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Home My Public Portal About4828 RIO HONDO AVE_Building__ as TMENT OF BUILDING AND SAFETY "ej.&g.AALLNM ,4 COUNTY OF LOS ANGELES WM. J. FOX. CHIEF ENGINEER D w I L Na�m — g 6 FOR OFFICE U,f FOR APPLICANT TO FML INS win I R.G. No. PLAN UK.NO. PERMIT NO. ---- SE OTaLY BUILDING ADDRESS 4828 Rio Hondo �&ve LOCALITY Temple City, Calif. RECEIVED By DATE OF APPL. DATEISSUED 67 Laver Azusa Road OWNER TURNER HOMES INC ADDREsea MAIL LOCALITY DDRES9 26 East Santa Clara St.* NEAREST Arcadia a. CRUS ST. -T—NO.13 -R�'Ty - RM FIRE r 7 ARCHITECT OR TEL. ZONE PLANS L tZ--i ENGINEER NO. BLDG. SETBAOK LINE ADDRESS APPROVED DATE TEL. CONTRACTOR Same USE APPROVED ZONE 'elBY DATE ADDRIBIJ CORRECTIONS LEGAL /6 DESCRIPTION LOT NO. 557sLaCK 0 TRACT 16475 - SIZE or LOT NO.DFBLDGS 61 x 110 NOW ON LOTNa USE OF N u a=rg a.o r L,,. I -EXISTING BL2G. NO E&MILICS RDO DESCRIPTION OF WORK NEW X ALTERATION ADDITION REPAIR MOVING DEMOLISH Z -BQF > lz'E T9,0 RN Do 00'8' 4 STORIESr WALL ROOF -COVERING .Plaster i COVERING USE ONEW BUILDIr N13 Dtfelling OAM 6:3ele, HERE ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS AP; Y BLICATIMN AND STATE THAT THE ABOVE IS CORRECTSroUNDATIONI LOCATION d!cToR DATE AND AGREE TO COMPLY WITH ALL OCUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. STOPS, ra SIGNATURE or hTy BRACING. PERMITTEE Tr lln HOMES IN 4 LATH, INT. J.. AUTHORIZED AGT-( 9�4 LATH, EXT. 7GA63MA-3 7�49 P.C.5 5 PLASTER,INT. FEE PLASTER,EXT. VALUATION FEE FINAL i. APPLICATION FOR BUILDING PERMIT .m. COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDINDIAE I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS' �'Q o��v 2�� or a certificate of Workers'Compensation Insurance,or a certified CITY ZIP Al�} copy thereof(Sec.3800,Lab.C.) LOCALITY dV Policy No.as �7 Company �. C. liG SIZE OF LOT NO.OF SLOGS NOW ON LOT Certified copy is hereby furnished. NEAREST CROSS SL Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER �� TEL NO. YES NO COMPENSATION INSURANCE jA r5. �' WITHIN.1000 FT.OF SCHOOL? ADDRESSL/1 �� L4M 4 (This section need not be completed if the permit is for one hundred MI l DISTRICT GROUP ST. FIRE ZONE PROCESSED BY dollars($100)or less.) , CITY i ZIP -✓ fi�s�i�t" 1 certify that in the performance'of the work for which this permit is issued, I shall not employ any person in any manner so as to ARCHITECT R ENGINEER TEL NO. become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE 70 APPLICANT If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' N RACTO? TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith G.q� i2�O FRONT comply with such provisions or this permit shall be deemed revoked. ADDRE S C.NO. PL a SIDE C LICENSED CONTRACTORS DECLARATION IT c LIC.C PL f 12 1 hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3,-of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES C Professionsig. z; Be full force and effect. e Q NEW ❑ BK PG F License Nuic.Class �� DESCRIPTION OF WORK S �� ADD ❑ VALUATION �_ ® LL Contractor Date 4 ALTER ❑ v 11 I am exempt under Sec. ` btu I-F4L �+ Doer REPAIR ❑ z BAP.C.for this reason eoOVI fid . DEMOL ❑ LDMA P/C# Date: USE OF EXISTING BLDG. �t 11URM ❑ Signature APPLICANT(PRINT){ ��TJ-C1 i n� T N LDMA Perm# 3303 08.90 13I, as owner of the property, or my employees with wages as J vv �0 D Z 1 ITEMS their sole compensation, will do the.work and the structure is ADDRESS j2 � w ` Q TOTAL -�138 - 90 not intended or offered for sale (Section 7044, Business and 'v FINAL DATE CHECK i{y Professions Code.) WILL THE APPLICANT OR FUTURE BUI ING OCCUPANT HANDLE-A HAZARDOUS MATERIAL -�..� CHECK 108.010 ❑ I, as owner of the property, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE Y. Y 9 AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY > CHANGE .00 licensed contractors to construct the project (Section 7044, NES❑ NOR Business and Professions Code.) (D WILL THE INTEN ED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH r5 CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCACMD)SEE PERMITTING CHECKLIST FOR 0000-000 j 2/ 9/96 GUIDEUNES. hereby affirm that there is a construction lending agency for YES ElNO 4780. 1 'FM 12 c the performance of the work for which this permit is issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 3097,Civ.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, TITLE 2.CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS P� Lender's Name, MATEOIALUORTINGt2qP OEMA A PERMIT FROM THE SCAOMD. 2 Lender's Address•. OYIMER OR WW 3 I certify that I have read this application and state under penalty aP.C.FEE PERMIT FEE c of perjury that the above information.is correct.I agree to comply /, (� with all county ordinances and State taws relating to building M construction,and hereby authorize representatives of this County ISSUANCE FEE �� D t e upon the above-mentioned property for inspection urposes. CV INVESTIGATION FEE TOTAL FEE r-0 v U SEE REVERSE FOR EXPLANATORY LANGUAGE a COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1210100062 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: ITR: 16475 LT: 65 SQ. FT STORIES TYPE OCCUP GROUP 4928 RIO HONDO AV I ISTRUCTURE: 280 1 V-B U I TEMP CA 917803740 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: LOWER AZUSA 18590-025-031 1 OTHER: 1 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY, Cl TENANT: 1EXIST BLDG USE: USE ZONE: JISSUED ON: PROCESSED BY: 1EXIST OCC GRP: 110/10/12 SR 1 OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: [FI AL DATE FI BY: CODE: 1MEI, JESSICA (626) 552-6223- 1 5,310 1 1 4928 RIO HONDO AV 1TEMP 917803740 FEES PAID [D SCMIPT±Olf OF WORK [PATIO COVER I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: I I SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 I AB STATE GREEN BLDG FEE 5310.00 VAL 1.00 ISPECIAL CONDITIONS: AC STRONG MOTION RESID 5310.00 VAL 0.50 D1 PLANCHECK W/O EN-HC 5310.00 VAL 127.00 ID2 PERMIT W/O EN-HC 5310.00 VAL 149.40 CONTRACTOR: TEL. NO: I TOTAL FEES 305.70 JAPPROVALS DATE INSPECTOR SIGNATURE ISAME AS OWNER - I 1 LIC. NO 1 ILOCATION AND SETBACKS I I 1 [ ISOILS ENGINEER APPROVAL 1 (ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I LIC. NO: I ISLAB/UNDER FLOOR I I I 1 1 1RAISED FLOOR FRAMING I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I I I 1 3 001 11ST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING I I 1 ILING UNITS: APT/COND: STAT CLASS: I I 1 0 NO 21 1 12ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS [ 1ROOF SHEATHING I I I [AIR QIIALITY: 1000 FEET MATERIALS I I I I I [ NO NO NO [ IFIRE DEPT. FRAME INSPECTI I I [ I IBLDG DEPT. FRAME INSPECT( [ I I I I 1 1SHEAR PANELS 1 I 1 [ [ 11NSULATION/WEATHER STRIPI 1 I [ IINTERIOR LATH/DRYWALL I I 1 1 1EXTERIOR LATH 1 I I ILOT DRAINAGE 1 I I I 1 1SMOKE DETECTION DEVICES 1 I [ FIRE DEPARTMENT APPROVAL( I I I I I I I I I I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I 1 I I