HomeMy Public PortalAbout6347 SALTER AVE_Building__ GA638A CE#803 10.36 APPLICATION F®R �Bl)IL,®ING PERMIT
BUILDING AND SAFETY DIVISIOFFir BUILDi��NG
Department of County Engineer ADDRESS
County of Los Angeles LOCALITY
JOHN A.LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN.SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP TYPE SEWER.K MAP
FOR APPLICANT TO FILL M S _ "I CONST.
BUILDING .le� I
ADDRESS /a 7 f1a / STATISTICAL CLASSIFICATION
CLASS.NO DWELL. UNIT
LOT NO. BLOCK MAP
NUMBER IlyyY• YES, O
TRACT USS ZONE SPECIAL
r NO.OF BLDGS. CONDITIONS
SIZE OF LOT.7 Z I NOW ON LOT
USE OF
EXISTING BLDG. BUILDINGEXIST.
YARD .HWY STREET NAME
11 SETBACK WIDTH"
OWNER i f. 1/G S et T FRONT
MAIL �/ _-p. L.
A -
ADDRESS �+ �N�f�� / SIDE
P.L.
CITY 7v-i /l/e. G►f� Hof ;.I11iSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO..
ADDRESS /y� / p //� '.
J 'I ///../�G� /Y�j/ 'm do i'I
,@ TEL.
CONTRACTOORp d7�/ZJ•� �1��'Ce, NO. 22:4PT�D �)f 2_Y
ADDRESS�7 O�0, - �/VG/A)k I ' `k.3
!�
DESCRIPTION.OF WORK
EW ADD ALTER REPAIR DEMOLISH
.FT. /,{3 STORIES. t' FAMIO
C1LIES , �'�, I JI ! r� �/�Y `" " •i t1
USE O TRU TURE LLI 1G' G CJe3� .1� )v -/c R`x l A
h.
APPROVALS
SIGNATURE OF
APPLICANT DATE INSPECT R'S SIGNATURE
ADDRESS FOUNDATION:LOCATION
FORMS. MATERIALS
P,P.C. 8 FRAME: FIRE STOPS.
f (9�� FEE BRACING.BOLTS12-1k,07_
VALUATION S ® FURNACE: LOCATION.
FEE �s GAS.VENT.DUCTS r i
1 HEREBY ACKIAO
GE THAT 1 AVE READ THIS'AP- LATH. INT. 6 -7 ! . ✓l��r�tir�(t! "
PLICATION AND ATT EA 1S CORRECT AND
_ t
AGREE TO COMPAL O ORDINANCES AND LATH. EXT.
STATE LAWS RNG U G CONS UCTION.SIGNATURE OF HOUSE NUMBER COR- c�Z,�Sn/ / 6/yPERMITTEE RECT AND POSTED l3" . 7( ,OAry,, pl
ADORES •J �` FINAL v Z.('S"e U{'✓Wt 2C.i '
OHN A.LAMBIE.COUNTY ENGINEER., CLYDE N.DIRLAM.PRINCIPAL STRU URAL ENGINEER
PLAN CHECK VALIDATION cic. m.o. CASH• PERBEIT VALIDATION cli. N.C. CASH
.3 3 6 895- OCT 16 1 6 20.501 -0
�+ 3 8 9 2'U_% OCT 3Q 1 Z .QQ
WORKERS'COMPENSATION DECLARATION -
hereby affirm that I have certificate of consent to self APPLICATION F ORBUILDING PERMIT
insure, or a ce7tificate o¢•Workers'Compensation Insurance,
or a certified copy thereof(Sec. 3800, Lab. C.)
COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING
• ADDRESS lj� d' �• C.��
Certified copy is filed with the county building inspec- BUILDING .J
tion department. ADDRESS 7 � LOCALITY L`'
NEAREST
Date Applicant CITY / p ZIP l7 d CROSS ST.
CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. ASSESSOR
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK w PAGE PARCEL.
(This section need not be completed if the permit is for one USE ZONE MAP •-_Q,4'0
'0d
hundred dollars($100)or less.) TRACT BLOCK LOT NO. y� NO.
TEL. '7 �('r/ SPECIAL >
I certify that in the performance of the work for which this OWNER y�" �s �Z? NO. S/3'�� '` CONDITIONS IL
permit is issued, I shall not employ any person in any manner DISTRICT GROUP TYPE FIRE PRO ED BY O
so as to become subject to the Workers'Compensation Laws.
ADDRESS �7�' AS' Q,Hc>>✓E CONSTZONE
IV I CITY h-C �-s /_ 0
Dat -Applican A Liv Zip STATISTICAL CLASSIFICATION An. CONDO. U
NOTICE TO APPLICANT: If, after makin this Certif' to of ARCHITECT OR TEL.
g ENGINEER NO. CLASS NO. / DWELL. UNITS—
Exemption,
you should become subject to the Workers' ea.
Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP 44
with comply with such provisions or this permit shall be TEL.'7 G�J
deemed revoked. CONTRACTOR �Q NO. (J— BK. .l PG p / VALIDATION
LICENSED CONTRACTORS DECLARATION LIC.
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 9�3 " C7- NO.3i7VALUATION
(commencing with Section 7000)of Division 3 of the Business and / LIC. r
Professions Code,and my license is in full force and effect. �EFT�/ OSTORIES / n0!&!OIES CLASS� � CHECK $ /� � O ►
License Number 7 / Lic.Class (v ONE
t,
Contractor � C&)/C71,J_7' Date Z DESCRIPTION OF WOR 2V6SQZ>141W ❑
ADD
� .
I am exempt under Sec. 1 Y:/Y6 i�Osn �� — gLTER FINAL
cS ❑ DATE
B.BP.C. for this reason REPAIR .10 C_
Date: USE OF DEMOL FINAL
EXISTING BLDG. ❑ By �-
Signature APPLICANT TEL.
PRINT NO. 7/
DZ/ y0—
OWNER-BUILDER DECLARATION Gam}
I hereby affirm that I am exempt from the Contractor's License ADDRESS OD �7� �/. �f ® 0 (1
Law for the following reason (Section 7031.5, Business and `�
Professions Code): PRE ENT �
BUILDING ./7 hl
I, as owner of the property, or my employees with ADDRESS
wages as their sole compensation,will do the work and ,
LocAUTY '— P C i
the structure is not intended or offered for sale(Section (; 1 0,2" P
7044, Business and Professions Code). MOVING TEL.
❑ ONTRACTOR NO. o u o
I,as owner of the property,am exclusively contracting
with licensed contractors to construct the project (Sec-
tion 7044, Business and Professions Code). I ADDRESS I o Ll 2,v
REQUIRED TOTAL SETBACK FROM EXIST.
CONSTRUCTION LENDING AGENCY i SET BACK YARD HWY PROP. LINE WIDTH ri T
I hereby affirm that there is a construction lending agency for FRONT o o (L�'C
the performance of the work for which this permit is issued P.L. y,
JSec. 3097, Civ. C.). SIDE L ? C
i P.L.
i Lender's Name
a3w S a
P.C. Fee$ Permit Fee
- Lender's Address
c I certify that I have read this application and state that the Issuance Fee t
above information is correct. I agree to comply with all County Investigation Fee
ordinances and State laws relating to building construction, L�Z� 0 Q
I and hereby authorize representatives of this County to enter Total Fee / l
upon the above-mentioned property for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
��
Signature of Applicant ent' Date ' ®s
f ' i
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 1112220059
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST BUILDING ADDRESS: 1
ON FILE I SQ. FT STORIES TYPE 6347 SALTER AV I
ISTRUCTURE: 2631 V-B TEMP CA 917801429 I
1 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I 5383-020-022 i I THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY, Cl
TENANT: (EXIST BLDG USE: REBID USE ZONE: R-1 IISSUEb ON: PROCESSED BY:
(EXIST OCC GRP: 112/22/11 SR
(OWNER: TEL. NO: 1BLDGS. NOW ON IAT: VALUATION: IFINAL DATE FINAL BY: CODE: I
ISOLIMAN, MALAK (626) 222-3793- 1 6,000 1 I
16347 SALTER AV I I I
ITEMP 917801429 1 FEES PAID IDESCRIPTION OF WORK 1
I. (REPLACE COMP SHINGLE ROOF, 25 YR TO PRE-EXISTING CONDITION I
lAA
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:I (DAMAGED DUE TO WIND) + DAMAGED FACIA BOARD 12-24 IF 1
[APPLICANT: TEL. NO:IMULLEN, JULIAN (714) 366-2941- BLDG PERMIT ISSUANCE 27.80 I I
132158 CAMINO CAPISTR JAB STATE GREEN BLDG FEE 6000.00 VAL 1.00 ISPEC7AL CONDITIONS: 1
(SAN JUAN CAPISTRANO IAC STRONG MOTION REBID 6000.00 VAL 0.60 I I
ID2 PERMIT W/O EN-HC 6000.00 VAL 149.70 [
I 1 TOTAL FEES 179.10 I I
(CONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE I
(IKON BUILDERS INC. (714) 365-5918- I I I
132158 CAMINO CAPISTRANO A 336 LIC. NO 1 1LOCAi1ION AND SETBACKS I I I
ISAN JUAN CAPISTRANO, CA 92675 966760-B I I I I I
I (SOI ENGINEER APPROVAL I I I
(ARCHITECT OR ENGINEER: TEL. NO: 1FOUNDATION/TRENCH FORMS I I I
1-1
LIC. NO: I (SLAB IUNDER FLOOR I I I
I I I
1 RAISED FLOOR FRAMING I I
1
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 (UNDERFLOOR INSULATION I I I
1153H269 3OOI I 1-1 I
IFLOD SHEATHING I I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I I
I 0 NO 21 I IROOF,SHEATHING I I I
SCHOOL WITHIN HAZARDOUS I ISHEAij PANELS
AZR QUALITY: 100
NN0O
0 FEET MATERIALS i E D IFRAME INSPECTION I I I 3
1
1
IFIREISPRINKLER HANGERS I I I
(INSULATION/WEATHER STRIPI I I
I.
(INTERIOR LATH/DRYWALL 1 1 1
I EXTEF IOR LATH I I I
I I I I I I
I (RATED FLOOR/CEIL ASSEM. I I I
I I IRATED WALL ASSEMBLIES I I I
I I IRATED SHAFTS/OPENINGS I I
IT-BAR, CEILINGS I 1 I
I I I I I I
I (LOT DRAINAGE I I I
I I I I I I
IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I