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HomeMy Public PortalAbout6166 AVON AVE_Building__ APPLICATION FOR BUILDING PERMITC,0'- v-/y & F&B—APPLICANT TO FILL IN (Print or type only) yr BUILDING - COUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER CITY KU ZIP BUILDING D SAFETY DIVISION NO OF BLDGS BUILDING //� / SIZE OF L04//1 U 5+ NOW ON LOT ADDRESS �( �� TRACT U� BLOCK LOT ft- LOCALITY '� TEL NEAREST OWNER ,�n NO / CROSS S SSOR ADDRESS DD Lam(/ l`- [TC �i MAASSP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE ESSED BY CITY ZIP /^O� CONS 7 1 ARCHITECT OR TEL .�/'/1Jl ENGINEER NO STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NQ;:K�(_ DWELL UNITS BK MF& CONTRACTOR AL1 `(�'FJ'� NOL USE ZONE M O P ADDRESS Cdf (YC(� LIC C:112� NO 2��.?"�I SPECIAL LIC CONDITIONS r CITY ,Ps7c��VJ' CLASS — ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLD SETBACK FROM FRON PROP LINEOF (STREET) C ADDRESS CIN C: _ TOTAL SETBACK FROM TYPE OFt EXISTING SO FT NO OF NO OF CHECK HIGHWA } YARD — HIGHWAY WIDTH SIZE STORIES FAMILIES ONELL FRONT PROP LINE FC _ C P DESCRITION OF WORK NEW ❑ CL � BLDG SETBACK F � Z �N I !r ADD E3SIDEPROP LINE OF ( TREET) L_ ALTER ❑ HIGHWAY } YARD O AL SETBACK FROM TYP OF EXISTING = REPAIR SIDE PROP LINE HIG AY WIDTH USE EXISOT NG BLDG L�` �(�j"DEMOL ❑ } APPLICANT i �q TEL �' CORNER CUTOFF YES ❑ N0 ❑ (PRINT) �(/t ( ���t/ NO BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ _ IN COASTAL ZONE YES ❑ N0 ❑ VALUATION$ Qp CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL ANDISTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY )IMPACT EXEMPTION DECLARATION SIGNED (DATE) i WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON ST RUC TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR ..ODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COMPENSATION INSURANCE SIGNATURE OF PERMITTEE ADDRESS ��v / �� JJ TEL DATE FINAL BY CITY'c?w` NO C MAKF CHF FEE EE FEE FCKS 13AYABLL TO ` ' C�P F HARVEY T BRA NDT COUNTY ENGINEER c � PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION (:!:)mo CASH 9 7,9,-MAR 8 1 0�� 2 1.7 5 A98 76A638A CE#803 7/73 76AG38A DBS 936 APPLICATION FOR BUILDING PERMIT Zr DIVISION OF BUILDING AND SAFETY pDD EINc Dep. ent of County Engineer G���/ County of Los Angeles LOCALITY WM J FOX COUNTY ENGINEER NEAREST CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST L d DISTRICT NO GR UP SEWER MAP TYPE � BK PG FOR APPLICANT TO FILL IN �+' CONST:,!/::j ^ L— NG/; f MAP ♦ STATE x4m NO ADDRESS l A C* �iAn .ahr,Pl UMBER OO HWY LOT NO portion Of Tot 101iBLOCK USE ZONE SPECIAL CONDITIONS .may r TRACT 5903OCp NO OF SIZE OF LOT ,K X (�(� I NOW ON LOTS T1t1T1P BUILDING YARD HWY STREET NAME EXIST SETBACK WIDTH USE OF FRONT EXISTING BLD P L OWNER PAI-n 1T 1 f'-i1t1 SPI L MAIL // O TRACT DWELL 1 UNIT ADDRESS 01 h2 Aynny qpn Rahr,(:l (gal i ' 5 INDUSTRIAL TEL 1 DWELL 1 UNIT CITY _ NO �t�—1"�918 6 PUBLIC BLDG 2 DUPLEX 1 UNIT ARCHITECT OR TEL '' 7 ADDN ALT ETC ENGINEER NO 3 APT UNITS 8 MISCEL ADDRESS 4 COMMERCIAL CONTRACTOR T o �.�++ No G1. 11-7914Id y Q INSPECTION RECORD ADDRESS 11 "In'A Tavpr A7.iico T'l aT--4. DESCRIPTION OF WORK NEW V ADD ALTER REPAIR DEMOLISH ,S Nb IC�e7du 7-hf �p�>< Pl�b QI/ �,/ iaeq�s NO OF NO OF f SIZgQEFT 815 STORIES 1 FAMILIES "1•`t' Q N �.. r. USE OF STRUCTURE l DL c a r rl 2 r SIGNATURE OF APPLICANT APPROVALS DATE INSPECTOR S SIGNATURE ADDRESS FOUNDATION LOCATION p_ - i 5 �OD FEE $ '"t FRAMESF RE STOPSS L BRACING BOLTS VALUATION n FURNACE LOCATION / I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT DUCTS APPLICATION AND STATE THAT THE A OVE IS CORRECT AND AGREE TO COMPLY WITH ALL C TY ORDINANCES LATH INT AND STATE LAW8 R ULATING B DING C NSTRUC �f TION LATH EXT SIGNATURE OF HOUSE NUMBER COR PERMITTEE RECT AND POSTED ADDRESS FINAL - 3<52 WM J FOX COUNTY ENGINEER VALIDATION C N DIRLAM CHIEF BLDG INSPECTOR l'�,9 7 4 ) G 5 'DO N I, Y' t 1 WORKERS COMPENSATION DECLARATION i Ih reby affm pir hfcacf�,of Wor{ rsrtComtpensatonensuran elf APPLICATION FOR BUILDING PERMIT r +rJ or a e rf th r of (Sec 3800 COUNTY OF LOS ANGELES BUILDING AND SAFETY 7. !���6��'�-�� s I! !jj 'E FOUND x Policy No Company ' ' ING t BUILD ❑,,ertified copy*is hereby furnished t FOR APPLICANT TO FILL IN r ADDRESS X❑ Certified copy is filed vviorTNe coun4VIDuiId m spec BUILDING16 6 Avon tion department ADDRESS CITY Temple Cit `'Zip 91780-2 LOCALITY Date° -2-i-9 Applicant MERICA �jjLDERS 65 1 O X 9 7 9 NO OF BLDGS 1 NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS SIZE OF LOT x NOW ON LOT CROSS ST A w 'COMPENSATION INSURANCE F r - a ` (This section need not be completed'if,the permit is for one TRACT BLOCK" LOT NOS`- ^ ASSESSOR D40�y MAP BOOK �O ja PAGE / PARCEL00 , hundred dollarsl($100) or less '(v( Re eS J COOner TEL - t^F r ..., i' +. ` * 11 "f r OWNER- el L' No2 91-2 3 3 6 USE ZONE MOP _ �t I certify that in the performance?of the work for which this _na SPECIAL _ - , permit4is issued I shall not employ any person in any manner ADDRESS 6166 Avon St _ " w # CONDITIONS d so os toybecome subje 't to the Workers Compensation Laws O , a K CITY Tem 1e City ZIP 917.80 _ v Date Applicant ARCHITECT OR t TELDISTRICT_, GROUP TYPE FIRE 4 PROCESSED BY O NOTICE TO APPLICANT If after making this Certificate of ENGINEER NO _ " Exemption you should become subject to,the,Workers CONST ZONE V / W ,p Compensation provisions of theaLabo? Code you must,forth ADDRESS- Q� -3 {� a withrcom with such provisions or this permit shall be TEL N P Y P P STATISTICAL CLASSIFICATION APT � CONDO ., Z deemed revoked' r' " , t CONTRACTOR ANTER I CAN B i D287_q74 r _ LICENSED CONTRACTORSrDECLARATIONYy, LIC CLASS NO DWELL UNITS I'here'byaffirmthatIamlicensedunderprovisio sofChapter9 '�) ADDRESS 106420 Lower AZUSn� 104325 - 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's � CITY 11 CLSS B-1 BK PG VALIDATION 7r � SQ FT NO OF NO OF CHECK _ aensNumb ' 1 04 2 5 Lic Class ^ B-1 SIZE STORIES 1- FAMILIES 1 ONEVALUATIONor BU I SER S' 2`-2 5-9 2 - DESCRIPTION OF WORK & W ❑ $ c�/� ❑I am exempt under sec times garage &'llVlrig-rO011l ADD ^F ' - r y ALTER ❑ B&P C for this reason A REPAIR ❑ r USE OF Date EXISTING BLDG Dwe 11 i ng ' DEMOL ❑ Signature APPLICANT FINAL ` OWNER BUILDER DECLARATION $(PRINT) AMERICAN BU I LDE1 2$7='� DATE I -22-4 t - I hereby affirm that I am exempt from the Contractors License 9 A1' r-42C Lower AZUSa Rd, El-Mo r` - Law for the following reason (Section 7031 5 Business and FINAL Y 5 a %Li s - _,� a 7 r- ar a ` BY Professions Code PRESENT ❑ I as owner of the property or m employees with' 0 BUILDING , r + e , P P Y w Y � ADDRESS ' wages as their sole compensation will do the work and the structure is not intended or offered for sale(Section j,` r`11� LOCALITY F 7044 Business and Professions Code ) C MOVING _p - _ JEL { CONTRACTOR s NO _�� a t77 T ❑ ,I as owner the property am exclusively contracting r , s ,-,.w Ith,licensed contractors to construct the project (Sec - itont7044 Business and Professions Code ) ADDRESS REQUIRED TOTAL SETBACK FROM EXIST a a CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTHt Jd ` I hereby affirm that there is a construction lending agency for FRONT + tV rf !�}; the performance of"the work for which this permit is issued P L * r -tip �` ` _ _ - - (Sec 3097 Civ C ) r SIDE A - - .. PGL Lender s Name D t Y / 77 LDMA Ref #i , a4 �d b C Fee$ Permit Fee Qo _Lender s Address e - o I certify-that I"have read this application and state that the - Issuance Fee � / LDMA P/C#i - 8 above information is correct'l agree to comply with all County Invest_gation Fee !t-t - R Mignotu�e Statelaws relating to building construction Total Fee ©/♦ LDMA Perm #hors a representatives of this County to enterme do ed prorty for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGEo or AkrLA Date o 1 a Do„ 1~ Hatfield/ Owner/Contractor ; COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9712080024 PHONE (818) 285 0488 EXT ' LEGAL ID NO OF CONST NEW DING ADDRESS TR 5903 LT 44 SO FT STORIES TYPE OCCUP GROUP 6166 AVON AV STRUCTURE 0 1 VN R3 SGAB CA 917752606 ' ASSESSOR INFORMATION NUMBERGARAGE NEAREST CROSS STREET 5386 009 031 OTHER 136 1 THOMAS PAGE 596 GRID G2 LOCALITY TEMPLE CI Y TENANT ETIS SE ZONE IS 17 D 0PROCESSED €XPIRR O EXIST OCC GRP 12/08/97 UT 12/08/9 OWNER TEL NO BLDGS NOW ON LOT VALUATION FINAL DATE FINAL 8 CODE COOPER JAN E,REYES MARGARET s 1 800 �I—b 1))++ 6166 AVON AV (/ SGAB 917752606 FEES PAID DESCRIPTION ALUM PATIO ENCLOSURE OF EXISTLNG PORCH I C B 0 3190P FEE DESCRIPTION QUANTITY UOM AMOUNT APPLICANT TEL NO _ WEST COAST CUSTOM PATIOS, INC (909) 594 7547 AA BLDG PERMIT ISSUANCE 27 75 AC STRONG MOTION RESID 1800 00 VAL 0 50 SPECIAL CONDITIONS AX BUILDING REVIEW FEE �a 54 70 A2 PERMIT W/ENERGY�HC� 07800 00 VAL 94 53 �® TOTAL FEES 177 48 CONTRACTOR TEL NO ��� ® APPROVALS DATE INSPECTOR SIGNATURE WEST COAST CUSTOM PATIOS INC (909) 594 7547 138 786 PINEFALLS ST LIC NOO1 CAT, S WALNUT, CA 91789 471619 B �:A SOILS}ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL NO ® .14 FOUNDATION/TRENCH ROW- LIC LIC NO r SLAB/UNDER FLOOR RAISED FLOOR FRAMIU— MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP pp 0� UNDER LOOR INSULATION 4 3 01 �UBUC U WJ ®'r"'%' LEVEL FLOOR SHEATH NO OF FAMILIES CLASS NO 21 OD D LLV L FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF o AIR DUALITY 1000 FEET MATERIALS 0- S NG NO NO NO �� 13 ®� IRE DEP FRAME N C TOTALREQUIRED SETBACK R EXIST ZBLDG DEPT R CT SET BACK YARD HWY PROP LINE WIDTH cl FRONT PL SHEAR PANELS SIDE PL ��1y��s� INSULATIONNEATHER INTERIOR LATH/DRYWALL i EXT1 LOT DRAINAGE SMOKE 1 I DETECTION � I FIRE DEPARTMENT APPROVAL 1 I REPORT ID DPR261 ROUTE TO BS0508