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