Loading...
HomeMy Public PortalAbout6012 BURTON AVE_Building__ Js )6A6ZBA CE48B 9CFEV.6TI91 APPLICATION FOR BUILDING PERMIT f� COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN - BUILDING ADDRESS BUILDING . z1 ADDREss LO L.`�. \ rL TO FJ LOCALITY ,Xf T��, NEAREST �eI�IPtiYR't �Q� airnoC 6i3eLczt„ ZIP CROSS ST. may/ "� q SIZE OF LOT �J� \�13 NOW ON LOT �- MAPBOOK �SNO,OF BLDGS. ASSESSOR _ 3 O {� PAGU aPARCEL.3 r DISTRICT GROUP TYPE FIRE OCES BY iRACiJ BLOCK LOi CONST ZONE TEL. OWNERM0. K1000F, NO.ZRS-4soo q pp STATISTICAL CLASSIFICATION WER MAP ADDRESS 4)Li O -CD iJ CLASS NO. DWELL.UNITS BK(0 CITY E E \p 6Q.1RV ZIP ARCHITECT OR TEL VALUATION $ �bl'p 119 ENGINEER NO. _ ADDRESS BLDG.SETBACK FROM TEL FRONT PROP.LINE OF ISTREET) CONTRACTOR �S� WIOSTQQc Loi N'"lam ��� 1 (�TT'�' TOTAL SETROP.LI EIHIGHWAY TYPE OF EXISTING LICHIGHWAY + YARD = FRONTPROP.LINE WIDTH ADDRESS'\\ '1. $ (nfI°�A\h L✓ NO. SDS-)I`� LIC. + CITYW CPA6f fL-t. CLASS DG.SETB CONSTRUCTION LENDER SILIN FROM , NAME AND BRANCH SDE PROP.LINE OF ISTREETI HIGHWAY + YARD = TO AL BACK FROM TYPE EXISTING '0 ADDRESS _ I CITY P.LINE HIGHWAY WIDTH O so F7,, ^" ? NO OF NO. LF CHECK + _ V SIZE iZ�U STORIES 1 FAMILIES ONE 0 DESCRIPTION OF WORK NEW ❑ P.C. Fee S Permit Fee GALL GAaATzf ADD Izz�ance Fee S 2 ALTER ❑ w REPAIR ❑ Total Fee 'ls� USEOFEXISTpEMOL APPLICANT ❑ BLDG. - a APPLICAA NT �� (� TEL • �T�� (PRINT) (CI'\LL-j `). AL.LSai/L1 NO.'Z'57-2s97 -Y(O - 7.5 —7 F BY ISIGNATUREI ' I HEREBY ACKNOWL GE i' I HAVE READ THIS APPLICATION AND STATE EuY THAT THE ABOVE IS CORRECT AND AGREE i0 COMPLY WITH ALL ORDINANCES' W AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE V WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THELABORCODE FiHESTATEOF CALIFORNIA IN RELATING TO WORKMEN SCOW Z �0 't ❑ PENSATION INSUR NCE. a G A 6 � # . ° ° ° SIGNATURE OF, , PERMITTEE ADDRESS L .CR. !CTL. ��OI ° - 55,00 Z 1 `l0 '1 Z Q °:° ° J,5-o n:U CITY S QIV GbtLI r-A- NO.' USE ZONE No a0D a 0509-'79 n n , `tie- I SPKIAL i l . •t\ V r CONDITIONS ✓V 1 e FINAL BY DATE- e COUNTY OF LOS ANGELES TEMPLE CITY k 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1405190054 PHONE: (626) 285-0488 EXT: (LEGAL ID: NO. OF CONST BUILDING ADDRESS: ITR: 5903 LT: 104 SQ. FT STORIES TYPE 1 6012 BURTON AV N 1 I ISTRUCTURE: '. 22 V-B 1 SGAB CA 917752631 1 (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: 1 15386-014-062 1 _ THOMAS PAGE: 596 GRID: G3 LOCALITY: TEMPLE CITY CAI I I ITENANT: IEXIST BLDG USE: REBID USE ZONE:: R-1 11SSUED ON: PROCESSED BY: 1 EXIST OCC GRP: 105/19/14 SR IOWNER: TEL. N0: JBLDGS. NOW ON LOT: VALUATION: iFII;AL� DATE I $ NAI,�HY: CODE: STRANDSKOV, TINA (626) 829-9288-VE 8,000 _fb//SrL�/'q,[ 16012 N BURTON A1 1 1 ISM GABRIEL CA 91775 1 FEES PAID 1D.. CRIPTION OF WORK 1 I ITEM OFF EXISTING ROOF AND INSTALLING OWENS CORNING OAKRIDGEI FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ISHINGLES 1APPLICANT: TEL. NO: PAREDES, PAUL (818) 419-5624- IAA BLDG PERMIT ISSUANCE 27.80 1 15104 EVERINGTON ST JAB STATE GREEN BLDG FEE 8000.00 VAL 1.00 ISPECIAL CONDITIONS: 1 ICOMMERCE CA 90040 IAC STRONG MOTION REBID 8000.00 VAL 0.80 1 1 ID2 PERMIT W/O EN-HC 8000.00 VAL 183.00 TOTAL FEES 212.60 1 CONTRACTOR: TEL. NO: 1APPROVALS DATE INSPECTOR SIGNATURE ISELAH ROOFING (818) 419-5624- 1 1 1 15104 EVERINGTON STREET LIC. NO ILOCATION AND SETBACKS 1 1 1 ICOMMERCE, CA 90040 978853 + 1 I ISOILS ENGINEER APPROVAL I I ARCHITECT OR ENGINEER: TEL. NO: I FOUNDATION/TRENCH FORMS LIC. NO: ISLAS/UNDER FLOOR I { _ _ RAL ED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:I 1UND7RFLOOR INSULATION 3 001 ;... 1 IFLOOR SHEATHING I IND. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1 I 1 1 NO 21 IROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS 1AIR QUALITY: 1000 FEET MATERIALS 1 1_ 1 1 1 NO NO NO FRAME INSPECTION 1 I 1FIRE SPRINKLER HANGERS 1 1 1 I I 11NSULATION/WEATHER STAIPI 1 1 I I (INTERIOR LATH/DRYWALL 1 I - 1EXTDRIOR LATH I 1 I (RATED FIAOR/CEIL ASSEM. RATED WALL ASSEMBLIES 1 I (RATED SHAFTS/OPENINGS 1 1 1 I 1 1 1T-BAR CEILINGS 1 1 1 ADDITIONAL DATA ON FILE 1 1 ILOT DRAINAGE 1 REPORT ZD: DPR261 ROUTE TO: BS0508 1 1 1 1 WCYRKERS' COMPENSATION DECLARATION /� E,�.L� LL//��i /� L7 L� L7 L7 LI 'E� LI/� �T �L hereby"affirmthat I have a certificate of consent to self /p� I�PUC /LA TPOLPA_IL FOR p II ILII DIP G PERMIr insure, or a certificate of Workers' Compensation Insurance, IN 11 Il Il !/"11 U V Llo lel IS ll V VC II C/ll or acertified copy thereof (Sec: 7800, Lab, C.) COUNTY OF LOS ANGELES '- BUILDING AND SAFETY Policy No. - Company BUILDING ElCertifiedcopy.is"hereby furnished FOR APPLICANT TO FILL IN ADDRESS 11CerBfied copy is filed with the county building inspec- - ADNG E - - - tion department. - ADDRE55 �/ H �VRTDN ✓ Date Applicant CITY S y JI#Ale?SI ZIP `71775 t LOCAUTv q / NO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT 0`�) `p NOW ON LOT CROSS ST. COMPENSATION INSURANCE $ ASSESSOR (This section need not be completed if the permit is for one TRACT 10 BLOCK LOT NO. logMAP BOOK -3 .ppr PAGED PARCEL Hundred dollars ($100) or less.) - �evLfT/Na$ TEL, U OWNERy/CT $ (p1/ NO.;Z 196-]71I USE ZONE AP I certify that in the performance of the work for which this - SPECIAL d permit is issued, shall not employ any.person in any mann r ADDRESS�Q ON 'p v CONDITIONS so as to become subject to the W e ' o onsetion La _ O CITrs R rGL- --ZIP 177 u5, u .1c Date( Applicant ARCHITECT OR TEL. - � NOTI T PP I ANT;,If, aftt is Certifi ate of ENGINEER - NO. DISTRICT GROUP TYPE FIRE PROCESSED BY Exemption, you should become subject to the .WorkersCONST" NE - Q w Co mpensation.provisions of the Labor Code, you must forth-- ADDRESS .Ca -� •L'�'�QOIL with comply with such provisions or this permitshallbeTEL ✓> r-. STATISTICAL CLASSIFICATION APT: CONDO. deemed revoked. CONTRACTOR �� NO. - Z � �- LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS ' I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. 'SEWER MAP (commencing with Section 7000)of Division of the Business LIC. and.Professions Code,and my license is in full force and effect. CIN CLASS BK VALIDATION SQ. FT NO. OF NO. OF CHECK 'License Number. Lic.'Closs SIZE 160 STORIES I FAMILIES ' ONE - - �j - - VALUATION _ Contractor Date DESCRIPTION OF WORK I�B'PP 1Q79A1VP_ NEW ❑ , $ ❑I amexempt under Sec. GFW LLS FRONT PD RCH ADD ❑ D D ALTER'•�❑ B.BP.C. for this reason VY V DV6 7D 5 b yI;w19II REPAIR LTJ S ' Date: USE EXIS OF BLDG. 46ME - DE MOL 11 Signature- APPLICANT TEL FINAL OWNER-BUILDER DECLARATION t (PRINT) � R, S NDCICOV N0L.A Yi'77// DATE I hereby affirm that I am exempt from the Contractor's License gDDRES5�I7)r1 IV• &P-To Al V �fJN/ '/}/$/Z 1EfL Law for the following reason (Section 7031.5, Business andFINAL 'Professions Code): PRESENT - - - By i IjYI I, as owner of thero ert or employees with BUILDING P P Y• m Y ADDRESS— wages as their sole compensation,will do the work and - �'Z�-� :,V✓ v the structure is not(mended 0r offered for sale(Section LOCALITY 7044,.Business and Professions Code.) MOVING . . TEL El . T'- 1, as owner of the property, am exclusively contracting CONTRACTOR NO. - i I'�C_ with licensed contractors to construct the project (Sec- tion Seo- ADDRESS 4' -t s tion 7044, Business and Professions Code.) - REQUIRED TOTAL SETBACK FROM EXIST. +1, CONSTRUCTION LENDING AGENCY SET BACKYARD HWV PROP. LINE WIDTH = =`_�s 'I hereby affirm that there is a construction lending agency for FRONT I. UNLIT the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE , P.L Lender's Name - ' I)UQI I-Iii 111y (1 '.''i q B-0 LDMA Ref. It "' P.C. Fee$ Per Fee .( 8: D 7:_!s 1 Lender's Address - d& , 'I certify that I have read this application and state that the Issuance Fee 3 LDMA P/C# " above information is correct. I agree to comply with all County Investigation Pee . PU ordinances and State laws relating to building construction, Total Fee LDMA Per, # and hereby authorize representatives of this County to enter - up the ab ve-mentioned p operty for inspection purp ses. X _iIcil I " SEE REVERSE FOR EXPLANATORY LANGUAGE Signal re of Applic tit or Agent' at ' WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self _ �I OI�I� O O n n�11 D511�G PIZRI�/_lO 1T e' ` insure,or•a certificate of Workers'Compensa ion Insurance, ISL A If�f v LrL ��f IAC V�� If or a certified opy thereof(Sec 3800,Lab. Policyaa USS— .-7 COUNTY OF LOS ANGELES BUILDING AND SAFETY ❑ WffV hereby pay BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN - ADDRESS Certified copy is filed with the county building inspec- BUILDING i tion department:_ ADDRESS i 7 V LOCALITY 1 NEAREST n DateApplicant CITY ZIP CROSS ST. - !+v CERTIFICATE OF EXEMPTION FROM WORKERS' . OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT OW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one US ONE hundred dollars ($100)or less.) TRACT BLOCK LOT NO. NO. TEV SPECIALCL > •I certify that in the performance of the work4or which this OWNER N CONDITIONS 0 I DISTRICT GROUP TYPE FIRE PROCESSED BY O permit is issued, shall not employ any'perso)lCcmi in any manner ADDRESS Or ,3 CO�ySJ ZONE U so as to become subject to the Workers'CoYnpensation Laws. ,q�- Date Applicant CITY ZIP STATISTICAL CLASSIFI TION APT. CONDO. 0 NOTICE TO APPLICANT: If, after king this Certificate of ARCHITECT OR 7EL. Exemption, you should becom subject to"the Workers'' ENGINEER NO. CLASS NO. DWELL, UNITS_ LU Compensation provisions oft Labor Code, you must forth- ADDRESS - SEWER MAP / sn with comply with such pr is, or this permit shall be /'/y/ z deemed revoked. - TEL' BK. IC PG, VALIDATION CONTRACTOR O. LICENSED CONTRACTORS DECLARATION LIC. , I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS ` NO. VALUA ION (commencing with Section 7000)of Division 3 of the Business and _ LIC. Professions Code, and my I' ense is in full force and effect. CITY CLASS $ Y D SQ. FT y NO.OF NO.OF CHECK License Num eLic.Cl 0<0 SIZE STORIES FAMILIES ONE oI am exempt p Q Contractor W N'rgbte �Mr AS DESCRIPTION OF WOR NEW 1 under-Sec. L 7 ADD P ALTER FINAL//_z.;7_ ,I • - 49.4 1 BAP.C. for this reason (,. REPAIR E] DATE x Date: EXSE ISiOIG B G. �• _ OEMOL FI e e - 49.4 1 c> Signature - APPLICANT [� TEL. B I 025-85 _ OWNER-BUILDER DECLARATION PRINT .7 1/- NO. I hereby affirm that I am exempt from the Contractor's License D N �Q���/ '$/•VGJ Law for the following reason (Section 31 .5 Business and ADDRESS •�•(.�J•• 70 Professions Code): BPRESENT UILDING 3136 ' 3 2 9.9 A I, as owner of the props,y, or my employees with ADDRESS' op wages as their sole com nsation,will do the work and # e e • e a.� the structure is not inte ded or offered for sale(Section LOCALITY 7044, Business and P fessions Code). MOVING TEL. I • • 6 a 6 3 I, as owner of the roperty,'am exclusively contracting CONTRACTOR NO. O o e with licensed c tractors to construct the project (Sec- ADDRESS 6 8,b 3 U , 'tion 7044, Bus' ess and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. CO RUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH © I Q 2 5=8 5 I hereby affirm t at there is a construction lending agency for FRONT - - the performan of the work for which this permit is issued. P.L: (Sec. 3097,.Cti c). SIDE . P:L.. ' . m Lender's.Name Lender's Address P.C. Fee'$ 1 Permit Fee v I certifythat I have read this application and state that the - a PP Issuance Fee above information is correct. I agree to comply with.all County Investigation Fee ordinances and State laws relating to building construction, D Total F and ereby authorize representatives of this County to enter ee t \� t'Y t- c ` . 0 upo he ay tioned property for ' spection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant ofAg - - ®s