HomeMy Public PortalAbout9711 LIVE OAK AVE_Building__ 76A638A'CE"803 2-63 APPLICATION FOR BUILDING PER IT
COUNTY OF LOS ANGELES BUILDING
ADDRESS
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST l
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST.
DISTR T NO. GROUPY E P CESSED BY
FOR APPLICANT TO FILL IN CONsr. �� L c
BUILDING STATISTICAL CLASSIFICATION SEIWER MAP
ADDRESS0 fit ~-
CLASS. NO. DWELL. UNITS [j
LOT NO. — BL K ( WATER CERTIFICATE: NOT REQUIRED ❑ RECEIVED ❑
MAIGHWAY
TRACT NOP (iC RCLE> STATE MAJOR SECOND, L CAL
NO,OF BLOGS.
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG. ny{
TEL. `J 1
OWNER Q, NO. BUI DING YARD HWY EET AME EXIST.
SETBACK WIDTH
ADDRESS FRONT
ARCHITECT OR TEL. P. L.
—ENG INEE
NGINEER NO. SIDE >„
ADDRESS
CONTRACTOR , TEL.
ADDRESS
DESCRIPTION OF WORK � '� '' w
CL
NEW ADD ALTER REPAIR DEMOLISH . Z
SO. FT. NO. OF NO. OFloq �� G';? Lj
SIZE L STORIES FAMILIES
USE OF L�
STRUCTURE
,y a
SIGNATURE OF r
APPLICANT
VALUATION $
U APPROVALS /4TE INSPECTOR'S SIG
FOUNDATION: LOCATIONS '
FEE $, �� FEE $ 7� �—� FORMS, MATERIALS
FRAME:.FIRE STOPS. r"`'
I HER EBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS "j
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. 1.11
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. f 'a
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INSURANCE.
%f �/!, �i/ LATH, EXT. +r.'
SIGNATURE OF/li.{,/G� K� HOUSE NUMBER COR- ! f Mss✓
PERMITTEE �T RECT AND POSTED 2-
ADDRESS-
ADDRESS FINAL 1:+
JOHN F. LEWIS. PRINCIPAL ST CT AL ENGINEER
PLAN CHECK VALIDATION cK. N M.O. CASH _ PERMIT VALIDATIOCK. M.O. CASH
70476 DEC 2 22 3 D .55.50L
L +t'jo 1 1 4 3 "DEC 2 9 1 D 7
76A638A CE4803 8-64 APPUCAT11®N FOR BU ILD G PER,v I
1
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF-COUNTY ENGINEER ADDRESS �
BUILDING AND SAFETY DIVISION LOCALITY` �4�
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS,SUP'T.OF BUILDING CROSS ST.
DI.STRIC,,T N GRO TYPE, PR SSS BY
FOR APPLICANT TO FILL IN O /} CONST.
BUILDING / �� ,.(,¢� STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS / `'"- CLASS NO: DWELL UNITS . BK PG
LOT NO. •� BLOCK USE ZONEMAPQV
NO.
TRACT,4, - / SPECIAL '
I _ NO. OF BLDGS. CONDI TIONS 11✓ '�' L'`
SIZE OF LOT,5 0' NOW ON LOT (� C
USE O F GLCL� �d
EXISTING BLDG. - BLDG. SETBACK FRO
TEL - FRONT PROP. LINE OF '(STREET)
OWNE TYPE OF EXISTING SETBACK HIGHWAY.- + YARD = TOTAL
ADDR ESSC Q Vi Q� NO. HIGHWAY WIDTH 'FROM C.L.
CITY r/—':7 M / /L( G i/ BLDG. SETBACK'FROM -
ARCHITECT OR TEL. SIDE PROP. LINE OF '(STREET)
ENGINEER NO.
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L. a
TEL. + = 0
CONTRACTOR NO U
LIC -
ADDRESS NO, CORNER CUTOFF YES NO O
CITY C��6 S5 'SEE REVERSE SIDE FOR SPECIAL APPROVALS V
w
DESCRIPTION OF WORK ,CL
NEW 'ADD ALTER REPAIR DEMOLISH
NO. OF NO. OF
SIZE 6
8'. STORIES FAMILIES
USE OF
STRUCTURE •Ll 40C A/- .
SIGNATURE OF
APPLICANT 0;
VALUATION$ APPROVALS .DATE,,.--\ INSPECTOR'S SIGNATURE
. - F,C, _ pp,IT• r� f-t7 FOUNDATION, LOCATION
E�"�.J FEE p!
FORMS,,MATERIALS
'FRAME, FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS I _/
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS t R
9UILDING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK - -
AUTHORIZED HEREBY IWILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. -
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TOWORKMEN'S CO PENSATION INSUR CE. LATH. EXT. /
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS ? FI NAL ef?/� ,�
JOHN F. LEWIS. PRINCIPAL4STRUCTURAL ENCASH� R
PL N CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O.
1K s ? 8 FEB 2 1 3.0 0011
'- ' - `_ _,N/G$KER5' COMPENSATION DECLARATION
I hereby 'affirm that haver certificate of,.consent to self �';� I n C n U P O N FOR
B(� n�n O��(�G n E R n n�U(
insure, or a certificate of Workers' Compensation Insurance, �j=�� L�` �L �jZ� uV v JLC uv Lr (wu U LJ
or a certified'copy thereof (Sec.•.3800,lab. C.)
COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company
Certified copy is heBUILDING
reby furnished. ' FOR APPLICANT TO FILL IN~ ADDRESS %4#L16 04
❑ Certified copy is'filed with the county building inspec- BUILDING (�
tion department ADDRESS �7 V� OAK
DateApplicant CITY PLE C/: I. -ZIP LOCALITY
CERTIFICATE OF.EXEMPTION FROM WORKERS' NO. OF BLDGS.' NEAREST
COMPENSATION INSURANCE SIZE OF LOT NOW.ON LOT CROSS ST.
(This'section need not be completed if the permit,is.for one �n ASSESSOR
hundred dollars'($1,06)or Jess:) TRACT b,5 OV BLOCK LOT NO. MAP BOOK PAGE PARCEL
TEL. USE NE MAP
I certify that'in the performance of th work f r which this OWNER S)19 4U NO. NO... `
permit is issued, I shall not emplo n son i y.m net SPECIAL t
so as to become subject to the ork ompe alio aws� ADDRESS Wig. Z7 1D�(E ��• T �. CONDITIONS 0,
Date/! J '`� A
CIT
ECA3Q0� C+U• ZIP. .
pp ARCHITECT OR TEL DISTRICT G OUP TYPE FIRE PRO SED BY 0-
NOTICE TO APPLICANT: 'If, o ting t ertificate of ENGINEER NO. H'
Exemption, you should become subjec f the'Work e CONST. ZONE V
Compensation provisions of the Labor Code, you-must forth- ADDRESS J c. �,� 3 W
with comply 'with such provisions or this permit shall be
deemed revoked.. -9.6 .
EL. STATISTICAL CLASSIFICATION , APT.' rONDO,,.. • U'CONTRACTOR 2( E� 1?00n rib I„Z n fZ
LICENSED CONTRACTORS DECLARATION p LIC.' CLASS No. j DWELL UNITS
I hereby affirm that I am licensed under provisions of Chapter,9 ADDRESS 1002f,2 c5t�y(Q 8RQ 9 i r NO.Y)-4'c. 7
(commencing with Section 7000)of Division 3 of the Business and: LIC:. SEWER MAP
Professions Code, and my license is in.full-force and effect. CITY /` s C r CLASS G^� BK FIG. VALIDATION
7 SQ. FT.s/ NO.OF / NO.OF CHECK
7�G ( SIZE s[TPJ. STORIES .p' FAMILIES ONE
License Number lic.Floss
n VALUATION
DESCRIPTION OF WORK E�Oo NEW ❑ $
Contractor Date ❑
Err{ r.d�e�- /a mS ADD
I am exempt under Sec. ❑ D, _
ALTER
B.BP.C.'for thlIxbowREPAIR $
USE OF L�S
Da / EMOL
D ❑
�. EXISTING BLDG. ❑
Sign re' APPLICANT.' " qq// o ����}� FINAL'
G1�1��L-�
O ER-BL ILDE ARATION (PRINT)
R41E DATE
I hereby affirm fhat l am exe rom the Contractor' License r�
Low for the following reason(Section 7031.5, Business and ADDRESS FI ;2;0 2.2 6'A
Professions Code):
PRESENTB
BUILDING
I, as owner of the property, or. my employees with, ADDRESS #•o o k�
wages ds their sole compensation;will.do'the work and. o °'o
the structure,is not intended or offered for sale Section LOCALITY'- o 025
( I, 59 25
. 7044,Business and Professions.Code). . . MOVING : TEL.
❑ CONTRACTOR NO. o ° o =
I, as owner of the property, am exclusively contracting 5 9. U
'with licensed contractors to construct the project (Sec- ADDRESS.
tion 7044, Business and Professions Code). ,- 0 7, 9-88
REQUIRED TOTAL SETBACK FROM
CONSTRUCTION LENDING AGENCY. 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.6.
(Sec.,3097, Civ. C.).. SIDE
P.L:
Lender's Name
mLDMA Ref. #
P.C.
`Lender's Address' .C. Fee$ PermitEee. fi.
o F certify that I have read this application and state that the Iswance Fee LDMA P/C#. D
g - 'above information is c recta gree to comply with all County Investigation Fee
o ordi ond'Stot laws rel ting to,buildin'g construction, Total Fee �, y� ` LDMA Perm. #
a h r authoriz epres tatives of this County to enter
a above-m one ropeytffor'inspection purposes.
7 SEE REVERSE FOR EXPLANATORY LANGUAGE`
Signature A icon or Agent Date
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 0904070035
PHONE: (626) 285-0488 EXT:
LEGAL TD: I BUILDING ADDRESS:
ITR: 6561 LT: 505 UN: .002 SQ. FT STORIES TYPE 9711 LIVE OAK AV
(STRUCTURE: V-B TEMP CA 917802526
(ASSESSOR INFORMATION NUMBER: 1 - I NEAREST CROSS STREET: J
18587-023-029 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
(TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 JISSUED ON: PROCESSED BY: 1
' IEXIST OCC GRP: '104/07,/09 SR
OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: IFI AL DATE FINAL BY: CODE:
ICHU, WINSTON (626) 215-80687 - 4,500 �Q 1
19711 LIVE OAK AVE. -
ITEMPLE CITY CA 91780 FEES PAID DESCRIP ION O WORK
J_ (REMODEL 2 BATHROOMS AND DRYWALL ON THE GARAGE
I _IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1
1APPLICANT: TEL. NO: -1
IZONGZHI (626) 822-1555- IAA BLDG PERMIT ISSUANCE - 27.75
110641 RUSH STREET IAB STATE GREEN BLDG FEE 4500.00 VAL 1.00 ISPECIAL CONDITIONS: 1
1EL MONTE CA 91733 IAC STRONG MOTION RESID 4500-.00 VAL 0.50 1 I
. JB2 PERMIT W/ENERGY 4500.00 VAL 145.86 k
- JFR INV WORK W/O PERMIT 257.00 DOL 257.00 1 �� U` J
ICONTRACTOR: TEL. NO: I TOTAL FEES 432.11 JAPPROVALS DATE INSPECTOR SIGNATURE J
JEASTERN HARDWARE (626) 401-0382- 1 1
110641 E. RUSH LIC. NO ILOCATION AND SETBACKS J
IS. EL MONTE CA 91733 789774 B I I 1 J
J ISOILS ENGINEER APPROVAL 1 1
1ARCHITECT OR ENGINEER: - TEL. NO: IFOUNDATION/TRENCH FORMS I
I LIC. NO: I ISLAB/UNDER FLOOR I I J
IRAISED FLOOR FRAMING
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( - JUNDERFLOOR INSULATION I I
1150H269 3 OOI 1 1-1 I
I I - IFLOOR SHEATHING J 1 J
INO. OF FAMILIES: DWELLING UNITS: APT/CONDI STAT CLASS: 1
NO 21 -i i ROOF SHEATHING J J
1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I
JAIR QUALITY: 1000 FEET MATERIALS I
1 NO NO NO 1 IFRAME INSPECTION I I 1
REQUIRED - TOTAL SETBACK FROM EXIST ' IFTRE'SPRINKLER HANGERS 1 J
ISET BACK YARD: HWY: PROP LINE: WIDTH:
IFRONT PL- ITNSULATION/WEATHER STRIPI
SIDE PL- J INTERIOR LATH/DRYYIAJy�
JEXTERTOR LATH I J
RATED FLOOR/CEIL ASSEM.-I I I
1 1RATED WALL ASSEMBLIES J J
I IRATED SHAFTS/OPENINGS
IT-BARCEILINGSJ
ILOT DRAINAGE I J
1 IREPORT ID: DPR261 .ROUTE TO: BS0508 J J
i I I I I I