HomeMy Public PortalAbout4819 HELEO AVE_Building__ 76A638A CEn803 5 65 /" PPLICAT ® ORE BUILDING PERMIT . _
COUNTY OF LOS ANGELES BUILD1hc ;"� �
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LocALiTv
JOHN A. LAMBIE'. COUNTY ENGINEER NEAREST_:
COLEMAN W. JENKINS,SUP-T OF BUILDING 'CROSS ST: �•• Q(r�%1�/1 _G!j�'
.....-..
DISTRICT NO. GR TYPE. PROCESSED B-Y-
FOR APPLICANT TO FILL.IN Sp, conisT_ `
BUILDING STATISTICAL LASSI FICATION. 'SEWER MAP
Q ..
ADDRESS �VC' O ' CLASS NO. DWELL UNI TS - -6K�P'G `6" -
LOT NO. ®/G.•y - BLOCK
USE
ZONE MAP
TRACT / • /�2�0 SPECIAL
NO. OF BLDGS. CONDITIONS'
S1ZE OF LOT, NOW ON LOT ..
USE OF
EXISTING BLDG.�7,��`� BLDG. SETBACK FROM
OWNER O �`, NOEL. A FRONT PROP: LINE OF _ (STREET)
o TYPE OF EXISTING SETBACKHIGHWAY -I- _;_YARD TOTAL.
ADDRESS 819 HIGHWAY WIDTH FROM C,L. -
CITY
' BLDG. SETBACK FROM
ARCHITECT OR -' TEL. «
ENGINEER NO.' SIDE PROP. LINE OF 1 (STREET)
-
TYPE'OF EXISTING SETBACK HIGHWAY. `+- YARD TOTAL.
ADDRESS Iy HIGHWAY WIDTH FROM C.L. -
CONTRA CTOR 1' `FT C NOL. `1 b�010
y a
ADDRESS\O G.O D NO 'ZI`p �S CORNER CUTOFF - .. YES O NO- V
CITv76K CITY CLAss SEE REVERSE SIDE FOR.SPECIAL APPROVALS.
DESCRIPTION OF WORK w
_ a
N
-NEW ADD ALTER REPAIR DEMOLISH
S T. NO. OF NO. OF'•
SIZE STORIES @ FAMILIES USE
- _
"STRUOCTUREoJS I ACh.- ..3U V
C.00itG
SIGNATURE OF - -
APPLICANT / -
VALUATION$ (
V APPROVALS DATE INSP ECTOR'S SIGNATURE
•P.C. - _ PMT. FOUNDATION, LOCATION '
'.FEE$ FEES ' FORMS, MATERIALS
FRAME, FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION B-RACING BOLTS _ '-
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. INDOING THE WORK -
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN IOLA. LATH. INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA R LAT-
ING TO WORKMEN'S COMPENSATION .INSURANCE
• �� LATH. EXT.
SIGNATURE OF ` HOUSE NUMBER COR-
PERMITTEE - RECT AND POSTED ..
ADDRESS 7C • F I N A L
JOHN F. LEWIS. PR6 IPAL STRU trURAIL ENGINEER
PLAN CHECK VALIDATION cK. M.O. CASH PERMIT VALIDATION cK._ M.O CASH
��I
he pepsat oh f ca lnsuron elf a AMU�.���A �MO'N �1 ,G P.�RLI V.II�U '.•
re -ar a
or a cerTified�co'pMPMe38(p3�'Lab. C ) � •.•. .• ._. :. . - ,._ • ELE - - - - - - - - -
_, -COUNTY OF:LOS.,,ANG S BUILDIWCs>A�D SAFETY
Policy NO.' Company r
�Certifiecl,co is hereby furnished.
Pv v _ �_ FOR APPLICANT TO FILL IN BUILDING
❑ :CerTifiedI,c '. `pis filed with he'count 'buildin lns ec- "
ADDRESS �,•
copy Y_ 9 P BUILDING wry
a inion depdrtment: ' ' = ADDRESS , o. } f�U
Date ,r APpIicont' .: CITY .ZIP ' LOCALITY F`
CERTIFICATE OF EXEMPTION'FROM WORKERS' " NO. OF RI DGS.=- NEAREST.:,. ..,.,`.-
3 i - COMPENSATION INSURANCE SIZE OF LOT /C� NOW ON LOT CROSS ST.
Thins"tsection:4eed not+be'com leTed if the ermit:i`s for one" '-- - =� ASSESSOR
'hundred dollars($100)or, less.) Y TRACT BLOCK ?` LOT NO MAP BOOK PAGE PARCEL
r; • r OWNER. Pr�� )NO.' :
.I certify that in the performance of the'work for-which`fhis m
USE'ZONE '" OP
permit is issued I shall not employ any person in`any manner ' ;7- — SPECIAL - - - - A.:
__... J
r ADDRESS- ' / - ��-,. CONDITIONS *` V•
so as to.becomesub ect to the Workers Compensation,Laws. T '-
�> ,\
U CITY, . C/� ZIP �� V..
Date Applicant" ARCHITECT OR TEL..
NOTICE-'TO APPLICANT:'=1f after-'making' t s Certificai' of DISTRICT- GROUP. TYPE-ONST t FIRE ZONE PRO SED'BY
ENGINEER NO:
Exemption y"ou-should- become subject to the•=Workers'
LU
Com
pensation,provisions.of Th 6:La'bor.Code you^must.forth- ADDRESS :�3 - . 1 tb
[ 5
with.comply, witH,,such proyi,sions or• Thin permit,shall; be
CONTRACTOR _ NO. r^j STATISTICAL CLASSIFICATION APT. L NDO }
deemed.reyoked: t
LICENSED CONTRACTORS DECLARATION.. <+ -- LIC-. r - CLASS NO. DWELL,UNITS
herebyoffirm,that I am licensed under provisions of Chapter 9 "; ADDRESS NO. SEW Y
commencing with Section 7000 of Division 3 of the Business and `' s•,
( g.. ).;," r. LIC..-; P
ER MA
Professions Code, and my"'license,is in full force and effect. CITY CLASS *- VALIDATION:" s
i+ BK. PG'.
• License.Number Lic.Cldss -
- .
> SO. FT.' NO.,OF NO. OF CHECK•
y. sr} SIZE. STORIES7
• :I, -IES .,NEW ONE' O
,_. „ ._ FAMIL r
DESCRIPTION OF`WORK` A 6 _ c 3 6 A
VALUATION
Contractor ' ' Date ADD
LJ❑ I am exempt under Sec # "o`o
alC� ALTER _W i D�
:.
B.&P C for this reason AIR _78.-TO
_i !. USE.:OF ! DEMOL [:3
I o 0
' ,
Date: EXISTING BLDG: _-
_ APPLICANT .. . _ TEL. FINA 7 8,Q
(PRINT)
NO. �30
OWNER-BUILDER DECLARATION ,• .. DATE.X.
0-6-
Signature
hereby that,I.am-exempt from the Contractor's License _ O 0 3 LL $J
Law for The following reason'(Section 7031.5, Business and ADDRESS �. /✓J•, '�[9 � �� / / FIN
"Professions
Code): PRESENT BY
BUILDING
1, as owner bf'The property, or my employees with ADDRESS
wages as their'sole compensation,will do the work and
i
the structure is not intended or offered for.sale(Section - LOCALITY
-'-'---7044, Business and-Professions.Code).'-- " MOVING' TEL.
.�..
�. I, as'owner'of the property, am exclusively contracting
CONTRACTOR NO.
i"wMh'licensed contractors-to construct The project,(Sec ADDRESS
tion 7044, Business and Professions Code).
REQUIRED _. TOTAL.SETBACK-FROM .• XIST _ r
CONSTRUCTION LENDING AGENCY: SET BACK YARD HWY PROP. LINE WIDTH
I hereby affirm that there is a construction lending agency for FRONT t
-the performance of the-work for'which this-permit is issued - -- - P.L 'L
y i
(Sec. 3097, Civ. C.). SIDE
t,-
1 .
Lender's Name
TO
m.. --. -_ .._-. - ... .., — -. .Y ----. - >-•- P.C-Fee.$.,, _ -- - Perm it
- LDMA Ref. #
Lender's Address ` S.0
I.certify-that.L,have read.this application and.state that the' . ._. .. _. Issuance Fee - LDMA P/C# ---• ,
above.information.is correct I agree.to comply with.all County Investigation Fee �/yGp
�• ordinances and,State'laws relating to building construction, :, _ _ __.. -. TotaPFee/®Q •LDMA-Perm. # - --.�
and hereb authorize representatives of This County e
To nter
a
upon`the bove-ment'oned property:for specTion purpos
Z �D SEE REVERSE FOR EXPLANATORY LANGUAGE
- _...
- - Signature o Applicant or Agent ."•Date -•-- - ., -- ._ _,._ . . _. _ `Q�.
4
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9806120003
PHONE: (818) 285-0488 EXT:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
TR: 13329 LT: 19 SQ. FT STORIES TYPE OCCUP GROUP 4819 HELEO AV
STRUCTURE: 0 1 VN R3 TEMP CA 917803821
ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: LOWER AZUSA
8590-024-022 OTHER: 60 0 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: USE ZONE: ISSUED.ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 06/12/98 UT 06/12/99
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FI L BY: E:
CHUA LAWRENCE;CHERRY ( 1 600 J
4819HELEOAV / W � �(
TEMP 917803821 FEES PAID DESCRIPTION OF WORK
RAISED WOOD DECK (FRONT YARD)
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
SAME AS OWNER AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION .RESID- —600.00 VAL 0.50 SPECIAL CONDITIONS:
AX BUILDING.REVIEW FEE_ 54.70
D2 PERMIT"W/O EN-HC 600:00'VAL 43.50
TOTAL FEES 126.45
CONTRACTOR: -;,
TEL. N0:
SAME AS OWNER APPROVALS' DATE INSPECTOR SIGNATURE
- ;j, �� � -
LIC. NO
LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: - FOUNDA IO T ENCH FORMS
LIC. NO: t - �'�•1711��;', SLAB/UNUER FWOR
RAISED FLOOR FRAMING
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 a / p", ND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS j -� �✓ ROOF SHEATHING
AIR QUALITY: 1000 FEET MATERIALS \
NO NO NOV��� ;/ �� % % ;� FIRE DEPT. FRAME INSPECT
REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- , SHEAR PANELS
SIDE PL-
INSULATION/WEATHER STRIP
INTERIOR LATH/DRYWALL
EXTERIOR LATH
LOT DRAINAGE
SMOKE DETECTION DEVICES
FIRE DEPARTMENT APPROVAL
REPORT 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 0811100007
PHONE: (626) 285-0488 EXT:
ILEGAL ID: NO. OF CONST I BUILDING ADDRESS:
ITR: 13329 LT: 19 SQ. FT STORIES TYPE 1 4819 HELEO AV 1
I ISTRUCTURE: V-B I TEMP CA 917803821 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LOWER AZUSA 1
18590-024-022 I THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY, Cl
I I I I
(TENANT: - (EXIST BLDG USE: RESID USE ZONE: R-1 11SSUED ON: PROCESSED BY: I
IEXIST OCC GRP: 111/10/08 SR 1
I I I
(OWNER:
1 5,000 1 1
14819 HELEO AV I I w 1
ITEMP 917803821 1 FEES PAID Ib CRIPTION OF ORK I
I IBATHROOM REMODEL I
1 _1FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( I
1APPLICANT: TEL. NO: I I I
IWALKER (805) 857-0866- IAA BLDG PERMIT ISSUANCE 27.75 1 1
12163 PALOS CT.. IAC STRONG MOTION RESID 5000.00 VAL 0.50 ISPECIAL CONDITIONS:
INEWBURY PARK 91320 JB2 PERMIT W/ENERGY 5000.00 VAL 145.86 I 1
I I TOTAL FEES 174.11 I I
I I I I
ICONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE 1
IWALKER BUILT GENERAL CONTRACTOR (805) 857-0866- 1 I I
12163 PALOS CT LIC. NO I (LOCATION AND SETBACKS I I I
INEWBURY PARK, CA 91320 916231 B I
I I ISOILS ENGINEER APPROVAL I
I I I I I I
1ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS I I
LIC. NO: I ISLAB/UNDER FLOOR I I I
I I I I
I IRAISED FLOOR FRAMING
IMAP NO: SEWER MAP BOOK:. PAGE: FIRE ZONE: CMP- 1 (UNDERFLOOR INSULATION I I I
1144H269 3 001 1 1-1 i
I I IFLOOR SHEATHING I 1 I
INC. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I I
1 NO 21 1 IROOF SHEATHING I I
I I I I I I
SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I
(AIR QUALITY: 1000 FEET MATERIALS 1 1 ( 1 1
NO NO NO I IFRAME INSPECTION I
I I I I I I
IREQUIRED TOTAL SETBACK FROM EXIST IFIRE SPRINKLER HANGERS I I I
ISET BACK YARD: HWY: PROP LINE: WIDTH: I • I I
IFRONT PL- (INSULATION/WEATHER STRIPI I I
I SIDE PL- 1 1-1 1
I (INTERIOR LATH/DRYWALL I. I
I 1 (EXTERIOR LATH I
I I I I I I
1 I IRATED FLOOR/CEIL ASSEM. 1
I I I I I I
I IRATED WALL ASSEMBLIES I
IRATED SHAFTS/OPENINGS
I I I I I I
• IT-BAR CEILINGS
I I I I I I
' ILOT DRAINAGE II I
I I I I I I
I IREPORT ID: DPR261 ROUTE TO: BS0508 I