HomeMy Public PortalAbout5226 DEGAS AVE_Building__ 76AVBA CERBOI 3-60 {�
APPLICATION FOR BUILDING'ERMIT°� LJ
COUNTY OF LOS ANGELES BUILDING !)
DEPARTMENT OF COUNTY ENGINEER ADDRESS 10
BUILDING AND SAFETY DIVISION LOCALITY C1%7 PlV t j
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SVP'T OF BUILDING NEAREST . .
CROSS ST. t N
FOR APPLICANT TO FILL IN D�IS�TRICT N GROUP TYPE _ PROCESSED BY
(Print ort a only) V 'd / CONST. q
BUILDING STATISTICAL CL SSI FICATI ON SEWER MAP —:
ADDRESS A'd `Z - +s` — CLASS NO. -2- 3OWELL.UNITSQ BK PG
LOT NO. BLOCK USE ZONEI MAP
NO.
TRACT SPECIAL
NO.OF SLOGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. BLDG.SETBACK FROM
G p //-Op p NOEL. FRONT PROP.LINE OF _ISTREETI
OWNER / ` / TYPE OF EXISTING SETBACK HIGHWAY } YARD - TOTAL
ADDRESS ,57 -7-IL /� C G-i3 - S'T HIGHWAY WIDTH FROM G.L.
}
CITY CT O)7/LL C j ( �/l-1F ' BLOG.S ETBACK FROM
ARCHITECT OR TEL. SIDE PROP.LINEOF -(STREET)
ENGINEER NO.
TYPE OFE%ISTING SETBACK HIGHWAY } YARD = NOTAL
ADDRESS QQ ::fi�rr �{. HIGHWAY WIDTH FROM C.L.
CONTRACTOR (Sd)QI 16 L FJ NOL / 73j 11 } 2
ADORES }.r it AJ.N� NO. 1�'S I l v CORNER CUTOFF YES ❑ NO ❑ U
LIC. z
clrv ..-7-- /� ,CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK w
o_
NEW ` ADD ALTER REPAIR DEMOLISH -
NO. OF NO. OF E✓A -) I �- _/�' �.�.''✓
SIZE / STORI FAMILIES '
USE OF
STRUOTURE IL
SIGNATURE OF
APPLICANT
VALUATION 5 �� C�
� APPROVALS PIATE IRBFE on's s YdNKTU RE
P.C. PM 4 T 'FOUNDATION: LOCATION
FEE 5 FEE 5 /'Q D FORMS, MATERIALS' L Ld
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS
BUILDING CONSTRUCTION, I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WI NOT EMPLOY ANY PERSON IN VIOLA.
TION OF THE LABOR CO OF THE STATE OF CAISIFORNIA RELAT- LATH, INT.
ING TO WORKMEN'S COQ ENSATION INSURA
LATH. EXT.
SIGNATURE OF ,HOUSE NUMBER COR-
PERMITTEE' RECT AND POSTED /
ADDRESS FINAL
JOHN F. LEWIS. P I CIPAL ST Al_ ENGINEER
PLAN CHECK VALIDATION CK. M.D. CASH _ PERMIT VALIDATION cK. M.D. CASH
� r 1 5 0 s" AUG20 , 0 9.00 o
76A838A CEa., ,B< APPLICATION FOR BUILDING PERMIT al
COUNTY OF LOS ANGELES BUILDING Sad d e DIY
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINSSUP•T OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN DISTRI��7 G P coNsr{1 GEsseD BY/
BUILDING qq �1 Ip STATISTICAL CLASSIFICATION SE ER MAP
ADDRESS Sp.� e Y CLASS NO.O DWELL UNITS / BK PG
LOT NO. BLOCK USE ZONE MAP
(7 NO. :
TRACT 5-'Q� ii/V/aI, SPECIAL
'� / NO. Oi BLDOg. .�- CONDITIONS
SIZE OF LOT V I!� NOW ON LOT
USE OF
%ISTING
iBLDG.� AT / BLDG. SETBACK FROM
/l O P OL ,Q 906 FRONT PROP. LINE OF / �� �'d� (STREET)
OWNER ! TYPE OF EXISTING SETBACK HIGHWAY +� YARD = TOTAL
ADDRESS 161 �] U N HIGHWAY WIDTHF.OMM/CCCL. -1
10 0
CITY Q. GJ 1 BLDG. SETBACK FROM
ARCHITECT OR TEL. BIDE PROP. LINE OF (STREET)
ENGINEER (} NO. TYPE OFEXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS / HIGHWAY WIDTH FROM C.L.
CONTRACTOR � QE ��OL `b O + = OV
ADDRESS /{/ NO G CORNER CUTOFF YES NO O
CITY LL SEE REVERSE SIDE FOR SPECIAL APPROVALS V
W
DESCRIPTIOA OF WORK
NEW "< ADD ALTER REPAIR DEMOLISH
SQ.FT. NO. OF NO. OF
SIZE %� STORIES FAMILIES 11 T�_
SUSE OF H TRUCTURE - ..(1 L'` `V LI v I AIG QM_ A 'FS -Ar"c&)
2b 41
SIGNATURE OF J / / 4-/CF-[a r, R- a f Ah '(+(•J�AAM U
APPLICANT �� l l C
VALUATIONS
�3o D
t
APPROVALS DATE INSPECTOR'S SIGNATURE
F.C. o-O PMT. - [}U FOUNDATION, LOCATION -�� GZc.tq / .ES ✓
PEE$ —+ FEE [p FORMS, MATERIALS _ (_C.I
FRAME, FIRE STOPS, (( I � //
I HEREBY AC K NOWLEOGE THAT I HAVE READ THIS APPLICATION BRACING BOLT �'W- /!�f f.("
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 l0'J IRI
9UILDING CONSTRUCTION, I CENT,FY THAT IN GOING TME WORN -
AUTHOR IZEO HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT. S-�L`�� fi
1
TION OF THE LABOR COOC OF THE STATE OF CALIFORNIA RELAT.
ING TO WORKMEN ZE ATION INSU ANCE. f /
LATH. EXT.
SIGNATURE OF HOUSE NUMBER COR- -�7 ( 1 '
PERMITTEE- RECT AN.
POSTED yf- �E'
ADDRESS A h4 4EA44L" FI NAL
JOHN F. LEMS. PRINCIPAL STR URAL ENGINEER
PLAN CHECK VALIDATION cH. N.O. CASH PERMIT VALIDATION cH. M.O CASH
(.,j[;o E 0 9 1:o FEB 1 .2 3� 3 2,00A �
,�j: p Ll i''U 5G' '-UT; ' g 1 0 6 4.0 0- v
WORKl±RS"CO,�ENSATIONI DECLARATION
`H hereby,(.1 m'-Ihat l+have a certificate of consent to self //p�� M FOR
OR I�I��I��1/l�� D �F�} D //���
inure, or'�:ertificote of Workers' Compensation Insurance, �lrq��O U V '11 �0U 'LJ���D�KID`
V P IS PI1 V 11��
or'o certified copy thereof(Sec. 3800, Lab. C.) _ COUNTY OF LOS ANGELES BUILDING.AND SAFETY
Policy No.WP6 S3gompany . le(_, \/ I✓ISat�'wrCLo - ,-'
® Certified copy is hereby.furnished.. FOR APPLICANT TO FILL IN BUILDING •�� /� d
ADDRESS
❑ Certified Copy is filed with the county building inspec- BUBDi SS 9 ^
tion deportment nn ADDRESS piA� t �
Dcite, 2 .('/j-�� Applicant'A4,;Y An<iF O, l�• lVl✓( CITY :t4-
COMPENSATION
Q C(T ZIP LOCALITY
CERCER I� �T FICA E OF EXEMPTION FROM WORKERS' NO. OFBLDGS.- NEAREST t
t` •• COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS Si.
(This section need not be completed if,the permit is for one - - ASSESSOR -
hundred dollars ($100)or less.) , TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL
\ TEL. t Z NE MAP '
I'certify Ihal.in the performance of the woik for which this OWNER q. 'VQ CrN R' NO >_
permit is issued, I shall not employ any person in any manner �T K SPECIAL - - - d
so��asto became subject to the Workers'Compensation` Lows. ADDRESS �os� Co.4 S S�' - CONDITIONS O
Diel Applicant O'[Q1(J40,j-c \ �U/V1 CITV 2 t ZIP -
NOTIC TO APPLICANT:'If, after making this Certificate of ARCHITECTOR A TEL, DISTRICT GROUP, 1YPE FIRE PR SED BY
Exemption, you u should become subject to the Workers" - ENGINEER ✓tv c��C O. �,/ CONST. i I ZON1
Compensationc plywith
such of the Labor Code,,permit
s t forth- r
Up V W
ADDRESS
with comply with such provisions or this permit shall be - - N
IL
deemed revoked.. _ TEL STATISTICAL CLASSIFICATION APT. ONDO. - g
CONTRACTOR 1 C - LJN ® �f /-HSG _ 14
LICENSED CONTRACTORS DECLARATION '�] I.C. _ CLA55 NO. � DWELL UNITS_
hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS/YS I (q SK d ,a VP_ NO. °f G S SEWER MAP t
(commencing with Section 7000)of Division 3 of the Business and _- . _ - LIC T� q ,
Professions Code, and my license is in full force and effect. CITY t 1N CLASS S 1 BK -PGVALIDATION
_ SO. FT. NO.OF NO.OF CHECK
License Number�/Z 33 G�• Lic.Class t 6 / SIZE STORIES FAMILIES 51,.14 ONE
• \ ❑ , VALUATION /,a2✓Qc�
Contractor• 1. Wl of✓d - Date�� 3 DESCRIPTION OF WORK o - ..
NEW .
ADD ❑ $
❑ I am exempt under Sec. .,c '7 1]u Q rtv- D
ALTER -
B.BP.C. for this reason I ' ss A 1w41 46,PAiR $ - - -
Dot : USE DEMOL El
BLDG.
-- sig notur APPLICANT - TEL.- FINAL
OWI WE D RATION PRINTAtr .•t Nc{FJ(B) r- • .DATE
..I.hereby affirm twing hat I am exempt r m the Contractor's License '
Law for the folloreason ( ction 7031.5, Business and ADDRESS r-1 c u ti w lbFIN ;2 3'5'9,6 A
"Professions Code): - - PRESENT
` / s # a e l
❑ BUILDING • • •_ 1, as owner of the property, or my employees with ADDRESS
wages their sole compensation;will f o the work and a
the structure is not intended or offered for sale(Section LOCALITY ( •,1 4 a6 3 '
7044, Business and Professions Code). MOVING TEL. - -- - -
I, as owner of the property, am exclusively contracting CONTRACTOR NO.
_ _ _ _ • • 1 4 3 6 3 csa_
with licensed contractors to construct the project (Sec- ADDRESS - �
tion 7044, Business and Professions Code). 12 04 -8 5
REQUIREDTOTAL SETBACK FROM I
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE I WIDTH I - - - �
I hereby affirm that there is a construction lending agency for FRONT
the performance-of the work for which this permit is issued -- P.L.- - - - - - - - - -
(Sec. 3097, Civ. C.). SIDE
Lender's Name -
1
LDMA Ref. W
m Lender's Address - - - P.C. Fee$• - - Perm it Fee• 3l 1 - '
/,
I certify.that have.read this application and state that the _ Issuance Fee z.l i LDMA P/C N
above information is correct. 1 agree to comply with all County Investigation Fee r / '
ordinances and State laws relating to.building construction, Total Fee -3 LDMA Perm. R - - - - - - ---
v-
and authorize represent ives of this County to enter
m upon a above-mentioned pro4,tirty for inspection purposes. -
z SEE REVERSE FOR EXPLANATORY LANGUAGE ,
Signature of APPIic nt Agent
COUNTY OF LOSANGELESTEMPLE- CITY 4 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0508100044
PHONE: (626) 285-0488 EXT: ..
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
IS: 29569 LT: 21 SQ. FT STORIES TYPE 5226 DEGAS AV
STRUCTURE: 1900 VN TEMP CA 917803321
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8585-003-051 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 06/10/05 VG 08/05/06
OWNER: TEL. NO: BL➢GS. NOW ON LOT: VALUATION: FINAL DATE vXBY: CODE:
LA BRADO DANIEL L;PATR ICIA S (626) 579-2008- j 3.800 ��R'CIC
5226 DEGAS AV
TEMP 917803321 FEES PAID DESCRIPTIO R
REROOF OVER EXISTING 1 LAYER WITH COMP SHINGLES
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT:
APPLICANT: TEL. NO:
LIGHTHOUSE ROOFING AND REPAIR (626) 447-2826- AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 3800.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/0 EN-RC 3800.00 VAL 115.80
TOTAL FEES 144.05
- CONTRACTOR: TEL NO: APPROVALS DATE INSPECTOR SIGNATURE
LIGHTHOUSE ROOFING AND REPAIR (626) 447-2826-
6601 GOLDEN WEST AVE LIC. NO LOCATION AND SETBACKS
ARCADIA CA 91006 751595 C39
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS -
LIC. NO: SLA$/UDDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: - UNDERFLOOR INSULATION
XX 3 01
FLOOR SHEATHING
NO. OF FAMILIES: ➢WELLING UNITS: ART/COND: STAT CLASS:
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
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 T0: BS0508