HomeMy Public PortalAbout5529 NOEL DR_Building__ J4 r
DEPARTMENT OF BUII.DI�T_ C`..AND $ APPLICATION FOR PERMIT
' COUNTY OF LOS ANGELES A4 5 � ' ®�
C WM J FOX CHIEF ENGINEER
~ NG
FOR OFFICE USE ONLY
FOR APPLICANT TO FML INDISTRICT NO PLANCK NO PERMIT NO
BUILDING sS Z a.6� .� 3 Z- S °� %y
ADDRESS
RECEIVED BY DATE OF APPL DATE ISSUED
LOCALITY
NEAREST
CROSS BT ADOREBa O E L
OWNER � �S l G •
MAILLOCALITY . 4C-,ADDRE!! Ow '�'� NEAREST
_ y. CROSS ST
CITY NO ( FIRE NO OR TYPE GROU
ARCHITECT OR TEL ZONE PLANS
TEL
ENGINEER NO BLDG / • O
SETBACK LINE �•'mi
ADDRESS APPROVEDBY DATE
TEL
CONTRACTOR NO USE
SSNE / PROVED BY DATE r
ADDRESS HOUSE NUMBERING
LEGAL
DESCRIPTION I LOT NO BLOCK MAP NUMBER FIELD CHECK BY
.RAS / ,,_J� NO ASSIGNED Boevik9l ~
,S� ' 2 �� g I NO OR SLOGS OTO CORRECTIONS
SIZE OF LOT
NOW ON LOT _
USE OF I NO OF
EXISTING BLDG, FAMrus9
DESCREMON OF WORK
NEW I ALTERATION I I ADDITION I _
�1 O
REPAIR I DEMOLITION
FT NO OF
I / / v • Q
_ SIZE ROOMS tS+ STORIES Z
EXT WALL ROOF M-0 r—
r
COVERING I COVERING ,uv=
USE OR STRUCTURE ! U
oX V
APPROVALS•
INSPECTO tS SIGNATURE DATE
i HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNQATION LOCATION C..-/
PLICATION AND STATE THAT THE INFORMATION GIVEN 18 FORMS, MATERIALS U
CORRECT
I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME FIRE STOPS,
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS
LAWS REGULATING UILDINS CONSTRUCTION FURNACE LOCATION,
SIGNATURE OR GAS VENT, DUCTS
PERMITTE,
ADORRIM �� y' _• T t �, t LATH, INT
LATH. ®CT
AUTHORIZED AST
PLASTER, INT
L76A68aADOW 29-90 S P C SFEE 25.�� PLASTER. EXTN 0 FEE !J / 1/0
O FINAL
741AGSOA C6 b803 10 06 APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGBIEER ADDRESS tAr-
BUILDING AND SAFETY DIVISION LOCALITYf
JOHN A LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D GRIFFIN SUP T OF BUILDING CROSSET •
DISTRI NO GROUP I TYPE PROCESMO BY
FOR APPLICANT TO FILL IN CONST
SEWER MAP
BUILDING inn �/
ADDRESS Js r6 O /►o(:'�(. STATISTICAL CLASSIFICATION BPG
CLASS NO DWELL UNIT
LOT NO BLOCK MAP STATE YES
NUMBER HWY
TRACT USE ZONE SPECIAL
NO OF
SIZE OF LOT NOW ON LOTS CONDITIONS '
USE OF h '
XISTINGILDI
` BUILDING YARD HWY STREET NAME EXIST
OWNER o 07 to- n/ IT AO IO SETBACK WIDTH
FRONT
ADDRESS S"S M BEL► logSIDE t
CI /VPL /T NO P L
-325
ARCHITECTOR TEL INSPECTION RECORD
ENGINEER NO
.ADDRESS
TEL
CONTRACTOR NO - --
DDR 8
D CBEPTION OF WORK ' C
NEW ADS ALTER REPAIR DEMOLISH
SO FT NO OF NO OF } D Q t T
SIZE STORIES FAMILIES L
USE OF STRUCTURE
SIGNATURE OF APPROVALS
APPLICANT DATE INSPECTOR S SIGNATURE
ADDRESS FOUNDATION LOCATION //,tJy P
$ FORMS MATERIALS
I✓J A�1� S - FRAME FIRE STOPS
JF7EE- BRACING BOLTS k 14-T9
VALUATION �Q FURNACE LOCATION
�� GAS VENT DUCTS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH INT - L
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND r
STATE LAWS R§GUI AT�DING CO RUCTION LATH EXT �S
SIGNATURE OR✓ham HRECT AND POSTED OUSE NUMBER R
COR-
PERMITTEE
ADDRESS3f� �� G� FINAL I -
CLYDE N DIRLAM PRINCIPAL19TRUIcTURAL ENG ER
PLAN CNSCB VALIDATION am N o cAiH Pznw VALIDA?tON CK No CASH
�.,� I41,66
008n MAY 1 1 A 500 M
..
WORKERS COMPENSATION DECLARATION
hereby affirm that I have a certificate of consent self APPLICATION FOR BUILDING PERMIT cU
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 furnishedFOR APPLICANT TO FILL IN BUILDING Zp
❑ �.l 77
Certified copy is filed with the county building inspec BUILDING ADDRESS
tion department ADDRESS s524WEL 29-
Date Applicant CITY o2r ZIP LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS 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 TRACT BLOCK LOT NO ASSESSOR
hundred dollars($100)or less ) TEL �/ MAP BOOK PAGE PARCEL
OWNER 0 NO d��-� s n USE ZO E ENO
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 G AL IL
so as to become subject to the Workers Compensation Laawws� ITIONS V
Date r Applicant �� w CN-'" CITY �M L� G t� ZIP CA, I� pe
NOTICE Td APPLICANT If after making 16s Certificate of ARCHITECT OR TEL OENGINEER NO DISTRICT GROUP I TYPE FIRESSED BY_ G
Exemption you should become subject to the Workers 6-.14
'/�j CONST ZONE
1161611
Compensation provisions of the Labor Code you must forth ADDRESS 6+•VQ -3 13d
with comply with such provisions or this permit shall be TEL trt
deemed revoked < CONTRACTOR NO STATISTICAL CLASSIFI TION APT C DO Z
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 VALIDATION
SQ FT QNO OF NO OF CHECK BK PG
License Number Lic Class SIZE p V STORIES FAMILIES ONE
VALUATION
DESCRIPTION OF WORK NEW 13
Contractor Date $
ADD ,
❑I am exempt under Sec ❑
ALTER
B&P C for this reason REPAIR $
Date
EXISTING BLDG DEMOL ❑ ;11 4 0 2 A
USE OF
Signature APPLICANT T�H G TEL FINAL / # • • • • • 1
OWNER BUILDER DECLARATION NO DATE ( ��
1 hereby affirm that I am exempt from the Contractor s License
Law for the following reason (Section 7031 5 Business and ADDRESS FIN It • * 4988
Professions Code) PRESENT BUILDING BY • • • 4 9 8 8 Ft
❑
I as owner of the property or my employees with ADDRESS
wages as their sole compensation will do the work and ' 0 124-85
the structure is not intended or offered for sale(Section LOCALITY
7044 Business and Professions Code) MOVING TEL
0 1 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) ,
CONSTRUCTION LENDING AGENCY RETQBACKUIRE YARD HWY TOTALETPROLINIST
E 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
Lenders Name T_ '�'"s!T �il,�`•`
P C Fee E Permit Fee 3 LDMA Ref #
Lender s Address
of I certify that I have read this application and state that the Issuance Fee Q LDMA P/C# _
above information is correct I agree to comply with all County Investigation Fee
$ _ordinances and State jaws relating to building construction Q ,
u Total Fee and hereby authorize representatives of this County to enter ( r LDMA Perm #
upon the above-mentioned property for inspection purposes
p EEE REVERSE FOR EXPLANATORY LANGUAGE
Signature ofk/�Applii:60 or Agent Dae
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 1302060024
PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST BUILDING ADDRESS
ITR 15554 LT 2 SQ FT STORIES TYPE 5529 NOEL DR
I ISTRUCTURE 28 V-B TEMP CA 917802318
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET ROSEMEAD
15387-026-025 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY CAI
TENANT JEXIST BLDG USE RESID USE ZONE R-1 IISSUED ON PROCESSED BY
1EXIST OCC GRP 102/06/13 SR
OWNER TEL NO IBLDGS NOW ON LOT VALUATION 1FINAL DATE F BY CODE
ICHEN TONY W YING H (626) 817-2436- 1 7 400
15529 NOEL DR I 1
TEMP 917802318 FEES PAID IDESCRIPTION OF WORK
TEAR OFF ROOF ON HOUSE & GARAGE INSTALL THE 30# A S T M
IFEE DESCRIPTION QUANTITY DOM AMOUNT [FELT INSTALL THE 50 YR CLASS "A" SHINGLES (4 12 PITCH)
APPLICANT TEL NO I I
MARTIN BLAKE (626) 333-5615- IAA BLDG PERMIT ISSUANCE 27 80 1
1507 N AZUSA IAB STATE GREEN BLDG FEE 7400 00 VAL 1 00 ]SPECIAL CONDITIONS
ILA PUENTE CA 91744 IAC STRONG MOTION RESID 7400 00 VAL 0 70
ID2 PERMIT W/O EN-HC 7400 00 VAL 183 00 1
TOTAL FEES 212 50
CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE
1REXWAY ROOFING INC (626) 333-5615- I I
1507 N AZUSA AVE STE C LIC NO ILOCATION AND SETBACKS
ILA PUENTE CA 91744 655986 1
I ISOILS ENGINEER APPROVAL
]ARCHITECT OR ENGINEER TEL NO IFOUNDATION/TRENCH FORMS I I
1 LIC NO i SLAB/UNDER FLOOR II I I
I I
IRAISFD FLOOR FRAMING
I I I
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I IUNDEFFLOOR INSULATION I I I
1147H265 3 001 I 1-1 I
I I IFLOOR SHEATHING I I
INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS I I / I
0 NO 21 i 1 ROOF SHEATHING 1� v U►'
SCHOOL WITHIN HAZARDOUS [SHEAR PANELS I
(AIR QUALITY 1000 FEET MATERIALS I I I
NO NO NO I IFRAME INSPECTION
I I I
IFIRE SPRINKLER HANGERS I I I
I I I
11NSULATION/WEATHER STRIP( I
[ (INTERIOR LATH/DRYWALL
I I I
[ (EXTERIOR LATH I I [
I I I
IRATED FLOOR/CEIL ASSEM I I I
I I I
IRATED WALL ASSEMBLIES
I I I
IRATED SHAFTS/OPENINGS
I I I
IT-BAR CEILINGS I I I
I, ADDITIONAL DATA ON FILE I
I I I
[LOT DRAINAGE I I I
I I [
IREPORT ID DPR261 ROUTE TO BS0508
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