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HomeMy Public PortalAbout5003 HELEO AVE_Building__ ' 78A898A'CE*803 7.58 A h®L I V A T.I..O N: F', ORB U_ I y I 1N.. :x P - R:-M IT BUILDING AND SAFETY DIVISION B'ADDRESS 1D1NG - Department of Couatg Engineer' rs County,of,Los Angeles LOCALITY ' JOHN A. LAMBIE, COUNTY ENGINEER NEAREST,,` CASSATT D.GRIFFIN--,'SUP'T OF BUILDING CROSS'ST', - _ - '? Q' DPSTRICTNO.- GROUP I.rVPE LSEWER. •MAP FOR APPLICANT ;TO FILL IN /�" BK PG BUILDING- U _ ADDRESS �jpC� t�t--� STATISTICAL CLASSIFICATION LOT NO: CLASS. NO DWELL. UNITS I - - ' MAP -�� . STATE �YES O b - BLOCK.. NUMBER y HWY. TRACT 'J - - UE SPECIAL' . NO. OF GS. CONDITIONS SIZE OF LOT: -I I NOW'ON LOT ': ; r USE OF. = _ EXISTING BLDG. BUILDINGEXIST. YARD HWY STREET NAME _ SETBACK 'W.IDT H OWNER FRONT MAIL L. L .. . ADDRESS rj(7Q 7 � /�'O /T ��1 i' SIDE _ C TEL'- 3 P: L. _ C ITY "D INSPECTION RECORD' ARCHITECT R TEL, ENGINEER - - NO. ADDRESS - � TEL. :. - C Q% 111 _ CONTRACTOR NO. An - /a�-�0., �JAa ....QALL ADDRESS ttt0Q DESCRIPTION OF WORK NEW ADD - ALTER REPAIR DEMOLISH SQ. F.T, tj NO. OF NO. OF. - SIZE STORIES . FAMILIES - - - _ - - ' USE OF STRUCTURE APPROVALS - SIGNATLfREIOP - APPLICANT DATE `INSPECTOR'S SIGNATURE - ADDRESS - - FOUNDATION: LOCATION - ; _ FORMS,- MATERIALS 'S P. C.- S FRAME: FIRE,STOPS,' - 4^�r t BRACING BOLTS ►�I1) . � / '- FEE - .. ,`� nX✓la._ c VALUATION LS p2 FURNACE: LOCATION, . FEE - GAS VENT:.DUCTS- I HEREBY'ACKNOWLEDGE THAT.1 HAVE READ THIS AP-, LATH, INT, PLICATION AND STATE THAT THE ABOVE IS CORRECT AND - - a - AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH, EXT. U ' STATE LAWS REGULATING, BUILDING CONSTRUC N. — .SIGNATUREOF •HOUSE NUMBER COR- - - PERMITTEE RECT AND POSTED Jp/ ADDRESS 4, cd +.. FINAL JOHN A. LAMBIE, COUNTY ENGINEER, CLYDE N: DIRLA M, PRINC IPA L' STRUCTURAL'ENGINEER PLAN CHECI{ VALIDATION CK. M.O. CASH PERMIT VALIDATIONK j m.o. ` CASH k' o 6 4 6 5 *-- -MAR'2 6,' ' 1 -1. 4.00- . WORKERS' COMPENSATION DECLARATION 9' Insur raffirm that I have.a certificate of consent to self `-`insure, of a certificate of Workers'Compenstion Insurance, or Ll \A lJ L/11 LILLD) LI (Jvu U '• a certified copy thereof (Sec: 3800,, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy NoR�-Company � / /�� ' rtified copy is hereby•furni:h.ecl. FOR APPLICANT TO FILL.IN ADDRESS Certified copy is filed with the county building inspec- BUILDING /� tion department. ADDRESS , ilea •�'� LOCALITY NEARE Date Applicant CITY '� CROSS ST. & ZIP `CERTIFICATE OF EXEMPTION FROM'WORKERS NO. OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT (p ON ON LOT MAP,BOOK PAGE PARCEL (This section need not beCompleted if permit is for one hundred dollars ($100)or-less.) TRACT BLOCK LOT NO. NO. >_ USE NE TEL. J py/ SPECIAL �. I certify that m the perf.o mance,of the work for which this OWNER N0 (E��041 ' CONDITIONS - Q permii.is issued, I shall not employ on Compensation in any manner DISTRICT G UP TYPE FIRE' PROCESS BY U so as to`become subject to the'Workers'.Compensation Laws. ADDRESS -fes` CONST. ZONE G '` Ld 6t.. j O Date' Applicarit CITY ZIP STATISTICAL CLASSIFICATION APT' C DO. 11 II— _J NOTICE TO APPLICANT: If, after making this Certificate of" ARCHITECT OR TEL. W Exemption, you 'should `become, subject `to the Workers'_. ENGINEER NO. CLASS NO. DWELL. UNITS C. to Compensation"provisions of the Labor Code, you: S ADDRESS F�WER MAP must forth- ' • Z with•^.•c'omply with such'provisions or this permit shall be �,� deemed revoked NCY_: ����!'i{Lj s VALIDATION CONTRACTO LICENSED CONTRACTORS DECLARATIONLIC. I hereby affirm that l am licensed under provisions of Chapter 9 ADDRES ®� NO `S/ VALUATION (commencing with Section 7000)of Division-3 of the Business and CIC. . Professions Code, and'my license is in full force and effect. CITY i! /!� ��� CLASS $ �C/ ✓CJ__ � �I SQ. FT. NO.OF NO.OF : CHECK "License Number. Lic.Class4 SIZE STORIES FAMILIES l ONE / DESCRIPTION OF WORK f NEW $ Contractor l%`}�l/� �/Yh Date ❑ P 9 G �/� -P/v/ H//`7�� ADD ❑ I am exempt from the licensing requirements as I am a licensed'architect or a registered professional�engine'er. ALTER FINAL -acting in `my professional. capacity.(Section 7051; /�-Cr��'��� Cil/ b REPAIR ❑ DATE /10 • Business and Professions Code). USE OF f% EXISTING BLDG. N - DEMOL ❑ FBI .- Lic.or Reg. No. _Date s. APPLICANT TEL. - " 'OWNER-BUILDEWDECLARATION (PRINT) NO. ' I hereby affirm that I am exempt from the Contractor's.License i` Law for the following reason (Section 7031.5, Business and ADDRESS �.: L'c L ' t Professions,Code):: PRESENT , BUILDING 1, as owner of the property,"or 'my employees with 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. .0 2 3 0 0 0 A I,'asowner ofthe.property, am exclusively contracting CONTRACTOR• NO. # oio 0 0:° with licensed contractors to construct the project,(Sec- f tion 7044, Business and Professions Code). ADDRESS 2,0,0 &6T5 REQUIRED- TOTAL SETBACK FROM EXIST. i CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH °i° °'8 6'7 5 0 I here by.affi'rm'that there is a construction'lending agency for FRONT the performance of the work for which this permit is issued P.L. 0 8.,0 3—84 (Sec. 3097, Civ.'C:) SIDE P1 Lender's-Name Lender's Address P.C. Fee$ - Permit Fee w I certifythat,I have read this application and state that the PP Issuance Fee above information is.correct. I agree to comply with all County Investigation Fee ~7 0 ordinances and S a+uL elating to building construction, Total Fee " and`,her uthorize represe tatives f this County'-to enter Q i u e above-mentionerop .t or inspection purpose's-_ a SEE REVERSE FOR EXPLANATORY LANGUAGE ©s a . - Signature of Applican or Xgen Date - - 9fVUUZ4/ 515 ' WORKERS'.COMPENSATION.DECLARATION' " I hereby affirm,that I'have.a certificate of consent to self tI V O 0 ®"� �n insure, or"a certificate of Workers Compensation Insurance L�1LI LI L/11 LI V LI Rim ora certified copy thereof (Sec:- 3800, Lab C ) C-.. ; - OUNTY OF LOS AYVGELES BUILDING AWD'SAFETY Policy No.PC9975.00 company Republic Indemnity BUILDING, El Certified copy,is•hereby furnished. FOR APPLICANT TO.FILL IN ADDRESS tion department. y l BUILDING ADDRESS 5003 Heleo 'Ave. . © . Certified co is filed with the count but •. 7-1-91 . Uir.Q n Roof '.Co. ' CITY Temple City ZIP:;' 91780 LOCALITY �� Date Applicant' - NO.OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS•. .. SIZE:OF LOT NOW ON LOT CROSS ST. _ COMPENSATION'INSURANCF ASSESSOR _ (This.-section need not be''completed if iFi"e permit is fbr"one TRACT BLOCK LOT,NO. MAP BOOK r PAGE PARCEL .. 'hundred dollars-($100) or less.) ;., TEL OWNER 'Mr. &'.Mr ."Heriderson NO. USE ZONE I,certify,that.in the.performance of:the work,for which this NO'.•. erinit is,issued, I shall not em to an erson in'ari mariner -ADDRESS- t, SPECIAL a} p p y v I? y 5003' Heleo Ave CONDITIONS so as':to�become subject to the Workers'Compensation,Laws. �;, - '6TY.. Temple City-. • zIP 91780 Date Applicant` ' " 'ARCHITECT OR TEL. NOTICE..TO:-APPLICANT:- If; after..makin =chis Certificate. of ENGINEER NO. ?` -DISTRICT,',11 GROUP' TYPE FIRE,` PROC• SED'BY 0 9 ZONE O Exemption, you,.should become,,subject to the Workers' . : ' U Compensation provisions of the-Labor Code,.you-must-forth— ADDRESS i d CONST " with comply, with such-provisions or'this permit shall -be TEL. STQTISTICAL,CLASSIFICATION. AFT. CONDO. N deemed revoked. "', .: µ CONTRACTOR'Virgin.,Roof CO. NO. 287-0507 — Z LICENSED CONTRACTORS DECLARATION 'J. LIC. CLASS, -DWELL. UNITS 160; I hereby affirm that I am licensed under provisionsof-Chapter''9'. ADDRESS P•O BOX NO. 650 SEWER-MAP (commencing with Section 7000)•,of Division.3,of:the,Business UC. ;and•Professions Gode,:and my.license is in fulLforce andreffect S C39 VALIDATION CITY. an Gab-`iel'` CLASS S O NO O _ License Number" 160650 Lic.,Class C3'9 .. :SIZE 33 S STORIIEES 1 FAMILIES ONEK'` BK, PG. LCont'cictor Virgin Roof' Co Date 6-30. 91 '> DESCRIPTION OF WORK Tear;off then NEW ❑ . ' VALUATION ❑1 am exempt under Sec pp' y ADD" "❑ $ 5972.00 a 1 ��30 and Class {A II/> , ALTER B.&P.C. for this reason Fzb'er laSS Shin leS._. 03 S S. REPAIR ❑ $ Date` USE.OEr EXISTING BLDG. DWe'llin DEMOL ❑' Signature TEL.. `. APPLICANT _ �. OWNER:BUILDER•DECLARATION. (PRINT).' Vir in Roof `Co: .NO. 287-0'507 - I hereby affirm tha"tI am exempt-frorn the Contractors License _ FINAL Law for the following reason '(Section 7031 5; Business and ADDRESS P .0 BOX J, San`:,Gabriel. 91778 FNAL' W11 rirv'Professions Code) PRESENT r BUILDING r:� g ❑ I; as owner of the. property, or. my employees with ADDRESS I °g ` wage's as thei`sole compensation,will do the work andi AS the sfructu.re is not intended or offered for sale(Secti'on LOCALITY ) °•rUr a,s. 7044, Business and Professions'Code.) MOVING TEL. ( u � ' s•1_" ❑ "' CONTRACTOR NO: '_ I, as owner,of the property,,am exclusively.contracting .t.. t �,..�. with licensed contractors:to'construct.the,project:($ec- ADDRESS A` . 4 hl l(AL" 116 &SP tion 7044, Business and Professions Code..)' REQUIRED TOTAL SETBACK FROM EXIST NECK CONSTRUCTION LENDING AGENCY SET..BACK YARD` "'FIwY' PROP. LINE WIDTH•' I hereby affirm that there-is a construction lending agency for FRONT alll I the performance;of the-work;for w,hich'This permit is.issued P•L a _ ANK (Sec. 3097, Civ. C ), SIDE S IO —000,.1 r i 9-- Lender's Name LDMA Ref. It, i yC.ItF 3 AM 10'-`t f :. P C. Fee$ Permit Fee 103.8 8 3 Lender's Address' I certify that'I have read this application and state that'the' Issuance Fee 13'.00 LDMA P/C# above information is correct. I agree to comply with all County Investigation.Fee ordinances and State laws relating,-ib building construction, Total Fee_ 116,88 1 LDMA Perm. # Q and hereby authorize representatives of this County.to enter upon the abov'-mentioned property for;inspection purposes. 8-7-90' SEE REVERSE FOR EXPLANATORY.LANGUAGE•,. _ nature of Applicant or Agent Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9808070045 PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 13329 LT: 5 BL.: .001 SQ. FT STORIES TYPE 5003 HELEO AV STRUCTURE: 0 VN TEMP CA 917803825 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA 8590-023-024 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: 08/07/98 VG 08/07/99 OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: FINAL DATEFINAL CODE: SON ROBERT B;ELIZABETH A (626) 287 8219 2,000 5003 HP-/Q- 6 p� 5003 ELEO AV ` TEMP 917803825 FEES PAID DESCRIPTION OF WORK VOLUNTARY FOUNDATION BOLTING FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: MEGA BUILDERS (818) 787-8914- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESI __ ,D:-_-- _ 2000.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/0 EN.-HC_ 2000.00 VAL 82.20 TOTAL FEES 110.45 CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE MEGA BUILDERS (818) 787-8914- 16136 SHERMAN WAY LIC. NO �� �., --3 � �A�-� LOCATION AND SETBACKS VAN NUYS, CA. 91406 623980/C55 SOILS ENGINEER APPROVAL 0 ARCHITECT OR ENGINEER: TEL. N0: FOUNDATION/TRENCH FORMS It -j LIC. NOE -�- �1111111� G SLAB/UNDER FLOOR RAISE IFFRAMING / / �- D MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE:- CMP: UNDERFLOOR INSULATION 144-265 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS NO 21 �f'� �` 9� ROOF SHEATHING VA 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 * ADDITIONAL DATA ON FILE LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508