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HomeMy Public PortalAbout6114 PRIMROSE AVE_Building__ • A ROAD DEPT n FPERMIT IS REQUIRED OR ANY ' PAAT-;*:AlI SSC-' R DONE IF: i',; .� R,+✓��i 0- WORK 7MMOA CE#0038.59 APPLICATION FOR I Vit`fD 9d- PERMIT COUNTY OF LOS ANGELES BUI EISNs / DEPARTMENT OF COUNTY ENGINEER G/ BUILDING AND SAFETY DIVISION LOCALIT�_ JOHN A. LAMBIE, COUNTY ENGINEER NRAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. p.' DISTRICT NO. GROUP TYPER CESSED BY _ FOR APPLICANT TO FILL IN ,�� • �� CONST. BUILDIN a�� STATISTICAL CLASSIFICATION SEWER MAP ADDRESS. �(/ -- ss K PG �! CLASS.No.�aWELL.UNIT-.f LOT NO. BMJ BLOCK MAPNUMBER oG Q 6.3 HWYSTAT. YES' NO TRACT ,.g USE ZONE SPECIAL NO.OF SIZE OF LOT J� //J /I NOW ON LOTS l� �� CONDITIONS USE OF 2- EXISTING BLDG. BUILDING EXIST. J SETBACK Y� HWY STREET NAME WIDTH OWNER ®./V FRONT o{�'� MAIL G,L{ '� SIDE oGC/ ti ADDRESS .fsJ - - � �G TEL. P.L. CITY No Q3 ? INSPECTION RECORD ARCENGINEER N124�1N124 ADDRESS/ ,9? � TEL. �/I V b 11111--Al CONTRACTO K NO. �Q ✓Jl/� rep/=A/7A/ -r 19�` ADDRES .+ J /, DESCRIPTION OF WORE NEW ADD ALTER. I�FTG8f7rk ,S 7-B--- NEW SQ. FT. N 0FAIR NO. OFSH ..�0/��IIV�/w �cJ SIZE /�� STORIES FAMILIES' `/ USE OF �7 A.;,= mll � - CSTRUCTURE _ /�i1NLY 9' % 'f E�/►l� �y� SIGNATURE OF O U�GT i/eST��ILL� �cS f�rAWl. lJt7(Y�C APPLICANT APPROVALS DATE INSPECTOR'S SIGNATURE ADD SSJ�� /� Com!' FOUNDATION:LOCATION, FORMS,MATERIALS-' VAL ON _ FRAME:FIRE STOPS, - /��/ )� // BRACING,BOLTS LL-ZO,/o0 /��f /iMsP/! P.C. J vr'd PMT. 49c---6 FURNACE:LOCATION, FEE FEE 5 ! GAS VENT,DUCTS -1w 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP= LATH,INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND PERMITTEEAGREE 0 MWI _ LOY O NC' AN STATE LAWS �REG G B LDI NTLATH,EXT. SIGNATURE OF HOUSE R- RECT AND POSTED A �/ ADDRES O •U �`d �de FINAL CLYDE N. DIRLfi4M;PRINCIPAL ST CT AL ENGINEER PLAN CHECK VALIDATION Cx. M:O. CASH PERMIT VALIDATION CK M.C. CASH L AC08 O 2 O S t4.AR 2 2 2 3 Ah 2 2.5 0 rs ®r Iio o3 - "AR ?g 1 A .- 48.00 . WORKERS' COMPENSATION DECLARATION hereby affirm that I have r certificate of consent to self APPLICATION F®R BUILDING PERMIT insure, or a certificate of Workers' Compensation Insurance, o5a�rtifi d copy thereof(S c. 3800, Lab. e.) , N C��dl(ct. - � •—_ _ COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. ompany - i a ir_ ENEIW ..; BUILDING - ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS C4 Certified copy is filed with the county building inspec- BUILDING tion department. /d ADDRESS Date l Applicant� CI -�_ ZIP a v LOCALITY A< NO.OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST. COMPENSATION INSURANCEASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO, MAP MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) TEL., OWNERr^ NO —*YOa USE ZONE NO. I certify that in the performance of the work for which this SPECIAL permit is issued, I shall not employ any person in any manner ADDRESS(,' �/�M� t CONDITIONS O so as to become subject to the Workers'Compensation Laws. ZIP / $O U CITY Date Applicant ARCHITECT OR TEL• � NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO DISTRICT GROUP TYPE FIRE PROCESSED BY Exemption, you should become subject to the Workers' yr1 CONST. ZONE U Compensation provisions of the Labor Code, you must forth- ADDRESS �� l/ ✓ �� a with comply with such provisions or this permit shall be _ TEL. :s STATISTICAL CLASSIjF TION APT. CONDO. Z deemed revoked. CONTRACT in �/� NO. _ LICENSED CONTRACTORS DECLARATION �A �pp LIC. //�� CLASS No.�DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 4J NO.` 6cr 14 ei iSEWER MAP (commencing with Section 7000)of Division 3 of the Business LIC. and Professions Code,and my license is in full force and effect. CITY /_` A CLASS BK. PG. VALIDATION `' cSQ. Fi NO. OF NO.OF CHECK License Numbe . d/&/ Lic. Class_ ) SIZE STORIES FAMILIES ONE VALUATION � DESCRITIONOFWOK -2,C.fNEW Date { DD ❑ $ ❑I am exempt under Sec. y ALTER ❑ t:r_p j 8.8P.C. for this reason i !! -G' �o� '%� REPAIR ; Date: USE OF EXISTING BLDG. DEMOL ❑ Signature APPLICANT--_ TEL.— FINAL 7 OWNER-BUILDER DECLARATION (PRINT) 'i G - NO. G DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS) f-,l6 FINAL Professions Code): PRESENT By 16s ❑ I, as owner of the property, or my employees with ADDRESS N".0 r°4 wages as their sole compensation,will do the work and —a -7 t the structure is not intended or offered for sale(Section LOCALITY =�j" 7044, Business and Professions Code.) MOVING TEL. ® I i i❑ -• CONTRACTOR NO. r Ei t_I,as owner of the property,am exclusively contracting _ t �•� with licensed contractors to construct the project (Sec- TOTAL 3i e 00 tion 7044, Business and Professions Code.) ADDRESS REQUIRED TOTAL SETBACK FROM EXIST. t• L",,f, 512.03CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for LInvestigation CHANGE the performance of the work for which this permit is issued �.�{rt(�s7C (Sec. 3097, Civ. C.). _ Lender's Name • 8 `,Gs LDMA Ref. # it !J'' 1..i�iliLk I t(.'�i Permit Fee Lender's Address pop, :+�-tv 1 n. _•t t I certify that I have read this application and state that the Issuance Fee c� LDMA P/C# 3 above information is correct.I agree to comply with all County e ordinances andStag to building construction, Total Fee u LDMA Perm. # an y ctr';eFf� reprw a entati s of this County to enter gupon the ove-ment'oned p o rty for inspection 7rppos o tic/ � SEE REVERSE FOR EXPLANATORY LANGUAGE ig re of Applicant gent Date 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 0309170034 PHONE: (626) 285-0488 EXT: LEGAL ID: 0. OF CONST BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE 6114 PRIMROSE AV ASSESSOR INFORMATION NUMBER: STRUCTURE: VN TEMP CA 917801657 5385-012-018 NEAREST CROSS STREET: GARIBALDI THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, C EN BLDG USE: R DS 0 R- ISSUED 0 CES P . EXIST OCC GRP: 09/17/03 VG 09/11/04 . OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL ATE FINAL BY: CODE: FRATTARELLI CONCETTA TR (626) 286-4908- 5,500 6114 PRIMROSE AV TEMP FEES PAID DESCRTwrTnN OF WORK ADD ADDITIONAL ROOF WOOD SUPPORT ANT: TEL. NO: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: JULIAN CONSTRUCTION (323) 733-5614- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 5500.00 VAL 0.55 SPECIAL CONDITIONS: D2 PERMIT W/0 EN-HC 5500.00 VAL 149.40 TOTAL FEES 177.70 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE JULIAN CONSTRUCTION (323) 733-5614- 2952 9TH AVE. LIC. NO LOCATION AND SETBACKS LOS ANGELES, CA 90018 NONE SOILS ENGINEER APPROVAL ARCH ITECT—O—R—MOMEMERE TEL. N0: FOUNDATION/TRENCH FOR S LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING- MAP R NGMAP 0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION XX 3 01 TED—ORR SHEATHING 0. OF FAMILIES: DWELLING UNITS: CO D: STAT CL SS: NO 21 ROOF SHEATHI G SC DO SHEAR PARES-- AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION /)_Zq ^O REQUIRED TOTAL SETBACK ROM EXIST FIRE SPR ER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LAT RATED 00 S RATED WALL ASSEMBLIES RATED SHAFTS/OPENING T-HAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: 850508 • 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 0308130052 PHONE: (626) 285-0488 EXT: LEGAL ID: 0. OF CONST- G ADDRESS: ON FILE SQ. FT STORIES TYPE 6114 PRIMROSE AV SS SSOR 0 STRUCTURE: VN TEMP CA 917801657 5385-012-018 NEAREST CROSS STREET: GARIBALDI THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG 5 RESID S : R- N: PROCESSED RES EXIST OCC GRP: 08/13/03 VG 08/07/04 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATIO • �11JAL/DAT NAL BY: CODE: FRATTARELLI CONCETTA TR (626) 286-4908- 3,500 6114 PRIMROSE AVTEMP 917801657 S R 0 IF WORK VOLUNTARY FOUNDATION BOLTING FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: A 0: JULIAN CONSTRUCTION (323) 733-5614- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 3500.00 VAL 0.50 SPECIAL CONDITIONS: D1 PLANCHECK WkO EN-HC 3500.00 VAL 98.43 D2 PERMIT W/0 E C 3500.00 VAL 115.80 TOTAL FEES 242.48 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE JULIAN CONSTRUCTION (323) 733-5614- 2952 9TH AVE. LIC. NO LOCATION AND SETBACKS LOS ANGELES, CA 90018 NONE 50ILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: 0: FOUNDATIONqRE LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION XX 3 01 FLOOR SHEATHING 0. OF F D G UNITS: CO A CLASS: NO 21 ROOF SHEATHING S L H HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED O A SETBACK R EXIST FIRE SPRINKLER G SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- IORLATH/DRYWAL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASS B IES RATED SHAFTS/OPENING -BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508