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HomeMy Public PortalAbout5149 ARDEN DR_Building__ 76A638A CE#803 1-67 APPLICATION FOR BUILDING PERMIT IJ COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS 51'4q N 12 R, BUILDING AND SAFETY DIVISION LOCALITY E *i r- JOHN A. LAMBIE. COUNTY ENGINEER NEAREST / COLEMAN W. JENKINS.SUP•T OF BUILDING CROSS ST. - �L. DISTRICT NO. I GROUP TYPE P O E D BY FRE APPLICANT TO FILL IN _Z7 CONST. C� ^ /� STATISTICAL CLASSIFICATION WER MAP l { N, AP_ID N • CLASS NO. v DWELL UNITS BK PG 2z BLOCK USE ZONE NOP �6-.4L NO.v eLD�. / SPECIAL VV 2 Ad CONDI TI ONS NOW ON LOT �J BLDO. SETBACK FROM F{ S NOL ZS�2 FRONT PROP. LINE OR (STREET) TYPE OF EXISTING SETBACK, HIGHWAY + YARD = TOTAL ADDRESS ITR g,' 0e• HIGHWAY WI TH FROM C.L. iC olapt d �� CITY EM IE J v BLDG. SETBACK FROM ARCHITECT OR TEL. SIDE PROP. LINE OF (STREET) ENGINE ERv 16NO.'WO 7 TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS:31'7 Z M, IfEleM HIGHWAY WIDTH FROM C.L. TEL + _ CONTRACTOR NO 3'3SI Ct ADDRESS 3© So ArLANr! NO '� 7/I CORNER CUTOFF YES NO C C. CITY L.. iA• 2L CL '!� SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK c7 O. NEW DD ALTER REPAIR DEMOLISH V SQ.FT. a NO. OF NO. OF ' SIZE aSZ STORIES FAMILIES USE OF STRUCTURE ifs I„ iJ V 2 12 6N a arD I PlAA0 jixt 2'Z SIGNATURE OF APPLICANT VALUATION$ ,0 :p•OO APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION, LOCATION FEE$ FEE$ d� 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 9UILOI NG CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. ING TO WORKMEN'S COMPENSATION INSURANCE, LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE _ 1 • HORSE AND POSTED e / ADDRESS Q col 9I.rLrauric F3N�. L'A.2.z FINAL JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.0 CEP Li o0 2 4 5- AUG 23 1 D 5.00M o-� 7BA8381Z CE#803 APPL'ICATIO'N FOR BUILDING PERM-1 COUNTY OF,LOS 'ANGELESBu1LDING' "` l DEPARTMEE ENT OF COUNTY ENGINR A°DREss BUILDING AND,'SAFETY DIVISION_ . LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST.` CASSATT.D.GRIFFIN,'SUP'T OF BUILDING CROSS ST. `" DISTRICT NO. GROUP. TOE, EWER MAP FOR.APPLICANT TO FILL IN. t BK PG ,.`.J- I,CONST.,, BUILDING /� P i�EO-A !! •_t STATISTICAL CLASSIFICATION - -ADDRESS 7 GT/ry - LOT NO. /�O 2-2i,'BLOCK MAP CLASS.NO. DWELL.-UNITS - - .. •r �. UMBER 'YE5 . ,TRACT - G..G. iq- - .USE ZONE SPECIAL * . NOCONDITIONS"",.OF.BLDGS. . '•.-SIZE'OF LOT-. v - '.�� I"NOW ON LOT '��� "-L.L. - USE-OF Ze�- .. 'EXISTING BLDG:.'' ' 'BUILDING EX1 'YAR'D " �HWY STREET NAME _ -SETBACK ��WIDTH� .. sOWNER FRONT . MAIL ... .a SIDE - .. ADDRESS. e• .• •,.., ' ) P.L. - , CITY l �tl G' +'- C� NO I - . ARCHITECT-OR - _ • TEL. INSPECTION RECORD' . ENGINEER, '. NO. - - ADDRESS TEL CONTRACTOR - NO - s •...• - - ADDRESS.. Si "• �' t'... DESCRIPTION, OF WORK -NEW (l' ADD/' .=ALTER«, REPAIQR• DEMOLISH- - SQ. FT. NO.OF SIZE . '�J. : -.STOR ES F- FAMILIES - - USE,OF STRUCTURE t SIGNATURE�OI j,[ APPROVALS' I. F • APPLICANT - DATE. - INSPECTOR'S SIGNATURE. "ADDRESS 'FOUNDATION:'LOCATION. _ - FORMS.-MATERIALS �{�/ i1i✓�.J FRAME:' RS FEE' BRACINGBOLTS VALUATION / f _:. , FURNACE: LOCATION. FUR §§ ✓•;. �. „__ FEE - GAS VENT,DUCTS i A.1 HEREBYACKNOWLEDGETHAT 1 HAVE D THIS AP- LATH,INT. -f 1/' PLICATION ANDS THAT THE ABOVE I RRECT AND _ , AGREE TO COMP Y.W H ALL UNTY.O HAVE AND 1 i - .STATE ,LAWS EGU TING ILDING- CONSTRUCTION. LATH-EXT. IfJ �� •',fr•� .� Yl .F.+e":.R7 '-�f SIGNATURE OF. 'HOUSE NUMBER COR- _� i PERMIT RECT AND POSTED ADDRE s - / FINAL JOHN A. AM E.C NTY ENGINEER, CLYDE N.'DIRLAM, PRINCIPAL STRUCTURAL ENGINEER` PLAN CHECK VALIDATION- K: M.O. CASH PERMIT VALIDATION cK.' 4-M.o. cASH 23...1 6 a L oo`':` °�9 V'-` s . 3 1' a 3 6.0 0 I .•,w � ERS'COMPENSATION 6ECLARATION (� snip-• a cer fi,a I haver certificate of consent to self AP P L-I CAT ION FOR .BUILDING P E RMI T' .. `insu�,:.,_Gi a certificate of Workers'Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.) l �, COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company I ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN, BUDDING .ADDRESS d ADDRESS l( OCertified copy is filed with the county building inspec- BUILDING p � tion department. ADDRESS 5 J Ll Date Applicant CITY _ (-I ZIP els LOCALITY 3( CERTIFICATE OF EXEMPTION FROM`WORKERS' i i NO:OF BLDGS.- NEAREST f COMPENSATION'INSURANCE SIZE OF LOT Q� NOW ON LOT i r CROSS ST. �J Jh'ie section need not be completed if the permit is for one ASSESSOR , hundred dollars ($100)or less.) TRACT BLOCK LOT NO. MAP BOOK' PAGE" PARCEL I certify that in the performance of the work for which this. OWNER Z`jg Np- tI - yQ� USE ZO E NO. } permit is issued, I shall not employ any person it any manner / f, SPECIAL d so as to become subject to The Workers'Compensation Laws. ADDRESS �� /�� ✓ �J �. CONDITIONS C1 U CITY c /�� C j _ZIP Date�r����� Applicants •/��� ' Q NOTICE TO APPLICANT: If, after'making"This Certificate of ARCHITECT OR L• DISTRICT GROUP TYPE FIRE PROCESSED BY ri ENGINEER NO. _ Exemption, you should become subject 'to the'Workers' ` /1 n CONST. ZONE Compensation provisions of the Labor Code, you must forth- ADDRESS L J� iti ( 1L with comply with such provisions or,this permit shall be ✓ deemed revoked. TEL. STATISTICAL CLASS FIC TION APT. COND Z CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION - - LIC. --- CLASS NO. ' DWELL UNITS TION hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP (commencing with Section 7000)of Division 3 of the Business and LIC.- Professions Code, and my license is in full force and effect. CITY CLASS BK PGVALIDATION SQ. FT NO. OF NO. OF CHECK _ License Numbe-r Lic.Class SIZE Z STORIES FAMILIES ONE VALUATION DESCRIPTION OF WORK' NEW' .Contractor Date �'E 1-21960 96 0 ADD ' I am exempt under Sec. �N -� � / ALTER Ll , ;21 7 7, 1...A ❑ B.BP.C. for this reason Wl7L� �l2 �f/cG� REPAIR ❑ s. # o 0 0 0 0 1 USE OF Dare: EXISTING BLDG. DEMOL ❑ ) o 1 cJ 3 0 Q Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION (PRINT) NO. DATE. — _ I hereby affirm that I am exempt from the Contractor's.License o o 1 5 3,0.0 Law for The fallowing'reason (Section 7031.5, Business and ADDRESS FIN Professions Code): PRESENT BY 2 cj BUILDING Q 9 TO 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. with licensed contractors To'construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM. IST. .4 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 ^ P.L. Lender's Name ` LDMA_RE#1 t• m f P.C. Fee$ Permit FeLender's Address> I certify that I have read this application and state that the Issuance Fee Cf LDMAP '. above information is correct. I agree to comply with all County Investigation Fee - m ordinances and State laws relating to building construction, Total Fee (G LDMA Perm:# v and hereby authorize representatives of this County to enter m u on t above- ntion d property for inspection purposes. ��.. a -v,,, SEE REVERSE FOR EXPLANATORY LANGUAGE - Sign_ to of Applican�or Agent Date - - s 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 0310210001 PHONE: (626) 285-0488 EXT: GAL NO. OF CONST BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE 5149 ARDEN DR STRUCTURE: VN TEMP CA 917803316 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LA ROSA 8585-006-013 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: R SID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 10/21/03 JK 10/15/04 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: QUAN HANG & KIET LEE (626) 579-5438- 4,500 !- J^ f/ )�R 5149 ARDEN DR vz TEMP 917803316 FEES PAID DESCRIPTION OF WORK C/O ALL WINDOWS (10, SAME SIZE AS BEFORE) FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 4500.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O.EN-HC 4500.00 VAL 132.60 TOTAL-FEES 160.85 CONTRACTOR: TEL. NO: �� �y �� APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO �;� 4 ✓ a� \V LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. N0: 0 - ., FOUNDATION/TRENCH FORMS LIC. NO: , l; i _ SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: i UNDERFLOOR INSULATION 147H273 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21, - ` ROOF SHEATHING SCHOOL WITHIN HAZARDOUS M SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS / ,% NO NO NO �� /, � FRAME INSPECTION \° W/ REQUIRED TOTAL SETBACK FROM EXIST \ `/ �, // FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL ;`- - INSULATION/WEATHER STRIP SIDE PL- i - NTERIOR LATH/DRYWALL EXTERIOR LATH RATED LOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAG REPORT ID: DPR261 ROUTE TO: BS0508