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HomeMy Public PortalAbout4933 FIESTA AVE_Building__ �, APPLICATIONS"' I�� IJ I LDI N P,fERT FORAPPLICANT TO FILL IN (Print or type only) h/�- r cu BUILDING r ,�,-� COUNTY OF LOS ANGELES/ ADDRESS � DEPARTMENT OF COUNTY ENGINEER clrY • %f �'�� ZIP ?O BUILDING AND SAFETY DIVISION ;,NO.OF BLDGS. BUILDING SIZE OF/LOT 90X/168/C NOW ON LOT ADDRESS 3.3 TRACT / BLOCK LOT NO. LOCALITY TEL. ,.�1 NEAREST OWNER £j=J�,1 �Q t NO. Abv)� CROSS ST. _ Q v-1z=-7,e- ASSESSOR ADDRESS MAP BOOK PAGE PARCEL DISTRICT GROURn TYPE FIRE PR ESSED BY CITY �� /�a ZIP �la `.ti ONS T. ZONE „�� ARCHITECT OR TEL 0:5 fG/L ENGINEER NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO­2_D -DWELL.UNITS BK PG CONTRACTOR Nk� NoL U SE ONE MAP NO. 6ADDRESS NO SPECIAL LIC. LIC � �Jiu. CONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES� NO CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.LINEOF (STREET) n ADDRESS CITY _ TOTAL SETBACK FROM TYPE OF EXISTING c SQ. FT. NO. OF NO. OF CHECK HIGHWAY + YARD - FRONT PROP. LINE HIGHWAY WIDTH IL SIZE STORIES FAMILIES ONE C DESCRIPTION OF WORKILL NEW C ADD ❑ BLDG.SETBACK FROM (STREET) v SIDE PROP. LINE OF ALTER ❑ HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING Z = REPAIR❑ SIDE PROP. LINE HIGHWAY WIDTH USE DEMOL ❑ + EXISTING BLDG. APPLICAN `y TEL �Q CORNER CUTOFF YES NO ❑ (PRINT) �/y � �®Qpt.- N0. /{/LSA?fi BY (SIGNATUR IN OPEN SPACE YES NO ❑ nf IN COASTAL ZONE YES E:] NO ❑ VALUATION (SC/qJr G� CATEGORICAL EXEMPTION YES[] NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON. IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPEN ATION INSURANCE. ��l'�I�QA l-x Gifu -��f 1^•7�," C--- .f.�r QS P �i'.✓�/�� � . .!. 3: . i a le !N6/ SIGNATURE O / Az /'L.� f'-.•.*r-r� - 1 PERMITTEE ADDRESS PA'111 Ski, CAdk fa •1 ''aa FINAL BY CIT �� NOLQN r� DATE P.C. PMT. IIAKE CNE •hS PA}-.1131-1: 7U: FEE FEE $ ® '' HARVEY T. BRANDT, COUNTY ENGINEER F PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M O. CASH 9LS& -5 1 A 2- 1.75A 98 76A638A CE#803 12/72 i 76A638ACv".#80311-67 APPLICATION FOR BUILDING PERMIT" 1 COUNTY. OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADOREss BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUP'T OF BUILDING CROSS ST. DISTRICT NO. GROUP ITYPE �SEWER MAP FOR APPLICANT TO FILL INBK PG CONST. _ _� BUILDING ' _ �� ADDRESS STATISTICAL ASSIFICATION ry LOT NO. BLOCK CLASS.NO. DWELL.UNITS— MAP NITS MAP STATE YESO NUMBER HWY. TRACT USE ZONE SPECIAL ' NO.OF BLDGS. ti�-- CONDITIONS SIZE OF LOT O' D NOW ON LOT V'! USE OF EXISTING BLDG. BUILDING EXIST. SETBACK YARD HWY STREET NAME WIDTH OWNER MAIL 9? 3 FPOLT ADDRESS SIDE J TEL. P.L. CITY C/ NO. ARCHITECT OR /f� TEL, IN PECTION.RECORD ENGINEER L NO. ADDRESS TEL. /I ' d 1 PCI'f . �( rZ CONTRACTOR O. ADDRESSI-Z"tiL / DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ. FT. NO.OF NO.OF SIZE STORIES FAMILIES USE OFSTRUCTURE SIGNATURE OF APPROVALS APPLICANT DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION w-- FORMS,MATERIALS $ .® FEP.C. $ M(9 FRAME: FIRE STOPS, E BRACING,BOLTS VALUATION `Q® $!2 �✓ FURNACE: LOCATION, >. FEE GAS VENT.DUCTS ✓N� /� �,I /� ��,� 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH,INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND _ AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGPLATING BUILDING C .NSTRUCTION. LATH,EXT. SIGNATURE OF �//� HOUSE NUMBER COR- pr" PERMITTEE - /� �� y" RECT AND POSTED ! f ADDRESS—W-2-l' ✓ j FINAL 1 I=ll s� �"'•'� CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL E ER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. . M.O. CASH . LAGO 0 3 5 u° AUG 2 0 2 3 A 9.2 5 ®� WORKERS' COMPENSATION DECLARATION I sure, atfcer that I have r certificate of consent to self AP P L I CAT I O NroF O� BUILDING PERMIT insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof.(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company ❑ Certified co is hereby furnished. FOR APPOCANT TO FILL IN BUILDING PY Y ADDRESS � ❑ Certified copy is filed with the county building inspec- BUILDING � 5 //P S�q tion department. ADDRESS Date Applicant CIN _e.77 y LOCALITY NO. O LDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT N04N LOT CROSS ST. COMPENSATION INSURANCE Z,,C/ ASSESSOR c �y (This section need not be completed if The permit is for one TRACT 1 BLO K LOT NO. < L/ MAP BOOK eJ PAGE ©/ PARCEL ®Z hundred dollars ($100) or less.) / TEL. OWNER V Cf NO. �w�• USE ZONE MAP I,certify that in the performance of the work for which this . SPECIAL 1- permit is issued, I shall not employ any person in any manner ADDRESS SPE �) 'C �' CONDITIONS CL soas to become subject to the Workers' Compensation Laws. y O CITY -� / / ZIP / 6 Date Applicant ARCHITECT OR TEL. � NOTICE TO APPLICANT: If, after makingthis Certificate of ENGINEER NO. DISTRICT �GROUP TYPE FIRE PROCESSED BY CONST. ZONE F_ Exemption, you should become subject to the Workers' w Compensation provisionsofthe Labor Code, you must forth- ADDRESS ev � � 4��ee p_ with comply with such provisions or this permit shall be TEL STATISTICAL CLASSIFICATION APT. I CONDO. N deemed revoked. CONTRACTOR NO. Z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. �� DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. .(commencing with Section 7000)of Division 3 of the Business LIC. SEWER MAP and Professions Code,and my license is in full force and effect. CITY CLASS BK PG VALIDATION SQ. FT. NO. OF NO. OF CHECK License Number Lic. Class SIZE STORIES FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF WORK !(IVU ® NEW E D®� 60 /Z-eADD ❑I am exempt under Sec. /' ��C ALTER ❑ B.BP.C. for this reasonREPAIR ❑ ; Date: USE OF EXISTING BLDG. DEMOL ❑ 3 Signature APPLICANT ACCT. r g ' (PRINT) L{ C� NO. add /' FINAL /�� AC •1 n 3 OWNER-BUILDER DECLARATION DATE I hereby affirm that I am exempt from the Contractor's License t .2 i 3303 c�n Cly Law for the following reason (Section 7031.5, Business and ADDRESS 1 C rrL FINAL Professions Code): PRESENTBy 1. JeAA BUILDING I, as owner of the property, or my employees with ADDRESS A Ct•t o e wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section MOVING TEL. , 3303 204 e86 7044, Business and Professions Code.) ❑ I, as owner of The property, am exclusively contracting CONTRACTOR NO. 2 ITEMS with licensed contractors to construct thero•Iect (Sec- w � tion 7044, Business and Professions Code.) ADDRESS {I�ttl_ _� a , } REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH CHECK '`c.". 6 I hereby affirm that there is a construction lending agency for FRONT CHANGE I-II) the performance of the work for which this permit is issued P.L. n (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name. LDMA Ref. 0000-001 1 6/11l96 •� �J' j # m P.C. Fee$ 'vim Permit Fee Lender's Address �Q , 6°L-tc 1 AM 3°cf-'•-` o I certify that I have read this application and state that the Issuance Fee LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee Q' 6 ordinances and State laws relating to building construction, Total Fee a • �� LDMA"Perm. # a and hereby authorize representatives of this County to enter upon_the bove-mentioned pro rty for inspection pu�rpose�s.� 16 — SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Age t Date r . 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 0009130021 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 11454 LT: 40 SQ. FT STORIES TYPE 4933 FIESTA AV STRUCTURE: 0 VN TEMP CA 917803817 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA 8590-019-022 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: 09/13/00 UT 03/13/01 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FI BY: CODE: CHENG HSUAN CHANG;HUANG KUEI SHU (626) 287-0817- 1 2,000 �1�� 4933 FIESTA AV L TEMP 917803817 FEES PAID DESCRIPTION OF WORK REROOF OVER EXISTING WITH 25 YR. OWENS CORNING COMP. SHINGLE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 2000.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O-EN--EAX2000.00 VAL 82.20 CONTRACTOR: TEL. NO: �� C� TOA®��� 110.45 � 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: i - - 1111111 SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:- n (� O (1 n� (n��jlJ UNDERFLOOR INSULATION 144H269 3 O =�!ISI I ILIA lLll IU,�lSl ILIv FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS:- NO 21 \�— O 0 ROOF SHEATHING le SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS 3 L_ NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST QO d� FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: 860 FRONT PL- ��'P@yp���IN� �V INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508