The URL can be used to link to this page

Home My Public Portal About5426 PARMERTON AVE_Building__ r+ �; WORKERS COMPENSATION DECLARATION t e L - ' 7 , IQI I hereby affirm that I have a certificate of consent to self f n u mswe orticertificateofWorkers CompensbonInsurance ar APPLICATION FOR BUILDING PERMIT APPLICATION , 'o certified Ili e��S�� 3800 6 C COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No in f �� Cerr ed copy a hereby turntshe jFNG FOR APPLICANT TO FILL IN BUILDING ADDRESS erbfied copy rs,filed with the county building mspec bon department` ' LOCALITY " NEAREST f -Dote 6�Apphm t T ZIP '� CROSS Si CERTIFICATE OF EXEMPTION FROM WORKERS - NO OF BLDGS ASSESSOR , , 11 -'COMPENSATION INSURANCE I SIZE OF LOT NOW ON LOT _ MAP BOOK PAGE PARCEL (This section•need not be completed of the permit is for one7/ '� USE ZONE MAP hundred dollars ($100)or less ) ; ,. T T 1 L� 3 IBLOCK LOT NO p / NO , - TEL SPECIAL , G I certify that in the performance of the work for wh¢h this, OWNER NO _ CONDITIONS O permit is issued I sholl�not employ any person in any manner - DISTRICT GROUP TYPE FIRE POC D BY U so as to become subject to the Workers Compensation Laws E55 CONST _ ZONE S Date Applicant '' Y CITY 1 ZIP STATISTICAL CLASSIFICATION '- - APT• CONDO- ARCHITECT OR i TEL NOTICE TO APPLICANT If after making this Certificate of ENGINEER NO W Exemption you should become subject' to the Workers CLASS tJ0 DWELL UNITS_ 6 Compensation provisions of the Labor Cade, you must forth- — ' rn ADDRESS SEWER MAP r Z with comply with such provisions or this perms shall be deemed revoked I CONTRACTOR 1 ` N �1.� I BK J PG S VALIDATION LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NOVALUATION (commencing with Section 7000)of Division 3 of the Business and - LIC ' Professions Code and my license is in full force and a act CITY UIJ CLASS _ I S ' _ ' [/,�F SO NO OF NO OF CHECK License Nu mbery -�Lrc Class SIZ STORIES 1 F ONE [��Vr "�/ �7 NEW ❑ E _ _ ar, t ContractZ Z1=6- J� Date �y DESCRIPTION OF WORK I am exam pt from the licensing requirements as I am a ADD - bcensed architect or a registered professional engineer _ , _ ALTER ❑ FINAL acting in my professional capacity (Section 7051 c r r REPAIR DATE ❑ Business and Professions Code) USE OF EXISTING BLDG FINAL DEMCK ❑ FINAL ,L¢ or Reg No Date APPLICANT TEL l s , OWNER BUILDER DECLARATION By PRIM (� ,17 I hereby affirm that I am exempt from the Contractor s License _ 1 :9O 2.510 A Law for the following reason (Section 7031 5 Business and ADDRESS Professions Code) - pR z U ' as owner ofythe property or my employees with �� ADDRESS tz Q fj,O Q'sE, wages as their sole compensation will do the work and ' the strucwre'is not intended or offered for sale(Section LOCALITY - 1�is W&O O L 7044, Business and Professions Code) MOVING` TEL it A . t - ❑ 1 as owner of the property am exclusively contracting CONTRACTOR NO - , 0'6 1 ,7_8 1 with licensed contractors to construct the project (Sec ADDRESS tion 7044 Business and Professions Code) ' I t CONSTRUCTION LENDING AGENCY REQUIRED YARD HWY TOTAL SETBACK FROM EXIST ` f SET BACK PROP LINE WIDTH hereby affirm that there is a construction lending agency for FRONT •7 L , the performance of the work for which this permit is issued - P L of 0 Q` •� (Sec 3097 Civ G ) _ .. SIDE 1 PL Lender s Name $ ' \ P C Fee S Perm.,Fee Lender s Address , 'I certify that I hove read this application and state that the - bsuance Fa s above mformotion is correct I agree to comply wish all County Investigation Fee y� ` ordinances and State jaws relating to building construction and hereby outhonze representatives of this Cou ntyJo enter Towl F, ^ aptle above mannoned ro arty for inspection purposesn \ ��A , - �Trn')'} `o rlC/ SEE REVERSE FOR EXPLANATORY LANGUAGE r Signature o Applicant or Agent Date J � I r ( COUNTY OF LOS'4GELES TEMPLE CITY # 0508 I BUILDING PERMIT DEPARTMENT JW,'PUBL6'C WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0004140017 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS TR 13613 LT 77 SD FT STORIES TYPE 5426 PARMERTON AV STRUCTURE 2800 VN TEMP CA 917803505 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 8573-007-005 THOMAS PAGE 597 GRID C3 LOCALITY TEMPLE CITY, C TENANT EXIST BLDG USE RESID USE ZONE R-1 ISSUED ON PROCESSED BY EXPIRES ON EXIST OCC GRP 04/14/00 VG 10/11/00 OWNER TEL NO BLOCS NOW ON LOT VALUATION FIN DAT FINAL BY CODE MCDANIEL SIDNEY,CHERYL (626) 448-9423- 4,000 n QLoo �1 5426 PARMERTON AV zo D o TEMP 917803505 T/O EXIS ROOF AND IN LLA USA 30-YR CELOTEX FEE DESCRIPTION QUANTITY 110M AMOUNT APPLICANT T EL N WEATHERITE ROOFING (626) 287-0669- SAA BLDG PERMIT ISSUANCE 27 75 AC STRONG MOTION RESID 4000 00 VAL 0 50 SPECIAL CONDITIONS i1)2 PERMIT W/O EN-HC====-4000 00 VAL 115 80 EST P(dGELOCO FEES 144 05 o NO X05 �Y ova D INSPECTOR R WEATHERITE ROOFING (626) 287-0669- 4016 TEMPLE CITY BLVD LIC NO LOCATION AND SETBACKS ROSEMEAD CA 91770 423177039 ///] SOILSI ENG APP ARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH FUMW- LIC NO/jJ 111111 S ND R 0�►J—L 1 RAISE I 0 FLOOR FRAMING KAI' NO SEWER MAP BOOK PAGE F 'J UNDERFLOOR AT 0 XX 3 0 111 � � CV ® �K � FLOOR SHEATHINGNO OF FAMILIES DWELLING UNITS L NO 21ROOF SHEATHINGquo SCHOOL WITHIN AIR QUALITY 1000 FEET MATERIALS NO NO NO \ A O O ® FRAME1 INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD HWY PROP LINE WIDTH Vb/AC T PL- Service Eli 7hs� 1p` I IO H RIP FROSIDE PL- INTER 1 109 LATHYDRYWALE— EXTERIOR LATH RATED FL6UFfCEn-TBTWI RATEDASS I RATED SHAFTS/OPENINGS T-8AR CEILINGS LOT DRAINAGE REPORT ID DPR261 ROUTE TO 850508 I