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Home My Public Portal About6141 AVON AVE_Building__ APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING BUILDING ADRESS ADD Es I hereby affirm that I have a certificate of consent to self insure, � or a certificate of Workers'Compensation Insurance,or a certified C `aA zIP� copy thereof(Sec.3800,Lab.C.) LOCALITY Policy No. Company SI OF LOT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST. Certified copy is filed With the county building in"tion TRACT BLOCK LOT NO. 11 de�p�rtment. L USE ZONE MAP . Date ia"aA licant ASSESSOR MAP BOOK PAGE PARCEL PP SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM ORKERS' OWNER ' TEL.NO. I YES NO COMPENSATION INSURANCE WITHIN 1000 IT OF SCHOOL? DRIES (This section need not be completed if the permit is for one hundredDISTRICT GROUP TYPE CONS FIRE ZONE PROCESrSEED BY dollars($100)or less.) zl I certify that in the performance of the work for which this permitbri is issued, I shall not employ any person in any manner so as to ARCHITECT OR NGINEE TEL.NO. become subject to the Workers'Compensation Laws. STATISTICAL CLASSI ICATION APT CONDO Date Applicant ADDRESS CLASS NO. lk I DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' C TRACT EL.N �� SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemedrevoked. RESS LIC.No. PL LICENSED CONTRACTORS DECLARATION IT/ L ,c S SIDE PL CD I hereby affirm that I am licensed under provisions of Chapter 9nA_ l SEWER MAP v (commencing with Section 7000)of Division 3 of the Business and O.FT. ZE NO.O STORES NO.OF FAMILIES Q NEW ❑ BK PG C Professions Code,and my license is in full force and effect. C) DESCRIPTION OF WORK ADD ❑ V U�TION , License Number Lic.Class Contractor _ Date ` ALTER ❑ REPAIR C3I am exempt under Sec. B.BP.C.for this reason DEMOL ❑ LDMA P/C# Date: USE OF EXfS1ING BLDG. URM ❑ Signature PPLI NT(PRINT LDMA Perm# ?• Ci� ❑ I, as owner of the property, or my employees with wages as Zp W-_ 'R s their sole compensation, will do the work and the structure is A S not intended or offered for sale (Section 7044, Business and FINAL DATE . a -,f ; Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE AH RDOUS MATERIALT El I, as owner of the property, am exclusively contracting with _.i_ OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN Q V', 1�•THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL > licensed contractors to construct the project.(Section 7044, YES❑ No❑ I' �` ;a.F Business and Professions Code.) WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH ,/ (•+I"[•' 3" CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST ';. � FOR GUIDELINES. /n/ , I hereby affirm that there is a construction lending agency for YES El No El h(� "' F'3 the performance of the work for which this permit is issued(Sec. fill 3097,CIV.C.. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMO m ) PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES oD COUNTY CODE,TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING r —•' '+' "" Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. _ ``J1 S 1 ii_EI E j... F a Lender's Address EL OWNER OR AGENT o I certify that I have read this application and state that the above P.C. L g information is correct. I agree to comply with all county FEE QPERMIT FEE � r] 3 3 3N ordinances and State laws relating to building construction,and v I ¢ hereby authorize representatives of this County to enter upon ISSUANCE FEE.-, r— th abo entioned property r inspection purposes. I 7 J oJP —1 f"Q f INVESTIGATION FEE TOTAL FEE J r W , -IJ /i J Signature Irant or,pe t, D.t , SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0206140009 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 5903 LT: 22 UN: .002 SQ. FT STORIES TYPE OCCUP GROUP 6141 AVON AV STRUCTURE: 589 1 VN R3 SGAB CA 917752605 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: GARIBALDI 5386-007-007 OTHER: THOMAS PAGE: 596 GRID: G2 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 06/28/02 JK 12/25/02 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY- CODE: LEUNG;JAMES (626) 309-0138- 55,000 6141 AVON AV o 3 SGAB 917752605 FEES PAID DESCRIPTION OF WORK ADD LIVING RM,BDRM&BATHRM; CONVERT:DINING RM TO BDRM, CLOSET FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TOA.WN9R'&, BDRM TO ENTERTAINMENT RM;TTL WHEN DONE:36D/,eBA APPLICANT: TEL. NO: SAME AS OWNER - B1 PLANCHECK W/ENERGY 44200.00 VAL 684.84 81 PLANCHECK W/ENERGY 55000.00 VAL 110.23 SPECIAL CONDITIONS: AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 55000.00 VAL 5.50 82 PERMIT W/ENERGY 55000.00 VAL 935.39 CONTRACTOR: TEL. NO: TOTAL FEES 1,763.71 APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS NkOL LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 01 ST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATH NG AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT j SET BACK YARD: HWY: PROP LINE: WIDTH: (/ FRONT PL- SHEAR PANELS SIDE PL- L L _ NSULATION/WEATHER STRIP nn INTERIOR LATH/DRYWALL LA EXT RIOR LATH —,L cco -/y 02- LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0312160007 PHONE: (626) 285-0488 EXT: LEGA ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 5903 LT: 22 UN: .002 SQ. FT STORIES TYPE OCCUP GROUP 6141 AVON AV STRUCTURE: 220 1 VN U1 SGAB CA 917752605 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: GARIBALDI 5386-007-007 OTHER: THOMAS PAGE: 596 GRID: G2 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 12/18/03 JK 12/12/04 OWNER: AMES (62TEL. NO: 38- BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: 6141 AVON AV SGAB 917752605 FEES PAID DESCRIPTION OF WORK ADD 20'X111 ENCLOSED PATIO(ROOF TO MATCH HOUSE) FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 3200.00 VAL 0.50 SPECIAL CONDITIONS: AX BUILDING REVIEW FEE 54.70 D2 PERMIT W/0 EN-HC 3200.00 VAL 115.80 TOTAL FEES 198.75 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS 6 _ LIC. NO: SLAB/UNDER FLOOR t T RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 01 ST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS SIDE PL- INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICE FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: SS0508 . COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0312010013 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 5903 LT: 22 UN: .002 SQ. FT STORIES TYPE OCCUP GROUP 6141 AVON AV STRUCTURE: 220 1 VN U1 SGAB CA 917752605 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: GARIBALDI 5386-007-007 OTHER: THOMAS PAGE: 596 GRID: G2 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ZONE: SSUED ON: PROCESSED EXPIRES ON: EXIST OCC GRP: 12/03/03 JK 11/27/04 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE INAL BY: CODE: 6141 VON A (626) 309-0138- 3,200 �( ejL,/��;��n�� Ql R 6141 AVON AV [ C I Z(„�J SGAB 917752605 FEES PAID N OF WORK ADD 20'X11' COVERED PATIO (ROOF TO MATCH HOUSE) FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 3200.00 VAL 0.50 SPECIAL CONDITIONS: AX BUILDING REVIEW FEE 54.70 D2 PERMIT W/O EN-HC 3200.00 VAL 115.80 TOTAL FEES 198.75 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 01 ST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS SIDE PL- INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: SS0508