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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