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Home My Public Portal About5450 HILTON AVE_Building__ ,c 90p535A.. APPLICATION FOR BUILDING PERMIT 1135 -ia ✓ DIVISION OF BUILDING AND SAFETY BUILDING i Department of County Engineer ADDRESS County of Los Angeles LOCALITY / JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN. SUVT of BWLOIHc CROSS ST. FOR APPLICANT TO FILL IN DISTRICT NO. ROUP TYPE SEWERSK MA PG CONS BUILDING (` ADDRESS NUMBER D HWY MAP STATE YES O LOT NO. ( ( BLOCK USEZONE SPECIAL CONDITIONS TRACT �q 3 I,Y I - NO. OF SLOGS. SIZE OF LOT NOW ON LOT BUILDING YARD HWY STREET NAME EXIST. USE OF SETBACK /l WIDTH EXISTING BLDG. _ FP. L T OWNERUZZ SIDE MAIL 55 �Sa -� [/J � P. L. ADDRESS CT^^ _"-PL E�Ki-Il.til ,t O TRACT DWELL. I UNIT 5 INDUSTRIAL CITY ' TEL NO. ��DUD DWELL. 1 UNIT 6 PUBLIC BLDG. ARCHITECT 6R TEL. 2 DUPLEX 2 UNITS 7 AODN..ALT.. ETC. ENGINEER NO. 3 APT. UNITS 8 MISCEL. ADDRESS 4 COMMERCIAL - CONTRACTOR NO' INSPECTION RECORD ADDRESS q�.,). 0p' 1(5'4 �V b.�A Qe71� nwf � �Cwa DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH l p y F NO. OF NO. OF SIZE �I 7 4 STORIES ' FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT 4 APPROVALS ADDRESS DATE INGiECTOR551GNATURE $ FOUNDATION: LOCATION ,1 QQ P. C. $ O FORMS. MATERIALS 1Z S'b `�,Q _ (O/' go FEE �� FRAME: FIRE STOPS. 1L� VALUATION S 4 L� BRACING. BOLTS IOl RQ 1 XO FEE 1, FURNACE: LOCATION. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT. DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT 11s� AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH.INT. It _ AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. 7, LATH. EXT. r V SIGNATURE OF� / / HOUSE NUMBER COR- PERMITTEE (�/ RECT.ND POSTED 1i �� ADORES I FINAL JOHN A.LAMBIE. COUNTY ENGINEER LIDATION CLYDE N. DIRLAM. CHIEF BLDG. INSPECTOR K MD CASK 09600AUG24 -16 17.50Am ^ i X015 2 su'1.3 1 3.5.0.0 VIORKERS' COMPENSATION DECLARATION hereby affirm the, I havecertificate of consent to ,elf APPLICATION FOR.. BUILDING PERMIT insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ElCertifiedcopy is filed with the county building inspec- BUILDING / r tion department. ADDRESS LT-() V E CITY L.E ZIP LOCALITY l CI Date Applicant N . OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT - NOW ON LOT -' CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO.' MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) TEL. USE ZONE MAP -T OWNER NO. AAA 7 I certify that in the performance of the work for which this K,'J` SPECIAL >_ permit is issued, I shall not employ any person in any manner ADDRESS '" / CONDITIONS 01- so as to become subject to the Workers' Compensation Laws. 1 0 CITU ZIP u Date Applicant ARCHITECT OR TEL. NOTICE TO APPLICANT: If, after makingthis Certificate of ENGINEER NO. DISTRICT GROUP TYPE FIRE PROCESSED BY CONST. ZONE H- Exemption, you •should become subject to the Workers' � i� /f 1/ w Compensation provisions of the Labor Code, you must forth- ADDRESS D• •3 V GLIs>L�-r�i 0- with with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO. deemed revoked. CONTRACTOR NO. - z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. o? DWELL. UNITS_ I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP (commencing with Section 7000)of Division 3 of the Business LIC. and Professions Code,and my license is in full force and effect. CITY CLASS BK PGVALIDATION SQ. FT. NO. Of NO. OF CHECK License Number Lic. Class SIZE STORIES FAMILIES I ONE VALUATION Contractor _ Dote DESCRIPTION OF WORK vNeT(v n NEW ❑ s ADD -❑ 6)0 ElPollI am exempt under Sec. ALTER ❑ - BAP.C. for this reason C REPAIR ❑ $ Date: USE OF - DEMOL ❑ EXISTING BLDG. Signature APPLICANT TEL FINAL - OWNER-BUILDER DECLARATION (PRINT) _12NO. S-26 r DATE I hereby affirm that I am exempt from the Contractor's License ADDRESS 1 . G FINAL Law for the following reason (Section 7031.5, Business and 1 Pr f ssions Code): PRESENT _ BY , 1, as owner of the property, or my employees with BU IADDLOING RESS wages as their sole compensation,will do the work and SM �-ZGfO - - - - 'the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code.) MOVING TEL. / ❑ b ��( / �?,t 1' :'.$i'._ I, as owner of the property,am exclusively contracting CONTRACTOR NO. t /y//11,, ,i • with licensed contractors to construct the project (Sec- ADDRESS /�Q/✓I� T T 1 Gl li' tion 7044, Business and Professions Code.) (( REQUIRED YARD HWY TOTAL SETBACK FROM EXIST. T�t AL 249 m C CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH I hereby affirm that there is a construction lending agency forFRONTr: the performance of the work for which this permit is issued P.I. "- s:t D31 ,:�•T=!v (Sec. 3097, Civ. C.). SIDE P,I. CHAN E =L I Lender's Name m _ A LDMA Ref. # o P.C. Fee 8 Permit Fee o[ Lender's Address Poo I certify that I have read this application and state that the Issuance Fee a LDMA P/C# n C above information is correct. 1 agree to comply with all County Investigation Fee 7:-U 1 ri�( r°.:L 8 ordinances and Stote•lows relating to building construction, Total Fee 1; T� LDMA Perm. # a and hereby authorize representatives of this County to enter m upon a above-menti ned property for inspection purp ses. o - SEE REVERSE FOR EXPLANATORY LANGUAGE Signowrej Applicant Qr Agent Dat 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 1007270029 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST BUILDING ADDRESS: ITR: 19341 LT: '11 SQ. FT STORIES TYPE 5450 HILTON AV I (STRUCTURE: V-B I TEMP CA 917603154 1 1ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 1 18588-030-011 - THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl TENANT: 1EXIST BLDG USE: REBID USE ZONE: R-1 JISSUED ON: PROCESSED BY: 1EXIST OCC GRP: 107/27/10 SR OWNER: TEL. NO: jBLDGS. NOW ON LOT: VALUATION: iFINT{i DATE FINFjL BY: CODE: YEE, CHAN (626) 864-5121- 5450 HILTON AV ITEMP 917803154 FEES PAID IDESTION OF WORK 19 WINDOWS REPLACEMENTS IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1 (APPLICANT: TEL. NO: I I I ISAME AS OWNER - 1AN BLDG PERMIT ISSUANCE 27.80 1 IAB STATE GREEN BLDG FEE 3070.00 VAL 1.00, ISPECIAL CONDITIONS: _ IAC STRONG MOTION RESID 3070.00 VAI, 0.50 1 ID2 PERMIT W/O EN-HC 3070.00 VAI, 116.00 J - - TOTAL FEES 145.30 CONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - I y LIC. NO ILOCATION AND SETBACKS I I I (SOILS ENGINEER APPROVAL I I I IARCHTTECT OR ENGINEER: TEL. NO: 1 1FOUNDATION/TRENCH FORMS LIC. N0: SLAB/UNDER FLOOR I I I RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: I UNDERFLOOR INSULATION 1147H265 3 001 1 1 I I (FLOOR SHEATHING . I ING. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I NO 21 (ROOF SHEATHING SCHOOL WITHIN HAZARDOUS (SHEAR PANELS LAIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION I I FIRE SPRINKLER HANGERS � 1 I I I (INSULATION/WEATHER STRIP (INTERIOR LATH/DRYWALL IEXTERIOR LATH I I I RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS I I I IT-BAR CEILINGS � I I ILOT DRAINAGE REPORT TD: DPR261 ROUTE TO: HS 0508 I