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HomeMy Public PortalAbout5016 RIO HONDO AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION r OR PERMIT '!- ' _ COUNTY OF LOS ANGELES OBU ' L ® 1 N G WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN 3 7M O FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILADDRESS 5016 Rio Hondo Avenue. ,a LOCALITY Temple Oity,9 California RECEIVED BY DATE OFAPPL. DATE 17BBUED CROSS BT. Sparklett Street �vs5o OWNER TURNER HOMES INC• BUILDING ADDRESS CO /Fi 6 / n MAIL �/ .1. ADDRESS 26 East Santa CS y Clara o LOCALITY qq�� NEAREST CITY Arcadia E:LDO 7-3563 FROESS ST. NO.OF TY P DROOP ARCHITECT OR TEL. ZONE PLANS ENGINEER NO. OR NO BLDG. 'r ADDRESS SETBACK LINE -7.-1 ' 4 _• w APPROVED CONTRACTOR Same NOL. BY DATE USEAPPROVED ADPREOR ZONE l BY DATE LEGAL 69 '7— CORRECTIONS DESCRIPTION LOT NO. BLOCK TRACT 16475NO.OF BLDG cJ OL SIZE OF LOT 61 x 110 I NOW ON LOTS No UBE OF FAMILIES I ND.OF I ROOMS NO.OF EXISTING BLDG. No DESCRIPTION OF WORK NEW X ALTERATION ADDITION O N REPAIR( MOVING air1� DEMOLISH D B ZE /�a 0 ROOMS 4 STORIES WALL oar1 COVERING Plaster I COV RING e USE OF NEW BUILDING i A" I 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ APPROVALP APPLICATION AND STATE THAT THE ABOVE IS CORFOUNDATION' LOCATION IN PECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANFORMS.MATERIALSAND STATE LAWS REGULATING BUILDING CONSTRUCT6A...•-�+ e)-I-b! T ER HOMES C FRAME, BRACING,SON 11- E STITS, SIGNATURE OF C/ PERMITTE LATH. INT. �f ALLTHORIZED AMT LATH, EXT. Gwo 1 76A688A-9 9-50 1y.. P.C.B 5 0 .PLASTER,INT. FEE PLASTER,EXT. � o VALUATION FEE 2 FINAL �'� �/r,✓�SG �/.^��� WOT2KERS'COMOENSATION DECLARATION — / �' a ! I su hereLY of er that d,haver certificate of consent to self APT�I C A 7 p F R U I L 1 ■ E R I T f insure, Wr a Certificate of Workers'Compensation Insurance, br'O pr a c tified copy thereof (Sec. 3800, LaG. C.) L �j COUNTY OF LOS ANGELES BUILDING AND SAFETY �cyN_2 U�-I- Compal -�`-1 �/Vi�.. ..:..._. . ._:,. .. :..... ,: Certified copy is hereby finished. �� FOR APPLICANT TO FILL IN AoDLR SS �.C'�/o (i �:✓t %(i, . _ Certified copy is filed with the county building inspec- BUILDING TT iJ '� _ 1 __ tion department. ADDRESS V / ) 0 l!= LOCALITY /� _ /'Z NEAREST Applicant CITY i C ! ZIP CROSS ST. � CERTIFICATE OF EXEMPT IO FR9NA RKERS' / NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT( X 7Z. NOW ON LOT MAP BOOK PAGE PARCEL (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. TEL., ` SPECIAL > I certify that in the performance of the work for which this OWNER /ff ] CONDITIONS 4. permit is issued, I shall not employ any person in any manner �'� / �7 DISTRICT GROUP TYPE FIRE PROCESSED BY ADDRESS -�(O �/ D �tJ/ ��, CONS ZONE 4d so as to become subject to the Workers Compensation Laws. � � J � G' CITY GGA �!Z. ZIP .l SIS -, � A Date Applicant STATISTICAL CLASSIFICATION APT. CONDO. NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. ENGINEER NO. CLASS NO. DWELL. UNITS Exemption, you should become subject to the Workers' 9L Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this permit shall be deemed revoked. CONTRACTO /L`/�� C ts� 5/ N L. BK. PG. VALIDATION LICENSED CONTRACTORS DECLARATION 7Lc I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS �i 3 �!(f"' / NO. G� -- 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 ! ` $ _ / SQ.FT NO.O NO.OF CHECK License Number' Lic.Class �� r SIZE STORIES FAMILIES ONE PIP Contractor )/Cf� ( /di;S{ • Date ' � DESCRIPTION OF WORK NEW 7 5 8 1 ADD . 2728 I am exempt under Sec. ALTER ❑ FINAL' 06 0 . 27285-0 B.BP.C. for this reason � 10 ', REPAIR ❑ DAT ra 1 7 Date: . USE OF _ F y EXISTING BLDG. /' r�+ DEMOL ❑ Q 9 Signature ll.�� -!Y APPLICANT/ TEL. CMN -BUILDE DECLARATIO PRINT L �,� /6161_ Z NO. I hereby affirm that am exempt from the ontractcr's License r Law for the following reason (Section 7031.5, Business and ADDRESS V v �/L�T�/� 7;-, /. Professions Code): PRESENT ❑ 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). a REQUIRED TOTAL SETBACK FROM EXIST. 117 3 2 1 A CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT # 0 0 0 0 0 1 the performance of the work for which this permit is issued P.L. tSec. 3097, Civ. C.). SIDE - 331.50 P.L. a Lender's Name G T7r` ::.• 0 0 3 3 1.J5 0-3=i Lender's Address P.C. Fee$ _ Permit. r,.: :.; 624-87 r I certify that I have read this application and state that the Issuance Fee a.rJ� above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee -3 • and hereby authorize representatives of this County to enter upon the above-mentioned property f r inspection purposes. „« ,„ ,, ..<...., ,-,•1 SEE REVERSE FOR EXPLANATORY LANGUAGE gnaturepF9p(ilicant or ent Date ®s CCh- + OF LOS ANGELES TEMPLE CIli # 050$ nuLLbitiG PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS 7,;-'AS "'-T`•2Ai TOi4/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91i8J.} x.503 0410150032 PHONE: (6L..; _j: U403 EXT: G,";L ID: i 0. (}F CONST TR: 16475 LT: 69 SQ. FT STORIES TYPE I 5016 RIO HONUO AV _ S RIfCTURE: 2500 VN i TEMP CA 91782%W-2 IASSE SOR Ii FORM ON NUMBER: i NEAREST CRO-:. STREET: l85r.0-026-011 I THOMAS PAGE: X55 GRID: J5 LOCALITY- ",'IPLE CITY, C `fc FHT: —'IFX:ST BLDG USE: RES S 20 E: R-., —( -,Z=ED 0 : ;, _S'ED BY: EXPIRES ON: iEXIST OCC GRP: Y 10/15/04 ,'K 10/10.'=` O'IJ::R: TEL. NO: WH1 GS. N01-J UN LOT: VALUATION: '— —!FINAL DATE , t in.jL ,Y. +SOYt1ERVILLE (626) 355-8395- 6,Ouu , /` 15016 RIO HONDO AV �d TEMP 917803742 — FEC-S PAID - +OESCRIP ION OFIWORK RE-ROOF H/G TEAR OFF 30 YEARS CLASS A COMPOSITION NC�USE AND FEE DESCRIPTION: 9UP,NTITY: UOM: :GARAGE Ami_I C-' N7 NT EL. NO: MUSULFIAN (626) 339-0394- AA BLDG PERMIT ISSUAPCE 2-x,75 I_ _ 1066 EDNA PL AC STRONG MOTION RESID 6000.00 VAL u.6U SPECIAL CONDITIONS: ^'— +CCVINA 72 PERMIT W/0 EN-HC 6000.00 VAL 14?.40 riT.-IL FEES 75 (CONTRACTOR TEL. NO: A?PROVALS DATE INSPEC10 .3FG ATuRE iMUSULMAN, FRED (626) 339-0394- 1066 EDNA LIC. NO LOCATION AND SE BACKS COVINA CA 41722 420356 C39 + OILS ENGINEER APPROVAL `I Ar:CtIITEiT OR ENGINEER: '— TEL. N0: IO'N A ;IO /TREK H FORidS i's:AB%UNDER FLOOR l'ATSED' OOr FRAMING -- -� !MAP NO: SE1FR MAP BOOK: PAGE: FIRE `LONE: CiMP:I IutlCERFLOOR I SOLATION + xx 3 01 L%�in SFIEATriING --NO. OF LIES: DWE .GU I� TS-APT UND: STAT ASS: NO 21 ROOF SHEATHING— —�—SCHOOL WITHIN HAZARDOUS SHEAR R PA L (AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION IREOLIR 10-AL SETBACK-FROM IST ( IFIRE -SPRINCL R HANC�t;SR--- ScT BACK YARD: HWY: PROP LINE: WIDTH: _ FRONT PL- i !INSULATION/WEATHEP STRIP SIDE PL- - I.T RIOR LA /DRYNALL !!! EXTERIOR LATH i - --- RATED FLOOR/C IL ASSEEMi I RATED WALL ASSEMBLTF..S TED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE - I (REPORT ID: DPR261 - ROUTE TO: BS0508