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Home My Public Portal About5314 BARELA AVE_Building__ APPLICATION FOR BUILDING PERMIT �1 COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS BUILDING ADDRESS I hereby affirm that I have a certificate of consent to,self insure, �o _ a �� or a certificate of Workers'Compensation Insurance,or a certified CITY IP copy thereof(Sec.3800,Lab.C.) � �� LOCALIT� ��. -^ Policy No.'s��O02Z� Company.'55:-tl� SIZE OF LOT ' NO.OF BLDGS.NOW ON LOT <-0 ❑ Certified copy is hereby furnished. NEAREST CROSS ST. rtified co is filed with the count building TRACT BLOCK LOT NO.Z46-Ce copy y g'inspection USE ZONE MAP NO. departent .. PA SESSOR MAP BOOK PAGE RCEL Date Z qdApplicanti�'��-yC�rC SPECIAL CONDITIONS AS .CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER ' TEL.NO. YES NO COMPENSATION INSURANCE 1§2= I O'U 1 - Y Z WITHIN 1000 FT OF SCHOOL? ADDRESS (This section need not be completed if the permit is for one hundred Ar_ DISTRICT GROUP TYPE C NST.' FIRE ZONE ROCE ED BY dollars($100)or less.) CITYZIP I certify that in the performance of the work for which this permit . C n a O J U 9r� � is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL.NO. 3 , 3 lef become subject to the Workers'Compensation Laws. STATISTICAL CLAS IFICATION APT CONDO Date Applicant ADDRESS CLASS NO. ' DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of Exemption, you Should become subject t0 the Workers' CONTTOR TELREQUIRED TOTAL SETBACK FROM EXIST _ .NO. SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith o e�1�p 9 -3 2.3 FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LSC�. d PL LICENSED CONTRACTORS DECLARATION CITY LIC.CCLASS SIDE o hereby affirm that I am licensed under provisions of Chapter 9 �` IC-3 SEWER AP v SQ.FT IZE a NO.OF STORES NO. FAMILIES (commencing with Section 7000)of Division 3 of the Business and NEW ❑ BK PG q O Professions Code;and my,li`cepnse is in full force and effect. . y C— �l!�!H O I C',_� RI TIO OF WORK � � ADD ❑ VAL #16N , W LicenseNumb r Lic.Class o e ContractofL�r+�nt�o�® yc; p f — $ y Date ALTER ❑ z E] I am exempt under Sec. t I - REPAIR&Z _ B.BP.C.for this reason DEMOL ElLDMAP/C# Date: USE OF EXISTING BLDG. URM ❑ Signature APPLICANT(PRINT) TEL.NO. LDMA Perm# ❑ I, as owner of the property, or my employees with wages as Z O `AD, -.. their sole compensation,will do the work and the structure is ADDRESS H [-1£• ! �s not intended or offered for sale (Section 7044, Business and FI NA Q ��_ y ? Professions Code.) 801" 3a0 0 WILL THEAPPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ITEMS_ OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN J E•°' ❑ I, as owner tr the property,_am exclusively contracting with THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? . FI ; !� �' licensed contractors to construct-the project.(Section 7044, YES❑ NO❑ TOTAL. �'': a>�" -�* Business and Professions Code.) )9e L D ®3v� WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING 8 OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH -HECK pL�� CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST r/ /� FOR GUIDELINES. v,' y ,{•: p ;GE p 00 I hereby affirm that there is a construction lending agency for YES❑ No❑ 4 AN i the performance Of the Work for which this permit is issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD 3097,CIV.C.). - 'PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES 0000-000 __ COUNTY CODE,TITLEZ CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING F:I 31 �!i i i, !•[ ysyc(� to Lender's Name - HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. §§��4.ypyt-F 1 4I E i IL Lenders Address OWNER OPAOFM 0IL5 1 AN 8:sG o' I certify that I have read this application and state that the above information is Correct. I agree to Comply with all County PC.FEE PERMIT FEE12_ ces and State I to building construction,and hereby thori presentatives f this County to enter upon ISSUANCE FEE the bo en Qned pro rt r insp ction purposes G13 , 00 a /e) INVESTIGATION FEE TOTAL FEE n Slgnete App tof Agent Dffie f SEE REVERSE FOR EXPLANATORY LANGUAGE, COUNTY OF"LOS ANGELES TEMPLE CITY # 0508BUILDING PERMIT e ted. DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA ~ •' BL 0508 9611130021 PHONE: (818) 285-0488 EXT: LEG.V_ID:- �• NO. OF CONST NEW BUILDING ADDRESS: TR: 14210 LT: 14 SQ. FT STORIES TYPE OCCUP GROUP 5314 BARE_LA AV STRUCTURE: 217 1 V R3 CA 917803242 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: 8589-003-004 OTHER: THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 11/13/96 TC 11/13/97 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL )TE FINAL BY• CO LAU, MICHAEL (818) 453-3836- 17,000 5314 BARELA AVE. / TEMPLE CITY, CA FEES PAID DESCRIPTION OF WOR NEW MASTER BEDROOM/BATH AND EXTErD LIVING ROOM FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 17000.00 VAL 1.70 SPECIAL CONDITIONS: B2 PERMIT W/ENERGY,7: �;j 117000.00 VAL 370.10 7=UT0TAL FEES_ 399.55 ., CONTRACTOR: TEL. N0: ;t�_. _�� - 4 - APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER ' LIC. NO ;_;, LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. N0: " + - , '_�vhi ,'!`` a FOUNDATION/TRENCH FORMS LIC. N0: SLAB/UNDER FLOOR ff RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: _ y ' UNDERFLOOR INSULATION 3 01 ST LEVEL FLOOR SHEATH N0. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: NO 21 /(-i- ' BEVEL FLOOR SHEATH �.��'r, _�7. SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS _ NO NO NO _ FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST _ BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: ti - FRONT PL- Qom' ` SHEAR PANELS SIDE PL- 10-1 J I® /�I1W INSULATION/WEATHER STRIP 1 6,.Z INTERIOR LATH/DRYWALL EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS - RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0601190007 PHONE: (626) 285-0488 EXT: LEG',L ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 14210 LT: 14 SQ. FT STORIES TYPE OCCUP GROUP 5312 BARELA AV STRUCTURE: 679 1 VN R3 TEMP CA 917803242 ASSESSOR INFORMATION NUMBER: GARAGE: 444 1 VN U1 NEAREST CROSS STREET: GOLDEN WEST 8589-003-004 OTHER: THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: �` 07/12/06' JK 07/07/07 OWNELAU, MICHAEL/FLOREN (626)L48N00520- BLDGS. NOW ON LOT: VALUATION: 69,360 F�/P'�y' 7ny: CODE: 5312 BARELA AVE TEMPLE CITY CA 91780 FEES PAID DESCRIPTION OF WORK -" ADD 1 BEDROOM, 1 BATHROOM, FAMILY ROOM, LAUNDRY ROOM 679 S_F FEE DESCRIPTION: QUAN ITY. UOM: AMOUNT: DEMO (E) GARAGE AND BUILD 2 CAR GARAGE 444 S.F. APPLICANT: TEL. NO: LAU (626) 487-0520- B1 PLANCHECK W/ENERGY 69360.00 VAL 9,3392 5312 BARELA AVE AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: TEMPLE CITY CA 91780 AC STRONG MOTION RES ID 69360.00_V}L// 6.94 B2 PERMIT W/ENERGY -69360:00 AL 1,098.74 _ TOTAL FEES 2,067.35 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE LAU, MICHAEL (626) 487-0520- 5312 BARELA AVENUE LIC. NO LOCATION AND SETBACKS TEMPLE CITY, CA 91780 NONE SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: - FOL@£DATION/TRENCH FORMS LIC. NO; SLAB/UNDER FLOOR @ RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 01 IST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF.SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT .7 SET BACK YARD: HWY: PROP LINE: WIDTH: 2 FRONT PL- SHEAR PANELS - SIDE PL- INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL / EXTERIOR LATH pro LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FZA' PERMIT COUNTY OF-UM ANGELES 1 wm. J. FOX. CHIEF [NOIH[IR BUILDING FOR APPLICANT TO FILL IN FOH OFFICE USE ONLY DIwTRICT MIL PLAN CK.NO. P[RMIT N4 ■UILDINS ADDFac" .45-- 3 / Z G 's [D LOOALITY P=KIVtY DAT[or Appi- DAT[ISSUED SUED a RUM sr. ■uILDINO OWNS AIDR>�.. MAIL LOCALITY AD D R[IIIIII N &A`G T[L CITYO CROSS!7M S RT. i Alt&IF FIR[ NO.OF OPLTYP'[ O ARDHITKUT R Tn- ZONE ANS _ [NOIII[n! NO. ■LD O. f Or1D D ■[TbADK LIN[ "FROVm OONTRAmv T'F7 G c By [ wPrRovm ADPPtM Q ZOI.wN[ ■Y DAT[ L[OAL CORRECTIOAS DESCRIPTION LOT N0. ■LOOK TllAOT LI No.or ■IZ[OF LOT ^ NOW ON LOT Q• 6� UB[OF t NO.OF NO.OF ROO DESCRIPTION OF WORK N[W ALTERATION ADDITION �^ 4' REPAIR MOVING D[MOLINH Rq.FT. NO.OF ■IZ[ / ROOMS STORIES ALL ROOF W (�(J L INO OOV[RINO uS[OF N[NI ■UILDINO a � 1 HERESY A13KNOWL[DOM T}IAT I HAVE READ THIS APPROVALS AITLIOATION AND STAT[ THAT THI ASOV[ 10 OORR[QT INSrICTOR DAT[ AND MRI[ TD COMPLY WITH NTY ORDINANCES FOUNDATIONN LOCATION FORMS.MATiRIALS 4 AND STAT[ LA LA O 1 ( O OO'STRU N. ,..am FRAM[l FIRE STOPS. � EIONATURI OF f f ■RAOIN MOLTS P[RMITT[ L LATH, INT. AUTHORIZLD AOT LATH, QCT. 74A AES,-a 2-00 5 -7Q o P,IL• Ss- PLASTER.INT. FE[ , PLASTER.QCT. ^ ' vALuwTION 3oa . �� FINAL r is -`►1 F[I 3 O, --