HomeMy Public PortalAbout6152 IVAR AVE_Building__ 78A689A:`CF#808-8-7 A'P,PU'CA 1[ ION FOR BURLMNG PERM: ,
COUNTY.OF_LOS ANGELES Bu1LDllv�'DEPARTMENT OF COUNTY ENGINEER A°RREss
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST 'O
CASSATT D.GRIFFIN,SUPT OF BUILDING. CROSS ST. /l
DIS RICT NO. GR PR H BY
I TYPE I / �—
- ; FOR APPLICANT TO FILL.•IN cortsr.
BUILDING - /--�:. STATISTICAL C SIFICATION I SEWS MAP
ADDRESS J Gt) .
BK PG
s CLASS.NO. DWELL. UNITS
c LOT NO BLOCK MAP /J STATE YES` NO
NUMBER - JD HWY. .
TRACT;: ' .
USE ZONE ;SPECIAL
NO.OF SLOGS.—
I CONDITIONS
N -
SIZE'OF LOT I NOW ON LOT.
USE OF
EXISTING BLDG. B ILDING EXIST.. -
YARD HWY TREET NAME
C SETBACK- WIDTH
OWNER" FRONT
'
MAIL,- P.L. '
/s- ,
ADDRESS_ SIDE
�
44�
TE P3G
c�TY"` NO7<4467INSPECTION RECORD
ARCHITECT. TEL.
ENGINEER" NO. - -
ADDRESS'.. / a�
ONT A R r NO.*Q_r
'DESCRIPTION OF WORK
NEW _ ADD ALTER - .REPAIR. DEMOLISH
" SO.FT:.-' - - NO.OF -NO.OF
SIZE' - STORIES FAMILIES - -- '
s USE OF.STRUCTURE
a
SIGNATUREOR. f ,�' 'APPROVALS
APPLICANTkA -
DATE INSPECTOR'S SIGNATURE
LADDRESS - -FOUNDATION: LOCATION
_ FORMS.MATERIALS
P. C: $ FRAME::FIRE,STOPS.FEE. BRACING, BOLTS
ATION - $ FURNACE: LOCATION. -
:r� .FEE GAS VENT,DUCTS - ..
1 HERESY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH, INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND -
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS 'REGULATING BUILDING CO RUCTION. LATH, EXT.
SIGNATURE OF,. HOUSE NUMBER COR-
PERMIT
OR -
PERMITT_EE RE T AND POSTED
WAA.. .ADDRESS. * % '` AL
'CLYDE N.DIRLAM,'PRINCIPAL'ST UCT RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. cnsH PERMIT VALIDATION c M.O. cases
Vs'ORKERS' COMPENSATION DECLARATION.
hereb' affirm that I have a certificate'of consent to self D D n O O D
j� �Q nn
insure, or a certificate of Workers' Compensation Insurance, ' A� CAU O:E +i i 4 ®� LJ `` N G P E.RLI V LI�U .
or t? certified copy thereof (Sec..3800; Lab.C.).' COUNTY OF t05'ANGELES i BUILDING AND SAFETY'
Policy No Company 1
t 91JILDING-
Certified copy<is hereby furnished.; FOR'APPLICANT TO FILL IN ADDRESS
❑. Certified copy is`filed wiWthe county building inspec- BUILDING / -
-.lion department.
E ADDRESS. ✓� /V
Date.. APPlicant :. _ - -
CITyZ �� -� ZIP �j��O
NO. OF.BLDGS.. _
LOCALITY
CERTIFICATE,OF EXEMPTION FROM WORKERS SIZE OF LOT/JS'SX .5 0 NOW ON LOT. NEAREST,
CROSS ST.
COM PEN$ATlOtV"INSURANCE �g ASSESSOR
(This section;need not be"completed.if the permit'is'for one ", TRACT`' ' iC BLOCK LOT NO. 7 MAP BOOK l` S�� PAGE v'O't PARCEL O 06 m
hundred dollars.($100) or less ) �'.-�jg U, B �:.7. ' TEL. ;y
OWNER : NO. Cc/
I certify that-in The performance.of the work,for which-this NE
USE ZONE MAP
�T NO.
permit is issued, I'shall not employ any.person in any.manner ADDRESs64� ,--41 .l MR .' ,�F .� }•
SPECIAL"."-
CONDITIONS ', �
so'as to become sublectAb the Workers`Compensation Laws O
CITY Tim 1,F Cf ZIP / J ® . U
Date Applicargf ARCHITECT OR TE DISTRICT,- GROUP' TYPE FIRE' �IRCCESSED`BY
NOTICE T NT:' If, after-making' this.Certificat - ENGINEER NO ��3` (/C/? (/ CONST ZONE7 0
Exemption; you should' become 'subject to,the-,Workers QjJ U
Compensation,provisions of The Labor Code, you;must forth- ADDRESS. �G4'L1t'rt i'a a
with,cornply with such, provisions or`:this,permit shall. be TEL. STATISTICAL CLASSIFICATION APT. CONDO. N
deemed revoked ;.,, CONTRACTOR NO. _
Z
LICENSED CONTRACTORS DECLARATION: LIC. CLASS NO. DWELL. UNITS
I hereby affirm that 1 am licensed under provisions Chapter'9 ADDRESS NO. .
-(commencing with Section 7000)of-Division 3-.of the'Business LIC. SEWER MAP ..
.and Profe'ssions;Code,and my license is in full force and effect. gK pG . VALIDATION
CITY- CLASS
SQ:FT. NO. OF NO. OF CHECK `
Q�
License Number Cic: Class SIZE. STORIES' FAMILIES TC{ONE
VALUATION
Contractor _ Date DESCRIPTION NEW ❑ $
❑.I am exempt under Sec N S ®�
E EX
AD0"
ALTER_
..❑
BAP.C. for this reason S,
USE OI`. . REPAIR - ..
❑
Date: -t :' EXISTING BLDG., �>-(N. DEM ❑
APPLICANT
;.. Signature -: .s , � _ FINAL •
7EL.,, -
OWNER-BUILDER DECLARATION' (PONT). Qle(5 "/`� •�J
I hereby affirm That I am exempt from the Contractors License AADATE (� a
Law for'the following reason (Section 7031'.5, Business and ADDRESS" Z. -, ✓[.�' ,FINAL.'
Professions Code):_ PRESENT r By
BUILDING y
❑ ' I, as owner of the'-property,. or my employees with ADDRESS ri"
wages as their sole�compensation'•will do the work and t 1
_ the structure is not intended or offered for sole(Section LOCALLTY
7044, Business and Professions"Code ) MOVING TEL _
CONTRACTOR' NO.
l,'as owner of the property, am exclusively contracting _
with,Iicensed'contractors to constructahe.project (Sec
Tion 7044, Business and Professions Code:) ' ADDRESS 1 e a ts�
� �.. :. r `sem. 7 t a+
REQUIRED TOTAL- ROM EXIST. . ��
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE' WIDTH
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: y
Lender's Name. t_113 !f_i_li �
✓J
t7
P.C..Fee$. Permit Fee �f ••,.< �3 s.,.o f:,'.
3 Lender's Address /
LDMA Ref #
I certify that-(have read this.application and state that the - Issuance Fee ' LDMA P/C#' D
' above information is correct. I agree to comply with all County Investigation Fee,. .
8 ordinances and•State laws relating to building construction, Total Fee I LDMA Perm: #
Q` and hereby authorize representatives of this County to enter
the a ove-men 'on;Upr for inspection purposes.,
a /
SEE REVERSE FOR EXPLANATORY LANGUAGE _
\�' Signature of Applicant or Agent Date -
W9RKERS' COMPENSATION DECLARATION
I he�eb affirm That I have a certificate of consent to self O O M D O D O
insure, or a certificate of Workers' Compensation Insurance,
or a certified copy thereof (Sec. 3800, Lab. C.) •• COUNTY OF-LOS ANGELES BUILDING AND SAFETY
Policy No. Company
❑
Certified•:copy is hereby furnished. BUILDING: FOR,APPLICANT-TO FILL IN ADDRESS
❑ Certified copy is filed with-the'county building inspec- BUILDING �, Va v of veor
Tion department. ADDRESS �]
CIT le (�' ZIP LOCALITY
Date Applicant NO. OF BLDGS.
CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT•
NOW ON LOT NEAREST
COMPENSATION INSURANCE CROSS ST.. �� i9
ASSESSOR /
(This section need•not be completed'if the permit,is for one TRACT BLOCKLOT NO.. MAP BOOK PAGE RQ PARCEL 4940fry
hundred dollars ($100) or less.) TEL. USE ZONE MAP
` OWNER /Z( NO.Z O NO. �oZ
I certify that in th-e performance,of the work'for'which this
permit is issued, I shall not employ any person in any manner ADDRESS Z p[ %. _ SPECIAL a-
CONDITIONS
so as to become subject-to the Workers Compensation laws. .. r. -t- � O.
CITY / CrL_/ ZIP
Date Applicant ARCHITECT OR TEL.
NOTICE. TO APPLICANT: If, after -makingthis Certificate of ENGINEER NO DISTRICT ... GROUP. TYPE;;. FIRE PROCESSED BY
CONST. ZONE �
Exemption; you should become subject to the Workers' �J w
Compensation provisions of the Labor Code, you must-forth- ADDRESS J ✓ a
with comply with such provisions or.this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO. Z
deemed revoked: CONTRACTOR=C�GIe/LCA `L NO. �^} / _
LICENSED CONTRACTORS DECLARATION. LIC. CLASS NO.�DWEL'L. UNITS
I hereby affirm that•l am licensed under provisions of Chapter 9 ADDRESS NO.
(commencing with Section 7000).of Division 3 of,the Business
LIC. SEWER.MAP
and Professions Code,and my license is in-full force and effect. CITY CLASS BK.—,qVALIDATION.
SQ. �fjjT� NO. OF NO. OF- CHECK
License Number Lic. Class SIZff�� -• STORIES FAMILIES ONE
C �S• � ` ❑ VAL ATIOW �_ •
Contractor Date DESCRIPTION OF WORK - O C NEW
-• y ADD' ❑ $�OD� . .
❑I am exempt under Sec:'
ALTER y
B.&P.C. for this reason REPAIR ❑' $
Date: USE OF.
EXISTING BLDG. 'DEMOL ❑
Signature APPLICANT TEL. FINAL
OWNER-BUILDER DECLARATION ., (PRINT).' NO:
I hereby affirm that I am exempt from the Contractor's License DATE
Law for the following reason (Section 7031.51 Business and ADDRESS FINAL ,
Professions.Code): PRESENT By
. BUILDING
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 1 .a�.• z 2 i
7044, Business and,Professions Code.) MOVING TEL.
❑ ' I, as owner of the property,am exclusively contracting CONTRACTOR NO. 4$. ••x
_
contractors to construct the ro'ect Sec- e 1
with licensed c P I. ( ADDRESS t
tion 7044, Business and Professions.,Code.) `.. t
: .t..`,•�"(i^L' S••-amu.._ ''�- -7
'.'REQUIRED- TOTAL SETBACK FROM EXIST. P' %n-U;'
CONSTRUCTION LENDING AGENCY- SET BACK YARD HWY PROP. LINE WIDTH
• I hereby affirm that there is a construction lending agency for FRONT t =.;•A,:
the-performance*of the work for which this permit is issued P.L: ;i U-
(Sec.
(Sec. 3097, Civ. C.). .. SIDE
P.L..
Lender's Name. - -
$ LDMA Ref. #
P.C. Fee$ Permit Fee i ;:•.
Lender's Address st1ti i _.
a 1 certify that I.have read this application and state that the Issuance Fee LDMA P/C# D
0
S above information is correct. I agree-to comply with all County Investigation Fee' •yy am/
d ordinances and State laws relating to building construction, Total fee /s /- LD"Perm. #
a and hereby authorize representatives of this County to enter
up the ab ve-mentio 'e o rty'for.inspectionurposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant or Agent D e -
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 120328.0057
PHONE: (626)'285-0488 EXT:
ILEGAL ID: I NO. OF CONST NEW BUILDING ADDRESS: 1
ITR: 5904 LT: 39 UN: .002, SQ. FT STORIES TYPE ..00CUP GROUPI 6152 IVAR AV 1
I ISTRUCTURE: 48 1 V-B U I TEMP CA 917801523 1
(ASSESSOR INFORMATION NUMBER: _ GARAGE: NEAREST CROSS STREET: LONGDEN
15384-002-006 OTHER: I .THOMAS PAGE: 596 - GRID: H2 LOCALITY: TEMPLE CITY, Cl
ITENANT: (EXIST BLDG USE: USE ZONE: (ISSUED ON: PROCESSED BY: 1 '.
1 (EXIST OCC GRP: 103/29/12 SR I
(OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IF N_ DATE' S FIN CODE: - 1
ILEONG, DEREK - (626) 285-7378- 1 910 1
16152 IVAR AV" I .
�&
ITEMP 917801523 1 FEES PAID ID SCRIPTION OF WORK '1
I I . .I BUILD FRONT PORCH,� 1
I (FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( I
1APPLICANT: TEL. NO: I I 1
ISAME AS OWNER - .IDI PLANCHECK W/O EN-HC 910.00 VAL 82.10 _
I - IAA, BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS:
I JAB STATE GREEN BLDG FEE 910.00 VAL 1.00 1
1AC STRONG MOTION RESID 910.00 VAL 0.50 I
ID2 PERMIT W/O EN-HC 910.00 VAL 65.70 I
ICONTRACTOR: TEL.. NO: IFR INV WORK W/O PERMIT 166.40 DOL 166.40 (APPROVALS DATE INSPECTO IGNATURE 1
I.SAME AS OWNER - - 1 TOTAL FEES 343.50
I LIC. NO 1 ILOCATION AND SETBACKS I
I I ISOILS ENGINEER APPROVAL I
(ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS
1 LIC. N0:
(SLAB/UNDER FLOOR
_ I I
RAISED FLOOR FRAMING
IMAP NO: SEWER MAP BOOK: PAGE: FIRE.ZONE: CMP: 1 (UNDERFLOOR INSULATION I I
I I I
3 OOI 11ST LEVEL FLOOR SHEATH I I
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I
0 - NO 21. 1 12ND LEVEL FLOOR SHEATH
I I I
1 SCHOOL WITHIN HAZARDOUS I IROOF SHEATHING
1AIR QUALITY: 1000 FEET MATERIALS IJ
1 NO NO NO I �/ 1 FIFE DEPT. FRAME INSPECT
I I (BLDG DEPT. FRAME INSPECT(
i I I SHEAR PANELS "( I
_ I I I.
I 11NSULATION/WEATHER STRIPI
I I IINTERSOR LATH/DRYWALL
I } I
I - (EXTERIOR LATH
I I I
" I LOT DRAINAGE
_ I I I
ISMOKE DETECTION DEVICES I I 1
I I IFIRE DEPARTMENT APPROVALI I I
I I 1 I I I
I I I I I I
1 IREPORT ID: DPR261 ROUTE TO: BS0508 1
I I I I I I