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HomeMy Public PortalAbout6322 PRIMROSE AVE_Building__ CL%�V � 76A638A CE#803 5-65 APPLICATION FOR BUILDING PERMIT '.COUNTY OF LOS ANGELES BUILDING 6322 primrose DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY Temple City JOHN A. LAMBIE. COUNTY ENGINEER NEAREST fO � �I COLEMAN W. JENKINSSUP'T OF BUILDING CROSS ST. G� IIIIIIII DISTRICT NO. I GROUPe TYPE PIRLOESSEDAY FOR APPLICANT TO FILL IN CONST. BUILDING6322 primrose STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO. DWELL UNITS �^ B LOT NO. BLOCK USE ZONE MAP NO. TRACT SPECIAL N0. OF SLOGS. CONDITIONS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. QI BLDG. SETBACK FROM OWNER Donald Smith No 852840 FRONT PROP. LINE OF - (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL ADDRESS 322 Primrose HIGHWAY WIDTH FROM C.L. CITY Temp-Le City CK I I I + _ �}; BLDG. SETBACK FROM ENGINEER ARCHIT OR Knowlton NEIM 022 SIDE PROP. LINE OF (STREET) 7� TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS 1220 Lincoln Santa Moncla HIGHWAY WIDTH FROM C.L. CONTRACTOR Airflo NOL3210193 + 0 ADORE rens aW LI, CORNER CUTOFF YES E] NO 0 U NO %k_TeL.L'kAV1it:L LIC CITY CLASS-j4 6" SEE REVERSE SIDE FOR SPECIAL APPROVALS O DESCRIPTION OF WORK W a NE DD ALTER REPAIR DEMOLISH h Z SQ.FT. (�j) NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE S ' 1 a.� �— SIGNATURE OF APPLICANT VALUATION APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. ,1 FOUNDATION, LOCATION FEE$ FEE$ Fr D U FORMS, MATERIALS FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 9UILD I NG CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S CO PEDIS TION INSURAF(G LATH. EXT. SIGNATURE O Cy' n, HOUSE NUMBER COR- PE4tMITTEE RECT AND POSTED 9 ,� ADDRESS F1 NAL JOHN F. LEWIS. PRINCIPAL ST R URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK M.o CASH 5 1- 9 8 JUN 25 1 D 9.0 0 FdA..SA #8085-61 APPPLICATION FOR BUILD NG PERMIT COUNTY OF -LOS ANGELES BUILDING DEPARTMENT OF,COUNTY ENGRIEER ADDRESS c BUILDING AND SAFETY DMSION LOCALI JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. + DIST51M NO GROUP E pR S B � FOR APPLICANT TO FILL IN _3 (//1 NST. BUILDING STATISTICAL CLASSIFICATION — SEWER MAP ADDRESS Z� > 121Thtl2GS�- // BK PG CLASS.NO.�DWELL.UIVITS___L__� LOT NO. BLOCK WATER NOT REQUIRED RECEIVED p CERTIFICATE: TRACT `L C!7Af Q '1 NO.OF BLDGS. NO. � 3 HIGHWAY STATE MAJOR SECOND, OCAL SIZE OF LOT Z. X ff NOW ON LOT �-� USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. TEL / OWNER IM'II..-D Pal1Y;; l'•�•. NO.�I.�i"'A30 UILDING YARD HWY STREET NAME EXIST. ADDRESS.S`5�� j- Ll SETBACK WIDTH FRONT ARCHITECT OR TEL. P.L. ENGINEER NO. SIDE d P.L. O ADDRESS CONTRACTOR '�e1a+1 v__ NO. INSPECTION RECORD l: ADDRESS L- T ✓ , '. + DESCRIPTION OF WORK %=7� ��_ _ -y,r T' :� N z NEW ADD ALTER REPAIR DEMOLISH SQ.FT. lL� NO.OF NO.OF' 9 STORIES I FAMILIES 1 USE OF .J- STRUCTURE 17�N's7er AvJ Q�1tlU.a.� 6rTraSt: ' _ 024 SIGNATURE OF �.- �, 4 APPLICANT VALUATION$ yyI r 1/r/ APPROVALS D7 TE ANSP.ECTOR-MAiSHATURE FEE $�D' FEE © FOUNDATION:LOCATION (vv� 117 I/'v , j�i,/f FORMS.MATERIALS ltvv FRAME:FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING,BOLTS J I AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION. i CERTIFY THAT'IN DOING'THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH.-INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S C MPENSATION INSURANCE. LATH,EXT. q!-/t-a 2 SIGNATURE OF ' e,� �• HOUSE NUMBER COR- PERMITTEE REGT AND POSTED ADDRESS=S31'7 fv, C+u1.ma lhe% T.+20c, t.,! FINAL- CLYDE INAL CLYDE N:DIRLAM', PRINCIPAL STRU URAL ENGINEER PLAN CHECK VALIDATION cK. M.O. CASH PERMT VALIDATION M.O. CASH o . LA,o 1 4 8 g:; JUL 12 2 3 D 3.0.2 5d 2100" JUL24 1D v ' WORKERS'COMPENSATION DECLARATION1 T I hereby affirm that I have a certificate of consent to selfAPPLICATION I.O R �U I L D I N G PERMIT insure, or a certificate of Workers'Compensation Insurance, or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No.�/'� Company S7Cl f10 �e6 I BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with the county building inspec- BUILDING Z z tion department. ,/��/J ADDRESS .l ���/l�S�� LOCALITY NEAREST Date ��� Applicant„�/l�/jGj�4 yr' � CITY ���, / ZIP CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' Nh OF BI DGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP •S hundred dollars ($100)or less.) TRACT BLOCK LOT NO. NO. Csl TEL. is /'/✓► SPECIAL ? I certify that in the performance of the work for which this OWNER NO. / CONDITIONS permit is issued, I shall not employ an person in an manner Q DISTRICT GROUP TYPE FIRE 2PRFSSELLBY O P P y Y P y ADDRESS Z Z / f� iP�,s so as to become subject to the Workers Compensation Laws. CONST. ZONE 3 0 Date Applicant CITY �/f C ZIP ;STATISTICAL CLASSIFI TION APT. CONDO. NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. ENGINEER NO. CLASS NO. DWELL. UNITS LU 'Exemption, you should become subject to the Workers' jj Compensation provisions of the Labor Code, you must forth- ADDRESS ' SEWER MAP with comply with such provisions or this permit shell be + /J �% �g deemed revoked. CONTRACTOR,Q/Q/) /��Q/e _NO. ' BK. J'PG, VALIDATION LICENSED CONTRACTORS DECLARATIONJ � �� LIO.C. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS / l�a� NVALUATION (commencing with Section 7000)of Division 3 of the Business andLIC. q Professions Code, and my license is in full force and effect. CITY elf CLASS / $ �O 2Z • , (/�/� Z � OLIES CK License Number Lic.Class SIZE STORIES FAMILIES ONE �q + �Q —' �f DESCRIPTION OF WORK _ �� NEW ❑ $ Contractor 010 Date �7� / ���� I am exempt under Sec. � 7T C7l r/l1e l 4 ADD ❑ ALTER .. FINAL B.&P.C. for this reason DATEJ c" J REPAIR Date: USE OF DEMOL EXISTING BLDG. ❑ FINAL Signature APPLICANT,4,,:,, L. OWNER-BUILDER DECLARATION PRINT /16 NO.S9T // '/ Q /�;? I hereby affirm that I am exempt from the Contractor's License ADDRESS �� !/Q� � id _�� / /� ® L .1 0 3 0 A Law for the following reason (Section 7031.5, Business and RR 1 Professions Code): PRESENT Q 'f`� ,o 0.0 a ;BUILDING I, as owner of the property, or my employees with ADDRESS ° o 7 3 8 wages as their sale compensation,will do the work and the structure is not intended or offered for sale(Section FADDRESS - ^ P = 7044, Business and Professions Code). TEL, c e S� , " P. R NO. I,as owner of the property,am exclusively contracting 1 0 50 '/_8(j with licensed contractors to construct the project (Sec-tion 7044, Business and Professions Code). TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY YARD HWY PROP.LINE WIDTH r I hereby affirm that there is a construction lending agency for LInvestigation the performance of the work for which this permit is issued tSec. 3097, Civ:C.). m r Lender's Name y�/ Lender's Address Permit Fee d 0 I cern that I have read this application and state that the /6 . J certify PP Issuance Fee above information is correct. I agree to comply with all County ee p' G ordinances and State laws relating to building construction, Total Fee /7 * a and hereby authorize representatives of this County to enter upon a above-mentioned prop��ty for inspection purposes. d_-7-0 - SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date .•®s 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 1201170042 PHONE: (626) 285-0488 EXT: LEGAL ID: I N0. OF CONST I BUILDING ADDRESS: 1 TR: 20748 LT: 3 I SQ. FT STORIES TYPE J 6322 PRIMROSE AV STRUCTURE: 28 V-B TEMP CA 917801345 1 (ASSESSOR INFORMATION NUMBER: 1 NEAREST CROSS STREET: 1 15382-022-042 J i THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl ]TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 TISSUED ON: PROCESSED BY: 1 EXIST OCC GRP: 101/17/12 SR J (OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: ]FINAL DATE FINAL BY: CODE: J JZHANG, IRENE (626) 203-1822- 1 10,000 � I [ 16322 PRIMROSE AV J 1.,�Z J ]TEMP 917801345 1 FEES PAID 1 ESD CRIPTIO�N OF WORK 1 I I JT/O 28 SQFT. SHINGLES & REPLACE WITH SAME GAF CLASS "A" [ IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:ISHINGLES ULTRA LIFETIME [ 1APPLICANT: TEL. NO: I I J 1GARVEY ROOFING (626) 358-9208- JAA BLDG PERMIT ISSUANCE 27.80 1 J 1 JAB STATE GREEN BLDG FEE 10000.00 VAL 1.00 ]SPECIAL CONDITIONS: I JAC STRONG MOTION RESID 10000.00 VAL 1.00 J J ID2 PERMIT W/O EN-HC 10000.00 VAL 217.10 J J1 TOTAL FEES 246.90 J ]CONTRACTOR: TEL. NO: I ]APPROVALS DATE INSPECTOR SIGNATURE 1 1GARVEY ROOFING CO., INC. (626) 358-9208- 1 1 1710 S. MYRTLE AVENUE LIC. NO VACATION AND SETBACKS I I ]MONROVIA CA 91016 692839-C39 I I 1 J I I 180ILS ENGINEER APPROVAL 1 J [ARCHITECT OR ENGINEER: TEL. NO: 1 FOUNDATION/TRENCH FORMS I I LIC. NO: 1 ]SLAB/UNDER FLOOR 1 J [RAISED FLOOR FRAMING I 1 1 IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP-.J JUNDERFLOOR INSULATION II I 1153H265 3 001 1 1 I ] I I ]FLOOR SHEATHING I I 1 1NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I_ 1 I I J 0 NO 21 1 ]ROOF SHEATHING ) 1 SCHOOL WITHIN HAZARDOUS 1 SHEAR PANELS I I AIR QUALITY: 1000 FEET MATERIALS [ I [ I I 1 NO NO NO -1 1FRAME INSPECTION 1 1 I I I I FIRE SPRINKLER HANGERS I I I I I 1 J JINSULATION/WEATHER STRIPI I I I [ INTERIOR LATH/DRYWALL I I [ I I I 1 ] 1EXTERIOR LATH I J 1 1 1 ]RATED FLOOR/CEIL ASSEM. I 1 1 I I 1:3ATED WALL ASSEMBLIES � I I 1 1 ]RATED SHAFTS/OPENINGS I 1 I I I 1 IT-BAR CEILINGS I 1 I I � ] ]LOT DRAINAGE I I [ I � 1 [REPORT ID: DPR261 ROUTE TO: BS0508 I J