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HomeMy Public PortalAbout6139 AVON AVE_Building__ i 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 9909240010 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 5903 LT: 21 SQ. FT STORIES TYPE 6139 AVON AV STRUCTURE: 1000 VN SGAB CA 91775 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GARIBALDI 5386-007-006 THOMAS PAGE:. 596 GRID: G2 LOCALITY: SAN GABRIEL,. C TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 09/24/99 VG 03/22/00 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL CODE: MCCROSSON DAVID S (818) 309-0358- 2,000 Q 6139 AVON AV SGAB 917752605 FEES PAID DESCRIPTION OF WOR T/O EXIST ROOF, RESHEAT AND WT.11 CLASS A FIBERGLASS FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SHINGLES APPLICANT: TEL. N0: CAMPAGNA ROOFING (626)'398-1302- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 2000.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC== 2000.00 VAL 82.20 �AGELES FEES 110.45 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE CAMPAGNA ROOFING (626) 398-1302- 1625 DEL MAR AVE LIC. NO LOCATION AND SETBACKS SAN MARINO CA 91108 518327 C39 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. N0: _ i I I X11111111 ' '� SLAB/UNDER FLOOR 'L �. __ _ __ J \ �- RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:: 1 � r UNDERFLOOR INSULATION 150-261 3 Ort= L �� NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:-- FLOOR SHEATHING ------- ----------- --- ----- NO 21\\\ - - --- -- O 0i ROOF SHEATHING SCHOOL WITHIN HAZARDOUS / il` IgI''-, SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO t r FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXISTr� C� FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- �°� ��V% INSULATION/WEATHER STRIP SIDE PL- - __- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CE1L ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, BUILDING ADD ;q/ `�� ©� Y or a certificate of Workers' Compensation Insurance,or a certified copy thereof(Sec.3800, La .) fa� 0"9 CITY e ZIP LOCALITY --t Policy No. (, Company SIZE OF CT NO.OF BLDGS.NOW ON LOT "- ❑ Certified copy is hereby furnished. NEAREST CROSS ST. Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. n ✓ USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER �r �J TEL NO. COMPENSATION INSURANCE lur,4"R 3 2 WITHIN 1000 FT.OF SCHOOL? ves No (This section need not be completed if the permit is for one hundred ADD ONST. FIRE ZONE dollars ($100)or less.) DISTRICT GROUP TYPE CPROCES BY CITY ZIP ^ n I certify that in the performance of the work for which this permit 1[Y�y is,issued, I shall not employ any person in any manner so as to S, become subject to the Workers'Compensation Laws. ARCHITECT OR ENGINEER TEL NO. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you Should become Subject to the Workers' CON CTORT �rO., SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Cade, you must forthwith W1 07f FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P L 10i"rrf 1(LICENSED CONTRACTORS DECLARATION 7/7 SIDE CIT LIC.CLASS PL I hereby affirm that I am licensed underprovisions of Chapter 9 >-Ar'-7 f (commencing (commencing with Section 7000)of Division 3 of the Business and SO.FT.#ZE NO.OF STORIES NO.OF FAMILIES SEWER MAP d Professions Code,and my license is in full force and effect. 2'.01 NEW ❑ BK PG ► 0 '�pg'ly7 ✓ DESC PTION OF WORKS! VALUATION ./ License Number Lic.Class L n P / ADD ❑ Contractor __CA P�si✓�' Date q,30Ir ALTER ❑ $ 3�00V 0 ®/yL REPAIR ❑ H ❑ I am exempt under Sec. $ U W B.&P.C. for this reason 647< hoyftr/i' ® DEMOL ❑ LDMA P/C# a Date: USE OF EXISTING BLDG. URM 11N Z Signature APPLIC T PRINT TE N.0 LDMA Perm# - ❑ I, as owner of the property, or my employees with wages asZ their sole compensation, will do the work and the structure is ADDRE S O ,r not intended or offered for sale (Section 7044, Business and FINAL DATE Q -'1 i¢ Professions Code.) i i � ; WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL 1 J _ j I��•�, OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ❑ I, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL Y licensed contractors to construct the project (Section 7044, Business and Professions Code.) YES❑ NO❑ _. _ WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING 9'•~E_ K - OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH r'e /` CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR 4vf ( I GUIDELINES. J '� V i•H fNG I hereby affirm that there is a construction lending agency for VES❑ NO❑ a the performance of the work for which this permit is issued(Sec. O� I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 3097,Civ.N C. gg ii j) CHECKLIST. UNDERSTAND MV REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, �:4 l l.iiTITLE 2.CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. •Zo Lender's Address – ' 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 to comply P.C.FEE PERMIT FEE N with all county ordinances and State laws relating to building construction, and her y authorize representatives of this County ISSUANCE FEE00 ,J� C0 to enter u e d property for inspecti pur ses. U � CI INVESTIGATION FEE TOTAL FE .,g ore of Aevraam or Agent oa SEE REVERSE FOR EXPLANATORY LANGUAGE