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Home My Public Portal About6218 OAK AVE_Building__ 76A658A CE.#8031.62:APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN,SUP'T OF BUILDING CROSS ST. r DISTRICT GROUP PE O ED Y FARCHITECT OR APPLICANT TO FILL IN O I NG STATISTICAL CLASSIFICATION SEWER MAP SS I. K P CLASS.NO. DWELL.UNITS . OCK /" WATER NOT REQUIRED ® RECEIVED CERT I F I r-ATE: Allow NC�00 HIGHWAYC RC STATE MAJOR SECOND, CA NO.OF BLDGS.F LOT ao ''�� NOW ON LOT USE ZONE SPECIAL CONDITION NG BLDG. • Sj oa" J'NO. BUILDING EXIST: ox,.5w SETBACK YARD HWY STREET NAME WID H SS ''f.9 n, L7 0 f a ~ : FRONTECT O.R TEL. Ps L• ��iER 'NO. SIDE P. L'. . O LNE SS c CTOR N�A C ti NO. I7� 1 ( j N ` SS ' v , / DESCRIPTION OF WORK ADD ALTER REPAIR DEMOLISH NO.OF NO.OF - STORIES FAMILIES �PUREd� FA A*�1 f 6 �'�a/,. � ., �c G.� AarURE OF ICANTTION$ ® ' r APPROVALS GATE INSPECTORSIGNATURE P C.F E s t PMT. . O�ii FOUNDATION: MATERIALATIS FEE FRAME: FIRE STOPS, Y I HEREBY ACKNOWLEDGE THAT 1HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION. 1, CERTIFY THAT IN DOING THE WORK _ AUTHORIZED HERESY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. 1 TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- J� ING TO WORKMEN'S MPENSATI N INSURANCE. LATH,EXT. SIGNATURE Or �..�d /d AA _ HOUSE NUMBER COR- . PERMITTEES ! �� RECT AND POSTEDI I /J' /7 ADDRESS rd FINAL I 672:Avzz'64'r JOHN F. LEWIS. Pik I'NCIPAL STRIJ RAL ENGINEER PLAN CHECK VALIDATION cK. M.D. CASH _ s PERMIT VALIDATION gKl) 'm.o. CASH LAAO 6 8. a..71—. IJOV 132.3 D 2. 5,0 0 b ,Q LJ ll,o 8 0'4 2 cS DEC 7 1 D' 5 0.0 0— ..v APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) TEMPLE CITY BUILDING COUNTY OF rM ANGELES ADDRESS 6 218 W a-&t- 0 a k Street DEPARTMENT OF COUNTY ENGINEER clry zip BUILDING AND SAFETY DIVISION NO.OF BLDGS. BUILDING F SIZE OF LOT NOW ON LOT ADDRESS TRACT BLOCK LOT NO LOCALITY,2 TEL. NEAREST OWNER J Sh a NO. CROSS ST. "� ASSESSOR • ADDRESS 6218 W. Oak MAP BOOK PAGE lP_&fICEL DISTRICTGROUP TYPE FIRE OCE ED BY CITY ZIP Imo+' 0 CONST. ZONE ARCHITECT R TEL. -�. J• vU ENGINEER NO. STATISTICAL CLASSIFICATION SEWER M ( ADDRESS CLASS NO, DWELL.UNITS / BK2i/ PG CONTRACTORH . L . Randol Co. NOL 288-404 USE ZONE LIC. ADDRESS NO. 186086 `' SPECIAL CONDITIONS ` CITY San Gabriel Cal . C ASS C-39 ROAD DEeARTMENT APPROVAL REQUIRED YES❑ NO❑ CONSTRUCTION LENDER 13 NAME AND BRANCH BLDG.S TRACK FROM FRONT ROP.LINE OF (STREET) ADDRESS CITY HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING SIZE STORIES FAMILIES 'ONE Sq. FT. NO. NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH • Z DESCRIPTION OF WORK - NEW ❑ ADD ❑ G.SETBACK IF & Att. Gar. with 12x18 SIDE PROP.L NE OF (STREET) C compo 150# ALTER ❑ HIGHWAY + ypgp = TOTAL SETBAC OM TYPE OF EXISTING REPAIRSIDE PROP. LINE HIGHWAY WIDTH C USE OF + = a EXISTING BLDG. DEMOL ❑ APPLICANT TEL CORNER CUTOFF YES ® NO ❑ (PRINT) r-r-f--lb-288-4040 IN OPEN SPACE YES ❑ NO BY (SIGNATtP ) C_ ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION Q� ' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSSWIN)VIOLATION OF THE LABOR CODE OF TH T E OF SA.11FORNIA IN RELATJNG TO WORKMEN'S COM S TI01 NSU C / SIGNATURE�9F 1 PERMITTEE ADDRESS 529 E _ Vaile'y Rj ��rj FINAL BYTE ,. ` r CITY San Gabriel , Cal NOL'288-4041DATE r^�/ i7�� 51Y{f` ,Y,-Af. MAKE CHECKS PAYABLE 70: FEE $ rf ! FEE $12 00 HARVEY T. BRANDT. COUNTY ENGINEER PLAN'CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CASH b �rrtb 76AG38A CE0803 5/74 ��• APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDINGADDRESS I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS �4a��or a certificate of Workers'Compensation Insurance,or a certified 6218 OAK AVE. copy thereof(Sec.3800,Lab.c.) CITY TTZIP TEMPLE CITY 91780 LOCALIT Policy No. 1046140 — Company- STATE—FAVID_ SIZE OF LOT NO.OF BLDGS,NOW ON LOT Certified copy is hereby furnished. NEAREST CROSS ST. Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. Date 11-1-94 Applicant RANDOL ROOFING ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER JOSEPH SHAMEL 286NQ5771 COMPENSATION INSURANCE WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDRESS dollars($100)or less.) 6218 OAK AVE. DISTRICT GROUP TYP ONST. FIRE ZONE PROCESSED BY I certify that in the performance of the work for which this permit TTEMPLE CITY, CA----7 P 91780 is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO..2.1 — DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject t0 the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP UNE WIDTH Compensation provisions of the Labor Code, you must forthwith RANDOL ROOFING 288-4040 FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL LICENSED CONTRACTORS DECLARATION 529 E. VALLEY BLVD. 451937 SIDE CITY LIC.CLASS P L } I hereby affirm that I am licensed underprovisions of Chapter 9 C-3 SEWER MAP IL (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES O Professions Code,and my license is in full force and effect. NEW ❑ BK PG , 0 License Number 451937 Lic.Class C-39 DESCRIPTION OF WORK ADD ❑ VALUATION ContractorRANDOLR00FING Date 1-31-94 ALTER ❑ 3,000.00 0 O ~ ❑ I am exempt under Sec. REPAIR 11 $ tU B.BP.C.for this reason SHINGLES.OVER EXISTING. DEMOL ❑ LDMA P/C# LU Date: OB EXISTING BLDG. URM ❑ CO �5rr�� z Signature APPLICANT(PRINT) AV-?4040 LDMA Perm# AV _ . ❑ I, as owner of the property, or my employees with wages as RANDOL ROOFING -O 4040 Z rj°.t:i.v their sole compensation, will do the work and the structure is ADDRESS O �-;, not intended or offered for sale (Section 7044, Business and VALLEY BLVD.1 SAN GABRIEL FINAL DATE Q i1�'0 Professions Code.) i 97,H'tC WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL tt�� J I OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ❑ 1, as owner of the property, am exclusively contracting With AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY TOTAL I (�j 2a25 licensed contractors to construct the project (Section 7044, yes❑ No❑ Business and Professions Code.) I WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING I CHECK I t �•i�°==� OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES CHAINGE I hereby affirm that there is a construction lending agency for YES❑ NO❑ a the performance Of the Work for which this permit IS issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING OD 3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, 01100-13001 '�'{' j{�':' TITLE 2•CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20 140 CONCERNING HAZARDOUS 'I'�t'+�L/' Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. ht� o Lender's Address ,.r_�ti -!i •..� OWNER OR AGENT c I certify that I have read this application and state under penalty of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE 2 r9YX95 r with all county ordinances and State laws relating t building 7 construction, nd h by authori a representatives Of t Is Cou ISSUANCE FEE 6 40 m to enter U 0 1 mentio pr jferty for inspec i urpo L • < ' / INVESTIGATION FEE TOTAL FEE o. J.18se7 10( SEE REVERSE FOR EXPLANATORY LANGUAGE • 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 0902230004 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: ON FILE I SQ. FT STORIES TYPE I 6218 OAK AV 1 ISTRUCTURE: V-B I TEMP CA 917801655 1 IASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: LONGDEN 15385-010-026 [ [ THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, CI (TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: [ fiXIST OCC GRP: 102/23/09 SR OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFI DAT FINAL BY: CODE: I ICHEN, PAI CHOU (626) 451-6962- 1 2,300 I I 16218 OAK AV I I�I TEMP 917801655 I FEES PAID IDESCRIPTIO OF WORK I I I ICHANGE 3 EXISTING BEDROOM WINDOWS INTO 3 NEW SIZE WINDOWS INI IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:]ORDER TO QUALITY EMERGENCY EXIS STANDARD TOTAL 7 WINDOWS * ] (APPLICANT: TEL. NO: I I I ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.75 1 1 I JAB STATE GREEN BLDG FEE 2300.00 VAL 1.00 ]SPECIAL CONDITIONS: 1 [ 1AC STRONG MOTION RESID 2300.00 VAL 0.50 ] [ D2 PERMIT W/O EN-HC 2300.00 VAL 99.00 TOTAL FEES 128.25 I I (CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE ISAME AS OWNER - I I I I LIC. NO I ILOCATION AND SETBACKS I I I ] I [SOILS ENGINEER APPROVAL ] I I [ARCHITECT OR ENGINEER: TEL. NO: - [ [FOUNDATION/TRENCH FORMS I I I 1 LIC. NO: I ]SLAB/UNDER FLOOR I I I [ I (RAISED FLOOR FRAMING I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I I 1153H265 3 001 1 1 1 1 I IFLOOR SHEATHING ] I ] INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I ] I I ] NO 21 IROOF SHEATHING I I I SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I I [AIR QUALITY: 1000 FEET MATERIALS _ NO NO NO -[ [FR4VlE INSPECTIONN (REQUIRED TOTAL SETBACK FROM EXIST 1 IFIRE SPRINKLER HANGERS I I I ISET BACK YARD: HWY: PROP LINE: WIDTH: I I ] I I IFRONT PL- I (INSULATION/WEATHER STRIP( I I ] SIDE PL- I I I I I INTERIOR LATH/DRYWALL I I I [ 1 1EXTERIOR LATH I I I I I I I IRATED FLOOR/CEIL ASSEM. I I I I (RATED WALL ASSEMBLIES I I I � I I IRATED SHAFTS/OPENINGS [ 1 [ [ 1 IT-BAR CEILINGS I I I [* ADDITIONAL DATA ON FILE ILOT DRAINAGE I I I I I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I I I I I I I