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HomeMy Public PortalAbout4526 FIESTA AVE_Building__ TEMPLE CITY �' r / nn 7GA638A CIE#803 I-61 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS , BUILDING AND SAFETY DMSION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST WILLIAM A JENSEN SUP T OF BUILDING CROSS ST L DISTRICT NO -TYPE P S Y ' FOR APPLICANT TO FILL IN I o CONST BUILDING i / STATISTICAL CLAS KATION S ER MAP ADDRE53 J (! l` (Q f! /BKS—CPG CLASS NO DWELL UNITS LOT NO 5` BLOCK WATER NOT REClUIRRECEIVED CERTIFICATE TRACT x�..� MAP HIGHWAY I NO OF BLDGS NO (cIRCLE> STATE MAJOR SECOND LOCAL SIZE OF LOT 79 Y / (� I NOW ON LOT USF ZONE SPECIAL USE OF /1 CONDITIONS EXISTING BLDG TEL 6 ' OWNER LJ` Y PJ NO J'�O BUILDING EXIST / ` /l � SETBACK YARD HWY STREET NAME W, TH ADDRESS 7 /� �II 1 J C4�(P FRONT ARCHITECT OR TEL P L ENGINEER NO SIDE P L >_ ADDRESS TEL ) INSPECTION RECORD , O CONTRACTOR NOA !� -e � ' p` ADDRESS - bG �/ DESCRIPTION OF WORK �r'+LriJ1tY� �" �k'IA�, O W CL NEW ADD ALTER REPAIR DEMOLISH 4 Z SQ FT NO OF NO OF — IZE STORIES FAMILIES USE OF r STRUCTURE SIGNATURE OF�/r APPLICANT '__/)t Q �C rl-U Ci VALUATION$ .2 &&Q, --M APPROVALS DATE INSPECTOR S SIGNATURE FPC EE $ FEE $ "� FOUNDATION LOCATION FORMS MATERIALS FRAME FIRE STOPS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK n A` /�J`//�' AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT 1 w I // wS TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT ING TO WORKMEN S COMPENSATION INSURANCE LATH EXT SIGNATURE ' HOUSE NUMBER COR PERMITTEE RECT AND POSTED G /� ADDRESS- FINAL I- ..� FINAL CLYDE N DIRLAM PRINCIPAL STRUCTURAL EN R PLAN CHECK VALIDATION CK M o CASH PERM VALIDATION CK M D cASH LAuo 6 2 5 3* OCT 31 1 D 1150- i yy 76ABfBA CIE 801 S 60 APPLICATION FOR BUILDIN PERMIT # COUNTY OF LOS ANGELES BUILDING P DDRESS 61- DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALI JOHN A LAMBIE COUNTY ENGINEER NEAREST WILLIAM A JENSEN SUP T OF BUILDING CROSS ST DISTRICT NO I GROUP I TYPO PR SEDBY FOR APPLICANT TO FILL IN `� CONST STATISTICAL CLASSIFICATION SEWER MAP BUILDING BK G� ADDRESS CLASS NO DWELL UNITS LOT NO G LOCK MAP STATE YE NO NUMBER HWY TRACT USEZONE SPECIAL �7 NO OF BLDGS / CONDITIONS SIZE OF LOT G1�P/� y I NOW ON LOT USE OF EXISTING BLDG BUILDING YARD HWY STREET NAME EXIST SETBACK WI TH OWNER Bill E. Burge NO,�7_,��1162r -FRONT OWNER1/171, ADDRESS -192( Rio Hondo Pky. SIDE ARCHITECT OR TEL P L ENGINEER NO INSPECTION RECORD ADDRESS d TEL. CONTRACTOR Caprl Homes ln&o,,i35164 / �.0 ADDRESS l l Q27 R'I n Nnndn Pk; DESCRIPTION OF WORK a An NE ADD ALTER REPAIR DEMOLISH _ Z SQ FT NO OF NO OF I SIZE q o STORIES FAMILIES USE OF STRUCTURE 2-Car Gar e C , SIGNATURE OF APPLICANT I VALUATION$ �- APPROVALS DATE INSP CTOR S SIGNATURE PC PMT FOUNDATION LOCATION FEE $ FEE $ FORMS MATERIALS 'le A FRAME FIRE STOPS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS d �� AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED I SHALL NOT LATH INT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBUECT / TO THE WORKMEN S COMPENSATION LAWS OF CALIFORNIA h'M LATH EXT ((3��' SIGNATURE OF HOUSE NUMBER COR ,p PERMITTEF RECT AND POSTED ADDRESS FINAL PLAN CHECK VALIDATION CK M o cnsrl CLYDE N DIRLAM PRINCIPAL STR RAL ENGINEER PERMIT VALIDATION cK M o r.Asa I � 65z�, 'P13 0 600 I TEMPLE CITY pp 1 - 76A61EACEylO] 1-61 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEEtA ADDRESS BUILDING AND SAFETY DMSIONAL( JOHN A LAMBIE COUNTY ENGINEERREST / WILLIAM A JENSEN SUP T OP BUILDINGSSS STAIL CT O GROU TYPE P CESSED BY FOR APPLICANT TO FILL IN (� CONSv BUILDING TISTICAL CLAS 1 (CATION SEWER MAP BK PG ADDRESS ASS]NO ELL UNITS LOT NO S.S.T-� BLOCER NOT REQUIRED RECEIVED IFICATE Li TRACT /'2 / qq I HIGHWAY STATE MAJOR SECOND LOCAL NO OF BLDGS ) (CIRCLE) SIZE OF LOT NOW ON LOT ZONE SPECIAL USE OF CONDITIONS XISTING BLDGTne ELOWNERd NODING EXIST ACK nYARD HWY STREET NAMEWIDTH ADDRESS ONTARCHITECT OR TELL �r7 ENGINEER NO SIDE P L ADDRESS TEL INSPECTION RECORD a CONTRALTO C NO l ADDRESS O DESCRIPTION OF WORK W CL NEW ADD ALTER REPAIR DEMOLISH , Z SQ FT NO OF NO OF _ IZE STORIES FAMILIES USE OF STRUCTUR /1 SIGNATURE OF APPLICANT VALUATION$ /' n APPROVALS DATE INSPECTOR S SIGNATURE PC PMT FOUNDATION LOCATION ` FEE $ FEE �� FORMS MATERIALS t ai'/+� FRAME FIRE STOPS Q 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION Y r WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS 714 BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK —r /� { AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT 6 Oaf' TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT ING TO WORKMEN S COMPENSATION URA I�CE LATH EXT NUMBER PERMITTEE- OF ESIGNATUREli HOUSE AND POS EDD ADDRESS FINAL /]�1 WH liL/✓�—� CLYDE N DIRLAM PRINCIPAL STRU RAL ENGINEER PLAN CHECK VALIDATION CK M o CASH PERM VAIJDATION M D CASH 2366 .3 SEEP 200 r l { CELS C7MPENSATION DECLARATION 1 3" tLAhereby`officm that � have q.,.ertificcste of consent to self APPLICATION FORRU I L D I N G -PERMIT- _ insure or a certificate 'of Workers Compensation Insurance or a certified copy thereof (Sec 3800 Lab C ) - - Y- tt COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company Certified copy is hereby furnished FOR APPLICANT TO FILL IN ^ ADDRESS ❑❑ Certified copy is filed with the county building inspec BUILDING r- tion department ADDRESS Date Applicant CITY ' ` ZIP //� Q LOCALITY t J ` CERTIFICATE OF EXEMPTION FROM WORKERS t F NEAREST SIZE OF LOT NOW LOT CROSS w� t COMPENSATION INSURANCE '� C (This section need not be completed if the permit is for one - - a ASSESSOR U ✓ ' hundred dollars ($100),or less ) °f TRACT BLOC LOT NO MAP BOOK r. PAGE PARCEL TEL USE ZONE MAP ' t+ OWNER NO �g NO 14 s - I certify that in the performance of the work for which this -_- /� permit is issued I shall not employ any person in any manner 1/��6 .eXR ✓-Ii _' SPECIAL r _ t i d ADDRESS 7^v CONDITIONS +t - O so as to be ome subject to the Worke s Compens tion Laws V Dater `�' Applicant c.,6r'�"""�� CITY _ ZIP �Q i I_ V „ 10 NOTICE TO APPLICANT If after making this Certificate of ARCHITECT OR TEL DISTRICT�GROUPJ TYPEFIRE PRO SED BYENGINEER NOriExemption you ishould become I subject to the Workers / CONST , ZONE , { WCompensation provisions of the Labor Code you must forth - ADDRESSQA/ t (/ � - with comply with such provisions or this permit shall be - - TEL' STATISTICAL CLASSIFICATION APT NDO deemed revoked , CONTRACTOR NO _ ' 1 WEI a LICENSED CONTRACTORS DECLARATION - - - - LIC - - CLASS NO I-DLL UNITS - T I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO (commencing with Section 7000)of Division 3 of the Business and _ _ LIC _ SEWER MAP 1 Professions Code and my license is in full force and effect CITY CLASS a VALIDATION - ' SQ FT NO OF NO OF _ CHECK BK PG License Number ! Lic Class SIZE STORIES FAMILIES - ONE VALU �f TIO d- t i'� t a r ESCA � t^ 1 DESCRIPTION OF WORK ` NEW E] ? 0 Contractor- 1 Dote z ADD $ I am exempt under Sec v z ALTER ❑ f ' B&P C for this reasonREPAIR p $ - - ;23968A USE OF ,�. Date EXISTING BLDG DEMOL ❑ # e e • • • 1 Si nature APPLICANT TEL // FINAL g PRINT � d �/�� Q NO f 47.3r '� t _ OWNER BUILDER DECLARATION _ JJ /�`' �- DA ---j I •-• 8 7 3 1 hereby affirm that I am exempt from the Contractor s License F ADDRESS ys�r0 E"S -- ��� /�P. FINA S ` r Law for the following reason (Section 7031 5 Business and Professions Code) _ PR ` 'Ely Y r • • •.-8 7 3 8 0= BUILDING ,�/ - �� _ I as owner of the property or my employees with ADDRESS 0`Z Q.3-86 1 wages as their sole compensation will do the work and LOCALITY �lL. t ~ v ` t the structure is not intended or offered for sale(Section 7044-Business and Professions Code) MOVING - "' TEL ❑ CONTRACTOR - v NO I as owner of the property am exclusively contracting t` r t ' with licensed contractors to construct the project (Sec tion 7044 Business and Professions Code) ADDRESS REQUIRED TOTAL SETBACK _ _ _ s __ - - 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 r + a { PL m _ Lender s Name - LDMA Ref # ; P C Fee$ - Permit Fee Lender s Address u _/, f r-r- > certify that I have read this application and state that the _ __ _ Issuance Fee Q- V - - 4 LDMAtP/C# above information is correct I agree to comply with all County Invesngauon Fee ordinances and-State laws relating to buiIds ng construction Total Fee 0 -LDMA Perm # - - - v and hereby authorize representatives of this County to enter _upon the above mentioned property for inspection purposes 4 r al,- . � �` �� �� SEE REVERSE FOR EXPLANATORY LANGUAGE + ^_^^Signature of Applicant or Agent Date 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 0601060021 PHONE (626) 285 0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS TR 12998 LT 15 SQ FT STORIES TYPE 4526 FIESTA AV STRUCTURE 24 VN TEMP CA 917804209 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LOWER AZUSA 8592-001-028 THOMAS PAGE 597 GRID AS LOCALITY TEMPLE CITY C TENANT EXIST BLDG USE RESID USE ZONE R 1 ISSUED ON PROCESSED BY EXPIRES ON EXIST OCC GRP 01/06/06 JK 01/01/07 OWNER TEL NO BLDGS NOW ON LOT VALUATION FINAL DATE FINAL BY CODE BRUNO ARMANDO VIVIAN (626) 674 2823 11 170 /—p- — 4526 FIESTA AV TEMP 917804209 FEES PAID DESCRIPTION OF WORK TEAR OFF NEW ROOF 24 SQUARES TORCH FLAT NEW RIDGE FEE DESCRIPTION QUANTITY UOM AMOUNT APPLICANT TEL NO GARVEY ROOFING (626) 358 9208 AA BLDG PERMIT ISSUANCE 27 75 174 W FOOTHILL AC STRONG MOTION RESID 11170 00 VAL 1 12 SPECIAL CONDITIONS MONROVIA CA 91016 D2 PERMIT W/O EN HC 11170 00 VAL 250 20 TOTAL FEES 279 07 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE GARVEY ROOFING (626) 356-9208 174 W FOOTHILL BL LIC NO LOCATION AND SETBACKS MONROVIA CA 91016 692839 C39 SOIIS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL NO FOUNDATION TRENCH FORMS _t LIC NO SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP UNDFRFLOOR INSULATION 144H269 3 01 FLOOR SHEATHING NO OF FAMILIES DWELLING UNITS APT COND STAT CLASS NO 21 ROOT SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY 1000 FEET MATERIALS NO NO NO FRAPiE INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRL SPRINKLER HANGERS SET BACK YARD HWY PROP LINE WIDTH FRONT PL INSULATION/WEATHER STRIP SIDE PL INTERIOR LATH DRYWALL r EXTLRIOR LATH RATbD FLOOR CEIL ASSEM RATkD WALL ASSEMBLIES RATPD SHAFTS OPENINGS T BAR CEILINGS LOT DRAINAGE REPORT ID DPR261 ROUTE TO BS0508 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 1211010042 PHONE (626) 285 0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS ITR 12998 LT 15 SQ FT STORIES TYPE 4526 FIESTA AV ISTRUCTURE V B I TEMP CA 917804209 (ASSESSOR INFORMATION NUMBER i I NEAREST CROSS STREET 1 18592 001 028 I 1 THOMAS PAGE 597 GRID A5 LOCALITY TEMPLE CITY Cl I I I ITENANT JEXIST BLDG USE RESID USE ZONE R 1 (ISSUED ON PROCESSED BY 1 1 EXIST OCC GRP 111/01/12 SR 1 OWNER TEL NO IBLDGS NOW ON LOT VALUATION IFINAL DATE FINAL BY CODE IBRUNO ARMANDO BERTHA (626) 448 6950 I 1 500 1 1 14526 FIESTA AV I I 1 ITEMP 917804209 I FEES PAID IDESCRIPTION OF WORK 1 1 1 16 WINDOWS REPLACED 1 I IFEE DESCRIPTION QUANTITY UOM AMOUNT I (APPLICANT TEL NO I I ISAME AS OWNER IAA BLDG PERMIT ISSUANCE 27 80 I 1 1 IAB STATE GREEN BLDG FEE 1500 00 VAL 1 00 ISPECIAL CONDITIONS 1 —IAC STRONG MOTION RESID x1500 00 VAL 0 50 1 - ID2 PERMIT W/O EN HC 1500 00 VAL 82 20 1 1 TOTAL FEES ill 50 1 CONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER I I I I LIC NO I ILOCATION AND SETBACKS I ISOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER TEL NO I IFOUNDATION/TRENCH FORMS I I I 1 LIC NO 1 ISLAB/UNDER FLOOR I I I 1 11 1 IRAISED FLOOR FRAMING IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP �i �/� 1rnn `� /1 r�Q� JUNDERFLOOR INSULATION 1144H269 3 01 C ��`��iiWCCII V�. '111sss 1 I I IFLOOR SHEATHING INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS `/ 1 1 NO 21 (ROOF SHEATHING 1 SCHOOL WITHIN HAZARDOUS ISHEAP PANELS 1 (AIR QUALITY 1000 FEET MATERIALS I �/ 1 NO NO NO ` \� `� (FRAME INSPECTION 1 r 1 IFIRE SPRINKLER HANGERS 1 1 INSULATION/WEATHER STRIP I I EXPIRED _ ;INTERIOR LATH/DRYWALL I I ,i (EXTERIOR LATH I I I u rRATED FLOOR/CEIL ASSEM IRATED WALL ASSEMBLIES I I I I I I I 1 IRATED SHAFTS/OPENINGS I I I I I I 1 IT BAR CEILINGS 1 ILOT DRAINAGE I I I I I I IREPORT ID DPR261 ROUTE TO BSO508 I I I I I I