HomeMy Public PortalAbout6240, 6242, 6246 BURTON AVE_Building__ 1
78A588A CE 480911-57 APPLICATION FOR BUILDING PERMIT.
COUNTY OF LOS ANGELES BU ILD UNG M f
DEPARTMENT OF COUNTY ENGINEER n°oREss Dli I—
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE.COUNTY ENGINEER NEAREST .
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. >"l.
DISTR I C;T NO. GR.O�P .HPE k .SEWER MAP
FOR APPLICANT'TO FILL IN /7 .Ti BK PG
BUILDING �J CONST.
ADDRESS STATISTICAL CLASSIFICATION /�/♦ -
" 'LOT NO: AA - CLASS.NO. �J �DWELL. UNITS v
BLOCKMAP
U V STATE
r HYES
NUMBER ` NO
TRACT USEZONE SPECIAL
NO.OF SLOGS. t CONDITIONS
SIZE OF LOT/O V X" Z I NOW ON LOT
EXISTING BLDG. BUILDING - --- --EXIST.
SETBACK /YARD HWY� STREET N1AME WIDTH
' .
OWNER Y J L I }^•G COL FRONTMAI L CO
ADDRESS / /e) 80 PT N
{� (� ��T /• SIDE
CITY J✓1 � 7 (3'T OX�L L NO./'N 40 �/n! P.L. '
ARCH ITECT OR TEL
INSPECTION RECORD
ENGINEER r' NO.
ADDRESS
CONTRACTOR TEL.
NO.
ADDRESS - -
DESCRIPTION OF WORK
NEW -ADD /ALTER REPAIR DEMOLISH
SO. FT. NO.OF NO.OF
SIZE STORIES FAMILIES
USE OF STRUCTURE ^„ tI-ii L��r�
L/ O 1 N
Ah 12 4 FSS
SIGNATURE OFAPPROVALS
APPLICANT—
ADDRESS
PPLICANT ADDRESS �/6 O V 1 IJ�� ION: LOCATION FORMS. DATE INSPECTOR'S SIGNATURE
F
FORMS.MATERIALS r
S ,C
p .� t FRAME: FIRE STOPS.
�V FEE BRACING.BOLTS �Cl'IO1S� • I VnYN�w�
VALUATION to FURNACE: LOCATION. '
FEED GAS VENT.DUCTS
I HEREBY ACKNOWLEDGE THAT I HAVE READ,THIS AP- LATH,INT.
PLICATION ANDTE THAT HE ABOVE IS CORRECT AND
AGREE TO COMPLYSTAWITH ALL COUNTY ORDINANCES AND
STATE LAWS REqULA7INAbU1LDING C NSTRUCTION. LATH.EXT.
SIGNATURE OF I `fo" HOUSE NUMBER COR-
PERMITTER RECT AND POSTED
ADDRESS FINAL Jam' G -s5 9l. _.,•✓
_ CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL E ER
PIAN CHECK VALIDATION CK. M.O. CADR - PERMIT VALIDATION CK. M.O. CA H
LAC,O 5 0 0 0 SEP 19 1 A 2.00 �.
BUILD
w U D L ® D ll V \�I ADDREI59 �D \I'�-�1.'.'�,•�
4. APPLICATION LOCALITY SaYN ��hrtEJ�
DIVISION OF BUILDING AND SAFETY NEAREST 1 0
CRO955T.
Department of County Engineer DISTRICT NO. RECEIPT NO. PERMIT NO.
County of Los Angeles S �j32r( C,
WM. J. FOX,, COUNTY ENGINEER TGROUP DATE RECEIVED DATE ISSUED
CA95ATT D. GRIFFIN, 9G1•i vF BwLDING 1
F.OR APPLICANT TO FILL IN TYPE CONST. RECEIVED BY /'�IISs—' ILED 0�
ep
OWNER VJ �L pMAIL 1 QMAP
♦/R C'Q� -yC� NO
2 TO /1 O /,�Lf r� I� S NUMBER
ADDRESS ��✓�J� 6HWVE
- - �j .r/ p A� USEZONE SPECIAL
CITY SFfiy �TA-�3R i� L NOL�'T / _yyam� CONDITIONS .
ARCHITECT OR TEL.
ENGINEER G wlyem NO. S M
•BUILDINGYARD HWY STREET NAME, EXIST.
ADDRESS' S ML— SETBACK WWIID/T�H�
TEL. �M FRONT
P. L '2.0 r'S`e lh✓� u �`J—
CONTRACTOR NO. S/r-• •G
SIDE
ADDRESS S�n�C P. L
DATE CORRECTIONS INSPECTOR
BUILDING
AODRES9
GI }.y. .Yt� r)l< 'ICU Lcw
LOT NO. � BLOCK �
TRACT O
SIZE OF LOT ,I�o ^ I NO. ❑FON BLLODTG9.
NOW
USE OF --
EXISTING BLDG.
DESCRIPTION OF WORK a
0
NEW " ADD1/ ALTER REPAIR DEMOLISH Q
SO.
FT. Iy NO.OF ND.OF r
SIZE (. STORIES FAMILIES I
USE OF STRUCTURE
NO.DF
EMPLOYEES
i HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN 19 APPROVALS INSPECTOR'S SIGNATURE DATE
CORRECT.
I AGREE TO COMPLY WIT ALL COUNTY COUNTY ORDINANCES FOUNDATION: LOCATION /rJ�v�H
AND STATE LAWS REOULAT BUILDING CONSTRUCTION. FORMS.MATERIALS MPH
IY/ U
FRAME: FIRE STOPS,
SIGNATURE OF , BRACING.BOLTS -
PERMITTEE FURNACE: LOCATION, '
ADDRESS
/ / � 'h� ` C� GAS VENT, DUCTS
LL ���tNL( V
LATH, INT.
AUTHORIZED AOT. '
_ LATH, EXT.
S Inc P. C.$ HOUSE NUMBER COR-
I O QQ FEE RECT AND POSTED Q�,�'' — l
VALUATION $IxI FEE FINAL .�/l//._w'
96A63N/ OB53 13-53 i-
4
WORKERS'COMPENSATIONIIDECLARATION),
Aoki
d9C�Q760N FOR [3M�dD HO' PERNT
I hereby affirm that I have a certificote,of consent to self O O O O D
insure, or a certificate of Workers' Compensation Insurance,
or a certified copy thereof (Sec. 3800, Lob. A+T COUNTY OF LOS ANGELES BUILDING AND SAFETY..,
Policy No. Company A&IILICY - ^ 'n
O Certified copy is hereby furnished. . . FOR APPLICANT TO FILL IN noL Ess �oS 0c Q4R?bF/
Certified copy is filed with.the county building inspec- BUILDING /�'L��/ "
tiomdepdrtment. ADDRESS LOCALITY Q
p q NEAREST
Date J J Applicant Q CITY EL ZIP CROSS ST.
RTIFICATE OFEXEMPTION FROM ORKERS' ✓ f NO.OF BLDGS. �j ASSESSOR
COMPENSATION INSURA E . I SIZE OF LOT OD K t) NOW ON LOT .3 MAP BOOK PAGE. PARCEL
(This section need not be completed if.the permit is for one- �[ USE ZONE MAP
hundred dollars 1$ 00)or leis.) TRACT BLOCK LOT NO. T NO.
����,,ss,�..
TEL SPECIAL,
certify that in the performance of the work for which This OWNER f tl', GOC NO. 3 �� CONDITIONS _ d
permit is issued, I shall not employ any person in any manner n-A,/ DISTRICT .GROUP TYPE FIRE PROCESSED BY O
so as to become subject to the Workers'Compensation Laws. ADDRESS U• RI"/'/ CONST. _ ZONE V
v0
Date Applicant CITY 71 ZIP STATISTIC CLA$$I TION _APT. CONDO.'_ 0
NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR _ TEL. __ _ W
Exemption, you should become-subject to-'the Workers' ENGINEER — NO: - CLASS NO. DWELL:UNITS_ 6.
Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP rA
with comply with such provisions or this permit shall be ��,,.ys� TEL ?
deemed revoked. CONTRACTOR ID Y✓CIV No. D I BK. PG,' VALIDATION
LICENSED CONTRACTORS DECLARATION - uC -_
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 3 �- Lu• RC NO.. $ VALUATION ,a✓�
(commencing with Section 7000)of Division 3 of the Business and LIC - nn •tL .
Professions Code, and my license is in full force and effect. CITY (.fir Ld✓WA CLASS
SO. FT.' NO.OF NO. OF CHECK
licen a IN rRber�Lia Class_ _ SIZE STORIES FAMILIES ONE
LIC/M�o�Rl� �Li �,// $
Contractor/P{iPr`D O'ItT!/0f Dote `,F%g? 'BESCRIPTION OF WORK �/✓� a sR1� NEW O
ADD
0 1 am exempt under Sec. DDOI
ALTER ❑ FINAL�/
B.BP.C. for this reason ��0�/y✓G REPAIR C] DATE'j
• Data: USE OF ,,A,, DEMOL FINAL
EXISTING BLDG. t• 63 By �C•T g-n.w -
Signature APPLICANT _#041JTEL // VVV
OWNER-BUILDER DECLARATION PRINTNO. pC-,Z 5
I hereby affirm that I am exempt from the Contractors License gD[)RE55 W G �+ �D�7✓✓lD � =�4' 8 a 4 A _
Law for the following reason (Section 7031.5, Business and ,
Professions Code): _ PRESENT
❑ BUILDING
1, as owner of the property, or my employees with ADDRESS _
wagesas their sole compensation,will do the work and _ 2.
the structure is not intended or offered for sole(Section - LOCALITY 99,2 5.i
7044, Business and Professions Code). MOVING TEL, - - °I°,° 9.9,215 5
I, as owner of the property, am exclusively contracting _ CONTRACTOR NO. _
with licensed contractors to construct the project (Sec- - 0830-81 3
ion 7044, Business and Professions Code). ADDRESS -
REQUIRED TOTAL SETBACK FROM EXIST.
CONSTRUCTION LENDING AGENCY YARD HWY .`D
SETBACK PROP. LINE WIDTH
I hereby affirm that there is aconstruction lending agency for FROM - - '•
the performance ofthework for which this permit is issued P.L. -
(Sec. 3097, Civ. C.). SIDE - 1
1.
Lender's Name
Lender's Address P.C.Fee E Permit Fee
I 'certify that I have read this applicatidn and state thai the Issuance Fee -
above information Is correct.I agree to comply;with all County. : In estigmbn Fee
ordinances and State:laws'relating to building_coostrucnon " Total Fea.
D and hereby pr�thon¢e.representafives of this County to enter - - i. -
upon,the hf ✓e-menti ed property for,inspecfion;purposes:
n SEE REVERSE FOR EXPLANATORY LANGUAGE _ _ _
Signature of A p ant or Agent' ata Y - - ®s
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0012110011
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 5903 LT: 4 SQ. FT STORIES TYPE 6246 BURTON AV N
STRUCTURE: 0 VN SGAB CA 917752633
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN
5386-006-039 THOMAS PAGE: 596 GRID: G2 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: RESID USE ZONE: R-7 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 12/11/00 UT 06/10/01
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FIN CODE:
GONZ6246ABURTONZA�NE S (626) 287-2693- 3 3,790 _ ,3I 2-Z ZW
SGAB 917752633 FEES PAID DESCRIPTION OF WO K
TEAR OFF HOUSE ONL IN ALL PWLQOOD ON SLOPE, INSTALL CLASS
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: A FIBERGLAS SHINGLE (20 YR.) AND BUILT UP ON FLAT
APPLICANT: TEL. N0:
RANDOL ROOFING & CONS. CO, INC. (626) 288-4040- AA BLDG PERMIT ISSUANCE 27.75
2304 TROY AVE. AC STRONG MOTION RESID 3790.00 VAL 0.50 SPECIAL CONDITIONS:
SO. EL MONTE, CA D2 PERMIT W/0,EN5HC X3790.00 VAL 115.80
PNGELESTOTL'FEES 144.05
CONTRACTOR: TEL. NO: �S �/,/�, APPROVALS DATE INSPECTOR SIGNATURE
RANDOL ROOFING AND CONSTR. CO., INC (323) 283-5109-
2304 N. TROY AV. LIC. NO LOCATION AND SETBACKS
S. EL MONTE, CA 91733 451937 C39
/ SOILS TNGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: ///////jjj''' FOUNDATION/TRENCH FORMS -
LIC. NO:]/ 1111111 SLAB/UNDER FLOOR
`�`�`�'...J-J-Jr---'LLL RAISED FLOOR FRAMING
MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: �Pl'��n n O n ��/'Q � /1Q0 rj�1�/J (� UNDERFLOOR INSULATION
153H261 3 OY II`vJll IIL� 11``->_ 1111/1\l11// IFR IUII\\1 N\J�
FLOOR SHEATHING
N0. Of FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:-
NO 21 CSI' 8 ROOF SHEATHING 1
SCHOOL WITHIN HAZARDOUS \` 0 0 `,
D Q ,_j SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO A a ® �L' ®� FRAME INSPECTION
REQUIRED OTA
SET BACK YARD: HWY: PROPTLINE.FROM EXIST �`
PL- IDTH : `b'7C Servioce That INSULAFIRE TION/WEATHERGSINKLER IR[P
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508