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Home My Public Portal About4817 RIO HONDO AVE_Building__ 76A638A CE#808-6-67 APPLICATION FOR BUILDING PERMIT 1 COUNTY OF LOS ANGELES BUILDING Q DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP -MAP r J FOR APPLICANT TO FILL IN TYPE SEWER K P CONST. BUILDING ADDRESS Ds g STATISTICAL CLASSIFICATION I LOT NO. C CLASS.NO.�DWELL.UNITS�I BLOCK MAP f STATE ��^. NUMBER 6 YES TRA 6 USE ONE SPECIAL C� NO.OF BLDGS. CONDITIONS SIZE OF LOT !/ x �7 NOW ON LOT USE OF EXISTING BLDG. ' BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH r OWNER FRONT L MAIL , W ,fJ w P.L: ADDRESS !a`� SIDE r TEL. P.L. CITY No. INSPECTION RECORD ARCHI ECT OR TEL. ENGINEER NO. ADDRESS TEL CONTRACTOR NO. ADDRESS " DESCRIPTION OF WORK '"'"' NEW ADD ALTER REPAIR DEMOLISH y-, SQ.FT. NO.OF NO.OF /( / r'S'! U I A--T- us�1� SIZE STORIES FAMILIES USE O TR CTURE G✓� ( �,I'>�. ��.Py�� Lfb'�7�t-C� ' e'—P i71 ,kms SIGNATURE O APPLICANT _DATE INSPECTOR'S SIGNATURE > ADDRESS to FOUNDATION: LOCATION FORMS,MATERIALS ^� P.C. $ - FRAME: FIRE STOPS. 7 FEE BRACING,BOLTS VALUATION 8 FURNACE: LOCATION, FEE GAS VENT,DUCTS I 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 STATE LAWS REGULftTING BUILDING CONST C7•ION. LATH•EXT. SIGNATURE OF HOUSE NUMBER COR. PERMITTE RECT AND POSTED ADDRES I • I FINAL IOHN A.LAMBIE.COUNTY ENGINEER. CLYDE N.DIRLAM,PRINCIPAL STRUCTURAL EN ER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.o, D 3 7 .7.OR. . 29 -1 R. 6:0',0 ®p. ice. fei' PPP CA70 M FOR WILDENG PERMIT �1 'COJNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING DESS �, .fes A p� BUILDIN ADDRESS 1 1T()��O ,�' ��0 , r ��>0 I hereby affirm that I have a certificate of consent to self insure, b 4 or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) CITY Z,Pq7}�+( Policy No. Company SIZE OF LM NO.OF BLDGS.NOW ON LOCALITY �N„Poe 67 / 1:1Certified copy is hereby furnished. NEAREST CROSS ST. //' ❑ Certified copy is filed with the county building inspection TR G� q BLOCK LOT NO. department. vv (/ 0 USE ZONE MAP NO. Date Applicant OR MAP BOOS( PAGE PARRCCEL / SPECIAL CONDITIONS A0 CERTIFICATE OF EXEMPTIONFROMWORKERS' OWN D R M �� TEL NO. ��nv�v YES NO COMPENSATION INSURANCE /1'6� �I cr- NN6 Q � WITHIN loco Fr.OF SCHOOL? ADOR (This section need not be completed if the permit is for one hundred Q rQ va f DISTRICT GROUP I.TYPECONST' FIRE ZONE PROCESSED BY dollars($100)or less.) I certify that in the performance of the work for which this permit CI A ��,c I P, e Z`P L 0 O.,7 �� ee is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL.NO. V becomeAsubject to the Workers'Compensation Laws. I STATISTICAL CLASSIFICATION APT CONDO Date -i—q l) Applicant::�n � ADDRESS CLASS NO.10L DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you Should become subject to the WorkersCONTRACTOR TEL NO. SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code,you must forthwith FRONT comply with such provisions or this permitshall be deemed revoked. ADDRESS or VV LIC:NO. PL LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS PILE CL I hereby affirm that I am licensed under provisions of Chapter 9 *A444SEWER MAP C3 (commencing with Section 7000)of Division 3 of the Business and SI ORES NO.OF FAMILIES Professions Code,and my license is in full force and effect. NEW ❑ BK PG License Number Lic.Class ° sc IPr aR1C„ ADD 11 ON B•Q Contractor Date b ALTER El $ ZE—a ` ��(� '� ❑ I am exempt under Sec. REPAIR BARC.for this reason CI fix" = b-�3h l' DEMOL ❑ LDMA P/C# Date: US OF EXISTING BLDG. URM ❑ Signature APPLICANT(PRINn I TEL NO. n 7 LDMA Perm# I, as owner of the property, or my employees with wages as 0 M r/L d ,.1hIr L f 16 y 6 rj o their sole compensation,will do the work and the structure is ADDRESS Fq%FQ q7 not intended or offered for sale (Section 7044, Business and FINAL DATE a AC s.s Professions Code.) A VALLTHEAPPLICANT OR FUTURE BUILDING OCCUPANT HANDLEA HAZARDOUS MATERIAL jg `� 7 .1313. 70.381 ❑ I, as owner of theproperty, am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN Y 11 THE AMOUNTSrCIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY 9 a T- licensed contractors to construct the project (Section 7044, YES 1:1 NO Business and Professions Code.) WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING TOTAL AL 71 . 3 S OCCUPANT REOUIREA PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY FOR AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST y z; FOR GUIDELINES. t -J S CHECK 70.3 I hereby affirm that there is a construction lending agency for YES 11 NO 7 i-r {_ s� IT the performance Of the Work for which this permit is Issued(SBC. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD iY ° 3097,CIV.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES . • COUNTY CODE,TITLE2,CHAPTER 220SECTIONS 2211WTHROUGH 2.21140 CONCERNING Lenders Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. o Lenders Address OWNMOR.awr 0 1 certify that I have read this application and state that the above 3676 f AM. Information Is correct. I agree to comply with all county P.C.FEE PERMIT FEE i ordinances and State laws relating to building construction,and hereby authorize representatives of this County to enter upon' ISSUANCE FEE the above-mentioned property for Inspection purposes. ro INVESTIGATION FEE TOTAL FEE r Owe eke■heewApgkaw orAyeM SEE REVERSE FOR EXPLANATORY LANGUR E i COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ��tt�� BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS r.1 ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0412080026 PHONE: (626) 285-0488 EXT: _-LEGAL I 0. UF CONST �HONDO ADDRESS: TR: 5246 LT: 80 BL: .001 UN: .002 SQ. FT STORIES TYPE AV STRUCTURE: VN 17803739 ASSESSOR INFORMATION NUMB : NEAREST CROSS STREET: LOWER AZUSA 8590-029-017 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: R SID USE ZONE: R-3 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 12/08/04 JK 12/03/05 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: TSE, DANNIS (626) 643-1911- 10,000 4817 RIO HONDO ` xd -ol"� TEMPLE CITY CA 91780 FEES PAID DESCRIPTION OF WORK REMODEL BATHROOM AND INSTALL ONE 3/4 BATHROOM, REPLACE 10 FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: WINDOWS (SAME SIZE) ONE STUDY ROOM TILL FINISH FMLY ROOM APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 10000.00 VAL 1.00 SPECIAL CONDITIONS: AX BUILDING REVIEW FEE 54.70 FR INV WORK W/O PERMIT 128.50 DOL 128.50 TOTAL FEES 211.95 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL- ARCHITECT PPROVALRC I EC OR ENGINEER: TE . NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED LOOK f I G MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION XX 3 01 FLOORSHEATHING 0. OF FAMILIES: DWELLING UNITS: AP /COND: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS-- SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION EQUIRED T_OlAL__SETBACK FROM EXIST FIRE SPRI KLER A ERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- IN ERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEI ASS RATED WALL ASSEMBLIES RATED SHAF S/ PE NGS T-BAR CEILINGS * ADDITIONAL DATA ON FILE LOT D AINAG REPORT ID: DPR261 ROUTE TO: BS0508