HomeMy Public PortalAbout6105 OAK AVE_Building__ FOA 638A CEtl8081 i-S7 APPLICATION FOR BUILDING PERMIT �.
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS V
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP PE eaSEWEK MAPP
BUILDING _ ;/ s CONST.
ADDRESS ,� � 4 STATISTICAL CLASSIFICATION
G �<1ST S�Ld FT bF�F1! �LOK�lat/
CLASS.NO. DWELL.UNIT 4�_j 42ft
ALOTNf/O�. -/ MAP STATE
TRAC`I'� C-� �E /V �GI///GIP6i 6F• USE ONE SPECIAL UMBERHWY• YES( NO
NO.OF BLDGS. �1 CONDITIONS ,Q'
SIZE OF LOT I NOW ON LOT USE OF ; SD
EXISTING BLDG. —� 4 BUILDING EXIST.
// �+ / SETBACK YARD HWY STREET NAME WIDTH
OWhIE L ,S. / 1l 9SCA FRONT a
MAILn _P.L:
ADDRESS �/����i C 1 �I� :SIDE C
P.L.
CITY .0 CIT GA�i "TNO. —F ,G6G . INSPECTION RECORD
ARCHITECT OR �� TEL.
ENGINEER NO.
ADDRESS
r TEL
CONTRACTOR /- NO.
ADDRESS
DESCRIPTION OF WORK r
NEW V*/ADD ALTER REPAIR DEMOLISH
SQ.FT. NO.OF NO.OF /
SIZE ,. STORIES FAMILIES!
USE OF STRUCTURE�• J / _� �,NI�,�'
o� /i1 ju
SIGNATUREAPPROVALS
APPLICANT' 7
ADDRESS Y / DATE INSPECTQR'S SIGNATURE
FOUNDATION: LOCATION
FORMS,MATERIALS
r•C• $ �� F=E: FIRE STOPS,
� x J ✓ FEE _BRACING,BOLTS ,/; •: "-
VALUATION $ Q FURNACE: LOCATION,
FEE — GAS VENT.DUCTS e,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- +I
LATH,INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
.
AGREE TO COMPLY WITH ALL COUNTY ORDI A ES AD
STATE LAWS REGULATING UI CO UCTIONN. LATH,EXT. 1
SIGNATURE HOUSE NUMBER COR-
PERMITTE RECT AND POSTED _
ADORES J ? \ �G FINAL d'l o—a Hifi
CLYDE N.DIRLAM, PRINCIPAL STRU URAL ENGINEER
PLAN CHECK VALIDATION K. M.o l:. CASH PEBMIT VALIDATION K M.O. CASH
Toa 9 0 . 'A{(v.. 4 2 3 A 2 0.5 0 AA
_ { o 6 7 1 AUG 8 1 R 4 �..0 0 ®.
/8A888ACE#80811-67 APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT-OF COUNTY ENGINEER A°DREss
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP TYPE SEWER. MAP G
FOR APPLICANT TO FILL IN
• C "NST.
BUILDINGO
ADDRESS STATISTICAL CLASSIFICATION I
LOT NO. QEr
CLASS.NO- //9 DWELL.UNIT
BLOCK 'MAP STATE
f NUMBER HWY. YES O
T�`CT� , `• USE ONE SPECIAL
NO:OF BLDGS. q — CONDITIONS
SIZE OF LOT rrjY`'o,'o-2, NOW ON LOT Y
USE OF
EXISTING BLDG. - BUILDING EXIST.
SETBACK YARD HWY REET N E WIDTH
OWNER' 1- FRONT oy®y
MAILr�r� P.L:
ADDRESS 6 !�- �' SIDE
TE P.L.
CITY N ' INSPECTION RECORD
ARCHITECT OR -- TEL. "
ENGINEER IVO.
ADDRESS
TEL. ` / 4� I} "•nfi'uv.� /1R ✓�;�rYt�� �/.tltr'
CONTRACTOR NO. A"Al 7-
ADDRESS ADDRESS
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH - i
SQ.FT. NO.OF OF ,
SIZE STORIES F
'USE OF STRUCTURE � � '
SIGNATURE APPROVALS
APPLI T DATE INSPECTOR'S SIGNATURE
ADDRESS FOUNDATION: LOCATION
FORMS,MATERIALS
$ P.C. FRAME,FIRE STOPS.
// FEE BRACING,BOLTS
VALUATION $ FURNACE: LOCATION,
FEE GAS VENT,DUCTS
1 HEREBY ACKNOWLEDGE T 1 HAVE READ THIS AP- LATH,INT.
PLICATION AND STATE THAT E OVE I ORRECT AND
AGREE TO COMPLY WITH LCL NTY INANCES AND
STATE LAWS R Tl G D ONSTRUCTION. LATH,EXT.
SIGNATURE OF•ter HOUSE NUMBER COR-
'oPERMITTERECT AND POSTED
ADDRESQ FINAL
CLYDE N.DIRLAM,PRINCIPAL STR r' RAL EN ER -
PLAN CHECK VALIDATION CK: M.O. CASH PEEMIT VALIDATION CK.- M.O. CAs
LAC,,2 4A..&S j0N.3.0 1 a
Aur"PLICATON FOR BUILDING PERWT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING DRESS
I hereby affirm that I have a certificate of consent to self Insure, BUILDING ADDRESS �`®�a
or a certificate of Workers'Compensation Insurance,or a certified CI ZIP copy thereof(Sec.3800,Lab.C.)
Policy NO.0.0_11171Company � SIZE O L C971-7v` NO.OF BLDGS.NOW ON LOT
Policy
LOCALITY _4116A� eel
❑ 11
Certified copy is hereby furnished. NEAREST CROSS ST. �J
❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. USE ZONE MAP NO.
department. 11-0
ASSESSOR MAP BOOK PAGE PARCEL /1
Da%412?R 7AppliCen {� -�/ SPECIAL CONDITIONS
CERTIFICATE OF EXEilf) O FRO61�WORKERS' OWNER. TEL NO. //�� YES NO
COMPENSATION INSURANCE a WITHIN 1000 FT.OF SCHOOL?
-ADDRESS
(This section need not be completed if the permit is for one hundred v+ c DISTRICT GROUP TYPE CONST.' FIRE ZONE PROCESSED BY
dollars($100)or less.) ZIP
c ,i•�p _� � � ,
I certify that In the performance of the work for which this permit (`
IS Issued, I shall not employ any person in any manner so as to ARCHIFTORENGINEER TEL.NO.
become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO
Date Applicant ADDRESS CLASS NO. DWELL UNITS
NOTICE TO APPLICANT: If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you should become Subject to the Workers' CTOR TELNOSETBACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code,you must forthwith I G FRONT
comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL
UP LIC.cLAss
SIDE
LICENSED CONTRACTORS DECLARATION � PL C
I hereby affirm that I am licensed under provisions of Chapter 9 cl e C 0 G SEWER MAP c.3
(commencing with Section 7000)of Division 3 of the Business and SQ.FT SI NO.OF STOgES NO.OF FAMILIES F�
Professions Code,and my license Is in full force and effect. NEW ❑ BK PG c .
License Numb�r���`� Lic.Class l G/ DESCRIPTION OF WORK n 01ADD ❑ VALUATION LY
a
Contractor - '�-3'I�h ALTER ❑ $ C
t IT
❑ I am exempt under Sec. REPAIR
B.BP.C.for this reason LEL ❑ LOMA P/C q
USE OF EXISTING BLDG. ❑
Sign. L APPLICANT(PRINT) TEL NO. LDMA Perm q f
❑ I, as owner perty, or my employees with wages as OI I_i°a
their sole compensation,will do the work and the structure is ADDRESS
not intended or offered for sale (Section 7044, Business and FINAL DA ® 3307 93.6-.'-
Professions Code.) WILLTHEAPPLICANTOR FUTURE BUILDING OCCUPANT HANDLEA HAZARDOUS MATERIALJ
❑
I. as owner of the property, am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN 11 A Q i iTCI S
THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL
licensed contractors to construct the project (Section 7044, YES❑ No❑ rr6U !01F f AL 93- 63
Business and Professions Code.)
WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING
OCCUPANT REQUIREA PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THESOUTH CHECK
CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST _•s O'D
FOR GUIDELINES.
I hereby affirm that there Is a construction lending agency for YES❑ NO❑ ICHANGE
the performance of the work for Which this permit is Issued(SBC. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD
3097,CIV.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES
COUNTY CODE,TITLE2,CHAPTER ZW SECTIONS 220.100THROUGH 220.140 CONCERNING 013013-0001
.�;/� /G•�
Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD.
Lender's Address OMERORAGer 3572 1 AM 8:5_;
0 1 certify that I have read this application and state that the above P.C.FEE PERMIT FEE
information Is correct. I agree to comply with all county �D 6
ordinances and State laws relating to building construction,and
a hereby authorize representatives of this County to enter upon ISSUANCE FEE
the above-mentioned property for inspection purposes.
a INVESTIGATION FEE TOTAL FEE S{. /
n dr t�✓
Sgnmeod A90GmnlorA9em Deco
SEE REVERSE FOR EXPLANATORY LANGUAGE
I
BJP. 3
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 0005170090
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE 6105 OAK AV
STRUCTURE: VN TEMP CA 917801654
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GARIBALDI
5385-003-014 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG-USE: R SID USE ZONE: R-1 ISSUEDON:
PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 05/17/00 UT 11/13/00
OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: FINAL D TE FIN Y: CODE:
6105 OAK AVN (626) 289-1176- 1 9,300 9 �U
TEMP 917801654 FEES PAID DESCRIPTIO OF WO
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: CHANGE OUT 9 EXISTrWG WI DOWS, AND KITCHEN REMODELING
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION_RESU D _ 9300.00 VAL 0.93 SPECIAL CONDITIONS:
D2 PERMIT W/—N=HC- _ 9300.00 VAL 216.60
_
7-I F TOTALIFEES 245.28
CONTRACTOR: TEL. NO: APPROVAL9 DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO LOCATION'AND SETBACKS
��• �• SOILS ENGINEER APPROVAL
�� � ��del +1-✓`��; - '�+ 4
ARCHITECT OR ENGINEER: TEL. 0: ���/ II J �''I; t1 FOUNDATION/TRENCH FORMS
' f--
LIC. NOd! -- -- --! I I I-=-, — ++F°, SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: IICMP:, ' ", ,' f �+ „;,• :i `.Ir UNDERFLOOR INSULATION
150H265 3 h I01 1--J i!\
FLOOR SF1'tATHING
0. OF FAMILIES'.- DWELLING UNITS: APT/GOND:NO �7 I� - _ , ROOF SHEATHING
SCHOOL WITHIN HAZARDOUSSHEAR PANELS
�� ��� '� q� - . r•
AIR QUALITY: 1000 FEET MATERIALS f / + ,/ � ::•'
NO NO NO �,� •! ��••.,/ .+ FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
•� ��i�
SET BACK YARD: HWY: PROP LINE: WIDTH: •�i���C �_–_ _�1�;;�•�,•
FRONT PL- ���-le Ce Z_.;_ INSULATION/WEATHER STRIP
SIDE PL- I TERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS05O8
I
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 SL 0508 0312120039
PHONE: (626) 285-0488 EXT:
LEGAL D: NO. OF CONST W BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE OCCUP GROUP 6105 OAK AV
STRUCTURE: 190 1 VN R3 TEMP CA 917801654
ASSESSOR INFORMATION N MBER: GARAGE: NEAREST CROSS STREET: GARIBALDI
5385-003-014 OTHER: THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY
TENANT: EXIST L G SE: USE ZONE: ISSUED PROCESSED BY: IR S .
EXIST OCC GRP: 03/01/04 VG 02/24/05 .
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINA TE FIN100 oL BY: CODE:
CHEN YU CHING (626) 824-8651-JONNY 14,000 / / 0
6105 OAK AV
TEMPLE CITY 91780 FEES PAID DESgRIPTION OF WORK
EX END LIVING RM & DINING RM (EXISTING)
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL-.-NO:
SAME AS OWNER - B1 PLANCHECK W/ENERGY 14000.00 VAL 265.35
AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS:
AC STRONG MOTION RESID 14000.00 VAL 1.40
82 PERMIT W/ENERGY 14000.00 VAL 312.18
TOTAL FEES 606.68
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATIION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TE 0: FOUNDATION/TRENCH FORMS-'
LIC. NO: SLAB/PNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
3 01
IST LEVEL FLOOR SHEATH
0. OF FAMILIES: DWELLING UNITS: APT CO D: STAT CLASS:
NO 21 2ND LEVEL FLOOR SHEAT
SCHOOL WITHIN HAZARDOUS ROOF SHEATHING
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FIRE SEPT. FRAME INSPECT
REQUIRED TOTAL SETBACK FR-09- EXISTL�DG DEPT. FRAME INSPECT
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- S EARjPANELS
SIDE PL-
SUL ION EA HER -ST-RTP-
INTER IO
TR PNTERIOR LATH/DRYWALL
EXTER OR LATH
LOT DRAINAGE
SMOKE DETECTION DEVICES
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: SS0508
I