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HomeMy Public PortalAbout6446 LIVIA AVE_Building__ 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 0804280027 PHONE (626) 285-0488 EXT �. LEGAL ID- NO OF CONST BUILDING ADDRESS ITR: 12504 LT 18 BL- 001 UN- 002 SQ FT STORIES TYPE 6446 LIVIA AV STRUCTURE 360 V-B TEMP CA 917801329 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LONGDEN 15382-018-005 THOMAS PAGE. 596 GRID H1 LOCALITY TEMPLE CITY, Cl TENANT- JEXIST BLDG USE: RESID USE ZONE R-1 JISSUED ON PROCESSED BY EXPIRES ON EXIST OCC GRP 105/05/08 SR 11/01/08 OWNER TEL NO. IBLDGS NOW ON LOT VALUATION IFINAL T FIN BY: CODE CHRIS - 12,600 16446 LIVIA AV U TEMP 917801329 FEES PAID D SCRIPTION OF WORK ICOVER PATIO & BBQ GRILL W/GRANITE COUTER TOP I IFEE DESCRIPTION QUANTITY UOM AMOUNT APPLICANT TEL NO I ITRANG (626) 589-2027- ID1 PLANCHECK W/O EN-HC 12600 00 VAL 226 95 12607 WALNUT GROVE AV IAA BLDG PERMIT ISSUANCE 27 75 ISPECIAL CONDITIONS- IROSEMEAD, CA 91770 IAC STRONG MOTION RESID 12600 00 VAL 1 26 1 I ID2 PERMIT W/O EN-HC 12600 00 VAL 267 00 I TOTAL FEES 522 96 CONTRACTOR- TEL. NO 1APPROVALS DATE INSPECTOR SIGNATURE IPHD BUILDER INC (626) 589-2027- 1 12607 WALNUT GROVE AVE LIC NO LOCATION AND SETBACKS IROSEMEAD, CA 91770-3264 868680 B 1_ / 1 SOILS ENGINEER APPROVAL I ARCHITECT OR ENGINEER- TEL. NO IFOUNDATION/TRENCH FORMS �I I LIC NO SLAB/UNDER FLOOR I I I RAISED FLOOR FRAMING IMAP NO SEWER MAP BOOK PAGE. FIRE ZONE CMP (UNDERFLOOR INSULATION I I XX 3 Oil I I I FLOOR SHEATHING INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I I NO 21 IROOF SHEATHING SCHOOL WITHIN HAZARDOUS ISHEAR PANELS I I (AIR QUALITY. 1000 FEET MATERIALS I I I NO NO NO IFRANIE INSPECTION IREQUIRED TOTAL SETBACK FROM EXIST IFIRE SPRINKLER HANGERS ISET BACK YARD HWY PROP LINE: WIDTH I I I I I IFRONT PL- I (INSULATION/WEATHER STRIPI I I I SIDE PL- I -1-1 1 I INTERIOR LATH/DRYWALL I (EXTERIOR LATH I I I I I IRATED FLOOR/CEIL ASSEMI I IRATED WALL ASSEMBLIES I I I IRATED SHAFTS/OPENINGS I I I IT-BAR CEILINGS I I I ILOT DRAINAGE I I I I I I I I I IREPORT ID- DPR261 ROUTE TO- BS0508 I I I I I I I I app � MN FOR eULIO G pE ff COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILD�IG ADDRESS I hereby affirm that I'have a certificate of consent to self Insure, BUILDING ADDRESS or a certificate of Workers"Compensation ins uran e,or a c rtified v copy thereof(Sec 3800, b C) CIT ZIP 111%0 LOCALITY Policy No Company SI OF .0"T NO OF BLD SNOW ON LOT Certified copy Is hereby furnis ed 1111 NEAREST CROSS S Certified copy Is filed with t county b In nspey ion _ TRACT BLOCK LOT NO depar r USE ZONE MAP NO Date AppIIC ASSESSOR MAP BOOK ���^ PAGE 0/ PARCE�v� SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION'FROM OR RS' OWNER L ®TEL NO COMPENSATION INSURANCE WITHIN 1000 FT OF SCHOOLS YES NO ADDRESS - (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) CITY - -- 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 ARCHITECT OR ENGINEER TEL NO 0� become subject to the Workers'Compensation Laws STATISTICAL-CLASSIFICATION APT CONDO .Date Applicant < ADDRESS - - - - CLASS NO DWELL UNITS , s' _ NOTICE TO APPLICANT If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become .'subject to the Workers' CO A TEL NO / SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith �� J FRONT comply with such provisions or this permit shall be deemed revoked ADDR W --LIC NO P L LICENSED CONTRACTORS DECLARATION SIDE CIS LIC C SS PL I hereby affirm that I am licensed'underprovisions 'of'Chapter 9P. (commencing with Section 7000)of Division 3 of the Business and SQ FT SIZE NO OF STORIES NO OF FAMILIESSEWER MAP CL CL Professions Code,and my I V,n full force an effect , NEW 1:1BK p PG O U License Num r Llc Class DE CR T N OF WORK ADD - ❑ VALUATION Contractorfin Date ALTER $ • U 0 1 am exempt under Sec REPAIR ❑ $ z BBPC for this reason DEMOL ❑ LDMA P/C.# Date USE OF EXISTING BLDG URM ❑ Signature APPLICANT PRINT) T L NO LDMA Perm# 1 Ell,as owner of the property, or my employees with wages as s ZO i �g their sole compensation, will do the work and the structure is ADD ES not intended or offered for sale (Section 7044, Business and jWM 416, FINAL DATE a �F i= _`;'6 Professions Code) WILL THE APPLICANT OR UTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL s O i ❑ 1, as Owner of the property, am exclusively contracting with OR A MIXTURE CONTAI G A HAZARDOUS MATERIAL EOUAL TO OR GREATER THAN THE �' -J 1 i I— is AMOUNTS SPECIFIED N THE HAZARDOUS MATERIALS INFORMATION GUIDE1 FINAL BY _ ,* licensed contractors to construct the project (Section 7044, vEs❑ No - - - TOTAL�,�� ,��� m '"�" Business and Professions Code) _ WILL THE INTENDED USE F THE BUIDLING BV THE APPLICANT OR FUTURE BUILDING ["• Ji.. OCCUPANT REQUIRE A MIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH "r CONSTRUCTION LENDING AGENCY COAST AIR QUAUTV GEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDEUNES rsi;,Ih;�� •►ii 4 hereby affirm that there Is a construction lending agency for ' VES❑ NO - I a the performance of the work for which this permit Is Issued(Sec 3097,CIV C) I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING CHECKLIST I UNDERSTAN MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE _ TITLE CHAPTER 20 CTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS I(j)�_i�— I Ij f 1• --fit•! '_�'7 Lender's Name MATE IALS REPO NG D FOR/JBTAINING A PERMIT FROM THE SCAOMD s Lender's Address 'j , °r,- ONNER OR AGENT �'_� S I'T �,C o I certify that I have read this application and state under penalty of perj y that the above Information is correct I agree to comply PC FEE PERMIT FEE / CY with count orLnceand State laws relating to buildingm cons Uction, horize representatives oft s C my ISSUANCE FEEt ter upon a abned property for Inspect pur os s INVESTIGATION FEE TOTAL FEE - - - Gm• -1 SEE REVERSE FOR EXPLANATORY LANGUAGE APPUCAMON 60h BULDNG PERNT COUNTY.OF LOS ANGELES a BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADD Ess V!Kco f X� 1 hereby affirm that I have a certificate of consent to self Insure, BUILDI ADgREss� 'r (I� ` n or a certificate of Workers' Compensation Insurance,or a certified CCT�L ((T�/ V` copy thereof(Sec 3800,Lab C) - C Q \, ZIP Policy No Company 0� LOCALITY ,o��,� SIZE OF LCT NO OF BLD?.S NOW ON LOT l.t� I !� ElCertified copy is hereby furnished 1 g NEAREST CROSS ST 91 I erhfied copy is filed with the t mg hon TRC BLOCK LOT NO department USE ZONE P NO Date Appl ant SSESSOR MAP BOOK PAGE- PARCEL 2 �FiL/f, �! SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' °W T L NO COMPENSATION INSURANCE LSD 2­11 WITHIN 1000 FT OF SCHOOLS YES NO ADDRESS (This section need not be completed if the permit is for one hundred / ��rf tp dollars re V` DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY ($100)or less) - CIT I sh I certify ththe performance of the work for which this permit is Issued, Shall.nOt employ any person in any manner SO as t0 A CHITECT R ENGINEER - TEL NO J become subject to the Workers Compensation Laws STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS - CLASS NO Q2 DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you Should, become subject t0 the• Workers' C RA TOR EL'NO SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith 0i K Je FRONT comply,with such provisions or this permit shall be deemed revoked /yDDRE S UC NO // // ,P L 6b SIDE LICENSED CONTRACTORS DECLARATION G y LAS PL } I,hereby affirm that I-am licensed underprovisions of Chapter 9 SEWER MAP d (comrnencing with Section 7000)of Division 3 of the Business and SO FT SIZ NO OF STORIES NO OF FAMILI Professions Code, rid my license Is�ra 4aH feral and effe t �j ? NEW ❑ BK PG DyO� 0 '� DE CRIPTION RK VALUATION License N er Llc Class r OC DID Contr for Date ALTER ❑ $ ' a-O ///����"' fr ❑ I am exempt under Sec � L / AIR ❑ W IL 9L B&PC for this reason DEMOL ❑ Date USE OFTG DG r URM 13LDt�PiC#� �Y '.g = - z WVLO 17.1 3 Signature AP A✓N (P,/WN y T N pr LDMA Perm# ❑ I, as owner of the property, or my employees with'wages as ADD - / C S � SLI I O :1 their sole compensation, will do the work and the structure is S, not Intended or offered for sale (Section 7044, Business and J CS 1"�'G.t FIN `/�r!E Professions Code) — �_ - - _ •- , WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL � J '}_r�'.-' ❑ I, as OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE owner of the property, am exclusively contracting with AMOUNTS SPECIFIE N THE HAZARDOUS MATERIALS INFORMATION GUIDES FINAL B N licensed contractors to construct the project (Section 7044, YES 1-1 No[ t `L_ ` Business and Professions Code) WILL THE INTENDED USE-OF THE BUIDLING BY THE APPUCANT OR FUTURE BUILDING I I-ITHL 2 J5 90 OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM-THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKUST FORpr - GUIDELINES �lt ���(((JJJ jvE I hereby affirm that there is a construction lending agency for / - iJ/ _. VES❑ NO L1Y 1 �•�li-fNCE rn�I'1 a the performance of the work for which this permit Is Issued(Sec J' .�,/;- �O j - 3097,CIV C) I HAVE READ THE HAZARDFIRE FORMATIONGUIDEAND THE SCAOMD PERMITTING /�'+�✓ Y� Q j N CHECKLIST I UNDERST TS UNDER THE LOS ANGELES COUNTY CODE, TITLE2 C 2 2 0 THROUGH 2 20 140 CONCERNING HAZARDOUS3 Lender's Name MATE I PERMIT FROM THE SCAQMD i; 10/2 a. o Lender's Address ONMER OR ENT o I certify that I have read this application and state under penalty .4X.J' An 1°5= of perjury that the ve I tion Is correct I agree to comply PC FEE Q �D PERMIT FEE ,y �.� N with all count dinance a State laws relating to building 7 const tho z representatives of this County ISSUANCE FEE nter u e -men o property for inspection pur os p��p �� INVESTIGATION FEE TOTAL FEE �� W (f 13W.I—a APO—« Dale SEE REVERSE FOR EXPLANATORY LANGUAGE APPUCAMON FOR BULONG PERNT COUNTY'OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDs� /J I hereby affirm that I have a certificate of consent to self Insure, BUILDI A D or a certificate of Workers' Compensation Insurance,or a certified copy thereof(Sec 3800;Lab C) ZIP 9 49 LOCALITY Policy No Company SIZE 1:3Certified copy Is hereby furnished LOT NO OF BS Nqw ON LOT /�' � NEAREST CROSS ST ❑ Certified copy Is filed with the county budding Inspection T CT, BLOCK ���department USE ZONE ' MAP NO ' Date Applicant ASSESSOR MA BQOK - PAGE PARCEL 6�R/' ✓�" SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' ow ,� ��, �-' TEL NO COMPENSATION INSURANCE �sL«L.�r� WITHIN 1000 FT OF SCHOOL? YES No (This section need not be completed If the permit Is for one hundred ADD�cS , ) F/�/ DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY dollars ($100)or less CITY ZIP I certify that In the performance of the work for which this permit , -o� 3 Is Issued, I shall not employ any person In any manner so as to become subject to the Workers'Compensation Laws AR ITECT R ENGINEER L N p STATISTICAL CLASSIFICATION APT CONDO Date Applicant gppRpg CLASS NO DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate Of ...JJJS �kiv REQUIRED TOTAL SETBACK FROM EXIST Exemption, 'you should become Subject to the Workers' CONTRACTOR IF TEL NO SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you,must forthwith FRONT comply.wlth such provisions or this permit shall be deemed revoked ADDRESS LIC NO P L LICENSED CONTRACTORS DECLARATIONSIDE CITY LIC CLASS P L I hereby affirm that I am-licensed underprovisions of Chapter 9SEWER MAP d (commencing with Section 7000)of Division 3 of the Business and SQ FT SIZE NO OF STORIES NO OF FAMILIES Professions Code,and my license Is In full force and effect NEW ❑,,// BK PG D U License Number LIC Class DE CRIPTION OF WO ADD �gofl VALUATION` Contractor Date TER $ ��+ L> 1= O REPAIR ❑ ~ El am exempt under Sec 4 _ $ B&PC for this reasonDEMOL ❑ W LDMA P/C# .. a Date USE OFT DG URM El1 Z Signature q T(PRI T T LDMA Perm# - - ---- - - d El 1, as owner of the property, or my employees with wages as rj- their sole compensation, will do the work and the structure Is AD � ) O 1'[�3 J4liie='. not Intended or offered for sale (Section 7044, Business and i fiV! FINAL DATE 9 Q _ rofesslons Code) WILL THE APPLICANT OR FUTURE BUILDING CUPANT HANDLE A HAZARDOUS MATERIAL �pJ ( M j� ITEMS _ I, as owner of.the property, am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE FINAL BY T�iT �� �-� AMOUNTS SPECT E ON THE HAZARDOUS MATERIALS INFORMATION GUIDES -6 9� licensed contractors to construct the project (Section 7044, _ Business and Professions Code) ves ElNo WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING nG OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH - CHANGE L}J.�)I CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DIl•N�ING STRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR , a� E GUIDEUNES I hereby affirm that there Is a construction lending agency for YES❑ No 5 a the performance of the work for which this permit Is Issued(Sec HAVE READ THE HAZARDOUS MATER ALSINFORMATION GUIDE AND THE SCAOMD PERMITTING ��(/" �(/ ty 3097,CIV C) C LIST I UNDERSTAND MV EO REMENTS UNDER THE LOS ANGELES COUNTY CODE, I��-"t� �_I') 7/223/93 TI APT 2 20 S 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS - 1 p� {o rl I 3 Lender's Name MAT R T NG F BT INING A PERMIT FROM THE SCAOMD { j (I 1 l o Lender's Address -- - - ' - - - o OWNI ENT �u•� o I certify that I have read this application and state under penalty o P EE PERMIT FEE of perjury that the above Information Is correct I agree to comp /5" / N with all county ordinances and State laws relating to buildl !O `T a mCo `tion, and here horize representatives of this County ISSUANCE FEE to o he ntloned property for Inspect) n purpos s a (0 ��- 3 INVESTIGATION FEE TOTAL FEED " ��s a Agent oma o O� SEE REVERSE FOR EXPLANATORY LANGUAGE