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Home My Public Portal About5435 PARMERTON AVE_Building__ t WORKERS COMPENSATION DECLARATION - "' J :x� �' "� " '•y �' "' <' ' I•herrby affirm that I have a certificate of consent to self -� • - APPLICATION '•FOR- BUILDING PERMIT ' ' -insufe or a certificate of Workers Compensation Insurance or a certified copy there (Sec 3800 La c ) COUNTY OF LOS ANGELES v BUILDING AND SAFETY Policy No_Company ' Certified copy is hereby furais ed FOR APPLICANT TO FILL IN AUDDeE55 ) Certified copy ti filed with the county buddtng inspec BUILDING:- to d rtment ADDRESS i t t+ t at Date Applicant �' CITY _ JTL ZIP LOCALITY ` CERTI ICATE OF EXEMPTION FROM 4ORKERSNO OF 8LDGS'v, ,' NEAREST 1 \ • COMPENSATION INSURANCE SIZE OF LOT 0 NOW ON LOT ROSS ST - (This Section need not,be completed if;he permit'Is for one TRACT - BLOCK • +' LOT NO t _ ASSESSOR y hundred dollars ($100)or less) ' MAP BOOK,- PAGE PARCEL qq TEL ' ' I certify that in the performonce of the work for which this OWNER Glx NO X ' USE E NDP, _ • a} Ipermit massued I shall not employ any person In any manner 7�/7J�N' SPECIAL ;, Q so as to become subject to the Workers Compensation Laws ADDRESS ! CONDITIONS '' 14 E V • ' ^ ' 4 , CITY ' ZIP Date Applicant - ^ 0 NOTICE TO APPLICANT If after making this Certificate of ARCHITECT OR TEl DISTRICT GROUP TYPE • FIRE SSED BY •Exemption' you should become subject to the Workers , ENGwEER . _ NO CO `' ZONE - W Compensotion provisions of the Lobar Cada you must forth s A + o- ' with com with such provisions or this ADDRESS — U) py , p permit shall be _ CONTRACTOR _ TEL •3 STATISTICAL CLASSIFICATION APL CONDO � Z deemed revoked _ NO v LICENSED CONTRACTORS DECLARATION '-e �+ _ LjC CLASS NO v DWELL UNITS_ I hereby affirm that I am licensed under provisions of Chapter 9 t ADDRESS G _ (commencing with Section 7000)of Division 3 of the Business and LIC SEWER MAP Professions Code and my license is I Ifull forcemnd effect CITU CLASS' BK _ PG VALIDATION - r $O FT NO OF NO OF CHECK License Number - Lw•Class• SIZE STORIES FAMILIES' -� ONE _ t r, S c (f// W VALUATI N (JJ le /' DESCRIPTIONa WORK _ _❑ f ' / ' I o• , • Contractor 7 t ADD . I am exempOinder Sec • , ^ gzAqALTER ;20 8 4,4 A . B 8PC for this reason ' I REPAIR S Date USE #T• i�• • J • EXISTING BLDG DENOL I • • 4 9 8 8 Signature - APPLICANT r .` s (U A -_TEL -- FI NAI OWNER BUILDER DECLARATIONPRINTL1 I ` NO DATE Q 4 9.8 8 1 hereby affirm that I am exempt from the Contractor s License - •'•I! Law for the following reason (Sechon'7031 5 Business and ADDRESS FI L ; Professions Code) - 7 • _ _ B I 00 S _88 ' IS, BUILDING `r t I as owner of the property or my employees with ADDRESS i + wages as their sole compensation will do the work and LOCALITY u ' /�(� '� a 1'0 ' the structure Is not Intended or offered for sale(Section _ t ' 7044 Business and Professions Code) MOVING _ _ s , I as owner of the property am exclusively contracting ONTRAROR with licensed contractors to construct the project (Sec .� ADDRESS ` Iran 7044 Business and Professions Code) + [� i It CONSTRUCTION LENDING AGENCY ' RSlT BACK YARD HWY TOTALRSETBACK P LINE - -WIDTH s •'L f * -I" ` `�• `' T +\ I hereby affirm that that; is a construction lending agency for FRONT the Performance of theywork for which this permit is Issued P L _ (Sec 3097 Civ C ) ^ i „SIDE PL "Lender s Name' - _ -3� TDMA.Ref N •4 . Lender s Address a P C Fee= Permit Fee �q �J'� _ I certify that I have,read this application and state that the Issuance Fee (/L V LDMA P/C N , above information is correct I agree to comply with all County T Inveaoga000 Fee • ,.C,.N PL r. t 8 ordinance nd Stale laws relating to budding construction ' a v S -s t owl Fee49 R andther y authorize representatives of this County to enter •v 1DA41 Perm+N ) !, upon th ve ien'a pro form Ghon purp sSEE REVERSE FOR EXPLANATORYLANGUAGESigwNre ofppLcom or tint ' Date • - 's t COUNTY OF LOS ANGELES TEMPLE CITY # 0508 , BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0004140041 PHONE (626) 285-0488 EXT LEGAL ID NO -6T---7ORST NEW BUILDING ADDRESS TR 13613 LT 69 SO FT STORIES TYPE OCCUP GROUP 5433 PARMERTON AV STRUCTURE 210 1 VN U1 TEMP CA 917803506 ASSESSOR GARAGE NEAREST CROSS STREET DAINES 8573-005-030 OTHER THOMAS PAGE 597 GRID C3 LOCALITY TEMPLE CITY, C EXIST BLDG USE USE ZONE ISSUED ON PRUMOM-11T EXPI M ON EXIST OCC GRP 04/14/00 VG 10 /00 OWNER - T BL NOW ON VALUFINAL A -5520- 1,800 DE LAGMAY JUNE,ROMERO RITA,LAGMAY EDMU (626) 443 L ODE 5433 PARMERTON AV i7- 2 BO TEMP 917803506 FEES PAID BUILD OPEN LATTICE PATIO - 210 S F APPLICANT FEE DESCRIPTION QUANTITY UOM AMOUNT SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27 75 AC STRONG MOTION RESID 1800 00 VAL 0 50 SPECIAL CONDITIONS D2 PERMIT W/O EN-HCr1800 00 VAL 82 20 STo CONTRACTOR EL SOS PNGELE `o��TY 110 45 APPROVALS INSPECTOR SIGNATURE- IGNATURE— NTAS OWNER LIC NO LOCATION AND SETBACKS ARCHITECT OR ENGINEER ItL NU FOUNDATIGN/TRENCH FORMS / S LIC NORAISED FLOOR FRAMING SLAB/UNDER FLOOR � 1 MAP NO SEWER MAP BOOK 3 1. �OU pI1 IIF� I7 /J� ®�Iln /� UNDERFLOOR NSULATION NO OF FAMILIES DWELLING UNITS APT/EMU-TTTT-a-9'§-- I NO 21 0 II\4/'/I IL''1�J' IL's (\�4fJ �§ I(J�((� "JJ TNF—LEVEL L HAZA DOLS OOR SHEATH AIR QUALITY 1000 FEET MATERIALSROOF SHEATHING Q Ioo''1 NO NO NO A U ® R REQUIRED TOTAL SETBACUrROM E G DEPT FRAME INSPECT SETFROBACK YARD HWY PROP LINE WIDTH IT PL- C Ar tat Th8t SHEAR PANELS SIDE PL- INSULATION/WEATHER ST M Vic LATH L EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES7 It E P RME REPORT ID DPR261 ROUTE TO SS0508 III COUNTY OF LOS ANGELES TEMPLE CITY Y 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 EL 0508 0601200034 / PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST NEW BUILDING ADDRESS TR 13613 LT 69 SQ F STORIES TYPE OCCUP GROUP 5433 PARMERTON AV STRUCTURE 380 1 VN R3 TBMP CA 917803506 ASSESSOR INFORMATION NUMBER GARAGE NEAREST CROSS STRESS DAINES 8573-005-030 OTHER THOMAS PAGE 597 GRID C3 LOCALITY TEMPLE CITY C TENANT EXIST BLDG USE USE ZONE ISSUED ON PROCESSED BY EXPIRES ON EAST OCC GRP 09/26/06 JX 09/21/07 OWNER TEL NO BLDGS NOW ON LOT VALUATION FINTE FINAL BY CODE AV AL LAGMAY JUNE ROt RITA LAGMAY EDMV 1626) 413-5520- ' s 31 460 ,/ ] / / ��- 5433 PARMSRTON AV /L h (-� • TEMP 917803506 FEES PAID DE IPTI OF WORN AD WASTE ESTREAT 380 S F PEE DESCRIPTION QUANTITY DOM AMOUNT APPLICANT TEL NO JUNE LAGMAY (626) 443-5520- B1 PLANCBECK W/ENERGY 31460 00 VAL 526 21 5433 PAAMERTON AVE AA BLDG PERMIT ISSUANCE 27 75 SPECIAL CONDITIONS TEMPLE CITY CA 91780 AC STRONG MOTION "SID 31460 00 VAL 3 15 B2 PERMIT W/ENERGY 31460 00 VAL 619 08 TOTAL FEES 1 176 19 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR IGNATURE P S CONSTRUCTION (626) 442-2764- ' 5415 PERSIMMON AVE LIC NO ' LOCATION AND SETBACKS TEMPLE CITY CA 91780 431044 B _ - SOILS SNGINBER APPROVAL ARCHITECT OR ENGINEER TEL NO FOUNDATION TRENCH FORMS _ A FRANK SACCOMAN (626) 35B-3360- 408 HEATHER HEIGHTS COURT LIC NO SLAB UNDER FLOOR MONROVIA CA 91016 NONE RAISED FLOOR FRAMING MAP NO SEWER MAP BOOK PAGE PIRfi 20NCMP UNDERFLOOR INSULATION 3 / 3 01 IST LEVEL FLOOR SHEATH NO OF FAMILIES DWELLING UNITS APT COND STAT CLASS ' NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING 'f i/j AIR QUALITY 1000 FEET MATERIALS - C11� NO NO NO FIRE DEPT PRAMS INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT FRAME INSPECT O L •� SET BACK YARD HWY PROP LINE WIDTH o FRONT PL- SHEAR PANELS SIDE PL- INSULATION/WEATHER STRIP / r> ( 1 Cl Y INTERIOR LATH DRYWALL ' EXTERIOR LATH • LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL ' REPORT ID DPR261- ROUTE TO BS0506