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HomeMy Public PortalAbout6133 AVON AVE_Building__ 76A638A CE 603162 APPLICATION FOR BUILDING PERMIT # L COUNTY OF LOS ANGELES BUILDING ) DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST WILLIAM A JENSEN SUP T OF BUILDING CROSS ST f DISTRI�NO I G P iTYPE E HD FOR APPLICANT TO FILL IN CONSTYZ BUILDINGSTATISTICAL CLA IFICATION SEWER MAP SS ADDRE / 3 yCN I CLASS NO DWELL UNITS--jG LOT NO ,Sou/ d A,p';14 Al BLOCK WATERD CERTIFICATE NOT REQUIRED RECE(VE TRACT d 3 MANOP / ) .(CGRCLE> STATE MAJOR SECON LOCAL NO OFBLDGS SIZE OF LOT NOW ON LOT USE ZO SPECIAL USE OF CONDITIONS EXISTING BLDG TEL A- OWNER R lcl NO SIT 5 B ILbING EXIST SETBACK YARD HWY STREET NAME WIDTH ADDRESS 4133 N Avo,�/ FRONT ARCHITECT OR TEL P L ENGINEER NO SIDE P L ADDRESS n O TEL �1�L��' C3r.S � CONTRACTOR NO (j V ADDRESS Q V DESCRIPTION OF WORK Lu a NEW V1 ADD ALTER REPAIR DEMOLISH r tn SO FT NO OF NO OF SIZE STORIES FAMILIES USE OF `�,/ STRUCTURE rYOf"& SIGNATURE OF oor APPLICANT VALUATION APPROVALS DATE INSPL'CTOj551GNATURE PC PMT FOUNDATION LOCATION FEE $ FEE $ f VV FORMS MATERIALS FRAME FIRE STOPS ' I HEREBY AC KNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THTHE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION AT 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 TION OF THE LABOR CODC OF THE STATE OF LIFORNIA RELAT ING TO WORKMEN S COMP NSATION I URANC LATH EXT SIGNATURE OF , HOUSE NUMBER COR PERMITTEE RECT AND POSTED ADDRESS FINAL p - 3 PLAN CHECK VALIDATION CK Mo CASH JOHN F LEWIS PRINCIPAL ST -URAL ENGINEER PERMIT VALIDATION cK M O CASH L [ J .II J A ii 7 " 6 t+I Ir I 76A838A CE#003 6 62 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER s NEAREST WILLIAM A JENSEN SUP T OF BUILDING CROSS ST DISTRICT NO RO. LP TY E P OC B FOR APPLICANT TO FML IN _'i7_ coNsr BUILDING STATISTICAL CL 5 IFICATION SEWER MAP ADDRESS (j�,�� K P / CLASS NO DWELL UNITS LOT NOIs l Q aj BLOCK WATER NOT REQUIRED RECEIVED ❑ -�. CERTIFICATE TRACT D� MAP q HIGHWAY STATE MAJOR SECOND OCAL NO OF BLDGS NO pC L (CIRCLE) SIZE OF LOT NOW ON LOT USE ZONE S15ECIAL USE OF '1 CONDITIONS EXISTING BLDG /L,•1L TEL OWNE NO X BUILDING EXIST 1 f,9T SETBACK YARD HWY STREET NAME WIDTH ADDRESS /,(�J yyFRONT ARCHITECT OR TEL P L ENGINEER NO SIDE P L } ADDRESS TEL / ®RADINO PERMOT REQUIRED 0 CONTRACT+ 1 NO RD BH 01RADINU APPRUVILUI U ADDRESS �/ VEWI DESCRIPTI N 8F VkRK 0 v W NEW ADD ALTER REPAIR DEMOLISH d h SQ FT NO OF NO OF Z SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT VALUATION $ ` f APPROVALS DATE INSPECTOR S SIGNATURE PC PMT FOUNDATION LOCATION FEE $ FEE $ t3 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 BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH IN TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT 3 ING TO WORKMEN S C PENSATION INSURANCE I LATH EXT SIGNATURE O HOUSE NUMBER COR PERMITTEE ���r' RECT AND POSTED r� ADDRESS FINAL PLAN CHECK VALIDATION -CK Mo CASH JOHN F LEWIS PRINCIPAL STR URAL ENGINEER PERMIT VALIDATION cK % mo CASH ,2517t2 NOV 13 1A 600- 14 76A638A1 CE9803565 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS- BUILDING DDRESS-BUILDING AND SAFETY DMSION LOCALITYC—,4 X 4 Y - JOHN A LAMBIE COUNTY ENGINEER NEAREST 7 _ COLEMANW- JENKINS SUP T OF BUILDING CROSS ST ��� 1 --,� DISTRICT NO GROUP TYPE PRO SSED BYl FOR APPLICANT TO FILL IN CONST BUILDING a STATISTICAL CLASSIFICATION SEWER MAP ADDRESS J� At/#N CLASS NO DWELL UNITS P 0 LOT NO — BLOCK USE ZONE P NOZCs CU TRACT SPECIAL 9r NO OF BLDGS CONDITIONS SIZE OF LOT ,02/J NOW ON LOT h USE OF EXISTING BLDG BLDG SETBACK FROM TEL FRONT PROP LINE OF (STREET) OWNER NO i�ffi SETBACK HIGHWAY + YARD = TOTAL ADDRESS �! HIGHWAYFROM C L V CITY 6 i -- S - + = ZU ARCHITECT OR TEL BLDG SETBACK FROM ENGINEER NO SIDE PROP LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C L e r. ' TEL r + = d CONTRACTOR y� NO LIC CORNER CUTOFF YES 0 NO Ej O ADDRESS �� NO V LC Iw CITY 5,4 AnL CI ILA SEE REVERSE SIDE FOR SPECIAL APPROVALS O DESCRIPTION OF WORK - w ADD ALTER REPAIR DEMOLISH SO FT �'') NO OF NO OF SIZE /AO STORIES FAMILIFS USEC STRUCTURE SIGNATURE OF �� I APPLICANT VALUATION$ APPROVALS DATE INSPEJfJOR SSIGNATURE P Cvv v PMT �//�� FOUNDATION LOCATION FEE FEE$ 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 9UILDI NG CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT' 4 TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT ING TO WORKMEN S COMPENSATION INSURANC s LATH EXT J SIGNATURE OF N HOUSE NUMBER CORlow PERMITTEE 0 RECT AND POSTED A D D R E S Fl NAL JOHN F LEWIS PRINCIPAL ST�C2K RAL ENGINEER PLAN CHECK VALIDATION CK Mo CASH PERMIT VALIDATION -C, CASH LAUD 0 1 27-f, MAR 2 1 A 11.50- 1: )JA- 3 WORKERS' COMPENSATION DECLARATION ra affirm that I havecertificate of consent to self APPLICATION. FOR. BUILDING PERMIT •�• insureor a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES• !I F 1NG AND SAFETY Policy No. Company BUILDINfi { ❑ Certified copy is hereby furnished. FOR APPLICANT TO,FILL JN ADDRESS 3� l�• U/'� �//7 TS ❑ Certified copy is filed with the county building inspec- BUILDING \/ tion department.' ADDRESS Y ./ L' V. y �7 � Date Applicant CITY, L ZIP / /_JLOCALITY 7LNO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT SO /� 7il� NOW ON LOT CROSS ST. COMPENSATION INSURANCEASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100) or Jess.) p L OWNER /►/ f G /S c? O.b�4 'eCd�J�� USE ZONE MAP I certify that in the performance,of the work for which this � NOSPE. permit is issued, I shall not employ any person in any manner ADDRESS. y'Q/k CONDITIONS 0- so so as to become subject to the Workers' Compensation Laws. (fin q� O CITY.Sg�I I+Pi�' ZIP Date Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY NOTICE TO APPLICANT: %If, after making this Certificate of ENGINEER NO. CONST. ZONE Exemption, you should become subject to the Workers' 22 Compensation provisions of the Labor Code, you must forth- ADDRESS �� w `✓ 3 N with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO. Z deemed revoked. CONTRACTOR NO. — LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS — LICENSED 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 LIC. and Professions Code,and my license is in full force and effect. CITY CLASS BK PG VALIDATION SQ. FT. ' NO. OF NO. OF CHECK License Number Lic. Class SIZE �'Q STORIES — FAMILIES ONE 1:1 VALUATION Contractor Date DESCRIPTION OF WORK _ __ _ NEW �( S v0— ❑I am exempt under Sec. _ (' � � ADD IBJ polo.��A i ALTER ❑ B.BP.C. for this reason G�Ci ) REPAIR ❑ $ Date: SE OF EXISTING BLDG. DEMOL ❑ Signature APPLI CANT / T ODl6 �p� FINAL OWNER-BUILDER DECLARATION PRINT %ked b(Q /6 DATE �. I hereby affirm that I am exempt from the Contractor's License /7 i 17 75— Law for The following reason (Section 7031.5, Business and ADDRESS 1-:7-3 h, V S ;` FINAL 2 Professions Code): PRESENT , . t •. By P,r ❑ I, as owner of the property, or m employees with BUILDING P P Y. Y .y 'A wageswa es as their sole compensation,will do the work and t '= g P the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code.) MOVING TEL. NO. I, as owner of the property, am exclusively contracting CONTRACTOR �•__... s with licensed contractors to construct the project (Sec- _i• aF 'ADDRESS tion 7044, Business and Professions Code.) - •7 REQUIRED TOTAL SETBACK FROM EXIS .__. v.`+ 1: � }a t J CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH 1 hereby affirm that there is a construction lending agency for FRONT ,J _9 EIMS the performance of the work for which this permit is issued P.L.- (Sec. .L. (Sec. 3097, Civ. C.). SIDE T!; L_ :32 P.L. Lender's Name v `:�HU' s_20."' P.C. Fee$ jJ Permit Fee LDMA Ref. # Lender's Address , CHANGE t't' a a I certify that I have read this application and state that the Issuance Fee LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee So ordinances and State laws relating To building construction, Total Fee 71, 17� LDMA Perm. # #S�13e!-0001 a and hereby authorize representatives of this County To enter �_ 4 :a--•, upon the ab mentioned pr petty for inspection purposes. ` •!-4 1 AN t SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date 4 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 0107100056 PHONE (626) 285 0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS TR 5903 LT 21 UN 002 SQ FT STORIES TYPE 6133 AVON AV STRUCTURE 0 VN SGAB CA 917752605 ASSESSOR INFORMATIONNUMBER NEAREST CROSS STREET LONGDEN 5386 007 005 THOMAS PAGE 596 GRID G2 LOCALITY TEMPLE CITY TENANT EXIST G USE RESID USE ZONE Rl ISSUED ON ----PRbCESSED BY EXPIRES ON EXIST OCC GRP 07/10/01 JK 01/06/02 OWNER TEL NO BLDGS NOW ON LOT VALUATION FINAL DATE FTNAL BY CODE SOTO FRANK CO TR SOTO TRUST (626) 287 5918 3 3,900 f2 5(2( 6133 AVON AV r SGAB 917752605 FEES PAID 5-M >sN OOAR (FRONT HOUSE) REROOF HOUSE ONLY OVER EXISTING SHEATHING, 30Y FEE DESCRIPTION QUANTITY UOM AMOUNT CLASS A ASPHALT SHINGLES APPLICANT TEL NO J W ROOFING SERVICES (626) 852 2150 AA BLDG PERMIT ISSUANCE 27 75 138 BRANCH OAK CT AC STRONG MOTION RESID 3900 00 VAL 0 50 SPECIAL CONDITIONS GLENDORA, CA D2 PERMIT W/O-EN=HC- 3900 00 VAL 115 80 (SELQSTOTAL EES 144 05 CONTRACTOR TEL ®� �1, APPROVALS DATE INSPECTOR SIGNATURE i� J W ROOFING (626) 852 2150 138 BRANCH COURT LIC NO LOCATION AND SETBACKS , GLENDORA, CA 91741 662149C39 9 SOILS NG EER APPROVAL ARCHITECT OR ENGINEER FORMS i LIC NO 111111 SLAB/UNDER FLOOR LRAISED FLOOR FRAMING MAP NO 150H261 SEWER MAP B PAGE FIRE ZONE 01 )U'D \1//\�(/1( 1 I ��I�� C UNDERFLOOR L 0 u 'M v L'� L \ -� LO SHEATHING NO OF FAMILIES DWELLING S O D STAT CLASS - NO 21\`�( O 0i ROOF SHEATHING O D ilQ SHEAR PANELS AIR QUALITY 10000FEET MATERIALS O f -f FRAME SON NO NO NO � � ��� REQUIRED TOTAL SETBACK FROM ® LHANGERS SET BACK YARD HWY PROP LINE WIDTH �AO� �� FRONT PL service'Tb5 INSULATION/WEATHER STRIP SIDE PL INTERIOR ERIOR LATH RATED FLOOR/CEIL SS RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-B R CEILINGS LOT ,DRAINAGE REPORT ID DPR261 ROUTE TO SS0508 ' � 3 t