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HomeMy Public PortalAbout5337 BUTTONS AVE_Building__ v 7SA999A be-- APPLICATION * FOR ;BUILDING PERMIT 1159 DIVISION OF BUILDING. AND SAFETY BUILDING .�—+ Depwtmeni of County Engineer ADDRESS 7 County of Los Angeles - LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST CA99ATT D. GRIFFIN. Suomi pF BUILDING CROSS ST. FOR 'APPLICANT TO FILL IN DIsrRLCLNO. GROUP TYFE SEWER MAP 'J— lyi_ K PG i CONST. BUILDING - -3 / { _ � © NUMAP MBER z O1 STATE HWy YES O ADDRESS :J i✓fes LOT NO. 9LOCK - $�a SPECIAL C —� ��[ U ONE CONDITIONS ♦ l� TRACT�/ I.Q♦f//- -rte I /� / n(f . qq NO. OF BLDGS. V SIZE OF LOT �J LIQ NOW-0N LOT, BUILDING YARD HWV STREET NAME EXIST. USE OF WIDTH EXISTING BLDG.. FRONT P. L. •w __ Imo[ lL _/�^ I �1 OWNER � SIDE P. L. MAIL ( ADDRESS/pCJ O p� . (h e O TRACT DWELL. I UNIT TEL 5 INDUSTRIAL CITY CI TE S I DWELL. 1 UNIT 6 PUBLIC BLDG. ARCHITECT PIR TEL. Z DUPLEX jj UNITS ENGINEER NO. _Y¢d� 7 ADDN.,ALT., ETC. 3 APT. UNITS B MISCEL. ADDRESS - 4 COMMERCIAL CONTRACTOR /o+�"Y�s- NO/���j�}(� INSPECTION RECORD ADDRESS DESCRIPTION OF WORK NEW x ADD ALTER . REPAIR DEMOLISH SO. FT. NO. OF NO. OF SIZE STORIES r FAMILIES USE OF SSTRUCTURE - SIGNATURE O APPLICANT APPROVALS ADDRESSI&- DATE INSPECTOR'S SIGNATURE P . S r/r, FFORMS,MATERIALS LOCATION 10 s�C �0^I ,•` _ r //�" FEE pRAME: FIRE STOPS. VALUATION (S�� $ 3 BU BRACING. BOLTS Lt FEE ✓L!f FURNACE: LOCATION, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT. DUCTS A APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT. AND STATE LAWS REGULATING BUILDING CONSTRUC- - TION. LATH. EXT. 'C 4 c •� SIGNATURE HOUSE I NUMBER COR- A PERMITTED AND POSTED '1 ADDRESS FINAL I t - JOHN A. LAMBIE.COUNTY ENGINEER - �L LIDATION .CLYDE N. Dl LAM, CHIEF BLDG. INSPECTOR CK No CASH ti4,,6' OCT 31 6 17 5 0 "n 0947A. 00T 3 1 36.00 ' In. WORKERS' COMPENSATION DECLARATION - ^ /� L� F� rP� t I hereby,affirm that haver certificate of consent Insurance, •� P'���Ir AMN I}OR B �RONG PONT ' .., insure, or a certificate of Workers' Compensation Jnsurance, !/1l 0 �Lf 0 III LJ IBJ ' or apertifie7d�/co/py iher'eof(Sec 3800, Lab C.) .COUNTY OF LOS ANGELES' BUILDING-AND SAFETY ` Policy N dm�C .D �/./�Compa�ny,�7S't'' 1"U ln.di �F n � �y� .. ❑ Certified copy�WgQ furrfshed. FOR APPLICANT TO FILL IN BUILDING - ADDRESS .J 3 / {J,✓ `(pvLS Certified copy is filed with the county building inspec BUILDING = - - - - - J - tion department. ADDRESS 3 •1pU L�, T�•y�,� T' ' DateLO—�-g (�•Applicant. CITY' '\E •v''' •- zla - LOCALITY - .. .. y• NO-OF BLDGS. . NEAREST ' CERTIFICATE-0FEXEMPTION FROM RKERS' SIZE OF LOT NOW ON LOT 'ROSS ST. COMPENSATION INSORANCE _ - ASSESSOR _ (TNissectionneed not completed if the permit isfor one" TRACT - BLOCK LOT NO. MAP BOOK PAGE PARCEL -:1hundred'dollars•($100).or less ) ' TEL USE ZONE, MAP ( OWNER V - ' - r V NO. NO. IY7 c; 6d' I certify that in the.performance of the work for which this � _ ,7r/� _ permit is issued, 15hall'not employ any person in any manner. - ADDRESS s 3' - O / CONDITIONS d SPECIAL so as to become subject to the Workers'+Compensation,Lows _ - O, CITU= '['S -- GIS ZIP. ... . - - U ,Date Applicant - ARCHITECT OR - TEL- +. NOTICE TO APPLICANT: If, after.making'this Certificatmwd CONSTZONE U Certificate of ENGINEER -NO. DISTRICT- GROUP TYPE FIRE PROCESSED BV . ' Exemption, you should becoe" bjeto the Workers' � �j ? U Compensation provisions of the Labor Code, you must•forth ADDRESS. : . _ (�Q - 3 ✓ - a u with comply with such provisions or this permit shall be TEL STATISTICAL CLASSIFICATION . . - APT. 'CONDO. Z deemed revoked. ) t „ CONTRACTORT y ,W [ NO 0� � �� �J FI� .., LICENSED;CONTRACTORS DECLARATION - LIC Cu55 NO.p�DWELL•UNIiS_ I hereby affirm that I am licensed under.provisions of Chapter 9 °_ ADDRES r u NO. 3 �iS SEWER MAP" ', (commencing with Section 7000)of Division.3 of the,0usiness - LIC - , ' and Professions Code,and my license is in full force and effect. • _ CITY e C.l:. CLASS —31 BK. PG. VALIDATION / / SQ. FT. NO. OF NO. OF CHECK License Number_?_?0l 4 Lic Class e� SIZE STORIES FAMILIES ONE ' '' �' .[ VALUATION Contractor TTN r/ LD, Da ❑ _te ID �ztff�I DESCRIPTION OF WORK a. OLsSS'/E NEW ❑ ry lam exempt under Sec OS ADD ❑' S C D ..�. -. ALTER' ❑. _- t B.&P.C. for this reason - - REPAIR ❑ $ _ _ Date: USE OF_ C' _ EXISTING BLDG. Q ` - - - DEMOL El ''t'`'I 'r ,• Signature' - , APPLICANT :TEL' FINAL OWNER-BUILDER DECLARATION (PRINT) NO. I hereby affirm that I'am exempt from the Contractor's License DATE, Law for the followingreason Section 7031.5,. Business and ADDRESS FINAL n --Al ,Professions Code . ,< ( % �� i IJ I t.4 4 " - PRESENT - r..gT -. ❑ I, as owner of theproperty, or m em Io employees with BUILDING I tr tr ' Y P Y ADDRESS. D wages as their sole compensation,will do the work and the structure ds not intended or offered for sole(Section LOCALITY 7044, Business and Professions Code.) - - MOVING TEL.El ' -• - - I, as owner of the property, am exclusively CONTRACTOR NO.contracting ' with licensed contractors to construct the project (Sec gDDRE55 - IJI}I,t 1 .Sf I1j it t tion 7044,Busi,ess.and Professions Code.) - 'REQUI REDTOTAL SETBACK FROM EXIST. - 1 �rt t t G CONSTRUCTION LENDINAGENCY - SET.BACK , YARD HWY PROP LINE WIDTH -.1 - hereby affirm that there is a construction lending agency.for FRONT the performance of the work for;which this permit'is issued', (Sec. 3097, Civ. C.). - - SIDE, Lender's Name. - m - .- ��. LDMARef. N ' - P.C. ee$ - - Permit Fee • . ' 3 Lender's Address I certify that'I havii read'this application _and state that the- - .. - Issuance Fee 2 7 . �' LDMA PLC q D , 8 above information is correct. I agree to comply with all County Investigation Fee R ordinon and State Ia' relating"lo'building construction, _ Total.Fee - t _LDMA.Perm - a - and re `au orize'r resentatives of this Countyto enter' _ 3 ubo n' ned property for Inspectlon'purposes. - N SEE REVERSE FOR EXPLANATORY LANGUAGE - Sign.t,..A plicant or Agent - Date - - . 1 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 BE 0508 1102090008 PHONE: (626) 285-0486 EXT: ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: ITR: 22127 LT: 4 I SQ. FT STORIES TYPE 1 5337 BUTTONS AV 1 I ISTRUCTURE: V-B TEMP CA 917803104 (ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: OLIVE 18590-003-023 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, CI 1TENANT: (EXIST BLDG USE: REBID USE ZONE: R-1 1I SSUED ON: PROCESSED BY: 1 (EXIST OCC GRP: 102/09/11 SR OWNEA: TEL, N0: JBLDGS. NOW ON LOT: VALUATION: IFINAL DATE. FINAL BY: CODE: 1NG, AMELIA (626) 379-5133- 1,600 i � j/ r 15337 BUTTONS AV ` 1 (TEMP 917803104 1 FEES PAID 1 ESCRIPTION OF WORK BATHROOM REMODEL IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( 1APPLICANT: TEL. NO: I1 1 SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.60 1 A STATE GREEN BLDG FEE 1600.00 VAL 1.00 SPECIAL CONDITIONS: IAC STRONG MOTION REBID 1600.00 VAL 0.50 IB2 PERMIT W/ENERGY 1600.00 VAL 90.50 1 IFR INV WORK W/O PERMIT 128.50 DOL 128.50 CONTRACTOR: TEL. NO: TOTAL FEES 248.30 (APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO I ILOCATION AND SETBACKS F II I I I (SOILS ENGINEER APPROVAL I I 1 (ARCHITECT OR ENGINEER: - TEL. N0: FOUNCATION/TRENCH FORMS LIC. NO: I ISLAB/UNDER FLOOR I I I I I IRAISED FLOOR FRAMING MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( ^ UNDF.:FLOOR INSOLATION 147H265 3 001 o 1 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: '" ' NO 21 1 ROOF'SHEATHING 11 SCHOOL WITHIN HAZARDOUS SHEAR PANELS I I (AIR QUALITY: 1000 FEET MATERIALS NO NO NO �tIFRAME INSPECTION IFIRE SPRINKLER HANGERS I I � INSULATION/WEATHER STRIP( TERIOR ATH DRYWALL ) IEXTERIOR_EACH 1 iRATED FLOOR/CEIL ASSEM. I I I RATED WALL ASSEMBLIES I IRATED SHAFTS/OPENINGS I I T-BAR CEILINGS ILOT DRAINAGE (REPORT ID: OPR261 ROUTE TO: BS 0508 I I I I I I