HomeMy Public PortalAbout6037 MUSCATEL AVE_Building__ 76A638A CE@803 9-68
APPLICATION FORT BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER '.ADDRESS L
BUILDING AND SAFETY DIVISION 'LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST y� e
Me
COLEMAN W. JENKINS, SUPC
T OF BUILDING ROSS ST.
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I TYPE I PROCESSED BY
�+ CONST, ^ G�j
(Print or type only) v ( [� P/t
ABUILDING DDRESS �0 3 7 /� Ct d.�� / STATISTICAL CL SIFICATION SEWER MAP
�/ L� I CLASS NO. DWELL.UNITS Bw Py
o
LOT NO. BLOCK 'USE ZONE NOP 0z tq0 19
TRACT Q 3 SPECIAL:
NO.OF BLDGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. gg BLDG.SETBACK FROM
OWNER O T L. ���� RONT PROP,LINE OF 141s C 1 A�REET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C. a.
L.
CITY ® le C � BLDG.SETBACK +
ACKFROM 0
ARCHITECT OR f TEL. SIDE PROP.LINE OF (STREET).
ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY {• YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL. =
CONTRACTOR L - I .f
LIC
ADDRESS G' NO D 3 7J CORNER CUTOFF YES ❑ NO
L
LIC. C
CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS i
NAME AND BIRANCHNDER ' i
ADDRESS
SQ. FT. NO. OF NO. OF NEW ❑ i�f�
USE OF STRUCTURESIZE S JIES FAL LIES ,ADD 7111al/7/
,C—J ALTER ❑ //�ff _�./i .N'!_; j'_ G�C-�.
REPAIR[-] g
AIPPLICAR OF MOL ❑ // //
VALUATION$ Q-�--p APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT, co� FOUNDATION: LOCATION
FEE S FEE$_33, 1 FORMS, MATERIALS
FRAME: FISTOPS,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACIRE NG BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED ' y
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF -CALIFORNIA RELATING TO
WORKMEN'S;CGM�PTIINSURANCE. I /i/ //
LATH, EXT, ,�/
SIGNATURE HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED /�� L-7ADDRESS FINAL �d _
JOHN F. LEWIS. PRINCIPAL SnCK.TU
URAL ENGINEER
PLAN CHECK VALIDATION CK. M.D. CASH _ PERMIT VALIDATIOM.O. CASH
fir,,,2336QaN 0c121 1 D 33.00, �
WORKERS'COMPENSATION DECLARATION •
I hereby affirm that I have certificate consent to self
insure, or a certificate of Workers'Compensation Insurance ' APPLICATION
P L I CAT I rUILDING[
I rERMIT
or o certifie 'copy thereof(Sec. 3800, b. C,)
COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company— %0BUILDING
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS Gua IWO - -A rEL APE .
rl/Certified copy is filed with the county building inspec- fADDRESS
ING r�
LJ tion department. /� 9 / ®3 / WD Al U 5 C TEL l4✓ LOCALITY v'�.— L Cl1 Ci
Date! %7 Applicant CCS D626z///I y G ZIP 9/77 CROSS ST. 9 tDCERTIFICATE OF EXEMPTION FROM WORKERS' 1�,� NO.OF BLDGS. ASSESSOR
COMPENSATION INSURANCE OF LOT S® /r I'p0 NOW ON LOT , MAP BOOK PAGE PARCEL
(This section need not be completed if the permit is for one `J- USE ZO MAPhundred dollars($100)or less.) E � �9 K � LDT O � NO.
' TEL. p 7�� SPECIAL
I certify that in the performance of the work for which this OWNER .QS — l'"'A ��G'yt{�� w_ CONDITIONS EL
permit is issued,I shall not employ any person in any manner DISTRICT GROUP TYPE FIRE PR ESSED BY O
so as to become subject to the Workers'Compensatio aws. ADDRESS l�l'1 V T /— e �y �/ CONS ZO U
® � CITY CA EL CA . ZIP 917 v } � O
Dat Applicant STATISTICAL CLASSIFICATION PT. CONDO. U
NOTICE TO APPLICANT: If, after making this CertiWe
of ARCHITECT OR TEL.
Exemption, you should become subject to the rs' ENGINEER NO. CLASS NO. DWELL. UNITS
Compensation provisions of the Labor Code, you must forth- ADDRESS i SEWER MAP U)
with comply with such provisions or this permit shall be �,) J TEL s 7 /�)
deemed revoked. CONTRACT c✓ X/ NO.� i�H s BKl `�� VALIDATION
LICENSED CONTRACTORS DECLARATION r^ LIC. w y
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS VALUATION
(commencing with Section 7000)of Division 3 of the Business and ! /�a1 LIC. t
Professions Code, and my license is in full force andel effect. CITY 2�/7e' ` CLASS w"
SQ.
140.OF
NO.
HECK
License Number a�•S��•�� Lic.Class ---r SIIZE� �® STORIES FAMILLIIES CONE
t444 Q�
Contractor��°Q�✓�� 'p Date �� DESCRIPTION OF WORK NEW $ �
I am exempt under Sec. Y ADD "
tf /�1w1t L n !r W Tlt V ALTER FINAL
B.BP.C. for this reason S 't't2t�O
S r3R r•,, ROC REPAIR DATE
j7
Date: USE OF DEMOL FINAL
EXISTING BLDG. By
APPLICANT TEL.
Signature PRINT NO.
OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031.5, Business and ADDRESS
Professions Code): PRESENT
I, as owner of the property, or myemployees with i BUILDING
ADDRESS
wages as their sole compensation,will do the work and
the structure is not intended or offered for sole(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).
REQUIRED TOTAL SETBACK FROM EXIST.
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH
I hereby affirm that there is a construction lending agency for FRONT q�
the performance of the work for which this permit is issued P.L. �j
tSec. 3097, Civ. C.). i SIDE
P.L.
... .. ...:r.. , ...:.:
Q Lender's Name67 1
�A►
'ate P.C. Fee$ Permit Fee —7.5 l\n
Lender's Address -
I certify that I have read this application and state that the r� Issuance Fee
above Information is correct. I agree to comply with all County Investigation Fee
ordinances and State laws relating to building construction,
d and hereby authorize representatives of this County to enter Total Fee
upon the above-mentioned property for inspection purposes.VIAr
V ' SEE REVERSE FOR EXPLANATORY LANGUAGE
lJ
/251 ",
Sig ure ARpI'� gent ��i rD'ate%j 1 ®s
i
COUNTY OF LOZ ANGELES I TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9811250046
I PHONE: (818) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING A R SS:
TR: 5903 LT: 67 SQ. FT STORIES TYPE 6037 MUSCATEL AV N
STRUCTURE: 0 VN SGAB CA 917752656
ASSESSOR INFORMATION N MBER: NEAREST CROSS STREET:
5386-008-040 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
TENANT: EXIST 8 DG S RESID USE ZONE: - ISS ED ON: PROCESSED BY: EXPIRES 0
EXIST OCC GRP: 11/25/98 UT 11/25/99
OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BYE CODE:
ZETLMAIER MICHAEL Z;FRANCES L (818) 286-5951- 1 3,650 �l/
6037 MUSCATEL AV 12-q- 9
SGAB 917752656 FEES PAID DESCRIPTION OF WORK
TEAR OFF AND RECOVER WITH 25YR 6q COMP- SHINGLE
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. O:
GORDON PERRY ROOFING (909) 944-3884- AA BLDG PERMIT ISSUANCE 27.75
8448 VICARA DR. AC STRONG MOTION RES.LD-,3650.00 VAL 0.50 SPECIAL CONDITIONS:
ALTA LOMA D2 PERMIT W/O EN=HC-�==:-3650s00 VAL 115.80
�V.GEL�1OTA�: EES`�� 144.05
CONTRACTOR: TEL. NO: Qy ���� APPROVALS DATE INSPECTOR SIGNATURE
GORDON PERRY CONSTRUCTION (909) 944-3884-,
8448 VICARA DR LIC. NO LOCATION AND SETBACKS
ALTA LOMA, CA 91701 588976 C39 / J .! . ` SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: {�- OUNDA IO TR NCH ORM
ir
LIC. N0: ( - I I `w 1 1�1 SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP,t
UNDERFLOOR INSULATION
3 01150H261
FLOOR SHEATHING
0. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:;
NO 21 / --- —,— - -, 11; ROOF SHEATHING
NG
SCHOOL I HAZARDOUS �J // U �;'� ��'• SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST ; 4fj�. i I Wry«'�Y IRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL-
SerVice'Ma INSULATION/WEATHER STRIP
SIDE PL-
NTERIOR ATH/DRYWA
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
ILOT—DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508