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HomeMy Public PortalAbout5503 PARMERTON AVE_Building__ APPLICATION FOR BUILDING PERMIT _COUNTY OF'LOS ANGELES " t BUILDING AND SAFETY , WORKER'S COMPENSATION DECLARATION FOR APPUCA14T TO FILL IN BUILDING ADDRESS t I hereby affNm that,] have a certif l jte of consent to self InSs BUILDING ADDRESS . 03 or a Certificate of•Wbrkers Com S.s oa C TOA/ i ' compensation Insurance or a certified - , copy thereof(Sec 3800 IC CTiE •.r - P9/ 7 oQ LDCAUTY Policy No �rN SIZE OF LOT - NO OF BLDGS NOWC ON LOT- - G ❑ Cer6fred Dopy Is hareb I • - NEAREST CROSS ST - • ' ❑ Certified wp Is hied with the County building Inspection TRACT BLOCK - LOT NO - r p15A/ E department r- • USE ZONE MPP NO Date ApplicarTt • '' ' ASSESSOR MAP BOOK ' PAGE PARCEL - . a • ct • �. _ SPEGNL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS �,' OWNER ^ TEL NO .N Gi COMPENSATION INSURANCE N ie Hi$ lEl? 0 - -32/-/ WTTHIN 1000 FT OF SCHOOL? I YES NO (This section need not be completed if the permit Is for one hundred ADOHESS dollars•($too)or less) SS O 3 4 D/✓ DISTRICT GROUP TYPE CONST FIRE ZONE PROGF&aED BY GMY Zip1 I certify that in the performance of the work for which this perms _ CTTT is issued I shall not employ any person in any manner SO as to- y r f/2 � O ,� ✓•�� become subject t0 the Workers Compensation Laws • ARCHITECT OR ENGINEER TEL NO SWTISTICAL CLASSIFICATION APT CONDO _ Date ApplicantADDRESS - - F CLASS NO DWELL UNITS NOTICE 70 APPLICANT If 'after making this Certificate Of - REQUIRED ' TOTAL SETBACK FROM EKIST Exemption . you should become subject to the Workers CONTRACTOR- TEL NO - SET BACK YARD HWY PROP LINE WIDTH Compensation prOYISKYRs of,the Labor Code you must forthwith I if (^J Nii C re tf rC:X 3Y7- /I 3 / FRONT Comply with Such provisions Or this permit shall bedeemed revoked ADDRESS - UC NO P L ` LICENSED CONTRACTORS DECLARATION DIY/ y S 4NA O S 3 PILE I hereby affirm that I am licensed underprov6gns of Chapter 9 b `, QR % LIC CLASS SEWER MAP (commencing with Section 7000)Of Drasro 1 3 Of the Business and SO FT SIZE NO OF STORIES NO OF FAMILIES NEW ❑ BK PG } Professions Code Soppy license is in full force end t d DESCRIPTION OF NARK- VALUATION License Number-7 `f Lk: Class ADD - ❑,f 0 Contractor I✓ 'Date 12"3l ,l i AJ1 rp b O ALTER ley $ 0 o d 0 I am exempt under Sec REPAIR ❑ P $ ' B&PC for this reason DEMOL ❑ IlJfM PIC IW Date USE' sof ES"S' BLDG URM ❑ 141 i - BO Signature APPLICANT(P9.WT) TEL NO LDMA Perm. ? ❑ I as owner of the property or my employees with wages as 7� -3/ _ their sole compensation will do the work and the structure is ADDRESS0 rot intended or offered for Sale (Section 7044 Business and _SA .4 I FINAL DATE d 3-6133 - _ 14d.Y., Professions Code) _ WILL THE APAJCANT OR FUTURE BUI DNO OCGURWT HPNGIE A HALARLLDUS MATERIAL . 41le T'TM� ` OR A MATURE CONING A HAZAf S MATERIAL EWA]TO OR GREATER THAN THE 1 ITEMS G'IJ ❑ as owner of the property am eNCluavey contracting with Q licensed COfltfaClDrG 10 Corlslruc[ Ilia prejecf (Section 7044 AAnWNT9 aTEDIAED W THE HAZAROOUs MATERIALS INFORMAIIpI GONER FINAL B � Business and Professions Code) vas ElHO❑ 1 it j AL .' +-+ ;� WL THE NTEADED USE Cf THE eUIDUNG eV THE AFFUCMT QR FUTURE BULCYU' CHECK OCCUPAM REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH `HEC TA CONSTRUCTION LENDING,AGENCY COAST AS GUIDELINESQUALITY MNuoEMENT DISTRICT ISCAOMO)SEE PERWTTINO CHECNLL4T FOR �A, �Li�Ap S 3 J (NFiMGE .00 1 hereby affirm that there ER a constructon lending agency for yCS❑ NCO ' - aVr' F- �1 I N the performance of the work for which this permit Is issued(Sec m 3097 Civ C) IHAVE iEAO THEiN]ATpJU9 MATER4151NFaaWTKIX eUDE AlYI THE SCACM•-0PERMrtTIND D '' CHECKUST I UNMHSTAHD MY REWwEMENT9 UNDER THE LOS ANGELES COUNTY CODE TrnE 2 CHAPTER 220 EECTgVS 2 20 100 THROUGH 220140 CONCERNNG HAZAADDIA Lenders Name MATERIALS REPORNG AND FOR OBTAUNM A PE FROM THE$CALMS { . Lenders Address - f411fric -(• i'�6 0 o I certify that I have read this apolcatKxl and slate under penalty n of perjury that tlo above Information Is correct I agree to comply PC FEE PERMIT FEE'Z�0J? ws ' with all county ordlnances'and State larelating to building Construction and hereby authonze representatrves Of tIrz County ISSUANCE FEE-, 0J t to enter upon the /J-mentoned property or Inspection purposes L4N.Y� )a 3 cf= Qy UNESTIGATKIN FEE TOTAL FEE ` m 3 SEE REVERSE FOR EXPLANATORY LANGUAGE - ^ Yy ;WORKERS COMPENSATION DECLARATION - r�l hereby affirm that I have a certificate of consent to,self t - �Viiure?oratcertif¢ate,o4Workera Compensation lnsu�ance ,'�- <..'_..- -- APPL_ ICATIONIf OR'SU'ILDING-PERMIT - ar.C�c�ert�fiedycopy�btherejg�f-�Se.'3800 Lab C ) L. i ..��,.. _ ..-, ?••- --�COUNTY+.OF LOMNGELES °''f 'i' BUILDING AND`SAFETY v: 'c Paha N66lbbol S L mponyl LS f"Li , ' ' r w . , p .• " _s n'r••c r � � , BUILDING ❑' 'Cemfled copy Is hereby furnished. wJ �' FOR A NT TO FILL IN ' ADDRESS r r k ' - - _ Certified copy is filed with thercounty building mspec BUILDING'- i' - •<'. u i, • tion department a: ,( <;ilt I• y' ,{, ADDRESS' O - v r ' • a • Date '�� �� AppLwnt 'W���JC D- GTY _�� ZIP 1 •V� LOCAUtt r -,n�' • `a. r - ' .,,NO,OF BLDG _ ...�' r'CERTIFICATEIOF EXEMPTION FROM WORKERS`tl , , ' f- SIZE OF COT �" + NOW ON LOT - CROSS ST - .t COMPENSATION,INSURANCE - S'e _ - a •• " >_ - ' .y ASSESSOR: J ` w . ' • ,.w-a = tit (This�sedlon need not be'rcompeted rf tFie permiP is for one 4i_ TRACT• '' MAP BOOK T tv , PAGE PARCEL, hundred dollars ($100) or less ) ,'i,''`"'i. tk`'^ - TEL f e. SRr `rr . Y- P•'-'j,+' ., C n k`jrnF it OWNER'.. .� ». _ -.., _ �. "-•� `r- USE rZONE , MAP - 4 I,certlfy thaYm thetperformonc of the work-for whmh'thisT - •i•• � ' 11 ' „« ' T _ SPECIAL -j +� -14, } permitlis,issued;fl shall not employ any person In any manner- '+"- ADDRESS (� '1��._ + , fat, 1 � solos to become sublect�to the Workers-Compensano6,Law' ' p,r� _ CONDITIONS T 'o_ f'- O A • , , dx ' it 11, 'y, � ', CITY w - `_' � " ZIP i 1 ,.k. .°_' U r -t Date ^ Applicant _ '• i`° '- , ARCHITECT OR - TEL - - J ' ' • It NOTICE APPLICANT If,i after ' '+"• ENGINEER-A, ',.+.•s _.», DISTRICT""(GROUP•TYPEy a FIRE ESSED BY O making this CerM1flcata ofr^" ' r -"_�'� CON NES' Exemption tyou,•should become tsublecl to, Chet Workers r` $Compensation provisions of the Rabor Code you must,forth- -Tr- %ADDRESS _. wrth comply with such provisions)or this permlt'shall,be v TEL a �L, TATISTIC I_CLASSIFICATION r_ . APT. CONDO " Z deemed revoked r , 4 •,,." , F,- :,,-,_ CONTRACTO 0 .»O ,NOT �!"?�r _ L 1% f LICENSED CONTRACTORS'DECLARATION` ., UC .r (• 'CLASS NO 1 DWELL41 NI75_' - _,I hereby affirm that I am licensed under provisions of,Chapter 9 ' . ADDRESS _40, NO t, F - _ S SEWER AMP 1 ' b•+ it 4+ (commencing with Section 7000)of Dwisiom3 of the Busmess LIC w r 1 and ProfeZions,Code and my lic Is In full force and effect y;;... CITY- '+ 1 CLASS C^ 34 VALIDATION ri A �r _ y _ - O SQ FF' NO OF NO OF CHECK, OK FIG 4 • License'Number 6c T Lic Class• '� 3 SIZE '�,/ STORIES FAMILIES ' ONE .-w• +•�_A f Ce OIOLY�.$ .,,• ,VALUATION ' D DESCRIPTION OF WORK �� O ,NEW - D F��: ,h ' Contractor -�—�0/ - =$ g s•�S t - , -❑I am exempt under 5ac r` - - T I ~ Y ./• fk>- 0!•% IADD ❑ _ ✓ ► 'A , •� - ,' L. si 1. - _ALTER © .. B 8P'6 for this7reason r' • •'/�D�tG'1 I l - - REPAIR ❑ 'OF ' USE Date EXISTING BLDG�f��iS1 '� DFMOL "❑' °° f t .. r APPLICANT .• ,Signature .Y LN,,e r '(PRINT)1.. O s µNO S,�kez8'1•'7 'FINAL OWNER-BUILDER DECLARATION i.q UATE •0 I hereby offlrrn that I am exempt from the Contractor s1icense •rA - -- - - -+ ^Craw for tFie following reason (Section'7031 5 Business and °'��� ` FINAL`'t# Sp•�p/�//,�f� { '^ �f'C/v Professions Code) . _ ..... .,,.._x _ `., ADDRES' a-_ _. ;. «.c__ _,-. _ -..-e �,+. , ey"''!` `�+ `� �`-•�,,� Fr NG !,. ❑ I, as Towner of the property, or myremployees'with ~ ADDR y., _,•,: - ,p.: e. .•yt.+. r-i_ %.l I-If..� aT^y `r wages os their so{e compensation,will do the work and _ LOCALITY p ,H re -the structuis not intended o�offered for sale,(Secbon a Y7 ^suQr 1y MOVING ..,- t - "'•"" -TELA- _ 7044 Business and Prafessroos Code ) •- '? -'„ r n`1❑ I, as'owiier of'fhe property am exclusively'contracting CONTRACTOR } NO '{ Ir . - _ ,i• I�th'_ADDRESS -t� ` „wrth'hcensed contractors to construct tFie project (Sec- ` __I 'r^ y - -r" ` - `} ' 4 » V TOTAL' 1�6 �-t •' tion 7044 ,Business and Professions Code) ' -.r _- , ', REQUIRED- - -TOTAL SETBACK FROM -EXIST"'- �i Y `'• - t.� "• - 4 • • �'^• CONSTRUCTION LENDING AGEtJCY-F` ,y ' YARD MtNY- _ i 3 - - • SET BA PR P LINE ` TH e I hereby affirm that there is a construction lending agency for ,FRONT r1 _ � 1 p - r •r - - u -'the performance of the work for which this permit is`issued - - "'PL -� t- ` - ••r• t A • 3 ��[' _ �} 7�'s'Aro q alb (Sia 3097,,C,v 'C ). SIDE - a .�` ' '• 'n.Z - Lender's°Name~ {r -•,-- �" .. :' - ✓.. >`r _4 A .. 'Y . . '`• 'f CDMA Ref # r- e P C Fee$ Perm it'Fee -- - "u "+ ' "Lender s Address _ _ _ 6071 111t1- a --... >.. .. _ t'�jI'carhfy that I have ie`ad this apphcmlon and st a that the �` ' - '�.-, Issuance Fe r✓ CDMA P/C N� 8 above information is correct I agree to comply with all Cdunty • _Inv_e!ngotio_n Fee R ordmances and Stote,laws relating to building construction, , Total Fe '( LDMA Perm`N _ .T t Her •* - 3 ' gg and Hereby outhonie,representatives(of this County to enter _ 54 u ho ed property for Ihspetlion purposes S"' `Y';'c ^°• •. —'-•'• ^,r^___t+ ___ .,__` _ _, i r- r ' y _rT.,.•r` v SEE VERSE FOR EXPLANATORY UU NOAGE,,,C_-:7A Signature of scant or Agent 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 1407150077 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS ITR 13613 LT 117 SQ FT STORIES TYPE 5503 PARERTON AV I 8TRULTURF 25 V-B TEMP CA 917602930 (ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 18573-009-002 1 THOMAS PAGE 597 GRID C3 LOCALITY TEMPLE CITY CAI TENANT EXIST BLDG USE •RESID USE ZONE R-1 ISSUED ON PROCESSED BY EXIST OCC GRP 107/15/14 SR TEL NO I200 BLDGS NOW ON LOT VALUATI 91F NA D F NAL BY CODE ERLO NICHOLAS A,MARY L TRS (626) 807 5503 PARMERTON AV 'f ITEMP 917802930 FEES PAID [RRP,T- CC9'L I IO OF WORK REMOVE THE EXISTING CAL SHI ROOF INSTALL 7/16 RADIANT I IEEE DESCRIPTION QUANTITY UOM AMOUNT (BARRIER INSTALL ONE LAYER OF 30 LH FELT INSTALL GAF 30 YR 1 (APPLICANT TEL NO I ICOMF SHINGLES REMOVE 300 SF OF FLAT ROOF INSTALL BUR 1 IENDOZA, LUIS (714) 785-3545- IAA BLDG PERMIT ISSUANCE 27 80 1 2323 W 12TH STREET IAB STATE GREEN BLDG FEE 9200 00 VAL 1 00 ISPECIAL CONDITIONS - SANTA ANA CA 92703 IAC STRONG MOTION RESID 9200 00 VAL 0 90 ID2 PERMIT W/O EN-HC 9200 00 VAL 216 60 TOTAL FEES 246 30 CONTRACTOR TEL NO IAPPROVALS DATE INSPECTOR SIGNATURE LUIS MENDOZA ROOFING (714) 785-3545- 12323 W 12TH STREET LIC NO ILOCATION AND SETBACKS SANTA ANITA CA 92703 972859 ISDI S ENGINEER APPROVAL (ARCHITECT OR ENGINEER TEL NO 1 I IFOIJNDATION/TRENCH FORMS I � LIC NO SLAA/UNDER FLOOR (RAISED FLOOR FRAMING I I I (MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I UND RFLOOR INSULATION 3 001 1 FLOOR SHEATHING IND OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I NO 21 ROOD SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS I �1 - (AIR QUALITY 1000 FEET MATERIALS 1 NO NO NO IFRAVE INSPECTION IFIRE SPRINKLER HANGERS-1-1 I I/ 1 \ IINSULATION/WEATHER STRIP( (INTERIOR LATH/DRYWALL EXTERIOR LATH I _ RATED FLOOR/CEIL ASSEM _ I - I IRATED WALL ASSEMBLIES I (RATED SHAFTS/OPENINGS IT-BAR CEILINGS 1 1 I I LOT DRAINAGE I REPORT ID DPR261 ROUTE TO BS0508 I I I I I COUNTY OF LOS ANGELES TEMPLE CITY k 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1405200041 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS TR 13613 LT 117 SQ FTSTORIES TYPE 5503 PARMERTON AV _ (ASSESSOR INFORMATION NUMBER STRUCTURE V-8 ,, TEMP CA 917802530 18573-009-002 NEAREST CROSS STREET DAINES THOMAS PAGE 597 GRID C3 LOCALITY TEMPLE CITY CA IT +T IEXIST BLDG USE RESID USE ZONE R-I ISSUED ON PROCESSED BY (EXIST OCC GRP 105/20/14 SR OWNER TEL NO IBLDGS NOW ON LOT VALUATION FW DATE II ��k FINA4 BY CODE MERLO ANTONIA (626) 448-3761- 6 150 SSOJ PARMERTYN AV 1T (TEMP 917802930 FEES PAID IDESCRIPTION OF WORK 1WINDOW CHANGE OUT 13 TOTAL IFEE DESCRIPTION QUANTITY UOM AMOUNT (APPLICANT TEL NO IHARTMAN MARK H (626) 622-5128- IAA BLDG PERMIT ISSUANCE 27 80 125 BACKUS AVENUE IAB STATE GREEN BLDG FEE 6150 00 VAL 1 00 ISPECIAL CONDITIONS PASADENA CA 91107 AC STRONG NATION RESID 6150 00 VAL 0 60 1D2 PERMIT W/O EN-HC 6150 00 VAL, 166 20 I/ t� �A n�' I � TOTAL FEES 195 60 Id� 1tt� � WTI IAL YY W�IV �ASSPC4>X, CONTRACTOR TEL NO ('APPROVALS DA E NSATO SIG TURE (PASADENA WINDOW INSTALLATION (626) 796-8030- I 125 BACKUS AVENUE LIC NO ILOCATION AND SETBACKS PASADENA CA 91107 900203 • 1 1SOILS ENGINEER APPROVAL 1ARCHITECT OR ENGINEER TEL NO 1FCUNDATION/TRENCH FORMS LIC NO 1SLA0/UNDER FLOOR I I 1RAISED FLOOR FRAMING MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I , (UNDERFLOOR INSULATION 3 OOi (FLOOR SHEATHING j INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY 1000 FEET MATERIALS NO NO NO FRAME INSPECTION I 1FIRE SPRINKLER HANGERS 1 INSULATION/WEATHER STRIPI (INTERIOR LATH/DRYWALL I IEXT6RIOR LATH I I RATED FLOOR/CEZL ASSEM I 1 I - RATED WALL ASSEMBLIES I 1 , I 1RATED SHAFTS/OPENINGS IT-BAR CEILINGS 1 + ADDITIONAL DATA ON FILE ILOT DRAINAGE 1' 1REPORT ID DPR261 ROUTE TO BS0508 I