HomeMy Public PortalAbout5302 NOEL DR_Building_10/10/1979_ I
APPLICATION FOR COUNTY OF LOS ANGELES
BUILDING PERMIT - °Bu LD NG RTMENOF
SAFETY DIVISION ENGINEER
BUILD
FOR APPLICANT TO FILL IN ADDREESS 5302 Noel Dr.
ADDRESS 5302 Noel Dr.
LOCALITY Temple Cit
CITYTemple City ZIP
NEAREST Olive St.
NO OF BLDGS ASSESSOR
SIZE OF LOT _ NOW ON LOT �- MAP BOOK PAGE PARCEL
DISTRICT I GROUP I TYPE FIREED B
TRACT L BLOCK LOT NO '� CONST �,414:, 4yEc Za�
TEL
OWNERJOhn Wilson N0281-0160 �� �3 - '
ADDRESS 807 Linda Rata N• STATISTICAL CLASSIFICATION /�JSEWER
CLASS NO -2 DWELL UNITS �"(B43 PG
CITYAlhambra ZIP USE�ZONE rPSCJ 7
ARCHITECT OR TEL _ CIAL
ENGINEEp NO 1177�LNDITIONS
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NOTEL
❑
CONTRAcTcllontebello Rfg N0722-6975 BLDG SETBACK FROM
FRONT PROP LINE OF (STREET)
ADDRESS868 Truckwa LN''o248852 TOTAL SETBACK FROM TYPE OF I EXISTING
HIGHWAY + YARD = FRONT PROP LINE HIGHWAY WIDTH
CITY Montebello
LIC SSC-39
CONSTRUCTION LENDER + a
NAME AND BRANCH _ BLDG SETBACK FROM S
ADDRESS CITY SIDE PROP LINE OF (STREET) Q
SQ FT NO OFNO OF CHECK HIGHWAY + YARD __ TOTAL SETBACK FROM TYPE OF EXISTING �"
SIZE STORIES 1- FAMILIES ONE SIDE PROP LINE HIGHWAY WIDTH 9
DESCRIPTION OF WORK reroof existin Ew ❑ + i
bldg. v7l asphalt ShlrngleS ADD 0 CORNER CUTOFF YES ❑ NO ❑
ALTER u IN OPEN SPACE YES ❑ NO ❑
REPAIR in
USEOF BLDG dwell in DEMOL IN COASTAL PERMIT ZONE YES ❑ NOEXISTIN ❑
APPLICANT TEL
(PRINT), NO
BY ISIGNATURE)-
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF THE STATE OF IFORNIA IN RELATING TO WORKMEN S COM
PENSATION INSURANCE
Ok
` `�'
SIGNATURE OF FINAL (krib
BY 'PERMITTEE C a DATE ADDRESS
CITY Montebello ND 22-6 PC Fee b Permit Fee 18.00
�
�Q�� Issuance Fee 7.00
VALUATION$-?- ' '' -7'to
fTotal Fee 25-00
PLAN CHECK VALIDATION Glc M o CASH PERMIT;AIALIDARON CK MO CASH
c N N • OD
1 LST f� • t�
> V O O • O
®s 76A686A GE/609A 6/77 OD Ow
`H l
TGA628A CB pws 10 M APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING �3
DEPARTMENT OF COUNTY ENGINIM ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY t [
JOHN A LAMBIE.COUNTY ENGINEER NEAREST
CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST
DISTRI NO GROUP CON P ESSED BY
FOR APPLICANT TO FILL IIsi CONSTitl -e_�
BUILDING SEWER M P
ADDRESS 'X- e-L STATISTICAL CLASSIFICATION
LOT NO CLASS NO-( D ELL UNITS
BLOCK YES
/�/
NUMBER HWY
TRACT ! USEZONE SPECIAL
NO OF
SIZE OF LOT NOW ON LOTS � CONDITIONS
USE OF (��
ST BLDG. BUILDINGEXIST
SETBACK YARD HWY STREET N ME WIDyH
OWNER C S FRONT _Qr�) �D
ADDRESS ! 1, SIDE �✓ '
CITY G C TpELATk` So P L
ARCHITEfCTOR TEL INSPECTION RECORD
ENGINEER NO
ADDRESS
CONTRACTOR P+�'J�,I/Y I NO J r
ADDRESS z , ,9 s • .
DESCBWTION OF WORK
NEW- ADD ALTER PAI DEMOLISH
SO FT 140-0 F NO OF
SIZE STORIES FAMILIES
USE OF STRUCTURE + s
A Al
e
SIGNATURE OF & / i�'�'�'L it APPROVALS
APPLICANT °� r
DATE INSPECTOR S SIGNATURE
ADDRESS r FOUNDATION LOCATION
FORMS MATERIALS
S P C S FRAME FIRE STOPS
/� OD FEE BRACING BOLTS
VALUATION 4ro ~ S FURNACE LOCATION
FEE "r GAS VENT DUCTS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP LATH INT
PLICATION AND STAT HAT THE ABOVE IS CORRECT AND
SAGREETO TATE LAWSMPLY REG T A g U)ITYARDINANC iq_ANrD LATH EXT
SIGNATURE OF , �o ,F,[fP. HOUSE NUMBER COR
PERMITTE7 '??--s4 �, ? RECT AND POSTED
ADDRESS- �W FINAL 7--w tofewtf,"
CLYDE N DIRLAM PRINCIPALS RAL ENGIN ER
PLAN CHECK VALIDATION CK mo CASH PZRM VALUDATION(V M O CASH
r
tv
tACo 4)-1 0 G JAN 10 1 D 4.0 0
OF
r
.� WORKERS COMPENSATION DECLARATIONcl
r to s
insure hereby
a certificate of Worke srtifCompensat on affirm that I have a ceicate of coent Insuran of APPLICATION FOR BUILDING PERMIT c
or'a certified copy thereof(Sec 3800 Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No Company BUILDING
❑ Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS
❑ s
Certified copy is filed with the county building mspec- BUILDING
tion department ADDRESS 3o a aa.Q, c�s�
Date Applicant CITY ZIP q�70 LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS V NO OF BLDGS NEAREST v/J
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST CJ
(This section need not be completed of the permit is for one - ASSESSOR
hundred dollars($100)or less ) TRACT BLOCK LOT NO MAP BOOK PAGE PARCEL
nn TEL `7 s'-11 1 USE ZON� MAp
1 certify that in the performance of the work for which this OWNER a NO 4,/� NO >_
permit is issued I shall not employ any person to any mannerv �t SPECIAL 116so as to become subject to the Workers Compensation Laws ADDRESS O/��s � -./+ CONDITIONS V
CITY _CLA'C_ I'a'_0— ZIP 7/a s ad
Date Applicant ARCHITECTO TELO
NOTICE TO APPLICANT If after making this Certificate of ENGINEER NO y, DISTRICT GROUP TYPE FIRE "IEWSEDCONST ZONEG
Exemption you should become subject to the Workers Q �j
Compensatin provisions of the Labor Code you must forthADDRESS 3 3 �ti �/�O�
y
with comply with such provisions or this permit shall be TEL STATISTICAL CLASSIFICATION APT CONDO Z
deemed revoked I CONTRACTOR NO 2
LICENSED CONTRACTORS DECLARATION - LIC CLASS NO � 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 and LIC SEWER MAP
Professions Code and my license is in full force and effect CITY CLASS BK 9 PG VALIDATION
SQ FT NO OF NO OF CHECK
License Number Lc Class SIZE STORIES FAMILIES ONE - VALUATION au ;11352 A
Contractor Date DESCRIPTION OF WORK NEWA D $ ��D Y # e is e e a 1
❑I am exempt under Sec ALTER ❑ , I e - 6(150
B&P C for this reason USE OF REPAIR ❑ $ • * 060505
Date EXISTING BLDG DEMOL 0 1 16-85
Signature APPLICANT TEL FINAL
OWNER BUILDER DECLARATION PRINT NO DATWZ
I hereby affirm that I am exempt from the Contractor s License
Law for the following reason (Section 7031 5 Business and ADDRESS FINA
Professions Code) BY
❑ 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 CONTRACTOR NO -with licensed contractors to construct the project (Sec ADDRESS
tion 7044 Business and Professions Code)
REQUIRED TOTAL SETBACK
CONSTRUCTION LENDING AGENCY 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
2 _ PL
Lender s Name
LDMA Ref #
$ Lender s Address P C Fee E - - Permit fee - r
I certify that I have read this application and state that the Issuance Fee s/ f� LDMA P/C#
above information is correct I agree to comply with all County Investigation Fee
ordinances and State laws relating to building construction Total Fee V sJ LDMA Perm #
u and hereby authorize representatives of this County to enter
upon the above mentioned property for inspection purposes /.
A
/JP.5— SEE REVERSE FOR EXPLANATORY LANGUAGE @1
1
Signature of Applicant or Agent Date -
• WORKERS COMPENSATION DECLARATION
k 45ereblydffirm that I have a certificate of consent to self
•,%sure or a certificate of Workers Compensation Insurance APPLICATION FOR BUILDING PERMIT
or a cert, copthereof Sec 3800 Lab C ) '
7'�71dyS! � COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No ompany
❑ I BUILDING
Certified copy is hereby furnished FOR APPLICANT TO FILL IN . ADDRESS S
ADDR
ZdAVA
Certified copy is filed with the county building mspec BUILDING a ,
tion department ADDRESS
Date cJ-*-9$r Applicant aKOL[of `MM.L&I CITY ZIP 7 LOCALITYr
CERTIFICATE OF EXEMPTION FROM WORKERS - VI
NO OF BLDGS NEAREST
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST
(This section need not be completed if the permit is for one 99ZASSESSOR
hundred dollars($100)or less ) TRACT BLOCK LOT NO 6a. MAP BOOK PAGE I PARCEL
'TEL USE ZONE MAP
I certify that in the performance of the work for which this OWNER NO tIVS D NO }
permit is issued I''shall not employ any person in any mannerQui 1p SPECIAL IL
ADDRESS
so as to become subject to the Workers Compensation Laws /' O CONDITIONS V
Dote' Applicant ' CITY (J(AX-4.0� ZIP //O if G - - 09
NOTICE TO APPLICANT If after making this Certificate of ARCHITECT OR TEL DISTRICT GROUP I TYPE ' FIRE PR SSED BY O
Exemption you should become subject to the Workers - ENGINEER NO CONST ZONE G
Compensation provisions of the Labor Code you must forth ADDRESS LV p , 3 d
with comply with such provisions or this permit shall be - TEL 0
STATISTICAL CLASSIFICATION APT CO O Z
deemed revoked
CONTRACTOR 6-CA.Y,"J NO
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 A PG 63 VALIDATION
11 d 7-5Lic Class_
SQ
ZEA/ 7b STORE / F MI_4NO NOUES CHECO EK
License Number VALUATION
Contractor sXX01.96te 3--1
DESCRIPTION OF WORK - NEW
ADD ❑ i �— ,
❑ I am exempt under Sec ALTER ❑
B 8P C for this reason �`� Jti O�
REPAIR ❑ 9 v
Date E E OI F BLDG DEMOL ❑ 2 1 5 6, 1\A
Signature APPLICANT ��TS�L FINAL o • e •
PRINT F4rq/F-7 Il /YJ uLL!,✓bao �s�2aa 2 3
OWNER-BUILDER DECLARATION Q' DATE
I hereby affirm that I am exempt from the Contractor s License c+ U L� I��i1! dT V� �G
Law for the following reason (Section 7031 5 Business and ADDRESS FINA / 1 942075
Professions Code) PRE i a t BY
❑ I as owner of the property or my employees with ADDRESS - • • 420 7 5E
wages as their sole compensation will do the work and [ADDR
ITY ' Q 221 -85
the structure is not intended or offered for sale(Section
7044 Business and Professions Code) NG TEL
I as owner of the property am exclusively contracting RACTOR NO
- with licensed contractors to construct the project (Sec ESS
tion 7044 Business and Professions Code)
UIRED TOTAL SETBACKEXIST
CONSTRUCTION LENDING AGENCY BACK YARD HWY PROP LINE WIDTH
I hereby affirm that there is a construction lending agency for NT � 1 7 6,% A
the performance of the work for which this permit is issued
(Sec 3097 Civ C ) ##
I �6405
`a3 _Lender s Name • • 640.50C_
JOMD Lender s AddresseeS Permit Fee0329—PJ5
> 1 certify that I have read this application and state that the f Issuance Fee (1 above information is correct I agree to comply with all County gation Fee 1
ordinances and State laws relating to building construction _ Total Fee Q 1v
b and hereby authorize representatives of this County to enter
A upon the above-mentioned property for inspection purposes
r CH
� V SEE REVERSE FOR EXPLANATORY LANGUAGE p
Signature of Applicant or 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 0109140027
PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST BUILDING ADDRESS
BK 178 PG 30 PC 2 SQ FT STORIES TYPE 5302 NOEL DR
STRUCTURE VN TEMP CA 917803020
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET OLIVE
5388-007-036 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY
PROCESSEDTENANT EXIST BLDG USE RESID USE ZONE R-1 ISSUED ON
EXIST OCC GRP 09/14/01 JK 03/13/02
OW EE—Wff-- BLDGS NOW ON LOTFINAL DATE i Y CODE
BARRYNOOD DRNENITA A (626) 309-9956- 1 1,9005302 2S Ql
TEMP 917803020
REROOF OVER EXISTING C P SHr9GLE W/CLASS A 30YR ELK SHINGLE
FEE DESCRIPTION QUANTITY UOM AMOUNT
APPLICANT TEL NO
JOHN TERRADOT (626) 960-1223- AA BLDG PERMIT ISSUANCE 27 75
1249 HINNEN AC STRONG MOTION RESID 1900 00 VAL 0 50 SPECIAL CONDITIONS
HACIENDA HTS 91745 D2 PERMIT W/0 EN-HC 1900 00 VAL 82 20
TOTAL FEES 110 45
CONTRACTOR TEL NO AP6GEL S DATE INSPECTOR
J AND M ROOFING (626) 960-1223-
1249 HINNEN AVE LIC NO LOCATION AND SETBACKS
HACIENDA HTS, CA 91745
SOILS ENGINEER-APPROVAL
ARCHITECT OR ENGINEER TEL NO FOUNDAI R 0 S
LIC NO SLAB/UPIDER FLOOR
kAT3E6
P NO SEWER MAP BOOK PAGE FIRE ZONE" U oM
147H265 3 01
NO OF FC�I�s
FAMILIES DWELLING UNITS APT/COND STAT CLASS
NO 21 ROOF
V
I cAt m r SCHOOL WITHIN SHEAR PANELS7
AIR QUALITY 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST
SET BACK YARD HWY '4L PROP LINE WIDTH
FRONT PL- INSULArION/WEATHER STRIP
SIDE PL-
' EXTER16R
RATED FLODUMUMIER
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
CEILINGS
* ADDITIONAL DATA ON FILE
REPORT ID DPR261 ROUTE TO SS0508 LOT DRAINAGE