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HomeMy Public PortalAbout4810 RIO HONDO AVE_Building__ ®s 76A638A CE/803(REV46/781 y APPLICATION FC?R BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY A BUILDING AO FILL IN' ADDE .f O BUILDING IOI DDRESS RIO Q N �v �i LOCALITY NEAREST CITY `-- ( 013 ZIP CROSS ST. rl cui v S NO.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK 6191 PAGE PARCEL DISTRICT GROUP TYPE FIRE PROCESSED BY TRACT BLOCK LOT NO. ,�c� CON ZONE OWNER I " I hc�Q• �b — STATISTICAL CLASSIFICATION SEWER MAP ADDRESS L 16 p p /'? CLASS NO. �' \ DWELL.UNITS BK3 �G CITY C ZIP ARCHITECT OR TEL• VALUATION $ ENGINEER NO. J ADDRESS BLDG.SETBACK FROM / TEL. �j -� FRONT PROP.LINE OF (STREET) CONTRACTOR (� NO. 7 ^Q�/- TOTAL SETBACK FROM TYPE OF EXISTING LIC. HIGHWAY + .YARD . _ FRONT PROP.LINE HIGHWAY WIDTH ADDRESS d L&LI NO. CITY Sv. CLASS + v G -0 BLDG.SETBACK FROM CONSTRUCTION LENDER . NAME AND BRANCH — — SIDE PROP.LINE OF (STREET) HIGHWAY + YARD = TOTAL SETBACK FROM I TYPE OF 1EXISTING ADDRESS CITY SIDE PROP.LINE 1HIGHWAY1 WIDTH SQ.FT. NO.OF NO.OF CHECK + _ SIZE STORIES FAMILIES ONE D DESCRIPTION OF WORK NEW ® P.C.Fee$ Permit Fee o Gd , urs ADD Issuance Fee ub ,A oo Q Qry ALTER � ` REPAIR ElC.. Total Fee s _lD USE OF r `� DEMOL ❑ EXISTING BLDG. is C G1! Z APPLICANT TEL C (PRINT) B - NO., ClJ Tom? C BY(SIGNATURE) ¢� I HEREBY AC WLEDGE THAT I HAVE READ T APPLICATION AND STATE Y THAT THE ABOV IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES Yus AND LAWS REGULATING BUIL NG CONSTRUCTION.I CERTIFY THAT IN DOING THE U WORK AUTHORIZED HEREBY WILL NOT EMPLOY ANY PERSON IN VIOLATION OF 2 8 7 3 A THE LABOR CODE OF THE STA E OF CALIFORNIA IN RE TING T ORKMEN'S COM- z PENSATION INSURA E. D. # 0 0 0 0 0 1 SIGNATURE OF PERMITT9 2 o - 2500 ADDRESS g6, 76 Z o 0 02EOOc=� {' O CITY Sy �L cJ-(oN7 e. Np p 0222,-79 USE N�.a MAP �j N �/ A O. .�L V SPECIAL CONDITIONS FINAL Lu DATE/I/� ? IBY OfC�!(+fL�`�' DEPARTMENT OF BUILDING AND SAFETY "j'LL%;A.Lute run rMSLV.xa i COUNTY OF LOS ANGELES wm. J. FOX. CHIEF ENGINEER Bmum I L FOR APPLICANT TO FILL IN 7 ,"z' FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. AUILDING DDRESS 487LO Rio Hondo Avenue LOCALITY Memule City, Calif. RECEIVED BY DATE OF APP-L.. DATE IBSUED NEAREST / s Q _cPb/ - Z-7—�/ CRo9S ST. T_x=L-r Azusa. 1R na.d T�*T � +�r INC. DDREISS D O f412>000 OWNER TURNER HOMES HT - /' MAIL ADDRESS 26 East Santa Clara St o LOCALITY / ! NEAREST CITY Arcadia No DO rj-3563 GROSS ST.FIRE NO.OF ARCHITECT OR TEL. ZONE PLANS 7l TY GROUP ENINEER NO. -� SLOG. ORD.NO. ADDRESS SETBACK LINE 40 1• �r APPROVED CONTRACTOR S NOL" BY DATE USE yJ APPROVED ADDRESS ZONE /i' BY DATE LEGADESCRIPTION LOT NO. 2 BLOCK ip / CORRECTIONS TRACT 164 __ -5., 'y' SIZE OF LOT 61 x 110 I NOW ON LOTNO.OF BLDGS 1V 0 USE OF I NO.OFI NO.OF EXISTING BLDG. NA FAMILIES ROOMS DESCRIPTION OF WORK NEW X ALTERATION ADDITION O m REPAIR/ MOVING DEMOLISH �1 G 9 ZE T./}Q7i1�0•Q ROOMS �� STORMS l D WALL 0 r COVERING Planter I COVERING S U19E 13F NEW BUILDING Dwelling tF JCf[ /! (-Z"iry,ei I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT INSPIECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION ���J FORMS.MATERIALSten,/� AND STATE LAWS REGULATING BUILDING CONSTRUCTION. / , FRAME' FIRE STOPS, (/ •- , Jaf��/� SIGNATURE OF TURNER HOMES TQC BRACING.BOLTS •-i' 1%✓'�1/'7- AUTHORIZED PERM ITTE / LATH, INT. ,AGT LATH, EXT. al i 76A63SA-3 7-49 P.C.R 5 PLASTER,INT. FEE 0 PLASTER,EXT. VALUATION v �� FEE 12 FIPIAL a= p 1 eI <J q _ f I8A888i.'^wE.#809•7-56 APPLICATION ION FO.R BUILD-ING PERMIT 1 BUILDING AND SAFETY DIVISION ABUILDING DDRESS Deportment of County Engineer County of Los Angeles LOCALITY •. NL JOHN A.LAMBIE, COUNTY ENGINEER NEAREST CASSATT.D.GRIFFIN, SUPT OF BUILDING CROSS ST. � DISTRICT NO. GROUP. TYPE ER ,MAP FOR.APPLICANT TO FILL IN � BK 1(G -.7+ I CONST. BUILDING V .ADDRESSU'LDAR)b+RIO WAIDO AVE-,TEMPLE CITY STATISTICAL CLASSIFICATION LOT NO. 5_2 BLOCK CLASS. NO,_9__1DWELL. UNITS—1 MAP STATE YES A''0. 17,••— NUMBER 1 ALL 2 HWY TRACT 45 USE ZONE SPEC L NO.OF BLDGS. CONDITIONS 'SIZE bF-LOT 61,00', 109.94 I NOW ON LOT U / USE OF DWELLINGEXISTING BLDG. BUILDING EXIST. SETBACK YARD` HWY STREET NAME WIDTH OWNER ERCOLE DEL S116A10ka FRONT s MAIL /� P. L. 1924 ADDRESS 4pID RlO HDAM-0 AVE 3sIDE TEL. "P. L. - -CITY TEP/PL E CITY NO:AT 6-2802 INSPECTION RECORD ARCHITECT ORTEL, I I ENGINEER ��DEL S'1�1 N01ZE -NO. ADDRESS TEL. 1j .,Y✓.;� i��.=. v 'fi-i'M-.� t.�1 / ��: CONTRACTOR NO. ADDRESS DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH � � � y3 - 3Q. FT. NO.OF NO.OF DD SIZE ��� STORIES B FAMILIES USE OF STRUCTURE - gbyr/_L/iyG - d �. APPROVALS - SIGNATURE L� �j.• APPLICAN' v� DATE INSR G'GQR'S SIGNA RE ADDRESS 48/0 RIOYp"P7 AVE. TEHPLEC/TY FOUNDATION:LOCATION � � f ' FORMS, MATERIALS $ ^ S F_ RAME: FIRE STOPS• FEE BRACING, BOLTS VALUATION yr FURNACE: LOCATION, FEE +�-�'. GAS VENT. DUCTS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH. INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH, EXT. STATE LAWS REGULATI BUILDI G C INSTRUCTION. SIGNATURE OF I " HOUSE NUMBER COR- PERMITTEE RECT AND POSTED �J ADDRES i o +" �° �+ FINAL IOkN A.LAMBIE.COUNTY ENGINEER, CLYDE.N. DIRLAM, MRINCIPAL.STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.C. CASH PERMIT VALIDATION.' CK. M.O: L G 6 6 5 1 APR 1 1 1` 4..0 0 �' APPLICATION FOR BUILDING DING P MIT COUNTY OF LOS ANGELES ��'' �! BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BU.ILGD/IyG ADDRESS I hereby affirm that I have a certificate of consent to self insure, ' BUILDING ADDRESS / ��� or a certificate of Workers'Compensation Insurance,or a certified 4810 RIO HONDO copy thereof(Sec.3800,Lab.C.) CITY ZIP 1046140 STATE FUND TEMPLE CITY 91780 . Lo LITY Policy No. Company SIZE OF LOT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST. OF 01 Certified Copy is filed with the county building inspection TRACT BLOCK LOT NO. paent. USE ZONE MAP NO. de Date 11rtm-1-95 Applicant RANDOL ROOFING AssessoR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO. COMPENSATION INSURANCE MANUEL CARDELLA 7 286-2802 WITHIN 1000 FT OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDRESS dollars($100)or less.) 4810 RIO HONDO DISTRICT GROUP TY CONST. FIRE ZONE PROCESSED BY I certify that in the performance of the work for which this permit cITY ZIP TEMPLE CITY 91780 is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. become subject to the Workers'Compensation Laws. STATISTICAL CLA IFICATION APT CONDO Date Applicant ADDRESS CLASS NO: G1W Jr 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 RANDOL ROOFING 288-4040 FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL 529 E. VALLEY BLVD 451937 SIDE LICENSED CONTRACTORS DECLARATION CITY LIC..CLASS P L I hereby affirm that I am licensed underprovisions of Chapter 9 G RIEL CA 91776 C-39 SEWER MAP 0- (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORIES I NO.OF FAMILIES Professions Code,and license.is in full force and effect. NEW ❑ BK PG v 451937 C-39. DESCRIPTION OF WORK ADD ❑ VALUATION License Number Lic.Class. UcensCtNumber OL ROOFING pate 1-31-96 REROOF HOUSE & GARAGE' WITH ALTER ❑ $ 3,'000.00 Contra20-YEAR CLASS "A" FIBERGLAS rn ❑ I am exempt under Sec. REPAIR IN $ z BAP.C.for this reason SHINGLES. TEAR OFF 1 LAYER. DEMOL ❑ LDMA P/C# Date: USE OF EXISTING BLDG. URM ❑ Signature (� O. LDMA Perm# �'•:r-� -,� ❑ I,:as owner of the property, or my employees with wages as A �fTY60FING YA0-4040 -` z L=� ��•1 their sole compensation, will do the work and the structure is ADDRESS O 1 91776 not intended or offered for sale (Section 7044, Business and 529• E. VALLEY, SAN GABRIEL, CA. FINAL DATE Q �;: :� ' `I'h Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL -J OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ❑ I, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors to construct the project (Section 7044, YES❑ NO❑ Business and Professions Code.) WILL THE INTENDED USE'OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING 00,120-0010 n.�- ;r r OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH LIj12 (--0 t(j. 1 1 f 12/94 CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR I _ GUIDELINES I hereby affirm that there is a construction lending agency for I YES❑ NO❑ - a the performance of the Work for Which this permit is issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING W 3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, cm TITLE 2.CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS iLender's Name MATERIALS REPORTING AND'FOR OBTAINING A PERMIT FROM THE SCAOMD. C11 Lender's Address OWNER OR ROENT 0 G 1 certify that I have read this application and state under penalty 0 of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE 94.95 c04 with all county ordinances and State laws relating to building constructio , reby aut Snz representatives of thi C my ISSUANCE FEE a to a up Ove-me n roperty for insp)ec io ur s. .26.40 INVESTIGATION FEE TOTAL FEE 121.35 sip.m .d °°'° SEE REVERSE FOR EXPLANATORY LANGUAGE