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Home My Public Portal About5921 HART AVE_Building__ DEPARTMENT.OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER l� FOR APPLICANT TO FILL IN ' FOR OFFICE USE ONLY DISTRIET NO. "--PL`AN-CK:'NO. "---PERM ' BUILDING ADDRESS � �� (��G./ ��' A t' '.`�` •��9/t //S.. i LOCAL ITY �,� RECEIVED BY DATE OF APPL DATE ISSUED NEA R EST 'l`�.��P�.Y.,r:-d,�/ I �•, ST. CROSS +� ,,/_ _ BUILDING i 'OWNER / i `/ IADDRESS I /+ t�/ / MAIL: 00 LOCALITY ADDRESS t —` NEAREST TEL. T� „ CROS ST. . CITY G .�. 4'� r NO. /f ARCHITECT OR TEL. ZONE. I PLANS I TYFIRE Njo. P hGROUP' ENGINEER NO. " BLDG. 1' '`� _t ADDRESS. SETBACK APPROVED i CONTRACTOR ��/a/ NO. BY ' , •+ i DATE � USE /�/� APPROVED ADDRESS rd ZONE A— BY; DATE ' LEGALCORRECTIONSCORRECTIONS ,. DESCRIPTION LOT N� BLOCK- 1 �,. TRACT 5704 ' NO. OF BLDGB. SIZE OF LOT 40A183.571 NOW ON LOT USE OF NO.OF NO.OF EXISTING BIDG. I FA4 L,Es' I ROOMS ' DESCRIPTION OF WORK 2/}�zk-�a, ! ® d✓/T % G—Q��c— NEW ALTERATIONADDITION I X A REPAIR MOVING DEMOLISH p S4.FT. NO.OF ��77 !........ .-,......V(Y i f: s1-.t�i_ SIZE. ROOMS- _ STORIES A kJ AWALL /t�/C/C .C'/Y/✓�7f/�9 C0�"Rp D.> COVERING. ��7 '� ••i I COOF . V ERING4�M 1?F=_r �- IF A/,&— �3'�H"YiE ��J - USE OF NEW .. .. ,.`:... .....913?51.. BUILDING �� o1Qi S" IG(7.6- Q2 +E e,gL7,-'e. T _ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS i APPROVALS .•. APPLICATION AND STATE THAT THE ABOVE IS CORRECT INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION AND STATE LAWS REGULATING BUILDING CONSTRUCTION. I FORMS, MATERIALS ,� r_—30 9�� / FRAME: FIRE STOPS, {_-.gVmo ^/!!� SIGNATURE OF BRACING, BOLTS r f PERMITTEE / LATH, INT. I AUTHORIZED AGT. LATH, EXT. - O 74SA63SA-3 :0-50 $ P.C.$ PLASTER, INT. ` FEE PLASTER, EXT. _ VALUATION FINAL <0 FEE "' DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY'OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER. - - FOR APPLICANT T`b w O FILL IN FOR OFFICE USE,ONLY !I p� DISTRICT NO. PLAN CK.NO. PERMIT NO.UILDo,.. EI NG ADDSS LOCALITY RECEIVED BY DATEOF AAAPPj,LL. DATE ISSUED NEAREST Lq Q��//�'>�lr' // U �' ! '�+ 1• ��`�Y CRDSB'ST' !! O .T BUILDING C OWNER I ,�+ �/ a , � � ADDRESS s.J /� cR•�1.., ADDRESSW Z LOCALITYMAIL NEAREST CITY / lJ. NO. i�! CROSS ST. FIRE NO.OF TYPEjE EGROUP ARCH ITECTOR ` TL ZONE S--� PLANS ENGINEER - NO. �{ - - _ -- -- 1 /J � BLDG, ADDRESS p-c V' SETBACK LINE %'ZJ ! '�[ •� 1 cl�.' i TEL. APPROVED ' CONTRACTOR NO. BY - DATE USE APPROVED - ADDRESS ZONE / BY DATE LEGAL DESCRIPTION LOT NO. � I BLOCK OD , .®—DESCRIPTION , TRACTNO.OF SLOG SIZE OF LOT U NOW ON LOTS USE OF NO.OFNO.OF EXISTING BLDG. I FAMILIES I ROOMS DESCRIPTION OF WORK NEW _'- ALTERATION ADDITION o REPAIR MOVING DEMOLISH p S4•FT. NO.OF Z SIZE 41 ROOMS' STORIES z D WALL ,/ r -COVERING/ I COVERING �"�� USE OF BUILDING W •�E S (U�n a e— 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS VAL/Sf / APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION 1. SPECTOR - DATE ^/ AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS,REGULATING BUILDING CONSTRUCTION. b / 0 FRAME: FIRE STOPS, 01 SIGNATURE OF l BRACING,BOLTS i PERMITTEEDLATH,INT.: AUTHORIZED AOT ® LATH,EXT.: D65-3 soM SETS 1-48 $ op P.C.s PLASTER,INT. sc� 00 . FEE ®�~ PLASTER,EXT. $ -goo VALUATION � FEE FINAL _ DEPARTMENT OF BUILDIA AND SAFETY APPLICATION 'FOR PERMIT COUNTY OF LOS ANGELES n WM. J. FOX. CHIEF ENGINEER L� FOR APPLICANT TO FILL"IN FOR OFFICE USE ONLY DISTRICT NO. PLANCK.NO. PERMIT NO. BUILDING • ADDRESS �• � / � o ,V LOCALITY "'/ +/6 ,/e'.� .1�'::a� REECCEE�IVVE7,DrBY DATE OFAP�P¢L.: DATEISSUED NEAREST .�' i ..� �=�'k CROSS ST. �3 B ,/'J�( ' 1 U i LD I N G _ '�•' / L.t�� C OWNER ,,a�"G/! 1,19 #�f"� ADDRESSMAI ' ADDRESS ,( ,,� ��'r�� * � LOCALITY IV c�n' �� e `•-'''"�L' ar Y- NEAREST'TEL. ' CITY l/\ %' I�,.�' ND. CROSS ST. FIRE NO. (/TYPE' � GROUP. ARCHITECT OR TEL. ZONE PLANS ENGINEER NO. BLDG. ADDRESS SETBACK`LINE ,Low r j APPROVED CONTRACTOR NO. c _ P .>,•z TEL p BY .-,^," � !'�� ✓" . USE r'\ APPROVED ADDRESS R ZONE',,E"j;- I BY' DATE LEGAL DESCRIPTION - LOT-NO. 36);81-06K r �.�6',r CORRECTIONS , TRACT NO.OF BLDGS. SIZE OF LOT ✓✓'jjT9�,,-� NOW ON LOTUSE OF i No EX ST NG..BLDG. ./ 'N� d I FO LES. % I ROOMS .. .. _ DESCRIPTION OF-STORK ' NEW ,,< ALTERATION ADDITION O REPAIR MOVING DEMOLISH SQ.FOF S ZE'T• �°�'~s—D RD M5 STORIES - . .... .. `'. y WALL ROOF .. r COVERING I COVERING"L;�''h"„r"%P*�' �T USE OF NEW -j 0- r r BUILDING A '"'G.'lL�•% I, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT '� INNSPECT13R •A E AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATIDN�6 :•K+1 -'/q p FORMS,MATERIALS 1 r f..,h ff;2isj AND STATE LAWS REGULATING BUILDING CONSTRUCTION. _ FRAME: FIRE STOPS, SIGNATURE OFBRACING,BOLTS / v PERMITTEE a� �i"9—" `a•i :-''� .� .� '" /? • ` LATH, INT. AUTHORIZED AGT LATH, EXT. 76A636A 9-48 ` DSS-3 SOM SETS $ BLS `r P.C.$ PLASTER, INT. / �j FEE PLASTER,EXT. ((�sff $ VALUATION., •a""" FEE -�i FINAL r, -�,r.: A ' i tVORKERS COMF`ItNitATION DECLARATION y'afftr¢" hat 1 have r certificdte of consent to self ////��\\ CS '11�r�J 0 H - `F insure,' ;m ceraificote'0f Workers' Compensation.Insurance' L/ Ll�Ll �'�A�I ® O `. or a, coyly'there'f Sec..3800 Ail Pol' y Nof t2 S C6mpany ! . . �COUWTY. OF LOS ANGELES ' BUILDING A(119D SAFETY. .• Ce14 rtified copy is hereby furnished.. FOR.APPLICANT TO:HLL IN BUILDING: : 4;X ADDRESS ! m 2j Certified copy is filed,with the''county building inspec- BUILDING ,�. tiomd par NA ment. ADDRESS �t ; Date /'�' Applicant a ITY 1'�� .�CT ZIP LOCALITY f i CERTIFI ATE OF EXEMPTION FROM WORKERS' r'� NO.r OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT O NOW ON LOT CROSS 87. c hundred Bolla needmot be completed if the permit is for one o ASSESSOR This section n 3D dollars ($100)or less.) TRACT, BLOCK � LOT NO. MAP-BOOK PAGE PARCEL '�p TEL. l USE7NE MAP. I certify that in the performance of the work for which this OWNE A ,. a� �wurNO.Zzjo. NO: permit is issued, I shall not employ any person in any manner . SPECIAL so as:to bec me bject to the Wor rs Com alio aws. ADDRESS] ppZt �+ Alc- 'CONDITIONS CITY d .C.il ZIP �� U PP ARCHITECT OR TEL. $l`$ DISTRICT Exem tion, 'ou 'shou,d be ome sub'ectthis Certificate of ENGINEER S ICT GROUP TYPE FIRE PRO ESSED BY Q NO IC TO PIP If,.after. making _ y I to the-Workers' .. No.'��b(o tom y J Compensation,provisions of-the Labor Code, you must forth- ADDRESSLU with comply with such provisions or, this permit shall be R' �' CONST. O NST ZONE il deemed,revoked. TEL STATISTICAL N PT. ONDO. Z: CONTRACTOR IJlZ.1�S�. NO .'. ST LAb�IFI�ATlO A LICENSED CONTRACTORS DECLARATION :,; LIC'', CLASS NO. DWELL. UNITS I hereby affirm that I am,licensed under provisionsof Chapter 9. ADDRESS NO. (commencing with Section 7000)of Division 3 of the,Business and LIC., -Professions Code, and my`license_ is in full force and effect." CITY CLASS VALIDATION SEWER MAP .. ' SQ. FT. NO.-OF NO.OF CHECK BK. License Number Lic.Class SIZE' U54 I STORIES FAMILIES ONE VA U�T10 7 Contractor Dare DESCRIPTION OF WORK- (7' 1)• Dr1 6Z NEW ❑ /'J /� I 94,02A y,*r::.a. ADD '� $. V v ' am exempt under.Sec '' �. #';0 0 0 0 2_.3 n, ALTER... B.BP.C. for this reasonREPAIR., ❑ $' _ {Date EXISTUSE ING BLDG. `v1�Lsl' �. DEMOL ❑ �;I .0 2 5 8.1.3 Signature �� FINAL o �'2 5 al .3 c=i APPLICANT' TEL. OWNER-BUILDER DECLARATION PRINT) C� io�YL . NO. . t7 DATE,/ I hereby affirm that I am exempt from the Contractor's License 0 9.il- — 8 7 Law for the following reason (Section.7031.5, Business:ond ADDRESS FIN ro essions Code): PRE N - BUILDING A I, as owner of the property;•or my employees with ADDRESS wages as their sole corripensotion;,will do the work`and LOCALITY the structure isnot intended or of for sale(Section H 2�l HA .7044, Business and Professions,Code). MOVING TEL. o-o.o o o;,i1� CONTRACTOR NO. ®, O.0 I, as owner of the property, am exclusively contracting I "with licensed contractors to construct,the project (Sec- ',° tion 7044,.Business and Professions Code). ADDRESS ! . 3 y REQUIRED , TOTAL SETBACK j O' O " CONSTRUCTION LENDING AGENCY SET-BACK' YARD HWY , PROP. LINE WIDTH. hereby ciffirm that there is a construction lending agency for FRONT the performance of:the work for,which thispermit is issued P:L. p (Sec. 3097, Civ. C:).: SIDE :R P.L. t Lender's Name m• P.C..Fee$ J i Permit Pee LDMA Ref. N Lender's Address, certify that I have.read this application and state that the Issuance•Fee (J l 7 LDAAA P)C# above information is correct:, I agree to comply with all Count 9 PY Y Investi anon Fee � 't '? 0 ordinances'and State-laws relating to building construction, F, ;t 9 , and reby authorize representatives of this County to enter Total I V LDMA Perm. q up a above-mention d prop rty`for inspection purpo es. -SEE REVERSE FOR EXPLANATORY,LANGUAGE. Signature of Applicant or Agent - to COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT 71 DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0207300011 PHONE: (626) 285-0488 EXT: LEGAL . OF CONST NEW BUILDING ADDRESS: TR: 5904 LT: 330 SQ. FT STORIES TYPE OCCUP GROUP 5921 HART AV STRUCTURE: 303 1 VN R3 TEMP CA 917801913 ASSESSOR INFORMATION NUMBER: GARAGE: 43 1 VN U1 NEAREST CROSS STREET: HERMOSA 5384-015-028 OTHER: 222 1 VN U1 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 08/09/02 JK. 02/05/03 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: TRUONG;VI 23,000 5921•HART AV 0-i TEMPLE CITY 91780 FEES PAID DESCRIPTION OF WORK ADD BD & BA;EXTEND PORCH;ALTER OPEN PATIO TO LEGALIZE; FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: CONVERT BATH TO 1/2BATH & HALL (TTL WHEN DONE:48R/3BA) APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 23000.00 VAL 2.30 SPECIAL CONDITIONS: - 81 PLANCHECK-W/ENERGY= 23000.00 VAL 406.73 B2 PERM IT:W/ENERGY ,23000:00 VAL 478.50 TOTAL FEES; 915.28 CONTRACTOR: TEL. NO: l %� (jf' j , �% �, � APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. N0: 1, ✓ I� �� - `� / FOUNDATION TRENCH FORMS LIC. N0; SLAB/UNDER FLOOR RAISED FLOOR FRAMING. MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:' UNDERFLOOR INSULATION Fm3 :• 01 �� ST LEVEL FLOOR SHEATH N0. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:-- -- - NO 21 - _ %,• ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO �� ', �� ,i�/' i / FIRE DEPT. FRAME INSPECT \\ l REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL `� •- - SHEAR PANELS SIDE PL -- _- NSULATION/W THER INTERIOR LATH/DRYWALL 3 EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508