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HomeMy Public PortalAbout5312 ARDEN DR_Building__ 76A63BA CE#803 10-5S APPLICATION FOR BUILDING PERMIT 1 COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. DISTRIC NO. I GROUP TYPE SSED BY FOR APPLICANT TO FILL IN I CONST. F G F C t,✓,� STATISTICAL CLASSIFICATION S ER MAP S ��r. ' /q T✓• CLASS.NO. DWELL.UNITS C�.� K PG BLOCK MAP �%/g STATE NUMBER E'yy/""/,L� HWY.&J ?�p USE SPECIAL '- SIZE OF LOT lG'`� �. L% I NOW ON LOTS ' Al,LJs CONDITIONS USE OF c* / EXISTING BLDG. 17AiE 14e, ,��/ 5• BUILDING YARD HWY STREET ME EXIST. n 77 SETBACK � WIDTH OWNER 1:11 /•� FRONT S MAIL , I a 1, A� T-,v ^k SIDE ADDRESS , �I �({ -+l TEL P.L. CITY /I.�p1p �,�I No.-:"I-8197 INSPECTION RECORD ARCHITECT OR ^�f�.)� w& NO A TEL. ENGINEER C� Ci �+ ADDRESS LL// ] Q^ CONTRACTOR, r F} p1 NO`�"l�0 7' ADDRESS 7 1 '-5tC(21 10".19A DESCRIPTION OF WORK NEW D ALTER REPAIR DEMOLISH SQ.FT. ��4� ]/q NO.OF NO.OF SIZE i�( )(�3' STORIES ' FAMILIES USE OF �� STRUCTURE ��e i.,•� Qj 'eaC N.+1 SIGNATURE O APPLICANT APPROVALS DATE INSPECTOR'S SIGNATURE ADDRESS i '�/•L.-(>;_Q' FOUNDATION: LOCATION FORMS,MATERIALS -IJ VALUATION S FRAME: FIRE STOPS, BRACING,BOLTS FURNACE:LOCATION. FEE $ I FEE ( GAS VENT,DUCTS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH.INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND _ AGREE TO C94rPtkY WITH ALL COUNTY ORDINANCES AND -`� STATE W R UTING BUILDt G CONSTRUCTION. LATH,EXT. l SIGNATURE HOUSE NUMBER COR- PERMITTEE ARECT AND POSTED ADDRESS FINAL CLYDE N. DIRLAM, PRINCIPAL ST RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH L..� 1 11 �•LJ � N7 ®F W 76A 63k,:rt. X666 11� �� �0� '��Y\' '�'U-ILD8.. G PE RIVYIT— :w COUNTY OF:'LOS ANGELES 6UIL15ING DEPARTMENT OF-COUNTY ENGINEER : Aoo.REss. J ��, h� `►U /QI.V e BUILDING,AND .SAFETY DIVISION LOCAL T-Y JOHN.-A. LAMBIE•-COUNTY ENGINEER NEAREST p i '- 'COLEMAN.W. JENKINS,SUP'T.OF BUILDING CROSS ST: - DI$TBJ�TO �G : TYP PE _ Yr.-. FOR-APPLICANT.-TOf FILL IN-: , CONST-- s ✓ '. :,. BUILDING • 1(f7`u -STATISTICAL C 'SSI FIC ATION BE ER-'MAP ,A-DDRESS_ 3 `z, _ r ( w I�1.��-.-e t CL ASS�-NO... .DWUNITS + L •-6K -.PG ... -, 'LOT NO. '.BLOCK USE ZONE MAP. NO . { TRACT I _ SPECIA.L _ 'NO. O%BLDGS:LOT N. CONDI TI OS �•SLZE OF LOT ^• ,O' 1 ,NOW ON USE OF - ,�.A BLDG. SETS A f f } - EXISTING BLDG:.• �Ke TELH� TYPE OF RF�RONTOCK FROM: (�,DL� {+• ''iitt,, 1q LINE OF 1_` G + I (STREEY) OWNER e - E �� NO. �"F`Y�T[ 1� EXISTING" SETBACK_ -„IiI GHWAY, I;h,. . YARD,.( .TOTAL" HIGHWAY �WIDTH '.FROMC L:.. ADDRESS �"\ - - CITY ^�` r-' _ BLDG. SETBACK FROM. - ARCHITECT OR a TEL. - - ' ENGINEER ., - NO. SIDE PROP. LINE"OF. - (STREET).. TYPE.OF- EXISTING SETBACK - HIGHWAY }_-,.,YARD - TOTAL _. ADDRESS - : HIGHWAY WIDTH FR C:,L.; r CONTRACTOR yr - LIC. _ _ .. _ V._ 0-' ADDRESS, - - .NO i CORNER CUTOFF YES E] CITY c Ass .'SEE REVERSE.;SI DE FOR SPE CIAL'APPROVALS Or 'DESCRIPTION OF WORK W NEW ADD A:LTE,R RE AIR DEMOLISH a • N _ r Z SQ.-F T. - NO. OF. 'NO. OF - .•,p, rr SIZE • :STORIES - .,FAMILI F_S - / • USE OF RET gg C STRUCTUR.E.:' '' /�pp� L.JS'A.C3a SIGNATUREO - .. •• - _ ., APPLICAN VALUATION`$ /9; L/��- -M1 _+ • _ - - SSIG NATURE l VV APPROVALS DAT• INSPECT . - - f r� - FOUNDATION,.LOCATION ,- R.G. :, .. - ,,.. S -PMT. + yt FEE'$, ., - - FEE$ / .FORMS, MATERIALS ?� ../ FRAME FIRE STOPS I. HEREBY ACKNOWLEDGE-THAT.I HAVE READ THIS"APPLICATION - BRACINGi BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCA'T.ION_ c - WITH' ALL COUNTY OROINANCES'.AND STATE LAWS-REGULATING GAS VENT. DUCTS 9UILDING CONSTRUCTION. CERTIFY.THAT. IN DOING THE WORK _ •- •:' AUTHORIZED HEREBY I- WILL NOT EMPLOY-ANY PERSON IN'VIOLA- LATH.;'INT. f� .TION OF THE LABOR CODE OF'THE'STATE;OF CALIF O .IA RELAT- , _ - ING TO WORKMEN'S,C NSA,I.ON�NSURANCE. LATH.�.EXTir : SIGNATURE O - HOUSE NUMBER-COR 'PEf2M ITTEE CVV/VV/ RECT.AND•POSTED ��- r 1Lr' .:. { 1.1/x' FI NAL'. 'ADDRES - -- .. _ JOHN F-. LEWIS.-PRINCIPAL ST J RAL ENGINEER :.PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIO cK M e = CASH �n 5 QTR 27 p 1 S,.0 L?1tiQ - - . APP1=I.CAYiOnI .FOR BUILDINGPER IT 76A 636A CE#803 5 65 - COUNTY 'OF LOS ANGELES. BULD' NG ;.,' ll_ DEPARTMENT..OF"COUNTY'.ENGINEE_R AD.RESs I I7G: BUILDING .AND SAFETY- DIVISION LOCALITY . JOHN A.,LAMBIE'. COUNTY ENGINEER. .NEIARES:T - " COLEMAN W.JENK-INS,SUP'T OF BUILDING - CRO S.T.- - - .� .:,... DISTRICT.-NO" j-GROUP :TYP.;E., ''OR'OC SSED BY ' FOR APPLLCANT TO.FILL IN, ONST J .` - STATISTICAL CLASSIFICATION SEWERMAP BUILDINGn �'. -ADDRESS �`f• LT � CG=ASS'NO:• DW EL'L UNI TS� BK .PG LOTN,O. c. BLOCK 'USE'ZONE. MAP 1 - NO a7!:V TRACTt :SPEC.IAL NO:_OF BLDGS. CONDITIONS ' SI.Z.E OF LOT '�(�O: NOW ON.LOT - - EXISTING BLDG:�b '. �:/��� "� - `i BLDG. SETBACK FROM - '` I TEL/'� may( A FRONT PROP: LI NE OF X,C7616/ '(SYREET) :OWNER `'NO.`� V ~���✓ TYP E.OE E%I STING-;SETBACK.. ,..HIGHWAY;__+.__YARD. ...TOTAL-• - ADDRESS? /�Il - H. A ..WYD T.H FROM C.L. iiAA,w, may- ._ i p. . .._. ��-_• ��x CITY &k, C : -� '`C/L .. . ARCHITECT.OR - •' T.EL �BLDG:,S BACK. ---• --- � -.'+ - - ' .SIDE PROP. LINE:OF :(STREET) ENGINEER : � - `NO. -:� ._ - _ 'TYPE�OF EXISTING SETBACK ' HIGHWAY,-. -P .YARD: TOTAL- - 'ADDRESS - HIGHWAY WIDTH !FROM C.C. CONTRACTOR (. NOL`.. ADDRESS -`��- - 'Np, - O CORNER CUTOFF :YES NO CI-Tr 'c.IL�A sS' 'SEE-REVERSE SIDE'FOR.SPE CIAL'APPROVALS,r O-'- DESCR'IPTION OF WORK r. >'' G a NEW 'ADD LTER.' REPAIR `DEMOLISH ' - h SQ.FT. //'�� `NO.,OF .NO. OF '{ SIZE - V_J STORIES FAMI.LIF_S � - USE.OF .. - - STRUCT'URE' Ov� uCJ� f`K J�FYc SIGNATURE OF ' +• AP.P R''O VA L-S- DA,T E INSPECTOR'S IG AST - - ' PMT. -g'S F..O U N D A T.IO N,,L O C AT.IO N _ r FEE$� - FEE FORMS, MAT E.RI A'LS _ - FRAME,- STOPS;.. .= .I HEREBY'ACKNOWLEDGE TH AT .I HAVE READ:THIS APPLICATION BRACING BOLTS :.. -n ? ' wv AND'STATE THAT THE ABOVE IS CORRECT AND AGREE TO'COMPLY' FURNAC,E::LOCATION qq - ^WITH.ALL COUNTY ORDINANCES-AND STATE' LAWS REGULATING - G.A'S VE N.T:-DU C TS- - =.1 . /. 9U ILDI NG CONSTRUCTION I:CERTIFY. THAT.-IN DOING THE •WORK.. - 'AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. IN:T.''.. Af r,- TIONiOF THE LABOR CODE-OF THE STATE OF CALIFORNIA LAT- //� -� A INGTO WORKMEN'S CONSLiH�NCE. ' LA TH. EXT. - ' SIGNATURE'O ' - - .. - HO USE NUMB'ER'..COR- - ,PERMITTEE ' - AND POSTED - -... ADDRESS .F'I N.'AL. JOHN F. LEWIS. PRINCIPAL STRUCTURAL E=NR -PLAN .CHECK VALIDATION cK: M O: CASH -PERMIT:VALIDATION CK.; M p. .. _; . -, ' I 9-2 2' 9;-- JAN 2 8 1: D 4-,p'p,N ' Lauo 7EA696A CIE.B06•'1-61 APPLICATION FOR BUILDING PEd\A V 11 9 � - COUNTY OF LOS ANGELES BUILDING .� 1 DEPARTMENT OF COUNTY ENGINEER ' A°oREss BUILDING AND SAFETY DIVISION LocALITY XJ : JOHN A..LAMBIE,'COUNTY ENGINEER NEAREST' WILLIAM A. JENSEN 3UP'T OP BUILDING CROSS"ST. DISTRICT NO. GR TYPE PR Y - .7OR APPLICANT TO FILL IN coNsr. BUILDING ,(^ STATISTICALC SIFICATION SEWER MAP ADDRESS J - K P ' • g .CLASS.IJ O. DWELL. UNITS I -- LOT NO- J - � BLOCK - WATER' NOT REQUIRED '� R11CLIVE6 CERTIFICATE: - _ TRACT. •''MAP ® HIGHWAY STATE MAJOR SECOND .. //��/ 2 NO.OF BLDGS. NO. (CIRCLE) LOCAL SIZE•OF LOT(O`Y-- - J Q I NOW ON LOT �• °'USE ZONE 7 :SPECIAL ' USE OF •. CONDITIONS'' EXISTING BLDG:.. 1F: - rte- .OWNER - NOS -� BUILDING _ EXIST. ' YARD HWY ` STREET NAME• J - SETBACK - WIDTH ADDRESS .e/JJ /UB+ gi'dL h, ,-7r.o- -.FRONT ARCHITECTOR' - " TEL. P..I ENGINEER NO. - SIDE ADDRESS -' !=1� ,!,fi r TEL. r• / _ CL INSPECTION AECORD . 0 • CONTRACTOR 014)LYl lJ EQ•C'A�.,/PL2N0. -7•�ti-1 )� �/t ,.�aa �,.•�. CJ- 'ADDRESS ". .�J/l. '.TI Y"UE'h '" 1/1'.. DESCRIPTION .OF.WORg I� ..e 6� _ , s rI u a NEW' DD ALTER - REPAIR DEMOLISH SQ.FT. ;t ;.!.NO.OF NO.OF .Z IZE - ST RI FAMILIES - - USE OF STRUCTURE ezak a 43, T. 1.( SIGNATURE-OF APPLICANT - VALUATI ON APPROVALS - DATE INSPECTOR'S SIGNATURE PMT. /�y7^/ FOUNDATION: LOCATION. FEE $ ,FEE $� ✓ �/ FORMS,MATERIALS FRAME: FIRE STOPS,. 'I HEREBY ACKNOWLEDGE THAT I,HAVEREAD THIS APPLICATION BRACING, BOLTS ♦',�. AND STATE THAT THE ABOVE IS,CORRECT AND AGREE TO COMPLY . FURNACE: LOCATION,' /'' '.'•a.w f"^'� ° WITH•ALL,COUNTY ORDINANCES AND :STATEL . AWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION. .I-CERTIFY THAT IN DOING THE WORK ` / a AUTHORIZED HEREBY I•WILL.NOT,EMPLOYANY 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 O HOUSE-NUMBER COR- PERMITTEE -1.0 -yes/L(/il�C��. C� �'N��Q RECT,AND POSTED /• ,� - /j• J ,� . ADD RESS._aa �(711L!• FINAL - Ak A7x- . - CLYDE N. DDIRLAM, PRINCIPAL STRUCTURAL ENu PLAN'CHECKVALIDATION . C:K. iml.o. CASH PERMIT VALIDATION K. '' M.O. CASH 5-:3'7 Q! JAN 2y 1 p 30 WORKERS'COMPENSATION DECLARATION t L1227 I `hereb affirm that I have a certificate of consent to self I nsure, or a certificate of Workers'Compensation Insurance, APPLICATION FOR BUILDING PERMIT or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING y �J ❑ PY Y FOR APPLICANT TO FILL IN ADDRESS e2 / Certified co is hereby furnished. falL ❑ Certified copy is filed with the county building inspec- BUILDING J( lZ tion department. ADDRESS , f /✓�� y^ LOCALITYNEAREL- Date Applicant CITY /`L� 1�� � ZIP �(� ® � CROSSSST. Z � CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP U hundred dollars ($100)or less.) TRACT BLOCK LOT NO. f/n NO. ��jj�j TEL. r .../ SPECIAL 1 certify that in the performance of the work for which this OWNER © /c7e EL. II" CONDITIONS permit is issued, I shall not employ any person in any manner �y DISTRICT I GROUP I TYPE FIRE PRO SSED BY so as to become subject to the Work s'C V" e tion Laws. ADDRESS CONST. �,. ZONE Date Applican CITY ZIP STATISTICAL CLASSIFICATION {,�/ •' APT. CONDO.- - NOTI TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. ENGINEER NO. CLASS NO. DWELL. UNITS WJ Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER P g with comply with such provisions or this permit shall be e deemed revoked. TEL. BK PG VALIDATION CONTRACTOR �yy®.�N �j �C NO. �� �� LICENSED CONTRACTORS DECLARATION / ,[ ® LIC. I hereby affirm that 1 am licensed under provisions of Chapter 9 ADDRESS/UyZ dpi //�/VA(� 1 NO. 3,"3 4!Z VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. �,tt Professions Code, and my license is in full force and effect. CITY i' CLASS ` '� $ godd 3�� SIZEQ. FT. STORIIEES MILLIIES CHECK License Number Lic.Class (J ContracTory�� A.�saye'. Date 1 i 3 DESCRIPTION OF WORK G� NEW ❑ $ ❑ I am exempt under Sec. ADD ❑ a - ALTER � FINAL o�„ B.BP.C. for this reason �"�- REPAIR ❑ DATE ( `' 2 O �, Date: USE OF FINAL p 42 EXISTING BLDG. o S J( DEMOL ❑ By IS f c o a 1 i a e.. . - Signature APPLICANT//�1 TEL r`ria r a WNER-B ILDER DECLARATION PRINT(/-1 y1, V NO ��i�� 7 rT 2 C o L!.Q C11 iJ I hereby affirm that I am exempt from the Contractor's License � Law for the following reason (Section 7031.5, Business and ADDRESS /! �� / 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 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 EXIST. 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.). /� (l SIDE P.L. Q Lender's Name Lender's Address P.C. Fee$ Permit Fee 3 Q I certify that I have-read this application and state that the Issuance Fee 0 's C� above information is correct.I agree to comply.with all County Investigation Fee g ordinances and State:laws'relating to building construction, Total Fee. 1, oe Jr-11 d and hereby authorize re resentatives of this County to enter m upon thea a enY edG Zn pyoperty for.inspection ur'poses. ' a ' / SEE REVERSE FOR EXPLANATORY LANGUAGE n Signature of Applicont or Agent Date ®s - -COUNTY,OF.LOS ANGELES BUILDINGAND,SA,FETY•._• WORKER'S COMPENSATION-DECLARATION - FOR APPLICANT TO FILL IN ' _ BUILDING ADDRESS 'certificate of consent' self Insure, p t BUILDING ADDRESS- I'hereby affirm that I-have a ,V or a certificate of Workers' Compensation Insura e,`or a certified • CITY •-.d- .+.ZIP. 'copy thereof,((Sec.3800,Lab.-C.) / r ry. , I� 1 °,` (� f�fl ~, LOCALITY P�olic -No:I� ( Comp3nyj�`�� ����� Iv"1 SIZE OF LOT NO.OF BLDG'S.INOW ON LOT d ` v I� Certified copy Is,.hereby,furnished.. NEAREST CROSS ST. ❑ Certified copy is filed with the countybla'ng inspection' TRACT ..BLOCK, LOT NO. - - - - dep rtment' USE ZONE MAP NO., Date I Applicant �y' ASSESSOR, PAGE - PARCEL'. I _ 'SPEC ALCONDITIONS O. CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER ELN G COMPENSATION INSURANCE — / WITHIN 1000 FT.OF'SCHOOL?. I -' No F, YES^. . .. - ADDRESS- (This section need not be completed If the permit is-for one hundred / DISTRICT -GROUP ST FIRE ZONE PROCESSED BY dollars($100),or less.) CITY - .`_. .._ ZIP certifythat in the performance of the work,for which this permit . is issued I shall not employ any person in any manner so as'to . .. ... become subject,tb ARCHITECT OR ENGINEERTEL NO. the.Workers'Compensation,Caws.: STATISTICAL'CLASSIR ATION APV CONDO Date ApplicantADDRESS _ -. CLASS NO. DWELL UNITS - - NOTICE TO 'APPLICANT' If,,after' making this Certificate of REQUIRED - TOTAL SETBACK FROM EXIST Exemption, you ShOUId become Subject. t0 the Workers C NTRACTOR TEL NO. FROSETNT BACK YARD,- HWY PROP LINE WIDTH Compensation provisions-of the Labor Code, you must forthwith, D. T��6 comply with such provisions or.this permit shall'be deemed revoked. DDRESs 6. UC; O: PL LICENSED CONTRACTORS DECLARATION CITY LIC.cLAss; Floe ' off hereby affirm that I am licensed underprovisions of Chapter 9 � ��� � SEWER MAP { -(commencing with Section 7000)of Division 3bf'the Business and SQ.FT.-SIZE O.OF STO IES" NO.OF FAMILIES CL Professions.Code'and'my license.is in'full force•a'd effect..,' J d NEW BK PG O •Q''• �` DESCRIPTION OF WORK VALUATION - License Number' Lic.Class _ ADD _ :.❑ CD Contractor s Enhl!i A) W Date: ALTER ❑ o: LU 0 lam exempt.under$ec .I- t � ti I REPAIR ❑ cri f,) - z 6.8P.C.for this reason. — is DEMOL ❑ Date: U E OF EXISTIN BLDG. LDMA P/C# URM " ❑. " Signature - APPLICANTS(PRINT) - TEL NO./ _ - LDMA Perm# ❑.I„as owner of the property, or my employees with wages-•as Z r p _ _ ucture IS 'ADDRES /";. - w their sole coin ensatwn, Will do'the work and the str `` / / / +; O `i' t s not intended of offered for sale (Section 7044,'Business and b LQS!l 17� + C _ FINAL DATE Professions Code.) _ 1_ - ' - ,WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A AZARDOUS MATERIAL I, as owner'of the property, am eXCIUSIVeIy contracting-wit OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL-TO OR GREATER THAN THE FINAL.BY > s g G I _ AMOUNTS SPECIFIED N THE.HAZARDOUS MATERIALS INFORMATION GUIDE? '- licensed contractors to construct the project (Section 7044, /° Business and Professions Code.) YES❑ No LAS.'WILL THE INTENDED USE-OF THE BUIDLING BY.THE APPLICANT OR FUTURE BUILDING -) - OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH - • CONSTRUCTION LENDING` AGENCY • COAST AIR QUALITY MANAGEMENT DISTRICT:(SCAQMD)�SEE PERMITTING CHECKLIST fOR - • _ - - ' GUIDELINES. -” •� 1 I hereby affirm'that there is a construction lending agency.for YES.❑ -,NOCW m the performance Of the Work for which this permit IS Issued(Sec. .INANE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING 3097,CIV.C_) CHECKLIST.I UNDERSTAND MY REQUIREMENTS.UNDER THE LOS ANGELES COUNTY CODE. • - TITLE 2.CHAPTER 2.20 SECTIONS 2.20:100 THROUGH 2.20,140 CONCERNING HAZARDOUS -- _ _j 5( i •r� • Lender's°Name MATERIALS REPORTING AND FOR OBTAINING A.PERMIT FROM THE SCAQMD. o Lender's Address ;;^16 ,O OWNER OR AGENT o I certify that I have'read this application and state under penalty O _of perjury that the above.information is correct.I agree t0 comply P.C.FEE PERMIT.FEE P 1 Y 9 PY � 'O�•-�. N with all county ord' rices and State laws relating to building: m construction, and h y"authorize representatives of this County - - .,ISSUANCE FEE - c to enter th b e-mentioned property for irispec'on urposes. y •n CID a INVESTIGATION FEE _ - TOTAL FEE i SEE REVERSE FOR EXPLANATORY LANGUAGE .' "COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT- - }a DEPARTMENT.OF.PUBLIC WORKS 9701 LAS TUNAS - - ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 05080702220037 PHONE: (626) 285-0488 EXT: - - • ILEGAL ID: - I. NO. OF CONST 1 BUILDING ADDRESS:_ _ - ITR: 11699 UN: .002 1 SQ FT STORIES. TYPE .1 5312 ARDEN DR j y (STRUCTURE: VN 1.. TEMP CA 917803319 (ASSESSOR INFORMATION NUMBER:. _ 1 - 1 .� NEAREST-CROSS:STREET,: OLIVE T -. ! 18585-020-005I' 1 THOMAS PAGE: .597. GRID: B4•- ,LOCALITY;:-.TEMPLE"CITY, Ci I I _ ITENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 - I.ISSUED ON: PROCESSED BY: EXPIRES ON: I ' I IEXIST OCC GRP: . 102/22/.07 ' JK 02/17/08 1 1 � � 1 (OWNER: - TEL. NO: .IBLDGS. NOW ON LOT: _~ VALUATION'. IF���/ /--((��I D`AT� FI - CODE: ' 1 1BRADSHAW, DIANA .. (626) 453=8901,- I. ,. - - 16.,400 1 �cJ�( I - 15312 ARDEN DR _ " ITEMP 917803319 - FEES .PAID 1:DE CRIPTION F WORK 1 - IREMODEL,BATHROOM & LAUNDRY ROOM. I - .IFEE DESCRIPTION.: QUANTITY: UOM. AMOUNT: I - ,. I APPLICANT: TEL. NO: -I - - - I ,' I-B & L CONSTRUCTIONS (818) 434-6617- "IAA-BLDG PERMIT ISSUANCE 27.75 1 1 11317 N. SAN FERANDO .IAC .STRONG MOTION RESID 16400.00' VAL - .1.64 ISPEC IAL,'CONDITIONS: IBURBANK, CA 91504, IB2 PERMIT W/ENERGY r 16400.00 VAL 367.62 1 - 1 IFR INV WORK W/O PERMIT 257.00 DOL 257_00 - 1 TOTAL,FEES r, 654.01 I - - • ICONTRACTOR: TEL. _NO- I. � { x>< " t •- i j IAPPROVALS ''" - DATE INSPECTOR SIGNATURE- B. & IGNATURE:B. & L CONSTRUCTION (818) 434-6617- 11317 N. SAN FERNANDO BLVD. LIC. NO '1 . _ _...,.r'� ILOCiaTION AND SETBACKS 1#132 840526 B I-p 1 - IBURBANK, CA 91504 `, '1 +. i�i`!�. - ISOIL S ENGINEER APPROVAL (ARCHITECT OR ENGINEER: - TEL. NO: • I _ 'y -- IFOUNDATION/TRENCH FORMS;11.- - I.. I yLIC. N0: . � ISLAE/UNDER FLOOR I 1 RAISED FLOOR FRAMING O J I.MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMPC _ - (UNDERFLOOR INSULATION 1� 1147H273 3 O1 IFLOOR SHEATHING - 1 - INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:.- II I N0. 21 ( I. _ IROOF SHEATHING I' 1. SCHOOL WITHIN- HAZARDOUS 1 r ISHE. 1 PANELS. I I (AIR QUALITY: 1000 FEET ". MATERIAL'S NO NO NO, _ _ -IFRAVE INSPECTION '.IREQUIRED - TOTAL SETBACK FROM EXIST FI IFIRF, SPRINKLER HANGERS. 1 - I - ISET BACK YARD. HWY: 'PROP LINE: WIDTH: (FRONT PL- - I - - 11NSULATION/WEATHER STRIP I _1 SIDE PL- I _ _I . - . 1 INTERIOR LAT (DRYW L" 1.EXTF.RIOR "LATH - 1 -. • I (J IRATED,FLOOR/CEIL ASSEM. 1 I I RATED.WALL ASSEMBLIES I - • - + i - (RATED SHAFTS/OPENINGS I I I I- I - IT-BAR CEILINGS ' ILOT.DRAINAGE I I I u ;. {; ` (REPORT ID: DPR261 ROUTE TO: BS0508 I 1