HomeMy Public PortalAbout6003 IVAR AVE_Building__ 76A638A CE 0803 12/69 pp T1® ®R
APPIL�CAB6W I NG PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
. JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALIT
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
Print oft a only)
•DISNx
GROUP S PR E�
.BUILDING CON
ADDRESS.,600 . Ivar St Tem le CitySTATISTICALCLASSIFICATION SEWER M •Pm.
LOT NO-Southhalf of 11 BLOCK
BY
CLASS NO. �/ DWELL,UNITS BK PG
TRACT 5904 USE ZONE MAP '
NO.OF.BLOGS. NO. d �✓
SIZE OF LOT NOW ON LOT / SPECIAL '
USE OF - CONDITIONS
EXISTING BLDG. Residential
OWNER Gregdry Gorman NoL28 -422
BLDG.SETBACK FROM
ADORESs6003 Ivar Street FRONT PROP,LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY TeMple Cit California HIGHWAY WIDTH FROM C.L.'
ARCHITECT OR TEL. + _
ENGINEER NO. BLDG.SETBACK FROM
ADDRESS SIDE PROP. LINE OF
(STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD TOTAL
CONTRACTORNo.construction CO NOL 28 - 4 HIGHWAY WIDTH .FROM G.L.
Llc
ADDRESS) 1 7 E. Las Tunas No ' l 2. - + � _ ''
[L
LIC. c:)
CIT` CLASS - CORNER CUTOFF YES ❑ NO ❑ V
CONSTRUCTIONNAMEAND BRANCHND rocker National Bank SEE REVERSE SIDE FOR SPECIAL APPROVALS
U
W
ADDRESS128 E. Huntin ri toDr. Arcadi m
,y e B -
SO. FT. NO. OF NO. OF 4�wd < 5,���,�8,�{,�41/.7 c A
SIZE STORIES _FAMILIES 1 NEW ❑ .r aJ i
USE OF ADD ❑ AS,f'S', .�rd . -
STRUCTURE Reside.ntial
ALTER
Kit . remodel & Servi e Room REPAIR❑
SIGNATURE OF
APPLICANT EOL' ❑
VALUATION 1®.OO APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION: LOCATION
FEE $ FEE$ FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT [.HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
.LABOR CODE OF THE STATE OF 'CALIFORNIA IN RELATING To
WORKMEN'S COMPENSATION INSU LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINALllrtn -
-79'15r yy
pp JOHN F. LEWIS. PRINCIPAL STRU RAL ENGINEER
PLAN CHECK VALIDATION Cl. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
3, '75 22 I 'D:- 4=8'7.5 e
76A638A CE #803 3-69- p
APPLICATION ION F®P BUILDING PE0T
COUNTY OF LOS ANGELES BUILDING
ADDRESS d�
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY `
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST
CROSS ST.' '
DISTRICT NO. GROUP TYPE CON OC
FOR APPLICANT TO FILL IN ��
(PRINT OR TYPE ONLY)
BUILDING STATISTICAL CLASSI ICATION SE ER'.MAP
ADDRESS.
,660.03• No . Ivar T Avenue , _1 •,C CLASS N0. DWELL.UNITS `-BK PG
LOT NO. /J- BLOCK USE ZONE MAPN0. f� - -- --
V
TRACT 3-904 SPECIAL '
N0. OF BLDGS. CONDITIONS
SIZE OF LOT NOW ON LOT
r
USE OF r
EXISTING BLDG. - BLDG. SETBACK FROM -
TEL. FRONT PROP. LINE OF '°' (STREET).
OWNER b:-. _ N0. 287-4593 TYPE OF EXISTING SETBACK HIGHWAY .,+ YARD = TOTAL
ADDRESS
-6003
HIGHWAY 'WIDTH FROM C.L.
- -
_ + _
CITY Temple City . California
ARCHITECT OR TEL. SILIN
DG.SETBFROM - (STREET)
ENGINEER N0. SDE PROP. LINE OF
TYPE OF EXISTING SETBACK HIGH - . YARD �WAY _ TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
CONTRACTOFH . L . Randol Co . NEo.' 288-4040 c
ADDRESS 529 1 . Val 1 ev B1 vd N0. 186086 CORNER CUTOFF YES E] NO ❑: �
LIC.
CITY San Gabriel , Cal . CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS
- U
CONSTRUCTION LENDER Lu
NAME AND BRANCH CL
N
Z
ADDRESS
SQ. FT. NO. OF N0. OF
SIZE STORIES FAMILIES NEW ❑ 'a
USE OF ADD ❑
STRUCTURE ❑
ALTER- '
REPAIR
SIGNATURE OF DEMOL ❑
APPLICANT
VALUATION $ 600 . 00 APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION: LOCATION -
FEE $ FEE $ 9 . 00 .FORMS MATERIALS -
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS,
BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE'TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- GAS VENT DUCTS
TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I -
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT.
OF THE!STATE OF CALIFORNIA IN R ING TO WORKMEN'S COM-
PENSATION INSURANCE LATH, EXT.
SIGNATURE HOUSE NUMBER CORRECT
PERMITTEE AND POSTED
ADDRESS 52.9 F V.al�i Rlv.d , SanGa.b •FINAL
JOHN F. LEWIS, PRI CIPAL.ST IaCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH - r PERMIT•VALIDATION CK. M.O. CASH
n
1:Ap X20 1 0 .00
( .
, . WORKERS COMPENSATION DECLARATION
rl her'e6y affirm that I ;haver,rsr C cate.,of consent to self n
insure, oi'a certificate of Workers' Compensation Insurance, L CAT�(am'
:F0
or a certified copy,thereof (Sec. 3800, Lab. C.-)
COUNTY.OF LOS.ANGELES BUILDING AND SAFETY
Policy No Company
E Certified copy is herebyfurnished `< , FOR APPLICANT'TO FILL IN.. BUILDING
'
ADDRESS
tion}depariment. , ADD ING .
Certified copy is filed with the county building inspec- BUIL
ADDRESS OOH, iY �L! `
�LG� '
Date'.. � Applicant - CITY ZIP LOCALITY
-CERTIFICATE OF EXEMPTION FROM WORKERS', n•• -NO..OF BLDGS. NEAREST
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT / CROSS'ST. Gf
(This'section'need notibe completed if the permitd0or one _ ASSESSOR
hundred dollars ($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL
TE &AZ MAP.
USE NE
OWNER MLS t ZI' NO. NO.
I certify.that in.the performance of the woik for:which this
perms issued;;)shall not employ any person in any manner r/f SPECIALi
so as to;become'subject to,the Wo er ompe ation ADDRESS �'� �V CONDITIONS
/Q'7t`. ei_ CITY f'r�fJ ZIP �� �[�
Date' APPIIco
ARCH ITECT'OR TEL.
NOTICE TO APPLICANT:.If;.after ma g t s" ertificate of UP CE SED BY O
Exemption you. should become 'subject t the Worker ENGINEER NO: DISTRICT CT GR TYPE FIRE PRO
CONST. ZONE V
Compensation provisions of.the Labor,Code ,you musY.forth- ADDRESS
with comply,with such_provisions or.this permit•shall be L1.
revoked TEL•" f � STATISTICAL CLASSIFIC TION' APT.. ONDO: C1J
deemed
,.' CONTRACTOR NO. J /�
LICENSED CONTRACTORS DECLARATION p^ LIC. CLASS'NO..'° DWEIC.'.UNITS"
I hereby affirm thot I am licensed 'under provisions of Chapter 9 ADDRESS
(commencing wiih Section 7000)bf Division 3 of the Business.and - LIC. SEWER:MAP
Professions Code, and my license is m fulf}foree and effect. CITY CLASS. BK. VALIDATION
PG
SQ.FT: NO.OF NO. OF CHECK
License Numbe / Lica Class r` SIZE STORIES FAMILIES - `ONE `
/V VALUATION .
r EW. $
Contractoi Date DESCRI IPf ON OF':WORK ❑ i-
❑ f.am exempt and Sec. h?ffSoa�� ADD -,❑ D
Y
/G - - ALTEREl
B.&R.C. for.this reason r:"/c `� PA $
v �r"-�� REPAIR
Date t USE OF. l; G,� EMOL ❑ 0.8.9 9.�
EXISTING BLD re . *7! # o co 0 0
Signature" APPLICANT-!FTEL.: q FINAL
PRINT '', NO.; ��Z/
OWNER-BUILDER DECLARATION DATE. .
I here affirm that I,am exempt from the Contractors License 6
C /J�� --�!V }I -a�06&63
ADDRESS lS� /^CL r"KJ ��y v
Law for the.following reason (Section 7031.5, Business•and FIN 0 0 0.6 a 6.3
Professions_Code): PRE E
BUILDING`" 2!-x 8
I, as owner of.the property, or my employees'with ADDRESS Q
B
wages as their sole compensation,will do,the.work and
8
the'structure is not.intencled or offered for sale(Section,-, LOCALITY -
7044, Business and Professions Code) MOVING . TEL..
'
1,,as owner of the property, am exclusively contracting CONTRACTOR NO:
with licensed.contract6rs to cohstruct.the.project (Sec
ADDRESS
tion 7044,,Business and Professions Code). "
CONSTRUCTION LENDING AGENCY REQUIRED, TOTAL SETBACK
SETBACK' YARD HWY.. PROP:-UNE'. WIDTH a '
I hereby affirm that there is a,construction lending agency for FRONT'
the performance_ of the work for which':this permit is issued P1.
(Sec..3097, Civ.C..). SIDE`
P.L.
Lenders Name P.C.•Fee$ Permit LDMA Ref, q
Lender's Address Fee ..
I certify"that I_have read this application and'state_that-the. Issuance Fee .. LDMA P/C k
above information is correct..I agree to comply with all County, Investigation Feer
c ordina es and State laws"relating to building construction, Total Fee.. (� LDMA.Perm,'q
an er by aut ze rep esentatives of flits County to enter
g u on a abo entio r y for inspection purposes.
a b.; 1P SEE REVERSE FOR EXPLANATORY LANGUAGE
n Signature Appli ofor-Agent Date
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 1210150019
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: 1
ITR: 5904 . LT: 117 UN: .002 1 SQ. FT STORIES TYPE 1 6003 IVAR AV 1
I ISTRUCTURE: 1100 V-B 1 TEMP -CA 917801522 - 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I
15386-011-062 1 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: I '
IEXIST OCC GRP: - 110/15/12 SR 1
1OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION:- IFINAL DATE FIN Y: CODE: 1
IGALDOS JAIME J;ANNE V (760) 724-0757- 1 1,100 I
16003 IVAR AVE 1 I
ITEMPLE CITY CA 91780.- - 1 FEES PAID IDESCRIPTION OF WORK 1
I IDETACHED GARAGE T/0 AND RER OF INSTALL 30 YR CLASS A 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ICOMPOSITION SHINGLE I
1APPLICANT: TEL. NO: I I :. I
1BLANCIE, GUY (626) 679-1284- IAA BLDG PERMIT ISSUANCE 27.80 1 I
16252 TEMPLE CITY BL •IAB STATE GREEN BLDG FEE 1100.00 VAL 1.00 ISPECIAL CONDITIONS: 1
ITEMPLE CITY CA 91780 1AC STRONG MOTION RESID 1100.00. VAL 0.50 I 1
I ID2 PERMIT W/O EN-HC 1100.00 VAL 82.20 I I
TOTAL FEES 111.50 1
ICONTRACTOR: TEL. NO: I 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 I- -
1TEMPLE CITY,CA 91780 903492 1
I I ISOILS ENGINEER APPROVAL I I.
1ARCHITECT OR ENGINEER: - TEL. NO: I - IFOUNDATION/TRENCH FORMS I I I
1 LIC. NO: 1 ISLAB/UNDER FLOOR I I I
I I I
I I IRAISED FLOOR FRAMING I I 1
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION
1150H261 3 001 I 1
1 - _1 IFLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/COND: -STAT CLASS: I - I I ISI
0 NO 21 i - - iROOF SHEATHING
1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I
1AIR QUALITY: 1000 FEET MATERIALS I. I
1 NO NO NO 1 IFRAME INSPECTION
I I I
I (FIRE SPRINKLER HANGERS I
I 11NSULATION/WEATHER STRIPI I
I 11NTERIOR LATH/DRYWALL I I
I I 1
1EXTERIOR LATH
I I I
I IRATED FLOOR/CEIL ASSEM. I
I I IRATED WALL ASSEMBLIES I I I
I I I
1 I IRATED SHAFTS/OPENINGS I I '
I I I
I IT-BAR CEILINGS I
1 I ILOT DRAINAGE I I
I I I
I IREPORT ID: DPR261 ROUTE TO: BS0508 I I
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 1210150018
PHONE: (626) 285-0488 EXT:
ILEGAL ID: N0. OF CONST
ITR: 5904. IT: 117 UN: .002 SQ. FT STORIES TYPE BUILDING ADDRESS: 1
I - . ISTRUCTURE: 1100- V_B 6003 IAI
I_ TEMP CAAAR 91788 01522 I
(ASSESSOR INFORMATION NUMBER: 1 1 NEAREST CROSS STREET: -
5386-011-062 I THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl
(TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: I
_ IEXIST OCC GRP: - 110/15/12 SR
I I I
DOWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE:
IGALDOS JAIME J;ANNE V (760) 724-0757- 1 2,700 1 //
16003 IVAR AVE I !.r\�
TEMPLE CITY CA 91780 I FEES PAID JAEYCRtMION OF WORK I
I - IHOUSE T/O REROOF INSTALL AR CLASS "A" COMPOSITION SHINGLEI
I - IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( - I
JAPPLICANT: TEL. NO: I .I I
IBLANCIE, GUY _ (626) 679-1284- JAA BLDG PERMIT ISSUANCE 27.80 I 1 .
16252 TEMPLE CITY BL JAB STATE GREEN BLDG FEE . . 2700.00 VAL y . 1.00 -ISPECIAL CONDITIONS: I
ITEMPLE CITY CA 91780• JAC STRONG MOTION RESID 2700.00 VAL 0.50 I
ID2 PERMIT W/O EN-HC 2700.00 VAL 99.00 I 1
I TOTAL FEES 128.30
(CONTRACTOR: TEL. NO: I - -JAPPROVALS DATE INSPECTOR SIGNATURE
IB AND G ROOFING (626) 679-1284- I 1_ I
16252 N TEMPLE CITY BLVDLIC. NO -ILOCATION AND SETBACKS I
ITEMPLE CITY,CA 91780 903492
ISOILS ENGINEER APPROVAL 1 I I
(ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I I 1
I - I
LIC. NO: i • JSLAB/UNDER FLOOR I I
I I I
I IRAISED FLOOR -FRAMING I
I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION
115OH261 3 001 1 I
I -I IFLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I
1 0 NO 21 I (ROOF SHEATHING /� // 111 / ^ 1
SCHOOL WITHIN HAZARDOUS I - ISHEAR PANELS
(AIR QUALITY: 1000 FEET MATERIALS
NO NO NO - FRAME INSPECTION I I
IFIRE SPRINKLER HANGERS
I I I
I I JINSULATION/WEATHER STRIPI I I
I JINTERIOR LATH/DRYWALL I
I I I
I I (EXTERIOR LATH I I I
t I I
I I IRATED FLOOR/CEIL ASSEM. I I I
I I IRATED WALL ASSEMBLIES I I
I I I
I I IRATED SHAFTS/OPENINGS I I I
I I I I
'I IT-BAR CEILINGS I I
I I ILOT DRAINAGE
I I I
I IREPORT ID: DPR261 ROUTE TO: BS0508 1 I
I I I I I I