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HomeMy Public PortalAbout6463 LIVIA AVE_Building__ At 76A638ACE#8036.62APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. �t f� DISTRI T NA Gt!y TYPE P ESSED BY FOR APPLICANT TO FILL INC? CONST. BUILDING STATISTICAL CLASSIFICATION SE ER MAP ADDRESS if BK 1' CLASS. NO. DWELL. UNITS LOT NO. BLOCK WATER CERTIFICATE: NOT REQUIRED RECEIVED TRACT L MAP C _ HIGHWAY STATE MAJOR SECOND LOCAL NO. OF BLDGS. NO. - (aRCLE� SIZE OF LOT NOW ON LOT USE ZONE SPEC IAL USE OF CONDITIONS EXISTING BLDG. " /N • TEL. OWNER - NO. T BUILDING YARD HWY S E T NAME EXIST. SETBACK WIDTH ADDRESS v/) FRONT ARCHITECT OR TEL. P. L. 'L ENGINEER NO. SIDE P. L. 2 ADDRESS O TEL. L1 CONTRACTOR /" NO. Cr�0?? N O DESCRIPTION OF WORK v a NEW ADD ALT R REPAIR DEMOLISH N Z SQ. FT. NO. OF NO" OF - SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OFA - APPLICANT Gfir- 6 VALUATION $ J APPROVALS DATE INSPECTOR'S SIGNATURE _ 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 E WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSO IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIF NIA RELAT.. ING TO WORKMEN'S COMP TJSATION INSURANCE. +� LATH, EXT. SIGNATURE OF 1`rC e HOUSE NUMBER COR- PERMITTEE \� _ RECT AND POSTED ADDRESS a" /L'�' INAL ' /4 JOHN F. LEWIS. PRINCIPAL SU-1 URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.G. CASH LiIGO 3 4 6 6:,; AN 1_ 7 1 D 1 ENT OF BUILDING AND DEPART COUNTY OF LOS ANGE ESAFETY i H - N WM. J. FOX, CHIEF ENGINEER i APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT-NO. PLANCK OR REM.No. PERMIT NO. BUILDING ADDRESS ,.,r�/� , J RECEIVED BY I DATE OF AFSPL., DATE ISBUED /� n...,— /� y l� LOCALITY v o . , M•, m� ,..,A�w ! Ab /� -� _�/!J Z NEAREST .�*� / CROSS ST. ryrw,.e:�.�=.3.� >C.f�t`rrG'/d.0^r/J BUILD ADDRE96 '// �(p 3 / Y OWNER V , MAIL LOCALITY - 7, ADDRESS NEARESTr CROSS ST. TEL F, CITY /7..,...+r+, w / /J[.I'_ NO. r� FIRE NO.O ,777 PE, j"�I GROUP i ZONE PIANS � e�r•r �� ARCHITECT OR TEL ' ENGINEER /�/).z f NO. SETBACK LINE ADDRESS /S ' USE ), d APPROVED 1 TEL ZONE BY ) , DATE CONTRACTOR ���j� NO. .,JM,�� J ` HOUSE NUMBERING : F 1 c�pf pwr ._ADDRESS sr. - .,;L s MAP NUMBER I �� 'NO. ASSIGNEDLEGAL B� 1 DESCRIPTION LOT NO. BLOCK CORRECTIONS M' i TRACT Z co NO. OF�j II9 t �,��!� ..ter /f �q�g SIZE 6F LOT /] Q I NOW O SLOGS.yngr»p / (',, •/� �^^''�11��jj C_:l�'l"7��' AAAti 0 R8Y�i/PfZ� ' USE OF I NO. OF , C tdR S:7 EXISTIN BLDG. FAM,LiE9 .• Al m de/y-s;R,ot kg ,40*g/-r—r DESCRIPTION OF WORK A NEW ALTERATION ADDITION '>gFw?fi—: sye A/14/�j�. rREPAIR DEMOLITION D" !" H ZE �/ A ^ ROOMB �O STORIES 1 EXT.WALL I ROOF jf COVERG INCOVERING/j ".,,,, � _� O ?_o 490 ' ta USE OF STRUCTURE ld INSPECTION FOR �" APPROVALS OCCUPANCYAB INSPECTOR'S SIGNATURE DATE IFOUNDATION: LOCATION 1 HEREBY ACKNOWLEDGE THAT I HAVE READ TH19 APS FORMS, MATERIALS PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRESTOPB, ll CORRECT. - BRACING, BOLTS `U I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES, FURNACE: LOCATION, V, AND STATE LAWS REGULATING BUILDING CONSTRUCTION,.y' DAN VENT, DUCTS _ Z SIGNATUREOF1'i�I .� ", ��� d LATH, INT. PERMITTE �L® ADDRESS _ v 1 i .P_i xoj e . / "pi. , J, , � STH, EXT. L l� PLASTER, INT. AUTHORIZED AOT. _ o PLASTER, EXT.- OUSE NUMBER COR- RECT FEE AND POSTED R VALUATION V v FINAL �_ —30 - F C2 III FEE 7GA639A DBS 3 7-Sl ' AP PLBCAT�ON FOR FOR APPLICANT TO FILL IN BUILDING ADDRESS BUILDING ADDRESS �Q J �3 ,}I I VE LOCALITYNEAREST �� C�C•�� CITY*Tgf ` A 6$ ZIP I CROSSST NOWOF BLDGSASSESSOR SIZE OF LOT �f' NOW ON LOT, C;ZW MAP,BOOK PAGE PARCEL DISTRICT, GROUP TYPE FIRE PROCESSED BY TRACT -- BLOCK -^` ^ w LOTONO' ���,� �' ��' � O .� ZONE •-- J-/,•�_ OWNER i/V� 69 P1 7 STATISTICAL CLASSIFICATION SEWER MAP ADDRESS / �A A.{r/C /� CLASS NO DWELL UNITS BK PG CITY �P C/ ZIP ' 7 Q USE ZONE MA O©' ARCHITECT OR TEL ENGINEER S /�^, NO SPECIAL CONDITIONS ADDRESS _ ROAD DEPARTMENT APPROVAL REQUIRED e •YES ❑•, - NO-[:] TEL CONTRACTOR M is NO BLDG SETBACK FROM LIC FRONT PROP LINE OF (STREET) ADDRESS NO HIGHWAY + TOTAL SETBACK FROM TYPE OF EXISTING LIC FRONTPROP LINE HIGHWAY -WIDTH- CITY " CLASS ' CONSTRUCTION LENDER / O A� + NAME AND BRANCH. i Y BLDG SETBACK FROM - OU ADDRESS CITY SIDE PROP LINE OF (STREET) - ,- O SQ FT NO OF NO OF CHECK HIGHWAY , + YA D TOT SETB FROM TYPE OF EXISTING U SIZE STORIES FAMILIES ONE _ SI E P •P L E HIGHWAY WIDTH DESCRIPTION OF WORK ,'b i o C NEW + O ADD ❑ CORNER CUTOFF YES NO ❑ ,ALTER ❑ IN OPEN SPACEYES ❑ NO El AM I,/ �-I�Q q/1i�_ 1:1 IN EUSE XISTING REPAIR ING BLDG dp/ DEMOL ElCOASTAL PERMIT ZONE, :YES ❑ NO E] APPLICANT r&AAL 1�� '(PRINT( v 'i O ` � !Z` O -7- BY BY(SIGNATURE) I HEREBY ACKNOWLEDGE TH -I HA READAPPLICATION AND STATE - •-- THAT THE ABOVE IS CORRECT AND AGREE TO CO PLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION-OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM -. PENSATION INSURANCE ' SIGNATURE 0V FINAL BY , PERMITTEE DATE ADDRESS N S— TEI PC Fee$ PermitFee CIT NO Q p Issuance Fee VALUATION$ D Total Fee PLAN CHECK VALIDATION Cli M o CASH PERMIT VALIDATION efc M o CASH 6 6 7 BSEP d. 1 2.0 U Aga ®S -76A638B CE 98038 6/76 - - - WORKERS'COMPENSATION DECLARATION muafrtracertificate lf nrA� O FODO O ®W RM oe, e ' consent or certified copy thereof (Sec 3800, Lab C , ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Poilcy N.9 Company - _ ❑ Certified copy is hereby furnished FOR APPLICANT TO FILL IN BUILDING ADDRESS ❑ Certified copy is filed with the county building inspec, BUILDING L� 2 t / �•/' �� tion'department ADDRESS J /J � Date Applicant, CITY Vj l Cil /T / T2F�/ZIP ! 7 P 0 LOCALITY /�� r—l CERTIFICATE OF EXEMPTION FROM WORKERS' X 6 O OF,BLDGS NEAREST 'COMPENSATION INSURANCE, SIZE OF LOT NOW ON LOT CROSS ST �, Al -tic o (This section need not be completed if the permit is for one ASSESSOR hundred dollars ($100)or less ) TRACT BLOCK LOT NO MAP BOOK' PAGE PARCEL L ^f I certify thai in the performance of the work for whch•this OWNER- iC/ ;?/06L o2 77 USE ZONE oP / 3- / (D kpermit is issued, I shall not employ any person in any manner ADDRESS /t(//A A-�� SPECIAL ! J so as tc become subject to the Workers'Compensation Laws CONDITIONS 0 CITY ZIP Date Applicant ARCHITECT OR TEL NC`710E TO APPLICANT- If, after making this Certificate of ENGINEER Q/Y � NO DISTRICT GROUP TYPE FIRE P D BY C) Exemption, you should become subject to the Workers' y n CONST ZONE U Compensation provisions of the,Labor Code, you must forth- ADDRESS (� K 3 W with comply with such provisions or this permit shall be TEL STATISTICAL CLAS FICATION APTC DO N dee4ned revoked CONTRACTOR 1` Q��� NO Z LICENSED CONTRACTORS DECLARATION LIC CLASS NOLZL—DWELL UNITS — I hereby affirm that I am licensed under provisions of Chapter 9, ADDRESS NO (commencing with Section 7000)of Division 3 of the Business and LIC SEWER MAP Professions Code, and my license is in full force and effect CITY CLASS BK PG VALIDATION SO FT NO OF NO OF / CHECK License Number Jc'Closs SIZE 3 STORIES I FAMILIES L ONE A/� gy�pp,,//••)) //^^ VAL47" Contractor Date DESCRIPTION OF WORK•409C/�'�S// NEW ❑ eS'3� ;215 6�9,A _ n ADD. ' ❑ I am exempt under Sec g e • • o � ALTER # 0,23 B.BP C for this reason S'T/ REPAIR ❑, $ -37 1,,0 3 Date USE OF EXISTING BLDG 4r S DEMOL ❑ _ _ _ • 037 1;,0 3 Signature APPLICANTT) N 7 FINAL 07.30`8 7 OWNER-BUILDER DECLARATION ` DATE ' 'I'hereby affirm that I am exempt from the Contractor's License / ' lV rTv /L Law for the following reason (Section 7031 5, Business and ADDRESS FINAL Pe ions'Code)' " ' By BUILDING I, as,owner of the property, or my employees with - ADDRESS l - �A.-� � :• � • - wages as their sole the, will do the work and / � 1 i the structure is not intended or offered for sale(Section LOCALITY ° D � 2-78 7.4,A 7044Business and, 'Professions Code) MOVING TEL , ❑ CONTRACTOR NO j, as owner of the properiy, am exclusively contracting y�,/j'�► # oro 8'0.611 A;o / with licensed contractors to construct the project (Sec- ADDRESS _' tion 7044, Business and Professions Code) REQGD /I UIRED TOTAL SETBACK , - 447.00 CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH a C /�` ;� 'o • I hereby affirm that there is a construction lending agency for ' FRONT `c k 4'4 7 0,0 5 the performance of the work for which this permit is issued P L - - (Sac 3097, Civ C ) SIDE O 9,09t$7 PL Lender's Name `)2 LDMA Ref #11 m PC Fee S 1 V J Permit Fee t�J Lender's Address / /� 4 •I certify that I have read this application and state that the Issuance Fee ( D1�V LDMA P/C q o above information is correct I'agree to comply with all County Investigation Fee 0 ordinances and State jaws relating to building construction, Total Fee LDMA Perm q and hereby authorize representatives of this County to enter m u on th above-mention d property for inspection urposes jO SEE REVERSE FOR EXPLANATORY LANGUAGE Signal of A cant or Agent Date 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 1104130020 PHONE (626) 285-0488 EXT ILEGAL ID NO OF CONST BUILDING ADDRESS ITR 12504 LT 8 SQ. FT STORIES TYPE 1 6463 LIMA A I (STRUCTURE 400 V_B I (ASSESSOR INFORMATION NUMBER TEMP CA 917800 1330 5382-019-003 NEAREST CROSS STREET Q i THOMAS PAGE 596 GRID H1 LOCALITY- TEMPLE CITY, CI TENANT JEXIST BLDG USE GARAG USE ZONE R-1 JISSUED ON PROCESSED BY EXIST OCC GRP 104/13/11 SR OWNER TEL NO IBLDGS NOW ON LOT VALUATION iFIL4AL TE FIN CODE 1EGAN, LARRY (626) 286-7757- I 1,100 16463 LIVIA AV I TEMP 917801330 FEES PAID IDE CRI TION OF WORK I (INSTALL 30 YR COMP SHINGLE CLASS A FIRE RATED OVER EXISTING 1 I IFEE DESCRIPTION QUANTITY UOM AMOUNT IONE'LAYER SHINGLE COMP GARAGE ONLY (APPLICANT TEL NO I I , IKEEFERS ROOFING (909) 608-0622- IAA BLDG PERMIT ISSUANCE 27 80 1 I 11216 BEGONIA COURT IAB STATE GREEN BLDG FEE 1100 00 VAL 1 00 ISPECIAL CONDITIONS 1 1UPLAND, CA 91784 IAC STRONG MOTION RESID 1100 00 VAL 0 50 1 CD2 PERMIT W/O EN-HC 1100 00 VAL 82 20 TOTAL FEES 111 50 1 1 ICONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE I IKEEFER'S ROOFING (909) 608-0622- 11216 BEGONIA COURT LIC NO I 1UPLAND CA 91784 760903 C39 I ILOCAI'ION AND SETBACKS I I I I I ISOILS ENGINEER APPROVAL I ARCHITECT OR ENGINEER. TEL NO i (FOUNDATION/TRENCH FORMS I I LIC NO. i (SLAB/UNDER FLOOR I I I RAISED FLOOR FRAMING 1 IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I 1UNDERFLOOR INSULATION I I 1153H265 3 001, INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I (FLOOR SHEATHING I I I NO 21 IROOF SHEATHING I SCHOOL WITHIN HAZARDOUS ISHEAR PANELS I I (AIR QUALITY 1000 FEET MATERIALS I I 1 1 I NO NO NO i IFRAME INSPECTION I (FIRE SPRINKLER HANGERS 1 1 1 I I 11NSULATION/WEATHER STRIPI I i (INTERIOR LATH/DRYWALL I I 1 I IEXTERIOR LATH 1 RATED FLOOR/CEIL ASSEM I I RATED WALL ASSEMBLIES I I I 1 I I II (RATED SHAFTS/OPENINGS I I I I IT-BAR CEILINGS 1 1 I LOT DRAINAGE i 1 I REPORT ID DPR261 ROUTE TO BSO508 I I I