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Home My Public Portal About5414 HILTON AVE_Building__ J APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING s DEPARTMENT OF COUNTY ENGINEER ADDRESS L . BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSSST. DISTRIC N� GDUP TYPE PR BY FOR APPLICANT TO FILL IN CONST. BUILDING �� r STATISTICAL CLASSIFICATION KR MAP PG ADDRESS 'y N '�• CLASS.NO. DWELL. UN S _S LOT NO. I J MAP //�� STATE �7 BLOCK NUMBER V O HWY. YES O TRACT 173,Y ( USE ZONE SPECIAL NO. OF.B[_OGS. C2 CONDITIONS SIZE OF LOT V�o I( ��j NOW ON.LOT o4 ' USE OF s EXISTING BLDG, O * (�)�A,LQ BUI D NG EXIST. 1 TE SETBACK YARD :HWY STREET NAME WIDTH OWNER J, NO. rFRONT �/7 I ADORES � lI `� � SIDE ARCHITECT TEL. P. L. ENGINEER I�( No. INSPECTION RECORD } ADDRESS? I-IY2, 0 TEL I(i O CONTRACTOR 1` _ , � O.; LII . u ADDRESSI(({ X 0, I1 Q�1i11'lilll _ C O DESCRIPTION OF WORK � uJ �' a NEW ADD ✓ ALTER REPAIR DEMOLISH rn Z SO.FT. t} NO.OF NO.OF _ 512E STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF \Irk - P -1 �� APPLICANT. Ti Gy. p p p A VALUATIONS APPROVALS /DATE/. INSPECTOR'S SIGNATURE F E $ I I FEE UNDATON $ jl `� FOFORMSI MATERIIALSON 'zz L, FRAME. FIRE STOPS, H I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE' LOCATION. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT 15 Issu I SHALL NOT LATH, INT. EMPLOY ANY PERSON ANY MANN R 50 A5 O E OME SU BU ECT TO THE WORKMEN'r�M;EN T10 6. A FL(L t. Ll/l. � L� �T' LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMIT FIE ,(:C.yA1� RECT AND POSTED ADDRESS ' ��+�C-tt�� FINAL CLYDE N. DIRLAM. PRINCIPAL STRUCTURAL EN PLAN CHECK VALIDATION CK. M.O. DASH PERIAIT VALIDATION CK. M.O. CASH Lb ,c:6 5 6rt Y 8 1 � 5.0 0 IT DIVISIF BUILDING AND SAF F� 2 5 i� BUILDING I L D I N G - ' •- �T" rtment of County Engineer �U County of Los Angeles APPLICATION WM. J. FOX, COUNTY ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY T• DIBTRI N0. PLAN CK. one .Np. P RMIT N BUDILDING rl /�'/ /l �L / 6 ADDRESS <1`( /V R EIVED BY LOCALITY DATE OF APPDATEIBSUED Ei� i�<E CiT L NEAREST CROSS Or. B U IL 0 OWNER / / ^ ' n ADD `��f'' n `'L /L ^'+"� RESS MAIL LOCALITY ADDRESS ZL> 1/7-. NEAREST chose BT. rEL-, CITY /�In�L6 /T� Np. 'FIR[ ND,OF � 17Y�P�.� � S U HIP Z ARCTECT OR / I TEL ONE PLANS EN DIN EER d-O �••' '�7 �.7�/J�.tl6� �•7�!/0 V'L1�J� BBRBACK LINE ADDRESS � � USE APPROVED �J //�/ \ ZONE -' BY DATE CONTRAOTOR ��/•/ ry"V� ND. �T�.�S�L�7�. HOy NUMBERING R�� ADOREBB 7D-z �f/�,C„4/vT/� G per. MAP NUMBER MO. ASSIGNED SYAP4. BORIPTION 'sBAL e �� j3 COARECTION3 (/ DELOT NO.. �� BLOCK TRACT �� /I NLOTO. OF BLOBS. SIZE OF LOT X /�/ NOW ON USE OF I NO. OF EXISTING BLDG. FAMILIES DESCRIPTION OF WORK °z 0 NEW AITEDDITIONRATICN A = s REPAIR DEMOLITION (/ F or SSIIZE 13,50 ROCMB J STORIES E]ST.WALL COVERINS VTL%CGU I COVERING Cain QO , USE OF STRUCTURE_ c- /.JG � r4►2� ub INSPEOTION FOR APPROVALS OCCUPANCY AS INSPECTOR'SBICNATURE DATE FOUNDATION: LOCATION / irk �••I /� PORMBRMS6, MATERIALS 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IH FRAMES FIRE CORRECT. BRACING. BOLTS 1 AGREE.,TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, AND STATE LAWS REGULATING BUILDING OUNSTRUCTION. pqg VENT,DUCTS 818HATURE OF Nom �//� J LATH, INT. ^ �p ��y •• PERMITTEE LATH, EXT. _ PLASTER, INT. AUTHORIZED ABT. $ VPLASTER. EXT. \�• I �pp P.O.S 1 / FEE HOUSE NUMBER COR- ?^� RECT AND POSTED I fv VALUATIDN 7.d FEE B 3-/ // FINAL _ 11 - 76A638A DOS 1-53 APPLICATIONI -OR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS eul �AyDREs �7 UG�`i rl /_7 i�G�L env hereby affirm that have a certificate of consent to self insure, r�` /LTO1V /`7 or a certificate of Workers' Compensation Insurance,or a certified copy thereof (Sec.3800,Lab. C.) cIT ZIP p pT CST C /�70 V LOCALITY / Policy No. Company SIZE OF OT NO,OF BLOCS.NOW ON LOT Z 0 Certified copy is hereby furnished. NEAREST CROSS S ❑ Certified copy is filed with the county building inspection TRAC)-1 39 BLOCK LOT NO department. 1 USE ZONE MAP NO. Date Applicant ASSESSOR JIyP CON PAGE PARCCEf ') tR7 VA a SPECIAL CONDITONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO. Ci COMPENSATION INSURANCE liavng 1. PAWKS Z Z -15133 WITHIN 1000 FT.OF SCHOOL? ves No (This section need not be completed if the permit is for one hundred ADDRESS dollars ($100) or less.) ( DISTRICT ;-R OUP TYP CONST. FIRE ZONE PROCESSED BV CITY ZIP I certify that the performance of the work for which this permit �� C� n_lam_ 9,17 O0D l is issued, shall not employ any person at any manner so as to ARCHITECT OR ENGINEER 7 TEL NOo become subject t0 the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NODWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate OfREQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL LICENSED CONTRACTORS DECLARATIONSIDE CITY LIC,CLASS PL I hereby affirm that I am licensed under-provisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ,FT SIZE NO.OF STORIES NO.OF FAMILIES Professions Code,and my license is In full force and effect. .JO D�/E mNE NEW ❑ .BK PG d TIN OFCR1KlF VALUATION LicenseNumber Lic.Classego , Q Contractor Date ALTER $� � U Ir ❑ I am exempt under Sec. REPAIR ❑ $ 0 B.BP.C. for this reason L q DEMOL ElLUMA Pic# W _ Date: a OF EX]Sr%H/NG URM 13CL , —_ Signature - AR ANT(PRI(JT TEL NO. LUMP,Perm# F �� 1 r yy 1„as owner of the property, or my employees with wages as �” �jf Z _� _ z l^J / their sole compensation, will do the work and the structure is S/g� �• I O /�(�/�y C not intended Or offered for sale (Section 7044, Business and )Y 7 - GrG �� FINAL DATE �' Q CHECK 159.40 Professions (Mode.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HA2AR0 5 MATERIAL ��9 1 J CHANGE .00 El I, owner Of the property, am exclusively contracting with NTAI OR A MIXTURE CON NO A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ' licensed contractors to construct the project (Section 7044, AMOUNTS sPECIFIEo THE HAZARDOUS MATERIALS wRogmanory GUIDE? FINAL BY Business and Professions Cade.) YES❑ No WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING 111111'1=flfifll 6'7-1/6C OCCUR OR REQUIRE A PE MIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH. 1000 VV V0V0V01 OO J 95 CONSTRUCTION LENDING AGENCY C%a ET Aw QUAUTY M cEMENr DISTRICT ISCAOMDI SEE PERMITTING CHECKLIST FOR ... - 1965 1 AM $��J3 GUIDELINES I hereby affirm that there is a construction lending agency for YES❑ N-19/ the performance of the work for which this permit is issued(Sec. m IHAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING 3997,Civ.C.) CHECK ST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, w Lender's Name TITLE 2 C R 220 SECTIONS 2.29.1 ROUGH 2.20.100 CONCERNING HAZARDOUS 3MAT PO N B NG PERMI OM THE CONCERNING a Lender's Address o a NER OR N2rHT o I certify that I have read this application and state under penalty o P.C.FEE q PERMIT FEE / of penury that the above information is correct.I agree to comply �Gv•�D ew ^ with all county ordinances and State laws relating to building L/ V m CO troction, and hereby authOriZe representatives of this CODnty ISSUANCE FEE 3� m to an the above e pro erty far inspection purposes. o� y3 INVESTIGATION FEE TOTAL FEE a L• oirea o,ns+. oau , SEE REVERSE FOR EXPLANATORY LANGUAGE • I APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING DDE S DRESSI hereby affirm that I have a certificate of consent to self insure, BUILDS ADy Y. /�7VN or a certificate of Workers'Compensation Insurance,or a certified ""717 IP ' copy thereof(Sec.3800.Lab.C.) i t_E �� 7/ 7 6Ca LOCALITY Policy No. Company SIZE OF LOT NO.OF SLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. -5-6 r-11-5— NEAREST ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. I I USEZONE MAP NO. Data Applicant ASSESSOR MAP BOOK PAGE PARCEL 1 _I SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWN q I TEL.u ZA-r/AAE /4R+�R- 1i9.S-�,3/3 / Yesg- I COMPENSATION INSURANCE WITHIN 1000 FT.OF SCHOOLS ADDRESS (This section need not be completed if the permit is for one hundred L^jp/./ DISTRICT "GROUP TYPE ST.' FIRE ZO dollars($500)or less.) /� 1 certify that in the performance of the work for which this permit C CrHOL-E(_s 7'7 ZIPq1-76 a i Is issued, I shall not employ any person in any manner so as t0 ARCHITECT OR ENGINEER TEL.NO. bBCORI. bj t0 the WOrk¢rs' mpenS��/T n Laws. STATISTICA LA ION DateB /3 9D Applicant �T/ rV�1f'y ADDRESS CLASS NO. DWELL UNITSNOTICE.TO APPLICANT: If, 8ftef making this Certificate of REQUIREDTOTAL SETBAExem tion, i CO CTOR TEL.NO.D y0U should bBCOr11B SUb'¢Ct t0 the WOlkefS' SETBACK YARD MWY PPOP LI Compensation provisions of the Labor Code, you must forthwith A' 21 'a t/R.¢_Ay 41 S7 g comply with such provisions or this permit shall be deemed revoked. AD RESS LIC.NO. PL o FRONT 510E LICENSED CONTRACTORS DECLARATION cl Llc.c}nss PL 1 hereby affirm that I em licensed under provisions of Chapter 9 SEWER MAP (commencing With Section 7000)Of DIVISIOn 3 Of the Business and 50.FT SIZE NO.OF STORES NO.OF FAMILIES 5. Professions Code,and my b nse is in full force effect. 3 S� f / NEW ❑ BK PG H `3 Lia Cis DESCRIPTION OF WORK ADD VA License Number LUATION ss Contractor Date H ALTER ❑ Z p REPAIR ❑ $ � 3V F�D ❑ I em exempt under Sec. I B.BP.C. !thl.. son ASID/T/W" DEMOL ❑ LOMA P/C# USE OF EXISTING BLDG. .URM ❑ Signature AP ANT(PRINT) TEL NO. LDMA Porm# A�/�/c rD. /�uneki �<i3_/s79 �. ❑ 1,as owner of the property, or my employees wit ages as O ACCT.s their sole compensation, will do the work and the structure is ADDRE S - F F.1 not intended or offered for sale (Section 7044, Business and (a0(p /o K Dv �M � FINAL DATE ^ ` C "301 �..j,.U.. Professions Code.) WILLTHEAPPLICANTORFUTURESUILDINGOCCUPANTRANDLEAHAZAADOUSMATERIAL -/h/1 � i zT_;� ❑ 1, as owner of theproperty. am exclusive) contracting With OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN Y g THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION OLRDET FINAL BY licensed contractors to construct the project.(Section 7044, '� TOTAL 25 ,Ir ® c'? Business and Professions Code.) YES❑ No NF t � WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE TURE BUILDING LCJ f.52 OCCUPANT REQUIREA PERMITFORT DISTRICT OR MODIFICATION FROM THESOUTH CONSTRUCTION LENDING AGENCY FOR G MR QUALITY MANAGEMENT DISTRICT ISCAOMDi SEE PERMITTING CHECKLIST - ANG FOR GUIDELINES _ �.Hp'yyh MLI I hereby affirm that there is a construction lending agency for YES❑ NOEl, I the performance C.). 0f the Wolk for Wi11Ch Sh13 permit IS ISSUed(SBC. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD _ m 3Og7,CIV.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES IJ){'� "iJll COUNTY CODE,TITLE2,CHAT ZMSECTIONS2.M.IWTHROUGH2.2a1KOCONCERNING 13001+0-01131 of iJ/„- Lender's Name HAZARDOUSMATERIALSREPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. 'S ,0'_54? 1 A!'. 3=32 d Lender's o' I certify that I have read this application and state that the above P.C.FEE PERMIT FEE certify the' is Correct. I agree to comply with all county or n end Stet.laws relating to builtling construction,and reb aUt Drize representatives of this County to enter n ISSUANCE EE , e ov ention rt for inspection Purpos s.q tO /:J 40 INVESTIGATION FEE TOTAL F vnaA�,s� OM. • �,� � G SEE REVERSE FOR EXPLANATORViANGUA IE COUNTY OF LOS ANGELES TEMPLE CITY 4 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1306050028 PHONE: (626) 285-0488 EXT: ILEGAL ID: INO. OF CONST ITS: 17387 LT: 13 SQ. FT STORIES TYPE BUILDING ADDRESS: 5414 HILTON AV 1 (STRUCTURE: 29 V-B TEMP CA 917803122 ASSESSOR INFORMATION NUMBER: 1 NEAREST CROSS STREET: 18588-029-005 THOMAS PAGE: 596 GRID: S4 LOCALITY: TEMPLE CITY CAI (TENANT: IEXIST BLDG USE: REBID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: I (EXIST OCC GRP: 106/10/13 SR I OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IF DATE FINAL CODE: I PARKS, RONALD/JUDITH (626) 826-3594- 1 11,000 15414 HILTON AV 1 1TEMP 917803122 FEES PAID DE CR PT� OF WORK 1 REPAIR TO FIRE DAMAGED RESIDENCE. REMOVE & REPLACE CIELING I 1 IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT: IJOIST ROOF SHEATING INTERIOR BATH & PLASTER, KITCHEN CABINETI APPLICANT: TEL. NO: IS AS PER PLAN POWELL AND ASSOCIATES (626) 253-1942- IBI PLANCHECK W/ENERGY 11000.00 VAL 218.20 CA 19980 INDINAVE IAA BLDG PERMIT ISSUANCE 27.80 1SPECIAL CONDITIONS: 1 (RIVERSIDE CA 92503 AB STATE GREEN BLDG FEE 11000.00 VAL 1.00 AC STRONG MOTION REBID 11000.00 VAL 1.10 I 1 B2 PERMIT W/ENERGY 11000.00 VAL 256.70 1 CONTRACTOR: TEL. N0:ALLIED RESTORATION SERVICES TOTAL FEES 504.80 (APPROVALS DATE INSPECTOR SIGNATURE (714) 980-0349- 122632 GOLDEN SPRINGS DRIVE LIC- NO I ILOCATION AND SETBACKS I I (DIAMOND BAR CA 91765 908870 1 1 1 1 1 1 SCILS ENGINEER APPROVAL I ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS EARL AMMERMAN (951) 352-3588- 19980 INDIANA ST R3 LIC. NO: 1SLAB/UNDER FLOOR IRIVERSIDE CA 92503 NONE 1 I 1 1 I _ 1RAISED FLOOR FRAMING 1 149H265 SEWER NAP BOOK: PAGE: FIRE ZONE: CMOa1 (UNDERFLOOR INSULATION I FLOCK SHEATHING N0, OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: 1 1 0 NO 21 (ROOF SHEATHING 1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS 1 1 1 AIR QUALITY: 1000 FEET MATERIALS 1 NO NO NO 1 (FRAME INSPECTION 1 1 FIRE. SPRINKLER HANGERS I 1 LINSULATION/WEATHER STRIPI 11NTERIOR LATH/DRYWALL I 1 EXTEA IDR LATH 1 RATED FLOOR/CEIL ASSEM. 1 1RATED WALL ASSENffiLIES I I I I 1 1RATED SHAFTS/OPENINGS 1 1 T-BAR CEILINGS I I I LOT DRAINAGE I 1 (REPORT ID: OPR261 ROUTE T0: BS 0508 I 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 BL 0508 1301220035 PHONE: (626) 285-0488 EXT: ILEGAL ID: INO. OF CONST BUILDING ADDRESS: ITR: 17387 LT: 13 1 SQ. FT STORIES TYPE 1 ISTRUCTURE: 29 V-B 5414 HILTON 1 TEMP CA 91780303 122 ASSESSOR INFORMATION SPINNER: NEAREST CROSS STREET: 18588-029-005 THOMAS PAGE: 596 GRID: S4 LOCALITY: TEMPLE CITY CAI I 1TENANT: IEXIST BLDG USE: REBID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: I IEXIST OCC GRP: 101/22/13 SR I I I OWNER: TEL N0: BLDGS. NOW ON LOT: VALUATION: FyNAL HY: CODE:PARKS, AON (626) 826-3599- J ON PNAL15414 HILTON AV TEMP 917803122 FEES PAID �FN CRIPTION OF WORK REROOF OVER 20 YR WITH 30 YR COMP IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: I J APPLICANT: TEL. NO: 1 HARRIS, PAUL A (626) 253-1942- IAA BLDG PERMIT ISSUANCE 27.80 1 741 BELLEVIEW AVE JAB STATE GREEN BLDG FEE 6500.00 VAL 1.00 SPECIAL CONDITIONS: SAN DIMAS CA 91773 IAC STRONG MOTION REBID 6500.00 VAL 0.70 I ID2 PERMIT W/O EN-HC 6500.00 VAL 166.20 1 1 TOTAL FEES 195.70 1 CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE P H ROOFING (626) 253-1942- J 1_ J 741 BELLEVIEW AVENUE LIC. NO ILOCATION AND SETBACKS (SAN DIMAS, CA 91773 851584 11 I 1 IISOILS ENGINEER APPROVAL I I 1 1 ARCHITECT OR ENGINEER: TEL, NO: 11FOUNDATION/TRENCH FORMS I LIC. NO: I ISLAB/UNDER FLOOR 1 I RAISED FLOOR FRAMING J NAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:J JDNDERFLOOR INSULATION I I147B265 3 001 IFLOCR SHEATHING IND. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I 1 0 NO 21 ROOF SHEATHING 1 CHOOL WITHIN HAZARDOUS I I SHEAR PANELS JAIR QUALITY: 1000 FEET MATERIALS 1 1 NO NO NO I JFRAME INSPECTION 1 1 IFIRE SPRINKLER HANGERS J I- JINSULATION/WEATHER STRIPI I I 1 JINTERIOR LATH/DRYWALL IEXTERIOR LATH I I I I 1 IRATED FLOOR/CEIL ASSEM. I J • 1 - 1RATED WALL ASSEMBLIES 1 IRATED SHAFTS/OPENINGS 1T-EAR CEILINGS I I ILOT DRAINAGE I 1REPORT ID: DPR261 ROUTE TO: SS0508