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Home My Public Portal About6253 MUSCATEL AVE_Building__ 3Az.SA*8o9.10.56 APPLICATION FOR 13WI-DING PERMIT 1 BUILDING AND SAFETY DIVISION BU,,LDING Department of County Engineer ADDRESS County of Los Angeles LOCALITY JOHN A.LAMBIE. COUNTY ENGINEER NE.\REST CASSATT D.GRIFFIN.SUPT OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN DISTRICT N GROUP YPE SEWER MAP 'jam B d BUILDING/ 'f / ` /� B/� CONST ADDRESS fid / �I��+r �I�./S�AOf7TIg�/ IIII' %TISTICAL CLASSIFICATION I LOT NO.�](�. d� -/_I h 674a BLOCK IV CL\SS. NO DWELL. UNITS NU:vi ER STATE WY YES TRACT / ry 1-4 U E)zOkIE SPECIAL SIZE OF LOT,. ,/� 4d/I NOW ON LOTNO.OF USES NDITION3 EXISTING BLDG. 14-4 Gf.S G `/, 4�R7 fr-� `9' BUI�I.D EXIST. //''�� j e A /�AlARD HWY STREET NAME OWNER/✓,G/ �.aE �� it7/9�44A r,RA•IA Al SFF-,ONTK —� WIDTH MAIL X7 \7 1�� i P.,L. WC/ ADDRESS V f._ -1 SIDE �Q e ' !f TEL. . _ P.L. • CITY A IV l�S F/�.t' NO- _7 INSPECTION RECORD ARCHITECT OR TEL. ENGINEER NO. ADDRESS CONTRACTOR O. ADDRESS DESCRIPTION OF WORK NEW ADD 1,,/ALTER REPAIR DEMOLISH SQ.FT./ / � 1 / / N. OF NO.OF SIZE .=?G6 STORIES FAMILIES' USE OF STRUCTURE ` A !A 4'• /"' '6 / " ) J.�f�//•''33 APPROVALS SIGNATURE OF/,.-f.,,` . el tfr��! %!�G1�1-�•G-7�1+�APPLICANT—L, ) / / r DATE INSPECTORS SIG A URE ADDRESSt/6' :a? /jt ,Y/'C*r 1+ ��AsLJ l-�'."r"�," FOUNDATION:LOCATION r � h-i� FORMS. MATERIALS S �" $ P.C. S FR.P.ME: FIRE STOPS. �Q�� FEE SUACING. BOLTS VALUATION •��/ FURNACE: LOCATION. FEE2!!d Gi\S VENT. DUCTS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH. INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH. EXT. STATE LAWS R LAT�JVG BUILDING CONSTRUCTION. HOI)SE NUMBER COR- SIGNATU(3E r /' RI;CT AND POSTED PER q ADDRESS FINAL OHN A.LAMBIE. COUNTY ENGINEER, CLYDE N. DIRLAM. PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PIIBMIT VALIDATION CK. M.O. CASH 01'0 .13v AUG12 .1 2.00 M 78A638A CE #803 12/69 � �� ' APPLICATION FOR BUILDING ERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING ADDRESS ADDRESS -lC V 12 • JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST Print or tvDe onl CROSS ST, BUILDING DISTRICT N R TY E PMOB= BY ADDRESS 6253 N. Muscatel, Temple City C ST, STATISTICAL LASSIFICATION SEWER MAP LOT NO �3BLOCK CLASS NO. DWELL,UNITS BK_---Pa-- TRACT -1 5 901 13 ZONE MAP NO.OF BLDGS. NO. SIZE OF LOT NOW ON LOT SPECIAL USE OF CONDITIONS EXISTING BLDG. TEL. OWNER Bruce Form)])) NO. BLDG.SETBACK FROM ADDRESS 62531�N. Muscatel FRONT PROP.LINE OF (STREET) E OF CITY Temple City, California ITt GHWAY WI DTIHG FROMACK C.L. HIGHWAY } YARD = TOTAL ARCHITECT OR TEL. } ENGINEER NO. BLDG.SETBACK FMW ADDRESS SIDE PROP,LINE OF (STREET) TYPE OF 1XI1 SETBACK CONTRACTOR Rigid Mfg. Co. NOL 263-518 H GWAY HEWSDTIHG FROM G.L. GHWAY } YARD = TOTAL ADDRESS P. 0. BOX 6'782 NO' 159+96 = o CITY Los Angeles 90022 LIC. C-99 CLASS CORNER CUTOFF YES El NO ❑ C. CONSTRUCTION LENDER c NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS o co SQ, FT. NO. OF NO. OF NEW ❑ c SIZE STORIES FAMILIES USE OF ADD ❑ STRUCTURE Repair roof ALTER ❑ SIGNATURE OF REPAIR APPLICANT DEMOL ❑ VALUATIONS 300.00 APPROVALS DATE INSPECTOR'S SIGNATURE PPMT, FOUNDATION: LOCATION FEE$ .00 FORMS, MATERIALSFC5 FRAME: FIRE STOPS, I 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 I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OF THE STATE OF -CALIFORNIA INnTRELATING TO WORKMEN'S CO ISA�TiVgP1.FN RAN.Gti.e CQiIpAN ) LATH, EXT, SIGNATURE O �[J IJ L l�LL'l7 JL HOUSE NUMBER COR- PERMITTEE ^ RECT AND POSTED ADDRESS — ° FINAL JOHN F. LEWIS. P*RIINCV.0 RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDAM.O. CASH IV ujL0 A 0 4 R"— J11A 2 0 1 D N WORKERS'COMPENSATION DECLARATION hereby affirm that I have certificate of consent self APPLICATION FOR BUILDING PERMIT 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 BUILDING t� ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS -.! Certified copy is filed with the county building inspec- BUILDING //� A/ �J �• /� ')' ` tion department. ADDRESS (J Y� '^ 7 C)Y ( LOCALITY r� NEAREST Date Applicant CITY ZIP ef J CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS, ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one p P USE NE MAP 1 rye _ hundred dollars ($100)or less.) TRACE Y�J BLOCK LOT NO. NO. N •n TEL. ¢ p � SPECIAL } I certify that in the performance of the work for which this OWNER 1 fR{1 c > LQ D I�y L NO CONDITIONS 9L DISTRICT GROUP TYPE FIRE PLSSEDO permit is issued, I shall not employ any person in any manner ADDRESS CONST. ZONEU so as to becpme Subject to the Workers'Compensation Law . ^Date 0 Applicant ' CITY ZIP STATISTICAL CLASSIFICATION APT. NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO._L DWELL. UNITS Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this permit shall be deemed revoked. TEL' CONTRACTOR NO. BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC, I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. �/r�� Professions Code,and my license is in full force and effect. CITY CLASS $ 400�Q , SQ.FT. NO.OF NO.OF CHECK License Number Lic.Class SIZE STORIES I FAMILIES ONE NEW $ Contractor Date DESC •10 OF WORK ADD ❑ ❑ I am exempt under Sec. — ❑ ALTER Els B.BP.C. for this reason 61 ffREPAIR ❑ DAT V-10 E' .r USE OF FINA Date: EXISTING BLDG. DEMOL ❑' By Signature APPLICANT TEL. OWNER-BUILDER DECLARATION PRINT NO. 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 BUILDING 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 CONTRACTO NO. with licensed contractors to construct the project (Sec- gDDRESS I-,- tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. 5$ 8 A CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT # 0 0 0 0 0 1 the performance of the work for which this permit is issued P.L. Sec. 3097, Civ. C.). SIDE 0 P.L. 10 033.00 3OO v Lender's Name o 0 033 06 P.C.Fee$ Permit Fee (a 3 8 6 Lender's Address rI certify that I have read this application and state that the Issuance Fee above information is correct. I agree to comply with all County Investigation Fee ` nn ordinances and State laws relating to building construction, Total Fee V 9 and hereby authorize representatives of this County to enter up n the above-mentioned propertyy f�pection purposes. ; D SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applic r Date y I ®s f a e 4 ' y COUNTY OF IAS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS DEMOLITION BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0710030012 PHONE: (626) 285-0488 EXT: ILEGAL ID: I N0. OF CONST I BUILDING ADDRESS: . I ITR: 5903 LT: 63 I SQ. FT STORIES TYPE 1 6253 MUSCATEL AV N I ISTRUCTURE: 800 I SGAB CA 917752626 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I 15386-009-022 I I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl I TENANT: (EXIST BLDG USE: RESID USE ZONE: JISSUED ON: PROCESSED BY: EXPIRES ON: 1 (EXIST OCC GRP: 10/03/07 SR 03/31/08 (OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IFINAL D E FIN BY: CODE: 1 IGABRIEL ISAAC;MOUNIRA (310) 553-1500- I 10,000 16253 MUSCATEL AV ISGAB 917752626 1 FEES PAID IDESCRIPT11ON OF WORK I I I IDEMOLITION OF 800 SQ.FT. ILLEGAL ADDITION I 1 FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: I (APPLICANT: TEL. NO: I I I ISUPERIOR DEMOLITION INC. (626) 312-2711- IAA BLDG PERMIT ISSUANCE 27.75 I I IP.O. BOX 3306 102 DEMOLITION INSPECTN 163.50 ISPECIAL CONDITIONS: 11NDUSTRY CA 91744 I TOTAL FEES 191.25 I I 1CONTRACTOR: TEL. NO: I APPROVALS DATE INSPECTOR SIGNATURE I ISUPERIOR DEMOLITION INC. (626) 312-2711- I 1 IP.O. BOX 3306 LIC. NO I 1PEDESTRIAN PROTECTION I I ICITY OF INDUSTRY, CA 91744 797170 C21 I I I I I I ISEWER DISCONNECTION I I I (ARCHITECT OR ENGINEER: TEL. NO: I (ABANDON PRIVATE DISPOSAL( I I LIC. NO: I 1UNDERGRND STRUCT REMOVAL( I I I (AND SOIL RECOMPACTION I I I I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( I I I 1153H261 011 I I I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I NO 23 I I I I I SCHOOL WITHIN HAZARDOUS 1 AIR QUALITY: 1000 FEET MATERIALS 1 I I I I NO NO NO I I I I I I I I I I I I I I I I I I I I I I I I I I i I i I (REPORT ID: DPR261 ROUTE TO: BS0508 I I I I I I o ° o e DEPAR„TUENT OF BUILDING AND SAFL�'t'Y ��;, APPLICATION g'Odi PSRBit'j'_v - �NTY OF LOS ANGELES -�s:s ,;:�; �.J I I� �V* X CHIRP SNafNSCR s IN No.No► OLDS. GIRD.No. DISTRICT ROa< PRARt df RO. 9BRN14•p �+` a S[TSACK LINf1 PfRR i APPROYBD + •+ l s • � [ Rwa•sovd :a"�� 44 Z QsT-v -- _ B AI•PRovsD� � ''K 'r U9ro ".`.m""• _.,'�'.{ e� .i�4•s * D^• ,.- DA'1 lose ,�.r •. r�• ® ®® ® i., l 2831 APPLICANT FILL I:�[ HEAVII.Y. 0113 r 1 LINED t'OIi IO ONLY' ¢; NAM@ + SUfLDINQ• ey ADDR[RS �- �-• # _S ADDRSfas .•0t` LOCAL a ` I a RTAT@LICCH99 No. -- •� , roo '`• •NAM . a. -b., is :�. NAM@ MAN.'• •1 A.• ADOR OR”. °9 �: CITY A N[R[NY A RROWLBDOB TNA T••NAVt RUD THM .a CrATIRv _ APPLICATION AND STATE.THAT THE ABC".a COIINBCr S..l 5 AND AGREE T8 ° Lsct [No. � C10MPLW WITH ALL COUNTY Om gjU S . �t AND STATE LAWN RSBULATINB NUILDINA \, `O ^g• 0125 OF LOT�®7(f gN ®IONATURB 460 • t [1! O BLOCK liflowNOW ONOF DLOTN• AUTHORf25D ABT 1, S a TRACT IS CORREMONS F'S O UOS OF RLDaR. . MOW ON LOT d,• DESCRIPTION OF WORK URB DP•summimaZ ow NSWIJp aRe - •• :•,3• I. :a•. il„ti ALT[RATIOW RNO00•MOP NO. OF. �.!. . PAM Lin ••• •i ADDITION •9125 f!� REPAIR L '' •'7i. *t• -S' +•:?• � J ° • MOVING WVA{.L COVKRINa :�' : . ' a;!.• :i* b • DlFYOLIrYN WMp COVLRINa' •••w =7 .a,.... KiI,•. FIATI �, {/. o. ;z �J :i•`.':'l'r.S��+�� 9NSrifTOR'O: '+h4 .s+ s t'el .;„.�.Ai.- A "�"�'••y. ': W '•gra aa+ :J • �'l 41..f•..Y _y'ur•: - r:�,A .^+- !,.t ...:. ..+u.w � ,.,.x•+w.,-.. J t' - -