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Home My Public Portal About5432 HILTON AVE_Building__ DiVIsSION OF BUILDING AND SAFETY Department of County Engineer BUILDING County of Los Angeles APPLICATION WM. J. FOX, COUNTY ENGINEER FOR APPLICANT TO FTILL IN FOR OFFICE USE ONLY BUILDING - 1T/ �./ DISTRICT PUN CCH,`. o�/R�R$/Q.No. FOP % T ADDRESS ` y �"� I L/y / (1 7 1 'I CEIVEEDD BY DATE OF APPL DATEISSUED LOCALITY NEAR EBT � � C( I G ('V ✓ / G ✓ 3 ROBB BT. JJ�Y�( � �y,�� BUILDING �e, 6/V OWNER//3+ / �"io'/ ' ADDRESS ��3�-- MAIL LOCALIT ADDRESS v/zlt / l NEARE a CR HB ST. ( ✓ "'E CITY r 1 4 N6 a li a.S��G FIRE 'I, NO.OF ARCiT OR TYPE OROU j�� ,{}� NE PLANS ENGINEERI Ky-.f.iiY L,i`^� ZONO. o ` ORD. NO. SETBACK LINE ADDRESS USE y APPROVED E TL ZONE/�� BY DATE CONTRACTOR NO. HOUSE NUMBERING ADDRESS MAP NUMBER 9- NO. ASSIGNED BY LEGAL CORRECTIONS DESCRIPTION �j LOT MD. �� BLOCK TRACT /y _ SIZE OF LOT 1N ( .A IIS` ( NOW ON LOT°B2v,✓"�'..P V< USE OF EXISTING BLDG. FwHIUHB `�/^L3/ ✓• �(/ �h�4 /i DESCRIPTION OF WORK ,Da NEW X ALTERATION ADDITION p 2 I IaJ 8'ra D REPAIR FT. / w DEMOLITION / F or v 9 ZE .[ V O RONo'OMS STORIES / 1 EXT.WALL ippOF 9 o j COVERING ✓�'T/— COVERING / USE OF STRUCTURE {--'XY 0 INSPECTION FOR v_ APPROVALS OCCUPANCY AS INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION FORMS, MATERIALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP PLICATION AND STATE THAT THE INFORMATION GIVEN 19 FRAME: FIRESTOPS, p CORRECT. BRACING, BOLTS I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND SFURNACE: LOCATION, TATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS SIGNATURE GF , LATH, INT. PERMITTE LATH. EXT. / ADDRESS 4?-2ad r' �iC+�csc - AUTHORIZED AOT. PLASTER, INT. PLABTER, EXT. 7!FE $ / HOUSENUMBERCOR- RECT AND POSTEDVALUATION ® , FINAL 76AG30A OBS 3 1-52 APPLIC�TION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND.SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING AOI ESS h I hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers'Compensation Insurance,or a Certified CLiY^ AWIP , An- copy there f_ 38 Q,rLa b.C.) l/l 1 LOCALITY Policy NO. Company v _ SIZE OF LCT O.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furni NEAREST CROSS ST. ❑ Cerlifed opy iS filed wi t e c0 nt building inspection TRACT BLOCK LOT NO, tl rt USE ZONE MAP NO. Date �A' AppliCaG ASSESSOR MAP BOOK PgGE PARCEL - SPECIAL CONDITIONS _ / CERTIFICATE OF EXEMPTION FROM WORKERS' ER TEL NO. _ COMPENSATION INSURANCE WITHIN 1000 FT OF SCHOOL' YES NO (This section need not be completed if the permit is for one hundred dollars (5100)or less.) DISTRICT GROUP TP C VONST. FIRE ZONE PROCESSED PY � - I certify that in the performance of the work for which this permit GITx�' 1 is issued, 1 shall not employ any person in any manner s0 as t0 -3 ARCHITECT O ENGINEER TEL NO. �� Gd become Subject t0 the Workers Compensation Laws. STATISTICAL CLAS (CATION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT.. If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject t0 the Workers NTRAQTO L N 1^ SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Cade, you must forthwith ISO\ L V FRONT comply with such provisions or This permit shall be deemed revoked. i E S LI .� PIL SIDE } a. LICENSED CONTRACTORS DECLARATION ITv LIG.c�Ass PL O I hereby affirm that I am licensed underprovisions of Chapter 9 1. V SEWER MAP (commencing with Section 7000)of Division 3 Of the Business and S $13E1 NO.OF STORIES NO.PF FAMILIES NEW ❑ SK PG 0 Professions Code and licensejs in full force((��nnnd`5�J�J-Jffg�e� '7"�TC ` F- License Number. �`� Lic.Class t „JOG6CRIPTION O I R ADD ❑ VAL oyn Poo. CS Contractor- LI Date bLJSE �lY ALTER ❑ $ { 0-❑ 1 am exempt under Sec. Z`) REPAIR ❑ $ Z BAP.C.for this reason If - DEMOL ❑ LOMA P/CDate: OF XISTING BLDG, URM ❑ Signature APPLICANT(PRINT) TEL NO. LDMA Perm M 1 ❑ I, as owner of the property, or my employees with wages as Z ACCT.'' their sole compensation, will do the work and the structure is ADDRESS O a not intended or offered for Sale (Section 7044, Business and FINAL DATE Q 3303 178.6` Professions Code.) WILL 5 ° 1 ITEMS L THE AGFUCANT OR FUTURE BUILDING OCCUNT HANDLE A HAZARDOUS MATERIAL J ❑ 1, as owner Of the property, am exclusively contracting With OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE v Q licensed contractors'to construct the AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? project !Section Toaa, res❑ ND❑ FINAL TOTAL 178 e fir Business and Professions Code.) (� { WILL TNN INTENDED USE OF THE CONSTRUCTION BY THE APPLICANT OR FUTURE BUILDING CHECK 178.6` OCCUPANT REQUIRE A PERMIT FOR C TRICT GTK)N OR EE PERMITTING FROM THE SOUTH FOR CONSTRUCTION LENDING AGENCY COAST AIR OUAUTV MANAGEMENT DISTRICT(sGAOMDI SEE PERMITtING CHECMUST FOR CHANGE .00 cumELwas I hereby affirm that there is a construction lending agency for YES❑ No❑ 30 7,Civ. Of the Work for which tf115 permit is issued(Sec. IHAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING (�(�{ p 3097,Civ.C.1 CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE. 0000-0001 -61 6/96 Lender's Name TITLE 2.CHAPTER 2.20 SECTIONS 220 100 THROUGH 230 140 CONCERNING HAZARDOUS t�Ir� MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD 5161 1 FII 1{.?2 fu ss - 1 ic b EF OP AGENT a read This application and state under penalty PC.FEE PERMIT FEEa above information is correct.I agree to comply Sdinance�-antl State laws relating t0 Uing reby au-1xlrize representatives Of i5 y ISSUANCE FEE-mentioned IS for ins, n ti r s. a INVESTIGATION FEE TOTAL FEE n' •w�� M i w i DNe GP SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY W 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9901 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91980 BE 0508 1211140021 PHONE: (626) 285-0488 EXT: (LEGAL ID: NO. OF CONST BUILDING ADDRESS: ITR: 17387 LT: 10 SQ. FT STORIES TYPE 5432 HILTON AV I (STRUCTURE: V-H TEMP CA 917803122 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 16588-029-002 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY CA I TENANT: IEXIST BLDG USE: REBID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: IEXIST OCC GRP. 111/14/12 SR TOWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: FINAL DATE 'FINAL BY: CODE: III ISENSCOTER HAZEL C (626) 286-1425- 1 3,900 1 15432 HILTON AV I 1 LL�� ITEMS 917803122 FEES PAID IDFEECRIPTION OF WORK SEISMIC VOLUNTARY FOUNDATION RETROFIT I (FEE DESCRIPTION: QUANTITY: UPM: AMOUNT: II APPLICANT: TEL, NO: LIANI, RACHEL (805) 300-4050- IAA BLDG PERMIT ISSUANCE 27.80 1305 NEWBURY LN TAH STATE GREEN BLDG FEE 3000.00 VAL 1.00 ISPECTAL CONDITIONS: INEWBURY PARK 91320 IAC STRONG MOTION REBID 3000.00 VAL 0.50 1 D1 PLANCHECK W/0 EN-HC 3000.00 VAL 84.20 _ID2 PERMIT W/0 EN-HC 3000.00 VAL 99.00 (CONTRACTOR: TEL. NO: TOTAL FEES 212.50 JAPPEOVALS DATE INSPECTOR SIGNATURE IN R CONSTRUCTION INC (805) 300-8830- , j305 NEWBURY IN LIC. NO ILOCATION AND SETBACKS INEWBURY PARK CA 91320 936822 * 1 ISOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: ISLAB/UNDER FLOOR IRAISED FLOOR FRAMING I - I I 11 11 I MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CM,P: UNDERFLOOR INSULATION 147H265 3 001 FLOOR SHEATHING INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I111 0 NO 21 IROOF SHEATHING I I- I I SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS 1 1AIR QUALITY: 1000 FEET MATERIALS I 1 1 1 NO NO NO FRAME INSPECTION � � I IFIRE SPRINKLER HANGERS J I I IINSULATION/WEATHER STRIPI I I I_ 11 I IINTERIOR LATH/DRYWALL I EXTERIOR LATH 1FATED FLOOR/CELL ASSEM. IRATED WALL ASSEMBLIES I I I RATED SHAFTS/OPENINGS I IT-BAR CEILINGS ` ADDITIONAL DATA ON FILE _ ILOT DRAINAGE I I TAE PORT ID: DPR261 ROUTE TO: HS0508 I 1 I I I