I have read this application and state that the Issuance Fee , S-0 LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee a ordinances-and State laws relating to building construction, Total fee LDMA Perm. # and hereby authorize representatives of this County to enter upon the above-mention d perty for inspection purposes. ig"i+ SEE REVERSE FOR EXPLANATORY LANGUAGE ; Signature of Applicant or Agent - Date • - �� COUNTY OF LOS ANGELES t TEMPLE CITY # 0508 BUILDING PERMIT £EPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9803160023 PHONE: (818) 285-0488 EXT: LEGAL ID: N0. OF CONST BUILDING ADDRESS: TR: 13531 LT: 29 SQ. FT STORIES TYPE 5028 ARDEN DR STRUCTURE: 0 VN TEMP CA 917804004 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA; 8585-018-010 THOMAS PAGE: 597 GRID: B4 L ALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE ZONE: R-T ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 03/16/98 UT 03/16/99 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FIN CODE: LE VAN C 626443-545 11 2,500 6-5028 ARDEN DR VIA TEMP 917804004 FEES PAID DESCRIPTION OF WORK TEAR OFF AND RECOVER WITH2 E. S. COMP. SHINGLE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: AND INSTALL 3 NEW FRONT WIND APPLICANT: TEL. NO: SAME AS OWNER AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 2500.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC 2500.00 VAL 99.15 TOTAL FEES 127.40 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UN !FL NSULAT 0 147H273 3 01 FLOOR-SHEATHNG NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAF; PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAM' INSP REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH ✓I 7 RATED L00 CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: SS0508 0