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Home My Public Portal About4846 RIO HONDO AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY ArrLjLUA.LwJN s va rZAAff"A } - • .." COUNTY OF LOS ANGELES WM. J. FOX. CHIEF ENGINEER U I L 8L) I G FOR APPLICANT TO FILL IN 3 G D FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. • BUILDING ADDRESS 4846 Rio Hondo Avenue . LOCALITY Temple City, California RECEIVED BY DATE OF APPL. DATE ISSUED ""Aa sr. L w r Azusa Road �a�56 •�� BUILDING �/ OWNER TURNER HOMES INC. ADDRESS I(/L _MAIL Q - ADDRESS 26 East Santa Clara Ste LOCALITY r, NEAREST TEL. DO 73563 CROSS ST. CITY Arcadia NO. ARCHITECT OR TEL. ZONE PFIRE LANS TYPE T GROUP�Pv ENGINEER NO. s- BLDG. OR .NO ADDREBB SETBACK LINE APPROVED CONTRACTOR Same NO. BY DATE USE APPROVED ADDRESS ZONE BY DATE LEGAL CORRECTIONS DESCRIPTION LOT NO. 8 BLOCK vJ TRACT 164 ** � / � IR / SIZE OF LOT 61 X 110 I NOW ON LOTS ..o USE OF NO.OF NO.OF EXISTING BLDG. No FAMILIES I ROOMS DESCRIPTION OF WORK NEW X ALTERATION ADDITION O REPAIR ��JJ-•��qq��,,MOVING �L DEMOLISH GI 91ZET�D:/.S,�J.tJ�. ROOMSD-OF 'T 5TOR1 tBy1 1 r WALL ROOF COVERING Plaster I C,O,yV.EERRIING /S�{'1'1 ymy��e, BUILDING USEOFNEW Dwelling `?•z.'7 / /i g AIrf I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION FORMS,MATERIALS t��•V1• f:�fa/ ; AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE OF Imo+ *T BRACING,BOLT9 PERMITTE TMNER OME Sd !". ^ LATH, INT. (� h AUTHORIZED AOT( LATH, EXT. 7GA63BA-3 7-49 VIO�! �1 p,C, 5 PLA TER,INT. FEE PLASTER,EXT. r, VALUATION L-r G S FEE 3 FINAL �- i APPLICATION, �U1 1LONG PERMIT I COUNTY'OF LOS ANGELES I BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION I FOR APPLICANT TO FILL IN BUILDIPI,ADD SS 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 ' 4846 RIO HONDO AVE. copy thereof(Sec.3800,Lab.C.) I CITY ZIP Policy No. 1046140 Company STATF. FITNDCA 1 LocALIT SIZE OF LOT NO.OF BLDGS,NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROS ST. Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. I I USE ZONE MAP NO. Date 11-1-9 Applicant RANDOL ROOFING ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO. - COMPENSATION INSURANCE FRED BUCKING 286-8068 WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDRESS S ' 4846 RIO HONDO AVE• - DISTRICT GROUP TY�•CONST. FIRE ZONE PROCESSED BY dollars($100)or less.) I'//�L,J I certify that in the performance of the work for which this permit CITYZIP CITY ZIP 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 CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS N077CE 70 APPLICANT If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers` CONTRACTOR •r��p SET BACK YARD HWY PROP LINE WIDTH -L& Compensation provisions of the Labor Cade, you must forthwith RANDOL ROOFING -4040 comp) with such provisions or this permit s all be deemed revoked. FRONT Y P P N � ADDRESS LICA N PL, 529 E. VALLEY' BLVD. x+51937 SIDE ? LICENSED CONTRACTORS DECLARATION CITY LIC.CL P L I hereby affirm that I am licensed underprovisions of Chapter 9 SAN GABRIEL CA 91776 C tI SEWER MAP (commencing with Section 7000)Of Division 3 Of the Business and SQ.FT.SIZE NO.OF STORIES I NO.OF FAMILIES ' Professions Code,anlillly9lisense is.in full forcegnd��ect. NEW ❑ BK' PG d License Number 44.7711 33 LIC.Class I DESCRIPTION OF WORK ADD ❑ VALUATION Q Contractor RANDOL ROOFIWm 1-31-96 REROOF HOUSE & GARAGE WITH ALTER ❑ $ 4,000.00 U ❑ I am exempt under Sec. 20—YEAR CLASS A FIBERGLAS REPAIR a[ o BAP.C.for this mason SHINGLES OVER EXISTING* DEMOL ElLDMA Pic# • W Date: USE OF EXISTING BLDG. URM 11 �- ca Signature Perm# ...._. 4308°a APPLI T TDMA 1'1'2.20 z zJ ❑ 1, as owner of the property, or my employees with wages as �L ROOFING =4040 Z their sole compensation, will do the work and the structure is ADDRESS O not intended or offered for sale (Section 7044, Business and 529 E. VALLEY BLVD., SAN .GABRIEL FINAL DATE J G•_. jTF�L,r� Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ' TfLA "•—N OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE •�� 9s M 1 t, A ...999... ❑ 1, as Owner of the property, am eXGUs'Ively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY ; CH C licensed contractors to construct the project (Section 7044, I YES❑ NO❑ Business and Professions Code.) i I WILL THE INTENDED USE OF THE BUIDLNO BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR OUALTY MANAGEMENT DISTRICT(scaaMD)SEE PERMRTNG CHECKLsr FOR 1�� BZ: 1� AHGE .00 GUIDELINES. ��•��,WWWW4 I hereby affirm that there is a construction lending agency for YES(] NO❑ ; a the performance Of the Work for W111Ch this permit IS Issued(SBC. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING s ,� N 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 �- f Lender's Name MATERIALS REPORTING AND FOR OBIAINING A PERMIT FROM THE SCAOMD. i i — U 0755 C3 Lender's Address I OWNER OR AGENT 31� �� 0 I certify that I have read this application and state under penalty • o of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE 114.90 + $ with all county ordinpVes and State laws relating to building CO construction, nd Wn -T4 entatives of his ounty ISSUANCE FEE "o to enter o t - for in�p c r` sea. 27.30 a mipreiu 1 Re INVESTIGATION FEE TOTAL FEE 142.20 r Sm me I SEE REVERSE FOR EXPLANATORY LANGUAGE WORKERS'COMPENSATION DECLARATION I . I hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers'Compensation Insurance, APPLICATION FOR. BUIL®ING PERMIT or'a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS 11w1W,0 d Certified-copy is filed with the county building inspec- BUILDING tion department. ADDRESS P GX i I NEAREST Date ' LOCALITY Applicant CITY ~ t'67 ZIP d CROSS ST. CERTIFICATE-OF EXEMPTION FROM WORKERS' SIZE OF LOT A_ NO.OF BLDGS. ASSESSOR O NOW ON LOT MAP BOOK PAGE PARCEL COMPENSATION INSURANCE (This section need not be'completed if the permit is for..one USE ZONE MAP hundred dollars($100)or less.) TRACT BLOCK LOT NO. NO. , EL. ��y/ ��(, SPECIAL I'certify that in the performance of the work for which this OWNER f fir' O -NXze CONDITIONS IL permit is issued,I shall not employ any person in any manner - DISTRICT .GROUP TYPE FIRE• PRO ESSED BY •O so as to becom subject to the Worke Compen ti aws. ADDRESS [G +-E CONST. ZONE IL) Date Applica CITY ZIP STATISTICAL CLASSIFICATION APT. ICONDO. NOTIC T APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. ��// 'Exemption, you should become subject to the Workers' ENGINEER NOA'OC'! CLASS NO. -2-t UNITS d Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP $A with comply with such provisions or this permit shall'be deemed revoked. CONTRACTOR NO. '�bKO O BK.0 � / VALIDATION LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS S -Q NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC � Professions Code,and my license is in full force and effect. CITY CLASS $ 6 SQ.FT. NO.OF NO.OF CHECK License Number' Lic.Class SIZE STORIES FAMILIES ONE 2 90.0 A Contractor ' Date DESCRIPTION OF WORK NEW ❑ " v o a o 2 3 1 am exempt under Sec. ADD 2 -,2 5.R 8.3 ALTER ❑ FINAL B.&P.C. for this reason �, REPAIR ❑ DATE o 0 2 J J 0 USE OF w- �p ❑ Date: EXISTING BLDG. ✓yam DEMOL FINAL o7.2.3-84 Signature APPLICANT TEL. OWNER-BUILDER DECLARATION PRINT NO. I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS Prof ions Code): 'PRE5ENT -• BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. I,as owner of the property,am exclusively contracting CONTRACTOR NO. with licensed contractors to•construct the project (Sec- ADDRESS 'tion 7044, Business and Professions Code). 'REQUIRED TOTAL SETBACK FROM EXIST. 1 CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP.LINE WIDTH I hereby affirm that there is a construction lending agency for' FRONT I the performance of the work for which this permit is.issued P.L. I tSec. 3097,.Civ. C.). SIDE.• . :P.L.. d Lender's.Name 'P.C.Fee'$' '� O•e0.� Permit'Fes - Lender's Address rI certify that I have read this application and state that the : Issuance Fee ' above information is correct. I agree to comply with all County Investigation Fee, ordinances and State laws relating to building construction, Total Fee and hereby authorize representatives of this County to enter upon the abov -rryagttio d propert for inspection urp ses. l QQQ ea LEE REVERSE FORE PLANATORY LANGUAGE Signature of Applicant or Agent Date /4Z •�� •7r WOR65,RSNCCy�oslpENSA�'ION DECLARATION � �j I hereby,„affirm that-I'have a certificate of cpns9ht,;Yd self- a�• • lul insure', or�c certiflcclte of WoYluers'Corrrpensation Ins�raned, �, A-, �'L I CAT I O N • F O I� U I L D I N G P E RM I T� a or a certified coos thereot(Sec. 380D, Lab. C.) � "+ = J COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company " BUILDING Certified copy is.hereby furnished. ;FOR APPLICANT TO FILL IN ADDRESS Certified copy'is filed with the county building inspec- BUILDING �l = tion department. ADDRESS 4� C3 14artfs6 LOCALITY j NEAREST Date Applicant CITY ZIP s CROSS ST. 7w212. CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for oneUSE ZONE MAP hundred dollars($100)or less.) TRACT BLOCK LOT NO. S NO. TEL. SPECIAL �• I certify that in the performance,of the work for which this OWNER (f K O..a ./ CONDITIONS permit is issued, I shall not employ any person in any manner DISTRICT GROUP TYPE FIRE PROCESSED BY O so as to become subject to the Workers'Compensation Laws. ADDRESS IiG) CONST. ZONE ell I Date `S Applicant'�'"o�y ''�; �`s. CITY ZIP STATISTICAL CLASSIFICATION CONDO. NOTICE TO PPLI NT: If, after making this Certificate of ARCHITECT OR TEL. Exemption, you should become subject to the Workers' ENGINEER NO.oLDip ; CLASS NO. DWELL. UNITS LU Compensation provisions of the,Labor Code, you must forth- s 'ApDRESS S SEWER MAP with' comply with such provisions or this permit shall be (� z deemed revoked. CONTRACTOR' 1{` - NO. BK. PG,'3 VALIDATION - LICENSED CONTRACTORS DECLARATION• LIC. I hereby affirm that I''am licensed under provisions of Chapter 9 ADDRESS- - NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC, �d Professions Code, and my license is in full force-and effect. CITY CLASS $ , SQ. FT. NO.OF NO.OF CHECK License-Number tic.Class SIZE r STORIES FAMILIES ONE Contractor pole DESCRIPTIO O i• WORK 6 L NEW C] ' $ ADD I am exempt under Sec. ITER ❑ FI.NA B.BP.C. for this reason DAT REPAIR ❑ USE OF p Date: EXISTING BLDG. ,fVV\`_ DEMOL ❑ APPLICANT TEL: f 4/711 Signature PRINT TE OWNER-BUILDER DECLARATION I hereby off irm that I am exempt from the Contractors License - Low for the following reason.(Section 7031.5, Business and ADDRESS CO JE Fro scions Code): PRESE T BUILDING C 1,Lj a,VJ I; as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the-work and a o 0 0 0 the'structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. 0 C- Oi�,I, os owner of the property,am exclusively contracting CONTRACTOR NO. r with licensed contractors to construct the project (Sec- ADDRESS 0 ! (1 <3�� 'tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE I hereby affirm that there is a construction lending agency for. FRONT the performance of the,work for which this permit is issued P.L. Sec. 3097,.CiY. C.). SIDE: Q Lender's.Name ti •Lender's Address 'P.C. Fee$' Permit Fee C l� p I certify that I have read this'application and state that.the Issuance Fee • above information is correct. I.agree to comply with..all Cdunty Investigation Fee r� i ordinances and State laws relating to building construction; Total Fee ®(� y 'and hereby authorize representatives of this County to enter upon the above- a do property r inspection prposes. ; SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of App scant or Agent ate ®s