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