HomeMy Public PortalAbout5720 OAK AVE_Building__ OS 76AB86A
CE 0608(REV 6/76) y
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN ADDRIESS .J 700
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BUILDING
ADDRESS J sZ LOCALITY NEAREST
Ci
CITY �� ` ' ZIP ?/)&*ID CROSS ST
NO OF BLDGS ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT GROUP TYPE FIRE P ED BY
TRACT BLOCK LOT NO S CONST 1 ZONE
TEL 5
OWNER NO
STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS GLASS NO ,2Z DWELL UNITS /— 31�G
CITY T- _ CZIP 1/7.8,0 /�
ARCHITECT OR TEL VALUATION $ / Qv
ENGINEER NO
ADDRESS BLDG SETBACK FROM
TEL FRONT PROP LINE OF (STREET)
CONTRACTOR NO TOTAL SETBACK FROM TYPE OF EXISTING
LIC HIGHWAY + YARD = FRONT PROP LINE IHIGHWAY1 WIDTH
ADDRESS A ANO
lyx LIC '} _
CITY CLASS
CONSTRUCTION LE E BLDG SETBACK FROM
NAME AND BRANCH SIDE PROP LINE OF (STREET(
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
ADDRESS CITY SIDE PROP LINE HIGHWAY WIDTH
SO FT NO OF NO OF CHECK + _
SIZE STORIES FAMILIES ONE
DESCRIPTION OF WORK NEW PC Fee$ Permit Fee
ADD
Issuance Fee
ALTER
REPAIR Total Fee
USE OF DEMOL ❑
IEXISTINGBLDG Z
APPLICANT TEL F
(PRINT) NO
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BY(SIGNATURE)
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IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE u
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES @ 7r6 3 F1
1 n
AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE S
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF V
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM
PENSATION INSURANCE # • •r6 • • 1
SIGNATURE OF 2 i*i- 2 5 0 0
PERMITTEE rt
ADDRESS v e e L 0 OIv
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1107-79
CITY + NO 0
-USE
kTNE NO
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SPECIAL.9,00 CONDITIONS
FINA
DA EL [7 //t D1el4CJ&
on a II as am ears APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ' ���� �
COUNTY OF LOS ANGELES
WM J FOX CHIEF ENGINEER ,
NO O BLDG ORD NO I DISTRICT NO PLAN CK NO PERMIT NO
PLAN SETBACK LINE `7,?/3 9
ZONB inYAPPROVED DATE
RECEIVE
D BY DATE OF APPL DATE lSpaU®
USX
ZONB BY APPROVED DATE
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
BUILDING el
t ADDRESS 2
O NAME
N
Z ADDRESS LOCALITY L� (21rY
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VCITY CROW ST L I _ O
STATIC TEL
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LICENSE NO NO NAME 1 (? gWT
MAIL
NAME
ADDRESS S
TEL
ADDRESS I CITY NO
t
CITY ! HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
STATE TEL AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
LICENSE NO NO I AND STATE LAWS REGULA G D NSTR T
r
G SIGNATURE OF
NO O SIZE OR LOT �l OWNER
NO OF SLOGS AUTHORIZED
BLOCK NOW ON LOT
TRACT V C4R�tECTIONS
D USE OF SLOGS
NOW ON LOT
USE of
DESCRIPTION OF WORK
BUILDING E vv wo'l
This construction may be in viclatici of
WN PMETuMon Sar or=-s 153 4r®
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Production Board Offico boforo comMonc-
Ing th® work authors in this parmit i
NEW TYPE GROUPNoor r
ALTERATION ROOMS FAMI I
OES
ADDITION SIZE iL 0
REPAIR STORIES
MOVING WALL COVERING S LO
DEMOLISH ROOF COVERING 60 S C Es 1
PC i FINAL APPROVA
s INSPECTOR
VALUATION / OI O� FEE ��O Q DATE IN N I NAMF V t2�
76AG98A CE 0808 1/71
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
COLEMAN IN JENKINS SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
Pnnt ort nl CROSS ST
UILD20 Oak DISTRICT NO f� ROUP TYPE CESS B
ADOREISS 57 v ^l CONST t
STATISTICAL CLAS-SIFICATION SEWER P
LOT NO Q BLOCK
CLASS NO aV DWELL UNITS Bill— P /16
TRACT U ZONE MAP
NO OF BLDGS NO ZU O
SIZE OF LOT NOW ON LOT SPECIAL
USE OF A TTT"' CONDITIONS
EXISTING BLDG �+
OWNER E•E Gant N0�86-810 Q J BLDG SETBACK FROM
ADDRESS same FRONTPROP LINEOF (STREET)
CITY Temple ! Its TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
v HIGHWAY WIDTH FROM C L
ARCHITECT OR TEL +
ENGINEER NO BLDG SETBACK FROM
ADDRESS SIDE PROP LINE OF (STREET)
CONTRACTOR TE TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
United Roofln NOL2 —4081 HIGHWAY WIDTH FROM C L CD
ADDRESS 1821 Daly st LIC 37650 + = Cl
CITY LA90031 CLASS C 39t3
CORNER CUTOFF YES ❑ NO ❑ W
CONSTRUCTION LENDER �-
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS z
ADDRESS
SO FT NO OF NO OF NEW ❑
SIZE STORIES FAMILIES
USE OF MesixLexice garageADD ❑
STRUCTURE 11
Re-roofing ` ALTER ❑
SIGNATURE OF(IA , REPAIR®
APPLICANT DEMM,OOLL ❑
VALUATION S Q
APPROVALS DATE INSPECTOR 9 91GNA TU RE
PMT
ON
FEE S FEES 6.00 FOUNDATION
I MATERIALS
FRAME FIRE STOPS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING,
RACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON GAS VENT DUCTS
STRUCTION 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT
LABOR CODE OF THS STAIE,�C�A�FJDFRN�IA1 RELATING TOWORKMEN S COMSIi egsbO LATH EXT
SIGNATURE OHOUSE NUMBER COR
PERMITTEE f! G RECT AND POSTED
ADDRESS 182lu Daly st LA90031
JOHN F LEWIS PRINCIPAL STR AL ENGINEER
PLAN CHECK VALIDATION CK M o CASH
PERMIT VALIDATION CK M O CASH
l A('„ 2 b 7 9 73 AUG 9 1 D 6 0 0 V ,
DEPARTMENT OF BUILDING AND SAFETY y APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES
BUILDING
WM J FOX CHIEF ENGINEER
NO OF BLDG ORD NO+ D18TRICJ�10 PLAN CK NO PERMIT NO
PLANS SETBACK LINB ; Q D
FIRE APPROVED r v o
ZONE BY DATE ok
'/Its^'` BY D T 0 1�
USE APPROVED
ZONE BY T9
APPLICANT FILL IN HEAVILY OUTLINED PORTION NLY
BUILDING D r¢
NAME ADDRESS .r7
Z ADDRESSLOCALITY /�
C
W CITY CROSBY `
LICENSE NO NO NAME 4c 15TATE TEL m
MAIL
E NAME ADDRESS/Picr o
TELO
ADDRESS O CITY NO
NAL 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
V CITY / APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
LICENSE NO NO AND STATE LAWS REGULATING B ING CON RUCTION
�/ /J SIGNATURE OF
LOT NO 0 y SIZE OR LOT�7 D l$S pyyN6R
NO OF BLDTB Q AUTHORIZED AOT
BLOCK NOW ON LOT
TRACT CORRECTIONSUSK OF
_
D NOW ON LOTS O iI/A �s1°'sa t9 (•A'0� !
DESCRIPTION OF-WORK \\ "o,�( r
BU
BUILDING D tlI7CJ 1 i,
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a ho in s olation
War Production 13c.1-o o-LIc s Yoa are
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P-oducl 0-19-,- c.-r h-f-*-^omrienc
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% 01 as in to permit
Z
a
NEW TYPE GROUP
r
NO OF No OF
ALTERATION ROOMS AINIILIES
ADDITION SIZE
REPAIR STORIES
MOVINGWALL COVERING
DEMOLISH ROOF COVERING
s s /^ FINAL APPROV L
,T
/ L s0 O�r FEE v-�
INSPECTOR
Y DATION RBt DATE NAME �y��-
COMPENSATION DECLARATION
t l have tlBrti{yegte consent to self APPLICATION FOR BUILDING PER
fio-a
sure o .cer icate of Workers Compensation
ation Insurance
or a cretified copy thereof(Set 3800 Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No Company
Certified copy is hereby furnished FOR APPLICANT TO FILL IN BUILDING �'7Q ,VO
ADDRESS
Certified copy is filed with the county building mspec BUILDING A/ /1 /1 VE/L'
tion department ADDRESS A CJ //+-�y4'�1G
Date Applicant CITY ZIP f /r�v LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERSSIZE OF LOT Q NOW CONI LO CROSS ST
EST
COMPENSATION INSURANCE /� �
(This section need not be completed if the permit is for one TRACT BLOCK LOT NO / MApASS RR pAGE j��C
hundred dollars($100)or less) /y PARCEL
OWNER E//I NO 8 l USE ZON MAP
I certify that in the performance of the work for which this /y� NO
permit is issued I shall not employ any person in any manner ���T�W 3,�377jV1 SPECIAL
so as to become subject to the Workers Compensation Laws ADDRESS CONDITIONS
Date Applicant CITY SAA) G/7�I� zIP /
NOTICE TO APPLICANT If after making this Certificate of ARCHITECT OR TEL DISTRICT GROUP TYPE FIRE D
Exemption you should become subject to the Workers ENGINEER NO CONST Z E
Compensation provisions of the Labor Code you must forth ADDRESS 10
� �'�
with comply with such provisions or this permit shall be TEL
deemed revoked CONTRACTOR �� NO STATISTICAL CLASSIFICATION APT CONDO
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 PG VALIDATION
SQ FT NO OF NO OF CHECK
L'�ense Number Lic Class SIZE STORIESS FAMILIES ONE
/ DESCRIPTION OF WORK Ire. /7O ,0 ' VALUATION
NEW
Contractor m Date 11hrm W � ADD $ ,
I am exempt under Sec
ALTER
B&P C for this reason Ail IF-P USE RbAr, r REPAIR $ 1 �!G G nt
Date EXISTING BLDG y /� TEL �1p DEMOL ` V
Signature APPLICANT
�!' �/7l! Np Q 7 7 FINAL � 441,
# • • • • •
OWNER BUILDER DECLARATION DATE
I hereby affirm that I am exempt from the Contractor s License r1� 1 t/� �_ p ( • 29025
Law for the following reason (Section 7031 5 Business and 0 Y
Professions Code) • • [0 Q [5
❑ BUILDING
I as owner of the property or myemployees with ADDRESS C I — O
wages as their sole compensation will do the work and LOCALITY '
the sfructurg 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 16.51 A
with licensed contractors to construct the project(Sec ADDRESS
tion 7044 Business and Professions Code) t • • • 023
REQUIRED TOTAL ROPSETBACK FROM EXIST
CONSTRUCTION LENDING AGENCY �BACK YARD HWY PROP LINE WIDTH
I hereby affirm that there is a construction lending agency for FROM ( & 23780
the performance of the work for which this permit is issued P L _
(Sec 3097 Ctv C) SIDE • •
�378Q
$ / / P
Lender s Name LDMA Ref # o u 07-85
I
Lender s Address PC Fee S .3 Permit Fee
I certify that I have read this application and state that the 1 ! .(.V Issuance Fee (/ LDMA P/C#
above information is correct 1 agree to comply with all County Investigation Fee *L c 1 9 Q 1 A
ordinances and State laws relating to building construction Total Fee 57 LDMA Perm # • Db
u a he by authorize rept sentatrves of this County to enter • • • •�'., . „
e ab a mentio pr for inspection purposes • • 1 i 9 i U
a
a ®�� SEE REVERSE FOR EXPLANATORY LANGUAGE C • N ��
Signature of Applicimt or Agent Date �� O
COUNTY OF LOS ANGELES TEMPLE CITY 0 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0112110035
PHONE (626) 285 0488 EXT
LEGAL 10 NO OF CONST NEW BUILDING ADDRESS
TR 6561 LT 727 UN 002 SQ FT STORIES TYPE OCCUP GROUP 5720 OAK AV
STRUCTURE 524 1 VN R3 TEMP CA 917802430
ASSESSOR INFORMATION NUMBER GARAGE NEAREST CROSS STREET LAS TUNAS
8587 010 024 OTHER THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY
TENANT ursr-m USE USE ZONE ISSUED ON -----PROCESSED BY IRES ON
EXIST OCC GRP 04/22/02 VG 10/19/02
OWNER TEL NO BLDGS NOW ON LOT VALUATION FINAL uAl_ FINAL BY CODE
BATEMAN ROBERT E,PATRICIA A (626) 579 8589 2 20,000 �vL
5720 OAK AV A
TEMP 917802430 FEES PAID IDESCRIPTION OF WORK
524SF GARAGE ADDITION CONVERT 120SF OF EXISTI RAGE TO
APPLICANT TEL NO FEE DESCRIPTION QUANTITY LM AMOUNT CHANGE RM/BATHRM FOR POOL
RANDY SAWN (909) 680 1978 D1 PLANCHECK W/0 EN HC 20000 00 VAL 326 91
3187 LOCUST ST AA BLDG PERMIT ISSUANCE 27 75 SPECIAL CONDITIONS
RIVERSIDE 92501 AC STRONG NOTION REBID 20000 00 VAL 2 00
D2 PERMIT W/O EN HC 20000 00 VAL 384 60
CONTRACTOR TEL NO TOTAL FEES 741 26
APPROVALS DATE INSPECTOR SIGNATUKF—
HAVEN GROUP INC (909) 592 2161
1173 N DIXIE DRIVE STE 204 LIC NO LOCATION AND SETBACKS
SAN DIMAS CA 91773 638143 B
SOILS ENGINEER APPROVAL
ARCHITECT TEL NO FOUNDATIONITRENCH FOR14S
uc No SLABoUNDER FLOOR Zv �_
RAISED FLOOR-FMING
NAP NO SEWER
3 01
IST LEVEL FLOOR SHEATH
NO OF FAMILIES DWELLI 6 UNITS APT/ OND STAT CLASS
NO 21
SCHOOL WITHIN HAZARDOUS
AIR QUALITY 1000 FEET MATERIALS
NO NO NO FIRE DEPT FRAME INSPECT
REQUIRED TOTAL SETBACK FRO14 EXIST BLDG DEPT FRAME INSPECT
SET BACK YARD HWY PROP LINE WIDTH V`r
FRONT PL SHEAR PANELS
SIDE PL
INTERIOR LATH/DRYWALL
EXTERIOR LITH
LOT DRAI F
FIRE DEPARTMENT APPR
REPORT ID DPR261 ROUTE TO BS0508