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HomeMy Public PortalAbout6156 HART AVE_Building__ G� I�Imo, rt/� /� FOR ^ 76A638A CE $8035-61 1111 11 L9CAT00N LL OR BUILDING 11 EIIOMOT , COUNTY OF 'LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER AD°REss i BUILDING ARID SAFETY DIVISION LOCALITY �z � i JOHN A.'LAMBIE, COUNTY ENGINEER NEAREST f WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. 'L-( DISTR CT O. I GR UP TYPE C SSED BY't FOR APPLICANT TO FILL IN () CONST. BUILDING Q pSTATISTICAL CLASSIFICATION /S� ER.MAAPgg�� ADDRESS �7 /l 7 L K ,/ CLASS.NO. DWELL.UNITS LOT NO. BLOCK 'WATER NOT REQUIRED 7W RECEIVED CERTIFICATE: TRACT �/ - MAP HIGHwnv STATE MAJOR SECOND, OCA ® 6 I. NO.OFBLDGS. NO. , t_,RCLE) SIZE OF LOT,4� /rPli 5 I NOW ON.LOT . USE ZONE SPECIAL USE OF 7� / �+ CONDITIONS - EXISTING 6LDG.//wgf �( !/V 11, Cs'� - 4 I TEL. OWNER - NO. BUILDING EXIST.-, YARD HWY STREET N ME / SETBACK WIDTH ADDRESS l S"F� �/¢ T FRONT n - ARCHITECT OR TEL. P. L. i ENGINEER NO. SIDE ®" fNTRACTOReg O P.L. TEL,' INSPECTION RECORD. L OSS W DESCRIPTION OF WORK, H NEW ADD ALTER REPAIR DEMOLISH ' SQ.FT. NO.OF �IZE STORIES FAMILIES USE OF ' STRUCTURE SIGNAT • AA A M ` VALUATION$ - APPROVALS DATE -INSPECTOR'S SIGNATURE P.C. �� PMT. 1 FOUNDATION:LOCATION FEE $ FEE $ �-� FORMS,MATERIALS .. FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING,.BOLTS• AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, - WITH ALL'COUNTY ORDINANCES AND STATELAWSREGULATING GAS VENT DUCTS BUILDING CONSTRUCTION. ICERTIFY THAT IN DOING THE WORK - AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- ,. LATH, INT. TION OF THE LABOR CODE OF.THE STATE OF CALIFORNIA RELAT- ING TO.,WO MPENSATtON INSURANCE LATH,EXT. f SIG HOUSE NUMBER COR- ITT E � RECTAND'POSTED •1 ADDRESS- �' FINAL - \1•`- V I dO l� �li;V OlUyf"`" PLAN ��+ _ CLYDE NppDIR�pLAM,'PRINCIPAL RAL ENGINEER PLAitl CHECK tlAIMATION CK. M.O. CASH � PERMIT tl�Adb6NATIOdV K. M.O. CASH s:w- X28 1 ® 4.00- / '/ � 78A9BACEM809•�9-60 APPLICATION _ R BUILDING ILyNG PR ❑r9 Y COUNTY OF LOS-ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER A°DRESS / - BUILDING AND SAFETY DIVISION LOCALITY t JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM.A. JENSEN .SUPT OF BUILDING. CROSS ST. - - "' DISTRICT NCryO/. GROUP -HYPE P ESSED BY FOR APPLICANT TO FILL IN JUt l .� CONST., �s �v BUILDING STATISTICAL.CLASSIFICATION )SE ER MAP ADDRESS - - CLASS. NO DWELL. UNITS 'I L. K �� - - �' LOT NO. DC.gL - BLOCK MAP_ NUMBER STATE YES O . HWY. �/ USE ZONE y-, TRACT 9B yr SPECIAL n , �- .. � NO.OF BLDGS. -CONDITIONS r _ _ 4 SIZE OF.LOTd DJC l3'� I NOW ON LOT ,pZ ' _ .. USE OF- !!! _EXISTIN//GBLDGp�tJ(�6t-/a!G lI �z��4�E BUILDING YARD HWY ST.REETAME EXIST. OW.NERC. /j/j bSH-i?LiSH � NO. SFpOLTK WI��H. ADDRESS �,� � H�/ - SIDE - ARCHITECTOR �. - TEL. _ P.L. ENGINEER No. INSPECTION RECORDADDRESS . } TEL CONTRACTOR /PT % !/-�/It F��N� 7 7 Gr O �% ✓� U ADDRESS IIfG3��i3�-z O DESCRIPTION OF WORK / �t���"� `�"a �+ w a NEW ADD ALTER - REPAIR DEMOLISH .. N � ? SQ.FT.j NO.OF NO.OF' - e SIZE O� STORIES ?" FAMILIES _USE OF -; STRUCTURE L SIGNATUDW - VALUATION .. :..n. ,:n. a a.=- ., o ;: _. APPROVALS a: DATE INSP,ECTr,0R;S SIGNATURE �P.0 I I FEE $ � FOUNDATION: LOCATION FEE' 'FORMS, MATERIALSITP,��lt/1✓'Z✓�/ � //�/% FRAME: FIRE STOPS f HEREBY ACKNOWLEDGE THAT 1HAVE READ.THIS 'APPLICATION BRACING, BOLTS !i] !i (J'(.#I �.r.//�//Ait/.Y(t✓�' AND STATE THAT THE ABOVE IS CORRECT-AND AGREE TO COMPLY FURNACE: LOCATION; '' WITH ALL COUNTY. ORDINANCES AND-STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN'THE PERFORMANCE ll JJ OF THE WORK FOR WHICH THIS PERMIT ISISSUED I SHALL NOT LATH, INT. ' EMPLOY ANY PERSON IN NY MANNER SO AS TO BECOMME,SUBUECT.• lTO THE WO 'E N' PENSAT.ION LAWS F IF.ORNIA. LATH,EXT. SIGN F' HRECT'AND POSTEDR_ P TT g _ "ADDR SS ✓ FINAL CLYDE N. DIRLAM, PRINCIPAL ST URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH WORKERS' COMPENSATION DECLARATION I hereb off irm that, I have a certificate of consent•to'self insure, or a certificate of:Workers' Compensation Insurance, ����.�• � ��. u Uu v u _ or a certified copy.thereof (Sec. 3800,,Lab. C) COUNTY.OF LOS ANGELES.. BUILDING AND SAFETY' Policy No. Company BUILDING - . ❑ Certified copy is.hereby furnished.,. FOR APPLICANT TO FILL INADDRESS :��� • ,�' c . ❑ Certified copy is filed with the county building inspec- ADDRESS BUILDING A,iqker v tion"department. CITY'. M tlD/ J:,;• -' G1/ ZIP q�7 a LOCALITY Date'- Applicant f NO. OF BLDGS. NEAREST - CERTIFICATE OF.EXEMPTION FROM WORKERS' SIZE.OF LOT NOW ON LOT CROSS ST. ' COMPENSATION INSURANCE E p ASSESSOR 2 sY� (This section need not be`completed if'the permit is for one TRACT BLOCK LOT NO. t32 D MAP BOOK 5'L/ - - PAGE'��a PARCEL W hundred dollors.($100) or less:) 11 �' JJ TEL. t�L$1� USE ZONE MAP OWNER ) ,I-14 Y'1 I �I I I NO. Z�7 NO. I certify that in the performance of the work for which thisSPECIAL f ,permit•is issued, I shall not employ any person in any manner ADDRESS wf �6 CONDITIONS 0- so so as to become subject to the Workers' Compensation Laws. 0 CITY .1 r✓yr 1 PL CI� . ZIP Date Applicant ARCHITECT OR TEL. . „ DISTRICT GROUP TYPE FIRE PROCESSED BY 0 NOTICE•TO APPLICANT: If, after makin this Certificate of ENGINEER NO. 9 CONST. ZONE Exemption, you should become subject to the. Workers ` / w Compensation provisions of the Labor Code, you must forth- ADDRESS with comply with such provisions or this permit•sh'all be' ,/` TEL. STATISTICAL CLASSIFICATION APT. CONDO.- N CONTRACTOR b od f1-06-ICNO. Z deemed revoked.' � � � • LICENSED CONTRACTORS DECLARATIO.N LIC.' CLASS NO. �/ DWELL. UNITS - hereby affirm that Ila licensed under rovisions of Chapter 9 ADDRESS NO. P P, - .. LIC... SEWER MAP • (commencing with Section7000)of Division 3 of the Business / and Professions Code,and my license is in full force and effect. CITY., CLASS BK L'pG VALIDATION SQ. FT. NO. OF NO. OF CHECK' License Number Lic. Cldss SIZE STORIES FAMILIES ONE VALUATION DESCRIPTION OF WORK NEW ❑ Contractor Date A `.\ $ 1 0.00 e e� 13! (.J fA)(J�l.+J ,401�1T�o n1 ADD D ' ❑I am exempt under Sec. ALTER ❑ B.&P.C. for this reason X724 t f-m ` REPAIR ❑ $ Date. USE OF ^ / EXISTING BLD ®per DEMOL El Signature APPLICANT NOL. .. FINAL OWNER-BUILDER DECLARATION PRINT �! DATE I hereby affirm that lam exempt from the Contractor's License ;, Law for the following reason,(Section 7031.5, Business and SS ADDREFINAL Professions Code): PRESENT. BY 1 BUILDING - ri; I as owner of the property; or my employees with °a N ADDRESS wages as 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. Dyr ._• CONTRACTOR NO. I 3 D ❑ I, as owner of the property,am exclusively contracting - with licensed contractors toproject Sec- .construct the ' ' ' P ( ADDRESS I a •�°+ tion 7044; Business and Professions Code.).'. ;,_• _ REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION _{- LENDING AGENCY SET BACK YARD' . HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT r` ^•�•;:�� z l_j 'the performance of the work.for which this permit is issued P.L. "`t�'t' - (Sec. 3097, Civ. C.). SIDE P.L..": Lender's Name _Ir_I !' -r P.C. Feet$ Permit Fee 33 LDMA Ref. # M Lender's Address D =I�� - �' _- ' 1 certifythat I have read this application and state that the Issuance Fee LDMA P/C# 8 abgve iformation is correct. I agree to complywith all County Investigation Fee 0 ordinances and State laws relating to building construction, Total Fee LDMA Perm. # a and reby authorize presentotives of this County to enter upo he ab ve-men o ed-proper for inspection.purposes. a . I I SEE REVERSE FOR EXPLANATORY LANGUAGE ,. Signature of Applicant or Agent Date 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 ,'r BL 0508 1110120083 - PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST BUILDING ADDRESS: ' I ITR: 5904LT: 228 SQ. FT STORIES TYPE 6156 HART AV I. (STRUCTURE: V-B TEMP CA 917801628 I (ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GARIBALDI 15384-010-.009 - 1 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl (TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: 1 IEXIST OCC GRP: 110/12/11 SR (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: (FINAL DATE FINAL BY: CODE: I IPADILLA RITA M (626) 287-0282— I 4,000 16156 HART AV I �^ `/- ITEMP 917801628 - - FEES PAID DVSCRIPtION OF WORK ( IROOF REPLACEMENT REMOVE ORIGINAL (3 LAYERS) REPLACE. WOOD - IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IINSTALL NEW FELT 30 YEAR COMPOSITION (DEMENTIONAL) (APPLICANT: TEL. NO: I I I ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 -I- IAB STATE GREEN BLDG FEE 4000.00 VAL 1.00 (SPECIAL CONDITIONS: IAC STRONG MOTION RESID 4000.00 VAL 0.50 ID2 PERMIT W/O EN—HC 4000.00 VAL _116.00 I - TOTAL FEES 145.30 (CONTRACTOR: - TEL. NO: IAPPRCVALS - DATE INSPECTOR SIGNATURE ISAME_AS OWNER I - ILIC. NO ILOCATION AND SETBACKS (SOILS ENGINEER APPROVAL I I• _ (ARCHITECT OR ENGINEER: TEL- NO: 1 IFOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR I' (RAISED FLOOR FRAMING I I • I I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: (. - (UNDERFLOOR INSULATION . I I150H265 - 3 001 _ I I- IFLOOR. SHEATHING INO- OF FAMILIES': DWELLING UNITS: APT/COND: STAT CLASS: I - 0 NO 21 (ROOF SHEATHING SCHOOL WITHIN HAZARDOUS (SHEAR PANELS (AIR QUALITY: 1000 FEET MATERIALS NO NO NO I, . (FRAME INSPECTION I (FIRE SPRINKLER HANGERS I I I I I .: I ,INSULATION/WEATHER STRIPI (INTERIOR LATH/DRYWALL I I I I I ,, (EXTERIOR LATH LI I ,• (RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES 1 1 IRATEDSHAFTS/OPENINGS I I I IT-BAR CEILINGS I I I . _ ILOT DRAINAGE I . - .v, `" :: ..ti�"n•';w�'+?�a;'�'; _xi .!`" Y;' TL"'Lx dK+ ,. ... ;.�L -a .ate. Y`."sr r4 z �r_,..s.. .�, ,y+a�e�.. § .;s r «..«F._... ''it-, .. �..: c+ �,. ._ e.,-:.. 3% _w -_�3. .>. - _ .. „#+ 3a.c - .9's .fk:, a _�:c....,.. �.-r. > - ^;_ -•-s ..m t... 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