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HomeMy Public PortalAbout5749 OAK AVE_Building__ ,�4PPL I CATI ON FOR COUNTY OF LOS ANGELES BUILDING PERMIT DEPARTMENT A D AFEOF TY DIVISION BUILDING FOR APPLICANT TO FILL IN ADDRESS 25 , 0AI-P, BUILDING RESd� ' ADDS Iar LOCALITY CITY ' ZIP NEAREST CROSS ST NO OF BLDGS ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL .[ DISTRICT GR TYPE FIRE P SSED BY TRACT ,/ ! BLOCK LOT NO"7,4 ? L�'�"o ONST Z TEL V OWNER NO STATISTICAL CLASSIFICATION SEWER MAP ADOREESS CLASS NO DWELL UNITS BK PG CITY I ZONE MAP ZIP-a- app NO ENGINEERT //t7�OF SPECIAL CJ�L7 CONDITIONS ADORESS< "/7A kLiv NLf, Vpr7AJV" ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONTRACTCUBIpjjj-J?qEjjqjWTEOL� _j9 LDG SETBACK FROM c RONT PROP LI NE OF (STREET) ADDRESS '3' v NO� / 2 IGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING LIC FRONT PROP LINE HIGHWAY WIDTH CITY CLASS CONSTRUCTION LENDER + - NAME AND BRANCH BLDG SET ADDRESS CITY SIDEPROP LINEOF (STREET) CD SQ FT NO OF NO OF CHECK HIGHWAY + YARD = TOTAL SETBACK TYPE OF EXISTING W SIZE o01D STORIES FAMILIES ONE SIDE PROP LINE WAY WIDTH O DESCRIPTION OF WORK L/ NEW ❑ + N / X / ` M DO CORNER CUTOFF YES ❑ NO ❑ FE -p,5cAkeA LTER ❑ IN OPEN SPACE YES ❑ NO ❑ EPAIR❑ USE OF IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG EMOL ❑ APPLICANT TEL L4(PRINT) NO BY (SIGNATURE) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION 1 CERTIF T IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMP Y ANY PERSON IN VIOLATION OF THE LABORCODE OF THE S TE OF CALIFORNIA IN RELAT NO TO WORKMEN S COMP 8A INSURANCE SIGNAT OF FINAL / BY PERMIT E DATE 6 ADDRESS TEL PC Fee$ Permit Fee 1S CITY NO Issuance Fee VALUATION$ /i ij 1 V Total Fee PLAN CHECK VALIDATIONcK M o CASH PERMIT VALIDATIONCK M o CASH 552tOCT 723 ® 9.00 7GA629A CBOB038+s/is _ A 5 5 3&,°wT 7 1 © 1 5.0 0 A98 • PPLICATIOWOR BUILDING PERMIT COUNTY OF LOS ANGELES _ "'- .. BUILDING AND SAFETY 'WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADD E BUILDIN ADDRESS 1.,- rq I hereby affirm that I hays a certificate of consent to self Insure C�r or a certificate of Workers Compensation Insurance or a certified copy thereof(Sec 3800 Lab C) CIT ZIP T LOCALITY Policy No Company SIZE OF Law U NO OF BLDGS NOW ON LOT ❑ Certified copy Is hereby furnished �1 O X /tryf NEAREST CROSS ST r 17 ❑ Certified copy is filed with the county building Inspection TRAFr / BLOCK LOT NO 33 department �p USE ZONE MAP NO Date Applicant ASSESSOR MAP BOOK fi4GE PARCEL 8 ©� t��� SPECIAL CONDITIONS .00 CERTIFICATE OF EXEMPTION FROM WORKERS' ► TEL LN ��7–� WITHIN 1000 FT OF SCHOOLS YES NO COMPENSATION INSURANCE 111 &A (This section need not be completed If the permit is for one hundred ADDRE DISTRICT GROUPTYPE ONST FIRE ZONE PROC BY dollars($100)or less) I certify that In the performance of the work for which this permit CITY ZIP t'�g Is Issued I shall not employ any person In any manner so as to ARCHITECT ENGINEER TEL NO J become subject to the Workers Compensation Laws STATISTICAL CLASSIFICATION APT CO Date Applicant ADDRESS CLASS NO 12;Z,/—_ DWELL UNITS N0710E TO APPLICANT If after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption you should become subject t0 the Workers CONTRACTOR TEL NO SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code you must forthwith FROM comply with such provisions or this permit shall be deemed revoked ADDRESS LIC NO PL SIDE LICENSED CONTRACTORS DECLARATION CRY LIC CLASS PL I hereby affirm that I am licensed underprovislons of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO51 Or NO OF STORIES NO OF FAMILIES Professions Code and my license Is In full force and effect // NEW ❑ BK PG polo. License Number LK: Class DESCRIPTION F WQRK ADD VALUATION B4O a Contractor Date "D h"K0L ALTER ❑ $ 0c)�' 8 ❑ I am exempt under Sec I REPAIR ❑ BBPC for this reason DEMOL ❑ LDMA P/C a W Date USE OF EXISTING BLDG URM 13 / /+T a D- Signature APPLICANT(PRINT) TEL NO LDMA Perm# 1 4 A Z I as owner of the property or my employees with wages as -~ f1 S 8 3M 50.50 their sole compensation will do the work and the structure Is ADDRESS / not Intended or offered for sal: (Section 7044 Business and FINAL DATE ' G 1 111 Professions Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ` R 1 y v Lensed owner of the property am exclusive) contract) with OR A MIXTURE CONDONING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE I Y i P Y y n9 AMOUNTS SPECIFlE ON THE HAZARDOUS MATERIALS INFORMATION GUIDE'+ FINAL BY � ^�s �e Busied contractors to construct the project (Section 7044 YES 11 NOP 3303 356■58 (� Business and Professions Code) WILL THE INTENDED USE MI THE BUINSTR BY THE APPLICANT OR FUTURE BUILDING 2 TTM OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH i i!G11� CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKUST FOR GUIDEUNES I hereby affirm that there Is a construction lending agency for YES 13 NO 1:1a the performance of the work for which this permit Is Issued(Sec IWWE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE ANDTHE SCAOMD PERMITTING 3097 Civ C) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LAS ANGELES COUNTY CODE CM CHAPTER 2 20 SE 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS Lenders Name 06 REPORTING AN fii PERM M THE SCAOMD o Lenders Address AGENT O c I certify that I have read this application and state under penalty PC FEE PERMIT FEE O of perjury that the above Information is correct I agree to comply 3a� N �a.�Q with all county ordinances and State laws relating to building con stru t and h by nze representatives of this County ISSUANCE FEE O ro to en con the ove-m n ed property for inspectio purp as ipomws INVESTIGATION FEE TOTAL FEE I �✓ Q a 7 1SEE REVERSE FOR EXPLANATORY LANGUAGE •7 d 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 1110240028 PHONE (626) 285-0488 EXT .�. , ILEGAL ID I NO OF CONST I BUILDING ADDRESS I ITR 6561 LT 733 I SQ FT STORIES TYPE 1 5749 OAK AV I ISTRUCTURE V-B I TEMP CA 917802431 1 (ASSESSOR INFORMATION NUMBER I i I NEAREST CROSS STREET 1 18587-005-011 I I THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY, Cl (TENANT (EXIST BLDG USE RESID USE ZONE R-1 (ISSUED ON PROCESSED BY 1 (EXIST OCC GRP 110/24/11 SR I (OWNER TEL NO 1BLDGS NOW ON LOT VALUATION 1FINAL DATE FINAL BY CODE 1 1DANG, ANDREW (626) 285-9091- 1 5,000 15749 OAK AV ITEMP 917802431 I FEES PAID IDESCRIPTION OF WORK I I I (INTERIOR BATHROOM REMODEL 1 IFEE DESCRIPTION QUANTITY UOM AMOUNT I 1 (APPLICANT TEL NO I I I IGLYCHER, ELINOR (800) 418-7055- IAA BLDG PERMIT ISSUANCE 27 80 I 1 IAB STATE GREEN BLDG FEE 5000 00 VAL 1 00 ISPECIAL CONDITIONS I I 1AC STRONG MOTION RESID 5000 00 VAL 0 50 I 1 1 1B2 PERMIT W/ENERGY 5000 00 VAL 146 10 1 I 1 1 TOTAL FEES 175 40 I 1 ICONTRACTOR TEL NO 1 IAPPRCIALS DATE INSPECTOR SIGNATURE ICALIFORNIA PREFERRED BUILDERS (800) 418-7055- 1 1- 120335 VENTURA BLVD # 422 LIC NO 1 1LOCAIION AND SETBACKS 1WOODLAND HILLS CA 91364 929364B I1 I I I 1SOILS ENGINEER APPROVAL 1 1 I (ARCHITECT OR ENGINEER TEL NO 1 IFOUNJATION/TRENCH FORMS I I I 1 LIC NO 1 SLAB/UNDER FLOOR I I I I I I 1 I IRAISED FLOOR FRAMING 1 I 1 IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP 1 1UNDERFLOOR INSULATION I I I 1150H265 3 001 1 1 1 1 I I IFLOOR SHEATHING INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I I I 1 0 NO 21 1 1ROOF,SHEATHING 1 I I SCHOOL WITHIN HAZARDOUS 1 ISHEAP PANELS (AIR QUALITY 1000 FEET MATERIALS _ I I 1E 1 NO NO NO 1 1FRAMEINSPECTION I I I 1 1 IFIRE SPRINKLER HANGERS 1 I I 1 I PIKE I N I I I 1 11N SUI,ATIO /WEATHER STRIPI I I 1 INTERIOR LATH/DRYWALL 1 1 1 �t I 1 1EXTERIOR LATH I I I 1 1 IRATED FLOOR/CEIL ASSEM I I I I IRATED WALL ASSEMBLIES I I I IRATED SHAFTS/OPENINGS I I I I I I IT-BAR CEILINGS I I I I• ADDITIONAL DATA ON FILE I1 I 1 1 I ILOT DRAINAGE I I I IREPORT ID DPR261 ROUTE TO BS0508 I I I I 1 I I I I I