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HomeMy Public PortalAbout6028 PRIMROSE AVE_Building__ -DIVISION OF BUILDING AND SAFETY ® 0 Department of County Engineer SwILDING . County of Los Angeles WM. J. FOX, COUNTY ENGINEER APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY f DISTRICT NO. PLAN CK.DR REc.No. PERMIT O. ADR h 6� ,c - aG ;z / R CEIVED BY LOCALITY DATE OF APPL. DATE ISSUED NEAREST n.�.Q Q.., � CROSS ST. -C/C/ BUILDING G 1 ADDREBS I/ .61- O OWNER MAIL /7� e► �s /� �y�, ! LOCALITY ADDREBS () (� yam.�1 _('A�(�G/ /,JuW NEAREST AA y CROSS ST. CITY ,1 d�/I/I�/fY_.V.�. 4. NOL � � ®�d' FIRE PIO.OF TYPE '�j GROUP ARCHITECT OR(/��,I� �7/.� TEL ONE �"� PLANS ENGINEER I riY1nn/IL ItikJ(�L.� , NNOO• OLDS. NO. LINE d / ADDRESS . OAA A �./l ,i-4 UBEAPPROVED TEL ZONE/ I BY DATE CONTRACTOR NO. HOUSE NUMBERING ADDRESS MAP NUMBER NO. ASSIGNED BY LEGAL CORRECTIONS DESCRIPTION LOT NO.d-aJ BLOCK TRACT to /J (P9 gI NQ OF BLDOS. SIZE OF LOT 5$ NOW ON LOT USE OF NQ OF p EXISTING BLDB. I FAMILIES / DESCRIPTION OF WORK NEW ALTERATION ADDITION = I. ��// I P REPAIR ✓�. DEMOLITION Bq.FT. NO.OF " SIZE ROOMS 13TORIES EXT.WALL ROOF COVERING I COVERING USE OF STRUCTURE %INSPECTIO FOR APPROVALS CDCUPANOYAB INSPECTORPS SIGNATURE DATE FOUNDATION'LOCATION FORMS, MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION BIVEH IS FRAMEt FIRE STOPS, CORRECT. BRACING,BOLTS I AGREE AND STATE LAWSUMPLY WITH ALL COUNTY REGULATING BUILD NB CONSTRUCTION. FURNACE, LOCATION, BAB VENT,DUCTS SIGNATUREOF - S LATH■ INT. PERMITTER LATH, EXT. PLASTERS INT. AUTHORIZED ABT. ro P.C.10 PLASTER, E)rT. /O O FEE HOUSE NUMBER COR- RECT AND POSTED / g � VALUATION FEES �� FINAL W/ 41 41'S SP 7EIAMELA DBR 3 I-52 '098-3 ZSM SETS 6-46 t - '-'*N' DEPARTMENT OF BUILDING AND SAFETY jr . APPLICATION FOR PERMIT COUNTY OF LOS ANGELES B U I ® D I N G 1 WM. J. FOX, CHIEF ENGINEER'ammm=mmumF� FOR APPLICANT-TO FILL IN FOR OFFICE USE ONLY��6 T.-- D18TRIC7 NO. PLAN CK. NO. PERMIT NO. BUILDING ADDRESS LOCALITY �✓:Yd/s'1:��/ �" 1 RECEI•YED BY„ DATE OF AP L. DATE ISSUED NEAREST 1 d; CR098 ST. Ly/ G �•u✓1"`d'�5. �"�..�..�.,,e,-,.,_ � BUILDING OWNER L/fir t/`-�/�tf''•ae,.m""'� ADDRE99 j �'d�.� i f✓t-.fI-% e 1 C? =r ►� . MAIL y ] ADDRESS i�" F 6LOCALITY NEAREST • �+ f I rf CITY 7�4otel ,F'..• 't`�L j N O CROSS ST. FIRE ARCHITECT OR �. � TEL. ZONE �I PLANS �ahTMPE� I GROUP ENGINEER NO. BLDG. v ORD. NO. ADDRESS W SETBACK LINE TELAPPROVED CONTRACTOR �� NO.. BY DATE USE APPROVED ADDRESS ZONE •f BY DATE LEGAL DESCRIPTION I LOT NOLI 1-%f of I BLOCK ' CORRECTIONS TRACT 4'.r-14' NO. OF ; 51ZE OF LOT .r6 Ns. res-S�� NOW ON 6L).OTB. '"- No or USE OF �c� I,FAMt e R I ROOM3� NO.OF EXISTING BLDG. DESCRIPTION OF WORK NEW ALTERATION ADDITION I D A REPAIR. I I MOVING DEMOLISH O 9q. FT. I� / �•'- NO.OF• E SIZE ` /•4} ROOMS ( STORIES > WALL I ROOF '-., � COVERING CCOVERINGUSor / [l BUING NEW LD r :1.- 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, INSPECTOR DATE AND AGREE JPO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE BTDP96 SIGNATURE OF BRACING, BOLTS OWNER IV"G•y �I LATH, INT.: AUTHORIZED AOT- LATH, EXT.: $ P. C.16 PLASTER, INT.' A FEE J '•/• PLASTER, EXT. t VALUATION d FEE Rr$,�J FINAL L �A APPLICATION FOR BUILDING PERMIT a • ••* COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING DDRESs I hereby affirm that I have a certificate of consent to self insure, BUILDING A DDREY ��� or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) CITY J L zIP ��4 LOCALITY Policy NO. Company SIZE OF LOT O.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS Sr ❑ 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 CERTIFICATE OF EXEMPTION FROM WORKERS' OWNERTEL NO. COMPENSATION INSURANCE O I )X1— WITHIN 1000 FT.OF SCHOOL? YES NO (Thisection 00)ordlnot be completed if the permit is for one hundred ADDRESS�7Z A /�✓y DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY CITY !7 J v 1. ZIPCA q (,-t o n, �f� I certify that h the performance of the work for which this permit - O U Is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. ARCHITECT OR ENGINEER TEL NO. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. 152 DWELL UNITS NOTICE TO APPLICANT.• If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR /,, TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith �t% �� FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL >- SIDE E' LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS PL C I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO. NO OF STORIES NO.OF FAMILIES C Professions Code,and my license is in full force and effect. NEW BK PG License Number Lic.Class DSC PTION OF WORK App ❑ VALUATION , U ^«J l �. $ Contractor Date ALTER ❑ ❑ I am exempt under Sec. G REPAIR ❑ $ Z B.&P.C.for this reason DEMOL ❑ LDMA P/C# i Date: USE OF EXISTING BLDG. URM ❑ tw Signature APPLICANT(PRINT) TEL NO. LDMA Perm# ACC I s r 1, as owner of the property, or my employees with wages as Z -3303 719,q5 their sole compensation, will do the work and the structure is ADDRESS O not intended or offered for sale (Section 7044, Business and FINAL DATE C ITEMS Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL y t �y �* OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EOUAL TO OR GREATER THAN THE 2� J { 2-5 s� a 6'5 ❑ I, as owner of the property, am exclusively contracting 44, AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY �. TOTA4 L licensed contractors to construct the project (Section 7044, t.H��.� 1Q Business and Professions Code.) YES❑ NO❑ 259 o(j''y WILL THE INTENDED USE OF THE SUIDLING BY THE APPLICANT OR FUTURE BUILDING CHANGE e,JU OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH 4 AN CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT ISCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES I hereby affirm that there is a construction lending agency for YES❑ NO❑ n i the performance Of the work for Which this permit Is Issued(SBC. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 0000_"-0"1 5/28/96 3097,CIV.C.) CHECKLIST I UNDERSTAND MY REOUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, 608 i 1 p i'iy, j v�i t Lender's Name TMATERIA S REPORTING AND FOR OBTAINING TA PEERRM T FROM HE SCAOMD.CONCERNING HAZARDOUS !i L Lender's Address Ir OWNER OR AGENT I certify that I have read this application and state under penalty G. c of perjury that the above information is correct.I agree to comply P.0 FEE PERMIT FEE - W with all county ordinances and State laws relating to building m construction,and hereby authorize representatives of this County ISSUANCE FEE to enter upo the a ove-mentioned property for inspection purposes. / INVESTIGATION FEE TOTAL FEE Clqu�w W a ft., 0.-te SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 INGPERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS NEW RESIDENTIAL BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 0508 9806110 8 PHONE: (818) 285-0488 EXT: l -LEGAL ID: NO. OF CONST NEW ' I. TR: 6561 LT: 259 SQ. FT STORIES TYPE OCCUP GROUPpt STRUCTURE: 0 1 VN R3 JM 9178 033 ASSESSOR -INFORMATION NUMBER: GARAGE: 123 1 ! NEAREST CROSS STREET: 5385-013-017 OTHER: THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY TENANT: USE ZONE: R-2 ISSUED ON: PROCESS BY: EXPIRES ON: 06/11/98 UT 06/11/99 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: KONG, FRED (626) 571-7376- 3,000 3728 I VAR AVE. z'" ROSEMEAD, CA FEES PAID DE$CRIPTION� FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ADD TO NEW GARAGE 61X20 1/2' -123 SQ. FT. APPLICANT: TEL. NO: � -A/Ge,' SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 ld AC STRONG MOTION RESID-- 3000.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/0-EN-HC 3000 .00 VAL 99.15 ,TOTAL--FEES' . 127.40 CONTRACTOR: TEL. N0: :; :y: - APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - ., > LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATIO TRE C FORMS LIC. NO:' = _=-=- -, SLAB/UNDER FLOOR RAISED OOR FR G MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 150H265 3 01 ST LEVEL FLOOR-SHEATH 0. OF FAMILIES: DWELLING S: APT/CO D: STAT CLASS: - --- - _- _ NO 12 �� _ ND LEVEL FLOOR SHEATH -SCHOOL WITHIN HAZARDOUS \\ ' ' !� 'i 00 SHEATHING AIR QUALITY: 1000 FEET MATERIALS ' NO NO NO �,• , �; D FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST ,,:- �'•'' BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS SIDE PL- I V INSULATION/WEATHER STRIP INT IRIOR LATH/DRYWALL EXT ERIOR LAT LOTI DRAINAGE SMOKE DEEC IO DE ICS FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508 • COUNTY OF LOS ANGELES TEMPLE CITY #'0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS DEMOLITION BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9703260013 PHONE: (818) 285-0488 EXT: GA D: NO. OF COS BUILDINGADDRESS: TR: 6561 LT: 259 SQ. FT STORIES TYPE 6028 PRIMROSE AV STRUCTURE: 130 TEMP CA 917802033 ASSESSOR INFJO—RMATION NUMBE : NEAREST CROSS STREET: 5385-013-017 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY TENANT: EXIST—BLDG—USE: R ID USE ZONE;-- ISSUED ON: PROCESSED—BY: EXPIRES 0k- EXIST OCC GRP: 03/26/97 TC 03/26/98 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY CODE: KONG, FAI (818) 571-7376— 1 0 6028 PRIMROSE AVE TEMPLE CITY, CA FEES PAI DESCRIP ION OF WORK FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: DEMOLISH SINGLE CAR GARAGE' APPLICANT: L. 0: SAME AS OWNER — AA BLDG PERMIT ISSUANCE 27.27 02 DEMOLITION INSPECTN 163.50 SPECIAL CONDITIONS: TOTAL FEES 190.77 CONTRACTOR: TEL. NO: APPROVALS TE INSPECTOR SIGNATURE SAME AS OWNER — LIC. NO PEDESTRIAN PROTECTION SEWER DISCONNECTION ARCHITECT OR-ENGINEER: 0: ABANDON PRIVATE DISPOSAL LIC. N0: UNDERGRND STRUCT REMOVAL AND SOIL RECOMPACTION MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ISOH265 01 _ N0. OF FAMILIES: DWELLI G NTS: APT CO D: STAT CLASS: NO 23 SCHOOL IT I HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO t 1S Il1li nmTm L��otiB nN rUattoA0 D.WEVA • '�'�c�ea��Aad&ccs®d REPORT ID: DPR261 ROUTE TO: BS0508 d' r COUNTY OF LOS ANGELES TEMPLE CITY 0 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS DEMOLITION BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0201100038 PHONE: (626) 285-0488 EXT: LEGAL - BUILDING NO. OF CONST TR: 6561LT: 259 SQ. FT STORIES TYPE 6028 PRIMROSE AV- STRUCTURE: 1440 TEMP CA 917802033 ASSESSOR - NEAREST CROSS STREET: WOODRUFF 5385-013-017 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: 0 EXPIRES EXIST OCC GRP: 01/10/02 - JK 07/09/02 OWNER: TEL. 0: BLDGS. NOW 0 VALUATION: FIAZ FINAL B CODE- FRED KONG (626) 378-1882- 5,000 �FWW 6026 PRIMROSE AVETEMPLE CITY S RK DENO SFR AND ATTACHED GARAGE FEE DESCRIPTION: QUANTITY: LION: AMOUNT: APPLICANT: TEL. NO: KELVIN KONG (626) 378-1882- AA BLDG PERMIT ISSUANCE 27.75 6026 PRIMROSE AVE 02 DEMOLITION INSPECTN 163.50 SPECIAL CONDITIONS: TEMPLE CITY TOTAL FEES 191.25 CONTRACTOR: TEL. 0: APPROVALS DATE INSPECTOR SIGNATURE CONTINENTAL CONSTRUCTION CO. (626) 378-1882- 6028 PRIMROSE AVE LIC. NO PEDESTRIAN PROTECTION TEMPLE CITY, CA 91780 664434BC39 SEWER DISCONNECTION AR C R: TEL. NO: NIJAMMFFEVAT9 DISPOSE LIC. NO: UNDERGRND STRUCT REMOVAL' AND SOIL RECOMPACTION 14AP NO: SEWER MAP BOOK: PGE: FIRE ZONE: CMP: X , 01 0. OF FAMILIES: DWELLrffG­WT-S.-AP`T7COND: S - NO 23 S HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS NEW RESIDENTIAL BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0106140016 • PHONE: (626) 285-0488 EXT: LEGAL 0. S G D SS: TR: 6561 LT: 259 SQ. FT STORIES TYPE OCCUP GROUP 6028 PRIMROSE AV STRUCTURE: 1744 2 VN R3 TEMP CA 917802033 ASSESSOR INFORMATION NUMBER: GARAGE: 430 1 VN U1 NEAREST CROSS STREET: GARIBALDI 5385-013-017 OTHER: 24 1 VN U1 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY S 0 U ON: P C S P1 - ti 02/13/02 VG 08/12/02 - OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: KONG, SHERMIN - 150,466 6028 PRIMROSE 3 TEMPLE CITY CS 91780 FEES PAID DESCRIPTION OF-WORK 2-STORY SFR, 3BEDRMS, 3BATHRMS, LIVINGRM, DININGRM, KITCHEN FEE DESCRIPTION: QUANTITY: UON: AMOUNT: AND A WORK ROOM APPLICANT: TEL. NO: ELITE DESIGN INC. (626) 288-2651- B1 PLANCHECK W/ENERGY 150466.00 VAL 1,519.75 8748 VALLEY BL #K AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: ROSEMEAD CA 91770 AC STRONG MOTION RESID 150466.00 VAL 15.05 B2 PERMIT W/ENERGY 150466.00 VAL 1,787.94 D9 PC EXTENSION FEE 379.93'DOL 379.93 CONTRACTOR: TEL. NO: TOTAL FEES 3,730.42 APPROVALS DATE INSPECTOR SIGNATURE KONG, SHERMIN (626) 309-9922- 6028 PRIMROSE LIC. NO LOCATION AND SETBACKS TEMPLE CITY CA 91780 NONE -; 00 SOILS ENGINEER APPROVAL 1 ARCHITECT OR ENGINEER: L. 0: FOUNDATION/TRENCH F0 S �/ \ ZHANG, DAVID (626) 289-6300 3. [y I 301 N. ROSEMONT BLVD LIC. NO: SLAB/UNDER FLOOR 99l SAN GABR I EL CA 91775 46379 RAISED FLOORG MAP NO: SEWER MAP BOOIC. PAGE: FIRE ZONE: UNDERFLOOR INSULATION 150-265 L 167 3 01 ST LEVEL FLOOR SHEATH- 0. OF FAMI ITEMS--DWELLING NITS: APT/CO D: STAT CLASS: NO 01 ZND LEVEL FLOOR SH SCHOO I I -HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAM INSP CT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. F SP C SET BACK YARD: HWY: PROP LINE: WIDTH: ��— FRONT PL- SHEAR PANELS SIDE PL- INS 0 E T ER STR P ' 7-/ 'U3 C_o22LCT'oAAC• $CO2 INTERIOR LATH/DRYWA fTl nnn �Ak C12.(2TER OR L OT DRAINAGE SMOKE D C O EV S FIRE DEPARTMENT APPR AL REPORT ID: DPR261 ROUTE TO: BS0508