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