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HomeMy Public PortalAbout6100 IVAR AVE_Building__ 78A898A DBS.9• ".A P P L�I C AT�'O 0 V FOR -S U I LM N G P E RM M' DIVISION OF BUILDING AND. SAFETY _ B U I ElsN , 4 0 I• � . . tk Department 'of. County Engineer` County of Los Angeles LOCALITY c G JOHN A. LAMBIE. COUNTY ENGINEER NEAREST- CASSAT,T D.GRIFFIN, SUPT OF BUILDING. CROSS S7. FOR APPLICANT"TO FILL IN: DISTRICT NO: GROUP TYPE. f4 5EW MAP BUILDING IMAP ADDRESS NUMBER "G v�+ .,STATE HyyY YES. N LOT NO. 2(�, V BLOCK USE ZONE'.L.GOND TIONS U TRACT OO ''NO.OF BLDGS. SIZE OF LOTB ILDING EXIST:Q INOW ON LOT a; -YARD HWY STREET NAME USE OF SETBACK WIDTH.. FRONT - ,/ �J /�` EXISTING BLDG P, L.- G O ." '.�'. ` A-'` r v �.. .01NNER" 'SIDE - MAIL 7 ADDRESS w O' TRACT DWELL. I UNIT 5' .INDUSTRIAL TEL 1 'DWELL. 1 UNIT, 6 PUBLIC BLDG: s CITY _ • NO, � _.. ., ARCHITECT.OR TEL _. _ 9 DUPLEX ,2 UNITS ' ` ENGINEER- - NO. o 7, ADON.,ALT., ETC. r 3 APT., . UNITS 8 MISCEL ADDRESS - - `. 4 COMMERCIAL ' CONTRACTORNO.NO. CC INSPECTION :RECORD '_ r K" ADDRESS O„7c' .$_ -.�. •• K/ Ir •1�•_J� .. - DESCRIPTIO OF'.WORK .NEW ADD -ALTER REPAIR,'' DEMOLISH- pr. .p'–�• .�Qn�s.. . e d SO. FT-.° NO_OF - :NO. OF SIZE - STORIES F4MILIES USE OF STRUCTURE t, , SIGNATURE-O_ APPLICANT .` APPROVALS ADDRESS• .DATE . ANSPECTOR'S SIGNATI)k . FOUNDATION: LOCATION -" $ J,� -i •P:'C. $ `. -'.. FORMS,MATERIAL'S. " FEE – — • FRAME: FIRE STOPS.' VALUATION $ 4 BRACING, BOLTS - - FEE 1 FURNACE: LOCATION, - I HEREBY ACKNOWLEDGE THAT 1'HAVE;READ THIS ".GAS-VENT. DUCTS' APPLICATION AND STATE THAT THE ABOVE -IS..CORRECT -AND AGREE TO,COMPLY WITH ALL COUNTY ORDINANCES LATH,ANT. AND STATE-LAWS "REGULATING,BUILDING CONSTRUC- TION. LATH, EXT. SIGNATURE OF OUSE NUMBER COR- - - ,;,PERMITTEE - RECT AND POSTED - ADDRESS FINAL' JOHN-A.LAMBIE. COUNTY'EhAINEER VALIDAT CLYDE N."DIRLAM. CHIEF.BLDG'INSPECTOR.. , CK Mo /'CASH 3 O 2. 5:;�nDEC 5 1, 2 ,:� _�L= gVORKERS''COMPENSATION DECLARATION affirm that I have a•gertrfic'ate ,of consent to self A P P L I CAT I O N 'F O R BUILDING PERMIT n3_ure','or a ertifticate of'Workers' Compensation Insurance, or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. - Company _ a Certified copy is hereby furnished.., FOR APPLICANT TO FILL IN BUILDING ADDRESS Certified copy is filed with the county building inspec- BUILDING . . tioWdepartment.1• ADDRESS Date Applicant CITY ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT 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. USE ZONE MAP OWNER NO. -GS O I certify that in'the'perfor m once of the work'for wFiich this `` NO. } permit is issued, I shall not employ any person in any manner �, SPECIAL d so as to beconADDRESS ie•subject to the WoikeW Compensation Laws. CONDITIONS UO CITY f ZIP Date " Applicant ARCHITECT OR TEL. O NOTICE TO APPLICANT: If, after aking' this Certificate of DISTRICT GROUP TYPE FIRE PROCESSED BY 0 ENGINEER NO. CONST.. ZONE (� Exemption, you 'should become subject to the Workers' (]� Compensation provisions of the Labor Code, you must forth- ADDRESS /� VLSI C Le— d with comply,-with.such provisions or this._permits shall be TEL. STATISTICAL CLASSIFICATION APT. CON 4A deemed revoked. , CONTRACTOR hkW, NO. .••� qq LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 6A NO. SEWER MAP (commencing with Section 7000)of Division 3 of the Business and , , LIC. Professions Code,.and my license is in-full force and effect. CITY U CLASS BK' PG: VALIDATION SQ. FT_. NO. OF NO. OF CHECK License Number tic.Class SIZE STORIES FAMILIES ONE h VALUATION �OF _ Contractor Date DESCRIPTION OF WORK aL NEW ` ADD $ am exempt under Sec. ALTER B.&P.C. for this'reason /T REPAIR Q $ Date: EXISTOING BLDG.' q JSShry DEMOL p 3 0 2 4 A Sighature APPLICANT �®{ TEL. FINAL 0 0 o a o OWNER-BUILDER DECLARATION PRINT) ` ( NO. DATE # 1 I hereby affirm that I am exempt from the Contractor's License Law for the following reason'(Section 7031.5, Business and ADDRESS FINA .1 ° ° 49.8.8 - Professions Codo- 49,885 e)i' PRESENT'_ .. _ gY 5 amu{ BUILDING � '0 0 4 9 8 8 I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and , the structure is not intended or offered for sale(Section LOCALITY 09.27-85 .- . 7044, Business and Professions Code). MOVING TEL. ❑ I, as owner,of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project(Sec- ADDRESS tion 7044, Business and Professions Code). 4 REQUIRED:. TOTAL SETBACK FRO EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH Z I hereby affirm that there is a construction lending agency for FRONT -the performance of the work for which this permit is issued P.L. — �• (Sec. 3097, Civ. C.). SIDE M P.L. Lender's Name `w� Q LDMA Ref. # - - - - P.C. Fee$ Permit Fee - J © - Lender's Address .I certify that I have read this.application and.state that.the Issuance Fee l0 45 LONA P/C# above information is correct. I agree to comply with all County Investigation Fee m ordinances_and State laws relating to building construction, Total Fee .� LDMA Perm. # and hereby authorize representatives of this County to enter c+• upon the above-mentioned property for inspection purposes. p L, J , S SEE REVERSE FOR EXPLANATORY LANGUAGE lll��� Signature o Applicant or Agent - - - Date a ...-,WORKERS'COMPENSATION DECLARATION ^I h'ereb ffirm toot I• have a certificate of.consent to self D O D O D nn - snsuie;.aracertificateofWorkers' Compensation Insurance; /r�� �j/r���8O Ron L�; O��, ;P��UVll�U ' or-•a cet;tified copy thereof (Sec:.AOd., Lab.C.) -; r ,JCOUNTVZOP LOS ANGELES: BUILDIkG'AAD SAFETY Policy No. Company Certified copy is.herebyfurnished; BUILDING . FOR APPLICANMO'FILL IN �•'�+ '"•- ADDRESS'• D`0' Certified copy is filed with the county building inspec BUILDING.@/ ti.< )1: a `: tion department. 'ADDRESS 1&-,(0 t ��/t> �,Q, s LOCALITY NEAREST Dare Applicant CITY "1`.:ZIP�i 7 ��Vr� CROSS ST. CERTIFICATE,OF EXEMPTION FROM WORKERS' 1 NO`OF BLDGS :-! ' ASSESSOR COMPENSATION INSURANCE SIZE OF LOT ,,( -NOW ON LOT. R MAP BOOK PAGE PARCEL. ✓ (This section_need not be completed if the permit one TRACT D`I UJ USE/�ON MAP - hundred dollars ($100)or less'.) BLOCK LOT NO. [j r�, NO ��,�y� SPECIAL I certify.ihat'in.the performance of the work for which this. OWNER WEAEbr+ NO.' d CONDITIONSIL I permit is-issued, I shall.not employ any person in any man er �?� ° � DISTRICT .GROUP TYPE FIRE, ? PROC SSED BY 0 so as to become ct to the Work s'Compensat'�6W ADDRESS s0 '�Q �/ / ' CONST-. ZONE V CITY PL G�z s ZIP .7���� ✓` Date Applicant STATISTICAL CLASSIFICATION APT,. ICONDO. I- ARCHITECT OR TEL. NOTICE TO APPLICANT: If,-after'm'ak'ing this Certifi t f V Exemption, you should' become subject tis er r rs'' ENGINEER NO: CLASS NO. ! DWELL UNITS Compensation provisions of the Labor Code; you-must forth- ADDRESS ,-/YZ— SEWER MAP (A with' comply with such provisions or this permit.shall be, TEL VALIDATION CONTRACTOR NO. deemed revoked. : "' BK. PG, LICENSEDCONTRACTORS DECLARATION LIC. . hereby affirm that I'am licensed under provisions of'Chap4er9 ADDRESS ' NO: VALUATION •(commencing with Section 7000)of Division 3 of the-Business and /) Professions Code,.and.my license.is in full force and effect.' CITY CLASS $ J �✓ SQ. FT.' NO. OF NO. OF CHECK` D License Number- Lic.Class SIZE STORIES FAMILIES ONE Contractor Date_ ❑ $ j DESCRIPTION OF WORKAb G' D NEW I am exempt under Sec. Cb l F ' 6alf FI B:BP.C. for this reason I'{�,�C CIA"16;e . DAT 2 _ ALTER ' REPAIR . - 508A USE OF Date: EXISTING BLDG. t .^. DEMOL_ 0." .,.BY # 0 0 0' .0 2�J Signature APPLICANT EOL .g DECLARATION PRINT eL _ NO. i o 4 0 3,5 5 I herebyaffirm that I am exempt from the Contractor's•License �` jj j Ldw fothe•following,"reason(Section 7031,5; Business and ADDRESS ���✓`' " � ",� ��' � Y a a403555' Professions Code). : .• PRESENT ❑ BUILDING 0 7,2 2 - 85 I, as owner of the property, or my,employees with ADDRESS wages as their sole'compensation,.will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044,Business and Professions.Code) ;. MOVING STEL: I, o"s owner`of the,Property, am ekclusively,contracting CONTRACTOR NO with licensed contractors to construct the'project (Sec- r 'tion 7044;•Business and Professions Code). ADDRESS REQUIRED YARD HWY TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH' hereby affirm that thereJs a construction lending•agency for -FRONT D Y`ti '+ •� the performance of-the work for which th'is'permit is issued FA. 1 � (Sec. 3097, Civ. C.•): SIDE. s f. _- . . . _ 'i .� P,.L ��2751 -A o Lender's Name - '' \ 0,0 0 0 0 1 l Lender's Address P C.,Fee$ Per Fee ( - 485-25 certify.that I'have read this application and state that the Issuance fee above information is correct. I agree to comply with,all County Investigation Fee ; t' o,0 4 8 5 2 5.5 $ ordinances and State laws relating to building construction, Total FeeZA : u and hereby authorize re esentatives of this.County to enter 0 a 2 0_8 5 m upon the abo - d pr erty for-inspection purposes. - d SEE REVERSE FOR EXPLANATORY LANGUAGE t P` Signature f p or A ent` Data �. •'- v i ) ®s - • - 't 1v / 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 1112280032 PHONE: (626) 285-0488 EXT: ILEGAL ID: 1 - NO. OF CONST BUILDING ADDRESS: 1 ITR: 5904 LT: 44 UN: .002 SQ. FT STORIES TYPE I 6100 IVAR AV 1 I (STRUCTURE: 3000 V-B I TEMP CA 917801523 1 (ASSESSOR INFORMATION NUMBER: I I. NEAREST CROSS STREET: 1 15384-002-016 1 - I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY CAI I I I- I (TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: 1 (EXIST OCC GRP: 112/28/11 SR (OWNER: TEL. NO: ,IBLDGS. NOW ON LOT: VALUATION: - (FIN L TE F AL BY: CODE: 1 HENDREKS., LINDA - 1 1 7,000 16100 IVAR AV I (TEMP 917801523 1 FEES PAID IDESCRIPTION OF WORK I I ITEAR'OFF APPLY 30 YEAR SHINGLE HOUSE AND ATTACHED GARAGE I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( (APPLICANT: TEL. NO: I I IORTEGA, MELISSA (562) 908-7003- IAA BLDG PERMIT ISSUANCE 27.80 1 115018 JUNIPER ST JAB STATE GREEN BLDG FEE 7000.00 VAL 1.00 ISPECIAL CONDITIONS: 1WHITTIER CA 90603 IAC STRONG MOTION RESID 7000.00 VAL 0.70 1 ' ID2 PERMIT W/O EN-HC 7000.00 VAL 166.60 I TOTAL FEES 196.10 1__ ICONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE (ACCURATE ROOFING (562) 908-7003- 1 115018 JUPITER ST LIC. NO (LOCATION AND SETBACKS II 1WHITTIER CA 689656 C39 * I I ISOILS ENGINEER APPROVAL I JARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I LIC. NO: JSLAB/UNDER FLOOR I I IRAISED FLOOR FRAMING 1 I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( JUNDERFLOOR INSULATION I I 115OH261 - 3 OOI I 1 .1 (FLOOR SHEATHING I I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1 I I I I I 0 NO 21 I IROOF SHEATHING iIJ SCHOOL WITHIN HAZARDOUS 1 ISHEAiZ PANELS I �I IAIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAb1E INSPECTION I I I .1FIRE SPRINKLER HANGERS 1 I I 11NSIULATION/WEATHER STRIP( I I (INTERIOR LATH/DRYWALL I 1 (EXTERIOR LATH I i RATED FLOOR/CEIL ASSEM. I I I I I I I I I 1RATED WALL ASSEMBLIES I (RATED SHAFTS/OPENINGS I I J IT-BAR CEILINGS I i I I• ADDITIONAL DATA ON FILE I I I ILOT DRAINAGE I .I (REPORT ID: DPR261 ROUTE TO: BS0508 I I I I