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Home My Public Portal About6153 IVAR AVE_Building__ f KERS'COMPENSATION DECLARATION M nn e, affirm that I have r certificate ns consent to self L CAU�O H F O R O ��L 0 T LI �1 G F IE RM V Ll I� insure, or a certificate of Workers' Compensation Insurance, _ [rU or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY 'Policy No. Company BUILDING Certified copy is hereby furnished., FOR APPLICANT TO FILL,IN ; o ADDRESS / ❑ r Certified copy:i's filed witFi'the county building inspec- BUILDING tion'department. ADDRESS r t' Date t_ Applicant CITY" ZIP ' LOCALI7.Y, CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF,BLDGS., NEAREST- COMPENSATION,INSURANCE n, SIZE OF LOT NOW ON.LOT CROSS ST. ASSESSOR (This sectiort need not be:completed if the perm it'is for one- TRACT BLOCK t0T NO. e' hundred dollars ($100)or less,) MAP,BOOK,' PAGE PARCEL L: , O P .� TE USE ZO 69 I certify that in the.performance'of the,work for'whicl this OWNER f NO. permit'is is"sued,�l sh"all`riof employ any per'son'in any manner f SPECIAL so'as to'become subject to the Workers'Compensation L ws. . ADDRESSJS3 CONDITIONS 0 //►f nn W�. CITY ZIP „Date/? t-h t •Applicant r NbTICE'TO'APPLICANT: If, after'makmg''this Certificate .of ARCHITECT OR TEC:,_' i DISTRICT GROUP TYPE FIRE PRO SED BY, O ENGINEER -�: CONST. ZONE V ' Exemption you should.become subject•to the Workers .� Compensation provisions of the Labor Code,>.you must forth ADDRESS �✓�`� /1 LU with�comply.with such•provisions or this permit shall:be TELISTATISTICALN deemed revoked CONTRACTOR NO. ,C., LASSIF�A710 APT::: NDO to LICENSED CONTRACTORS DECLARATION LIC. CLASS NO."' `y DWELL..UNITS I hereby offirrh that l am licensed under,provisions of Chapter 9' ADDRESS NO. Z (commencing with Section 7000)of Division 3 of'ihe Business and LIC SEWER MAP Professions Code, and my license is in full force'and•effect. CITY CLASS VALIDATIOAt SO..FT. //NO:OF NO. OF •_ CHECK BK. PG. License.Number Lic.'.Class SIZE STORIES FAMILIES .. ONE-' }(� f u VALUATION., DESCRfPTION OF WORK - NEW,,. ® (� Contractor Date $ t . ❑ I am exempt under Sec D' ADD,... ALT ER' El B,BP.C.,for this reason REPAIR $ 2947.? A Date;. USE OF DEMOL EXISTING BLDG. # o,o o o e„' APPLICANT TEL.' Signature FINAL•- OWNER-BUILDER DECLARATION PRINT NO. DATE I o'6,9 .I hereby affirm that I am exempt from the Contractor's License ADDRESS FINAL Low for the following reason (Section 7031.5, Business and o' 7 5 U Professions Code): .. PR .By. 0.9 6 7 BUILDING 1 as owner of,the property,, or my employees with ADDRESS a ,,• ' woges as their sole compensation;will do the work and 0 '4:2 7 ` 8 8 the structure is not intended or offered for sale(Section LOCALITY 7044,.Business and Professions Code): -MOVING TEL. nn', V I', as owner of the property, am exclusively contracting• CONTRACTOR NO. with licensed contractors to construct the.pro:ect (Sec- .. . gDDRE55 tion 7044, Business and Professions Code). VVV CONSTRUCTION LENDING AGENCY REQUIRED TOTAL SETBACK /1 SET BACK YARD HWY PROP. LINE WIDTH 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 ' . P.L. Lender's.Name 0 CC TDMA Ref..# m P.C. Fee$ Permit Fee 2,J Lender's Address- o'. I certify that I have read this application and state that.the ssuance'Fee (%l^J - LDMA P/C#. above information is correct. I agree to comply with all County Investigation Fee o ordinances and State laws relating to building construction, Total Fee LDMA Perm. # C her authorize representatives of this County to enter m. upon t e Ove-menti ned perty,for inspection purposes. _ lfPQ `L<S'c� SEE REVERSE-FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date WbRKERS''COMPENSATION DECLARATION , nee affirm' tliot I have"a certificate of consent to self n � �n �� n Q M D' (fin insure; or a certificate of Workers' Compensation.Insurance; /�=�1 Q=�1 ®u-� Lj�l. ll�J' D LI V (j�� or a certified copy thereof (Sec. 3800, Lab. C.) Policy Na. ,. .. Company o ,. --COUNTY OF LOS ANGELES BUILDING �►ND`SAFETY " Q Certified copy.is hereby furnished._. FOR.APPLICANT TO FILL IN BUILDING ADDRESS: WA Certified copy is filed with the county building inspec- BUILDING tion department: ADDRESS 1L60qR p Date Applicant CITY: ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BIDGS: '.' NEAREST. COMPENSATION INSURANCE � .. SIZE OF LOT NOW ON LOT CROSS ST. (Thissection need.not be-completed &the permit is'for one ASSESSOR" hundred dollars ($100)or less.) • TRACT ✓ Q BLOCK LOT NO. MAP BOOK PAGE PARCEL _ .. TEL MAP I certify that in the performance of the work-for which this OWNER NO NO. ;permit is issued,.1 shall-not employ any person in any manner �' SPECIAL USE NE so arta become subject to the Workers Compensation Laws' 0. ADDRESS> I �' CONDITIONS -- // CITY. ZIP s a 0 DateAp�- JS/,.tQr�APPlicant—tel - ARCHITECT OR T NOTICE TO APPLICANT: If,"after making,this Certificate,of D O' ENGINEER O STRIC 4 DI T GR UP TYPE FIRE' PROCESSED BY Exemption .you should become.subject to the .Worker's' �{ (, CONST . ZONE U Compensation;:provisions of the Labor Code,-you must forth- ADDRESS �-/�"� LLJ with comply:with such provisions`or this permit shall be D- deemed revoked. TEL. STATISTICAL CLASSIFICATION APT.= U) CONTRACTOR' NO. Z LICENSED CONTRACTORS DECLARATION „ LIC. _ CLASS NO. DWELL. UNITS' — hereby affirm Thai I am licensed under provisions of Chapter 9. ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business and LIC. SEWER MAP Professions Code, and my license-is in full force ond.effect. .CITY CLASS BK". P6. VALIDATION SQ. FT. NO. OF NO. OF CHECK, ` License'Number' Lic.Class SIZE STORIES. FAMILIES ' ONE DESCRIPTION OF WORK. :. NEW Q VALUATIOPI Contractor Date ADD Q D I am.exempt-under Sec. ALTER O B.&P.C. for.this reasonREPAIR Date: USEOF EXISTING BLDG.` DEMOL Signature APPLICANT °' TEL FINAL' OWNER-BUILDER DECLARATION PRINT NO. `- DATE Thereby affirm that-I am.exempt,from the Contractor's License " Law for the following reason-(Section 7031.5, Business and ADDRESS FINAL Professions Code): PRESENT By 9 4 7.3 A ' ® BUILDING 1, as owner of,the ,property, or my employees with ADDRESS wages as their sole compensation,will do the work and # the structure isnot intended or offered for sale(Section LOCALITY f 7044, Business and`Professions Code). MOVING ::'•TEL. I ;^� I ° ° 6 0.5 0 ' 1,.as owner of the property, am,exclusively contracting _CONTRACTOR NO. / I with licensed,contractors to construct the.project (See o m b 5 5 ADDRESS tion 7044;,Business dnd Professions Code). Y�'� REQUIRED TOTAL SETBACK FROM' \ CONSTRUCTION LENDING'AGENCY SET BACK YARD HWY PROP. LINE WIDTH' '\ 0 2 8 8 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 P.L. 'Lende'r's Name ' m P.C. Fee$ 'Permit Fee c L LDMA Ref. # Lender's Address ' o I certify that I have read this application and state that the Issuance Fee LDMA-PTC.q ' D above information is correct. I agree to comply with all County Investigation Fee 0 ordinances and State laws relating.to.building construction, .Total Fee 01 o and hereby a orize representativesiof this County to enter 5. LDMA Perm. if upon the ab ve mentioned roper for inspection purposes. 41 �' SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date c' 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 0902020008 PHONE: (626) 285-0488 EXT: (LEGAL ID: NO. OF CONST - BUILDING ADDRESS: ITR: 5904 LT: 21 UN: .002 SQ. FT STORIES TYPE I 6153 IVAR AV 1 ISTRUCTURE: V-B TEMP CA 917801524 1 (ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 15386-010-066 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl (TENANT: IEXIST BLDG USE: REBID USE ZONE: R-1 TISSUED ON: PROCESSED BY: 1 (EXIST OCC GRP: 102/02/09 SR I (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FWY: CODE: 1 ICHEN, KATHY LI (626) 291-2228- 1 2,500 I - I 16153 TVAR AV 1 / (TEMP 917801524 1 FEES PAID IDE"SCRI TIO OF WORK IREPAIR ON SIDE OF THE WALL ABOUT 30" RE-STUCCO AND REPLACE IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 13 WINDOWS. I (APPLICANT: TEL. NO: ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.75 _ I IAB STATE GREEN BLDG FEE 2500.00 VAL 1.00 (SPECIAL CONDITIONS: I IAC STRONG MOTION RESID 2500.00 VAL 0.50 i I ID2 PERMIT W/O EN-HC 2500.00 VAL 99.00 TOTAL FEES 128.25 I I CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE ISAME AS OWNER - I LIC. NO I ILOCATION AND SETBACKS I ISOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS I 1 LIC. NO: (SLAB/UNDER FLOOR I (RAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( "` 1UNDERFLOOR INSULATION I I I 1150H261 3 001 1 I I I .1 IFLOOR SHEATHING I I INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: 1 NO 21 IROOF SHEATHING I I SCHOOL WITHIN HAZARDOUS 1 1SHEAR PANELS 1AIR QUALITY: 1000 FEET MATERIALS NO NO NO IFRAME INSPECTION (REQUIRED TOTAL SETBACK FROM EXIST (FIRE SPRINKLER HANGERS ISET BACK YARD: HWY: PROP LINE: WIDTH: JI I (FRONT PL- IINSULATION/WEATHER STRI'00 I SIDE PL- I I 2 I I (INTERIOR LATH/DRYWALL I I I I I I 1 _ 1EXTERIOR LATH ,moi I IRATED FLOOR/CEIL ASSEM. IRATED WALL ASSEMBLIES (RATED SHAFTS/OPENINGS IT-BAR CEILINGS I 1 ILOT DRAINAGE (REPORT ID: DPR261 ROUTE TO: BS0508 I I - - �* COUDSPY 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 0505230029 PHONE: (626) 285-0488 EXT: LEGAL ID: - NO. OF CONST NEW BUILDING ADDRESS: - TR: 5904 LT: 21 UN: .002 SQ. FT STORIES TYPE OCCUP GROUP 6153 IVAR AV STRUCTURE: 79 1 VN R3 TEMP CA 917801524 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: LONGDEN 5386-010-066 OTHER: - THOMAS PAGE: 596 GRID: H2 ` LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 05/25/05 JK 05/20/06 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: - FINAL DATE - FINAL BY: - •CODE: CHEN, JOHNNY/KATHY (626) 291-2228- 8,000 6153 IVAR AV TEMP 917801524 FEES PAID DESCRIPTION OF WORK _ - - ' REVISE BEDROOM 79 SF. TO THE ALREADY APPROVED -PLANSSEE ALSO FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: PERMIT #0501120015 APPLICANT: TEL. NO: _ TAO (626) 458-8307- B1 PLANCHECK W/ENERGY 8000.00 VAL 171.11 317 W. .LAS TUNAS AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: SAN GABRIEL AC STRONG MOTION RESID 8000.00 VAL 0.80 B2-PERMIT W/ENERGY 8000.00 VAL 201.30 - - TOTAL FEES 400.96 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE ALEX TAO AND ASSOCIATES (626) 458-8302- ' 317 W. LAS TUNAS DR., #208 LIC. NO LOCATION AND SETBACKS _ SAN GABRIEL, CA 91776 744151B _ •- SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: - TEL. NO: - FOUNDATION/TRENCH FO LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING j MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 01 1ST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING.UNITS: APT/GOND: STAT CLASS: NO 21 - 2ND LEVEL FLOOR SHEATH - SCHOOL WITHIN HAZARDOUS ROOF SHEATHING , AIR QUALITY: 1000 FEET MATERIALS NO. NO NO FIRE,DEPT. FRAME INSPE REQUIRED TOTAL SETBACK FROM EXIST BLDG`DEPT. FRAME INSPEC SET BACK YARD: HWY: - PROP LINE: WIDTH: - FRONT PL- SHEAR PANELS - SIDE PL- - _ - INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL - - EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES- - - - FIRE DEPARTMENT APPROVAL REPORT ID: -DPR261 ROUTE TO: BS0508 ' .S 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 0501120015 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. . CONST NEW BUILDING ADDRESS:' TR: 5904 LT: 21 UN: .002 SQ. FT STORIES TYPE OCCUP GROUP 6153 IVAR AV STRUCTURE: 1112 1 VN R3 TEMP CA 917801524 ASSESSOR INFORMATION NUMBER: GARAGE: 600 1. VN U1 . - -NEAREST CROSS STREET: LONGDEN 5386-010-066 OTHER: 80 1 VN - U1 THOMAS PAGE: 596 GRID:•H2 - --LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 04/06/05 JK 04/01/06 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: CHEN, JOHNNY/KATHY (626) 291-2228- 112,200 6153 I VAR AV TEMP 917801524 FEES PAID DESCRIPTION OF WORK ADD 2 BEDROOMS, 1 FMLY ROOM, 1 BATH, W/ATTACHED 3 CAR GARAGE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: & LAUNDRY ROOM. APPLICANT: TEL. NO: TAO (626) 458-8307- 81 PLANCHECK W/ENERGY 112200.00 VAL 1,285.25 317 W. LAS TUNAS AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: SAN GABRIEL AC STRONG MOTION RESID 112200.00 VAL •11.22 B2 PERMIT W/ENERGY 112200.00 VAL 1,512.06 TOTAL FEES 2,836.28 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE ALEX TAO AND ASSOCIATES (626) 458-8302- 317 W. LAS TUNAS DR., #208 LIC. NO LOCATION AND SETBACKS SAN GABRIEL, CA 91776 7441518 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS 9 LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION . 3 01 ST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME, INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPEET SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS SIDE PL- I S LATION/WEATHE ST I INTERIOR LATH/DRYWALL EXTERIOR AT LOT DRAINAGE SMOKE DETECTION DEVICE _ FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508 - T COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS DEMOLITION BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0411170035 PHONE: (626) 285-0488 EXT: LEGAL ID: No. OF CONST BUILDING ADDRESS: , TR: 5904 LT: 21 UN: .002 SQ. FT STORIES TYPE 6153 IVAR AV STRUCTURE: 700 TEMP CA 917801524 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: -LONGDEN 5386-010-066 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE:.SWIMM USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 11/17/04 JK 11/12/05 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL TE FINAL BY: CODE: CHEN, JOHNNY (626)291-2228 1,000 " ' 6153 IVAR AV TEMP 917801524 - FEES PAID DESCR PTION OF WORK DEMO SWIMMING POOL 700 SF. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL NO: _ TAO (626) 458-8307- AA BLDG PERMIT ISSUANCE 27.75 317 W. LAS TUNAS 02 DEMOLITION INSPECTN 163.50 SPECIAL CONDITIONS: SAN GABRIEL TOTAL FEES 191.25 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE ALEX TAO & ASSOCIATES INC. (626) 458-8302- 317 W. LAS TUNAS DR'. #208 LIC. NO PEDESTRIAN PROTECTION SAN GABRIEL, CA 91776 744141B SEWER DISCONNECTION ARCHITECT OR ENGINEER: TEL. NO: ABANDON PRIVATE DISPOSAL LIC. NO: UNDERGRND STRUCT REMOVAL AND-SOIL RECOMPACTION MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: XX 01 - N0. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 24 SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS _ NO NO NO REPORT ID: DPR261 ROUTE TO: BS0508