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Home My Public Portal About4903 DOREEN AVE_Building__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT e DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS DEMOLITION BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0104020013 PHONE: (626) 285-0488 EXT: (LEGAL D: NO. OF CONST BUILDING ADDRESS: TR: 13645 LT: 51 SQ. FT STORIES TYPE 4903 DOREEN AV STRUCTURE: TEMP CA 917804117 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA 8585-024-037 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: SFR USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 04/02/01 UT 09/29/01 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: PHUOC, LE V (626) 813-9285- 0 4903 DOREEN AV �17T //7� I) o;IQ' O of TEMP 917804117 FEES PAID DESCRIPTION OF WORK DEMO OF SFR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 02 DEMOLITION INSPECTN 163.50 SPECIAL CONDITIONS: -TOTAL-FEES 191.25 CONTRACTOR: TEL. NO: -�.%�j -�'i�„ APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO ��' �� r: \ � � PEDESTRIAN PROTECTION r ' SEWER DISCONNECTION ARCHITECT ORENGINEER: TEL. NO: ABANDON PRI ATE DISPOSAL LIC. N0:' 1_; - \ UNDERGRND S RUCT REMOVAL _ i LAND SOIL RECOMPACTION AP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: rr - XX 101.i 1 N0. OF FAMILIES: DWELLING UNI APT/GOND:-STATCLASS. - - - - - NO 23 SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO - 'ServiceT'n? r REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT - DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT - .TEMPLE CITY CA 91780 - ' BL 0508 0108030016. PHONE: (626) 285-0488 EXT: LEGAL D: 0. 0 CONS E - BUILDING.ADDRESS: TR: 13645 - LT: 51- - SQ. "FT STORIES TYPE - -OCCUP GROUP. 4903 DOREEN-AV STRUCTURE: 1418 1 VNL ' _ R3- TEMP�CA,917804117 - ASSESSOR INFORMATION NUMB GARAGE: - - NEAREST"CROSS STREET LOWER.AZUSA - 8585-024-037 .• 'I G OTHER: - 32 1 VN U1 THOMAS PAGE:.597 GRID ;C4 LOCALITY. TEMPLE CITY TENANT:- !: N9i . EXIST BLDG USE:. .. SS ON:. PROCESSED E ON: EXIST OCC GRP, - - 12/26/01 " JK 06/24/02 OWNER: '- ,= TEL BLDGS. NOW ON LOT: VALUATION: FINAL.DATA_ __, � BY CODE: OWNER: - (626) 3500-6798 P 112,000 - - 4953 DOREEN AVE. _ _ - TEMPLE CITY 91780 - — FEES PA D ESCR 0 Q - . ?il[L"- _ - 1418SF ADDITION (FAMILY RM,2 BEDRMS,2 BATHS,NEW-PORCH), -' FEE DESCRIPTION: QUANTITY: LION: AMOUNT: REROOF ENTIRE HOUSE AND GARAGE WITH TILE -(ICBO#4660) APPLICANT: L. NO:. i SAME ASOWNERB1 PLANCHECK W/ENERGY 70000:00 VAL 933.92 i 1 1 1 . - - - AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: " AC STRONG MOTION'RESID. 112000:00 VAL 11.20 B1 PLANCHECK-'"W/ENERGY. 112000.00 VAL 345.16 - B2 PERMIT-W/ENERGY 112000100 VAL 1,504.80 CONTRACTOR: TEL. N0: - -� TOTAL FEES. ' . 2,822.83 APPROVALS DATE. INSPECTOR SIGNATURE SAME AS OWNER - - LIC. NO U6UTIOM AND SETBACKS SOILS ENGINEER APPROVAL - ARCHITECT OR ENGINEER: TEL. c '1 OUN A 0 E H S THAN, KEVIN - (626) 401-91837 12028 CELINE ST LIC. NO: iS AB/UNDER FLOOR EL MONTE CA 91732 NONE - - • -`1 - _ RAISED FLOOR FRAMING .. MAP;NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION , - . 3 OL - T51 LEVEL FLOOR SHEATH - NO. OF FAMILIES: DWELLING UNITS: AP COND: S A SS: _ NO 21 - ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALSNO ,NO - NO - FIRE DEPT. FRAME INSPECT R n=D TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: - PROP LINE: ".WIDTH: - - - - - - - - FRONT PL- - - - _ - SHEAR PANELS - .. SIDE PL- INSULATIDN/WEATHER STRIP INTERIOR LATH/DRYWALL . - - •' (:-'_ - .. XTERIOR .A . . LOT DRAINAGE SMOKE.DETECTION DEVICES f:i(!:'. - FIRE DEPARTMENT APPROVAL .1 _ REPORT ID; DPR261ROUTETO: BS0508 - x, . • 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 BL 0508 0111080037 PHONE: (626) 285-0488 EXT: LEGAL 10. CONST BUILDING ADDRESS: TR: 13645 LT: 51 SQ. FT STORIES TYPE 4903 DOREEN AV STRUCTURE: VN TEMP CA 917804117 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA 8585-024-037 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY TENANT: E S DG S S D USE ZONE: R- ISSUED ON: PROCESSED S ON: EXIST OCC GRP: 11/08/01 JK 05/07/02 OWNER: TEL. O: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: 1235 wC (626) 813-9285- 800 // �� 1235 N. SERVICE AVE / WEST COVINA, CA91790 FEES PAID DESCR ION O� - C/O 6 WINDOWS FEE DESCRIPTION: QUANTITY: U M1: AMOUNT: APPLICANT: T NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID.. 800.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/0,EN9HC - -1800.00 VAL 65.40 -TOTAL-FEES 93.65 CONTRACTOR: TEL. N0: � CJ/��— \J!1/� ��- APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO ,/(., �. ♦. LOCATION BACKS s � SOILS ENGINEER APPROVAL ; ARCHITECT OR ENGIN TEL NO: ji OUN AT 0 FORMS , TRAN, KEVIN (626) 401-9183-j _i j 12028 CELINE ST LIC. NO: 'f { r-. - SLAB/UNDER FLOOR .5 EL MONTE CA 91732 NONE �� - - • :R'r -_ L . i_ L RAISED FLOOR FRAMING r MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: � 'RFLOOR 3 01: INSULATION 144H273 S TL_01)R SHEATH G 1� NO. OF FAMILIES: DWELLING UNITS: AP /COND: STAT L A c- -- -- - - - - -- - - NO 21 •� - j� - % _I / ROOF SHEATHING SCHOOL WITHINHA ARDOUSSHEAR- PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO / _ " !,� sir FRAME INSPECTION F// GIW REQUIRED L SETBACK FR IST 0�•96G\_\ `/ �(i'��^/I FIRE SPRINKLER HANGERS SETBACK YARD: HWY: PROP LINE: WIDTH: ww FRONT PL- INSULATION/WEATHER STRIP —(vice SIDE PL- INTE�RIOI-LATH DR ALL EXTERIOR LATH RATED FLOOR/CELL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: 850508 WORKERS'COMPENSATION DECLARATION hereby affirm that I have a certificate of consent to calf Ql�pdp'C � 8��1.. �� BUILDING p�Q �� insure, or a certificate of Workers'Compensation Insurance, or acertified copy thereof (Sec.3800, Lab. C.) tom` - - - �` ��CopaCny �Y�C COUNTY OF LOS ANGELES BUILDING AND.SAFETY Policy No Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING x e f� Certified copy is filed with the county building inspec- BUILDING- ADDRESS e 6 tiomdep tment. ADDRESS LOCALITY _ NEAREST Date ppIt _ CITY ZIP CROSS SL .•7'�<A�7 �/s -.� - RTI LATE OF EXEMPTION FROF{ ORKERS'• NO. OF BIDGS.'• - ASSESSOR ,. COMPENSATION INSURA SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL' .(This section need not be completed iVthe permit is�for one '- K - ++ USE ZONE TRACT BLOCK LOT NO 1 NO. - ro U:/O- hundred dollars ($100)or less) � -' :, 'n . TEL. ' - / 'SPECIAL } I certify that in the performance of the-work for which this OWNER NO / CONDITIONS 1 Permit is issued„I shall not employ ony person in any manner. t-. DISTRIC[ .GROUP TYPE FIRE- PROCESSEQ BY O so as to become subject to the Workers'Compensation's Laws. ADDRESS (' CONST ZONE tJ -, J ltd ./rl/!. Date Applicant CITY ZIP STATISTICAL CLASSIFICATION APT, ICONDO. O NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT O TEL- Exemption, you should, become subject to the Workers' ENGINEER NO. CLASS NO. •-� DWELL. UNITS_ a Compensation provisions of the Labor Code, you must forth- N with,comply with such provisionsADDRESSthis permit shall be ADDRESS. SEWER MAP / Z deemed revoked: - CONTRACTOR ' N6. BK LPG,�a{� VALIDATION ' LICENSED CONTRACTORS DECLARATION ` LIC. , - hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS ( ” siqNO. VALUATION pO • (commencing with Section 7000)of Division 3 of the Business and LIC. - / Professions Code, and my liceri'e is in full force and effect. CITY CLASS $ Q �(� 1 SQ. F v NO.OF NO. OF CHECK D License Numb'r 7�'S('� I-� Lic Clossa SIZE STORIES ` FAMILIES ONE ,l 1 DESCRIPTION OF WORK EW ❑ $ t' ' Contractor Date rt ADD I am exempt under Sec. // ALTER ❑ FINAL ��/ B.BP.C. for this reason I CG'10 »/�?;S, �7 REPAIR ❑ DATE t0 Date: US F ❑ DEMOL L.. FINAL :280 8 8 A_ EXISTING BLDG. C - `• By %_- Signature - APPLICANT - ,#,• e.°•� 2 1 OWNER-BUILDER DECLARATION. - PRINT NO. /�9 Thereby affirm that I am exempt from the Contractor's License' I x 2 0 0 2 Q,3 6 Law for the,following reason (Section 7031.5, Business and - •I ADDRESS Professions Code):- PRESENT. -- - , - 'o a "e 2.iLZ 6 c=a ❑ - BUILDING . . .- .•T I, as owner of the property, or my employees with ADDRESS 12 O 6-82 ' wages as their sole mmpensation,.will do the work'and - - _ - ,the.structure is not intended or offered for sale(Section r LOCALITY 7044, Business and Professions Code). MOVING TEL. ,0 - I, as owner of the property, am exclusively contracting CONTRACTOR NO, A with licensed contractors to construct the project (Sec- ADDRESS # • s'e e s tion 7044, Business and Professions Code). _ REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTIONisaco LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH _ __ - 21° 9 J�2 O O - I herebyFRONTthat there is a construction lending agency .. FRONT the performance of the work for which this permit is issued P.L. D e o•e 52000=- Sec. 2 O O 0=- (Sec. 3097, Civ:C.). �/� Q SIDE Lender's Name - `L1! \^-�` P. L. - - 12 O'6—,8 2 Lender's Address P.C. Fee$ r-J - Permit Feed - 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 tioi g ordinances and State laws relating'io building construcn, - lY Toral'F and hereby authorize representatives of this County to enter ee r upon the above-mened property for inspection p rpos • SEE REVERSE FOR EXPLANATORY LANGUAGE ®s " `& nmu Applicant or Agent