HomeMy Public PortalAbout6012 MUSCATEL AVE_Building__ 76A638A CE 803 6-62APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS zilol,, 2&e_�a.&L_
BUILDING AND SAFETY DIVISION LOCALITY C.
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN,SUPT OF BUILDING CROSS ST.
DISTRI, NO. G OUP TYPE ESSED BY
FOR APPLICANT TO FILL IN CONST.
BUILDING Q STATISTICAL CLASSIFICATION S WER MAP
ADDRESSZ-b D• •�►' BK PG
CLASS. NO. DWELL.UNITS
LOT NO. S� d�• � BLOCK WATER
CERTIFICATE: NOT REQUIRED ❑ RECEIVED
TRACT MAP• HIGHWAY
OF BLDGS. NO.:�� CIRCLE)
STATE MAJOR SECOND,• CAL
SIZE OF LOT ! NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG.
TEL.
OWNER fih.q d NO. BUILDING YARD HWY STREET NAME EXIST.
SETBACK WIDTH
r ADDRESS Q FRONT D
ARCHITECT OR TEL. P• L•
ENGINEER NO. SIDE
P. L. }
ADDRESS //-- T /� /� IL
TEL `�~' f� n L 7`D C rt7 N/ . X/ Q
CONTRACTOR NO.
In
ADDRESS
C
DESCRIPTION OF WORK
U
W
NEW ADD LTER REPAIR DEMOLISH a
SQ.FT. NO.OF NO. OF z
SIZE STO 1ES FAMILIE
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
V VALUATION $ � Q
APPROVALS DATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION
F E $ FEE $ �� FORMS, MATERIALS
FRAME: FIRE STOPS, �, Z
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS \
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
WITHALL COUNTY ORDINANCES AND STATE 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 LAB DE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKME 'S C PENSATION INSU LATH, EXT.
SIGNATURE F HOUSE NUMBER COR.
PERMITTEE RECT AND POSTED
ADDRESS IZ4 L/ "FINAL a
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENG ER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. GASH
A 1 1 .51�.� rl
rii,o
WORKERS'COM?ENSATION DECLARATION
l i I heEe+by of�Lrrr-t at 0 ha orS certificate of consent to self APPLICATION ®� BUILDING PERMIT
insure, or a certific of Workers'Compensation Insurance,
or a certified copy thereof (Sec. 3800, Lab. C.)
COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company M
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN gDOR ss rj fj/
Certified copy is filed with the county building inspec- BUILDING Q
11 tion department. ADDRESS / �
f0 lr;- 1/
Date Applicant CITY. ZIP V/ LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST c Q Lre.es-c'pgv
COMPENSATION INSURANCE SIZE OF LOT .6'0 X / 7S Now ON Lo7
(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
L.f/1�/+u�tJ C-9107-L TEL. USE PNE MAP
I certify that in the performance of the work for which this OWNER NO g�"49NO.
permit is issued, I shall not employ any person in any manner y� — ��, � SPECIAL
so as to become subject to the Workers'Compensation Laws. ADDRESS/ O/,g // /J CONDITIONS O
//_a��rj CITY 9L �ZZC I ZIP �/ 7��
Date l Applican ARCHITECT O ,,Q�flJ ,y.��_ 7EL.
NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER ��Wi�f/ i//!�-G NO. (� ���G DISTRICT Z�;)
UP TYPE FIRE PR ESSED BY O
Exemption, you should become subject to the Workers' L� /JCONST.\ ZONE V
Compensation provisions of the Labor Code, you must forth- ADDRESS�70� � v 1 V a
with comply with such provisions or this permit shall be TEL �77op STATISTICAL CLASSIFICATION APT. t ONDO. in
deemed revoked. CONTRACTOR d .d/ NO. 63 / Z
LICENSED CONTRACTORS DECLARATION /� LIC. gq •� CLASS NO, DWELL. UNITS
I hereby affirm that I am licensed under provisions of Chapter91 ADDRESS.-W-1,1 ,�Z;'� NO o4��/sS 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 PGVALIDATION
SQ.FT. NO.OF NO.OF CHECK
License Number Lic.Class SIZE STORIESy� FAMILIES ONE
DESCRIPTION OF WORK G-t t Gam::<[� NEW VALUATION pO
Contractor Date , � � ` ADD
I am exempt under Sec. -
ALTER � C a, &8 2 5 5 A
B.&P.C, for this reason REPAIR $� � �`
o 0 0 0 0,1
USE OF
Date: DEMOL
EXISTING BLDG.
Signature APPLICANT 'I •)) �/f EL. FINAL I o 049.8B
PRINT J LA.G #1 lam. �Aw NO.o�g�'��
OWNER-BUILDER DECLARATION DATE 8 v
1 hereby affirm that I am exempt from the Contractor's License ADDRESS(4�a/� �• /�(" t a FIN a a a 4 9,8
Law for the following reason (Section 7031.5, Business and
Professions Code): PRESENT sY I 1, 02 0 8
❑ BUILDING Ql7, L-tZc�L
I, as owner of the property, or my employees with ADDRESS
wages as their sole compensation,will do the work and
the structure is not Intended or offered for sale(Section LOCALITY
7044, Business and Professions Code). MOVING TEL.
I, as owner of the property, am exclusively contracting CONTRACTOR NO.
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code).
CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTAPROP.pLIINE M WIDTH '
I hereby affirm that there is a construction lending agency for FRONT
the performance of the work for which this permit is issued P.L.
(Sec. 3097, Civ. C.). SIDE
p.L.
Lender's Name
m P.C. Fee$ Permit Fee LDMA Ref. #
Lender's Address
1 certify that I have read this application and state that the Issuance Fee ((�� S `� LDMA P/C#
above information is correct. I agree to comply with all County Investigation Fee
0 ordinances and State laws relating to building construction, C
N and hereby authorize representatives of this County to enter Total Fee LDMA Perm. #
9 upon the above-mentioned
''property
----for inspection purposes.
„ f/•�pZ–O SEE REVERSE FOR EXPLANATORY LANGUAGE
n ` nature of Applicant or Agent Date
•COUNTY OF LOS ANGELES TEMPLE CITY �C0502% BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY+CA• ,3L 0508 9608190010
PHONE: (818) 285-0488 EXT:
LEGAL D: NO. OF CONST NEW BUILDING--ADDRESS-
TR:
UILDI ADDRESS:TR: 5904 LT: 106 SQ. FT STORIES TYPE OCCUP GROUP 6012 MUSCATEL AV N
STRUCTURE: 350 1 V R3 SGAB CA 917752623
ASSESSOR I FORMATION NUMBER: GARAGE: NEAREST CROSS STREET: HERMOSA
5386-011-039 OTHER: THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 08/19/96 TC 08/19/97
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY CODE:
NELSON ARTHUR J TRUSTEE;NELSON ARTH - 1 30,000 �z_��!
6012 MUSCATEL AV (o
SGAB 917752623 FEES-PAID ESCRIPT ON OF WORK
ADD MASTER BEDROOM AND BATH
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. O:
TRINITY CONSTRUCTION CO. (818) 285-6060- AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 3.0000.00 VAL 3.00 SPECIAL CONDITIONS:
AX BUILDING REV:I-EWjEE L� ��
L� 54.70
B2 PERMIT W/EIJEk' �3d000 OO,,V L 589.71
TOTAL FEES' 675.16
CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE
TRINITY CONSTRUCTION CO. (818) 285-6060-
8936 GREENWOOD LIC. NO - ,,�f% do OCATION AND SETBACKS
SAN GABRIEL, CA 382958 B
;;' � •� v' 9 SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: ` i—}^-� \� � FOUNDATIONMENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
lit
RAISED FLOOR FRAMING
MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: �I li �I Cz, JA
-9 UNDERFLOOR INSULATION `
dST LEVEL FLOOR SHEATH
NO. OF FAMILIES: DWELLING UNITS: APT/CON STA C ASS: I� /� ��j ��
NO 21 �: F� ' ;., . / /e � ND LEVEL FLOOR S EATH -
SCHOOL WITHIN HAZARDOUS s'� �•' ' r , j•` ' ROOF SHEATHI G
AIR QUALITY: 1000 FEET MATERIALS ��
NO NO NO �____ u FIRE DEPT. FRAME INSPECT
REQUIRED TOTAL SET CK FROM EXIST "7,v -_ � z� BLDG DEPT. FRAME INSPECTSET ,y
FRONTAPL- YARD: HWY: PROP LINE: WIDTH: �a&!' SHEAR PANELS �C y r/r�� �/ �i
SIDE PL- 9 /�%� J
INSULATION/WEATHER STRIP
INTERIOR LATH/DRYWALL
EXTERIOR LAT
LOT DRAINAGE
SMO E DETECTION DEVICES
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS0508