The URL can be used to link to this page

Home My Public Portal About5644 HELEO AVE_Building__ 1 A ROAD DEPT. 'PERSSiT M REQUIRED . �OR ANY PhATE. !::L S�`?,E_ U� WORK • _ . ONE IN Tric F.•.:r.D f':vrT OF WAY. .:.�..=er....... APPLICATION FOR BUILDING PEF3KkT 1 COUNTY OF LOS ANGELES LADDRESS LDING DEPARTMENT OF COUNTY ENGINEER , BUILDING AND SAFETY DIVISION ALITY I JOHN A. LAMBIE, COUNTY ENGINEER _ REST ♦ (�L CASSATT D. GRIFFIN, SUR•i of BUILDING SS SL - -- DISTRIC NO. GR UP TYP P SSED Y FOR APPLICANT TO F IN CONSr BUILDING STATISTICAL CLASSIFICATION 5 ER MAP ADDRESS BK PG CLASS. NO._ 'DWELL. UNITS LOT NO BLOCK MAP STATE- HWY. yE5' O NUMBER TRACT / USEZONE SPECIAL I'� NO.OF BLDGS. CONDITIONS SIZE OF LOT ♦,J _� NOW ON LOT USE OF EXISTING SLOG, /� BUILDING EXIST. OWNER)-h I ,7OL RALD SETBACK YARD HWY ST EE NAME 'WIDTH FRONT MAIL P.L. r ADDRESS f SIDE P.L. CITY C Q Y! A4 iD->-7 -S INSPECTION RECORD ARCHITECT IN � �ENGINEER 7 _ ADDRES 'al OL Bev' Wes--T re CONT ADDRESS- -�//2-/ DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ. FT. 7 NO. OF NO. OF - SIZE / 36_6 STORIES FAMILIES USE OF STRUCTUR SIGNATURE OF / l APPLICANT APPROVALS DATE 14SP•CTOR'S SIGNATURE ADDRESS �� FOUNDATION: LOCATION O� � Am C141 VALUATION $ 3(¢w v //y -,)a FORMS, MATER,ALS 6 ,)O FRAME:FIRE STOPS, BRACING,BOLTS �J '/-'lI �/ FURNACE: LOCATION, / I •" FEE E ZZ �I FEE S �lJ GAS VENT, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH, INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND _ AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND - STATE LAWS REG LAT}(�G B ILD G ONSTRUCTIO LATH.EXT. SIGNATURE OF /y HOUSE NUMBER COR- In r PERMITTE RECT AND POSTED \/ 1 w Y - LL '' p(a• rvv ADDRESSR� « ,NAL CLYDE N. DIRLAM, PRINCIPAL STR CT RAL ENGINEER PLAN CHECK VALIDATION 0 M'Q' CAEiH PERMIT VALIDATION CK. M.o. CASH LACo5'9a5.1 $ FEB 2 2 3 A 2250i-„ — —LhL606.5F3 FEB 4 1 A 48-00 WORKERS' COMPENSATICIN DECLARATION - y off[ fico hotve , certificate of consent to sett APPLICATION FOR BUILDING PERMIT in.ire, or a certificate af'Workers' Compensation Insurance, ar o certified,topy thereof (Sec. 3900, Lab. C) - COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No.—Company - n rCertified copy is hereby furnished. FOR APPLICANT TO FILL IN BLutOwG ✓� N Iul ❑ ADDRESS _ Certified copy is filed with the county building inspec- BUILDING tion department ADDRESS r (J Te/'yf y• d Dale Applicant CITY ZIP / Q LOCALITY CERTIFICATE Of EXEMPTION FROM WORKERS' .OF BLDGS, NEAREST Je ry COMPENSATION INSURANCE SIZE OF LOT O NOW ON 10T CROSS ST. (This section need not be completed if the permit is for one ASSESSOR hundred dollars (SI00) or less.) TRACT BLOCK LOT NO. MAP BOOK - PAG6 PARCEL �1 TEL. USE ZONEI MAP _ I certify that in the performance of the work for which this OWNER (/1 aT k7 5e NO. - 3 NO. permit is issued, I shall not employ any person in any manner SPECIAL T�/ y so as to become subject to the Workers'Compensation Laws. ADDRESS N• e/ O Ve CONDITION E)G (- Dale Applicant -/9 ��M ns+... , CITY !Q le Zip -7 ARCHITECT O TEL DISTRICT GROUP TYPE FIRE PROCESSED BY NOTICE TO APPLICANT: If,.after makin is Certificate of ,ENGINEER NO. Exemption, you should become subje to the Workers' r•„v CONST. jgNE Compensation provisions of the Labor Code, you must forth- ADDRESS J (/D EY`�_�'1 ✓[ with comply with such provisions or this permit shall be TE STATISTICAL CLASSI CATION APs. CONDO. deemed revoked. CONTRACTOR N LICENSED CONTRACTORS DECLARATIONLIC CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of.Chapter 9 ADDRESS VI/ NO. gyyE P (commencing with Section 7000)of Division 3 of the.Business and LIC , Professions Code, and my license is in full force and effect. CITY CLASS BK PGVALIDATION } r SO. IT. NO. OF NO. OF CHECK LL' License Number Lic.Class SIZE U� STORIES fAMI LIES _ 1 ONE Q VALUATION U Contractor Date DESCRIPTION OF WORK NEW $ - lY I am exempt under Sec. ADD 1:1 , O 7 'ALTER ❑ Ur B.BP.C. for this reason REPAIR : Lull LL' Date: USE OF - to EXISTING BLDG. DEMOL ❑ Z Signature APPLICANT ,. TEL FINAL - — OWNER-BUILDER DECLARATION (PRINT) ✓ —�- NO. '�� 3 DAT I hereby affirm that I am exempt from the Contractor's License 1 - Law for the following reason (Section 7031.5, Business and ADDRESS L,l_L� FINAv, Professions Code): PRESENT BY ; rQ,00 BUILDING ( \\J— s 1 _ I, as owner of the property, or my employees with ADDRESS •,'U(�j�L r� ) T_1 Uri . wages as their sole compensation, rwilled f o the work and 7fJ •,L}s7? ' the structure is not intended or offered for sale(Section LOCALITY ' / j !$ -I L ITAL 78 _ 00 .. 7044, Business and Professions Code). MOVING TEL. x �, ' CONTRACTOR NO. r. tr C78.1111 1, as owner of the property, am exclusively contracting t•1f7C(.I( with licensed contractors to construct the project (Sec- tion 7044, Business and Professions Code). ADDRESS CHIANLjt .013 CONSTRUCTION LENDING AGENCY REQUIRED YARD HWY TOTAL SETBACK FROM EXIST. - .I hereby affirm that there is a construction BACK PROP,LINE W DTruction lending agency for FRONT the performance of the work for which this permit is issued P.L. U 00190-0001 2/ 6/89 (Sec. 3097, Civ. C.). SIDEr P.I. 1056 1 AN 9;03 Lender's Name LDMA Ref. k m Lender's Address P.C. fee S _ Permit 3 certify that have read this application and state that the Issuance Fee /� . LDMA P/C R tR above information is correct. I agree to comply with all County Investigation Fee �J D T , ordinances and State laws relating to building construction, Total Fee / O . {„J tDNA Perm. N and hereby authorize representatives.of this County to enter m upon the above-mentioned.property for inspection purposes. _ SEE REVERSE FOR EXPLANATORY LANGUAGE r Signal f Applicant or Agent Dote V t'F/ORKERS'COMPENSATION DECLARATION r. 7C ,W- to self rtifcatteofdWokers' Compenosotiocconent Insurane, APPLICATION FOR BUILDING PERMIT u a or a certified copy thereof (Sec. 3800, Lab. C.) I I COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BDADIIDING DRESS Certified copy is filed with the county building inspec- g (DING tion deportment. E�5,5V Date Applicant CTYCJ ZIP LOCALITY p CERTIFICATE OF EXEMPTION FROM WORKERS' O. OF BLDGS. �7 NEAREST y COMPENSATION INSURANCE SIZE OF LOT OW ON LOT '. :2 CROSS ST. Gam_ (This section need not be completed if the permit is for one I ASSESSOR hundred dollars ($100)or less.) TRACT BLOCK LOT NO MAP BOOK PAGE PARCEL ER TEL' �— p USE ONE MAP I certify that in the performance of the work for which this NO. O NO permit is issued, I shall not employ any person in any manner SPECIAL so as to become subject to the Workers'Compensation Laws. - RE55 i CONDITIONS Q', Date Applican7Y ZIP ARCHITECT OR TEL. NOTICE TO APPLICANT: If, after subject is Certificate of DISTRICT GROUP TYPE FIRE P OCESSED BY Q Exemption, you should become subject o the Workers- ENGINEER NO. .-/ 5 CON ZOO �' Compensation provisions of the Labor Code, you must forth- ADDRESS (A��V( `$If 41 with comply with such provisions or this permit shall be - TELNOSTATISTICAL CLASSIFICATION APT. CONDO. V) deemed revoked. CONTRACTOR . ' LICENSED CONTRACTORS DECLARATION LIC CLASS NO. DWELL. UNITS_ Z I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS In NO. (commencing with Section 7000)of Division 3 of the Business and U LIC SEWER MAP Professions Code, and my license is in full force and effect. CITY CLASSBK. P11. VALIDATION FT. NO. OF NO. OF CHECK License Number Lic.Class E STORIES IF HE AMILIES ONE El VALUATION D RIPTION OF WORK - NEW Contractor Date ADD � f I am exempt under Sec. ALTER _ 010 {+ BAP.C. for this reason — REPAIR $ Date: USE Of EXISTING BLDG. DEMOL ® #.e a ele,e:1 Signature APPLICANT TEL. .( FINAL 60.50 OWNER-BUILDER DECLARATION PRINT O'Cc�"l�-!/Li NO.d DATE' : I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS r0 FINAL T Professions Code): PRESENT By o s • 6 0.5 0 5 F-1BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work andp(uLf(B�'''(!/ Q 71� 3-88 the structure is not intended or offered for sale(Section LOCALITY Poo. W� ,a 7044, Business and Professions Code). MOVING TEL. Pr �I I, as owner of the property, am exclusively contracting CONTRACTOR NO. ILYJ with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY RSET BACKEQUIRED YARD HWV TOTA?ROP.L LINE WIDTH hereby affirm that there is aconstruction lending agency for FRONT the performance of the work for which this permit is issued PA, (Sec. 3097, Civ. C.). SIDE P.I. Lender's Name LDMA Ref. IT Permit Fee Lender's Address I certify that I have read this application and state that the Issuance Fee LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee LDMA Perm. g and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. uJtjjyy SJ'/ SEE REVERSE FOR EXPLANATORY LANGUAGE SignaV of Applicant or Agent Date DCOUNTYEPARTMENT 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 BL 0508 0604170012 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 25202 IT; 3 SQ. FT STORIES TYPE 5644 HELEO AV STRUCTURE: VN TEMP CA 917802423 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LIVE OAK 8588-004-003 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: REBID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 04/17/06 JK 04/12/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL T FINAL BY: CODE: TANG, SLING C (626) 285-7108- 3,500 5644 HELEN AV TEMP 917802423 FEES PAID D TION OF WORK REP CE 10 WINDOWS (SAME SIZE) 1 SLIDING DOOR FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION REBID 3500.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/0 EN-HC 3500.00 VAL 115.80 TOTAL FEES 144.05 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - _ LIC. NO LOCATION AND SETBACKS i SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 147H265 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 ROOF SHEATHING 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 LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508