The URL can be used to link to this page

Home My Public Portal About9717 LIVE OAK AVE_Building__ - 3 t 76A638A CE#8032-63 APPLICATION FOR BUILDING -PERMIT Y , COUNTY OF LOS ANGELESt BUILDING DEPARTMENT OF,COUNTY- ENGINEER ADDREss 'BUILDING AND SAFETY DIVISION ,'LOCALITY' C JOHN A. LAMBIE, COUNTY'ENGINEER NEAREST ' WILLIAM A JENSEN, SUP T,-OF BUILDING* CROSS ST .t . - •,r, . 'Dlg-�tiiT NOROUP TY ESSED BY, :FOR APPLICANT'TO FILL+IN 5 !/ (Di CONS .,BUILDING ! t rSTATISTICAL CLASSIFICATION 'SE ER MAP ADDRESS 4,71 CLASS NO DWELL'UNITS G LOT NO .:i;p 5 •+ BLOCK - WATER-' ' CERTIFICATE '- k.REQUIRED.1:1RECEIVED ❑ TRACT �' -"� MAP /}` HIGHWAY STATE MAJOR SECOND, CAL NO+OF BLDGS _ NO "' (CIRCLE) ' -,SIZE OF LOT '° NOW ON LOT- �U Z NE SPECIAL .USE OF `I '� CONDITIONS �1 EXISTING BLDG TEL 'OWNER c :.to 19 2 11B IL16-HNGEXIST '•s, - SETBACK 'YARD. HWY &REET 4ME WIDTH ADDRESS' t• °,I' ':_ '�' "•� �' FRONT. - ARCHITECT OZTEL P L r, ENGINEER :L• NO "SIDE i y AD DRE SS ,i 4 =• _P L AA J-��n++/� �,,,H t� TELt -•err �� .N•f!G fd/ _r/o"'iC —O CONTRACT OR ' Qo�� 'NO y' ADDRESS - DESCRIPTION .OF;WORK f .t V - w CL EW,' ADD I, ' ALTER. 1 REPAIR DEMOLISH, •� c r N • SO •FT NO'OF NO'OF SIZE" j Z,. ,STORIES` FAMILIES"dd_ _ 't" .'(,., �• v ' USE OF _ 'i� -'ID,•r:�7Q 'r 1 1 /IA e• ,/� STRUCTURE Q I •h: Fy -) /(r� SIG NATURE OF, �: f �L• "� �' '+APPL'ICANT i VALUATION$., ✓„� f i + �rp g + - - •APP,ROVALS DATE- INSPECTOR S SIGNATURE PC-,'T �v �Q PMTt9-P;. FOUNDATION LOCATION 1/. ,(�'•-' ' ,.FEE $ 1� FEE- $ 7f �"'FORMS- MATERIALS` {(ID7 d�17 FRAME. FIRE-STOPS, -• o I-HEREBY'ACKNOWLEDGE.THAT,I'HAVE READ THIS•APPLICATION• E'FRNA ING BOLTS ` /AND STATE yTHAT'THE ABOVE IS CORRECT tAND;AGREE TO COMPLY` CE LOCATION WITH'�ALL COUNTY ORDINANCES AND,STATE "LAWS REGULATINGVENT.DUCTS. BUILDING CONSTRUCTION ,1 CERTIFY THAT,--INrDOING THE WORK”_AUTHORIZED HEREBY CWILL NOT EMPLOY..ANY.PERSON.IN,VIOLA- NT TION OF`THE,.LABOR'CODE OF THE,STATE OF?CALIFORNIA RELAT:INGaTO'WORKMEN 5 COMPENSATION INSURANCE FA, EXT,SIGNATURE•OF �� %/�^ ''PERMITTEE //.�/ HOUSE NUMBER COR- RECT AND POSTED•-` _ FINAL; v JOHN F "L-EWIS "P RrNCIP4L STRU URAL ENGWEER Tr PLAN"CHECK VALIDATION' CKY •M O t "CASH. = PERMIT VA-LIDATION DK . M-o :-CASH' 7 0 4 8-G DEC 22 2 3 •D 3-5.5,0a-.. = :L.l�O7 1 4 4\ -DEC29 1 D ' 7 1 ,0(�,� AIPIPUCOAMOO H FOR o WLMHQ 1PERM7 � COUNTY OF LOS ANGELES BUILDING AND SAF TY WORKER'S COMPENSATION DECLARATION . FOR APPLICANT TO FILL IN BUILDING ADDRE • RESSI 1 hereby affirm that I have a certificate of consent to self Insure, BUILDING ''�—//77 l �J` or a certificate of Workers'Compensation Insurance,or a certified Zpyc tha[@Df(Sac 2�/�Lab�b Comp�nny_, _l H u G /'1 \ CI b�1 l TY a C l ZIP / �O LOCALITY Y 1Vd 8 SIZE OF LOT NO OF BLDGS NOW ON LOT ❑ rtlfied copy is hereby furnished NEAREST CRO ' El copy is filed with the county building Inspection TRACT BLOCK LOT NO USE ZONE MAP NO de art nt J/e/I DateC!?� /.ppllcant�{ �lo 1��r/j� ASSESSOR MAP BOOK PAGE PARCEL J SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROMWORKERS' TEL NO41 YES NO COMPENSATION INSURANCE ` �8 —�3 WITHIN 100D FT OF SCHOOL? ADDRESS (This section need not be completed if the permit is for one hundred - Q#iav� DISTRICT GROUP TYPE ST FIRE ZONE OCESSED BY dollars($100)or less) CITY ZIP D �1 i� I certify that in the performance of the work for which this permit � ` C r?40 40 I is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO become subject to the Workers'Compensation LawsATISTICAL C IFICATION Date Applicant ADDRESS CLASS NO DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' 51P CTOR �� TEL O —� �� SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith a FRONT comply with such provisions or this permit shall be deemed revoked ADDRESS_ LIC LII jC—N7O�j' PL Z� 4 L� `� SIDE LICENSED CONTRACTORS DECLARATION C11L LIC CLASS p L U 1 hereby affirm that I am licensed under provisions of Chapter 9SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ El SIZE NO OF YORES NO OF�FAMILIES Professions Code,an my license Is In full force an effect I NEW ❑ BK PG ACC�a g Y RI O OF WORK ADD ❑ VALUATION o® D c W License Num r Lic Class � �� $ �C_ 3-1-07 1_i 1 e _I y Contracto G _ _ ALTER ❑ J (� [ �( z 1 ITERS ❑ I am exempt under Sec REPAIR TOTAL c B SPC for this reason t 1 /%: DEMOL ❑ LDMA P/C N Date USE OF EXISTING BLDG URM CC15 Ia-J Signature APPLICANT(PRINT) TEL NO LDMA Pefm If CHANGE n CII ❑ I, as owner of the property, or my employees with wages as 0 O �y their sole compensation,will do the work and the structure Is ADDRESS FINAL DATE not intended or offered for sale (Section 7044, Business and Professlons•Code) G WILLTHEAPPLICANTORFUTUREBUILDINGOCCUPANTHANDLEAHAZARDOU$MATERIAL � 1119 1 '" }'411 7-41 ❑ 1, as owner of theproperty, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN ` Y g THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FlNAL_IBT I _ •licensed "contractors to construct the project (Section 7044, YES❑ NO❑ rte► �' Business and Professions Code) WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST q 1 FOR GUIDELINES I hereby affirm that there is a construction lending agency for ves❑ No❑ the performance of the work for which this permit Is Issued(Sec 3097,CIV C I HAVE READ THE HAZARDOUS MATERIALS INFORMATION 6010E AND THE ANGELES ) PERMITTING CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES ( COUNTY CODE,TITLE Z CHAPTER 2 20 SECTIO14S 2 20 100THROUGH 2 201.0 CONCERNING Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD Lender's Address AGEW o I certify that I have read this application and state that the above PC FEE PERMIT FEE information is correct I agree to comply with all county Ordina Rd$ a aws to building construction,and here a horize representatives f this County to enter upon ISSUANCE FEE the a me troned op y f inspection purposes. 131 0 INVESTIGATION FEE TOTAL FEE n1 .95 0w SEE REVERSE FOR EXPLANATORY LANGUAGE, 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 0807150003 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST I BUILDING ADDRESS ITR 6561 LT 505 SQ FT STORIES TYPE 1 9717 LIVE OAK AV ISTRUCTURE 24 V-B TEMP CA 917802526 1 ,ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET 18587-023-028 1 THOMAS PAGE 597 GRID A3 LOCALITY• TEMPLE CITY, Cl ITENANT IEXIST BLDG USE RESID USE ZONE R-1 (ISSUED ON PROCESSED BY EXPIRES ON 1 ;EXIST OCC GRP 107/15/08 SR 01/11/09 I I (OWNER TEL NO 1BLDGS NOW ON LOT VALUATION IFIAL DATE FIN Y CODE 1 PALADINO ROBERT M,SHERRY L (626) 286-0934- 1 8,500 19717 LIVE OAK AV I 1 ITEMP 917802526 1 FEES PAID IDtSCRIPTION OF WORK 1 1 1 ITEAR OFF EXISTING CAL SHAKE ROOF APPLY APA RATED SHETING 1 IFEE DESCRIPTION QUANTITY UOM AMOUNT 140 LB FELT APPLY GAF CLASS "A" GRAND CANYON SHINGLES 1 (APPLICANT TEL NO. I I I ILANSFORD ROOFING, INC (626) 390-3480- JAA BLDG PERMIT ISSUANCE 27 75 1 13535 LANDFAIR ROAD -1AC STRONG MOTION RESID 8500 00 VAL 0 85 1SPECIAL CONDITIONS 1 1PASADENA, CA 91107 ID2 PERMIT W/O EN-HC 8500 00 VAL 199 80 1 1 TOTAL FEES 228 40 I I I I 1CONTRACTOR. TEL NO (APPROVALS DATE INSPECTOR SIGNATURE 1 ILANSFORD ROOFING (626) 390-3480- 1 1_ 1 13535 LANDFAIR ROAD LIC NO 1 'J ILOCATION AND SETBACKS IPASADENA CA 91107 775436039 ,I 1 1 1 1 SOILS ENGINEER APPROVAL 1 1ARCHITECT OR,ENGINEER TEL NO 1 1FOUNDATION/TRENCH FORMS 1 1 _ 1 1 LIC NO 1 1SLAB/UNDER FLOOR I I 1 I I I 1 RAISED FLOOR FRAMING 1 1 I I I 1MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP-1 (UNDERFLOOR INSULATION I 1 1150H269 3 011 1 1 1 I IFLOOR SHEATHING 1 INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS- 1 1 1 1 NO 21 1 1ROOF SHEATHING I I 1 SCHOOL WITHIN HAZARDOUS 1 _ 1SHEAR PANELS I 1AIR QUALITY 1000 FEET MATERIALS 1 1 1 NO NO NO 1 1FRAME INSPECTION I I I 1REQUIRED TOTAL SETBACK FROM EXIST 1 IFIRE SPRINKLER HANGERS 1 ISET BACK YARD HWY PROP LINE WIDTH 1 I I I IFRONT PL- 1 JINSULATION/WEATHER STRIPI 1 1 I SIDE PL- 1 1 1 1 1 1 (INTERIOR LATH/DRYWALL 1 1 IEXTERIOR LATH 1 I I I 1 1 1RATED FLOOR/CEIL ASSEM 1 1 1 1 (RATED WALL ASSEMBLIES I I 1RATED SHAFTS/OPENINGS I I I 1 1 1T-BAR CEILINGS 1 1 1 I I I 1 ILOT DRAINAGE 1 1 I I I 1 IREPORT ID DPR261 ROUTE TO BSO508 1 1 1 1