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HomeMy Public PortalAbout6232 MUSCATEL AVE_Building__ WORKERS'COMPENSATION DECLARATION I hereby affirm that I have certificate of consent to self APPLICATION P P L I CAT I®N F®R BUILDING PERMIT ER I T insure, or a certificate of Workers'Compensation Insurance, 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 FILL IN BUILDING ADDRESS Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS 9,23 a A)- m JSC 117W—rr I I Date Applicant CITY TL—M LC C/i l ZIP '7 LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT 6 0 X U NOW ON LOT CROSS ST. (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 TEL. USE ONE MAP I certify that in the performance of the work for which this OWNER 2 6Ale �. R�D d:4=,e S NO.29 774 7 NO. permit is issued, I shall not employ any person in any mannerADDRESS(,2 02 /''1 fISC�9TE SPECIACONDITIONSL so as to become subject to the Workers'Compensation Laws. (O, Dare /�3 D APPlica �D�� CITY S�-/V ?/E - ZIP 9 / 7 7 NOTICE TO-APPLICANT: If, after making this Cerfific to of ARCHITECT OR TEL. DISTRICT' G UP TYPE FIRE PROCESSED BY O y I ENGINEER NO. _ CONST, / ZONE �j i) 17- Exemption, ou should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- ADDRESS with comply with such provisions or this permit shall be TEL STATISTICAL CLASSIFICATION APT. NDO. N deemed revoked. CONTRACTOR !27=1- DWELL. J LICENSED CONTRACTORS DECLARATION ' LIC, CLASS NO. DWELL.UNITS m I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. q (commencing with Section 700D)of Division 3 of the Business and LIC. SEWER MAP 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 ' � VAL ATION / I am exempt under Sec. �RMRGr_a B Contractor Date DESCRIPTION OF WORK C HIM AJ,5 V NEIN ❑ $ O OCT/ 04iW VhA,6 ADD ❑Y � � �ALTER � $4.�,2 A -,fail ❑ B.BP.C. for this reason i re�+t%1�-USE OF REPAIR $ # 0 0 0 0 0'.1 Date: EXISTING BLDG. N d rn DEMOL ❑,, Signature APPLICANT TEL. FINAL I o 0 5 9.2 5 g PRIM CA)e_ e./2UD6•eIPS NO._287 s�7�J OWNER-BUILDER DECLARATION DATE -� I hereby affirm that I am exempt from the Contractor's Licenseo 0 0 5 9.2 5 5 Law for the following reason (Section 7031.5, Business and ADDRE556 � AJ, /"I I/S�A7�,L �. 1775 FI Professions Code): PRE BUILDING ( 1.30-87 I, as owner of the property, ormy employees with ADDRESS wages as their sole compensation,will do the work and LOCALITY the structure is not intended or offered for sale(Section 7044, Business and Professions Code). .MOVING TEL. I, as owner of the property, am exclusively contracting CONTRACTOR NO. f '�!<✓-' f r'�rt/ '� with licensed contractors to construct the project (Sec- ADDRESS J tion 7044, Business and Professions Code). { � REQUIRED TOTAL SETBACK F CONSTRUCTION LENDING AGENCY r 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 J LDMA Ref. # m P.C.Fee$ Permit Fee Lender's Address I certify that I have read this application and state that the Issuance Fee -� ) LDMA P/C# g above information is correct. I agree to comply with all County Investigation Fee aordinances and State laws relating to building construction, Total Fee �� LDMA Perm.# $ and hereby authorize representatives of this County to enter is upon the above-mentioned property for inspection purposes. ZV92 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant o gent Date Ip< WORKERS'COMPENSATION DECLARATION i 3n hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING P E RM I T insure, or a certificate of Workers' Compensation Insurance, br`certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDINGA� ElCertified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS U/A.5 z, /v f Iva e-o—� ❑ Certified co is filed with the count building inspec- BUILDING tion department. Y g P ADDRESS 2 3 L ��; %�/'u,t c riC `,;,,,ZC �, S� Date Applicant CITY / %'!.�L , Co ZIP 77S� LOCALITY // �1a lr CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT 60 ZO ' NOW ON LOT NO.OF BLDGS. f�j}!•i CROS4E A S ST. ' 9e del 0'Z COMPENSATION INSURANCE S- ASSESSOR (This section need not be completed if the permit is for one TRACT `� 9(} �� BLOCK LOT NO. MAP BOOK PAGE CIO PARCEL a// hundred dollars ($100)or less.) TEL. OWNER ,Z_ /,1� - �p � G NO. USE ZONE MAP I certify that in the performance of the work for which this NO. 6SPECIAL >/2,34 permit is issued, I shall not employ any person in any manner ADDRESS /V, Alks tax ret ��/ CONDITIONS a so as to become subject to the Workers'Compensation Laws. Q / / ,, `.s O CIN../ /`r��`✓d:/`d �? ZIP /�l J U Date Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY O NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CONST. ZONE 0 Exemption, you should become subject to the Workers' ��yy i _,a'" U Compensation provisions of the Labor Code, you must forth- ADDRESS /r 0 e� d J, with comply with such provisions or this permit shall be , . . N deemed revoked. CONTRACTOR weh //}s?e1,iN NO. STATISTICAL CLASSIFICATION APTCONDO - �� Z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. e!27/ DWELL. UNITS - I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business LIC. SEWER MAP and 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 D0 STORIES FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF WORK LL.© We NEW ❑ ADD ❑ $ D O 0 ► ❑I am exempt under Sec. of ALTER B.BP.C. for this reason REPAIR ❑ $ USE OF Date: EXISTING BLDG. DEMOL ❑ Signature APPLICANT a TEL. p FINAL OWNER-BUILDER DECLARATION (PRINT) N Odl G�"� .NO..21 �s�f DATE I hereby affirm that I am exempt from the Contractor's License Z +% k s Law for the following reason (Section 7031.5, Business and ADDRESS . �.r•1i`0 !� r f FINAL Professions Code): PRESENT By ❑ I, as owner of theproperty, or m employees with BUILDING Hi[A.1 .3 YADDRESS _'r_ wages as their sole compensation,will do the work and iL; 3,j o J ti the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code.) MOVING TEL. /7 a I,as owner of the property,am exclusively contracting ' CONTRACTOR NO. with licensed contractors to construct the project (Sec- TOTAL AL 9�-63 tion 7044, Business and Professions Code.) � ADDRESS _ .� REQUIRED TOTAL SETBACK FROM EXIST. �:rr_ r ?CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTHevp r,Ihereby affirm that there is a construction lending agency for FRONT / L:(-�iiRGE �Lji_; the performance of the work for which this permit is issued i P.L. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name LDMA 131310-13-1130131 5/ i.,P9 8 P.C. Fee$ Permit Fee sU. /,J Ref. # 1-4 � �' �a- Lender's Address 11 I certify that I have read this application and state that the Issuance Fee Cl LDMA P/C# above information is correct. I agree to comply with all County i Investigation Fee / � ordinances and State laws relating to building construction, Total Fee G.�'y ✓oLDMA Perm. # o and hereby authorize representatives of this County to enter 2 u on the above-me conedproperty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Appliccnt drJAgent Date COUNTY OF'LOS ANGELES TEMPLE CITY -.10509 - .r aBUI-L:DING PERMIT- DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP $UILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 • `° f- 0508-9811180007 PHONE: (818) 285-0488 EXT: - - EGA ID: No. 0 CONST NEW .U.I.LD NG ADDRESS: TR: 5904 LT: 5 UN: .002 SQ. FT STORIES TYPE OCCUP GROUP 6232 MUSCATEL AV N STRUCTURE: 1277 2 VN R3 SGAB CA 917752627 ASSESSOR INFORMATION NUMBER: GARAGE: 'NEAREST_CROSS STREET: 5386-010-011 OTHER: THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY TENANT: IST BLDG USE: USE ZONE: ISS E ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 12/15/98 UT 12/15/99 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: YIN SHAO-CHENG;HUANG LU-YEE - 1 94,500 tyZ 6232 MUSCATEL AV �P SGAB 917752627 FEES PAID DESCRIPTIO OF WOR -- AUDITION OF FAMILY ROOM, 2 BEDROOMS AND 3 BATHROOMS APPLICANT: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: - - - T L. 0: KWOK (323) 728-4833- B1 PLANCHECK W/ENERGY 94500.00 VAL 1,159.02 109 E. FLORAL DR. AA BLDG PERMIT ISSUANCES 27.75 SPECIAL CONDITIONS: ES MONTEREY PARK, CA AC STRONG MOT IONoRI-D 94500,00 VAL 9.45 82 PERMIT W/ENER6Y,;6EL, c945p0,OO-VAL 1,363.56 OTA-(REES2,559.78 CONTRACTOR: TEL. NO: ®� "�tlf;:� APPROVALS DATE INSPECTOR SIGNATURE T H CONSTRUCTION (626) 573-0668- 3347 N. DELTA AVE. LIC. NO / f LOCATION AND SETBACKS ROSEMEAD, CA 91776 NONE - SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER- EL. 0: I \•�^ FO A 0 TRE C S FO KWOK, TERENCE (323) 728-4833 FLORAL109 E. D MONTEREYPARK, CA 0-24796 : { SLAB/ NDER FLOOR �-� - I I ` ' �,1�'! - ` RAISED FLOOR FRAMING 94 MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP;: i� f Ij' Fc--:1pI' n� �'�1 ���]Q`-1 j UNDERFLOOR INSULATION 3 07 i-. I��v 11� ��1'/ L ti.1 V T-ST• EVEL FLOOR S EA O. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 1' ' - i,' LJ % ND LEVEL FLOOR SHEATH SCHOOL WITHIN AZARDO S \ / 0 ! r%� *•, �/� WO—OF SHEATHING AIR QUALITY: 1000 FEET MATERIALS _0? ❑ NO NO NO / % / nn FIRE DEPT. FRAME INSPECTJ�6 REQUIRED TOTAL SETBACK FROM EXIST \�fj�l. O"sfBLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- VICE��� SHEAR PANELS SIDE PL- IINSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL /-/gl ,� EXTERIOR LAT �3l g � LOT DRAINAGE l SNORE DETECTION DE C S U�/�66YI�yt �a�"[ FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508 1 DEPARTMENT OF RIMING AND BAIL M "`Iq B APPLICATY01'708 - . ,ri COUNTY OF LOS ANGELES +Y^j-� •B UI L'D I N G .� WIN. J. FOX. Cl/IER tNO1NRR •` lu ill- Lai: NO.OA 1PP _ , ORD.NO. SIATRIOT N0. RAN CE.NO. I•EIINR NOS AROVE LNftAPPROVED 2- y .+ h DATE YAP APPROVED _ RtC r D Tt O' APP►. ®APR IiRIfPRI�f ' BATW :Z�� APPLICANT TWILL 1N HEAVILY OUTLINls'D PORTION,ONLY - •c: � h$E .r RYILe1N0• � ., ,�: NtOW S _ — OTATR TlL, p 1 tNf O _NAME AM! Aon VWL/M4fAf AODRlfA I VITT NTo 1• VITT 1 NERERY ACKNOWLUMC THAT 0 NAVE READ TMN1 APPLICATION AND STATC THAT TNR AROVt NI CORRECT ATATt ANO AGREE TO COMPLY 1WITIf ALL COUNTY ORDINANCES LlecNf9 NO. No' AND BTATR LAW@ REOULATIHS RYILDDIG CON uanm. LOT NO. RIlt O/ »IGNATURt O/ • ' �`: OI _RL OCR NOWOpNPLLAOTf' AUTNORIZORItlD AOT • TRACT a CORRE ONS - ,r HooN LOT° f' / DESCRIPTION OF WORK9 OF 446 r� e81LDING d moe r .00h ti• 'ri ... .1•• .,`tit _:' r + ops d. • ' Htw TVP! ]l GROUP ALTERATION ROOMOSIF FNA OrMILICE . AODMON %ltt REPAIR RTORItf �. ,, v MOVING I WALL COVER #7 f+e• :•w•.� ,�IA� �..P t• WOOF c,oveRima FINAL APPROVAL= y 0 r 0 RPR A/O i i• aa�. ..w�e.:.ux �••.w r -:a+�• ...v:« w.a:s...a. .:1. r. -�+.w.aa.�+r•A ■ 'w.ae. �•.w:w.�..r... c •a.. w..e.�....+...n.n+ -.+....w.mac.. ..i �•.r.• �.r .a... � !F • tie+ � �.:. . r f'