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HomeMy Public PortalAbout6148 IVAR AVE_Building__ 11.55 />AD83.9 11-SS ' APPLICATION FOR ��� �,®9 101 PERMIT � - • �` ' DIVISION OF BUILDING AND.SAFETY .. Bu1LDING Department .of County Engineer ADDRESS County of Los Angeles LOCALITY JOHN A. LAM'BIE, COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST. • FOR APPLICANT.TO.FILL IN DISTRIC GAP. - PE SEWER. MAP PG CONST. •BUILDING ' ADDRESS. i�/� %/��. - MAP NUMBER - . SHWY YES. O 'LOT NO. � BLOCK USE ONE SPECIAL (,/'l/•/_ CONDITIONS TRACT- NO.OF BLDGS. - x SIZE OFLOT �rV A �/S'� I NOW ON LOT � BUILDING ' EXIST. YARD, HWY STREET NAME USE OF _ - SETBACK - ';'WIDTH }- EXISTING BLDG. . ��'rf`�j�/�'/C- FRONT %-P. L. OWNER .0 !— ��j�ff' SIDE - - MAIL .ADDRESS O TRACT DWELL.. 1 UNIT TEL. 5 INDUSTRIAL NOr CITY 1 ,DWELL. 1 UNIT 6- PUBLIC BLDG. ARCHITECT OR, TEL. 2 DUPLEX 2 UNITS 7 ADDN.,ALT., TC. , ENGINEER NO. 3 -APT. - UNITS e---1, MISCEL ADDRESS 7 4. COMMERCIAL ' CONTRa croR,`z' ,1 �lNo' INSPECTION'RECORD ADDRESS o�Oxtr x.41y 19r exec tf Al. DESCRIPTION OF WORK E ADD Y=TER REPAIR DEMOLISH v+ _ SO. FT. NO: OF - NO. OF SIZE STORIES FAMILIES _ -'USE OF STRUCTURE. x c10, -SIGNATURE O APPLICANT APPROVALS .. ADDRESS doj //'^ / � DATE -INSPECTOR'S'SIGNATURE $ G(, FOUNDATION: LOCATION P. C $ FORMS,MATERIALS / 00 • PEE FRAME: FIRE STOPS, VAL AT 10 N - u $ 0•r' BRACING. BOLTS FEE FURNACE: LOCATION, ' 1 HEREBY ACKNOWLEDGE THAT I HAVE READ.THIS GAS VENT. DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT. , AND STATE-LAWS REGULATING BUILDING CONSTRUC- '..TION. LATH. FXT. "SIGNATURE 01 F HOUSE NUMBER COR PERMITTE (/'+ RECT AND POSTED • ADDRESS' ��� v- FINAL JOHN A: LAMBIE.COUNTY ENGINEER YLIDATION. CLYDE N. DIRLAM. CHIEF BLDG. INSPECTOR C MO CASH - - - �c,.6 4 3 5�� MAY 2�8 1 3.00 �, 76AG38A DBS-3 IZ-54- APPLICATION FOR UILDIN.G.-PERMIT DIVISION OF BUILDING AND SAFETY BUILDING ' Department of County Engineer ADDRESS County of lbs Angeles' LOCALITY WM.J. FOX, COUNTY ENGINEER NEAREST ' CASSATT D. GRIFFIN, SUPT'OF'BUILDING CROSS ST: _ .DISTRICT RSEWER' MAP � _ FOR APPLICANT TO FILL IN -�'' OU� TYPE SK, BUILDING .10 I CONST. . ,{�`� ` _ ADDRESS /�'7 F A IR MAP ' •STATE` YES`" NO. - //''��.� - - NUMBER Hwy LOT NO.N z'L�t -� V -BLOCK' U ONE- '. SPECIAL' CO -.TRACT.. 0., f - CONDITIONS —yy T 1�' NO.,OF BLDGS. - SIZE OF LOT .."'7��/�', 1,.7 g � I �NOW ON LOT BUILDING ' YARD �HWY STREET NAME EXIST. USE OF - SETBACK WIDTH EXISTING BLDG.:.; FRONT •. = / OWNER SIDE P. L. .ADDRESS � tom' - _ ... + 'TEL. I .DWELL. 1 UNIT - 5 - INDUSTRIAL CITY NO. -- 2 DUPLEX UNIT— 6 PUBLIC BLDG. ARCHITECT OR - TEL: - ENGINEER - - NO. 3APT. 'UNITS 7 ADDN.;ALT.,'E - ADDRESS' 4 .COMMERCIAL: 8 1 MISCE _ ' TEL. .CONTRA. NO. �_7 - INSPECTION RECORD ADDRESS •. - •.- DESCRIPTION.OF.WORK ; EL 10 �lp-A4' Al/.r AD ID rCIO G4thGdr NEW2 ADD ALTER REPAIR .DEMOLISH 'SQ. FT'_ - NO. OF ,... NO. OF.. SIZE. - STORIES - FAMILIES - USEOF'STRU RE" Yt Z/pA - - - - SIGN '7 RE OF - .. AP CANT I - APPROVALS' ADDRESS INSPECTOR'S*SIGNATURE 5 P. C S FORMS, MATERIALS ' • .. FEEFRAME� _ .- _ ftR _ .. LOCATION — : E STOPS, - - BRACING', BOLTS ' VALUATION / - - - F.EE FURNACE: LOCATION, - GAS VENT, DUCTS - /).O nsl I HEREBY ACKNOWLEDGE 'THAT 1 HAVE.READ THIS - - - APPLICATION AND'STATE THAT.THE. ABOVE IS CORRECT -AND AGREE TO COMPL T.H-.A•LL COUNTY ORDINANCES LATH,-INT. - - - AND STATE LAWS GU ATING. BUII G ONSTRUC- - .. .4TION. LATH, EXT. ;SIGNATURE OF ,. .. HOUSE NUMBER COR- - - PERMITTEE RECT.:AND POSTED - , et -ADDRESS d FINAL' WM. J. FOX, "COUNTY ENGINEER VALIDATION BY Co sr.7L�.. .00T '} DEPUTY .DEPUTY Ely, BY IO DEPUTY UTY i I (\//\��' .. IIrII��\�.IIrIII I1€�Il '�rfll rrr'��� (\(\/\�`' I���L'�J�\J I��"�p�\\V////'I�'I�� :.✓'( �r - A P P� `/AM©IJ V �O R O U��O� \%tl P E lJ U L1 V Ll�T". COUNTY OF LOS ANGELES BUILDING AND'SAFETY WORKER'S COMPENSATION"DECLARATION" FOR APPLICANT TO FILL IN BUILDING ADDREss yA I hereby affirm that I'have a certificate of consent to self insure, BUILDING ADDRESS or a certificate of Workers' Compensation Insurance,or a certified I tV Z�tCtr U�' copy'lhereof(Sec.3800,Lab.C.) CITY' - `C ZIP Policy No. Company. �/N �� 1 ��/ LOCALITY - SIZE OF.LQ NO,OFBLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST. 17 ❑ Certified copy is filed with the countybuilding-inspection.' TRACT BLOCK LOT.NO. USE ZONE MAP NO. department. ASSESSOR MAP.BOOK PAGE PARCEL Date Applicant SPECIAL CONDITIONS. - CERTIFICATE OF EXEMPTION'FROM WORKERS' O NER ; ELUN �.t L COMPENSATION INSURANCE C t V fl C ee 1I ` lUI 5 w WITHIN 1000 FT.OF SCHOOL? YES NO s section need not be completed if permit is for one hundred ADDRESS (Thitithe p p � i.q 1 `ar•„ru-eo Novico / DISTRICT - GROUP TY CONST. FIRE-ZONE 'PROCESSED BY dollars($100)or less.) ; : � l "t CITYZIP - ,I certify that in the performance of the-work for which this permit '501y1 Uh CA 1SQ ch 7- -7 �(J� �'3 3 is,issued, I shall not employ any personAn any manner so as to ARCHITECT OR ENGI ER. TEL NO. become subject to the-Workers' ion' S. STATISTICAL CLA SIFICATION' APT' CONDO Date 8_. 'R Applicant Al/,-- l ADDRESS � ` - .. - CLASS NO.� � • 'DWELL UNITS - NOTICE .TO APPLICANT.' If, after making. this. Certificate'. of REQUIRED TOTAL,SETBACK FROM EXIST Exemption, You .should 'become subject, to ..the Workers' CONTRACTOR_:,. - - TEL NO. - SET BACK YARD HWY PROP LINE WIDTH' Compensation,proisions of the Labor.Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS UC.NO, P L LICENSED CONTRACTORS DECLARATION- SIDE CITY _ LIC..CLASS PL I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing.with Section 7000)of Division 3 of the Business and SQ.FT.-SIZE NO.OF STORIES NO,OF FAMILIES - - Professions Code,and my license is in full force and effect. - NEW 4,u BK PG CD DESCRIPTION OF WORK VALUATION U ' License Number ` Lic.Class _ rr � ADD ❑.. Contractor Date eu1 0Z 7C tear f�tt o Vt i n ,c ALTER: ❑ $ � ��. Q� o ❑ I am exempt under Sec. re i Some,WeJ 'r�e��e-�f 4- REPAIR ❑ a BAP.C. for this reason Y-C-t> le N'ew vIItA iviSiaa,j.e DEMOL ❑ LDMA Pic#. z ` USE OF EXISTI G BLDG. - .. - ' '.Date: • -. _. .� '.. URM ❑.,. .. . .. . . .. -. Signature APPLICANT(PRINT) TEL NO. LDMA Perm . €1 :I„as'owner of the,property, or my employees with wages as O TT€.r `their sole compensation, will•do the work and the structure is ADDRESS ' ' _ not intended or offered for sale (Section 7044, Business,ar d FINAL DATE' a `s€I n< � U Professions Code.) jD r�� WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE-A HAZARDOUS MATERIAL 1, as Owner of the property, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL'EQUAL'.TO OR GREATER THAN THE `FINAL BY - t-'n y, y g AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? , licensed contractors.to construct-the project (Section 7044, VES❑'. NO❑ Business and Professions Code.) �i's= WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUIL-114- OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH - CONSTRUCTION LENDING AGENCY 'COAST AIR QUALITY MANAGEMENT DISTRICT(SOAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. hereby' affirm that there is a;construction lending agency a for ?? ct las €1'Ii`? y YES❑ NO❑ _ the performance of the work'for which this permit is issued(Sec. i *i 4,"7 .I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING _ • C4#�f'.- .., r'..a d s°'•»•� 3D97,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2:20.140 CONCERNING HAZARDOUS - 3 Lender's Name. MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. IL Lender's Address OWNER OR AGENT O - _1,certify certify that I have read this application and state under penalty O of perjury that the above information is correct.I agree to comply P.C.FEE - - PERMIT FEE N` with all county. ordinances and State laws relating to building ilJ construction, and hereby authorize representatives of this County 1�SUANCE FEEco t on t above-mentioned property for inspection�purposes. caoG �'1 - 8—`L- 1 INVESTIGATION FEE -TOTAL FEE - .. SgnaNre�.oi Apy�Wicant or Agent Dale y dor 1 .1`4 vm�i- (ExeSEE REVERSE FOR EXPLANATORY LANGUAGE 05� � appUG°�CCwli COUNT_Y'OF-LOS ANGELES " BU{LDING AND'SAFETY ' WORKER'S COMPENSATION DECLARATION,,,., FOR APPLICANT'TO FILL IN * BUILDING RE BUILDIN�-,.A D ES V V I-hereby affirm that I have a certificate of consent to'self insure, f s or-a certificate•of'WorkersCompensation Insurance,or a Certified V copy,;thereof'(Sec.'3800,-Lab.C.) CITY ZIP LOCALITY Policy No.. Company SIZE T NO.OF BLDGS.NO ON'LOT _ ❑ Certified copy is hereby furnished. NEAREST CROSS.ST. 0.Certified copy is filed with,the-county building inspection TRA BLOCK ' ' LOT NO.. department. Q '. USE ZONE - MAP .O: . . . Date Applicant ASSESSOR P�oOK PDAGE PARCEL' - IONS "r 3 /7l p� De SPECIAL CONDIT s G�/19P of CERTIFICATE OF EXEMPTION FROM WORKERS'. OWNER S TEL'NO.. _ '• COMPENSATION INSURANCE _ - - - - WITHIN 1000 FT.OF'SCH000 YES' NO (This section need not be completed,if.the•permit is,for one.hundred ADDRES - r DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars($100)or less.) I certify that in the performance of the"work for which this permit CITY- ZIP _� is issued,:I shall not employ 'any person in any' nne' so as to gRCHI CT R` NGINEER "TEL NO �1 Date become subject.to tApplicantWorkers-he Comp n s. PT ONDO • - STATISTICAL CLASSIFICATION, A C �t S NO` ADDRESS CLAS :DWELL UNITS, NOTICE TO: APPLICANT.' aft Ing .thin Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption,. you should become rsbbject•, to the Workers' CONTRACTOR �} /�� 'TEL NO. SET BACK YARD Hwy PROP LINE WIDTH Compensation'provisions'( the- 6or Code, you muSt'forthwith Cop/�f FRONT comply with'SUch provisions or this permit.shali'be deemed revoked. ADDRESS LIC.NO. - -P L } f'r''� -•ff-. '} LICENSED CONTRACTORS DECLARATION SIDE CITY "LIC.CLASS P L _ - - 10 i.=_•6 hereby affiim.that',l am licensed'underprovisions of Chapter 9 SEWER MAP. (commencing with Section 7000)of Division 3 of the Business and SQ T SIZE p NO.OF STORIES NO.OF FAMILIES !TEM-S!{EM- Y �D d NEW ❑ BK PG. I I at 0 Professions Code,and m license is In full force and effect. } DESCRIP NJ F W _ VALUATION '. ,D HECK License Number. Lic. Class ADD Contractor 'Date CHANGE ALTER ❑ • � O ❑'I am exempt under Sec. REPAIR ❑. =€�jr '6.8P.C.for-this reason A P }�I DEMOL. ❑ ' LDM /c# ff � •y Date: USE OF EXISTING BLDG. URM Signature APPLICANT(PRINT) TE O. LDMA Per # ; t T S j{j'J. 4 .. e— ;t ❑ I, as owner of the property,'Or my employees with wages as ZO °-, - their sole compensation, will"do the,work;and the structure is ADDRESS_ ui].1 1,..1.•J a•_•_} not intended or offered for,sale (Section 7044,Business:and - - "•• 'FINAL DATE Q - ,•- - Professions Code.) i I�' �_ WILL THE APPLICANT.OR FUTURE BUILDING OCCUPANT.HANDLE HAZARDOUSMATERIAL �. OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER.THAN THE. 'r' } �{ ?^j "'' ❑ 1, as Owner Of the property, am exclusively Contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION'GUIDE', - }' Q TOTAL }'7}_ -''"°'`='J` FINAL.BY' c . licensed contractors to.construct the project.(Sectlon-7044, n r YES❑ NO❑ •. }r• - '. '� i2•iz 31 51 Business and Professions Code!).. / CHECK WILL THE INTENDED USE OF"THE BUIDLING BY THE APPLICANT'�ORwFUTUREkBUCAD , ;ty ' OCCUPANT REQUIRE A PERMIT FOR'CONSTRUCTION OR MODIFICATION FROM•THESOUTH �gL j''i 3. (; {-F5 ,`S.=€_J}� 'CONSTRUCTION LENDING AGENCY COAST'AIR QUALITY MANAGEMENT:DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR M .GUIDELINES. N 3,• - . . 0113 I hereby affirm that there is a Construction lending agency for YES❑ NO❑ L the performance Of the Work for Wt11Ch this permlt.IS ISSUed(Sec. I HAVE READ THE HAZARDOUS MATE RIALS INFORMATION'GUIDE AND THE SCAOMD PE RMIT TING i 3097,Civ.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, i0 - - -' TITLE 2.CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20 140 CONCERNING HAZARDOUS , - 't• r`t j�•; a-Z m Lenders Name - MATERIALS REPORTING AND FOR OBTAINING A-PERMIT FROM THE SCAOMD. I,}_I} 01 _0 0 Lender's Address :it ., tai f. _.}. - OWNER OR AGENT - - 3 1 certify that I have read this application and state under penalty 0 of perjury that the above information is correct.I agree to comply P.C.FEE -79 PERMIT FEE C O v W with all county ordinances and-State laws relating to building ✓r M construction, and hereby/,�authorize representatives of this County ISSUANCE FEE ?? to enter upon the abo e5merltion roperty for,inspection purposes. ✓d.' INVESTIGATION FEE - TOTAL FEE �-� , if m Dn �J Yf e SEE REVERSE FOR EXPLANATORY LANGUAGE• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0808270042 PHONE: (626) 285-0488 EXT: (LEGAL ID: I NO. OF CONST NEW I BUILDING ADDRESS: ITR: 5904 LT: 40 I SQ. FT STORIES TYPE OCCUP GROUPI 6148 IVAR AV 1 I ISTRUCTURE: 330 1 V-B R-3 I TEMP CA 917801523 (ASSESSOR INFORMATION NUMBER: I GARAGE: I NEAREST CROSS STREET: LONGDEN I 15384-002-007 - OTHER: THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl (TENANT: IEXIST BLDG USE: USE ZONE: (ISSUED ON: PROCESSED BY: I I IEXIST OCC GRP: 103/26/09 SR I I I I I (OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: (FINAL DATE FINAL BY: CODE: 1 ITAO ALEX C;MA AI LUN (626) 285-9818- 1 48,920 I 1 16148 IVAR AV I 1 (TEMP 917801523 1 FEES PAID (DESCRIPTION OF WORK - 1 1 (EXTENSION OFA] ROOM AND-BEDROOM 330 S.F. IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( (APPLICANT: TEL. NO: I I ITAO (626) 285-9818- 1B1 PLANCHECK W/ENERGY 48920.00 VAL 733.65 1 �• 1 16148 IVAR AVENUE IAA BLDG PERMIT ISSUANCE 27.75 (SPECIAL CONDITIONS: 1 ITEMPLE CITY CA 91780 IAB STATE GREEN BLDG FEE 48920.00 VAL 2.00 I 1 1 1AC STRONG MOTION RESID 48.920.00 VAL 4.89 1 1 1 JB2 PERMIT W/ENERGY 48920.00 VAL I '863.12 1 ICONTRACTOR: TEL. NO: I TOTAL,.FEES 1;'631.41 1APPROVALS DATE INSPECTOR SIGNATURE 1 ITAO, ALEX (626) 285-9818- 1 .. 1 16148 IVAR AVENUE LIC. NO I i ILOCATION AND SETBACKS ITEMPLE CITY, CA 91780 NONE I I 1 1 I 1 I ISOILS ENGINEER APPROVAL 1 1 1 1ARCHITECT OR ENGINEER: TEL. NO: 1 (FOUNDATION/TRENCH FORMS I I 1 LIC. NO: 1 (SLAB/UNDER FLOOR I I I 1 IRAISED FLOOR FRAMING 1 I 1 I I i I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:I - (UNDERFLOOR INSULATION I I_ I 1 3 001 1 1. 1 I 11ST LEVEL FLOOR SHEATH INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I 1 NO 21 1 12ND LEVEL FLOOR SHEATH 1 1 1 I I I I I I I SCHOOL WITHIN HAZARDOUS I (ROOF SHEATHING I I I (AIR QUALITY: 1000 FEET MATERIALS - I I I I NO NO NO 1 (FIRE DEPT. FRAME INSPECTI I I IREQUIRED TOTAL SETBACK FROM EXISTIBLDG DEPT. FRAME INSPECTI I I EXPIF::hEm ISET BACK YARD: - HWY: PROP LINE: WIDTH: I a 1 I 1 I IFRONT PL- - I ISHEAR PANELS I SIDE PL- I I 1 1 1 1 ( (INSULATION/WEATHER STRIPI I I 1 1 (INTERIOR LATH/DRYWALL 1 1 1 I I I 1 1 IEXTERIOR LATH 1 I 1 I I ILOT DRAINAGE 1 1 1 I I I I I (SMOKE DETECTION DEVICES 1 1 1 I I (FIRE DEPARTMENT APPROVAL( I I (REPORT ID: DPR261 ROUTE TO: BS0508