HomeMy Public PortalAbout9508 LIVE OAK AVE_Building__ ADB8.9
11.55 APPLICATION FOR BlJILDING PERMIT -
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DIVISION OF BUILDING AND SAFETY ADD EISS
Deportment of I County Engineer
County of Los Angeles - . - LOCALITY
JOHN A. LAMBIE. COUNTY,ENGINEER NEAREST
CASSATT D.,GRIFFIN, SUPT OF-BUILDING CROSS ST. - '
FOR APPLICANT- TO FILL IN DISTRICT N71 ,GROUP, E; r, -Alp MAP
BK PG
CONST.
BUILDING Mqp r STATE •
ADDRESS `O �j 2 ' NUMBER (°- HWY YES NO
_P07-IlLCC
USE NE SPECIAL
LOT NO. ��, CONDITIONS
TRACT"' / 2- - Ir7 d
NO.OF BLDGS.
SIZE OF LOT, /JC 1 I NOW ON LOT' 't BUILDING YARD HWY STREET NAME EXIST.
USE OF SETBACK WIDTH
EXISTING BLDG. FRONT ,
P. L
OWNER /��7 I SIDE
yp P. L. F
ADDRESS L+�' e O TRACT DWELL:' 1 UNIT,
T 5 INDUSTRIAL
TEL t DWELL. f UNIT
CITY NO. y'ti ,' 6 PUBLIC BLDG. ;
ARC ITECR TEL. 2 DUPLEX ,•;;UNITS
ENGINEERTNO. 7 ADDN..ALT., ETC.
3 APT. UNITS
8 MISC_EL.
ADDRESS 4 COMMERCIAL
,+t,� TEL. INSPECTION RECORD"
CONTRACTOR - NO.
ADDRESS _
DESCRIPTION OF WORK
Y
. 17
tNEW ADD ALTER REPAIR DEMOLIS
SQ. FT. NO. OF O O
SIZE STORIES FA (LIES
USE OF`T� UR
-SIGNATURE OF. -
APPLICANT - � APPROVALS -
ADDRESS I DATE INSPECTOR'S SIGNATURE
FOUNDATION:LOCATION
$ ) 'P. C. 's FORMS,MATERIALS '
l FEE FRAME. FIRE STOPS. '
VALUATION a - $ BRACING, BOLTS -
FEE FURNACE' LOCATION,
I HEREBY ACKNOWLEDGE THAT 1 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. LATH. EXT.
SIGNATURE HOUSE NUMBER COR-
PERMITT,)&2 RECT AND POSTED •`
ADDRESS FINALr�LJGAM/aA-
JOHN A.•LAMBIE.COUNTY-ENGINEER VALIDATION CLYDE N. DIRLAM, CHIEF BLDG. INSPECTOR
CK MO CASH - 4
. 2 9 5' 1,- DEC 3 1 1 .0"0 tt, ;
s
11.55 A DDH.9 APPLICATION �"
,,.b9 APPLICATION FOR ��9IL®IIVG PERMIT
` IVISION OF BUILDING AND SAFETY ADDRESS >
Department of County Engineer r
County of Los Angeles LOCALITY /
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP. E SEWER MAP
BK PG
ONSTK
BUILDING ` MAP c�
ADDRESS \ + NUM ER ps- STATE
YES N�
L T N 1 ` BLOCK USE ZQNE SPECIAL
rlll..�--Lf4� CONDITIONS
TRACT AA
NO. OF SIZE OF LOT k �I NOW ON LOTS �- BUILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
USE OF
EXISTING BLDG., FRONT ,q/� _
�G—
OWNER/ c + SIDE
Al L �--+ KA P. L
ADDRESS •1 (�`^-'� + O TRACT DWELL. 1 UNIT 5 INDUSTRIAL
TEL. I DWELL. J 1 UNIT
CITY NO. 5 6 PUBLIC BLDG.
ARCHITECT OR TEL. r 2 DUPLEX 2 UNITS ' p,DDN.,ALT., ETC. _
ENGINEER NO. 3 APT. UNITS
8 _MISCEL.
ADDRESS 4 COMMERCIAL
TEL. INSPECTION RECORD
CONTRACTORLL ''^^ N,O.
-4.2-D RESS �J V t t 10
�' �!►
r C
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SQ. FT. NO OF NO OF
SIZE f (0 (37 STORIES ` FAMILIES .
USE OF STRUCTURE
SIGNATURE OF
Orr
APPLICANT l APPROVALS
• t
ADDRESS `Z DATE INSPECTOR'S SIGNATURE
3 �S6 V P. C. $ (� FFORMSrMATERIIALS10N
6✓
VALUATION FEE $ FRAME* STOPS,
BRACING BOLTTSlO S1 / Jam-•
FEE 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. _ F "
� D1, LATH. EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE - + RECT AND POSTED
' ADDRESS FINAL
JOHN A.LAMBIE.COUNTY ENGINEER MUDATION CLYDE N. DIRLAM, CHIEF BLDG. INSPECTOR,
MO CASH,
A0 1 5 3 A -DEC 7 1 6 1 7.5 0 ••�
4 3 1' 5 4A DEC 7 1 3 6.0;0 -In
x
WORKERS' COMPENSATION-DECLARATION
hereff
insure, oraa certificate of Workers' Compensat on that I have a'certificate of coent Insuran to sof A P P L I CAT 1 -OR-,'' BUILDING PERMI T
or a certifie copy thereof (Sec 3800,_lab C ) COUNTY.OF LOS ANGELES BUILDING AND SAFETY
Policy No a Company 2�
BUILDING
Cert, ied.copy is hereby furnished ' � FOR APPLICANT TO,FILL IN - ADDRESS
BUILDING. v
❑ Certified copy is filed with the county buildm ec- ADDRESS
tion-deeparrtment., l
Date /Applicant4CITY -''r .� ZIP �/ LOCALITY
&olNO OF BLDGS NEAREST
CERTIFICATE OF EXEMPTION FR KERS' SIZE OF LOT NOW ON LOT CROSS ST -
COMPENSATION INS CE.` ASSESSOR T
(This section need,not be completeclLif the.permit i3 for one TRACT BLOCK LOT NO MAP BOOK PAGE. PARCEL
hundred dollars ($100) cr less ) G TEL
OWNER , ,tom �jJ11/6 N USE ZONE MAP /L� _ �, s
I certify that in,the performance of the work for which this SPE
NO
•permit is issued, I shall not employ any person in any,manner ADDRESS 1-106 111E �/ CONDITIONS �
so as to become subject to the Workers'Compensation Laws �-r nn G O
CITY Ci ! -ZIP 790 U
Date"' Applicant ARCHITECT OR TEL DISTRICT GROUP TYPE FIRE OCESSED BY- �
NOTICE-TO'APPLICANT- If, after maktn this Certificate of ENGINEER, NO
9, CONST ZONE
Exemption, you should become, subject to the Workers' U
LU
Compensation,provisions of the Labor Code, you,must forth-' ADDRESS
,with comply with such provisions ar•this permit shall be ��1 TEL �p�, STATISTICAL CLASSIFICATION 1 APT CONDO rn
deemed revoked CONTRACTOR Wre,T /t,Ylr�iC_ NO�p / `Kp� Z
LICENSED CONTRACTORS DECLARATION' �S` LIC CLASS NO DWELL UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS (/ �c C`. NO � `� SEWER MAP
(commencing with Section 7000)of Division 3 of the Business'. LIC
CITY Gc7��!'t C� CLASS
and Professions Code,and my(cense is,in full force and effect _ BK PG VALIDATION
SQ FT" NO-OF' NO OF CHECK
License Number ` Lic -Class `j SIZE STORIES FAMILIES ONE
VALUATION
Contract or/�f/Q- ��� Date �� � DESCRIPTION OF WORK �� NEN ❑ $ ���dD
- s ADD ,
❑I am exempt under Sec
r-� ALTER ❑ -
B&P C for this reason '��L REPAIR ;
ate USE OF G,610,t,: VCv00,0 °
EXISTING BLD DEMO[
Signature APP(
PRINT) �' /// NOTEL :G FINAL
OWNER- R DECLARATION DATE
I hereby affirm•that I a exempt from the Contractor's License
Law for the following reason(Section 7031.5, Business and ADDRESS �!1 FINAL
Professions Code) PRESENT BYBUILDING
--
❑ 1, as.owner of the property, or my,employees with ADDRESS r
wages as their sole compensation,will do the work and ory i '_.
the structure is not intended or offered for sale(Section LOCALITY',- 1 �q "1 y
7044, Business and Professions Code ) MOVING TEL _ /- y -v� t s I �L �r _� ,_F
CONTRACTOR NO u
❑ I,as owner of the property, am exclusively contracting •' .,-
with licensed contractors to construct the project-(Sec- ADDRESS " r _.HEl:-.
tion'7044, Business and Professions Code )
REQUIRED TOTAL SETBACK FROM EXIST :'i1it�L1
CONSTRUCTION LENDING AGENCY _ SET BACK YARD HWY PROP LINE WIDTH' '.
I hereby affirm that there is a construction lending agency for ` FRONT „
the,performance o-f the'work for-which this permit'is issued • ' P L' }!"-;
(Sec 3097, Civ C ) SIDE =.t1 i�u:
P L
Lender's Name 'I F`t' i H,I °-ru
LDMA Ref # _
P C Fee$ PermitFee
Lender's Address
a 1 certify that I have,read this application and state that the _ - Issuance Fee =7�. LDMA P/C# ,
8 above information is correct I agree to comply with all County- Investigation Fee -
R ordinances and State I Iatmg to'building construction, Total Fee �. LDMA Perm #
and her authorize epres 'ntatives of this County to enter
upon a above-ml coned" roperty f mspecTi/on purposes
SEE REVERSE FOR EXPLANATORY LANGUAGE ry
Signatu pp scant or Agent.. Date ,
r
h COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0011170006
PHONE: (626) 285-0488 EXT:
LEGAL D: 90. OF CONST NEW BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE OCCUP GROUP 9508 LIVE OAK AV
STRUCTURE: 0 1 VN R3 TEMP CA 917802513
ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: CLOVERLY
8588-006-008 OTHER: 72 1 VN R3 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: USE NE: ISSU ON: PROCESSED B S N:
EXIST OCC GRP: 11/17/00 UT 05/17/01
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
WUANG RICHARD K, PEIYAO (626) 287-9918- 1,500
9508 LIVE OAK AV
TEMP 917802513 D TION UFA A'WORK
CO VERT WASHROOM TO BEDROOM AND NEW PATIO FOR WASHER AND
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: DRYER
APPLI . NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 1500.00 VAL 0.50 SPECIAL CONDITIONS:
AX BUILDING REVIEW=FEE-� 54.70
D2 PERMIT W/O-E�NH�E d"TA,OF EES VAL 82.20
165.15
CONTRACTOR: TEL. NO: � �/� APPROVALS DATE INSPECTOR SIGNATURE
SAME LIC. NO LOCATION TWU7ffBACRS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: EL. NO: FOUNDATION/TRENCH FORMS
LIC. N0: / 1111111 SLAB/UNDER FLOOR
L
RAISED FLOOR FRAMING
MAP 0: SEWER MAP B00 PAGE: FIRE ZONE: �01:1(1 n Q n n /1 (]O(�n/J UNDERFLOOR INSULATION
OO
NO. 0 FAMILIES: DWELL NITS: A CO D: STA CAS':— U ILIA \1V/\11J�/ ��J^u<�lJ�((u 3 1ST LEVEL
NO 21RC1 0 ND LEVEL FLOOR SHEATH
SC OL WITHIN HAZARDOUS ®\ 10 0
AIR QUALITY: 1000 FEET MATERIALS Q D +, 0
NO NO NO El ®� FIRE DEPT. FRAME INSPECT
REQUIRED TOTAL SETBACK OM EXIST Cs� Odd G DEPT. FRAME INSPECT
SET PL YARD: HWY: PROP LINE: WIDTH:
11
FRONT ��L+ ServoCe-1,05 SHEAR PANELS
SIDE PL-
INSULATIOK/WEATHER STRIP
INTERIOR LATH/DRYWALL
XTERIOR LATH
LOT DRAINAGE
OKE DETECTION DEVICES
FIRE DEPARTME T APPROVAL
REPORT ID: DPR261 ROUTE TO: BS0508