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