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Home My Public Portal About5912 IVAR AVE_Building__ 76A636ACEry60310-66 APPLICATION FOR 'BUILDING RERMT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER A°DREsso'`'� % C� BUILDING AND SAFETY. DIVISION LOcaL1T JOHN A.LAMBIE,COUNTY ENGINEER NEAREST- CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICT Mo. GROUP 'TYPE PR wBY-_ FOR APPLICANT TO FILL IN: -I CONST. I , BUILDING !! /'' q i, SEWER MAP ADDRESS J �( �wr, �� /�{ �/� STATISTICAL C SSIFICATION _I. ."K - G ��'f O / j CLASS.,NO. DWELL. UNITS LOT N ,` ((ff_ ( /�1.� "MAP i1 HWYE_. -YES - NUMBER l/ TRACT`J :�O y USE ZONE . SPECIAL NO.OF BLDGS. CONDITIONS' SIZE OF LOT O x! Q I NOW ON LOT USE OF.. 1 EXISTING BLD/G. �''''-,, �/ BUILDING EXIST.- SETBACK-!� N/� -K. YARD HWY STREET NAME WIDTH OWNER FRONT .. .. mA P.L: ADDRESS ,.�%!J- ��!�{�. YAG•- / SIDE . . CITY ...F✓!'t rl* NO•_/�• �� P.L. ` ARCHITECT OR TEL. INSPECTION RECORD ENGINEER NO. _ ADDRESS - c oTEL. CONTRACTOR 0 NO.C,,�r{U;�1t�• - - . ADDRESS f-04(1,? �': t'K r•.til� U/�.a Z!>-TA - DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ.FT. NO.OF NO.OF SIZE STORIES FAMILIES' - USE OF.STRUCTURE SIGNATUREOF /�� ^• APPROVALS ' APPLICANT - •= DATE INSPECTOR'S SIGNATURE ADDRESS •�^�' �� FOUNDATION: LOCATION .. •-w• FORMS;MATERIALS P.C. $ FRAME: FIRE STOPS. . FEE - BRACING, BOLTS.' ' VALUATI .$ �� FURNACE: LOCATION. FEE GAS VENT.DUCTS 1 HEREBY ACKNOWLEDGE THAT I-HAVE READ THIS AP- PL P- LATHINT. - PLICATION AND STATE THAT THE ABOVE ,IS CORRECT AND , AGREE TO COMPLY WITH ALL COUNTY ORDINAjNCES AND - STATE LAWSREGULATING, SUILDIN ON RUCTION. LATH,EXT. , SIGNATURE O HOUSE NUMBER COR-' . PERMITTE •' ' � RECT AND POSTED - - ADDRESS CLYDE-N.DIRLAM, PRINCIPAL STRUCTURAL.E PLAN CHECK VALIDATION CK. M.O. CASH PESMIT VALIDATION CK: M.O CASH/` �4A�Q 6 ``a `tll 'Y ? 1 ti 3 .G .. ... ®F: WORKERS'COMPENSATIONDECLARATION I hereby affirm that I have a certificate'of'consent to.self insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800; Lob. C.) COUNTY LOS ANGELES _.'BUILDING;AWD'SAFETY OF ' Policy No. Company Certified copy"is Hereby furnished tFOR APPLICANT TO FILL INADDRESS, copy county,building P. BUILDING VTC BUILDING A 'Certified.co is filed with the count buildin inspec- tion'department ADDRESS Cf� Igo Date Applicant CITY C` CIE ' 'ZIP O.. LOCALITY CERTIFICATE OF EXEMPTION FROM-WORKERS' NO.OF.BLDGS.,._ NEAREST COMPENSATION INSURANCE SIZE OF LOT QCT NOW ON LOT CROSS"ST: 4gj�Id's 05 (This section need not be completed if the permit is-for one ASSESSOR hundred dollars ($100)or less.) TRACT" BLOCK. LOT NO. i MAP BOOK ' PAGE PARCEL _ T L., - I certify that in the performance of the work for which this OWNERTERRY°T'/ a :' N� O. 3a USE ZONE OP permit is issued, I`shall not employ any person in any manner ADDRESS Z- 1'V f.V L-=r SPECIAL i CONDITIONS so as to become subject to the Workers'Compensation Laws. U' CITY Zip. i Date Applicant t`� � NOTICE TO APPLICANT: If, after. making this Certificate of ARCHITECT OR TEL. DISTRICT GROUP TYPE- FIRE. PRO SSED BY O Exemption,' you should become subject to the:^Workers' ENGINEER O" CONST. ZONE U Compensation provisions,of the Labor Code, you-must forth-' ADDRESS /t� _ ' LLJ with comply with.such provisions or: this permit shall.be TEL STATISTICAL'CLASSIFICATION" APT: [CONDO. Cn deemed revoked. CONTRACTOR y NO. LICENSED CONTRACTORS DECLARATION LIC. 'CLASS NO. DWELL:,UNITS" I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division'3 of the Business and LIC. ` SEWER MAP Professians•Code, and my license is in jull force and effect. CITY CLASS BK „' VALIDATION- SQ.TT. NO.OF NO. OF CHECK License Number Lit.Class SIZE' STORIES FAMILIES ONE t-•�, VALUATION: - DESCRIPTION OF WORK C� O L '-L--1� NEW ❑ Contractor Date' $ ADD # a I am exempt under Sec. - ALTER • 3�1 �g•� ._ I 3 B.BP.C..for this reason a REPAIR $ a e 3 Date; USE OF DEMOL Q. 9 3 0 . EXISTING BLDG..' L 1208;=88 Si nature PRINT APPLICANT '\ � FINAL 'OWNER-BUILDER DECLARATION DATE 1 hereby,affirm that I am exempt;from the Contractor's License j � w(� FINAL Law for'the following,reason (Section,7031.5 Business and. ADDRESS. - Professions Code): PRESEN •EJ - BUILDING I, as owner of the property, or my employees.'with ADDRESS _ wages as their sole compensation,will do the work 6n'd'the structure is not intended or offered for sale(Section LOCALITY D 7044 Business and Professions Code) MOVING TEL. I, as owner of the property,,amlexclusively.contracting CONTRACTOR NO. with licensed controctors to-construct the project (Sec- ti-9n 7044, Sec-tion.7044, Business and Professions Code). ADDRESS REQUIRED YARD HWY. T SETBACK FROM CONSTRUCTION LENDING AGENCY SET BACK PROP:UNE WIDTH hereby affirm that there is a construction lending agency for FRONT t • the performance of the,work for which this permit is issued P.L. (Sec. 3097, Civ.'C.). SIDE Lender's Name. P.L: \ LDMA Ref. # Lender's Address P.C. $e- Permit Fe 3. . g I certify„that I have reed this application and state that the _ Issuance Fee [LOA P/C# above information is-correct. I agree to comply with all County Investigation-Fee ordinances and State laws relating to building construction, Total Fee LDMA Perm. # ... ” R and hereby authorize representatives of this County to enter m upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE -.Signature of Applicant or Agent •Date ` COUNTY OF LOS ANGELES TEMPLE CITY # 05@6 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0007110014 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 5904 LT: 130 SQ. FT STORIES TYPE 5912 IVAR AV STRUCTURE: 0 VN TEMP CA 917801519 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: HERMOSA 5384-018-020 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE ZONE: R ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 07/11/00 UT /08/01 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL CODE: LEONG;ANDREW (626) 675-6688- 1 7,000 5912 IVAR AVENUE ?/ &Y TEMP 91780FEES PAID DESCRIPTION-UFPWORK CONVERT BEDROOM CLOSETS TO 3/4173ATHROOM, REMODEL KITCHEN FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: AND MOVE THE FRONT DOOR APPLICANT: TEL. NO: SAME AS OWNER AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 7000.00 VAL 0.70 SPECIAL CONDITIONS: AX BUILDING REV:I-EyfF_EE� 54.70 B2 PERMIT W/ENERGY=-'— —7000:00 VAL 182.82 CONTRACTOR: TEL. NO: GE LEO�TOT �E$ 265.97 A� APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: // FOUNDATION/TRENCH FORMS LIC. N0: / 1111111 SLAB/UNDER FLOOR LRAISED FLOOR FRAMING 150H261 SEWER MAP BOOK: PAGE: FIRE ZONE: CMP0,1-,U D nC ��O n�7 UNDERFLOOR INSULATION N IILL� I�Juu1l`J�((� FLOOR"SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:- NO 21\n O O ROOF SHEATHING SCHOOL WITHIN HAZARDOUS �\ O ' ', Ei SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS �* NO NO NOO. ®� FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST Q� FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: Elo FRONT PL- PL- °�ervic�V'An-a SINSULATION/WEATHER STRIP 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