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Home My Public Portal About5817 HART AVE_Building__ APPLICATION FOR RELOCATION BUILDING-PERMIT DIVISION OF BUILDING AND SAFETY BUILDING / Department of County Engineer ADD ESS County of Los Angeles 76A639 JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY DBS.79.11.55 CASSATT D. GRIFFIN, SUPT OF BUILDING NEAREST r CROSS ST. FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE SEWER MAP PROPOSED _ .Z_. `8K F�6 BUILDING CONST. - ADDRESS MAP .'/ STATE NUMBER �- / HWY. YES -NO LOCALITY USE ZONE SPECIAL PRESENT BUILDING p CONDITIONS - t ADDRESS - LOCALITY BUILDING - EXIST. SETBACK YARD HWY STREET NAME WIDTH OWNER FRONT MAIL P. L. .. . . ADDRESS SIDE TEL. P. L. CITY NO. SURETY -�, DATE ,! RECD MOVING TEL. BOND S FILED" BY CONTRACTOR NO. CASH DATE RECD DEPOSIT$ FILED BY ADDRESS - C BUILDING TEL. R, C s� APPROVALS CONTRACTOR NO. ( � DATE INSPECTORS SIGNATURE ADDRESS FOUNDATION: LOCATION USEOFT FORMS, MATERIALS 7 I it - - - FRAME: FIRE STOPS, I BUILDING _BRACING,BOLTS i PROPOSED USE OF FURNACE: LOCATION BUILDING GAS VENTS,DUCTS LATH, INT. SQ.FT. NO. OF SIZE ROOMS STORIES LATH EXT. WALL ROOF COVERING COVERING HOUSE NUMBER COR- LEGAL RECT AND POSTED 'f C DESCRIPTION LOT NO. BLOCK FINAL �'� S l- 'd G � TRACT DISTRICT ENGINEER NO.OF SLOGS. WORK COMPLETED SIZE OF LOT NOW ON LOT SURETY BOND USE OF NO.OF RELEASED EXISTING BLDG. FAMILIES I HEREBY STATE THAT THE INFORMATION GIVEN IS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS CORRECT. APPLICATION AND STATE THAT THE ABOVE IS CORRECT SIGNATURE OF AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES APPLICANT AND STATE LAWS REGULATING BUILDING CONSTRUC- T-ION. ADDRESS SIGNATURE OF PERMITTEE VALUATION $ ,...� P. C. FEE ADDRESS FEE JOHN A. LAMBIE. COUNTY ENGINEER VALIDATION CLYDE N. DIRLAM, CHIEF BLDG. INSPECTOR ry ,7 9 rt CK MO CASH APPLICATION F®R ',8b* IL®9NG. PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUILDING COUNTY OF LOS ANGELES ADDRESS 5817 .Ha t Avenue DEPARTMENT OF COUNTY ENGINEER CITY zip BUILDING AND SAFETY DIVISION _ NO.OF B BUILDING SIZE OF LOT � NOW ON LOT ADDRESS TRACT B�L/OCK LOT NO. LOCALITY .�. OWNER Jud-ith �utm Nt.87=5766 CROSS ST. ASSESSOR ADDRESS MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIR CESSED BY CITY IT em 1 e . Cit - .ZIP .9'1780 I 0 CONST ZO -� ARCHITECT OR - TEL. ENGINEER .L r ENGINEER NO. STATISTICAL C— / L.-�Al1SSIFICATION SEWER AP ADDRESS CLASS NOS-DWELL,U_NITS BK PG CONTRACTO TENO _ US ZONE MAP AD0RESS529.. .E . Val 1 e B-1 y�.dc-816086- _ I SPECIAL ' LIC. CONDITIONS CITY San Gabriel CLASSC.-39 - ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH qILDG.SETBACK FROM '- -- FRONT PROP.LINE OF (STREET) ADDRESS - CITY _ TOTA LI SETBACK FROM TYPE OF EXISTING CD SQ. FT.- NO. OF NO. OF - CHECK GHWAY } YARD - FRONT PROP. LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE = } _ O DESCRIPTION OF WORK NEW ❑ U pp ADD f❑ BLDG,SE d Reroof house -onl SIDE PROP.LINE OF (STREET) z ALTER ❑ HIGHWAY } YARD TOTAL SETBACK FROM TYPE EXISTING = REPAIR❑ SIDE PROP. LINE HIGHWA WIDTH USE OF DEMOL } .EXISTING BLDG. -. . .. El APPLICANT - TEL CORNER-CUTOFF YES ❑ NO ❑ (PRINT) NO. , IN OPEN SPACE YES ❑ NO BY (SIGNATURE) ❑ - Q IN COASTAL ZONE YES E] NO VALUATION 1'900 . 00 - CATEGORICA L .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 CO MPE NSAT I 5 E. SIGNATURE OF PERMITTEE ADDRESS 529 E . Valley Blvd . . - - CITY San -Gabriel, Cal i f NpTE`268-4040 DIA TE�' BY ti1;1hE CIIL ChS P:1}:1 L3LE 'l'O: FEE FEE 1'5 . 00 HARVEY T. BRANDT, COUNTY ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH o PERMIT VALIDATION CK.- M.O. CASH a�a�(�Y 3 1 1 5.0 C 76A638A CE 4803 12/72, _ 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 0308220001 PHONE: (626) 285-0488 EXT: LEGAL ID: 0. OF CONSTG ADDRESS: TR: 5905 LT: 91 SQ. FT STORIES TYPE 5817 HART AV STRUCTURE: VN TEMP CA 917801911 ASSESSOR M ON NUMBER: NEAREST CROSS STREET: LAS TUNAS 5387-015-007 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: R SID US N : R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 08/22/03 JK 08/16/04 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: SHOKIR; ALBER J (626) 975-5574- 2,000 5817 HART AV f---X,�?t/Ir—0 TEMPLE CITY 91780 FEES PAID DESCRIPTION OF WORK C/0 10WINDOWS 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-HC 2000.00 VAL 82.20 TOTAL FEES 110.45 CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBAC S SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUND A TION/TRENCH RORRMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION X 3 01 N0. OF FAMILIES: DWELLING UNITS: AP COND: STAT CLASS: FLOOR SHEATHING NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS C AIR QUALITY: 1000 FEET MATERIALS wins 0ucJJ2!z' ZZ O? NO NO NO FRAME INSPECTION p REQUIRED TOTAL S5TBACF FROM EXIST FIRE SPRIN LER HA ERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RA ED OOR/CEIL ASSE . RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAUE REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0304010008 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF COOT NEW BUILDING DRESS: TR: 5905 LT: 91 SQ. FT STORIES TYPE OCCUP GROUP 5817 HART AV STRUCTURE: 196 1 VN R3 TEMP CA 917801911 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: LAS TUNAS 5387-015-007 OTHER: 93 1 VN U1 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY TENANT: EXIS BDG USE: USE ONE: I SSUE-DOM PROCESSED Y: EXPIRES ON: EXIST OCC GRP: 05/06/03 JK 04/30/04 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: SHOKIR; ALBER J (626) 975-5574- 22,890 �`�({��? J 5817 HART AV (� TEMPLE CITY 91780 FEES PAID DESCRLPTION OF WORK CONVERT BR TO CLOSET & BATH; CONVERT PATIO TO DINING RM FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: EXTENSION; ADD NEW BR; TOTAL WHEN DONE 3BR/2.5BA APPLICANT: TEL. NO: SAME AS OWNER AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 22890.00 VAL 2.29 SPECIAL CONDITIONS: B1 PLANCHECK -W/ENERGY 22890.00 VAL 406.73 B2 PERMIT W/EERGY- 22890.00 VAL 478.50 TOTAL,FEES,,- 915.27 CONTRACTOR: TEL. NO: '' APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER ��'•�. LIC. NO ,� �` LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRETRCH FORMS Y , LIC. NO: SLAB/UNDER FLOOR RAISED FLOC-K-FIFA-MING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 01 ST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS , ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT /6 S ✓ SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS SIDE PL- � INSULATION/WEATHER STRIP / INTERIOR LATH/DRYWALL EXTERIOR LATT LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: SS0508