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Home My Public Portal About4942 FIESTA AVE_Building__ TEMPLE CITY. �/ LJ 78A999A CE ry909. 1-61 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING i f DEPARTMENT OF COUNTY ENGINEER ADDRESS ! t BUILDING AND SAFETY DMSION LOCALITY �a JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. Gt �/ DIST_ICT NO! GROUP TYPE OCES �D BY FOR APPLICANT TO FILL IN t j d � CONST.' BUILDINGL /1 + STATISTICAL CLASSIFICATION SEWER MAP ADDRESS ,�(r B PG CLASS.NO. DWELL.UNITS LOT NO. BLOCK WATER NOT REQUIRED RECEIVED CERTIFICATE: TRACT MAP r�J /y HIGHWAY O.OF NO.c>C.,�(/ ICIRCLE> STATE MAJOR SECOND LOCAL SIZE OF LOT. / NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. TEL.ffl OWNER (T C'? NO. - BUILDING EXIST. YARD HWY STREET NAME �• �` SETBACK WIDTH �'" /; ADDRESS �• I'1�-< I %a &. FRONT ARCHITECT O T L. P. L. ENGINEER NO. SIDE P.L. ADDRESS a �r TEL, /INSPECTION RECORD, J p 0 CONTRACTOR /� / NO. / ADDRESS l / �., DESCRIPTION OF WORK � �� ,- /v / u '5- v /a NEW ADD ALTER REPAIR DEMOLISH SQ. FT. / NO.OF NO.OF C� ^SIZE STORIES pFAMILIES USE OF 'C�7 2� 9 ®/.t�!/I/Il ��✓Y K''n"" STRUCTURE.' SIGNATURE OF APPLICANT VALUATION$ /p1 _ APPROVALS O'ATE/ INSPECTOR'S SIGNATURE P.C. PMT. �� FOUNDATION: LOCATION FORMS,MATERIALS •7 (�/ !/ s.� FRAME: FIRE STOPS, / r I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FOR-NAGE:-LOCATION' ,_ �°Cf(f I' WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK /f AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- TI ON IOLA-TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- LATH, INT. �" ING TO WORKMEN'S COMPENSATION INSURANCE. LATH,EXT. '� h �1/j '/ S�IGNATURE OF HOUSE NUMBER COR- _- - /`PERMIT'TEF- �'�' J -�y `�' RECT AND POSTED ADDRESS i'I l `2— J O J t/EI- FINAL /,,°�,n�j,�✓ �"'�.' -,.;'-'=-: ��✓-�, CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENG ER �� PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH APPLICATION FOR BUILDING PERMIT F'@R APD,1 ICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES BUPLDAVG ADDRJSS 49 -4 :Z- N. M 7srA nVE, DEPARTMENT OF COUNTY ENGINEER CITY M pl_�V_ GIT ZIP BUILDING AND SAFETY DIVISION i 1 NO.OF BLDGS. .� S(�S BUILDING SIZE OF LOT X04 X 1 Z® NOW ON LOT 1ADDRESS TRACT BLOCK LOT NO. LOCALITY TEL. NEAREST OWNER ATL :5 \_\ c 4 NO.285 $ CROSS ST. ASSESSOR ADDRESS -4A34-� N - 1�-Iv MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE PROC SED BY CITY -r (_ - G j ZIP ' �/� `]]�' CONST. ZONE ARCHITECT OR TEL. v"08 .Y ENGINEER (VOM NO. STATISTICAL CLASSIFICATION SEWER M ADDRESS L � / CLASS NO. _DWELL.UNITS BK PG CONTRACTOR kAlSTO hi I�+1_ ,' ^I '�N,I� o� 4311 E ZONE NMO 0AP�p/ ADDRESS 433 N hZA V?A *qp, 17q:2,z AU SPECIAL LIC. ,fi'�' CONDITIONS CITY CLASS I3- ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.LINE OF -� (STREET) ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING SQ.FT. NO.OF NO.OF CHECK HIGHWAY + YARD = FRONT PROP.LINE HIGH AY WIDTH SIZE STORIES FAMILIES ONE y DESCRIPTION OF WORK NEW ❑ + �� O BLDG.SETBACK FROM MoFlo s 4. �Zb 160 ��b�� ADD SIDE PROP.LINE OF ISTREETI O nTl� t3�r� hpbm.otJ LTE ❑ TOTAL SETBACK FROM TYPE OF EXISTING w HIGHWAY + YARD = SIDE PROP.LINE HIGHWAY WIDTH N USE OF 0 tl IR ❑ __ Z EXISTING BLDG. TfD�� t f T4� DEMOL ❑ + APPRINTNT NO 1✓DVl E F- hN Clb NO. 6� 11 CORNER CUTOFF YES ❑ ❑ IN OPEN SPACE YES ❑ NO ❑ BY(SIGNATURE( IN COASTAL PERMIT ZONE YES ❑ NO ❑ Q Cp VALUATION$ OCA D IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE -71 AXood A 011.6 ^ A"AW'� WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF y, THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- ��^R ,•�: p;t PENSATION INSURANCE. ' '* - 1A. 40• h".` �i�� s "' 4..-.6ar .X� ¢^•j.;`- SIGNATURE OF PERMITTEE ADDRESS CITY FINAL e BY A ? TE _JTE . -4 MAKE CHECKS PAYABLE TO: FEE $ FET $ . HARVEY T.BRANDT,COUNTY ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH J PERMIT VALIDATION CK. M.O. CASH A l.9",O 8 h^e0 19 1 6 9.0 G A,98 . OS 76A63BA CE#803 3-75 l WORKERS' COMPENSATION DECLARATION : insure, or a certif cane of Worke srlificate Compensat on eInsuran e, APPLICATION F O"R RU I L D I N G PERMIT or a certified copy �t�heereof (Sec..3800, L b. ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy Np/�E[_Compa BUILDING ❑ Certified copy is hereby furnished. y� ` FOR APPLICANT TO FILL IN ADDRESS ��f �� ❑ Certified copy is filed with the co t pec- BUILDING ��• tion department. ADDRESS 31Y7j 1 t Date Z—&- Applican CITY ZIP LOCALITY NO. OF BLDGS. NEAREST CERTIFICATE OF E N FRO RKERS' SIZE OF LOT NOW ON LOT CROSS ST. COMPE N INSUR CE ASSESSOR �i (This section need not completed if the permit is for one TRACT BOC LOT NO MAP BOOK �Q PAGE�/0 PARC4�� hundred dollars ($100)or less.) '� TEL. )(� USE ZONE OP � OWNER 'S NO LO� I certify that in the performance of the w r o this r IAL >w permit is issued, I shall not employ any p a anner ADDRESS (�S (��/ CONDITIONS so as to become subject to the Worker ' n i Laws. O CITY ZIP U Date—Applicant ARCHIT T OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY NOTICE TO APPLICANT: If, a maki is Certificate of ENGINEER NO. CONST. ZPNE Exemption, you should me a to. the Workers' Compensation provisions the L I ode, you must forth- ADDRESS / ✓ ��L a with comply with such provisions or this permit shall be L {)C, 7 STATISTICAL CLASSIFICATION APT, CONDO. N deemed revoked.' CONTRACTOR LL. �J Z LICENSED CONTRACTORS DECLARATIONr /`� LIC. CLASS NO. � DWELL. UNITS — //22 hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS LJ C!y NO (commencing with Section 7000)of Division 3 of the Business LIC. SEWER MAP CITY �� O6DS CLASS and Professions Code,and my license is in full force effect. BK. PG. VALIDATION . SQ. FT. NO. OF NO. OF CHECK License Number Lic. Class SIZE I STORIES FAMILIES ONE VALUATION Contractor Date - DESCRIPTION OF WORK NEW ❑ a u exempt under Sec. rA :4_ ADD ❑ry ► ALTER YJ BAP.C. for this reason 4-V � � '�"�� L'4 REPAIR ❑ $ Dare: USE OF EXISTING BLDG. DEM( L ❑ Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION (PRINT) NO. DATE AO I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS FINAL' Professions Code): PRESENT By BUILDING ❑ I, as owner of the property, or my employees with ADDRESS >a wages as their sole compensation,will do the work and t the structure is not intended or offered for sLOCALITY (Section 7044; Business and Professions Code.) MOVING TEL. ❑ CONTRACTOR NO. s`)'<<; I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code.) - REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SETBACK YARD HWY PROP. LINE WIDTH y:[: }`•: _.�t!'.s 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 P.L. . Lender's Name -- -- iAtU 1!.wit`t_LDMA Ref. # -- -- � P.C. Fee$ Permit Fee V .._ �q_� Lender's Address , t,_,` _ rii i 0 1 certify that I have read this application and state that the Issuance Fee ✓- LDMA P/C# 8 above information is corr ct. I agree to comply with all County Investigation Fee n ordinances t lating to building construction, Total Fee ' !2 LDMA Perm. # a andhere i re sentatives of this County to enter upon n ' roperty for inspectio put e .� SEE REVERSE FOR EXPLANATORY LANGUAGE S' u o Applicant or Agent a -!�QRKERS'COMPENSATION DECLARATION hereby affirm that I have a certificate of consent to self A P P L LCAT I O N FOR BUILDING PERMIT insure, or a certificate of War,'ls' Compensation Insurance, 2 or a certified copy thet�of (Sec.'�3B00; Lab. C.) `' COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Companyomlo Cx&S IT y (� • Certified copy is hereby furnished. BUILDING FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS , l s1 Date L. t5]Applicant K�'' �-4 r CITY a C�� ZIP ♦ (f LOCALITY CERTI KATE OF EXEMPTION FROM WORKERS' NO. OF BLDG§- NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. (This section,need not be completed if the permit is for one ASSESSOR hundred dollars ($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL SSKI N L. Bo USE ONE MAP 7 f� I certify that in-the performance of the work for which this OWNER � � Np, permit is issued, I shall not employ any person in any manner SPECIAL so'as to become subject to the Workers'Compensation Laws. ADDRESS ! CONDITIONS t0 y CITY ZIP Date Applicant ' ED B NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROC SSYENGINEER NO. CONST. ZONE 0 V Exemption, 'you should become subject to the"Workers' ,/ 2 W Compensation provisions of the Labor.Code, youzmust forth- ADDRESS �` V ✓ y with comply with-such provisions or this permit shall be TEL. S' STATISTICAL CLASSIFICATON APT. J.CON�b. deemed.revoked. CONTRACTOR (��(��'( NO. .�r� � LICENSED CONTRACTORS DECLARATION 7r- LIC. / 2 2� CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS +CII 6C NO. ! SEWER MAP (commencing with Section 7000)of Division 3 of the Business and - - .. LIC. Professions Code, and my license'is in'fuli force and'effect. CITY `(, //-1CLASS BK PGVALIDATION SQ. FT. /� NO.OF NO.OF CHECK License Number! l� G C� Lic.Class SIZE (1 STORIES FAMILIES ONE VALUATION Contractor tl�OM I Dote ^ f DESCRIPTION OF WORK NEW ❑ $ �� I am exempt under Sec. 200 n �"�' ti AADDR ❑ , 8.8P.C. for this reason REPAIR ❑ $ `218&2A USE OF ❑ Date: DEMOL EXISTING BLDG. -'#`0 0 0 0,0;J APPLICANT TEL. Signature PRINT NO. FINAL D 2 4 6 7 5 OWNER-BUILDER DECLARATION DATE o I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS FINAL 0,0 2 4 66 7 5,60 Professions Code): PRESENT By BUILDING Q,. I, as owner of the property, or my employees with ADDRESS '0 4, 1 9-8 cis s 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. I yf I, as owner of the property, am exclusively contracting CONTRACTOR NO. Y �+ with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY SETT BAC YARD HWY TOTAPROPAINEFROM -. 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 P.L. Lender's Name 1 2 LDMA Lender's Address Ref. # YJ P.C. Fee$ Permit Fee x J.certify that. I have read this application and state that the Issuance Fee J Q LDMA P/C# a above information is correct. I agree to comply with all County. Investigation Fee ordinances and State laws relating to building construction, Total Fee ,7 LDMA Perm. # and hereby authorize representatives c f this County to enter upon the Bove-mentioned property for inspection urposes. a ! SEE REVERSE FOR EXPLANATORY LANGUAGE Sign70 Applicant or Agent c 15a*te COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILLIENG AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1105310039 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST BUILDING ADDRESS: ITR: 14647 LT: 14 SQ. FT STORIES TYPE 1 4942 FIESTA AV 1 I (STRUCTURE: 20 V-B TEMP CA 917803816 ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: LOWER AZUSA 18590-018-005 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY, Cl (TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: 1EXIST OCC GRP: 105/31/11 SR 1 (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IF L A E I BY: CODE: I ICHEN JIMMY S;SUSAN M - 5,880 14942 FIESTA AV I TEMP 917803816 FEES PAID DESCRIPTIO OF WORK I IRE-ROOF HOUSE AND GARAGE EAR OFF 1 LAYER 30 YR COMP + FLAT I I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ( 1 1APPLICANT: TEL. NO: I I IDEAMON (909) 982-7000- IAA BLDG PERMIT ISSUANCE 27.80 I 1153 EXCIELSOR WAY IAB STATE GREEN BLDG FEE 5880.00 VAL 1.00 ISPECIAL CONDITIONS: UPLAND CA 91786 IAC STRONG MOTION RESID 5880.00 VAL 0.60 ID2 PERMIT W/O EN-HC 5880.00 VAL 149.70 _ TOTAL FEES 179.10 �� P. +� fr-'1J ICONTRACTOR: TEL. N0: �AX"VALS DATE INSPECTOR SIGNATURE IWEATHERGUARD COMPANY INC. (909) 982-7000- / I 1153 EXCIELSIOR WAY LIC. NO ILOCATION AND SETBACKS (UPLAND, CA 91786 921927 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS I LIC. NO: (SLAB/UNDER FLOOR I � (RAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( JUNDERFLOOR INSULATION I 1144H269 3 001 1 I I IFLOCR SHEATHING INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I - I- I 1 0 NO 21 1 IROOF SHEATHING 1 SCHOOL WITHIN HAZARDOUS ISHEAR PANELS vI 1AIR QUALITY: 1000 FEET MATERIALS II NO NO NO IFRAME INSPECTION IFIRE SPRINKLER HANGERS I I I (INSULATION/WEATHER STRIPI I 11NTERIOR LATH/DRYWALL I I I I I (EXTERIOR LATH I 1 I I I I I IRATED FLOOR/CEIL ASSEM. I I I I I I (RATED WALL ASSEMBLIES I I I IRATED SHAFTS/OPENINGS \ I I I I I I IT-BAR CEILINGS I I I I I I ILOT DRAINAGE 1 I I I I I IREPORT 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 0505230060 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 14647 LT: 14 SQ. FT STORIES TYPE 4942 FIESTA AV STRUCTURE: 0 VN TEMP CA 917803816 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8590-018-005 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 05/23/05 JK 05/18/06 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATEY: CODE: CHEN JIMMY S;SUSAN M (626) 215-2166- 10,000 4942 FIESTA AV TEMP 917803816 FEES PAID DESCRIPTION OF WORK REPLACE 11 WINDOWS (SAME SIZE) WITH NEW VINLY WINDOWS COLOR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: WILL BE WHITE, 2 PATIO DOORS, 1 BAY WINDOW, 1 GARDEN WINDOW APPLICANT: TEL. NO: - WU (949) 701-8714- AA BLDG PERMIT ISSUANCE 27.75 22600 LAMBERT ST 709 - AC STRONG MOTION RESID 10000.00 VAL. 1.00 SPECIAL CONDITIONS: LAKE FOREST CA 92630 D2 PERMIT W/O EN-HC. 10000.00 VAL 216.60 FR INV WORK W/O PERMIT. 257.00 DOL 257.00 TOTAL FEES 502.35 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE PREFERRED WINDOWS AND DOORS (949) 701-8714- 22600 LAMBERT ST. #709 LIC. NO LOCATION AND SETBACKS LAKE FOREST, CA 92630 327576B SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS - i 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/GOND: STAT CLASS: _ NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS - NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- 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