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HomeMy Public PortalAbout5100 ARDENEL AVE_Building__ 76A 638A C• #803 1/71 APPLICATION FOR BUILQDAINN P R I' COUNTY OF LOS ANGELES AssessoR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL . BUILDING AND SAFETY DIVISION BUILDING AD,DR ESS COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY s FOR APPLICANT TO FILL IN NEAREST 7h 0 Print or tvDe onl CROSS ST. BUILDING DISTRICT NO. GRO TYPE P O S BY CONST. - ADDRESS ,, Q STATISTICAL CLA SIFICATION SIEWER MAP LOT NO. BLOCK CLASS NO. 0/DWELL.U,NITS / BK Pb TRACT c2 USE Z NE MAP SIZE OF LOTSO?, NO.OF BLDGS. NO. NOW ON LOT SPECIAL USE OF COND_ITI,ONS EXISTING BLDG, - ,TE Jf OWNER NO. I BLDG.SETBACK FROM' - T ADDRESS j, FRONT PROP.LINE OF -- (STREET) i (s, TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL CITY HIGHWAY WIDTH FROM C.L. ARCHITECT OR TEL. /� } n ENGINEER - 'NO. BLDG, ETBACK FROM ADDRESS SIDE PROP. LINE OF (STREET) �.-r TEL. TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL CL. HIGHWAY WIDTH FROM C.L. � CONTRACTOR NO. V LIC. ADDRESS NO. �✓(S } OC_6) O LIC. CITY - CLASS CORNER CUTOFF YES ❑ NO ❑ W CONSTRUCTION LENDER a NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS z ADDRESS SQ. FT. NO. OF NO. OF �J NEW SIZE OCI STORIES FAMILIES a USE OFADD STRUCTURE ' ALTER ®� ❑ , 44450 4-0!,Pp REPAIR❑ 16NATURE OF APPLICANT DEMOL ❑ VALUATION $C,,o,2 40,00 APPROVALS - DATE INSPECTOR'S SIGNATURE P.C. /j PMT. �'O FOUNDATION: LOCATION ,< Drell r FEES / �/C/ FEE $ 163 ��• 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 ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUC TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LAT,H,dNT. LABOR CODE OF THE STATE OF 'CALIFORNIA IN RELATING TO WORKMEN'S COMP NSATION INSURANCE., LATH, EXT, SIGNATURE OF/ � HOUSE NUMBER COR- PERMITTEE RECT AND POSTED Ae ADDRESS :4 I FINAL - - JOHN F. LEWIS. PRINCIPAL STRUCTRAL GINEER PLAN CHECK.VALIDATIO cKJ M.O. CASH _ PERMIT VALIDATION cK. _wc� ASH 2/2 3 D 9 8.1 OA . CI , $�PPL'ICATI`ONOFOR ,Y"`15U-ILDING PERMIT , FOR APPLICANT TO FILL IN BUaowG ADDRESS BUILDING ADDRESS ` �� 'L LOCALITY ' NEAREST CITY ZIP D Zf epCROSS ST. NO.OF BLDGS. ASSESSOR f NOW ON LOT I MAP BOOK PAGE WCEL SI ZE OFhhLOTp TRACTS / 5 SS- BLOCK LOT NO. 8 DISTRICT GROUP TYPE FIRE RO SED BY !I CONT Z E OWNER (3Q S TEL � O� L STATISTICAL CLASSIFICATION SEWER MAP ADDRESS j2,e7e A/tv CLASS NO. ' DWELL.UNITS BK PO CITY .. ZIP USJNE MAP CLTY ECT O ` � TEL. �% NO' a / ENGINEER /C NO. �aC73 SPECIAL _ ,/� `/ CONDITIONS ADDRESS �i�� "Oi ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ -NO ❑ �/� TEL. CONTRACTOR I� O �O BLDG.SETBACK FROM n x FRONT PROP.LINE OF �y�d?L 1Xl (STREET) ADDRESS ✓ 7` C NO. 3.3 A� TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH CITY 47 �.A LIC. CLASS _ ,,/ r CONSTRUCTION LENDER + % v % U `'� NAME AND BRANCH BLDG.SETBACK FROM - w ADDRESS CITY SIDE PROP.LINE OF (STREET). Ce SQ:FT. . NO.OF NO.OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING U SIZE, 02 X�o STORIES FAMILIES ONE SIDE PROP.LINE HIGHWAY WIDTH h DESCRIPTION OF WORK NEW ❑ + 6 a ADD' ❑ CORNER CUTOFF YES ❑ NO ❑ ALTER ❑ IN OPEN SPACE YES ❑ NO ❑ REPAIR ❑ • USEEXIOF BLDG. EMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ APPLICANT IPRINT) CLQ /�, �� NO. BY(SIGNATURE) I-HEREBY ACK LEDGE THAf I HAVE READ THIS APPLICATION AND STATE ' THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES - AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT-EMPLOY ANY PERSON IN VIOLATION OF. - THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- - - PENSATION INSURANCE. i SIGNATURE OF PERMITTEE DATEL// 7� BY ADDRESS CITY �1 N L< �f0 P.C.Fee$• Permit Fee 9 ' — Issuance Fee VALUATION$ �•y ^• !J- p�8 Q Total Fee AYN PLAN CHECK VALIDATION CK. - M.O. CASH PERMIT VALIDATION cK. o. CASH WORKERS CdMPENSATION 2 2SEP 12 1 ® :0 0 63 ©�. -R4&b_4@*Bl40t0FR: n�� cw wii Iw9�lr1"1� - %WORKERS'COMPENSATION DECLARATION _ s seff insurebor afclertificatefrm thatlof Workers'Colmpensotionolnsuranoce, or A P K I CATION F_ �,,�UILDING PERMIT ' tifi o y thereof (S . 3800 ab. C.) cL COUNTY OF LOS ANCE BUILDING AND SAFETY yNo. �—V� Company 1� � ` Certified copy is hereby furnis d. FOR APPLICANT TO FILL IN BUILDING ��jj ADDRESS 1... Certified copy is filed with.the county buildin inspec- BUILDING ' t'on department. ADDRESS 1 LOCALITY � ` i NEAREST Date Applicant �J CITY \ �� ZIP CROSS ST. CERTIFICATE OF EXEMPTION.FROM WORKERS' NO. OF BLDGS. A55ESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE Nj MAP hundred dollars ($100)or less:) TRACT. BLOCK LO NO. NO, SPECIAL I certify that in.the performance of the work for which this OWNER CONDITIONSUft O permit is issued, I shall not employ any person in any manner D TRICT GROUP TYPE FIRE PRO SSED BY (J so as to become subject to the Workers'Compensation Laws. ADDRESS CONST. Date Applicant CITY ZIP STATISTICAL CLASSIF TION AP CONDO' O NOTICE TO APPLICANT: If,. after making this Certificate of ARCHITECT OR TEL `y Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO. DWELL. UNITS IL Compensation provisions of the Labor Code, you must forth-(� ADDRESS SEWER MAP $A with comply with such provisions or this permit shall be Z �) 0 TEL Sr f deemed revoked. CONTRACTOR �'Cj0`� NO..�CjSr BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION ji � ��� LIC I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS l LrS��t.W.�/!CS NO. �7� VAL TIO (commencing with Section 7000)of Division 3 of the Business and /� /y LIC. � �� Professions Code, and my license is in full force and effect. 'CITY L7+ E'!C� CLASS $ IIIJJJ l..I ' SQ. FT�1 NO. OF NO. OF CHECK License NumberAC6 c.Class SIZE STORIES FAMILIES ONE $ Contract()eAy, Date � a � DESCRIPTION OF WORK 'NEW� yL� ADD (/❑ I am exempt from the licensing requirement as 1 a a Gam, licensed architect or a registered professional engineer• ALTER ❑ FINADATE acting in my professional capacity (Section 7051; REPAIR ❑ Business and Professions Code). USE OF FINAL "I DEMOL EXISTING BLDG. ❑ By Lic. or Reg. No. Date APPLICANT TEL. OWNER-BUILDER DECLARATION (PRINT) 3 NO. ZGGt I hereby affirm that I am exempt from the Contractor's License CC�'�, Law for the following reason (Section 7031.5, Business and ADDRESS 1%0 �l.�iL-4! � , .234 S 1 A Professions Code): PRESENT ❑ BUILDING I, as owner of the property, or my employees with ADDRESS # 0 0 0 0 2 1 wages as their sole compensation,will do the work and the structure is not intended or offered for sale (Section kRE 2 °`0 5 54-0 7044, Business and Professions Code). TEL. ❑ CTOR NO. o.o ° 5 5 4 0 I, as owner of'the property, am exclusively contracting c=� with licensed contractors to construct the project (Sec- 2 1 8— 0 tion 7044, Business and Professions Code). ED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY CK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued,(Sec. 3097, Civ. C.).Lender's Name z 3 4 5.2 A Lender's Address $ i Permit Fee f \ }j C.�--1 #'° ° ° ° ° 1 I certify that I have read this application and state that the Issuance Fee above information is correct. I agrpce to comply with all County 53 Investigation Fee 2 ° 1 0'600 0 ordinances and State laws relating to building construction, Total Fee/� �� nd hereby authorize representatives of this County to enter ° ° 1 0 0 0 a u n the obove-mentioned property for inspection pu poses. gSEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applican or Agent Date _ ©s i COUNTY OF LOS ANGELES TEMPLE CITY • # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9701060076 PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 29535 LT: 8 SQ. FT STORIES TYPE 5100 ARDENEL AV STRUCTURE: 2239 V TEMP CA 917803914 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8589-008-036 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE ZONE: R ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 01/06/97 TC 01/06/98 xn OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: DAI, BONIAN (818) 287-3439- 1 15,000 5100 ARDENEL AV TEMP 917803914 FEES PAID DESCRIPTION OF WORK �G�r � REMOVE/RECOVER WITH 1/2" CDX AND 30 YR. COMP. SHINGLE FEE DESCRIPTION: ��QUANTISY;,UOM: ��� AMOUNT: ROOF, AND NEW BATHROOM, CHANGE EXISTING SHOWER TO BATHTUB. APPLICANT: TEL. N0: ii� SAME AS OWNER AA BLDG PERMIT ISSUANCE `�� 2 7.75 AC STRONG MOTION RESID' - %15000.00 VAL 1 ',50 SPECIAL CONDITIONS: AX BUILDING REVIEW FEE S " ���� 54:7,0• B2 PERMIT W/ENERGY �� ,'15000.00 VAL -332:81 _ TO � TOTAL FEES 416.76; 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 I — u RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 144H269 3 01 � / FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 �� ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS ' '�� NO NO NO _ - � i� ` FRAME INSPECTION j REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL l EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS * ADDITIONAL DATA ON FILE LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508