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Home My Public Portal About5834 PRIMROSE AVE_Building__ • .76A63,:A�CE#803 1/71 ��Z E ,�� APPLICATION FOR B=ING PERMIT ` COUNTY OF LOS ANGELES ASSESSOR + DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGEPARCEL I BUILDING AND SAFETY DIVISION BUILDING ✓ e ADDRESS �J COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST Print or tvoe onl CROSS ST. DIST IC GR TYPE PR D ek ADDRESS SBUILDING �� ? �l��S� /F_i r CONST. STATISTICAL CLASSIFICATION SEWER MAP TRACT LOT T BLOCK CLASS NO. iW DWELL,UNITS / BK 40PG -USE ZONE MAP '}NO 11 /j SIZE OF LOT �' NO.OF BLDGS SPECIAL X �� NOW ON LOT USE CONDITIONS EXISTING BLD��riI TEL. OWNER e&,o�pr® � NO. BLDG.SETBACK FROM ADDRESS 0454 7 FRONT PROP.LINE OF (STREET) TYPE OF EXISTING CITY �a�� HIGHWAY W WIDTH TOTAL FROM C.L.SETBACK HIGHWAY } YARD = ARCHITECT OR TEL. D } ENGINEER NO. BLDG,SETBACK FROM ADDRESS SIDE PROP.LINE OF (STREET) � I� ri9Cv NEL TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL CONTRA CTOF" HIGHWAY WIDTH FROM C.L. C a ADDRESS +o;� J*,1,114V &a/r NO. } = CC CITY LG/Et �le/( �Z1,4 CLASS CORNER CUTOFF YES ❑ NO ❑ LL CONSTRUCTION LENDERa NAME AND BRANCH ,'9AF SEE REVERSE SIDE FOR SPE&APPROVALS ADDRESS�r a t(• OR% rG I' SIZE T J � STORI'ES��rI�r+ FANO.WIIOLFES NEW �/�� USE OF STRUCTURE c7,e X&•j ALTER ❑ SIGNATURE REPAIR❑ APPLI DEMOL ❑ VALUATIONS &00 v APPROVALS DATE INSPECTOR'S SIGNATURE •P.C. PMT. FOUNDATION: LOCATION FEES FEES11Z. FORMS, MATERIALS L 1;7`L FRAME: FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUC TI ON, LL 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WINOT EMPLOY AN ON IN VIOLATION OF THE LATH, INT. LABOR CODE OF THE TATE F •CALI ORNIA IN RELATING TO WORKMEN'S COMP N T N 1 URANCE I LATH, EXT, 411 ''c- SIGNATURE HOUSE NUMBER COR- PERMITT RECT AND POSTED A ADDRESS r FINAL JOHN F. LEWIS. Pt-D AL ENGINEER PLAN CHECK VALIDATION �ck. 7M .1.. PERMIT VAICK. M.O. CASH 41 3 2 3-N .FEB �2 A 4 6 9.7 5 :. . _- : �'0 4 5 8 3 FEB 25 1 6.2 5N a APPLICATION FOR BUILDING PERMIT a COUNTY OF LOS ANGELES BUIL PING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDIN� RE I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS n� �h�� I or a certificate of Workers Compensation Insurance,or a certified CIN G v ZIP (/C� LOCALIT copy thereof(Sec.3800,Lab.C.) _ Policy No. Company SIZE OF LOOT NO OF BLDG&NOW ON LOT v' ❑ Certified copy is hereby furnished. NEAREST CROSS ST ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS M�✓O / CERTIFICATE OF EXEMPTION FROM WORKERS' OWNEZ- t /' �ff/� d�0 ZJ7 S1 COMPENSATION INSURANCE AADp REs G (, O WITHIN 1000 FT OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred �7D �•ov LG fy� �� 2 DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED PY UY dollars($100)or less.) GG O I certify that in the performance of the work for which this permit C 97ci -Jr., v � //000 is issued, I shall not employ any person in any manner so as to ,o� —3 become subject to the Workers'Compensation Laws. ARCHITECT OR ENGINEER TEL NO. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. � DWELL UNITS NOTICE TO APPLICANT., If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject t0 the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL > SIDE a LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS PL C I hereby affirm that I am licensed underprovisions of Chapter 9SEWER MAP C SQ. NO.OF STORIES NO OF FAMILIES � (commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. Q A NEW ❑ BK PG C License Number Lic.Class DESCRIPTION OF WORK ADD ❑ VALUATION. v LL Contractor Date ALTER $ / �� a L�01 ❑ 1 am exempt under Sec. B REPAIR ❑ $ Z B.BP.C.for this reason .5�q Ant, DEMOL ❑ LDMA P/C a Date: USE OF EXISTIN LDG. URM ❑ Signature APPLICANT(PRINT) TEL NO. LDMA Perm ACCTo4 ❑ I, as owner of the property, or my employees with wages as Z their sole compensation, will do the work and the structure is ADDRESS F3303 92025 riot intended or offered for sale (Section 7044, Business and FINAL DATE o 1 ITEMS Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE 5-19 -16 -J r ❑ I, as owner of the property, am exclusively contracting 44, AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? a TOTAL 9�' 5 licensed contractors to construct the project (Section 7044, FINAL BY � > �. o..,�._ NES❑ NO❑ Business and Professions Code.) , CHECK 92o25 WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH (y ;+E G (� CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR CHANGE .U0 GUIOEUNES. I hereby affirm that there is a construction lending agency for YES❑ NO❑ the performance Of the work for which this permit Is Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 0000-0001 2/15/96 3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, Lender's Name TITLE MA MATERIALS REPORTING AND FORBTAIN NG THROUGH CHAPTER 2 20 SECTIONS 2 20.100 M T FROM4THE SCAOMD CONCERNING HAZARDOUS 4897 1 RM 6:06 Lender's Address OWNER OR AGENT 3 1 certify that I have read this application and state under penalty e of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE with all county ordinances and State laws relating to building In construction, and hereby authorize representatives of this County ISSUANCE FEE to enter upon the above-mentioned property for inspection purposes. a , AA/U/VR � 1ti1 —�� INVESTIGATION FEE TOTAL FEE Appt,f i a � Dns 9116E 14 �A.� SEE REVERSE FOR EXPLANATORY LANG AGE 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 1112300006 PHONE: (626) 285-0488 EXT: LEGAL ID: N0. OF CONST BUILDING ADDRESS: ITR: 6561 LT: 644 SQ. FT STORIES TYPE 5834 PRIMROSE AV I ISTRUCTURE: 1200 V-B TEMP CA 917802110 ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: 18587-015-023 I THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY CAI -_ I ITENAN'r: EXIST BLDG USE: RESID USE ZONE: R-2 [ISSCcD ON: PROCESSED BY: 1EXIST OCC GRP: 112/30/11 SR 1 OWNER: TEL. NO: IHLDGS. NOW ON LOT: VALUATION: IF NAL DATE FINALBY: CODE: 1LIANG LI, YUN (626) 560-6806- I 1 3,600 I 5832 PRIMROSE AVE Ir L TEMPLE CITY CA 91780 I I FEES PAID IDESCRIPTION OF WORK I I [REPI+ACE EXISTING BUILDING ROOF SHINGLE 30 YEAR COMPOSITION I _IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: �I APPLICANT: TEL. NO: 1 I I I IHALLMADE CONSTRUCTION (626) 319-1228- [AA BLDG PERMIT ISSIIANCE 27.80 I r � 1944 S PINE ST IAB STATE GREEN BLDG FEE 3600.00 VAL 1.00 ISPECIAL CONDITIONS: I ISAN GABRIEL CA 91776 IAC STRONG MOTION RESID 3600.00 VAL 0.50 ID2 PERMIT W/O EN-HC 3600.00 VAL 116.00 1 N� IFS INV WORK W/O PERMIT 257.50 DOL 329.70 � L� 4�+-i�i� CONTRACTOR: TEL. NO: 1 TOTAL FEES 475.00 [APPR S v -F DATE INSPECTOR SIGNATURE 1 IHALLMADE CONSTRUCTION, INC. (626) 319-1228- ; 1944 S. PINE STREET LIC. NO ILOCATION AND SETBACKS ISAN GABRIEL, CA 91776 C-10 I I ISOILS ENGINEER APPROVAL 1 ARCHITECT OR ENGINEER: TEL. NO: IFOUVDATION/TRENCH FORMS I I - LIC. NO: I [SLAB/UNDER FLOOR 1 I 1RAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 JUNDERFLOOR INSULATION I I150H269 3 OOI I I IFLOOR SHEATHING I INO. OF FAMILIES- DWELLING UNITS: APT/COND: STAT CLASS: I 1 0 NO 21 1 IROOF SHEATHING ` V ]� I SCHOOL WITHIN HAZARDOUS [ SHEAR PANELS � I��` IAIR QUALITY: 1000 FEET MATERIALS I I I -I"'CI I NO NO NO I IFRAME INSPECTION I I I [FIRE SPRINKLER HANGERS I I I I I IINSULATION/WEATHER STRIP I— I I IIN.'ERIOR LATH/DRYWALL I [ I [EXTERIOR LATH I � I I I IRPTED FLOOR/CEIL ASSEM. [ [ I I IRATED WALL ASSEMBLIES I I [ [ � I I I IRATED SHAFTS/OPENINGS I I I IT-LIAR CEILINGS I I [ [ [LOT DRAINAGE I I I I I I 1REPORT ID: DPR261 ROUTE TO: BS0508 I [ [_ I I [