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Home My Public Portal About6031-6035 MUSCATEL AVE_Building__ WORKERS'COMRENSATION DECLARATION jtre¢y-affiirh'tht',it I•have a certificate of consent to self P P"CAT I®I� ® B ��®I N G PERMIT insure, or a cfrtificate of Workers'Comdensation insurance, or o certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING 9 Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS 600 ak•9JG (rG[�L.►�iv Date Applicant CITY 1ZF__ ZIP 9 t p 7 LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT ®(� NO.OF NOW ON LOT NEARESTCROSS t t; COMPENSATION INSURANCE (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. ASSESSOR hundred dollars($100)or less.) MAP BOOK PAGE PARCEL TEL. USE NE MAP I certify that in the performance of the work for which this OWNER tj AA '' W NO. lsa&-d5 NO. permit is issued, I shall not employ any person in any manner ADDRESS IV roL (a If*E .,( CONDITIONS a1 SPECIAL so as to become subject to the Workers'Compensation Laws. V Dal1e "` Applicant CITY N (; )�/�Z L_ ZIP ra NOTICE TO APPLICA T: If, after making this Certificate of ARCHITECT OR TEL. DISTRICT GR UP TYPE FIRE PROCESSED BY O ENGINEER G - YLL-�S -A NO. 4S'(� n CONST. ZONE /I ® I0 Exemption, you should become subject to the Workers' . / U Compensation provisions of the Labor Code, you must forth- ADDRESS ��j �. r �F3Ni OPJ t�!{G3 AVA� V 5 d with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. I ONDO. N deemed revoked. CONTRACTOR NO. 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 and LIC, Professions Code, and my license is in full force and effect. CITY CLASSBK I �i VALIDATION SQ.FT. NO.OF NO.OF CHECK License Number Lic.Class SIZE 49� STORIES FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF WORK -YJ �-TO L•E T NEW $VALUATION �✓f ❑ �4I� lbr= UDI ADD Q��1 Ci V I am exempt under Sec. rJ'LUb ALTER B.&P.C. for this reason s5 S.-T VC-:;O GON71Zt)G ro(`l REPAIR ❑ $ Date: USE OF G EXISTING BLDG. U J 6 W I N r, DEMOL C] Signature APPLICANT �{�S 1 1� NO A�r FINAL PRINT C IAA ti 4A-T— OWNER-BUILDER DECLARATION tDATE / 1 hereby affirm that I am exempt from the Contractor's License ADDRESS i S �' LG/1/L A✓ Ave � �bt /J Law for the following reason (Section 7031.5, Business and BI Professions Code): P N BUILDING . I, as owner of the property, or my employees with ADDRESS -2 T5 S.3 A wages as their sole compensation,will do the work and LOCALITY ® # 0 0 0 0 0.1 the structure is not intended or offered for sale(Section 7044, Business and Professions Code). MOVING TEL. I o 1 2 4,8 8 ❑ I,as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- o o 1 2 4,8 8 3 tion 7044, Business and Professions Code). ADDRESS REQUIRED TOTAL SETBACK a CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH o7,3 1 hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this perm itis-issued P.L. (Sec. 3097, Civ. C.). `t SIDE P.L. Lender's Name SLDMA Ref:N Lender's Address P.C. Fee$ Permit Fee 7/ I certify that I have read this application and state that the Issuance Fee k LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee �Q ordinances and State laws relating to building construction, J Total Fee s v U LDMA Perm.f1 and hereby authorize representatives of this County to enter uponhhe above--Sntioned proper for Inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature f ppl cant or Agent Date APPLICATION FOR BUILDING PERMIT PLICANT TO FILL IN ,(Print or type only) 71YI LID NGi Mus Q COUNTY OF LOS ANGELES ADDRESS / AV e DEPARTMENT OF COUNTY ENGINEER '---f CITY '�E- L i zip BUILDING AND SAFETY DIVISION- O.OF BLDGS. BUILDING SIZE OF LOT too f NOW ON LOT ADDRESS TRACT D BLOCK LOT NO. LOCALITY NEAREST _ OWNERAN1je? fi /LTQAJ SI CROSS ST. f ASSESSOR ADDRESS 60 U4Gf �L_4. �-y1 MAP BOOK Y PAGE PARCEL /r DISTRICT GROUP TYPE FIRE PR SSED BY CI CHI � Fjr-fie .�'l l p//�,,.. ZIP T L. A — GONST� ZON EN NEER (� LP_ /VL. _ 2. V �] STATISTICAL CLASSIFICATION SEWER M P ADDRESS �p •�' CLASS NO,_/G:?..e_.DWELL,UNITS _BK PG CONTRACTOR - TEL. 5ULZONE MAP 2 ' LIC. NO. CT (/ ADDRESS NO, 0 SPECIAL LIC. CONDITIONS CITY CLASS CONSTRUCTION( LENDER ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ NAME AND BRANCH BLDG,SETBACK FROM F FRONT PFJOP.LINE OF (STREET) C ADDRESS CITY _ TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY + YARD - FRONT PROP. LINE ` SQ, F7' �y NO. OF' NO OF / CHECK HIGHWAY WIDTH ` SIZE S STORIES FAMILIES L ONE DESCRIPTION OF WORK NEW ❑ + BLDG SETBA FROM /,yi uCGo kv air LER ❑ SIDE PROP,LI OF (STREET) 2 6 N,� �. HIGHWAY + YARD � SETBACK FROM TYPE OF EXISTING REPAIR SIDE PROP. LINE HIGHWAY WIDTH USE OF [� I ay a uvi. I _ EXISTING BLDG, ��S� p�I\ C.L, DEMOL ❑ + APPLICAN6 TELZ- � CORNER CUTOFF $ ❑ NO ❑ (PRINT) FY��j'� N0. BY (SIGNATURE) IN OPEN SPACE YES NO ❑ IN COASTAL ZONE YES ❑ O ❑ VALUATION CATEGORICAL EXEMPTION YES❑ NO ❑ + I HEREBY ACKNO LEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT' EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY (%WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE TATE OF CALIFORNIA IN RELATING TO WORKMEN'S CO MPE NS T O�N'I`S URA Nf'E.� ". - SIGNATURE O0121°/Y�//f\J _% + PERMITTEE , ADDRESS (0 Tj� • y' / TEL FINAL J X71 BY /��'C! CITY ('rr�6 �,A ,,. NO. �OL7 DATE (/�/ MAKE CHECKS PAYABLE TU: FEE FEE HARVEY T. BRANDT. COUNTY ENGINEER . -7-^1� PLAN CHECK VALIDATION CK. M.O. CASH PERMITS VALID,.,ATION CK. M.O. CASH' 6 4 9�APR 23 1 D 2 8.5 0 d,6 76A63BA CEN803 7/73 - � _ � - APPLICATION FOR BUILDING 'PERMIT £A PLICANT TO FILL IN (Print or type only) A! BUILDINGCOUNTY OF LOS ANGELES ADDRESS &&!_ rZ M[6C*+TLL // DEPARTMENT OF COUNTY ENGINEER CITY -f L_, C- �`� i ZIP BUILDING AND SAFETY DIVISION NO.OF BLDGS. BUILDING /� l SIZE OF LOT (OpX 1110 NOW ON LOT Jj ADDRESS TRACT,'''_ &"', BLOCK I LOT NO' ,J LOCALITY 77" -//O/L TEL.�' NEAREST /� r OWNER,y ( � CROSS ST. r ASSESSOR ADDRESS &Q C! 5 .rL MAP BOOK PAGE PARCEL DISTRICT IGROUPITYPE .1 FIRE PROCESSED BY CIT 61,1 OCi l ZIP /1 CONST ZONA _ R ECT O TEL GINEER (Aj NO STATISTICAL CLASSIFICATION SEWER MAP r ADDRESS t {dr.�Q/, CLASS NO.-/;L- BK PG TE CONTRACTOR C>,Lu f, NOL' UyyyS��E ZONE NO. ADDRESSNO SPECIAL , CITY LIC. � 1CONDITIONS CLASStj ROAD DEPARTMENT APPROVAL REQUIRED YES NO CONSTRUCTION LENDER NAME AND BRANCH G +iJ BLDG.SETBACK FROM FRONT PROP.LINE OF (STREET) c C ADDRESS CITY HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING L SQ. FT y NO. OF p NO. OF ' CHECK FRONT PROP. LINE HIGHWAY WIDTH F SIZE 2 !� STORIES l FAMILIES ONE ) I ee t L DESCRIPTION OF WORK + Lry � NEW BLDG.SETBACK FR A y ADD ❑ SIDE PROP.LINEOF (STREET) _ x ALTER ❑ SETBACK FROM TYPE OF EXISTING 5rvuecV � '�" REPAIR❑ HIGHWAY + YARD E PROP. LINE HIGHWAY WIDTH USE OF -jibeDEMOL ❑ + EXISTING BLDG. APPLICANT t TEL CORNER CUTOFF Y r NO ❑ (PRINT) ¢ N0.'4 BY (SIGNATOR IN OPEN SPACE YES NO ❑ ��..f� 6666////"'"'""" IN COASTAL ZONE YES NO Q L� VALUATION "'r CATEGORICAL EXEMPTION YE`S� NO IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- , STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPE NS ON INSURANC SIGNATUR �f/ff^/ q�• n �� PERMITTE ADDRESS TE '... FINAL v '(ABY CITY ,;i 9' NO. _ DATE �f n v MAKE CHECKS PAYABLE TO: F E v J�� 1 FE V4 HARVEY T. BRANDT, COUNTY ENGINEER 1�r 19 L / PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION C M.O. CASH 6 5 0 r APR 23 1 D 2 1.7 5 AL'8 76A638A CE#803 7/73 • COUNTY OF LOS ANGELES TEMPLE Cl( j4 05 8 BUILDING PERMIT • DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS DEMOLITION BUILDING AND SAFETY / LAND DEVELOPMENT I TEMPLE CITY CA SL 0508 9808260056 PHONE: (818) 285-0488 EXT: LEGA D: No. OF CONST BUILDING ADD SS: TR: 5903 LT: 72 SQ. FT STORIES TYPE 6031 MUSCATEL AV N STRUCTURE: 640 SGAS CA 917752656 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5386-008-049 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY ANT: EXIST BDG USE: RESID USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 08/26/98 UT 08/26/99 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: DE: DAVIS;JOHN (626) 286-5740- 2 0 ��[d 6031 MUSCATEL AV SGAB 917752656 FES PAID FESCRIPFION OF WORK DEMOLISH 2ND UNIT (6035 MUSCATEL) 640 SQ. FT FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - AA'BLDG PERMIT ISSUANCE 27.75 02 DEMOLITION INSP_ECTN---_-. _ 163.50 SPECIAL CONDITIONS: -TOTAL-FEES 191.25 fir,••.-Yl I.•-t •_I�I-=4 rii��^� CONTRACTOR: TEL. N0: `:f ;',�i'� _ `�'� '�`•'•^ APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - -" LIC. NO / '' � �,, PEDESTRIAN PROTECTION {% �_ p �ir � � '` �• �� SEWER DISCONNECTION ARC ITECT OR ENGINEER: TEL. NO: I ' -) �� ! �; ABANDON PRIVATE DISPOSE LIC. N0: ' UNDERGRND STRUCT REMOVAL -- '- IJ - AND SOIL RECOMPACTION MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CAP: ,+I! "-�l f/ '+/� ?__j? 150H261 0. OF FAMILIES: DWELLING ITS: APT/COND: STAT CLASS.: NO 23 SCHOOL IT HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO +' , •Vii,:,:; '�:' 1� '__, �'r�'��` REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 rBUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS dtk ` y -` RESIDENTIAL ADD/AT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA p ,, 8L 050-98072.70045.1 PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OF CONST EW BUILDING ADDRE.SS:'�_ TR: 5903 LT: 72 SQ. FT STORIES TYPE OCCUP GROUP603.1-M%CATEL AV N -- STRUCTURE: 800 1 VN R3 SGAB CA-9177,52656 ASSESSOR INFORMATIO NUMBER: GARAGE: 441 1 NEAREST-CROSS STREET: LAS TUNAS 5386-008-049 OTHER: 140 1 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY TENANT- EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 09/08/98 UT 09/08/99 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY- CODE: DAVIS;JOHN (626) 286-5740- 1 71,700 6031 MUSCATEL AV o SGAB 917752656 FEES PAID DESCRIPTION OF WORK NEW MASTER-BEDROOM=AND=B.A-TH;D -WI-FH-AN-OPEN-PATIO-AND-NEW FEE DESCRIPTION: QUANTITY: UOM: AMOUNT-.- TWO-CAR-GARAGE APPLICANT: TEL. NO: STRUCT-TECH BUILDERS (626) 914-6028- B1 PLANCHECK W/ENERGY 71700.00 VAL 949.34 AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: AC STRONG MOTION RESID 71700.00 VAL 7.17 EXISTING SINGLE CAR GARAGE WILL BE CONVERTED TO HABITABLE B2 PERMIT•W/ENERGY 71700.00 VAL 1,116.89 SPACE AT A LATER DATE--OLD SECOND STRUCTURE WILL BE DEMOL- TOTAL FEES 2,101.15 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE STRUCT-TECH BUILDERS (818) 914-6028- 1937 COBBLEFIELD WAY LIC. NO LOCATION AND SETBACKS GLENDORA, CA. 91740 568920 B • SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. 0: / FOUNDATION/TRENCH FORMS LIC. N0: SLAB/UNDER FLOOR RSD FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION �� 3 01 ` ST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWEL ING NITS: APT/COND: STAT CLASS: NO 21 ', ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING �j- AIR QUALITY: 1000 FEET MATERIALS t-2,46 NO NO NO FIRE DEPT. FRAME INSPECT EQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT O� SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS SIDE PL- - ' INSULATION/ EAT E RIP d(y� INTERIOR LATH DRYWAY XTERIO LATH LOT DRAINAGE v if SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL * ADDITIONAL DATA ON FILE REPORT ID: DPR261 ROUTE TO: BS0508 WORKERS'COMPEN�4TION DECLARATION ` oaffirm }tself ®nF® � L D I N G PERMIT RS I Tinsureitao'certfcae of Wokes' Compensatoa certificate of nInsurarbceAPPLICAT1 or a 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 L IN BUILDING FIL � /�2 p� 6 ADDRESS "!V J ❑ Certified copy is filed with the county building inspec- BUILDING rr U 31 IV►U S GOL/ {� tion department. ADDRESS Date Applicant CITY Sa G-oAarte. ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT ZOO �7 NOW ON LOT 'TWO CROSS ST. (This section need not be completed if the permit is for one ASSESSOR hundred dollars($100)or less.) TRACT BLOCK l' LOT NO. / MAP BOOK PAGE PARCEL OWNER D0V,6",& AA t W� Li C! NO.TEL.TO USERNI MAP I certify that in the performance of the work for which this 2 f A� 1 NO. permit is issued, I shall not employ any person in any manner ADDRESS 3 I DJ t +�YV SG6i,�C,y {fQ� SPECIAL �+ CONDITIONS so as to b com subject to the Worke Compensation ws `- U Date Applicant a CITY Seti� Gc►.�Wl�l ZIP NOTI T PPL CANT: If, after akin s Certificate of ARCHITECT OR i TEL. A DISTRICT G UP TYPE FIRE PROCESSED BY O ENGINEER L �" `�"-� CONST. ZONE U Exemption, you should becom subject.4o the Workers' Gl/Ictr �S NO. (�(�//11 ' Compensation provisions of the Labor Code, you must forth- ADDRESS Qj �. -►a/I0 IA-�e. v`V IJ W with comply with such provisions or this permit shall be TEL. STATISTICAL CLASeSIF"I TION APT. CONDO. N deemed revoked. CONTRACTOR NO. v 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 and LIC. 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 FAMILIES ONE DESCRIPTION OF WORK `-C-14LO Ile_ �A NEW ❑ VALUATION Contractor DateADD ❑ $ f G I am exempt under Sec. � s�I f I ALTER B.BP.C. for this reason 1�pIR. ��' -`- er REPAIR ❑ $ USE OF t d Date' EXISTING BLDG. VVe L EMOL ❑ Signature APPLICANT a a TEL.� a� FINAL g OWNER-BUILDER DECLARATION PRINT)GLga.�les NO.'f'��✓-Id�9 DATE T I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS F '7 Professions Code): # b ; BUILDING T o 0 4 ti I, as owner of the property, or my employees with ADDRESS o 0 0 4 9 8 8 c=� wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY ® Q a 1 4"8 7 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 SET BACK YARD HWY TOTAL SETBACK FROM 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. tY on P.C. Fee$ Permit Fee Lender's Address ' i I certify that I have read this application and state that the Issuance Fee O•- LDMA P/C q d above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee LDMA perm. N R and hereby authorize representatives of this County to enter % upon the above-mentio edproperty for inspection purposes. a m SEE REVERSE FOR EXPLANATORY LANGUAGE f4S!gn&at/. . Applicant or Agent to