HomeMy Public PortalAbout10228 LIVE OAK AVE_Building__ • J' - .�•' . _ t� may-, •,l ,� -,I .
76A638A CE#803 2-63 APPLI V/, "■ ION ■ OR' Bu I-LDI NG PERM-IT;,, ,
COUNTY. OF LOS ANGELES "BUILDING O // /
`DEPARTMENT OF COUNTY,ENGINEER ADDRESS ' '
t'. BUILDING AND SAFETY 'DIVISION LOCAL^ITYn
t JOHN'A. LAMBIE. COUNTY ENGINEER • , NEAREST
WILLIAM'A JENSEN;SUPT OF BUILDING CROSS ST
DISTRICn-,'G,: TYPE P E BY.
FOR APPLICANT TO FILL IN, j' coNsr ' ( i
BUILDING 7 ) �' `� ° STATISTICAL"_CLASSIFICATION S ER MAP
I ADD $ .O,-oZoZ r /- - - - 6K
r CLASS NO - DWELLy UNITS T rte, •i
�is
L O L C WATER ,tt,
G 'w?'',� AT/d CERTIFICATE' •NOT REQUIRED' I M RECEIVED
TRACT+� ,/T C L ,MAP'
' j NO,OF BLDG
NO ICIRCLE>'; STATE'-MAJOR SECON LOCAL +
' SIZE,OF LOT,5,6 NOW ON'LOT- USE ZONE - SPECIAL
USE OF ." CONDITIONS
EXISTING BLDG';
OWNER �/q�r ,�v //►- //�7j3��'s ,BUILID NG4" r EXIST .
_ YARD HWY. •" STRE•ET NAME
O A h�/ / SETBACK' r 7 WIDTH 'I
ADDRESS KJ H l.• FRONT
ARCHITECT OR •• TEL `P L
ENGINEER _ NO 'SIDE . }
P L- 4 ti b. a
ADDRESS •- ' - - _
TEL
O
TE
CONTRACTO - TE , -
•F
41
ADDRESS
DESCRIPTION OF.WORK 4 w
NE ADD' 'ALTER' REPAIR DEMOLISH r _ },/ v* -''_Z
Q FT �y NO OF - NO OF -' C ..�'61 -
SIZE C/ r_ STORIES "FAMILIES - _ -
STRUCTURE '— /_V
_
SIGNATURE OF -
APPLICAYALUATIO
NT
j�'vi..PE•G�� :;7.0 :1��"• /V�/GED KITH 3,dAlc,� / �•' .;
o f APPROVALS ' r DATE INSP ECTOR;S SIGNATURE
PC FOUNDATION 'LOCATION
:G PMT ' `Y
'FEE 'p�b' _FEE $ �aC _ FORMS MATERIALS
FRAME' FI'RE STOPS- _
I HEREBY ACKNOWLEDGE THAT'I HAVE READ THI APPLICATION BRACING BOLTS " - ;/
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY +FURNACE LOCATION
WITH ALL,COUNTY ORDINANCES AND STATE LAWS'REGULATING GAS VENT'+DUCTS -` ;`� • `
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE
AUTHORIZED HEREBY'I.WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH fNT'
TION OF1THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT-
INGTO WORKMEN'S' PENSATION INSU NCE I'� '" ''' - T
LATH, EXT. rA
'SIGNATURE O y HOUSE NUMBER COR
PERMITTEE - RECT•'AND.POSTED
ADDRESS FINALI� ' 0' • -v ry,` _
"JOH N,F LEWIS PRI,NCIPAL'S RAL ENGINEER
PLAN CHECK,VALIDATION. -K M O CASH _ - `PERMIT"VALIDATIO CK ' Mo CASH:
L,'Lo' 5 5 '9 8` :FCB Z-213", D >'9.o 'v
WORKERS'COMPENSATION DECLARATION
I hereby affirm that I have certificate of consent to self
insure, or a certrficate`of•Workers' Compensdtion Insurance,
or a certified copy thereof (Sec' 3800, Lab C ) '
}: • COUNTY,OFLOS,,ANGELES , r,BUILDINIG AND SAFETY }
Policy No Company
Certified co is her,eb „furnished BUILDING
copy v 9 FOR-APPLICANT•TO FILLIN• ADDRESS J
❑• Certified,copy is filed with',the county building inspec- BUILDING �7ir
tion department - ADDRESS o` C (/ '.J LOCALITY
,7� NEAREST
Date Applicant r, CITY ZIP , CROSS ST
CERTIFICATE OF EXEMPTIO ROM WORKERS' -' NO OF BLDGS 1 ASSESSOR
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
(This section need not be completed if'the permit is for one USE'ZONE MAP '
hundred dollars ($100)or less ) TRACT- BLOCK LOT NO n NO
§r. - TEL' SPECIAL }
I certify that in the performance of-the work for' which this OWNER NO CONDITIONS ' d
permit is.issued,-I shall not employ any person in any manner DI TRICT GROUP TYPE' FIRE PROCESSED BY n
so as to become sublect'to the Workers'Compensation Laws ADDRESS CONST
ST : ZONE
W.
Date Applicant s CITY ZIP TATISTICAL CLASSIFICATION APT CONDO O
NOTICE TO APPLICANT,If,•after making this Certificate of ARCHITECT OR TEL W
Exemption, you should become' subject to the,.-Workers' ENGINEER NO CLASS NO DWELL 'UNITS L"
Compensation provLsions of the Labor Code, you must forth- ADDRESS- SEWER MAP
with comply with such provisions or this:peimit shall 'be EL _
deemed revoked CONTRACTOR NO Q66 BK PG, VALIDATION
LICENSED CONTRACTORS DECLARATION ,LIC
I hereby affirm-that I am licensed under provisions of Chapter 9 •ADDRESSNO VALUATION
(commencing with Section 7000)of Division 3 of the Business and 'tf LIC
Professions,Code, and my license is in full force and effect CITY CLASS C_ $ D'
LL o SQ FT NO OF NO OF CHECK
License N,u�/m�b]er_!�p23 1�} �Lic Class C 7 SIZE STORIES FAMILIES ONE
wl!a SC.a/uX�C/�91 LI- NEW ❑ $
Coniracto Dafe DESCRIPTION OF WORK ,
L& _ ADD ❑
❑ I am exempt under'Sec-
c ALTER: ❑ FINAL
B,BP C. for this reason REPAIR^ ❑ DATE -�
USE OF FINAL
D -
are. EXISTING BLDG DEMOL ❑ By
Signature APPLICANT TEL
NER-BUILDER DECLARATION 'PRINT. NO
I hereby affi that I"am,exempt from the Contractor's License
'
Law for the following reason (Section 7031 5, Business and. - ADDRESS 9 2 6 �� <
Professions Code) PRESENT }
❑ BUILDING y
1, as owner of the property, or my•employees with ADDRESS o 0 0 o a
wages as their sole compensation,will do the work-ancl m ro
the structure is not intended or offered for sale(Section LOCALITY 3➢, -
7044, Business and Professions Code) MOVING TEL io 0 0 7 3 8:S
❑ C NTRACTOR NO
If
,'as owner of the property, am exclusively contracting
with licensed contractors to construct the project (Sec-, ADDRESS Z,�•g—8 4
tion 7044, Business and Professions Code) , -
REQUIRED TOTAL SETBACK FROM EXIST 4
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY, PROP LINE WIDTH
I hereby affirm that there is a construction jending'agency for FRONT D
the performance of the work for which this permit is issued P L
(Sec 3097, Civ C ) ' SIDE
m PL
v Lender's Name -
Lenders Address PC Fee$ Permit Fee
"I certify that I have read this application and state that the Issuance Fee
above information is correct I agree to comply with all County Investigation Fee
ordinances and State laws relating to building construction, Total Fee
>" and hereby authorisentatives of this County to enter
upon a;bove-mefibnNeproperty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
igof Applicant or Agent Date - ®s
TOUNTY 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 1108040048
PHONE (626) 285-0488 EXT
(LEGAL ID. 1 NO OF CONST BUILDING ADDRESS
I ON FILE 1 SQ FT STORIES TYPE 1 10228 LIVE OAK AV
I ISTRUCTURE V-B I TEMP CA 917802713 I
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET GLICKMAN
18586-016-034 1 1 THOMAS PAGE GRID LOCALITY TEMPLE CITY CAI
ITENANT IEXIST BLDG USE RESDE USE ZONE R-1 (ISSUED ON PROCESSED BY I
I IEXIST OCC GRP 108/C4/11 SR I
(OWNER TEL. NO IBLDGS NOW ON LOT VALUATION IF AS, EF AL BY CODE.
ISY JAYME T,VICKY T (626) 488-3647- 1 1 6,000
110228 LIVE OAK AV I I
ITEMP 917802713 FEES PAID D -R PT N OF WORK
I I IRE-ROOF REMOVE OLD TILE R F AND INSTALL 280LB PER 100 SQUARI
I IFEE DESCRIPTION QUANTITY UOM AMOUNT IE FEET COMPOSITION SHINGLE 1
(APPLICANT TEL NO I I I
(PREMIERE BUILDING INC (626) 378-9009- IAA BLDG PERMIT ISSUANCE 27 80 I 1
1713 W DUARTE RD G196 IAB STATE GREEN BLDG FEE 6000 00 VAL 1.00 (SPECIAL CONDITIONS 1
IARCADIA CA 91007 IAC STRONG MOTION RESID 6000 00 VAL 0 60 I I
1 ID2 PERMIT W/O EN-HC 6000 00 VAL 149 70 I I
1 1 TOTAL FEES 179 10 I I
ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE I
IPREMIERE BUILDER INC (626) 378-9009- 1-
1713
1713 W LAS TUNAS DRIVE #G-196 LIC NO , 1 ILOCAIION AND SETBACKS I I I
IARCADIA, CA 91006 NONE I I I I I
I ISOII3 ENGINEER APPROVAL I I 1
(ARCHITECT OR ENGINEER TEL NO: I (FOUNDATION/TRENCH FORMS I I I
I LIC NO I ISLAB/UNDER FLOOR I I I
I I I 11 1
I I (RAISED FLOOR FRAMING I I I
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I (UNDERFLOOR INSULATION I I I
1150H273 3 001 1 1 1 1
I 1 IFLOOR SHEATHING I I I
INO OF FAMILIES. DWELLING UNITS APT/GOND STAT CLASS I I I
0 NO 21 1 (ROOF SHEATHING I
I I I
I SCHOOL WITHIN HAZARDOUS (SHEAR PANELS 1 1
(AIR QUALITY 1000 FEET MATERIALS I-
I NO NO NO FRAM4 INSPECTION
I I I
I IFIRE SPRINKLER HANGERS I I
I I I
1 I (INSULATION/WEATHER STRIPI I I
I I I I
1 1 IINTERIOR LATH/DRYWALL I I 1
I I I
I (EXTERIOR LATH I I I
I I IRATED FLOOR/CEIL ASSEM 1
I
I i IRATEO WALL ASSEMBLIES I
I I I
I IRATED SHAFTS/OPENINGS I I 1
I II I I IT-BAR CEILINGS
I I I
I I ILOT DRAINAGE I 1
I I I
I (REPORT ID DPR261 ROUTE TO BS0508 1 1
I I I I I I