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Home My Public Portal About4817, 4807 DOREEN AVE_Building__ <' APPLICATION FOR BUILDING PERMIT ' I UILDING �' FOR APPLICANT TO FILLADDRESS / BUILDING ADDRESS LOCALITY NEAREST CITY/ ZIPCROSS ST. L NO.OF BLD - ASSESSOR SIZE OF LOT NOW ON LOMAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE OCE DBY TRACT BLOCK L . '� CONST. Z - ., I -OS 3 V l OWNER I ;' ` STATISTICAL CLASS(F,,I�SCAT,�I/�ON SEWER MAP ADDRESS CLASS NO._(_DWELL.UNITS' �— BK3 5PG CITY ZIPUpSE/ZONE NO, / U� U ARCH ECTOR - 'M ECIAI' ENGINEER - /� NDITIONS 'f ADDRESS , - ROAD DEPARTMENT APPROVAL REQUIRED VES ❑ No El CONTRACTOR .(� ( BLDG.SETBACK FROM /� I F RONT PROP.LINE OF C�a- ,-c✓ (STREET) ADDRESS CIP G' - TOTAL SETBACK FROM TYPE OF EXISTING' HIGHWAY + YARD = ,FRONT PROP.LINE HIGH WAV WIDTH CITY /71 U - - - CON5TRUCTIONLENDER - _ + 0 NAME AND BRANCH _ BLDG SETBACK FROM0ADDRESS CITYSIDE PROP.LINEOF (STREET) SOFT. - NO.OF NO.OF CHECK. . HIGHWAY -+ YARD = TOTALSETBACK FROM -TYPEOF EXISTING w SIZE STORIES FAMILIES .ONE SIDE PROP.LINE HIGHWAY WIDTH N DESCRIPTION OF WORK � �/ � EW E + ' = Z d ADD ® CORNER CUTOFF YES ❑ NO ❑ ALTER IN OPEN SPACE I YES ❑ NO ❑1 'REPAIR ❑ ESE OF BLDG. _ - DEMOL ❑ IN COASTAL PERMIT ZONE YES. ❑ - NO ❑ APPLICANT TEL (PRINT N Ci BY(SIGNATURE(- HEREBY ACKNOWLEDGE THAT E READ THIS APPUCA ON AND STATE ' THAT THE ABOVE IS CORRECT AND AGREE i0 COMPLY WITH ALL ORDINANCES ` AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE. -4 •T. " +�. 4ti .+; WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM. -- - - PENSATION INSURANCE. SIGNATURE OF FINAL Y11 BY '.� (•�� PERMITTEE DATE ADDRESS TEL P.C. Fee 8 Permit Fee CITY NO 7 - \ ♦ - LSs.once Fee - - VALUATION� �QQ X11. ., - s— � Total*' Fee � :+PLAN CHECK VALIDATION 'CK. CN. I3.o. cwsH PERMIT VALIDATION I M.O. CASH 6, 4 ,4�AUG a3 1 U 11 5.00Ad (dS 7SA6383 CE F803B 8/77 I r) : APPLICATIONfF'OR BUILDING PERMIT 'l r.O.R ,LICANT TO FILL IN (P.In1 or 1v oo,o�lY1 BVI LDI NG COUNTY OF LOS ANGELES A00Ress/ '7 X1' 0gS'r DEPARTMENT OF COUNTY ENGINEER CITY` f� - l' 7 ZIP BUILDING AND SAFFY) DIVISION ' NO.OF BLOCS. BUILDING SIZE OF LOT NOW ON LOT etI ADDRESS / TRACT ^BJLLOCK L T NO, LOCAL) TEL NEARES-r- OWNER Q A / + NO.LJ _ ,� CROSS ST. ,Q../✓ ASSESSOR ADDRESS 0,PZMAP BOOK PAG PARCEL _ DISTRICT GROUP TYPE FIRE PRO SED BY CITY ZIP CONST. 20NE ARCHITECT OR TEL. ENGINEER NO. STATISTICAL CLASSIFICATION SEWER MA _ ADDRESS .CLASS NO.4-24DW E L L,U N I TS �B� PG TEL. CON TRA CTO `AIB/ 9�. USE ZONE MAP NO. 0 V ADDRESS L /�.�u NO. 1 -1d0 CONDITIONS CITY LIC. �U U •N L CLASS ROAD DEPARTMENT APPROV REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH 10 Lt/ v E jq BLDG.SETBACK FROM .T FRONT PROP.LINE OF ISTREETI ADDRESS CITY HIGHWAY } YARD - TOTAL SETBACK FROM TYPE OF EXISTING U Sp. FT. NO. OF NO. OF / CHECK FRONT PROP. LINE HIGHWAY WIpiM Et SIZE (/ STORIES / FAMILIES / ONE O DESCRIPTION OF WORK NEW ❑ } +>— ✓ V W [L ADD BLDG.SETBACK FROM y fLV . ,rYl s ✓1'I SIDE PROP, LIN LINE OF )STREET) ' Z ALTER ❑ HIGHWAY } YARD - TOTAL-SETBACK FROM TYPE OF EXISTING REPAIR❑ SIDE PROP, LINE HIGHWAY WIOTH USE OF E"ST"G BLDG. DEMOL ❑ } APPLICANT TELCORNER CUTOFF YES ❑ NO ❑ (PRINT) .ND. BY (SIGNATURE_I •IN OPEN SPACE YES 13NO ❑ 11 Q ^ IN COASTAL ZONE YES ❑ NO ❑ VALUATION$ V p try CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL Y AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- 'STRUCTION. I CERTIFY THAT INDOINGTHE WORK AUTHORIZE 0 IMPACT REPORT PpOCE SEO (�AiE7 HEREBY I WILL NOT EMPLOY ANY 'PERSON IN VIOLATION OF THE ; �J q LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO /4- 7 WORKMEN'S COMPE A NINSURANCE. 4 SIGNATURE OF PERM I T T E ADDRE/ FINSL CITY �J•—VYI�cLJ NO. DATE y JLIKE CHECKS PAYABLE 7Or FEE $ FIAT FEE S HARVEY T. BRANDT. COUNTY ENGINEER .1 PLAN CHECK VALIDATION O, VO. SASH _ '� J' PERMIT VALIDATION =N. M,o. DASH f x , 3042 -5 SEP L{ 1 D 69.00 76A63BA CE A80312/72 WORKERS COMPENSATION DECLARATION t - .-tO': ):`;:;t1 •-� _�,� .r�` 'r L1_. .- Com.v_- _ _._._�.._.. -.t .. .. hereby affirm that I. hover certificate of consent to self APPLICATION FOR ;PkkiL'DING PERMIT , insure, ora certificate i f Workers Compensation Insurance, or certified the (Sec'3800, Lab. C ) - - `" , _ - .. "' " - - '-'" " ` - -- - L •- - t• • • • , COUNTY OF LOS ANGELES + 1BUILDINGAND SAFETY ,.•..t PolicyNo •_ 'Company Certified co is hereby,furnished:• . - t BUILDING Q Pv y FOR APPLICANT TO FILL IN ADDRESS p I / BZL2k Certified copy is filed with the county building inspec- BUILDING - t 'tion'deportinent. - ADDRESS 19/ /'K„e C. t t Date . x On -'Applicant - li - CITY ZIP LOCALITY• f "CERTIFICATE OF EXEMPTION FROM WORKERS' �•" `- . '- - - NO.OF BLDGS- NEAREST._ ZE OF LOT NOW ON LOT /. CROSS ST. LCOMPENSATION'INSURANCE SI (This sectionneed not he completed if thepermit issfor'one TRACT. - ✓d S• BLOCK LOT NO. J MAP BOOK" ! 'L - PAGE.- PARCEL •^ ' t ASSESSOR hundred dollars ($100)or less.) ` �• - 'i. OWNER - ACE " " NO.� oL�YS U ZQNE MAP D 1 - certify that in fhetperformonce of the•woik for whi"Ch this I NO. ' permit Is issued, 1 shall not employ any person in any manner ^^ SPECIAL ---• �-•+ - - - - - 1 so,os'to b6corne subject to the Workers Compensation Laws. ADDRESS- L 'N r'<-{ h- 'TJ-L CONDITIONS r• .r V CITY_ .T ZIP... Date - APPlicont '. .. - - _ _ _ O NOTICBTO APPLICANT If; after making this Certificate of ARCHITECT OR iEL. ,.DISTRICT.. GROUP TYPE _ FIRE„'. PRO SSEO.BY s F Exemption, ou should become subject' to the•Workers' '- ENGINEER ' ' NO. �)XY pLD CONST t ZONE 1 V Compensation provisions.of the Labor,Code,,you,must forth ADDRESS -Sr✓U_ '`�� - • . , --r y with comply with such provisions or. This permit shall be . -y- - - -- - - - - - tEl - - STATISTICAL CLASSIFICATION - APT. CO O. t.Z deemed revoked.. CONTRACTOR rl S'An NO. 3- � f LICENSED CONTRACTORS DECLARATION r - -- - - - LIC, - --`-- CLASS NO.�DWELLf'UNI75 d 1 I hereby affirm that I am licenseunder.provisions of Chapter 9 ADDRESS C NO. t (commencing with Section 7000)of Division 3 of the Business and _ CITY' .. . Lig, _ SEWER MAP t �^ Professions Code, and my license is in full force andff 'eect. CITY CLASS ' 3� ^.'BK; -' PG -- "- VALIDATION SO. FT. _ NO.OF NO.OF-�_ _ _CHECK - - , SIZE STORIES I' FAMILIES ONE License Numbef Lic Cla rs t"'t l VALUATION. _ t r ., DESCRIPTION OF WORKAJ 1 NEW 0 Contractor •' - !'Pate :TC`�P n-- $ O 1 ADD I am exempt under Sec. -1.tr -'d , ALTER, ,2.1.5 6_2 A.'• . B.BP.C. for this reason -, t - $ O e� ,REPAIR. •$ Date: USE OF z i/! �� Y � DEMOL ❑ #.•'• a s • 1 T EXISTING BLDG, - --- Signature- _ " - - - -- APPLICANT rEL. FINAL--l7_ _.� ',.L+ ..3 3.0 0. OWNER-BUILDER DECLARATION PRINT). NO. _ .DATE/ - f- — - - i herebyoffirmahat.I am exempt from the Contractor's License - - x p ADDRESS. L L t FINAL I' • • • vJ-a 0 0 0 Law for the 4ollowing.reason (Section 7031.5, Business and 'Professions Code)"' PRE N BY - - - " 0 2 1 9 5 BUILDING - -,8 I, as owner of theproperly,:or my employees with ADDRESS es wagas their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY '-^--7044;Business and Professions'Code) ' " - '-- — MOVING ' ' -' - TEL•. - - ,' _ " I, as owner of the property, am exclusively contracting CONTRACTOR NO. - t -❑' -with licensedcontractors to construct the projecY(Sec- ADDRESS __ ' tion 7044, Business and Professions Code). - -t - - CONSTRUCTIONLENDINGAGENCY - SETT BACK YARD -HWY. "IOTA PROFLINEF M WIDTEXISTH - • I hereby affirm that there is a'construclion lending agency for FROM ` - z-lhe performance of the work for which this permit is issued - - P.L. (Sec. 3097, Civ. C.). SIDE P.I. .. . Lender's Name _ - - jl t LDMA Ref. # P.C. Fee$- - .. Permit Fee Lender's Address _ ave information i read this application and statell County _ __ _ __._ - - - - Issuance tea- - � LDMA P/C.# -- - - - - --- a above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee - -LDMA'Perm. # - -- --- ^ - ' - d and hereby authorize representatives of this County to enter - r mu on the above-mentioned property for inspection purposes. v ^ _ - SEE REVERSE FOR EXPLANATORY LANGUAGE - -Stgnmureof Applicant ar A9apDaie •" - _ __._- _�.- WORKERS'COMPENSATION DECLARATION I hereby affirm that I havecertificate of consent to self APPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lob. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY I Policy No. Company BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with the county building inspec- BUILDING _' l tion department. ADDRESS i S LOCALITY I NEAREST CITY ZIP t CROSS ST .Date Applicant CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. ASSESSOR a COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT U EPS 00X NE MAP PAGE PARCEL 0 (This section need not be completed if the permit is for one TRACT I BLOCK I LOT NO. NO. -hundred dollars ($100)or less.) m � TEL SPECIAL � I certify that In the performance of the work for which this OWNER - /.+ r°1 NO. _ CONDITIONS LL permit is issued, I shall not employ an person in an manner _T DISTRICT GROUP TYPE FIRE PROCESSED BY P P y yP y ADDRESS ` �'+/!� CONST. ZONE < so as to become subject to the Workers'Compensation Laws. - Q CITY : "� ZIP '..� Date Applicant STATISTICAL CLASSIFICATION APT. CONDO. O NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT ORS . ^ r Q. Exemption, you should become subject to the Workers' ENGINEER 1 G. CLASS NO. DWELL UNITS_ w Compensation provisions of the Labor Code, you must forth- ADDRESS 'v SEWER MAP r with comply with such provisions or this permit shall be TEL deemed revoked. CONTRACTOR ! NO. BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION - LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 1 f NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. / i _. Professions Code, and my license is in full force and effect. CITY _ ;6'f CLASS T oilSQ. FT. NO. OF NO. OF CHECK License Number t t/Liic.Class SIZE STORIES FAMILIES ONE E Contractor .k.roate - DESCRIPTION OF WORK'- NEW 11 , 11 .., Li : s '* ADD I am exempt under Sec. ALTER ® FINAL B.BP.C. for this reason REPAIR ❑ DATE Date: USE Of -r---y(-- DEMOL FINAL r ; EXISTING BLDG. / ❑ By Signature APPLICANT c_ OWNER-BUILDER DECLARATION / - PRINT NO I hereby affirm that I am exempt from the Contracror's License ' 1 -:�;, PON.gODRE55 Low for the following reason (Section 7031.5, Business and Professions Code): .- ❑ ' BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and LOCALITY • + . the structure is not intended or offered for sale(Section ` 7044, Business and Professions Code)," MOVING TEL I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS CONSTRUCTION LENDING AGENCY YARD HWY tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST SET BACK PROP. LINE WIDTH , I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.I. (Sea 3097, Civ. C.). ',L SIDE P.L. 7. Lender's Name S P.C. Fee E I Permit Fee ' Lender's Address I certify that I have read this application and state that the Issuance Fee above information is correct. I agree to comply with all County Investigation fee ordinances and State laws relating to building construction, Total Fee G and hereby authorize representatives of this County to enter upon the above=inentioned�roperty for inspection purppses. SEE REVERSE FOR EXPLANATORY LANGUAGE 4 Signature of Applicant or Agent Date ®a WORKERS'COMPENSATION DECLARATION ( T hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT lav1; insure, or a certificate of Workers'Compensation Insurance, or o certified copy thereof.(§ec. 3800, lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company r Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ADDRESS Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS Dale Applicant CITY , ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' No.OF BLDG$. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one ASSESSOR hundred dollars ($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL TEL' USE ZONE) MAP I certify that in the performance of the work for which this OWNER NO. GJ NO i _ permit i5 issued, I shall not employ any person in any manner ADDRESS '� SPECIAL GN$ 0 so as to become subject to the Workers'Compensation Laws. _ W Date Applicant CITY ZIP LL NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY } Exemption, you should become subject to the Workers' ENGINEER NO. CONST, ZONE Compensation provisions of the Labor Code, you mustt forth. ADDRESS L with comply with such provisions or this permit shall be TEL: _ STATISTICAL CLASSIFICATION APTDO.. CO O deemed revoked. CONTRACTOR ,NO, N d LICENSED CONTRACTORS DECLARATION LIC, CLASS NO. DWELL. UNITS_ w I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS ` - - _ NO, F (commencing with Section 7000)of Division 3 of the Business and tic r SEWER MAP Professions Code, and my license is in full force and effect. CITY CLASS - ' ' BK PG VALIDATION f / 50. FT. NO.Of NO-OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE VALUATION Contractor Date - DESCRIPTION OF WORKNEW ❑ S _ ADD oil.I am exempt under Sec. ALTER 8.8P.C. for this reason � REPAIR 9 ,. • . Date: USE ❑ . EXISTING BLDG. DEMOL Signature APPLICANT r- NO FINAL • . OWNER-BUILDER DECLARATION PRINT)-' - NO. DATE _ I hereby affirm that I am exempt from the Contractors License - '•r- Low for the following reason (Section 7031.5, Business and ADDRESS FINAL Professions Code): By BUILDING ADDRESS - - - I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and LOCALITY ' the structure is not intended or offered for sale(Section 7044, Business and Professions Code)— MOVING TEL. 1, as owner of the property, am exclusively contracting CONTRACTOR NO. .. with licensed contractor to cthe project (Sec ADDRESS tion 7044, Business and Professionsssions C Code). w • « • • r CONSTRUCTION LENDING AGENCYREQUIRED YARD HWY TOTAL SETBACK FROM EXIST SET BACK PROP. LINE WIDTH I hereby affirm that there is o construction lending agency for FRONT j is • ` •• the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ, C.). SIDE - -- • • - o ' P.I. Lender's Name $ TCFdCS P4TRR1•fe� [- n:'j-j i.• LDMA Ref p -s- �... ,: •• Lender's Address r ff. • ' I certify that I have read this application and state that the Issuance Fee LDMA P/C M ? a above information is correct. I agree to comply with all County Investigmion Fee ordinances and State lowsrelating to building construction, Total Fee f/te• LOMA Permk and hereby authorize representatives of this County to enter $ upon the above-mentioned properly for inspection purposes. u - A SEE REVERSE FOR EXPLANATORY LANGUAGE Signalure of Applicanl o.Agent Date n' :r . COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9810200068 PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 13645 LT: 44 BL: .001 SQ. FT STORIES TYPE 4817 DOREEN AV STRUCTURE: 0 VN TEMP CA 917804140 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA 8585-024-029 THOMAS PAGE: 597 GRID: C5 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE ZONE: R-I ISSUED ON: PROCESSED BY: EXPI ES-ON- EXIST OCC GRP: 10/20/98 UT 10 6/99 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATEFINAL BY: 19 CODE: SENG BORY;PHE BORAVY - 1 2,000 „9qQ 4817 DOREEN AV 11- 0 TEMP 917804140 S PAID DESCRIPTION OF WORK INSTALLATION OF 5 NEW DOUBLE-PANE WINDOWS FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. N0: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID-,2000.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC7--2000:00 VAL 82.20 PNGElETOTAL,-FEES 110.45 CONTRACTOR: TEL. NO: Q� ��/,. APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - �. J• LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGI ER: TE . N0: ( FOUNDATION/TRENCH FORMS LIC. N0: _ J 1111111 SLAB/UNDER FLOOR RAISED FRAMINGFLOOR � MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: I I ^^ \C� ) UNDERFLOOR INSULATION 144H273 3 01 \"J liu�lNJ 1 FLOOR SHEATHT17GT O. OF FAMILI DWELLIN N S: ITS: APT COND: STAT CLASS:NO 21 /J' (j _ ROOF SHEATHING y }-oil SCHOOL WITHIN HAZARDOUS SHEAR P NELS AIR QUALITY: 1000 FEET MATERIALS %P NO NO NO FRAME INSPECTION SETTUBACK YARD: HWY:IRED TOTAPROP T LINE:CK FROM WI IDTH. 46� 'C e�ot`� FIR SPRINKLER HANGERS FRONT PL- S@rVICe-rha INSULATION/WEATHER STRIP SIDE PL- INTERIOR LA DRY ALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508