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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