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HomeMy Public PortalAbout5703 NOEL DR_Building__ ft 7GA636A &COB *1%7 1 APPLICATION FOR BUILD) G PERMIT„ COUNTY OF LOS ANGELES BUILDING DEPT TMENT GI OF COUNTY ENGINEER ADDRESS / s BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST • COLEMAN W JENKINS SUP T OF BUILDING CROSS ST Ae DISTRICT NO P TYPE D FOR APPLICANT TO FILL IN r-oi? F�r CONST Print ort s only) s BUILDING AA STATISTICAL CLASSIFICATION SEWER P AoVf ADORESS v, CLASS NO_DWELL UNITS BK PG LOT NO <� 7"� BLOCK USE ZONE[MAPNoTRACT v C2 ega ECIAL NO OF BLDGS NDITIONS SIZE OF LOQ NOW ON LOT USE OF EXISTING BLDG L� BLDG SETBACK FROM �j TEL FRONT PROP LI NE OF (STREET) OWNER/ (� NO TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL _44 HIGHWAY WIDTH FROM C L ADDRESS V 0 CITY + ARCHITECT O TEL BLDG SETBACK FROM (STREET) ENGINEER NO SIDE PROP LINE OF TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL ADDRESS HIGHWAY WIDTH FROM C L CONTRACTOR L NoLIC t = a O ADDRESS NO CORNER CUTOFF YES ❑ NO ❑ V CD CITY s/�' � CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK ffgta N Z NEW D ALTER REPAIR DEMOLISH SQ FT NO OF NO OF / !� SIZE Q _ STORIES FAMILIES LAPPLICANT . OF Av S APPROVALS DAT )NSP OR S SIG TURE PC PMTFOUNDATION LOCATION FEES FEE S t FORMS MATERIALS d FRAME FIRE STOPS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT ING TO WORKMEN S COMPENSATION INSURANCE 1 n LATH EXT 17 SIGNATURE OF HOUSE NUMBER COR PERMITTEE RECT AND POSTED ADDRESS FINAL PLAN CHECK VALIDATION CK Mo CASH JOHN F LEWIS PRINCIPAL SZ7AL ENGINEER _ PERMIT VALIDATION M O CASH L"4695G MAY15 1 D 2250 ' BUILDING BUILDIND 6-7193 APPLICATION LOCALITY I NEAREST DIVISION OF BUILDING AND SAFETY CROSS ST PER IT NO f�Y�+-�^ te-i /�_ _ Department of County Engineer DISTRICT NO RECEIPT NO County of Los Angeles ..r G g1 WM J FOX, COUNTY ENGINEER BR UP DATE RECEIVED DATE t98UE CA SBATT D GRIFFIN BUP T or BUILDING s'!Ply FOR APPLICANT TO FILL IN 72N78T RECEIVED BY ISSUED BY /� C OWNER LyJ Ln-, R tet , - r MAP 2 00 SHWYE YtCB O ADDRESS O MAIL NUMBER �C V U9 ZONE SPECIAL TEL. -! / CONDITIONS CITY NO ARCHITECT OR TEL O ENGINEER NO BUILDING YARD HWY STREET NAME EXIST SETBACK WIDTH ADDRESS / TEL FRONT CONTRACTOR 29 ) (L!.f iC/irAA. NO SIDE ADDRESS :5 9 F/ /� P L DATE CORRECTIONS INSPECTOR BUILDING A ADDRESS V LOT NO j ;' L 7 A 9 BLOCK TRACT 17 7 Z. — ? / 3 a or gIZE OF LOT Sf X / S NOW ON LOTS UBEOF04"{ �;L^ CXt9TITING BLDG SS�� DESCRIPTION OF WORK A 0 NEW ADD ALTER REPAIR DEMOLISH Z rT SIZE eZ Z� BTOR ES / FAMILIESr USE OF STRUCTURE 7 k/t Qr� 'r�oG Dk*c 'D r111 NO OF EMPLOYEES I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP PLICATION AND STATE THAT THE INFORMATION GIVEN 18 APPROVALS INBPEC ORIS SIGNATURE DATE CORRECT 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION LOCATION p AND STATE LAWS REGULATING BUILDING CONSTRUCTION FORMS MATERIALS Z Z FRAME FIRE BTOPS SIGNATURE OF ✓ BRACING BOLTS 1 l PERMITTE FURNACE LOCATION ADDRES 3 � GAS VENT DUCTS LATH INT AUTHORIZED AST LATH EN XT ~ S FEE B HOUSE NUMBER COR VALUATION ®�'® �� RECT AND POSTED al11 FINAL �- I FEE 76A638A DBS 3 ab 5-54 JWnn�R,KERS CQ�APENSATION DECLARATION I bora certificate Iog�yW a certificate of consent r 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 ry BUILDING Certified copy is hereby furnished FOR APPLICANT TO FILL IN 2 ADDRESS DJ Certified copy is filed with the county budding inspec BUILDING` tion ejwrf enf ADDRESSs7 �® Date Applicant CI ZIP LOCALITY RT CAT OF EXEMPTION M WO E S 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) MAP BOOK PAGE PARCEL TEL U ZONE MAP 1 certify that in the performance of the work for which this OWNER / %9/3- MN permit is issued I shall not employ any person in any manner ADDRESS! _ I SPECIAL #IF CONDITIONS so as to become subject to the Workers Compensation Laws • n 8 Date Applicant CITY ZIP NOTICE TO APPLICANT If after making this Certificate of ARCENGHITECT OR TEL DISTRICT GROUP TYPE FIRE CESSED BY O Exemption you should become subject to the Workers �1 CONST ZONE FU- Compensation provisions of the Labor Code you must forth ��(J with comply with such provisions or this permit shall be ADDRESS 3 CW.� deemed revoked TEL STATISTICAL CLASSIFIfATION APT NDO r� CONTRACT NOZ�Z"S" / LICENSED CONTRACTORS DECLARATION r LIC CLASS NO 2 DWELL UNITS Z I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS $r^3 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 d-.W CLASS VALIDATION S 3/G Lic Class SNO OF OF CHECK SK PG License Nu r SI FAZE STORIES FAMILIES ONE NEW VALUATION O.,I Contracto Date DESCRIPTION OF WORK 5 A ADD ' I am exempt er Sec O ALTER B&P C for this reason REPAIR : A 7 2 Q 8 A Date USE OF DEMOL EXISTING BLDG # • • • • • Signature APPLICANT TEL FINA /f OWNER BUILDER DECLARATION PRINT NO DATE �/ s • 2 a 5 O I hereby affirm that I am exempt from the Contractor s License Law for the following reason (Section 7031 5 Business and ADDRESS FI e e e 2 8 5 Q Professions Code) I as owner of the property or my employees wBUILDING ith ADDRESSU b 1 5,e87 wages as their sole compensation will do the work and 00/ LOCALITY 00,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 with licensed contractors to construct the project(Sec ADDRESS tion 7044 Business and Professions Code) CONSTRUCTION LENDING AGENCYSETQSETRACK-FROM EXIST BACK YARD HWY TOT PROP LINE WIDTH I hereby affirm that there is a construction lending agency for FROM the performance of the work for which this permit is issued P L (Sec 3097 Civ C ) SIDE PL Lender s Name !)/j LDMA Ref If Lender s Address P C Fee S Permit Fee (/V I certify that I have re this application and state that the Issuance FeeIQ LIMA P/C 0 a above information ect I agree to comply with all Count' Investigation Fee F 8 ordinances and ows relating to building construction Total Fes 0 U IDMq Perm R R and hereby ou or representatives of this County to enter upon t abo in ection purposes < mSEE REVERSE FOR EXPLANATORY LANGUAGE Sogrilffil Applicant or Agent Da ! RKERSI COMPENSATION DECLARATION _r to I bor a certificate of WorkersrtCompensat on*.,m that I have a ceficate ofconsent Insurancef A P P L I;:AT I O N FOR BUILDING PERMIT or a certified copy thereof(Sec 3800 Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY � Policy No Company A ' Certified copy is hereby furnished . FOR APPLINTT FILL IN ti ADDRESS V BUILDING ss�� f71 Certified copy a Bled with the county building Inspec BUILDING 20-3 'm tion 09partment ADDRESS dDate Applicant 4?L_ CITY ZIP LOCALITY RTI LATE OF EXEMPTION IFIROM W&dRS SIZE OF LOT � NEAREST COMPENSATION INSURANCE (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 I certify that In the performance of the work for which this OWNER USEE/ NO } permit Is issued I shall not employ any person in any manner DDRESS 8PECIAL iL so as to become subject to the Workers Compensation Laws CONDITIONS n Date Applicant CITY ARCHITECT ZIP TEL W NOTICE TO APPLICANT If after making this Certificate of EER NO DISTRICT GROUP GTMO�T FIDE D BY O Exemption you should become subject to the Workers Compensation provisions of the Labor Code you must forth ,gppR (� 3 W with comply with such provisions or this permit shall,be �- doomed revokedCOrITRACT TEL STATISTICAL CLASSIFICATION APT PNDO Z LICENSED CONTRACTORS DECLARATION NO L CLASS NO DWELL UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESSO 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 Ci &14*s/ CLASS BK PO VALIDATION L� SQ FT NO OF NO OF CHECK License Number J Lic Class SIZE STORIES IF ILIES ONE J. NEW VALUATION G� Contract o Dale Y DESCRIPTION OF WORK A $ • ADD ' I am exempt under Sec ALTER B&P C for this reason ZZegt. REPAIR = Date USE OF EXISTING BLDG 9z::1DEMO1 Signature APPLICANT TEL FINAL OWNER BUILDER DECLARATION PRINT _ NO DATE 7 b a 5 A I hereby affirm that 1 am exempt from the Contractor s License Low for the following reason (Section 7031 5 Business and ADDRESS FIN Professions Code) Bp # • • • • • 1:1BUILDING i as owner of the property or my employees with ADDRESS • * 4(150 wages as their sole compensation will do the work and the structure is not intended or offered for sale(Section LOCALITY ' • • • 4 0,5 0 5 7044 Business and Professions Code) MOVING TEL 13 1 as owner of the property am exclusively contracting CONTRACTOR NO U a 12-8 7 with licensed contractors to construct the project(Sec ADDRESS tion 7044 Business and Professions Code) SETBACK FROM txI3T CONSTRUCTION LENDING AGENCY SET BACKYARD HWY TOTAL BBROP 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 Pi. (Sec 3097 Civ C ) SIDE PL Lender s Name PC Fee$ Permit Fee LDAAA Ref S Lender to Address ' 1 certify that I h ire sad this application and state that the Issuance Fee LDMA P/C ff a above inform correct I agree to comply with all County Investigation Fee $$ ordinances a to laws relating to budding construction Total Fee LDMA Perm N R and hereby, nze representatives of this County to enter u t too p s t • O /Y SEE REVERSE FOR EXPLANATORY LANGUAGE " 5 of Applicant or Agent *0UHTYtgk LOS ANGELES TEMPLE CITY r # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/RSP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0507210019 PEONS (626) 285 0488 ERT LEGAL ID NO OF CONST NEW BUILDING ADDRESS TR 6561 IT 729 SQ FT STORIES TYPE OCCUP GROUP 5703 OAK AV STRUCTURE 154 1 VN R3 TEMP CA 917802431 ASSESSOR INFORMATION NUMBER GARAGE NEAREST CROSS STREET LIVE OAR 8587 005 002 OTHER THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY C TENANT EXIST BLDG USE USE ZONE ISSUED ON PROCESSED BY EXPIRES ON EXIST OCC GRP 09/27/05 JK 09/22/06 t OWNER TEL NO SLUGS NOW ON LOT A VALUATION FINAL DATE FIN BY CODS FULCO NORMAN J DOROTHY J 32 750 4p# / G 5703 OAR AV TEMP 917802431 FEES PAID _ DESCRIPTION OF WORK I ADDITION TO (E) BEDROOM 154 SF AND KITCHEN REMODEL APPLICANT TEL NO FEE DESCRIPTION QUANTITY UOM AMOUNT l - SIEMPRE CONSTRUCTION INC (626) 792 3727 B1 PLANCRECK W/ENERGY 32750 00 VAL 538 42 Qr Fi+•. .�a 1827 SAN PASQUAL ST AA BLDG PERMIT ISSUANCE 27 75 SPECIAL CONDITIONS PASADENA CA 91107 AC STRONG MOTION RESID 32750 00 VAL 3 28 1 B2 PERMIT W/ENERGY 32750 00 VAL 633 44 TOTAL FEES 1 202 89 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE SIE14PRE CONSTRUCTION INC (626) 792 3727 1827 SAN PASQUAL STREET LIC NO LOCATION AND SETBACKS �� ` �.�•w � h PASADENA CA 91107 805704E SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL NO FOUNDATION TRENCH FORMS O � JIM H KUHN (818) 446 7000 125 WHEELER AVE SUITE F LIC NO SLAB UNDER FLOOR ARCADIA CA 91006 NONE RAISED FLOOR FRAMING MAP NO SEWER MAP BOOK PAGE FIRE ZONE CNS UNDERFLOOR INSULATION - 3 01 d 1ST LEVEL FLOOR SHEATH NO OF FAMILIES DWELLING UNITS APT COND STAT CLASS NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY 1000 FEET MATERIALS t /rl NO NO NO FIRE DEPT FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT FRAME INSPECT V SET BACK YARD HWY PROP LINE WIDTH FRONT PL SHEAR PANELS J SIDE PL- INSULATION/WEATHER STRIP IN1TERIOR LATH DRYWALL EXTERIOR LATH t LOT DRAINAGE SMOKE DETECTION DEVICES _ FIRE DEPARTMENT APPROVAL REPORT ID DPR261 ROUTE TO SS0508 t r r 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 0510120011 PRONE (626) 285 0488 ERT LEGAL ID NO OF CONST BUILDING ADDRESS TR 6561 IT 729 SQ FT STORIES TYPE 5703 OAR AV STRUCTURE 40 VN TEMP CA 917802431 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LIVE OAR 8587 005 002 THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY C TENANT EXIST BLDG USE REBID USE ZONE R 1 ISSUED ON PROCESSED BY EXPIRES ON EXIST OCC GRP 10/14/05 JH 10/09/06 OWNER TEL NO BLDGS NOW ON LOT VALUATION FINAL DATE FINAL BY CODE FULCO NORMAN J DOROTHY J 800 /J /�G 5703 OAK AV J TEMP 917802431 FEES PAID DESCRIPTION OF WORK ADD PATIO COVER 40 S F FES DESCRIPTION QUANTITY DOW AMOUNT APPLICANT TEL NO SIEMPRE CONSTRUCTION INC (626) 792 3727 AA BLDG PERMIT ISSUANCE 27 75 1827 SAN PASQUAL ST AC STRONG MOTION REBID 800 00 VAL 0 50 SPECIAL CONDITIONS PASADENA CA 91107 D2 PERMIT W/O EN HC 800 00 VAL 65 40 TOTAL FEES 93 65 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE SIEMPRE CONSTRUCTION INC (626) 792 3727 1827 SAN PASQUAL STREET LIC NO LOCATION AND SETBACKS PASADENA CA 91107 805704E SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL NO FOUNDATION TRENCH FORMS JIM H KUHN (818) 446 7000 125 WHEELER AVE SUITS F LIC NO SLAB UNDER FLOOR ARCADIA CA 91006 NONE RAISED FLOOR FRAMING MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP UNDERFLOOR INSULATION XX 3 01 FLOOR SHEATHING NO OF FAMILIES DWELLING UNITS APT GOND STAT CLASS NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SST BACK YARD HNY PROP LINE WIDTH FRONT PL INSULATION WEATHER STRIP SIDE PL INTERIOR LATH DRYNALL EXTERIOR LATH RATED FLOOR CBIL ASSEM RATED WALL ASSEMBLIES RATED SHAFTS OPENINGS T BAR CEILINGS LOT DRAINAGE REPORT ID DPR261 ROUTE TO BS0508 r