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HomeMy Public PortalAbout6116 AVON AVE_Building__ t r - ,eAs,eA-Daga SS°� APPLICATION FOR BUILDING PERMIT it DIVISION OF BUILDING AND SAFETY ADDRR ESS (p B U 1 I NG / 77 Deparhnent of County Engmeer County of Los Angeles LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST FOR APPLICANT TO FILL IN DISTRICT GROUP TYPE SEWER MAP BK PG CONST BUILDING L i x;� NUMAP STATE MBER HWY YES O L BLOCK USE ZONE SPECIAL CONDITIONS TRACT ✓ � 1 NO OF SLDGS / ��'lll "`������... SIZE OF LOT NOW OD#LOT BUILDING YARD HWY STREET NAME EXIST USE OF //�1� SETBACK WIDTH EXISTING BLDG r FRONT f yp P L OWNER ( SIDE MAIL P L ADDRESS O TRACT DWELL 1 UNITTEL 5 INDUSTRIAL CITY NO DWELL 1 UNIT \a( 6 PUBLIC BLDG ARCHITECT OR TEL 2 DUPLEX 2 UNITS ENGINEER NO 7 ADDN ALT ETC 3 APT UNITS 8 MISCEL ADDRESS 41 COMMERCIAL EL CONTRACTOR i NO INSPECTION RECORD a� ADDRESS DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SO FT O OF NO OF SIZE 0 STORIES FAMILIES US O STRUCTURE , SIGNATURE OF APPLICANT APPROVALS ADDRESS DATE INSPECTOR S SIGNATURE FOUNDATION LOCATION P C $ FORMS MATERIALS FEE FRAME FIRE STOPS VALUATION $'��j �? BRACING BOLTS FEE FURNACE LOCATION I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT DUCTS i APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH INT E AND .t I STATE LAWS REGULATING BUILDING CONSTRUC j LATH EXT SIGNATURE OF - HOUSE NUMBER COR PERMITTEE RECT AND POSTED q ADDRESS 1 FINAL JOHN A LAMB' COUNTY t VALIDAT LCMk CLYDE N DIRLAM CHIEF BLDG INSPECTOR CK MO CASH �„ 994ts4—ft SEP 6 1 200 e B U 1 L. ® i N G BUILDING ADDRESS � APPLICATION LOCALITY tgG- NEAREST DIVISION OF BUILDING AND SAFETY CROSS HT (s Department of County Engineer DISTRICT NO RECEIPT NO PERMIT NO County of Los Angeles S--- 77J a► Z WM J FOX, COUNTY ENGINEER GROUP DATE RECEIVED DATE ISSUED CASBATT D GRIFFIN SUP T GF BUILDING V //-A FOR APPLICANT TO FILL IN TYPE CONST RECEIVED BY ISSUED BY OWNER MAPSTATE 1N� N O MAIL � NUMBER �Y O HWY ADDRESH 0 Al USEZONE SPECIAL TEL � .. 6) CONDITIONS CITY NO ARCHITECT OR TEL Div ENGINEER f- . O UILDINOYARD HWY STREET NAME EXIST ZjADDRESS ! SETBACK WIDTH FRONT 4-TEL t P L_—� CONTRACTOR �/�j�� C�NO SIDE P L ADDRESS BUILDING DATE CORRECTIONS INSPECTOR - ADDRESS r, LOT NO TRACT T 91ZE OF LOT . �� NO OF BL NOW ON LOT / USE OF FXI9TIN0 SLOG �O,h' D SCRIPTION OF WORK 17 A 8 / P 1/✓l� �lG,� a NEW ADD ALTER REPAIR DEMOLISH _ D SO FT NO OF NO OF �i.��b✓J BIZE �O STORIES / FAMILIES " t- USE OF STRUCTURE L+ QdF , A1,91 t r-v tis AIZL NO OF EMPLOYEES ` I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP PLICATION AND STATE THAT THE INFORMATION GIVEN IS APPROVALS INSPECTOR S SIGNATURE DATE CORRECT IAGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION LOCATION AND STATE LAWS REGU TING BL?ILQING CONSTRUCTION FORMS MATERIALS •��e�`��d(� 0FRAME FIRE STOPS SIGNATURE OF BRACING BOLTS PERMITTE ®�� � FURNACE LOCATION OAS VENT DUCTS ADDRESS LATH INT AUTHORIZED AOT LATH EXT P C $ HOUSE NUMBER COR ! r O 4 FES RECT AND POSTED Q,� VALUATION ` _EE $�� � _ FINIAL 2/ 76A638A DSS 3 (21b 5-54 WORKEU COQQNSATION DECLARATION 71 + e d Tt eby affirm that I have a certificateYof consent to self { Y "A P P L I C/o►TION FOR U I LID I N G PERMIT -� 1 ik e or a certificate of Workers Compensation Insurancecertified copy thereof (Sec 3800 Lab C ) " " - + �' r - �Vtr,, „T t COUNTY OF LOS ANGELES BUILDING AND SAFET}Y Policy.No Company I - ` ❑ Certified copy is hereby furnished + JT - BUILDING _ t FOR APPLICANT TO FILL IN i t ADDRESS Certified copy`is filed with the county building mspec BUILDING ' ' _ T T f � �// v Tion department " 1 ` ADDRESS' /& S` n Date-nt',Applicant CITY / I ♦ ZIP LOCALITY 'CERTIFICATE OF EXEMPTION FROM WORKERS - - NO OF BLDGS�- - NEAREST- 2, f COMPENSATION INSURANCE%tt e� SIZE OF LOT '64 I l + NOW ON LOTCROSS ST (This section need not be completed if the permitrts for oneTRACT BLOCK LOT NO - ASSESSOR J MAP BOOK PAGE PARCEL hundred dollars ($100)or less ) x TEL r // 4 USE ZONE MAP r r tr . OWNER C� NO_ NO + I`certify that in the performance of the work for which this CL permit is issued I shall not employ any person in any manner / ,lSPECIAL - - - - - 'd +<» ADDRESS / /v - CONDITIONS O so as to become subject to the Workers Compensation Laws + t � N 1 t I,rh It, 1 ! - aN � _ V ! ; s (��rJL`Or} T CITY / c + _ ZIP_ _ 1 }Y _ _ �' Date Applicant ARCHITECT OR �r, ' e (� TEL ,0 NOTI T APPLICANT If after making this Certificate of ENGINEER CW N el NO t DISTRICT GROUP TYPE - t FIRE _ PROCESSED BY_� lV- Exemption" you"should become subject to the Workers CONST t ZONE } Compensation provisions of the Labor Code you must forthLU ADDRESS -d with comply with such provisions or this permit shall be - - - -- TEL 2 STATISTICAL CLA SIFI ATION ` APT CONDO 1) Z deemed revoked s` t CONTRACTOR ��/4�7�(/V^( ,a NO J - 0 CLASS NO y � .DWELL UNITS - - LICENSED CONTRACTORS DECLARATION t n LIC__ T I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS A Vt✓ NO Z�' (commencing with Section 7000)of Division 3 of the Business and -7 [� r I _-LIC _ SEWER MAP t Professions'Code and my license is in full force and effect CITY l)0,9/� CLASS - - VALIDATION � tit N � � , e -t BK� PG 1 �i 2 SQ NO OF NO OF _ CHECK t License Number —`#✓I C t Lic Class T SIZE S STORIES - '4 FAMILIES ONE a t z VALUATI N l Contractor /'r�m� +W� `Gate DESCRIPTION OF WORKS NEW ❑ ; ��O OC { ❑ p under Sec j am exempt O �^= 1-367-H 3 - ///ALTER B 8P C for this reason I' 4"! M IL REPAIR ❑USE OF Date_ EXISTING BLDG DEMOL ❑ t _ _ _ I Signature - APPLICANT— TEL r� � FINAL (PRINT) I HDm AL tE� O 7�� ~ / OWNER BUILDER DECLARATION _ DATE �j - I hereby affirm that I am exempt from the Contractor s License ADDRESS �Z µzJ� V�V� /j V� -' Law for the following reason (Section 7031 5 Business and FINAL /" { Professions Code) PRESENT - BY I as owner of the property or my employees with ADDR SS wages as their sole compensation wilPdo the work and t 22 1 9 3.2 A the structure is not intended or offered for sale(Section LOCALITY - 7044 Business and Professions Code) - MOVING - - - TEL CONTRACTOR NO l- y+ « - - + I as owner of the property am exclusively contracting } a 2-O 2 5 6 1-3 with licensed contractors to construct the project (Sec < tion 7044 Business and Professions Code) ADDRESS ahs ti ti� Z REQUIRED _ TOTAL SETBACK FROM ° 2 6 1_ " `CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH_ I I hereby affirm that there is a construction lending agency for FRONT 0 61 2-8a -the performance of the work for which this permit is issued P L -- (Sec 3097 Civ C ) SIDE 1 m P - z Lender s Name LDMA Ref # . t Lender s Address 4 - PC Fee$ - - Permit Fee-- �- - -- ; - - i x -I certify that I have read this application and state that the _ Issuance Fee - - CDMA P/C# - - above information is correct I agree to comply with all County Investigation Fee s ` g ordinances and State jaws relating to building construction _ _ Total Fee - - A v and h reby a raze representatives of this County to enter / -CDMA Perm # upo e a ve entioned property for inspection purposes } a SEE REVERSE FOR EXPLANATORY LANGUAGE '" -Signat re of Applicant or Agent D6te I COUNTY OF LOS ANGELES TEMPLE CITY BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9610300034 PHONE (818) 285 0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS TR 5903 LT 49 SQ FT STORIES TYPE 6116 AVON AV STRUCTURE 0 V SGAB CA 917752606 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 5386 009 042 1 THOMAS PAGE 596 GRID G2 LOCALITY TEMPLE CITY TENANT EXIST BLDG USE RESID USESUED ON PROCESSED BY EXPIRES ON EXIST OCC GRP 10/30/96 TC 10/30/97 OWNER TEL NO BLDGS NOW ON LOT VALUATION FINAL DATE FINAL BY CODE NGUYEN HUNG P XUYEN T (818) 286 4780 1 2,730 + A � 6116 AVON AV _ l`_l�� SGAB-917752606 _ FEES D DSR 0 OF WORK REMOVE/RECOVER 1/2" CDX AND 20 YR GAF COMP SHINGLE _ FEE DESCRIPTION OUANTIOY1 UOM�' N AMOUNT APPLICANT TEL N u T D BUILDERS (818) 447 5532 AA BLDG PERMIT ISSUANCE�;p 27 75 2519 S SANTA ANITA AC STRONG MOTION RESIDS 2730-00-VAL AP50 SPECIAL CONDITIONS ARCADIA CA 91006 D2 PERMIT W/O EN�Hw 2730-00-VAL 99'15 © TOTAL FEES 127'400/-/' CONTRACTOR TEL NO I 1, Q O APPROVALS DATE INSPECTOR SIGNATURE T D BUILDERS (818) 447 5532 1 O �a 2519 S SANTA ANITA AVE LIC NO �/ s 0 O LOCAfIO ARCADIA, CA 91006 B �-� �n �n SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL �J�Z' V U Qj fl �1 OUNi)ATION/ R H LIC NO SLAB/UNDER FLOOR Mutt RAISED FLOOR FRAMING f � ' MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP UNDERFLOOR INSULATION 153H261 3 01 C 1) NO OF FAMIL15S DWELLINGITS A OND STAT CLTS-S— �/� X04 SHEATHING NO 21 v Q Q ROOF SHEATHING / SCHOOL WITHIN HAZARDOUS \�\� SMR PANELS AIR QUALITY 1000 FEET MATERIALS V NO NO NO FRAME INSPECTION REQUIRED TOTAL SET CK EXIS FIRE SPRINKLER HANGERS SET BACK YARD HWY PROP LINE WIDTH FRONT PL INSULATION/WEATHER STRIP SIDE PL INTERIOR LAT /DRYWALL EXTERIOR LATH RATEDOOR/C ASSEM RATED WALL ASSEMBLIES RATID SHAFTS/OPENINGS T BAR CEILINGS * ADDITIONAL DATA ON FILE t LOT DRAINAGE REPORT ID DPR261 ROUTE TO BS0508 f 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 1106130003 PHONE (626) 285 0488 EXT LEGAL ID NO OF CONST I BUILDING ADDRESS ITR 5903 LT 49 SQ FT STORIES TYPE 6116 AVON AV I ISTRUCTURE V B SGAB CA 917752606 IASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 15386 009 042 THOMAS PAGE 596 GRID G2 LOCALITY TEMPLE CITY C ITENANT IEXIST BLDG USE RESID USE ZONE R 1 (ISSUED ON PROCESSED BY IEXIST OCC GRP 106/13/11 SR I I I I 1 (OWNER TEL NO 1BLDGS NOW ON LOT VALUATION IFIAL ATE FI BY CODE 1 200 1 -INGUYEN -KIM (818) 749 8063 -1 I 16116 AVON AV I f1 SGAB 917752606 1 FEES PAID IDE R PTI N OF WORK BATHROOM REMODEL I IFEE DESCRIPTION QUANTITY UOM AMOUNT (APPLICANT TEL NO I I ISAME AS OWNER IAA BLDG PERMIT ISSUANCE 27 80 IAB STATE GREEN BLDG FEE 1200 00 VAL 1 00 ISPECIAL CONDITIONS 1 IAC STRONG MOTION RESID 1200 00 VAL 0 50 IB2 PERMIT W/ENERGY 1200 00 VAL 90 50 TOTAL FEES 119 80 ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE 1 ISAME AS OWNER I LIC NO ILOCATION AND SETBACKS I I I I ISOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER TEL NO IFOUNDATION/TRENCH FORMS I LIC NO (SLAB/UNDER FLOOR 1 I I I I IRAISED FLOOR FRAMING IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I (UNDERFLOOR INSULATION I I 1150H261 3 001 111 I I IFLOOR SHEATHING I 1 1 INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I I 1 I 1 0 NO 21 -1 IROOF gHEATHING 1 1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS (AIR QUALITY 1000 FEET MATERIALS I I 1 1 1 NO NO NO 1FRAME INSPECTION I I 1 IFIRE SPRINKLER HANGERS I 1 I 1 (INSULATION/WEATHER STRIPI I I I I I I I (INTERIOR LATH/DRYWALL I I I 1 IEXTERIOR LATH I 1 1 (RATED FLOOR/CEIL ASSEM I 1 1 I I I 1 IRATED WALL ASSEMBLIES (RATED SHAFTS/OPENINGS I I I 1 1 IT BAR CEILINGS 1 1 ILOT DRAINAGE I I I 1 IREPORT TD DPR261 ROUTE TO BS0508 1 I 1 1 I I