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Home My Public Portal About5202 BARELA AVE_Building__ 76A696A CE BOS 1-62 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING �) DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A.'LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST: DISTRICT NO TYPE D BY FOR APPLICANT TO FILL IN CONST. BUILDING ��i STATISTICAL CLA TION WER MAP ADDRESS p( yu•l� G~ CLASS.NO. DWELL.UNITS LOT NO. BLOCK WXTER CERTIFICATE: NOT REQUIRE DL�RECEIVED TRACT MAP_ HIGHWAY NO.OF BLDGS. NO. (.' (ctRCLE) STATE MAJOR SECON , LOCAL SIZE OF LOT NOW ON LOT USE ZONE SPECIAL USE OF / CONDITIONS EXISTING BLDG.17 i ,/ .{L. TEL. OWNER ya f NO. BUILDING EXIST. YARD HWY STREET NAME 516 o v CK�vC F A ®c, SETBACK WIDTH ADDRESS _ RONT ARCHITECT OR' TEL. I P. L. (1/1 ENGINEER NO. -SIDE P. L. d ADDRESS EL. I V CONTRACTOR y ,,,iS�� O. Im 'ADDRESS , � ,`. Nik.� O DESCRIPTION OF WORK, W i � N NEW ADD ALTER REPAIR DEMOLISH z SQ.F NO.OF NO.OF SIZE STORIES FAMILIES USE OF STRUCTURE 4-Q SIGNATURE OFG APPLICANT IAV VALUATION $dl lf6 APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE $ FEE $ 1 FORMS, MATERIALS FRAME: FIRE STOPS, f �� 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS AND STATE'THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. 'n j WITHALL,COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION. 1 CERT Y THAT IN DOING THE WORKF AUTHORIZED"HEREBY I WILL NOT PLOY ANY PERSON IN VIOLA- LATH. INT. -TION'OF THKOF/ CODE OF T O CALIFORN RELAT- .•:ING TO WS OMP S RAN E. LATH, EXT. $IGNATU � HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS r FINAL JOHN F. LEWIS. PRINCIPAL STRU TURAL ENGINEER PLAN CHE_;S �VAAION C M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH ,' 4 3' 2 6 o SEP .L. 1 0 6.00- 7BA638A CE B08I_82 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDREss BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST. DIST I T G P TYPE D FOR APPLICANT TO FILL IN ' CONS BUILDING STATISTICAL CLASSI.ICATION ER MAP ADDRESS 520ZBarela , Temple City K PG CLASS. NO. DWELL.UNITS I • LOT NO. )�/� BLOCK CERTIFICATE:WATER NOT REQUIRED RECEIVED ❑ TRACT /� LA MA NOP v`G� (C RCLE) STATE MAJOR SECOND, OCAL NO.OF BLDGS. SIZE OF LOT NOW ON LOT USE ZONE SPECIAL USE OFreSideriCe /1 CONDITIONS EXISTING BLDG.'... OWNER R4y.•Bent TEL. NO. BUILDING EXIST. •� +�'� SETBACK YARD HWY STREET NAME WIDTH ADDRESS - -4:0.5 Barela T MIDle Cit. FRONT MM ARCHITECT OR TEL.TEL. P. L. �V -ENGINEER ' NO. SIDE >, P. L. !L ADDRESS 0 CONTRACTOR Bryant Htg. C6. NO AT 6-114 OL ADDRESS San Gabriel O DESCRIPTION OF WORK w o. H NEW 4ED ALTER REPAIR DEMOLISH z SQ.F NO.OF NO.OF SIZE STORIES FAMILIES USE OF ° STRUCTUREaA SIGNATURE OF APPLICANT VALUATION$ (2,, APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE $ FEE $ FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE,THAT I HAVE READ THIS APPLICATION BRACING, BOLTS /I a AND,STATE THAT THE ABOVE IS.CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, ` R 'q ITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS // V BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY,1 WILL NOT EMPLOY ANY PER ON IN VIOLA- LATH, INT. 77TI,ON OF THEALAB�OOF THE STATE OFC ORNIA RELAT- 7NG TO WORKSATION INSURA cATH,EXT. SIGNATURE HOUSE NUMBER COR- PERMITTEERELY AND POSTEDADDRESS FINAL //Olt? JOHN F. LEWIS. PRINCIPAL ST GRAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK M.O. CASH LAW 6 5 •1 61 NOV 5 1 D 6.00-- 7 6A 6?toVCO8033-66 APPLICATION FOR BUILDING PERMIT " 'COUNTY OF LOS ANGELES BUILDING / DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST. w LlG le� DIST CTN GROUP TYPE. ..�� PROCESSFZD BY /` FOR APPLICANT TO FILL IN `_ CONST. Q,` BUILDING Jam® STATISTICAL CL SSIFICATION SEWER MAP ADDRESS /" CLASS NO. DWELL UNITS PG LOT NO. BLOCK U Z NE MAP NO. G�yid/�( TRACT ' SPECIAL R NO. OF BLOBS. - CONDITIONS SIZE OF LOT NOW ON LOT - USEUSE OF �yyi=�' NG `ZL BLDG. SETBACK FROML`7�.�.�/� TEL FRONT PROP. LINE OF /� (STREET) NO' TYPE OF I EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRES^� HIGGHW��AY WIDTH F OM C.L. '7o eW CITY ARCHITECT OR TEL. BLDG. SETBACK FROM ENGINEER NO. SIDE PROP. LINE OF - (STREET) TYPE OF EXISTING SETBACK .HIGHWAY + YARD - TOTAL AD-DRESS `'i p► y� / cy HIGHWAY WIDTH FROM C.L. AT?ACTO ILOZrQS NOLIO l�C + NO ! CORNER CUTOFF YES NO CITY CLAS SEE REVERSE SIDE FOR SPECIAL APPROVALS ' CD DESCRIPTION OF WORK LLJJ B' NEW ADD (� ALTER REPAIR DEMOLISH 5 Z' SQ.FT. /y NO. OF NO. OF - SIZE �6✓ STORIES FAMILIE USE OF ' STRUCTURE SIGNATURE O APPLICANT _ VALUATION$ �, ; ,00 APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. 45-- FOUNDATION, LOCATION FEE7HEREACKNOWLED FEE$ �� FORMS, MATERIALS FRAME, FIRE STOPS,. t- I GE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS (' ANDT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS SU ILDI NG CONSTRUCTION. I CERTIFY THAT, IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S CO ENSATION INS NCE. LATH. EXT.,Zz SIGNATUR HOUSE NUMBER COR- PERMITFE RECT AND POSTED +./ ADDRESS,Zia & / AzP FI NAL �--1 JOHN F. LEWIS. PRINCIPAL STRU URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.0 CASH LIUN 3 It D 2 2.5'G Jt �V 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 0511280003 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 15683 LT: 53 SQ. FT STORIES TYPE 5202 BARELA AV STRUCTURE: 18 - VN TEMP CA 917803848 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8589-011-025 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C TENANT: - EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 11/28/05 JK 11/23/06 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: MULLER MARCUS F;ELIZABETH - 4,500 5202 BARELA AVS TEMP 917803848 - FEES PAID DESCRIPTION OF WORK TEAR OFF SHEET REROOF W/ ELK PRES 40 YEAR COMPOSITION FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SHINGLES APPLICANT: TEL. NO: WARREN CROSS (626) 786-2477- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 4500.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/0 EN-HC 4500.00 VAL 132.60 TOTAL FEES 160.85 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE JW ROOFING, 6267862477 (626) 786-2477- 1522 MEADOW GLEN WAY - LIC. NO LOCATION AND SETBACKS HACIENDA HEIGHTS 662149B 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 147H269 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: NO 21 ROOF SHEATHING - SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME 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 EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE .REPORT ID: DPR261 ROUTE TO: BS0508 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, "I BUILDING ADDRESS or a certificate of Workers' Compensation Insurance,or a certified j --sZ(9 64 Av copy thereof(Sec.3800,Lab.C.) CIT��e e,LtL_ZIP n_/l LOCALITY /J Policy No. Company SIZE OF LOT NO.OF BLDGS.NOW ON LOT El certified copy is hereby furnished. i3b 4 D NEAREST CROSS ST ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. USE ZONE MAP NO. department. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO. COMPENSATION INSURANCE � ,� Z � I� WITHIN 1000 FT.OF SCHOOL? YES NO This section need not be completed if the ADDRESS ( permit is for one hundred P P52 - DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars ($100)or less.) '. I certify that in the performance of the work for which this permit CITY �� 1 ZIP CL L•1�� AJC`- is issued, I shall not employ any person in any manner so as to ARCHITECT O ENGINEER TEL NO. �� become subject to the Workers'Compensation Laws. rA STATISTICAL CL9SSIF[CATION APT CONDO Date Applicant ADDRESS V e CLASS NO. �7 DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL NO. 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 deemed revoked. ADDRESS LIC.NO. PL LICENSED CONTRACTORS DECLARATION SIDE CITY LIC.CLASS PL I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and NO.OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. t NEW V BK PG ® d License Number Lic.Class DESCRIPTION OF WORK r ADD ❑ VALUATIONS y�� Q Contractor Date RcAkw- ` t�lV ALTER El $ W e 0 C. es i.GJ� REPAIR El El am exempt under Sec. $ I— B.&P.C.for this reason -AtNNk• �(b w.C4 a DEMOL .0 LDMA P/C# W Date: USE OF EXISTIN BLDG. y` URM ❑ -= Signature APPLICANT(PRINT) TEL N _ LDMA Perm# 14•t•i a z I, as owner of the property, or my employees with wages as v��` 0 6 Vis"I a _13 a_S! their sole compensation, will do the work and the structure is ADDRESS "� ; not intended or offered for sale (Section 7044, Business and Z® FINAL DATE Q Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL � OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE El 1, as owner of the property, am exclusively contracting With AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors to construct the project (Section 7044, YES❑ No❑ —�j•+; i 3•:; t 3 Business and Professions Code.) .WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH ,{` },}L_ CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. 7f iFil �l=F' 1 hereby affirm that there is a construction lending agency for YES El NO❑ 3_ #i. a a _ CV the performance Of the work for Wf11Ch this permit IS ISSUed(.Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING '_•I Ir:L•f 1v.t a Liv 3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, _ TITLE 2,CHAPTER 2.20.SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS 'i�.e Id- r.L". Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. Ham'*G ; Q Lender's Address O OWNER OR AGENT o I certify that I have read this application and state under penalty s i, 11`s—?,#43, a =r of perjury that the above information is correct.I agree to comply P.C.FEE ® PERMIT FEE - - with all county ordinances and State laws relating to building construction, and hereby authorize representatives of this County ISSUANCE FEE to enter upon the above- enti property for inspection purposes. a •-6, INVESTIGATION FEE TOTAL FEE Sig.tore of Appliwnl.,Agent Date SEE REVERSE FOR EXPLANATORY LANGUAGE