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Home My Public Portal About6012 OAK AVE_Building__ 76AG88A CER�B K GkAPPLICATION ;/OR BUILDIN PERMIT BOUNTY OF LOS ANGELES B U I L DING DEPAIRTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST COLEMAN W JENKINS,SUP T OF BUILDING CROSS ST DISTR T NO G O P TYPE P SEED BY FOR APPLICANT TO FILL IN � CONST BUILDING STATISTICAL CLASSIFICATION SE ER MAP ADDRESS ,� CLASS NO _DWELL UNITS BK PG LOT NO �- s r S LOCK USE ZONE MAP NO TRACT / SPECIAL NO OF BLDOS IrIONS SIZE OF LOT m X NOW ON LOT USE OF EXISTING RLQG-f BLDG SETBACK FROM OWNER V � No T/ IRONT PROP LINE OF - (STREET) L74..,* _ (� [ �7 TYPE OF EXISTINGi SETBACK HIGHWAY YARD - TOTAL ADDRESSo D (/(J IQ / � jJ HIGHWAY M1 ca-0 -C/l CITY J A� (p R l�� !/ + 02,4 Lir4 ENO NEERT OR TEL n'D BLDG SETBACK FROM Q�if F NO d BIDE PROP LINE OF STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS-5'374/1 F E HIGHWAY WIDTH FROM C L CONTRACTOR NOL / + V ADDRESS LIC NO CORNER CUTOFF YES NO O -�'t LIQ SEE REVERSE SIDE FOR SPECIAL APPROVALS � DESCRIPTION OF WORKh svaveiYo a d7a z_ NEW ADD ALTER REPAIR DEMOLISH NO ti1G�o N :.r s o. a..R G6 1 n 1ar� SIZE /q 3 7 ST OFNWNO O IES a (� i(�!`° �.Te7ot< Suf•�e'Ieea/Y L. — USE OF STRUCTURE asI f(L S r DC -PIL a f« SIGNATURE OF APPLICANT VALUATION$ QIJQ APPROVALS QATE, /INSPECTOR SSIGN.ATURK P C PMT S� POPNDATON ORMSIMATERICALB N J FEE$ FEE$ FRAME FIRE STOPS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BO T AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCI§ GUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF THE LABOR CODC OF THE STATE CALIFORNIA RELAT ING TO WORKMEN PENSATIOt'i IN A E / s LATH EXT SIGNATURE PERMITTEE O r C HORSE RCT ANDER COR NPOSTED W 9/47- ADDRESS ` rF 1 44 I N A L JOHN PLAN CHECH VALIDATION CK M O CASH - PE UAIT CK URVALIDATION T M O ENGINEER t.�o 2 0 9 212 MAY 28 23025 A uto29093 JUN 21 1 0 60.50" c' Ven4z,� I -9� WORKERS COMPENSATION DECLARATION 1 hereby a certificate that 1 have a certificate of consent to self APPLICATION FOR BUILDING PERMIT IL insure or a certtftte of Workers Compensation Insurance or a certified copy thereof(Sec 3800 Lab C) Policy NoRM 137880o. 1UM INSURANCE CO JOB # G027 COUNTY OF LOS ANGELES BUILDING AND SAFETY pany BUILDING Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with the county budding mspec BUILDING tion department ADDRESS 6012 NODI OAK AVENUE, Date 61 IA14M Applicant CITY TALE CITY ZIP CA 91 LOCALITY 'A 1W4 CIL CERTIFICATE OF EXEMPTION FROM WORKERS LOT NO ONE NEAREST COMPENSATION INSURANCE SIZE OF (This section need not be completed if the permit is for oneASSESSOR TRAM IBLOCK TOT MAP PAGE PARCEL hundred dollars($100)or less) I certify that in the performance of the work for which this OWNER USE ONE NO permit is issued 1 shall not employ any person in any manner ADDRESS 6012 NWM OAK AVENUE rf SPECIAL so as to become subject to the Workers Compensation Laws S Date Applicant CITY TFl�I+E CITY ZIP CA 91780 C NOTICE TO APPLICANT If after making this Certificate of ARCHITECT OR TEL DISTRICT I G UP TYPE FIRE BY Exemption you should become subject to the Workers NGINEER PIO MT 2ZONE G Compensatin provisions of the Labor Code you must forth ADDRESS ,/ J with comply with such provisions or this permit shall be TEL STATISTICAL C4A�SIF CATION APT CONDO deemed revoked CONTRACTOR CAL_pAIC ROOFING NO 500028 G LICENSED CONTRACTORS DECLARATION CLASS NO DWELL UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 1612 r'LOM STREI r NCO 379503 (commence with Section 7000 of Division 3 of the Business and mAT F SEWER MAP Professions Code and my license is in full force and effect CITY s CA 91201 LOF IC ASS B HECK BK PG VALIDATION License Number 379503 Ltc Clan—D— SQ ZEA 2930 TTORINO IEES = FAMILIES Ori CONE VALUATION Contractor agr RW WOF M Dote to DESCRIPTION OF WORK NEW DDC IRA—TIM, 30 SQA Mir ICBO ADD $4 500.00 11110I am exempt under Sec ALAR B&P C for this reason # 3409. REPAIR $ USE OF Date EXISTING BLDG 'S �' FAD�IILY DEMOI Signature APPLIICC N CAL—PAC ROOMG IlQC� 500-0286 FINAL $4 9 510 A OWNER BUILDER DECLARATION DATE �(�� 1 hereby affirm that I am exempt from the Contractor s License • • • • • Law for the following reason (Section 7031 5 Business and ADDRESS 1612 F'llCWM ST II.lALE 91201 NN ! • •7800 Professions Code) BUILDING I as owner of the property or myemployees with ADDRESS e e e 7 a 0 0 wages as their sole compensation will do the work and LOCALITY 100, 0?0 2 8 b the structure is not intended or offered for sale(Section 7044 Business and Professions Code) MOVING TEL 0 1 as owner of the property am exclusively contracting CONTRACrOR NO with licensed contractors to construct the project(Sec tion 7044 Business and Professions Code) ADDRESS UIRED TOTAL SETBACK FROM CONSTRUCTION LENDING AGENCY MACK I YARD HWY PROP LINE WIDTH 1 hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued PL (Sec 3097 Civ C) SIDE $ PL Lender s Name PC Fee E Permit No LDMA Ref 0 Lender s Address I certify that 1 have read this application and state that the Issuance fes 6s0 LDMA P/C# above information is correct I agree to comply with all County Investigation Fee ordinances and State laws relating to budding construction Total Fee t LDMA Perm M and hereby authorize representatives of this County to enter upon the abovq milintioned pLrorty for inspection purposes QR rti 1t0 � $iE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date ®t i COUNTY OF BUILDING DEPARTMENT OFLOS PUBLICELES WORKS 071LLASITY TUNAS # 0508 _ RESIDENTIALRMIT ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9608070007 PHONE (818) 285 0488 EXT LEGAL ID NO OF CONST NEW BUILDING ADDRESS TR 6561 LT 330 SQ FT STORIES TYPE OCCUP GROUP 6012 OAK AV STRUCTURE 640 1 V R3 TEMP CA 917802029 ASSESSOR INFORMATION NUMBER GARAGE NEAREST CROSS STREET WOODRUFF 5385 006 018 OTHER THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY TENANT EXIST BLDG USE USE ZONE ISSUED ON PROCESSED BY EXIST OCC GRP 08/08/96 TC 08/07/97 OWNERL OT VALUATION AL E F ODE SYARIF DADANG H SOFIATI KOSPITA 1 47 360 �i,� 6012 OAK AV C7 TEMP 917802029 FEES PAID IDESCRIPTION' OF WORK ADD BEDROOM FAMILY AND BATH FEE DESCRIPTION QUANTITY UOM AMOUNT APPLICANT TEL NO JAY AR CONSTRUCTION (818) 286 6471 AA BLDG PERMIT ISSUANCE 27 75 AE STRONG MOTION OTHER 47360 00 VAL 9 95 SPECIAL CONDITIONS 61 PLANCHECK W/,ENyx � 47360 00 VAL 718 37 62 PERMIT W/� ERGY L- W7360`00�11A_L 839 92 GP TOTAL FEES V 1 595 99 JAY AR CONSTRUCTION (818) 286 6471 INSPECTOR S GNA 6022 PRIMROSE AVE LIC 1 ✓ �� LOCATION AND SETBACKS TEMPLE CITY CA 91780 276131 O �/ SOILS ENGINEER APPROVAL LIC NO SLAB/UNDER FLOOR MAP NO R MAP BOOK PAGEIRE ZONE wPUBLIC WORKS LINSULATION 3 01 NO 21 `�,, S SCHOOL WITHIN HAZARDOUS AIR QUALITY 1000 FEET MATERIALS NO NO NO FIRE DEPT FRAME INSPECT REQUIRED EXIST TOTAL SETBACK FROM BLDG DEPT TENRE-nigRU SET BACK YARD HWY PROP LINE WIDTH `�' �� b FRONT PL Iv'C Q �� H ANELS SIDE PLINTERIOR LATH/DRYWALL OT DRAINAGE SMOKE DETECTION DEVICEr FIRE DEPARTMENT APPROVAL REPORT 1D DPR261 ROUTE TO BS0508