HomeMy Public PortalAbout6120 SAINT JAMES DR_Building_5/11/1965_ �eAe9eA eEPpD9 B-aA APPLICATION FOR BUILD( G PgRMI
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST -
COLEMAN W JENKINS,HUP T OF BUILDING CROSS 9T
DIBTRIC NO l O TYPE P
FOR APPLICANT TO L IN CONST
BUILDING Z STATISTICAL C.L ASSIFICATION / DHWER MAP
ADOR@S9 7 I C� CLA99 NO DWELL UNI T9 .--(/— SK PO
LOT NO BLOCK USE ZONH MAP
TRACT SPECIAL I
BIZ OT O �y KOW ON LOTSLOG[ TIONS
US! OF
SLOG SETBACK FROM
OWN ! Guy 7
8L .^ q7/o FRONT PRM LIN[ OF (STREET)
/& J TYI[ 01 [S IST,NG S[T[ACR MISMWAT YARD = TOTAL
ADDRESS C
CITY .:-�� C
ARC F.R / TEL SLOB SETBACK FROM
HNOINEER �1 NO SIO[ PROP LI M[ " STR[[T
TYPE OF [RISTING S[T[ACR MIGHWAY } TARS = TOTAL
ADDRESS tII MISMWAY WIOTM FROM C L y
CONTRACTOR dw� 4TOEL } - VO
ADDRESS -4`4p CORNER CUTOFF YES NO O
LIC
Ass&av-)t-4 SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK 5-A4 Qr (?X Z
NEW ADD ALTER REPAIR DEMOLISH T _
SO P
SIZET G 6 STOR HNO 0" S FAMILIES NO OF I •G�� / ^� ` // I
USE OF I?,l�`^
STRUCTURE r ' S
Gaf6 SIP Oa
SIGNATURE OF //LL qq
APPLICANT Lu
VALUATION S —1-3 av I 9d`
VV Pv I PATE INSP[CTOA'S SIGNATual
P CPMT FO FORMS!MATERIALS
LOCATION,
FEES A FEES '�
~ FRAME. FIRE STOPS, '
1 HEREBY THAT
THEL ABOVE
THAT I HAVE AND THIS APPLICATION BRACING DOLT
VAT
AND sALLATE
THAT THe AeovE I[ CORRECT AND AGR[[ TO COMPLY FURNACE LOCATION L.y
WITH ALL COUNTY OBDINANC[e AND STAT[ LAWS REGULATING GAS VENT DUCTS ?
OUILDING CONSTRUCTION I CENT]FY THAT IN DOING THE WOww
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LAI92JL C OF TXE STAT[ OR IFOANIA RELAY
INO TO WORN MC SCO [NMTION INiUR [ LATH EXT
SIGNATURE OFHOUSE NUMBER COR-
PERMITTE R 9
ADDRESS FI NAL
JOHN F I E NIS PRINCIPAL ST URAL E GINEER
PLAN CHECK VALIDATION DK M G CASH _ PERbUT VALIDATION cK M D CASH
hr i 15 2 34600-%
LAAO 1 4 6 9�3 MY 11 1 D 9 5.0 0-
WORKERS COMPENSATION DECLARATION �~ - TJ 114,M "+
hereby affirm that I have a certificate of consent to self APPLICATION FOR , BUIL'DING `PERMIT J
insure ora certificate of Workers Compensation Insurance,
or a certified copy thereof(Sec 3WO, Lab C q)�' "" ' "'- _ "" - - - 1 - - -- —*
Policy No6f2z Company .�_Co ►��i .� COUNTY OF LOS ANGELES BUILDING AND SAFETY _
Certifiedscopy is hereby furnished FOR APPLICANT TO FILL IN 'ADDDRE55
® Certified copy is filed with the county building mapec BUILDING
' hon department%`t ` i ADDRESS (O y
t _ _
DateL.'l�(�86 ApPLcant 4 CITY �• C - ZIP -� LOCALITY
' CERTIFICATE OF EXEMPTI FRO WORKERS' - -- - - - NO OF BLDGS - - - NEAREST '
+ COMPENSATIO INSURANCE SIZE OF LO7 NOW ON LOT ST
(This section need not be completed if the permit is for one - -- - - -- ASSESSOR -• I ` -' __
hundred dollars ($IDD)or leu ) , , , TRACT BLOCK LOT NO BOOK i PAGE PARQL -t
TEL r U ZONE MAP '
I,certify that in the performance of,the�work for which this OWNER NO
permit is issued, I shall not employ any person in any manner _ _ ADD - - - -- - - - - ---t �- SPECIAL - 7
so as to become subject to the Workers'Compensation Laws RESS CONDITIONS 1 ^~ 1 U
` ' 1 % 1 s CITY _ — _ ZIP 4- ___—_ _._.. _ U
Date Applicant ' `
NOTICE TO APPLICANT •If, after making this%Certdtcate Of AR NEIT RT OR TEL _DISTRICT_ GROIR TYPE.- _____ _FIRE _ SSED BY - F
Exemption,%you 'should become subject to the Workers' - d CONST ZONE
t
Compensation provisions of the Labor Code you must forth ADDRESS -' _
With comply with such provisions or this permit shall be - O.
CONDO-
deemed revoked - TEL STATISTICAL CL4551FICA710N APT CONDO
I I t . CONTRACTOR NO CES _ __ ' _ _ _ y
LICENSED CONTRACTORS DECLARATION - - - -- - - - - Y - - UC CLASS NO • DWELL UNITS_
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 6 NO 7.3 77 SEWER ,
(commencing with Section 7000)of Division 3 of the Business and - _ _ _ LIC L '
Professions Code and my license is in full force and effect CITY o—¢.a er��� CLASS C 3 - BK -- � -I - - - VALIDATION
��ssh 50 FT NO OF NO OF __ CHEIX
i
License Number 'A3/ 22/ ' L,c Class-^ ' '3 SIZE- _ STORIES - - FAMILIES - ONE
�N/ $ 6 L _ _ NEW-- ,-_VALUATION
Contractor to DESCRIPTION OF WORK
ADD {
I am exempt under Sec
B 8P C for this reasonREPAIR
_
USE DEMOL I
EXISTING BLDG - .- - -'
NO
Signature _ _ _ ' APPLICANT TEL PINAL I
NERB DER DECLARATION _ _ SIM_ DATE-
I hereby offer t 1 am exempt from the Contractors License _
Low for the Ilowing reason (Section 7031 5, Business and ADDRESS FI I
Professions ode) BMEMINIT
UILDING
I as owner of the property, or my employees with ADDRESS
wages as their sole compensation,will do the work and ALITY
the structure is not intended or offered for sale(Section LOC
7041 Business and Professions Code) - - - MOVING — - - - - - - ' - TEL' -' - - - - - - -
I, as owner of the property, am exclusively contracting CONTRACTOR NO 3 6 O 3 9-A
with licensed contractors to construct the project (Sec- - L' -
hon 7041, Business and Professions Code) ADDRESS #
RECIUMED CONSTRUCTION LENDING AGENCY -" SET BACK YARD HWY TOT�� LINCK FROM-E WIDTHF - - - -� - - - - - - ----�-
MT
I hereby affirm that there is o construction lending agency far FRONT - I is e 7a,6 O '
the performance of the work for which this permit is Issued -- P L - - - - - ` - - --- - - ^-- - - - -
(Sec 3097 Civ C ) SIDE e e e 7 a O O 5
Lender shame - -• _ -- - - Pl.L 12 O 1 -8 6, -
PC F"$- - - •- Permit LDMA Ref Y
Fee -
- Lenders Address �.-
I certify that I hove read this application and state that the - _ hauorice Fee -/� IDMA P/C Y
above mformotion is correct I agree to comply with all County Invemgmion Feet t
ordinances and State laws relating to budding construction _ _ _ Totaj Fee- / V-✓ ' -CDMA Perm Y - - - - • - - - --
and hereby authonze representatives of this County to enter
upon ;D-mentioned property for Inspection purposes _ _ - -_ - _---___ -- t-
TEE REVERSE FOR EXPLANATORY LANGUAGE ) 1
Signature of Applicant or Agent _ _ __ __ 0O1e _ _ _ _ _ ___ _ - • __ _._ __ _ _ - _ -- _ ___ _ _ _ ( _ O I
. COUNTY OF LOS ANGELES TEMPLE CITY R 0508BUILDING PERMIT
DEPARTMENT OF PUBLIC WOQXS 9071 LASkTLkAC-, NEW RESIDENTIAL
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9706190009
PHONE. (818) 285-0488 EXT:
LEGAL ID NO. OF COINST NEW BUILDING ADDRESS
TR 29678 LT: 5 SO FT STORIES TYPE OCCUP GROUP 6120 SAINT JAMES DR
STRUCTURE 341 2 VN R3 TEMP CA 917801659
GARAGE NEAREST CROSS STREET.
5385-WS-038 OTHER: THOMAS PAGE: 596 GRID J2 LOCALITY: TEMPLE CITY
TENANT- USE ZMr-T--T-- ISSUED ON PROCESSED BY: EXPIRES ON
06/19/97 TC 06/,9/98OWNER. TEL. NO BLDGS NOW ON LOT VALan7M-- FINAL DATE FINA OWE
_
LAN NHUDMG C;TRACY G (818) 284-7810- 30,000 a q
6120 SAINT JAMES DR
TEMP 917801659 PAID6ERYt1RRDN"6rWWK
EXTEND LIVING ROOM, CREATEI1 POWDER ROOM IN EXISTING SQ.
APPLICANT: No FEE DESCRIPTION QLANTITY: UOM. AMOUNT FT , EXISTING BATH WILL BE ELK-IN CLOSET, ADD NEW MASTER
SAME AS OWNER - - AA BLDG PERMIT ISSUANCE 27 75
AC STRONG NOTION REBID 30000.00 VAL 3 00 SPECIAL CONDITIONS:
AX BUILDING REVIEW-FEE f-% 54 70
B2 PERMIT W/ENERGY L E.30000'00 VAL 589 71
CONTRACTOR TEL NO `OA TOTAL FEES_^'% 675 16
APPROVALS DATE INSPFCrM-frMVM0ffr—
SAME AS OWNER - \vv �J
LIC. MO LOCATION AND SETRAC
ARCHITECT OR ENGINEER TEL NO
O >` SOILS ENGINEER APP
LIC_ N0:
RAISED FLOOR FRAMING
1MAP NO SEWER MAP s=: PAGE FIRE ZONE: CMP UffnTUMMMUnw-
50H265 S 131 3 011 PUBLIC WNO Of FAMILIES DWELLING UNIIS: APT/COKD STAT CLASS:
ORKS
No 00 ['
lu .o 2ND LEVEL FLMF-99UTF-
0)
SCHOOL WITHIN HAZARDOUS ROOF SHEATHING
AIR QUALITY: 1000 FEET MATERIALS
NO NO RO `
�b�c vN�REQUIRED TOTAL SETlAEr7R0W--Mn3T- � FRAME INSPECT
SET BACK YARD HWY; PROP LINE: WIDTH: BLDG DEPT. FRAME INSPECT
��
FRONT PL- n, GSHEAR PANELS
SIDE PL- O' v I C G
un
LOT DRAINAGE
SMOKE DETECTION DEVIUT-
• FIRE DEPARTMENT APPROVAL
ADDITIONAL DATA ON FILE
REPORT ID: DPR261 ROUTE TO BS0508