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Home My Public Portal About5555 NOEL DR_Building__ • , DEPARTINB:NT OF BUILDING AND SAFETY APPLICATION FOR BUILDING U I L®I I�PERMIT .. COUNTY OF LOS ANGELES WM J FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRIO P CK NO PERMIT NO ADESS SBUILDING J- d/ LOCALITY E1VBD BY DATE OF APPL DATE ISSUED NEAREST v CROSS ST BUILDING ADDRESS S 4r O OWNER ` MAIL �O LOCALITY ADDRESS L • NEAREST • TLL CROSS ST CITY NO FIRE NO OR TY UP ARCHitEbT OR TEL ZONE PLANS Y i ENGINEER NO BLDG SETBACK LINE ADDRESS APPROVED TEL BY DATE CONTRACTOR NO USE APPROVED ZONE BY DATE ADDRESS HOUSENUMBERING LEGALDESCRIPTION LOT NO {�� BLOCK MAP NUMBER02�0 0 v FIELD CHECK BY TRACT 16 ,f d NO ASSIGNED PAT 4-0 � NO OF SLOGS 1, CORRECTIONS SIZE OF LOT O I NOW ON LOT ' C , USE OF NO OF EXISTING BLDG, FAMILIES DESCRIPTION OF WORE NEW x I ALTERATION ( I ADDITION I REPAIR I DEMOLITION I I I p SQ FT NO OF ` D SIZE O ROOMS 3 STORIES Z EXT WALL I ROOF I- COVERIN COVERING USE OF STRUCTURE `= 1Q as sa APPROVALS 1NSPECTO SIGNATURE DATE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS �GFw► 2 S� CORRECT I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME FIRE STOPS, 0-01 HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS LAWS REGULATING ILDING CO TR CTION FURNACE LOCATION, SIGNATURE OF GAS VENT, DUCTS PERMITT cr L +�. � C LATH, INT ADORKBI 9 LATH, EXT Lj AUTHORIZED AGT PLASTER, INT 76AMDA Do" wool O FEE PLASTER, EXT VALUATION �� FEE # Off` FINAL WORKERS'COMPENSATION DECLARATION hereby affirm that I have r certificate of consent r self APPLICATION FOR BUILDING PERMIT insure, ora ertificate of Workers' Compensation Insurance, or a certifie copy thereof(Sec 3800, Lab C) COUNTY OF LOS ANGELES BUILDING AND SAFETY PolicyNo Company BUILDING C ❑ Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is filed with the county budding mspec- BUILD $ l7FiL. DI department o Date Applicant CITYZIP 9�Zgu 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 permit is for one TRACT BLOCK I LOT NO MAP BOOT( PAGE PARCEL hundred dollars ($100)or less) OWNER T4&J'/ W, TEL A 7.7A NO USE ZONE �9-9�irL MAP I certify that in the performance of the work for which this 1 NO /r "Z�•� permit is issued,I shall not employ any person in any manner ADDRESS 66S5 AA0JEA.-. O(Z I t INIALa so as to co a subject to the Workers'Compo t n Laws noNS O CITY T04Yv(0_C.4 IV ZIP t0 Date Applican ARCHITECT OR TEL DISTRICT GROUP TYPE FIRE BY O NOTICE TO APPLICANT If, after makin this Certif to of ENGINEER NO Exemption, you should become subject to the Workers' Q CONST ZONE t Compensation provisions of the Labor Code, you must forth- ADDRESS �as N with comply with such provisions or this permit shall be TEL STATISTICAL IFICATION APT CONDO Z deemed revoked CONTRACTOR NO LICENSED CONTRACTORS DECLARATION UC .CLASS NO DWELL UNITS I hereby affirm that I am licensed under provisions of Chapter 9 '0'D�SS NO 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 CLASS gK PG VALIDATION SQFT NO OF NO OF CHECK License Number Lic Class SIZE STORIES FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF WORK NEW 1:1 $ 0� -� kmG ADD ❑ ► El I am exempt under Sec M4 V Y� � (`� ALTER ❑ B&P C for this reason bft **_ 'To ^&W 4 X-A-11JQ4 REPAIR ❑ $ Date 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 FINALflow Pro ssions Code) PRESENT - BY - 1, as owner of the property, or my employees with BADDR� f � H:f!a a wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY , 73-t-- '?9.59 7044, Business and Professions Code) MOVING - TEL _ r ❑ I as owner of the property,am exclusively contracting CONTRACTOR NO s 9_1110 with licensed contractors to construct the project (Sec- ADDRESS — f� '�4-0.50 tion 7044, Business and Professions Code) UIRED YARD HWY TOTAL SETBACK ROM EXIST { n�� CONSTRUCTION LENDING AGENCY SET LINE, 1 hereby affirm that there is a construction lending agency for FRONT C HA4ME .011 the performance of the work for which this permit is issued P L (Sec 3097, Civ C) SIDE P LBOBBIN r� e Lender's Name LDMA Ref N (} iY_—lyl 4/#7/87 PC Fee$ Permit Fee '30 Kai I i I :40 Lender's Address 0 I certify that I have read this application and state that the Issuance Fee /0,-0 LDMA PSC# above information is correct I agree to comply with all County Investigation Fee .. ordinances and State laws relating to building construction, Total Fee 0 -673 LDMA Perm / and hereby authorize rApresentatives of this Coun to enter _ upo he ve- d property for inapectio pu Dees SEE REVERSE FOR EXPLANATORY LANGUAGE Signat of Applica r Agent Date i I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS I 9701 LAS TUNAS ALTERATION/REPAIR BUILDJNG AND-SAFETY / LAND DEVELOPMENT i TEMPLE CITY CA 91780 BL 0508 0107230031 PHONE (626) 285-0488 EXT LEGAL 10NO OF CONST BUILDING ADDRESS TR 16116 LT 35 I SQ FT STORIES TYPE 15555 NOEL DR STRUCTURE 1600 VN TEMP CA 917802318 NEAREST CROSS STREET BROADWAY 8 ROSEMEAD BLVD, 5387-026-020 I THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY TENANT EXIST SLOG USE SFR W USE ZMF-Xr- ON PROCESSED BY EXPIRES ON EXIST OCC GRP 07/23%01 UT 01/19/02 OWNER. TEL ! LOT VALUATION FINAL�ll OfTE CODE CHAW FLING P (626) 285-4791- 3,200 ZQ 5555 NOEL DR TEMP 91780231809 TEAR-OFF AND R F AKS 0 OLD SHINGLES AND APPLY PLYWOO FEE DESCRIPTION QUANTITY LION AMOUNT AND COMPOSITION SHINGLES, CLASS 'A', 25 YRS APPLICA T. TEL NO SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27 75 AC STRONG NOTION RESID 3200 00 VAL 0 50 SPECIAL CONDITIONS D2 PERMIT W/0=EVHC---,3200 00 VAL 115 80 ®CONTRACTOR: TEL NO � GELESTOT®vE S 144 05 SIGNATURE— SAME SAME AS OWNER LIC NO LOCATION AND SETBACKS ENGINEEFWVROYAr ARCHITECT OR ENGINEER TEL NO A FOUNDRTION/TRENCH FORMS LIC NO�� _ 1111111 OO �lJ ff_ FLOOR FRAMING 14AP NO SEWER 14AP BOOK PAGE FIRE ZONE UNDERFLOOR XX 3 � J p�, L \ > FLOOR SHEATHING IUI�n O )u NO OF F G UNITS APT/COND STAT CLASS 1-NO 21 THING S SCHOOL WITHIN T_' AIR Q OLITY lONOO FEET MANOERIALS \ �/ Q J j+f, SH ,o LJ � REQUIRED TOTAL SETBA FROM nFIRE SPRINKLER HANGERS SET BACK YARD HWY PROP LINE WIDTHAVN®¢ FRONT PL- SE'PupINSULATION/WEATHER STRIP SIDE PL- INTERIOR LATF17MUMITCace RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS iT-BAR CEILINGS IAGE REPORT ID DPR261 ROUTE TO BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0804090001 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST NEW I BUILDING ADDRESS 1 ITR 16116 LT 35 I SQ FT STORIES TYPE OCCUP GROUPI 5555 NOEL DR 1 I ISTRUCTURE 422 1 V-B R3 I TEMP CA 917802318 1 (ASSESSOR INFORMATION NUMBER I GARAGE I NEAREST CROSS STREET 1 15387-026-020 OTHER I THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY Cl (TENANT IEKIST BLDG USE USE ZONE (ISSUED ON PROCESSED BY EXPIRES ON 1 (EXIST OCC GRP ' 106/18/08 SR 12/15/08 I (OWNER TEL NO IBLDGS NOW ON LOT VALUATION IFI ALL VATE FINAkM CODE I CRAW NFUNGOEL P (626) 285-4791- 1 62 550 1 I-A Jy, 5555 NOEL DR ��j�l/� ITEMP 917802318 I FEES PAID I 5CRIPTION OF WORK I (ADD MASTER BEDRM MASTER BATH, KITCHEN 422 S F AND REMOVING( ]FEE DESCRIPTION QUANTITY UOM AMOUNT IWALTS IN THE DINING ROOM I ]APPLICANT TEL NO I I ] ICHAW (626) 285-4791- IBI PLANCHECK W/ENERGY 62550 00 VAL 869 12 I- I 15555 NOEL DRIVE 1AA BLDG PERMIT ISSUANCE 27 75 ISPECIAL CONDITIONS I (TEMPLE CITY CA 91780 IAC STRONG MOTION RESID 62550 00 VAL 6 26 I I JB2 PERMIT W/ENERGY 62550 00 VAL 1 022 51 I I TOTAL FEES 1 925 64 1 I ICONTRACTOR TEL NO I 1APPFOVALS DATE INSPECTOR SIGNATURE 1 ICHAO PAN (626) 960-8826- 1 1_ I 12237 MAC DEVITT ST LIC NO _ ILOCATION AND SETBACKS 41 I 1 IWEST COVINA CA 91790 745705BHIC I I I I 1 I ISOILS ENGINEER APPROVALI 1 I 1ARCHITECT OR ENGINEER TEL NO I IFOUIIDATZON/TRENCH FORMS� 0 x 1 1 ICH ENGINEERING (909) 595-3226- 1 1 �—/=--Q 1 1 120601 ALDA COURT LIC NO I (SLAB/UNDER FLOOR IWALNUT, CA 91789 NONE I I ' I I IRAISED FLOOR FRAMING I ] 1 IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP 1 (UNDERFLOOR INSULATION I I I 1 3 011 I ] I I I 11ST LEVEL FLOOR SHEATH I ] 1 INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS I I_ I I I NO 21 I 12ND LEVEL FLOOR SHEATH I I I I I I I ] I SCHOOL WITHIN HAZARDOUS IROOF SHEATHINGdi I I LAIR QUALITY 1000 FEET MATERIALS I Ila Id 1 I ] NO NO NO I IFIRE DEPT FRAME INSPECT 1 I (REQUIRED TOTAL SETBACK FROM EXIST I ISLDG DEPT FRAME INSPECT I I ISET BACK YARD HWY PROP LINE WIDTH I I I IFRONT PL- I ISHEAR PANELS I I SIDE PL- I 1 1 I 11NSULATION/WEATHER STRIP I N I I I 1ZNTERIOR LATH/DRYWALL 1 1 (EXTERIOR LATH I I I I I I I I I 1 ILOT DRAINAGE I 1 1 1 I ISMOKE DETECTION DEVICES 1 I I I (FIRE DEPARTMENT APPROVAL( I I IREPORT ID DPR261 ROUTE TO ES0508 I I 1 I I I 1 1-1 I