HomeMy Public PortalAbout10130 LIVE OAK AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES
7 r WM. J. FOX. CHIEF ENGINEER
r FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PAN CK-NO- PERMIT NO.
DDRES B D
ABaldwin Avenue
DDREB
LOCALITY Los Angeles County RECEIVED BY DATE OF APPL. DATE ISSUED
NEAREST _ M�� '� 2
CRO B G
BUILDING
OWNER Linde Finance & Development Co ADDRESS O L/Lr' t9A,N-
MAIL
ADDRESS 232
CCOo Beverly Drive LOCALITY'
- �
NEAREST
CITY Beverly Hills, Calif. NOL. 5-4+55• CROSS ST. _
ARCHITECT OR c.,,,. TEL. ZONE PLANS FIRE NO.OF TYPE
GROUP
ENGINEER Same as above NO. ��
BLDG.• _ !.� ORD.NO. '
ADDRESS SETBACK LINE
APPROVED -
CONTRACTOR Same as above EL. BY DATE
USE •APPR6413�
ADDRES5
ZONE Awl BY q'd , DATE
LEGAL CORRECTIONS
LOT NO.
DESCRIPTION 35 BLOCK
TRACT• 16957NO.OF SLOG
-
SIZE OF LOT
55 x 107 (Apply NOW ON LOTS None
USE OFNO.OF NO.OF
EXISTING BLDG FAMILIES
ROOMS
DESCRIPTION OF WORK
NEW x ALTERATION ADDITION O
REPAIR MOVING _ DEMOLISH GI
Sq.FT. _ _ NO.OF D
SIZE 1330 ROOMS 6 STORIES 1 P
WALL StuccoROOF wood Shl es ,
COVERING - COVERING
USEorNG Duelling and attached garage
Plan- 106 — C
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION -
FORMS,MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME: FIRE STOPS,
SIGNATURE OF de Fi e •e pm .� BRACING.BOLTS
PERMITTE
- LA , INT.
AUT QRJZ�p_ • S n O • LATH, EXT.
_gzr
mere
76A638A--3 !7--i49 $ p,C.s y^/�A. PLASTER, INT.
FEE Vlil"'�'Q PLASTER,EXT.
VALUATION ' �I O FEE `a� _ FINAL /'i YN..c •.��� S f V
l.1, APPN,,L�CATI FOR BUILDING PERMIT
�^ ~ 'r�" _ BUILDING AND SAFETY -
___COUNTY'OF L'OS'ANGELES —• —• a ---
OMPENSATION DECLARATION, FOR APPLICANT TO FILL IN (BUILDING AUUHtSS
BUILDING ADDRESS - `� ��+"�• �''" � �
have a certificate ofconsent to self,insure, ', i
/orkers' Compensation Insurance,,or,a•certified.
3800,Lab C). CITY ' �` ZIP'' -
4 � { ('� � LOCALITY �
Company SIZE
OF LOT /- NO OF BLD CyS NOW ON LOT ��' C,
copy is hereby furnished 1t _ ``�+ '4�j t `NEAREST CROSS ST
ed copy is,filed with the county building inspection, TRACT BLO K LOT NO�< I
•{{,,art-tm�Ren/It. '#USE__ZONE _ MAP NO
dte &pPllCant �u �7tJ.�✓� L - ASSESSOR MAP 800K PAGE P(�RCE �: (•
- _ G2Q T:b { .SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER T _N0S'r�r; YES NO
COMPENSATION INSURANCE `( wITHw l000 FT of scHooL�
(This section need not be completed If the permit Is for one hundred ADDRESS
DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY
dollars ($100)or less)
CITY ZIP 1-7?,0
y�
I certify that m,the performance of the work for which this permit `��L C1 Z Z ` �O (/ dl•/_
is Issued, I shall not employ any person In any manner so as to ARCHITECT OR ENGINEER TEL NO Q / Y
become subject to the Workers'Compensation Laws U,-%` LJ L1 STATISTICAL CLASSIFICATION APT CONDO
Date Applicant ADDRESS op' CLASS NO DWELL UNITS
NOTICE TO APPLICANT. If, after making this Certificate of �� _ • V 7Z � ' REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you should become Subject to the Workers CONTRACTOR TEL NO SET BACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code, you must forthwith 111411L �� FRONT
comply with such provisions or this permit shall be deemed revoked ADDRESS c h LIC NO P L
431041 SIDE
LICENSED CONTRACTORS DECLARATION CITY r rL LIC CLAS P L
I hereby affirm that I am licensed underprovisions of, Chapter 9 r >
SO FT SIZE NO OF STORIES NO OF FAMILIES )SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and � �'
Professions Code,and my license Is in full force and effect. 1 NEW ❑ BK PG C
License Number l,11 G4 ` LIC Class �`-1 DESCRIPTION OF WORK /, ADD VALUATION C
Contractor 3�� Date ��-Z A3 1 ` ALTER 11 $ Com` C
C
El am exempt under Sec REPAIR El $ `,
B&P.0 for this reason DEMOL El U,
LDMA P/C# ` =iT �); a
Date: t USE OF EXISTING BLDG URM ❑ "" �- V
Z
4ignatur �-^ AP IC T(P NT) T�j L�,NO, LDMA Perm#
❑ I, as owner of the property, or my employees with wages as �1`td Z
Ir
their sole compensation, will do the work and the structure Is ADDRESS {� O
not Intended or offered for sale (Section 7044, Business and YkXq% W�� FINAL D i l Q M_, ,.!_•
Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL j ❑ _
❑ I, as owner of the property, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE Q�, •= 'L -~'•-
P P ty• Y g AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE'S FINAL BY
r
licensed contractors to construct the project (Section 7044,
YES❑ NO �
Business and Professions Code.)
WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING ._,M •.h , „rj„�'•{;' i.- �'_?_
OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH s -. -
CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR
GUIDELINES I'.++;+I',31w yr-FLf
I hereby affirm that there Is a construction lending agency for YEs❑ No Tr
N the performance of the work for which this permit Is issued(Sec.
3097,CIV C (HAVE READ I HE UNDERSTAND MY REQUALS IREMENTS
TS UNDER
GUIDE AND THE SCAOMDSPERMITTING _ _- - '
N ) CHECKLIST UNDERSTAND TI REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, s y y
TITLE 2,CHAPTER 2 20 SECTIONS 2 20 100 THRQUGH 2 20 140 CONCERNING HAZARDOUS .`i
Lender's Name MA REPORTkJG A OR OBTAINING A PORMIT FROM THE SCAOMD
o Lender's Address 111 *
pNNER OR AGENT
O
o9 I certify that I have read this application and state under penalty PC FEE �'�/t PERMIT FEE I /O
of perjury that the above information is correct I agree to comply (!
N with all county ordinances and State laws relating to building
a construction, and hereby authorize representatives of this County ISSUANCE FEE
m
(0 nter upon a ab e-mentioned property for Inspection purposes
a
�1_ Le�."Z�L� INVESTIGATION FEE TOTAL FEE
� nl w Ppeni �Y3`—� Date v
SEE REVERSE FOR EXPLANATORY LANGUAGE
WORKERS' COMPENSATION DECLARATION
hereby affirm that I have a certificate of consent to. self- • D Fq (an
insure, or a certificate of Workers' Compensation Insurance,•' - - •.' L �f�U
or.a certified copy thereof (Sec: 3800,'.Lab:•'C.) COUNTY OF LOS ANCs�1ESb ' BUILDING AND SAFETY,-
. r - •_ y.� ..
Policy No. Company
::• ..,- BUILDING' y
❑ 'Certified'Icgpy is hereby furnished. FOR,APPLICANT TO FILL IN ADDRESS Q AL AVIS ,
❑ Certified copy is filed•wi_th:the countybuilding'inspec- BUILDINGADDRESS
" tion department.'.
ctDate " Applicant, -� '� CITY � ' ZIP`" 1� Q" LOCALITY'
_ NO•OF BLDGS NEAREST
CERTIFICATE,OF EXEMPTION;FROM WORKERS' •:4 SIZE OF LOT S Zc o -NOW ON-LOT' ' CROSS ST.
'COMPENSATION INSURANCE-.j = C ASSESSOR
(This section need noi,`be completed'if'th'e pe'rmit:is.for one TRACT BLOCK r ' LOT-'NO 35
MAP BOOK"
hundred dollars ($1PAGE PARCEL
00),or less.) - TEL `'
OWNER NF2.7 NO S l 'e USE ZONE,. MAP P.
I,certrf' that:in-the erformance•of they NO
y p work'fo� which this I �� � SPECIAL - r. }
permit is•issued, l!shall not employ anype�son inpny,rrianner ADDRESS: f,t3 • . L..l tJ�.--(/, CONDITIONS " d
so as,to'become'subl'ect to the'Workers'Compensation•Laws. O
CITY ZIP - U
Date' Applicant r` ARCHITECT OR _ TEL
'
,NOTICE,TO'APPLICANT:-.If, after rmakmglthis_Certificate of ENGINEER NO DISTRICT. TYPE FIRE.- OCESSE BY O
Exemption, .you,,�should become_subject .to,the'—WorkersCONST U
Compensation provisions:of the Labor Code;you••must forth- . ADDRESS 5_0� a '
with-comply,with such'provisions;or this permit shall be. TEL N
deemed revoked. CONTRACTOR NO �- ' STATISTICAL CLASSI C TION APT CONDO.' Z
',LICENSED GONTRACTORS DECLARATION S LIC _�_ CLASS NO. '_DWELL UNITS ,
I hereby affirm that I arn•licensed-under provisions of CFiapter 9 ADDRESS '. NO.
•- ` (commenang'wnh,Sectron7000)•of Division 3.of the-Business UC � SEWER MAP Y4 ,
and Professions Code,'and my license is m full;force and effect. CITY �— CLASS •y BK VALIDATION
PG
SQ. FT- NO' OF NO OF CHECK
L•icense`Nu'mber `Lic.'.Cl�ass z SIZE STORIES FAMILIES ONE
VALUATION
DESCRIPTION OF WORK NEW
Contractor e
❑' /�}//)
Dat ,1
ADD.. .❑
❑I am exempt under-'Sec: }�� "' At.�L N 3
ALTER Eli q,..
B.BP,•.C.';for.'this reason $ -
REPAIR.-
Date: USE OF //�►►�
r., EXISTING BLDG Sl Q ^� 'r�S�- DEMOL D e
Signature `'' .,. APPLICANT. TEL ,��L� l's a
w- OWNER-BUILDER DECLARATION - :(PRINT)" gSrl(�ti' `t its�`F'
FINAL
I hereby.affirm•th`at.l am exempt from;the•Contractor's,bcense'' A� . ° jr -
Law'for`the followin ' reasoh Section`7031.5, Business`and o'ADDRESS'- 3� (,�� FIRr�/ -= '� 4 .83
Pro essions-Code): g' ° (, c. --. PRESENT Ty �+ .
r' BUILDING l' 1—ITEMS
I EMS
'I; as'owner.of.the property,,_or my employees with ADDRESS
wages'as their sole compensation,will do the work and - •- -c,_ _* 1,. TOTAL' i +fig �;m �y 11..
the structure is riot intended or'dffered_ for sale Section LOCALITY r-,' e [fC _ ;
7044, Business:and Professions'Code )r ( MOVING �. _'_ ti TEL., ..• b�' t•HE •�i �I e iii '
' LC4
ONTRACTOR NO.
❑ .`l;as.owner of the property,-am exclusively contracting - �I
> with-licensed contractors to:construct the prolect:(Sec-,' :-,. t-= - (` c•, - _
DDRESS
tion 70",'Business and Professions Code._) - r
S REQUIRED_ : -TOTAL SETBACK-FROM- EXIST
CONSTRUCTION LENDING AGENCY.'>'.: f 'SET BACK" YARD' ,;HWY PROP. LINE WIDTH ( —U{ 1,• 1i/ tiy
I hereby affirm,•that there-is a^construction lending'agency for FRONT
the performance'of the'work.for'whieh"th'is permit-is"issued P•L.' 0 7
(Sec,.3097, Civ. C.'). s SIDE_' 6772'• 1 AM.v o-
Lender's Name c•
_. _.. - S CDMA Ref # ;
P C. Feb$ Permit Fee, y _
Lender's Address
o•- . I certify that.] have read this application and state,that the . _Issuance Fee PLDMA'P/C'# ;
8 y above information is correct bagree to comply with all'County ", Investigation,Fee r; �.•
ordinances and State laws relating to building construction; Total Fee > CDMA Perm ti`"
a arid-hereby authorize representatives of•this County to enter
upon'the above=mentionedpr eity for inspection urp' sea. ':•" '' j'• _ - .
d
� SEE REVERSE FOR EXPLANATORY LANGUAGE '
igna ure.of Applicant or - 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 1308280089
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST NEW BUILDING ADDRESS:
ITR: 16957 LT. 35 I SQ. FT STORIES TYPE OCCUP GROUPI 10130 LIVE OAK AV 1
I (STRUCTURE: 210 1 V-B R-3 I TEMP CA 917802712 1
(ASSESSOR INFORMATION NUMBER: I GARAGE: NEAREST CROSS STREET: 1
18586-020-006 I OTHER: THOMAS PAGE: 597 GRID. B3 LOCALITY: TEMPLE CITY CAI
I I I
(TENANT: (EXIST BLDG USE: USE ZONE- (ISSUED ON: PROCESSED BY: i
IEXIST OCC GRP: 109/30/13 SR I
I I I I
(OWNER: TEL. NO. 1BLDGS. NOW ON LOT: VALUATION: IFINAy DA'j'E FINAL BY: CODE
W00, JEFFREY (626) 757-2375- 31,130 ///�/
110130 LIVE OAK AV 1 3 .7 �q U /
ITEMP 917802712 1 FEES PAID D CR1 TI N OF WORK ' 1
I 11-STORY ADDITION BEDROOM, BATHROOM & CLOSET @ FRONT 1
IFEE DESCRIPTION: QUANTITY: UOM. AMOUNT: 1 I
(APPLICANT: TEL. NO: I I I
ISAME AS OWNER - 1B1 PLANCHECK W/ENERGY 31130.00 VAL 526 60 1 1
1 IAA BLDG PERMIT ISSUANCE 27.80 1SPECIAL CONDITIONS: 1
1 IAB STATE GREEN BLDG FEE 31130.00 VAL 2.00 1 1
IAC STRONG MOTION RESID 31130.00 VAL 3 10 I 1
IB2 PERMIT W/ENERGY 31130.00 VAL 619.50 I 1
1CONTRACTOR: TEL. NO: 108 CERTIF OF OCCUPANCY 101.40 1APPROVALS DATE INSPECTOR SIGNATURE 1
ISAME AS OWNER - I TOTAL FEES 1,280.40 1 _ 1
LIC. NO i (LOCATION AND SETBACKS /
�f 1
I (SOIL:: ENGINEER APPROVAL 1 1
I I I i i I
1ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I
LIC NO., i ISLAB/ D
UNER FLOOR I I
I I� I
1 1RAISED FLOOR FRAMING I 1
I I I I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP-1 1UNDERFLOOR INSULATION
1 3 001 I
I 11ST LEVEL FLOOR SHEATH 1
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I
1 0 NO 21 1 12ND LEVEL FLOOR SHEATH 1
1 SCHOOL WITHIN HAZARDOUS j IROOF SHEATHING
1AIR QUALITY: 1000 FEET MATERIALS I 1
1 NO NO NO I FIRE'UEPT. ,FRAME INSPECT -"
I I
I 1BLDG DEPT. FRAME INSPECT( I
Rt
ISHEAR PANELS I L
11 1
i
IINSU'LATION/WEATHER STRIP1r
I 1 (INTERIOR LATH/DRYWALL 1 1
1 IEXTERIOR LATH I
ILOT DRAINAGE I 1
I I
ISMOKE DETECTION DEVICES 1
IFIRF DEPARTMENT APPROVAL( I I
I I I I I I
IREPORT ID: DPR261 ROUTE TO: BS0508 1 1 1
I I I I I