HomeMy Public PortalAbout5937 IVAR AVE_Building__ APPLICATION FOR COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER'
BUILDING PERMIT BUILDING AND SAFETY DIVISION
BUILDING
FOR APPLICANT TO FILL IN ADDRESSsir9 3 U.A
BUILDING
ADDRESS LOCALITY
NEAREST
CITY Tem le Cit ZIP 91780, CROSS ST.
50 1X1i"69 f NO.OF SLOGS.One ASSESSOR
SIZE OF LOT - NOW ON LOT MAP BOOK PAGE PARCEL
_. DISTRICT GROUP TYPE FIRE MSED BY
TRACT 0 BLOCK LOT NO. �,08 � CONSTZ!yE ��
OWNER ML .&Mrs,*11a.de T6xdya NO. IO `!1
T STATISTICAL CLASSIFICATION TION SEWER M/A�P,
ADDRESS 5937 No. Ivar CLASS NO.c • DWELL•UNITS /n.BK 9(OPG
CITY Temple City ZIP
9�780 USE ZONE MAP +�
NO. 00
ARCHITECT OR TEL. SPECIAL
ENGINEER ' ' And"4=Z1. TIM
77II��r( x�
NO. CONDITIONS
AODRESS1500 Mira.•Valla •.. Monterey Park ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑
CONTRACTORWork. Unlimited Co ,- 722 14 LDG.SETBACK FROM
FRONT PROP.LINE OF (STREET)
ADDRESS ira .' NO.LIC. HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
LIC. FRONT PROP. LINE HIGHWAY WIDTH
Man CITY CLASS
CONSTRUCTI N E +
NAME AND BRANCH Owner BLDG.SETBACK FROM
a.
ADDRESS CITY SIDE PROP. LINE OF (STREET) C.)
SQ. FT••� NO. OF NO. OF CHECK HIGHWAY + YARD = TOTAL E K FROM TYPE OF EXISTING
SIZE ; 2_ STORIES FAMILIES ONE SID P. LINE HIGHWAY WIDTH 0
LU
_ V
DESCRIPTION OF WORK Modifications NEW ❑ + CI-
for
for Guesthousre - divide'
ADD ❑ CORNER CUTOFF Y S ❑ NO ❑ Z
existing room, into m _A LTER Iv I
777❑fff IN OPEN SPACE YES ❑ o NO
REPAIR ❑
USE
EXISTOF
B�Lrr77DG. Dwelling DEMOL'❑ IN COASTAL PERMIT ZONE YES E] NO C]APPLICANTpyor .,Unlimited ConTf-L 722-1494
(PRINT) NO.
BY (SIGNATURE)
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF TME STATE OF CALIFORNIA I RELAT G --1-27 TO
WORKMEN'S COMPENSATION INSURANCE.
SIGNATURE OF FINAL BY C1- I'a
/�
PERMITTEE ��- � �' '� DATE A
ADDRESS ?" -
CITY Monterey Park. TEL-722=1494 P.C. Fee$ Permit Fee
VALUATION$2,950.00 Issuance Fee
Total Fee .18 "S—v
PLAN CHECK VALIDATION CK. M.O. CASH PE:!T VALIDATION CK. M.O. CASH
S48isjUIN+ 2 8.50di
76A638A CE#803B 1275 '
I
}g�� gyp{ 1I��p/� py�g�Ipl FOR
� qq gp It'I pp®ay� ��rq PERMIT wpm 1.
76A636A. CE#'B035-96, A LI @PATI m9'Y V 11 @: R B�/ILDi� G 11 ERMI tl _ ,
COUNTY OF LOS ANGELES BUILDING tee' . e
DEPARTMENT OF COUNTY ENGINEER ADDRESS �� d�
BUILDING AND SAFETY DIVISION LOCALITY _
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING _ CROSS ST. t
DISTR=.NO. GR BY
FOR APPLICANT TO FILL IN TYPE
CONST.;;
BUILDING LL/f STATISTICAL CLASSIFICATION R MAP
ADDRES \.T j �� • ! K
/ CLASS:NO. DWELL.UNITS i_"•""
LOT NO. ! BLOCK WATER NOT REQUIRED RECEIVED i
Ix. i CERTIFICATE: -
TRACT, MAP '- L HIGHWAY ATE MAJOR SECON �OCAL
.L j/ B
NO.OF LDGS. NO. .((CIRCLE)
SIZE OF LOT,_,')-o �'S O I NOW ON LOT �'� USF„ZdNE S ECIAL
USE OF `, i CO DITIONS`. 9
EXISTING BLDG. ��-(ti `I x'
TEL / � t:, -
OWNE /'� /, N JGJ BUG ETI NG YARD HWY : STREET NAME' EXIST.
r SETBACK WIDTH„
'ADDRESS '
�o -u72" �'F•� } vl F.RONT // '
ARCH ITECT OR TEL. P. L. '�1 i D
ENGINEER NO. SIDE
P.L.
ADDRESS
TEL. INSPECTION RECORD
CONTRACTOR ref NO. I. .
ADDRESS .. , y. y��C-_ - w /I u t 4 j
DESCRI0TI0k OF WORE
�NE ADD ALTER •=REPAIR DEMOLISH
SQ.FT. NO.OFNO.OF
STORIES FAMILIES /
USE OF• ' '
STRUCTURE
SIGNATURE OF
APPLICANT-
VALUATION
PPLICANT VALUATION$ �'V'(/ I ,
APPROVALS - DATE INSP,ECTOR'SSIGN ATURE
FEE $ FEE '$ FOUNDATION: LOCATION
FORMS, MATERIALS .,L '.R'fh.-n./�II'�=-•. .
FRAME: FIRE STOPS, �//-lL�•/ ,y
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS � 6 r
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, '� ^
WITH ALL COUNTY,ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK .
AUTHORIZED,HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. !�
TION OF THE LABOR CODE OF,THE STATE OF ALIFORNIA RELAT-
ING TO WORKMEN'S COMP PION i SUR CE. 6'!
�j/�. LATH,EXT.
PERMITTEE OF � ` HRECT AND POSTED
OUSE NUMBER R
ADDRESS 2 �'�' I J FINAL
CLYDE N'. DIRLAMf, PYRIINCIPAL STR ..RAL ENGINEER
PLAN CHECK VALIDATION cK. M.O. CASH PERMIT V AL DATION CI(t' MsO. CASH
b
LIQ R ? o JAfl 1 g 1 A 6.C► '�
V1jpRKERS'COMPENSATION DECLARATION Y.
1. r �..``` _ . y
I, hereby affirm that I have a certificate of consent to self A P P L I CATION FOR BUILDING PERMIT
i.nsure, ora rtificate•bf Wc2rkers' Compensation Insur ce,
or a certified copy thereof (SPC. 380" b.•C.)
,, P A� COUNTY OF LOS ANGELES -•- BUILDING AND SAFETY
Policy No. Com2ny -
❑ Certified copy is hereby furnished. FOR APPLICANT TO,,FIL'L IN ADDRESS
_ ADDRESS
aCertified copy is filed-with the county building`inspec- BUILDINGQ f
tion department. ADDRESS 5 /3 7 PD, V A(2-
Dat
_
Date r Z_ - Applic nt CITY (� �(� ZIP LOCALITY
CERTIFICATE OF EXEMP.TIO��ROM WORKERS' ' t`' NO.-OF BLDGS. NEAREST
COMPENSATION INSURANCE SIZE - LOT O NOW ON LOT CROSS ST.
(This section need not be completed if the permit is for one - - ASSESSOR
hundred dollars ($100)or,less.)• TRACT BLOCK LOT NO MAP BOOK PAGE PARCEL
TEL. US ZONE MAP
certify that in the performance of the work for which,this OWNER �1/Q NO. NO. �� }
permit is issued, I shall not employ any person in any manner /� J(, ( SPECIAL
so,'as to become-subject to.the Workers Compensation Laws. ADDRESS --�r! CONDITIONS
CITY _. ZIP-
NOTICE
. -
NOT Applicant OTICE TO APPLICANT: If, r'aftemaking this Certificate of ENGINEER ARCHITECT OR TEL. DISTRICT GRJUP_. TYPE. FIRE PROCESSED BY.
Exemption, you should become subject to the Workers' � � NO. / 7 CONST ZONE LU
Compensation provisions of the Labor Code,-you must forth- ' ADDRESS /v/vx
with comply with such provisions or-this permit shall be
deemed revoked. //�� TEL. (( STATISTICAL CLA§SIf�ICATION APT. ONDO.
CONTRACTOR 4.Ct /���� NO. 77 07fo �!/
LICENSED CONTRACTORS DECLARATION CLASS NO. DWELL. UNITS
c LIC:
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS `Z (�a0��(- NO.13e6 33
(commencing with Section 7000)of Division 3 of,the Business and _ LIC I SEWER MAP
Professions Code, and my license is in full force and effect. CITY F-11 - 1"C CLASS 8r1 BKA PG 17� VALIDATION
SQ. FT
1/y
NO.OF NO. OF CHECK
License Number ` .Lb.�J p�Lic.Class y _+ SIZE _327 / STORIES ���y, FAMILIES I ONE .
,. c,4 r�Ile&. e' 6J,0CL -NEW . .❑ VALUATION,
N. 60. _
Contractor r ' Date DESCRIPTION OF WORK-'-'/� /�^ Q ••�' / ��
/�l l v'l_ ..� /`1!/Y Q ./!'I. . ADD a pC ,
❑ I am exempt under Sec. --' • - ❑
ALTER ,
B.&P.C. for this reason REPAIR ❑ $
Dare: USE OF
EXISTING BLDG. /` C� DEMOL ❑ _ -.
Signature APPLICANT TEL. FINAL
OWNER-BUILDER DECLARATION
(PRINTNO. DATE 17
-
I hereby affirm that l am exempt from the Contractor's License
Law for the following reason (Section 7031.5, Business and ADDRESS FIN
Professions Code): PRESENT By- 6.4.5.4 A__
❑ BUILDING
I, as owner of the property, or my employees with ADDRESS
�
wages as their sole compensation,.will do the work and - # o o o a o
the structure is not intended or offered for sale(Section LOCALITY -
7044, Business and Professions Code). MOVING "' TEL. ' s I ° 3 0 6 7 5
U 1, as owner of the property, am exclusively contracting CONTRACTOR NO. ✓`', v�•;_, o a 30 67 5 5
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code). o G o2 m_ 8 7.
CONSTRUCTION LENDING AGENCY SETT BACK 'YARD HWY TOTAL SETBAICNEFROM- WIDTH
I hereby affirm that there is a construction lending agency for FRONT '
the performance of the work for which-this permit is issued PA. - - - - - -
(Sec. 3097, Civ. C.). SIDE
P.L.'. -
Lender's Name
LDMA Ref. #
- Lender's Address P.C. Fee$ Permit Fee .CJ - - -
> , -
w I certify that I have read this application and state that the Issuance Fee- V rV LDMA P/C# --- -
above information is correct. I agree to comply with all County Investigation Fee
0 ordinances and State laws relating to building construction, �J S
m 9 9 Total Fee- - LDMA Perm. # -
and hereby authorize represent due's of this County to enter
po above-mentio rty for inspection roses.
< SEE REVERSE WJt 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 9910220019
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 5904 LT: 115 SQ. FT STORIES TYPE 5937 IVAR AV
STRUCTURE: 0 VN TEMP CA 917801520
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: HERMOSA
5386-011-059 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.: 10/22/99 UT 04/1.9/00
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
TANDYA MADE;MAYLIE (818) 286-1654- 1 29,500 _
5937 IVAR AV 5 '�®O
TEMP 917801520 FEES PAID DESCRIPTION OF WORK
INSTALL HADICAP RAMP, BATHROOM DEL, DEMO AND REBUILD
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: FIREPLACE AND CHIMNEY, ENLARGE DOORWAY-HOUSING REHAB
APPLICANT: TEL. NO:
HUNT INTERIORS, INC. (626) 285-8439- AA BLDG PERMIT ISSUANCE 27.75
1100 S. SAN GABRIEL AC STRONG MOTION RESID 29500.00 VAL 2.95 SPECIAL CONDITIONS:
SAN GABRIEL, CA D2 PERMIT W/O-EN=HC= 29500.00 VAL 536.70
TOTAL�FEES 567.40
CONTRACTOR: TEL. NO: APPROVALS Gl��,� APPROVALS DATE INSPECTOR SIGNATURE
HUNT INTERIORS, INC. (626) 285-8439-
1100 S. SAN GABRIEL BLVD. LIC. NO LOCATION AND SETBACKS
SAN GABRIEL, CA 91776 6565246
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. N0: / 1111111 SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
UNDERFLOOR INSULATION
MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP" ln n [D LOu U��
150H261 3 II 01=J� l'
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS.NO 21 \� O 0 - ROOF SHEATHING
Al
SCHOOL WITHIN HAZARDOUS Te SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS 0o F711
FRAME INSPECTION
NO NO NO i
2 Z-q
REQUIRED TOTAL SETBACK FROM EXIST �9� ®Q� FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH: Bdc Re {t� INSULATION/WEATHER STRIP
FRONT PL- NJ
SIDE PL-
INTERIOR LAT /DRYWAL
EXTERIOR,LAJH
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
a
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 1211060050
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST I BUILDING ADDRESS:
ITR: 5904 LT: 115 SQ. FT STORIES TYPE 5937 IVAR AV
STRUCTURE: 2000 V-B TEMP CA 917801520
(ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
15386-011-059 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl
TENANT: JEXIST BLDG USE: RESID USE ZONE: R-1 IISSUED ON: PROCESSED BY:
IEXIST OCC GRP: 111/06/12 SR
(OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: I AL ^ FI AL Y: CODE:
IDINI, TANDYA (818) 286-1654- 1 5,500 1
15937 IVAR AV t�
ITEMP 917801520 FEES PAID D RIPTION OF WORK
IT/O REROOF HOUSE 2000 SQFT LASS A 30 YR SHINGLES
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ICOMPOSITION I
(APPLICANT: TEL. NO: I I
IBLANCIE, GUY SR (626) 679-1284- IAA BLDG PERMIT ISSUANCE 27.80 I
16252 TAMPLE CITY BL IAB STATE GREEN BLDG FEE 5500.00 VAL 1.00 -(SPECIAL CONDITIONS: I
(TEMPLE CITY CA 91780 1AC STRONG MOTION RESID 5500.00 VAL 0.60
I ID2 PERMIT W/O EN-HC 5500.00 VAL 149.40 I 1
I 1 TOTAL FEES 178.80 I
ICONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1
IB AND G ROOFING (626) 679-1284- 1 I
16252 N TEMPLE CITY BLVD LIC. NO I ILOCATION AND SETBACKS
ITEMPLE CITY CA 91780 903492 I 1
I I ISOILS ENGINEER APPROVAL
1ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS I
1 LIC. NO: 1 1SLAB/UNDER FLOOR I
-(RAISED FLOOR FRAMING I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( IUNDER.FLOOR INSULATION I I
1150H261 3 001 I 11
I I IFLOOR SHEATHING 1
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: 1 I II_
I 0 NO 21 1 (ROOF SHEATHING
I SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I 1
(AIR QUALITY: 1000 FEET MATERIALS I
1 NO NO NO 1 (FRAME INSPECTION I I 1
I I I I I
(FIRE SPRINKLER HANGERS I I
(INSULATION/WEATHER STRIPI I
(INTERIOR LATH/DRYWALL I I 1
IEXTER.IOR LATH
I I (RATED FLOOR/CEIL ASSEM. I I I
I I (RATED WALL ASSEMBLIES I I I
I I (RATED SHAFTS/OPENINGS I I I
I I IT-BAR CEILINGS I I I
ILOT DRAINAGE I I I
(REPORT ID: DPR261 ROUTE TO: BS0508
I I I I I 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 1211060051
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST BUILDING ADDRESS: I
ITR: 5904 LT: 115 I SQ. FT STORIES TYPE 1 5937 IVAR AV i
I (STRUCTURE: 400 V-B TEMP CA 917801520 I
(ASSESSOR INFORMATION NUMBER: 1 NEAREST CROSS STREET: 1
15386-011-059 I THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl
I I I I
(TENANT: (EXIST BLDG USE: DETAC USE ZONE: R-1 (ISSUED ON: PROCESSED BY: 1
1 (EXIST OCC GRP: 111/06/12 SR 1
I I I I
(OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IFI AL DAT FINAL Y: CODE: 1
IDINI, TANDYA (818) 286-1654- 1 1,000 1 �/ I
15937 IVAR AV I I 1
ITEMP 917801520 1 FEES PAID 1DE RIPTION OF WORK V1
I I IT/O REROOF DETACHED GARAGE 400 SQFT CLASS A 30 YR SHINGLES I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ICOMPOSITION I
(APPLICANT: TEL. NO: I I I
IBLANCIE, GUY SR (626) 679-1284- IAA BLDG PERMIT ISSUANCE 27.80 1 1
16252 TAMPLE CITY BL IAB STATE GREEN BLDG FEE 1000.00 VAL 1.00 (SPECIAL CONDITIONS: 1
ITEMPLE CITY CA 91780 IAC STRONG MOTION RESID 1000.00 VAL 0.50 I I
1 ID2 PERMIT W/O EN-HC 1000.00 VAL 65.40 I 1
1 1 TOTAL FEES 94.70 I I
(CONTRACTOR: TEL. NO: .1 1APPROVALS DATE INSPECTOR SIGNATURE 1
IB AND G ROOFING (626) 679-1284- 1 1
16252 N TEMPLE CITY BLVD LIC. NO 1 ILOCATION AND'SETBACKS 1 1
ITEMPLE CITY CA 91780 903492 1 I I
I ISOILS ENGINEER APPROVAL I I
I I I I I I
(ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I I
1 LIC. NO: I (SLAB/UNDER FLOOR 1 I 1
I I I I I I
I IRAISED FLOOR FRAMING 1 1 1
I I I I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 1UNDERFLOOR INSULATION I I I
1150H261 3 001 1 I I 1
I I IFLOOR SHEATHING I
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I I I
1 0 NO 21 1 1ROOF SHEATHING I
1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS 1 1 1
(AIR QUALITY: 1000 FEET MATERIALS 1 I ' I I
1 NO NO NO I IFRAME INSPECTION 1 I 1
I I I I I I
I IFIRE SPRINKLER HANGERS I I
I I I I I I
(INSULATION/WEATHER STRIPI I I
I i I I I
I I (INTERIOR LATH/DRYWALL 1
I I I I I I
I I 1EXTERIOR LATH I
I I I I I I
I 1 IRATED FLOOR/CEIL ASSEM. I 1 I
I i I I I I
I I IRATED WALL ASSEMBLIES I I I
I I I I I I
I I IRATED SHAFTS/OPENINGS I I
I I I I I I
1 IT-BAR CEILINGS I I
I I I I I I
I ILOT DRAINAGE I
(REPORT ID: DPR261 ROUTE TO: BS0508 I I
I I I I I I
i