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HomeMy Public PortalAbout6220 PRIMROSE AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY P.rr"L%pJL L A%JM r VZL ti.8ar A• COUNTY OF LOS ANGELES � ' ® ' WM■ J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY D113TRICT NO. PLAN CK.NO.. PERMIT NO. BUILDING // ADDRESS 47 7.. e��-� Primrose Ave.Ave �� 3'7/j1��-� �� sr6�Z LOCALITY C RECEIVED BY DATE OFAPPL. DATE ISSUED NEARESTname Flahert St. Tem le Cit BUILDING y� OWNER ADDRES13MAIL S G ADDRE88 11236 E. Live Oak Ave. LOCALITY ,G NEAREST CITY Arcadia NEpL' DO-7 21,51 CRO88 ST. ARCHITECTS TEL. ZONE PLANS L No.orTYPE DROOP-'- ENOINEER G16o e A e Bissell NO. FL-7"20 -� BLDG. ADDRESS SETBACK LINE APPROVED BY DATE CONTRACTOR NO. USE APPROVED ADDRESS ZONE BY DATE LEGAL -� 3 CORRECTIONS DESCRIPTION I LOT NO. BLOCK TRACT 17179 NO.Or SIZE OF LOT 5 5x100 I NOW ON L TS' noneUSE OF NO. Qlp1�"' DF EXISTING BLDG. none I FAM�tEB I ROOMS 6 C-rU.-C� ( f��,,l 12.17 w Q-(Vrr Com. DESCRIPTION OF WORK NEW x ALTERATION ADDITION O A REPAIR Q MOVING DEMOLISH D SIZE ' `1187 ROOMS 6 STORIES NO OF1 r WALL COVERING Plaster I COVERING 1N a Shgles e USEOFNEw Residence BUILDING Plan 5-A Garage 19 x 20 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION* LOCATION I S ECTORt AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE AWS REGULATING BUILDING CONSTRUCTION. FRAME: FI RE STOPS. SIGNATURE OF BRACING.BOLTS PERMITTE LAND INT. AUTHORIZED AIG LATH, EXT. 76AG38A-3 7-49 $ Q'U p.C.SPASTER,INT. . �4r; FEE i PLASTER.EXT. $ O nr _ _ VALUATION l��© FEE L�� FINAL J Y^lel.. � �� ,WORJ5ERS'COMPENSATION DECLARATION APPLICATION FSR BUILDING PERMIT � I Fart; affirm that I have a certificate of consent to self + insure;or a certificate of Workers'Compensation Insurance, or a certified copy thereof'(( F14iEMWSec. 3800, Lab. C.) WC Eioo91721 A ,5 trb-1ND COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No._ Company_ +.15_ GO. ADDRESS n,/11 - Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING /�, 6 ,u mes-Re , g/ ❑ Certified copy is filed with the coun ilding inspec- BUILDING �• /� tion department. ADDRESS rp020 1' KIlbAK 7j ES SAV AVC-:. Date.--/g- 96 Applican CITY-r6W1 ILE GI'(Y ZIP !J/!7O LOCALITY t NO OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM ORKER ' SIZE OF LOTSJr•�X 99.`1S NOW ON LOT I CROSS ST. I COMPENSATION INSURANCE (This section need not be completed if the permit is for one t�� ASSESSOR hundred dollars($100)or less.) TRACT I71 BLOCK LOT NO. r MAP BOOK PAGE PARCEL OWNER C3 ET T1= M0t-_f`F_ NOS-TEL.f 7 7 65 USE ONE MAP I certify that In the performance of the work for which this I NO. � permit is issued, I shall not employ any person in any manner ADDRESS 6a.'t o !Z1 M ROSE Q�/E• -- SPECIAL so as to become subject to the Workers'Compensation Laws. �y CONDITIONS OU Date Applicant CITY i CMPLtE c_rrY ZIP /�� 09 NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR r TEL.[Z13� DISTRICT GROUP TYPE FIRE PROC SED BY ENGINEER 1'�O A. AKEi NO. 1 - Z CONST. ZONE Exemption, you should become subject to the Workers' � _ � ` a � 13 Compensation provisions of the Labor Code, you must forth- ADDRESS:Z6✓,2• ' WWI- ,•dj i• � C� IP J � with comply with such provisions or this permit shall be ThYCEI TEL. 213 STATISTICAL CLASSIFICATION APT. C DO. deemed revoked. CONTRACTORG GT10 G NO.eSS - x LICENSED CONTRACTORS DECLARATION & LIC,„ CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS,2652 WALNUT ✓T NO.S019_62, (commencing with Section 7000)of Division 3 of the Business and LIC. SEWER MAP Professions Code,and my license is in full force and effect. CITY C A CLASS I5BK VALIDATION SQ. FT. 2 NO.OF NO.OF 1 CHECK License Number 3!N 25--4pLic.Class SIZE 3 STORIES FAMILIES / ONE ING• VALUATION � Contractor-to1ySTR.' Date 2-�5-�� DESCRIPTION OF WORK - O NEW ❑ADD $ (� ❑I am exempt under Sec. A uTsr AT i o TGHF_T4 ALTER ❑ B.BP.C. for this reason 1/1 REPAIR ❑; $ 4 1 1.4 USE OF # 0 0 0 0 0 Date: EXISTING BLDG. t5 i A Tl 1.•. DEMOL ❑,t 1 0237.38 Signature APPLICANT TEL. (�/$ OWNER-BUILDER DECLARATION (PRINT) ROY A. TAKEI NO. 7 7 5 DATE ✓ `���^ ­ 237385 I herebyaffirm that I am exempt from the Contractor's License - Law fothe following reason(Section 7031.5, Business and ADDRESS %2655'2 �• IAIALIJuT .57. 19A6. 1107 ;t FIN / z/4- F-1 1 �/ A 0 2 2 6—8 6 Professions Code): PRESENT BY C ❑ BUILDING I, as owner of the property, or my employees with ADDRESS y wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. ❑ ' ' I, as owner of the property,am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS a tion 7044, Business and Professions Code). t REQUIRED YARD HWY TOTAL SETBACK FROEXII CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH •c. I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. v Lender's Name ^ tj P.C. Fee$ Permit Fee d Lender's Address i �` I certify that I have read this application and state that the Issuance Fee o above information is correct. I agree to comply with all County Investigation Feeordinances and State laws relating to building construction, Total Fee .� and hereby au ze representatives of this County to enter $ upon the v ent'onedor inspection purposes. 0 SEE REVERSE FOR EXPLANATORY LANGUAGE —4.gnature of pplicant or Agent Date • COUNTY OF-LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTM9WT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1201310095 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: J ITR: 17179 IT: 55 I SQ. FT STORIES TYPE I 6220 PRIMROSE AV J ISTRUCTURE: V-B (ASSESSOR INFORMATION NUMBER: I TEMP CA 917801614 1 I5385-012-020 I I NEAREST CRASS STREET: GAAIBALDI 1 [ I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: [EXIST OCC GRP: 101/31/12 SR JOWNER: TEL. NO: JBLDGS. NOW ON IAT: VALUATION: IFINAL D E FINAL BY: DE: ISMITH, BERNARD (626) 890-6053- 1 15,000 6220 PRIMROSE AVE ITEMPLE CITY CA 91780 I FEES PAID 1DE R PTI O WORK �I I BATHROOM DEL [ IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:[ J (APPLICANT: TEL. NO: J (SAME AS OWNER - IAA BLDG PERMIT ISSIIANCE 27.80 I I IAB STATE GREEN BLDG FEE 15000.00 VAL 1.00 ISPECIAL CONDITIONS: I IAC STRONG MOTION REBID 15000.00 VAL 1.50 [ [ [ JB2 PERMIT W/ENERGY 15000.00 VAL 331.60 TOTAL FEES 361.90 ICONTRACTOR: TEL. NO: [ [APPROVALS DATE INSPECTOR SIGNATURE ISAME AS OWNER _ [ LIC. NO [ 1LOCATION AND SETBACKS I I I [ ISOILS ENGINEER APPROVAL I I I I JARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I I - _ LIC. NO: [ JSLAB/UNDER FLOOR I I I [ IRAISED FLOOR FRAMING I153H26: SEWER MAP BOOK: PAGE: FIRE ZONE: CMPPO[ JUNDERFLOOR INSULATION I I I IFLOOR SHEATHING I J I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1 [ 0 NO 21 [ IROOF SHEATHING I I I SCHOOL WITHIN HAZARDOUS J ISHEAR PANELS J J I [AIR QUALITY: 1000 FEET MATERIALS NO NO NO [ JFRAME INSPECTION J I I I I [ JFIRE SPRINKLER HANGERS I [ I [ [ AA [INSULATION/WEATHER STRIP( [ /V -INTERIOR LATH/DRYWALL I I I " J EXTERIOR LATH [ [ [ I I I [RATED FLOOR/CHL ASSEM, [ [ IRZATED RATED WALL ASSEMBLIES [ [ I SHAFTS/OPENINGS I [ [ CEILINGS i [ [ _ IJLOT DRAINAGE I I I I I [ [REPORT ID: DPR261 ROUTE TO: BS050 [ [ I I I I