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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 gnit w� on�n D-Al 41��r-4 Al ''IL� vr< � vK'c ..- — o 1 ' j• -7 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 t