HomeMy Public PortalAbout6018 OAK AVE_Building__ (2) 7GA888A CC0008 B D4 APPLICATION FOR BUILDING PER IT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEM ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY ,
JOHN A LAMBIE COUNTY ENGINEER NEAREST •
COLEMAN W JENKINSAUP T OF BUILDING CROSS ST
DISTR T NO OR TYPE P Y
FOR APPLICANT TO FILL IN coNsr
BUILDING STATISTICAL CI�p�4BIFICATION SEWER MAP
ADDRESS 6018 North Oak Avenue CLASS NO DWELL UNITS BK PG
� �� � BLOCK USE ZONE MAP
NO [/
LOT NO ter)
TRACT SPECIAL
NO OF SLOGS CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
BLD* SETBACK FROM
TEL FRONT PROP LINE OF (STREET)
OWNERVelvin D. Sanders NO TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL
ADDRESS 6018 N Oak Ave IG FROM C L
CITY Temple City I +
ARCHITECT OR TEL BLOS SETBACK FROM _
ENGINEER NO 810E PROP LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS _ HIGHWAY WIDTH FROM C L per,
�`i,� � u
O.
CONTRACT� lMfg.� aTEL 2635181 +
ADDRESS337 S Woods Ave. No 159496 CORNER CUTOFF YES NO 0
H
CITY Los Angeles CL1195 C 39 SEE REVERSE SIDE FOR SPECIAL APPROVALS W
DESCRIPTION OF WORK U
Z
NEW ADD ALTER REPAIR DEMOLISH
SQ FT NO OF NO OF
SIZE STORIES FAMILIES
STRUCTURE reroof house
SIGNATURE OF
APPLICANT
VALUATION$ 410 OO 0 APPROVALS DATE INSPECTOR 3SIGNATURE
P C PMT FOpORMSIMATER1ALgON
mm7FEE$ t FEE$
FRAME FIRE STOPS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
SUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIXED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RF4,AT
ING TO WORKMEN PEN8ATIO INS ANCE T
81GNATURE HOU NUMBER COR
PERMITTEE POSTED-
OR S
DRESS AL f f
A O T
JOHN F LEWIS PRINCIPAL ST U AL ENGINEER
PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATIONcK M o CASH
LK'w6 ,85916 JUN 5 1D 9.00— s
WORKERS COMPENSATION DECLARATION
sures off ce that 1 haver certificate of consent to self APP,IL16ATIO N FOR BUILDING PERMIT
insure df a ce nate of Workers Compensation Insurance
or co j thereof(Sec 3800 Lab C) 1
COUNTY OF LOS ANGELES BUILDING AND SAFETY
Polity Company BUILDING
❑ rtified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS �Q/�' �J
T ❑ Certified copy is filed with the county building inspec BUILDING
hon department ADDRESS40163 IV, 644 Ate,
Date Applicant CITY ZIP O LOCALITY
F BLDGS NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS SIZE OF LOT o ON LOT CROSS TS
COMPENSATION INSURANCE ASSESSOR
Tis section need not be completed if the permit is for one TRACT BLOCK LOT NO MAP BOOK %887 PAGE PARCEIO�
undred dollars($10D)or less) TEl
OWNER ZONE MAP
I certify that in the performance of the work for which this
AL
permit is issued I shall not employ any person in any manner ADDRESS CO ISPECINDITIONS
so as to become subject to the Workers Compensation Laws VV
CITY ZIP glow
Date Applicant ARCHITECT OR IF TELOC
DISIVICr GROUP TYPE FIRE BY O
NOTICE TO APPLICANT If after making this Certificate of ENGINEER NO CONST Z E
Exemption you should become subject to the Workers _d y� Y b
Compensation provisions of the Labor Code you must forth ADDRESS (!4
with comply with such provisions or this permit shall beTEL. STATISTICAL CLASSIFICATION APT CONDO
deemed revoked CONTRACTOR IV4 LN Z
LICENSED CONTRACTORS DECLARATION CLASS NO�DYVELL UNITS
I hereby affirm that i am licensed under provisions of Chapter 9 ADDRESS
NO
LIC SEWER MAP
(commencing with Section 7000)of Division 3 of the Business
and Professions Code and my license is in full force and effect CITY CLASS or BK PG VALIDATION
SO FF NO OF NO OF CHECK
License Number Lic Class SIZE STORIES FAMILIES ONE
VALUATION
Contractor Date DESCRIPTION OF WORK "Aill1.1� NEW ❑ $ q-n �+.w✓1,00
U I am exempt under Sec ADD (� (J�/ ,
ALTER ❑
B&P C for this reason USE OF REPAIR ❑ ;
Date EXISTING BLDG DEMOL ❑
Signature APPLICANT TEL FINAL •
OWNER BUILDER DECLARATION (PRINT) NO DATE
Lhereby affirm that I am exempt from the Contractor s License
Law for the following reason (Section 7031 S Business and ADDRESS FINAL 23 i r,
Profeions Cade) PRESENT A- TA
I as owner of the property or my employees with
BUILDING �Q
wages as their sole compensation will do the work and 30 L
OCALITY
3� 78.75
the structure is not intended or offered for sale(Section
7044 Business and Professions Code) NG TEL
❑ I as owner of the property am exclusively contracting RACTOR NO ��
with licensed contractors to construct the project(Sec ADDRESS
tion 7044 Business and Professions Code) ti 337 - + i�■44
ADDR
CONSTRUCTION LENDING AGENCY IRED YARD HWY AL ll F 2
I hereby affirm that there is a construction lending agency for NT
the performance of the work for which this permit is issued
(Sec 3D97 Civ C) "M 884. 14?
Lenders Name es �vI rind Fee �/ R� �1GWs OECK to■M7
� Lenders Address A� 1V �W
1 certify that I have read this application and state that the - uance Fee 0'T LDMA P M � CHM •
above information is correct I agree to camel with all Count s ion Fee
ordi and State laws relating to building construction Total Fee & �� LDMA Perm N OOOa�O0O1 9/ 9/92
and ere a thorize esentatives of this County to ent r
u th a men ed property for inspecti4-50k?-
REVERSEFOIL ixPLANATORY LJ1NaulUie 993 1 AM 9=25
ignure of App ant or Agent ate
WORKERS COMPENSATION DECLARATION
hereby affirm that I have a eerh Come of consent to self APPLICATION FOR BUILDING PERMIT
� insure or a certlficate of Workers Compensation Insurance
or a ce"I'lled copy thereof(Sec 3800 Lob C) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No Company [AR21
NG
go Ie )qtee
❑ Fortified copy is hereby furnished FOR APPLICANT TO FILL IN S
❑ Certified copy is filed with the county budding inspec BUILDING
tion department ADDRESS JeLf
Date Applicant CITY ZIP TY
CERTIFICATE OF EXEMPTION FROM WORKERS SIZE OF LOT NOW ON LOT IF NO Of 51.005 ST
ST
COMPENSATION INSURANCE JESSASSESSOR
(This section need not be completed if the permit is for one TRACT BLOCK LOT NO OOK P PARCELhundred dollars($100)or less) TEL NE MAP
OWNER NO
LM
I certify that in the performance of the work for which this ISPECIAL
permit is issued I shall not employ any person in any manner ADDRESS CONDITIONS
so as to become subject to the Workers Compensation Laws
CITY ZIP u
Date Applicant ARCHITECT OR TEL DISTRICT I GROUP TYPEFIRE PROCESSED BY O
NOTICE TO APPLICANT If after making this Certificate of ENGINEER NO CONST ONE
Exemption you should become subject to the Workers /r/
Compensation provisions of the Labor Code you must forth ADDRESS
with comply with such provisions or this permit shall beTEL STATISTICAL CLASSIFICATION APT I CONDO Z
deemed revoked CONTRACTOR
LICENSED CONTRACTORS DECLARATION UC CLASS NO 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
qnd Professions Code and my license is in full force and effect CITY CLASS BK PG VALIDATION
SO Fr a INO OF NO OF 0*CK
License Number Lic Class SIZE STORIES FAMILIES ONE
VALU QN
Contractor Date DESCRIPTION OF WORK S NEW $ ,
Vv
ri❑I am exempt under Secc4A ADD ►
ALTER
B&P C for this reason REPAIR ❑ $
USEJW
Date EXISTING BLDG DEMOL ❑
Signature CLIC N T NO FINAL A
OWNER BUILDER DECLARATION (PRDATE r
1 hereby affirm that 1 am exempt from the Contractors License FINAL -.
Law for the following reason (Section 70315 Business and ADDRESS
Professions Code) PRESENT By .. y
❑ I as owner of the property or my employees with
BUILD 'R' ■r
wages as their sole compensation will do the work andLOCALITY pop33{x! 649
the structure is not intended or offered for sale(Section
7044 Business and Professions Code) MOVING 1
❑ I as owner of the property am exclusively contracting CONTRACTORS ■i
with licensed contractors to construct the project (Sec ADDRESS
tion 7044 Business and Professions Code) r♦ 7 11^.6.._
SE
CONSTRUCTION LENDING AGENCY T ISD YARD HWY AL FROM
PROPPAtOP
NE
Lenders Address Poo I hereby affirm that there is a construction lending agency for F 2 :'T*
the performance of the work for which this permit is issued PL TOTALr 1
Landers Name
(Sec 3097 Civ C) SIDE
PL CHEt K 7+ 3.61
f� LDMA Ref K
P� !O Q Permit Fes ��/ v` C � ■01
I certify that I have read this application and state that the issuance Fee -7 7J LDMA P/C M
above infastmionits correct I a ree to comply with all County Invest tan —..f CGOO—MO1 9/24/92
ordinan s d e laws ting to building construction -�%� Total Fee LDMA Perm N
and h au ze rep atives of this County to nter 5647 1 AM u■CQ7
upon a ntion rty for inspect r 2-- EEE REVEEtiE FOR EXPLANATORY LANGUAGE
k.Anoture of Applicant t
1W, 6 "
APPLICATION FOR BUILDING PERMIT
L +. COUNTY OF LOS ANGELES BUILDING AND SAFETY
s WORKER'S COMPENSATION DECLARATION "i—HOVC
FOR APPLICANT TO FILL IN BUILD",
�/
1 hereby affirm that 1 have a certlNats of consent to sell Insure, /�/([ /gap—
Ora
g a p
Or a oertlfiate of Wbrkens Compensation Iraurence,ora certified ce
CM H-0 an!(sec Seco Lab C) � ZIPC!� 7 8-0 LOCALmr
�y No Company of eLoa NDw oNLorE/rl❑Csrtllie I copy In hereby fummomRed 0 $/�� NEAREST Cn088 sT
❑ Certified copy la filed with the curdy building Inspection s. ' aloac LDTLb 3 O � ANO ao0�u��
3
naa �� AsaESsoR NEAP eoac .. 3 ,,/ SPECIALI OWNER CONDmoNs
CERTIFICATE OF EXEMP'T10N FROM WORKERS' pL b 6.40 JES L gS�6 No
COMPENSATION INSURANCE WRNIN taea FT OF WHOM?
Sneed be completed k the permit le for one hundred Q K v i DlSirmCT GROUP CONST FIREZONE PROCESSED BY
doll=MOM or less.)
I artily timet In the performance of the work for which this permit if.A�l L ri C F ESP 9 CfIs j
becIssued
me su oto tlrsnot�YYb�s y PUM In my man so ae to nRCNtt�7 eronrEFn T13-NO �� rtcn7toN A" CONDO
Dale' ' '9 VAppI ADDRESS CLnss NO DWELL UNITS
N077CE TO APPLICANT If after making this Certillate of REQUIRED TOTAL SETBACK FROM EXIST
Exemption you should become subject to the Workers R rL� TE NO SET BACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code,you must forthwith FRONT
comply with such provisions or this permit shall be desrsd revoked ADDRESS LIC.No P L
LICENSED DECLARATION CITY LIC CLASS P L
d
I hereby affirm that I am licensed under provisionsofthe of Chapter 0 NO OF STORES NO OF F�wILIES NEW ❑ SEWER MAP PG ►
(commencing with Section cer s Divisionforce
9 of the Business and
Profeeelons Cods,a�my IkNernee Is in full fora and effect
so
License Number Lie Class DESCRIPTIIOONr �W�ORK O N F ADD ❑ vAL"'m !�
S —/C*
Contractor Date ALTER
� ; z
❑ 1 am exempt under sec
B&PC for this reason is V DEMOL ❑[Lg*AA
s
Data U8E OF DUSTING BLDG URM ❑ 1
Signature APPLICANT p TEL.NO m• ACCT.`.
L ❑tl�r sole ofowner the
compensation will property a the the re my Employees with wages Is �+� � 116.88
not intended or oftered for sale(section 7044 Business and 1 ITEMSProussiors Code) wiurnEAPPLMWonwirwMBLnLD NacccuPRUTW MEAHAsanoousWMAL -
❑ 1 as owner of the property am axchrelvey contracting with -2 ns w WrOU"O `w 0101i9rIioN '�" TOTAL 116.88
Ilceneed contractors to construct the project (Section 7014 IEE❑ No❑
BLOhsss and Profeesioa Code) CHECK 116.$3
CONSTRUCTION LENDING AGENCY
K„G, CHANGE .00
FOR GUIDELINES.
1 hereby affirm that there Is a constructlon lending agency for res❑ No❑
the performance of the work for which this permit Is Issued(Sec. R HAVE READ TM HAZARDOUS nes M14016119rnoN GUM AND"&,Raw OWH001 9/13/90
9097 Civ C) PEsarTao CNECKLAT R UNDERSTAND NY REDUMUMUBIre UNDER THE LAE ANGELES
Lenders Name N°ww o,° M EFB"F PORTOOGAr=DFORMOBT tROODiDA K 2.848 1 All 8:42
Landefs Address
NN.orAo.AN.rr
1 N er ft that 1 have rad this applkation and smle that to above PC FEE PER IT InfOrmatlOn Is correct I agree to comply with all county ��
Ofd1n1a110e9 and Stats laws relating to building construction and
hereby eulhoAse rep M pMy to enter upon O O
INM"eKnoN PEE Tom
tN1E RevEneE PDR EXPLANATORY LAIIQIIAAE
APPLICATION FOR BUILDING PERMIT ]
COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING Ess
I hereby affirm that I have a certificate of consent to self Insure BUI G ADD !�
or a Certificate of Workers Compensation Insurance or a certified
• copy thereof(Sec 3800 Lab C) C ZIP
LKS
Policy No Compary, gNO OF SLOGS ow ON LOT
❑ Certified copy Is hereby furnished NEAREST CROSS ST
❑Certified Copy is filed with the county building Inspection TRACT BLOCK
department I I USE ZONE MAP NO
Date Applicant AMS, PARCEL
sSPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS OWNER TEL NO
COMPENSATION INSURANCE WITHIN 1000 FT OF SCHOOL? YES No
(This section need not be completed If the permit is for one hundred ESS
� DISTRICT GROUP I TYPE CONST FIRE ZONE PROCESSED BY
dollars($100)or leas.) C� ZIP
I certify that In the performance of the work for which this permit
IS Issued I shall not employ aZ, 5Z
I any man so a8 t0 �{ OR NGINEER TEL NO p/� ✓
become SUb the WorkerSTATISTICAL IFICATION APT CONDO
Date Applicant ADDRE33 CLASS I DWELL UNITS
Novw 70 NT (fmthis Certificate Of REQUIRED TOTAL SETBACK FROM EXIST
Exemption you should become subject to the Workers CONITRACTQFL TEL NO SET BACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code you must forthwith FROM
comply with such provisions or this permit shall be deemed revoked ADDRESS LIC NO P L
LICENSED CONTRACTORS DECLARATION SIDE
CITY LX:CLA33 P L
1 hereby affirm that I am licensed underprowslons of Chapter 9 SEWER MAP
Acommencing with Section 7000)of Division 3 of the Business and SQ FT NO OF STORIES NO OF FAMILIES NEW 13 BK PG 001. d
Professions Code and my license Is In full force and effect
License Number LK) Class DE I O F RK ADD I- VALuxn O
Contractor Date ALTER r-3 $ '(20 8
0
❑I am exempt under Sec
REPAIR ❑ $
BBPC for this reason DEMOL ❑ LDMA PSC• W
Date USE OF EXISTING BLDG URM ❑ iL
Jg co
ture APPLICANT(PRINT) TEL NO LDMA Perm• L7Z
LvJ 1 as owner of the property or my employees with wages as zo ACCT m
their sole compensation will do the work and the structure Is ADDRESS � �y
not Intended or offered for sale (Section 7044 Business and FINAL DATE C �7.7LM�rJ 50.50
ProfessuinS Code) WILL E APPLICANT OR FUTURE OULLDING OCCUPANT HANDLE A HAZARDOUS MATERIAL —Z
OR A MIXTURE CONWNPIG A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN E
❑ ( en Owner of the property em exclusively contracting tlrLg with AMOUNTS SPECSI E HAZARDOUS MATERIALS INFORMATION GLADE? FINAL BY
licensed contractors to construct the project (Section 7044 YES❑ �� ACCT.i
Business and Professions Code) WILL_INTENDED THE p�►
OCCUMNT REOLE A PERMIT FOR CONSTRUCTION OR MODIFICRIONN FROM E SOUTH 180.60
CONSTRUCTION LENDING AGENCY COAST AIR OUMNY MANAGEMENT MTRICT ISCAQN1O)SEE PERMrrTTING CHECKUsr FOR 2 ITERS
GUIDELINES
I hereby affirm that there Is a construction lending agency for YES❑ No R L
Of the performance of the work for which this permit is issued(Sec IHgIEREADEHAZARDOUS MATERIALSINFORMATIONGUIDEANDTHESCAOMDPERMrrTING TOTAL 231.. 10
1 3097 CIV C) CHECKLIST 1 UNDERSTAND MY RECKMEMEN78 UNDER E LAS ANGELES COUNTY CODE
TITLE
STANDFNS � Z20 MR �HAZARDOUS 4wK 231.10
Lenders Nam MQERIALREPORTING AND FOR OSWANG THROUGH 100 PERMIT'FROM SGWMD
Lenders Address oVAER OR Ar .00
s I certify that I have read this application and state under penalty
8 of perjury that the above information is correct I agree to comply PC FEE IPERMIT FEE
N with all nances State laws relating to building / 1 6/15/93
C rob y aut representatives of this County ISSUANCE FEE
toe prmo for insllectlon C4 01 0265 1 Al $:25
roINVESTIGATION FEE TOTAL FEE
tl v Otl
SEE REVERSE FOR EXPLANATORY LANGUAGE
• f r
COUNTY OF LOS ANGELES TENPIE CITY 0 0v8 BUILDING PERMIT
' DEPARTMENT OF PUBLIC WORKS ` NMI LAS TUNAS � RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9907060002
PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST NEW BUItDING ADDRESS
TR 6561 LT 330 UN 002 SQ FT STORIES TYPE OCCUP GROUP 601 OAK AV
STRUCTURE 0 1 VN R3 TEMP CA 917802029
ASSESSOR INFORMATION NEMBER 5385 006-019 UAOTTHHER 20 1 THOIRASTCROSS STREET PAGEE 596 GRIYOODEUFFLOCALITY TEMPLE CITY
I
TENANT Offff-M USE USE ZONE ISSUED M PROCESSED BY EXPIRES ON
EXIST OCC GRP 07/06/99 UT 01/02/00
OWNER TEr-Z- BLDGS NOW ON LOT VALUA ION FINAL WE FINAL CODE
YAMAGATA SHIGETO,KAYOW (626) 285-5507 1 3,000
6018 OAK AV
TEMP 917802029FEES MURIFTIUM Of WORK
ENCLOSE OPEN PORCH TO CONVERT TO DRY ROOM - EXISTING
FEE DESCRIPTION QUANTITY UOM AMOUNT PORCH APPROXIMATELY 16 SQ FT ADDING 20 ADDITIONAL 90 FT
APPLICANT TEL NO
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 2775
AC STRONG MOTION R 3000 00 VAL 0 50 SPECIAL CONDITIONS
AX BUILDING55 00
GELE 83 25
CONTRlVTW--- TEL NO
P�
SAME AS OWNER - �,�5 v��j.
APPROVALS DATE INSPECTOR SIGNATOW—
LIC NO LOCATION AND SETBACK$
SOILS ENGINEER APP09K-
ARCHITECT OR ENGINEER fOlJNDRTION/TRlffEff-FMW-
LIC NO NO OF FAMILIES DWELLING UNITS 1111111
RAISED FLOOR FRAMING
NAP NO SEWER NAP BOOK PAGE F umonm INSUMIff-
3 D UBLIC WORKS)
NO 2,
SCHOOL WITHIN ROOF SHEATHING
AIR QUALITY 1000 FEET MATERIALS
NO NO NO �jFIRE DEPT FlUff-MIRU A
REQUIRED TOTAL SETBACK FROM EXISIBLDG DEPT FRAME INSPECT
SETBACK YARD Hwy PROP LINE WIDTHFRONT SerV1C6 ThaSHEAR PANELS
��ot
SIDE PL-
INTERIOR LATHIDRTUALL
EXTERIOR LATH IF m-w'p 9
LOT DRAI E 74L
BROKE DETECTION DEVICES
FIRE DEPARTMENT APPROVAL
REPORT ID DPR261 ROUTE TO BS0508
F