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HomeMy Public PortalAbout5819 OAK AVE_Building__ FOR APPLICANTAoPPLI CATI(PrintoONtypeonFOR BUILDING PERMIT FILL BUILDING COUNTY OF LOS ANGELES ADDRESSCR39 DEPARTMENT OF COUNTY ENGINEER CITY COX z I P BUILDING AND SAFETY DIVISION NO.OF SLOGS, BUILDING SIZE OF LOTISM" NOW ON LOT ADDRESS - TRACT45" BLOCK LOT*NO LOCALITY T NEAREST ,OWNER N CROSS ST. ASSESSOR ADDRESS J= N& MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE PROCESSED BY CITY ZIP CONST. ZONE ARCHITECT R TE � ,. ENGINEER NO � `IS M STATISTICAL CLASSIFICATION SEWER MAP ADDRESS ..1' CLASS NO,L4— _DWELL,UNITS BK"�,: f-PG E L. USE ZONE MA ' CONTRACTOR ......���� NE Ylkfit� O P- .. LIC. NO. ADDRESS NO. _ SPECIAL, ,Y LIC. "' CONDITIONS CITY CLASS >- L SS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ d f CONSTRUCTION LENDE - O NAME AND BRANCH 3bs. s BLDG.SETBACK FROM I 'll,j U ADDRESS ' +� FRONT PROP..LINE OF �"` (STREET) J HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF EXISTING W- SO. FT.. NO. OF )40. OF 'E19ECK FRONT PROP. LINE HIGHWAY WIDTH SIZE r'�- STORIES 'FAMILIES ONE - C `� DESCRIPTION OF WORK j- CMrw,FQW.& NEW _ ADD ❑ BLDG.PSETBACKFROM IS TREETI W SIDE ROP, LINE OF ALTER ❑ TOTAL SETBACK FROM TYPE OF EXISTING F�- HIGHWAY } VA RD - HIGHWAY WIDTH _ REPAIR❑ SIDE PROP; LINE USE OF t = j EXISTING BLDG. DEMOL ❑ APPLICANT T - CORNER CUTOFF YES ❑ NO ❑ (PRINT) N . BY (.SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ 1 IN COASTAL ZONE YES ❑ NO ❑ VALUATION$ CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON— STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) { HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE P LABOR CODE OF 'THE STATE OF, CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. is SIGNATURE OF PERMITTEE , ADDRESS FINAL n 1�-�' B Y NO. TEL. DA TE Yn[` 6 CITY MAKF_ CHECKS PAYABLE TO: F E � FEE $ HARVEY T. BRANDT. COUNTY ENGINEER j PLAN CHECK VALIDATION. CK. M.O. CASH _ PERMIT VALIDATION CK. M O. CASH 76A638A CE#803 7/73 4 l; AN j 5awl 4 ; APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUI�DIhG COUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER CITY ZIP BUILDING AND SA5U DIVISION j O OF SLOGS BUILDING SIZE OF LOT NOW ON LOT ADORES TRACT 1p BLOCK LOT NO �� LOCALITY TEL NEAREST OWNER NO CROSS ST ASSESSOR ADDRESS 1 MAP BOOK I PAGE PARCEL DISTRICT GROUP TYPE FIRE PROC ED BY CITY ZIP L^ CONST ZONE ARCHITE T 5 TEL �!//7 ENGINEER s NO S STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO_(L-3 DWELL UNITS /_ B G CONTRACTOR NEL USE ZONE MAP LIC NO O ADDRESS NO � SPECIAL LIC CONDITIONS CITY CONSTRUCTION LENDER CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ y NAME AND BRANCH BLDG SETBACK FROM Y FRONT PROP LINE OF (STREET) ADDRESS ` CITY HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF 1EXISTING SQ FT NO OF NO OF CHECK FRONT PROP LINE HIGHWAY WIDTH C SIZE 30� STORIES ` FAMILIES 3 ONE _ CCiF777 DESCRIPTION OF WORK NEW + CL DD ❑ BLDG SETBACK FROM (STREET) z SIOEPROP LINEOF ALTER ❑ _ TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY + YARD — HIGHWAY WIDTH REPAIR❑USE SIDE PROP LINE E SOT NG BLDG DEMOL 1:1 + APPLICANT T L CORNER CUTOFF YES ❑ NO ❑ (PRINT) BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ IN COASTAL ZONE YES ❑ NO ❑ VALUATION � dJ90' CATEGORICAL EXEMPTION YES❑ NO ❑ I HERE BYIACK NOW LEDIE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN 5 COMPENSATION INSURANCE SIGNATURE OF PERMITTEE ADDRESS FINAL BY TEL CITY NODATE � MAKF CHECKS PAYABLE TO FEE FEE HARVEY T BRANDT COUNTY ENGIREER ,r—47?-0 'Ie v:!Fajjw PLAN CHECK VALIDATION CKM 0 CASH PERMIT VALIDATION CK M o CASH Vv. -, 7GA638A CE0803 7/73 APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print O, type onivT BUILCING COUNTY OF LOS ANGELES E ADDRSS at, DEPARTMENT OF COUNTY ENGINEER CITY 2MIS CilkJ1 ZIP BUILDING AND SAFETY DIVISION NO.OF BLDG§. BUILDING SIZE OF -Uftaw NOW ON LOT 49 ADDRESS M TRACT 'BLOCK LOT NO LOCALITY T NEAREST OWNER CROSS ST. ASSESSOR ADDRESS MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE PROCESSED BY CITY Alhambra ZIP CONST,,.,' ZONE ARCHITEC R TEL. h{� ENGINEERS �• NO. ���r'4� STATISTICAL CLASSIFICATION SEWER MAP ADDRESS Lai$ 7UD allo T,cl CLASS NO. .'_DWELL,UNITf!! CONTRACTOR NOL USE ZONE M,4P LIC. ADDRESS NO, SPECIAL LIC, n CONDITIONS CITY' CLASS. ROAD DE PA RTM ENT APPROVAL REQUIRED YES❑ NO ❑ O CONSTRUCTION LEND v NAME AND BRANCH s♦ BLDG,SETBACK FROM W FRONT PROP.LINE OF -- (STREET) � ADDRESS - 8 tAidrolftaHIGHWAY } YARD TOTAL SETBACK FROM TYPE OF EXISTING L" SQ. F //���� [NO"OF NO. OF - CHECK FRONT PROP. LINE . HIGHWAY WIDTH }. SIZE ON RIES FAMILIES ONE + DESCRIPTION OF WORK NEW ' C 1 ADD ❑ BLDG.SETBACK FROM ME SIDE PROP.LINE OF (STREET) H -ALTER TOTAL SETBACK FROM TYPE OF EXISTING { REPAIR[] HIGHWAY PROP. LINE HIGHWAY + YARD. _ E HIGHWAY WIDTH USE OF DE ❑ + EXISTING BLDG, - ; APPLICANT �p #��i TE�Ly, CORNER CUTOFF YES ❑ NO ❑ (PRINT) � i N`�Y. _ BY (SIGNATURE) - IN OPEN SPACE YES ❑ NO ❑ Q IN COASTAL ZONE YES ❑ NO ❑ VALUATION W """`" U, _ CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- STIR UCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY IWILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S CO M P ENSATION INSURANCE. SIGNATURE OF PERMITTEE ADDRESS FINAL /< /7�n� BY �� ` TEL. DATE -G// 6% CITY NO. MA KF_ CNECKS.'PAYABLh TO P.C. PMT.$ FEE FEE P HARVEY T. BRANDT, COUNT-,Y ENGINEER PLAN CHECK VALIDATION CK. r+o.. CASH PERMIT VALIDATION VC M O. CASH 1T638A�C:;E#A03 403 3 ., 3A V ,67, it 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 1202210011 PHONE (626) 285 0488 EXT ]LEGAL ID NO OF CONST BUILDING ADDRESS ITR 33632 UN 3 ( SQ FT STORIES TYPE 5819 A B C OAK AV I ISTRUCTURE 4100 V B TEMP CA 917802133 ASSESSOR INFORMATION NUMBERNEAREST CROSS STREET 18587 006 031 1 1 THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY Cl TENANT JEXIST BLDG USE CONDO USE ZONE R 3 JISSUED ON PROCESSED BY I 1EXIST OCC GRP 102/21/12 SR 1 OWNER TEL NO IBLDGS NOW ON LOT VALUATION IFI TE F BY CODE TONY (626) 688 9080 I 9 000 15819 OAK AVE I I �?/ TEMP 917802706 FEES PAID ID�IPTION OF WORK TEAR OFF EXISTING AND INSTALL 25 YRS COMPOSITION SHINGLES _IFEE DESCRIPTION QUANTITY UOM AMOUNT I APPLICANT TEL NO I I BARK YONG (909) 455 4459 IAA BLDG PERMIT ISSUANCE 27 80 IAB STATE GREEN BLDG FEE 9000 00 VAL 1 00 ISPECIAL CONDITIONS IAC STRONG MOTION RESID 9000 00 VAL 0 90 ID2 PERMIT W/O EN HC 9000 00 VAL 200 30 - _� TOTAL FEES 230 00 I CONTRACTOR TEL NO [APPROVALS DATE INSPECTOR SIGNATURE PARK S ROOFING (909) 455 3566 I 13806 RIVERSIDE DR LIC NO ILOCrTION AND SETBACKS CHINO CA 91710 960999 C39 I I 1SOIi4 ENGINEER APPROVAL I I I 1ARCHITECT OR ENGINEER TEL NO 1 1FOUNDATION/TRENCH FORMS I I I 1 LIC NO 1 1SLAB/UNDER FLOOR I I I IRAISED FLOOR FRAMING I I I IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I [UNDERFLOOR INSULATION I I I I150H265 3 001 I 1-1 i I I IFLO)R SHEATHING I I I INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS --J I I I I 1 0 NO 21 1 1ROOb SHEATHING _�I�I SCHOOL WITHIN HAZARDOUS I ISHFAR PANELS _;d [AIR QUALITY 1000 FEET MATERIALS I I I I I NO NO NO I [FRAME INSPECTION I I I FIRF SPRINKLER HANGERS I I I IINSJLATION/WEATHER STRIPI I I I _I (INTERIOR LATH/DRYWALL I I I I I I I 1EXTERIOR LATH I I I 1 j IRATED FLOOR/CEIL ASSEM I I I I I IRATED WALL ASSEMBLIES I I I IRATED SHAFTS/OPENINGS I I I I I I I 1T BAR CEILINGS I I I ILOT DRAINAGE 1 1REPORT ID DPR261 ROUTE TO BS0508 I I I I