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Home My Public Portal About4834 RIO HONDO AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION Y011L Pel MEK COUNTY OF LOS ANGELES B U I L WM. J. FDX- CHIEF ENGINEER Masao= 797 -OR�5OFFICE USE ONLY FOR'APPLICANT TO FILL IN DISTRICT No. PLAN UK.NO. PERMIT NO. BUILDING DRzs,s 4834 Rio- Hondo Avenue- - --*0&,7 LOCALITY Temple City, California RECEIVED By DATE OF"PL. DATE ISSUED NMI B . Lpwer -A,zusa Road 1 6- BUILDING OWNER TURNER HOMES INC. ADDRESS -04 MAIL LOCALITY ADDRESS 26 East Santa Clara Sto 'AST CITY Arcadia 1t.3DO 7-3563 [':Ro"j ST. O FIRE No.or Type GROUP PLANS ARCHITECT 93R TEL. ZONE I ENGINEER No. BLDG. ORD.NO. LIKE ADDRESS APPROVED TEL. 13Y DATE CONTRACTOR Same NO. use APPROVED ZONE DATE 1V/ ADDRESS LOT N CORRECTIONS LEGAL DESCRIPTION 0. 56 7-3L--K TRACT 16475 - NO.OF SLUG SIZE or LOT59- X 110 NOW ON LOTS. No NO.OF I NO.OF USE 21FNG BLDG 1V Q miurce _jROO DESCRIPTION OF WORK NEW X ALTERATION ADDITION M REPAIR MOVING DEMOLt9H 75 Z SQ. mo.or > —91Z Roams 5 STOittre r WALLROOF u —COVERING Plaster COVERING e USE= suiLDimjw-Dwelling V I ERE Y ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS.,, HEREBY 0 a ECTOR DATE APPLICATION AND STATE THAT THE ABOVE 13 CORRECT FOUNDATION,LODATION AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. AGCY! J FRAME: FIRE STOPS, BRBOLTS SIGNATURE OF l,"ER Ha ilia PERMITTEELATH, INT. AUTHORIZED AST LATH, EXT. 76A638^-3 7-49 V P.C.S PLASTER.I NY. FEE PLASTER.EXT. FEE VALUATION XV88 FINAL Cw APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELtS BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADR BUILDING ADD E 3 /d �dd f�/�J- e I hereby affirm that I have a certificate of consent to self insure, //�D ' r or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) CIT ZIP H�D Policy No. Company � LOCALITY i SR OF LOT NO.OF B DGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST. �N�r 11 Certified copy is filed with the county building inspection TRACT ( BLOCK LOT NO. / by department. USE ZONE MAP NO. Date Applicant ASSES BOOK PA PAFF��E —Loo_ fsJ SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER `'r� E� lyO•` ry� YES /r No COMPENSATION INSURANCE �/' �J l [THIN 1000 FT.OF SCHOOL? (This section need not be completed if the permit is for one hundred AD E dollars($100)or less.) 0 hLovicIe DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY I certify that in the performance of the work for which this permit CI ZIP ( �'! is issued, I shall not employ any person in any manner so as to 0 t!/rJ /C —� �`"�� dr% Gd aJ become subject to the Workers'Compensation Laws. ARCHITECT OR ENGINEER TEL NO. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. Ca/ DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED iTOTAL 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 FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL LICENSED CONTRACTORS DECLARATION SIDE CITY LIC.CLASS PL I 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 Professions Code,and my license is in full force and effect. NEW ❑ BK PG 0} DESCRIPTIO ✓ v e /^ ADD VALUATION/�License Number Lic.Class ;3T o ® Q $Contractor Date ALTER V ❑ ❑ I am exempt under Sec. REPAIR ❑ Q BAP.C.for this reason DEMOL ❑ LDMA P/C# W Date: USE OF EXISTING BLDG. URM ❑ �iyy/'. Signature cc APPLICANT(PRINT) TEL NO. LDMA Perm# %44T e V � 11I, as owner of the property, or my employees with wages as ZO their sole compensation, will do the work and the structure is ADDRESS not intended or offered for sale (Section 7044, Business and FINAL DATE a 3303 142.20 Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL 7/7- 1, 1 ITEMS as owner of the OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE property, am exclusively contracting 44, AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors t0 construct the project (section 7044, YES 11 NO 11TOTAL 142-20 Business and Professions Code.) &�a WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING CHECK 142.20OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR CHANGE HANGE ROO I hereby affirm that there is a construction lending agency for YES❑ NO❑ the performance Of the Work for which this permit IS ISSUed(SBC. 1 HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING i 7 LL 3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, N OOOO-OOO 1 !I 'tI4 TITLE 2,CHAPTER 2 20 SECTIONS 2 20.100 THROUGH 2 20.140 CONCERNING HAZARDOUS Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. a Lender's Address 1533 1 Pik 50-13 0 OWNER OR AGENT c I certify that I have read this application and state under penalty of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE (�o N with all county ordinances and State laws relating to building CO construction, and hereby authorize representatives of this County ISSUANCE FEE L� m to en o b Toned roparty for inspection purposes. �• �'W fly' ��s CO INVESTIGATION FEE TOTAL FEE , 9n of Aoo' n A�nl 0. SEE REVERSE FOR EXPLANATORY LANGUAGE r a COUNTY,OF IAS 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 1402030019 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST NEW I BUILDING ADDRESS: I ITR: 16475 LT: 56 I SQ. FT STORIES TYPE OCCUP GROUPI 4834 RIO HONDO AV I _ISTRUCTURE: 401 1 V—B R-3 I TEMP CA 917803738 I (ASSESSOR INFORMATION NUMBER: I GARAGE. I NEAREST CROSS STREET: LOWER AZUSA 1 18590-025-022 I OTHER: I THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY CAI (TENANT: IEXIST BLDG USE: USE ZONE: (ISSUED ON: PROCESSED BY: I 1EXIST QCC GRP: 104/02/14 SR I (OWNER: TEL. NO: �BLDGS. NOW ON LOT: VALUATION: FIN AL DATE FIN BY: CODE: IMA, YIOU (626) 215-5788— 59,440 14834 RIO HONDO AV 1 I TEMP 917803738 I FEES PAID ID SCRIPTIO OF WORK I I I (ADD BEDROOM, BATHROOM AND EXPANSION OF DINING & LIVING ROOM 1 _IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IAND REMODEL BEDROOM #3 I (APPLICANT: TEL. N0: ITIEN/TIM LIU (626) 348-7137— IBI PLANCHECK W/ENERGY 59440.00 VAL 841.40 1___ I 19698 TELSTAR AVE IAA BLDG PERMIT ISSUA14CE 27.80 ISPECIAL CONDITIONS: EL MONTE CA 91731 AB STATE GREEN BLDG FEE 59440.00 VAL 3.00 1 IAC STRONG MOTION RESID 59440.00 VAL 5.90 1 I IB2 PERMIT W/ENERGY 59440.00 VAL 989.90 1 I ICONTRACTOR: TEL. NO: 108 CERTIF OF OCCUPANCY 101.40 (APPROVALS DATE INSPECTOR SIGNATURE I IZ S CONSTRUCTION, INC. (626) 823-8059— 1 TOTAL FEES 1,969.40 I_ I 1608 E VALLEY BLVD D-274 LIC. NO I ILOCATION AND SETBACKS I ISAN GABRIEL CA 91773 912278 1 1 I I 1SOILS ENGINEER APPROVAL 1 I ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS wl TIM LIU (626) 348-713%— 1-19698 TELSTAR AVE LIC. NO. ISLAB/UNDER FLOOR I SUITE 308 C040889 IEL MONTE, CA 91731 I RAISED FLOOR FRAMING AI IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:I (UNDERFLOOR INSULATION 3 001 I 11ST LEVEL FLOOR SHEATH I NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I 1 0 NO 21 ] 12ND LEVEL FLOOR SHEATH I ] I 1 SCHOOL WITHIN HAZARDOUS IROOF SHEATHING I I 1AIR QUALITY: 1000 FEET MATERIALS 1 I NO NO NO I IFIRE DEPT. FRAME INSPECT 1 IBLDG DEPT. FRAME INSPECT( ] I I I ]SHEAR PANELS1 I INSULATION/WEATHER STRIP( (INTERIOR LATH/DRYWALL I I I 1EXTERIOR LATH I I I ILOT DRAINAGE I I I (SMOKE DETECTION DEVICES I IFIRE DEPARTMENT APPROVAL( I I I I I I I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I