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Home My Public Portal About5133 ARDEN DR_Building__I APPLICATION FOR COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ' BUILDING PERMIT BUILDING AND SAFETY DIVISION BUILDING FOR APPLICANT TO FILL IN �I ADDRESS AUILDIN DDRES G / / � NGJ}IC LOCALITY NEAREST CITY _ C! P O v CROSS ST, -NO. F BLOGS. +V ASSESSOR SIZE OF LOT � N ON LOT Y MAP BOOK PAGE PARCEL A DISTRICT GROUP TYPE FIRE [F-ROCIESSED BY TRACT/ i I'�, BL/OC KK LOT NO - _ CONST. Zp�l.g �.; TEL .,,. If OWNER NO, STATISTICAL CLASSIFICATION SEWER MAP ADDRESS g t CLASS NO, I DWELL.UNITS ' j: BK/1 T PG USE ZONE MAP - 1 CITY a / P / NO, ) ARCHITECT O TEL,pf �" SPECIAL I ENGINEER Q O+�®(o G.3 �'� '' CONDITIONS 1 ADDRESS Oz , L/51S �(1/✓/1S DIle/ ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ ' CONTRACTOR 0eL1/V NO BLDG.SETBACK FROM / 11 _ LIC. FRONT PROP.LINE OF 1 �� - (STREET) j ADDRESS NO, _ TOTAL SETBACK FROM TYPE OF EXISTING LIC HIGHWAY } YARD - FRONT PROP. LINE HIGHWAY WIDTH CITY CLASS ' CONSTRUCTION LENDER NAME AND BRANCH a� BLDG.SETBACK FROM ADDRESS CITY SIDE PROP. LINE OF (STREET) SQ. FT.-, NO. OF NO. OF CHECK HIGHWAY } YARD _ TOTAL SETBACK FROM TYPE OF EXISTING L1C SIZE .�i. �l.' STORIES FAMILIES ONE SIDE PROP. LINE HIGHWAY WIDTH O� I } _ DESCRIPTION O WORK NEW C� ADD ❑ CORNER CUTOFF YES ❑ NO ❑ Z 1 ALTER ❑ j �- REPAIR IN OPEN SPACE YES ❑ NO ❑ USE DEMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ I EXISTING BLDG. APPLCANT - TEL t (PRINT) /'�& N0. /Q BY (SIGNATURE) t I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE TATE OF CAL IFORNI IN RELATING TO WORKMEN'S COMP ION INS ANCE. SIGNATURE OF FINAL / �" - BY PERMITTEE a. III�GGG/// DATE �I ADDRES t L �i O clrY - _ �� rTioL•y�y P.C. Fee = Permit Fee � L Q Issuance Fee VALUATION•P3a Ar� Total Fee .L `r PLAN CHECK VALIDATION • cK M o. CASH PERMIT VA DATION C M.O. CASH 29Og.pw 7 ,s3 a 12420 742'G.�1l1. i 1 � 243.00 • 7A,4B..af B 4r2 3 1 21.60 ��v_.> WORKERS'COMPENSATION DECLARATION C �j hereby affirm that I have certificate of consent f se ' - APPLICATION F R BUILDING PERMIT LII x -insure, or a certificate of Workers' Compensation Insurance,, or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY,OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS .�- Certified copy is filed with the county building inspec- BUILDING �- tion department. ADDRESS LOCALITY �� NEAREST Date Applicant CITY ZIP CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This secption need not be completed if the permit is for one TRACT BLOCK USE ZONE MAP o / 6 hundred dollars ($100)or less.) 60 LOT NO. NO. TEL _ (� SPECIAL 2- 1 certify that in the performance of the work for which this OWNER , i�N y NO / CONDITIONS 0 permit is issued, I shall not employ any person.in any manner r-- DISTRICT GROUP TYPE FIRE OC SSED B F O so as to become subject to the Workers'Compens tion Laws. ADDRESS CONST. , ZONE Date Applicant ad CITY ZIP TEL. STATISTICAL CLASSIFICATION APT. CONDO: tj NOTICE TO APPLICANT: If, of r aking•this Certifica of ARCHITECT OR� c �� / DWELL. UNITS Exemption, you should becom subject to the Workers' ENGINEER 1 t NO. CLASS NO. Compensation provisions of the Labor Code, you must forth- ADDRESS / SEWER MpP with comply with such provisions or this permit shall be n/ deemed revoked. CONTRACTOR O. 7 TEL. / 8,f/ BK PG / VALIDATION llr LICENSED CONTRACTORS DECLARATION , J/ LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 7�� , NO. � VALUATION (commencing with Section 7000)of Division 3 of the Business and ��_ LIC. fl/� Professions Code, and my license is in full force and effect. CITY [/!/vrr CLASS I $ (fV Q _ SQ. FT. NO. OF NO. OF - CHECK , License Number T�` Lic.Class/ SIZE STORIES FAMILIES ONE [ Y'i �.i��I Date ��! .�� NEW $ Contractor DESCRIPTION OF WORK I am exempt under Sec. ADD ALTER E] FINAL B.BP.C. for this reason 'ao REPAIR DATE ,3 5 2.8'A Date: USE OF FINA # o o o o 23 DEMOL EXISTING BLDG+ t32J�5 ei C] B . Signature APPLICANT N L q,c� Y �r-� ` 2 ° ° 4 1.45 OWNER-BUILDER DECLARATION "3k" `O 5J ' I hereby affirm that I'am exempt from the Contractor's License ADDRESS G , /o Q ° 0,0 4.1.,4 5 v Law for the following reason (Section 7031.5, Business and Professions Code): PRESENT 08 F6 —8'4 ❑ a BUILDING I as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and 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. o with licensed contractors to construct the project (Sec- �,`�5.2.9'A Tion 7044, Business and Professions Code). ADDRESS REQUIRED TOTAL SETBACK FROM EXIST. # 0 0 0 0,0 1 CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT 2 °'O 5 9,125 the performance of the work for which this permit.is issued P.L. ► ° ° 0 5 9,2 5 (Sec. 3097, Civ. C.). � SIDE �A/� P` 08. 16-84' o Lender's Name P.C. Fee$ Permit Fee -'' Lender's Address I certify that I have read this application and state that the Issuance F, 67" above information is correct. I agree to comply with.all County Investigation,Fee ordinances and State laws relating to building construction; Total Fee 2 u and h eby authorize representatives of this County to enter upo a above-m tioned property for inspection purposes. a ��i 7 SEE REVERSE FOR EXPLANATORY LANGUAGE ®: Signature of Applica r Agent Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNASALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA +� BL 0508 9608230003 PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: BK: 5 PG: 100 PC: 2 SQ. FT STORIES TYPE 5133 ARDEN DR STRUCTURE: 1800 V TEMP CA 917803316 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA 8585-006-040 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 08/23/96 TC 08/23/97 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FI L BY: CODE: DANG SHUET H (818) 444-7356- 1 3,000 5133 ARDEN DR TEMP 917803316 FEES PAID ZSCRIPTION OF WORK REMOVE/REPLACE WITH NEW PLYWOOD AND COMP. SHINGLE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESI.D 3000.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O�N;HCS�, TAOOOOVAL S 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: � �1 �� SLAB/UNDER FLOOR Ja L RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: I ii \� ��L, ICS UNDERFLOOR INSULATION 147H273 3 01 _----_---_--_-_--- FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APNO/COND: STAT CL21S: 3\\� rµ fX \ \\ / O /;� L 1 c} � � ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS ` NO NO NO � FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST (� _ -1 FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- Q �uuuJ' INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED ;SHAFTS/OPENINGS T-BAR 'CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508