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HomeMy Public PortalAbout4903 HELEO AVE_Building__ 76A63�8A Ctl.#803-'10-56 A P P C A T ®N FOR BUILDING BUILDING AND SAFETY DIVISION ADDRESSBuILDINc Department of County Engineer , County of Los Angeles LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT 0. GRIFFIN, SUPT OF BUILDING CROSS ST. - "✓ FOR APPLICANT TO, FILL IN DISTRICT NO. GROUP r' SEWER MAP - TYPE '`BK PG I BUILDING -11 •CONST. f V ADDRESS �j ' I TATISTICAL CLASSIFICATION - I 5: �rp�/ • ✓� - - 4 3dti1+ r .�.. LASS.- 1 DWELL. UNITS—1 LOT N ���d-� j_ / BLOCK MAP` "� sem- �J j -" STATE r. "-.�Y�7/ �.'[9... . .. .. - HWY. YES- NUMBER O.' TRACT _ - SE ZC2NE SPECIAL NO. OF BLDGS. / CONDITIONS • " SIZE OF LOT Vii: . s, I NOW ON LOT '� �S`!A—j " g 60 USE OF EXISTING BLDG. _ -- - UILDING EXIST. _ YARD HWY- STREET NAME.- - yy�,� ETBACK' - - WIDTH OWNER /v'�-YY"vFRONT . MAIL I°E iQ.,� P. L. - ADDR SS �, +-" SIDE ' ' TEL R P. L: CITY" NO. 'r ARCHITECT OR� e"L.. PECTION RECO y+ ENGINEER 1 _ _aq ADDRESS . . ..� TEL. �.. CONTRACTOR NO. ADDRESS CRIPTION. OF WORK NEW ADD ALTER REPAIR DEMOLISH -- SO. FT.� NO. OF NO. OF SIZE �� STORIES. FAMILIES - r r�_'.'"' - - - - USE OF S`T UCTURE - APPROVALS51=711k�L. -1• i SIGNATURE OF - - - APPLICANT ' I DATE INSPECTOR'S SI N URE ADDRESS g FOUNDATION: LOCATION EFFORMS. MATERIALS$ g _ FRAME: FIRE STOPS, .BRACING. BOLTS b 7�h FURNACE: LOCATION.VALUATION $ GAS VENT, DUCTS"" :. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH, INT. _ PLICATION AND STATE THAT THE ABOVE IS CORRECT AND - S AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REQ U//�� ,,TING BUILDING CONSTRUCTION. LATH: EXT. SIGNATURE OF11 �////����pppppppp,,,, HOUSE NUMBER COR- PERMITTEEj _e • hl�.PL-40 A / RECT AND POSTED - ADDRESS `rP-a:4 .t -.Ji .}i�,d :_FINAL JOHN A. LANIBIE. COUNTY ENGINEER, `q CLYDE N. DIRLAM..PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK: M.O. CASH PERMIT VALIDATION CK'' M.O. CASH F7 rw M u ` *OAS DEPT. PERMIT IS "REQUIRE0 r AWYTERIAL. S TOA _'.OR, WOR' .: PlE_ flak TI E' ROAD` R ;T QF WAY. s► 76AGSBAtCEN'034'o7oe -APPLICATION FOR."B L®DN -PERMIT ._... r ..COUNTY OF LOS`ANGELES . BUILDING' DEPARTMENT. OF."COUNTY,ENGINEER. ' y ADDRESS BUILDINGAND SAFETY.DIVISION= Lo'Ai iTY ;JOF{N A.."LAMBIE' COUNTY ENGINEER,"'. NEAREST CASSATT D: GRIFFIN,SUPT OF:BUILDING_ " - .-,CROSS ST. DISTRIC ".N 'GROUP, TPE" OCESSED Y y r Y FOR' APPLICANT-TO FILL IN coNsi. ': 2 BUILDINGSTATISTICAL STATISTICAOL C ICATION $EWEKR` P ADDRESS B CLASS.N -UNIT 2_ MAP DWELL. P STATE LOT NO. Z f , I Z" BLOCKTJ NUMBERHwy. YES f / " TRACT . -1.. ) US Z ZONE' -SPECIAL • - " �' r NO.OF..HLDGS. - '-"; CONDITIONS - l SIZE OF•LOT. ''Ip ,I •NOW-ONA:OT . _ �4lL :FUSE OF `XISTING BLDG ' j �/ o. BUILDING, = '- EXIST._ SETBACK YARD 'HWY" STREET NAME WIDTH' OWNER �/ .FRONT MAIL P.L.' lfj ADDRESS SIDE,:,' - TEL: P L. _ .INSPECTION RECORD: ARCHITECT OR' TEL. ENGINEER - NO... -.ADDRESS TEL.y - - CONTRACTOR :•.: NO. ADDRESS DESCRIPTION.OF WORK NEW DD ', -ALTER .REPAIR DEMOLISH _ 1 - SC.'FT: , ..NO:,OF -. NO.OF SIZE':�: d X..7i� "'STORIES- AMILIES USE OF.. . - - STRUCTURE ' 'SIGNAT,UREOF"., _ - -_ APPLICANT _ - :=APPROVALS TE INSPECTOR'S SIGNATURE ADDRESS'' jam: FOUNDATION:LOCATION FORMS,MATERIALS VALUATION.$ FRAME:`FIRE'STOPS, , s HR.4CING:BOLTS 'P.C:' PMT,. OO - FURNACE:.LOCATION. =FEE «.$. I FEE . I . . GAS VENT,Ducts, • 1 HEREBY ACKNOWLEDGE THAT) HAVE READ THIS AP PLICATION-AND STATE"THAT THE ABOVE IS CORRECT AND^ '_LATH:INT. AGREE TO.COMPLY-WITH ALL'COUNTY ORDINANCES AND 44 )' •' ` STATE LAWS REGULATING BUILDING CONSTRUCTION ' L'ATH,EXT. - I; -. $�, � SIGNATURE OF: , �.LI_\L' HOUSE NUMBER COR_ PERMITTE a?�� I " RECT AND POSTED' "ADDRESS, FINAL• cK. m o"^ cnsH CLYDE N. DIRLAM, PRiNC(PAL STR KCTU MAO pPGTIHE PLAN CHECK VALIDATION.. PERMIT VALIDATION @(� F R 7:n t ria �1._✓� ? , l` ' P BUILD 7"G ADORES APPLICATYON LOCALITY NEAREST ? /� .A /1 DYVYSION OF BUILDING AND SAFETY CROSSST !/1/ I•- PY /+�• Q/ 'J�-1•' Department of County Engineer DISTRICT NO. RECEIPT NO. PERMIT NO., County of Los Angeles WM. J. FOX, COUNTY ENGINEER CASSATT D. GRIFFINp, GROUP DATE RECEIVED DATE ISSUED 5UP'T OF BUILDING ,, ...,., .. ,..', • _, 1 ,, � �fJ •�� FOR APPLICANT TO FILL IN TYPE CONST. RECEIVED BY ISSUED BY OWNER (/712./�nM.Iw /sC .1.'!.0/l�P?�G�® STATE � MAIL I '�-//-��j �•-- v '" NUMBER STATE NO ADDRESS y�`7'(I''� HWY >> y �y p(/t1 _ USE'ZONE SPECIAL a CITY �/a�/Y'1,'A -NTELO.'Xf /-Q J -� CONDITIONS 1' ARCHITECT OR TEL. ENGINEER NO. ,BUILDINGBCK 'YARD HWY STREET NAME'" EXIST. U � SETBACK WIDTH ADDRESS 'r ` TEL. P. L. FRONT (/' J"r 41' CONTRACTOR NO. SIDE ADDRESS - - P.L. 'BUILDING S i DATE CORRRE�C9TIONS - INSPECTOR ADDRESSy�•A-1.SFII,C21� / ...�9'- 4 m�' I'D / / G LOT NO. Pr7 r li 0� !I / BLOCK /+ t TRACT x,13 , .4/0q -,3j-2-.R f �� �e— NO. OF SLOGS. 9 ' BIZE OF LOT V 'T i�9J 0 I NOW ON LOT USE OF '` G EXISTING BLDG. d' DESCRIPTION OF WORK y/ G1 NEW. / ADD' ALTER REPAIR DEMOLISH' - - Z Sq.FT. �' NO.OF NO.OF r SIZE STORIES FAMILIES USE OF STRUCTURE NO. or /���j -'' ��..' •\ EMPLOYEES Y➢/y I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- ' PLICATION AND STATE THAT THE INFORMATION GIVEN IS APPROVALS `INSPECTOR'3,SIGN,""T,T DATE CORRECT. _ �w 1AGREE TO COMPLY.WITH,ALL COUNTY ORDINANCES FOUNDATION:'LOCATION" AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FORMS,MATERIALS /' i�•` y'-'.. .�."s.,o f°" FRAME: FIRE STOPS, / ' 011 SIGNATURE OF �/ ../ji/v -- BRACING,BOLTS PERMITT'E/IFi��/ FURNACE: LOCATION. r J ri1e + GAS VENT,DUCTS ADDRESS ' r - - V,_..�,T LATH, INT. AUTHORIZED AGT. / LATH, EXT. $ �- P•C. HOUSE NUMBER COR- FEE' RECT AND POSTED VALUATION N . $' �, FINAL : _ FEE I 76A638A DBS 3 12-S3 APPUCAMON-FOR O COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION F,.OR.APPLICANT;TO FILL"IN _ BUILDING S• RE BUILDING'ADDRES • '• "-'�' "'l '`/ = �. I hereby affirm that I haver a certificate of consent to self insure, 'or a certificate of Workers'Compensation Insurance,or a certified4. b� __e0 - _L4• copy thereof(Sec.3800,Lab.C.) CITY _ T�'1N'1• �'F... G�.•. C I CS LOCALITY Policy No. - Company - SIZE OF LOT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. s-3.i3 x-2 'Z NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT 2 BLOCK LOT NO. department. _ - /3 1 L %% USE ZONE MAP NO, ; ASSESSOR MAP BOOK PAGE A PARCEL •- SPECIAL CONDITIONS. Date Applicant 22( 6 it 3Q^tea % CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER G�$ �� TE �o. T � COMPENSATION INSURANCE WITHIN 1000 FT.OF SCHOOL? YES No (This section need not be completed ifahe permit'is for one hundred ADDRESSG e� Q / V Q DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars($100)or less certify that in the performance formance of the work for which this permit CITY��/yL- % i ZIP. is issued, I shall not employ any person in any manner so as to become subject to the Workers"Compensation"Laws. ARCHITECT OR ENGINEER TEL NO. - , � � •_X2[ .STATISTICAL CLASSIFICATION APT .• ,CONDO Date Applicant ADDRESS v yy����Ov� G� CLASS NO. QI DWELL UNITS NOTICE TO APPLICANT If, after making' this Certificate' of 673 � � ����� �1°`y .�- `� REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject t0 the Workers' CONTRACTOR TEL NO. - SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code;.you must forthwith FRONT comply with such'provisions'or,this permit shall be deemed revoked.. ADDRESS LIC.NO. P IL LICENSED CONTRACTORS DECLARATION SIDE CITY LIC.CLASS PL I hereby,affirm that I am licensed underprovisions of Chapter 9 — SEWER MAP (commencing with Section 7000)of Division 3 of,the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES , Professions Code,and'my license.is in full force and effect. Sf / NEW ❑ BK PG D D_ License Number LIC.Class DESCRIPTION OF-WORK � ADD VALUATION n O Contractor Date', e /gym ALTER ❑ $ OI✓ �" U ,�CoCr �70, cc ❑ 1 am exempt under Sec. REPAIR El BAP.C.for this reason DEMOL ❑ C) LDMA P/C# - (II Date: USE OF EXISTING BLDG. . URM ❑ - D_ Signature - -APPLICANT(PRINT) TEL NO. LDMA Perm# �•_.^ z El 1, as owner of the property, or my employees with wages as �'�- © �do T Z =3 their sole compensation, will,do the work and the structure is. ADDRESS / -7-� n C) not intended or offered for sale (Section 7044, Business and 6 L L. Yla &k4, �� FINAL DATE `'L I; Q 1`- •-I'-%= `f•-1 ,017 Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL Vll J '• " ❑ I, as owner of the property, am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS,MATERIAL EQUAL TO OR GREATER THAN THE Q AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY r.•'•i•T licensed contractors to construct the project (Section.7044, i i €' Business and Professions Code.) WILYESL ❑ NE❑ WILL THE-INTENDED USE OF•THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING .,,_037 195 9-`' OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH - –• CONSTRUCTION LENDING` AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR TTEMI.-,-,y;• GUIDELINES. - •� –._.._ I hereby affirm.that there is a construction lending agency for YES❑ No❑ the performance of the work for which this permit is issued(Sec. °='`I L L-'E"3 `7_5 HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING _ N 3097, CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. _ o Lender's Address - OWNER OR AGENT - o I certify that 1 have read this application and state under penalty o P.C.FEE PERMIT FEE of perjury that the above information is correct.I agree to comply �M � �i - I o with all county ordinan s and State laws relating to building ((JJ /� Fj: ._^•- _?i �j r;°yam. construction, and au rize representatives of this County ISSUANCE FEE X/S _I•;c-, - I to enter up _m ned property for inspection purposes. `v �' - 'I I y` � _ ¢ -lJ INVESTIGATION FEE TOTAL FEE sq�amre of Appli—I o Awo OV, -. . SEE REVERSE FOR EXPLANATORY LANGUAGE i ' s .. COUNTY OF LOS ANGELES BUILDINIG ASVD SAFETY - WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDN DDRESS I Hereby affirm that I have a certificate of`consent to Self insure, BUILDING ADDRESS ora certificate of Workers' Compensation Insurance,or a certified 17, of 3 copy thereof(Sec:3800;'Lab.C.) CITY/, ZIP p Policy No. Company L Q LOCALITY '� . . - SIZE OF LOT NO.OF BLDGS.NOW ON LOT 4�`��7i '"�� L�✓ L� ❑ Certified copy is hereby furnished. NEAREST CROSS-ST. ❑ Certified copy.is filed.with the County building inspection TRACT BLOCK LOT NO. department. USE ZONE - MAP NO: Date Applicant ASSESSOR MAP PAGE PARCEL ' SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER T L No. COMPENSATION INSURANCE 1 7- y WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be.completed if the permit is for one hundred ADDRESS _ dollars ($100)or less.) 3 - DISTRICT GROUP TYP CONST. FIRE ZONE PROCESSED BY CITY ZIP I certify that in the performance of the work for which this permitS 7 t 7korO� is issued: I shall not.employ any person in any manner so as to become Subject to the Workers'Compensation Laws. ARCHITECT OR ENGINEER tEL NO. ' STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. � DWELL UNITS NOTICE TO APPLICANT If, after .making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you Should become subject t0 the Workers' CONTRACTOR TEL NO. SET BACK YARD. HWY PROP LINE WIDTH Compensation provisions of the Labor"Code, you must forthwith FRONT Comply w6.such provisions Or this permit Shall be deemed revoked. ADDRESS LIC.NO. PL } ' LICENSED CONTRACTORS DECLARATION clTv LIC.CLASS -' P L SIDE- 0 hereby affirm that 1 am licensed underprovisions of Chapter 9 SEWER MAP (Commencing with Section 7000)'Of.Division 3 Of the Business and• - SQ.FT.SIZE NO.OF STORIES NO.OF.FAMILIES - = ProfessionsCode,and•my license is in full force'and effect. NEW BK PG O License Number Lic. Class DESCRIPTION OF WORK ADD ❑ VALUATION D U Contractor Date ALTER ❑ LLI $ 0� ❑ 1 am exempt undeSec. REPAIR . ❑ $ z r BAP.C.for this reasond Pr DEMOL ❑ LDMA P/C# Date: USE OF EXISTING B DG. URM ❑ Signature• -5303f I I1;yl�. APPLICANT(PRINT) TEL NO, LDMA Perm# CJ,1, as owner of the property, o{ my employees with wages as EMS their sole compensation,-will do the work and the structure is ADDRESS: O 11 ,, ) FINAL DATE H t'_ AL .1i..0 r not intended or offered for*sale (Section 7044, Business and Q [. Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A.HAZARDOUS MATERIAL Q i_ O CHECK lin v?f Z� _ L V J R�l.•I�i jf F 1 OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ❑ 1, as owner of the,property, am exclusively Contracting With AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY � CHANGE 01-1 licensed contractors to construct the project (Section 7044, YES `� " Business and Professions Code.) SEs❑ No❑ ' WILL THE INTENDED USE''OF THE BUIDLING BY THE_APPLICANT OR FUTURE BUILDING . OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH 00000-0001 •y(•• / 'i p CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING'CHECKLIST FOR 0 I000-0{�i f 1 ry•/ s ' `eL}l7=_`•. GUIDELINES. �-�1 hereby affirm that there is a construction lending agency for YES El NO C36 118 1 A .1. =ih' the performance Of the Work for Wt11Ch this permit IS ISSUed(.Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER'THE LOS ANGELES COUNTY CODE, TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS - Lender's Name' MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. - m Lender's Address OWNER.OR AGENT - 3 1 certify that I have read this application and state under penalty aR.C.FEE PERMIT FEE / 0 of perjury that the abov information is.correct.I agree to comply m with all county ordinan and State laws'relating to building' M construction, an e a horize representatives of this County ISSUANCE FEE to enter up a ned property for inspection purposes: dCIO O _, �6 INVESTIGATION FEE TOTAL FEE /fj ( m Aem Dale l/ ` SEE REVERSE FOR EXPLANATORY LANGUAGE 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 0308130015 PHONE: (626) 285-0488 EXT: LEGAL D: NO. OF CONST BUILDING ADDRESS: TR: 13329 LT: 11 BL: .001 SQ. FT STORIES TYPE 4903 HELEO AV STRUCTURE: VN TEMP CA 917803823 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA 8590-024-016 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESID USE ZONE: R ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 08/13/03 VG 08/07/04 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: YUNG, ANJULA (626) 451-9976- 1,600 / 4903 HELEO AV ! TEMP 917803823 FEES PAID DESCRIPTION OF WOR REPLACE 11 WINDO - SAME SIZE (WORK DONE) FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. N0: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 1600.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC 1600.00 VAL 82.20 TOTAL FEES 110.45 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO LOCATION AND SETBACKS 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