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