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Home My Public Portal About9621 LOWER AZUSA RD_Building__ ( -> 76ASSBA CE#8031, 61 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING 1 DEPARTMENT OF COUNTY ENGII�i= JIDDREsB BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE. COIrNTY,ENRINEER NEAREST OF WILLIAM A JENSEN SUP OF BUILD NG CROSS ST } DISTRICT GROUPED BY r • FOR APPLICANT TO FILL IN �''(� CON fADOR G STATISTICAL C ICATION BE E qq + S NO WELL UNITSBLOCK WATER NOT REQUIRED RECEIVED LjCERTIFICATE 19 MAP HIGHWAYNO OF SLOGS NO (CIRCLETSTATE MAJOR SECOND, LOCAL- r LOT NOW ON LOT USE ONE SPECIAL J USE OF /' CONDITIONS2'o'2-:;7-C-6 .Z EXISTING BLDG ,�+(, ; TEL OWNER � I O BUILDING YARD HWYREET NAME EXIST SETBACK WIDTH ADDRESS FRONT ARCHITECTOR Cl TEL - P L �. ENGINEER NO SIDE 0 ADDRESS Bh P L INSPECTION RECORD CONTRACTOR Q Y NO r I i 09O ADDRESS 3= V W DESCREMON OF WORK Z NEW ADD ALTER REPAIR DEMOLISH SQ FT NO OF NO OF SIZE STORIES FAMILIES USE OF STRUCTURE •• S r S sAO SIGNATURE OF 4rAI I APPLICANT VALUATION$ d APPROVALS DATE INSPECTOR S SIGNATURE PC t PMT U FOUNDATION LOCATION FEE FEE FORMS MATERIALS FRAME FIRE STOPS, JJ, 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS V AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION. WITH ALL COUNTY ORDINANCES AND STAT`E LAWS REGULATING GAS VENT.DUCTS BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED,HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT / TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT ING TO WORKMEN S COMPENSATION INSURANCE [ATH EXT SIGNATURE OF � Mj HOUSE NUMBER COR- PERMITTEF RECT AND POST D ADORES �CAsYW(L 4r ' boy FINAL CLYDE N DIRT AM. INCIPAL STR URAL EIIAGINEER PLAN CEMM VALIDATION 171, w o cAsH PE WT VALIDATION H o. CASs 05 5% .AL24 4 4 0 R.obA c AO, 2 0 5% .x.26 1 D $. N+ l JUN 6 1862 76AS38A CE#803162 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A JENSEN,SUP T OF BUILDING CROSS ST D15T.WCTT N PUP TYPE P SSED BY FOR APPLICANT TO FILL IN CONST BUILDING STATISTICAL CLASSIFICATION ER MAP ADDRESS BK J CLASS NO DWELL UNITS " LOT NO v/ / BLOCK WATER CERTIFICATE NOT REQUIRED10 RECEIVED TRACT / MAP HIGHWAY STATE MAJOR SECOND LOCAL ''11 / //,, NO OF BLDGS NO (CIRCLE) SIZE OF LOT C/) X/66 66 NOW ON LOT USE ZONE SPECIAL Or USE OF / CONDITIONS QL EXISTING BLDG '/ LL OWNER r r Q 4. NO ^f�7� BUILDING YARD HWY REET NAME EXIST A� SETBACK WIDTH ADDRESS D3 /y ex-ti FRONT ARCHITECT OR TEL P L 114 ENGINEER NO SIDE ji P L d ADDRESS t TELp_7� V CONTRACTOR r /� NO ADDRESS b -0 � Up U' S 1 ° O DESCRIPTION OF WORK NEW ADD /ALTER AI DEMOLISH SIZE .00 47i NO OF ES_` FAMILIES USE OF ' ` STRUCTUR x A-p- 04 SIGNATURE OF 9 yy APPL I CANT ° G7 VALUATION $ Q®Q I APPRO ALS TE INBPE R a SIOP44URE PC PMT O FOUNDATION LOCATION qq FEE $ FEE $ FORMS MATERIALS 6L v C> FRAME FIRE STOPS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS y AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION G WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK . J AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT oz 4' ING TO WORKMEN.S COMPENSATION INSURANCE LATH EXT U) SIGNATURE OF, y HOUSE NUMBER COR O PERMITTEE ✓✓�� RECT AND POSTED Z ADDRESS FINAL PLAN CHECK VALIDATION cK M o CASH JOHN F LEWIS P INCIPAL STRAL ENGINEER m PERMIT VALIDATION CK M O CASH y Lpl,)3 2 6 410 MAY 2 9 2 3 D 1 S.7 S' � LACW,O 3 6 5U MI 8 3 9.5 0y 9 - �d �� , GC`rIaNS WORKERS' 'COM PENSATION DECLARATION herebo,s�ffirm that t have Workers' Come of consent r self APPLICATION FOR BUILDING PERMIT msut�; or a certificate of Workers' Compensation Insurance, orrc certified copy thereof (Sec 3800, lab C) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company ❑ Certified copy is hereby furnished FOR APPLICANT TO FILL IN BUILDING 6 ❑ Certified copy is filed with the county building inspec- BUILDING tion department /' Date Applicant CITY a W T ZIP r; LOCALITY NO OF BL 5 NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT p 60 NOW F LOT CROSS 5T COMPENSATION INSURANCE ASSESSOR ((TThis section need not be completed if the permit is for one TRACT BLOCK OT NO MAP BOOK PAGE PARCEL hundred dollars ($100)or less) OWNER USE ZONE MAP I certify that in the performance of the work for which this 1VV _/� SPECIAL permit is issued, 1 shall not employ any person in any manner ADDRESS pA' CONDRKNJS eXi w& 146,%3 10 1Kl�J so as to become subject to the Workers'Compensation Laws OO CITY ZIPeWS Date Applicant ARCHITECT OR TEL DISTRICT If P J=ST.6r FI A PAAagh-M, g SSED BY oC NOTICE TO APPLI NT If, after making this Certificate of ENGINEER NO Z E 0 Exemption, you should become subject to the Workers' „`Compensation provisions of the Labor Code, you must forth- ADDRESSJo. with comply with such provisions or this permit shall be ~ NO STATISTICAL CLASSIFICATION A CONDO v7 deemed revokeCOWTRACTOR d ? LICENSED CONTRACTORS DECLARATION UC CLASS NO DWELL UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO SEWE P (commencing with Section 7000)of Division 3 of the Business UC and Professions Code,and my license is in full force and effect CITY NO OF NO OFCLASS CHECKBK VALIDATION SQ FTLicense Number tic Class SIZE STORIES FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF WORK NEW 1:1 /`G� /1OV) O CA-51(/(� El am exempt under Sec ' ADD a : , ACCTA ALTERr ❑ B&P C for this reason d REPAIR $ 3W216-75 Date EXISTING BLDG EMO DL 1 ITEMS Gy1 S signature (PRINT)CANT NO FINAL TOTAL - 216,75 OWNER-BUILDER DECLARATION DATE I hereby affirm that I am exempt from the Contractor's License 01ECK 216.75 Law for the following reason (Section 7031 5, Business and ADDRESS FINALIN scions Code) ENT n BY .�� 1, as owner of the property, or my employees with BUILDING 7/ / wages ct then sole compensation,will f o the(e and LOCALITY , 1 1O� yv9 K` the structure is not intended or offered for sale(Section 7044, Business and Professions Code) MOVING TEL ❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO 5M 1 AM 9:31 with licensed contractors to construct the project (Sec- ADDRESS 1 tion 7044, Business and Professions Code) IRED AL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY YARD HWY LI _ ANT 3' I hereby affirm that there is a construction lending agency for FRONT r the performance of the work for which this permit is issued PL ,�,yO7 +�}5,5Q (Sec 3097, Civ C) SSIDE 1 ITEC s Lenders Name ) LDMA Ref'# , TOT . 2�}5.50 P C Fee$ / Permit Fee Lender's Address � �� 2b5.�i o 40neby at I have read this application and state that the Issuance Fee 1 O' LDMA P/C# rmation is correct I agree to comply with all County Investigation Fee ■OO an aws relating to building construction, Total Fee LDMA Perm # ou h ize epresentatives of this County to enterbo� i coned property for in ion purpose OODO-(01 IVM/59 �a.-a” SEE REVERSE FOR EXPLANATORY LANGUAGE 7154 1 �1 $:31 ature o Applicant or Agent Date 1 r � WORKERS' I`-A'PENSATIQN DECLARATL ft, sure crr a er thate of W r certificate of tannin to self APPLICATION FOR BUILDING PERMIT � . .�insure, dr a certificate of Workers' Compensation Insurance, j d4*a certified copy thereof (Sec 3800, Lab C) COUNTY OF LOS ANGELES BUILDING AND SAFETY Po4cy No Company Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS � E3 � ❑ Certified copy is filed with the county building inspec- BUILDING tion department ADDS Date Applicant CITY ZIP LOCALITY NO OF BLDGS NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO NAP BOOK PAGE PARCEL hundred dollars ($100)or less) TEL USE ZONE NAP NO I certify that in the performance of the work for which this q .�e permit is issued, I shall not employ y perso any manner ADDRESS J to /ey70_ �— C7ONCpRIONS o}6 so as to become subject to the Wo rs'C .ompe#41ion taws �� ` OO CITY / ZIP 50 Date 11_l L__�Applicont ARCHITECT OR TEL DISTRICT G UP TYPE FIRE D Y 0 NOTICE TO APPLICANT If, afte oking this Certificate of ENGINEER NO (/ OONST� Z Exemption, you should become subject to the Workers' ��oA �j riw Compensation provisions of the Labor Code, you must forth- ADDRESS ✓✓✓ V / 4 Y . a with comply with such provisions or this permit shall be CONTRACTOR TEL STATISTICAL CLASSIFICATION APT CONDO W deemed revoked Z LICENSED CONTRACTORS DECLARATION LIC CLASS NO DWELL UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO SEWER MAP (commencing with Section 7000)of Division 3 of the Business LIC and Professions Code,and my license is in full force and effect CITY CLASS BK PG VALIDATION SQ FT NO OF NO OF CHECK License Number Lic Class SIZE STORIES IFAMILIES ONE DESCRIPTION OF WORK r NEW ❑ VALUATION n0 Contractor Date V El am exempt under Sec OOf / lir• ADD ❑ ► �/ ALTER v❑ B 8P C for this reason PL �! h REPAIR $ Date OF EXISTIING BLDG ' DEMOL ❑ Signature APPLICANT TEL 2f/'.r (PRINT /D !/1'lA10.0 NO .D 3 FINA n 2 OWNER-BUILDER DECLARATION pq, I hereby affirm that I am exempt from the Contractor's License ADDRESS�e C) Law for the following reason (Section 7031 5, Business and FINAL 1 Professions Code) PRESENT By XJ111 ❑ I, as owner of the property, or my employees with BApp� AGGT.s wages as their sole compensation,will do the work and LOCALITY , � �9. the structure is not intended or offered for sale(Section 99 7044, Business and Professions Code ) MOVING TEL. 1 ITEMS ❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO with licensed contractors to construct the project (Sec- ADDRESS TOTAL. 4.9-88 tion 7044, Business and Professions Code) UIRED TOTAL SETBACK FROM I OEM 49.88 CONSTRUCTION LENDING AGENCY SET BA YARD HWY E I hereby affirm that there is a construction lending agency for FRONT .001 the performance of the work for which this permit is issued Pi. (Sec 3097, Civ C) SIDE Lender's Name P -M1 11/14/89 PC Fee S Permit Fee �"�'Ref # 6-M 1 AM 9:00. Lender's Address ► 1 cert• that I have read this application and state that the Issuance Fee • LDMA P/C R abov i formate orred I agree to comply with all County Investigation Fee ordi cis an St laws relating to building construction, Total Fee LDNA Perm N an reby au or epresentotives of this County to enter abo m Boned property for inspection pu= SEE REVERSE FOR EXPLANATORY LANGUAGE Signature 01 Applicant or Agent Date Y OF OS a DEPARTMENT L RTMENT OFPUBANGELES LI CWORKS 9071LASTUNAS 0508f ALTBUILDING ERATIONAEPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9707070059 PHONE: (818) 285-0488 EXT: LEGAL 10: NO. OF CGNSTvBUILDING TR: 14467 LT: 51 SQ. FT STORIES TYPE 9621 LOWER AZUSA:RD STRUCTURE: 0 VN TEMP CA 917804226 ASSESSOR INFORMATION MUM ER: NEAREST CROSS STREET: CAMELLIA 8589-015-028 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY TENANT: WIT-M USE: RESID USE ZONE: R-Z ISSUED ON: BY: EXPIRES ON: EXIST OCC GRP: _ 07/07/97 TC 07/07/98 OWNER: TEL. NO: BLDGS. NOW ON LOT: VXEWION: FINAL DATE FINAL 6WE: CASTRO JAVIER;ADELA - 1 3,500 4803 CAMELLIA AV +4"21 TEMP 917804241 FEES PAID 50MMIUM OF wulm FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: CREATE 3RD BATHROOK 40 ADDITIONAL SQ. FT. APPLICANT: TEL. NO: G. FELIX CONSTRUCTION (626) 401-1391- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG NOTION RESID 3500.00 VAL 0.50 SPECIAL CONDITIONS: AX BUILDING REVIEW-M f-_' /-� 54.70 62 PERMIT W/ENMY 504•.00 VAL 127.71 t IL Ef$ 210.66 CONTRACTOR: TEL. NO: V iAPPROVALS DATE INSPECTOR SIGRATMr G. FELIX CONSTRUCION, 8184011391 (818) 401-1391- 4924 N. HALIFAX RD LIC. NO i� - . LOCATION AND SETBACKS TEMPLE CITY, CA 91780 449477 B SOILS ENffnMMrM*09Ar- ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORKS LIC. N0: SLAB/UMDER FLOOR RAISED FLOOR FRA14ING 14AP NO: SEWER MAP BOOK: PAGE: FIRE UNDERFLOOR INOD(Trffl- 144H269 3� 01 FLOOR SHEATHMV— NO. OF FAMILIES: DWELLING UNITS: APT/COND: STA No 21CLASS: , ROOF SHEATHINU SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS �� NO NO NO �� FRAME INSPECTION _S_77 REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER-RMMMM—SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508