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Home My Public Portal About5039 HELEO AVE_Building__ F..,by.6aff1c,�.-I'(wicate ERS'COMPENSATION DECLARATION that hove a certificate of consent la selfAPPLICATION FOR BUILDING PERMIT in uof Wykers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ADDRESS J ❑ Certified copy is filed with the county building inspec- BUILDING- O 'er'( lion deportment. ADDRESS pL /y/^- L- �/ Date Applicant CITY C ZIP q IO LOCALITY r CERTIFICATE OF EXEMPTION FROM WORKERS' Oo // NO.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT2D x lO NOW ON LOT CROSS ST. fSl� (This section need not be completed if the permit is for one TRACT 3 J Z BLOCK LOT Q�-(�I ASSESSOR e hundred dollars ($100)or less.) MAP BOOK PAGE PARCEL TEL. /OJ USE ZONE MAP L certify that in the performance of the work for which this OWNER fA�r NO. 7 -V r-7/ I MA _ permit is issued, I shall not employ any person in any manner ADDRESS K SPECIAL so as to become subject to the Workers' ompenstition lows. CONDITIONS 0 J �' Date // u Applicant - /�C-d77C. CITY ZIP ARCHITECT OR TEL. NOTICE T you should If, after m subject o Certificate of DISTRICT GROUP TYPE FIRE PR SSED BV Exemption, you should become subject to the Workers' ENGINEER C CONST. / ZONE W Compensation provisions of the Labor Code, you must forth- ADDRESS with comply with such provisions or this permit shall be V d deemed revoked. CONTRACTOR NO. Z UV TEL STATISTICAL CLASSIFICATION APT. ONDO. U) LICENSED CONTRACTORS DECLARATION LIC CLASS NO. z.1I DWELL. UNITS- 1 hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business and LIC SEWER MAP Professions Code, and my license is in full force and effect. CITY CLASS BK. L PG.IpI or to VALIDATION SO. FT. -7 NO. OF NO.OF CHECK License Number Lic.Class SIZE � ! STORIES FAMILIES ONE 0 8 4.8 A VALUATION Contractor Date DESCRIPTION OF WORK A91d)-/ o NEW ❑ $ �1^� UQ 'r o Ell am exempt under Sec. �5 '. tTGi1c LX1w� ADD ❑ , ` F- ° • 4 2 6 5 OU 1 p� ALTER ❑ B.BP.C. for This reason `�`u/. 752 KftWL— REPAIR ❑ f 1006-88 Date: USE TING �-W ' /L ❑ EXISTIBLDG. //� DEMOL Signature APPLICANT I TELLFINAL IQ,- OWNER-BUILDER DECLARATION PRINT 1.g Na. -bZZ4 DAT I hereby affirm that I am exempt from the Contractor's License / ' Law for the following reason (Section 7031.5, Business and ADDRESS Z4 \ALL&C E CL F.LIEt'+'TF(f CT — Professions Code): PRESENT y1 .1 6 3 A p I, as owner of the property, or my employees with BUILDING ADDRESS f wages as their sola compensation,will o the work and - L # • e e e e 1 the structure is not intended or offered for sale(Section LOCALITY ' s -;(•1 - 51 2 2 5 �L 7044, Business and Professions Coda). MOVING TEL. � �` '7E I I, as owner of the property, am exclusively contracting CONTRACTOR NO. ° ° 51 2 2 5 v �l with licensed contractors to construct the project (Sac- ADDRESS tion 7044, Business and Professions Code), I .1, 17.-88 CONSTRUCTION LENDING AGENCY SETBACK YARD HWY TOTALROP.SETBL ICNE wlDTli I hereby affirm That there iso 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 _ I / LDMA Ref. N m lender's Address P.C. Fee$ ` [S Permit Fee 5)/'�/ //�� I certify that I have read this application and state that the Issuance Fee 10 V LDMA PAC a Poo a above information is correct. I agree to comply with all County Investigation Fee q ordinances and State laws relating to building construction, Total Fee ✓ / zS R and hereby L�ihorize representatives of this County to solar LDMA Perm. R m upon the e-mentio p arty for pection purposes. , 71" SEE REVERSE FOR EXPLANATORY LANGUAGE gn.wre of p liconi or Ager, Date 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 SL 0508 0403290014 PHONE: (626) 285-0488 EXT: LEGAL - NO. OF CO ST BUILDING AD R SS: TR: 13329 LT: 1 UN: .002 SQ. FT STORIES TYPE 5039 HELEO AV STRUCTURE: 55 VN TEMP CA 917803825 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LA ROSA 8590-023-001 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY TENANT: IST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXP-I WFFON: EXIST OCC GRP: 04/02/04 VG 03/28/05 OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: FI DAT E� FIN BY: CODE: CHEN;KENT (626) 282-1389- 21500 '9�U". 5039 HELEO AV TEMP 917803825 FEES PAID DESCRIPTION OF WORK CONVERT EXISTING STORAGE TO A WORKSHOP & ADD A NEW BATHROOM FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: - TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 2500.00 VAL 0.50 SPECIAL CONDITIONS: AX BUILDING REVIEW FEE 54.70 D2 PERMIT W/O EN-HC 2500.00 VAL 99.00 _ TOTAL FEES 181.95 _ CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATIMON AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TP.ENCH FORMS LIC. NO: SLA /UNDER FLOOR RRMED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 144-265 3 O1 NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: FLOOR SHEATHING NO 21 ROOF SHEATHING SCHOOL THIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM X ST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTER OR LATH/DRYWALL EXTERIOR LATH ATED FLOOR/C L ASS RATED WALL ASSEMBLIES RATED SHAFTS/OP KINGS T-BAR CEILINGS I LOT D AINAG REPORT ID: DPR261 ROUTE TO: BS0508 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 0205020002 PHONE: (626) 285.0488 EXT: LEGAL 10; NO. 0 ONST NEW UI I G ADDRESS: TR: 13329 LT: 1 - UN: .002 SQ. FT STORIES TYPE OCCUP GROUP 5039 HELEO AV STRUCTURE: 375 1 VN U1 TEMP CA 917803825 ASSESSOR INFORMATION N MBER: GARAGE: NEAREST CROSS STREET: LA ROSA 8590-023-001 OTHER: THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ZONE: ISSUED N: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 05/02/02 JK 10/29/02 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: LODE: CHEN;KENT (626) 282-1389- 700 ,.� / 5039 HELEO AV 9 TEMP 917803825 FEES PAID DESCRIPTION Of WORK NEW DETACHED SHADE PATIO 151X25' APPLICANT: TEL. N0: FEE DESCRIPTION: QUANTITY: UG4: AMOUNT: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 700.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC 700.00 VAL 43.65 TOTAL FEES 71.90 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATIONAN' SETBA CC ^ SOILS ENGINEER APPROVAL ARCHITECT OR ENG TEL. NO: FOUNDATION/TRENCHFOWM TI-7- LIC. G7-LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 01 1ST LEVEL FLOOR S E NO. OF FAMILIES: DWELLING UNITS: AP OND: STAT L A NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN A RDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TOTAL BACK fR0 BLDG DEPT. FRAME P CT H ¢ SET BACK YARD: HWY: PROP LINE: WIDTH: ____ __ __ _ Z FRONT PL- '� SHEAR PANELS SIDE PL- INSULATION/WEATHER STRIP INTERIOR LAT /DRYWALL EXTERIOR AT LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: OPR261 ROUTE TO: BS0508