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HomeMy Public PortalAbout5919 IVAR AVE_Building__ ©5 76A638 /.,,r/ QiE 1#8034,46/.6/78) * r'� A,�sa p �A p � p �p , AISPLOCATO®ISI F®R' BUOL�..®011@'IG E MOT COUNTY OF LOS ANGELES BUILDING AND SAFETY BUILDING FOR APPLICANT TO FILL IN ADDRESS BUILDING '\'Q ADDRESS LOCALITY K./ NEAREST CITY Y� I P CROSS ST. _ @�-.Q l'•C.J NO. F LDGS. ASSESSOR . SIZE OF LOT NOW- LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE CES BY TRACT1 [BLOCK LOT N U CONST. Z E. TEL. V . QO ' A �. OWNER NO STATISTICAL CLASSIFICATION EERRR MAP ADDRESS r CLASS NO. / DWELL.UNITS 1• I BK ( �G CITY ZIP � 1 ARCHITECT OR TEL. VALUATION ENGINEER NO. ADDRESS BLDG.SETBACK FROM Al-bkTEL. FRONT PROP.,LINEOF (STREET) CONTRACTOR 1 O. , _ TOTAL SETBACK FROM TYPE OF EXISTING IIC. HIGHWAY + YARD. . - FRONT PROP.LINE WAYI.WIDTH ADDRESS iVO. LIC + _ CITY CLASS CONSTRUCTION LENDER BLDG.SETBACK FROM NAME AND BRANCH SIDE PROP.LINE OF (STREET) HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF• EXISTING = Las. ADDRESS CITY SIDE PROP.LINE HIGHWAYI WIDTH V SO.FT NO.OF NO,OF CHECK + _ SIZE STORIES FAMILIES ONE / DESCRIPTION OF WORK NEW P.C. Fee$ .4/0 Permit Fee O C ADD ff� Q Issuance Fee 4A tx Cts G ALTER G e REPAIR ❑ q Total Fee USE OF DEM OL ❑ EXISTING BLDG. -y� t-✓+ _ J Z APPLICANT TEL2 z"5 0•.J,7 A (PRINT) \ O. 46 3 L/5 o -7 1- J # o o o o 2 1 BY(SIGNATURE) , Q 2'0 0504.0 I HEREBY ACKNOWLEDGE THA AVE N READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL.ORDINANCES W AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE V 10 0'05 Q, 0 c=i WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF -6201-.7-79.1*!� ,. THE LPENSABOR CODE OF,THEANCE,STATE OF CALIFORNIA IN RELATING 6 2 TO WORKMEN'S COM- j, S O O`-7 9• d SIGNATURE OF z 503.8 A PERMITTEE # 0 0 0.0 o ADDRESS Z TEL. 2 0 0 9 7 0.0. CITY NO. USE ZONENOP o o , a ,0 0 0 9 7,0 0 X &ECJAL r 0 6 2 0'-7 9 ITIONS. g at FINAL BY I e d DATE IK// .. :Y/ °:. -'APPLICATION R BUILDING PEIR.M.IT FOR APPLICANT,TO FILL IN (Print 6,_type only) BUILDING BUILDfNG - ADDRESS. T � - /.• ADDRESS CITY ' Ci �• } ZIP 1t OF BLOGS. LOCALITY SIZE OF LOT Os' Z.�GJOW ON LOT NEAREST CROSS ST. 'Y-- - /°I2 •�-L1:3 ASSESSOR • TRACT � G' BLOCK LOT NO. MAP BOOK PAGE PARCEL .• . TE.L �' { DISTRICT GROUP TYPE 'FIR.E PROC SED BY OWNER Z NO. 'CONS NE ADDRESS - '-" •-Q ' V . STATISTICAL CLASSIFICATION SEWER MAP CITY .��"•ZIP 4 CLASS NDWELL.UNITS ,BK- FG ARCHITECT OR TEL. ENGINEER NO. USE�ZONE MAP NO. a _ - [ l ADDRESS SPECIAL - 'r TEL 7 p��' j/— " CONDITIONS CONTRACTOR / NOJ�LU'� - - - LIC. J ROAD DEPARTMENT APPROVAL REQUIRED YES.❑' NO ❑. , ADDRESS / - t BLDG SETBACK FROM � CITY �y� /� C ASS ��J T/ FRONTP,ROP.LINE OF (STREET) CONSTRUCTION LENDER ,v' /J J,_G. .-HIGHWAY } YARD = TOTAL.SETBACK FROM TYPE OF EXISTING r NAME AND BRANCH. - 'FRONT PROP. LINE HIGHWAY 'ADDRESS - CITY + ,2e a SQ. FTT��"� NO. OF NO. OF CHECK 'BLDG.SETBACK:FROM '.� SIZE STORIE FAMILIES ONE SIDE.PROP.LINE OF (STREET) NEW '■ 1GHWAY + YARD - TO-TAL-SETBACK FROM -TYPEOFEXISTING •C) DESCRIPTION OF. WORK .. SIDE PROP. LINE HIGHWAY WI,DTH,• I­ SID ADD - Lu N r - AL E .CORNER CUTOFFYES NO ❑ _ - REPAIR❑ USE„ EX TIN„ BLDG. DEMOL E:] IN OPEN SPACE YES ❑ NO �❑; - APPLICAN TEL ,ry,{''{� IN COASTAL ZONE. YES (PRINT) N0. / NO ❑ - z. BY (SIGNATURE) --- NMENTAL ' CANE GOR(CAL EXEMPTIONYES❑, NO,.❑ Q� /1 IMPACT. EXEMPTION DECLARATION SIGNED- (DATE) VALUATION•Y .� �'ti �,'i 'IMPACT REPORT PRPCESSED (DATE) I HEREBY ACKNOVKEDGE THAT i HAVE READ THIS APPLICATION; AND STATE THAT THE ABOVE IS CORRECT AND.AGREE TO COMPLY •s )r i'/d/�L/�'7/DJJ N077L•E- WITH ALL ORDINANCES AND LAWS_ REGULATING BUILDING STRUCTION.' .1 CERTIFY THAT IN DOING THE WORK AUTHORIZED - „1 HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR' CODE OFTME STATE CA FORNIAZINLATINGTO'WORKMEN'S C'MPENSATIO 5 A SIGNATURE OF FINAL' 18Y - PERMITTEE - _ D'A TE '�^ ~l / �� ADDRESS oo�. P.C. Q �Y rFE�E;P - TE CITYNO PLAN CHECK VALIDATION cK. M.O. CASH PERMIT VALIDATION' c M.O. CASH,, .5 9riiih c`I 1 D 76A638B CE#803A 5/7.3 - - _ F e APPUC AMON FOB SULD NG PERNT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDR SS 1J I herebyaffirm that I have a certificate of consent.to self insure, BUILDI A DRESS T .i �/ 7�. or a certiilcate of Workers' Compensation Insurance,or a certified ( .J-V copy thereof(Sec.3800,Lab.C.) CITY ZIP _ ' LOCALITY Policy No. Company SIZE OF T - d NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. Q X )Co 04A R_ NEAREST CROSS ❑ Certified copy is filed with the county building inspection TRACT BLOCK I LOT NO. .USE ZONE MAP NO. department. l/ ASSESSOR MAP //AP/BOOK PAGE PARC L Date Applicant j d (O !/ SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER T E NO. COMPENSATION INSURANCE � rQ- if• T � WITHIN 1000 FT.OF SCHOOL. YES NO (This section need not be completed if the permit is for one hundred ADDREs l� T Q��� DISTRICT GROUP T E CONST. FIRE ZONE PROCESSED BY dollars($100)or less.) •, � Q . CITY I 7 certify that in the performance of the work for which this permit I�J �VI /( / is issued, !.,Shall not employ any person in any manner;so.as to ARCHITECT•OR EN INEER • TEL NO. ' become subject,to the Workers'Compensation Laws. Co ) L• s/ (t'V. 2t / STATISTICAL CLA TION APT CONDO Date - Applicant FCjDDRESS Yt /7n/,. 7 O CLASS NO. DWELL UNITS NOTICE TO APPLICANT.' If, after making this Certificate of [� ot Iltz( 4)leo V ��-(�/' REQUIRED TOTAL SETBACK FROM EXIST Exemption, 'you Should become Subject t0 the Workers' CONTRACTOR �-Y PT 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 LI NO. P IL LICENSED CONTRACTORS DECLARATION r�'�� y �� _ SIDE CITY C�% LIC.CLASS P L I hereby affirm that. I.am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business andFT..SIZE NO.OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. h- $ NEW BK PG a S DESCRIPTION O WORK. VALUATION License.Number Lia'Class ADD ❑ D Contractor Date ALTER ❑ $ 13 -D PUT°a ❑ I am exempt under Sec. Y� I REPAIR ❑ $ 0 BAP.C. for this reason DEMOL ❑ !DMA P/C# 3303 224.408"°40 W Date: - USE OF EXISTING BLDG 6 - URM ❑ T T11 ITEMS ,{ A� Signature APPLICANT(PRINT E N�j ', p LDMA Perm# ..i_- �t,l�t AL "Y'® q.9 ❑,I, as owner of the property, or my'employees with'wages as Q✓e�� K• ( d '1'`�{ Z ',` rrii���uu !�v their sole.compensation, will do the work and the structure is O' ut L7E`•fi 224.40 not intended or offered for sale (Section 7044, Business and �• C'K. .� A7i7Q.. f�P�7! �0✓� -�. FINAL DATE a>NON °00 Professions Code.) - WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ., � '+'� � � �+ C OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE �0 7 ❑ I, as owner Of the property, am exclusively contracting with FINAL BY > 33 7`4 AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? �' °'"•"� licensed contractors to construct the project (Section 7044, e Business and Professions Code.) vEs❑ No❑ �� 0000fonns 9/19/9. WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING •g= p�.� � OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH �3L t�J•} CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. ufy C 1 hereby affirm'that there is a construction lending agency for YES❑ No El �nE`•f\ �9�°�•.� the performance of the work for which this permit Is Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING _ CHANGE 1'.°�•+O 3097, CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, N TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. - CL 0 Lender's Address 0000'0001 11/27/95 . 0 OWNER OR AGENT i oI certify that I have read this application and state under penalty 3444 1 PM 6:09 0 of perjury that the above information is correct.I agree to comply P.C.FEE ` T D PERMIT FEE ,•� _ .N with all county ordinances and State laws relating to building - � construction, a hereby authorize representatives of this County ISSUANCE FEE t e upon t above-m tioned property for inspection/pur sea a • INVESTIGATION FEE TOTAL FEE Gg, ` oa 2.113• '2. SEE REVERSE FOR EXPLANATORY LANGUAGE 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 0001060050 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 5904 LT: 112 BL: .001 SQ. FT STORIES TYPE 5919 IVAR AV STRUCTURE: 0 VN TEMP CA 917801520 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: HERMOSA 5386-011-056 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE ZONE: RI ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 01/06/00 UT 07/04/00 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: FUNG CHRISTINA;BERNAL JACK (626) 675-5225- 1 3,700 J/'��� Q 5919 IVAR AV /, TEMP 917801520 FEES PAID DESCRIPTION OF WORK RECOVER OVER EXISTING ROOF WITH GS COMP. SHINGLE - 20 YR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID3700.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O-EN=HC==X3700.00 VAL 115.80 -TOTAL FEES 144.05 CONTRACTOR: TEL. NO: ® p �9��w APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER I LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: I j FOUNDATION/TRENCH FORMS LIC. NO J: _ 1111111 SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMF:1(' i i n 1 �� f F:" UNDERFLOOR INSULATION 150H261 3 101=� 1 Li �� r�/�=�u� � �I� �' \ J FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:---—-- - -- --- ----- NO 21 --" f-- d' / �- -- ROOF SHEATHING SCHOOL WITHIN HAZARDOUS �4� t SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS _; %' 0 NO NO NO r J FRAME INSPECTION �.✓ REQUIRED TOTAL SETBACK FROM EXIST ��� ` Q��C"� FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- \° �'� �i/ INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CELL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT;DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 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 1408040061 PHONE: (626) 285-0488 EXT: ILEGAL ID: I 140. OF CONST I BUILDING ADDRESS: ( ITR: 5904 LT: 112 BL: .001 SQ. FT STORIES TYPE I 5919 IVAR AV 1 (STRUCTURE: 20, V-B TEMP CA 917801520 (ASSESSOR INFORMATION NUMBER: .. 1 NEAREST CROSS STREET: LOWER AZUSA 1 15386-011-056 I THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl (TENANT: IEXIST BLDG USE: RESID E ZONE: R-1 (ISSUED ON: PROCESSED BY: 1 IEXIST OCC GRP: 108/04/14 SR 10WNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: IF AL DATE F AL BY: CODE: 1 IFUNG CHRISTINA - I 10,000 1 15919 IVAR AV I r ITEMP 917601520 .I FEES PAID. 1D SCRIPTIO OF WORK 1 (REMOVE EXISTING ROOF/RE SHEATH O.S.B. 15/16 PLYWOOD, 30 LB- IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IFELT - 30 YEAR ASPHALT SHINGLES 1 (APPLICANT: TEL. NO: •I 1 _ FRATUS, JAMES (626) .393-2117- IAA BLDG PERMIT ISSUANCE 27.80 1732 N HARTLEY STREET - 'IAB STATE GREEN BLDG FEE 10000.00 VAL 1.00 ISPECIAL CONDITIONS: 1 IWEST COVINA CA 91790 IAC STRONG MOTION RESID 10000.00 VAL 1.00 1 1 ID2 PERMIT W/O EN-HC 10000.00 VAL 216.60 { TOTAL FEES 246.40 ICONTRACTOR: TEL. NO: :1" (APPROVALS DATE INSPECTOR SIGNATURE 1 ITOP CHOICE ROOFING (626) 393-2117- 1 1732 NORTH HARTLEY ST. - LIC. NO .I (LOCATION AND SETBACKS IWEST COVINA, CA 91790 928190 ;I I SOIT,S ENGINEER APPROVAL (ARCHITECT OR ENGINEER: TEL. NO: 'I IFOUNDATION/TRENCH FORMS 1 1 LIC. NO: 1 ISLAB/UNDER FLOOR I I . I I I •1 I IRAISED FLOOR FRAMING 1 1 f IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:'lI (UNDERFLOOR INSULATION 1 3 001 I I E) IFLOOR SHEATHING I NO. OF FAMILIES: -DWELLING UNITS: APT/COND: STAT CLASS: I NO 21 IROOF SHEATHING SCHOOL WITHIN HAZARDOUS 1 1.SHEF,R PANELS (AIR QUALITY: 1000 FEET MATERIALS 'I 1 NO NO NO 1 1FRAME INSPECTION 1 IFIRF SPRINKLER HANGERS 1 (INSULATION/WEATHER STRIPI " .Y INTERIOR LATH/DRYWALL 1 1 I IEXTERIOR LATH RATE�D FLOOR/CEIL ASSEM. I I I_. I I I I 1RATED-WALL ASSEMBLIES 1 I IRATED SHAFTS/OPENINGS IT-BAR CEILINGS - I *-ADDITIONAL DATA ON FILE I I I I (LOT DRAINAGE I I IREPORT ID: DPR261 ROUTE TO: BS0508