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HomeMy Public PortalAbout6158 OAK AVE_Building__ APPLICATION FOR BUILDING PERMIT FOR APPLICAUIT 0 FILL IN (Prim or type only) BUILDING • COUNTY OF LOS ANGELES ADDRESS ✓' DEPARTMENT OF COUNTY ENGINEER CITY Z I F&I ,/«-Apr BUILDING AND SAFETY DIVISION NO.OF B DGS. BUILDING ✓ SIZE OF LOT J 1, (0 NOW ON LOT ADDRESS , 14 TRACT ,13/-/3, LOCK OT�N�O �40 LOCALITY � �j��ol 15 G A„� . ' TEL. NEAREST OWNER WvA y NO. ��� �Z CROSS ST. 6'61,4 V25. ASSESSOR ADDRESS 6'10 F L ES .41.F• MAP BOOK PAGE PARCEL 7 DISTRICT [GROUP TYPE FIRE PROCESSED BY CITY _ G_t_eack_ ZIP � / CONST. ZONE ARCHITECT OR TEL. �� tJ, ENGINEER NO. —Ti - � � � STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO._�_DWELL•UNITS '� j� BK5/�G 0. 9. Z USE E NOP CONTRACTOR N 7 LIC. ADDRESS NO, SPECIAL CITY LIC. �ti CONDITIONS CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONSTRUCTION LEND n � NAME AND BRANCH /o A-f&1 / BLDG.SETBACK FROM F FRONT PROP.LINE OF s �� (STREET) C ADDRESS CITY- ® HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING C SQ. FT. NO. OF T NO. OF ` CHECK FRONT PROP. LINE HIGHWAY WIDTH C SIZE tt STORIES FAMILIES f ONEt/� i__ DESCRIPTION OF WORK NEW Z + 11 --7th G ADD ❑ SIDE PROPBL NE OF ACK M (STREET) 0,L.ra cs'fv h f^'� ' ,� �� ,A;y R ❑ HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING EPrAIR❑ SIDE PROP. LINE HIGHWAY WIDTH USE OF + DEMOL EXISTING BLDG. [:] APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) NO BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ AJ IN COASTAL ZONE YES ❑ NO ❑ VALUATION$ - / CATEGORICAL EXEMPTION YES E] NO C] I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO �1 ov�!/r ��, �6- f� WORKMEN'S COMPENSATION INSURANCE. 7 IS N SIGNATURE OF f e979 PERMITTEE ADDRESS CITY NOL DATE -'re1 41 �. MAKE CHECKS PAYABLE TO: FEE ` r FEE .✓ HARVEY T. BRANDT. COUNTY ENGINEER zo PLAN CHECK VALIDATION CK. M.O. CASH o PERMIT VA10,0ATION CK. CASH 7 5 1 -APR 29 213 D 1 0 6.2 0 �= S7BAJAW1031432 3 D ^4 6.8 0 AS` 9 6 IytAY _�_e7 h D 9Z c n n 6 012 V WORKERS'COMPENSATION DECLARATIOty • - -4 ^I hereby affirm that i have a certificate of consent to self r-P L I C T I®N FOR BUILDING PERMIT LI IL insure, or a certificate of Workers'Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C. Policy"1 f )�`' Company-> ` u ev 'fc_-�� COUNTY OF LOS ANGELES BUILDING AND SAFETY ❑ Certified copy is hereby Lpf'. FOR APPLICANT TO FILL IN ADDRESS 1 ❑ Certified copy is filed winty building i spec- BUILDING tion department. P 1 ADDRESS LOCALITY I �•„ A-� I Y 1 _ NEAREST Date Applican CITY ZIP CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (Thundred dollars ($100)or less.) TRACT BLOCK LOT NO.his section need not be completed if the permit is for one USE ZONE MAP j NO. ' TEL, o SPECIAL y. I certify that in the performance of the work for which this OWNER NO. CONDITIONS permit is issued, I shall not employ any person in any manner ISTRICT GROUP TYPE FIRE ADDRESS z ED BY O . E so as to become subject to the Workers'Compensation Laws. t� _ CONSTU � Date Applicant CITY ZIP STATISTICAL CLASSIFICATION CONDO. NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT'OR TEL. Exemption, you should become subject to the Workers' ENGINEER NO. i CLASS NO. 12!_� 'DWELL. UNITS Compensation provisions of the Labor Code, you must forth- 1 ADDRESS SEWER MAP with comply with such provisions or this permit shall be -i+ TEL,f � VALIDATION deemed revoked. CONTRACTOR 06 NO.`S_Z~ BK. PG, LICENSED CONTRACTORS DECLARATION LIC. r r I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS f NO (6) `� s ALU ION (commencing with Section 7000)of Division 3 of the Business and LIC. `J J�� Professions Code, and my license is in full force and effect. CITY S CLASS L SIZ STO IE �J FAMILOIES CONE License um er � Lic.Class—TS1 SIZE STORIES li �f— DESCRIPTION OF WORK NEW ❑ $ Contract to ! ` ADD ❑ I am exempt under Sec. D e-4- ALTER C]B.BP.C. for this reason yCiS . t-C `�' REPAIR ❑ t FIN L DATE Date: USE OF FINAL EXISTING BLDG. ; P C DEMOL ❑ By Signature APPLICANT e--I' TEL. OWNER-BUILDER DECLARATION .PRINT /r NO. ^+Z I hereby affirm that I am exempt from the Contractor's License � � /^ Law for the following reason (Section 7031.5, Business and ADDRESS `-C `C 4 wo ® 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. El1,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 REQUIRED YARD HWY TOTAL SETBACK FROM EXIST. v 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. e_�• `Z/ J fj- (.1 ,� tSec. 3097, Civ. C.). SIDE i P.L. :.�_ : Lender's Name e„ 3 P.C.Fee$ Permit Fee Lender's Address I �. I certify that I have read this application and state that the r,--2 4-. 61 C Issuance Fee �L�, IC ( ab information is correct. I agree to comply with all County Investigation Fee or in nces and State laws relatin to building construction, Total Fee I onq h reby authorize repr senta es of is County to enter 4 upo tea ove-men o p p r y for filsplection pur oses. / /^ SEE REVERSE FOR EXPLANATORY LANGUAGE Signature ofpplicant or Agent Date ®s 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 BL 0508 0109060002 PHONE: (626) 285-0488 EXT: O. OF CONST S : ON FILE SQ. FT STORIES TYPE OCCUP GROUP 6158 OAK AV STRUCTURE: 1551 2 VN R3 TEMP CA 917801653 ASSESSOR 0 R: GARAGE: NEAREST CROSS STREET: 5385-010-035 OTHER: THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY TENANT: - G S USE 0 EDON: PROCESSEDB EXPIRES ON: EXIST OCC GRP: 09/06/01 UT 03/05/02 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DfTEFI CODE: CHEUNG THOMAS;HELEN TRS CHEUNG TRUS - 1 122,840 i© 1 O 6158 OAK AV b 1 TEMP 917801653 FEES PAID DESCRIPTION FINALIZE EXPIRED PERMIT 639 FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: O: S N W DEVELOPMENT INC. (626) 286-5478- AA BLDG PERMIT ISSUANCE 27.75 325 N. SAN GABRIEL AC STRONG MOTION RESID,s12284O.O0 VAL 1.23 SPECIAL CONDITIONS: SAN GABRIEL CA 91775 62 PERMIT W/ENERGY__ _-= 122840.00 VAL 158.47 e•TOTAL"FEES, 187.45 r' . CONTRACTOR: TEL. N0: ��,���r '�;'�-,*;�•. APPROVALS DATE INSPECTOR SIGNATURE S N W DEVELOPMENT, INC. (626) 286-5178- 319 N. SAN GABRIEL BLVD LIC. NO .✓ LOCATION AND SETBACKS SAN GABRIEL CA 91776 487758, B SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: ;� �—, �, i+,` u, 0 N A N C FORMS LIC. N0: I - _�'- I ! �� - - SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: , �� � ;i i;: UNDERFLOOR INSULATION = IST LEMMOR SEA H 0. OF FAMILIES: DWELLING I S: APT/CON : STAT CLASS: - NO 21' +• \ i �, - J�'NJ ND LEVEL FLOOR SHEATH SCHOOL I T I N HAZARDOUS f•. `� ,; J� i i � rip' AIR QUALITY: 1000 FEET MATERIALS NO NO' NO FIRE DEPT. FRAME I SPECT RDI D0 MIXER R BLDG DEPT. -AME INSPECTFR SET BACK YARD: HWY: PROP LINE: WIDTH: '� FRONT PL- �;' `�^� ��'?&��? SHEAR PANELS SIDE PL- `� 111 ,=_' �"—— = "� INSULATION/WEATHER S I � INTERIOR LATH/DRYWALL (—�I -- — EXTERIOR A TF _ _ 1 LOT DRAINAGE l - C 0 DEVICES FIRE DEPARTMENT APPROVAL DA REPORT ID: DPR261 ROUTE TO: BSO5O8 I