HomeMy Public PortalAbout6424 BARELA AVE_Building__ -DEPARTMENT OF BUILDING AND SAFETYAPPLICATIONAPPLICATION FOR PERBTT
�J
COUNTY OF LOS ANGELES l! 1 L ® 1 N G 1
WM. J. FOX, CHIEF [NOIN¢[R
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.NO. PERMIT NO.
■UILDINO L L
LOCALITY , / 4 R I ED 9Y DATE OF APPL rDATE`IMU[\D
6
euILDINo f
OWNER ADDR¢BS
MAIL +..� �� LOCALITY ! -?-�•
ADDR[B>♦
,/ NEAREST
LL T[L. f f [,� OROBo QT.
_r.ITy_
All Q'dl NO, / 1
FIR[ NO.OF TYPjtM GROUP
ARCHITECT OR TEL ZONE PLANS
ENGINEER NO.
SLD G, ORD.NO.
D SETBACK LINE
APPROVED
ffy
CONTACTOR NO. �J `-' DAT¢
R
�J�y Uo[ APP D o
ZONE ■Y: DAT 9
L£LAL J Cp IONS
DESCRIPTION LOT NO, / BLOCK
TRACT ( y d
NO.OF■LDGL
71Z[OF LOT NOW ON LOT
US[OF �� y0-a,OF-- !Lt
DESCRIPTION OF WORK
NEW ALTERATION ADDITION l
O
A
REPAIR MOVING DEMOLISH �
0Q.FT. NO.OF
SIZE ROOMS BTORI[1111E -
WALL- ROOF
13 OVER INO ` OCVERINO
UO[OF NEW n
BUILDING �. a
I H[RiSY AOKNOWLEDG[ THAT I HAVE READ THI■ APPROVALS
APPLICATION AND RAT[ THAT THE ASOVK 19 CORRECT FOUNDATION? LOCATION INSPECTOR DAT[
AND ALR[[ TO COMPLY WITH ALL COUNTY ORDINANDM FpRM16 MATERIALS
AND STATE LAWS R[LULATING BUILDING COHWM OTION.
■IONATURE OF ■RARING SOLT7 {
P ER M I TTE
LATH, 1 Nr.
AUTHORIZED ALT 1
1 LATH, Exr.
7e�•�•_a 7w .-T�a�-1 Q /0 P.O.* PLASTIES,INT.
0
r� FEE 6 PLABTER.[XT.
VALUATION FEE �� �� IN PIAL
DEPARTMENT OF B=ING AND SAFETY APPLICATION FOR PERNIIT
COU= OF LOS ANGELES BUILDING I ®I
WM. J. FOX, CHIEF [NGINUXR U
FOE APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTR�NO. PLAN CK. NO. PERMIT NO.
ADORE" 6424 Rarela Ave. _
LOCALING
TY Temple City [IVED aY DAT[OF APPL DA B'Eu®
CKARIMT
R SSS.ST. Longden Temple.Cit Blvd. BUILDING a
7'(,.,L, ADDRESS'
OWNER Rodney S �wN� cm
M AIL LACALITY
ADDREf! e Ci4--TqCSaig NEAREST
clrY Temple Cit cRbBs BT.
HO. DE) 6-1044 FIR[ NO. OP - GR
ARCHITYCT OR TEL ZON[ PLAN•
KNOIN[ICR NO. RI-DG. ` R
BACK LINK / `
ADDR - APPROVED - - -
T BY DAT'[
CONTRA R r NO USE APPROVED
ZONK BY . DAT[
ADDRESS .
HOUti[ 'NUMBKRING
LE3AL J FIELD CH KCK UY
DX8CRIPTION. LOT NO. 'f ."LOCK 64 4 MAP NUMBER
TRACT 168-6 Book 39NO. A"IGNED BY ATI
Baj of LOT 55 ft• by 110 How off Lor use CORRwnONS
Garage051K OF
!DUSTING B}.DQ. Resideme F 11-1" 1 -
DESCHIMON OF WORK
NEW ALTWIATION ADDITION X _ VQ
baa i.r, o 0
RIPAIR DEMOLITION
SQ. FT. NO. OF 0 0 .
8171 •270- ROOMS STORI¢s z
OVXRI a No Wall Coo. RCOOVVERING Shingle
F STRUCTURI
s stwucture will be 0 - C Iffl�S
patio. •It will be a roofed open. area
euppull • The struature
for .the children dur:Lng hot weather. APPROVALS
INSPECTOR'S
SIGNATURE DAT[
I HEREBY ACKNOWLIDG[ THAT 1 HAVE READ THIS AP-
FOUNDATION, LOCATION
PLICATION AND STAT-9- THAT THE INFORMATION GIVEN 18 FORMS, MATIER1ALS
CORRECT.
7 AGREi SO COMPLY CORRECTIONS LIST!!D FRAMKI FIRE STOP/,
HEREON AND WITH ALL COUNTr' ORDI CIS AND 9TATY BRACING, 19OLT13
LAWS R[GULATIN ING CONSTR g`
FURNACEI LOCATION,
SIGNATUR[OF GAS VENT, DUCTS
P UZM l
LATH, INT.
ADD ,
LATH, ECT.
AUTHORI73D AGT.
PL.AffTKR, INT.
7ewes4kA- Oaf.! W-9 s P. C. i
m F[[ PLASTER, EXT.
�+ •
VALUATION RIE
76Ad30A CEIIEGs 9-0-APPLICATION FOR PUILDING PERMIT -
COUNTY OF LOS ANGU= BUILDING LL
" DjaiLTM129 OF COUNTY ENGINEER IpDRESS 4
$UILDIN0. AND SAFETY DIVISION LOCALITY
JOHN A. LAMDIFE, COUNTY ENGIINEQR NEAREST
COLIEMAN W. JENKINS, SUPT 6F ISUILDING CROSS ST.
FOR APPLICANT T F ISTRLOT N GROUP CONST. JT'. PROCESSED BY
Prrnt or • only) ..;f.+
BUILDING / STATISTICAL CLASSIFICATION SEWEW MAR
ADDRESS CLASS NO. DWELL•UNITS._, BK# PO
I
LOT NO. BLOCK E ZQNE MAP
NO. �0
TRACTSPECIAL
NO.OF BLDGS. CONDITIONS
SIZE OF LOT NOW ON LOT
O
EXISTING BLDG. BLDG.SETBACK FROM
TEL FRONT PROP.LINE OF {STREET).
OWNERO. _
TYPE OF EXISTI SETBACK HIGHWAY } YARD — TOTAL
HIGHWAY WIDTH FR O.1'C.L.
ADDRESS
CITY
ARCHITECT TEL. BLDG.SETBACK FROM (STREET)
IDE CROP.LINE OF
ENGINEER NO.
OF EXISTING SETBACK HIGHWAY } .YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL. {
CONTRACTOR � NO.LIC
+ ,-
ADDRESS - NO. t CORNER CUTOFF YES ❑ NO ❑
C4TY - - (;LASS SEE REVERSE SIDE FOR SP8( TA L APPROVALS
DESCRIPTION OF.WORK. a
z_
NEW D ALTER REPAIR DEMOLISH r _
SQ. FT. O. OF NO. OF
- J
SIZE TORIES FAMILIES •
USE OF
STRUCTURE
SIGNATURE OF '
APPLICANT
VALUATION S' O 4* .
APPROVALS PATF KS Ton'• ATU R[
P.C. PMT, 00 'FOUNDATION: LOCATION
FEES FEE $��+F► FORMS MATERIALS
I.HERESY ACKNOWLEDGE THAT 1 HAVE IRI AD THIS APPLICA-ION FRAME: FIRE STOPS,
BRACING BOLTS
AND STATE THAT THE ASQVK IS CORRECT"Arq AGREZ TO COMPLY FURNACE: LOCATION,
W rill ALL COUNTY ORDINANCE* AND STATE LAWY REGULATING pAS VENT, DUCTS
■UILpiNa CON"ucT16N. I CrR'TIFY TWAT IN DOING THE WORK
. ALFtMORrZEb HERESY I WILL NOT EMPLOY ANY PIIRSON IN VI04.A+
-ION OF THE LA*OR CODE-OF THE STATE OF-CALIFORNIA RELAY. LITH, INT.
ING TO WOR!(MErt'S,GOMPENSATION INSURANCL '
LATH, 8XT.
SIGNATURE OF HAUS NUM ER COR-
PERMITTEE RECT AND PO TED Ile
ADDREss -FINAL
JOHN F. LEWS. PRINc AL ST URAL ENGINEER
PLAN CHCS VALIDATION eK_ M.O. CASH _ PERMIT VALIDATION CK M.0. CASH
WORKERS' ODMPENSAT10N DECLARATION
I re .assize that I have certificate of consentnt to selfA P P L I CATJ O N FOR BUILDING R E RM I T
Insusure,, a certificate of WorInsurance,kers' Compensation Insurance,
or a certified copy thereooff+(Sec 3800, Lab. C.) n
Policy Nol2242sa9Cofrlpany 51-41--PLt.44d COUNTY OF L03 �IQ6C►�T . BUILDING AND SAFETY
� J BUILDING
SLI Certified copy is hereby furnished. 7 y FOR APPLI T TO FILL IN ,e,mRIESS 1:; i'
❑ Certified copy Is filed with the county building inspec- BUILDING
tion department. ADDRESS
Date �l i Applicant MY NO. OF P LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS' S�OF LOT NOW ON LOT NEAREST
CROSS ST.
COMPENSATION INSURANCE' ASSSSOR
(This section need not be completed If the permit Is for one TRACT BLOCK LOT NO. MAP BOCK PAGPARC
EI dollars-(;100) or'lesL) , TEL
OWNERf?, No. USE ZONE I MAP
I certify that In the performance of the work for which this �}p No.
permit Is Issued, I shall not employ any pawn in arty manner ADDRESS 50.rt,t Ua CZCLAL
:so as to become sublectto the Workers Compensation Laws ONDITICNSO
CTTY ZIP U
Date Applicant ARCHITECT OR TEL DISTRICT ROUP T1PE FIRE PROCESSED BY
NOTICE TO APPUCANT: If,:after making this Certificate of ENGINEER NO. Op{g7, ZONE O
Exemption, you should become subject to the Workers
Compensa)lori provisions of-the Labor Code, you must forth- ADDRESS [•p
with corrlply.with such provisions or this .permit shall be TEL STATISTICAL CLASSIFICATION APT.- OONDO: N
deerp&d revoked. CONTRACTOR kA 4 i' NO. J Z
UCENSED CONTRACTORS DECIrARAT1ONuc CASs NO. ,.Y� nwr�l UNITS —
I hereby'affirm that I am licensed under provisions of Chgpter 9 ADDRESS 6"6 Co[U NO•
r UC SEWER MAP
(commencing with Section 7000J•of Division 3 of the Business �r
and Professions Code,and my Ilterue effect.Is 19 full force and eect. CITY d CLASS C~? BK_ PG. VALDATFON
License Numbs' � � Lic Class SIZE
erSTOPju FAMILIES ONE
/ VALUATFON M
{C�ontracior �^�`( � H Dot; — DESCR.IPT1Ot-t OF WORK �(�l p NEW $
L I 1 am exempt under Sec `�- lu- ADD J ►
ALTER El for ihl� reason v L `a REPAIR ❑ $
Date, M ' nr-mrN ❑
NG BLDG.
Signature APPLICANT _ TEL V✓ FINAL
j OWNER-BUILDER L)ECLARATION NO. DATE � 7
I hereby affirm that I am exempt from the.Contractor's License l�
Law for the following reason jSection 7031.5,Business and ADDRESS FINAL
Professions Code): By
BUILDING
❑ I, as owner of the property, or my employees with ADDRESSi
wages os their tole compensatloh,will do the work and
kCT.Y
the structure Is not Intended or offered for sale(Section LOCALITY �! 115.�ti
7044, Business and Professlons.Code.) MOVING- TEL
❑ I, as owner of the property, am exclusively contracIN CONTRACTOR NO. 1 1TEM
with licensed contractors to construct the protect{Sec-
tion 7044, Business and Professions Code.) 88
TOTCONSTRUCI`ION LENDJNG AGENCY SET YARD HWY ALPR P
FROM � Li 115.
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
(Sec. 3097, Civ. C.). -SIDE
Rt
Lenders Name p 17LDMA Ref. t
Lender's Address P.C_ Fee Parmtt Fee
7141 11A�G..CIE.
� o
I certify that I have recd this application and state that the Issuanw �� LDMA P/C f
o above Information Is correct. I agree to comply with 411 County Inve.tlpatlon Foe
rQa
ordinances and State laws relating to building tonrkuction, I Total Fee 4t/-r srf LDMA Perm If
- and hd authorize representatives of.thls County to enter
upon abovq m pu
Pro Iron rposes i
E ��— _ sm mroa m PoR camANATORY LANGumm
S-1or of Ilcant or Agent Date
1
APPLICATION_ WPI 13UILDING PERMIT
COUNTY OP LM ANG S BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION 0 FdwAprucAwr To F[LL IN ADD S
I hereby affirm that 1 have a certlflcafe d concent to eeff Inness, ADW ADDRESS
or a certlflcate of Workers' Corrpenaat:l n trreurance,or a oertfW -q- 'Q 2CL-4— ZIP /&rt P• Gr z
copy thereof(Sec.3800,.Lab.C.) LOGALJTY
Policy No. Compa ry
OF NO.OF BLDC}3.NCYV ON LAT
❑ Certified copy is hereby fumbtRed.
❑ I8 flied wfth the county bulldtng Inepoot n TRAtrBLOCK LOT NO.
8 USE ZONE AMP N0.
Date ApOlcant A33E,+� i BOOK- E+ PARCr1
CERTIFICATE OF EXEMPTION FROM WORKERS' !' CONT 9 �� �J_0/
COMPENSATION INSURANCE o�arER W Tb�isd Aj 44S---6 WTTHN 1000 FT.OF Sr410CL? YES f NO
ADDRESS
(This section need not be conpWted If the permit IS for one hundred tt� DISTRICT GROUP TYPE CONST. FFE ZC*E PROCESSED 13Y(3100yor lase.)
I certify that fn the performance d the worktil
tfor wch thb permit CTTI ZIP p
lo Issued, I shaft not employ arty person to arty manner so as to ��O
become subied to the Vlbrkers'Companaabon AST OR ENOP�i TEL
rr (� CLASS.
IX f.ATION APT CONDO
Datr��_ Applicant ^t-�r T ADDRESS C1A6&Na�' � MYELL UMTS
NOTICE TO A TIJG4, T• ff, after making tt-da Certhfioate of REOUVED TO-LL SETBACK FROM EMT
Exwptbn, you •sl-Wd become suboct to the Vkckere' CoTEL N �a SFT BACK MY PF11 P UNE ��
C.on pereafion provbbrm of the Labor Code, you must forttrwfth +r-rS Cfor—,79,�t-%1,9-%1,91-
cony with Such provbbns Or thNa permit&hall be deemed rayoked. PT
ur—Na PLL
LICPL
ENSED CONTRACTORS DECLARATION �4 ��� Q lr��
I hereby affirm that I am ficeneed underprovbbne d Chapter 8 �� 4 LIC P L
SEWER AMP
oor
( nmendng with Section 7000)d Dfvae d ti-pe � SEWER3 e BuMNm end.
�O N0.OF STORES NO.of FAA�JEs NEW ❑
Profesalone Code,and' erse
.my kIs In furl force end effect BK Po! ,
Llcenoe Number Lb.Clear DE3CRPTIQN OF WORK ADD �, 1/1LUADON 41A0
Contractor Date ALTER ❑. $
ElI am exaj under Sec. REPAIR El $ Q
BAP.C.for thb reason 1 DEMOL, ❑ LDMA PSC
` Date: IE OF GURM ❑ tfU[T.i
co
( ) T, LDMA Perm+' - 1 _. Z
Ell'eS owner d the ptoperty, or my,errRpbyeee with was as / W%��-11) !+J`Z OQ y _
l- 7�
r O
their sorcompensaticompensation, vrltl do the work and the etrRrchua Is
•
not Intended or offered for sale (Seofbn 7044, Business and y ^ Y FINAL DATE � 1
Rofeeslab Code.) wWL n-e APRJCA T OR RIruRE RA-DING OCCIFONT HANDLE A HAZARDOUS 10.00-aw
❑1, as owner d the property, am exchmhrety contract g Y fth Oa A MVTUFE 001nPPlKR A vvz-.R OUe►VTaML EouAL To OR GREAraa TW Ire T•ir 1
ANOl M SPECIFIED ON TRE WWtDOUe WU-EFS"PFORY7ION GUILE? FINAL BY 3303
tbermed corrtradcx& to corTeh-uot the project (secfiDn 7044, �1•1q
arkiess and Profesabm Code.) Yn El No W -
YLMAPPLICANT
L THE ENDED L1 E OF THE RI � BY THE OR FUTL*E BUN-DING - 7 ITEM
A FGR COft8TFR1CTDN OR MOOFaCJ9YJN PRaOM 80UTH
CONSTRUCTION LENDING AGENCY rr o�rpct t�-'�s2 M=+G. F. TI_ITAL 1 - jg
I hereby affirm that there b a construction lendtrrp eperxy for YES El No
r{��.�/
the per for mance of the work for whbh thte permb it blued(Sec. Hare THE aµ4 p GrAND rFe ecwoAo PF3#lrTNG t-tcy, 351.6Lp
7
3087,Civ.C.) CFeCQ.1eT.I UPDERBT M ICY ReOUlFFM61r5 UID THE LOS F&COUNTY CODE ri1,14<('r" .00,y-,
Tm-E 2,CHAPTER 220 aECnow 22a 100 TRiiCldi 220.140 FAL*ocm L'rY�S171'L tom,}
Lenders Name r.uvERALs A+D xR A Peau?Raou TR-e�=
Lenders Addreas 5Qo 1 certify that I have read this appllcat o and State under perwi y cl�T /� ( UrWQ O 1 7/17/9'5
of peroy that the above Wormetlon b oonrect.I agree to comply P.a FEE �,�-v PEF*Aff FEE �Jr d 1]r 7 �.
with SII courrty Ordinancesve end State larelatirRg to bulding
COrvWictlorl and hereby authorize repre&enta&.-w of thb barty f33UANCE FEE
to�the boo property for purposes.
m VJ J� NVEBTK3A710N FEE TO-ILL Ft p
r` r him v h>•y or r/
SEE REVERSE FOR ExkANxrow LANGUAGE
COUNTY OF LOS ANGII.EB TEMPLE CITY # 0508 BUILDING PRRJIT
DEPARTMENT OF PUBLIC WORKS - 9701 LAB TDSAS ALTRRATION/REPAIR
13U=IIG AND SAFETY / LAND DEVElLOMOFT TZKPLY CITY CA 91780 BL 0508 0603100040
PHONE. (626) 185-0488 ZMT:
LEGAL ID: NO. OFST BUILDING ADDRESS} -
TR: 16867 LT: 7 SQ. FT STORIES �E 6424 RARIMIL JLV
STRUCTURE. 900 VN TEMP CA 917801405
ASSESSOR INFORMATION NUM ZR. NEAREST CROSS STRYPP: VAL
5383-017-001 4'HO}pB PAGE: 596 GRIDS JI LOCALITY: TMGnA CITY, C
TODUFTi EXIST BLDG USE: REBID USE LOKE: R-1 ISSUED OIC PROCESSED BYi EXPIRES ON:
EXIST OCC GRP: 03/20/06 JJ` 03/15/07
OWNER. TEL. NOBLDGS. NOW OI LOT: VALDATIOMi F DATE FINAL BY: CODMi
XATB=NICE PAUL L;JEAI (626) 445-6843- 2,460
6424 BAREMA AV I
TEMP 917001405 T7 PAID DESCRIPTION OF WORK
TEAR OFF EXISTING ROOFING ON REAR HALF 01 HOUSE ONLY INSTALL
FEN DESCRIPTION t QDATPI DOM. AMOUNT: CLAHB A 30 YEAR GaMDE FIRMRGrAB SHINGLES
APPLICANT: TEL. NO.
RANDOL ROOFING L CONSTRUCTION CO. (626) 288-4040- AA BLDG PERMIT ISSIDIICE 1 27.75
2304 TROY AVE AC STRONG MOTION REBID 2460.00 VAL 0.50 SPECIAL CONDITIONS:
90. RL MIONTE 91733 D2 PERMIT I/O NY-HC 2460:00 VAL 99.00
TOTAL FTyEB 127.25
CONTRACTOR: TEL. NO - APPROVALS DATE INSPECTOR SIGYATURI
RANDOL ROOFING AND CONSTRUCTION (626) 288-4040-
2304 TRAY AVE LIC. NO - LOCATION AND STTBACXB
90. EL MONTE, CA 9173 451937039
SOILS ENGIIEEit APPROVAL
ARCHITECT OR ENGINEER. TEL. NO: FOUVDATIOiN TRENCH FORMES
LIC. NO: BLAB MFDNR FLOOR
RITBEP FLOOR FRAMING
i
MAP NO: SENXR MAP BOOL: PAGE: FIRE LONE: CHP. DNDP`RFIAOR INSOLATION
153H269 3 01
FLOOR SHEATHING
NO. OF FAMILIES: DWBMJANG UNITSt APT CONDI STAT CLASS:
NO 21 ROOF BHaT=G
SCHOOL WITHIN HALABDOUS SH R PANELS
AIR QUALITYt 1000 FEET MATERIALS
NO IO NO FRAME INSPECTION
RSQIIIYID TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACZ TIRO: HASH PROP LINE: N-=.
FRONT PL- INSOLATION IIA STRIP'
BIDE PL-
INTERIOR ERIOR LATH DRYWALL
NZTERIOR LATH
RATED PLAOR CLAIM AS
RATED MALI ASSEMBLIES
RATED HIDUTB 0PINI3]G8
T-BAR CEILINGS f'/
i
LOT DR INAGE
REPORT ID: DPR161 ROUTE TO: B80508_ j'