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HomeMy Public PortalAbout6025 MUSCATEL AVE_Building__ . I 76718S8A CE08098-64 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 COLEMAN W. JENKINS,SUP'T.OF BUILDING CROSS ST. 'DISTRIC NO. GROUP TY gEmtDY FOR AlPPLICANT TO FILL IN - �- • c sT: ST CLASSIFICATION S ER MAP BUILDING �, A ADDRESS CLASS NO.__r—_DWELL UNITS BK PG LOT NO. / BLOCK USE ZONE MAP NO. TRACT r' SPECIAL NO. OF BLDGS. CONDITIONS SIZE OF LOT Q/�. NOW ON LOT ' USE OF EXISTING B D BLDG. SETBACK FRO L syLFRONT PROP. LINE O (STREET) OWNER J �j�/ ZVI TYPE OF EXISTINO SETBACK HIGHWAY -F' YARD = TOTAL ADDRESS / H10 AY Io H 'FROM C.L. ' CITY BLDG. . T ACK FROM ARCHITECT OR TEL. SIDE PR P. LINE OF (STREET) ENGINEER NO. — T�YPE OF EXISTING SETBACK HIGHWAY + YARD — TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. CL TEL. 7_ 7� 'I- = OV CONTRACTO NO f/ LIC ADDRESS �. NO 1�/ i CORNER CUTOFF YES NO O CITY LL s B- SEE REVERSE SIDE FOR SPECIAL APPROVALS w DESCRIPTION OF WORK H Z NEW ADD ALTER, REPAIR DEMOLISH SQ.FT. NO. NO. OF SIZE STORIES FAMILIES USE OF STRUCTURES p ✓ eu L SIGNATURE OF '/1IV APPLICANT VALUATION$ G�� , APPROVALS DATES �.INS/4,TOR'S SIGNATURE P.C. PMTF,OUNDATION, LOCATION �(�/ ( /'s ';,.+• �. FEEFEE$ i--�++- FORMS., MATERIALS FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL 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 LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATI INS U NCE. eAFI ATH. EXT. SIGNATURE OF ` OUSE NUMBER COR-• PERMITTEE RECT AND POSTED /e ADDRESS NAL ITU 3 �• �-. JOHN F. LEWIS. PRINCIPALST `•� r RAL ENGINEER PLAN CHECK VALIDATION CK. M.D. CASH _ PERMIT VALIDATION CK. M.O. CASH LACc)1, 0 0 On NOV 2 1 A 4.0 0-. cu 76ABSBA CE#BQS B-64 APPLICATION FOR BUILDING PERMIT 17 LJ COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS DDRESS BUILDING AND SAFETY DIVISION LOCALIT fs JOHN A. LAMBIE. COUNTY ENGINEER NEAREST I� COLEMAN W. JENKINS,SUP'T.OF BUILDING CROSS ST. DISTRIC NO. GROUP TYPE. P SSED BY FOR APPLICANT TO FILL IN CONST. 2. BUILDING jam- /� ,,� p STATISTICAL CLASSIFICATION SE ER MAP ADDRESS t, �`�'"'�� CLASS NO. DWELL UNITS BFj.. PG/ LOT N BLOCK UhE ZONE MANo.PC;te 6 + M` ^ SP TRACT J/JJ J SPECIAL Q' NO. OF LDGS. CONDITIONS SIZE OF LOT // NOW ON LOT USE OF EXISTING G. BLDG. SETBACK FROM EL./,/y-�� �G 7 FRONT PROP. LINE OF (STREET) OWNER ��JJ ��No.��(/�/l ` D/I TYPE OR EXISTI NO SETBACK HI GHWi1Y + YA D = TOTAL ADDRESS /O'•' li(j HIGHWAY WIDTH FROM C.L. CITY + ARCHITECT OR TEL.�f+��}�/� BLDG. SETBACK FROM - ENGINEER NO./'/� , ,(� SIOE PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS ,3O HIAHWAY WIDTH FROM C.L. d CONTRACTOR / NOL /p� J + - O LIC ADDRESS �7��/ NO CORNER CUTOFF YES NO O CITY CL SS 'SEE REVERSE SIDE FOR SPECIAL APPROVALS IV DESCRIPTION OF WORK N . Z_ NEW ADD ALTER REPAIR AEMOLISH SQ.FT. NO. OF NO. OF SIZE STORIES '- F (LIES USE OF STRUCTURE SIGNATURE OF APPLICANT VALUATION$ Z�rtl APPROVALS DATE INSPECTOR'S SIGNATURE P.C. =T PMT. FOUNDATION, LOCATION FEE$ FEE$ • FORMS, MATERIALS FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY _17FURNACE: LOCATION WITHALL COUNTY ORDINANCES AND STATELAWS REGULATING GAS VENT. DUCTS GUILD NG CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK AUTHORIZED HEREBY 1 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 INSUR NCE. LATH. EXT. SIGNATURE OF yyt_ o HOUSE NUMBER COR- PE,RMITTEE RECT. AND POSTED. ADDRESS FINAL (( w .w JOHN F. LEWIS. PRI CIPAL//ST URAL ENGINEER PLAN CHECK VALIDATION /CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH i 2 9 9 9u" jUN 2:3 1 A 4.00N • ' yWORKERS'COMPENSATION DECLARATION I hereby �$fiim that I hove a certificate of consent to self ~ mG PERMIT insure, or,a cervificate o?Workers'Compensation Insurance, A P P L I P�� � ��I or a certified copy thereof (Sec. 3800, Lab. C.) _ COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company >764-!�" W . ,• x Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ADDRESS C, �O Certified copy is filed with th county uilding inspec- BUILDING tion department. ADDRESS Date Z Applicant CITY �� CQ ZIP ;LOCALITY CERTIFICATE OF EXEMPTION AOM WORKERS' NO.OF SIZE OF LOT NOW ON LO' NEARESST. ' COMPENSATION INSURANCECROSS (This section need not be completed if the permit is for one ASSESSOR BLOCK hundred dollars($100)or less.) TRACT LOT NO. MAP BOOK PAGE PARCEL I certify that in the performance of the work for which this OWNER `- -"L 4 �� USE Z NE NO permit is issued, I shall not employ any person in any manner ADDRESS C'D y�-f/2 E b � �I SPEC AL so as to become subject to the Workers'Compensation Laws. c CONDITIONS U Date Applicant CIN Sam ZIP ARCHITECT OR TEL. DISTRICT ®R UP TYPE FIRE PRO S BY O NOTICE TO APPLICANT: If, after making this Certificate of H' �' _( // CONST. FIRE W Exemption, you should become subject to the Workers' ENGINEER NO. U K t ` Compensation provisions of the Labor Code, you must forth- ADDRESS with comply with such provisions or this permit shall be TEL.a t STATISTICAL CLASSIFIC TION APT. CO DO. U) deemed revoked. CONTRACTOR NO �t LICENSED CONTRACTORS DECLARATION LIC, CLASS Ni DWELL. UNITS �• I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS �—, Sq NO.Z— &Z 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. CITYCLASS 9 BK PGVAD.IDA IN . �f c SQ.FT f^ OF NO OF CHECK v: A License Number � Lic.Class a SIZE SIL STORIES FAMILIES ONE y? +So4s DESCRIPTION OF W RK Nom, ❑ VALUAT ON # 0 0 0 0 0 1 Contractor Date "� `' _\\ $ ❑ I am exempt under Sec. r"O6V i ADD ❑ 2 �j /��j ® ( o 2 56. 1 3 eaam 6e E Tu ALTER ❑ $ 1 v� V / x B.BP.C. for this reason Date: ~ DEMOL ❑ USE OF 2 5 b 1 3 t, EXISTING BLDG. t° �• 0 0 APPLICANT�1 Ti . 0 2 2—8 8 Signature 9 FINAL PRINT 1O NO. .5��7 l OWNER-BUILDER DECLARATION nn '�1 DATE I hereby affirm that I am exempt from the Contractor's License ADDRESS I 0 0 oV L C Law for the following reason (Section 7031.5, Business and FIN Professions Code): PRESENT B BUILDING 1, 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. p with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions,Code). REQUIRED TOTAL SETBACK FROM CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. 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 2 LLReP.C. Fee$ Permit Fee I RfLender's Address /� _a1 certify that I have read this application and state that the Issuance Fee V, 5Labove information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee ��/ L 3 and hereby authorize representatives of this County to enter 5 upon the above-mentioned perry or ins ection purposes. 0 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date APPLICATION FOR BUILDING PERMIT �1 COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self Insure, BUILDING ADDRESS or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800.Lab.C.) CI ZIP Policy No. 1 1 6� Com ITS�_f�I.4 u ' LOCALITY ,L_TPJ( �m SIZE OF LOT NO.OF BLDGS.NOW ON LOT Certified copy Is hereby furnished. 11 no r—r 1 1- NEAREST CROSS ST. BLOCK LOT NO. r 10A ❑ Certified copy is filed with a county bulb g inspection a Z USE ZONE MAP No. department. 4—t arm 17 ==BOOK BOOK PAGE PARCEL Date Applicant Z7 Z99 _ SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER L O•_ �_ � WITHIN 1000 FT OF SCHOOL? YES NO COMPENSATION INSURANCE ADDRESS � (This section need not be completed if the permit Is for one hundred DISTRICT GROUP TYPE NST.' FIRE ZONE PROCESSED BY dollars($100)or less.) CI ZIP I certify that in the performance of the work for which this permit v S. rs 4-3 is Issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. become subject to the Workers'Compensation Laws. STATISTICALCL��AACATION SSIFIAPT CONDO Date Applicant ADDRESS CLASS NO. n.9 DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of CONTRACTOR REQUIRED TOTAL SETBACK FROM EXIST _ Exemption, you should become subject to the Workers' / SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code,you must forthwith t TEL.NO.71 3 V FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL r— LICENSED CONTRACTORS DECLARATION CITY ✓� LIC.CLAss SIDE a PL p I hereby affirm that I am licensed under provisions of Chapter 9 S', SEWERv (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STOREES NO. FAMI� C Njr Professions Code,and my license is in full force and a act. NEW El BK PG License Number DESCRI ON OF WORK ADD of LU LU �9 Lic.Class /� — vALuanoN Contracto;!A SErDl�DN nate 5—17-40 ALTER ❑ $ tPQQ ❑ I am exempt under Sec. GQ REPAIR El B.&RC.for this reason DEMOL ❑ LDMA PIC M Date: USE OF EXISTING BLDG. URAfl ❑ i?�C i G��CJ� Signature APPLICANT(PRINT) TEL NO. LDMA Penn p ❑ 1,as owner of the property, or my employees with wages as 7L� s p y b their sole compensation,will do the work and the structure is ADDRESS 0 ACCT.a not Intended or offered for sale (Section 7044, Business and FINAL 00- `307 �r0�F.4 Professions Code.) WILLTHEAPPLICANT OR FUTURE BUILDING OCCUPANT HANDLEA HAZARDOUS MATERIAL L OR A MIXTURE CONTfl/UNING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN 1 IT ❑ I, as owner Of the property, am exclusively contracting with THE AMOUNTS SP!gWIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL B l�� licensed contractors to construct the project (Section 7044, YES❑ No !}( j(, I�I -op-+ - Business and Professions Code.) WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REOUIREA PERMIT FOR CONSTRUCTION OR MODIFICATION FROMTHESOUTH CHECK 304.44 CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES CHANGE .1'}i k 1 hereby affirm that there is a construction lending agency for YES❑ No CHANGE 3ij the performance Of the work for which this permit Is issued(Sec. I HAVE READ THE HAZARDOUS MATE IALS INFORMATION GUIDE AND THE SCAOMD SIM,CIV.C.). pERMI G CHECKLIST.1 UNDERSTA MY REQUIREMENTS UNDER THE LOS ANGELES �ytt(yr �^� (7 q )j Lenders Name THOU �TITLALS APTERI2 E OROBTAINNGAPERMIT FRO TH SCAQMD. 00011-0001 cJ 17/01L1 Lenders Address -37" 9:36 0 1 certify that I have read this application and state that the above PC FEE PERMIT FEE information is correct. I agree to comply with all county 9 / y ordinances and State laws relating to building construction,and i hereby authorize r entatives of this County to enter upon ISSUANCE FEE the b ve-mentio property for inspection purposes. .� �7U INVESTIGATION FEE TOTAL FEE a aApou M+ - - SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES ;i_h1PLE CITY # 0508 BUILDING '-• -- DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATIl.,...;AIR BUILDING AND SAFETY / LA;;D DEVELOPMENT TLMPLE CITY CA 91780 BL 0508 U4.,..;7n073 NONE: (626) 285-0488 5X7: LEGAL ID: -- - NO. OF CONST BUILDING ADDRESS: TR: 29922 LT: 1 SQ. FT STORIES TYPE 6025 MUSCATEL AV N STRUCTtJKF: '#400 VN SGAB CA 917752656 ASSESSOR .NFORMATIO NUMBER: NEAREST CROSS STREET: 5386-008-051 THOMAS PAGE: 596 GRID: H3 IOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG U:E: RESID USE ONE: R-31SS��D ON- PROCESSED - EXPIRES ON: EXIST OCC GRP: 10/09/04 JK 10/03/05 ' OWNER: 7EL. NO: BLDGS. H04 ON LOT: VALUA7IUN: F1NkL UAI.E FINAL HI: _ CODE: DALY PATRICK R;CANDACE (818) 286-5872- 2,400 6025 MUSCATEL AV ,• _ SGAB 917752656 EES PAID DESCk}'Is OF WORK TEAR OFF 4 SF OF 2 LAYERS 90LS APPLY 14 SF WHITE GTA FEE DESCRIPTION: QUANTITY: UOA: AMOUNT: CERTAINlEED OVER EXISTING SHEETING ROLLED ROOFING APPLICANT: TEL. NO: HENRY - AA BLDG PERMIT ISSUANCE 27.75 _ AC STRONG MUTTON RESID 2400.00 VAL 0.50 SNkl.1AL CUNDITIONS: 'I D2 PERMIT W/0 EN-HC 2400.00 VAL 99.00 TOTAL FEGS 127.25I CONTRACTDR. THE YOo pPPROiJALS D!!7t INSPECTOR SIGNATURc�- WEATHERGUARD ROOFING (626) 287-0669- 4251 BALDWIN AVE. LIC. NO AND SETBACK9 EL H(jm T E, CA 91731 608888 C39 I SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: 1EL. F:D: T'62H FORMS LIC. NO: L-09/1,I)JUER FLOUR _ RA::10 Fl0i+n F1ZAi".ING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP u4-bif.FLOUR INSULATION _ 150H260 3 01 ' f LC�N�Si SHEATHING 10 F FAMILIES: DI EL I G UNITS: AP7/CO:1D•. S A CLASS: NO 21 ROOD 91EATIIING SCHOOL WITHIN HAZARDOUS THUR. PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAPk INSPECTION REQUIRED TOTAL BE, CK FROM E IST FIFE'Sf!:f!JCT-LER HANGERS '-- SET BACK YARD: HWY: PROP LINE: WIDTH: _ _ •_ FRONT PL- 1NS;LATiON/WEATHER_ STRIP _ SIDE PL- T01%. 0.4 LAfH/ R.WA L -NRI NZ LATH RNAs 5 fTVWCEIL ASSEM. - RA71DJ kALL ASSEMBLIES D S A TS/OPE INGS -- T=0-iR CEILINGS —� LOi f 6RA I NAGD — REPORT ID: DPR261 ROUTE TO: BS0508