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HomeMy Public PortalAbout6009 OAK AVE_Building__ r IDS r � + Cir , ce re basal • • -- APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING /' ,._ 9 Aj ©A /� ADDRESS �GCC�� 1�-- fADDRESSLDING / �j � LOCALITY NEAREST ZIP 71"/d O CROSS ST X�J NO OF BLDGS ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PA I PARCEL DISTRICT GROUP TYPE FIRE P ESSED BY TRACT JBLOCK LOT NO CONST jppiF OWNER � TEL oR.�li7jU STATISTICAL CLASSI C/�jION SEWER MAP ADDRESS �� o CLASS NO •r(7�// DWELL UNITS BK PG CITY ZIP 05��D ARCHITECT OR TEL VALUATION $ ©� ENGINEER NO / O ADDRESS BLDG SETBACK F M TEL FRONT PROP LINE OF ;iSTREET) CONTRACTOR NO TOTAL SETBACK FROM TYPE OF EXISTING LIC HIGHWAY + YARD = FRONT PROP LINE HIGHWAY WIDTH ADDRESS NO LIC + _ CITY CLASS CONSTRUCTION LENDER /JD i BLDG SETBACK FROM NAME AND BRANCH �v SIDE PROP LINE OF (STREET) HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS CITY SIDE PROP LINE HIGHWAY WIDTH SQ FT NO OF NO OF / CHECK + _ SIZE STORIES FAMILIES ONE DESCRIPTION OF WORK NEW C Fee$ �Z / C Permit Fee d/yf ADD Issuance Fee • u �I ALTER C.[ REPAIR 1 Total Fee *c USE OF DEMOL ❑ EXISTING BLDG —/ Q Z APPLICANT TEL C (PRINT) NO < z 6 8 2 0 A Z3 � BY ISIGNATU -+ # • o • o o I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE (� {w THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES ) W 1 2 - 29350,, AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THEWORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY / _ THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATINGGTTO WORKMEN 5 COMN IN VIOLATION / Z ��5 `'0 PENSATION INSURANCE SIGNATURE 1►6� - 7 PERMITTEE ADDRESS CITY G TEL N r O USE ZONE MAP 206-7 j // NO GGJ 1� t IS`(/ SPECIAL ti I t ' CONDITIONS FINAL7_ By--V- mi DATE &,ad A� IS. r WORKERS COMPENSATION DECLARATION Jhe a acertifhcote of Workers'icampensa ons Innt to suroncef APPLICATION FOR BUILDING PERMIT * pr as0ed copy thereof(See 3800 lab C) COUNTY OF LOS ANGELES BUILDING AND SAFETY PohcyrNo Company ❑` Certified copy is hereby furnished FOR APPLICANT TO FILL IN AAWRESS Al vc ❑ Certified copy is filed with the county budding inspec BUILDING Dre tion deportment L,n Dare Applicant We CA e CITY^ ZIP 9/7a 0 LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS SIZE OF LOT NOW ON LOT NEAREST T Wood RU=COMPENSATION INSURANCE (This section need not be completed d the permit is for one TRACT BLOCKLOT NO MAP BOOK ASSESSOR I PAGE PARCEL ,. undraxl dollars($100)or less) OWNER a rar4 Amm R4mo2_NO A USE ZONE MAP O— I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner ADDRESS /VNO /� G — N'"t,O o. so as to become subject to the W ens n we CITY 1 e m r , Zip '7 17a O V Date�Applicant ARCHITECT OR DISTRICT GROUP TYPE FIRE PROCESSED BY Q NOTICE TO APPLICANT If after making th s Certificate of ENGINEER • NO Exemption you should become subject to the Workers rir 7 ,/ C O ? CONST 1 f E A A p Compensation provisions of the Labor Code, you must forth ADDRESS W A C J �/ with comply with such provisions or this permit shall be TEL STATISTICAL CLASSIFICATION APT I CONDO Z deemed revoked CONTRACTOR NO LICENSED CONTRACTORS DECLARATION LIC CLASS NOG21 DWELL UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO SEWER MAP (commencing with Section 7000)of Division 3 of the Business LIC and Professions Code and my license is in full force and effect CITY� NO OF NO OF CLASS CHECK BK FG 23VALIDATION y License Number Uc Class SIZE STORIES FAMILIES ONE DESCRIPTION OF WORK NEW VALUATION ABTA Contractor Date V $ , =7 314.93 ❑1 am exempt under Sec I 4m 1 ADD B&P C for this reason Q ALTER ❑ $ 1 ITEMS REPAIR ❑ TOTAL, 314 e.93 USE OF FG BLDG g�� h DEMa ❑ CKCK 314.93 Signature APPLICANT TEL FINAL t[ OWNER BUILDER DECLARATION (PRINT) NO DATE vOWE •� I hereby affirm that I am exempt from the Contractors license Law for the following reason (Section 70315 Business and ADDRESS FINAL tgfeasions Code) By UN 1 as owner of the property or my employees with BUILDING 0000-Ml 7 wages as their sole compensation will do the work and 3 1 F"12=05 the structure is not intended or offered for sale(Section LOCALITY , +�T a 7044 Business and Professions Code) MOVING TEL •* ❑ I as owner of the property am exclusively contracting CONTRACTOR NO 3307 381.00 with licensed contractors to construct the project(Sec ADDRESS tion 7044 Business and Professions Code) 1 ITEMS REQUREDCONSTRUCTION LENDING AGENCY SET ICK YARD HWY AIPROF ALINE EXIST TOTAL. 38 1-OO I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P L (E(* 381.00 (Sec 3D97 Civ C) SIDE PL NAM Lenders Name .00 P C Fee Permit Fes 0 TDMA Ref A Lender's Address 1 9/ 8/89 0 1 certify that 1 have read this application and state that the Issuance LDMA P/C 0 00 above information is correct I agree to comply with all County InvestigationFee ? /� + 1 AL1 9.39 ordinances and State laws relating to building construction Total Fes_. s ICJ o LDMA Perm / and here�by�nep ntatives of this County ro enter then operty for inapecypypn Rurppooses tip—nt�m SEE REVERS!FOR EXPLANATORY LANGUAGE iignatule&Applicant or Agent Date r elm 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 1410080047 PHONE (626) 285 0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS ITR 6561 IT 340 UN 002 SQ FT STORIES TYPE I ISTRUCTURE V B 6009 OAK ASSESSOR INFORMATION NUMBER TEMP CA 91177 802030 15385 005 012 ' � NEAREST CROSS STREET LAS TUNAS THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY CAI TENANT JEXIST BLDG USE RESID USE ZONE R 1 ISSUED ON PROCESSED BY (EXIST OCC GRP 110/08/14 SR 1 OWNER TEL NO IBLDGS NOW ON LAT VALUATION500 (FIN DATE N HY CODE ICHANG CHIA LING (909) 394 4820 1141 PUDDING DR I ISAN DIMAS CA 91773 FEES PAID Db4CRIPTT014LOF WORK I IREPAIR & REPLACE WATER WAGED SIDINGS ON EAST & WEST SIDES I (FEE DESCRIPTION QUANTITY UOM AMOUNT ISCRAPE CHIP PAINT PRIME & PAINT I APPLICANT TEL NO I I I ISAME AS OWNER IAA BLDG PERMIT ISSUANCE 27 80 I IAB STATE GREEN BLDG FEE 2500 00 VAL 1 00 ISPECIAL CONDITIONS I IAC STRONG MOTION REBID 2500 00 VAL 0 50 D2 PERMIT W/O EN HC 2500 00 VAL 99 00 IFR INV WORK W/O PERMIT 344 00 DOL 344 00 I s I ICONTRACTOR TEL NO I TOTAL FEES 472 30 IAMOTALS DATE tN4MCVOR S NATURE I ISAME AS OWNER I I LIC NO I ILOCATION AND SETBACKS I I I ISOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER TEL NO I IFOUNDATION/TRENCH FORMS I I I LIC NO I I I I I I (SLAB/UNDER FLOOR I I I IRAISED FLOOR FRAMING (MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I (UNDERFLOOR INSULATION I I I 3 OOI IFLOOR SHEATHING INO OF FAMILIES DWELLING UNITS APN//COND STAT CLASS I I I I I IROOF SHEATHING SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I LAIR QUALITY 1000 FEET MATERIALS I I NO NO NO I IFRAML INSPECTION I I IFIRE SPRINKLER HANGERS I I (INSULATION/WEATHER STRIPI I (INTERIOR LATH/DRYWALL I /1I I �I (EXTERIOR (RATED FLOOR/CEIL ASSEM I I I IRATED WALL ASSEMBLIES IRATED SHAFTS/OPENINGS IT BAR CEILINGS ILOT DRAINAGE IREPORT ID DPR261 ROUTE TO BS0508