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Home My Public Portal About6408 LIVIA AVE_Building__ 76AS30A CE#80810-68 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS - BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUP'T OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPE PROCESSED BY FOR APPLICANT TO FILL IN ;I corisrt._. BUILDING /� i STATISTICAL CLASSIFICATION I BK SEWER MAP ADDRESS C�� L•' '` f` L ✓ 11�` CLASS.NO.---L-DWELL.UNITS-111 PG LOT NO. BLOCK NUMB ER HWYE YES NO TRACT USEZONE 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 L / F• FRONT MAIL _ P.L. {t. ADDRESS / SIDE TEL. P.L. - r CITY NO. INSPECTION RECORD ARCHITECTOR TEL. ENGINEER - NO. ADDRESS CONTRACTOR ' r .. -< i. TEL.,NO. -- ADDRESS DESCRIPTION OF WORK 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 ^ FOUNDATION: LOCATION FORMS,MATERIALS VALUATION$ _._-- FRAME: FIRE STOPS, BRACING,BOLTS . FURNACE:LOCATION, PMT. FEE '✓ I FEE $ ^ {_ 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 1 HOUSE NUMBER COR- PERMITTEE a" .� " RECT AND POSTED ADDRESS ! ' FINAL CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK, M.O. CASH PERMIT VALIDATIOIf' CK., M.O. CASH 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 0911030067 PHONE (626) 285-0488 EXT ILEGAL ID I NO OF CONST BUILDING ADDRESS- 1 ITR 12504 LT 22 I SQ FT STORIES TYPE 1 6408 LIVIA AV I I ISTRUCTURE V-B I TEMP CA 917801329 (ASSESSOR INFORMATION NUMBER. I NEAREST CROSS STREET 1 15382-018-009 I THOMAS PAGE 596 GRID H2 LOCALITY TEMPLE CITY, Cl I I I I ITENANT tIEXIST BLDG USE- RESID USE ZONE R-1 (ISSUED ON PROCESSED BY 1 1EXIST OCC GRP 111/03/09 SR I I I I I OWNER TEL NO JBLDGS. NOW ON LOT VALUATION 1FI AL DA FI; BY CODE ALLEY WAYNE - 150 16408 LIVIA AV 1 / ITEMP 917801329 1 FEES PAID IDSCRIPTION OF WORK 1 I IREPLACE DRYWALL IN EXISTING MAIN PANEL LOCATION 1 IFEE DESCRIPTION. QUANTITY UOM AMOUNT.1 I (APPLICANT TEL NO I I I IPOWER SOURCE CONSTRUCTION (626) 233-2861- IAA BLDG PERMIT ISSUANCE 27.75 1 I 18305 DUARTE ROAD IAB STATE GREEN BLDG FEE 150 00 VAL 1 00 ISPECIAL CONDITIONS I ISAN GABRIEL CA 91776 IAC STRONG MOTION RESID 150 00 VAL 0.50 1 I ID2 PERMIT W/O EN-HC 150 00 VAL 43 65 1 1 I 1 TOTAL FEES 72 90 1 1 ICONTRACTOR- TEL NO I 1APPROVALS DATE INSPECTOR SIGNATURE 1 IPOWER SOURCE CONSTRUCTION (626) 233-2861- 1 1 1I 18305 DUARTE ROAD LIC. NO I ILOCATION AND SETBACKS I I ISAN GABRIEL, CA 91775 833729B I I I I I ISOILS ENGINEER APPROVAL I I I I I I I 1ARCHITECT OR ENGINEER. TEL NO I IFOUNDATION/TRENCH FORMS I I LIC NO I 1SLAB/UNDER FLOOR I I I I I I I I I IRAISED FLOOR FRAMING I I I I I I IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP:I 1UNDERFLOOR INSULATION I I I 1153H265 3 OJ1 1 1 11 I 'I IFLOOP SHEATHING INO OF FAMILIES: DWELLING UNITS- APT/COND STAT CLASS. I I I I 1 NO 21 1 IROOF SHEATHING I I I I I I I SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I (AIR QUALITY 1000 FEET MATERIALS I 1 I I 1 NO NO NO 1 IFRAME INSPECTION I I I I I I I I I IREQUIRED TOTAL SETBACK FROM EXIST 1 IFIRE SPRINKLER HANGERS I I I ISET BACK YARD HWY PROP LINE WIDTH I I I IFRONT PL- I (INSULATION/WEATHER STRIPI I I SIDE PL- I I I I (INTERIOR LATH/DRYWALL I I I I I I I I 1EXTERIOR LATH I 1 i I I I I I I I IRATED FLOOR/CEIL ASSEM I I I I IRATED WALL ASSEMBLIES I I I I I I I I I (RATED SHAFTS/OPENINGS 1 1 I I I I I I I I IT-BAR CEILINGS I I I I I I I I I I ILOT DRAINAGE I I I I I I I I (REPORT ID DPR261 ROUTE TO BS0508 1 I I I I I I I I APPUCAT�ON FOR, BULDW3 PERNT COUNTY OF LOS ANGELES BUILDING-AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS B IL I G ADDRES v! I hereby affirm that I have a certificate of consent to self Insure, or a certificate of Workers Compensation Insurance,or a certified �� 96 copy thereof c 3800,Lab C) ZIP •� LOCALITY POIIJK In Cy o Company SIZE F T NO OF BLDGS NOW ON LOT erbfied copy is hereby furnished NEAREST-CROSS ST y� El Certified copy is filed with the coun Ing Ins on TRACT BLOCK .LOT NO V de' Appa e t _ - USE ZONE Datelicant VASfiESSOR MAP BOOK PAGE PARCEL •l SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' w ! T L No COMPENSATION INSURANCE 1 . Ms WITHIN 1000 FT OF SCHOOLS YES No ' ADDRE _ 211 (This section need not be completed if the permit Is for one hundred DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY ' dollars ($100) or less) ►/J� �///►)j(�JJ Y ZIP • - I certify that in the performance of the work for which this permit Is Issued, I Shall not employ any person In any manner So as t0 ARCHITE TOR ENGINEER " TEL NO become subject to the Workers'Compensation Laws STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO DWELL UNITS - NOTICE TO APPLICANT If, after making this Certificate Of A REQUIRED TOTAL SETBACK FROM EXIST Exemption, you Should become Subject to the Workers' NTRACT TEL NO SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith — FRONT comply with such provisions or this permit shall be deemed revoked P1 ID Ess NO PL t ' / LICENSED CONTRACTORS DECLARATION SIDE I Y LIC A PL, I hereby affirm that I am licensed underprovislons of Chapter 9 SEWER MAP (commencing with Section.7000)-of Division 3 of the Business and SQ FT�SIZ NO 0 STORIES NO OF FAMILIES Professions Code,and my license is In full force arW eU@_ct f�J" NEW Cl BK PG a }`� SCRIPTIO O WORK VA nON - 'License Nu b Lic Class t � 1 ADD '❑ � � D - - 0 Contract to l ALTER ❑. I S�"�� ❑ I am exe under Sec LRE PAIR ❑ r DEMOL ❑ U B&PC for this reason LDMA P/C# W Date OF E I G LL-Ci URM ❑ Signature PLICANT(PRINT) L N LDMA Perm# , - - —`303 - 117.T11 Z , El 1, as owner of the property, or my employees with wages as Z ilii �1_ � their sole compensation, will do the work and the structure IS 1 ITEf�W° not Intended or offered,for sale (Section 7044, Business and RISS�i L DATE Q Professions Code) �( �!ET - WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE -�� - M ¢ 7 r ❑ licensed as owner of the property, am exclusively contracting 44, AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDES Q t_ 11 •7i� licened contractors to construct the project (Section 7044, FINAL BY > I-tEt•fi Business and Professions Code) YES° NQ° t C:HAItIE ef�fs WILL THE INTENDED USE OF,THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING ' OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH - CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR•. GUIDEUNES _ 1 hereby affirm that there-is a construction lending agency for ves❑ No❑ !�l�f�!?-iaQi]1 6f l� :t a the performance of the work for which this permit Is Issued(Sec p1 I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING 0 AMICI-51 r 3097,CIV C) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, 1 di 1 tf j Li°C L N TITLE 2 CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD CL Lender's Address p GNNER GR/,GENT o I certify that,I have read this application and state under penalty 0 of perjury that the,above Infor Ion is correct I agree to,comply' P C FEE PERMIT FEE , h all o Ina esWor ws relating to building ro con on, d h reby a hontatives of t Is County ISSUANCE FEE ��; �� ent on ab a-me bonfor Inspectio p po a INVESTIGATION FEE TOTAL FEE ' SEE REVERSE FOR EXPLANATORY LANGUAGE