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Home My Public Portal About5017 BALDWIN AVE_Building__ 76A638A CE;P 803162 APPLICATION FOR BUILDING P &MIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER jADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST WILLIAM A JENSEN SUP T OF BUILDING CROSS ST DISTRICT NO GROUP TYPECESSED BY/ FOR APPLICANT TO FILL IN re -- D BY BUILDINGSTATISTICAL CLASSIFICATION WER MAP ADDRESS "BK CLASS NO DWELL UNITS LOT NO B WATER irp CERTIFICATENO REQUIRED RECEIVED ❑ TRACT MAP / HIGHWAY STAT AJOR COND LOCAL NO OF BLDGS NO ! (CIRCLE) SIZE OF LOT Jr NOW ON LOT USE ZONE SPECIAL USE OF !�/ CONDITIONS EXISTING BLDG � TEL / 7p, _OWNER1,7 NO BUILDING YARD HWY STREET NAME EXIST y SETBACK WIDTH -ADDRESS b f u� � FRONT x ,qh ' ARCHITECT OR TEL P L c ENGINEER �Q NO SIDE P L ADDRESS O CONTRACTOR NO V , �!� /� � � ADDRESS / v O DESCRIPTION OF WORK A .'- ' v CL tan NEW ADD ALTER REPAIR DEMOLISHy )� ��. _Z SQ FT NO OF NO OFSIZ ,.�J �d� I .. USE EOF STORIES FAMILIES /�J/n4/ 1� ��p?�+r+�' ;!� .i�li.h ,� STRUCTURE d/ ° �t � y,i � SIGNATU I7�/'S/fi 7 APPLICANT VALUATION C.J APPROVALS DATE/ INSPECT R S SICK, V URE PMT FOUNDATION LOCATION F E $ e � ()�s FEE $ `a FORMS MATERIALS A �/ 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 �V BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK J14 AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT +r N TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT ING TO IZlllKMENS COMPENSATION IN CE s..- —y LATH EXTSIGNA' URE /A4 d //� NUMBER PERMITTEE OF HRECT AND POS OUSE TE 41 ?/41�',1 ,I ADDRESS 'T 7,7' FINAL 6,11 M o cnsH _ JOHN F LEWIS PRINCIPAL ST URAL ENGINEER PLAN CHECK VALIDATION6.1 PERMIT VALIDATION CK M O LAC03 AUG3023 D 28.50A (ACOz5 5 3 9 OCT 152 3 D 1.75 '�— ' r LAL,0554U:a OCT15 1 D 6050- ,WORKERS' COMPENSATION DECLARATION hereby affirm f I have a certificate of consent to self APPLICATION FOR BUILDING PERMIT insure,.or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS /c= wC�Ill� i�t/ ❑ Certified copy is filed with the county building inspec- BUILDING Tion department. ADDRESS f- Jif 7/(/•� �G( Date Applicant CITY Cfn ZIP 7a� LOCALITY NO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT ?0 NOW ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR / Q.�'' (This section need not be completed if the permit is for one TRACT 7 BLOCK" `^" LOT NO. Z MAP BOOK. PAGE W PARCELd�d hundred dollars($100)or'less.) TE OWNER - O}( N . �lZ USE ZONE "P 1 certify that in the performance of the work for which this . NO. permit is issued, I shall not employ any person in any manner ADDRESS t N. �—/ SPECIAL d CONDITIONS so as to'become subject to the Workers' Compensation.Laws. O CITY (3-,Vy ZIP Q U Date Applicant ARCHITECT OR TEL. NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER - t NO. DISTRICT GROUP TYPE FIRE PROCESSED BY CONST. ZONE Exemption, you should become subject to the Workers' p / u Compensation provisions of the Labor Code, you must forth- ADDRESS a with comply with such provisions or this permit shall beTEL. STATISTICAL CLASSIFICATION APT. CONDO. N deemed revoked. CONTRACTOR NO. Z LICENSED CONTRACTORS DECLARATIONLIC. CLASS NO. DWELL. UNITS — I hereby affirm that I am licensed under provisions'of Cha r 9 ADDRESS ,�Oj D f NO. (commencing with Section 7000)of Division 3 of the Bu in ss LIC. SEWER MAP and Professions Code,and my license is in full force and ffe T. CITY CLASS BK �� VALIDATION SQ. F . NO. OF CHECK License Number Lic. Class SIZE S FAMILIES ONE ❑ VALUATION Contractor Date DESCRIPTION OF`WORK NEW i $ ADD ❑ / 6r� , ❑1 am exempt under Sec. ALTER ❑ B.&P.C. for this reasonREPAIR ❑ $ Dare: U OF ' EXISTING BLDG. 1441mile DEMOL ❑ Signature APPLICANT P TEL FINAL OWNER-BUILDER DECLARATION (PRINT) �/ �' _ I hereby affirm that I am exempt from the Contractor's License ✓ DATE — ?ZJ' Law for the following reason (Section 7031.5, Business and ADDRESS QCT' FINALP A�j-( =...1 zF Pro essions Code): PRESENT By 7,720-7 BUILDING - � I, as owner of the property; or my employees with ADDRESS f...« »., wages as their sole compensation,will do the work and y;F t t} the structure is not intended or offered for sale(Section LOCALITY .F i-t^••s s ---•yam:. 7044; Business and Professions Code.) MOVING TEL. 0 3qE, ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. -�;•. -- with licensed contractors to construct the project.(Sec- r-i''` 7'i°'y. tion 7044, Business and Professions Code.) ADDRESS ,_f�','�f)`�f�� CONSTRUCTION LENDING AGENCY SET..BACKD YARD HWY TOTAPROPALINEFROM WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P•L• I!}'• i}-4fII_} (Sec. 3097, Civ: C.). SIDE Lender's Name - LDMA Ref. # P.C. Fee$ Permit Fee Lender's Address , 1 certify that I have read this application and state that the Issuance Fee U LD AA P/C# 8 above infocmat' corre ogre comply with all County Investigation Fee yA R ordinances d S to ell�� to building construction, Total Fee D• O LDMA Perm. # a and her out, riz es ves of this County to enter upon a e- ti erty for inspection purposes. yyy !� SEE REVERSE FOR EXPLANATORY LANGUAGE Si t of Aplicont r Agent Date COUNTY OF LOS ANGELES i 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 0511290056 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS ON FILE SQ FT STORIES TYPE 5017 BALDWIN AV STRUCTURE 2000 VN TEMP CA 917804011 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 8589-026 028 THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY C TENANT EXIST BLDG USE RESID USE ZONE R-1 ISSUED ON PROCESSED BY EXPIRES ON EXIST OCC GRP 11/29/05 JK 11/24/06 OWNER TEL NO BLDGS NOW ON LOT VALUATION FINAL DATE FIFAL BY CODE TANG WENDY 5 000 - 5017 BALDWIN AV TEMP 917804011 FEES PAID DESCRIPTION OF WORK TEAR OFF OLD ROOF W NEW 30 YRS COMPOSITION SHINGLES FEE DESCRIPTION QUANTITY UOM AMOUNT HOUSE AND GARAGE APPLICANT TEL NO RHEE (323) 864 7388 AA BLDG PERMIT ISSUANCE 27 75 1415 S GRAMERCY PL AC STRONG MOTION RESID 5000 00 VAL 0 50 SPECIAL CONDITIONS LOS ANGELES CA 90019 D2 PERMIT W/O EN-HC 5000 00 VAL 132 60 TOTAL FEES 160 85 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE MACIEL ROOF (323) 864-7388- 1415 S GRAMERCY PLACE LIC NO LOCATION AND SETBACKS LOS ANGELES CA 90019 829737B 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 144H269 3 01 FLOOR SHEATHING NO OF FAMILIES DWELLING UNITS APT COND STAT CLASS NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAZ PANELS /b AIR QUALITi 1000 FEET MATERIALS NO NO NO FRAM INSPECTION 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 EXTE-ZIOR LATH RATED FLOOR/CEIL ASSEM RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID DPR261 ROUTE TO BS0508 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 1304080021 PHONE (626) 285 0488 EXT LEGAL ID I NO OF CONST BUILDING ADDRESS I ON FILE I SQ FT STORIES TYPE 5017 BALDWIN AV I ISTRUCTURE V B t TEMP CA 917804011 (ASSESSOR INFORMATION NUMBER ,, - NEAREST CROSS STREET 18589 026 028 THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY CAI I I TENANT (EXIST BLDG USE RESID USE ZONE R1 11SSUED ON PROCESSED BY 1EXIST OCC GRP 104/08/13 SR OWNER TEL NO 1BLDGS NOW ON LOT VALUATION IFI/I�/L DATE FINAL^LBBY CODE IWAI CHUNG TANG (626) 757 5500 1 3 800 1 K�3 `' 5017 BALDWIN AV _ � ��(/� +� ITEMP 917804011 FEES PAID IDESCRIPTION OF WORK li I I IKITCHEN REMODEL TO INCLUDE NEW CABINETS FLOORING AND IFEE DESCRIPTION QUANTITY UOM AMOUNT ICOUNTER TOP BATHROOM REMODEL TO INCLUDE SHOWER FLOORING I (APPLICANT TEL NO I (AND VANITY I 1CABRERA CALEB (626) 378 2393 IAA BLDG PERMIT ISSUANCE 27 80 I I 11167 E BROOKPORT ST IAB STATE GREEN BLDG FEE 3800 00 VAL 1 00 (SPECIAL CONDITIONS I ICOVINA CA 91724 IAC STRONG MOTION RESID 3800 00 VAL 0 50 I 1 B2 PERMIT W/ENERGY 3800 00 VAL 127 40 1 TOTAL FEES 156 70 1CONTRACTOR TEL NO IAPPROJALS DATE INSPECTOR SIGNATURE 1ELITE CONSTRUCTION (626) 378-2393 11167 E BROOKPORT STREET LIC NO ILOCATION AND SETBACKS i I ICOVINA CA 91724 841247 * I I I ISOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER TEL NO I IFOUNDATION/TRENCH FORMS LIC NO ISLAB/UNDER FLOOR I I I '+ IRAISED FLOOR FRAMING IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMD I (UNDERFLOOR INSULATION I 3 OOi i IFLOOR SHEATHING 1 I INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS I N 1 NO 21 1 IROOF SHEATHING 1 SCHOOL WITHIN HAZARDOUS 1 1 (SHEAR PANELS I I I 1AIR QUALITY 1000 FEET MATERIALS I I 1 I I NO NO NO IFRAME INSPECTION I I I I IFIRE SPRINKLER HANGERS I i (INSULATION/WEATHER STRIPI I I Y I L `(INTERIOR LATH/DRYWALL I I I I I I I I I (EXTERIOR LATH I I I I IRATED FLOOR/CELL ASSEM I IRATED WALL ASSEMBLIES I I I IRATED SHAFTS/OPENINGS I I I I I I ' I iT BAR CEILINGS * ADDITIONAL DATA ON FILE 1 I ILOT DRAINAGE I I I I IREPORT IDJ DPR261 ROUTE TO BS0508 1 I I I I I 4 ) A�