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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 NG 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 D BY(SIGNATURE) > 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 i TSL 1107-79 CITY + NO 0 -USE kTNE NO OQ �j 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 Z VCITY CROW ST L I _ O STATIC TEL y /f 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® O 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, �fiJtt- �2 a ho in s olation War Production 13c.1-o o-LIc s Yoa are O P-oducl 0-19-,- c.-r h-f-*-^omrienc ,3 % 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