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Home My Public Portal About6038 OAK AVE_Building__ WORKERS'COMPENSATION DECLARATION �e hereby affirm that I have certificate of consent to self APPLICATION a gWILDING PERMIT insure, or a certificate of Workers'Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.) na78� j k �� COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No 7 Company ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ADDRESS f% t Certified copy is filed with the county building inspec- BUILDING �1 J� tion department. ADDRESS y' 0 Az,f C/q �y p/� Date 3`�7�� Applicant v�4d Cj CITY / m,,✓lP �/r ZIP / p V LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST yy COMPENSATION INSURANCE SIZE OF LOT NOW ON LOA,, �j CROSS ST. (/ (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. :3_5MAP BOOK AGE PARCEL ASSESSOR hundred dollars($100)or less.) TEL. 61—ov PIE USE MAP I certify that in the performance of the work for which this OWNER ckr/r NO. �� NO. permit is issued, I shall not employ any person in any manner // �r�r . I SPECIAL , so as to become subject to the Workers'Compensation Laws. ADDRESS (yO� A/ d al CONDITIONS O CITY �t°/!7 Ap 7c ZIP TyJ1rJ O Date Applicant ARCHITECT OR TEL. NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. DISTRICT G UP TYPE FIRE PR SSED BY O Exemption, you should become subject to the Workers' �� CONST ZQ91E U Compensation provisions of the Labor Code, you must forth- ADDRESS ` f�3 L �i W with comply with such provisions or this permit shall be �- deemed revoked. TEL• ,.�y ;STATISTICAL CLASSIFICATION APT. ONDO. [n CONTRACTOR 6 yrnL 0 NO. / ��!'�� Z LICENSED CONTRACTORS DECLARATION //�� LIC. 3 CLASS NO. DWELL. UNITS 1 hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS p ee4- 0011 NO bf JsOr�7 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and A LIC. Professions Code, and my license is in full force and effect. CITY Cagle A, 9�006 CLASS el BK PGVALIDATION /�/ SQ.FT. O.OF NO.OF CHECK License Number 6-037 3 3 Lic.Class SIZE STORIES FAMILIES ONE / / ,�,�S,tI� NEW ❑ VALUATION --99239A Contractor -�L-i ��a—6 Date -qy DESCRIPTION OF WORK 7e" O ADD ❑ $ .0d,0 O o 0,0 0 0 ❑ I am exempt under Sec. a""o �t d _4. /AS�� pill. # B.&P.C. for this reason �� mfi?dSloa+ (� Sil�f� �� ALTER El REPAIR ❑ $ 1 o - 6a63 Date: USE OF DEMOL ❑ 0 0 - 6a63-P! EXISTING BLDG. Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION (PRINT) NO. DATE o a 2 4 S 8 "I,hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS FI Professions Code): PRESENT ❑ 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. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED YARD HWY TOTAL SETBACK FROM CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH 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 P.L. Lender's Name o P.C. Fee$ Permit Fee 3 LDMA Ref, q Lender's Address lop J� 1 certify that I have read this application and state that the Issuance Fee 104-S� LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee • LDMA Perm. ti 3 and herebithorize re resentatives of this County to enter $ upo f gob V.—me"property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Si re of Appl kant or Ag Date ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 93.780 BL 0508 0508080030 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 6561 IT: 333 UN: .002 SQ. PT STORIES TYPE OCCUP GROUP 6042 OAK AV STRUCTURE: 0 0 VN R3 TEMP CA 917802029 ASSESSOR INFORMATION NUMBER: GARAGE: 440 1 VN Ul NEAREST CROSS STREET: GARIBALDI 5385-006-025 OTHER: THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 11/02/05 JK 10/28/06 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DA FINAL BY: CODE: KWAN, CHUNG CHAD (626) 922-2384- 18,000 6042 OAK AV 7 TEMP 917802029 FEES PAID SCRIPTI OF WORK DEMO AND BUILD NEW 2-CAR DS_AC88D GARAGE 440 S.F. FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - D1 PLANCHECK W/O EN-HC 18000,00 VAL 298.35 AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: AC STRONG MOTION REBID 18000.00 VAL 1.80 D1 PLANCHECK W/O EN-HC 18000.00 VAL 298.35 TOTAL FEES 626.25 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS CHEN, CHARLES (626) 454-9555- SCJy 1517 S. 8TH STREET LIC. NO: SLAB UNDER FLOOR ALHAMBRA, CA 91803 C 019359 RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 01 IST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT COND: STAT CLASS: NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS SIDE PL- INSULATION/WEATHER STRIP INTERIOR LA RYWALL EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508 COUI4TY OF I�qS ANGELS TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0611080008 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 6561 IT: 333 UN: .002 SQ. FT STORIES TYPE OCCUP GROUP 6042 OAK AV STRUCTURE: 885 1 VN R3 TEMP CA 917802029 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: GARIBALDI 5385-006-025 OTHER: THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 12/14/06 JK 12/09/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FXALDA FIBY: CODE: KWAN, CHUNG CHAU (626) 922-2384- 95,049 ```""'"''VNNVV 6042 OAK AV TEMP 917802029 FEES PAID DESCR2PTIOX OF WORK CHANGE FROM (E) REMODEL TO NEW LIVING ROOM, DINING ROOM & FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: KITCHEN 885 S.F.WBEN DONE 2367 S.F SEE ALSO PERMIT#058020045 APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 95049.00 VAL 9.50 SPECIAL CONDITIONS: B1 PLANCHECK W/ENERGY 95049.00 VAL 758.04 B2 PERMIT W/ENERGY 95049.00 VAL 891.83 TOTAL FEES 1,687.12 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS CHEN, CHARLES (626) 454-9555- 1517 S. 8TH STREET LIC. NO: SLAB/UNDER FLOOR ALHAMBRA, CA 91803 C 019359 RAISED FLOOR FRAMING 4-2 C� MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 01 i IST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 ` + 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ` � �� (! � �~ ROOF PHEATBING i AIR QUALITY: 1000 FEET MATERIALS NO NO NO ; FIRS DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST �L'-: BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: 6� j FRONT PL- SHEAR PANELS SIDE PL- INSULATION WEATHER STRIP Lk(�� C�`C r w`_ S / ` INTERIOR LATH DRYWALL �•,•/,(1 U`�(l`/� EXTERIOR LATH ` LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508 It x COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0508020045 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST N8W BUILDING ADDRESS: TR: 6561 LT: 333 UN: .002 SQ. FT STORIES TYPE OCCUP GROUP 6042 OAK AV STRUCTURE: 1502 1 VN R3 TEMP CA 917802029 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: GARIBALDI 5385-006-025 OTHER: 885 1 VN R3 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 11/02/05 JK 10/28/06 OWNER: TEL. N0: SLOGS. NOW ON LOT: VALUATION: AI+ DA FINBY: CODE: KWAN, CHUNG CHAD (626) 922-2384- 158,560 }/' v 6042 OAK AV TEMP 917802029 FEES PAID SCR PTI N OF WORK 1-STORY ADDITION 4BR/3.5BA FMLY ROOM, LAUDRY ROOM 1502 AND FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: REMODEL EXISTING HOUSE 885 S.F. APPLICANT: TEL. NO: SAME AS OWNER - B1 PLANCHECK W/ENERGY 158560.00 VAL 1,569.12 AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: AC STRONG MOTION RESID 158560.00 VAL 15.86 B2 PERMIT W/ENERGY 158560.00 VAL 1,846.02 TOTAL FEES 3,458.75 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO oo TiOj/ �� [i'/o- LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION TRENCH FORMS CHEN, CHARLES (626) 454-9555- 1517 S. STH STREET LIC. NO: SLAB UNDER FLOOR _ ALHAMBRA, CA 91803 C 019359 RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 01 1ST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT GOND: STAT CLASS: NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT / SET BACK YARD: HWY: PROP LINE: WIDTH: O FRONT PL- SHEAR PANELS SIDE PL- INSULATION/WEATHER STRIP INTERIOR LATH DRYWALL EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BSO508