HomeMy Public PortalAbout5826 BURTON AVE_Building__ 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 0402270001
PHONE: (626) 285-0488 EXT: fytii
GALID: 0. CONST E BUILDING ADDRESS:
TR: 3623 LT: 118 BL: .001 SQ. FT STORIES TYPE OCCUP GROUP 5826 BURTON AV N
STRUCTURE: 0 1 VN R3 SGAB CA 917753075
ASSESSOR [ ON GARAGE: 719 1 VN U1 NEAREST CROSS STREET: HERMOSA
5387-006-027 OTHER: THOMAS PAGE: 596 GRID: G3 LOCALITY: TEMPLE CITY
NA S USE ZO : ISS ON: PROCESSED XP N:
EXIST OCC GRP: 02/27/04 VG 02/21/05
OWNER: TEL. N0: BLD'u5. NOW ON LOT: VALUATION: FI y{�L� E ANAL BY: COD
BASILE STEVEN L;LI NDA A (626) 286-5096- 21,000
5826 BURTON AV /
SGAS 917753075 FEES PAID t"KA PTiON OF WORK -
BUILD NEW 1-CAR GARAGE AND WORKSHOP - 719 S.F.
PC N0: FEE DESCRIPTION: QUANTITY: LOM: AMOUNT:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 21000.00 VAL 2.10 SPECIAL CONDITIONS:
Di PLANCHECK W/O EN-HC 21000.00 VAL 341.19
D2 PERMIT W/0 EN-HC 21000.00 VAL 401.40
TOTAL FEES 772.44
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENG NEER: TETE • N— O: FOUNDATION CH FO S ZO/y
—_
LIC. N0: SLAB/UNDER FLOOR
Zo�
RA'.SED FLOOR
L00 FR MING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
—
3 01
'
N0. OF FAMILIES:—DWELLING UNITS: APT/CO TAT CL 55: ST LEVEL FLOOR SHE
ATH
NO 21 2ND LEVEL FLOOR SHEATH
SCHOOL WITHIN OLS ROOF SHEATHING
AIR QUALITY: 1000 FEET MATERIALS -ZL/
NO NO NO FIRE DEPT. FRAME INSPECT
REQUIRED TOTAL SE 8 CK R M BLDG DEPT. FRAME INSPECT
SET BACK YARD: HWY: PROP LINE: WIDTH: �r—
FRONT PL-SIDE PL- SHEAR PAN LS L
-Z/—
INSU TIO R STRIP
INTERIOR LATH DRYWALL
EXTERIOR LATH
LOT DRAINAGE
SMOKE DETECTION DEVIEYS—
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: SS0508
y
COUNTY OF LOS ANGELES BUILDING AND SAFETY
' FON APPLICANT TO FILL IN BUILDING ADDRESS
• ,WORKER'S COMPENSATION DECLARATION -
BUILDING ADDRE!k
I hereby affirm that I have a certificate consent to self insure, '5S
C/� L
Copy certificate of Workers'Compensationn Insurance,or a certified
copy thereof(Sec.3800,Lab.C.) C G ; ZIP I-r LOCALI Mr r a
Policy No. Company SIZE F LOT NO.OF BUDGE.NOW ON LOT �`�' v
❑ Certified copy is hereby furnished. 1 NEAREST CROSS S .
❑ Certified copy is filed with the c L ty builtli inspection TRACT BLOCK LOT ND.
depart ant USE ZONE 4MAODatd A licant A E RMA K PAGE PARC PP ONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' N f�i Nb l.JY7.S T -154 �' vas No
COMPENSATION INSURANCE WITHIN IOOD FT.OF SCHOOL?
ADDRESS
(This section need not be completed if the permit is for one hundred S DISTRICT "'GROUP TYPE CONST.' FIRE ZONE OCESS BY
dollars($hoo)Or less.) CITY ZIP / (J�(/ //-�
I certify that i Or l e performance of the work for which this permit ✓l. /V/fr/C K
is issued, I Shall not employ any person in any manner so as t0 ARCHIT OR ENGI E .
become Subject IO the Workers Compensation Laws. _STATISTICAL CLASS I TION D APT CONDO
Data Applicant ADPgE`7ia�m 1 �1 CLASS NO. DWELL UNITS
NOTICE TO APPLICANT. If, after making this'Certificate of / REQUIRED TOTAL SETBACK FROM EXIST
C Exemption, you should become subject l0 the Workers' CO CTOR �� I / TEL. O. SETBACK YARD HWY PROP LINE WIDTH
V Compensation provisions of the Labor Code, you must forthwith /IJeL� FROM
comply with such provisions or this permit shall be deemed revoked. A LIC.NO.
PL
SIDE }
I LICENSED CONTRACTORS DECLARATION c LIC.CLASS PL 737 oa
1 C.3
(hereby affirm that I am licensed under provisions of Chapter 9 1 SEWER MAP j' CZ
(commencing with Section,7000)of Division 3 of the Business and S �FT SI NO.OF STORES NO. FAMILIES FW rt+-�.�T.i
I� Professions Code,and my license is in full force and effect. -50 NEVA ❑ BK PG D -'_107 607.54'
DES IPTIO FWORK \Y.J VAL ATIO 3__ C7
7 License Number Lic.Class ADD __, /� s• 1 ITEMS
a
( Contractor Date ALTER ❑ CC •�' /_ v y
❑ 1 am exempt under Sm. REPAIR ❑ $ �v/ / ��' TOTAL 607 - 54Z
B.SP.C.for this reason I .�- DEMOL ❑ - CHECK 61 i1.y14
USE OF EXISTIN BLDG. LDMA P/CN t:HAN(JE .UIJ
Date: URAA El
Signature APPUCANT INTI T NO.
'7 LDMA Penn p
❑ I, as owner of the property, or my employees with wages as T� 5 QQQQ-QQQ�, 7%�_i;r Cj lJ
their sole compensation; will do the work and the structure is ADORE qq d I.I
not intended Or Offered for sale (Section 7044, Business and FINAL DATE Q try+Jl .1 AM,Q.i7
Professions Code.)
OR A MIXTURE
CONTAINING
A KA2ARDOUS MERIAL EQUAL O O R0REATER THAI J
❑ 1, as Owner of theproperty, am exclusive) contracting with ORA MIXTURE SPECIFIED
O A H HAZARDOUS
S MATERIALS
EQUAL TO TI GREATER THAN '
y g THE AMO SaPECIFIEO ON THE HAZARDOUa 1MTEAlA1S INFOaMATION GUlOE4 FINAL BY >
licensed contractors to construct the project.(Section 7044, TEs❑
Business and Professions Code.)
WILL THE INTENDED USE MI THE BUILDING BY THE APPLICANT IO FUTURE BUILDING
OCCUPANT REQUIRE A PEAMITFOROONST ICT(S AQMO) IFlWTION FROM CHECKLIST
. CONSTRUCTION LENDING AGENCY 'OAST An rM1UGEAlENT DISTRICT(SGQMo)SEE PEaMITTINp CHECKLIST
FOR GUIDE a.
I hereby affirm that there is a construction lending agency for YES El NO
the performance of the work for which this permit is issued(Sec. 3�0
3097,Cl,C.. HAVE flFAO THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE F,cAOMp J (] n , -I 'C`J
qq ) PERMITTING'HECKLIeiIUNOERSTAN YREOUIREMENTa UNpER THE LOS ANGELES G _ 4J
p COUNTY E,TITLEZCHAPT 2AS IONS2aT.1 THROUGHt91.l1000NCERNING CD D rrJ r' �3 -706
rmD
Lender's Name MA IALSR TING OBTPI NGA PEnMn FROM THE SCAQMO. .J []
Lender's AddressI, furl z r qF
p
o C
I certify that I have read this application and state that the above PERMIT FEE rn
I
information is correct. I agree to comply with allf8Y7� County P.C.FEE / H+ �� TTl
ordinances and State laws relating to building construction,and LO ! ly r
heuthorize repre98niallVes Of this Count t0 enter upon �/ // ISSUANCE FEE
t e Eve-mentio ed party or inspectio pI rp es. 1.� /• ,0 6 C> u _ _� Co
INVESTIGATION FEE TOTAL FEE
SEE REVERSE FOR EXPLANATORY LANGUAGE, 1j i� CO CQ o
COUNTY 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 0209110041
PHONE: (626) 285-0488 EXT:
GAL NO. OF CONST-- NEW BUILDING SS:
TR: 3623 LT: 118 BL: .001 SQ. FT STORIES TYPE OCCUP GROUP 5826 BURTON AV N
STRUCTURE: 195 1 VN R3 SGAB CA 917753075
ASSESSORFOR TIO NUMBER: GARAGE: NEAREST CROSS STREET: HERMOSA
5387-006-027 OTHER: THOMAS PAGE: 596 GRID: G3 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: USE ON : ISSUED 0N: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 09/18/02 JK 03/17/03
OWNER: TEL. NO: FLOGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
BASILE STEVEN L;LINDA A (626) 286-5096- 7,000
5826 BURTON AV
SGAB 917753075 FEES PAID DESCRIPTION OF WORK
CONVERT 1CAR GARAGE TO DEN/OFFICE W/3/4BATH & LAUNDRY AREA
FEE DESCRIPTION: QUANTITY: LION: AMOUNT:
APPLICANN
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 7000.00 VAL 0.70 SPECIAL CONDITIONS:
B1 PLANCHECK W/ENERGY 7000.00 VAL 155.40
B2 PERMIT.W/ENERGY 7000.00 VAL 182.82
TOTAL FEES 366.67
CONTRACTOR: TEL. NO: ._ APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO � LOCATION AND SETBACKS
� • SOILS cNGINEER APPROVAL
HI OR ENGINEER: TEL. NO: DATION TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ONE: CMP: UNDERFLOOR INSULATION.
3 01
1ST LEVEL, FLDORSHEATH
NO. OFFAMILIES: W LL NG UNITS: /COUD: STAT CLASS:
NO 21 2ND LEVEL FLOOR SHEATH
SCHOOL WITHIN H RDO ROOF SHEATHING
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FIRE DEPT. FRAME INSPECT
REQUIRED SETBACK FRO E STS L P T. RA SP �U
SET BACK YARD: HWY: PROP LINE: WIDTH: U�
FRONT PL- - SHEAR PANELS
SIDE PL-
INSULATIONNEATHER STRIPl�
INT ER[OR LATH/DRYWALL .I 61
EXTERIOR LATH
LOT DRAINAGE
SMOKE DETECTION DEVICEr
FIRE DEPARTMENT AP V L
REPORT ID: DPR261 ROUTE TO: BS0508