HomeMy Public PortalAbout5821 OAK AVE_Building__ ` APPLICATION FOR BUILDING PERMIT
FUR APPLICANT TO FILL IN IPnnt or type only)
COUNTY OF LOS ANGELES
BUILDING
ADDRESS - DEPARTMENT OF COUNTY ENGINEER
CITY ZIP BUILDING AND SAFETY DIVISION
NO OF BLDGS BUILDING
SIZE OF LOT NOW ON LOT ADDRESS J /
TRACT BLOCK LOT NO LOCALITY
61 NEAREST
OWNER O ZJ'd� CROSS STej
ASSESSOR
ADDRESS MAP BOOK PAGE PARCEL
CITYo!d P o DISTRICT pp_� GROUP TYPECONFIRE P ED BY
ARCHITECT OR TEL / �' , d V13— ZOI:� [a .
ENGINEER yy NO (0 CSTATISTICAL CLASSIFICATION SEWER YIA(PP
ADDRESS Dy/ +it.s- �iCLASS NO DWELL UNITS A— BK! " �a
TEL
CONTRACTOR NO USE ZONELIC NOP -1007
ADDRESS NO SPECIAL
LIG CONDITIONS
CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH BLO G SETBACK FROM
FRONT PROP LINE OF (STREET)
ADDRESS CITY TOTAL SETBACK FROM TYPEOF EXISTING
SQ FT NO OF NO OF CHECK HIGHWAY + YARD FRONT PROP LINE HIGHWAY WIDTH
SIZE STORIES FAMILIES ONE
DESC IONOF O NEW C3 + U
ADD [IBLDG SETBACK FROM a
SIDE PROP LINE OF ISTREET1 O
ALTER ❑ TOTAL SETBACK FROM TYPE OFEXISTING
USE OF REPAIR ❑ HIGHWAY + YARD SIDE PROP LINE HIGHWAY WIDTH
EXISTING BLDG DEMOL C3 +
APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑
(PRINT) NO
IN OPEN SPACE YES ❑ NO ❑
BY(SIGNATURE) IN COASTAL PERMIT ZONE YES ❑ NO ❑
VALUATION$
1 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 CONSTRUCTION I CERTIFY THAT IN DOING THE
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF THE ST F LIFORNIA IN RELATING TO WO MENS
PENSATION INSURANCE
SIGNATURE OF
PERMITTEE
ADDRESS f FINAL Ar
CITY m ` DTE
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MAKE CHECKS PAYABLE TO P E $ PMT
HARVEY T BRANDY COUNTY ENGINEER FEE FEE
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION CK u o
4 9 9,Z DEC b 1 ® 15 0 0
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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 1202210012
PHONE (626) 285 0488 EXT
ILEGAL ID I NO OF CONST
BUILDING ADDRESS 5821 ABC OAK AV
TEMP CA 2
ITR 33632 UN 6 I SQ FT STORIES TYPE I I
I ISTRUCTURE 4100 V B I4 I
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSSSTREET
18587 006 034 1 1 THOMAS PAGE 596 GRID J3 LDCALITY TEMPLE CITY Cl
(TENANT (EXIST BLDG USE CONDO USE ZONB R 3 (ISSUED ON PROCESSED BY I
1 (EXIST OCC GRP 102/21/12 SR 1
(OWNER TEL NO JBLDGS NOW ON IAT VALUATION IFI TE P�lY CODE
(TONY (626) 688 9080 1 9 000 1 y
15819 OAK AV I 1
ITEMP 917801653 1 FEES PAID JDESCR PTION OF WORK J
I 1 ITEAR OFF EXISTING AND INSTALL 25 YRS COMPOSITION SHINGLES J
IFEE DESCRIPTION QUANTITY DOM AMOUNT I 1
(APPLICANT TEL NO I
IBARK YONG (909) 455 4459 JAA BLDG PERMIT ISSUANCE 27 80 1
I JAB STATE GREEN BLDG FEE 9000 00 VAL 1 00 ISPECIAL CONDITIONS
JAC STRONG MOTION RESID 9000 00 VAL 0 90 I 1
ID2 PERMIT W/O EN HC 9000 00 VAL 200 30 1
I I TOTAL FEES 230 00 I
[CONTRACTOR TEL NO 1 JAPPROVALS DATE INSPECTOR SIGNATURE
IPARK S ROOFING (909) 455 3566 1 I I
13806 RIVERSIDE DR LIC NO I ILOCATION AND SETBACKS J I I
(CHINO CA 93.710 960999 C39 1 I t ( I I
I 1 ISOIIS ENGINEER APPROVAL I I I
JARCHITECT OR ENGINEER TEL NO I IFOUNDATION/TRENCH FORMS J I I
LIC NO I (SLAB/UNDER FLOOR I I I
IRAISED FLOOR FRAMING
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I JUNDERFLOOR INSULATION I 1
1150H265 3 001 1 i
I I (FLOOR SHEATHING I I I
INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I I I I I
1 0 NO 21 1 (ROOF SHEATHING (
1 SCHOOL WITHIN HAZARDOUS J ISHEAR PANELS �F I I
JAIR QUALITY 1000 FEET MATERIALS 1 I I I I
1 NO NO NO 1 [FRAME INSPECTION I I
1 IFIRE SPRINKLER HANGERS
I I I
I i 1INSULATION/WEATHER STRIP( [ I
1 1 (INTERIOR LATH/DRYWALL I [ I
1 I 1EXTERIOR LATH ( I I
1 IRATED FLOOR/CEIL ASSEM I I [
1 i IRATED WALL ASSEMBLIES I I I
1 I (RATED SHAFTS/OPENINGS 1
I I IT BAR CEILINGS I I I
1 ILOT DRAINAGE I I I
IREPORT ID DPR261 ROUTE TO BS0508
[ I I I I I
COUNTY OF IAS 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 1103160033
PHONE (626) 285 0488 EXT
ILEGAL ID I NO OF CONST I BUILDING ADDRESS
ITR 33632 UN 5 I SQ FT STORIES TYPE 5821 OAK AV A 1
I ISTRUCTURE V B I TEMP CA 917802134 1
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET 1
18587 006 033 I I THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY Cl
I I I I
TENANT JEXIST BLDG USE RESID USE ZONE R 3 ISSUED ON PROCESSED BY I
(EXIST OCC GRP ,03/16/11 SR 1
JOWNER TEL NO JBLDGS NOW ON LOT VALUATION IFI DATE FINJAL BY CODE 1
ILIU WEIZHI (626) 688 9080 1 6 000 1 1
15821 OAK AV I I
ITEMP 917802134 1 FEES PAID IDS RIPTION OIF WORK 1
IKITCHEN AND TWO BATHROOMS R MODEL 1
I IFEE DESCRIPTION QUANTITY DOM AMOUNT I I
(APPLICANT TEL NO I I I
ISAME AS OWNER IAA BLDG PERMIT ISSUANCE 27 80 1 1
J IAB STATE GREEN BLDG FEE 6000 00 VAL 1 00 ISPECIAL CONDITIONS I
JAC STRONG MOTION RESID 6000 00 VAL 0 60 I I
JB2 PERMIT W/ENERGY 6000 00 VAL 164 70 1 1
I JFR INV WORK W/O PERMIT 257 00 DOL 257 00 I I
ICONTRACTOR TEL NO i TOTAL FEES 451 10 JAPPROVALS DATE INSPECTOR SIGNATURE
ISAME AS OWNER
LIC NO i (LOCATION AND SETBACKS I I I
I I ISOILS ENGINEER APPROVAL I I I
ARCHITECT OR ENGINEER TEL NO i (FOUNDATION/TRENCH FORMS I I I
LIC NO i (SLAB/UNDER FLOOR I I I
I I IRAISED FLOOR FRAMING J I I
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I JUNDERFLOOR INSULATION I I I
1150H265 3 001 1 1 I I
I I IFLOOR SHEATHING I I I
INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS I I I I I
1 NO 21 1 IROOF SHEATHING I I I
1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I
JAIR QUALITY 1000 FEET MATERIALS I I I I I
J NO NO NO I IFRAME INSPECTION
I I I
I IFIRE SPRINKLER HANGERS I I I
i I I
J I JINSULATION/WEATHER STRIP( I I
I 1 JINTERIOR LATH/DRYWALL I I I
I I I
I 1EXTERIOR LATH I I I
I I I
I IRATED FLOOR/CEIL ASSEM I J 1
I I I
I I IRATED WALL ASSEMBLIES I I I
I
I I (RATED SHAFTS/OPENINGS 1
I
I I IT BAR CEILINGS I I I
I I I
I I ILOT DRAINAGE I I I
J (REPORT ID DPR261 ROUTE TO BS0508 I I I I