HomeMy Public PortalAbout6327 LIVIA AVE_Building__ 76A636A DBS-3 12.54
APPLICATION FOR . UIL®ING PERMIT ]..
DIVISION OF BUILDING AND SAFETY ADDRESS (!�3 ' /G1/U
Department of County Engineer
County of Los Angeles LOCALirY Te in'1 ID �t
WM.J. FOX, COUNTY ENGINEER NEAREST de/v
D.GRIFFIN, SUP'T OF BUILDING - CROSS ST. Oil LJ e/'v
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ]TYPE SEWER. MAP
PG
CONST
BUILDING //yy ."' '^
ADDRESS („I{y MAP 1 STATE YES
NO'
NUMBER d HWY
LOT NO. !J BLOCK USE ZONE SPECIAL
- r� CONDITIONS -
TRACT /�L !Ivy
NO. OF BLDGS. h
SIZE OF LOT
PA NO.
I NOW ON LOT BUILDING -
YARD HWY STREET NAME EXIST.
USE OF p� _ - SETBACK WIDTH
EXISTING BLDG. FRONT -
P.
RONT
OWNER p J!" , � !3g SIDE - - -
ADDRESS t.r -3 J / ,2,/
Q
TEL. t DWELL. 1 UNIT '5 INDUSTRIAL
CITY v/ NO 2 DUPLEX_UNIT 6 PUBLIC BLDG.
ARCHITECT OR W TEL. - -
ENGINEER NO. 3 APT. UNITS 7: ADDN.,ALT., ETC.
ADDRESS 4 COMMERCIAL 8 MISCEL.
INSPECTION RECORD
CONTRACTOrE
Rj n _ � (�Qp, NoL -
ADDRESS
DESCRIPTION OF WORK
NEW ADD ALTER REPAIRI DEMOLISH _ TDF �TJ�/1CtI�U1P /9/✓�J W��1/VG
FAMILIES SO. FT. NO. OF % IO ( C vv�t
SIZE STORIES '• '27 AI-0y
USE
,OF ST UCTr�URE
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ETAPPLICANMr/I /APPROVALS /LE
ADDRESS r/ 9,�? ��
e ter-'fir= DATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION
P. C. S FORMS, MATERIALS
FEE FRAME: FIRE STOPS.
VALUATION (�''�-_ $ t7 CJ BRACING, BOLTS
" FURNACE: LOCATION,
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT, DUCTS
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. �J j// LATH, EXT.
SIGNATURE OF' (j,"�`/ �I HOUSE NUMBER COR-
PERMIT�,PE•/`� ^R "'a �' f"I'T I RECT AND POSTED
ADDRESS -__Y n � Er+ �4-Lt i'' FINAL
WM. J. FOX, 'COUNTY ENGINEER VALIDATION
BY 03 � .s'^ A26- 1 . 2.00
DEPUTY -• .. DEPUTY
BY ' By
0 DEPUTY DEPUTY
N j \NO-RKERS'*CCBMPENSATION DECLARATION
hereby affirm that 1,haver certificate of consent to Self APPLICATION FOR BUILDING PERMIT '
, insure, br a certifix.ate of Workers' Compensation Insurance,
or a certified"copy thereof (Sec. 3800, lab. ) ' COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy.No�, / Company
copy v FOR APPLICANT TO FILL IN n�DReSS F6 3, �7
Certified co is hereby furnished.
Certified copy is filed with the county building inspec- BUILDING 2 i f p +'
tion ,department. y1 ADDRESS v !T
Date `-4 aApplicarit ��/Z CITY (� ZIP LOCALITY
CERTIFICATE OF EXEMPTION FROM MRK6R V NC/OF BLDGS. NEAREST
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST.
(This section'need not be,completed if the permit is for oneTRACT BLOCK LOT NO. ASSESSOR -
hundred dollars ($100)or.less.) MAP BOOK PAGE PARCEL
TEL. 3y USE ZONE MAP
OWNER [ // n
I certify that in the performance of the work for which this // NO NO.`�
permit is issued, I shall not employ any person in any manner ADDRESS(Q � t �! p'114 `r SPECIAL
so as to become subject to the Workers'Compensation Laws. O �]� r� CONDITIONS V
CITY/T ! ZIP l /. Q (J
Q�/y
Date Applicant
NOTICE TO APPLICANT: If, after making this Certificate of ARC ITECT OR TEL. DISTRICT GROUP TYPE FIRE PRO ESSED BY
ENGINEER NO. CONST. ZONE! (J
Compensation
oExemption,peayou should become subject to
the Workers- 1" / IL
Com ensation provisions of the Labor Code, you must forth- ADDRESS �/ � �
with comply with such provisions or this,permit shall be N
deemed revoked. EL.l� `, STATISTICAL CLA FIC TION APT. CONDO. Z
CONTRACTORSi! /� No./�(f� l5 8 4 6 A
LICENSED CONTRACTORS DECLARATIONLIC.. CLASS NO. DWELL. UNITS/
I hereby affirm that I am licensed under provisions of-Chapter 9 ADDRESS p OI' NO 7 m
(commencing with Section 7000)of Division 3 of the Business and LIC. SEWER"P
Professions Code, and my license is in full force and effect. CITY f n Y3, CLASS BK(*V/PG �Atlp�4 l(RN7 3
na ^/ SQ. FT/Q NO.OF NO. OF CHECK
License Numbe — ` / �Lic`Class SIZE ((J C7 �^ ST IE / FAMILIES ONEV o 0 3,1.4,q 3
/� a u VALUATION
Contractorch� Date.r&v
DESCRIPTION OF WO EW ❑ Q` `� (] L 1 3=8 6
ADD $ U / S ,
I.am exempt under S c. /j ` ❑
ALTER
B.&P.C. for this reason REPAIR ❑ $
Date: USE OF � < DEMOL ❑
EXISTING BLDG.
Signature APPLICANT TEL. // FINAL
OWNER-BUILDER DECLARATION PRINT) / S NO. bo 6 <.
�{ DATE (((JJJ
I hereby affirm that I am exempt from.the Contractor's License ADDRESS�3v �/�/, �/ kVi C����'
Law for the following reason (Section 7031.5, Business and FI L
Professions Code): PRESENT B
❑ BUILDING wt
I, as owner of the property, or my employees with ADDRESS �
wages as their sole compensation,will do the work and
the structure is not, (� C�5 A intended or offered for sale(Section LOCALITY 1 `
7044, Business and Professions Code). MOVING TEL. '
❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO.
9,0 0 0 oil
with licensed contractors to construct the project'(Sec- ADDRESS
- •
tion 7044, Business and Professions Code).
00
CONSTRUCTION LENDING AGENCY SETT BACED
K YARD HWY REQUIRED TOTAPREOTPAINEFROM Wi TA
I 3 8 1.
I hereby affirm that there is a construction lending agency for FRONT o o =
the performance of the work for which this permit is issued P.L. '
381,00
(Sec. 3097, Civ. C.). SIDE
P.L. 1224-8'6
Lender's Name
m O LDMA Ref. #
Lender's Address P.C. Fee$ L , Permit Fee15
x I certify that I have read this application and state that the Issuance Fee LDMA P/C#
a above information is correct. I agree to comply with all County Investigation Fee
m ordinances and Stat laws relating to building construction, Total Fee L/ LDMA Perm. # -
u and hereby authori representatives of this County to enter
m
up o the above-me ioned4-11n
rt for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signatur o pplica oDate �°
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 1102280006
PHONE: (626) 285-0488 EXT:
(LEGAL ID: NO. OF CONST BUILDING ADDRESS:
1TR: 12115 LT: 5 SQ. FT STORIES TYPE 6327 LIVIA AV
STRUCTURE: 3100 V-B TEMP CA 917801328
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN
15382-021-037 i THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl
TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 JISSUED ON: PROCESSED BY:
EXIST OCC GRP: 102/28/11 SR
OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IFINAL DATq FINAL Y: CODE:
ILO, MARIA Y (469) 274-2645- 1 10,075
16327 LIVIA AV I
TEMP 917801328 FEES PAID DESC 1PTION OF WORK
TEAR OFF EXISTING ROOF AND IN ALL CDX PLYWOOD AND INSTALL
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 130 YEAR. SHINGLES
APPLICANT: TEL. NO:
ICASTRO'S ROOFING, MARIA (310) 346-1792- IAA BLDG PERMIT ISSUANCE 27.80 I I.
13336 W. 134 ST. IAB STATE GREEN BLDG FEE 10075.00 VAL 1.00 ISPECIAL CONDITIONS: I
IHAWTHORNE CA 90250 1AC STRONG MOTION RESID 10075.00 VAL 1.00 1
I ID2 PERMIT W/O EN-HC 10075.00 VAL 234.00 1
TOTAL FEES 263.80 I
(CONTRACTOR: TEL NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
ICASTRO'S ROOFING (310) 346-1792- 1 1I I
13336 W. 134TH ST. LIC. NO ILOCATION AND SETBACKS
IHAWTHORNE, CA 90250 91105OC39 I I I I I
1SOILS ENGINEER APPROVAL I I
1ARCHITECT OR ENGINEER: TEL. NO: 1 (FOUNDATION/TRENCH FORMS I I
I
I LIC. NO: 1 ISLAB/UNDER FLOOR I
(RAISED FLOOR FRAMING I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: I (UNDERFLOOR INSULATION I I
1153H265 3 001 1 I
FLOOR SHEATHING 1 1
INC. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I
I NO 21 1 (ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS
1AIR QUALITY: 1000 FEET MATERIALS I I I
I NO NO NO I (FRAME INSPECTION I
IFIRE SPRINKLER HANGERS 1 I
I
(INSULATION/WEATHER STRIPI II
IINTERIOR LATH/DRYWALL I I
IEXTERIOR LATH 1 1
I I IRATED FLOOR/CEIL ASSEM. I I I
I 1 IRATED WALL ASSEMBLIES I I I
I I I
RATED SHAFTS/OPENINGS 1 1
I
IT-BAR CEILINGS
I ILOT DRAINAGE I
I I
IREPORT ID: DPR261 ROUTE TO: BS0508 I I
I _I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1102220093
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST NEW I BUILDING ADDRESS:
ITR: 12115 LT: 5 SQ. FT STORIES TYPE OCCUP GROUPI 6327 LIVIA AV 1
I ISTRUCTURE: 0 1 V-B R3 I TEMP CA 917801328 1
(ASSESSOR INFORMATION NUMBER: GARAGE: I NEAREST CROSS STREET: LONGDEN I
15382-021-037 1 OTHER: 244 1 V-B U 1 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl
(TENANT: (EXIST BLDG USE: USE ZONE: TISSUED ON: PROCESSED BY: 1
1 IEXIST OCC GRP: 103/03/11 SR 1
I I I 1
(OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: IFI AL DATE FI CODE:
ILO, MARIA Y (469) 274-2645- 1 11,230 1 1
16327 LIVIA AV 1
(TEMP 917801328 1 FEES PAID IDE CR. TION bF WORK t 1
I 1 IBUILD STORAGE ROOM BEHIND ) GARAGE 1
I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1
JAPPLICANT: TEL. NO: I I I
ILO, MARIA (469) 274-2645- ID1 PLANCHECK W/O EN-HC 11230.00 VAL 213.20 1 I
16327 LIVIA AVE. 1AA BLDG PERMIT ISSUANCE 27.80 (SPECIAL CONDITIONS: I
ITEMPLE CITY CA 91780 JAB STATE GREEN BLDG FEE 11230.00 VAL 1.00 1 I
1 JAC STRONG MOTION RESID 11230.00 VAL 1.10 I
1 ID2 PERMIT W/O EN-HC 11230.00 VAL 250.90 T 1
(CONTRACTOR: TEL. NO: I TOTAL FEES 494.00 1APPROVALS DATE INSPECTOR SIGNATURE 1
1QI ZHANG (626) 253-0188- 1 1 I
13380 BENT TWIG LANE LIC. NO I 1LOCATION AND SETBACKS �1 I
(DIAMOND BAR, CA 91765 910660 1 I I I
I (SOILS ENGINEER APPROVAL
I I
JARCHITECT OR ENGINEER: TEL. NO: 1 (FOUNDATION/TRENCH FORMS I
1 I
LIC. NO: 1 JSLAB/UNDER FLOOR I I
I I I
I i 1RAISED FLOOR FRAMING 1
I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: J (UNDERFLOOR INSULATION
3 Oo 11ST LEVEL FLOOR SHEATH 1 1
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: 1 I I I
1 NO 21 1 12ND LEVEL FLOOR SHEATH I I
1 SCHOOL WITHIN HAZARDOUS I (ROOF SHEATHING
1AIR QUALITY: 1000 FEET MATERIALS 1
1 NO NO NO 1 (FIRE 'DEPT. FRAME INSPEC7f1 1 I
I 1BLDG DEPT. FRAME INSPECT 1 I
I I
I (SHEAR PANELS 1
I _I 11NSULP_T ON/WEATH R STRI
I 1 IINTERICR H/DR/WALL
I I
IEXTERIOR LATH 1
1 ILOT DRAINAGE
I I
I I (SMOKE DETECTION DEVICES I
I I IFIRE DEPARTMENT APPROVALI I
I I I I 1 I
(REPORT ID: DPR261 ROUTE TO: BS0508
I I I I I
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