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HomeMy Public PortalAbout6323 LIVIA AVE_Building__ 76A698ACE.#..,5- APPLICATION FOR BUILDING PERMIT 5 COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY`'--V'` JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. ...._ -- DISTRICT NO. GROUP I TYPE I PROCESSED BY FOR APPLICANT TO FILL IN CONST...-' ` BUILDING _ STATISTICAL CLASSIFICATION I SEWER MAP ADDRESS - - BK PG CLASS. NO. - DWELL. UNITS LOT NO" BLOCK MAP STATE YES NO NUMBER HWY. _ TRACT USE ZONE SPECIAL NO.OF BLDGS. CONDITIONS SIZE OF LOT I NOW ON LOT USE OF EXISTING BLDG. BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH OWNER FRONT MAIL P.L. ADDRESS SIDE TEL. P.L. CITY NO. INSPECTION RECORD ARCHITECT OR TEL. ENGINEER NO. ADDRESS TEL. CONTRACTOR NO. ADDRESS DESCRIPTION OF WORK I NEW ADD ALTER REPAIR DEMOLISH SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE -��• SIGNATURE OF . ,: APPLICANT '''"'-' APPROVALS DATE INSPECTOR'S SIGNATURE ADDRESS - t4=' i �. '�.'-" i��.,;,; FOUNDATION: LOCATION FORMS, MATERIALS VALUATION $ -� '^' FRAME: FIRE STOPS, BRACING, BOLTS P.C. PMT. FURNACE: LOCATION, FEE S I FEE S GAS VENT, DUCTS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH, INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH ®F i DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ®� u WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY , DISTRICT NO. PLANCK. NO. PERMIT NO. BUILDING q v� �'f �r /_ C ADDRESS .7i O V/,A V `G,'0 S � V� Ov LOCALITY ^y` RECEIVED BY DATE OF APPL. DATE ISSUED / i Cl NEAREST US JPO (v - 3 S7/ �.1 } CROSS ST. t0 NG D 8 ,BUILDING / 'ADDRESS LO 3 -2— owrleR , e LDbIZM �✓ MAIL LOCALITY ADDRESS 7i3-7 In«.T a A/ CNEAREST ROSS ST. CITY _SJ. (y Ib L NO. FIRE NO. OF I TYPE I GROUP ARCHITECT OR ��- TEL. ZONE PLANS ENGINEER NO. '"� BLDG. ORD. NO. SETBACK LINE 7i0 F, I �� /AZa ADDRESS APPROVED y�_ TEL. BY DATE - CONTRACTOR �J (��V F /`� NO. USE APPROVED ' ZONE BY DATE ADDRESS HOUSE NUMBERING LEGAL B 3 DESCRIPTION I LOT NO. BLOCK MAP NUMBER A-O ,—FIELD CHECK BY TRACT r'�� NO. ASSIGNED BY-Z S DATE ' r NO. OF S CORRECTIONS, SIZE OF LOT A �( J I NOW ON LOTO , -• USE OF, NO OF EXISTING BLDG. I FAM I LIESO Jam,yih J / t/ P PM7V6 DESCRIPTION OF WORK —T NEW I I ALTERATION I I ADDITION I - O REPAIR I I DEMOLITION I I I -• --- - - •- - _ �- SQ. FT. NO. OF / SIZE J 7 O ROOMS STORIES Z EXT. WALL ROOF D r COVI COVERING CO w, O USE OF STRUCTURE D 45 T zo Y z0 APPROVALS INSPECTOR'S SIGNATURE DATE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS VQ�s CORRECT. 1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS LAWS REGULATING BUl ING CONSTRUCTION. 'FURNACE: LOCATION, / t SIGNATURE OF - GAS VENT, DUCTS PERMITT LATH, INT. ADDRESS f1 r{ LATH, EXT. �°' .( 1 " V, AUTHORIZED AGT. e PLASTER, INT. L• DBes 10-50 $ O O"O P. C, $16 OG 'FEE i" PLASTER, EXT. ION d Q FEES �� FINAL 76A638A CE#803 8-63 APPLICATION I=OR UILUNG PERMIT COUNTY OF- LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND 'SAFETY DIVISION LOCALMT ,! JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A JENSEN, SUPT OF BUILDING CROSS ST DISTRICT NO GROUP I TYPE S OCESD BY FOR APPLICANT TO FILL IN s'D CONST b BUILDING STATISTICAL CLASSIFICATION SEWER MA . ADDRESS �p BK PG CLASS NO < LDWELL UNITS LOT NO BLOCK WATER ` CERTIFICATE NOT REQUIRED ❑ RECEIVED ❑ TRACT NOP�d v HIGHWAY NO OFBLDGS E) STATE MAJOR SECOND LOCAL SIZE OF LOT NOW ON LOT USE ZONE. SPECIAL USE OF. ` CONDITIONS _ EXISTING BLDG / / - OWNER L ��, '.0 NO �,�j c�i6 BUILDING ..EXJST SETBACK YARD HWY STREET NAM E � VyIDTH ADDRESS �O� ! /l FRONT ARCHITECT OR TEL P L - ENGINEER - NO SI , L ADDRESS TEL O CONTRACTOR NO ADDRESS O DESCRIPTION -OF'WORK ' G W a NEW ADD ALTER REPAIR DEMOLISH _ H SQ FT NO OF ' NO OF SIZE STORIES -FAMILIES USE OF { STRUCTURE w.- SIGNATURE OF APPLICANT VALUATION $ d - _ APPROVALS DATE INSPECTOR S SIGNATURE , PC PMT Om FOUNDATION LOCATION FEE $ FEE $ ��� FORMS, MATERIALS FRAME FIRE STOPS, ` I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS 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 WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH INT TION OF THE LABOR CODE OF,THE STATE OF CALIFORNIA RELAT ING TO WORKMEN S COMPENSATION INSURANCE LATH 'EXT ' SIGNATUR�E/ HOUSE NUMBER COR- 1 OR- ' PERMITT t RECT AND POSTED ADDRE iv FINAL JOHN PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION TRCK REN ER M O CASH LlV tO v 5 1 9Q3 SEP g D• 6.00- 13 1 1 WORKEpS'COMPENSATION DECLARATION i� arcertificate ent to lorScertifcate off Wokes' tompensaton Insurance, Q p p d 0 C AU d O lJ FOR' o U 0 LM NG .p E RN T or a certified copy thereof (Sec 3800, Lab C ) '' r� "0" COUNTY OF LOS-ANGELES BUILDING AND SAFETY Policy No,/ Company BUILDING Certified,copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS ' U/ ❑ Certified copy is filed with the county building inspec- BUILDING # ' 1 . . ' tion department ADDRESS Date Applicant CITY ZIP /(J'r LOCALITY CERTIFICATE OF EXEMPTI FROM WORKERS' 4F 'NO OF BLDGS NEAREST COMPENSATION INSURANCE SIZE OF LOT `` BLOCK LOT NO NOW ON LOT CROSS ST (This section need not be completed if the permit is for one TRACT ��/✓� ASSESSOR hundred dollars ($100)or less.) MAP BOOK PAGE T PARCEL • _ _ ' T L USE NE MAP - OWNER I certify that In the pe�ner5 r which this O' NO permit Is Issued, I shallany manner / SPECIAL so as to become subjecsation Laws_. ADDRESS CONDITIONS O Date Applicant S• CITY ZIP NOTICE T APPLICANT• If, after making' this Certificate of ARCHITECT OR TEL DISTRICT" GROUP TYPE FIRE PROLE SED BY O Exemption, you' should become-subject to the=Workers', ENGINEER NO. CONST ZONE (— Compensation provisions of the Labor Code, you must forth- ADDRESS ✓ W with-comply with,,such provisions or this permit shall be D deemed revoked. _ / TEL STATISTICAL CLASSI TION APT C N CONTRACTOR NOKy. (( Z LICENSED CONTRACTORS DECLARATION, LIC CLASS NO DWELL UNITS — I hereby affirm that I am Icensed under provisions of Chapter 9 ADDRESS �� NO SEWER MAP (commencing with Section 7000)of Division 3 of the Business and LIC . Professions Code, and my (cense is, full force and effect CITY �L�- CLASS BK PG $ 7 VALIDATION _ SQ FT NO OF NO OF CHECK Lcense Number Lc.Class SIZE STORIES I FAMILIES ONE VALUATION Contractor DESCRIPTION OF WORK NEW. ❑ ADD ❑ $ a ❑ I am axe Dt under Sec ALTER ❑ B&P C for,this reason REPAIR $ 9 4 6,O A Date: USE OF 0'0,0.0 0 EXISTING BLDG DEMOL� ❑ Signature APPLICANT S TEL FINAL I e a 5 9.2'5 OWNER-BUILDER DECLARATION PRINT U NO DATE t I hereby affirm that I am exempt from-the Contractor's License 1 o go o = Low for the following reason (Section 7031 5, Business and [ADDRESS of Aw FINA 5 9,2 5 U Professions Code) PRESENT BUILDING By 04,2 6 $8 ❑ .I, as owner of,the property, or my employees with ••, ADDRESS wages s their sole compensation,will do the work and the structur of intended or offered for sale(Section LOCALITY D 7044, Business an fessions Code) MOVING TEL ❑ 1, as owner of the propert exclusively contracting CONTRACTOR NO with licensed contractors to cons the project (Sec- ADDRESS tion 7044, Business and Professions Co e) REQUIRED - TOTAL SETBACK CONSTRUCTION'LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permmis issued P L (Sec 309E 'SIDE PL Lender's Name_ LDMA Ref # m P C Fee S . Permit Fee D Lender's Address - 1 certify that I have read this application and state that the Issuance Fee S LDMA P/C n o above information is correct I agree to comply with all County Investigation Fee q ordinances and State laws relating to building construction, Total Fee 5 LDMA Perm Jq 5 N and hereby authorize representatives of this County to enter upon the bove-mentioned pr party for inspection purposes. ` m m _ SEE REVERSE FOR EXPLANATORY LANGUAGE n Signatur Applicant or Agent Date l COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT ,mss' DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0205140020 PHONE: (626) 285-0488 EXT: LIM ID F CONST NEW U L ADDRESS: TR: 12115 LT: 4 SQ. FT STORIES TYPE OCCUP GROUP 6323 LIVIA AV STRUCTURE: 1920 1 VN R3 TEMP CA 917801328 ASSESSOR 0 UM GARAGE: NEAREST CROSS STREET: LONGDEN 5382-021-036 OTHER: 300 1 VN U1 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USEN - ISSUED ES ON: EXIST OCC GRP: 01/21/03 JK 01/16/04 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DAT CODE: KEELIN;JIM & SANDY (626) 291-2149- 185,000 6323 LIVIA AV TEMP 917801328 FEES PAIDUFS—R=N Or WORK ADDITION & REMODEL TO CREATE 48R, 3BA, LIVING RM, DINING RM, FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: FAMILY RM, COVERED PATIO APPLICANT: L. NO: SAME AS OWNER B1 PLANCHECK W/ENERGY 152000.00 VAL 1,525.92 AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: AC STRONG MOTION=RESID=�185000.00 VAL 18.50 B1 PLANCHECK%W/ENERGY 185000:00 VAL 203.64 B2 PERMIT%4f/ENERGY __��1'85000:OO�VAL 2034:78 CONTRACTOR: TEL. N : �� w TOTAQ�FEES 3,,810.59 APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNERLIC. NO �® OCA ,3-1 03 SOILS ENGINEER APPROVAL lV/ ARCHITECT OR ENGINEER: TEL. NO: QATI N/ H R D LIC. N0: — �L 111111 SLAB/UNDER FLOOR I( ~ J RAISED R FRAMING MAP 0: SEWER MAP BOOK: PAGE: FIRE ZONE: `CIMP,:- 11� � UNDERFLOOR INSULATION 3 II u >U Lu�jCC TV OLI� 2 E L S NO. OF FAMILIES: DWELLING UNI S: A CLASS:— NO 21� 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS LitROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS \ z NO NO NOil )� IRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACKFROM EXI \ �Qq QC' BLDG DEPT. FRTRE I ECT SET BACK YARD: HWY: PROP LINE: WIDTH: FSIIDE PPL-L- B_� SHEAR PANELS INSULATION/WEATHER TL,v F /y�'T �'^�`��� TArERIOR LA /DRYWALL EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508 CGtATY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS NEW RESIDENTIAL ,' BUILPIING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0009250010 • PHONE: (626) 285-0488 EXT: r_ LEGAL ID: NO. OF ONST NEW BUILDINGADDRESS: TR: 12115 LT: 4 SQ. FT STORIES TYPE OCCUP GROUP 6323 LIVIA AV STRUCTURE: 0 1 VN R3 TEMP CA 917801328 ASSESSOR INFORMATION NUMBER: GARAGE: 960 1 VN U1 NEAREST CROSS STREET: LONGDEN 5382-021-036 OTHER: THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY TENANT: USE ONE: ISSUED N: PROCESSED BY: EXPIRES ON: 09/25/00 UT 03/25/01 Pam OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DA A BY: CODE: KEELIN; JAMES 27,552 6323 LIVIA AV r. TEMP 917801328 FEES PAID DESC PTION OF WORK NEW 960SF GARAGE AND WORKSHOP FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 27552.00 VAL 2.76 SPECIAL CONDITIONS: D1 PLANCHECK�W/0�EN-HSC;X27552.00 VAL 434.00 D2 PERMIT W/.0'E�N GEL TA'LSFEES VAL 975.60 11 CONTRACTOR: TEL. NO: �J .. � APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO LOCATION AND SETBACKS O SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: ION/TRENCH FORMS LIC. NO: 1111111 SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP;- L /fes /] n�/� UNDERFLOOR INSULATION 153H265 N 87 3 1 Out:I U I! _ \��J� ®tr- 4h\ � ST LEVEL FLOOR SHEATH F FAMILIES: DWELLING UNITS: -. STAT ASS:- .�JJ V v Li u u NO 12V �. ND LEVEL FLOOR SHEATH SCHOOL THIN HAZARDOUS Nor R SH HING t� al AIR QUALITY: 1000 FEET MATERIALS NO NO NO I-I ®� FIRE DEPT. FRAME INSPECT TOTALREQUIRED SETBACK FROM EX T �I� Laf 0<� DG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONTPL SerVIC@That - SHEAR PANELS VL- SIDE PL- INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR LAT LOT DRAINAGE SMOKE DETECTION EVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508 CQJNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS DEMOLITION BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0009250013 PHONE: (626) 285-0488 EXT: EG D: NO. 5F CONST BUILDINGADDRESS: TR: 12115 LT: 4 SQ. FT STORIES TYPE 6323 LIVIA AV STRUCTURE: 500 TEMP CA 917801328 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN 5382-021-036 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY TENANT: EXI SID USE ONE: ISSUED N: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 09/25/00 UT 03/25/01 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATEY: CODE: KEELIN; JAMES 700 6323 LIVIA AV TEMP 917801328 F FS PAID DESCRIPTION OF—WMK DEMOLISH EEXISTING 2CAR GARAGE(500SF) FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 02 DEMOLITION INSPECTN 163.50 SPECIAL CONDITIONS: TOTAL FEES 191.25 GELES C� CONTRACTOR: TEL. NO: J �/��,� APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO PEDESTRIAN PROTECTION SEWER DISCONNECTION ARCHITECT OR ENGINEER: TEL. NO: ABANDON PRIVATE DISPOS LIC. NO: 1111111 UNDERGRND STRUCT REMOVAL AND SOIL RECOMPACTION MAF N0: SEWER MAP BOOK: PAGE: FIRE ZONE: �P� l(] n���� /� (]����J 153H265 01=v P1�JI 1 t`1 J1/111�1f/ fUr NO. OF FAMILIES: DWELLING UNITS: APT/CO : STAT CLAM: NO 24 SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO ® ®So c Service"T REPORT ID: DPR261 ROUTE TO: BS0508