HomeMy Public PortalAbout5506 BALDWIN AVE_Building__ TBAeaew CE 8503 1/711 V`7 FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING.AND SAFETY DIVLSION BUILDING Sam o s /V
ADDRESS 4
COLEMAN W. JENKINS, •UP•T OF BUILDINGG
LOCALITY
R APPLICANT TO FILL IN NEAREST
CROSS ST.
BUILDING DISTRICT N. GRT_ TYPE � ESS B;
CONST. 0. T /V
ADDRESS 'c
STATISTICAL CLASSIFICATI N SEW R MAP
LOT NO. BLOCK CLASS NO LXALa
DWEL
.UNITS PG r
TRACT USE ZONEMAP
NO.OF BLDGS. N0.
SIZE OF LOT (J� NOW ON LOT SPECIAL
USE OF CONDITIONS
EXISTING BLDG.
,TE
OWNERdciNO. BLDG.SETBACK FROM
ADDRESS %pw FRONT PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY PLC ♦ (AMHIGHWA WIDTH FROM C.L.
ARCHITECT OPt T%L. + _
ENGINEER N . BLDG.SETBACK FROM
ADbRESS SIDE PROP.LINE OF (STREET)
TEL. TYPE OF EXISTING1 SETBACK HIGHWAY + YARD = TOTAL
CONTRACTOR N0. IL HIGHWAY WIDTH FROM C.L.
LIC.
ADDRESS LIC �; +
CITY • ` CILASS r CORNER CUTOFF YES ❑ NOCONSTRUC ❑
ENDER
NAME AND BRRANCHH SEE REVERSE SIDE FOR SPECIAL APPROVALS
ADDRESS
SQ. FT. NO. OF NO. OF NEW ❑
SIZE STORIES FAMILIES ❑
USE OF ADD
STRUCTURE
ALTER ❑
ro REPAIR
SIGNATU E
APPLICANT DEMOL ❑
VALUATION SP. J APPROVALS . DATE IN•PKCTOR'■81
P. FOUNDATION: LOCATION
FEE FEES FORMS MATERIALS (J�
FRAME: FIRE STOPS;
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACT NO BOLTS
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY 1 WILL MOT EMPLOY 11X7 PERSON IN VIOLATION OF THE LATH, INT. l
LABOR CODE OF T.. STATE OF -CALIFORNIA IN RELATING TO qtr
WORKMEN'S COMPS XSATIOI NSURA CE. LATH, EXT: I"
SIGNATURE OF HOUSE NUMBER•COR-
PERMITTEERECT AND POSTED
ADDRESS I all nat� FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL PGGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. cAsH
rrv'1C• �� G� f pf 4`� 0 2'1 .7 ' A%
. #890075 PB
WORKERS' COMPENSATION DECLARATION
insure, oraffirm
certif certificatethat.
of Workers' Compensation Insuraent to nce, APPLICATION FOR BUILDING. P E RM I T
or a certified copy thereof (Sec. 3800, Lab. C.) , ,I R
COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No.W0007146 Company'Beaver Ins.
BUILDING
❑ Certified copy is hereby furnished.' FOR APPLICANT TO FILL IN ADDRESS
® Certified copy is filed-with the'county building inspec- BUILDING
tion department. ADDRESS. 06 Baldwin Ave
Date 7-1-89 Applicant "Virgin Roof Co. CITY Tem le Cit ZIP 91780 LOCALITY
NO. OF BLDGS. NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST.
COMPENSATION INSURANCE ASSESSOR
(This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL
hundred dollars ($100) or less.) TEL.
' OWNER NO. US O E MAP .� '
I certify that in the performance of the'work for which this NO.
permit is issued, I shall not employ any-person in.any manner ADDRESS 9832 Daines Dr. SPECIAL o}
CONDITIONS O
so as to become subject to the Workers'Compensation Laws. - V
CITY Tem le Cit ZIP 91780
Date Applicant ARCHITECT OR TEL DISTRICT GROUP TYPE FIRE OCESSED BY O
NOTICE TO APPLICANT: If, after making;this Certificate of ENGINEER NO. , CONST._ 3E
1-
Exemption, ,you should become subject. to the Workers' „—�Lj-a U
Compensation provisioris of The Labor Code, you must forth- ADDRESS d
with comply with- such provisions :or this permit shall be TEL. STATISTICALCLA ON CONDO." N
deemed revoked. CONTRACTOR Virgin-Roof Co. NO. 287-0507 Z
LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS
I hereby affirm that I am licensed under provisions of Chapter 9, ADDRESS NO.,- 160650
(commencing.with Section 7000)of Division 3 of the Business
LIC. S MAP
and Professions Code,and•my license,is in full force and effect. CITY -San Gabriel. CLASS C39 BK PG r VALIDATION
SQ. FT. NO. OF- No. OF CHECK
License Number 160650 Lic. Class C39 SIZE. STORIES FAMILIES ONE
11 VALUATION"
Contractor Virgin 'Roof Co. Date 6-30-89 DESCRIPTION OF WORK NEW Elg X353$.00 polo.
ALTER ❑
E:1I am exempt under Sec.' apply #30 and Class A Fiber—
.ALTER ❑
B.&P.C. for this reasonREPAIR ❑ $lass shingles. (25 sqs)
Date:. USE OF DEMO' ❑
EXISTING BLDG. DWellln
Signature APPLICANT TEL.. FINAL
OWNER-BUILDER DECLARATION. (PRINT). Virgin Roof Co. No• 287- 0
DAT r•:,
I hereby affirm that I am exempt from the Contractor's License E" `
Law for the following reason (Section 7031.5, Business and ADDRESS P.O. Box J. -San Gabriel 91778 FIN
Professions PRESENT B
Code : ' vj,.!} =' '_'D
❑ I, as owner of the property, or my employees with ADDRESS - ' I L.i 1C
wages as their sole compensation,will do the work and - -;, = -�
the structure is not intended or offered for sale(Section LOCALITY , (?_`( )_. 8 o 3
7044,.Business and Professions Code.) MOVING TEL. - ---•L ' _ rc
CONTRACTOR NO. ''-HEC
1, as owner of the property, am exclusively contracting ....
with licensed contractors to construct:the project (Sec- (: E 1"_
ADDRESS
tion 7044, Business and Professions Code.) • `
REQUIRED TOTAL SETBACK FROM EXIST.
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH
r;
I hereby affirm that there is a construction lending agency for FRONT 1�1.f�f..!'-_ir 9 !' Z`:' j,:' .
the performance of the.work for which this permit is issued P.L.
(Sec.'3097, Civ. C.). SIDE L=.:=W ? r€€I .--_17
P.L.
Lender's Name,
LDMA Ref. #
P,C,,Fee$ Permit Fee 58.13 .
3 Lender's Address
0
I certify that I have read this application and state that the Issuance Fee 10.50 LDMA P/C# '-
8 above information is correct. I agree-to comply with all County Investigation Fee
R ordinances and State laws relating to building construction, Total Fee $68.63 LDMA Perm. #
a and hereby authorize.representatives of this County to enter
upon the abo e-mentioned property for inspection purposes.
i 2-15=89 SEE REVERSE FOR EXPLANATORY LANGUAGE
} ignature of Applicant or Agent Date
l
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 1104200069
PHONE: (626) 285-0488 EXT:
ILEGAL ID: NO. OF CONST BUILDING ADDRESS: 1
ITR: 16957 LT: 4 ' I SQ. FT STORIES TYPE 1 5506 BALDWIN AV 1
I (STRUCTURE: V-B I TEMP CA 917802627 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I
18586-022-004 1 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl
(TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY:
I (EXIST OCC GRP: 104/20/11 SR
(OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE:
(BUTLER, JOHN - i 4,500 1 I
19596 APRICOT AVE.
1ALTA LOMA CA 91737 I FEES PAID IDESCRIPTION OF WORK I
IKITCHEN REMODEL, TWO BATHROOMS AND REPLA 3 WINDOWS I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 I
(APPLICANT: TEL. NO: I I
RIVERA CONSTRUCTION (626) 444-8466- IAA BLDG PERMIT ISSUANCE 27.80 I
112107 E. MC GIRK AVE IAB STATE GREEN BLDG FEE 4500.00 VAL 1.00 ISPECIAL CONDITIONS: S
IEL MONTE, CA 91732 IAC STRONG MOTION RESID 4500.00 VAL 0.50 1 I
JB2 PERMIT W/ENERGY 4500.00 VAL 146.10 I I
JFR INV WORK W/O PERMIT 257.00 DOL 257.00 I 1
ICONTRACTOR: TEL. NO: I TOTAL FEES 432.40 JAPPROVALS DATE INSPECTOR SIGNATURE 1
IRIVERA CONSTRUCTION (626) 444-8466- I 1 1
112107 E. MCGIRK AVE. LIC. NO I ILOCATION AND SETBACKS I I 1
JEL MONTE, CA 91732 361071BHIC 1 I I I 1
J ISOILS ENGINEER APPROVAL J I
1ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I I
LIC. NO: (SLAB/UNDER FLOOR 1
I
EX
PIR DIRAISED FLOOR FRAMING 1-1
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:I JUNDERFLOOR INSULATION I I I
1147H269 3 OOI. / / 1 11 I
I I / _ IFLOOR SHEATHING I I 1
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: lll%%% 1 I 1
NO 21 (ROOF SHEATHING I I 1
SCHOOL WITHIN HAZARDOUS 1 SHEAR PANELS J I I
JAIR QUALITY: 1000 FEET MATERIALS J I
1 NO NO NO 1 IFRAMF. INSPECTION
I I I
IFIRE SPRINKLER HANGERS I I
I I I
(INSULATION/WEATHER STRIPI I
J I JINTERIOR LATH/DRYWALL I
I I I
1 I 1EXTERIOR LATH I 1
I I I
I IRATED FLOOR/CEIL ASSEM. I -
I IRATED WALL ASSEMBLIES
I I I
IRATED SHAFTS/OPENINGS I
1 I IT-BAR CEILINGS I
I I I
1 ILOT DRAINAGE J I
REPORT ID: DPR261 ROUTE TO: BS0508 i kab--(