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HomeMy Public PortalAbout6326 OAK AVE_Building__ "DJVI$ION OF BUILDING AND SAF V HDepdAment of County Engineer , d��L County of Los Angeles WM. J. FOX, COUNTY ENGINEER APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY _ DIBTRIO O. PLANCK.OR Rea. PERMIT NO. BUILDING � B e y ! r ADDRESS Z O r di-Q p REC IVE BY DATE OFAPPL, DAT ISSUED LOCALITY 01 NEAREST —� �✓ 0 �� ROBE 8T. BUILDING /_3 ADDRESS b OWNER Ad MAIL 2�� yl ,r LOCALITY /, ✓ ADDRESS a7 �(! NICAREST • T6 CROSS ST. CITY N Z FIRE I NO.OF T�CRL ZONE PLANS ENGINEEC O TEL �•/'L G� BLDG. aV! ENGINEER Na.— vO j ,TT/t, SETBACK LINE DREW J UBEAPPROVED � ZONE I BY DATE CONTRACTOR 'STN HOUSE NUMBERING ADDRESS 23 `�/' vyz ,�.� MAP NUMBER NO. ASSIGNED BY DESCRIPTION LOT Na BLOCK •CCSRRECTIONS TRACT S.33Gc . • / C6 EW BLDO SIZE OF LOTaJ Z O NOW ON LOT B./H'0; USE OF NO.OF EXISTING BLDG. FAMILIES DESCRIPTION OF WORK °x 0 NEW ALTERATION ADDITION Z D REPAIR DEMOLITION r SQ.FT.� 0� NO SIZE R .OF OOMS BTORIEB EXT.WALL /d 'f ROOF .iI_ .. / COVERING f'� COVERING !/�O'TJ� USE OF TRUCTUR GsgMae 0 GA s c9 O INSPECTION 1) SAP.ROYALS OCCUPANCY NVOTAR119 SIGNATURE DATE FCLTNDATuMC LOCATION ✓FO]2MB, MATERIALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IB "FRAME: FIRESTOPB, CORRECT. BRACING,MCI 1 AGREETO COMPLY WITH ALL DO TY OR CNANCES/ AND STATE LAWN RE IN B LD G CON UCTIO . FURNACE: LOCATION, r• BAB VENT,DUCTS r SIGNATURE O f LATH, INT. PERMITTE ADORES �A (�J LATH, EXT. �t v tl_ if � �� PLASTER, INT. AUTHORIZED ADT. PLASTER, EXT. e^� P.C.111 y�y� FEE CrJ HOUSE NUMBER CCR- CD Q ® r,r� RECT AND POSTED A 0 VALUATION I D� Qi FEE 3 FINAL ��✓1,��• fi(.�� ��®// `� 7GA630A DBS 3 1-58 v ... ^•;WORKERS'COMPENSATION DECLARATION � hereby affirm that I hove a certificate of consent to self ' APPLICATION FOR ' R U I L D I N G P E RM I T insure,or a certificate of Workers'Compenstion Insurance, or o certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY ' Policy No.AA el 01411 Lompany>rRIL, Marr F.ft'b. BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS l' �� Ve, ❑ Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS /�.' _ LOCALITY /r r NEAREST Date 3 / 7 'c?1 Applicant 11�[i.ieJ v S CITY77.,-;(,ALE ZIP CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE ' SIZE OF LOT O NOW ON LOT MAP BOOK PAGE PAR EL (This.section need not bt completed if the permit is for one USE ZONE ESPECIAL hundred dollars ($100)or less.) TRACT BLOCK LOT NO. ' TEL. J� � g: OWNER r d jJ; i �. NO. ITIONS I certify that in the performance of the work for which this DISTRICT GROUP TYPE FIRE PROCESSED BY 0 permit is issued, I shall not employ any person in any manner ADDRESS s` j + +• _ CONST. ZONE so as to become subject to the Workers'Compensation Laws. dd/ f J vIlm CITYt ZIP Date'?' f 51 �1 Applicant a-•"411 STATISTICAL CLASSIFICATION APT. CONDO. y If NOTICE TO APPLICANT: If, after making this Certificat f ARCHITECT OR TEL. Exemption, you should become subject to. the Workers' ENGINEER NO. CLASS NO. _;2 DWELL. UNITS Compensation provisions of the Labor'Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this permit'sholl be deemed revoked; CONTRACTOR VJ/ti � f 3 A� � Np 7 EX.� ! PG,!Z�. VALIDATION LICENSED CONTRACTORS DECLARATION 1 LIC. ' I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS ,3 , f P1 4_4y1 . NO. ( cr{, .S VALUATION (commencing with Section 7000)of Division 3 of the Business and ' ,�` LIC. t�Ct Professions Code, and my license is in full force and effect. CITY•WA,S t ' A CLASS $ 6'.'ot7 SQ. FT. NO.OF NO.OF CHECK License Number �� -S^ Lie.Classes SIZE ? STORIES FAMILIES ONE Contractor �, t Date -r 'f`�•1' J DESCRIPTION OF WORK KT),/V1) NEW ❑ $ ❑ I am exempt from the lic' in requirements as I am a t, ADD P f g q a R , A b t u`Ti l !.am architect or a registered professional engineer ALTER ❑. FINAL y` acting in my professional capacity (Section 7051, .. ❑ DATE �f. u. REPAIR Business'and Professions Code). USE OF FINAL EXISTING BLDG. ,45.i -• !i�L•L- DEMOL ❑ By �� Lic.or Reg.No. Date APPLICANT / TEL.• y++ OWNER-BUILDER DECLARATION (PRINT) i���F'i,' ! I. Jf NO. Jc - I hereby affirm that I am exempt from the Contractor's License ''pp Law for the following reason (Section 7031.5, Business and ADDRESS j'-) ?' F '! VV, �8 Y Professions Code): PRESENT N ❑ 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. ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- t tion 7044, Business and Professions Code). ADDRESS REQUIRED TOTAL SETBACK FROM EXIST. 0 4 5 2 2 A CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH z 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. "�d Z 4�. # 0 0 0 0 0-1 (Sec. 3097;Civ. C.). 'SIDE P.L. 2 -.79,00- Lender's .•7 9,0 0' Lender's Name 7 9 O O U Lender's Address P.C. Fee$ Permit Fee 03,25-81 I certify that I have read this application and state that the Issuance Fee above information is correct. I,agree to comply with all County Investigation Fee p� . ordinances and State laws relating to building construction, and hereby authorize representatives of this County to enter Total Fee upon the above-mentioned property for inspection purposes. 0 P; SEE REVERSE FOR EXPLANATORY LANGUAGE D Signature of Applicant tjgent Date es ` 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 1209190041 PHONE: (626) 285-0488 EXT: ILEGAL ID: I N0. OF CONST NEW I BUILDING ADDRESS: I TR: 14533 IT; 2 SQ. FT STORIES TYPE OCCUP GROUPI 6326 OAK AV I (STRUCTURE: 0 1 V-B R-3 I TEMP CA 917801335 1 (ASSESSOR INFORMATION NUMBER: I GARAGE: I NEAREST CROSS STREET: LONGDEN I 15382 -020-023 1 OTHER: 1 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl ITENANT: (EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: 1 (EXIST OCC GRP: 110/02/12 SR [OWNER: TEL. NO: [BLDGS. NOW ON LOT: VALUATION: IFINAL DATE FIN _ BY: CODE: TYING FANG TAN (626) 616-1682- 1 27,850 16326 OAK AV I ITEMP 917801335 [ FEES PAID IDESCRIPTION OF WORK [ I [INTERIOR REMODEL OF (E) KITCHEN, CONVERT FAMILY RM, LAUNDRY 1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IRM, & POWDER RM TO MASTER SUITE AND REPLACE 8 WINDOWS AND I (APPLICANT: TEL. NO: 1 11 SLIDER DOOR [ [LIU, MICHAEL (626) 641-8208- IBI PLANCHECK W/ENERGY 25000.00 VAL 438.10 1 I 12550 W. MAIN ST.#211 JAA BLDG PERMIT ISSUANCE 27.80 [SPECIAL CONDITIONS: 1 1ALHAMBRA, CA 91801 JAB STATE GREEN BLDG FEE 27850.00 VAL 2.00 1 1 1AC STRONG MOTION REBID 27850.00 VAL 2.80 1 JB2 PERMIT W/ENERGY 27850.00 VAL 561.90 1 I ICONTRACTOR: TEL. NO: 108 CERTIF OF OCCUPANCY 101.40 IAFPROVALS DATE INSPECTOR SIGNATURE I IYING FANG TAN (626) 616-1682- 1 TOTAL FEES 1,134.00 1 I 16326 OAK AVENUE LIC. NO I ILOCATION AND SETBACKS I I ITEMPLE CITY, CA 91780 NONE I [ I I [ [SOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER: TEL. NO: [ [FOUNDATION/TRENCH FORMS [ I [ [ LIC. NO: 1 IS-,AB/UNDER FLOOR I I I 1 1 IRAISED FLOOR FRAMING [MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:[ [UNDERFLOOR INSULATION i 1 1 3 00 [ I IlSr LEVEL FLOOR SHEATH I [ I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I_ I I I 1 0 NO 21 1 12ND LEVEL FLOOR SHEATH I I I I SCHOOL WITHIN HAZARDOUS I IROOF SHEATHING I I [ (AIR QUALITY: 1000 FEET MATERIALS II I I I I NO NO NO 1 [FIRE DEPT. FRAME INSPECT[ I [ I L. I [BLDG DEPT. FRAME INSPECT I [ ISHEAR PANELS I I I [ 11NSULATION/WEATHER STRIPI 1 1 11NTERIOR LATH/DRYWALL 1 [ 1 [EXTERIOR LATH I I I [LOT DRAINAGE I I 1 1 I ISMOKE DETECTION DEVICES 1 1 (FIRE DEYtRTMENT APPROVALI I I I I I I IREPORT ID: DPR261 ROUTE TO: BS0508 [ let 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 1010110024 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: ITR: 14533 IT: 2 SQ. FT STORIES TYPE 6326 OAK AV I ISTRUCTURE: 27 V-B I TEMP CA 917801335 ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: 15382-020-023 I I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl TENANT: EXIST BLDG USE: RESID USE ZONE: R1 ISSUED ON: PROCESSED BY: EXIST OCC GRP: 110/11/10 SR OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: FINAL DATE FI BY: CODE: (RUE, NORINE (626) 287-1839- I 5,000 I1�o-rte 1 6326 OAK AV rpm r!/ jj 1TEMP 917801335 FEES PAID IDESCRIPTION OF WORK NEAR OFF (E) BUR CAP SHEET ROOF I.NSTALL 4 PLY GAF BUR CAP IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:ISHEET ROOF TEAR OFF (E) COMP SHINGLES INSTALL GAF FELT LAYER( APPLICANT: TEL. NO: I IZAMORA, CARLOS (818) 735-7876- IAA BLDG PERMIT ISSUANCE 27.80 15858 DOVETAIL DR. IAB STATE GREEN BLDG FEE 5000.00 VAL 1.00 ISPECIAL CONDITIONS: IAGOURA HILLS 91301 IAC STRONG MOTION REBID 5000.00 VAL 0.50 ID2 PERMIT W/O EN-HC 5000.00 VAL 132.80 TOTAL FEES 162.10 Wvw I CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE IFONTAINE WEATHERPROOFING, INC. (949) 598-8360- I I I 123482 E PERALTA SUITE F LIC. NO (LOCATION AND SETBACKS ILAGUNA HILLS, CA 92653 875099 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS 1 LIC. NO: 1 SLAB/UNDER FLOOR 1 IRAISED FLOOR FRAMING I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( JUNDERFLOOR INSULATION I I153H265 3 001I I I FLOOR SHEATHING I I INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I NO 21 I IROOF SHEATHING SCHOOL WITHIN HAZARDOUS ISHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO IFRAME INSPECTION IIFIRE SPRINKLER HANGERS _ I I 1 NSULATION/WEATHER STRIPI (INTERIOR LATH/DRYWALL I I I I (EXTERIOR LATH IRATED FLOOR/CEIL ASSEM. I I IRATED WALL ASSEMBLIES 1 IRATED SHAFTS/OPENINGS T-BAR CEILINGS I 1 I I* ADDITIONAL DATA ON FILE 1 I I I I ILOT DRAINAGE I I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I 1 I