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Home My Public Portal About5722 MUSCATEL AVE_Building__ 6�ee8Aoas.aa-e�PPLICATI®N FOR BUILDING PERMIT DIVISION OF BUILDING-AND SAFETY BUILDING ADDRESS � ADDRE39 r Department of County Engineer County of Loa Angeles LOCALITY WM.J.FOX.COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICT,��o GROUP �� SEWER MAP FOR APPLICANT TO FILL IN .7 7` I ONST V B%-� jG [7ADDRESS ILDING - ,� MAP ;2 _.� HWY STATE �g, JJ ' Z N• 7-!S !% NUMBER vJT N0.1�-i %%-.:, ,•.•i 3- tne. ` OCK USEZONE SPECIAL CONDITIONS ACT tG F NO.OF BLDGS. 'UILDING YARD HWY STREET NAME EXIST. ZE OF LOT NOW ON LOT �.1/' SETBACK WIDTH USE OF ' EXISTING BLDG.[ •Ls !tl.`_[,e�, r FRONT e�0/ / P.L. /� SIDE OWN Elk 4 !'P _ f //!'3/r P.L. MAILADDRESS._.i-/ Al1�i,7•r�[l•.T'1-?f •V"�+ O TRACT DWELL. 9 UNIT 5 INDUSTRIAL [ TEL. �. f 1 DWELL. 1 UNIT CITY�"i'7//`":~'`•O .' -t NO�%Gl Z-h�L6 PUBLIC BLDG. ARCHITECT OR TEL. 2 DUPLEX I UNIT ADDN..ALT.. ETC. ENGINEER NO. 3 APT. UNIT 6 MISCEL. ADDRESS 41 COMMERCIAL CONTRACTORTEL.I INSPECTION RECORD p(Ct L y-t`� 7'� ADDRESS ` 6 f ,*-rGh� 'DESCRIPTION OF WORT{ �� 3 �•�y E T i�✓is , ,,, NEW ADD 1 ALTER REPAIR DEMOLISH SQ. FT. .� NO.OF NO.OF / SIZE ' STORIES` FAMILIES USE OF STRUCTURE SIGNATURE OF✓7 � .�: p 7 i`'•9 APPROVALS APPLICANT +....:. ADDRESS•%_ •.�/V� 1/y,�M1'� �/J4� 6 k " QAT INSPECTORS SIGNATURE FOUNDATION:LOCATION S P.C. $ FORMS,MATERIALS .�•- 00 FEEFRAME: FIRE STOPS. -27, 9 /9 0 0 $ t� BRACING.BOLTS ��3•�6 / VALUATION FEE FURNACE:LOCATION. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT.DUCTS APPLICATION AND STATE THAT THE ABOVE I9 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH,INT. AND STATE LAWS GsULAT1NG BUILDING CONSTRUC- TION. LATH,EXT. SIGNATUR I :.. HOUSE NUMBER COR- E" / { '�= RECT AND POSTED ADDRESS FINAL WM.J.FOX.COUNTY ENGINEER VALIDATION C. N. DIRLAM.CHIEF BLDG. INSPECTOR CAC®2 5 6 6U'01 FEB 6 1 8,0 0 to ,NIPENSATION DECLARATION ' a rf4hat I have certificate of consent to self APPLICATION P P L I CAT I®N F BUILDING UIL®I N G PERMIT E I T ure, oror a certificate of Workers'Compensation Insurance, � i r a certified copy thereof (Sec. 38W, Lob. C.) COUNTY.OF LOS ANGELES BUILDING AND SAFETY Poli.py No. Company 7/ ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING J ADDRESS erfified copy is filed with the county buil ing inspec- BUILDING '7 VV �ti}o/n�department' ADDRESS ,3 G � r°`��C��G 4W(_X, a q Q ZIP LOCALITY f Date ppIicant CITY ��, CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. (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 TEL. USE ZONE MAP I certify that in the performance of the work for which this OWNER 1 LA NO. NO. permit is issued, I shall not employ any person in any mannerADDRESSC _ ( SPECIALt so as to become subject to the Workers'Compensation Laws. �� S CONDITIONS U• , fi CITY 9 ®- �V^ Pe—L-15 iT- ZIP Date Applicant ARCHITECT OR TEL. NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO DISTRICT GRORUP TYPE FIRE PROCESSED BY O Exemption, you should become subject to the Workers' CONST. ZONE V1 Compensation provisions of the Labor Code, you must forth- ADDRESS ✓ LLI with comply with such provisions or this permit shall be TEL./, STATISTICAL CLASSIFICATION API'. rNDO. deemed revoked. CONTRACTOR C�D/�-! NO. ~2 LICENSED CONTRACTORS DECLARATIONLIC.e i(��GzCf(/ CLASS NO. DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS �_ NO.—[ CJ C7 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and ^,, ,� LIC, Professions Code,and my license is in full force effect. CITY • � CLASS � BK FPGVALIDATION y SQ.FT. NO.OF NO.OF CHECK License Num±r(�,,�//�ber L Lic.Class SIZE STORIES FAMILIES ONE hc( l L��7 I r Dote DESCRIPTION OF WORK NEW ❑ $VALUATION �o Contra m �. r n ID� A ADD ❑ I am exempt under Sec. �Y (� N1� j��c '�,` ALTER ❑ B.BP.C. for this reason 1 `rz LfTTc DR rWFkix- REPAIR $ Date: USE OF EXISTING BLDG. i2- ES V'��L.C•. DEMOL ❑ Signature APPLICANT C �} (�[��[ FINAL PRINT ECL C. fZ `T ` � OWNER-BUILDER DECLARATION DATE ✓ �li I hereby affirm that I am exempt from the Contractor's License ADDRESS L�5� {% f FIN Law for the following reason (Section 7031.5, Business and 2%_ Professions Code): PRESENT By F 0 4 3 2 A BUILDING ❑ I, as owner of the property, or myemployees with ADDRESS wages as their sole compensation,will do the work and # o 0 0 o 0 1 the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. - 10613 ❑ I, as owner of the property,am exclusively contracting CONTRACTOR NO. ^ _ with licensed contractors to construct the project (Sec- ° ° 106135 ADDRESS tion 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTAPROP.LIINECK F WIDTH 1 6 8 I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name a LDMA Ref. P.C.Fee$ Permit Fee # Lender's Address I certify that I have read this application and state that the Issuance Fee LDMA P/C# F above information is correct. I agree to comply with all County Investigation Fee 0 ordinances and State laws relating to building construction, Total Fee LDMA Perm.# hereby uthorize epresentatives of this County to enter upo the a ve-me i ed property for inspecti n purposes. �` g r m SEE REVERSE t-0R EXPLANATORY LANGUAGE • ignature of Applicant or ge f Date COUNTY OFF LOS ANGELES + TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY ; LAND DEVELOPMENT I TEMPLE CITY CA 91780 BL 0508 0408040004 PHONE: (626) 285-0488 EXT: LEGAL ID: I r —Na-.-OF CONST / B I DINGDROSS: TR: 3623 LT: 122 I SQ. FT STORIES TYPE I 5722 MUSCATEL AV N STRUCTURE: 37 VN SGAB CA 917753011 ASSESSOR INFORMATION UMBER: I NEAREST CROSS STREET: LAS TNAS 5387-011-026 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, C ITEM EX ST BLDG USE: RESID USE ZONE---R--3'— ISSUED ON: P OCESSED BY: EXPIRES ON: EXIST OCC GRP: 08/;04/04 JK 07/30;05 (OWNER: TEL. NO: BLOCS. NOW ON LOT: VALUATION: i FINAL DATE FIN CODE: TUCKER OK SIK (626) 287-7617- 4,000 5724 MUSCATEL AV iOu SGAB 917753011 { FEES PAID DESCRIPTION ORK 30iYEAR ASPHALT SHINGLES ONVERLAY I FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TE 0: KIM (213) 725-1019- AA BLDG PERMIT ISSUANCE 27.75 25126 STEINBECK AVE AC STRONG MOTION RESID 4000.00 VAL 0.50 SPECIAL CONDITIONS: �STEVENSON RANCH I D2 PERMIT W/O EN-HC 4000.00 VAL 115.80 TOTAL FEES 144.05 (CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE P.CETEK ROOFING COMPANY (323) 231-6G60- _ 16112 DREXEL AVE LIC. NO I LOCATION AND SETBACKS ,LOS ANGELES, CA 90036 820199C39 SOILS ENGINEER APPROVAL nUNIITECT OR ENGINEER: TEL. NO: _ ..i _ FObNDAT— 'h :':?Rms LIC. 90: I SLAB/UYOER FLOOR `! RAISED F OOR7RAM I NG _ MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION �— ' rix 3 03 r FLOOR SHEATHING l N0. OF FAMILIES: W L I�Ti G UNITS: APT/COND: STAT CLASS: NO 21 I ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO I FRAME INSPECTION EQUIRED TOTAL SETBAC FROM EXIST FIR SPRINKLER HANGERS � SET BACK YARD: HWY: PROP LINE: WIDTH: _ FRONT PL- INSULATION/WEATHER STRIP; SIDE PL- INTERIOR LATH/DR wAEU " i EXTERIOR LATH i RAZED FLOORICEIL ASSE. RATED WALL ASSEMBLIES RA-ED SHAFTS/OPENINGS j T-BAR CEILINGS I LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 I I