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Home My Public Portal About5040 RIO HONDO AVE_Building__ VA DIVISION OF BUILDING AND SAFETY ® � t Department of County Engineer County of Los Angeles APPLICATION WM. J. FOX, COUNTY ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT U. PLAN CK.DR RED.No. P RMIT NO. ADDREIS13 =IVED BY DATE OFAPPL PATE ISSUED LOCALITY - 4,y/p7cy/ 6./�J (/ F y�•�� p m_rye_I i� CCRARKST ROBSST.4A J SSA N`L: 0 V' BUILDING �/Vej/1 V N /� J. ADDRESS U � ��(� /T A)-:( /:` r OWNER ! SSG L! �.!. .QI•.6-4lC MAIL `/ LOCALITY 1. C ADDRESS A O i A C'/o"A 6 A vc: ' CNICAREST ROSS ST. CITY /hcm A. /7'l/ NIL dO ../€ FIRE I NO.OF ®I TYPE �y.�l ORDU'P � ZONE PLANS �l ARCHITECT OR TEL ENGINEER No. SETBACK LINE ADDRESS UB£ ( APPROVED TEL ZONE BY DATE CONTRACTOR NO. � HOUSE NUMBERING ADDRESS MAP NUMBER //0" NO. ASSIGNED BY LEGAL DES RIPTION• L,OTT ND. / BLOCK CORRECTIONS CL TRAT / `� rf' )J� NO. OF BLDDB. ) S 2 G� CX/off (//c.-,Ar✓ SIZE OF LOT G a. K I 10 I NOW ON LOT / USE OF NO.OF / EXISTING BLDG.A10 14 FAMILIED DESCRIPTION OF WORN A o �( NEW ALTERATION ADDITION /� Z D REPAIR DEMOLITION r SIZE RQOMB STORIES f EXT.WALL r"�� e ROOf COVERING !1 u I COVERING (�'G /-q USE OF STRUCTURE ¢r G ' 7- INSPECTION FOR APPROV OCCUPANCYAS INBP CTOjfFSSIGNATURE DATE FOUNDATION*LOCATION 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FORMS, MATERIALS PLICATION AND STATE THAT THE INFORMATION GIVEN IB FRAME* FIRE STOPS, !� / CORRECT. BRACING,BOLTS ./ AND STATE LAWS REGU_ ING BUILDNG CON ORDINANCESUNTY RUCIN. FURNACE: LOCATION, GAB VENT,DUCTS SIGNATURE OF J LATH, INT. PE RM ITTE LATH. EXT. G ADDRESS PLASTER, INT. AUTHORIZED AST. PLASTER, EXT. FEE HOUSE NUMBER COR- RECT AND POSTED VALUATION C04 III REE FINAL lit„44c— x/2f�'� 76A638A DBS 3 1-52 DEPARTMENT OF BUILDING AND SAFETY "iftaLGAwAum run rjmAmL' COUNTY OF LOS ANGELES l WM. J. FOX. CHIEF ENGINEER / 1 ® �� /d1/ FOR APPLICANT TO FILL IN 7 7 FOR OFFICE USE ONLY��" DISTRI T NO. PLAN K O. PERMIT NO. BUIo ESE 5040 Rio Hondo Avenue LOCALITY Tem=l.e ,Cit.y�-."California RECEIVED BY M DATE OFAPPL. DATE IBBUED 0 n -2 -oemmy. La Rosa Drive (51 BUILDING OWNER TURNER HMS I Vyo ADDRESS I'De) MAIL ADDRESS 26 East Santa Clara St. LOCALITY / NEAREST CITY Arcadia NG'DD 7®3563 CROBB BT. FIRE NO.DF TYPE GROUP ARCHITECT OR TEL ZONE PLANS �r ENGINEER NO. p 9� ADDRESS SETBACK LINE APPROVED CONTRACTOR SAIIle NOL BY DATE USE y� APPROVED ADDREOR ZONE /Y BY DATE LEGAL CORRECTIONS DESCRIPTION LOTNO. BLOCK TRACT 16475 y AT SIZE OF LOT 61 R 110 I NOW ON LOTB� N0 UBE OF1�T I ND.OF I NO.OF N EXISTING BLDG. o 1 FAMILIKE ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION ` O R REPAIR MOVING DEMOLISH p Bp.FT NO.OF SIZE J Z ROOMS STORIES1Q WALL Rour COVERING Plaster I COVERING S 10 1e USE or NEW -BUILDING Dwelling $jt A=r4 /e, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS• i APPLICATION AND STATE THAT THE ABOVE IB CORRECT FOUNDATION:LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS _ AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME. FIRE STOPS, s�• y S� SIGNATURE OF BRACING,BOLTS PERMITTER1UU p vOLLs �,i✓' LATH, INT. AUTHORIZED AST LATH, EXT. •'�2 y J 76A69BA-3 a-50 P.C.111 c .' PLASTER,INT. FEE r PLASTER,EXT. 6 /l VALUATION 'FEE o FI NAL �r j✓r'Z I�a��v E '6A688A CE#808 8-68 APPLICATION FOR BUILDING PERMIT _ L1 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. DIS�T CT O. GROUP TYPEP SED BY FOR APPLICANT TO FILL IN ^ 5!U CONST. ADDRESS `JO,)R� Rf0 lya� �d� r �/'L�G�TJ STATISTICAL CLASSIFICATION SE KR MAPG .� 7 CLASS.NO. _DWELL.UNITS - LOT NO. /3 BLOCK WATER NOT REQUIRED RECEIVED ❑ f/ CERTIFICATE: TRACT / �� MAP HIGHWAY STATE MAJOR SECOND,LOCAL NO.OF BLDGS. NO. � (CIRCLE) SIZE OF LOT 6.0 z ��Q NOW ON LOT , USE ZONE SPECIAL US ONG.BLDG. Ic Jf�l�E .��i� P CONDITI NOWNER • Q• 2&T/AJ/16d0L/ NO.R7'7,02.f TEL: 1 BUILDING YARD HWY S REE NAME EXIST. n _ SETBACK WIDTH ADDRESS-1'040 )ZIP15<�.ta,90 ?G'/I7�LE' G i7'� FRONT ARCHITECT OR TEL. P. L. ENGINEER NO. SIDE ADDRESS TEL. 1211 AI 1 � . ' ��• G+�`"1ti• 0 tt—04Ak O. CONTRACTOR NO. ! U' ADDRESS ry �i C DESCRIPTION OF WORK 13 ' �Jam" C.�� ✓! � � / � '� �"'� d NEW ADD ALTER REPAIR DEMOLISH SQ.FT. NO.OF j NO.OF SIZE 550 STORIES ® FAMILIESf/ USE OF �+ Q rcsf7(OY (J "- I eft .� lite r STRUCTURE _. e24 11 t�r3 SIGNATU APPL I CANT VALUATION $ APPROVALS DATE INSP OR'S SIGNATURE P.C. PMT. / FOUNDATION: LOCATION �l t FEE $ FEE $ - 'S FORMS, MATERIALS • fiC FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS'VENT. DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. TION OF THE LABOR CODEl. OF THE STATE OF LIFORNIA RELAT. ING TO S COMPENSATION INSURA E. LATH.EXT. r� �. 7 SIGNATURE O .r - PERMITTEE HOUSE NUMBER COR- RECT AND POSTED ADDRESS,-040 AE&3 MeV-010 71"Idol Iff 4; 7" FINAL JOHN F. LEWIS. I'RihcIPAL ST URAL.ENGINEER' PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION- .CK.. .M.O. CASH 6.3 7 5,-. DEC 2 1 D 11.50- 76A888A 8 808`8-8d'APPLICATION F0.01 1 U-1 DING PERMIT u COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS : �� it BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,SUP'T.OF BUILDING CROSS S.T. DISTRICT tjO. GROUP-', TYPE. E$SED BY. FOR APPLICANT T0.FILL IN ,coNs-. BUILDING ,,�•�� STATISTICAL CLASSIFICATION SE ER'MAP ADDRESS i/TD �!O fv1lq/.� TE'/IfRl,�t:%T CLASS NO.�DWELL UNITS BK LOT NO: 73 BLOCK U.SE ZONEMAP r NO. TRACT �� ° � 16 SPECIAL N0. OF BLDG9.. CONDI IONS SIZE OF LOT 1160I, x1/0 NbW ON LOT. 12- USE OF F' ,Q , BLDG. SETBACK FROM C�.WNER ba�a ��i�J �ei No. 7$.�.Z6 FRONT PROP. LINE OF -zk STREET) L�/��.� //�� Ar��,� TYPE OR EXISTINp SETBACK HIGH AY YARD TOTAL ADCRESSS'�"F/ /cf'O •A�'Aus+ HIO Y 'FROM C.L. CITY T�/tillpe i r + ala ARC'HITECT OR _ TEL BLDG. T FROM . ENGINEER NO. SIDE PROP. LINE OF I'STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL. . .� ADDRESS HIGHWAY WIDTH FROM C.L., - p„ TEL. + _ 0 CONTRACTOR NO ADDRESS . NO ,CORNER CUTOFF YES NO 0 F•- CITY. c� s ' 'SEE REVERSE SIDE FOR SPECIAL APP VALS ,;; DESCRIPTION' OF WORK �.�T'? . Z NEWSQ,FT. J`ADD ALTE NO. OF EPyAIR NOEOFLISyH as Ito wvroa ea SIZE T® STORIES ! FAWLIES{ „a ac+� oept� a� USE OF ��.,.- a• as t STRUCTURE AU40�"m flow" P 1 1% +�; ;oc ken p°' OfiiLGe •.,kes was LAPPLICANTO��-�� NATURE eia ecs �k to 6t G Co. a &lest lot to" LUATION$ , A O LAegy. PSSSDATE INSPECTOR'S SUGNATIJRE FEE$ �- FEE$FiMTFOFORM_ ` A -AT `� - �JALS�N bt• /'�t ' 'FRAME; F. 1 HEREBY.ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRA.CIO.LT 9«✓.� +.�/ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY.• •FURNACE: LOCATION y WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING - GAS VENT. DUCTS 9UILDI NG CONSTRUCTION. I CERTIFY THAT. IN OING THE WORK 7� AUTHORIZED HEREBY 1 WILL NOT EMPLOY AN P RSON IN VIOLA- LATH. INT. (� �/. Q .L/� "�• TION OF THE R CODE OF THE STATE OF CA IFORNIA RELAT- _ - INGTO WORKME NSATIO RAN ol .LATH. EX.T. SIGNATURE O .HOUSE NUMBER COR- Y �` pE4tMITTEE R AND P08TED 1 f ADDRESSSGYf�� L��d O 'TBt9i�L� G'iT FINAL JOHN F. LEWIS. PRINCIPAL STRUCTURAL EN.GINEEFF PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATIONCK. M.O. CASH L{C,3 .7901-0 JUL 19 1 D 1 8.5 ON WORKERS'COMPENSATION DECLARATION ' hereby affirm that I have certificate of consent to self APPLI IL N ® ` 13U I L®I PERMIT ' insure, or a certificate of Workers' ®T I kers' Compensation Insurance, dpi 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 L� J Q Certified copy is filed with the county building inspec- BUILDING ;- tion department. ADDRESS ; el 4-G i-?/U 1-f—^AJ Ayr Date Applicant CITY %/�MP�1Z G 1 TY ZIP y 1 76o LOCALITYky t CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. (This section need not be completed if the permit is for oneTRACT /�y 75 BLOCK LOT NO. % ASSESSOR hundred dollars($100)or less.) MAP BOOK PAGE PARCEL 7TEL. I certify that in the performance of the work for which this OWNER �•L1 /C 1 i�13 NO.2-&7-622 Ik, USE ONE NO. permit is Issued, I shall not employ any person I any manner /21 U I Unt SPECIAL ADDRESS SZ)`�U a c CONDITIONS n" so as to become subject to the Workers'Camp ation L s. V CITY TC-t1l ioL e C r )-Y ZIP 11 1 76 17 Date Applicant ARCHITECT OR TEL. ): DISTRICT G UP TYPE FIRE PROCESSED BY O NOTICE TO APPLICANT: If, after makin this Certificate of A.,O/uJ= ENGINEER NO. CONST. E (-- Exemption, you should become subj to the Workers' 1 ,// 7/p��V V Compensation provisions of the Labor Code, you must forth- ADDRESS �`� V / W with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. J CONDO. deemed revoked. CONTRACTOR N o ni E NO. LICENSED CONTRACTORS DECLARATION LIC, CLASS NO.u' L—DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP M (commencing with Section 7000)of Division 3 of the Business and LIC, Professions Code, and my license is in full force and effect. CITY CLASSBK v VALIDATION SQ.FT. NO.OF NO.OF CHECK License Number Lic.Class SIZE STORIES 1 FAMILIES r ONE yUATION DESCRIPTION OF WORK /2 C p /� r=.XF,Q NEW ❑ >. HI ?� Contractor Date ADD $ , 1104 I am exempt under Sec. h / D 'Z C i4� C-� Sr'¢r J�>ti y ❑y ALTER E] .. B.&P.C. for this reason ItiJ 12/SIC/N6 REPAIR ®� $ Date: USE OF EXISTING BLDG. DEMOL ❑;; -289S4A Signature APPLICANT TEL. FINAL �� ( 0 0 0 0 0 9 �, O, /2/_//V/3Oc-T No. 287-8Z2� �'•:. .� (j # 1 PRINT OWNER-BUILDER DECLARATION DATE ( o 0 ' 850— I Jr-O I herebyaffirm that I am exempt from the Contractor's License r ADDRESS Sd`/O Rio %taA/.9D = Law fothe following reason(Section 7031.5, Business and /9 a'E FINAL o 0 0 Professions Code): PR By 2 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. E] 1, CONTRACTOR NO. , as owner of the property,am exclusively contracting i with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). M EXIST. CONSTRUCTION LENDING AGENCY SETBACK YARD HWY TOTAP OP. LINE � WIDTH 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, Civ. C. SIDE c ° P.L. Lender's Name " _ y A tj Lender's Address P.C. Fee$ Permit Fee � I certify that I have read this application and state that the Issuance Fee S above information is correct. I agree to comply with all County Investigation Fee °q ordinances and State laws relating to building construction, Total Fee cLo==- uporl as and her authorize representatives of this County to enter the above-ment' ed proper.yfor' spection purposes m SEE REVERSE FOR EXPLANATORY LANGUAGE ignature rp ppl' an or Agent Date COUNTY OF LOS ANGELES TE11PLE CITY 4 0508 BUILDING P"H iii DEPARTMENT OF PUBLIC W0RK„5 9101 LAS TUNAS ALTERATIDi:/,,rr.l'R BUILDING AND SAFETY / LAND DEVFLOPMENT TEMPLE CITY CA 91780 BL 0508 0410150039 PHONE: (626) 285-0488 EXT: EGAL ID: N0. OF —CONTT' ILDING DRESS: TR: 16475 LT: 73 SQ. FT STORIES TYPE 5040 RIO HONDO AV STRUCTHRE: 300 VN TE14P CA 917803742 ASSESSOR I:FORMATIONNUMBER: -- NE!.REST CROSS STREET: LA ROSA 8590-026-4,13 'fHCWAS PAGE: 596 GRID. J5 LOCALITY: TEMPLE CITY, C Nl' NANT-C— UNT..DIM USS: RESID USE ZONE: R-, ISSt1FD ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 10/15/04 JK 10/10/05 OWNER: TCL.•N0: BLDGS. 0 GN LOT: \4',Lt!ATION: FINIAL T. FI CHAU WAI F (626) 287-5635- I 1,800 Oy 5040 RIO HUNDO AV TEMP 917S03•r42 -F5 ES PAiL' Dom_ Ri T1UN 0 ORK TA E CFF WOOD FROM EXTERIOR WALL OF THE HOUSE AND PUT STU'CC'O FEE DESCRIP710H: QUANTITY: LIOM: AMOUNT: OVER APPROX. 300 SF. APPLICANT: TEL. NO: I � SAME AS OWNER - AA BLDG DERMYT ISSUANCE 27.75 AC STRONG MOTION RESID 1800.00 VAL 0.50 SPEL'IAL CONDITIONS: D2 PERMIT W/O EN-HC 1800,00 VAL 82.20 TOTAL LC:LS 110.45 CONTRACTOR': TEL. NO: T1 FP-PFVALS GATT —MV—ECTOR SIGNATURC SAME AS MINER LIC. NO LOCr15�U SETBA KS - SOILS ENGI EER APPROVAL ARCHITEC-1 Uig ENGIt!eER: OUN!?A�GN/TRENCHTORMS ---- +� LIC. 90: SLAG/UNDER FL L R fiABFD FLOG F.A'1►� '—G MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UND'RFLOOR INSULATION XX 3 01 FLGf3> SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/CONDI STAT CLASS: NO 21 ROCOIF SHEATHING SC.WL WITHIN HAZARDOUS SHEAR P ELS AIR QUALITY: 1000 FEET MATERIALS _ NO NO NO FRAME INSPECTION REQUIREDTOTAL 0 SETBACK FROM EXIST - FrRE SPRINKLER HANGERS - -- SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP — SIDE PL- TWORIOP. LATH/DRYWALL E',(TrR10R LATH -- RATED FLOOR/ EIL ASS M. RATED WALL ASSEMBLIES lR C�4AFl- /OPE INGS T-BAR CEILINGS OT DRAINAGE - REPORT ID: UPR261 ROUTE TO: BS0508 - -