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Home My Public Portal About4912 HELEO AVE_Building__ ,78AS98A.DBS-S .A 0 0 U CAT.MII V. FOR B W L M I1 V'G 0 E 0 11 W T .. 11.55 DIVISION OF BUILDING AND SAFETY BUILDING ADDRESS Department of County Engineer.. gCounty of Los Angeles LOCALITY JOHN A LAMBIE, COUNTY ENGINEER NEAREST. .CASSATT D.GRIFFIN. SUPT OF BUILDING CROSS ST. TO FILL IN. DISTRICT NO. GROUP. TYKE SEWER MAP ✓ BK PG FOR APPLICANT CO N ST...Y-� BUILDING /� j MAP STATEt. YES O' ADDRESS -4 7 Z2., C� 17�E(.-i� NUMBER Lam! HWY LOT NO: LOCK USE ZONE-. SPECIAL' E CONDITIONS z I . TRACT' _ . NO.OF BLDGS. � - - SIZE OF LOT�JL'J� I BUILDING EXIST.. NOW ON LOT .YARD .HWY STREET,NAME �SETBACK� WIDTH USE OF EXISTING BLDG. E'$ �. M& FRONT ,S OWNER 4I�Q°!/f � /%d'S��P.7./ ° PIDE '.. MAIL• // ADDRESS..f g�� `JeI-Q - O TRACT DWELL. •1 UNIT. '� _ TEL 5 INDUSTRIAL �. CITY //"PyJY7/!G L-i/t% NO: 1. DWELL. I UNIT .6' PUBLIC.BLDG.. ARCHITECT-'OR TEL. = •2' DUPLEX 2 UNITS ENGINEER NO. 7 ADDN..ALT., ETC. t, 3 APT. UNITS 8 •MISCEL. e ADDRESS' ' 4 COMMERCIAL TEL INSPECTION RECORD CONTRACTOR - ! ery/�/.. !�� NO. �Z 32,63 ADDRESS.,'T.7E'J�I. I_�9'JLGN n3 DESCRIPTIO OF WORK' NEWADD ALTER .REPAIR DEMOLISH .. SO. FT. O. OF ., NO. OF - - SIZE STORIES FAMILIES USE OF STRUCTURE.4. , n 0�/� SIGNATURE OF APPLICANT _ APPROVALS ADDRESS DATE ANSPECTOR'S SIGNATURE FOUNDATION: LOCATION - _ ••P.EEC. $� FORMS.-MATERIALS31 •' _ .. FFRAME: FIRE STOPS. - fj VALUATION _ $ C4'r- •BRACING. BOLTS. -,I� �"d(�, r.•C .0 Js ..-..,z. FEE FURNACE: LOCATION, I HEREBY'ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT. DUCTS ' APPLICATION AND STATE THAT THE ABOVE IS CORRECT - -AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT. - AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. LATH. EXT. SIGNATURE OF " _ HOUSE NUMBER COR- - - PERMITTEE .RECT AND POSTED ADDRESS FINAL - li Imo! L-a 21 'JOHN A. LAMBIE. COUNTY'ENGINEE • VALIDATION CLYDE N. DIRLAM, CHIEF BLDG..INSPECTOR .. CK MO CASH' ' P,Pl l 9 6-4 tlY 1 1 1 0.0 0 . � � r ,,.j,A #803. 1-61 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALITY y JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN DISTR�T N GROUP TYPE PRSE CONST. /,�cw BUILDING � yy //JJ STATISTICALDELL.CLASSIFICATION SEWER MAP ADDRESS BK/ _/P!,+ CLASS.NO. W "NITS-1 � (/ LOT NO. BLOCK WATER )�7 CERTIFICATE: NOT REQUIRED RECEIVED TRACT ��.�{ y MAP HIGHWAY STATE MAJOR SECOND, CAL //�� NO.OF SLOGS. /� NO. �lb (CIRCLE) SIZE OF LOT o NOW ON LOT .J USE ZONE SPECIAL USE OF // �" tc- CONDITIONS EXISTING BLDG'y4LGLQL 6tzt ✓ Al /� TEL. OWNER -' �C.G NO GG/ BUILCIING EXIST. SETBACK YARDNOW STREET NAME WIDTH ADDRESS FRONT I / ARCHITECT OR TEL. P. L. ENGINEER ��na:l� NO. SIDE ADDRESS TEL. - INSPECTION RECORD CONTRACTOR NO. V ADDRESS DESCRIPTION OF WORK V Lu o_ NEW ADDALTER REPAIR DEMOLISH ,. N SQ. FT. NO.OF NO.OF Z IZE _S STORIES / FAMILIES . USE OF STRUCTURE. 7'�G6•-��- SIGNATURE OF�., , APPLICANT VALUATION G n�� I APPROVALS DATE INSPECTOR'S SIGNATURE P . - PMT. FOUNDATION: LOCATION F 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 STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION. I CERTIFY 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 "V TO WORKMEN'S COMPENSATION INSURANCE. LATH,EXT. SIGNATURE �'///� � `-�(�/�,; HOUSE NUMBER COR- ( PERMITTEE �� RECT AND POSTED / a2 ADDRESS FINAL CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL E NE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH .:: 8 6 3 8 ��' FED rn } D Jr .�' i ARKERS' COMPENSATION DECLARATICtN Y insbre boraa''tie tificahirm lI have ci ce�tificate of consent'to te of Worke s.Gompensp(on lnsurar ceself //��Vo CAU PO -FOR O �IJ'.�DIN >� "❑,l1 VU V'LI�� or a`'Certified•copy thereof (Sec."3800,"Lab C:) • COU{f37r IOF.;LOS ANGELES •' a -`p` 'BUILDIRIG'AND SAFETY Policy No. Company _ U a B ILDING ._❑ Certified copy'is hereby furnished. . *:' u F,OR APPLICANT TO FILL-IN< CIAMbRESS Els �. ,e :. Certified copy is filed'With the'county building'i,pspec- ADDRESS BUILDING G a H �. 7. tion.department: c CITY''_Tlt L LCT .C� ZIP, C I CJS' LOCALITY G Date ;Applicant NO. O.F BLDGS NEAREST CERTIFICATE OF EXEMPTION,FROM WORKERS SIZE OF LOT NOW ON LOT CROSS ST. x s COMPENSATION INSURANCE ASSES n (This section need not be completed`if theermit is for one TRACT BLOCK LOT NO. /�qp 00� �l. `/lD: LQ� p ---:9 / hundred dollars ($100)•or less.,) TEL.( OWNER,- SLGT'r W V 1J�l:�LA. htI 2SSS-yGS4 U PAG PARCEL NO. SE.ZONE. ' MAP .. I certify that in the,performance of'the`:work for.'which.this NO. permit is issued, 1.sha,li not employ any.person in any.manner ADDRESS T l e� TTS t o �� O SPECIAL CONDITIONS' -/// so as to become subject to the.Workers;Compensation.Laws. clrY zlp X1$.0 . .:v . Date -Applicant ARCHITECT OR TEL. NOTICE TO APPLICANT: If,' after' 'making This Certificate of ENGINEER: NO. DISTRICT " '"GROUP' TYPE FIRE OCESSED BY O 9 ". CONS L� Z(}JJE H - Exemption, you,,should:become° subject• to: the Workers' " • � I// ,V�' w' ' Compensation provisions of the Labor Code;you-must forth- ADDRESS .. �• � �' 9 a with comply with;such. provisions or This-permit:shall.,be .. .- _ • TEL. STATISTICAL CLASSIF�TION "i APT. � CONDO. ' Z • deemed revoked. CONTRACTOR -NO. LICENSED CONTRACTORS DECLARATION. LIC. CLASS NO. DWELLrUNITS I hereby affirm that I am'licensed tinder provisions ofChapter9 ADDRESS. NO. (commencing with Section 7000)of Division 3 of the Business LIC. SEWER MAP... and Professions Code;-and my license is in full force and effect., CITY CLASS BK PG VALIDATION SQ. FT' NO. OF'. NO: OF CHECK License Number` Lic. Class 'SIZE . STORIES j FAMILIES -ONE DESCRIPTION OF WORK ,�Cty,Q DOS NEW ❑ �9d. VALUATION Contractor Date r LJ' a • ' $ acv ❑I am,exempt under Sec. Iti �p F I a �q,� i T i ADD LT ALTER ❑ D B.&P.C.4or'this reason ` Date: REPAIR'❑ $ USE,OF EXISTING BLDG., DEMOL ❑ Sig noture Lj N,aa 1� y Or _ rj^ - APPLICANT TEL. FINAL (PRINT) 'SCC7 CT NO. �� ' OWNER-BUILDER.DECLARATION DATE I hereby affirm that I am,exempt from,the Contractor's License �{C / Ir Professions Code mess'and ADDRESS FINAL _: Ir 9* ( _ PRESENT By r :4 <9Q� - til„ f Law for the followm .reason'- Sechon�7031.5, Bus _ BUILDING LJ I, as owner of the property, or my employees with ADDRESS ri wages as their sole compensation,Will do.the work and.. Y. the structure is notintended oPoffered forsole(Section: LOCALITY �Y 7044, Business and Professions Code.)• MOVING 'I =•s'. CONTRACTOR NO. 303' O+ ❑ I, as owner of the properly, am.exclusively contracting '3696,. . with licensed'contractors to construct the pro'ject.(Sec ADDRESS { r 1! Ii tion 7044, Business and Professions Code.): +S REQUIRED' TOTAL SETBACK FROM' EXIST. 1� tY-f,4i ,r' 0 { CONSTRUCTION.LENDING AGENCY. SET BACK YARD HWY PROP. LINE WIDTH • -' ' �� i FIL "@ r " 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. `t,'. 1t.:4 �• 1 ':. }�,� (Sec. 3097, Civ. C.)... SIDE. P:L. iii t Lender's Name. . LDMA Ref. # P C. Fee$ �"�Q - Permit Fee' !! �s / Lender's Address ' _C -6/14'6/1`t.'`i: o I certify that. I have read this application'ond state that the Issuance Fee --7:9-0' LDMA P/C# ,� g above information is correct. I agree to comply.with all County Investigation Fee 912 - -r 8°5 �GG� / �i h i A 0 ordinances and State laws relating to building construction, Total Fee O LDMA Perm: # - V< and hereby authorize representatives of this County to enter up th abovmentioned property for inspection purposes. af Q, \,/J SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applic nt'or Agent Date' COUNTY OF LOS ANGELES TEMPLE CITY # '0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS' 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING-AND SAFETY / -LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9911160060 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 13329- LT:-29- SQ. FT STORIES TYPE OCCUP_ GROUP 4912 HELEO AV - STRUCTURE: 217 1 VN R3 TEMP CA 917803822 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: LOWER AZUSA 8590-021-021 OTHER: THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 11/16/99 UT 05/14/00 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE EXP IRMY: CODE: WUNNER;GREGORY (626) 285-4054- 1 4,500 4912 HELEO AV TEMP 917803822 FEES PAID DESCRIPTION OF WORK ADDITON OF FAMILY ROOM 217 SQ. FT.(ENCLOSING EXISTING FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: PORCH AREA) APPLICANT: TEL. NO: SAME AS OWNER AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 4500.00 VAL 0.50 SPECIAL CONDITIONS: AX BUILDING REV,LE6I:EEE—�� 54.70 B2 PERMIT W/ENERGY --4500:00 VAL 145.86 �,`�GELE�TOT,A—FEES 228.81 CONTRACTOR: TEL. NO: �{� APPROVALS DATE INSPECTOR-SIGNATURE- SAME AS OWNER LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL G - - ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. N0: 111.1111 SLAB/UNDER FLOOR RAISED FLOOR FRAMING . . MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP;:' n (� n UNDERFLOOR INSULATION 3, 'I0� U 9 I I C \�(/\\�/O R K� ST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/CONDI STAT CLASS '- - LLL�� l \J NO 21 O ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS V 0 0 ' i., ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS Q 0 C NO -- -NO NO O ''+ FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST SET �� BLDG DEPT. FRAME INSPECT LTA FRONT P - YARD: HWY: PROP LINE: WIDTH: _ %%�. Service Th SHEAR PANELS uvv SIDE PL- INSULATION/WEATHER STRIP 1 INTERIOR LATH/DRYWALL EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: SS0508