HomeMy Public PortalAbout4814 BIRCHLAND PL_Building__ 11 7eAez�a.A
ca FeoY[>'iJ.e�7e1 � ��ING .PE
APPLICATION OR. BUILRMIT
COUNTY OF LOS ANG BUILDING AND SAFETY
IN �.
FOR APPLICANT TO FILL IN OILD
ADDRESS
BUILDING ti
ADDRESS I LOCALr7Y
NEAREST
CITY ZIP ?r 7.J CROSSST.
NO.OF BLDGS. ASSESSOR
SIZE OF LOT X 3 NOW ON L T t1swk MAP BOOK PAGE PARCEL
TACT / [NSTR1Cf GROUP TYPE FIRE ESS ED BY
771 BLOCK LOT NO �v CONST. ZONE
OWN ER� TEL---'
R - NO,
STATISTICAL CLASSIFITION SEWER
ADDRESS CLASS NO.Q�DWELL UNrm BK ,,6G
GITY ' ZIP
ARCHITECT OR TEL- VALUATION. $
ENGINEER NO. ':� G)0 0
ADDRESS U.N3.SETBACKM
TEL. FRONT PROP.LINE OF —(STREET)
CONTRACTOR LO NO. HIGHWAY t YARD, TOTAL SETBACK FROM TYPE OF EXISTING
UC. FRONT PROP.LINE HI AY WIDTH
ADDRESS NO. t -
—�
CITY CLASS
CONSTRUCTION LENDSIDE SETBACK FROM
ER
NAME AND BRANCH _ - SIDE PROP.LINE OF (STREET(
HIGHWAY + YARD TOTAL SETBA CK FROM TYPEOF EXISTING
ADDRESS CITY SIDE'PROP.LINE HIGHWAY WIDTH
SO.FT. /� NO.OF NO.OF CHECK +
SIZE al STORIES FAM UES ONE
DE50dPT0N OF WORK
NEW.. P.G.Fee$ Permff Fee �J~
Bm DD
luuance Fee
l` I ALTER `
REPAIK Total Fee 1/
USE OF DEMOL
EXISTING BLDG.
APPUCANT TEL
(PRINT) NO.
BY(SIGNATURE)
41 Lei
IHEREBY ACKNOWLEDGE THAT I HAVE R�q THIS TSQN AND STATE
THAT THE ABOVE 6 AND AGREE iD Q1� Y WFH ALL ORDINAtJCS 5 6 2 1 A
H
AND LAWS REG"TING BUILDING TI CERTIFY THAT DOING THE x
WORK AUTHORIZES) ERMY I MRL NOT ANY W PERSON IN VKJLATK)N OF
THE LABOR CODE OF THE STATE CIF.CALIFORJIA IN RELATING TO WOW'MEN-SCOM-
PENSATKON"INSURANCE. '# 0 0 0 0 a 1
SIGNATURE O
2 a o'6.1, 00
PER)KTTEE
ADORES& a a 6 1,Q 0 F
TEL. 07,23-79
CITY NO.
ZONE / 6NO. - 3
N �r SPECIAL-_ / ^
C DTTK)NS /^l
RNAL - - BY V f [
E)ATE - y L
X11 4.BU11NG
APPLICATION. F RBUG . PERMIT
COUNTY OF LOS ANGELES AND SAFETY.
FOR APPLICANT TO FILLIN BUILDING
ADDRESS
BUILDING
ADDRESS LOCALITY
nn NEA REST
CITY LP Q CROSSST.
NO.C>F BLDGS. ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK R PARCEL
1. .. -DISI RI CT GROUP FIRE BY
TRACT BLOCK LOT NO. COItST.., I ZOt{E
TEL. �, O� );r-
OWNER
NO.
STATISTICAL CLASSIFICATK7N SEWER MAP
ADDRESS CLASS NO. LI DWELL UNITS B PG
__j
CITY ZIP
ARCHITECT OR U TEL VALUATION L e O
ENGINEER NO. - `J
ADDR
TEL FRONT PROP.UNE OF fSTRIETI
CONTRACrOR,fvll,r NO. TOTAL SETBACK FROM TYPE OF EXISTING .
LIC HIGHWAY + .YARD FRONT PROP UNE HIGHWAY WIDTH
ADDRESS NO.
LIC +
CITY CLASS BLDG.SETBACK FROM
CONSTRUCTION LENDER SIDE PROP,LINE OF ISTREETI
NAME AND BRANCH
HIGHWAY +YARD TOTAL SETBACK FROM TYPE OF EXISTING
ADDRESS GTY SIDE PROP.LINE JHIGHWAYJ WIDTH , C07
SQ.FT. NO.OF NO.OF CHECK + c
SIZE STORIES FAMILIES ONE 0
ZONE MAP
DESCRIPTION OF WORK --YU41t) - NEW El NO
_ SPECIAL
rJ 21- .7-7_.3_ ADD CONDITIONS y�
JPO/ ALTER
DATE _t5
r BY
REPAIR ��
USE OF DEMOL
EXISTING BLDG.
APPLICANT TEL
(PRINT) NO.
BY(SIGNATURE) Y� T
kTHE REDY AC)NOWLEDGE THAT I HAVE READ THIS APPUCATK)N AND STATE
E ABOy� IS OIEL7 AND AG9ff TO COMPLY WITH ALL ORDINANCESMS REGUJ+TNG WLDING C7NMJ_ICTKJN,I CERTIFY THAT IN DOING THEr� �IAUTHORIZED HEREBY I WILL NOT EMPLOY ANY P�E3SON IN VIOLAT70N OF1 L22 I"1OR CODE THESTATEOF WFORN IA-IN REATI NG TO WORKMEN'S COM-_.K)N IldlJf(AN(f_•URE OFTEE `Z'o 0 334QO
SS3 a, 0 0 H
No. 0 7. 1 '4.-.8 0-
e$ / >
Issuance Fed
_ Total Fee 7�
71"ILA 010-2 a-u ,
,6� APPLI.CATION FOR. BUILDII4G PERMIT • 1
Dri=ON OF BUILDING AND SAFETY �D°-DI /1/ -
AComer of y wowLocw,_,TY
wm.J. FOX,COUNTYHQINmR NWAR[ST
CASSATT D.GrtIFFIN,• of tutwrw• CROSS ST.
D O. GROUP rypz f[WXR, YAP
FOR APPLICANT TO FII. . IN �
mU`LDING 1Awd �A� CTAT* -YS!
ADD RISS NFJYrS7R I HWY '
'LOT NO. lLOCx '� Uft�,oM[ ST[CLAIL .
CONDITIONS
TRACT
■a[of LOT rNiaw oN�Lo BUILDING Y HwY srRrI r�A�[ �asT.
fSTSACIC WIDTH
uSII of SOT Or
P. L
owN a C G
nD[
If
MAIL R
ADbRSS O TRACT T DW LI- I UNIT D. INDUSTRIAL
I DWI r 1 UNIT
a' PUBLIC KLDQ.
T11- DA Q UPLI UNIT DN.. ALS., STtr. 1
O NS7D3 G NO. 3 APT, UNITS
8 MIfCSL
T
J SL.
INSPF.(.TION BDCOED
CONTRAOTOR fr NO. (��f'
ADDRESS
y {�.
DFBCSIP'lION' OF WORK
NEW ADD /
ALTSR I RQAIR DS]iOLISH C
f0. FT.. yoo NO.OF NO.OF
f IT[ STORI[t FAbl o., '
t[OF CTURI - .
A7a4 TH AAD ,4 o rA�
fIGHA F
APPLICC ANNTOAC APPROVAL!
ADDRSxf
DAT[ IK""'SAI Toll
FOUNDATION:LOCATION r
P.C. FORMS, M AT[R UAL A
w .
VALUATION • I Kllla Li'S
W
FURI'IACC LOCATION,, -
1 HSRKEY ACXNO V_E Q1[ THAT 1 HAVX RSAD THIS GAS VINE DUCTS
APPLICATION A.fi D STAT[ THAT THIC IS CORR[CT i
AND AQRSZ TO COMPLY WITH COIJN'rT ORDIHANCif LATH,INT. r
•AND STAT= LAW! ULA ■UULDIH CO UO- ,
'BION. 1 LA K T.
•SIbPSRMITTSZ� RIOT AND NUMBER POSTED
ADDRlf1FqNALL J
71
WK J.FOX.COUNTY SNGINKM 11VAIMATION C. N. DIRLAM,CHIKF BLDG.tx"mrTOR
JCC 3 5 8 4 ZR M29
ti
' WORt(ERS' COMPENSATION DECLARATIpN -- -- - -
'Insure or affirm
�e0wpak�'Comm nsaflonnIIrsurrar e, - APPLICATION .FOR BUILDING PERMIT
or a certffled copy,thereof.(Sec 3800,
COUNTY OF LOS ANGELES * BUILDING AND SAFETY
Policy No. - Compahy
BUIMING"
❑ Certified 4opy Js har. furnl,hsd. . FOR APPLICANT TO FILL IN ADDRESS
❑ Geri fiedcopy is filed with the county building Inspec- BUILDING _
tion depa Iment. . ADDRESS QJLA
Dafe .'Applica'nt' at. _ £ ZIP j 1 I!OCALITY
NO. OF BLDGS-
- - CERTIFICATE OF TAOUIMON FROM WORKERS' SIZE Of t T NOw ON LO ' . CROSS ST.
COMPR4SATION INSURANbE
(This sedlon,need riot be com leted If the permit is for one . . . TRAL-T LOT NO.
hundred'dollari (;100}.or less 115EZONE
I certtfy thai Inthe.performonce''of"the work for which this
permit Is Issued.; I.shall not.omplgy�a.rty person In.any manner ADDRESS ! C ffIdNS .
so as to become subloct to the Workers'Compenriatlan.Laws -. OV
CITY ?F T YJP ( O
DateApplrcont fT1 Ci OR' TgDGRCKJP O .
NOT1Cj.TO APPLICANT: If, after-making this,Certtfioate of NO. � A PROCESS®
T.
.,aemptlon, .you. abould 4ecome -subject to the "Workers'
Compensatlon prgvlslons of The Lalor bode, you must forth„• - . ADDRESS' .d�'�v //�
V1 `
With,comply with such provlaloru or this pgrmIt shall be TIL" FG _STATLST _,L CL S51EICATION APT.. c Nw. Z
deemed revoked. CONtRACTOR NO. _
LICENSH).�Otf[RAfTQRS DECLAR4TION uC CLASS NO. .L rnNar, UNITS
I hereby affirm that I pm Ilterabd undbr provtslons of•Chapter 9 ADDRESS NO. SEWER
(commencing with Section 7000)of DlvWon 3 of the Business, UC MAP
and-Profesalons Code,.and rra ,jlcerlse J2 Ih full force pndeffect. . CITYCLASS BK. PG. VALJDATION
SQ. FT NO. OF NO. OF CI SCK
Licerift Number Ll c. Class T� Sly . d STOR16 FAMlUES ONE
El
Contrc}�tor _ Date PION OF WORK
❑I arrr.exempt.under Sec. I- IJ ,
_ - .ALTER.
B BP.G for thlti'reabn� LtOt�l �. 1`.!6 :
REPAIR ❑ _
Patti: USE OF..:.
Das-n NG BLDG. DEAhOL�I
SI nature T .
OWNER-8UILDER DECLARATION 1 O. FINAL
I hereby affirm that I am exempt from the Contractors License
Law for-the fplIa*]nIg reaibn-{ Ion 7031.5,' Buslmin andRNAs
Professions Code):; _ by �T.A
f :
❑ f, as owner of the4 ERJaDING r
property,•or rnll employees with' ADDQ e
wages as thelr�ole compenaatlon;willo the work'and LOCALLY.. - 583 T)
the structure Is not Intended of offired for sale(5etflon-
7044, BLslness and Proferlons Code.) M4 .,. Y- - TEL - ,-— - 1 ITEM
❑ I, as own er=pf,the property, pm exclusJwly r-ontracting ��T . �' t �[ITr�'- �_ r1
with'licensed controaoci to construct•the prolet't,{Set Amoss
tloh 7044,Byslness and Prgfrwlorp'Code.)L CASH 58.7'-;
EX�NSTR4JCTION L�NDLNG AGa CY YARD HMrY AL
1 herebyaffirm that there I■a construction lending agency for FRONT ,F}
the performance.of the work for..-which this permtf Is.1nued P.L.
SIDE..
P.6 L1117�' 1
z
Lenders Name -LDMA..W. tf 5520 ' - 1 AM 10:CC
Lenders Address -
P.r_ Fe. Permh F«
I certify that I have read This appllcatIon andss�ah that the bwanu �� ' LDMA P/C if
above Informatlon Is'correct.•Fagrceto complywlfh all County Ion Tw
ordinances and State laws relating to building corutrtxtlI Total F+e LDMA Perm
and hereby authorize representatives of this County to enter
u t-14 abovo- entloned,pro In Ionpurposes
fig. ' M wgs..role DQI.A.KATOXY LAMGUAGE.
S4o
COCMry. OF LOS ANGELES T 2CPLN CITY / 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC "CRIES 9701 LAB TUNAS RESIDENTIAL ADD
BUIS,DIMO Alm SAFrYY / LA1m DEVELOPIEIIT TEMPLE CITY CA 91780 BL 0508 0511010079
PHOiMMi (626) 185-0488 IIT:
LEGAL ID: NO. OF CO11Err RIR BUILDING kDDRESSi
TR: 14771 LT: 3 SQ. FT STORI18 TIDE OCCUP GROUP 4814 BIRMI AIm PL
STRUCPURR. 277 1 VII R3 TXXP CA 917804011
ASSESSOR INTORMATIOII NLN®ERt GARAGR. NEAREST CROSS STRKWT: LOWlR Af.US
8585-017-003 OTHIR. THOM" PAGE: 597 (YID. B5 LOCALITY: TENPLE CITY, C
TENANT: EXIST BLDG USE. USE MONY. ISSUED ONi PROC318mm BY: EXPIRES ONi
]EXIST OCC GRP: 12/12/05 JK 12/07/06
09PER: TEN,. NO: BLDGS. NOW ON LOT i VALUATION i 717
GUL}aTE_ 1 B7 CODE
TUFIS ANABTASIOS;PANaGOS (818) 236-3060- 22,520 `�'JY
4814 BIRCHLARD PL
TEMP 917804011 FEYB PAID DESCRIPTION OF PORK
ADD 30M BEDROOM AIM BATH 272 B.F.
FLS DESCRIPTION: QUANTITY: VOM, AMOUNT:
APPLICANT. TEL. NOz
SAME AS OJOM - B1 PLANaIMCK R/ENIRGY 22570.00 VAI, 406.73
AA BLDG PERMIT I88UAIICE 17.75 SPECIAL OOIL)ITIONS:
AC STRONG NOTION REBID 27520.00 VAL 2.25
B7 PERMQT M/YZYYGY 77520.00 VAL 478.50
TOTAL FEES 915.73
CONTRAMR. TEL. 110: APPROVALS DATE INSPECTOR SIGBATORI
SAME AS OMER -
LIC. RO LOC]1TION AND SX'7SACTS
SOILS RNGIN1M APPROVAL
ARCHITECT OR WGINIMs TYL. NO lOUNDATIOII TRENCH FORMS
TANIDSI7, JOHN (818) 236-3060-
4542 RIM YORK AVE LIC. 1901 BLAB UYDNR FLOOR
LA CRAMErrA,L CA NONy \
YAI SYD FI.00Y 1RAM7NG '
XXP NO: BEMYR MNP BOOL: PAGE. FIYY LON'Y: CMP: UXDII FLOOR INSULATION
3 01
1ST LEVHI, FLOOR SHMATH
NO. OF 7AMILIESi DWELLING UNITS: APT COED: STAT CLASS:
NO 11 7Mm LEVEL FLOOR
SIMATEr—
SCHOOL ICITHIN HAZARDOUS - R0OF SHEATHING
AIR QUALITY. 1000 VENT M ATERI.AI.B
NO NO NO 7IRY DEPT. FRAXE INSPECY
pRMQUIYED TOTAL, SlTBACS FROM EXIST BLDG DEPS. FRAME INSPBC!
83T BACK Ylv SAY. PROP LINE. RIDTH
FRONT PL- SHAY PANYLS
SIDE PL-
17P80LASIOH RYATHEY STRIP
INTERIOR LATH DRYKXLL
YXT33UOR LAZE
IAT DRAIYAag
SMOKE DHTMCTIOII DEVICES
FIRE DEPAR7X=T APPROVAL
REPORT ID. DPR261 ROME TO: BS0508 ._-.