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HomeMy Public PortalAbout6053 HART AVE_Plumbing__ FOR Y CITY OF TEMPLE ' C`ITY 11G PIRMflT ' Kauffman ; Temple City IV FOR APPLICANT TO FILL IN ADIDRESS I46 `} BUILDING ADDRESS LOCALITY (] NEAREST. 91 /) `! CITY Tem e C t ZIP 780. CROSS ST.' NO.OF:BLDGS. ASSESSOR SIZE OF LOT S; NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE ()PRKOSSJEDY TRACT ✓ /C BLOCK LOT NO. . "� J CO_NWZONETEL. �% �(fC V� S _x_/_ OWNER NO. . STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO. DWELL..UNITS C BKPG CITY ZIP USE ZONE MAP. r ARCHITECTOR. TEL. . NO. ENGINEER. NO. Z�SPECIAL CONDITIONS ADDRESSROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ t TEL, O p CONTRACTOR H.O w,a r d .L R a n d O N0.2 8 H-,4 O 4 O BLDG.SETBACK'FROM LIC. FRONT PROP.LINE OF (STREET) ADDRESS NO. HIGHWAY t YARD' = TOTAL SETBACK FROM TYPE OF EXISTING C !. LIC.. FRONT PROP LINE HIGHWAY WIDTH CITY San Gabriel CLASS1 S6086 CONSTRUCTION LENDER t - } NAME AND BRANCH a. BLDG.SETBACK FROM " - OU SIDE PROP.LINE OF ° (STREET) � ADDRESS CITY O SQ.FT. NO.OF . NO.OF. CHECK' HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING SIZE STORIES FAMILIES ONE SIDE PROP.LINE; HIGHWAY WIDTH . N ❑ Z t = :r ' DESCRIPTION OF WORK NEW ADD ❑ CORNER CUTOFF YES",❑ NO ALTER ❑ IN OPEN SPACE' YES .❑ NO ❑ REPAIR USEOF. BLDG. DEMOL ❑ IN,COASTAL PERMIT ZONE YES `Q NOEXISTIN ❑ APPLICANT IPR (PRINT `LL'. L n d NO. - BY(SIGNATURE) •-I HEREBY.ACKNOWLEDGE.THAT I HAVE READ THIS'APPLICATION AND STATE G�"�✓(/�-(/�� Jp�(�'. '�- "i vim/ THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES .. - AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE / WORKAUTHORIZED HEREBY-1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF" y? THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- - PENSATION INSURANCE. 'SIGNATURE OF � FINAL BY PERMITTEE _ DATE ADDRESS Gabriel. p CITY San' .y a b.r t e 1 NO2 8 8,4 O.4 O P.C. Fee$ Permit Fee Issuance Fee 7-. OO VALUATION$ 59-4.01D - - T to Fee PLAN( CHECK VALIDATION CK: .M:O: CASHPERMIT VALIDATI R1✓ CK. M.O. CASH �.:- / .. ©5 76A6388 CE#8038 6/76 .y 41111�ORKERS'COMPENSATION DECLARATION affirm that. ` I ` ICinsureoracertifcate of Workes' Compensation Insurannt to ce, P LAT I O N F OR B U.I L D I N G PERMIT ora•certified copy thereof (Sec! 3800, Cab. C.!) COUNTY OF LOS ANGELES BUILDING'AND SAFETY Pop,g13C74-9 2 C1.ompany Republic. -Indenln.i ❑ Certified copy is furnished. FOR APPLICANT TO FILL IN hereby BUILDING ADDRESS LU ® 1 Certified copy is'.filed with the county building ins pec- BUILDING Tion department.; ADDRESS 6053 N. Hart . __. ._ Date 1.1 —.1 —R7 'AppjicantRa n r1 o 1 'R o of i n a CITY T. C y ' ZIP 91780 LOCALITY CERTIFICATE OF'EXEMPTION FROM WORKERS'' "` NO. OF BLDGS. - NEAREST / COMPENSATION'INSU RANCE 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 OWNER' Allen -Manna No7 .14-596— NE MAP I certjfy that.in the performance of the work for which' this (� NO. �1 oLQO permit is issued, 1 shall not employ any.person in any manner 733 4 L�(\ SPECIAL so as'To become subject�to the'Workers'Compensation Laws. ADDRESS 2 2-C16 V 1 a D e l S O 1 CONDITIONS — clrY. La Verne , Ca. ZIP 91750 Date`5—1 9-= " 27 Applicant' R a n d rri n r n a1_f; n cT 0 NOTICE TO APPLICANT: If;' after' making this Certificate of ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PR ESSED BY.. E Exemption, you should ibecome subject to the Workers' ENGINEER NO. CONST. ZON /{ U 6� Compensation provisions of'the Labor Code, you must forth- ADDRESS E' t// with r:,comply,.with'such provisions .or. this permit shall be - - deemed revoked.. R a n d O 1 Roofing TEL. 2 8 8-4'0 4 STATISTICAL CLASSIFICATION APT. NDO. c CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION AO.- � DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. 451937 (commencing with Section 7000)of Division 3 of the Business and LIC. SEWER MAP Professions Code, and my license is'in full force.ond'effect. CITY Sari Gabriel, C a. CLASS C-39 BK (7�j" VALIDATION 4'5 19 3q• C—3 9 SQ. FT. NO.OF NO. OF CHECK License Number Lic.Class SIZE STORIES FAMILIES - ONE VALUATION ContractorRandol 'Roof inQDate 5-19-87 DESCRIPTIONOF`WORIRe—rOOf house NEW ❑ $ 51, 810 . 00 ❑ I am exempt under Sec. & front o f_ garage with ADD ❑ ALTER ❑ B.BP.C. for this reason Miss-ion i -e f REPAIR $ " Dare: USE OF EXISTING BLDG. S F D , DEMOL ❑ - ;97.1 35_A Signature _ APPLICANT TEL. FINA (PRINT) Rando l Roofing No. OWNER-BUILDER DECLARATION — —DATE affirm that I am exempt from.the Contractor's License # o 0 0 0 0 I hereby-affirm y p 5 2 9 E. Valley l l e y' Blvd v d , S . G. FI Law for the following reason(Section 7031.5, Business and ADDRESS Professions Code): PRESENT 8 7, ❑ BUILDING I, as owner*of the property, or my employees with ADDRESS 8�• p5�2.9 wages as their sole compensation,wilt do the work and -•' � 8 7.3 the structure is not intended or offered for sale(Section LOCALITY ® 8 7 ' 7044, Business and Professions Code).- MOVING TEL-. F71, as owner of the property, am exclusively contracting CONTRACTOR NO. ; with licensed contractors to construct the project (Sec- z tion 7044, Business and Professions Code). ADDRESS REQUIRED TOTAL SETBACK FROM T. _ CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE 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 g LDMA Ref. # Lender's Address P.C. Fee$:- - Permit Fee - - - oil, ;� I certify that I have read this application and state that the _ _ - Issuance Fee $-10 . 50 - LDMA P/C#. M above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, $87 • 38 U and h by aur rize re resentatives of this County to enter Total Fee— LDMA Perm:# upo t -a w men ' d pro rty for inspection urpo S. .� ZQ'd�j v SEE REVERSE FOR EXPLANATORY LANGUAGE Signature f Applicant or Agent - - - ate 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 0501190046 PHONE: (626) 285-0488 EXT: LEGAL ID: N0_. OF CONST BUILDING ADDRESS: TR: 5904 LT: 320 SQ. FT -STORIES TYPE 6053 HART AV STRUCTURE: 20 ." VN TEMP CA.91780191.5 . ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GARIBALDI 5384-015-016 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE' RESID USE ZONE: R ISSUED ON: PROCESSED BY: EXPIRES'ON: EXIST OCC GRP: 01/19/05 JK 01/14/06 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: I NADAT FINAL CODE: NGUYEN, KHON D (626) 287-3063- 3,900 �6053 HART AVE TEMPLE CITY CA 91780 FEES PAID OF WORK T/0 TO REPAIR THE'ROOD, AND INSTALL NEW PAPER AND REINSTALL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: NEW PAPER, AND REINTALL THE ROOF BACK. TO ORIGINAL. APPLICANT: TEL. NO: CRUZ (310) 639-1914- AA BLDG PERMIT ISSUANCE 27.75 2056 PIRU AVE AC STRONG MOTION RESID 3900.00 VAL 0.50 SPECIAL CONDITIONS: COMPTON CA 90222 D2 PERMIT W/O EN-HC 3900.00 VAL 115.80 TOTAL FEES 144.05 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE BEST QUALITY ROOFING (310) 639-1914- 2056 PIRU AVE LIC. NO LOCATION AND SETBACKS, COMPTON CA 90222 765235C39 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION XX 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: 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