Loading...
HomeMy Public PortalAbout4922 RIO HONDO AVE_Building__ APPLICATION FOR'BUILDING. PERMIT FOR APPLICANT-TO FILL IN (Print or type only) BUILDING COUNTY OF LOS ANGELES ADDRESS 4922 N. Ram Hondo. DEPARTMENT OF COUNTY ENGINEER CITY Ill •t Ca. ZIP i BUILDING AND SAFETY DIVISION ' �{ J��/ 1� NO.OF BLDGS. BUILDING ` SIZE OF LOT / NOW ON LOT ADDRESS TRACTBLOCK LOT NO. LOCALITY (rCi TEL. NEAREST OWNER Q t NO. 28 -3' CROSS IT.ASSESSOR ADDRESS 4922.N. Rio Hondo MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE SED BY CITY Tem City,. Calif.zip _ GONS�, ,,�,� ARCHITECT OR TEL. �10� . f ENGINEER - NO. STATISTICAL CLASSIFICATION S W MAP ADDRESS CLASS NO..r DWELL,UNITS. K Pb CONTRACTOR C TELOMT)wm, '263-5 C7 O US ZONE MAPLIC NO. ADDRESS SO Woods AVe NO. SPECIAL / �jl� SPECIAL CONDITIONS CITY LIC Y� A-SS ROAD DEPARTMENT APPROVAL REQUIRED YES[] NO❑ CONSTRUCTION LENDER NAME AND BRANCH • _ i BLDG.SE BACK FROM FRONT P OP.LI NE OF (STREET) c C ADDRESS CITY Re—rOOfI HIGHWAY •} YARD — TOTAL SETBACK FROM TYPE OF EXISTING 1: SQ. FT. N0. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH C SIZE STORIES FAMILIES ONE DESCRIPTION OF WORKRe_roof Vi th NEW El G BLDG.SETBACK FROM tl it ADD ❑ SIDE PROP.LINE OF (STREET) ALTER ❑ HIGHWAY + YARD = TOTAL SETBACK FROM YPE OF EXISTING roofing material, __:__REPAIR[:] SIDE PROP. LINE IGHWAY WIDTH USE E SOT NG BLDG. Residence DEMOL E] + APPLICANT TEL CORNER CUTOFF YES ❑ NO (PRINT) - NO.- IN OPEN SPACE YES ❑ NO BY (SIGNATURE) - IN COASTAL ZONE YES E] NO VALUATIONgp�0 , V CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE - - LABOR CODE OF THE STATE OF CAL IFO IA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE'p *�,y�� /1 Appy . SIGNATURE O it FLCf7 V�/PLG PERMITTEE ADDRESS Ave FINAL A E / CITY Los Angeles, Califor-T. • 26 � 18� 1 DATE BY M;4K_E CHECKS PAYABLE TO: FEE I FEE $ 21-75 HARVEY -r BRANDT, COUNTY ENGINEER l _PLAN'CHECR VALIDATION , CK. M.O. CASH PERMIT VALIDATIO CK. M.O. 'CASH 124InEC 3 1On .21.75e!38 / 76A638A CE#803 7/73 , _ R w 76AG38A CE#18032-63 APPLICATION FOR BUILDING PERM( COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST.STRIC FOR APPLICANT TO FILL IN D1T�No GRo TYPE P Cis Y CONST. BUILINC \ STATISTICAL CL CATION S R MAP ADD ESSit K )2�2�� CLASS. NO. DWELL.UNITS LOT NO. `f BLOCK WATER NOT REQUIRED RECEIVED CERTIFICATE: IILJJJ��` TRACT MAP HIGHWAY STATE MAJOR SECOND, LOCAL NO.OF BLDGS. NO. (CIRCLE) SIZE OF LOT NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. TEL. OWNER NO. BUILDING YARD HWY STREET NAME EXIST.WIDTH +- SETBACK ADDRESS FRONT ARCHITECT OR TEL. P. L. N (, C!• ENGINEER NO. SIDE 0.• P. L. R s A A ,J�J 6LW_ ADDRESS f �•y 1/.L7wO �+ YJYt•S V CONTRACTORNO._Zcml lr �,l` 4.e'•�s��1�97.�.1/A .,i 9 ':jC;' r t [x��,�d i Q ADDRESSF- �C"'L �J LJ�D c i'' ✓`';.°.it•�'.R: .y'"••6.9 ,I�..'CC' W DESCRIPTION OF WORK ..� U NEW ADD ALTER REPAIR DEMOLISH ? •'1 tt J a I �� Z SQ.FT. NO.OF NO. OF r�/1✓a-,(>, .. I� ✓ SIZE STORIES FAMILIES USE OF STRUCTUREp. s SIGNATURE OF APPLICANT VALUATION S pp.D©' APPROVALS DATE INSPECTOR'S SIGNATURE PMT. FOUNDATION: LOCATION FEEFEE FORMS, MATERIALS P.C. S $ • FRAME: FIRE STOPS, ) DHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, e'ia •''-'`� x•/ '• WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS ` BUILDING IO CONSTRUCTN. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. /,fes TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. /v ING TO WORKMEN'S COMPENSATION ,SURA E. LATH. EXT. SIGNATURE OF / HOUSE NUMBER COR- i PERMITTEE RECT AND POSTED ADDRESS. ! FINAL JOHN F. LEWIS. PRINCIPAL STRAL ENGINEER PLAN CH9CK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION cK. M.O. CASH Lrii,o 3 3 0 9' DEC 9 2 D 1 8.J5 0 78A898A CE#80811-57' APPLICATION FOR BUILDING PERMIT :.J COUNTY OF LOS ANGELES BUILDING . DEPARTMENT OF COUNTY ENGINEER ADDRESS. BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE.COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.. DISTRICT NO. GROUP TYPE SEWER MAPBUILDING P FOR APPLICANT TO FILL IN I'CONST. BK ADDRESS STATISTICAL.��CLASSIFICATION CLASS.NO.��DWELL.UNITS LOT NO. BLOCK MAP STATE r YES NUMBER HWY. TRACT �l USE Z NE SPECIAL NO.OF HLDGS. CONDITIONS SIZE OF LOTY /io NOW ON LOT 'USE OF 60 EX ST NG BLDG. S I �d�C-G BUILDING EXIST. r SETBACK YARD HWY STREET NAME WIDTH OWNER G A if FRONT MAIL P.L: p ADDRESS 7 2, ?i D --SIDE TEL. P.L. CITY C_ NO. INSPECTION RECORD ARCHITECT OR I TEL r+ ENGINEER. NO. a �:?s A ; ADDRESS / Lj CONTRACTORA 1301T t 6 1 I ADDRESS is DESCRIPTION OF WORK NEW v#RD- ALTER REPAIR DEMOLISH SQ.FT NO.OF NO.OF SIZE b STORIES ' FAMILIES/ USE OF STRUCTURE: I G y(j SIGNATURE OF APPROVALS APPLICANT ' DATE INSPE 41ANANRE ADDRESS O FOUNDATION: LOCATION / - $ FORMS,MATERIALS 2f FRAME: FIRE STOPS, g FEE BRACING,BOLTS. VALUATION vf�7�of ®® S�� D 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 REqULATING BUILDIN• CO RUCTION. LATH,EXT. �S SIGNATURE OF HOUSE NUMBER COR. PERMITTE RECT AND POSTED j J ADDRES FINAL CLYDE N.DIRLAM, PRINCIPAL STRU URAL ENGINEER PLAN CHECK VALIDATION cm m.o. CASH PERMIT VALIDATION m.o. CASH L�ACO.4 1 4 9 AUG2 1 A' 11.0'0 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT :y COUNTY OF LOS ANGELES ���, d WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN 3 79-7 41 FOR OFFICE USE ONL DISTRICT NO. PLAN C O. PERMIT NO. BUILDING ADDRESS 4922 Rio Hondo Avenue � LOCALITY Temple City, Oalif ornia RECEIVED BY DATE OFAPPL. DATE IBBUED 1 CRARBBT. 8parklett Street BUILDING rp 6J rl OWNER TURNER HOMES INC a ADDREHB �� 7�► Ap/� r d AID 0 ADDRESS 26 East Santa Clara Oto MAIL LOCALITY 7 NEAREST di CITY Aroaa TE• DO 35 63 CRoBB ST. FIRE NO.OF TYPE GROUP ARCHITECT OR TEL. ZONE PLANS ENGINEER NO. BLDG. ORD.t4O ADDRESS SETBACK LINE —n A O V APPROVED CONTRACTOR Same NPL. BY DATE USE- APPROVED ADDRESS ZONE BY DATE LEGAL DESCRIPTION LOT NO. 64 BLOCK �(j / l CORRECTIO , TRACT 1n CORRECTIONS - S Z X SIZE OF LOT 59 X 110 I NOW ON LOTS. No USE OF NO.OF I NO.OF EXISTING BLDG. NO FAMILIE6 ROOMS DESCRIPTION OF WORK NEW X ALTERATION ADDITION D REPAIR MOVING DEMOLISH p Bq.FT NO.OF SIZE ROOMB 5 STORIES 1 y WALL Roar r COVERING Plaster I COVERINGUSE or NEW m O BUI DING i/W ellin62',,V1z, 1 HEREBY ACKNOWLECGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE 18 CORRECT FOUNDATION,LOCATION JNSFFEOTOR D TE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. - &' � + FBSTOPS, RACING,,BOLTB /✓ � tt.4..- ;Jp LZ SIGNATURE OFTUBIWR HCMEc/ C y! A PERMITTE A7 LATH, INT. t) AUTHORIZED A07C LATH. EXT. 7GA63MA-3 2-50P.C.18 PLASTER.INT. J. REE 2PLASTER,EXT. VALUATION �� FEE o OO FINAL WORKERS'COMPENSATION DECLARATION II have a certificate oconsent to sef insure bor afcierrttificatethatlof Workers'Compenstion Insurance,olr APPLICATION FOR BUILDING PERMIT Gs c�e�ifLgd� thereof of(sec. 3800, Lab. ;.) i COUNTY OF LOS�ANGELES BUILDING AND SAFETY olllicy I o. Z Company ❑ Certified copy is hereby furnished. I BUILDING FOR APPLICANT TO FILL IN\ ADDRESS Z Z. l loo fJbo Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS , LOCALITY NEAREST + -� A Date 4'�6^� Applicant CITY ZIP i CROSS ST. �.0 Ft • 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 one I ' USE ZONE MAP i4 hundred dollars ($100)or less.) TRACT BLOCK LOT NO. NO. !/ TEL. •f d SPECIAL IL I certify that in the performance of the work for whish This OWNER Pith G V I V NO. •- {'i� CONDITIONS O permit is issued, I shall not employ any person in any manner DIST�2ICT GROUP TYPE FIRE PROCESSED BY U ADDRESS •d I.a //' CONST. ZONE p� so as to become subject to the Workers'Compensation Laws. e� r�Qr CITY ) 1e Gi ZIP ( Q C O Date -Applicant STATISTICAL CLASSIFICATION APf. CONDO. U NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. Wil ENGINEER NO. CLASS NO. DWELL. UNITS Exemption, you should become subject to the Workers' tH Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this permit shall be L9F®RNIA �SC,_ ,^ X deemed revoked: f CONTRACT POOLS, BK. PG, J 7 VALIDATION LICENSED CONTRACTORS DECLARATION TUNAS DRIVIE• I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS SAS VALUATION ai (commencing with Section 7000)of Division 3 of the Business and / Professions Code, and my license is in full force and effect. CITY Lt 1 IDL CLAssc.S 3 $ ; { ♦� i L LO-L �-�S SIZE 1;0 STORIOES FAMILIES DESCRIPTION CHECK -License Number�^/�� Lic.Class Q ��1 �Or01�. Date -u NEW ❑ $' Contractor DESCRIPTION OF WORK ADD I am exempt from the licensing requirements as I am a ( /�•(t••t�� 6', �o� ❑ 1 `licensed architect or a registered professional engineer ALTER ❑ FINAL / / �' 7J 6 7 7 A acting .in my professional caacity' (Section 87051, REPAIR ❑ DATE (� �Un�L� Business and Professions Code). USE OF # 0 0 0-0 2 1 DEMOL ❑ f EXISTING BLDG. YY By AL `'� I�`L�f• � 0 - 59.64 Lic.or Reg.No. Date APPLICANT CALIFORNIA POOLS C c (PRINT) 7 LWC. �i OWNER-BUILDER DECLARATION o•o a 5 9,6 4 :I hereby affirm that I am exempt from the Contractor's License DOW) CAO I LAU TUNAS DRIVE Law for the following reason (Section 7031.5, Business and ADDRESS SAN GABRIEL CALIFORUMM1.7.7.6 r Professions Code): PRESENT 0 4. 6-8 2 F-11,I, as owner 'of the property, or my employees with ADDRESS i wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions.Code). MOVING TEL. ❑ I, as owner of the property, am exclusively contract.ir g CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tioA 7044, Business and Professions Code). a 3t6 7,8 A REQUIRED TOTAL SETBACK FROM EXIST. z CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT #;a 0 0 0 0 1 the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE 2 a .500 Lender's Name ' P.C. Fee$ Permit Fee ® d o ° 5 0 0.v Lender's Address I certify that I have read this application and state that the Issuance Fee �- Q 416-82 above information is correct. I agree to comply with all County Investigation Fee - M N- P laws relating to building construction, Total Fee r resentatives of this County to enter = ' ed property for inspectio pur oses. _ ¢ { SEE REVERSE FOR EXPLANATORY LANGUAGE 0 icant or Agent Date ®s V COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1111100004 PHONE: (626) 285-0488 EXT: ILEGAL ID. I NO. OF CONST I BUILDING ADDRESS: 1 ITR: 16475 LT: 64 I SQ. FT STORIES TYPE I 4922 RIO HONDO AV [ I ISTRUCTURE: 1458 V-B I TEMP CA 917803740 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1 18590-025-030 1 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY CAI ITENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 IISSUFD ON: PROCESSED BY: I 1 (EXIST OCC GRP: 111/10/11 SR IOWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: 1FIN DAT FI B CODE: 1 ILOOK, JENNY (626) 321-5321- 1 1 2,550 14922 RIO HONDO AVE 1 ITEMP 917803740 1 FEES PAID ID CP. PT ON OF WORK I I IREPLACE 11 EXISTING WINDOWS I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 1 (APPLICANT: TEL. NO: 1 ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 1 I IAB STATE GREEN BLDG FEE 2550.00 VAL 1.00 ISPECIAL CONDITIONS: ID2 PERMIT W/O EN-HC 2550.00 VAL 99.10 1 I IFR INV WORK W/O PERMIT 257.00 DOL 257.00 I I TOTAL FEES 384.90 I I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1 ISAME AS OWNER _ 1 1 LIC. NO I ILOCATION AND SETBACKS I I I 1 I ISOILS ENGINEER APPROVAL 1 I I 1ARCHITECT OR ENGINEER: TEL. NO: - 1 (FOUNDATION/TRENCH FORMS 1 I I 1 LIC. NO: 1 1SLAB/UNDER FLOOR I I I 1 1 1RAISFD FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I I I 1144H265 3v01 1 I [FLOOR SHEATHING I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I 1 0 NO 22 1 IROOF SHEATHING I I I I SCHOOL WITHIN HAZARDOUS 1 ISHEAit PANELS I [ I (AIR QUALITY: 1000 FEET MATERIALS I I I 1 NO NO NO I IFRAME INSPECTION 1 I I I I I 1 I IFIRE SPRINKLER HANGERS [ I [ I I I [ (INSULATION/WEATHER STRIP( I I I 1 I (INTERIOR LATH/DRYWALL I I I 1 1EXTERIOR LATH I I [ I IRATED FLOOR/CEIL ASSEM. I [ I 1 1 IRATED WALL ASSEMBLIES 1 I I 1 I I I IRATED SHAFTS/OPENINGS [ 1T-BAR CEILINGS [ 1 I ILOT DRAINAGE 1 1 1 I I 1REPORT ID: DPR261 ROUTE TO: BS0508 I I I [ 1 I I I I I