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HomeMy Public PortalAbout5220 BARELA AVE_Building__ 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 1308010092 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST BUILDING ADDRESS: I ITR: 15683 LT: 56 I SQ. FT STORIES TYPE 1 5220 BARELA AV I I ISTRUCTURE: 2000 V-B TEMP CA 917803848 (ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BLACKLEY 18589-011-028 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY CAI I (TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 11SSUED ON: PROCESSED BY: IEXIST OCC GRP: 108/01/13 SR 1 1 I I (OWNER: TEL. NO: 'jBLDGS. NOW ON LOT: VALUATION: I NA D ;IE IN BY: CODE: 1 ICARDELLA DONALD A;SOPHIA A (626) 285-4675- 1 4,200 1 15220 BARELA AV ITEMP 917803848 FEES PAID 1 E C IPTIO OF WORK IRE-ROOF (2ND LAYER) OVER ORIGINAL ROOF USING #30 FELT PAPER 1 I_ IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: I& 30 YR MARLAKEY COMPOSITION SHINGLES I (APPLICANT: TEL. NO: I I I ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 1 I I IAB STATE GREEN BLDG FEE 4200.00 VAL 1.00 ISPECIAL CONDITIONS: I 1 jAC STRONG MOTION RESID 4200.00 VAL 0.50 1 I ID2 PERMIT W/0 EN-HC 4200.00 VAL 132.60 1 I I I TOTAL FEES 161.90 1 ICONTRACTOR: TEL. NO: I APPROVALS DATE INSPECTOR SIGNATURE ISAME AS OWNER - I LIC. NO i LOCATION AND SETBACKS ISOILS ENGINEER APPROVAL I 1ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I 1 I I - I LIC. NO: i ISLAE/UNDER FLOOR I I I I I IRAISED FLOOR FRAMING I I I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 (UNDERFLOOR INSULATION I I I I 3 OOI I IFLOCR SHEATHING I I I INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I 1 NO 21 IROOF SHEATHING 1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I 1AIR QUALITY: 1000 FEET MATERIALS I I I 1 NO NO NO I IFRAM3 INSPECTION I I I IFIRE SPRINKLER HANGERS 1 I 1 I I I 1 1 11NSU-,.,ATION/WEATHER STRIPI I I IINTERIOR LATH/DRYWALL 1 I I I I I 1EXTERIOR LATH I I I I I IRATED FLOOR/CEIL ASSEM. I I IRATED WALL ASSEMBLIES 1 I I I I I I IRATED SHAFTS/OPENINGS 1 I I I IT-BAR CEILINGS I I I I I I I ILOT DRAINAGE I I I I I I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I I I I I I r • , ` ' ©5 76A631-,A CE#803(REV.6/7M APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING ADDRESS Sk � BUILDING ADDRESSLOCALITY NEAREST CITY ZIP CROSS ST. e O.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE PR ESSED BY TRACT BL CK LOT NO. CONST. ZONE TEL. t ` e o Lq L7 OWNER Zai NO. STATISTICAL CLASSIFICATION SEWER M ADDRESS CLASS NO. DWELL.UNITS BK PG CITY P ZIP ARCHITECT 1 TEL VALUATION $ ` o ENGINE f0 ADDRESS_ - BLDG.SETBACK FROM n TEL. FRONT PROP.LINE OF (STREET( R CONTRACTOf?A NO HIGHWAY + YARD _ TOTAL SETBACK FROM TYPE OF EXISTING LIG"f ii FRONT.PROP.LINE HIGHWAYL WIDTH ADDRES$ NOC/1 LIC. + CITY d' CLASr5 CONSTRUCT( N LE BLDG.SETBACK FROM NAME AND BR C SIDE PROP.LINE OF (STREET) TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY + YARD = SIDE PROP.LINE HIGHWAY WIDTH kl ADDRES CITn&jY SO. NO.OF NO.OF CHECK + = V SIZE STORIES FAMILIES ONE DESCRIPTION OF WORK NEW ❑ P.C. Fee$ Permit Fee ,, 1- ADD `C6 El Issuance.Fee yC6j �r = ALTER �� a REPAIR ❑ Total Fee e� USE OF DEMOL EXISTING BLD ~ Z APPLICAN �.TE 0 (PRINT) , /v ~ BY ISIGNAT w � -7&- / a > _ / r� I H ACKNOWLED TH I HAVE R HIS A PLICATION ANDATE V G 5 6 9.9 A THAT E ABOVE IS CORRE T AND AGREE TO C MPLY ITH ALL ORDINCES ur AN AW REGULATING B LDING CONSTRUCTIO .I C IFY THAT IN DOITHE V �, 0 0 0 0 0 1 W K AUT RIZ Y I WILL NOT EMPLOY A PERSON IN V10LATOF TH LABOR CO H TATE OF CALIFO IN RELATING TO WORKMENA,M, Z PE ATION I UR :5 2 0 1 1 5. 00 d SIGNAT E o 0 1 1 5.0 0 PERMIT ADD ss Z D u, 1 2—7 9 TEL. CIT / NO. Q O SE ��) Q a O. c � 116 > .40 SPECIAL CONDITIONS FINALBY. w DATE ,,i r WOf KERS' COMPENSATION DECLARATION \ / ,f'F v aff):,rm that I have a certificate of consent to self APPLICATION F®R BUILDING P E RM I T insure, aro:�eFtificate of Workers'Compenstion Insurance,or ,p.certif 6cl'copy i1nereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Folicy No. Company BUILDING ElCertified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS, ❑ Certified copy is filed with the county building inspec- BUILDINGl f� tion department. ADDRESS •��.0 I L � ,( �v LOCALITY �Gc SGC/ LLA { O NEAREST Date Applicant CITY IrP\ l.irZ ZIP { , l.' CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' 11 NO. OF BLDGS. J ASSESSOR COMPENSATION INSURANCE SIZE OF LOT X Z NOW ON LOT f MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP TRACT BLQCK LOT NO. INC. s�C D hundred dollars ($100) or less.) _ jj !1 ?- + TEL p Q SPECIAL rZ I certify that in the performance of the work for which this OWNER •L )��(�. �� `'l4' NOvI?Ko7' �:7CONDITIONS O permit is issued, I shall not employ any person in any manner )•� /� 1/ ,/�J D TRICK GROUP TYPE FIRE PR tESSED BY- U so as to become subject to the Workers'Compensation Laws. ADDRESS ��nC �' 1 � �f V"fjU 1 r�_3 CONS. / ZONE IM Date Applicant CITY Ole `( (� ZIP ^ v STATISTICAL CLASSIFICATION /APT. CONDO. U NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. 6u Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO. 7,/ DWELL. UNITS Compensation provisions of the Labor Code, you must forth- with comply with such provisions or this permit shall be ADDRESS SEWER MAP / m deemed revoked. CONTRACTOR NO. /'TEL' BK {/pG C� VALIDATION LICENSED'CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. VALUATION (commencing with.Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and effect. CITY CLASS $ Vl.�0 SQ. FT. NO. OF NO. OF CHECK License Number Lic.Class SIZE STORIES p—AILIES ONE Contractor Date f: DESCRIPTION OF WORK" �� �)` a X cb I NEW ❑ $ ❑ i ; r1 Gl ADD I am exempt from The licensing requirements as I am a -�� '�(•z (7 �j' C � l j s licensed architect or a registered professional engineer i t ALTER ® FINAL acting in my professional capacity (Section 7051, �� REPAIR ❑ DATE �\ r Business and Professions Code). USE OF ` h FINAL EXISTING BLDG. �L�x �I t^ DEMOL ❑ By tl Lic.or Reg. No. _Date APPLICANT `y TEL , OWNER-BUILDER DECLARATION (PRINT) �,\ (�,1 I hereby affirm that I am exempt from the Contractor's License ^� Law for the following reason (Section 7031.5, Business andADDRESS �L3i�- a Professions Code): PRESENT BUILDING I, as owner of the property, or my employees with ADDRESS 1k wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business,and Professions Code). MOVING TEL. 2'�2 6 Q,8 A ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. a000m. l . with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. 2 ° - 25,00 CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT T ooa2500� the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE 10, 14-80 P.L. Lender's Name m P.C. Fee$ Permit Fee Lender's Address w I certify that I have,read this application and 'state that the Issuance Fee above information is correct. I agree to comply with all County Investigation Fee 0 ordinances and State I ays relating to building construction, Total Fee an erTeby authorize eprjesentatives of this County to enter a u on the above-ment oned pro ert or inspection purposes. a �r �� At / `0`j•01 VD SEE REVERSE FOR EXPLANATORY LANGUAGE /7 •Sidna't�re of Applicant or Agent c Dote ©s