HomeMy Public PortalAbout5315 BARELA AVE_Building__ 76A638A CE #803 1/71 /,7 ' /" ;eG
APPLICATI®N F®R BUIL®IPERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NLAREST. L 4
Print or tvoe onl
BUILDING -� / DISTRICT NO. GROUP TYPE PROCESSEDBY
ADDRESS - 6_1 ,, CONST. 4T,—
STATISTICAL CLASSIFICATION SEWP
R MA
LOT NO. BLOCK I A 2�
CLASS NO. DWELL.UNITS BK PG
TRACT b ^� USE ZONE MAP
NO
USE OF
NO.OF SLOGSIZE OF LOT NOW ON LOTS ` J SPECIAL ONS
EXISTING BLDG.
TEL
OWNER <� J& NO.p
BLDG.SETBACK FROM
ADDRESS ✓ FRONT PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY ��Lt✓ HIGHWAY WIDTH FROM C.L.
ARCHITECT OR TEL. L– ,J } - _ -
ENGINEER NO.
BLDG.SETBACK FROM
ADDRESS SIDE PROP.LINE OF (STREET)
TEL. TYPE OF EXISTING .SETBACK HIGHWAY }: YARD = TOTAL O
CONTRACTOR NO. HIGHWAY WIDTH FROM C.L. V
ADDRESS ND. t =
O
CITY CLASS CORNER CUTOFF YES ❑ NO ❑ w
1�ONSTRUCTION LENDER
R AME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS z
ADL KESS
SQ. ��T. NO. OF NO. OF NEW ❑
SIZE `- STORIES FAMILIES
USE OF ADDad
❑
STRUCTURE '0 J
A �yALTER
ic/ U.��1✓ aa i`� (� REPAIR❑
GNATUIRE OF
PPLICANT DEMOL ❑
VALUATION $ �� APPROVALS DATE INSPECTOR'S SIGNATURE
P'C. PMT. J FOUNDATION: LOCATION
FEE $ FEE$ FORMS, MATERIALS
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 ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY i WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODEOF THE STATE OF -CALIFORNIA IN RELATING TO
WORKMEN'S CO MPENSATION INSURANCE. LATH, EXT.J
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL if A1,17L lye
JOHN F. LEWIS. PRIN'CIPA41STRUCTURAL EN- N
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATI ' SCK. O. C
®_ r�� M.
-1 WORKERS' COMPENSATION DECLARATION
1 •' ere
•Plhere,bor affcertif tate of Worke s' Comp on a certificate of consent
nsuran self APPLICATION O R I L D I N G PERMIT
or a certified copy thereof (Sec.'3800, Lab. C.) i '
. a
COUNTY OF LOS ANGELES BUIMING AND SAFETY
.. Policy No. Company
BUILDING
❑ Certified copy is hereby furnished. FOR APPLICANT'TO FILL IN ADDRESS Sf ��
❑ Certified copy is filed with the county building inspec- BUILDING �. Y �
tion department. ADDRESS TT
Date Applicant CITY ��. ZIP J7 v LOCALITY /w
/ NO. OF BLDGS. NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT `J� IS NOW ON LOT CROSS ST.
COMPENSATION INSURANCE 7� ASSESSOR �7
. (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.) dd..--�J TEL.
Odi-
OWNER L �" Wi �'J' NO. Og—p7�j) USE ZONE MAP
I certify that in the performance of the work for which this NO.P.
ermit is issued, l•shall not employ any.-person in any manner ADDRESS �'� _ N+ SPECIAL'
CONDITIONS O
o as to b/ecome subject to the Workers'Compensation Laws: Cl
�j U
1/(l o CITY G J �� c+ ZIP `Z c76
Date 3 Applicant ARCHITECT OTEL.
NOTICE TO APPLICANT: If, after making his Certificate of ENGINEER NO DISTRICT GROUP TYPE . FIRE PROCESSED BY O
CONST. ZONE
Exemption„ U
you should become subject.to the, Workers' - U
Compensation provisions of the Labor Code, you must forth- ADDRESS �� a-
with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATIONAP7. CONDO. N
deemed revoked. CONTRACTOR NO. .� / Z
LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS
I hereby affirm that-I am licensed under provisions of Chapter 9 ADDRESS NO.
(commencing with Section 7000)of Division 3 of the Business LIC,
SEWER MAP
and Professions Code,and my license is in full force and effect. CITY CLASS BK PG VALIDATION
SQ. FT. NO.NO. OF pp NO. OF CHECK
License Number tic. Class SIZE L.N STORIES 1 FAMILIES 'ONE
VALUATION
DESCRIPTION OF WORK NEW ❑
Contractor. Date-' $ kt7 ,
ADD
ElI am.exempt under Sec. O Y't'l h , '
ALTER ❑
BAP.C. for this reason O by-,A la REPAIR ❑ $
Dater USE OF
EXISTING BLDG. Y DEMOL ❑
Signature APPLICANT, I TEL. ��R�
y � NO /J FINAL J
OWNER-BUILDER DECLARATION ` ) DATE
I hereby affirm that I am exempt from the Contractor's License ADDRESS I�^ lr�f OL, i
Law for the following reason (Section 7031.5, Business and FINAL
Professions Code): PRESENT By Y `�I °7
L�1 I, as owner of the,property; or my employees-with ADDRESS — 48.
i75
;e 75
wages as their sole compensation,will do the work and � (1Z`i�. r?i � :3311_
the structure is not intended or offered for sale(Section
LOCALITY
7044, Business and Professions Code.) MOVING " TEL.'
CONTRACTOR NO.
El 1, as owner of the property;am exclusively contracting {'s
�lCC a=
With licensed contractors to construct,the project (Sec- ADDRESS �;�+
tion 7044, Business and Professions Code.) a i i f r�f o7
REQUIRED TOTAL SETBACK FROM EXIST.
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH 2 T T Fri'=
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. 74
(Sec. 3097, Civ. C.). SIDE }ilih� vai±.® 14
P.L.
Lender's Name, CHECK
-� Permit Fee LDMA Ref. # •l'�t"tfit�E , I(-
Lender's Address P:C. Fee$ y� /� �c�
o' I certify that F have read this application and state that the Issuance Fee 7a�• LDMA P/C#
8 above information is correct. I agree to comply with all County 'Investi.gation Fee � � � [J000-001 i 1- 1{15i,27_3
N ordinances and State laws relating'to building construction, Total Fee LDMA Perm. # -dt]•?; F
•�O a i,a.
a and hereby authorize representatives of this.County to enter . Z L19 r�•L Ls41~t
Y a upon the above-menti ed property for inspection pur oses.
- 1111 SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of App l' nt or Agent, Date
i WORKERS' COMPENSATION DECLARATION
ificate of consent to self
`insure, o'r a certificate of Workers'tCompensat on Insurance, APPLICATION FOR BUILDING PERMIT
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._ FORAPPLICANT TO FILL IN ADDRESS
❑ Certified copy is filed with the county building inspec- BUILDING � , �F
tion department. ADDRESS i 7
��M I / I �� ZIP 2
Date Applicant CITY c� LOCALITY
� NO. OF BLDGS. NEAREST d
CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT Y� 51✓ NOW ON LOT CROSS ST.
COMPENSATION INSURANCE e ASSESSOR
(This section need not be completed if the permit is for one TRACT 9 BLOCK LOT NO. MAP BOOK PAGE PARCEL
hundred dollars ($100) or less.) qq q f TEL v ,� USE ZONE MAP
OWNER/AAf ' • 1 . �I. )i 1 NO. r i'�c:c� NO.
I certify that in the performance of the work for which this ! ��t �' 7 /� SPECIAL
permit is issued, I shall-not employ any person in any manner J ADDRESS .5 ..I A • 3A i4,� L–A' CONDITIONS a
so as to become subject to the Workers'Compensation Laws. { % 0
n. '� M I C� r� �` ZIP '�t?a
Date Applicant ARCHITECT OR TEL.
iiDISTRICT GROUP TYPE FIRE PROCESSED BY
NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CONST. Z NE
Exemption, you should become subject to the Workers'
U
Compensation provisions of the Labor Code,'you must forth- ADDRESS �1P CL
with comply with such provisions or this permit shall be / TEL. STATISTICAL CLASSIFICATION APT. CONDO. u7
deemed revoked.
CONTRACTORNO. Z
LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS
-
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO.
(commencing with Section 7000)of Division 3 of the Business LIC. SEWER MAP
and Professions Code,.and my license is in full force and effect. CITY CLASS BK PG VALIDATION
SQ. FT. NO. OF NO.OF CHECK
License Number Lit. Class V SIZE I STORIES FAMILIES ONE
VALUATION
Contractor Date DESCRIPTION OF WORK ` {) NEW ❑ $
❑I am exempt under Sec.
'4 1� � _ ? 1 j ADD ❑
ALTER ❑
B.U.C. for this reason Birt' ✓'� �1L:' r: t ,' ' � REPAIR ❑ $
Date: USE OF 1 �J
EXISTING BLDG. ii�� ' DEMOL
Signature APPLICANT r TEL.
PRINT ( ,) .. r� =O�;I� :t�1)0 DATEFl 17_-
OWNER-BUILDER DECLARATION . I ) ��` h
I'hereby affirm that I am exempt from the Contractor's Licenjjk
se –
Law for the following reason (Section 7031.5, Business and ADDRESS .•J 1��. YG_ f FINAL
Professions Code): PRESENT By -
I, as owner of The property, or my'employees with BUILDING ADDRESS 3
n
wages as their sole compensation,will do the work ad ` ' °g
the structure is not intended or offered for sale(Secti( LOCALITYpop, a•L{ 17 s -,_-
7044, Business and Professions Code.) MOVING TEL. 'Oi'"`
ElI, as owner of the ro ert, CONTRACTOR NO. i ;F,=
p p y,.am exclusively contracting
with licensed contractors to construct the project (Sec-. ADDRESS ()_TTL 17.0 - 2115
tion 7044, Business and Professions Code.)
-REQUIRED TOTAL SETBACK FROM EXIST.
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH CHECK UI°
1 hereby affirm that there is a construction lending agency for FRONT
the performance of the work for which this permit is issued P.L. l•HAHE
(Sec. 3097, Civ. C.). SIDE
P.L..
Lender's Name,
r e— LDMA Ref. # 1(
s a t t ciO
P.C. Fee$ Permit Fee J ' y y3
Lender's Addressell *�� °
0 624
1 certify that I have read this application and state that the Issuance Fee "7 7 6� 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 / �� c LDMA Perm. #
a and hereby authorize representatives of this County to enter
upo`�he above-mentioned pro
pe or inspection purposes.
f'NI / �'!/} SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Apli ant or Agent Date -
COUN,TY,OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1402100038
PHONE: (626) 285-0488 EXT:
ILEGAL ID: 1 NO. OF CONST NEW I BUILDING ADDRESS: 1
ITR: 14210 LT: 9 SQ. FT STORIES TYPE OCCUP GROUPI 5315 BARELA AV 1
I ISTRUCTURE: 0 1 V-B R-3 I TEMP CA 917803243 1
(ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: 1
18589-002-009 I OTHER: THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY CAI
1 I I 1
(TENANT: (EXIST BLDG USE: USE ZONE: 11SSUED ON: PROCESSED BY: I
EXIST OCC GRP: 102/10/14 SR i
10WNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: JF14AL DATE FINAL BY: CODE: 1
(WANG, YIBING (626) 286-8883- 1 8,000
15315 BARELA AV i 1 1
ITEMP 917803243 J FEES PAID I E CRI TI N OF WORK
IKITCHEN REMODEL
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1
1APPLICANT: TEL. NO: I I
ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 1
JAB STATE GREEN BLDG FEE 8000.00 VAL 1.00 ISPECIAL CONDITIONS: 1
JAC STRONG MOTION RESID 8000.00 VAL 0.80
JB1 PLANCHECK W/ENERGY 8000.00 VAL 171.20 1
JB2 PERMIT W/ENERGY 8000.00 VAL 201.30
CONTRACTOR: TEL. NO: IFR INV WORK W/O PERMIT 344.00 DOL 344.00 JAPPROVALS DATE INSPECTOR SIGNATURE 1
ISAME AS OWNER - I TOTAL FEES 746.10 1 1
LIC. NO i ILOCATION AND SETBACKS
I I I
ISOILS ENGINEER APPROVAL 1 I
1ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS I I I
LIC. NO: i ISLAB/UNDER FLOOR I I
I I I
IRAISEP FLOOR FRAMING
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:J 1UNDERFLOOR INSULATION
I i I
3 OOI J1ST LEVEL FLOOR SHEATH I I
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I I
0 NO 21 1 12ND LEVEL FLOOR SHEATH 1 I
1 SCHOOL WITHIN HAZARDOUS J IROOF SHEATHING I
JAIR QUALITY: 1000 FEET MATERIALS 1 I I I
NO NO NO IFIRE DEPT. FRAME INSPECTI I I
IBLDG DEPT. FRAME INSPECTI I
1 ISHEAR PANELS 1
I � I
I (INSULATION/WEATHER STRIPI I
INTERIOR LATH/DRYWALL 1
1 1EXTERIOR LATH T J
I ILOT DRAINAGE I 1 1
I I I
1 ISMOKE DETECTION DEVICES I I
' IFIRE DEPARTMENT APPROVAL( I
I I I I I I
IREPORT 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 1402070009
PHONE: (626) 285-0488 EXT:
ILEGAL ID: J NO. OF CONST J BUILDING ADDRESS: J
ITR: 14210 IT: 9 J SQ. FT STORIES TYPE 5315 BARELA AV 1
I (STRUCTURE: V-B TEMP CA 917803243 - J
(ASSESSOR INFORMATION NUMBER: J NEAREST CROSS STREET: J
18589-002-009 J THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY CAI
1 1
(TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: 1
I IEXIST OCC GRP: 102/07/14 SR 1
DOWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFIN.AL DATE // FINAL BY: CODE: 1
(WANG, YIBING (626) 286-8883- 1 1 6,000 �/
15315 BARELA AV
ITEMP 917803243 1 FEES PAID 1D.. IPT ON�OF WORK 1
IREPLACE WINDOWS (20) RETROFIT
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: (
(APPLICANT: TEL. NO: II I
ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 1
JAB STATE GREEN BLDG FEE 6000.00 VAL 1.00 ISPECIAL CONDITIONS: 1
I JAC STRONG MOTION RESID 6000.00 VAL 0.60 I
I ID2 PERMIT W/O EN-HC 6000.00 VAL 149.40
1 I TOTAL FEES 178.80 1
(CONTRACTOR: TEL. NO: i APPROVALS DATE INSPECTOR SIGNATURE
(SAME AS OWNER - J I
I LIC. NO 1 (LOCATION AND SETBACKS
I I ISOILS ENGINEER APPROVAL I I
JARCHITECT OR ENGINEER: TEL. NO: I IFOUNUATION/TRENCH FORMS I I
1 LIC. NO: 1 SLAB/UNDER FLOOR i
I I JRAISED FLOOR FRAMING
I
_I II I
MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( JUNDnRFLOOR INSULATION I
3 OOI (FLOOR SHEATHING II I
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I
NO 21 1 (ROOF SHEATHING
I I I
J SCHOOL WITHIN HAZARDOUS 1 (SHEAR PANELS I I I
JAIR QUALITY: 1000 FEET MATERIALS i 1
J NO NO NO 1 (FRAME INSPECTION
I I I
I (FIRE SPRINKLER HANGERS I I
I I I
I (INSULATION/WEATHER STRIPI I I
J JINTERIOR LATH/DRYWALL 1
I I I I I I
I JEXTERIOR LATH
I I I I I I
IRATED FLOOR/CEIL ASSEM. I
IRATED WALL ASSEMBLIES I
(RATED SHAFTS/OPENINGS I I I
I I I I I I
I IT-BAR CEILINGS I I I
I 1LOT DRAINAGE I I
I I I I I I
I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I
I I I I I I
J
` 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 1103030017
PHONE: (626) 285-0488 EXT:
ILEGAL ID: N0. OF CONST BUILDING ADDRESS: I
ITR: 14210 LT: 9 SQ. FT STORIES TYPE 5315 BARELA AV I
STRUCTURE: V-B TEMP CA 917803243 I
(ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: OLIVE I
18589-002-009 1 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
(TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: I
1 (EXIST OCC GRP: 103/03/11 SR
OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE:
IWITTE MARK A;LINDA J (626) 309-1700- 1 4,300 /
15315 BARELA AV
TEMP 917803243 FEES PAID D SC� OF WORK I I
1 IREMODEL EXISTING BATH, INCLUDING CONVERTING TUB/SHOWER COMBO
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IINTO WALK-IN SHOWER AND JACUZZI TUB. EXPANSION OF ROOM TO
(APPLICANT: TEL. NO: I (ACCOMMODATE ADDITIONAL FIXTURE
ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 I_
IAB STATE GREEN BLDG FEE 4300.00 VAL 1.00 ISFFCIAL CONDITIONS: - I
IAC STRONG MOTION RESID 4300.00 VAL 0.50
IB2 PERMIT W/ENERGY 4300.00 VAL 146.10
TOTAL FEES 175.40 J_ 1
ICONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
ISAME AS OWNER - I
1 LIC. NO 1 ILOCATION AND SETBACKS
I I I
I I 1SOILS ENGINEER APPROVAL
I
1ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS
LIC. NO: I / ISLAB/UNDER FLOOR I I
I I I
I RAISED FLOOR FRAMING 4PI 1
I- �I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION
1147H269 3 001
IFLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I
1 NO 21 1 .,IROOF SHEATHING
I SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS
(AIR QUALITY: 1000 FEET MATERIALS I II 1
I NO NO NO I IFRAME INSPECTION
I I 1_
1 1 IFIRE SPRINKLER HANGERS I t
I 1( INSULATION/WEATHER STRIPI-
-�I
1 i (INTERIOR LATH/DRYWALL F�
I 1 (EXTERIOR LATH I I 1
I I IRATED FLOOR/CEIL ASSEM.
I I _
1 1( RATED WALL ASSEMBLIES
I I IRATED SHAFTS/OPENINGS
I
I I
1
IT-BAR CEILINGS
I
1 ILOT DRAINAGE I
1 (REPORT ID: DPR261 ROUTE TO: BS0508
I I