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HomeMy Public PortalAbout5016 FARAGO AVE_Building__ , CITY OF TaIPLE CITY 7YA898A,CEMEO! 9 BD APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDI .G Q DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALIT JOHN A LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A JENSEN SUP T OF BUILDING CROSS ST DISTRICT NO GROUD I TYPE ;/� P CESSED BY FOR APPLICANT TO FILL IN �c, p 8 CONsz� BUILDING STATISTICALC7ASSIFICATION SEWER MAP " ADDRESS 5016 Farago / BK PG CLASS NO ! DWELL UNITS–L-1 LOT NO lll, BLOCK B MAP NUMBER �OCS—1 H=` YES NO TRACT 7-1.497 - ' USEZONE SPECIAL NO OF BLDGS JA, CONDITIONSI��-�,� / V ��3 j SIZE OF LOT- 75X207 I NOW ON LOT 2USE T] I EX STO NG BLDG Dwelling aS Garage BUILDINGEXIS TEL SETBACK YARD HWY r STREET NAME W- H «. OWNER Donald Etherton NO' G134361 FRONT l cc�� ADDRESS5018 Farago-, -Temple City SIDE ARCHITECT ORnone TEL P L ENGINEER s TEL INSPECTION`RECORD ` ADDRESS • + + I Santa Anita ConstWL AT 7974 , w CONTRACTOR O ADDRESS *8'717 E ,las sTunas, San Gabriel ' �d a ''°'�'� �"�j' p DESCRIPTION,OF WORK r W C , N NEW XXADD ALTER REPAIR' DEMOLISH +� Z SQ FT t , NO OF NO OF ,SIZE 1118 2 -♦• _aj,g�IES I FAMILIES t STRUOCTURE ' -Dwelling be Attached GaraEe ' b� SIGNATURE O -//_�' !/ APPLICA NT_�C �..Q�"g Jf.O°--tr VALUATION$ 1", APPROVALS DATE INSPE OR S SIGNATURE PC v!'O I : PMT' '� dt7 FOUNDATION LOCATION $ FEE r FORMS MATERIAL FEE S FPAME FIRE STOPS _ 1, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS 34 / f7 APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE LOCATION F ' WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION I CERTIFY THAT IN THE PERFORMANCE f� , I OF THE WORK FOR WHICH THIS PERMIT IS ISSUED I SHALL NOT LATH INT ' EMPLOY ANY PERSON IN ANY MANNER 50 AS TO BECOME SUBUECT TO THE WORKMEN S COMPENSATION LAWS OF ALIFORNIA 'I ' LATH EXT SIGNATU E'6F��� ' -/1 t�, - - HOUSE NUMBER COR- PERMITTE "� s r✓ RECT AND POSTED ADDRESS FINAL �' `( I F CLYDE PLAN CHECK VALIDATION cK M o CASH PTRERMIT VALIDATIONcKruRM o ENGINEER L iru�0 5 '8 7 v .liJ;d 1 5' 1 p 3 5.�'I t3 d 1r, • T6A638;IC:#8031/TAPPLICATI,ON FOR BUILDINPERMIT ,I':`) COUNTY OF LOS ANGELES - ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE t -PARCEL BUILDING AND SAFETY DIVISION BUILDING ADDRESS �I�I� COLEMAN,W JENKINS, ,SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST Pnnt ort a only) CROSS ST BUILDING DISTRICT NO ' GROUP TYPE PR EE,X7 ADDRESS - 10 CONST �(/J" STATISTICAL CLASSIFICATION ,SIEWER MAP LOT NO ,°- �t©^/ ,BLOCK � CLASS NO -21DWELL UNITS BK —r—G' TRACT '^ "' USE ZONE MAP NO OF SLOGS , NO SIZE OF LOT ,�(, 0� NOW ON LOT SPECIAL' USE OF �5 CONDITIONS + EXISTING BLDG - TE OWNER E V Q L _ BLDG SETBACK FROM , ADDRESS 0 FRONT PROP LI NE OF (STREET) n ^ /� TYPE OF EXISTING SETBACK HIGHWAY + YARD, = TOTALs - CITY e la HIGHWAY WIDTH FROM C L ARCHITECT O TEL " I + _ ENGINEER Q� - NO " BLDG SETS FROM ADDRESS SIDE PROP LINE (STREET) TEL TYPE OF EXISTING'"SETBACK AY 1 + YARD = TOTAL CONTRACTOR `_NO HIGHWAY WIDTH FROM C L V LIC - _ ADDRESS NO + - O s_ LIC ~ CITY CLASS CORNER CUTOFF YES ❑ NO W CONSTRUCTION LENDER va'i NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS z ADDRESS SO FT NO OF NO OF , NEW ❑ 'r SIZE STORIES FAMILIES USE OF ", ADD ❑ STRUCTURE G12 ALTER Q REPAIR❑ SIGNATURE OF ` APPLICANTjC } DEMOL ❑ n p r , , VALUATION ,, ' APPROVALS DATE `INSPECTOR'S SIGNATURE P C PMT FOUNDATION LOCATION t FEE S FEE S cmirJ FORMS MATERIALS , FRAMEBRFIRE STOPS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ACING BOLTS / AND STATE THAT THE ABOVE IS CORRECTAND AGREE TO COMPLY FURNACE LOCATION 3 WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT DUCTS STR UC TI ON I CERTIFYrTHAT IN DOING THE.WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE- LATH INT r 2 LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE LATH EXT *SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT',ANO POSTED ADDRESS FINALI ' JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION _CK M O CASH _ PERMIT VALIDATION M O CASH r� .� .4 6 6Nt JUL 15 - s D ' 2-8.50N -169t k �etr11803 4./70APPLICATION FOR BU I LDI N PERM I/In L` COUNTY OF-LOS ANGELES x ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING „ ADDRESS JOHN A LA MBI E, COUNTY ENGINEER 3 COLEMAN W JENKINS, SUP T OF BUILDING LOCALITY FOR APPLICANT T&FILL IN NEAREST / Print or tvDe onl CROSS ST BUILDING . _ .. DISTRRICT N R TYPE 'PR BY e ADDRESS 0- e Fi4 C—a .- C 0 CONST .� STATISTICAL CLASSIFICATION SEWER MAP - LOT NO' j BLOCK - / D - - ' ` -� CLASS NO DWELL UNITS BK _►-P� TRACT USE ZONE MAP _ 1 ` NO OF BLDGS NO SIZE OF LOT j( NOW ON LOT / SPECIAL USE OCONDITIONS EXISTING BLDG I `/Lf?' NO - �� e - OWNER BLDG SETBACK FROM- - ADDRESS QA��' �"C�_- FRONTPROP'LINEOF r 'F (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY HIGHWAY WIDTH FROM C L ARCHITECT OR '' TEL c4 - + ENGINEER- "N///-= NO BLDG ETBACKFROM { ADDRESS rt ` SIDEPROP LINEOF (STREET) -� " TEL . TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CONTRACTOR } NO HIGHWAY WIDTH FROM C L ADDRESS - NO + - = O LIC U CITY CLASS CORNER CUTOFF`'` YES G, NOk'G O CONSTRUCTION LENDER �o �- NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS W ADDRESS SQ FT NO OF J NO OF SIZE STORIES / FAMILIES NEW ❑ c ,`` Y_ USE OF ADD STRUCTURE ALTER EPAIR ' SIGNAT RE APPLICANT / DEMOL ❑ � � VALUATION $ CO©© _- gpPROVALS DATE INSPECTOR S SIGNATURE 7 7 F E $ FEE $ rOFORMS I MATERIIAL9ON I HEREBY ACKNOWLEDGE THATTI HAVE READ THIS APPLICATION FRAME FIRE STOPS BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION ` WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT DUCTS STRUC TI ON I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INTF--//-71 LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO `WORKMEN'S COMPENSATION INSURANCE LATH EXT 7- -711� .42. SIGNATURE OF ��.` HOUSE NUMBER COR- ` PERMITTEE !-� �/9�L/ - RECT AND POSTED ADDRESS /// /� , /� FINAL f �_ PLAN CHECK VALIDATION CK� M o CASH JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER � PERMIT VALIDATIONCK M o CASH } 9 8 5 51 APR 2 2 1 D 27.75- 01 WORKERS COMPENSATION DECLARATION A hereby a certificate that I have a certificate of consent to self APPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers Compensation Insurance, c t fled copy ereof (Sec 3800, La C ) Company ��,o COUNTY OF LOS ANGELES BUILDING AND SAFETY BUILDING v / ❑ Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with the unty building ins - ADDRESS-75 e V� ` tBUILDING C/ to department T Dat / ` Applican CITY / ZIP LOCALITY NO OF BLDGS NEAREST CERTIFICATE OF EXEMPTION FROM ORKERS' SIZE OF LOT NOW ON LOT CROSS ST COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK I LOT NO MAP BOOK PAGE PARCEL hundred dollars ($100) or less ) TEL OWNER J� �/ NO-1_ Z USE ZONE MAP I certify that in the performance of the work for which this NO 71 SPECIAL d permit is issued, I shall not employ any person to any manner ADDRESS Vd?, CONDITIONS so as to become subject to the Workers Compensation Laws Q CITY ZIP U Date Applicant ARCHITECT OR TELW NOTICE TO APPLICANT If, after making this Certificate of ENGINEER NO DISTRICT I GROUP I TYPE FIRE PROCESSED BY O Exemption, you should become subject to the Workers' CONSTv ZONE Compensation provisions of the Labor Code, you must forth- ADDRESS with comply with such provisions or this permit shall be TEL �JQ�7�1 STATISTICAL CLASSIFICATION APT CONDO to deemed revoked CONTRACTOR /�/_flGN07 C (!! 6) _Z LICENSED CONTRACTORS DECLARATIONLIC �r CLASS NO a DWELL UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 1? NO �� -7 ff SEWER MAP (commencing with Section 7000)of Division 3 of the Business CITY 67�/�'`? CLASS C� c/ and Professions Code and my license is in full force and effect BK PG VALIDATION SQ FT �yD NO OF NO OF / CHECK License Number Lic Class SIZE ? 0 STORIES FAMILIES ! ONE ❑ VALUATION Contractor v Date ` T( DESCRIPTION OF WORK I���U� NEW $ ❑I am exempt under ec J 4 Cil!, _0 e/y--a_ O � ADD ❑ ► U V2,:9-1 2 !1 ALTER 11 $ B 8P C for this reason C-�" � T �p REPAI Date USE OF RZ EXISTING BLDG DDEEM�OL ❑ APP(ICAN)�Cb �`� ��n NO7 ///l FINAL Signature TEL OWNER-BUILDER DECLARATION PRINT DATE I hereby affirm that I am exempt from the Contractor's License ADDRESS !`7Q �G��' '� Law for the following reason (Section 7031 5, Business and a FINAL Professions Code) PRESENT By ❑ I, as owner of theproperty, or m em to employees with BUILDING - Y P Y ADDRESS C�t/t,, `r - wages as their sole compensation,will do the work and oCino D F_ ao 0/G t -I; �£= the structure is not intended or offered for sole(Section LOCALITY �w .� f PP- 7044, � " 7044, Business and Professions Code ) MOVING TEL = ❑ 1, as owner of the property, am exclusively contracting CONTRACTOR NO _Hl;t;fit` r 4_ with licensed contractors to construct the project (Sec- [Investigation SS tion 7044, Business and Professions Code ) UIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY BACK YARD HWY PROP LINE WIDTH I_`=t:l_ "'tl t ;i ,i I hereby affirm that there is a construction lending agency for NT the performance of the work for which this permit is issued } r f; ys�yj t��I_, (Sec 3097, Civ C ) Lender's Name / $ ee$ Permit Fee /(� �' [LDMA # Lender's Address I certify that I have read this application and state that the Issuance Fee o?Z17� # above information is correct I agree to comply with all County Fee ordinances and St a jaws relating t fg construction, Total Fee r LDMA Perm # and hereby a ize represents es of t}a+s County to enter upon the a toned pr ert mspetonos;� SEE REVERSE FOR EXPLANATORY LANGUAGE Signat a of Applicant or Agent Date 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 1101040022 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST NEW BUILDING ADDRESS ITR 11497 IT 14 BL B SQ FT STORIES TYPE OCCUP GROUP 5016 FARAGO AV I ISTRUCTURE 0 1 V-B R3 I TEMP CA 917803525 ASSESSOR INFORMATION NUMBER GARAGE NEAREST CROSS STREET 18574-009-049 i OTHER THOMAS PAGE 597 GRID D4 LOCALITY TEMPLE CITY, Cl TENANT JEXIST BLDG USE USE ZONE JISSUED ON PROCESSED BY JEXIST OCC GRP 101/06/11 SR I 10WNER TEL NO JBLDGS NOW ON LOT VALUATION 1FINAL DATE FIN CODE 1TONG AMANDA (626) 616-1719- I 7,200 I 620 RAMONA ST #B YI, l 1SAN GABRIEL CA 91776 FEES PAID JDESC TI N OP WORK 1 INEW POWDER RM IN HOUSE AND ADD LAUNDRY RM IN (E) STORAGE AREJ 1 IFEE DESCRIPTION QUANTITY UOM AMOUNT JA ATTACHED TO GARAGE, KITCHEN REMODEL, BATHRM REMODEL INSTAL 1APPLICANT TEL NO I I I ITONG AMANDA (626) 616-1719- 121 PLANCHECK W/ENERGY 7200 00 VAL 171 50 I I 1620 RAMONA ST #B JAA BLDG PERMIT ISSUANCE 27 80 ISPECIAL CONDITIONS 1 ISAN GABRIEL CA 91776 IAB STATE GREEN BLDG FEE 7200 00 VAL 1 00 I I IAC STRONG MOTION RESID 7200 00 VAL 0 70 I I I JB2 PERMIT W/ENERGY 7200 00 VAL 201 80 I I (CONTRACTOR TEL NO JFR INV WORK W/O PERMIT 257 00 DOL 257 00 JAPPROVALS DATE INSPECTOR SIGNATURE I 1FUN ON CO (323) 842-8306- I TOTAL FEES 659 80 I J 11948 LANSDOWNE AVE LIC NO I ILOCATION AND SETBACKS I I I ILOS ANGELES CA 90032 685987 I I 1-1 I I ISOILS ENGINEER APPROVAL I I I 11 I JARCHITECT OR ENGINEER TEL NO 1 1FOUNDATION/TRENCH FORMS I I I I LIC NO I t ISLAB/UNDER FLOOR I I I I I I I I JRAISFD FLOOR FRAMING I I I I IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I ��.-i' - z- JUNDERFLOOR INSULATION I I I 1 3 ocl I I I J I 7 11ST LEVEL FLOOR SHEATH I I' 1NO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I NO 21 J _jam{ yl 12ND LEVEL FLOOR SHEATH J I J I SCHOOL WITHIN HAZARDOUS J �� , t 3i�tIROOF SHEATHING I I I JAIR QUALITY 1000 FEET MATERIALS NO NO NO` i ' r f 1FIRE DEPT FRAME INSPECTJ I I I 1BLDG DEPT FRAME INSPECT( I J 1SHEAR PANELS 1 1 I I' 1 I I 11NSULATION/WEATHER STRIPI I I J I v -INTERIOR LATH/DRYWALL I I 4 J ' J EXTERIOR LATH I I J `) I ILOT DRAINAGE I I I I ISMOKE DETECTION DEVICES I I I I 1 11 I I y ( I (FIRE DEPARTMENT APPROVAL( I I I r I* ADDITIONAL DATA ON FILE I I I I IREPORT ID DPR261 ROUTE TO BS0508 I I J I I I J I f r r