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Home My Public Portal About5948 MUSCATEL AVE_Building__ bS 76AG38A CE 0803(REV.6/78) ylop APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND /SAFETYBUILDING FOR APPLICANT TO FILL IN ADDRESS BUILDING J� ADDRESS �'/ �7In� LOCALITY NEAREST .!1 CITY ZIP 7 7 CROSS ST. ./NO.OF BLDGS. ASSESSOR SIZE OF LOT (' NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT G UP TY FIRE ESSED BY TRACT �f p BLOCK LOT N �d� --� T. ZONE J � TEL. I� Q ' OWNER /� �'i TEL. STATISTICAL CLASSIFICATION SEWER M ADDRESS CLASS NO. DWELL.UNITS BK PG CITY ZIP •f.7 7f ARCHITECTOR / TEL. VALUATION $ J�� ENGINEER NO. ADDRESS BLDG.SETBACK FROM EL FRONT PROP.LINE OF (STREET) CONTRACTOR NO. HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING LIC. FRONT PROP.LINE HIGHWAY WIDTH ADDRESS NO. _ LIC. + CITY CLASS CONSTRUC LENDER BLDG.SETBACK FROM NAME AND BRANCH SIDE PROP.LINE OF (STREET) HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING a ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH SQ.FT. ee�� NO.OF NO.OF CHECK + _ w SIZE J STORIES FAMILIES ONE DESCRIPTION JF WORK NEW ❑ P.C.Fee$ Permit Fee 2 ) ADD Issuance Feer ub ALTER � e REPAIR ❑ Total Fee USE OF DEMOL 10EXISTING BLDG. C APPLI ANTTEL ` ir BY(SIGNATURE) IHEREBY ACK LEDGE THAT I HAVE READ TIS APPLICA N AND STATE Y THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH LL ORDINANCES W AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE Z WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF u THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM• Z PENSATION INSURANCE. S ;23263P SIGNATURE OF IL 0 0 0 0 0 ' PERMITTEE ADDRESS4`11Z 2 0 0 3 k 0 C TEL. C CITY ' NO. 0 0 0 3 t',0 0 5 USE ZONE(Q INOP C� U < 031 J— SPECIAL �'!� CONDITIONS ~ FINAL , _ BY 1 / u+ DATE r))!1 c, /li-�/ ' -� d 1WWORKERS'COMPENSATION DECLARATION rr� by affirm that I have certificate of consent to self ® ®PCI CAT I N FUR' BUILDING PERMIT insura,,.or a certificate of Workers'Compensation Insurance, /'SAI or a certified copy thereof (Sec. 3800, Lab. C.) . COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company 1:1 Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING "ADDRESS ` Certified copy is filed with the county building inspec- BUILDINGq 1 tion department. ADDRESS L SCT/ �/ 41 e t Date Applicant CITY 47 J 2'7ZIP 47172 5 % LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT A /; :CROSS ST. (This section need not be completed if the permit is for one TRACT K LOT NO. • ,V LESSOR hundred dollars ($100)or less.) �` MAP BOOK PAGE PARCEL I certify that in the performance of the work for which this OWNER ,CJ�J NOa F.f USE NE O permit is issued, I shall not employ any person in any manner /I SPECIAL so as to become su r�bject to the Workers'Compensation Laws. CONDITIONS ADDRESS � CONDITIONS O Date 7-;;2� 6 0 Applicant �� ""`� CITY ZIP � �� IX NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. DISTRICT ROUP TYPE FIRE PROCESSED BY O Exemption, you should become subject to the Workers' ENGINEER NO• �j R CONST. ZONECompensation provisions of the Labor Code, you must forth- ADDRESS `�°0 -3 W with comply with such provisions or this permit shall be n- TEL. :`STATISTICAL CLASSIFICATION APT. CONDO. Z deemed revoked. CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. I.L.DWEUNITS — 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 and LIC. Professions Code, and my license is in full force and effect. CITY CLASS BK IX; VALIDATION SQ.FT. NO.OF NO.O CHECK License Number Lic.Class SIZE ISTORIES FAMILIES ONE X VALUATION rylj Contractor Date DESCRIPTION OF WORK NEW ❑ �� ADD ❑ $ I am exempt under Sec. ALTER ❑ ' BAP.C. for this reason REPAIR ❑ $ Date: USE OF DEMOL ❑ 9 9&8 A EXISTING BLDG. zaa. Signature APPLICANT 67TEL. FINAL OWNER-BUILDER DECLARATION PRINT j NO g DATE # 0 0 0 0 0 1 I hereby affirm that I am exempt from the Contractor's License ADDRESS s� �'/ r 1 - - 4Q50 Law for the following reason (Section 7031.5, Business and Professions Code): PREbENT PREBY BUILDING 0004Q50cxj I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and LOCALITY ® o&27-88 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. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTAL SETBACK LINE WIDTH 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 LDMA Ref. q P.C. Fee$ Permit Fee Lender's Address /� I certify that I have read this application and state that the Issuance Fee /0 LDMA P/C q above information is correct. I agree to comply with all County Investigation Fee /� c q ordinances and State laws relating to building construction, Total Fee tv t V LDMA Perm. q $ and hereby authorize representatives of this County to enter 7=:= or inspection pu�r-�poses. 7��"�(� SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date �I .A 4 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0712050006 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST NEW 1 BUILDING ADDRESS: I ITR: 5904 IT: 108 UN: .002 I SQ. FT STORIES TYPE OCCUP GROUPI 5948 MUSCATEL AV N I ISTRUCTURE: 0 0 VN R3 I SGAB CA 917752621 [ (ASSESSOR INFORMATION NUMBER: I GARAGE: 630 1 VN Ul 1 NEAREST CROSS STREET: HERMOSA 15386-011-042 I OTHER: I ( THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY,•CI (TENANT: (EXIST BLDG USE: USE ZONE: TISSUED ON: PROCESSED BY: EXPIRES ON: 1 (EXIST OCC GRP: 12/17/07 SR 06/14/08 I I (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: (FIN(L DAT FINAL RYfl CODE: I INEW DAVID R (626) 374-3570- 1 28,990 I I 15948 MUSCATEL AV I I ISGAB 917752621 I FEES PAID IDESCRIP I N OF WORK I I IDEMO EXISTING GARAGE AND BUILD DETACHED 2 CAR GARAGE, I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:ISTORAGE NO PLUMBING OR GAS I [APPLICANT: TEL. NO: I I [NEW (626) 374-3570- ID1 PLANCHECK W/O EN-HC 28990.00 VAL 445.10 1 f I 15948 MUSCATEL AVE. IAA BLDG PERMIT ISSUANCE 27.75 ISPECIAL CONDITIONS: I ISAN GABRIEL CA 91775 AC STRONG MOTION RESID 28990.00 VAL 2.90 I ID2 PERMIT W/O EN-HC 28990.00 VAL 523.65 I 1 TOTAL FEES 999.40 [ ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1DAVID R. NEW (626) 374-35707 I I I 15948 MUSCATEL AVE. LIC. NO I [LOCATION AND.SETBACKS I I ISM GABRIEL, CA 91775 NONE I I [ ISOILS ENGINEER APPROVAL r I I 1ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS _ LIC. NO: i (SLAB/UNDER FLOOR - _I.. I I 1RAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:I 1UNDERFLOOR INSULATION I I I 3 oil L)o 0(n �, �O� lJ vi e 1-1 INO. OF FAMILIES: DWELLING UNITS: APT/CONDI STAT CLASS: [ U (1ST LEVEIr, FLOOR SHEATH �;z ''a' . NO 21 I 12ND LEVEL FLOOR.SHEATH [ I I 1 1 SCHOOL WITHIN HAZARDOUS [ IROOF-SHEATHING I 1AIR QUALITY: 1000 FEET MATERIALS fa I (��y - f NO NO NO 1 "1 T' """�Q� Tk (5-p—l FIRE DEPT. FRAME INSPE IIREQUIRED TOTAL SETBACK FROM EXIST 1 BLDG DEPT. FRAME INSPE I 1 ISET BACK YARD: HWY: PROP LINE: WIDTH: I I 1 I IFRONT PL- I (SHEAR PANELS I SIDE PL- I I I I I I I IINSULATION/WEATHER STRIPI I I I I IINTERIOR LATH/DRYWALL I I I I [ IEXTERIOR LATH I I I.LOT DRAINAGE I I I I 1 I ISMOKE DETECTION DEVICES I I 1 I IFIRB DEPARTMENT APPROVAL( 1 1 I _ I _ I--_• I I • I I I- � 1 1 I I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I I I