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HomeMy Public PortalAbout5006 HELEO AVE_Building__ IGASBBA GE BDBS..' APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILi DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION LOCALITY s / JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. DIS.TRI T NO. RO TYPE I F"ESSED BY � FOR APPLICANT TO FILL IN ��( ¢ CONST. �'L= BUILDING STATISTICAL CLASSIFICATION - S WER MAP ADDRESS Q — BK PG CLASS. NO.�DW ELL. UNITS LOT NO. BLOCK WATER NOT REQUIRED RECEIVED CERTIFICATE: TRACT ,7 MAP / HIGHWAY NO.OF BLDG$. NO. / IHWAY STATE MAJOR SECOND, OCAL- SIZE OF LOT NOW ON LOT USE ZONE SPECIAL USE OF �� CONDITIONS EXIST'NG B G. TEL. OWNER (J NO BUILDINCKG YARD HWY ST R ET NAME EXIST. . ©Jt �� y SETBAWIDTH ' ADDRESS ((// FRONT 6 ARCHITECTOR TEL. P. L. ENGINEER - NO. SIDE ADDRESS -RECORD V wT TEL/' // 11✓ p� CONTRACTOR 1 w NEL 'Y�v� O ADDRESSZ- / OG U - W DESCRIPTION OF WORKZY- z NEW ADDXAI ALTER REPAIR DEMOLISH SQ. FT. NO.OF IZE STORIES,USE OF t�{v n T, _ J�� T STRUCTURE �TL/1/ (aJj,( -t G . SIGNATURE OF , APPLICANT VALUATION$ ,j APPROVALS DAnTE/, IN/S�PE�C�TO;k'/SISIG�NATU7.R.{E �. P.C. �� PMT. FO FORMS•MATERIALLOCATION /� FEE $ FEE $ FRAM E: FIRE STOPS, 1 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 C OUNTY'ORDINANCES AND STAT WS REGULATING GAS VENT DUCTS / BUILDING CONSTRUCTION. I CEPTI FY T_, H IN GJOING'THE AUTHORIZED HEREBY WI N T EMPLO ANY PERSON IN VIO A- LATH. INT. TION OF THE LABOR CO OF THE STAT OF CAi IFORNIA REL �T- ING TO WORKMEN'S CO P BA A _- LATH, EXT SIGNATURE OF HOUSE NUMBER COR. PERMITTEE CT AND POSTED ADDRESS V44INAL CLYDE N. DIRLAM, PRINCIPAL ST UCTVRAL ENGINEER MIT PLAN CHECK VALIDATION cic M.O. CASH PERVALIDATION GK, M.O. CASH L,Uo 9 1 9 J o JM4 7 1 D 6.00- l 7GA63Bh CE#'BOD',-RZ APPLICATION FOR' BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEARESTO WILLIAM A. JENSEN, BURT OF BUILDING CROSS ST \ .J DISTRICT NO. I GR P I TYPE PR SSED BY FOR APPLICANT TO FILL IN i. 7 5?, �— coNST: BUILDING . (!M r/ �� y-� STATISTICAL CLASSIFICATION SE ER MAP ADDRESS �^/�r, / CLBK G ASS. NO. DWELL. UNITS LOT NO. LOCK WATER NOT REQUIRED ❑ RECEIVED CERTIFICATE: TRACT - - •` - MAP / HIGHWAY STATE b0 NO.OF BLDGS. NOS , E MAJOR SECO / ICIRCLEI CA SIZE OF LOT NOW ON LOT 2 USE ZONE SPECIAL t7 USE OF CONDITIONS EXISTING BLDG. \ , OWNER TEL /fR/ BUILDING EXIST. /� SETBACK YARD HWY STREET NAME WIDTH CADDRESS , (�{/ '-' \ .I FRONT q� /I ARCHITECT OR TEL. P. L. C\! IC ENGINEER NO. - P: L 1 ADDRESS 0 TEL !1 /� iV� • rfi`fj V ,CONTRACTOR 12-- 1ad ADDRESS � �P rT/ j�e�' .x, DESCRIPTION OF WORK few �, !?� I' d a 4;= E FT. GA/O•JD� ALTER NOROFAIR NOOO F 4 SH �!_� 6J - ie.Cn.aA �A? SIZE NO FAMILIES. J/ USE OF ��6'T'J'�.. �. C� ✓-s�i'lAti.fJ 1 ) .F, I�An'` /r JA1� �j STRUCTUR ( �.l. [. - J�,r7 pry//y,, ��..fcyA ,�",,��/// ,.?if ,�/ ,y♦ � fI , SIGNATURE OF APPLICANT VALUATION Lam' L� APPROVALS f DATE -INSPECTORS SIGNATURE P.C.' PMT. FOUNDATION LOCATION / FEE $ FEE $ _J -� FORMS,.MATERIALS �2� � C,.,+fY/`� FRAME: FIRE STOPS. I HEREBY ACKNOWLEDGE THAT I LAIC READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ADOVE IS CONNECT AND AGREE TO COMPLY - FURNACE: LOCATION. W �_lp_ r WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS V � f BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- TION IOLA ,LATH. INT. Y ,� TION OF THE FIN . COPE OF THE STATC,OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATIO INSURANCE. LATH, EXT. SIGNATURE OF 'HOUSE NUMBER COR- •� - n _j�J� .PERMITTEE RECT AND POSTED ADDRESS Q' FINAL roLl.G` f •�(� JOHN F. LEWIS, PRINCIPAL R ST AL ENGINEER PLAN CHECK VALIDATION GK MO. �H _ PERMIT VALIDATION CK. M.O. CASH L'1C,o'6 4 9 2Q� NOV 5 2 3 0 2 1 .5 0 A C r LhLo;7 5 2 9� NOV28 1 4 3.00 WORKERS' COMPENSATION DECLARATION //•�> '{I hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT DISI insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY cc 210 Argonaut Ins'. cy N424-10632&mpany UILDING .9t Certified copy is hereby furnished. FOR APPLICANT TO F714 DDRESS '6-w / LCertified copy is filed With the county building inspec- BUILDINGtion department. ADDRESS 5006 'H 1 AvOCALITY ll-1-84 Randol Roofin NEARESTDote gppLcom 4 OrY Tem le Cit zIEARS TT.CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BSSESSORCOMPENSATION INSURANCE SIZE OF LOT NOW ONAP BOOK PAGE PARCEL (This section need not be completed if thepermif is for one SE ZONE MAPhundred dollars ($100) or less.) TRACT BLOCK NO./ SPECIALI certify that in the performance of the work for which this OWNER William Henson CONDITIONSermit is issued, I shall not em to an DISTRICT GROUP TYPEFIREPR ESSED Bp p y y person in any manner ADDRESS Q H O AV CONST. ZONE U so as to become subject to the Workers'Compensation Laws. � �� ��r Date 6-22-84 ApplicoMRandol ROOFlnO CITY ZITATISTICAL CLASSIFICATION APT. CONDO. QNOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR Exemption, you should become subject to -the Workers' ENGINEER CLASS NO. DWELL. UNITS_ a Compensation provisions of the Labor Code, you must forth- H with comply with such provisions or this permit shall be ADDRESS SEWER MAP deemed revoked. CONTRACTOR TE NL, _ BK. PG/d VALIDATION LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS' 529 E . V a e NO. 4 7 VALUATION (commencing with Section 7000)of Division 3 of the Business and - LIC. _ Professions Code, and my license is in full force and effect. CITY San Gabriel CLASS C—3 9 $ 1147 . 00 , SQ. FT. NO.OF [d0.OF CHECK' - License Number 4 51 a 3 7 Lic.Class C-39 SIZE STORIES FAMILIES ONE Contractor Randol Roofirbg -6-22-84 DESCRIPTION OF WORK R —roof,-:r $ r NEW ❑ El 1 house & attached. -garage .ADD L] - am exempt under Sec. ALTER ❑ FINAL +7 B.BP.C. for this reason with' 12X18 Comb.' sh 1 EPAIR ® DATE ! J 6 Date: USE OF FINAL ❑ /• 'EXISTING BLDG. SFD DEMOI B APPLICANT TEL. T Signature - , � OWNER-BUILDER DECLARATION PRINT , NO. 2 , r I hereby affirm that I am exempt from the Contractor's License I ® j� G3 Law for the following reason (Section 7031.5, Business and ADDRESS 529 E . V a 11 e San Gabriel O Professions Code): _ RM"l .9 2 3 1%5A I, as owner of the property, or my employees with BUILDINGADDRESS wages their sole compensation,will o the(rk and - /ay� '�'�•A Q the structure for is not intended or offered for sale Section LOCALITY tl BB W 7044, Business and Professions Code). MOVING TEL. V I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS 7 'tion 7044, Business and Professions Code). REQUIRED "TOTAL SETBACK FROM EXIST. G,�B•-j'y' CONSTRUCTION LENDING AGENCY SET BACK YARD HWY „ PROP. LINE WIDTH I hereby affirm that there is ci construction lending agency for FRONT - the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.I. Lender's Name Lender's Address P.C. Fee$ c' Permit Fee 39 . 3 8 p I certify that'I have read this application and state thattheIssaa'nce Fee 10. 50 above information is correct. I agree to comply with all County v_.7,gotlon Fee ordinances and State laws relating to building construction; Total Fee RP b and.hereby authorize representatives of this County to enter - $ upon the above-mentione d property for inspection purpossyes.. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applica t or Agent Dote ®r . 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 9903150047 PHONE: (626) 285-0488 EXT: LEGA D: NO. OF CONST NEW BUILDING ADDRESS: TR: 13329 LT: 34 SQ. FT STORIES TYPE OCCUP GROUP 500b HELEO AV 06 STRUCTURE: 170 1 VN R3 TEMP CA 917803824 ASSESSOR IN ORMATION NUMBER: GARAGE: NEAREST CROSS STREET: LOWER AZUSA 8590-022-010 OTHER: THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 03/15/99 UT 03/15/00 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: ODE: HENSON JAY H - 1 19,000AID ;/,- Id /�g �� ' 5004 HELEO AV `�' l_6 --6 TEMP 917803824 FEES PDESCRIPTION OF WOR 170FT. KITCHEN ADDITION/REMODEL AND BATHROOM REMODEL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: : APPLICANT: TEL. NO: J Q CONSTRUCTION & DESIGN, INC. (626) 233-8148- AA BLDG PERMIT ISSUANCE 27.75 8819 E. GARVEY AVE. AC STRONG MOTION_RESID19000.00 VAL 1.90 SPECIAL CONDITIONS: s ROSEMEAD, CA AX BUILDING,REVIEW_F.EE-` 54.70 B2 PERMITiW/ENERGY-E LE S 119000.00 VAL 404.58 la" TOTAL/JFEES 488.93 CONTRACTOR: TEL. NO: 05 fv APPROVALS DATE INSPECTOR SIGNATURE J 0 CONSTRUCTION & DESIGN INC. (626) 233-8148- 8819 E. GARVEY AVE. #A,B LIC. NO LOCATION AND SETBACKS ROSEMEAD, CA 721152 B / SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: // FOUNDATION/TRENCH S 1 LIC. N0:/( 1111111 SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZON3. 101 � P U C V O� UNDERFLOOR INSULATION 1 ST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLAS NO 21 \\ Q 8 ND LEVEL FLOOR SHEATH 0 Q SCHOOL WITHIN HAZARDOUS Y ,' ? ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS cG U 0 1 r NO NO NO A ® - �� FIRE DEPT. FRAME INSPEC REQUIRED XIST BLDG SETFROBACK- YARD: HWY: TOTAL BACK LLINE:FROM WIDTH: `b,/C Service That SHEARDPANELS FURE INSPECT SIDE PL- INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR LAT LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT 1D: DPR261 ROUTE TO: BS0508