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Home My Public Portal About5011 HELEO AVE_Building__ APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL f1 R. or type only) COUNTY OF LOS ANGELES BUILD ING�I ADDRESSO//J7,� /�� ' , DEPARTMENT OF COUNTY ENGINEER CITY! BUILDING AND SAFETY DIVISION � �' �� ZIP �� / -y NO OF SLUGS. BUILDING SIZEOFLOT 3 .�c ,9 NOW ON LOT/J��?/ ADDRESS P. TRACT B"ZKH12 LCI N6 YFI� LOCALITY TEL ,T NEAREST OWNER �.{I(� NOS 03/ CROSS Si. ASSESSOR ADDRESS_<-O// '�� MAPBOOK PAGE PARCEL {TY / )(, DISTRICT GROUP TYPE FIRE CEJSSED BY _'.H� J �7 ZIP //o C� Q �_ CONST. QUE ARCHITECTO TEL. UQ ENGINEER (///I/P NO. STATISTICAL CLASSIFICATION SEWER M_ ADDRESS CLASS NO.�DWELL.UNITS L_BKI0JPG EL. CONTRACTORNO. EZONE MAP ' CIAL LIG. SPE ADDRESS NO. CONDIT LIC CONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REOUI RED YES ❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG, ETBACK FROM FRONT PROP,LINE OF ISTREETI ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING SO.FT. NO.OF NO.OF / CHECK HIGH Y + YARD = FRONT PROP.LINE HIGHWAY WIDTH SIZE Q STORIES FAMILIES / ONE _ a DESCRIPTION OF WORK NEW + O ADD ❑ BLDG.SETBACK FROM al SIDE PROP,LINE OF ISTREETI O ALTER F-1SIDE SETBACK OM ' EOF EXISTING w HIGHWAY + YARD = SIDE PROP.LINE HIG Y WIDTH USE OF REPAIR ❑ Z EXISTING BLDG, n�a DEMOL ❑ + APPLICANT / / TEL . CORNER CUTOFF YES E] NO ❑ IPRINTI ', y2 G RfY' NO/ / r BY(SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION " OVD Y7.Z G off iG XOVl5655 !.01/t-771,V I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES •/JVD /9 Y O �'/" AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT.EMPLOY ANY PERSON iN VIOLATION,OF'; THE LABOR CODE OF THE S_T_ATE OF CALI FORNIA.IN RELATING TO WORKMEN'5 COM- PENSATION INSURANCE. SIGNATURE OF PERMITTEE ADDRESS-50/tl 4 LY 5 J I FINAL - CITY—. & / STEL. -jqe/J/. DATE Nl..' MAKE CHECKS PAYABLE TO: FEE V FET $ Z HARVEY T.BRANDY,COUNTY ENGIN EER' ' " " I .�JJ2 PLAN CHECK VALIDATION CK. M.O. c�SIH PERMIT VALIDATION cK. — CASH =� 6:0 2i`JUL '15 1 B 3 5.2 5 A5b mf 76A638A CE#803 3)5 ` � APPLICATION FOR BUILDING PERMIT LIChNT TO FILL IN (Print or IYPe Gmo COUNTY OF LOS ANGELES � Ess 'S o/ t C� JAD DEPARTMENT OF COUNTY ENGINEER T�f ' BUILDING' AND SAFETY DIVISION ING ITY F,/ pZ -�/<f " ZIP 9-3 /�OF OON LDGADDRESS SIZE OF LOT w M /per TRACT yC. BLOCKnnIO LOT (�i� LOCALITYOWNER KNO � CRO55"EAR EST SNF ARES T.!!'� ASSESSOR r1ADDRESSV C /_ MAP BOOK 1_66PAGE -2 ARCEL '� ``'' TTDISTRICT GROUP TVPE FIRE PRO SSED BV CITY �/: C G_`` ZIPT CONST, *ZON RCHITECTOFTE �7 ))( r /� OENGINEER. N C- U LL NO. J( STATISTICAL CLASSIFICATION SEWERM PDDRES� 3` S ' CLASS NO. .OWELL,UNITS SK PG L(NO2_ U ZON; NMA Op L2b GC O •S �� A SPECIAL ICti CONDITIONS CLASS q ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ -CONSTRUCTIONAD LENDER /� I. NAME AND BRANCH. - I _/� BLDG.SETBACK FROM d /r F RUN T PROP.LINE OF �'V ISTREETI L ADDRESS ^� CITY �� _ TOTAL SETBq CK FROM TYPE OF EXISTING HIGHWAY } YARD - 1' SO. FT. NO. OF NO. OF CNECK FRONT PROP. LINE HIGHWAY WIDTH SIZE ,� STORIES FAMILIES / ONE } __ CCC... DESCRIPTION OF WORK NEW �Z ' CH ADD ❑ BLDG.SETBACK FROM Z �}-�. - � ,.0 LrG SIDEPROP.LINEOF ISTREETI C ER ❑ HIGHWAY } YARD o TOTAL SETBACK FROM TYPE OF EXISTING EPAIR❑ SIDE PROP. LINE HIGHWAY WIDTH USE OF }' _ EXISTING BLDG. 0 AJC WDEMOPL7 ElAPIPRICANTZ&, �. I NOL{JZQ(O 9Q4 CORNER CUTOFF YES El NO ❑ ,TE HT) BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ (� al COASTAL ZONE YES ❑ NO ❑ VALLIATAN Y )19OA. CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED GATE) WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF TME LABOR CODE OF THE STA E OF CdLIFOfl NIA IJER RELATING �� nfL.IjfO�.T�f /J,LJ�G]fw . ) WORKMEN'S COMPE ♦TIO SURANC E. SIGNATURE OF r 9- 6 k � 2 J, _96 svr PERMITTEE ADDRESS r77/�-b FINALi7 /TELDATE ', OCITY J NO.MAKE CH. KS PAYABLE TOP.c. Y FIAT.G FEEyFEE�jHARVEY T. BRAN DT. COUNTY EN / _3 / G PLAN CHECK VALIDATION cK. ND. CASH _ PERMIT VALIDATION K. M.D. 8 4 5i-JUh 19 2-3, 13 1.4 0 A9 6 2 3'JUL 24 1 0 2 1. 9.0 0 � � 76A638A CER803 7/73 I WORKERS'COMPENSATION DECLARATION sureb,or a certificate that I have a certificate of consent to self. APPLICATION FOR BUILDING* PERMIT insure, or a certificate of Workers'Co mpenstion Insurance, or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELE � . BUILDING AND SAFETY ' Policy No. Company ElCertified copy is hereby furnished. FOR APPLICANT TO FILL IN B Certified Certified copy is filed with the county building inspeo BU LETINI tion department. ADDRESS ( ADDRESS LOCALITY ,` NEAREST Date Applicant CITY---I—. C , ZIP p semX li CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' G NO. OF BLOGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT X ( F/ NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP O hundred dollars ($100)or less.) TRACT BLOCK LOT NO. R /) NO. Y //TTES� SPECIAL 1 I certify that in the performance of the work for which this OWNER –/'�(,. A. pLr l CONDITIONS O permit is issued, I shall not employ any person in any manner i DISTRICT GROUP TYPE FIRE OC Y u a� so as to become subject to the Workers'Compensation Laws. ADDRESS CONST. ZONE !! �7 � f� n Date Applicant CITY _ ZIP A v STATISTICAL CLASSIFICATION APT. CONDO. NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. Im Exemption, you should become subject to the Workers" ENGINEER NO. CLASS NO. DWELL. UNITSN Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP '• with comply with such provisions or this permit.sholl be 44 ? deemed revoked. I CONTRACTOR BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. VALUATIOLt (commencing with Section 7000)of Division 3 of The Business and LIC. 7 Professions Code, and my license is in full force and effect. CITY t CLASS $ 50. Fi NO.OF NO. OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE $ Contractor Dote DESCRIPTION OF WORK NEW ❑ " 1 am exempt from the licensing requirements as I am a ,X "< ` 6 _Q ADD ❑ licensed architect or a registered professional engineer (_ � �p ALTER FINAL �� n acting in my professional capacity (Section 7051, /� U2.L7 REPAIR ❑ DATE T Business and Professions Code), USE OF FINAL EXISTING BLDG. DEMOL ❑ By Lic.or Reg. No. _Date APPLICANT TEL. V OWNER-BUILDER DECLARATION (PRINT) NO. I hereby affirm that I am exempt from the Contractor's License Low for the following reason (Section 7031.5, Business and ADDRESS Professions Code): PRESENT 3$,�, ,� A T �J I, as owner of the property, or my employees with BUILDING 2ADDRESS wages as their sole compensation,will do the work and e e o is the structure is not intended or offered for sale(Section LOCALITY , 7044, Business and Professions Code). MOVING TEL. 2a so 5 C I, as owner of the property, am exclusively contracting CONTRACTOR NO. . J with licensed contractors to construct the project (Sec- ADDRESS oto s 5 1.5 O tion 7044, Business and Professions Code). U CONSTRUCTION LENDING AGENCY REQUIRED YARD HWY TOTAL SETBACK FROM EXIST. 0504-8.� SET BACK PROP. LINE WIDTH 1 hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued -P.L. (Sec. 3097, Civ. C.). - SIDE P.L. Lender's Name zf— Lenders Address P.C. Fee 8 Permit Fee �) w I certify that I have read this application and state that the Issuance Fee 60 above information is correct. I agree to comply with all Count n 9 P Y Y Investigation Fee ml ordinances and State laws relating to building construction, Total Fee and hereby authorize representatives of this County to enter a upon the obove-mentioned property or inspection purposes. `a 67—.3 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Ap icont or Agent Deane a t r �'r COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ' RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9611200052 PHONE: (818) 285-0488 EXT ._ LEGAL D: N0. OF CONST •NEW BUILDING ADDRESS: BK: 2 PG: 48 PC: 2 SQ. FT STORIES TYPE OCCUP GROUP 5011 HELEO AV , STRUCTURE: 56 1 V R3 TEMP CA 917803825 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: LA ROSA 8590-023-038 OTHER: 266 1 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 11/20/96 TC 11/20/97 OWNER: TEL. NO: BIDES. NOW ON LOT: VALUATION: FINAL-DATE E n FINAL B CODE: NGO PRONG T;TRAN TUYET T (818) 286-6554- 1 6,400 -N 5011 HELEO AV l l e "l TEMP 917803825 FEES PAID DESCRIPTION OF WOR ALTER ROOF STRUCTURE, NEW PORCH 'X71, OPEN PATIO 191X14' FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. O: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 6400.00 VAL 0.64 SPECIAL CONDITIONS: AX BUILDING REVIEW_FEE54.70 D2 PERMIT W/O EN-HC,L- E 86400.O-VAL 166.95 TOTAL FEES�t� 250.04 CONTRACTOR: TEL. N0: D" '4J APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL L ARCHITECT OR ENGINEER: TEL. N0: _vJ � I" j ..� \ �� -' F UNDATION/TRENCH FORMS i T LIC. NO: ' ,, �� SLAB/UNDER FLOOR Ir J I11 ,' Ir RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: �� UNDERFLOOR INSULATION 01 ST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: NO 21 ND LEVEL FLOOR SHEATH ' � / SCHOOL WITHIN HAZARDOUS � v � � � f ij � ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO J'� _ .iii r.; FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: `�% y 1'i;i / T1 FRONT PL- SIDE PL l SHEAR PANELS q7, INSULATION/WEATHER STRIP - INTERIOR LATH/DRYWALL EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT 1D: BPR261 ROUTE 10: BS0508