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HomeMy Public PortalAbout6135 OAK AVE_Building__ SSR 76A638A• CE'#803;R;V.6/78) a • � t ` APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY BUILDING, FOR APPLICANT TO FILL IN ADDRESS , BUILDING ADDRESS ,3, 0Q✓ LOCALITYIn NEAREST g CITY ZIP 4717 © CROSSST NO.OF BLDGS. ASSESSOR SIZE OF LOT Y NOW ON LOT �(�/ MAP BOOK PAGE I PARCEL t DISTRICT GROUP TYPE FIRE OC D BY TRACT BLOCK LOT NO. ` 2 ©r/ CONSt. / ff E OWNER !L' / �W�' NOT L.. IZ 33 0 6/ STATISTICAL CLASSIFICATION _EWE MAP ADDRESS 1./.3 O 'CLASS NO.`� / DWELL.UNITS BX PG CITY -7- ZIP 9/'ya ARCHITECT OR TEL. / ® ` VALUATION $ ENGINEER NO.. 0 Gi ADDRESS an4el BLDG.SETBACK FROM TEL. rr / f FRONT PROP.LINE OF (STREET) CONTRACTOR . �� NOJV HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING LIC FRONT PROP.LINE HIGHWAY WIDTH ADDRESS --:r . NO. IV - LIC. + � CITY / C r CLASS CONSTRUCTION LENDER BLDG.SETBACK FROM NAME AND BRANCH SIDE PROP.LINE OF (STREET( HIGHWAY + YARD = TOTAL SETBACK FROM I TYPE OF 1EXISTING ADDRESS CITY SIDE PROP.LINE IHIGHWAY1 WIDTH Ol SQ.FT.,+-, NO.OF J NO.OF ( CHECK + _ SIZE =J"1 STORIES + FAMILIES / ONE DESCRIPTION OF WORK c NEW ❑ P.C.Fee$ Permit Fee eCADD Issuance Fee ALTER REPAIR Cl 1 Total Fee USE OFDEMOL ❑ EXISTING BLDG. 2 APPLICANT TEL 2 a (PRINT) NO. Q D BY(SIGNATURE) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Y THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES uVi AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE V WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM- y ZQ PENSATION INSURANCE. d SIGNATURE OF PERMITTEE ADDRESS _ Z CITY �✓ NO.2�� D USE ZONE MAP n ^� ` NO. O. d O o�7 f-f-7-2ECTAL 7r- NDITIONS � m us FINAL BY DATE .. .CE/808�.&6/781 ' APPLICATION FOR. BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY BUILDING FOR APPLICANT �TTOFILL IN ADDRESS 3 , v NG BUILD ADDRESS �l .3�/L" �"`sell'I,fZ.Z& °7 LOCALITY G'NEAREST CITY 724""ISU 6'7Y ZIP • /&0 CROSS ST. SIZE OF LOT ISO X 7 f` NOW ON LOT ASSESSOR MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE PROCESSED BY TRACT/W,6(J � BLOCK ���) LOT NO. Bf �' / ONST. ZONE OWNER /V cJe- :7 nL�°�" NO LO-3J�(O �� ` STATISTICAL CLASSIFICATION SEWER MAP ADDRESS�� �`- � vCD DWELL.UNITS BK`20PG �• /' 7� �j +� �+'� CLASS NO. CITY / `-'f'! ZIP !l/9v ARCHITECT OR TEL. VALUATION ENGINEER NO. cao ADDRESS BLDG.SETBACK FROM [�J FRONT PROP.LINE OF (STREET) CONTRACTOR Cjw,v6P- N `��� � HIGHWAY + YARD __ TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS&-���"' 0 / �'`" NO. FRONT PROP.LINE HIGHWAY WIDTH + CITY U'� ' ` ! CLASS BLDG:SETBACK FROM CONSTRUCTION LENDER NAME AND BRANCH SIDE PROP:LINE OF (STREET( HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING 0 ADDRESS CITY SIDE-PROP.LINE HIGHWAY WIDTH SQ.FT. NO.OF NO.OF CHECK + _ SIZE STORIES Q FAMILIES ONE tz.° DESCRIPTION OF WORK TJ&� 6(�IGL� NEW ❑ P.C.Fee$ Permit Fee t ADD ❑ �� H Issuance Fee ALTER ❑ C REPAIR El Total Fee USE OF DEMOL El EXISTING BLDG. Z APPLICANT TEL C (PRINT) NO. z06R6A BY(SIGNATURE) `aj # o 0 0 o a IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Y THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE S 2 - . 4300 WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF V THE LABOR CODE OPTHE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- z 0 ­ 430006 PENSATION INSURANCE. SIGNATURE OF ` Z /,(y��,.�_ s �,1�i0-78 PERMITTEE ADDRESS Z TEL. C CITY 'rC' NO. Q O USE ZONE MAP NO. z `L SPECIAL CONDITIONS. :E m FINAL BY ~; y DATE i • WORKERS'COMPENSATION DECLARATION e) hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING P E RM I T insure, or a certificate of Workers'Compensation Insurance, or a cernf,,ed th roof(Sec. 3800, Lob. C.) C'Y3�%%Nf5� � COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company ��4/I`r, Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING s ADDRESS Certified copy is filed with the county building inspec- BUILDING �3 tion departme ADDRESS LOCALITY .- NEAREST Date a 3 Applica CITY a ZIP 0 CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP hundred dollars($100)or less.) TRACT BLOCK LOT NO. NO. TEL. �,I SPECIAL I certify that in the performance.of the work for which this OWNE NO. CONDITIONS EL permit is issued, I shall not employ any person in any manner / DISTRICT .GROUPTYPCONSTV E FIRE PROCESSED BY O S /� uar . ZONE so as to becomeADDRESS. subject to the Workers'Compensation Laws. Id CITY C/J� /� ZIP /a•� ✓ O Date Applicant STATISTICAL C IFICATION APi. C NDO. � NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR7:77;1" � TEL. Exemption, you should become subject to the Workers' ENGINEER .J c� NO. CLASS NO. DWELL UNITSIL Compensation provisions of the Labor Code, you must forth- ADDRESS ;P-0 SEWER MAP U) with.comply with such provisions or this permit shall be deemed.revoked. CONTRACTOR brie-? NO.5-7,S-_0S s3 BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC, S/,�e-2/7/ affirm I hereby arm that.l am licensed under provisions of Chapter 9 ADDRESS 3 S NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and / LIC. C90 Professions Code,and my license is in full force and effect. CITY CLASS $ 7 � Lic.Class_ SQ. ST OF ' NOFA OF ` CHECK , LicenseNumber r, ¢ SIZE 'SST STORIES FAMILIES / ONE Contracto rijf?JL�'9 Date '3—.:;)�" g3 DESCRIPTION OF WORK G NEW ❑ $ I am exempt under Sec. ADD G ALTER ❑ FINADATEL � B.BP.C.for this reason d /e REPAIR ❑ USE OF FINAL /^ Date: EXISTING BLDG. 1 DEMOL C] FINAL Signatu APPLICANT TEL (I OWNER-B R DECLARATION (PRINT) / e. NO.v� � I hereby affirm that I am exempt from the Contractor's License ADDRESS��3 !/`' �+G Law for the following reason (Section 7031.5, Business and Q 7 I 1 A Professions Code): �PRESENT ro er employees BUILDING ; 0 0 0 0'o p p ty, or my em to ees. with ADDRESS I, as owner of the , 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 ooll TEL. 2 0 0 7 R C O I,as owner of the property,am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS 0 0 a 7 a 0 0� tion 7044, Business and Professions Code). TOTAL-REQUIRED L SETBACK FROM EXIST. O 2 5—8 3 CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH ► I hereby affirm that there is a construction_lending agency for h1non the performance of the work for which this permit is issued Sec. 3097,Civ. C.). -o Lender's Name 3 Permit Fee Lender's Address f I certify that I have read this application and state that the Issuance Fee •L5 above information is correct. I agree to comply with all County ee ordinances and State laws relating to building construction, Total Fee o 3 and hereby authorize representatives of this County to enter upon th bovwfientioned property for inspection purposes. g3 SEE REVERSE FOR EXPLANATORY(LANGUAGE Si t of Applicant or Agent Date ®s 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 0304230030 PHONE: (626) 285-0488 EXT: LEGAL ID: i ON FILE SQ. FT STORIES TYPE 6135 OAK AV STRUCTURE: VN TEMP CA 917801654 ASSESSORNEAREST CROSS STREET: GARIBALDI 5385-003-010 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY TENANT: Ff 7M USE: RESID USE ZONE: R-r- TSSUED ON: PROCESSED BY. EXPIRESON: EXIST OCC GRP: 04/23/03 JK 04/17/04 OWNER: TEL.-NO: BLDGS. NOW ON LOT: LUA IO : FINAL DATE FINAL BY: CODE: MACDONALD DAVID (626) 309-9610- 8,000 _U / 6135 OAK AV 1" TEMPLE CITY 91780 FEES PAID DESCRIPTIONPO T/0 HSE & GARAGE; INSTALL 1/2"PLYWOOD & 40YR COMPOSITION FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ROOFING (ASPHALT SHINGLES) APPLICANT: O• ALLEN HIGGINS (626) 797-0432- AA BLDG PERMIT ISSUANCE 27.75 1310 N WESTLYN PL AC STRONG NOTION RESID 8000.00 VAL 0.80 SPECIAL CONDITIONS: PASADENA 91104 D2 PERMIT W/O EN-HC 8000.00 VAL 183.00 -TOTAL FEES 211.55 CONTRACTOR: TEL. 0: APPROVALS DATE INSPECTOR S G AT R A AND L CONSTRUCTION (626) 797-0432- " 1310 N. WESTLYN PL. LIC. NO LOCATION AND SETBACKS PASADENA, CA 91104 2832508 ' SOILS ENGINEER APPROVAL ARCHITECT R R: TEL. NO: OUND 0 R C FORM LIC. NO: SLAB/UNDER FLOOR RAISEDR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 150H265 3 01 FLOORS G 0. OF FAMILIES: DWELLING UNITS: CO T C AS : _ NO 21 ROOF SHEATHING SCHOOLA DO SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED O L SETBACK FROM EXISTI SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- NS ATION/WEA HER S RIP SIDE PL- - - INTERIORLATH/DRYWALL EXTERIOR LAT RATED FLOOR/CEIL ASSEM. TED WALL ASSEMBLIES S T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: 13SO508