Loading...
HomeMy Public PortalAbout6537 OAK AVE_Building__ 51_7 6A638A � . 8803(REV.11/78)`; _ �1 40 Ti- POLICATI BdILG MjTe _ : COUNTY OF LOS ANGEL BUILDING AND SAFETY. FOR APPLICANT.TO FILL IN BUILDING. ADDRESS S,3 �• BUILDING ADDRESS 3 _ LOCALITY• NEAREST J CITY q a ZIP CROSS ST. NO.OF BLDGS. ASSESSOR SIZE OF LOT X NOW ON LOT `S' MAP BOOK PAGE PAR- DISTRICT' GROUP TYPE FIRE R SSED B � TRACT BLOCK / II, LOT NO., _ CONST. ZONE C' OWNER LO N NO. 5 !. � !; -3 �. STATISTICAL CLASSIFICATION"' SEWER M ADDRESS` 6 4 CLASS NO.• r ;DWELL.UNITS �- BK • G. CITY Sle+'VW_ !7�-P' ZIP Q/OL ARCHITECT OR TELNO.: VALUATION $ ENGINEER • - ADDRESS 5`j S p/ BLDG.SETBACK FROM TEL. FRONT PROP:LINE OF I' ISTREETI ' CONTRACTOR NO. HIGHWAY t 'YARD TOTAL SETBACK FROM TYPE OF EXISTING . LIC. — FRONT,PROP.LINE HIGHWAY WIDTH ADDRESS NO. y LIC. t a CITY CLASS CONSTRUCTION LENDER BLDG.SETBACK FROM NAME AND BRANCH SIDE PROP.LINE OF (STREET) � HIGHWAY + YARD = TOTAL-SETBACK FROM I TYPEOF EXISTING IL ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH-, SO.FT NO.OF NO.OF CHECK SIZE ' STORIES FAMILIES ONE 0 USE ZONE MAP DESCRIPTION OF WORK NEW- / NO. tj ul ADD ❑ / CONDITIONS SPECIAL y ALTER ❑ JBY( z FINAL'.. A/6 .� R AIR-•❑ DATE � USE OF DEMOL ❑ Z ',ycv"'`1 1' ' EXISTING BLDG. u C /.�%S APPLICANT IPRINTI NO.47G_G-`7 Q tit lu. e o 0 0 �) KCS �3 0 2 e 1'3sl 00 BY[SIGNATURE)'. Cp,.s _. -C q I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE •' �"' '~' �• V n THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES _ �u AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE 2 6-• V ,'�, c:• ' WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF / {J O THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO KMEN'S COM. .Z .THE - - - r , a , !.4 Ir . SIGNATURE OF PERMITTEE ! ADDRESS ...TEL: ... O CITY NO. P.C.Fee$ Q Permit Fee ��y Q Issuance Fee 71 i W Total.Fee�lO/l s(50 �..- 5s 76A638A f CE#803(REV.11/78) APPLICATI F R !B��UI I G PERMIT COUNTY OF LOS ANGELES . BUILDING AND SAFETY BUILDING FOR APPLICANT TO FILL IN ADDRESS 7 A/. BUILDING ADDRESS �3 LOCALITY tl - j NEAREST y_ � CITY 1E' L ZIP CROSS 5T. JNO.OF BLDGS. ASSESSOR SIZE OF LOT loo NOW ON LOT / MAP BOOK . PAGE PARCEL DISTRICT GROUP TYPE "�OSSED BY TRACT B_L/OCKLOT NO..TEL /� C0 5TH� OWNER Lam' Yo1 r3 bL� NO. �U� X✓ "//fi All �y STATISTICAL CLAS ON P ADDRESS a207 All SC/L Lt `L 's�` CLASS NO DWELL.UNITS---j B CITY cel kadr ZIP n y" ARCHITECT OR TEL. VALUATION $ ENGINEER NO. v ADDRESS . BLDG.SETBACK FROM TEL. FRONT PROP.LINE OF (STREET) CONTRACTOR NO. HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING . LIC. FRONT PROP.LINE HIGHWAY WIDTH ADDRESS NO. LIC. + � CITY CLASS CONSTRUCTION LENDER BLDG.SETBACK FROM �/��l�� (STREET) NAME AND BRANCH SIDE PROP.LINE OF' HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS CITY SIDE PROP.LINE IHIGHWAY1 WIDTH SQ.FT. NO.OF NO.OF CHECK + t� SIZE STORIES FAMILIES ONE USf ZOTE NMAAP DESCRIPTION OF WORK NEW El ��tt !� SPECIAL t is l ADD ❑ CONDITIONS yip i-- ALTER �t BY �_ REPAIR ❑ DATEL j.: �C) L ^®..4y' USE OF AI,757 �� 0 EXISTING BLDG. DEMOL Z APPLICANT r TEL 2 (PRINT) Le,V NO. 1-6 .............. ""� O BY(SIGNATURE(' s IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Y THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES id AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE V WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- g 98.524 A PENSATION INSURANCE.' o o a o 0 1 SIGNATURE OF PERMITTEE 2.a - 31,00 ADDRESS C 0 o c 3 1,0 0 ED TEL. � - CITY NO... c 0 11,0 8-8 0 P.C.Fee$ Permit Fee > L•- Issuance Fee t ode W tL , Total Fee / . _ WORKERS'COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self APPLICATION PL I C AT I®N F u m BUILDING PERMIT insure, or a certificate of Workers'Compenstion Insurance,or ' t ed 59P t�t e f�5��3 0, Lab.�C..)� COUNTY OF LOS ANGELES BUILDING AND SAFETY "Policy No.�y //8/ Company__-+3'LCrt— siilt�+.�..,a. }„�,,,�•i © Certified copy is hereby furnished. FOR APPLICANT TO FILL IN : BUILDING �1 A,le ADDRESS Certified copy is filed with the county building inspec- BUILDING f r1 f tion department. ADDRESS �S �Y 0114 A LOCALITY / ,/6 /� p NEAREST /y Date — '�/ Applica*11NURANCE •CITYT L L' r L ( ZIP 7 p !�' CROSS ST. CERTIFICATE OF EXEMPTIWO ERS' NO.OF BLDGS. ASSESSOR COMPENSATION SIZE OF LOT �{�/X/00 NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP hundred dollars ($100)or less.) TRACT BLOCK LOT NO. MN �i© >. TEL. SPECIAL IL I certify that in the performance of the work for which this OWNERS X-9-Ar s f/041 IL, 6#%iRAJ NO.-S'7414—S—o2— CONDITIONS O permit is issued, I shall not employ any person in any manner / DISTRICT GROUP TYPE FIRE PROCESSED BY U 6.so as to become subject to the Workers'Compensation Laws. ADDRESS (a �3 Al A9 1Q [/J� CONST. ZONE C9 CITY 7 C�' ■6 Date Applicant T , �� ZIP STATISTICAL CLASSIFICATION APT. CONDO. U NOTICE TO APPLICANT: If, after making this Certificate of 1 ARCHITECT OR TEL. �, W Exemption, you should become subject to the Workers' ENGINEER /c! NO. CLASS NO. DWELL. UNITS U) Compensation provisions of the Labor Code, you must forth- ADDRESS &,90 U C SEWER P with comply with such provisions or this permit shall be �J deemed revoked. CONTRACTOR C�OVAI 5 �' - NO. BK PG; _ / VALIDATION LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and effect. CITY 942 CLASS $ SQ. FT NO.OF NO.OF CHECK License Number Lic.Class SIZE TORIES FAMILIES ONE Contractor Date DESCRIPTION OF WORK a U R B P f9A-,r,p NEW I t from the licensing requirements as I am a ADD am exempt 9 9 Ceti el2rp �,S�/ 7 / licensed architect or a registered professional engineer ALTER FINAL acting in my professional capacity (Section 7051, REPAIR DATE / Business and Professions Code). USE OF ,✓ EXISTING BLDG.0< I A FN e.E DEMOL FINAL �R B Lic.or Reg.No. _Date APPLICANT / TEL y ��� OWNER-BUILDER DECLARATION (PR}NT) e gAw -S"6�/g8 No.Sly L ^Fj 4f 1 hereby affirm that I am exempt from the Contractor's License ADDRESS ,✓ 1 .�/�x f�U>= 7.0 / 7 d s' Law for the following reason (Section 7031.5,'Business and Professions Code): PRESENT BUILDING w Qy � I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work arid [ (�'r t" the structure is not intended or offered for sale(Section ,LOCALITY 0 1 0,8 A 7044, Business and Professions Code). -MOVING TEL. ❑ tCONTRACTOR NO. it I, as owner of the property, am exclusively contracting �r ° ° ° ° ° 1 with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). ` 2 ° -, 5200 REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY I SET BACK YARD HWY PROP. LINE WIDTH ° 5 2 C C 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. 0626-81 (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name Lender's Address P.C. Fee$ Permit Fee OQ' 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 I, Investigation Fee ordinances and State laws relating to building construction, Total Fee and hereby authorize representatives of this County to enter i = upon a above-mentione property for inspection purpospes. ,iyL f0 O SEE REVERSE FOR EXPLANATORY LANGUAGE 0 ignature of Applicant or Agent D e i ®s WORKERS' COMPENSATION DECLARATION hereby affirm that I have certificate of consent to self A P P L I CAT I®k "®R L U I L�N PERMIT insuYe, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN gooReNssG �®-5_q' ❑ Certified copy is filed with t unty building inspec- BUILDING 2 ADDRESS• O r v tion department. f ,t Dot 240'��pplicant CITY s 64. ZIP 1 7-'b LOCALITY CERTIFI ATE OF EXEMPTION FROM WORKERS' 15 NO.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT C2 NOW ON LOT 7/ CROSS ST.ASSESSORo .� (This section need not be completed if the permit i f r one TRACT BLOCK LOT NO, MAP BOOK ��p . WGEdf J PARCELO�.oL hundred dollars ($100)or less.) TE I OWNER �, NO. (a L�� USE ZONE MAP /S NO. �7 I certify that in the performance of the work for which this V 1 SPECIAL permit is issued, I shall not employ any person in any manner ADDRESS - U r -� CONDITIONS ar so as to become subject to the Workers'Compensation Laws. /,/ � 7 O CITY LII✓ Com/ ZIP / ; V Date Applicant A TEL. Z� DISTRICT GROUP TYPE FIRE PROCESSED BY 0 NOTICE TO APPLICANT: If, after making this Certificate of E� G /�• fD. 7-9 'I ✓ CONST. NE (- Exemption, you should become subject to the Workers' F LU U Compensation provisions of the Labor Code, you must forth- ADDRESSL�� �'T`C .Gr ,�. /� VGG�C.��' with comply with such provisions or this permit shall beTEL. STATISTICAL CLASSIFIC TION APT. CONDO. N deemed revoked. CONTRACTOR t F�' NO.Z- ( Z LICENSED CONTRACTORS DECLARATION LIC. r' CLASS NO. DWELL. UNITS - I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 2-� _� 'Z NO.4(o,4o 7. �yy,,�C�LIC. SEWER MAP • (commencing with Section 7000)of Division 3 of the Business CITY 7LIei Ir�.LASS and Professions Code,and my license is in full force and effect. BK. PG VALIDATION /moi SQ. FT., NO. OF NO. OF CHECK License Number_4�"L�'` Lic. Class �� SIZE _ , STORIES FAMILIES ONE t t t� o� VALUATION Contractor.'/RLI- id, fAAMWIDate H Z7 - / DESCRIPTION OF WORK �[,� NEW ❑ $ ' Elam exempt under Sec. Ver + G` ADD A ALTER ❑ B.B:P.C. for this reason t > fU REPAIR ❑ $ Date: USE OF DEMOL ElEXISTING BLDG. Signature APPLICANT TE `h FINAL DATE r OWNER-BUILDER DECLARATION (PRINT) ' NO. (i'1/ �3 I hereby affirm that I am exempt from the Contractor's License i Law for the following reason (Section 7031.5, Business and ADDRESS 7 L, �-• FINAL Professions Code): PRESENT By eL•:•s as BUILDINGEl I, as owner of the property, or my employees with ADDRESS _1-,7 wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY � j y,t•,(`I=, 7044, Business and Professions Code.) MOVING TEL. ❑ I, as owner of the property,am exclusively contracting CONTRACTOR NO. i(IT-AL • ,�,..t8_-. _ ;8- a with licensed contractors to construct the project (Sec- ADDRESS NECK �L�. tion 7044, Business and Professions Code.) •rE`::• 268a-5 REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH Y '- ; j'(L1E aI_•( 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. (Sec. 3097, Civ. C.). SIDE P.L. LI Lender's �•_ Lender's Name LDMA Ref. q 40*-45 Lender's Address. P.C. Fee$ Permit Fee eJoa• ' I cekify that I have read this application and state that the Issuance Fee :+ LDMA P/C# above information is correct.I agree to comply with all County E Investigation Fee �� .X ordinances and State laws relating to building construction, Total Fee LDMA Perm. # and'hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date COUNTY OF IAS 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 0711150048 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: 1 1BK: 95 PG: 76 PC: 1 I SQ. FT STORIES TYPE I 6537 OAK AV ISTRUCTURE: 40 VN I TEMP CA 917801307 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1 15382-015-032 I I THOMAS PAGE: 596 GRID: J1 LOCALITY: TEMPLE CITY, Cl ITENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: EXPIRES ON: I (EXIST OCC GRP: 111/15/07 SR 05/13/08 (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: 1 NAL DA F Y: CODE: 1 IHSIEH DAVID;JEAN L (626) 446-8111- 11,300 I r I 16537 OAK AV ITEMP 917801307 I FEES PAID ID SCR�N OF WORK 1 I ITEAR OFF AND REROOF HOUSE & GARAGE WITH MONERLIFE LITE 1 I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:( I (APPLICANT: TEL. NO: I I LI-MEI CHEN (626) 581-7688- IAA BLDG PERMIT ISSUANCE 27.75 1 1516 N. DIAMOND BAR IAC STRONG MOTION RESID 11300.00 VAL 1.13 ISPECIAL CONDITIONS: I IDIAMOND BAR CA 91765 ID2 PERMIT W/O EN-HC 11300.00 VAL 250.20 TOTAL FEES 279.08 I I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I ISUNSHINE ROOFING INC (626) 581-7688- I 1 I 1516 N DIAMOND BAR BLVD #183 LIC. NO I (LOCATION AND SETBACKS I I I DIAMOND BAR CA 91765 755126 C39 I I I I SOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER: TEL. NO: I FOUNDATION/TRENCH FORMS 1 I 1 LIC. NO: 1 ISLAB/UNDER FLOOR I I I I I (RAISED FLOOR FRAMING I I MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: (UNDERFLOOR INSULATION I I I 1153H265 3 011 1 I I I I I IFIAOR SHEATHING I I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I��'iiir����```'''\��''''���-���'�I�I�I___ I 1 NO 21 1 1ROOF SHEATHING I� I SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I I (AIR QUALITY: 1000 FEET MATERIALS I I I I I NO NO NO IFRAME INSPECTION I I I IREQUIRED TOTAL SETBACK FROM EXIST (FIRE SPRINKLER HANGERS I I I ISET BACK YARD: MY: PROP LINE: WIDTH: I I I I I IFRONT PL- 1 (INSULATION/WEATHER STRIPI I I I SIDE PL- I I 1-1 I IINTERIOR LATH/DRYWALL I I I EXTERIOR LATH I I I IRATED FLOOR/CEIL ASSEM. I I I I I I I I I IRATED WALL ASSEMBLIES 1 1 I 1 IRATED SHAFTS/OPENINGS 1 I IT-BAR CEILINGS I I I I I I ILOT DRAINAGE I I I I (REPORT ID: DPR261 ROUTE TO: BS0508 I 1