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HomeMy Public PortalAbout5650 EL MONTE AVE_Building__ ©s 76A638A q -� CE#803(REV 11/78) 41- APPLICATOG FOR B D G PERMIT COUNTY OF LOS GELES BUILDING AND SAFETY _ FOR APPLICANT TO FILL IN ADIDRESS BUILDING J , �J ADDRESS �/✓�� z�� LOCALITY NEAREST CITY d6 ,o�—f ZIP � � � CROSS ST NO OF BLDGS ASSESSOR SIZE OF LOT / NOW ON LOT 2-- MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE P SED BY TRACT BLOCK I LOT NOTEL y Cc lJ ! OWNER NO J /!i� J `� STATISTICAL CLAS (CATION SEWER MAP ADDRESS d /C/ CLASS NO DWELL UNITS ' BK PG CITY � � � ZIP 9f7 ARCHITECT OR TEL VALUATION $ JAS om �a ENGINEER NO C/ ADDRESS SETBACKBLDG FFRONTROP LNEOF^�� �- (STREET) dd TEL CONTRACTOR O _ TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY + YARDLIC - FRONT PROP LINE HIGHWAY WIDTH ADDRESS NO �� LIC t423 CITY CLASS BLDG SETBACK FROM CONSTRUCTION LENDER SIDE PROP LINE OF (STREET) NAME AND BRANCH _ HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS CITY SIDE PROP LINE HIGHWAY WIDTH Q V SQ FT NO OF F O DIES HECK + SIZE STORIES U / P �{ (J DESCRIPTION OF WORK NEW E] 1 N NO SPECIAL ADD NO // z ALTER ClDA E ^ � C! 8Y /rV —� Z REPAIR F] USE OF DEMOL El EXISTING BLDG I 2 APPLICANT TEL )3 C (PRINT( L L � NO - �(iJ O J BY(SIGNATURE) IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE {Y THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES U AND LAWS REGULATING BUILDING CONSTRUCTION I CERT HAT IN DOING THE _ WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY P 50 N VIOLATION OF U THE LABOR CODE E STATE OF CALIFORNIA IN RELAT G TO ORKMEN S COM _ z -2 7=6 S 7 A PENSATION(NSU RANO 0 0 j0 0 0SIGNATUR1 PERMITTEE E OF :2'0 0 $8 Q Q ADDRESS -47 -Q Z TELJ 'd�/ O o 0 o'08a07OH CITY NO l p 1.0'8 '/ 9- PC PC Fee$ Permlt Fee / ! �> Issuance Fee � �1� s Total Fee O ' " J ' ©s 76A626A CE78) / APPLICA ION R BUILD E RM IT COUNTY-OF LOS ANGE ES BUILDING AND SAFETY `/ r FOR APPLICANT TO FILL IN ADIDRESS LDING ��� X�Mlkg BUILDING �J - � I ADDRESS•c.5f; 5� F� r� � LOCALITY ' e7l NEAREST CITY CG ZIP CROSS ST ' NO OF BLDGSJ ASSESSOR SIZE OF LOT NOW ON LOT G/ MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FI R ESSED BY TRACT BLOCK LOT NO ) CO TEL OWNER // '� NO STATISTICAL CLASS* A ION SEWER MAP ADDRESS CLASS NO DWELL UNITS BK PG CITY ZIP -- ARCHITECT OR TEL VALUATION $ I'�i} 1 ENGINEER NO / (Jv DDRESS _ BLDG SETBACK FROM TEL FRONT PROP LINE OF EETI C NTRACTOR NO _ TOTAL SETBACK FROM TYPE OF EXISTING k LIC HIGHWAY + YARD - FRONT PROP LINE HIGHWAY WIDTH ADLDRESS, NO 1 LIC + CIT CLASS BLDG SETBACK FROM ~ CON TRUCTION LENDER SIDE PROP LINE OF (STREET) NAME `AND�BRANCH t HIGHWAY + YARD EE=TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS CITY SIDE PROP LINE HIGHWAY WIDTH C SO FT NO OF NO OF CHECK + _ V SIZE STORIES FAMILIES ONE 0 ❑ USEZOrE MAP DESCR PTION OF WORK NEW D /I NO ADD ❑ n SPECIAL CONDITIONS y� 7� BY ALTER ❑ FINA E] DATE r -Z�-�C 1 REPAIR USE O � DEMOL EXISTING BLDG ZO APP J ICANT r 1 TEL -73t� PRINT* 1� NO BY(SIGNATURE, > I HEREBY ACK GE THAT I HAVE READ THIS APPLICATION AND STATE um THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES V _ AND LAWS REGULATING BUILDIN TRUCTION I CERTIFY THAT IN DOING THE U ; WORK AUTHORIZED HEREBY L NO MPLOY ANY PERSON IN VIOLATION OF THE LABOR CO HE STAT F CALIFO NIA IN RELATING TO WORKMEN S COM Z '7'7 7a 11 PENSATION IN URA , 0 A e e e e 0 1 SIGNATURE OF PERMITTEE 2,o 0 3�0 0 r ADDRESS - - � TEL 2 'e o --3 (( Q Q F CITY NO / p 1. 13-79 PC Fee$ Permrt Fee - > r - Issuance Fee o�c W d r Total Fee. r APPLICATI•QN FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING-AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS S O Qti I hereby affirm that I have a certificate of consent to self Insure, BUILDINDRESS or a certificate of Workers Compensation Insurance, or a certified Copy thereof(Sec 3800,Lab C) CITAJ�� _ ZIP LOCALITY Policy No Company SIZE OF ,T NO OF BLDGS NOW ON LOT C1 4 El Certified copy Is hereby furnished ��/� �0_6 ` NEAREST CROSS ST ❑ Certified copy Is filed with the county building Inspection TRACT BLOCK LOT NO department USE ZONE MAP NO Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER �` / TEL O COMPENSATION INSURANCE �ffJ 4`/Z WITHIN 1000 FT OF SCHOOLS YES No (This section need not be completed If the permit Is for one hundred ADDRESS I �al� G DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY dollars ($100) or less) I certify that In the performance of �e work for whI th permit CITY- � �/� zlP�l� T � �12 ZIssued, I Shall not employ any p on In any maPer O as t0 ARCHITECT OR ENGINEER TEL NO J J b,COm/'esbject t0 the Workers CO ensation Laws �� STATISTICAL CLASSIFICATION APT CONDO ate/ 3o--G Applicant ADDRESS- CLASS NO 2— DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers CONTRACTOR '1f� TEL N /�� SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must,forthwith vGv FRONT comply with such provisions or this permit shall be deemed revoked ADDRESS LIC NO PL LICENSED CONTRACTORS DECLARATION SIDE CITY LIC CLASS PL I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ FT SI E NO OF STORIES NO OF FAMILIES Professions Code,and my license is In full force and effect �d �( NEW 1:1 BK PG a License Number LIC CIeSS DES TION OF WORK ADD ❑ VALUATION Q � $ Z4Up o 0 Contractor Date ALTER ❑ ElI am exempt under Sec REPAIR $ 0 B&PC for this reason G 2� CUVPAc W GOun DEMOL ❑ LDMA P/C# W Date USE OF EXISTIN BLDG - s�1 RM ❑ IL Signature APPLICANT(PRINT) TEL NO LDMA Perm# 1 Z El 1, as owner of the property, or my employees with wages as OZ A `T e$ their sole compensation, will do the work and the structure Is ADDRESS not intended or offered for sale (Section 7044, Business and FINAL DATE G 3303 108°90 Professions Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL Z/S M i TTCHC OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE G 1 ITEMS E S ❑ I, as owner of the property, am exclusively contracting WITH AMOUNTS SPECIFI D ON THE HAZARDOUS MATERIALS INFORMATION GUIDES FINAL BY ' TOTAL 1O licensed contractors to Construct the project (Section 7044, YES ElN Business and Professions Code) WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDINGCHECK r II 10118fJ �O OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH _ v�� �' CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR CHANGE •OO GUIDELINES A I hereby affirm that there is a construction lending agency for ves❑ N the performance of the work for which this permit Is Issued(Sec IHAVE READ ZARDOUSMATERIALS FORM TIONGUIDE AND THE SCAOMDPERMITTING 3097 CIV C) CHECKLIST U TAND MV REQUIR ENTS NDER THE LOS ANGELES COUNTY CODE ppQp-pQp 1. 1/30/9b `v TITLE 2 CHAP 2 0 SECTIONS 2 2 100 TH OUCH 2 20 140 CONCERNING HAZARDOUS ' Lenders Name MATERIALS G AND FOR OBT INC ERMIT FROM THE SGAQMD o Lenders Address 4560 1 AM 9:52 OWNER OR AG 0 1 certify that I have read this application and state under penalty O of perjury that the above Inf on is correct I agree to comply PC FEE PERMIT FEE • I,� , with all county ordinance and State laws relating to building V constru and hereby a thorl representatives of this County ISSUANCE FEE co to ent u n the above m o d property for insp7o'puipos � 2_7 3© VUkij 33 INVESTIGATION FEE TOTAL FEE O b w9 O Sgnst {N,gnl or Apem Dere SEE REVERSE FOR EXPLANATORY LANGUAGE s ,t COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT r DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0805020022 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS ITR 13935 LT 10 1 SQ FT STORIES TYPE 5650 EL MONTE AV STRUCTURE V-B TEMP CA 917802835 (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET 18573-001-008 I I THOMAS PAGE 597 GRID C3 LOCALITY TEMPLE CITY, Cl I I 1 ITENANT 1EXIST BLDG USE RESID USE ZONE R-1 (ISSUED ON PROCESSED BY EXPIRES ON I 1 1EXIST OCC GRP 105/02/08 SR 10/29/08 1 (OWNER TEL NO IBLDGS NOW ON LOT VALUATION IFANAL DATE n FINAL BY CODE I LEONG, PAUL (626) 445-1239- 1 500 5650 EL MONTE AV I ITEMP 917802835 1 FEES PAID IoNgtRIPTION OF WORK VI I I IREPLACE KITCHEN, BATHROOM, LAUNDRY ROOM DRYWALL AS NEEDED I I IFEE DESCRIPTION QUANTITY UOM AMOUNT I I JAPPLICANT TEL NO I I I IBETTER CONSTRUCTION & DESIGN INC (818) 399-1112- IAA BLDG PERMIT ISSUANCE 27 75 1 1 117001 OAK VIEW DR IAC STRONG MOTION RESID 500 00 VAL 0 50 (SPECIAL CONDITIONS I IENCINITA, CA 91436 JB2 PERMIT W/ENERGY 500 00 VAL 48 02 1 1 1 TOTAL FEES 76 27 1 I I I I (CONTRACTOR TEL NO I JAPPROVALS DATE INSPECTOR SIGNATURE I IBETTER CONSTRUCTION AND DESIGN, INC (818) 399-1112- 1 1 117001 OAK VIEW DR LIC NO I ILOCATION AND SETBACKS JENCINO CA 91436 817160 B 1 1 1 1 1 I I ISOILS ENGINEER APPROVAL 1 1 1 JARCHITECT OR ENGINEER TEL NO I IFOUNDATION/TRENCH FORMS I I I 1 - I 1 1-1 1 I LIC NO 1 ISLAB/UNDER FLOOR I I I I I I- I I I I 1 IRAISED FLOOR FRAMING I I 1 1 I I I I IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I JUNDERFLOOR INSULATION I I I 1150H273 3 011 1 1 I J II (FLOOR SHEATHING I I I INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I 1 1 1 I NO 21 1 IROOF SHEATHING I I I I I 1 11 1 I SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I I (AIR QUALITY 1000 FEET MATERIALS 1 I I I I I NO NO NO I (FRAME INSPECTION I I I IREQUIRED TOTAL SETBACK FROM EXIST I IFIRL SPRINKLER HANGERS I I ISET BACK YARD HWY PROP LINE WIDTH I I I I (FRONT PL- I JINSULATION/WEATHER STRIP( I I SIDE PL- I 1-1 JINTERIOR LATH/DRYWALL I I I I I I I IEXTERIOR LATH I I I IRATED FLOOR/CEIL ASSEM 1 I I 1 I 1 ( IRATED WALL ASSEMBLIES 1 I 1 I I I I I I 1 1 IRATED SHAFTS/OPENINGS I 1 I I 1 I I J IT-BAR CEILINGS I I I I I 1 1-1 1 ILOT DRAINAGE I I I 1 (REPORT ID DPR261 ROUTE TO BS0508 I 1 1 1 I I I I I