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