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