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
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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