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HomeMy Public PortalAbout5741 RIO HONDO AVE_Building__ 76A638A CE#8032-63 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING �•/ r DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST. DISTR CTGR UP TYPE ESSED BY FOR APPLICANT TO FILL IN coNsr. BUILDING STATISTICAL CLASSIFICATION S WER MAP ADDRESS ?� BK CLASS. NO. DWELL.UNITS LOT NO.Al-501 BLOCK WATER CERTIFICATE: NOT REQUIRED RECEIVED TRACT 4 MAP HIGHWAY ` NO.OF BLDGS. NO. (CIRCLE) STATE MAJOR SECOND, C SIZE OF LOT �Q !.� NOW ON LOT USE ZONE SPECIAL ' USE CONDITIONS EXISTING BLDG. TEL. ' OWNER �bM� NO. BUILDING EXIST. J' SETBACK YARD HWY STREET.NAME WIDTH ADDRESS a/I�f/''r'� FRONT ARCHITECT OR TEL. P. L. ENGINEER NO. SIDE >; P p, • ADDRESS TEL , V & r0 • CONTRACTOR �1�WdV'!� /�� NO. ADDRESSJ�� bc aywo, , 22 hvLL DESCRIPTION OF WORK W a h NEW ADD ro<LTER REPAIR DEMOLISH Z SQ.FT. NO.OF NO..OF - SIZE o STORIES FAMILIES/ USE OF STRUCTURE SIGNATURE OF APPLICANT VALUATION $ �� 111fff APPROVALS DATE /INq P�Esxp SIGNATURE FEE $ � FEE $ FOFORMS!OMATER ALSON FRAME: FIRE STOPS, /� +tea S� "• I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS' `ca AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS /y BUILD NG,CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- ..gam• INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RFLAT- Y 1% ING TO WORKMEN':aNSA TION INSUR CE. LATH,EXT. r, SIGNATURE OF 1 PERMITTEE .� HOUSENUMBER COR- a e Al- RECT AND POSTED ADDRESS A�l- d G a Y FINAL JOHN.F. LEWIS. PRINCIPALS U RAL ENGINEER PLAN CHECK VALIDATION. CK. M.D. CASH- _ PERMIT VALIDATIO CK. • M.O. CASH LFtuO 2 64 6 NOV 18 '1 b 1 .1.5 0- q iRKERS'COMPENSATION DECLARATION I •ner ? affSr rtificate nave rk certificate of consent to self APPLICATION FOR BUILDING PERMIT , ' insur%aor o cerfificate'of Workers'Compensation Insurance, , or a certified copy thereof(Sec. 3800, Lob. C.) c COUNTY OF LOS ANGELES BUILDING AND SA TY P❑olicyNo. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ADDRESS C� f ❑ l/ / Certified copy is filed with the county building inspec- BUILDING � Q ' tion department. ADDRESS OV4C> Date Applicant CITY Q ZIP O �j� LOCALITY _ 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 one ?'� ASSESSOR hundred dollars($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL TEL. --����--��•��' USE ONE MAP OWNER Cj M N0. -21;&+0 I certify that'in the performance of the work for which this NO. permit is issued, I shall not employ any person in any manner ADDRESS �J'1� \O k\Q W Z i t SPECIAL a, so as to become subject to the Workers'Compensation Laws. ^�� p CONDITIONS O Ir _ CITY % t- PING C ZIP � l/ \ V Date r 1S Applicant---'' — "` 0 NOTICE TO APPLICANT: If, after making�this Certificate of ARCHITECT ppR S TEL. f, DISTRICT GROUP TYPE FIRE PRO ESSED BY O Exemption, you should become subject to the Workers' ENGINEER {�L\N1C1G' td�► � NO. _26 CONST ZONE ZONE H Compensation provisions of the Labor Code, you must forth- ADDRESS U �� LA PL3� AT-U4 C.1r S4� \/ W with comply with such provisions or this permit shall be TELLL deemed revoked. STATISTICAL CLASSIFI TION APT. N CONTRACTOR NO. JJCONDO. Z LICENSED CONTRACTORS DECLARATION LIC, CLASS NO. v DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS, �' NO. (commencing with Section 7000)of Division 3 of the Business and LIC SEWER MAP Professions Code, and my license is in full force and effect. CITY CLASS BK' PG VALIDATION SQ License Number Lic.Class S ZE� TORIES FAMILLIIES CHECK 111I��i1 ONE o/,11 p $ Contractor Date DESCRIPTION OF WORK SIrA NEW ❑ s ALU�T�QN O �b I ZS' I am exempt under Sec. �-E9 1 �UV1N6 ADD Q�J //JJ I o o CCCC2 11 666 77']7"'5 U ALTER ❑ B.BP.C. for this reason ❑ $ 0 U+2 9:.-8 8 REPAIR Date: USE OF EXISTING BLDG: DEMOL C]Signature APPLICANT v TEL. FINAL OWNER-BUILDER DECLARATION PRINT E Lo `M N0. -ZCt DATE I hereby affirm that I am exempt from the Contractor's LicenseC Law for the following reason (Section 7031.5, Business and ADDRESS) t0 IV, V , G FINAL Prof ssions Code): PRESENT BY BUILDING �9 81,4 A 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 ® # 0 0 0 0 0 1 7044, Business and Professions Code). MOVING TEL. I - 26550 I,as owner of the property,am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- 2 6 5 5 O tion 7044, Business and Professions Code). ADDRESS o o REQUIRED TOTAL SETBACK FROM E CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH o608-88 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 P.L. Lender's Name `� �` I P.C.Fee$ r / Permit Fee Sv L LDMA Ref. R Lender's Address I certify that I have read this application and state that the Issuance Fee �l�'.J V LDMA P/C N above information is correct. I agree to comply with all County Investigation Fee f� ordinances and State laws relating to building construction, Total Fee V LD and hereby authorize representatives of this County to enter MA Perm. N upon the above-mentioned property for Inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date rinsure, "NORKERS'COMPENSATION.DECLARATION �✓o��TI'Imiert that I have a certificate of consent to selfAPPLICATION FOR BUIL-DING PERMIT or of certificate of Workers'Compenstion Insurance,orrtified 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 - -cam ❑ Certified copy is filed with the county building inspec- BUILDING `� � 4, tion department. ADDRESS 574 1 W •�kO %A0 LOCALITY Date Applicant CITY NEAREST pp fC,� � ZIP � �i CROSS ST. 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 ' USE ZONE MAP hundred dollars($100)or less,) TRACT BLOCK LOT 4 O. NO. CPOQ TEL. // SPECIAL A. I certify that in the performance of the work for which this OWNER '� L. - NO.2A7 Z�F: CONDITIONS Q permit is issued, I shall not employ any person in any manner DISTRICT GROUP TYPE FIRE P CESSED BY V so as to become subject to the Workers CompensQtion Laws. ADDRESS,- t t N- 10 _AoV3'♦` v �`D�j CONST Z SNE Date O-ly ��� Applicanr �—���� ZIP %'I LSIC� STATISTICAL CLASSIFICATION APT. CONDO. U NOTICE TO APPLICANT: 'If, after making this Certificate of ARCHITECT OR TEL. �- d Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO. UNITS -0 Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this permit shall be 't' deemed revoked. CONTRACTOR IMS '•Li- 1 NO.2_3)l J BK. / PG, VALIDATION LICENSED CONTRACTORS DECLARATION 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 andLIC. Professions Code, and my license is in full force and effect. CITY CLASS $ SQ.F% O.OF NO.OF CHECK License Number Lic.Class SIZE STORIES 'x FAMILIES ONE Contractor Date DESCRIPTION OF .OR� a 07r_ NEW ❑ $ ❑ I am exempt from the licensing requirements as I am a - �, _ �t ADD licensed architect or a registered professional engineer ALTER ® FINAL acting' in my professional capacity (Section 7051, Nu ,O�-COQ &*c\ IVv� Fiat��y ��. REPAIR ❑ DATE O Business and Professions Code). USE OF FINAL n 1 r EXISTING BLDG. DEMOL. ❑ By Lic.or Reg.No. _Date APPLICANT TEL. V 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 Professions Code): PRESENT ❑ BUILDING ' I, as owrier of the property, Qrmy 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. O C with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY YARD HWY PROP. LINE WIDTH I hereby affi7m that there is a construction lending agency for �� f Q ) `rte the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name ° Lender's Address% Permit Fee _&I certify that I have rea 1 his application and state that the Issuance Feeabove information is coyFect. I agree to comply with all County n Fee ordinances arid Statefows relating to building construction, Total Fee o and hereby authorize representatives of this County to enter 1 upon the above-mentioned property for inspection purp ses. '[ i •1� .tom, ` �/ SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent • � at ®s ` - COUNTY OF LOS ANGELES T PLE CITY n • # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY. / LAND DEVELOPMENT TEMPLE CWTY,CA*1780 BL 0508 9907270004 PHONE: (626) 285-0488 .EXT: LEGAL D: NO. OF CQ ST B.UILDING ADDRESS: ' TR: 6561 LT: 1 SQ. FT STORIES TYPE 5741 RIO HONDO AV STRUCTURE: 0 VN TEMP CA 917802433 ASSESSOR IFO T 0 NUMBER: NEAREST CROSS STREET-: LIVE OAK- 8587-003-010 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG S ESID USE ZONE: - ISSUED ON; PROCESSED BY: WIRES ON: EXIST OCC GRP: 07/27199 UT 1/23/00 OWNER: TEL. NO: BLDGS. NOW ON, LOT.: VALUATION: F AL,DATE FINAL BY: CODE: GIMA MICHAEL L;RITA L (626) 287-2556- 1 2,000 5741 RIO HONDO AV id- TEMP 917802433 EE PAIDDESCRIPTIONOF OR REMOVE GBLE AROOF F EXISTING GARAK TO TOP PLATE-NEW HIP FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ROOF TO MATCH REMODELED HOUSE-REPAIR DAMAGED GARAGE SLAB APPLICANT: TE 0: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION_RM..D 2000.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W sEN=HC2000:00 VAL 82.20 E,LEST0TJ- FEE 110.45 CONTRACTOR: TEL. 0: ��cJ �/Q/�.y APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR GI R: EL. 0: ® OU ATIO T C 0 MS LIC. N0� ������� SLAB/UNDER FLOOR RAISED 00 FRAMING _) S MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: M pWOR D �I K NDERFLOOR INSULATION 150H265 3 �1' L00 'SHEAT I G 0. OF FAMILIES: DWELL IN-G GffITS: APT/CO e�STAT :-'CLASS' NO 21 0 , , ROOF SHEATHING SCHOOLWITHIN R SY T) • S R PANELS." AIR. QUALITY: 1000 FEET '-'MATERIALS ! Q• NO NO NO E. ® '� A ,� FRAME, INSPECTION EQUIRED TOTAL SETB C RO EXIST /ib�• EllOi FIRE SPRINKLER ANGERS SET TAYARD: HWY: PROP LINE: WIDTH: FRONTPL- �C ervic e that INSULATION/WEATHER-STRIP SIDE PL- RIO R A EXTER OR-LATH RATER F.LOOR/CErl ASSM. TED, WALL A S IMBUES T D AFTS/OP GS T-BAR CEILINGS ILOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 . r COUNTY OF LOS 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 0506020016 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW FNE=REST DING ADDRESS: TR: 6561 LT: 1 SQ. FT STORIES TYPE OCCUP GROUP RIO HONDO AV STRUCTURE: 40 2 VN R3 CA 917802433 ASSESSOR INFORMATION NUMBER: GARAGE: CROSS STREET: WORKMAN 8587-003-010 OTHER: AS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: USE ZONE: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: jr 05/28/06 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FIIQAL DATE FINAL CODE: GIMA MICHAEL L;RITA L (626) 287-2556- 50,000 5741 RIO HONDO AV TEMP 917802433 FEES PAID DESCRIPTION OF WORK 2-BATH ROMODEL, 1 KITCHEN REMODEL WITH 40 SF ADDITION TO FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: KITCHEN APPLICANT: TEL. NO: SCHOYER (626) 355-5229- AA BLDG PERMIT ISSUANCE 27.75 1637 LA RAMADA AVE AC STRONG MOTION RESID 50000.00 VAL 5.00 SPECIAL CONDITIONS: ARCADIA CA 91006 AX BUILDING REVIEW FEE 54.70 B2 PERMIT W/ENERGY 50000.00 VAL 877.47 TOTAL FEES 964.92 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE S R SCHROYER CONSTRUCTION (626) 355-5229- 1637 LA RAMADA AVE LIC. NO LOCATION AND SETBACKS ARCADIA, CA 91006 455899E SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 01 1ST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT COND: STAT CLASS: NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING f AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS / SIDE PL- INSULATION/WEATHER STRIlf INTERIOR LATH/�YF1AL; � / EXTERIOR LATH J) t LOT DRAINAGE S SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508