HomeMy Public PortalAbout6243 OAK AVE_Building__ ATI I.
'SA888A CE#8 9 B.Ba APPLIC ON 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.
DISTRICT NO. G UP TYPE OCESSED B
FOR APPLICANT TO FILL IN CONST.-4T
BUILDING /j STATISTICAL CLASSIFICATION, - SE ER MAP
ADDRESS p[ Q K PG,
CLASS:.NO: DWELL.UNITS .�
LOT NO. 5q, $F 14-ItW Cdr I BLOCK 1_ WATER NOT REQUIREDElRECEIVED 11CERTIFICATE:
TRACT NO. O 3 (CIRCLEHWAY
)OF E) STATE MAJOR SECOND;LOCAL
.LOT-
SIZE OF LOT p NOW ON�LOT• USE ZONESPECIAL '
USE OF f CONDITIONS;
EXISTING BLDG. l
TEL.
OWNER NO I�LDING EXIST.
�' S€TBACK YARD HW.Y STREET NAME WIDTH
ADDRE 6 1_3I ! r FRONT
ARCHITECT OR TEL. 'P• L.
0AENGINEER NO. SIDE
ADDRESS d
Gr A
TEL. /� J ) C ! O
CONTRACTOR NO. pL( /61
ADDRESS / , v
DESCRIPTION OF WORK
4
NEW ADDALTER REPAIR DEMOLISH //� w
SQ.FT. NO.OF NO.OF 6. /•/Id ls^rf1 ?
SIZE STORIES FAMILIES
USE OF /� its
STRUCTURE1�0 wT��.� ;/ t' / sy.,rL ! '
r V /
SIGNATURE OF I
APPLICANT—
VALUATION
PPLICANTVALUATION $ 2—
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION: LOCATION
FEE FEE ! ; FORMS, MATERIALS
71 F{{RAME: FIRE STOPS; '
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 'i BRACING. BOLTS '
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. Y �a�`,1�!)� s.�+d`�•Jr �f
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING -GAS VENT. DUCTS (•i �� raJ '.
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. !/
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. -
ING TO WORKMEN'S COMPEN TION INSURANCE
/�(A LATH, EXT.• '
SIGNATURE OF �f '/ �j�J� HOUSE NUMBER COR-
PERMITTEE
OR-
PERM ITTEE / / �+e✓�/ 'RECT AND POSTED �y
ADDRESS FINAL O�L�
JOHN F. LEWIS. PRINCIPAL STR URAL ENGINEER
PLAN CHECK.VALIDATION CK. M.O. CA'H PERNIIT VALIDATION CK.. M.O. CASH
LHI,p 6 2 0;5""j*
NOV 2 5 D ' 4 .0 0
76AS38A CE#9032-63-APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES noon IsNs (p �//�
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY /!' /,X= c- I n
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST ,y ^ �± A'
WILLIAM A.JENSEN,SUPT OF BUILDING CROSS ST... V V G+/
DISTRICT NO. GROUP I TYPEj� P O D BY
FOR APPLICANT TO FILL IN , (, y` CONST. V
BUILDING �/ _ STATISTICAL CLASSIFICATIONSEWER MAP
ADDRESS Al OAK A T '�^' CLASS. NO.�DWELL.UNITS 4-1 BK r G
LOT NObsc q - TL ,(K WATER NOT REQUIRED RECEIVED
CERTIFICATE:
TRACT 2 IGHWA
NO. F SLOGS. NOP S} a (G ROLE) STATE MAJOR SECON LOCA
SIZE OF LOT O �O NOW ON LOT USE ZO E SPECIAL
. ----- -
USE OF � � CONDITIONS
EXISTING BLDr_G. L / 9�} b
OWNER�f r.17�o0a/ pmlJ� NO. ,6 BUILDING EXIST
ADDRESS (p 3 JV AIC iF SETBACK YARD. HWY STREET NAME WIDTH
FRONT
ARCHITECT OR TEL. P. L. q9A if 40
ENGINEER I_ R NO. I'= SIDE '
ADDRESS' A J� P. L f1
O
CONTRACTOR 1'V � R TE: A/•Iy�ra V
ADDRESS
DESCRIPTION OF WORK W
a
N
NEW QO ALTER '. REPAIR DEMOLISH Z
SO.FT. NO.OF j NO. OF /
SIZE ZY STORIES J FAMILIES J
USE OF
STRUCTURE
SIGNATURE
APPLICANT I/o
VALUATION S CJ a. /�))
APPROVALS DATE INSF CE'TQft'&SIGNATURE
OCOMPLY
FOUNDATION: LOCATION-
FEE
OCATION- .•? �'
F E $ FEE FORMS, MATERIALSFRAME: FIRE STOPS•
1 HEREBY•ACKNOWLEDGE THAT I HAVE READ TBRACING. BOLTSAND STATE THAT THE ABOVE IS CORRECT AND AGFURNACE: LOCATION.
WITH ALL COUNTY ORDINANCES AND STATE LA _GAS VENT. DUCTS'
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- .LATH, INT.
TION OF THE LABOR.C02C pF THE STATE OF CALIFORNIA RELAT.
ING TO WORKMEN'S CO E SATION INSURANCE. +(A. •j7i/+"
LATH, EXT.
SIGNATURE
OF
/� HOUSE NUMBER COR-
PERMITTEE VDDD RECT AND POSTED
if
ADDRESS ' FINAL
JOHN F. LEWIS. PRINCIPALS RAL ENGINEER
PLAN CHECK VALIDATION CK. 'M.D. CASH PERMIT VALIDATION• cK. M.O. :CASH
i.l c,
9'7 6.5a .-SEP 4' .15.C}:ON
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�_78A898A'CF#80811-37 APPLICATION FOR BUILDING PERMIT-`•
COUNTY OF LOS ANGELES BUILDING Q
DEPARTNIENT OF COUNTY ENGINEER abDREss
;= BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST ,.
CASSATT D.GRIFFIN,Sup T OF BUILDING CROSS ST. !:.o-f C. "-
FOR APPLICANT TO FILL IN DISTRICT NO. GR UP SEWER MAP
TYPE
•,T I-CONS I BK PG--
-BUILDING / ,/ /'�
ADDRESS (1e- 4f STATISTICAL CLASSIFICATION I
l r f CLASS.NO.-DWELL.DWELL.UNITQ
LOT NO. h T .7' G: BLOCK �•�"
` MAP / r,f STATE YES
�� J{ �✓,�7 •. NUMBER �.. .. HWY. ..
TRACT r'; •! !� / USE ZONE SPECIAL
NO.OF BLDGS...r CONDITIONS.
SIZE OF•LOT 'I• y / I NOW ON
USE OF
EXISTING BLDG. t=_�:,?.�r' w BUILDING- EXIST. ,
' r } J SETBACK YAR'C HWY STREET NAME` WIDTH'.
OWNER c?' C" FRONT-" n .1 F �•
MAIL �. r `P.L: +c. 4• •• (, �d (_.j�•
ADDRESS ,2X. SIDE
�
+ yt� TEL.
.CITY � �/ L % / NO. 7
ARCHITECT O t TEL. INSPECTION RECORD
ENGINEER e`� est-'�i O.
ADDRESS
CONTRACTOR Z-_r`'e I_Kf-Z; .T o:
ADbREss ��,rpm L SPS Dim fl//.r"t��
DESCRIPTION OF WORK
NEW AI;TER REPAIR DEMOLISH
SQ.FT. NO.OF NO.OF
SIZE. V�� STORIES FAMILIES
USEOF$TRUCTUR Pt
SIGNAT RE OF ' = APPROVALS
4PPLIC4NT �' Z.
1 DATE INSPECTOR'S SIGNATURE
ADDRESS f . W. cyi C FOUNDATION: LOCATION
FORMS,MATERIALS
{� P•C $ FRAME: FIRE STOPS.
! 'f FEE BRACING.BOLTS
VALUATION $; FURNACE: LOCATION.
FEE (r U GAS VENT.DUCTS
T HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT.
PLICATION AND STATE THAT THE ABOVE 15 CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE IJAWS REGU TING D CONSTRUCTION. 1 4TH;EXT.
-SIGNATURE OF G� ,fir// t HOUSE NUMBER COR-
PERMITTE �' G ' RECTANDPOSTED
ADORES L• 2":_02T_04 FINAL
CLYDE N.DIRLAM,PRINCIPAL STRUCTURAL ENGINEER
ISBN CHECK VALIDATION %' c m.o. cASH PERMIT VALIDATION CK. M.O. CASH
®F;
t
APPLICATION FOR BUILDING PERMIT
a COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUit41Nq g9Alss,/ / u -
hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS �1 moo{? C
or a certificate of Workers'Compensation Insurance,or a certifiedoz
copy thereof(Sec. 800,Lab.C.) CI y Zcy� LOCALITY
Policy No. Company SIZE OF LOT NO OF B/LOGS.NOW ON LOT
❑ Certified copy is hereby furnished. NEAREST CROSS ST
❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO.
/J USE ZONE MAP NO. er
department.
.
Date �r Applicant QC/. qe r t1, S ASSESSOR MAP BOOK PAGE SPECIAL CONDITIONS _
`/9
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER L TEL NO.
COMPENSATION INSURANCE A/ ' kvff �+ �J oILI WITHIN 1000 FT.OF SCHOOL? YES NO
(This section need not be completed if the permit is for one hundred ADDRE
dollars($100)or less.) L^ �/ i DISTRICT GROUP TY CONST. FIRE ZONE I PROCESSED BY
1 certify that in the performance of the work for which this permit CIT �� ZIP , n 10 ���
is issued, I shall not employ any person in any manner so as to A CHITECT OR ENGINEER - TEL NO. -3
become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO
/� �
Date Applicant G � ��y G� ADDRESS CLASS NO. DWELL UNITS
N0710E TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you should become subject to the Workers' CONTRACTOR ATE O p { SET BACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code, you must forthwith f Q //[/ - a n ,`1//O FRONT
comply with such provisions or this permit shall be deemed revoked. A DRESS LIC.NOS. d'' t� PL }
' • ��/%// - SIDE
LICENSED CONTRACTORS DECLARATION h�G� o'�U� C
ITY LIC.CLASS P L
I hereby affirm that I am licensed underprovisions of Chapter 9 ./ e� -yllo �� C
(commencing with Section 7000)of Division 3 of the Business and SQ.FT SEWER MAP SIZE NO.OF STORIES NO.OF FAMILIES NEW 1:1BK PG C
Professions Code,and my license is in full force and effect. • , I,,,
License Number Lic.Class P - DESCRIPTION OF WORK //v` ADD ❑ VALUATION ®O C
LL
Contractor .09 6144-:2 J'--OZ- Date , Od v• D.
f 4 ALTER ❑ /
Cr
❑ 1 am exempt under Sec. arrle REPAIR n $ Z
BAP.C.for this reason .�i /�i1/i(r` //v+ DEMOL ❑
CLk LDMA P/C# i
Date: - USE OF EXISTING BLDG. 4 URM ❑ 1
Signature 01- &1.01 a--
/!� (_`J APPLICANT(PPo .TE TE 0. ILDMA Perm# ACCT
❑ 1, as owner of the property, or my employees with wages as !i � A v
Z 33103 t27.65
their sole compensation, will do the work and the structure is ADDRESS O
not intended or offered for sale (Section 7044, Business and FINAL DATE a 1 ITEMS
Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL
OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE = TOTAL 1127 .65
❑ I, as owner of the property, am exclusivelyproject
contracting 44, AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? Q
licensed contractors to construct the project (Section 7044, FINAL BY > 127.65
Business and Professions Code.) VES❑ NO❑ CASH
WILL THE INTENDED USE OF THE BUIDLNG BY THE APPLICANT OR FUTURE BUILDING CHANGE e��
OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM HE SOUTH
CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR
GUIDELINES
I hereby affirm that there is a construction lending agency for YES❑ NO❑
the performance of the work for which this permit is issued(Sec. 011901[{-0001 7/15/96
3097,Civ.C.) I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING
CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, /Crt 1 f'�M !,e,Cjr'(
Lender's Name MATERITITLE ALS REPORTING AND FOR OBTAININGER 2 20 SECTIONS 2 20.100 TA PERMIT FROMHROUGH 2 THE HEOSCAOMDD HAZARDOUS `t f t' 9
Lender's Address
OWNER OR AGENT
I certify that I have read this application and state under penalty
c of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE
with all county ordinances and State laws relating to building
cconstruction, and ereby authorize representatives of this County ISSUANCE FEE ^ ��
gabove- ntioned proDi5ty,for inspection purp ses.
d p{ /
INVESTIGATION FEE TOTAL FEE / !S
N t Ip
SEE REVERSE FOR EXPLANATORY LANGUAGE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS
NEW RESIDENTIAL
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
BL 0508 0910220003
PHONE: (626) 285-0488 EXT:
(LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE OCCUP GROUP 6243 OAK AV
ISTRUCTURE: 0 1 V-B R3 I TEMP CA 917801656
ASSESSOR INFORMATION NUMBER: GARAGE: 524 1 V-B U NEAREST CROSS STREET: LONGDEN
15385-001-010 I OTHER: I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl
ITENANT: USE ZONE: R-1 11SSUED ON: PROCESSED BY:
110/28/09 SR
(OWNER: TEL. NO: [BLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE:
16243 OAK GCHIA (626) 287-8507- 24,110 1� 0
6243 OAK AV 1
TEMP 917801656 FEES PAID IDESC IPTION OF WORK
I [DEMOLISH EXISTING GARAGE AND REBUILD DETACHED 2 CAR GARAGE
IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:1
(APPLICANT: TEL. NO: I
ISPURNEY (626) 255-4833- IDI PLANCHECK W/O EN-HC 24110.00 VAL 398.31 1
15929 WILLARD AVE. JAA BLDG PERMIT ISSUANCE 27.75 ISPECIAL CONDITIONS:
ISAN GABRIEL CA 91775 AS STATE GREEN BLDG FEE 24110.00 VAL 1.00
I IAC STRONG MOTION RESID 24110.00 VAL 2.41
I ID2 PERMIT W/0 EN-HC 24110.00 VAL 468.60 1 1
ICONTRACTOR: TEL. NO: I TOTAL FEES 898.07 (APPROVALS DATE INSPECTOR SIGNATURE 1
ISHAWN SPURNEY CONSTRUCTION (626) 255-4833- [
15929 N. WILLARD AVENUE LIC. NO 1 (LOCATION AND SETBACKS 1
ISAN GABRIEL, CA 91775 NONE [
1 (SOILS ENGINEER APPROVAL
(ARCHITECT OR ENGINEER: TEL. NO: I [FOUNDATION/TRENCH FORMS
LIC. NO: I (SLAB/UNDER FLOOR
IRAISED FLOOR FRAMING--1 I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( 1UNDERFLOOR INSULATION I I
1153H265 E 21 3 001 1 .1-1
I I [
I I (1ST LEVEL FLOOR SHEATH
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I - - I I [ [
NO 12 [ ` 12ND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS [ IROOF SHEATHING I 1
(AIR QUALITY: 1000 FEET MATERIALS A
INO NO NO I - IFIRE DEPT. FRAME INSPECT[ I
IREQUIRED TOTAL SETBACK FROM EXIST (BLDG DEPT. FRAME INSPECT(
ISET BACK YARD: HWY: PROP LINE: WIDTH: 1 I I I I
IFPL-
SIDE SIDE PL- ISHEAR PANELS 1/`J
I i I 0jl�� I
1 I ' INSULATION/WEATHER STRIP( FI
r
I I I
I [ I X z I INTERIOR LATH/DRYWALL 1 1
(EXTERIOR LATH 1 ,
I I ILAT DRAINAGE I I
ISMOKE DETECTION DEVICES I I I
IFIRE DEPARTMENT APPROVAL( I I
1 IREPORT ID: DPR261 ROUTE TO: BS0508
[ I I I I I