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HomeMy Public PortalAbout9821 LIVE OAK AVE_Building__ 76A6;bdA DSS-3 Y-SS J APPLICATIOiN FOR RUIWING PERMIT DIVISION OF BUILDING'AND-SAFETY ADD Ess l Deportment of County Engineer County of Los Angeles LOCALITY WM.J. FOX, COUNTY ENGINEER NEAREST n CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST, DISTRICT NO. GROUP TYPE SEWER MAP FOR=ICANT TO FILL IId 's X I ONS1.15 12, /tj P STATE ADD EISS NUMB ER o.. HWY YES NO LOT NO. ¢JV „jam Y� d 4-1 '5 BLOCK USE ZONfi SPECIAL � ¢ ZO CONDITIONS TRACT Q� NO.OF BLDGS. ,BUILDING EXIST. SIZE OF LOT .�O O O I NOW ON LOT SETBACK YARD HWY STREET NAME WIDTH USE OF EX STTING BLDG. FRONT �� - Vo P. L. OWNER SIDE P. L. MAIL ADDRESS O TRACT DWELL. 1 UNIT - - 5 INDUSTRIAL TEL. DWELL. 1 UNIT CITY NO. 6 PUBLIC BLDG. ARCHITECT OR �,�..�- ' 2 DUPLEX 1 UNIT 7 ADDN.,ALT., ETC. ENGINEER NO. 3 APT. UNITS - NO. ��� $ _MISCEL. CONTRACTOR _ ADDRESS 4 COMMERCIAL - TEL INSPECTION RECORD � NO. ADDRESS ( 11 l �” A, (ZI L gar OV _ DESCRIPTION OF WORK �., M ^ co�A I ,A A Tr 1 NEW 64"- ADD ALTER REPAIR DEMOLISH _ SO. FT. NO. OF NO. OF SIZE /JOy STORIES FAMILIES/ (,T ' USE OF'STRUCTUR \ T A m�S 11..1 C,m V, C7 fi S i/JC.IrG/3_ / , 1 R►�e C,9 P I- .,u 1 y �•O1} 1 SIGNATURE OF APPLICANT I-1 pVAL3 I - G� - ADDRESS (4ATE - INSPECTOR'S SIGNATURE 92 FOUNDATION: LOCATIQL1 n A �O w P. C. III O� FORMS. MATERIAL3�` Vr!je� FEECJj FRAME: FIRE STOPS, $I �,() BRACING,BOLTSIMMENSE= VALUATION FEE ��•1► '4 ' FURNACE: LOCATION, r, 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT. DUCTS r - APPLICATION AND STATE THAT THE ABOVE IS CORRECT /' ^ AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT. AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. - 1 'Q/ -2 LATH. EXT. 1 - SIGNATURE OF41 HOUSE NUMBER COR-. PERMITTEE RECT AND POSTED i 2 ADDRESS � I - ('v FINAL 4 WM.J. FOX.COUNTY ENGINEER VALIDATION C. N. DIRLAM,CHIEF BLDG. INSPECTOR 05 l s:8.`; ..xt.29° 1 6_ 1 6:.OEo z`3 O- Xu 3 0 1 3 2.0 0 COUNTY OF LOS-ANGELES BUILDING AND'SAFETY WORKER'S COMPENSATION DECLARATION' FOR APPLICANT TO FIL IN BUILDING ADDRESS , I hereby affirm that I have a certificate of consent to self Insure, BUILMSS SS/ or a certificate of Workers' Compensation Insurance,or a certrfied r (� l✓ - copy thereof (Sec 3800, Lab' C) u v • C�f��O I'L� �1 / ZIP LOCALITY Policy No Company SIZE OF LOT NO OF BLDGS NOW ON LOT ❑ Certified copy is hereby furnished NEAREST CROSS ST ❑ Certified copy is filed with the county building Inspection TRACT - BLOC - LOT-NO ^ department ' USE ZONE MAP NO Date Applicant ASSESSOR MAP,BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER/� �p TEL / COMPENSATION INSURANCE • 'r r ��V� I ( WITHIN t000 FT OF SCFi0 YES No ADDRES (This section need not be completed if the permit is for one hundred z I' - �!+G/� DISTRICT GROUP T CONST FIRE ZONE PROCESSED BY dollars ($100)or less) '• CITYZIP • - - - Ice that In the performance of the work for which this permitD� _ 31 is issued; I shall not employ any person In any manner so as to become Subject to the Workers'Compensation Laws ARCHITECT OR ENGINEER TEL NO STATISTICAL CLASSIFICATION APT CONDO Date ApplicantADDRESS - - - CLASS NO �• DWELL UNITS _ NOTICE TO APPLICANT If; after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you Should become Subject t0 the Workers' CTO- ) f�yC� EL�/ (!? SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith � '1'O! s.fi G` d jr V FRONT comply with such provisions or this permit shall be deemed revoked ADDRE$SG/ JJ r id� � /%✓� LIC NO f� PL LICENSED CONTRACTORS DECLARATION )'`► o SIDE CITY! _ ,( `, lA7 - LIC CLASS P L 1-hereby affirm that I am licensed underprovlsions of Chapter,9 [�� r J /' �1� (commencing with Section 7000),of Division 3 Of the Business and SQ FT SIZE NO OF STORIES NO OF FAMILIES. SEWER MAP , Professions Code,and my license Is In full force and effect NEW ❑ BK PG a License Number _ LIC Class DESCRIPTION OF WORK ADD ❑ VALUATION Q Contractor DateJieO000�.�0 } ALTER El❑ I am exempt under Sec REPAIR ❑ B 8 P C for this reason �jr�r K c U DEMOL ❑ DMA P/C# Date - USE OF EXISTING BLDG - - URM- ❑ 1 Signature - AP' jNT(PRINT) (/'��� (' TES NOjloo� LDMA Perm# 1 Z I, as owner of the property, or my employees with wages as �^�+ b O Eli a t�• •Ioe their sole compensation, will do the work and the structure Is AD �4E f r� y�� /7yy, G fig.C1� f'IQ. not intended or offered for sale (Section 7044, Business and �-��J •+ V N �f C J FINAL DATE Q 3303 Professions Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL- 1�1'��S OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE J + ITEMS,❑ I, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDES FINAL BY licensed contractors to construct the project (Section 7044, 4 TAt— � Business and Professions Code) YES El •No E1,, t - -- JL WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING CHECK OCCUPANT REQUIRE'A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR r A GUIDELINES t.{tIMNI E I hereby affirm that there is a construction lending agency for YES❑ No❑ = a the performance Of the Work for which this permit IS ISSUed(Sec' I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING 3097,Civ C) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE ( y { a TITLE 2 CHAPTER 220 SECTIONS 2 20 100,THROUGH 2 20 140 CONCERNING HAZARDOUS i ),{{1•,pf�-'{ice,; {i_.J 4 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD tt IL Lender's Address ��� 1 t 77 0 OWNER OR AGENT e r o, I certify that I have read this application and state under penalty o •PC FEE PERMIT FEE of perjury that the above information Is correct I agree to comply v wit all cou ognces d State laws relating to building c suction, nil y ize repre ntatives of this County ISSUANCE FEEt ent r o he a o il pro rt for Inspects ur os s �(p-O 25 �/ m INVESTIGATION FEE TOTAL FEE / / SgneNr I Applwanl or Agenl ale �O SEE REVERSE FOR EXPLANATORY LANGUAGE APPUCAMON FOR BULMNG PERNT COUNTY OF LOS ANGELES BUILDING AND`SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING DRESS '� ., BUILDING-ADDRES n� ' I hereby affirm that I have a certrflcate_of'consent to self ms or a,certificate of Workers' Compensation Insurance,Ora tifsed copy thereof(Sec 3800, Lali C) - - CITY ���� A�� �i ZIP _ LOCALITY Pollcy,No Company SIZE OF LOT 1�fr f ,,NO OF 1:1B DGS NOW ON LOT Certified copy Is hereby furnishe v�'y✓fi(..J NEAREST CROSS ST ' .10 Certified copy Is'f led wl e county budding Inspection TRACT l BLOCK LOT NO ��3 i department - USEI,ZONE MAP NO Date, ApplicantASSESSOR MAP-B K PAGE PARCEL • • r 04,1111 A I Z ©d SPECIAL CONDITIONS _ sr OWNER - - TEL NO - - C RTIFICATE OF EXEMPTION FROM_WORKERS', � COMPENSATION INSURANCE WITHIN 1000 FT OF SCHOpL? 11 YES NO (This section need not be completed if the permit is for one hundred ADDRESS / �J dollars section nor less) ��r �-+����� DISTRICT E NS FIRE ZONE PROCESS BY CITY ♦'-- ZIP - 8 XGROUPV ' I certify that In the performance of the work for which this permit �� L-- e (JInJ is issued,-01,'shll employ any person in any manner so as to become she W rkerS'Co nSatiOn Laws ARCHITECT OR ENGINEER h TEL NOfSTATISTICAL CLA SIFICATION APT CONDO DateAppllcan ADDRESS CLASS NO DWELL UNITS NOTI E CANT If,'after' making this Certificate -of �,✓ REOUIRED TOTAL SETBACK FROM EXIST Exemption, you should become• subject to the Workers' CONT RAC •' TEL NO /H.� .SET BACK -YARD HWY PROP LINE WIDTH Compensation-provisions of the Labor. Code, you must forthwith /�J� 77'�✓F FRONT_ comply wdh such provisions or permit permshall be deemed revoked ADDRESS r LIC A� -PL' LICENSED CONTRACTORS DECLARATION G- PILE I hereby affirm that I am licensed underprovlsions of Chapter g CITY Dl /X� LIC CLAss� P L (commencing with Section 7000)of Division 3 of the Business and SO FT SIZE NO OF STORIES NO OF FAMILIES p SEWER MAP Professions Code,an is nse is in full force an effect / NEW BK PGIL License N er is Class "�r - DESCRIPTION Q WOBICADD' O VALUATION - > - Q I „ 10 Contra to• ALTER 11 $ CO u'' ❑ 1 am exempt under Sec , REPAIR ❑ BBPC for this reason DEMOL ❑ V LDMA P/C# • _ W Date USE OF EXISTING BLDG URM ❑ Oj co Signature APPLICANT INT TELDMA Perm# _ Z ❑ I, as'owner of the property, or my employees with wa as z fi'..•{•�e g' their.sole compensation, will do the work and the cture is ADDRESS — �- ;q- 7� p .+ ,/7 �jS/ .. FINAL DATE F 11 h not intended or offered for sale (Section 704 usiness and Q y;�1�h Professions Code) WILL THE APPUCANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATER AL {�J •J•+n_IJ OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE` ' ❑ I, as owner Of the property, am usivey contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDES - FINAL +:. ��I-'`'-� licensed contractors to constr the project (Section 7044, Buss iess and Professions e) YES❑ No O TI I Q WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH f, q ry CONS CTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKUST FOR CHECK �J3 y GUIDEUNES I hereby affir at there is a construction lending agency for YES❑- NO❑ h� 1 {_.f'[;iNGE p 130 the perfor nce of the work for which this permit is issued with IHAVE READ,THEHAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMDPERMITTING 3097 Iv C) _ CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, ' TITLE 2,CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS ('y'�('ilj(" _ 'Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD Lf�Jl — li f{} ! (}7 o Lender's Address ; j �yiu- O ' ONNER OR AGENT ..,• J•193 Art 17 1e*J O I certify that I have read this application and state under penalty 0 of perjury that the above Information Is correct I agree to comply PC FEE �A'S PERMIT FEE N with all county ordinances and State laws relating to budding m construction, and hereby aut rize r presentatives of this-County ISSUANCE FEE AA Pon the pe�rty for Inspects p oses INVESTIGATION FEE - TOTAL FEE !' A gmture of App— Ag- —1e a (f - SEE REVERSE FOR EXPLANATORY LANGUAGE l I 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 SL 0508 0211180041 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDINGADDRESS: TR: 6561 LT: 423 SQ. FT STORIES TYPE 9821 LIVE OAK AV STRUCTURE: VN TEMP CA 917802611 ASSESSOROR A NEAREST CROSS STREET: GOLDEN WEST 8587-028-001 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY EXISTLD ID E ON R- X E EXIST OCC GRP: 11/18/02 JK 05/17/03 OWNER: TEL. N LDGS. NOW ON LOT: VALUATION: FINAL DATE FIN BY: CODE: CHUN YIM POON & LAI LENG LAM (626) 614-0831- 1,650 9821 LIVE OAK AV TEMP 917802611 D DESCRIPTIO 0 REPLACE 13 WINDOWS _ PLN FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SAME AS OWNER AA BLDG'PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 1650.00 VAL 0.50 SAL CONDITIONS: D2 PERMIT W/O EN-HC 1650.00 VAL 82.20 TOTAL FEES 110.45 CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGN TU SAME AS OWNER LIC. NO LOCATION AND SETBACKS SOILS E GINE R APPROVYL ARCHITECT OR ENGINEER: TEL. NO: AT N/TRENCH F R LIC. NO: SLAB/UNDER FLOG RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 150H269 3 0,1 FLOOR SHEATWrffF- NO. OF FAMILIES: L P 0 NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLR--HAFG-ERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATIONNEATHER STRIP SIDE PL- INTERIOR L- I R 0 EXTERIOR LATH R . RATED WALL ASSEMBLIES RATED S/OPE G -BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: SS0508 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 1003290038 PHONE (626) 285-0488 EXT ILEGAL ID NO OF CONST BUILDING ADDRESS 1 ITR 6561 LT: 423 SQ FT STORIES TYPE 9821 LIVE OAK AV - STRUCTURE VN TEMP CA 917802611 (ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET GOLDEN WEST 18587-028-001 THOMAS PAGE 597 GRID A3 LOCALITY TEMPLE CITY TENANT EXIST BLDG USE RESID USE ZONE R-1 JISSUED ON PROCESSED BY 1 IEXIST OCC GRP 103/29/10 SR OWNER. TEL NO IBLDGS NOW ON LOT VALUATION- IFI DA E FI AL BY CODE 1 ICHUN YIM POON & LAI LENG LAM (626) 614-0831- 150 1 Y 1 19821 LIVE OAK AV 1 1 TEMP 917802611 FEES PAID JDECRIPrPION OF WORK ISTUCCO ON WALL FACE TO THE DRIVEWAY (SOUTH) IFEE DESCRIPTION QUANTITY UOM AMOUNT- 1 APPLICANT TEL NO I I I ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27 75 1 1 1 IAB STATE GREEN BLDG FEE 150 00 VAL 1 00 ISPECIAL CONDITIONS IAC STRONG MOTION RESID 150 00 VAL 0 50 1 ID2 PERMIT W/O EN-HC 150 00 VAL 43 65 I T IFR INV WORK W/O PERMIT 128 50 DOL 128 50 1 (CONTRACTOR TEL NO TOTAL FEES 201 40 JAPPROVALS 'DATE INSPECTOR SIGNATURE ISAME AS OWNER - I I LIC NO I ILOCATION AND SETBACKS SOILS ENGINEER APPROVAL 1ARCHITECT OR ENGINEER: TEL NO (FOUNDATION/TRENCH FORMS LIC NO I (SLAB/UNDER FLOOR 1I IRAISED FLOOR FRAMING 1 IMAP NO SEWER MAP BOOK: PAGE FIRE ZONE CMP-1 JUNDERFLOOR INSULATION 1150H269 3 Oil I I I I I I IFLOOR SHEATHING 1 I INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS 1 I -1-1 I 1 NO 21 1V• jj/ IROOF SHEATHING 1 1 SCHOOL WITHIN HAZARDOUS 1 f, l ISHEAR PANELS I (AIR QUALITY. 1000 FEET MATERIALS V �'nv 1 11 1 NO NO NO �' 1A.� ( ��p_y FRAME INSPECTION I IREQUIRED TOTAL SETBACK FROM EXIST I (FIRE SPRINKLER HANGERS 1 1 ISET BACK YARD HWY. PROP LINE -WIDTH I I I 1 IFRONT PL- I - (INSULATION/WEATHER STRIPI I 1 I SIDE PL- 111 I (INTERIOR LATH/DRYWALL I I I I xI I 1 EXTERIOR LATH 1 I IRATED FLOOR/CEIL ASSEM I (RATED WALL ASSEMBLIES 1 - I I I I I I I (RATED SHAFTS/OPENINGS I I I I I I I I IT-BAR CEILINGS I 1 I ILOT DRAINAGE 1 I I I I I I IREPORT ID DPR261 ROUTE TO BS0508 I I I I I I I I