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Home My Public Portal About5736-5736 1/2-5738-5738 1/2 NOEL DR_Building__ JAN 21959 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING t 1 DEPARTMENT OF COUNTY ENGRUM ADDRESS + SUWING AND SAFETY DWWON LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST CA8SArr D GRIFFIN SUP T OF BUILDING CROSS ST DISTRICT NO P TYPE PR SSED BY FOR APPLICANT TO FIL2i.yIN p CONST BUILDING s'� lr 736 J a F ��7� STATISTICAL CLASSIFICATION SEWER MAP ADDR CLASS NO 7 DWE L UNIT LOT NOS BLOCK 'MAP STATE YES O NUMBER HWY TRACT USEZONE SPECIAL NO OF SIZE OF LOT O NOW ON LOTS N /I .+� CONDITIONS y USE OFEXISTING SLOG. 44 BUILDING YARD HWY STREET NAE EXIST OWNER �' �Ld'9 ' SETBACK MWIDTH FRONT MAIL P L ADDRESS SIDE t 1a&q LE P L ARCHITECT C / TEL q II�iSPECTION RECORD ENGINEER (i L NO -.7 I j i CONTRACTOR NO /* -v T ' D L . DESCRIPTION OF WORK y' ^. ADD ALTER REPAIR DEMOLISH SQ FT jPfPNO OR NO OF SIZE STORIES FAMILIES USE OF STRUCT E Kul SIGNATURE OF APPROVALS APPLICANT DATE INSPECT N RE ADDR L FOUNDATION LOCATION $ FORMS MATERIALS �o � FRAME FIRE STOPS s �'� BRACING �D FEE BOLTS VALUATION) FEE S FURNACE LOCATION /gyp- t� GAS VENT DUCTS (J UU C7 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP LATH INT PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH A COUNTY ORDINANCES AND SIH EXT STATE LAWS LATI .BLJILOI G STRU ION _ 0�9jl SIGNATURE OF HOUSE NUMBER COR PERMITiB RECT AND POSTED Z ADDRE FINAL 'a / CLYDE N DIRLAM PRINCIPAL STRUCTURAL ENGINEER PLAN CEM VALIDA ON CK M O CASH PEDW VALIDATION CK No CASH L&1 4 0 5 DR DEC 29 2 3 IA " 4 5.g 5 AA env-0,. M25409k Fs 17 ILA 90050 APPLICATION FOR BUILDING PERMIT . ] COUNTY OF LOS ANGELES = BUILDING AND SAFETY 'WORKERS COMPENSATION DECLARATION FOR APPUCANNT TO FILL IN ve DDRESS I hereby affirm that I have a certificate of consent to self Insure V BUIID)�(i ,FBs or a certificate of Workers Compensation Insurance or a certified (p copy thereof(Sec 3800 Lab C) CITYA ZIP LOCALITY Policy No Company SIZE OF LOT NO OF BLDGS NOW ON LOT ❑ Certified copy is hereby furnished 4f NEAREST CROSS ST ❑ Certified copy is filed with the county building Inspection TRACT BLOCK LOT NO department USE ZONE MAP NO Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS ER TEL NOYE COMPENSATION INSURANCE �Ar l-eS Q-r I cVDq 9qY 7-/U WITHIN 1000 FT OF SCHOOL" s No (This section need not be completed if the permit Is for one hundred ADDRESS dollars($100)or less) S ry en T/�Otts, DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY IP I certify that in the performance of the work for which this permit Y Z9/-73 7 Is Issued I shall not employ any person In any manner so as to RCHITECT OR ENGINEER TEL NO v become subject to the Workers Compensation Laws STATISTICAL CL�JS/IFICATION APT CONDO Date Applicant ADDRESS DWELL UNITS A10710E TO APPL)CANT If after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption you should become subject to the Workers CONTRACTOR TEL NO SET BACK YARD MY PROP UNE WIDTH Compensation provisions of the Labor Code you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked ADDRESS UC NO PL LICENSED CONTRACTORS DECLARATION SIDE CITY LIC CLASS P L I hereby affirm that I am licensed underprovLsions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO FT SIZE NO OF STORIES NO OF FAMILIES Professions Code and my license Is in full force and effect NEW ❑ BK PG a License Number Uc Class DESCRIPTION OF WORK ADD ❑ $L AnON ► U Contractor Date r •A,' 1 ALTER WAJ _ i ,7P `fid r.J ck REPAIR IVo� ❑ 1 am exempt under Sec $ F B8PC for this reason T DEMOL LDMA PSC• U.1 Date USE F ISTING BLDG URM ❑ Signature APPLICANT(PRINT) TEL NO LDMA Perm# ? ❑ 1 as owner of the property or my employees with wages as Pry 0-1`1 17ZZ C their sole compensation will do the work and the structure is ADDRESS f L� d '��^ Q not Intended or offered for sale (Section 7044 Business and V4 FINAL DATE { Mrs Professions Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL / 1 y��i +: (IF I as owner of the roe am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE property rty lY AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY f I 1 at_ :153 is 45 licensed contractors to construct the project (Section 7044 YES❑ No❑ Business and Professions Code) 1 �X y 19 a.9, WILL THE INTENDED USE OF THE BUIDIJNG BY THE APPLICANT OR FUTURE BUILDING 'i..�. A OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH r r CONSTRUCTION LENDING AGENCY COAZ �QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FORGUIDELItNANwE I hereby affirm that there Is a construction lending agency for YES❑ NO❑ CM the performance of the work for which this permit L4 Issued(Sec IHAYEREAD THE HAZARDOUS MATERIALS INFORMATION GLADE AND THE SCAQMDPERMI TING T �y a 3097 CN C) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE TITLE 2 CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS Lender s Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMO h #= aLenders Address 7_7_ i I C g G MER OR AeEM - c I certify that I have read this application and state under penalty C of perjury that the above Information Is correct I agree to comply PC FEE PERMIT FEEI n with all county ordinances and State laws relating to budding constr Ion and hereby a bonze presentatives of this County ISSUANCE FEE r ! O ro toe upon the above me ned pertly for inspection purposes �(p a INVESTIGATION FEE TOTAL FEE m f � n IAod to Dt SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS NEW RESIDENTIAL BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1106290008 PHONE (626) 285 0488 EXT ILEGAL ID I NO OF CONST NEW { BUILDING ADDRESS 1 ON FILE I SQ FT STORIES TYPE OCCUP GROUPI 5736 5738 NOEL DR 1 ISTRUCTURE 648 1 V B U I TEMP CA 917802342 1 (ASSESSOR INFORMATION NUMBER I GARAGE I NEAREST CROSS STREET BROADWAY 1 15387 022 038 1 OTHER 1 THOMAS PAGE 596 GRID H3 LOCALITY TEMPLE CITY Cl 1TENANT USE ZONE R 3 (ISSUED ON PROCESSED BY I { 1 107/12/11 SR 1 (OWNER TEL NO 1BLDGS NOW ON LOT VALUATION 1F FI BY CODE 1 IGARCIA JOE & HILDA (626) 542 5496 1 17 350 �qq// 15404 PARMERTON AVE I 1 1 ITEMPLE CITY CA 91780 1 FEES PAID In CRIPTION OF WORK 141 I I IFIRE DAMAGE REBUILD 4 CARPORTS 1 I IFEE DESCRIPTION QUANTITY UOM AMOUNT 1 1 (APPLICANT TEL NO I I 1 IGARCIA HILDA (626) 542 5496 ID1 PLANCHECK W/O EN HC 17350 00 VAL 299 20 1 1 1 IAA BLDG PERMIT ISSUANCE 27 80 ISPECIAL CONDITIONS 1 IAB STATE GREEN BLDG FEE 17350 00 VAL 1 00 I I 1 IAC STRONG MOTION RESID 17350 00 VAL 1 70 I 1 1 ID2 PERMIT W/O EN HC 17350 00 VAL 352 10 1 1 ICONTRACTOR TEL NO I TOTAL FEES 681 80 1APPROVALS DATE INSPECTOR SIGNATURE 1 IC B HOME INC (626) 279 5657 I 11608 E BANYAN COURT LIC NO 1 1LOCPTION AND SETBACKS I 1 (ONTARIO CA 91761 961219 f1 1_ 9 I { 1 { ISOILS ENGINEER APPROVAL11 1 I 1ARCHITECT OR ENGINEER TEL NO 1 (FOUNDATION/TRENCH FORMS I I I LIC NO rI ISLA3/UNDER FLOOR I I 1 1 )1 (RAISED FLOOR FRAMING 1 1 1 IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I � 1UNDERFLOOR INSULATION I I I 1150H265 K 65 3 001 1 I 1 I I I 11ST LEVEL FLOOR SHEATH 1 1 I 1NO OF FAMILIES DWELLING UNITS APT//COND STAT CLASS I I O { 1 12ND LEVEL FLOOR SHEATH �I 1 1 1 SCHOOL WITHIN HAZARDOUS I IROOF SHEATHING `�_ 11 1 1AIR QUALITY 1000 FEET MATERIALS 1 I - CT( 1 1 1 NO NO NO i 1FIRE DEPT FRAME INSPEI I I i (BLDG DEPT FRAME INSPECT( I I { I 1 I ISHEAR PANELS I 1 I I { 1 I 11NSULATION/WEATHER STRIP( I I 1 {INTERIOR LATH/DRYWALL I I { 1 1EXTERIOR LATH I I 1 1 ILOT DRAINAGE I 1 1 I I (SMOKE DETECTION DEVICES I I IFIRE DEPARTMENT APPROVAL( 1 � (REPORT ID DPR261 ROUTE TO SS0508 I1 {