HomeMy Public PortalAbout6153 MUSCATEL AVE_Building__ 76AG38A CE*803 1/71 `,/,_.�'�•„ ;:.•
APPLICATION FOR;BUILDING PERMIT{'- ,
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING
BUILDING AND SAFETY DIVISION
ADDRESS !„ _ 5, fP'e :.�1-I`' L.•r a{
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
Print ort a only)
BUILDING / DISTRRICTfNO._, GR�.P TYPE J PRO.CESSF—P B_Y�
ADDRESS is 1 -` .a f f J f, v.! V 1. i - i . 5 r C) `� CONST. / 4,;`
3. STATISTICAL CLASSIFICATION SEWERMAP
BLOCK
L'OT NO. I
'. CLASS NO. 2 tDWELL.UNITS BK! G
TRACT USE ZONE
NMAP s lj fy �f
NO.OF BLOGS. : O. �� (J (i yL
SIZE OF LOT ? 'ti i'j ;� NOW ON LOT ?-' I f SPECIAL
USE OF (� f}r I CONDITIONS
EXISTING BLDG.
OWNER --4.1 Itr i !' :, TEL. •.t,s,
R t .i��Gam. NO. r �t BLDG.SETBACK FROM
ADDRESS it ,� !:tL1rCa7't' ly; L 1�,T-i,ie`.} FRONT PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY I i.vt+'s �`��„L �^ 1 i HIGHWAY WIDTH FROM G.L.TE
sEI4Gt ARCHITECT..ERS OR '•��.L:lf,�f s`�t. ., fllt},� NOL1J' n! +
'BLDG.SETBACK FROM
�V 1,`A LY +^' � I'`�- SIDE PROP.LINE OF (STREET)
ADDRESS ;j{ ( !t .4;1 R; G p
[•: ,?i�Y L•S.,y TEL. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL•-' C.7
CONTRACTOR ;,, ,�, . , q O, '' t:'.: HIGHWAY WIDTH FROM C.L. J
LIC. y,
ADDRESS NO.
+ _
LIC. >&
CITY CLASS CORNER CUTOFF YES E] NO ❑w a
CONSTRUCTION LENDER p
NAME AND BRANCH it ut +Ty :lr;C I SEE REVERSE SIDE FOR SPECIAL APPROVALS �
ADDRESS Sai4l;1% "B, r3.�14t4- u
Sq. FT.
NO. OF NO. OF ❑
SIZE �� ��� STORIES FAMILIES ; NEW
USE OF ADD Q'
STRUCTURE :! -p:r-L3+-G y. ..: j i•-•s
a ALTER ❑'
�^ `^" .. •zk'014,14-A
REPAIR❑
SIGNATURE OF
APPLICANT ? t '.� ,<: Y�$t ti. ,-_ intw.� DEMOL ❑
VALUATION$ = Ji: 'w•, APPROVALS 'DATE INSPECTOR'S SIGNATURE
P.C. +"" PMT. .- FOUNDATION: LOCATION
FEE $ J •; FEE$':' 7FORMS, MATERIALS
FRAME: FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, 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. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY IWILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSATION INSURANCE. �,.
IF_ . 7_4 tf0A4ii, EXT.
SIGNATURE OF I t (1 ��t11� , OUSE NUMBER COR-
PERMI TTEE 10")f.. tr .. /! . s. C� ^E 't,/•":x ,.
RECT AND POSTED
ADDRESS- r 1 1 C !t.*, !.
FINAL
�, JOHN F. LEWIS. PRINCIPAL STR C\TURAL ENGINEE
PLAN CHECK VALIDATION (cK. M.O. CASH _ PERMIT VALIDATIOW.CK.j M.O. CASH
! ,Ty =✓-S'a' r:;• ,c'7 ` 14 :,4� r1. � wt �„!t•-•.+ xy W.. f. .._•r�.���`-..�.r-J
WORKERS' COMPENSATION DECLARATION
hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT
insure, or a certificate of Workers' Compensation Insurance,
or a certified copy thereof(Sec. 3800, Lab.
PoLlicy-Nof 4� Company AXI/ BUILDING
LLJ' Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS o/�� �TiGG✓ �-'��
❑ Certified copy is filed with the county building inspec- BUILDING 1
tion department. ADDRESS
Date //1�J/�Applic 4 CITY Savy, A ZIP LOCALITY
NO.OF BLDGS. NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST.
COMPENSATION INSURANCE ASSESSOR
(This section need not be completed if the perm is or an RACE BLOCK I LOT NO. MAP BOOK PAGE PARCEL
hundred dollars ($100)or less.) USE ZONE OP / 6/
OWNER Q(? a.7 NO. ' Op
I certify that in the performance of the work for which this /
permit is issued, I shall not employ any person in any manner ADDRESS `j .ra CIC} SPECIAL
CONDITIONS a_
so as to become subject to the Workers'Compensation Laws. O
CINV1 , i� ZIP CJ
Date Applicant ARCHITECT OR TEL.
NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO DISTRIX GROUP TYPE FIRE
CONST. ONE PROCESSED BY O
Exemption, you should become subject to the Workers' \%,(DO
Compensation provisions of the Labor Code, you must forth- ADDRESS u w
with comply with such provisions or this permit shall be TEL. • STATISTICAL CLASSIFICATION eCONDO. to
Z
deemed revoked. ONTRACTOR � /' NO / CLASS NO. CO DWELL. UNITS
LICENSED CONTRACTORS DECLARATION LIC
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. if
SEWER MAP
(commencing with Section 7000)of Division 3 of the Business LIC.
and Professions Code,and my license is in full force and effect. CITY 15 , 01A . CLASS C 3 BK VALIDATION
MIS
L'
SQ. FT. NO. OF NO.OF CHECK
License Number /�/I� {�Lic. Class ej1 SIZE STORIES FAMILIES ONE
/� Date d��` / DESCRIPTION OF WORK NEW ❑ VALUATION
Contractor �t+�
!_.FLS� `�4J�
Elam exempt under Sec. _ ADD ❑ $ ►
ALTER
B.&P.C. for this reasonk= REPAIR ❑ ;
Dater— USE OF
EXISTING BLDG. DEMOL ❑
Signature , APPLICANT TEL. FINAL
OWNER-BUILDER DECLARATION (PRINT) NO. DATE
I hereby affirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031.5, Business and ADDRESS FINAL
t
Professions Code): PRESENT By
❑ I, as owner of the ro ert , or m em to ees with BUILDING
P P Y Y P Y 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.) ;-;; �, ° L
IL 1
REQUIRED TOTAL SETBACK FROM EXIST.
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH '-3.
I hereby affirm that there is a construction lending agency for FRONT "�"'� la°=�'
the performance of the work for which this permit is issued P.L. '•_{HA!'GE
(Sec. 3097, Civ. C.). SIDE
P.L.
Lender's Name
3 P.C. Fee$ Cr LDMA Ref. # i'(11!I- IC•'LI F�1':=,�7
Lender's Address Permit Fee
5 ,E STI'!i a C
I 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
5 ordinances and State laws relating to building construction, I Total Fee a (0/ 5
LDMA Perm. #
and hereby authorize representatives of this County to enter
upon the above-mentioned property for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant or Agent Date
I
WORKERS'COMPENSATION DECLARATION
hereby affirm fI have certificate of consent to self APPLICATION
p P L I CAT I® F BUILDING P E RM I T
insure, a certificate of Workers'Compensation Insurance, /'1■
or acertified copy thereof (Sec. 3800, Lab. C-.)) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy Not .Company � �I a 11_500�w BUILDING �, 9
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS
Certified copy is filed with the county building inspec- BUILDING //�'
BU MING
O�• IJSa#k
Date `a' Applicant ✓ CITY ,6 eZ7 — 1Z
ZIP 7 LOCALITY
'd4
RKATE OF EXEMPTION FROM WORKERS NO.OF BLD NEAREST
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. if
(This section need not be completed if the permit is for one ASSESSOR
hundred dollars($100)or less.) TRACT V`J BLOCK LOT NO. MAP BOOK PAGE PARCEL
TEL. USE ZONE MAP
I certify that in the performance of the work for which this OWNER NO. ' I NO.
permit is issued, I shall not employ any person in any manner SPECIAL
so as to become subject to the Workers'Compensation Laws. ADDRESS • CONDITIONS U
Date Applicant CITY ZIP
41-77
NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT O TEL. DISTRICT GROUP TYPE I FIRE PROCESSED BY O
Exemption, you should become subject to the Workers' ENGINEER NO. CONST. ZONE U
Compensation provisions of the Labor Code, you must forth- ADDRESS C f,%,4with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT.�1130. N
deemed revoked. CONTRACTOR QQL! NO. SI( U)
LICENSED CONTRACTORS DECLARATIONh LIC, CLASS NO. DWELL. UNITS
-
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 16,3 / iv NO. 71J 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 d474 ,(J,/11* CLASS BK PGVALIDATION
SQ. FT. NO.OF NO.OF CHECK
License Number FUlip 7 Z_Lic.Class SIZE STORIES FAMILIES ONE
11 VALUATION �
ContractoDate DESCRIPTION OF WORK NEW ❑❑ $
ADD
I am exempt under Sec.-
ALTER
B.BP.C. for this reasonREPAIR
$
EMOL Date. USE OF � � s � DQ ' �9 3 1.8 A
EXISTING BLDG.
Signature APPLICANT TEL. FINAL J� # 0 0 a o 0
OWNER-BUILDER DECLARATION PRINT NO. DATE L
I hereby affirm that I am exempt from the Contractor's License
Low for the following reason (Section 7031.5, Business and ADDRESS FINA
0 0 0 =
Professions Code): PRESEMT BY 6 �
El
BUILDING
I, as owner of the property, or my employees with ADDRESS j) (j, 5.-88
wages as their sole compensation,will do the work and [AD
LITY
the structure Is not intended or offered for sale(Section
7044, Business and Professions Code). ING TEL.
1,as owner of the property,am exclusively contracting TRACTOR NO. ( ?( 7
with licensed contractors to construct the project (Sec- RESS -�
• tion 7044, Business and Professions Code).
CONSTRUCTION LENDING AGENCY BACK YARD HWY TOTAL SETBACK
LINE WIDTH ° - 68,63
1 hereby affirm that there is a construction lending agency for ONT o 0 o 6 8,6 3 c=i
the performance of the work for which this permit is issued P.L.
(Sec. 3097, Civ. C.). E
. 0405-88
Lender's Name 7 LDMA Ref. #
°o Fee$ PermitFeeLender's Address 1 certify that I have read this application and state that the Issuance Fee V LDMA P/C#
above information is correct. I agree to comply with all County tigation Fee
ordinances and State laws relating to building construction, Total Fee LDMA Perm.#
and hereby authorize representatives of this County to enter
$ upon the above-me tioned property for inspectionpur oses.
o SEE REVERSE FOR EXPLANATORY LANGUAGE
Signatur of Applicant r Agent Date
COUNTY OF LOS ANGELES 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 1108300011
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I N0. OF CONST I BUILDING ADDRESS: [
ITR: 5903 IT: 56 UN: .002 I SQ. FT STORIES TYPE I 6153 MUSCATEL AV N 1
ISTRUCTURE: V-B I SGAB CA 917752624 [
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I
15386-009-056 I I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl
I I �
ITENANT: (EXIST BLDG USE: REBID USE ZONE: R-1 ISSUED ON: PROCESSED BY:
(EXIST OCC GRP: 109/06/11 SR 1
[OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IF TE FIgArABY: CODE: I
1TZY WU (626) 287-7655- 1
615 40,000 I
6153 MUSCATEL AV
ISGAB 917752624 I FEES PAID IDDEESCRIPTION OF WORK 1
I I [REMODEL KITCHEN, 2 BEDROOMS, 2 BATHROOMS, REPLACE ALL 14
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IWINDOWS AND 2 SLIDING DOORS 1
(APPLICANT: TEL. NO: I I I
IHSU, JOSEPH (626) 284-4009- IB1 PLANCHECK W/ENERGY 40000.00 VAL 622.90 I I
12121 W. MISSION RD. AA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS: I
1ALHAMBRA, CA AB STATE GREEN BLDG FEE 40000.00 VAL 2.00 I
IAC STRONG MOTION RESID 40000.00 VAL 4.00 [ I
1 JB2 PERMIT W/ENERGY 40000.00 VAL 732.80 1 1
ICONTRACTOR: TEL. NO: IFR INV WORK W/O PERMIT 257.00 DOL 257.00 (APPROVALS DATE INSPECTOR SIGNATURE [
IH AND W THE HOUSE DOCTORS (858) 405-2389- 1 TOTAL FEES 1,646.50 1 [
111844 PASEO LUCIDO #1045 LIC. NO I (LOCATION AND SETBACKS I I I
ISAN DIEGO, CA 92128 826258 B I I I 1 1
SOILS ENGINEER APPROVAL 1
I I I1 I
[ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I
I LIC. NO: I 1SLAR/UNDER FLOOR I 1
I I I
I _1 1RAISED FLOOR FRAMING 1 I 1
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 (UNDERFLOOR INSULATION I I I
1150H261 3 001 11 1
I I IFLOOR SHEATHING 1 I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I
1 0 NO 21 1 IROOF SHEATHING
I I
I SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I 1
[AIR QUALITY: 1000 FEET MATERIALS I I 1 I I
I NO NO NO I1FRAME INSPECTION I I I
I -1 IFIRE SPRINKLER HANGERS I
I I I I I I
I I [INSULATION/WEATHER STRI91 I I
I II
I -1 [INTERIOR LATH/DRYWALL I I
I I 1EXTERIOR LATH
I I I I I I
RATED FLOOR/CEIL ASSEM.
I I [ 1 I I
I I IRATED WALL ASSEMBLIES I I [
I I 1__ 1 I I
I I I SHAFTS/OPENINGS I I I
I I IT-BAR CEILINGS I I I
I I I_- I I I
I ILOT DRAINAGE I I I
1
IREPORT ID: DPR261 ROUTE TO: BS0508 )
I 1 /^ I I
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