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HomeMy Public PortalAbout9547 LOWER AZUSA RD_Building__ I DEpAMM" OF••w'- j DMSION OF BUUDIIdG AND SAFETY COIITOF LOB ANGELESBUILDING " WILLIAM J. FOX, COUNTY ENGINEER APPLICATION CASSATT D. GRIFFIN, SUPT OF BUILDING FOR APPLICANT TO FU IN F08 OFFICE USE ONLY BUILDING / DISTRI NO P CK OR Rec No PERMIT NO ADDRESS 0_ l7 W C Q /t LOCALITY 1 l"i R IVED BY DATE OF AFFPL DATE ISSUED NEARESTf CR /v c BUILDING � OWNER ADDRESS R, L MAIL LOCALITY ADDRESS NEAREST TEL CITY CROSS ST ARCHITECT OR TEL FIRE NO OF =M -- GR ENGINEER O`LIFE NO ZONE PLANE ADDRESS BLDG SE /P11,27 O �fSETBACK LINE /�V CONTRACTORA.I. TEL USEAPPROVED ZONE BY ATE ADDRESS ' HOUSE NUMBERING LEGAL MAP NUMBS NO ASSIGNED BY DESCRIPTION NO. BLOCK S�J COAREC ONS TRACT 812E OF LOT -TO U I NOW ON LOT Z USE OFEXpis ' N OF .MISTING BLDG K Y[I 119WO 4=,i CA A o- O DF�CRIPTION OF WC= 4 G S.4 _. ,•- - ,.. o - NEW aC ALTERATION ADD TION Q REPAIR DEMOLITION p SQ FT E NO OF ^� SIZE J cs ROOMS STORIES OVWALL ROOF ERIN I COVERING USE OR STRUCTURE ..-..J i `k APPHOV INSPECT '8 SIGNATURE DAIM FOUNDATION LOCATION FORMS. MATERIALS 1HEREBY ACKNOWLEDGEH THAT 1 HAVE READ THIS AP- FRAME FIRE STOPS. PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS CORRECT FURNACE LOCATION. I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES GAS VENT DUCTS AND STATE LAWS REGULATING BUILDING CONSTRUCTION SIGNATURE OF LATH' INT PERMITTER LATH EXT ADDR PLASTER, INT AUTHORIZED AGT PLASTER. EXT $ P C S J HOU FEE SE NUMBER COR- VALUATION VALUATION FEE !J8 Q RECT AND POSTED � FINAL 70A688A D88 3 6-82 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES r ' ® I -WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO PLANCK NO PERMIT NO BUILDING _ ADDRESS 30- , � � �� LOCALITY Ro eer ead C VED BY DATE OF APPL DATE ISSUED NEAREST CROSS ST �1e8t.8 OWNERGeorge Ri3t-)[WP.1I , ADDRESSMAIL ,Z��� -7 AD RES437 S. Halifax Rd. , Arcadia LOCALITY 1 ! �r/"L�� Z' C� Tc/ CITY Arcadia No DO. 73366 ou S _ FIRE NO OF TYP OROUPp�— -ARCHITECT OR TEL. ZONE PLANS �_ ENGINEER NO. BLDG _ ORD NO ADDRESS SETBACK LINE ^ CJ e- !f APPROVED CONTRACTOR Geo• Rockwell Nb Ido• 7336 BY znDATE Halifax Arcadia USE APPROVED u ADDRESS 2ee��37 Be Halif a'x Rd. Arcadia ZONE '/ BY DATE/ /- LEGAL CORRECTIONS DESCRIPTIONT LONO. 3 BLOCK TRACT 5342 1 P P�/tp `J v C L' SIZE OF LOT5�a�Qg I NO OF SLcrlr e _ �j G NOW ON LOT AA vGQ Z �J USE OF I NO OF NO OF EXISTING BLDG I FAMILi[B I ROOMS Lr-xz zl "'� DESCRIPTION OF WORK NEW S ALTERATION ADDITION O A REPAIR MOVING DEMOLISH0 FT O S No OF ZE 9()oROOMS g STORIES y WALLROOF r COVERING ' I COVERINGWO L UBE OF NEW BUILDING c - c � 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REG TI ON13TRUOTION vAtlf I FRAME- FIRE STOPS. SIGNATUREOF BRACING,BOLTS PERMITTELATH,INT.: fit AUTHORIZED AGT LA4rH,EXT.- DBS-3 5OM ae'rB 1-48 PCS PLASTER,INT. BV 7LLd(oj FEE PLASTER.EXT. VALUATION / S FEE / FINAL l &4 'fl78A698A CE#8089-88 APPLICATION FOR BUILDIN PERMIT COUNTY OF LOS ANGELES BUILDING f DEPARTMENT OF COUNTY ENGINEER ADDRESS J BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMB]E, COUNTY ENGINEER NEAREST COLEMAN W. JENKINS, SUP T OF BUILDING CRCs ST FORA PLICANT TO FILL IN Dls O GROUP CONST BY Print ort a only) , ► BUILDING ry �/' STATISTICAL CLA SI FICA TION SEWER MAP ADDRESS `7 JI ZU CLASS NO_,-e::�DWELL UNITS BK PG LOT NO BLOCK USE ZONE MAP NO TRACT g`-,3 2 SPECIAL CONDITIONS NO OF BLDGS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG BLDG SETBACK FROM TEL /1 (/0 FRONT PROP LINE OF (STREET) NO d 0 TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL AD Z' ' IGHWAY WIDTH FROM C L ARCHITEC OR TEL BLDG SETBACK (STREET) ENGINEER NO SIDE PROP LINEOF OF - TYPE OF EXISTING SETBACK HIG + YARD - TOTAL ADDR S ����jj� ll HIGHWAY WIDTH FROM C L lrc OQ /� NO P/b'�p + n 4 /T NO CORNER CUTOFF YES ❑ NO v LIC Y CLASS —� SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK c- rn z NEW ADD ALTER REPAIR DEMOLISH SO FT NO OF NO OF SIZE STORIES FAMILIES USE OF STRUCTURE O SIGNATURE OF APPLICANT A ODD r VALUATION$ APPROVALS DATE INSPECTOR'S SIGNATURE P C PMT FOUNDATION LOCATION FEE$ FEE $ FORMS, ORMS MATERIALS FRAME FIRE STOPS, I HEREBY ACKNOWLEDOE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY FURNACE LOCATION, WITH ALL COUNTY ORDINANCfiB AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH, INT TION OF THE LABOR CODE OF TME STATE OF CALIFORNIA RELAT ING TO WORKMEN 8 COMPENSATION INSURANCEy LATH, EXT SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL AL PLAN CHECK VALIDATION CK MO CASH _ JOFiPERMIT VALIDATIONTRCK URM0ENCASHcu ER ,2124 OCT 3 1 D 9.00~ WORKER;COMPENSATION DECLARATION hereby affirm mat I have certificate of consent to self APPLICATION FOR BUILDING PERMIT insure,'o�a cetTificate of Workers'Compensation Insurance, or a certified copy thereof (Sec 3800 Lab C ) '+ COUNTY OF LOS ANGELES BUILDING AND SAFE Policy No fdi k 3 Company ii4-i ,HonT�xsxrd BUILDING L�" El Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS �J Certified copy is filed with the county building inspec- BUILDING r Tio9n pa tment �'�- ADDRESS J /CJ O(�/e z 1J$ LOCALITY Date f�� Applicant sr,(04 CITY e d/� ZIP /7�� CROOSS ST CERT ICATE OF EXEMPTION ROM WORKERS' SIZE OF LOT s�X48d NOW ON LOT MAP BOOK AGE PARCEL / NO OF BLDGS ASSESSOR COMPENSATION INSURANCE (This section need not be completed if the permit is for one �/ NO USfi-3pNE� O 2 P TRACT BLOCK LOT / _ _ hundred dollars($100)or less ) /V„\� "T 1� SPECIAL y I certify that in the performance of the work for which this OWNER e$Se 5-C44 GS TENOL CONDITIONS d permit is issued, I shall not employ any person in any manner /! DISTRICT GROUP TYPE FIRE SSED BY O so as to become subject to the Workers'Compensation Laws ADDRESS vS N O�I((/e 3 CONST ZONE09 U Dote Applicant CITY ` )" 4 e 6/T ZIP STATISTICAL CLASSIFICATIONAPT CONDO O NOTICE TO APPLICANT If, after making this Certificate of ARCHITECT OR TEL DWELL UNITS W Exemption, you should become subject to the Workers' ENGINEER NO CLASS NO Z� d Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this permit shall be / deemed revoked CONTRACTORA/A7X 14 el? ML O —Q BK /—PG, 9 VALIDATION LICENSED CONTRACTORS DECLARATION ,r I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS CSA NVALUATION (commencing with Section 7000)of Division 3 of the Business and Q LIC Professions Code, and my license is in full force and effect CITY Off// & /1 70� CLASS —C 6� $NO OF NO O 3/ / /D / S ZEA STORIES FAMIOLIES CHECK , License Number Lic ClassL� Contractor &,5tdo, / DESCRIPTION OF WORK U %NU Al NEW ❑ $ I am exempt under Sec y / d cO v Q R S� e,e h ADD � a ' ALTER C1 FINAL B&P C for this reason 11 O S C/ REPAIR 0 DATE d USE OF Dote EXISTING BLDG (' Q U l 6 p DEMOL By APPLICANT TEL Y Signaturpthat PRINT NO ER-BUILDER DECLARATION , I hereby affirI am exempt from the Contractor's LicenseLaw for the ng reason (Section 7031 5, Business and ADDRESS Professions Code) , BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and LOCALITY the structure is not intended,or offered for sale(Section 7044, Business and Professions Code) MOVING TEL 1, as owner of the property, am exclusively contracting CONTRACTOR NO with licensed contractors to construct the project (Sec- ADDRESS 9 5 4 5 9 A 44 tion 70 , Business and Professions Code) REQUIRED TOTAL SETBACK FROM EXIST # • • • • • 1 CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LIN WIDTH I hereby affirm that there is a construction lending agency for FRONT ► •.1 06. 13 the performance of the work for which this permit is issued PL = (sec 3097, civ c ) SIDE • • 1 0 6 1 3 o PL Lender's Name .S �3 09. 1 8x86 Lender's Address P C Fee$ Permit Fee I certify that I have read this application and state that the Issuance Fee /G ^� above information is correct I agree to comply with all County Investigation Fee ordinances and State jaws relating to building construction, Total Fee and hereby authorize representatives of this County to enter upon th above mentioned property for inspectio,npurgoses 6 SEE REVERSE FOR EXPLANATORY LANGUAGE ®s Sign re of Applicant or Agent to COUNTY OF LOS ANGELES TEMPLE CiTT 4 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0405210008 PHONE: (626) 285-0488 EXT: DUPLICATE LEGAL ID: NO. OF CONST BUILDING ADDRESS - TR: 5342 LT: 80 SQ. FT STORIES TYPE 9547 LOWER AZUSA RD STRUCTURE: 1800 VN TEMP CA 917804223 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: TEMPLE CITY BLVD 8590-017-003 THOMAS PAGE: 597 GRID: A5 LOCALITY TEMPLE CITY, C ZONE'TENANT: EXIST BLDG USE. RESID USE R- - EXIST OCC GRP 05/21/04 VG 05/16/05 - OWNER: NO BLDGS. NOW ON LOT VALUATION FINAL D F CODE. TAK CHING LI - 1,800Q 1123 GOLDEN WEST AV J 0 0 V ARCD 910077417 R REROOF OVER EXIST WITH 30-YR COMP SHINGLES FEE DESCRIPTION QUANTITY: UOM AMOUNT: APPLICANT: TEL NO LAU (626) 285-9016- AA BLDG PERMIT ISSUANCE 27.75 4533 SHIRLEY AVE. AC STRONG MOTION RESID 1800.00 VAL 0.50 SPECIAL CONDITIRS. EL MONTE, CA 91731 D2 PERMIT W/O EN-HC 1800.00 VAL 82.20 FS INV WORK W/O PERMIT 257.00 DOL 257.00 TOTAL FEES 367.45 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE GOLDEN KEY INC (626) 285-9016- DBA NEVADA GOLDEN KEY LIC. NO AND SETBACKS 4533 SHIRLEY AVENUE 775115 C39 EL MONTE, CA 91731 SOILS ENGINEERP 0 ENGINEERARCHITECT OR FOUNDATION/TRENCH LIC NO: TLTB--/ NDER FLOOR RAISED FLOOR FRAMING MAP N : SEWER MAP BOOK GE: FIRE ZONE C P UND5RFLOOR IN LA 0 XX 3 01 FLOOR I CLASSNO. OF F NG UNITS: APT/COND STAT NO 21 ROOF SHEATFING SCHOOLDO AIR QUALITY 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TO FIRE SPRINKLER HANGERS SET BACK YARD- HWY• PROP LINE• WIDTH FRONT PL- INSULATIONNEATHER STRIP SIDE PL- LATH/DRYWALL EXTERIOR LATH RATED I FLOORICFIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR / ENINGSI INGS LOT DRAINAGE REPORT ID• DPR261 ROUTE TO. BS0508