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HomeMy Public PortalAbout6036 OAK AVE_Building__ DEPARTMWT P S DING AND S1�FF�T�Y APPLICATION FOR PERNIIT V. COUNTY OF LOS ANGELES �� WM. J. FOX, CHIEF ENGINEER0%JILDING FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. C�PLAN CK. NO. PERMIT NO. ADDRESS 403 3 f/3 LOCALITY RECEIVED BY DATE OFA,PCPL. DATE ISSUED NEAREST �^ /p J / �` Y CROSS ST, j;,�, q1ti,L) _ % BUILDING r ADDRESS Pp t?3 F /�/ 0 L r : OWNER � ° ! 1 MAIL ® LOCALITY��' b ADDRESS NEAREST - • TEL CROSS ST. CITYr NO. FIRE NO. OF QTY E GROUP ARCHITECT OR ('� TEL. ZONE MANS ENGINEER v NO. BLDG. �O �� �NO. SETBACK LINE" +7` `7 ADDRESS APPROVED �9 TEL BY DATE CONTRACTOR Ci'2L4f:Pj� NO. p( p USE / / APPROVED ZONE �' BY DATE . ADDRESS HOUSE NUMBERING LEGAL R g0 4 FIELD CHECK BY DESCRIPTION I LOT/NO BLOCK MAP NUMBER TRACT r NO. ASSIGNED BY�DATF NO. OF BLDGS. CORRECTIONS SIZE OF LOT jo n La o I NOW ON LOT -r , USB OF I NO. OF t _ EXISTING BLDG, FAMILIES 1 , t DESCRIPTION OF WORK NEW �_I I ALTERATION I I ADDITION I r v= O REPAIR I I DEMOLITION � SQ. FT. ( NO. OF 7V G /f I1�i(9 I: !L"f/n' Y SIZE ' ROOMS STORIES 11 r J. / ) Z EXT. WALL ROOF ; C' COVERINIZL _dq_ I COVERING GF r -7 USE OF STRUCTURE A11,4fet APPROVALS X. i INSPECTOR'S SIGNATURE DATE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- t FOUNDATION: LOCATION �-�-� PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS 1 '�`i 1f A �• ?�� CORRECT. v t I AGREE TO COMPLY ITH THE CORRECTIONS LISTED 1 FRAME: FIRE STOPS, ! /0 -4 � // HEREON AND WITH ALL OUNTY ORDINANCES AND STATE ` BRACING, BOLTS (� LAWS REGULATING HUI 1NG CO RUCTION.. FURNACE: LOCATION, v r SIGNATURE OF GAS VENT, DUCTS PERMITTE A LATH, INT. A '40A ADORESgfa� " LATH, EXT. Y AUTHORIZED AGT. 40 PLASTER, INT. AaaeA Dass so-ao • S6i��® ® FEE g PLASTER, EXT. VALUATION FEE Q f FINAL I r WORKERS'CQMPENSATION DECLARATION h Y., urebor afcerttificatelof Workers'Compenstiono ln Ihave a certificate onsurance,olr APPLICATION F®R 13 U I L D I N G PERMIT ertified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY icy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING t ADDRESS 1 Certified copy is filed with the county building inspec- BUILDING / tion department. ADDRESS D,03 JIIOR pFlK, JIVE LOCALITY le Applicant ~ CITY 7E m PL E . ZIP CROSS NEAREST. CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT rS NOW ON LOT MAP BOOK PAGE i PARCEL is section need not be completed if the permit is for one USE ZONE MAP _ ndred dollars ($100)or less.) TRACT BLOCK LOT NO. NO*EL. � } OWNER 7 R f I DAD. Y FI NL F,�NO fj D � �� SPECIAL � ertify that in the performance of the work for which this M 9 9 . CONDITIONS O rmit is issued, I shall not employ any person in any manner DISTRICT GROUP TYPE FIRE PROC SED BY V as to become subje t to the Workers'Compensation Laws. ADDRESS 6'0 Nb IL TH. 0 RK- 0V . CONST. ZO 19 7 �2 ~ CITY T P Z E. ZIP / T O O F Il�,��� I Applicant STATISTICAL CLASSIFICAJION APT. CONDO. V )T E TO PP •ANT: If, after making this Certificate of ARCHITECT OR TEL. / LU amption, you should become subject to the Workers' ENGINEER NO. CLASS NO. DWELL. UNITS N mpensation provisions of the Labor Code, you must forth- '%ADDRESS SEWER MAP h comply with such provisions or this permit shall be emed revoked. TEL. VALIDATION CONTRACTOR 1 S I D Rio G�l�LY�Z No. �1�9�G •L BK. PG LICENSED CONTRACTORS DECLARATION LIC. ereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 3� C Pa'u-1 eek. NO. N z, - VALUATION mmencing with Section 7000)of Division 3 of the Business and LIC. fessions Code, and my license is in full force and effect. CITY /v�✓�' /�d4eI6[ ', CLASS $ 7 1, SQ. FT. /, NO.OF NO.OF CHECK Brise Number Lic.Class SIZE 'Ss �0 STORIES FAMILIES ONE r� $ ntractor Date DESCRIPTIONOFWO r?00 f?1C)F1 NEW . JI am exempt from the licensing requirements as I am a ADD licensed architect or a registered professional engineer ALTER FINAL acting in my professional capacity (Section 7051, REPAIR DATE Business and Professions Code). USE OF EXISTING BLDG. DEMOL FINAL or Reg.No. _Date APPLICANT TEL. By OWNER-BUILDER DECLARATION (PRINT) NO. ereby affirm that I am exempt from the Contractor's License v for the following reason (Section 7031.5, Business and ADDRESS ifess'cros Code): PRESENT- BUILDING 4BUILDING S F, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY ' a o c a a 7044, Business and Professions Code). MOVING TEL. r II, as owner of the property,am exclusively contracting CONTRACTOR NO. 9,5 C with licensed contractors to construct the project (Sec- n tion 7044, Business and Professions Code). ADDRESS REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY _ PROP. LINE WIDTH 27—a 2 ereby affirm that there is a construction lending agency for FRONT performance of the work for which this permit is issued P.L. !c. 3097, Civ. C.). SIDE P.L. ider's Name " ider's Address P.C. Fee S Permit Fee Z ertify that I have read this application and state that the Issuance Fee we information is correct. I agree to comply with all County Investigation Fee linances and State laws relating to building construction, Total Fee . hereby authorize r resentatives of this County to enter bove-men' ed operty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or At ea0e Os WORKERS'COMPENSATION DECLARATION'., Y I hereby affirm that I have a certificate of consent to selfT-IfflaD O {� insure, or a certificate of Workers'Compensation Insurance, LI F : U��D O N or a certified copy thereof(Sec. 3800, Lob. C.) � COUNTY OF SOS ANGELES - E�DOO.®I�9G Ah�l® SAFETY Policy No. Company ,,•.. . y� Certified copy is hereby BUILDING furnished. FOR APPLICANT TO FIILLL IN ADDRESS �®. OAK A49r. ❑ Certified copy is filed with the county building inspec- Il' BUILDING ®� / QUA�, ��y tion department. ADDRESS 0 4 LOCALITY �.,I ��++•/V$ �L /�y NEAREST O ® ® s Date Applicant CITY ZIP CROSS ST. ..7i pa 6.7 6r� CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. / ASSESSOR COMPENSATION INSURANCE SIZE OF LOT � V NOW ON LOT / MAP BOOK PAGE PARCEL (This section need no) be completed if.the permit is for one i USE ZONE MAP hundred dollars($100)or less.) TRACT BLOCK LOT NO. _ NO. � �,,e Rafl.. ®rcep (X SPECIAL >- Icertify that in the performance of the work for which this i OWNER' s'w�: TRI 9/®Aa b � �1 CONDITIONS Li: permit is issued, I shall not employ an pers onnner DISTRICT GROUP 1411�T FIRE PROCESSED BY Q P P y YP ADDRESS ZONE fJ so jas to become sub''act to the Wor Coaws. 4 D.— ci,�� 1 CITY ? p8. ZIP B r ..d:w '. Dae Applican STATISTICAL CLASSIFICATION APT. CONDO. I� NOTICE TO APPLICANT: If, after making to of ENGINARCHIEER OR TEL. ; ENGINEER NO. CLASS NO. DWELL.UNITS 111 Exemption, you should become subject to the Workers'' IL Compensation provisions of the Labor.Code, you must forth- ADDRESS SEWER MAP n with comply with such provisions or this permit shall be TEL. deemed revoked. CONTRACTOR NO, BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC, I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. VALUATIOIN (commencing with Section 7000)of Division 3 of the Business and LIC. /'© •f Professions Code, and my license is inull forceITY.and effect. CCLASS $ (t7 SQ. (/ NO.OF NO.OF CHECK G I Z.9 A License Number Lic.Class SIZ � STORIES FAMILIES ONE a .0,0 a o Contractor ' Date DESCRIPTION OF WORK OA'� NEW ❑ ADD I am exempt under Sec. 'i. ALTER ❑ FINAL� /V'I.L C� �f �7r�. E B.BP.C. for this reason � � REPAIR DATE US F /� FINIAL Date: EXISTING BLDG. a tcQ�y CDEMOL ❑ By r•t I y ;I .O v Signature 4 APPLICANT TEL. 1 OWNER-BUILDER DECLARATION PRINT NO. I hereby affirm that I am ADDRESS exempt from the Contractor's License D Law for the follow' son (S tion 31.5, Business and I =Wons Code):' PRESENT BUILDING I, as own. o t e op or 7e with ADDRESS wages as their sole compensation, do the ark and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. I, as owner of the property,am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS 'tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY f SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for I FRONT the performance'of the work for which this permit is issued P.L. tSec. 3097, Civ. C.)., 1 SIDE 'o P.L. `a Lender's Name • P.C. Fee$ Permit Fee 2✓ P Lender's Address Q} r I certify thot I have read this application and state that the I Issuance Fee above information is correct:I agree to comply.with.all County Tnvestigatian Fee ordinances and.State,laws relating•to b�Yilding;constructlon, :. Total Fee' • .:..' and hereby,authorize representatives of this County to enter :.. _ u above-'Zntld property for,inspection purposesrrV l�'' SEE,REVERSE FOR EICPLAINATORY LANGUAGE Signature of Applican r Agent Date, WORKERS'COMPENSATION DECLARATION I hereby affirm that I have certificate of n self insure, or a certificate of Workers'Compensation Insurance, APPLICATION F EU I L D I N G PERMIT or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING 640 � � �el� Ave, ADDRESS Certified copy is filed with the county building inspec- BUILDING ,/ G /� ® / L( tion department. ADDRESS 3 L /7q�Y �,f Q ZIP I / D LOCALITY / ' Date Applicant CITY .���'! �� CERTIFICATE OF EXEMPTION FROM WORKERS' OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST.ASSESSOR (rr/ (This section need not be completed if the permit is for one I TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) 7 Q OWNERT/�/�/O� �� NO. v �,j USE ZONE MAP (r7 I certify that in the performance of the work for which this NO. permit is issued, I shall not employ any person in any manner A SPECIAL 16 so as to become subject to the W rk Comp sat' n Laws. , ADDRESS D3 D-4A' -4 V-0� yJ CONDITIONS 0O Date cc Applicant e CITY L ZIP �j�j�/� NOTICE TO APPLICA If, after making this Certi ate of ARCHITECT OR TEL• DISTRICT GROUP TYPE FIRE PROCESSED BY 0 ENGINEER NO. / / CONST. ZONE N Exemption, you should become subject to the Workers' 'jf� Q� / ,i/d Ry Compensation provisions of the Labor Code, you must forth- ADDRESS V AL with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO. deemed revoked. CONTRACTOR 42 le— NO. LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. =SEWER(commencing with Section 7000)of Division 3 of the Business and LIC.Professions Code, and my license is in full force and effect. CITY CLASS VALIDATION SQ.FT.A NO.OF NO.OF CHECK License Number Lic.Class SIZE 0' STORIES FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF WORK NEW E] . � ❑ .: I am exempt under Sec. ADD $ ®o ALTER B.&P.C. for this reason REPAIR ❑. $ Date: USE OF DEMOL EXISTING BLDG. ❑. Signature FINAL - APPLICANT /I n'/�7 Q `J, PRINT) OWNER-BUILDER DECLARATION _ DATE I hereby affirm that I am exempt from the Contractor's License ADDRESS FINAL ` Law for the following reason (Section 7031.5, Business and Professions Code): PRESENT By `- `^-- ❑ BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. „ I, as owner of the property,am exclusively contracting CONTRACTOR NO. I �! [ •'. A with licensed contractors to construct the project (Sec- ADDRESS , o o a a tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FR09M 3AF,bril. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH s o 7 <, 1 hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P0 Lm o ! Z? (Sec. 3097, Civ. C.). SIDE P.L. n r r , . cc—FiL( e Lender's Name µ LDMA Ref. # p P.C.Fee$ Permit Fee - Lender's Address x polo I certify that I have read this application and state that the Issuance Fee 7/ LDMA P/C# x above information is correct. I agree to comply with all County i Investigation Fee ordinances and State laws relating to building construction, ! Total Fee LDMA Perm. # and h authorize r Pres atives of this County to enterUN 3 up a above-ment' Pied operty for insp2SOan purposes. = I SEE REVERSE FOR EXPLANATORY LANGUAGE 0 Signature of Applicant or Agent Date t WORKERS'COMPENSATION DECLARATION I hereto self insure,oraafirm certif carte of Workers'Compensation I have a certificate ofconsent Insurance, APPLICATION FOP BUILDING PERMIT or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN : BUILDING r„' 6) ADDRESS C.� ❑ Certified copy is filed with the county building inspec- BUILDING tion department. ;ADDRESS Date Applicant CITY ZIP i LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST 1 f� '� COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. fi° °��� (This section need not be completed if the permit is for one ,ASSESSOR hundred dollars($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL OWNER NO. rN� I certify that in the performance of the work for which this SPE permit is issued, I shall not employ any person in any manner SPECIAL O so as to become subject to the Workers'Compensation Laws. ADDRESS CONDITIONS W CITY ZIP � Date Applicant U. ARCHITECT OR TEL• DISTRICT GROUP TYPE FIRE PROCESSED BY. NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. _ CONST. ZONE Exemption, you should become subject to the Workers' / /� ,/ � � •'. � Compensation provisions of the Labor Code, you must forth- ADDRESS �5 with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO. deemed revoked. CONTRACTOR NO. _ G' LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. #VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC, Professions Code, and my license is in full force and effect. CITY CLASS VALIDATION SQ. FT. NO.OF NO.OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE DESCRIPTION OF WORK NEW ❑ ..Contractor Date ADD I am exempt under Sec. ❑ALTERB.&P.C. for this reason REPAIR ❑ Date: USE OF DEMOL E]EXISTING BLDG. Signature APPLICANT TEL FINAL OWNER-BUILDER DECLARATION PRINT NO DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS FINAL Professions Code): PRESENT BY ❑ BUILDING 1, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. El1, as owner of the property, am exclusively contracting { CONTRACTOR NO. 1 T with licensed contractors to construct the project (Sec- ADDRESS Ip'p;a•n o tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH 2'a •o C, 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. (Sec. 3097, Civ. C.). SIDE 4 . , •. . P L Lender's Name LDMA Ref. # P.C.Fee$ Permit Fee 6V '. Lender's Address 71;I certify that I have read this application and state that the Issuance Fee LDMA P/C# above information is correct. I agree to comply with all County : Investigation Fee [i ordinances and State laws relating to building construction, Total Fee LDMA Perm.# and hereby authorize representatives of this County to enter uporiihe above-mentioned property for InspeSt�'on purposes. j SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant`Agent Date t .. Q 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 1106240015 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: [ ITR: 6561 IT: 332 UN: .002 I SQ. FT STORIES TYPE I 6036 OAK AV 1 I ISTRUCTURE: 1100 V-B I TEMP CA 917802029 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1 15385-006-024 I I THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY CAI ITENANT: EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: (EXIST OCC GRP: 106/24/11 SR [OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL. DATE FINAL BY: CODE: I IYANEZ DANIEL - 1 1 19,000 [ I 16036 OAK AV [ I [ ITEMP 917802029 1 FEES PAID IDESCRIPTION OF WORK [ I I IREROOF APPX 1900SF 6 WINDOW REPLACEMENT RESTUCCO 1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT.1 [ (APPLICANT: TEL. NO: I I I IKATIGBAK MAGNO (909) 267-8749- IAA BLDG PERMIT ISSUANCE 27.80 1 I 1961 CALLE HERMOSA IAB STATE GREEN BLDG FEE 19000.00 VAL 1.00 ISPECIAL CONDITIONS: 1 SAN DINAS CA 91773 IAC STRONG MOTION REBID 19000.00 VAL 1.90 I ID2 PERMIT W/O EN-HC 19000.00 VAL 368.90 [ 1 TOTAL FEES 399.60 I I (CONTRACTOR: TEL. NO: I [APPROVALS DATE INSPECTOR SIGNATURE I IMSK BUILDERS (909) 267-8749- I 1 [ 1961 CALLE HERMOSA LIC. NO I 1LOCATION AND SETBACKS I I [ ISAN DIMAS CA 91773 720840 1 1 1 I [ [ I ISOILS ENGINEER APPROVAL I [ I (ARCHITECT OR ENGINEER: TEL. NO: 11 IFOUNDATION/TRENCH FORMS I I I i LIC. NO: 1 (SLAB/UNDER FLOOR I I I [ [RAISED FLOOR FRAMING [ I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I [ 115OH265 3 001 1 I [ I I I IFLOOR SHEATHING I I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I 0 NO 22 1 IROOF SHEATHING I I 1 SCHOOL WITHIN HAZARDOUS 1 [SHEAR PANELS [ [ (AIR QUALITY: 1000 FEET MATERIALS [ I [ I NO NO NO [ [FRAME INSPECTION 1 [ I I IFIRE :SPRINKLER HANGERS 1 1 [ L�G�vu V� u�1J 1 IINSULATION/WEATHER STRIP( I 1 (INTERIOR LATH/DRYWALL I I I 1 1 1EXTERIOR LATH I I [ I IRATED,FLOOR/CEIL ASSEM. I I I I IRATED,WALL ASSEMBLIES [ I I I [RATED SHAFTS/OPENINGS 1 I I I I I IT-BAR CEILINGS I I I I I I I I [LOT DRAINAGE [ I I IREPORT ID: DPR261 ROUTE TO: BS0508 I [ I