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HomeMy Public PortalAbout5135 ARDEN DR_Building__ A R P L I CAT V O N..FO R COUNTY OF LOS ANGELES DEPARTMENT 'OF COUNTY-ENGINEER f BUILDING RERM9T BUILDING AND SAFETY DIVI/S�ION, 1 FOR APBUILDPLICANT TO FILL IN AooRess ADDSS v / i LOCALITY l� / / NEAREST ` 'CITY IP CROSS ST. - / �N ,OFBLDGS. - -ASSESSOR -,- - t SIZE OF LOT rJy,✓ W-ON LOT MAP,BOOK - PAGE PARCEL DISTRICT GROUP TYPE FIRE CESSED BY ,rte^ CONST. ZONE TRACT l- LdO LOT NO. / ROU ' / TEL / �`' OWNER / NO. y ��B -'STATISTICAL.-CLASSIFICATION �f - SEWER�M P ADORES SLS�. `�i"/+� /`. CLASS NO.�DWELL,UNITS BK fZ;j•RG CITY 21 P USE ZONE MAP /) . ID I NO. (J ARCHITECT R TEL / -1 SPECIAL ' ENGINEER �% NO b CONDITIONS ADORES ,S `L1ry � �./� ROAD DEPARTMENT AP,PRQVAL REQUIRED ,YES_❑ NO,❑ CONTRACTOR ��/. NAL•% i� BLDG.SETBACK FROM ,#r�,�/ LIC. [-FRONT PROP.LINE OF. �(/(, (STREET) ADDRESS NO. HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF EXISTING LIC. - FRONT PROP, LINE HIGHWAY , WIDTH •CITY .. .- CLASS CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACK FROM p ADDRESS - CI?y SIDE PROP,LINE OF (STREET) C..7 'SQ, FT, NO. OF NO. OF CHECK o HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF EXISTING SIZE4--+��� V STORIES FAMILIES ONE SIDE 'P PROP.P: LINE HIGHWAY WIDTH + ILLJ DESCRIPTION OF WORK NEW 'J�2n('Jy - - ,N. ib ADD CORNER CUTOFF• YES ❑ NO ❑ Z ALTER ❑ _ � '•,/L � A.�� - P: IN OPEN SPACE YES ❑. NO ❑ _ REPAIR❑ - EXISTING BUD G:: ! DEMOL El IN PE/R�M IT,ZONE Y.E,Sn�❑-- J�NO ❑�/'�7 A PP L I C AN TEL - ! ���l�iG"+/L!+ - �7C5�.7• / l j jrw..r (PRINT) - 0 r Q �Y y n BY (SIGNATUR va e'�`d�' liS= '�'.7" 20"-' I HEREBY ACKNO DGE THAT I HAVE READ THIS APPLICATION Y/� , rid / .a../l /rf ��/�• Q �� AND STATE THAT THEfABOVE IS CORRECT AND AGREE-TO COMPLY WITH ALL ORDINANCES AND, LAWS REGULATING BUILDING CON- t STRUCTION. I CERTIFY THAT IN DOING.THE WORK AUTHORIZED HEREBY-1 WILL.NOT E OY ANY PERSON IN VIOLATION OF TME - - - LABOR CODE=bF THE STATE OF CALI IA IN RELATING TO -WORKMEN'S COMP10 IN UR C - SIGNATURE OF FINAL / �J /� / / B PERM6TTEE DATE ADORES CITY. TE NOL �ow� P.C.,Fee$ l � - t) Permit Fee Issuance Fee VALUATION•P ' (/' (of4 V� .3!_ ��.C� /Jj �`- 4� Total Fee oz PLAN CHECK VALIDATION cK. M.O. CASH o PERMIT VALIDATION cK. M.o. CASH .723 124.20 (] ^$� - 1 • 7 .4 ,O'O jM: ' 1: 2 4 3'.0 0 era 7 3B 9 E ){]�'B ,•z�S fi cJj D 2 dS�6 0^®' APPLICATION FOR BUILDING. PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY [BUWOFOR APPLICANT TO FILL IN 's RKER'S COMPENSATION DECLARATION �hereby affirm that I have a certificate of consent to self insure, BUIL ING Anna❑�� 3�7 ��Eilor a certificate of Workers' Compensation Insurance,or a certified �� /l lC ��opy he�relofr(S .3800,L b.C.) /�(/� /PG y mv- " Comparn�y j 6� C ZIP/-� ALI Y OF LCT NO.07LD7S.NOWJ'!'O/N LOT ❑ Certified.copy is hereby furnished. / REST CROSS ST/ ^ � ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. (�//f dV)w USE ZONE MAP NO. DateppliCant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS /jam D CERTIFICATE OF EXEMPTION FROM WORKERS' OWNE /� I COMPENSATION INSURANCE //YJ� WITHIN 1000 FT.OF SCHOOL? YES No (,fia s($1 n need not be completed if the permit is for one hundred qD�©/ / -G DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED gY dollars ($100)or less.) - L..� �V �) !" d � I certify that in the performance of the work for which this permit �j ` C{ 7 P2pu is issued, I Shall not employ any person in any manner So as t0 AR HITECT ENGINEER F TEL NO. 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' C )qR �y �� TEL o SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith /�' J' FRONT comply with such provisions or this permit shall be deemed revoked. A ES I P L SIDE LICENSED CONTRACTORS DECLARATION c Tv n0 � � L �� P L 1 hereby affirm that I am licensed underprovisions of Chapter 9 �/Y �� SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO,OF FAMILIES I= Professions Code,and li set's in full force and effeyl. / NEW ❑ BK PG O License Numbe� Lic.Class D R11 TION �k) ! y` ADD ❑ VAL nON u J , IU Contractor. Date IC ALTER ❑ $ �� CL ❑ I am exempt under Sec. REPAIR ❑ $ Z BAP.C.for this reason DEMOL ❑ LDMA P/C# Date: USE OF EXISTING BLDG. URM ❑ Signature _ APPLICANT(PRINT) TEL NO. LDMA Perm# ❑ I, as owner of the property, or'my employees with wages as Z At.l.i .L their sole compensation, will do the work and the structure is ADDRESS. 0 not intended Or offered foe*sale (Section 7044, Business and FINAL DATEQ 3 0 4 22r6 a 05 Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL /� O I T OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE 1 ITEMS [1 I, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY j licensed contractors to construct the project (Section 7044, NES El NO,yl TOTAL( � -E 2;l !- Business and Professions Code:) - _= WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING :(' y�i6 C OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH -• n JJ CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT tSCAOMD)SEE PERMITTING CHECKLIST FOR f; = i l GUIDELINES. CHANGE 1 hereby affirm that there is a construction lending agency for YES El NA the performance of the work for which this permit IS issued(Sec. IHAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 3097,Civ.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, j tl��)I �•I��II y{ 41/17/96', 'f �rrr N TITLE 2.CHAPTER 2.20 SECTIONS 2.20,100 THROUGH 2.20.140 CONCERNING HAZARDOUS J S `!' Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. i OWNER OR AGENT Lender's Address CJ914 1 AM Q:09 3 I certify that I have read this application and state under penalty p of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE U) �� „J r with all county ordinances and State laws relating to building m cons uction, and Aereby authorize representatives of this County ISSUANCE FEE O to.e er u on the ove-me ione 8 p property for insp coon purpo s. b INVESTIGATION FEE TOTAL FEE�..f N gvw.a of q(pl,[anl t le '�`a [P. D ✓ X SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0712030054 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST BUILDING ADDRESS: IBK: 5 PG: 100 PC: 1 SQ. FT STORIES TYPE 5135 ARDEN DR I (STRUCTURE: VN TEMP CA 917803316 1 (ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: OLIVE 1 18585-006-039 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl TENANT: JEXIST BLDG USE: RESID USE ZONE: R-1 JISSUED ON: PROCESSED BY: EXPIRES ON: (EXIST OCC GRP: 112/03/07 SR 05/31/08 1 (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE: ICHAO CHARLES H;LI YU C TRS (626) 966-1225- I 3,800 I 11358 CALLE ROSAMARIA Ih l ISDIM 917734438 FEES PAID IDE C IPTION OF WORK 1 (REPLACE 9 WINDOWS RETROFITTING (SAME SIZE) IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( APPLICANT: TEL. NO: I I (LEE (714) 906-4507- IAA BLDG PERMIT ISSUANCE 27.75 I 12581 CAMINO DEL SOL IAC STRONG MOTION RESID 3800.00 VAL 0.50 ISPECIAL CONDITIONS: 1 IFULLERTON, CA ID2 PERMIT W/O EN-HC 3800.00 VAL 115.80 1 TOTAL FEES 144.05 ICONTRACTOR: TEL. NO: I JAPPROVALS DATE INSPECTOR SIGNATURE IWILLIAM W. CHAO (818) 447-2366- 1 I ICAROLINE J. CHAO LIC. NO ILOCATION AND SETBACKS 110159 LYNROSE STREET NONE I ITEMPLE'CITY, CA 91780 ISOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER: TEL. NO: 1 FOUNDATION/TRENCH FORMS I I 1 LIC. NO: 1 SLAB/UNDER FLOOR I IRAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 1 1UNDERFLOOR INSULATION I I 1147H273 3 Oil I I IFLOOR SHEATHING I I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I 1 NO 21 I (ROOF SHEATHING I I I I I I I I I 1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I I 1AIR QUALITY: 1000 FEET MATERIALS 1 I 11 1 NO NO NO I (FRAME INSPECTION I IREQUIRED TOTAL SETBACK FROM EXIST I (FIRE SPRINKLER HANGERS I ISET BACK YARD: HWY: PROP LINE: WIDTH: I I IFRONT PL- I (INSULATION/WEATHER STRIPI I I I SIDE PL- I I I I (INTERIOR LATH/DRYWALL I 1 I I I I I I IEXTERIOR LATH I I I I I I I I I (RATED FLOOR/CEIL ASSEM. I I I I I I I I IRATED WALL ASSEMBLIES I I I IRATED SHAFTS/OPENINGS I I I I I I I I I IT-BAR CEILINGS I I I I ILOT DRAINAGE I I I (REPORT ID: DPR261 ROUTE TO: BS0508 I I I I I I I I 't} (;�)iJNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0711290046 PHONE: (626) 285-0488 EXT: ILEGAL ID: 1 NO. OF CONST 1 BUILDING ADDRESS: 1 1BK: 5 PG: 100 PC: 1 1 SQ. FT STORIES TYPE I 5135 ARDEN DR 1 I (STRUCTURE: VN I TEMP CA 917803316 1 (ASSESSOR INFORMATION NUMBER: i I •NEAREST CROSS STREET: OLIVE 1 18585-006-039 I I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, CI (TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: EXPIRES ON: I (EXIST OCC GRP: 111/29/07 SR 05/27/08 1 I I I I (OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IFI. AL DATE FINAL BY: CODE: 1 ICHAO CHARLES H;LI YU C TRS (626) 966-1225- 1 19,000 1I 11358 CALLE ROSAMARIA SDIM 917734438 1 FEES PAID IDE CRIPTION OF WORK 1 I (KITCHEN REMODEL AND 2 BATHROOM REMODEL I 1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 I 1APPLICANT: TEL. NO: I 1 1 ILEE (714) 906-4507- IAA BLDG PERMIT ISSUANCE . 27.75 I 1 12581 CAMINO DEL SOL IAC STRONG MOTION RESID 19000.00 VAL 1.90 (SPECIAL CONDITIONS: I IFULLERTON, CA 1B2 PERMIT W/ENERGY 19000.00 VAL 404.58 1 1 1 1FR INV WORK W/O PERMIT 257.00 DOL 257.00 I 1 1 1 TOTAL FEES 691.23 I 1 (CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1 (ROSE CHAO (714) 906-4507- 1 1 12581 CAMINO DEL SOL LIC. NO 1 ILOCATION AND SETBACKS IFULLERTON, CA NONE 1 I I I I I (SOILS ENGINEER APPROVAL I I (ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDAATION/TRENCH FORMS I I I 1 LIC. NO: 1 1SLAB/UNDER FLOOR I I 1 I IRAISED FLOOR FRAMING 1 I I I I _ ) �� 1UNDERFLOOR INSULATION 1 I 1 MAP N0: SEWER MAP BOOK: PAGE: .FIRE ZONE: CMP.: 1147H273 3 O11 �,\rC.�� , r.ytf l ��.) r.i Li o ^, { ( I 1 I I u IFLOOR SHEATHING 1 I 1 INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I '1 I I I I 1 NO 21 I (ROOF SHEATHING I 1 I I I I I I 1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I 1AIR QUALITY: 1000 FEET MATERIALS I I I I NO NO NOcaq ,\/ i C��a'( Qt�st�� (FRAME INSPECTION i i 1 IREQTROPLINE: UIRED BACK YARD: HWY: TOTAL SETBACK EXISTWIDTH: 1- � � p'k Q (�H,{ a� IC�j41Lt, FIRE SPRINKLER HANGERS ISEI I I (FRONT PL- 0 , `� 11NSULATION/WEATHER STRIPI I I SIDE PL- fJ�,pt(�S'�l.l Q 0'X1--2 C l`r(,�1� l �`✓("e 1 iINTERIOR LATH/DRYWALL 11 7 1 I I 1EXTERIOR LATH 1 I 1 I (RATED FLOOR/CEIL ASSEM. 1 I I I I I I I I 1 (RATED WALL ASSEMBLIES 1 1 I I I (RATED SHAFTS/OPENINGS I I I I IT-BAR CEILINGS 1 1 I I I ILOT DRAINAGE I 1 I I I I (REPORT ID: DPR261 ROUTE TO: BS0508 I 1 1 1 I I I I I I