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Home My Public Portal About5340 BUTTONS AVE_Building__ 9A698A`OB f- APPLICATION 6A Y LICA Y ION FOR BUILDING PERMIT D11PIZION OF BUILDING AND SAFETY BUILDING ADDRESS County L of County Engineer e � ounip of Las Angeles � LocnilrY VIM.J. FOX. COUNTY ENGINEER NEAREST O C I v CASSATT D. GRIFFIN, SUPT OF BUILDING - CROSS ST. f DISTRICT NO. I GROUP ��\// 1��.6 EWER MAP FOR APPLICANT TO TO yFyI�L.L IN Z- I 181 j> pBK 4-1 PG BUILDINGSTATE MAP ADDRESS �+ O /� _w/l//�PtiP/.} • NUMBER �O HWY YES NO LOT NO. ,(/ BLOCK USE ZONE SPECIAL CONDITIONS :TRACT X16! t - NO. OF BLDGS. BUILDING. EXIST. SIZE OF LOT I NOW ON LOT SETBACK YARD HWY STREET NAME WIDTH USE OF FRONT EXISTING BLDG. P. L, f • SIDE ' OWNS n /J P. L. MAIL ADDRESS 4V 4 4-40 A . (JTiri'�i TRACT DWELL. 1 UNIT 5 IN DUSTRIAL /p DWELL.TEL. I I UNIT CITY ; ♦ 1� I NO, 6 PUBLIC BLDG. ARCHITECT OR TEL. 2 DUPLEX I UNIT 7 ADDN., ALT.. ETC. ENGINEER NO. 3 APT. UNITS , 8 MISCEL. ADDRESS 4 COMMERCIAL CONTRACTS ` �� a No' INSPECTION RECORD }� ^� ADDRESS J C 1 /tP'�' 1� : (7. Q �Ti J 1" P. DESCRIPTION OF WORK PAO NEW AADD ALTER REPAIR DEMOLISH SQ. OFT. 4(6� O 0 SIZE STORIES L FAM ILFI ES USE OF STRUCTURE S/n ry e s SIGNATURE OF '� APPLICANT APPROVALS ADDRESS DATE INSPECTOR'S SIGNATURE' $ FOUNDATION: LOCATION .4 - P /�yP 00 .EEC. 1 -101,SFORMS. MATERIALS F - (/ FBRACI OP FIRB SLOS VALUATION / FEE S ..3 l_ � FURNACE: LOCATION, 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS. GAS VENT, DUCTS r i APPLICATION AND STATE THAT THE ABOVE IS CORRECT 6 AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT. AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. ,LATH. EXT. SIGNATURE 01;9 y� HOUSE NUMBER COR- PERMIT T EE RECT AND POSTED ADDRESS! 0'2pZ P7'' e0 FINAL 20 x - WMIJ. FOX,COUNTY ENGINEER VALIDATION C. N. DIRLAM. CHIEF BLDG. INSPECTOR (_ACD 4 9 z 9� APR 10 a 6 1 7.0 0 A -. 1 -34-00 �.. APR 12 WORKERS' COMPENSATION DECLARATION - -/,a /� I�p p p p g� I�/� (� hereby affirm that I have r certificate of consent to self APIyrU �/(,H��Ilpll FOR Ip,ll II��®�IIIII,(f m PEIRy1Ip T insure,.or acertrficate of Workers' Compensation Insurance, a II xb(rTl U V Uhl L/l�J LS U V C-'CJJ II SS 11111171! Jo1ro r ed copy thereof (Sec 3800, Lob. C ) i IVo.� Company . J ' ( 0 =x. - COUNTY O LO AN - _.. - .. _SAFETY F S"ANGELES. BUILDING-AND ADDRESS NG U . rl✓ S' ❑ Certified copy rs hereby furnished. = ' FOR APPLICANT TO FILL IN ADDRE55 V 7 lJ Certified copy is filed withThi y building inspec- - BUILDING. y C eR tion department.' . ADDRESS nS U jLV / 1 G-4-6^s, - Date APPicont CITU [,. y4t LQ- l.�lT ZIP - LOCALITY --' c _ O. OF BLDGS. NEAREST" CERTIFICATE OF EXEMPTION.FR WORKERS' .: SIZEOF LOT' - `NOW ON OT-. "' • - ' CROSS ST. COMPENSATION'INSU CE ASSESSOR - (This section neednot be Completed if the permit is for one TRACT BLOCK. - LOT NO. MAP BOOK _ PAGE" - PARCEL hundred dollars,($100)or,less ) - 1 f.� �� 'TEL 7� 72,s: �1 S U5 ZONEMAP - - • OWNER T NOGD /' �' NO. certify that imthe performance of the work for which this t .e�. SRECIA-L, permit is issued, shall not.,employ any'.person in any,manner - ADDRE55 -/r D� - CONDITIONS Q so as to become subject.to the Workers'Compensation Laws. - _ U ' CITY ZIP ' Date - Applicant ARCHITECT OR TEL. D157RICT. G OUP TYPE FIRE PROCESSED BY, , (' NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER. -_ NO. - CONSL� E r -Exemption you should become subject to the ,Workers' J(�/ Compensation provisions of the Labor Code, you must forth _ ADDRESS' '�tJ �� ` ' l`• N " with comply with such-provisions or,.this permit shall.be A /1 :1 _ ,p TELq 2 STATISTICAL CIAS$LFIC TION AI' . CONDO. deemed revoked. CONTRACTOR6A-L 1 C N0.1& �6 J�� C) - Z, LICENSED CONTRACTORS DECLARATION - UC. CLASS NO. DWELL. UNITS, ADDRESSSZ�'O � a 1 e NO. 79EO3 I hereby affirm that tom licensed under provisions of Business e ss LIC /' Q SEWE fAP (commencing with Section 7000)of Division 3,of the Business CITY Y LJ I VL G {� CLASS G3 r - VALIDATION and Professions Lode,and my license is in full force and effect. - BK. PG. / �( 50. FT, NO. OF NO. OF -- CHECK License Number- U Lic. Class .V ` SIZE 3�d�' STORIES It FAMILIES I .. ✓- VALUATION Contractcr '�� G L Date �b-c�� DESCRIPTION OFWORK/� I �i y!bU +NEW ❑ -$ /.,D.7-i ❑ .- . .. - - 1,J C;o iP •"✓cM1-�G 5 - ADD "'❑ (/ V D , am exempt under Sec.- ALTER ❑ -- - - 8.8P.C. for this reason - _ -1�A! 'l9 S C`�GL REPAIR.❑ $ _ Date: - USE OFI " EXISTING BLDG'. CJ�, DEMOL ❑ Signature - - APPLICANT - -TEL 9 -(PRINT) CO Lt�, J -.;Seta NO. _. .. FINAL/p OWNER-BUILDER DECLARATION DATEY ! , I hereby affirm that I am exempt from the Contractor's License' - _ - Low for the following reason (Section 7031.5, Business and ADDRESS FI Professions Code) .,' ... _ : ., : _ - PRESENT -CT. 1, or m s - ❑ 1, as owner of theproperty, with BUILDING �� „ - Y em P la Yees ADDRESS 07 "6 T'7 i wagesas their sole compensation,will dothework-and . - - - - -" ` �^ 1-- k .- 4, ° ` the structure is not intended or offered for sale(Section LOCALITY - v y� 7044, Business and Professions Code.) MOVING..,-. _ TEL. - D. .- _ _. .. ...J 1 1TEMn - ❑ 1,as owner of the property,am exclusively contracting - CONTRACTOR NO. TOTAL with licensed contractors to construct the project(Sec:,'.-' ADDRESS - tion 7044',,Business and Professions Code.) ... CHECK 63.63 ' -REQUIREDy 'yp•RD HWV TOTAL SETBACK FROM .. EXIST CONSTRUCTION LENDING AGENCY - SET BACK`. PROP. LINE WIDTH CHANGE °1117 I hereby affirm that there is a construction lending agency for FRONT' RONT - the performance of the-work forwhicn this permit'is issued P.C., _" - - - • - - - (Sec 3097, Civ.'.C.). SIDE" Lender's Name -. - P:L:'. �/.11�Q-0001 - _. - 'r. LDMARef. Ii_. ♦ 6343 1 AM 10:15 PC. Fee$ Permit Fee I . - - Lender's Address '• - - _ ._ _ .I certify that I have read this application and state that the Issuonce Fee D r " Q' LDMA.P/C N - D 8 above information is correct, t agree to comply with all County Inve¢tigation Fee • R . ordinances and State low -r latingto-building Construction, _ .. "-_- _ _" - TotahFee - _' �'. LDMA Perm..It a and hereby authorize rep motives of this County:to enter upon the above-mention Ny for inspectio purposes. a /ry (� - ' // SEE REVERSE FOR EXPLANATORY LANGUAGEiR - 'Signaturero Applic n or Agent Date' ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9901 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0609280061 - PHONE: (626) 285-0468 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 22127 LT: 10 SQ. FT STORIES TYPE 5340: BUTTONS AV STRUCTURE: 176 VN TEMP;CA 917803103 L9 ASSESSOR INFORMATION NUMBER: NEAREST.CROSS STREET: 8590-004-003 k THOMAS PAGE: .596 GRID: S4 LOCALITY, TEMPLE CITY, C TENANT: EXIST BLDG USE: RESID USE ZONE:. R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 09/28/06 JK 09/23/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: -VALUATION: FINAL DA E FINAL BY: CODE: LAM, VINCENT (626) 375-8188- - - ' 5,500 4 ` 5340 BUTTONS AV Y TEMP 917803303 _. FEES PAID. DE CRI TION'OF WORK 11' X 16' PATIO ENCLOSURE ICBG 5888P FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: APPLICANT: TEL. NO: PICHARD (B1B) 632-9126- AA BLDG PERMIT ISSUANCE 27.75 22044 CLARENDON #121 AC STRONG MOTION RESID 5500.00 VAL 0.55 SPECIAL CONDITIONS: WOODLANDS HILLS AX BUILDING REVIEW FEE 54.70 112 PERMIT W/RNERGY 5500.00 VAL 164.34 TOTAL FEES 247.34 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SOUTHERN CALIFORNIA HOME IMPROVEMEN (800) 950-8787- 16124 WYANDOTTE ST LIC. NO LOCATION AND SETBACKS VAN NUTS CA 91405 803729 E SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 147H265 3 O1 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS - AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRIYE INSPECTION _ t ✓ REQUIRED TOTAL SETBACK FROM EXIST FIRE;SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: ' FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INT'ERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-HAA CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BSOSOS