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HomeMy Public PortalAbout10422 LIVE OAK AVE_Building__ APPLECATOOIll FOR B,UQL®8NG PERMIT FOR APPLICANT'TO'FILLIN (Print or type only) COUNTY OF LOS ANGELES " BUILDINGDEPARTMENT OF COUNTY ENGINEER ADDRESS 10422 •E A � ' CITY ARCADIA _ ZIP. 91006 BUILDING AND SAFETY DIVISION . NO OF BLDGS BUILDING SIZE OF LOT NOW ON LOT ADDRESS 10422 -E.p -�L OAK TRACT LUC t LOT NO LOCALITY AR ADM TEL NEAREST OWNER CLAUDINE fiAC E NO CROSS ST ASSESSOR ADDRESS l0422 E. LIVEMAP BOOK PAGE PARCEL -CITY ARCADIA - -ZIp 91006 "DISTRICT P CONST ZQE ESSED Y JTYPE ARCHITECT OR TEL , ENGINEER ]3ARRY BARON g - NO STATISTICAL CLASSIFICATION SEWER ADDRESS 13824 Ventura',Sherman Oaks • - - - - CLASS NO DWELL UNITS BK PG CONTRACTOR A UARIC FOOLS NO ZONE MAPLIC 0 �y ADDRESS 101 E.HUNTINGTON NO 315620 vc� Spa SPECIAL LIC CONDITIONS CITY ARCADIA CA CLASS ROAD DEPARTMENT APPROVAL REQUIRED - YES ❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG SETBACK FROM FRONT PROP LINE OF (STREET) -ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING SQ FT NO OF NO OF CHECK HIGHWAY + YARD = FRONT PROP LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ON } DESCRIPTION OF WORK NEW + - a O SWIMMING POOL 460 ADD BLDG SETBACK FROM 0 SIDE PROP LINE OF )STREET) O ALTER ❑ HIGHWAY; + YARD = TOTAL SETBACK FROM TYPE OF EXISTING SIDE PROP LINE HIGHWAY WIDTH USE OF REPAIR ❑ Z EXISTING BLDGResidenne DEMOL ❑ + APPLICANT TEL CORNER CUTOFF YES NO (PRINT) NO IN OPEN SPACE - YES NO BY(SIGNATURE) /� 00 IN COASTAL PERMIT ZONE YES NO VALUATION$ IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE I Z .Z. /� GL7 f� _` - • '�"." - //✓ �"t� THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES - AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE _ WORK AUTHORIZED HEREBY I WILL NOT EMPJJJJ����Y ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALl FT0' ff_fJ RELATING T WOR C M PENSATION INSURANCE - ^- �L � SIGNATURE OF PERMITTEE ADDRESS 101 HUNTINGTON DRIVE FINAL BYTEL ' CITYARADIA CA' NO 446-4DATE MAKE CHECKS PAYABLE TO PC $ PMT $ ' ER FEE FEE =HARVEY T.BRANDY,COUNTY ENGINE PLAN CHECK VALIDATION~ CK M 0 CASH PERMIT VALIDATION M o CASH 5 9 3 OC► 1.8;•x'1 © 4.� 3 e` 061 i8 1 0 4 8.7 rj ®� 594r _ ®f-76A638A CE#803"3 75,• `, , I 76A6eeA CE#003 +­6+ APPLICATION ®®LIC/ TION FOR BUILDING p/yRM9T COUNTY OF LOS ANGELES ABUILDING DDRESS / DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION LOCALITY JOHN A. LAMBIE, COUNTY'ENGINEER NEAREST WILLIAM A. JENSEN SUPT OP BUILDING CROSS STS, / FOR APPLICANT TO FILL IN DISTRICT NO. GROU 1ypE P CESSED BY 1 `j, Q.CJ CONST s BUILDING /� f\' • -STATISTICALCLASSIFICATION SEWER MAP G ADDRESS C/ BK `` CLASS NO DWELL UNITS LOT NO ISG' Z`C BLOCK - WATER ' CERTIFICATE NOT REQUIRED v RECEIVED q TRACT MAP CJ �] HIGHWAY STATE MAJOR SECOND, LOCAL /� / NO OF BLDGS. NO / (CIRCLE) SIZE OF LO 7c I1 I NOW ON LOT USE ZONE SPECIAL //i .�� USE OF ` CON DITIONg� /( ,:_ _ EXISTING'BLDG OWNER b CJ N PJ G 0 NO. BUILDING YARD HWY STREET NAME EXIST SETBACK WIDTH ADDRESS FRONT j; r /n �•r_ E P L ALJ •6AILFALtss6F4 SIDE -`�� ADDREss� S+ P L w�2 TEL. INSPECTION RECORD 0 CONTRACTOR NO. � ADORES [ 'M r IAA,41 / Jiv �Dl/S DY Jr / g DESCRIPTION OF WORK /i/I/ .,./�l�i.s�� ..:s''?Y.�*s -••�% ,.,.y(',tis Aa✓l, r-:': a NEW ADD ALTER REPAIR DEMOLISH SQ FT. c+� NO OF NO OF i ! y 'C` ? IZE / d� STORIES }�►FA/M/ILIESUSE OF 14,01 ��� L" ' STR CTURE �C S/ eIZ t �' 1%/ y�/ P, - �A SIGNATURE O APPLICANT VALUATION z,4 APPROVALS DATE] INSPECCTTO4R'S$IGNNAATTURE a � < x PMTUNDATION FE T FOFORMS,MATER ALS LOCATION FEE _ FEE $ J / FRAME FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECTiAND AGREE TO COMPLY FURNACE. LOCATION, C \n�.l��!�''• /-/' ./ WITH ALL OUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS 1 , BUILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY IW L NOT EMPLOY ANY PERSON IN VIOLA- LATH,INT. TION OF THE LABOR C ING TO E F THE STATE OF CALIFORNIA RELAT- WORKMEN'S PE SATION RANCE LATH,EXT. SIGNATURE OF �y'//� HOUSE NUMBER COR- '/ PERMITTEE v`�N RECT AND POSTED !e'` ADDRESS FINAL CLYDE N. DIRLAM, PRINCIPAL ST C RAL ENGINEER PLAN CHECK VALIDATION cK M.O. CASH PERMIT VALIDATION c,L, M.O. CASH 2 07 S -0 A`jG30 2 ^ n D 2 5 .5E 85u � �f � ��c\1 8 a 5 1 .v �' WORKERS'COMPENSATION DECLARATION , Q� insureboraffirm a certificate of Workers'tCompensahori ificate of elnsuran eself L or a cert f d copy thereof (Sec 3800_, Lab C )' , Pa l io' vii-�� 7 pan COUNTY OF LOS-ANGELES, BUILDING AND SAFETY copy y' FOR APPLICANT TO FILL'IN BUILDING �` •' Certified co is hereb furnished ADDRESS 0 Certified copy.is`filed with the county building inspec- BUILDING L/ tion department ADDRESS 7 LOCALITY Q NEAREST Date �w Applicant-_ CI ZIP, CROSS ST ✓ , CERTIFICATE OF EXEMPTION FROM WORKERS' NO OF BLDGS "ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT ' MAP BOOK AGE PARCEL (This section need not be,completed if the permttoi,for,one USE ZONE MAP �. hundred dollars ($100)or less ) TRACT BLOCK LOT NO,: TO CJ 1 TEL 1 PECIAL jI certify that in the,performance of the work for which this OWNS NO. ONDITIONS r' IL permit is issued, I shall not employ any person in any manner ` DISTRICT GROUP TYPE FIRE PR ESSED BY O so,as to become subject to the Workers'Compensation Laws ADDRESS CONSTZONE U f-3 _ . Date r Applcant�lL� G . CIT ZIP STATISTICAL CLASSIFI TION CO DO O, ARCHITECT OR TEL NOTICE TO APPLICANT If, after making this Certificate of ENGINEER NO LU Exemption, you should become subject to the Workers' CLASS NO UNITS d Compensation provisions of'the-Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this' permit shall be deemed revoked CONTRALTO N TEL BK PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIS, IC /7 r I hereby affirm that I am licensed under provisions of Chapter 9 ADDRE N 3V VALUATION o (commencing with Section 7000)of Division 3 of the'Business and LIC Professions Code,"and my license is in full force and effect • ' CI �• t / zCLASS e E- �n Q SQ FT OF NO 'OF,'; CH CK License Number.'X�V w� Lc Class C—3 . SIZE TORIES FAMIU66- ONE t t NEW ADD $ ContractDate[t¢ p�y L DESCRIP N OF WORK , I amsexempt under Sec ` ALTER FINAL ]I TJ B&P C for this reason REPAIR Q DATE USE OF D t EXISTING BL q'�-• � DEMOL •Q" FINAL -- APPLICANT d TEL / BY', Signature PRINT NO '�7L� 7 ER-BUILDER DEC RATION 4 I hereby ffir that I am exempt from the Contractor's License Law for the f Ilowing reason (Section 7031 5, Business and ADDRE Professions de)' PkESE T QBUILDING (!✓ 1, 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 7044, Business and Professions Code) MOVING TEL 10 �.3 A 1, as owner of the property, am exclusively contracting CONTRACTOR NO u 'o 0 0 0 a with licensed contractors to construct the project (Sec- ADDRESS 1J � ' tion 7044, Business and Professions Code) ; CONSTRUCTION LENDING AGENCY REQUIRED YARD HWY TOTAL SETBACK FROM �O °,? $ O SET BACK PROP LIN -I hereby affirm that there is a construction lending agency for FRONT oto- o 7$0 0 the performance of the work for which this permit is issued P L (Sec 3097, Civ C ) SIDE a- ]—8v m 'P L ' Lenders Name e , Lender's Address PC Fee$ Permit Fee t I certify that I have read this application and state that the Issuance Fee t. above information is'correct I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee s d and hereby authorize representatives of this County to enter on the above-mentioned Operty for inspection purposes > \ f31 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Dote ` ®s -� 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 1010180033 PHONE (626) 285-0488 EXT (LEGAL ID NO OF CONST I BUILDING ADDRESS 1 I ON FILE I SQ FT STORIES TYPE 1 10422 LIVE OAK AV E ISTRUCTURE 2400 V-B I ARCD CA 910076462 (ASSESSOR INFORMATION NUMBER- 1 I NEAREST CROSS STREET: BALDWIN 18586-013-031 I I THOMAS PAGE 597 GRID D3 LOCALITY: TEMPLE CITY, Cl TENANT 1EXIST BLDG USE RESID USE ZONE R-1 11SSUF.D ON PROCESSED BY 1 I 1EXIST OCC GRP: 110/lE/10 SR I I I I I (OWNER TEL NO: 1BLDGS NOW ON LOT- VALUATION• IFINAL E FIN CODE: IFONG, SUSIE (626) 446-1533- I 5,000 1 •7 110422 LIVE OAK AV I 1ARCD 910078462 FEES PAID IDESCRIPTION OF WORK I I ICOVER OVER EXISTING COMPOST ION (ONE LAYER) WITH 30 YR GAF I I (FEE DESCRIPTION QUANTITY• UOM AMOUNT: ICOMPOSITION SHINGLES I (APPLICANT TEL NO I I I I (HONG, HUEY X (626) 961-0501- IAA BLDG PERMIT ISSUANCE 27.80 1 1 12039 PASO VERDE DR. IAB STATE GREEN BLDG FEE 5000 00 VAL 1.00 ISPEClAL CONDITIONS I 1HACIENDA HTS 91745 1AC STRONG MOTION RESID 5000 00 VAL 0.50 I I 1 iD2 PERMIT W/O EN-HC 5000 00 VAL 132 80 I 1 TOTAL FEES 162.10 I I ICONTRACTOR TEL NO 1 (APPROVALS DATE INSPECTOR SIGNATURE I (INLAND ROOFING CO (626) 961-0501- 1 I I 12039 PASO VERDE DRIVE LIC. NO 1 (LOCATION AND SETBACKS I I I 1HACIENDA HTS CA 91745 700319/39 I I I 1 I I ISOILS ENGINEER APPROVAL I I I I I I 11 I (ARCHITECT OR ENGINEER: TEL NO 1 IFOUNDATION/TRENCH FORMS I I I LIC NO 1 1SLAB/UNDER FLOOR I I I I I I I I I I i IRAISED FLOOR FRAMING I I I IMAP NO SEWER MAP BOOK PAGE FIRE ZONE- CMP-1 1UNDERFLOOR INSULATION I I I 1150H273 3 00; 1 I I I I IFLOOR SHEATHING I INO OF FAMILIES: DWELLING UNITS' APT/COND: STAT CLASS: I I IIY NO 21 I I ROOF 6FISDi \ 1 ' 1 SCHOOL WITHIN HAZARDOUS I I 1SHEAR PANELS I I I (AIR QUALITY 1000 FEET MATERIALS I I I I I NO NO NO 1 IFRAME INSPECTION I I I I I I I I IFIRE SPRINKLER HANGERS I I I I I I I I I I (INSULATION/WEATHER STRIPI I I I I I I I I I I (INTERIOR LATH/DRYWALL I I I I I I I I I I I 1EXTERIOR LATH I I I I I I I I I I IRATED FLOOR/CEIL ASSEM I I I I I I I I I I IRATED WALL ASSEMBLIES I I I I I (RATED SHAFTS/OPENINGS I I I I I I I I IT-BAR CEILINGS I • I I I I ILOT DRAINAGE I I I I I I I I REPORT ID. DPR261 ROUTE TO: BS0508 I I