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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