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Home My Public Portal About4927 FIESTA AVE_Building__ �IVGISION OF BUILDING AND SAFETY 1 L 1 fAspartment of County Engineer County of Los Angeles WM J FOX, COUNTY ENGINEER APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DIHTRiCT NQ PLANCK OR Rrc NO PERMIT NO BUILDING ^�� ADDRESS / 1 �j 6 � V RECEIVED BY DATE OF APPL. DATE ISSUED LOCALITY N(ZARE13T ROBS HT V BUILDING �� n ADDRESS OWNER _&AA MAIL LOCALITY ADDRESSzY47NEAREST / TSL CI NO. FIRE NO OFTYLE GROUP ARCH C R TEL tZONE I PLANS ENGINEE BLDG RD NO EACK LINE �2..U /�dl,p ADDRESS USEAPPROVED ZONE I BY DATE _ CONTRACTORA h- HOUSE NUMBERING ADDRESS i MAP NUMBER r D NO ABBIGNED BY LEGAL 1000, CORRECTIONS DESCRIPTION I LOT NO r'f BLOCK TRACT NO. OF 81-008 G o r "5 / J �ro 7-n.v SIZE OF LOT NOW ONl LOT / AA USE OF NO OF /S /[�� 7'i•��bv '� /a G: a.ta�.tr^"'�"'" EXISTING BLDG / FAMILI[S nIPSICEEPTION OF WORK NEW ALTERATION ADDITION Z D r REPAIR DEMOLITION BQ FT �J�� N SIO OF / 912E ROOMS STORIES EXT WALL R COVERING COVERING UBEE OF STRUCT RE / O INSPECTION FOR r APPRONA,1.S OCCUPANCY AS INSPECT05VBSIGNATURE DATE FO,UNOATION LOCATION / FO:RMB, MATERIALS ' HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME FIRE BTOPB PLICATION AND STATE THAT THE INFORMATION GIVEN IS CORRECT BRACING BOLTS I AGREE To WITH ALLRDINANC AND STATE LAWS RP NG BUILDDING UNTY CONSTRUCT ONS FURNACE LOCATION GAS VENT DUCTS SIGNATURE OF l / ��, LATH INT PERM[ EE / LATH EXT ADDRESS i PLASTER INT AUTHORIZED AD PLASTER EXT FEE HOUSE NUMBER COR RECT AND PORTED VALUATION FEE ��-O FINAL 76A63BA DBS 3 1 52 V o DEPARTMENT-OF BUILDING AND SAFETY I APPLICATION FOR`PERMIT COUNTY OF LOS ANGELES ® ®L ® I wm i FOX, CHIEF ENGINEER ® N G FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY iDISTRICT NO PLANCK NO PERMIT NO ADDRESS BUILDING 1� / C X ? OT/r {I f LOCALITY RECEIVED BY DATE OF APPL DATE ISSUED I LZ NEAREBT CROSS STBU C A } ADDRESSV,�. OWNER ^ __ 4 , MAIL + LOCALITY 9 c' e_ -� ^^ ADDRE89 .d NEAREST TEL CROSS ST o CITY ' NO FIRE NO OF TYPE OROUP ARCHITECT OR TEL ZONE PLANS ENGINEER 1NOBLDG F /^r ORD NO ADDRE89 SET ACK LINE r i APPROVED - t TEL BY DATE CONTRACTOR p NO USE _ APPROVED - ADDRESS ZONE BY DATE LEGAL ,,ll CORRECTIONS DESCRIPTION _ LOT NO BLOCCJK �V TRACT ' +� N��lJ l n .. l L1+•i S"'�1 NO OF BLDDS I / SIZE OF LOT NOW ON LOT / USE OF NO OF / I NO OF .� EXISTING BLDG U� yY j�W� FMILIEB ROOMS DESCRI,VTION OF WORK NEW ALTERATION ADDITION � O REPAIR MOVING DEMOLISH p Sq FT NO OF --- " Z 61ZE ROOMS STORIES r WALL ROOF COVERING COVERING USE OF NEW BUILDING m'J U I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS MATERIALS AND STATE LAWS REGULATING BUILD CONSTRUCTION I FRAME FIRESTOPS, SIGNATURE OF� BRACING BOLTS PERMITTEE 11 _ LATH INT AUTHORIZED AGT LATH EXT Des 3 SOM SETS 7 47 $ 3 P C �_` PLASTER INT � FEE F PLASTER EXT VALUATION / FEE r FINAL f/"vA H/S WORKERS' COMPENSATION DECLARATION hereby affirm that I have certificate of consent to Self APPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers' Compensation urance„ or a certified copy thereof (Sec. 38aab��) �(Lf COUNTY OF LOS ANGELES BUILDING AND SAFETY Po y No. —Company BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS p7 _ z Certified copy is filed with the county buildi inspec- fADDRESS DING �j Datetion department. /��'7 l V��/J /�i��l , ZIP LOCALITY Applicant NO. OF BLDGS.CERTIFICATE OF EXEMPTION FROM WORKERS' OF LOT NOW ON LOT NEAREST /t COMPENSATION INSURANCE CROSS S7. C ' (This section need not be completed if the permit is for one TRACT LOCK LOT NO. ASSESSORMAP BOOK P E PARCEL hundred dollars ($100) or less.) - TEL. ` USE ZONE MAP p OWNER NO [ G NO. Z67 I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner ADDRESS l ep�- .� SPECIAL CONDITIONS so as-to become subject to the Workers' Compensation Laws. /(. O CITY ZIP Date Applicant ARCHITECT OR �r TEL. . A/ 0 NOTICE TO APPLICANT: If, after makingthis Certificate of ENGINEER !ii NO. W DISTRICT GROUP TYPE FIRE PR SSE BY O CONST, ZONE U Exemption, should become subject to the Workers' P Y I w Compensation provisions of the Labor Code, you must forth- ADDRESS Exem , you with comply with such provisionsor this permit shall beEL.14 STATISTICAL CLASSIFICATION APT. CZ ONDO. N deemed revoked. CONTRACTOR O. d LICENSED CONTRACTORS DECLARATION IC. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 [EXISTING DDRESS / O' SEWER MAP (commencing with Section 7000)of Division 3 of the Business `/ LIC. _ ITY 41 �J CLASS and Professions Code,and my license is in full force and effect. LBK. PG. VALIDATION Q. FT. �l NO. OF NO. OF CHECK License Number .�.� `' L' . Class IZE (�� STORIES FAMILIES ONE Contractor -�� e ^� E ON OF WORK j NEW ❑ VALUATION ' ADD ❑ �� pool.. I am exempt under Sec. ALTER ❑ B.&P.C. for this reason $ SE OF � REPAIR Date: - BLDG. 7 L C DIE OL Signature 1'Y1111fkW APPLICANT TEL. FINAL OWNER-BUI E DE ATION (PRINT). NO. DAT �- I hereby affirm that I am e>Wpt fr the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS FIN Professions Code): PRESENT B ❑ I, as owner of the property, or m employees with BUILDING , P P Y. YADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code.) MOVING TEL. pool ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. —= with licensed contractors to construct the project (Sec- _ t* W, 4 ADDRESS tion 7044, Business and.Professions Code.) _ 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 y n'1L'I the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name �! '-- • LDMA Ref. # P.C. Fee$' Permit Fee Lender's Address pop. - - f a 1 certify that I have read this application and state that the Issuance Fee V- LDMA P/C# 0 above information is correct. I agree to comply with all County Investigation Fee 8 ordinances and State laws relating to building construction, Total Fee L A LDMA Perm. # and h re y auWipresentatives of this County to enter ted pro erty for'inspec / SEE REVERSE FOR EXPLANATORY LANGUAGE ig. ture of pp i a 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 0306300009 PHONE (626) 285 0488 EXT LEGAL ID NO OF CONST _BU I LD I NU—MR9- TR 11454 LT 39 SQ FT STORIES TYPE 4927 FIESTA AV STRUCTURE 2500 VN TEMP CA 917803817 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LA ROSA 8590 019 021 THOMAS PAGE 597 GRID A5 LOCALITY TEMPLE CITY TENANT EXIST BLDG USE RESID ZONE R I ISSUED ON PROCESSED BY --- -EXPIRES EXIST OCC GRP 06/30/03 VG 06/24/040 OWNER LDGS NOW ON LOT VALUATION FINAL DAT Xp I gMBY CODE MEI LI TAI (626) 286 0912 6,000 4927 FIESTA AV TEMP 917803817 FEES PAID 15ESCRIPTION—OF—WORK T/O EXIST ROOF ON HOUSE & DET GARAGE, RESHEAT AND INSTALL FEE DESCRIPTION QUANTITY UOM AMOUNT COMP SHINGLES REMOVE & REPLACE 12 EXIST WINDOWS APPLICANT TEL NO SAME AS OWNER AA BLDG PERMIT ISSUANCE 27 75 AC STRONG MOTION RESID 6000 00 VAL 0 60 SPECIAL CONDITIONS D2 PERMIT W/O EN HC 6000 00 VAL 149 40 TOTAL FEES 177 75 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR S NA U SAME AS OWNER LIC NO f LOCATION AND SETBACKS i SOItS ENGINEER APPROVAI ARCHITECT OR ENGINEER TEL NO — CH F LIC NO �� _ SLAj/UNDER FLOOR RAISED I MAP NO a SEWER MAP BOOK PAGE FIRE ZONE CMP UNDERFLOOR I LATION XX 3 101 NO OF FLOOR SH S D S S AS NO 21 ROOF SHEATHING L AIR QUALITY 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EX I ST_ FIRE SPRINKLER HANGERS SET BACK YARD HWY PROP LINE WIDTH FRONT PL INSULATION/WEATHER P SIDE PL INTERIOR A XTER OR LATH RATED WALLASSEMBLIES RATED SHAFTS/OPENINGS B R CEILINGS LOT DRAINAGE REPORT ID DPR261 ROUTE TO BS0508