HomeMy Public PortalAbout5420 HILTON AVE_Building__ 76AS36A OBS-3 1254
APPLICATION FOR BUILDING PERMIT -
DIVISION OF BUILDING AND SAFETY nooREss '4C'XQ/✓. /ie,��it/
Department of County Engineer -
County of Los Angeles LOCALITY
WM. J. FOX, COUNTY ENGINEER
CASSATT D. GRIFFIN. SUPT OF BVILe1NG NEAREST '!t5
• /{ /
CROSS ST. /
DISTRICT NO. GROUP TYPE SEWER MAP
FOR APPLICANT TO FILL IN STI BK PG
BUILDING /�`(� }0 - `� CONST. V
ADDRESS .l T W �, �f1�a N MAP (y H STATE YES
_NUMBER 'zo O
LOT NO. / 7q� -7 BLOCK USE ZONE SPECIAL
TRACT / 73 V'7 - - / CONDITIONS
SIZE OF LOT J (�,/� S I NOW ON LOT
NO OFBLDGS g 'h��D^Q
BUILDING YARD HWY STREET NAME EXIST.
USE OF //�� cL r w ^ - SETBACK WIDTH
EXISTING BLDG. ,//W 67//r/ V'/�1-/✓ FRONT ,-
OWNER J 0/f At V,✓ I_ i f 1 SIDE
MAIL J�
P, L,
ADDRESS ,S � 7-O /�), �{11/OXY � N K
CITY 1 -� �! It �V ND' I DWELL. 1 UNIT 5 INDUSTRIAL
1 1 Z DUPLEX—UNIT 6 PUBLIC BLDG.
ARCHITECT OR - TEL.
ENGINEER NO. 9 APT. UNITS 7 ADON., ALT., ETC: '
ADDRESS J ♦.{ q COMMERCIAL .B� MISCEL/Tr��
CONTRACTOR //A+ / f /I�f10Y V lL L%-/
� �- �'t' Q '�� _ INSPECTION RECORD
ADDRESS /06 �� Lz�
DESCRIPTION OF ORS
EW ADD ALTER REPAIR DEMOLISH
SO. FT. NO. OF NO. OF
SIZE STORIES FAMILIES
USE OF STRUCTURE
F0 _' '. J_� Pat/ Q
SIGNATUREOF
APPLICA APPROVALS
ADDRESS DATE INSPEC OR'S SIGNATURE
FOUNDATION: LOCATION 1=4pp
FORMS, MATERIALS s5 4U04s
V%I FEE FRAME: FIRE STOPS,
S
—� BRACING, BOLTS
FEE 3� •�"C1 Lim
VALUATION FURNACE: LOCATION.
GAS VENT, DUCTS
I HEREON ACKNOWLEDGE THAT 1 HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT. "
ANDSTATE LAW REGULATING BU DING CONSTRUC-
TION.
SIGNATURE OF
LATH, EXT. A
/ �///7 / HOUSE NUMBER COR- .I
PERMITTEBCLZ � RECT AND POSTED
ADDRESS vyv VVV"' FINAL •�Ij'�S� �'�+ ••�'
WM. J. FOX, COUNTY ENGINEER VALIDATION -
BY '.ACo a;S AUG 2 5 1 2.0 0 .
DEPUTY - DEPUTY
BY By �—
DEPUTY ./�� DEPUTY
-7CA638a A."Al3 J 3.69
APPLICATION FOR BUILDINGIT�
COUNTY Of LOS ANGELES BUILDING G��^Iq At// — ✓�
DEPARTMENT OF COUNTY ENGINEER ADDRESS G V
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUP'T OF BUILDING NEAREST .G ._ -
CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT NO. GROUTP TYPE CONST. SSED�BY -
(PRINT OR TYPE ONLY) Sp8 r
BUILDING STATISTICAL CL SS IFICATION .S WER MAP
ADDRESS CLASS NO. DWELL.UNITS .BK PG
LOT NO. 12 BLOCK USE'ZONE I
MAPNO. d
TRACT 17387 � SPECIAL
NO. OF 8LOGS. CONDTIONS
SIZE OF LOT NOW ON LOT
USE OF Residence
EXISTING BLDG. BLDG. SETBACK FROM
Bob Love TEL. FRONT PROP. LINE OF �� ^ - (STREET)
OWNER NO.
TYPE OF ESISTING SETBACK HIGHWAY + YARD = NOTAL
ADDRESS 5420 N. Hilton Ave. HIGHWAY WIDTH FROM C.L.
CITY Temple City Ca. BttnL BACK �� . Zo
ARCHITECT OR C, Adams TEL. o SIDE PROP.
FROM
ENGINEER N0.773-221 .SIDE PROP. LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS C/O AnthonyPools2 Inc. HIGHWAY WIDTH FROM C.L.
1
CONTRAGTorAnthony Pools* IneL285-3163 - C
ADDRESS 9040 Huntington LI 19017MC5 CORNER CUTOFF-. YES E] ND L'
LIC. C
CITY San Gabriel. a CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS F.
CONSTRUCTION LENDER
NAME AND BRANCH f�
/
SO. FT. 2 7:
ADDRESS n33S / L5 9U
OF NO. OF
SIZE 4OTORIES FAMIILIES NEW
R -
k-/F 90
US E ADD El
ITR UOCT URE 14X31 swim Pool ALTER ❑ Q S1tl £([G,
STANDARD• 1295^Os- REPAIR ❑
SIGNATUR DEMOL ❑
APPLICA U i
-zk
VALUATION $ APPROVALS DATE INSPECTOR'S SIGNATuRc
P.C. PMT. FOUNDATION: LOCATION $� _ , •L _ •'l''
FEES 6 5 FEE $ FORMS MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- GAS VENT DUCTS
TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY
WILL NOT EMPLOY ANY PERSON IN VIOLATION OFHE LABOR CODE LATH, INT.
OF THE STATE OF CA IFORNIA IN RELATING ORKMEN'S COM-
PENSATION INSUR N
LATH, EXT,
SIGNATURE
PER MITTE C its A HOUSE NUMBER CORRECT
AND POSTED '
ADDREqq FINAL
JOHN F. LEWIS, PRINCIPALS RAL ENGINEER
PLAN CHECK VALIDATION OM.o. GASH - PERMIT VALIDATION Gx. m.o. GASH
. . 11r_ 62a7 UG12211) 6.75 b
�i .[6629a AUG12 1 D 22.50
DIVISION OF BUILDING AND SAFETY � ' D 1
F Department of County Engineer
County of Los Angeles
NG
WM. J. FOX, COUNTY ENGINEER APPLICATION
FOR APPLICANT TO FILL IN FOS OFFICE USE ONLY
BUILDIMB - DIBTR T N0. UI[.PN CDR Ric.NO.
PER
MI
SS
ADDRED r � ��'
LOCALITY '„q�p t4 [IVIDBY DATE OF APPL. DATE ISSUED
OY SUILDINO AD
_ ^y A ^� AOORtOS
OWNER l/
MAIL qq ll LOCALITY l/L
AGGRESS i!'Cl�.l"A /In..♦ 'llL-•.� iJ• ,�rt�l NEAREST
I7 TEL e OROSB ST. G
LIA—
ITY A A NO. lC B/4 L�6/�% VIRE N0.OF O
AROHITECTOR TEL ZONE PLANE �
ENGINEER NO, _ BLOM pRD/Np
SETBACK LINUSE [
ADD
ZONE
APPROV[O
SDN[
Td BY DAT[
CONTRACTOR N0. OU NUMBERING
ADDRESSMAP NUMBER N0. ASSIGNED BY
��LECIAL �
DEBCRIPI'1DN LO N6 BLOCK CORRECTIONS
TRADT Q
Bac or LOT , N4 DF SLDOS.
1 Now ON LOT
USE OF N0.OF '•�
EXISTING BLDG. FAMILIES U
DUCMTION OF WORK a
NEW ALTmFaATIOw ADDITION Z
D
REPAIR DEMOLITION r
E
SIZE �/wAQ[/f]�. ROOMS STORIES /pI
'IT WALL
COVERING AA/t.•4/�K] I OOV[RINB AArl1 k '
USE OF STRUCTURE A
x n .e. Vt �e.lJ .:r Ari // oa °✓
T Q� o nn
OCCU ANCYABINSPECTION R {! >'•/�O�EOOR•A SIGNATURE DATE
FOUNDATI01:LOCATION
FORMS, MATERIALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP-
PL ...
ICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRESTOP9,
CORRECT, BRACING. BOLTS .ice
I AGREE TO COMPLY WITH ALL COUNTY 13RDINAMOLS FURNACE: LOCATION,
AND STATE LAWS REGULATING BUILDING CONSTRUOTION. OAS VENT.DUCTS
• �/�L
SIGNATURE OF 11 / ll�� .1 - / 6'/ LATH. IMT. �,-
PERMITT[
I
LATH. EXT.
AGGRESS
PLASTER, INT.
AUTHORIZED AGT
OOI PLASTER, EXT.
B �O // .
ny FEE HOUSE NUMBER ED
¢�
SECT AND POSTED
VALUATION V J
FEE •1 `�" FINAL /'1- � SZ
964636A OBS 3 1-32
WORKERS' COMPENSATION DECLARATION v
I hereby affirm that I have a certificate of consent to self APPLICATION FOR BUILDING PERMIT
insure, or a certificate of Workers'Com penstion Insurance, or
a certif'e co Cher f ($ec. 3800, Lab. C )
#� �j�D COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Companya7i4'/ T
Certified copy is hereby furnished. FADDR
PPLICANT TO FILL IN BUILDING
20 l L�'6 N MtV /
Irt�IV Certified copy is filed with the county building inspec- •�
'-y tion department. b LOCALITY e C
NEAREST
Date Applicant ZIP CROSSST. LtCERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. ASSESSOR
COMPENSATION INSURANCE NOW ON LOT MAPBOOK(This section need not be completed if the permit is for one USE Z NE MAPhundred dollars ($100) or less.) BLOCK LOT NO. ��! NO. }
TEL. Q(J SPECIAL d
I cerlify that in the performance of the work for which this OWNER t '� NO. CONDITIONS 0
permit is issued, I shall not employ any person in any manner Ly r DISTRICT GROUP TYPE FIRE PROC SyED BY U
ADDRESS ZO F'�L Urd I✓L 5r r/ /F� CONST.% ONE O
so as to become subject to the Workers'Compensation Laws. (!M '(1� i
Dale Applicant CITY ZIP STATISTICAL CLASSIFICATION APT. CONDO. W
NOTICE TO APPLICANT: If, after making this Certificate of ENGARCINEER
EER OR TEL. �J
Exemption' you should become subject to the Workers', ENGINEER NO. CLASS NO, DWELL. UNITS_ N
Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP ?
with comply with such provisions or this permit shall be - TEL
deemed evoked. CONTRACTOR NO y' 00 8K. PG,J LS VALIDATION
LICENSED CONTRACTORS DECLARATION LIC.
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS,~� Z V('�Q - t
,(commencing with Section 7000)of Division 3 of the Business and .1... LIC.C VALUATION Gx••e7
Professions Code, and/m`y license is in full force and effect. CITY EL- ��Q 9t4 CLASS d —3 $ -5 oz r
License Number 1?61 , 1D Lic Class�1 SOLFT STORIOES P MIOL'ES
CONEK - l
❑
Contracto,RS,. RAI m DN � - Date 8'�Z3 DESCRIPTION OF WORK �� NEW�—T am a
I am exempt frothe licensing requirements as I am a ADD
licensed architect or a registered professional engineer ALTER FINAL 7
acting in my professional capacity (Section 7051, ❑ DATE
Business and Professions Code). REPAIR
USE OF, FINAL
EXISTING BLDG O LNL '� DEMOL B
Ior Reg. No.--Date - APPLICANT TEL
Y
OWNER-BUILDER DECLARATION (PRINT) NO.
I hereby affirm that I am exempt from the Contractors License -
Low for the following reason (Section 7031.5, Business and ADDRESS /
Professions Code):, PRESENT
I, as owner of the property, or my employees with ADDRING
ESS
wages as their sole compensation,will do the work and
the structure snotintended or offered for sole(Section LOCALITY -
7044, Business and Professions Code). MOVING ' TEL. 1 8 5'2 A
I, as owner of the property, am exclusively contracting CONTRACTOR NOF
with licensed contractors to construct the project (Sec- ADDRESS # o e'e e o
tion 7044, Business and Professions Code).
REQUIRED YARD HWV TOTAL SETBACK FROM EXIST 2 e e 3 Q O O
CONSTRUCTION LENDING AGENCY SET BACK PROP, LINE WIDTH
' I hereby affirm that thereis a construction lending agency for FRONT
the performance of the work for which this permit is issuedP.L. Q 1 if le e a 'J Q:O O v
(Sec 3097, Civ..C.). SIDE
P.1. 08.22-80
Lender's Name _ -f -
P.C. Fee$
_ Lender's Address Permit Fee
w I certify that I have read this application and sine ihot the Issuance Fee
aabove information is correct. agree to comply with all County Investigation Fee
and inon pad State laws relating to building construction, Total Fee
and re6 authorize repr sentatives of this County fo enter
a u nth o e do property for inspection purposes
`u reposes!.
a / SEE REVERSE FOR EXPLANATORY LANGUAGE
^ Signature of P1196m or Agent Dote _ ®s
COUNTY OF LOS ANGELES TEMPLE CITY k 0506 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91980 BL 0508 1001140006
PHONE: (626) 285-0488 EXT:
ILEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
ITR: 19389 LT: 12 SQ. FT STORIES TYPE OCCUP GROUPI 5420 HILTON AV
I ISTRUCTURE: 464 1 V-B R-3 I TEMP CA 917803122
(ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET:
18588-029-004 OTHER: 27 1 V-B U THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl
II TENANT: 1EXIST BLDG USE: USE ZONE: IIISSUED ON: PROCESSED BY
I : I
IEXIST OCC GRP: 03/22/10 SR I
TOWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IF WAL DATE FIIJAJ, BY: CODE:
ILU, JENNY (626) 281-5168- I 123,930 I
11620 S. OLIVE AVE. '/ 111/// / 1i
IALHANBRA, CA 91803 1 FEES PAID � , IDE CRI PTION OF WORK 1
(ADD MASTER BEDROOM, BATHROOM, ENLARGE LIVING ROOM 464 S.F.
IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1FR0NT PORCH 27 S.F. & RECONSTRUCT ENTIRE ROOF 1989 S.F.
(APPLICANT: TEL. NO:
ILU (626) 281-5168- IBl PLANCHECK W/ENERGY 123730.00 VAL 1,353.13 1
11620 S. OLIVE AVE. IAA BLDG PERMIT ISSUANCE 27.75 ISPECIAL CONDITIONS:
1ALHAMBRA, CA 91803 IAB STATE GREEN BLDG FEE 123730.00 VAL 5.00 1
IAC STRONG MOTION REBID 123730.00 VAL 12.37
IB2 PERMIT W/ENERGY 123730.00 VAL 1,591.92
CONTRACTOR: TEL. NO: TOTAL FEES 2,990.17 1APPR0VALS DATE INSPECTOR SIGNATURE
1SBL CONSTRUCTION INC. (626) 512-5748-
19173 SOUTHVIEW ROAD LIC. NO AIQ vv%% 9y ` V�f��"�� �' � LOCATION AND SETBACKS
ISM GABRIEL CA 91775 754301 B �• ///
l n SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: I
(FOUNDATION/TRENCH FORMS _
- I I
LIC. NO: (SLAB/UNDER FLOOR
I I
RAISED FLOOR FRAMING
NiAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: (UNDERFLOOR INSULATION
I
3 001 1 1
(1ST LEVEL FLOOR SHEATH
INO, OF FAMILIES: DWELLING UNITS: APT/CONDI STAT CLASS: I
NO 21 1 12ND LEVEL FLOOR SHEATH
I
SCHOOL WITHIN HAZARDOUS IROOF SHEATHING /...)'',r TNI
(AIR QUALITY: 1000 FEET MATERIALS I
NO NO NO IFIRE DEPT. FRAME INSPECT[
(REQUIRED TOTAL SETBACK FROM EXIST (BLDG DEPT. FRAME INSPECTI7 'A�
ISET BACK YARD: HWY: PROP LINE: WIDTH: T
IFRONT PL- SHEAR PANELS \
I SIDE PL- Y
j (INSULATION/WEATHER STRIPI 2,h
(INTERIOR LATH/DRYWALL
(EXTERIOR LATH
I
I I (LOT DRAINAGE
I I I
I ISM0KE DETECTION DEVICES
IFIRE DEPARTMENT APPROVAL(
I I 11 I I I
REPORT ID: DPR261 ROUTE T0: BS0508
j 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 0109210023
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. ST BUILDING DDRESS: S
TR: 17387 LT: 12 SO. FT STORIES TYPE 5420 HILTON AV
STRUCTURE: 2000 VN TEMP CA 917803122
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 4E* A
8588-029-004 THOMAS PAGE: 596 GRID: J4' LOCALITY: TEMPLE CITY, C
TENANT: EX S DG USE: REBID USE ZONE: R-1 ISSUED ON: PROCESSED ES ON:
EXIST OCC GRP: 09/21/01 VG 03/20/02
OWNER: TEL. O: BLDGS. NOW ON LOT: VALUATION: FINAL, DATE FINAL BY: CODE:
LOVE ROBERT L;MARGARET H (626) 285-1797- 4,000 //��0'/ /-
5420 HILTON AV / I
TEMP 917803122 FEES PAID DESCRIPTION WORK
T/O EXIST ROOF AND APPLY CERTAINTEE (BUILT-UP) ON FLAT ROOF
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT:
WEATHERITE ROOFING (626) 287-0669- AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION REBID 4000.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/0 EN-HC'_!____4000.00 VAL 115.80
�� __ TOTAL-F.EES 144.05
��tGELES �p
CONTRACTOR: TEL. NO: �O
4251 �j APPROVALS DATE INSPECTOR SIGNATURE
WEATHER ITE ROOFING (626) 287-0669-
BALDWIN AVE LIC. NO \ LOCATION AND KS
4251ELMONTE LA 91731 LIC
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: I r \ FOUNDATION/TR NCH FORMS
LIC. NO: I \ SLAB/UNDER FLOOR
>J �_ t . - _ -_LIQ � ` vi tt �i j` RAISED�L�RMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:: '�-�, / =�'j (/ i�1 UNDERFLOOR INSULATION
XX 3 901 � L�l���\��
I U Li ., �� FLOOR SHEATHING
N0. OF AMI L E DWELLING UNITS: APT/LOND: STAT C ASS:-- — --- - -- - - - - --- - - ---- � - ----
NO 21 \V_ ROOF SHE THING
SCHOOL WITHIN HALARDOU Y �T pl;� /� SHEAR PA ELS
AIR QUALITY: 1000 FEET MATERIALS r I bFi*' ..i
NO NO NO FRAME INSPECTION
REQUIRED TOTAL ACK FROM EXIST [V L t� R SPRINKLER HANGERS
A 5
SET BALK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- SeTV1C e fVA INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOO /CEL SSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
* ADDITIONAL DATA ON FILE
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508