The URL can be used to link to this page

Home My Public Portal About5211 DEGAS AVE_Building__ TBA638A CE4803 0.64APPLICATION FOR BUIL >>-I�NG PERMIT COUNTY OF LOS ANGELES BUILDING J�// DEPARTMENT OF COUNTY ENGINEER ENS U BUILDING AND SAFETY DIVISION LOCALITY Q C i ^ JOHN A. LAMBIE-. COUNTY ENGINEER NEAREST X COLEMAN W. JENKINS$UP'T.OF BUILDING CROSS ST. DISTRICT 110.� GROUP TYE_ PRNS FOR APPLICANT TO FILL IN SS _F co PNST. BUILDING �[�� jj STATISTICAL CLASSIFICATION N WER MAP ADDRESS 4jfF.! '�nP// v.Q hv-e CLASS NO, a DWELL UNI TN ✓ BK PG LOT NO. / - BLOCK USE ZONE MAPC/ / NO TRACT S717 SPECIAL NO. OF BLOGS. v CONDITIONS SIZE OF LOT Q IO NOW ON LOT ^ USE OF "ST, ST NG BLDG. BLDG. SETBACK FROM A 1.\/� 1 TEL. FRONT PROP. LINE OF 7 (STREET) OWNER ()eve �,O Q /ANO. 7 o906 TYPE OF EXISTING SETBACK HIOHWA + YARD = TOTAL ADDRESS / / FTS/ /NITS HIGHWAY WIDTH F. /M[C�1 CITY �. /'� G S0 �/'._J / + ARCHITECT OR TEL BLDG. SETBACK FROM ENGINEER DDo NO. SIDE PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK HI OHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. 1 TEL. // + = 0 CONTRA CTOR�O O/I EJS NO /� -b CO V ADDRESS ��j �� Tl-/r� NO I b 7A06 CORNER CUTOFF YES NO O CITY E /e f CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK a Z_ NEW v ADD ALTER REPAIR DEMOLISH SAME III\1,0�Y NO.FT. NO. OF NO. OF � Z 3O LP��OAy - OU, TO W Y SI2E .SOY STORIES FAMILIES /� USE OF ;7 tTi$l0 �S a,'AD Ah.OAA4 . STRUCTURE Pes/ e N L�L1 v SIGNATURE OF,04_4 ®$\f m ley+��! >_CI I.I 611 APPLICANT ` CL . VALUATIONS E/ , APPROVALS DATE INSPECTOR'S SIGNATURE P.C. CJ t7 PMT. DC7 FOUNDATION, LOCATION FEE$? �+ FEE$ ,/ q FORMS. MATERIALS FRAME. FIRE STOPS, I HEREBY AC HNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS �I1L-G�I 1 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS D FV 9UILDING CONSTRUCTION. I CERTIFY THAT. IN DOING THE AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT. S ,9 JO} TION OF THE LA80R CODC OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S CO PEN ATION INSURANCE. LATH. E%T. J O U InIF/ I.L SIGNATURE OF _ HOUSE NUMBER COR- PERMITTEE /N w` RECT AND POSTED 1/217(,J' A� ADDRESS FI NAL /reAlvt." - JOHN F. LEWIS. PRINCIPAL ST URAL ENGINEER PLAN CHECK VALIDATION cK. M.D. CAS _ PERMIT VALIDATION L1�08 0 8,4� FE3 1 2 3'D 3 2,00 <, Lo+ 14 L'wo9 27 8 UG 14AR 1 D 6 4.00- ',•T S' COMPENSATION DECLARATION -.. t... .,:•,.. . -'_ ._ ._ _ __ ... ` ••'t n ?s.t,•. _ _ ___ I here t I -have a certificate of consent to self insure, or u cer:•'icate of Workers' Compensation In once, or a certified copy thereof (Sec. 3000, to C " C, /// - - - - - - - -- ^ 7L�7, ,..COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company - , - 'Certified copy is hereby furnished. .f i FOR APPLICANT TO FILL IN BUILDING- / / C • _ ADDRESS l 1 Certified'copy is filed with the county Building inspec- BUILDING / 'tion department. ADDRESS- S B B- (� 'S w. C ' 'Dateb ' �Appliwot' - ITY Pµ. /L �c ZIP 7ELOCALITY RT ICATE OF EXEMPTI N FROM WORKERS ' - '- - 'NO.OF BLDGS.' �' - 1 NEAREST. - COMPENSATION INSURANCE SIZE OF LOT NOw ON LOT CROSS ST. (This section need not be completed if the-permit'is-for one - - - - - - - - ASSESSOR. TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL .hundred dollars ($100)or.l ess.) .. . - J, (� �• I I certify That in the performance of,the work for which this OWNER ' O L. - - - NO`Y 'O USE►yJgNEI OP } permit is issued, I shall not employ any person in any manner N_,-� - _ _ "__ SPECIAL 7-f/!. - - 6 so as to become'subject to the Workers"Compensati6n Laws, ADDRESS C CONDITIONS O L . . .... .... .-n_ ..w. ._. _ . V �- Date - Applicant CITY . -. _ .ZIP _ _ _ 0C NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. DISTRICT G OUP TYPE .FIRE PR ES ED BY U Ekem tion, you should become subject to the Workers' - - ENGINEER NO. Y //fAZR/L 27 CON5T. -I// ZOf IE Compensation provisions of'the Labor Code, you must forth- ADDRESS ,/ • , — - J[ - -' d with.comply with such provisions or this permit shall be' - Z TEL. STATISTICAL ClA IFICATION APT. C W.` deemed revoked. . ` - CONTRACTOR C A NO. LICENSED CONTRACTORS DECLARATION - - /f LIC-- -• - ---- - CLASS NO. � DWELT. UNITS— I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS t,(:; s `L '(_NO. (commencing•with Section 7000)of Division 3 of the Business and 1 (' _..-.LIC, _ _ SEWER MAP Professions Code, and my license'is in full force and elle CITY U�� ~/ \ CLA55 BK- - - - 'VALIDATION SO. FT.. - _ NO.OF - " NO.OF_ _ CHECK ZO SIZE STORIES FAMILIES ONE License ber - Lia Class`` VAZkT19N C✓�.f .OIJ � DESCRIPTION OF WORK �•�• -'`'O(] '- 'NEW -❑ $ 6 Y -- Con trac ale " - ADD I am exempt under Sec 4r - - LQ C ( - R -❑❑ B.BP.C. for this reason /dt-e Ois REPAR $ Dates USE OF DEOL BLDG. c t ❑ _ _... Signature _ -- - APPLICANT - TEL. FINAI OWNER-BUILDER DECLARATION PRINT NO. _ •DATE -- -1 hereby affirm that I am exempt from the Contractor's License .T-<: - Law for the following reason (Section 7031.5, Business and ADDRESS FI 9459.2 A_ "Professions Code): PRESENT i 0- - , e s e e e ElBUILDING - - _- I, as owner_of the property, or my employees with ADDRESS _ wages as their sole compensation,will do the work and LOCALITY Qc� V ( e e 9 6 7 5 the structure is not intended or offered for sale(Section IJ [/' / _ -' 7044, Business and Professions Code): MOVING - - '- 'TEL- -' y ^/' �// x' • e - 9675Z I, as owner of the property, am exclusively contracting _ CONTRACTOR _ NO. - (((/jf/ff� (((lll--- with licensed contractors to construct the project (Sec- ADDRESS /l �l�� O S.,O b T 8 6 tion 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY - SETT BAC( YARD'- 'HWV. IOTA FROP.L NE WIDTH' I hereby affirm that there is a construction lending agency for FRONT he performance of the work for which this-permit is issued - -P.I.- (Sec. .L.-(Sec. 3097, Civ. C.). SIDE _. . . . P.L.. Lender's Name •, TDMA I. If o o n� - m - -- - - -' P.C.feeE "'. -- Permit Fee - Lender's Address > /) I certify that I have read this application and state that the - - - .. Issuance Fee' - 16, _�/-t LDMA P/EN- - - --- ¢ above information is correct. I agree to comply with all County Investigation Fee g ordinances and State.laws relating to building construction. _ .. _ _ . - - Total Fe— r /`" ' LDMA Perm. N and here�lsy authorize representatives of this County to enter on th bove-mentioned property for inpurposes. ^ hy SEE REVERSE FOR EXPLANATORY LANGUAGE t -' - Signature of Applicant or Agent - - ale 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 1106010001 PHONE: (6261 285-0488 EXT: ILEGAL ID: NO. OF CONST BUILDING ADDRESS ITR: 29569 LT: 14 SQ. FT STORIES TYPE : 5211 DEGAS AV STRUCTURE: 25 V-e TEMP CA 917803322 (ASSESSOR INFORMATION NUMBER: _ NEAREST CROSS STREET: GREEN 18585-003-049 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl (TENANT: (EXIST BLDG USE: RESIO USE ZONE: R-1 TISSUED ON: PROCESSED BY; EXIST OCC GRP: 106/81/11 SR OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFI ATE F BY: CODE: ZOSTER MAUREEN P (626) 967-5882- 7,500 y_N/I/�\L� 15211 DEGAS AVE N. ITEMPLE CITY CA 91780 1 FEES PAID z - [35SCRIPTION OF WORK RE-ROOF H/6 TEAR OFF CLASS A COMP SHINGLES 25 SF. _!FEE DESCRIPTION: QUANTITY: DOM: AMOUNT; (APPLICANT: TEL. N0: IMUSULMAN, FRED (626) 339-0399- IAA BLDG PERMIT ISSUANCE 27.80 I_ 11066 EDNA PL. AB STATE GREEN BLDG FEE 7500.00 VAL 1.00 ISPECIAL CONDITIONS: ICOVINA, CA 91724 IAC STRONG MOTION RESID 7500.00 VAL 0.80 ID2 PERMIT W/O EN-HC 7500.00 VAL 183.40 TOTAL FEES 213.00 [CONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE MUSULMAN ROOFING CO., INC. (626( 339-0394- 11066 E EDNA PL LIC. NO ILOCATICN AND SETBACKS ICOVINA CA 91724 420356 C39 ISOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: (FOUNDATION/TRENCH FORMS LIC. NO: SLAH/UNDER FLOOR I I I RAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( (UNDERFLOOR INSULATION I I ' I 147H273 3 OC IFLOOR SHEATHING ]NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1 0 NO 21 IROOF 'SHEATHING SCHOOL WITHIN HAZARDOUS ISHEAR PANELS 1AIR QUALITY: 1000 FEET MATERIALS I I I I NO NO NO i FRAME INSPECTION I I I IFIRE SPRINKLER HANGERS INSULATION/WEATHER STRIPI IINTERIOR LATH/DRYWALL (EXTERIOR LATH I 1RATED FLOOR/CELL ASSEM. I I I RATED WALL ASSEMBLIES I I I RATED SHAFTS/OPENINGS I I I IT-BAR CEILINGS I I I I I I (IAT DRAINAGE I I I IREPORT ID: DPR261 ROUTE TO: BS0508 I I