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Home My Public Portal About6136 OAK AVE_Building__ DIVISION OF BUILDING AND SAFETY Department of County Engineer BUILDING County of Los Angeles WM. J. FOX, COUNTY ENGINEER APPLICATION F/OR APPLICANT TO/F�ILLL/��I�N FOR OFFICE USE ONLY �y (O l,3v r�9 Vr DIST: NO. PLAN Or-OR� �i ed NO. PERMIT NO. b f �d �13 BUILDING ADDRESS c LOCALITY R EIVED BY DATE OF APPL DATE ISSUED NEAREST I � OSS BT. BUILDING l / �� Dn/� ADDRESS / �j /y'GL d'7 OWNER MAIL LOCALITY I ADDREB NJKMEST TSL CROSS ST. CITY N FIRE NO.OF R UP ARCHITECT OR n „Q rEL ZQNE I PLANS ENGINEER BLDG. SETBACK LINE d�IV ADDRESS USE APPROVED CONTRACT ��' ZONE&/ BY DATE HOUSE NUMBERING ADDRESS C // MAP NUMBER ASSIGNED BY LEGALCORRECTION DEBCRIPTIDN LOT BLOCK 7`*'4' Al TRACT - 7-4 IST` �9 e _76m P 41 V_(")V_(") //'- r NO. OF BLDG SIZE OF L -+ ! I NOW ON LDT USE OF NO.OF EXISTING BLDG. FAMILIES DESCRIPTION OF WORK -7-9-9 67 _ 7�, •lel./_ o NEW ALTERATION ADDITION 'LJ 7-U R —lel"SO D REPAIR DEMOLITION / C' Baize NROOMS (y STORIES y> /�/,y G /'!/ !n 7%?'!O 1✓.1 EXT.WALLI ROOF O tJj COVERING OOVERIN USE OF 87 URE r �� INSPECTION FOR APPROVALS OCCUPANCYAB INSPECTORPS SIGNATURE DATE FOUNDATIONS LOCATION 1% FO'RMSP MATERIALS 41/i �p f t HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- '' PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRE Wraps, /tJ CORRECT. BRACINRP BOLTS / ,'�) I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE* LOCATION, v� AND STATE LAWS REGULATING BUILDING CONSTRUCTION.' GAB VENT,DUCTS / �/ f BIGNATURE OF LATH, INT. { 'jl'f�'�'1 f PERM[TTE I ADDRESB.r�Fi /V LATH. EXT. AUTHORIZED ART. ^� PLASTER, INT. � PLRAESTER, EXT. D HOUSE COR- MT AND POSTD FINAL o b 2.. 76A639A DBS 3 1-68 WORKERS' COMPENSATION DECLARATION , reby� affirm that I have certificate of consent to self insure, P P L I CAT I®N FOR BUILDING PERMIT insure, or a certificate of Workers' Compensation Insurance, or a cefed copy thereof(Sec. 3800, Lab. C.) COU OF LOS ANGELES BUILDING AND SAFETY Policy I Company BUILDING ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING //3G �� tion department. ADDRESS 6 /� Q G Date Applicant l��e a C--'4 zip /17O U CITY �:LOCALITY NO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' n SIZE OF LOT NOW ON LOT CROSS ST. COMPENSATION INSURANCEASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE --'.0 PARCEL hundred dollars ($100)or less.) 2 TEL i OWNER //*IC /y. � T/ NOJ6.%f—& j USE ZONE MAP I certify that in the performance of the work for which this NO. SPECIAL permit is issued, I shall not employ any person in any manner ADDRESS CONDITIONS CL soas to become subject to the Workers'Compensation Laws. O CITY j� T ZIP 941 U Date Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY O Cz NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER O�� NO. CONST. F E 0 Exemption, you should become subject to the Workers' / w Compensation provisions of the Labor Code, you must forth- ' ADDRESS �i(J' �� n with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO. Z t� LICENSED CONTRACTORS DECLARATION deemed revoked. CONTRACTOR W/1��j2 J7 ,0LIC. , CLASS NCl. DWELL. UNITS ;O-/ I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business LIC. SEWER MAP and Professions Code,and my license is in full force and effect. CITY CLASS ' BK PG. VALIDATION SQ. FT. NO. OF NO. OF CHECK License Number Lic. Class SIZE I STORIES FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF WORK NEW $ /� c?,06) ❑I am exempt under Sec. �E�r►yq_ ,� Z 2 ZZ ADD ALTER ❑ B,BP.C. for this reason REPAIR ❑ $ Date: USE OF 1 DEMOL ❑ EXISTING BLDG. /� Signature APPLICANT TEL, u ,,` ' (PRINT �OZ/2 ��lfT/�NO. r77S�YYo FINAL q y. OWNER-BUILDER DECLARATION // DATE I hereby affirm that I am exempt from the Contractor's License ;ADDRESS /3 /4d, �� /S+tJP Rt ng reason (Section 7031.5, Business and FINALPRESENT Byof the ro ert , or m em to ees with BUILDING P P Y Y P Y ADDRESS FMs as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITYEAb 7044, Business and Professions Code.) MOVING TEL. PK ❑ 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.) CONSTRUCTION LENDING AGENCY SETaBACK YARD HWY ED TOTAPROP.ALIINE FROM 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 -"77,,[[ P.C. Fee$ •/cJ Permit Fee �a'�• 7� LDMA Ref. # Lender's Address 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 �! t P Z ordinances and State laws relat' uilding construction, Total Fee LDMA Perm. # an b..y aythm epresen atives o is County to enter pon o%) fed pection purpos s. o � 'o ,yp SEE REVERSE FOR EXPLANATORY LANGUAGE Sig r of Applic nt or Agent Dote r' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 I NEW RESIDENTIAL � � HL 0508 0701120024 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST NEW BUILDING ADDRESS: ON FILE I SQ. FT STORIES TYPE OCCUP GROUPI 6136 OAK AV 1 ISTRUCTURE: 640 1 VN R3 I TEMP CA 917801653 I (ASSESSOR INFORMATION NUMBER: I GARAGE: I NEAREST CROSS STREET: LONGDEN [ 15385-010-012 1 OTHER: I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl (TENANT: I USE ZONE: R-1 IISSUEU ON: PROCESSED BY: EXPIRES ON: 1 1 1 103/27/08 SR 09/23/08 1-1 [OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE: 1ICH, MARIA (626) 524-6722- 1 68,740 1 161366136 OAK AV 1TEMP 917801653 I FEES PAID JDESCRIPJVION OF WORK I I INEW GLEST HOUSE 2BR/lBA I ]FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( I ]APPLICANT: TEL. NO: I IDAIKOVICH (626) 524-6722- IBI PLANCHECK W/ENERGY 68740.00 VAL 924.66 1 1 16136 OAK AVE. 1AA BLDG PERMIT ISSUANCE 27.75 ISPECIAL CONDITIONS: ITEMPLE CITY CA 91780 AC STRONG MOTION REBID 68740.00 VAL 6.87 1 1B2 PERMIT W/ENERGY 68740.00 VAL 1,087.85 1 TOTAL FEES 2,047.3.3 1 I (CONTRACTOR: TEL. NO: ] JAP15ROVALS DATE INSPECTOR SIGNATURE ] IMARIA DAIKOVICH (626) 524-6722- 1 16136 OAK AVENUE LIC. NO I 1LOCATION AND SETBACKS 1 I 1 ITEMPLE CITY, CA 91780 NONE 1 1 1 ISOILS ENGINEER APPROVAL 1 I 1ARCHITECT OR ENGINEER: TEL. NO: 1 1FOUNDATION/TRENCH FORMS �1 I IVIDIXAN, ANDREW � (310) 815-0667- 1 13611 MOTOR AVENUELIC. NO:�Q I ]SLAB/UNDER FLOOR 1STE210 IP' 35623 1 1 I 1 1LOS ANGELES CA 90034 ( ?V C G� 1 1RAISEr FLOOR FRAMING 1 1 [ IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: [UNDERFLOOR INSULATION [ I I 1150H265 E 20 3 011 I 11ST LEVEL FLOOR SHEATH I 1 [ [NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: ] NO O1 1 �(J J ) ? �/ 12ND LEVEL FLOOR SHEATH 1 ] 1 I SCHOOL WITHIN HAZARDOUS 1 f IROOF SHEATHING [AIR QUALITY: 1000 FEET MATERIALS1 I NO NO NO I 0 IFIRE SEPT. FRAME INSPE�I x�z �Lc-ja REQIIIRED TOTAL SETBACK FROM EXIST -1 1BLDG DEPT. FRAME INSPECT( 1 ISET BACK YARD: HWY: PROP LINE: WIDTH: 1 7(/Q0 1 1 IFRONT PL- ISHEAR PANELS I + 1 I SIDE PL- I I 1 1 _I [INSULATION/WEATHER STRI 1 I IINTERIOR LATH/DRYWALL 1 1 1EXTERIOR LATH / I 1 (LOT DRAINAGE 1 1 I 1 1 1 SMOKE DETECTION DEVICES I I 1 1 [FIRE DEPARTMENT APPROVAL( i 1 I I I IREPORT ID: DPR261 ROUTE TO: BS0508 I /` (` 1 • 1 1 I I I