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