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Home My Public Portal About5221 ARDEN DR_Building__ TEMPCITY Ic:"i.Si.1 '1 f 76A676A CE#806.1-61 APPLICATION FOR .BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING a DEPARTMENT OF COUNTY ENGINEER ADDRESS `/ BUILDING AND SAFETY DMSION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST ,I ij/ WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. DISTRICT NO. G UP TYPE -SED BY FOR APPLICANT TO FILL IN ' - CONST -�-Z �i BUILDING STA 1STICALCLASSIFICATION SEWER MAP ADDRESS ., I' s /� BK PG CLASS. NO.S�LDWELL.UNITS LOT NO. BLOCK WATER NOT REQUIRED ❑ RECEIVED e CERTIFICATE: TRACT / NOP ✓.< HIGHWAY STATE MAJOR SECOND, LOCAL n NO.OF BLDGS. /f/ ICIRCLE) SIZE OF LOT. 7 I NOW ON LOT Ayl IL USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. L fj�� .,f L�p�j' L/1_�; TEL '��z�i BUILDING EXIST. OWNER + YARD HWY STREET NAME SETBACK WIDTH" ADDRESS,5 -26- 7 (✓Y1E3 t' �/Ir '8(VL! � FRONT ARCHITECT OR —r EL. P.L. ENGINEER NO. SIDE P.L. d ADDRESS INSPECTION RECORD O TEL: ' CONTRACTOR ['� Nyt0 n/•t- V ADDRESSr��(``I '-�ii197/ ' 011V l?1kjf Q DESCRIPTION OF WOR9w a N NEW ADD ALTER REPAIR DEMOLISH z SO. — FT. //� '^� NO.OF NO.OF �IZE - / STORIES FAMILIES USE C � �L�S STRUCTURE 7 !�• SIGNATURE OF APPLICANT �y �(✓' VALUATION _ -� W orr APPROVALS DATE INSPECTOR'S SIGNATURE P.C. 7 : � PMT. FOUNDATION: LOCATION M �I �} FEE $«-.� FEE $ FORMS, MATERIALS Ai-s fq FRAME:FIRESTOPS, //rr I HEREBY ACKNOWLEDGE THAT 1HAVE READ THIS APPLICATION BRACING,BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:LOCATION, U 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. ,r- r,r}- /1 �I TION OF THE LABOR CODE OF THE STATEORNIA RELAT- 6 - 1- y ING TO WORKMEN'S COMP NKAT N IN6U��YE / LATH,EXT. SIGNATURE OF i - HOUSE NUMBER COR- ^ n PERMITTEE - �Cs� RECT AND POSTED ADDRESS 'FINAL l o CLYDE N. DIRLAM, PRINCIPAL ST C RAL ENGINEER PLAN CHECK VALIDATION cK M.O. CASH PERMIT VALIDATION M.o. CASH �t1vo 5 3 0 22 3 D 3 7.25A 7 7 7 0 APR 16 1 D 74.50- 11 WORKERS'COMPENSATION DECLARATION ~ I, hereby affirm that I have a certificate of consent, ta.self APPLICATION'. FOR BUILDING PERMIT insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. Ci) ,•,: - •, _�.-�' .� COUNTY OF LOS ANGELES BUILDING- AND SAFETY Policy No. - Company t7�7.�t1Lrx ❑ Certified copy is'hereby furnished. FOR APPLICANT TO FILL IN BUILDING ADDRESS I� Certified copy is filed with the county building inspec- BUILDING �� ' tion deportment. ADDRESS LJL +l.. Date 8-4- Applicant CITY ZIP LOCALITYIF CERTIFICATE OF EXEMPTIO ROM WORKERS' NO. OF BLDGS: NEAREST . -. COMPENSATION'INSURANCE SIZE OF LOT NOW ON LOT CROSS ST.. (This 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 TEL. USE ZONE MAP �tt l+certify that in the performance of the work for which this OWNER NO. NO. V: IL permit is issued, I shall not employ any person in any manner .. v j SPECIAL- so'as•to become subject to the Workers'Compensation Laws. ADDRESS �,� - CONDITIONS CITY . ZIP. - 09O Date Applicant ARCHITECT OR TEL. NOTICE TO APPLICANT: If, after making this Certificate of DISTRICT GROUR TYPE FIRE„ PRO SSED BY p. ENGINEER NO. CONST.' ' ZONE {� Exemption, you should become subject to the Workers' ///g Compensation provisions of the Labor Code, you must forth- ADDRESS 3 9L with comply with, such provisions or this permit,shall be �+ EL STATISTICAL "101"I PT. CONDO. deemed revoked: CONTRACTOR NO. �6 LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. off- ../� •DWELL'UNITS — I I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS /G 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 /� PG T VALIDATION n'/'� SQ..FT. NO.OF NO. OF CHECK License Number d 3 I /"/ Lic.Class c S 9 SIZE' STORIES FAMILIES ONE VALUATION 'DESC IPTION OF-WORK NEW ConTrocto Date ADD av ❑ I am exempt under Sec. • � TER B.&P.C. for this reason REPAIR $ USE OF " te: EXISTING BLDG. r DEMOL APPLICANT TEL. SignoTure FINALr�s N R-BUILDER DECLARATION (PRINT) NO. - _ :. DATE. I-hereby offirkAhat I am exempt from the Contractor's License Law for the following reason (Section 7031.5; Business and ADDRESS FINAL'` Professions-Cocle): . PRESENT BY BUILDING 2: 1 6 9.4 A .. I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and / o g the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code):- MOVING " ' TEL. o 0 1 0' 1 3= I, as owner of the property, am exclusively contracting CONTRACTOR NO. � with licensed licensed contractors To construct the project-(Sec- ADDRESS � ' tion 7044, Business and Professions Code). REQUIRED YARD HWY TOTAL SETBACK FROM XIS _ CONSTRUCTION LENDING AGENCY SET BACK 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 ro fj CDMA Ref. # Lender's Address P.C:Fee$ Permit Fee I certify that I have read this-application and state that.the issuance fee LDMA P/C# a above information is correct. I agree to comply with all County Investigation Fee o. ordinances and State laws relating to building construction, Total Fee Q r- - LDMA Perm. # - u and hereby orize representatives of this County to enter upon t e a ove .ntioned property.for inspection purposes. _. a i lv�'�/$� SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent --- - Date 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 1404070071 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST BUILDING ADDRESS: ITR: 29148 LT: 1 I SQ. FT STORIES TYPE 1 5221 ARDEN DR STRUCTURE: V—B I TEMP CA 917803318 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1 18585-005-025 I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY CAI I I (TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: I I IEXIST OCC GRP: 104/07/14 SR I I I I I (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IF NAL DATE FI BY: CODE: 1 IDAM DANNY;JENNY LE (626) 478-5705— 1 5,500 1 1 15221 ARDEN DR ITEMP 917803318 I FEES PAID DESCR. PTI N OF WORK I I ITEAR OFF REROOF CLASS A 30 R COMP 2200 SQFT. HOUSE + I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IATTACHED GARAGE (APPLICANT: TEL. NO: ! IBLANCIE, GUY (626) 679-1284— IAA BLDG PERMIT ISSUANCE 27.80 14930 ARDEN DRIVE !AB STATE GREEN BLDG FEE 5500.00 VAL 1.00 ISPECIAL CONDITIONS: 1 1TEMPLE CITY CA 91780 ;AC STRONG MOTION RESID 5500.00 VAL 0.60 jD2 PERMIT W/O EN—HC 5500.00 VAL 149.40 TOTAL FEES 178.80 (CONTRACTOR: TEL. NO: IAPPRUVALS DATE INSPECTOR SIGNATURE IB AND G ROOFING (626) 679-1284— 1 _ I 14930 ARDEN DR LIC. NO LOCATION AND SETBACKS ITEMPLE CITY CA 91780 903492 1 1 ISOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER: TEL. N0: FOUNs' TION/TRENCH FORMS I LIC. NO: j ISLAB/JNDER FLOOR I I I I I I I I RAISI<D FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:; IUNDE'.FLOOR INSULATION I I I 3 001 .1 IFLOO?'. SHEATHING I I I INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I _ ,1 1 I NO 21 1 IROOF SHEATHING 1 I I I_ _ I I SCHOOL WITHIN HAZARDOUS ISHEAF:. PANELS 1 (AIR QUALITY: 1000 FEET MATERIALS I I�..__ I NO NO NO I IFRAME INSPECTION I 1 I I I I IFIRE SPRINKLER HANGERS I I 1 I ! I I I I INSULATTON/WEATHER STRIP( I I I i I I (INTERIOR LATH/DRYWALL 1 I I I I I I (EXTERIOR LATH I (RATED FLOOR/CEIL ASSEM. I I I I I I I IRATED WALL ASSEMBLIES I I 1 I I I I I I IRATED SHAFTS/OPENINGS I I I i I I I 1 IT—BAR CEILINGS I 1 I I I I I I ILOT DRAINAGE I I I I IREPORT ID: DPR261 ROUTE TO: BS0508 I ! I I I I I