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Home My Public Portal About5116 DOREEN AVE_Building__ 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 91760 BE 0508 1204040061 PHONE: (626) 285-0488 EXT: (LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: IBK: 254 PG: 39 PC: 2 SQ. FT STORIES TYPE OCCUR GROUPI 5116 DOREEN AV 91780 1 ISTRUCTURE: 0 1 V-B R3.1 I TEMP CA (ASSESSOR INFORMATION NUMBER: GARAGE: I NEAREST CROSS STREET: FREER 18585-022-045 OTHER: I THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY, Cl (TENANT: IEXIST BLDG USE: USE LONE: ISSURD ON: PROCESSED BY: (EXIST OCC GRP: 109/26/12 SR I I TOWNER: TEL. NO: IBLOGS. NOW ON LOT: VALUATION: IFINAL DATE FI NA BY: CODE: KEY COMMUNITY HOUSING - 150,000 �� 5116 DOREEN AV I ITEMP 917803438 I FEES RAID IDI�SCRIPI 0 OF WORK I RESODEL BLDG: CHANGE OUT DOO S/WINDOWS; REMOVE 3 BATHROOMS &I I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: IREPLACE WITH CLOSETS; REMODEL (E) BATHRM; REMODEL LAUNDRY 0 APPLICANT: TEL. NO: I GARAGE; CONVERT TO A R-3.1 OCCUPANCY (SCOTT BROWN DESIGN (323) 256-6336- IRI PLANCHECK W/ENERGY 150000.00 VAL 1,513.60 1 I 11444 POPPY PEAK AA BLDG PERMIT ISSUANCE 27.80 (SPECIAL CONDITIONS: PASADENA CA 91105 AB STATE GREEN BLDG FEE 150000.00 VAL 6.00 IFZRE SPRINKLERS ARE REQ'D DUE TO CHANGE OF OCCUPANCY I IAC STRONG MOTION REBID 150000.00 VAL 15.00 IE2 PERMIT W/ENERGY 150000.00 VAL 1,780.70 1 , (CONTRACTOR: TEL. NO: 108 CERTIF OF OCCUPANCY 101.40 IAP?ROVALS DATE INSPECTOR SIGNATURE (MICHAEL G ROELLE PLUMBING (626) 960-0344- TOTAL FEES 3,444.50 I \ 15057 LANTE STREET LEC_ NO 1 (LOCATION AND SETBACKS 1 BALDWIN PARK CA 91706 743562BC16 I (SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. N0: 1F0UNDATION/TRENCH FORMS HELOU STRUCTURAL ENG (818) 345-7646- I__1 11 15585 RESEDA BLVD. 105 LIC. NO: (SLAB/.UNDER FLOOR TARZANA, CA 91356 NONE 1 (RAISED FLOOR FRAMING I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 - UNDERFLOOR INSULATION 1 3 001 _ 1 I -_I _ - 11ST LEVEL FLOOR SHEATH IND. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1 1 0 NO 21 12ND LEVEL FLOOR SHEATH 1 _I 1 SCHOOL WITHIN HAZARDOUS IROOF SHEATHING 1AIR QUALITY: 1000 FEET MATERIALS NO NO NO IFZRE DEPT. FRAME INSPECTI I _I I I I I IBLDG DEPT. FRAME INSPECTI I I I ISHEAR PANELS I I I IINSULATION/WEATHER STRIP I INTERIOR LATH/DRYWALL I I 1 I (EXTERIOR LATH I LOT DRAINAGE I I I ISMCKE DETECTION DEVICES I I I I I- i I IFZRE DEPARTMENT APPROVAL( + ADDITIONAL DATA ON FILE I I I I I I ( REPORT ID: OPR261 ROUTE TO: BSO508 I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS FIRE SPRINKLER BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BE 0506 1210150022 PHONE: (626) 285-0488 EXT: LEGAL ID: NUMBER OF ADDED/RELOCATED BUILDING ADDRESS: IBK: 254 PG: 39 PC: 2 SQ. FT SPRINKLER HEADS 5116 DOREEN AV 91780 ISTRUCTURE I TEMP CA I ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: FREER 1 18585-022-045 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY, Cl TENANT: IEXIST BLDG USE: (ISSUED ON: PROCESSED BY: JEXIST OCC GRP: 110/15/12 SR OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL Y: CODE: IKEY COMMUNITY HOUSING - 3,600 7 �T 5116 DOREEN AV 1 DA I -21\ (TEMP 917803438 1 FEES PAID IDESCRIPTION OF WORK FIRE SPRINKLER SYSTEM IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT: I (APPLICANT: TEL. NO: I I I ISCOTT BROWN DESIGN (323) 256-6336- IAA BLDG PERMIT ISSUANCE 27.80 1 1 11444 POPPY PEAK IAB STATE GREEN BLDG FEE 3600.00 VAL 1.00 (SPECIAL CONDITIONS: PASADENA CA 91105 IDO FIRE SPRINKLER PC 3600.00 VAL 98.40 1 ID2 PERMIT W/O EN-HC 360D.00 VAL 115.80 1 1 TOTAL FEES 243.00 (CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE (MICHAEL G ROELLE PLUMBING (626) 960-0344- 1 1 15057 LANTE STREET LIC. NO I (FIRE DEPARTMENT INSPECT 1 BALDWIN PARK CA 91706 743562BC16 1 I IFIRE SPRINKLER HANGERS 1 1 1 I 1ARCHITECT OR ENGINEER: TEL, N0: I IFIAE DEPARTMENT APPROVAL( I I HELOU STRUCTURAL ENG (818) 345-7646- 15585 RESEDA BLVD. 105 LIC. NO: 1 1 1 1 1 TARZANA, CA 91356 NONE 1 I I I I 1MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( I I I I 1 001 1 1 _I 1 1 1 1 JNO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 20 SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO I I I I I I I I I I I I I I I I I I I I I I I I I I` ADDITIONAL DATA ON FILE _ IRE PORT ID: OPR261 ROUTE T0: BS 0508 WORKERS' COMPENSATION DECLARATION �FS��y�� FOR hereba affirm tetititat I have certificate of consent to self /U\ ppUCAA.T OII � . Il OR o UMDOf�IC� PIERMOT ` insure, at a tertificaie of Workers' Compensation Insurance, /rkl ;or a certified copy thereof (Sec. 3800.Lob. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company _ BUILDING ./ PoeEtC / ,( El ' Certified copy Is hereby fu1Ns6ad. FOR APPLICANT TO FILL IN ADDRESS S �/ N '/T ; 1..❑ Certified copy is filed with the county building'inspec- ILDING ADDRESS �� DORK'n/ Av�t " ' r tion department. 1 T • CITY' L6 'C// ZIP / (J (1 iOCAUD .M L4�- C/7 . Date .Applicant p / / NO. OF BLDGS.�g NEAREST �q ' CERTIFICATEOFEXEMPTION FROM WORKERS' SIZE OF LOT / X 6s NOW ON LOT -p' CROSS ST. r-1 L ST + I COMPENSATION INSURANCE I ASSESSORp oS , (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK ' p,SOPAGE PARCEL - " hundred dollars ($100) or less.) .�/' USE ZONE MAP y OWNERS" TELNCI.-f-S2,-OS NO. ��/ N I certify that in the performance of the-work for which this �� sV�, SPECIAL,-._..... permit is issued, I,shall not employ any person in any manner ADDRESS jL- / -CONDITIONS ,! so as to become subject to the Workers'Compensation Laws. 0 CITY eM LF }l - ZIP Date Applicant - ARCHITECT OR TEL. /- DISTRICT GROUP TYPE FIRE;-. .PROCESSED BY- , , 0 NOTICE TO APPLICANT:, If, after making this,Certificate of ENGINEER . TL-fi '✓GC. NC ��J .Z CONST. ZONES 17 Exemption, you should become subject to the Workers' y ,y a w Compensation provisions of the Labor Code, you must forth- ADDRESS .QL -,J cJ .with comply with such provisions or this permit shall be �/� p TEL. STATISTICAL CLASSIFICATION AP7 CONDO. .deemed revoked. CONTRALTO /� ��t=�NO. �/ I LI t HL 77:.: _� LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL UNITS_L y_ I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. i j, (commencing ) LIC. SEWER MAP C:HANG1 f commencm with Section 7000 of Divkion 3 of the Business fps`'' Il and Professions Code,and my license is in full force and effect. `(� CIN CIS BK-� PGe /� VALIDATION {� SQ. FT NO. OF NO. OF CHECK License Number Lia Class V� SIZE STORIES FAMILIES ONE '10-1,113111 �, VALLI �T Ili i1Q-11131,± 12J1I!r' Conirattor Date'' Q DESCRIPTION OF WORK NEW $•/J ��(/ D 7Fi>�4• ], AN 11 // / l t - `❑1 am exempt under Sec. ADD ❑ ZO B.BP.C. for this reason ' - RR'EPAIR ❑ $� Date: USE OF EXISTING BLDG.S/NTG'-C/ /y/✓�IG/ pj/y�/�(rj/ yEMOL 1:1 1 Signature APP(PRIN )� _V V r Z FINAL OWNER-BUILDER DECLARATION. (7 - '1t I hereby affirm that I am exempt from the Contractor's,License ADDRESS -1/ l �R��V A�I. •t Law for,the following reason (Section 7031.5, Business and FINAL Professions Code): ,- PRESENT By BUILDING AI'C'E' t ❑ 'I, as owner of the property, or my employees with ADDRESS _ y 1 Cvoges as their sole compensation,will do the work and - '�Y-•"-- OCALITY the structure is not intended or offeredforsale(Section _ t1`_i/ 1 7044, Business and Professions Code. MOVING :TEL. t1 ) V - CONTRACTOR NO. n V 1 I I l.: I, as owner of the property, am exclusively contracting with licensed contractors to construct the project Sec- - - VO Ti s P ( ADDRESS 1 s . �Lfir with 7044, Business and Professions Code.) �� JI' `- _ .REQUIRED - TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY 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.L. (Sec. 3097, Civ. C.). - SIDE P.I. Lend er's Name ,4Uj"Ij-i {'lilt j1 LDMA Ref. It v+ P.C. Fee $ Permit Fee Lender's Address -7 -'775 1 .rif!! 'I certify that I hove read this application and state that the T 3 ' Issuance Fee •'/ - LDMA P/C# D 8 above information is correct. I agree to comply with all County Investigation Fee.. _�T //''// qD _ R ordinances and State laws relating to building construction, Tool Fee �(% 'Y"`7S /8 LDMA Perm. # and hereby authorize representatives of this County to enter upo bove- titian pro arty For inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Gate