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Home My Public Portal About4858 FIESTA AVE_Building__ O _ f 76A638A.CE#803864 APPLICATION FORBUILDIN PERMIT COUNTY OF LOS ANGELES BUL DING DEPARTMENT OF COUNTY ENGINEER A D D R ESS o O BUILDING AND SAFETY DIVISION L O C A L I T Y JOHN A LAMBIE COUNTY ENGINEER NEAREST COLEMAN W JENKINS SUP T OF BUILDING CROSS ST DIST�ZIC I Nps GROUP TYPE PRO ESSE BY FOR APPLICANT TO FILL IN 0 CS JC CONST BUILDING r' STATISTICAL,}E��ASSIFICATION� SEWER MAP ADDRESS Sb F �C�, S'7'A CLASS NO V DWELL UNITS BK PG LOT NO V BLOCK USE ZONE MAP jj NO TRACT / SPECIAL NOOF BLDGS / ON I ION SIZE OF LOT 62 X 2 NOW ON LOT � � ^, USE OF 0 S/Nf-cX AAP41ZY BS BLDG SETBACL FROM TEL p p FRONT PROP NE OF (STREET) OWNER ja S rag R NO 26 _71/ TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL ADDRESSr-10 TA G HWAY &I nTH/ M C L CITY � , l� + �Q = /-7 -i- n ABLDG SETBACK FROM ARCHITECT OR TEL ENGINEER NO SIDE PROP LINE OF _ STREET TYPE OF EXISTING SETBACK HIGHWAY } YARD - TOTAL ADDRESS HIGHWAY WIDTH FROM C L CL _ 0 CONTRACTORF-LMt,P t'13NOL 41� qS + (J LIC ADDRESS L� NO CORNER CUTOFF YES NO O H �L I LA. Ic _ SEE REVERSE SIDE FOR SPECIAL APPROVALS W a DESCRIPTION OF WORK ' �� NEW ADD ALTER REPAIR DEMOLISH ' ...� SO PT NO OF NO OR '' 't `um SIZE 2 STORIES FAMILIFSI USE OF STRUCTURE - X Ki L( OOPS � A5 ' A -��J'._�„� A SIGNATURE OF / /�� /� APPLICANT ~t 647r �''�J Y•�f/ � � 4W" �'�71J�r7j/ VALUATION$ 0!ap0 APPROVALS OL{'jt°! ATE INSPECTOR SSIGNATURE ON FEE FEE$ /6- fJ FOFORMS UNDAI MATERCIALSON f �1 Q" � `o FRAME FIRE STOPS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS •('O G✓ 9U ILD ING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK i AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA .� INT /1M�-,��I ( TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT cb ING TO WORKMEN S COMPENSATION 1 NCEs v 'LQ,4T+1 EXT 5 SIGNATURE OF HOUSE NUMBER COR ---� PERMITTEE RECT AND POSTED ADDRESS �S^ r Cd FI NAL ON A5- JOHN F LEWIS PRINLIPALST URAL ENGINEER ti PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATION CK mo CASH 1i- 9 1 5 7,-,, I IT�n 4 1 D 1 5 a� ° F 0"4-ko V ' APPLICATION FOR BUILDING PER-MIT r x. . .COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN- BUILDING ADD BUILDI ADD �SS 4� �j _ I hereby affirm that I have a certificate of consent to self insure, S 1L '1 �/'1`//l or a certificate of Workers' Compensation Insurance,or a certified to copy thereof(Sec.3800,Lab.C.) CITY.— Cj ZIP_ r ��/ LOCALITY Policy No. Company SIZE OF LOT NO.OF BLDGS.NOW ON LOT ❑ Certified Copy is hereby furnished. Q ) NEAREST CROSS ST./• ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. I USE ZONE MAP NO. ASSESSOR MAP BOOK PAGE PARCEL Date Applicant SPECIAL CONDITIONS P—,0/ CERTIFICATE OF EXEMPTION FROM WORKERS' OWN TEL NO. COMPENSATION INSURANCE L (NOS& WITHIN 1000 FT.OF SCHOOL? VES NO (This section need not be completed if the permit is for one hundred ADD E s/ ` C DISTRICT GROUP TYPE CONST. FIRE ZONE PROCES BY dollars ($100) or less.) I certify that in the performance of the work for which this permitCITY 4"R. ZIP is issued, I shall not employ any person in any manner SO as t0 AR HITECT R ENGINEER TEL NO. (f 0 become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT C DO Date Applicant �—�� PP ADDRESS G AveCLASS NO. � DWELL UNITS NOTICE TO APPLICANT.' If, after making this Certificate Of v ! � �f A REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONT A TOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith 01 ��lC s�j/y'� FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P L LICENSED CONTRACTORS DECLARATION SIDE CITY LIC.CLASS P L I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and S ., T.SIZE„ h NO.OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. ✓` NEW ❑ BK PG a License Number Lic.Class DESCRIPTION OF WORK DDPON. O VALUATION Contractor Date r_. , Cr ALTER ❑ $ t� U cc ❑ I am exempt under Sec. REPAIR ❑ $ 0 BAP.C. for this reason DEMOL ❑ LDMA P/C# W Date: USE OF EXISTING BLDG. URM ❑ a Signature APPLICANT(PRINT) TEL NO. LDMA Perm; �3 Z ❑ I, as owner of the property, or my employees with wages as Z ACCT.87 their sole compensation, will do the work and the structure is ADDRESS O �,��+11 : not intended or offered for sale (Section 7044, Business and FINAL DATE %a _�d. 0 5-1V 0 Professions Code.) 1 WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL J ❑ 1, as Owner of the y, Y g OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE property, am exclusive) contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY •1 S licensed contractors to construct the project (Section 7044, :;y ACCT.o Or Business and Professions Code.) VES El No 1:1 � (1(7 WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING 1. •,.3,03 640.29 OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH 'S CONSTRUCTION LENDING AGENCY COAST GUIDERIES.UALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR { R ITEMS I hereby affirm that there is a construction lending agency for YES O NO❑ TOTAL � ' a the performance of the work for which this permit is issued(Sec. a (/ (p rn I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCACMD PERMITTING Y t,IlEGrI g7�o7 3097, Civ.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, N TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS ;' ( CHANGE I,�j` 3 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. CHAh{G r E a I]I� o Lender's Address ' O OWNER OR AGENT , 0 1 certify that I have read this application and state under penalty o P.C.FEE PERMIT FEE 0 of perjury that the above information is correct.I agree to comply / J� g ��_4 �� f� VJg� N with all cou ty ordinances and /repC ws relating to building �U m constructio an hereby aut rizent Ives of this County ISSUANCE FEE t i 11 i hi a ato enter u n above- n fined r inspecti purposes. 41 `t 1 A,IZQ'+Jg / A INVESTIGATION FEE TOTAL FEE SEE REVERSE FOR EXPLANATORY LANGUAGE APPLICATION FOR 5UILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS�{� ( e � � or a certificate of Workers'Compensation Insurance,or a certified Q copy thereof(Sec.3800,Lab.C.) CIT'-(Z&-AP ZIP 1Xn� LOCALITY Policy NO. Company G � ' J SIZE OF LCT NO.OF BLDGS.NOW ON LOT ❑Certified copy is hereby furnished. pp 6 NEAREST CROSS ST. ElCertified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. ASSESSOR MAP BOOK PAGE PARCEL Date - Applicant SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER � ll / , L NO. COMPENSATION INSURANCE S N � RAS j C8i8 WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDRESS p 1 dollars ($100)or less.) SO �i E�S 1 O� v e DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY I certify that in the performance of the work for which this permit CITY1> ` ZIP�17�a is issued, I shall not employ any person in any manner so as to ARCHITECT O ENGINEER TEL NO. become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO, 1-2/ 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 TEL NO. SET BACK YARD HWY_ PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P L } LICENSED CONTRACTORS DECLARATION SIDE CITY LIC.CLASS P L O 1 hereby affirm that I am licensed underprovisions of Chapter 9 U SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES � Professions Code,and my license is in full force and effect. f > NEW ❑ BK PG O License Number Lic.Class DESCRIPTION OF WORK ADD E] VALUATION loop- U Contractor Date11 LLI x f �6A I $ � O ALTER ❑ ❑ 1 am exemp7Cunder Sec. VUAR REPAIR ❑ $ Z B.BP.C.for this reason DEMOL ❑ LDMA P/C# Date: USE OF EXISTING BLDG. URM ❑ Signature APPLICANT(PRINT) I TEL C LDMA Perm# I, as owner of the property, or my employees with wages as C �—•� 5ItS-VT x-30 Z ACCT°� their sole compensation, will do the work and the structure is ADDRESS o \ / /�1 O San 3 911;=`''I i not intended or offered for sale (Section 7044, Business and SO � P Cl't4 C 1 FINAL DA E a Professions Code.) L T II E�t,r+S WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL OR C3 1, as owner of.the property, am exclusively contracting with AAMOUNTSTURE SPEC CONTNG ONI THE HAZARDOUS MATERIALSNFFORMATOR A A HAZARDOUS EQUALTIION GUIDE?ER THAN THE Q a- { d�,p,-. licensed contractors to construct the project (Section 7044, FINAL e > TOTAL T AL �03 = rJ Business and Professions Code.) YES❑ No CHECK 1OS.0 WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH 1 /'L, I,i �^ I I CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT ISCAOMD)SEE PERMITTING CHECKLIST FOR CHANGE GUIDEUNES. I hereby affirm that there is a construction lending agency for YES❑ NO❑ the performance of the work for which this permit is issued(Sec. {+ { :`�: 3097,CIV.C.) I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING I�;III0-'I01'.I01I 'f�5�..11 t 6 CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, ofTITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS Cir! n'}•F m Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. 5889 7 1 1! Lender's Addresscc OWNER OR AGENT 3 I certify that I have read this application and state under penalty p of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE ro with all county ordinances and State laws relating to building (o M construction, and hereby authorize representatives of this County ISSUANCE FEE 7,�d o to enter upon the e-mentio'- r oelty f inspection purposes . g) 1 4��s_p� INVESTIGATION FEE TOTAL FEE Ile N Gyna p.t w Agee Date !/ • / SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 :_.BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS - �., ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9807230026 PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 14647 LT: 7 SQ. FT STORIES TYPE 4858 FIESTA AV STRUCTURE: 0 VN TEMP CA 917803814 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LA ROSA 8590-017-013 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE ZONE: R ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 07/23/98 UT 07/23/99 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: LIU STEVEN H;TRACY L (626) 285-2389- 1 4,000 4858 FIESTA AV j •- TEMP 917803814 FEES PAID DESCRIPTION Of WURK 3RD BATH CREATED IN EXISTING SQ. FOOTAGE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 4000.00 VAL 0.50 SPECIAL CONDITIONS: AX BUILDING REVIEW FEE 54.70 B2 PERMIT W/ENERGY 4000.00 VAL 127.38 TOTAL FEES 210.33 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 144H269 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS S NFkS AIR QUALITY: 1000 FEET MATERIALS „kl NO NO NO FRAME IN PECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS 9&7 �2 SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CELL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508