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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 ._-.