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Home My Public Portal About5019 SANTA ANITA AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY. 1 PPLICATION FOR PERMIT COUNTY OF+�::��w�.]'• GELES �; �uCjl) °� 'a . WM. J. FOX, CHIEF ENGINEERr. U ' L ® ' N G FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING aJ 5 331^ DISTRICT NO. PLAN CK.NO. PERMIT NO. ADDRESS /EI-� �-�~ LOCALITY lopL L� RECEIVED BY DATE OFAPPL. DATE ISSUED NEAREST //a//a 2 CR099 ST. �Qfv1l 1P BUILDINGi OWNER .e. ADDRESS MAIL �-� LOCALITY ADDRESS 4f (�/Q�L $'� y NEAREST TEL CROSS BT. ;'q CITY . ��/>�n�� NO. FIRE ARCHITECT OR TEL ZONE I /PLANE I NO.13F TYPE G1ROUP ENGINEER NO. BLDG. / ORD. NO. ADDRESS SETBACK LINE ``( TE APPROVED r CONTRACTOR 7 NO. ^336 BY DATE r USE / APPROVED ADDRESS Jr� lY lD 14 ZONE, -,! BY DATE DESCRIPTION LOT NO. BLOCK 7i� 1"7 LEGAL CORRECTIONS TRACT 3363 //__ NO. OF BLDGS. �— �j-2/ �/ SIZE OF LOT co NOW ON LOT USE OF I NO.OF ^L NO.OF r / EXISTING BIDG. �- FAMILIES r ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION 1�� lJ �� •�� O REPAIR MOVING DEMOLISH q' A SIZE ROOMS STORIES /�ev M WALL ROOF COVERING S 0.do COVERING USE CF NEW BUILDING P L �Y C 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION I PECK R DA-i* AND STATE LAWS REGULATING BUILDING CON�/TRUCTION. FORMS, MATERIALS 2 J �) �YFRAME: FIRE SIGNATURE OF (\r/ rr��f BRACING BOLTS PERMITTEE L/ `• /1S LATH. INT. AUTHORIZED AST. + / LATH, EXT. /f 7GA63MA--3 10-SO $ _ P.C.111 j 0 PLASTER, INT. FEE /� 6 PLASTER, EXT. �y 1/ VALUATION FEE ` FINAL `� �/ IPA638A 058.8&Z•84 _ APPLICATION FOR BUILDINGPERMIT 1 DIVISION OF BUILDING AND SAFETY 19UILDINGQ� �� ,� Deportment. of County Engineer ADDRESS County of Los Angeles LOCALITY T.Z-7.M,JAL L C-/TY WM.J. FOX, COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN DISTRICT NO. GROUP SEWER MAP �,�.. �„_, TYPE BK PGr' '7 CONST- BUILDING ADDRESS 5019 N. Double Drive MAPy+� STAT YES � O vy NUMBER O'� HWY LOT NO. / BLOCK USE ZONE SPECIAL ,a !� CONDITIONS J TRACT / .3 ic—S NO.OF BLDG'S. _SIZE OF LOT 62 X 14� I NOW ON LOT 1 BUILDING YARD HWY' STREET NAME EXIST. USE OF SETBACK WIDTH EXISTING BLDG. . Dylelling FRONT pn P.L. _ 09V V t7`4 r /,?/►l/vr /Do OWNER Donald 0. Hulse SIDE MAIL P. L. ADDRESS 5019 No Double Drive I DWELL. I UNIT 5 INDUSTRIAL CITY, Tem le M – FO 0-1 p• DUPLEX UNIT— 6 PUBLIC.BLDG. ARCHITECT OR 'TEL. ENGINEER NO. g APT. UNITS 7 ADDN.,ALhT.',t ETC. ADDRESS 4 COMMERCIAL 8 MISCEL. AA7f0 CONTRACTOR Marshall Builders bL. j-8480 INSPECTION RECORD ADDRESS95L N L* Qj2&jgA Bjvd. LA k r® - P '� ��,,,�jw DESCRIPTION OF WORK �� 'd NEW X ADD ALTER REPAIR DEMOLISH SO.FT. NO.OF NO. OF SIZE 7� STORIES ]-. FAMILIES 1 USE OF STRUCTURE Pam n FNlc4 /7,0 SIGNATURE T F Marshall Builders � G APPROVALS ',6 ADDRESS 951 N. La Cienega.Blvd. LA ` E INSPEdTOR'S SIGNATURE FOUNDATION: LOCATION. $ fT d bi/ P•C. S FORMS, MATERIALS FEE FRAME: FIRE STOPS, VALUATION BRACING.BOLTS' FEE FURNACE: LOCATION, GAS VENT. DUCTS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT LATH, INT. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTR C- TION. fyyQS/ (� QQ/L,p2=,eEsJ �l� LATH. EXT. SIGNATURE OF HOUSE NUMBER COR= PERMITTEE _•RECT AND POSTED ADDRESS C Vd 46 FINAL 2-7-0-. VO& J. FOX. Couwry FwazimE8 VALIDATION . BYt �Co 4 1 1 IM mAY 2' 1 2.0 0 m DEPUTY DEPUTY BY BY / ® DEPUTY DEPUTY . GSAfi88A DBS-9 12.84 APPLICATI0101 TOR BUILDING PERMIT - -DIVISION ERMIIT --DIVISION OF BUILDING AND SAFETY BUILDING Deportment Of County Engineer ADDRESS County of 1.08 Angeles LOCALITY WM.J. FOX, COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. I'" � FOR APPLICANT TO FILL IN DISTRICT I. GROUP SEWER MAP�. TYPE B_K PG BUILDING CONST. F rem {T v ADDRESS 5019 No Double Drive MAP STATE YES 1/i NO �. NUMBER �� LOT NO. 7 BLOCK USE ZONE SPECIAL CONDITIONS TRACT ' NO. OF BLDGS. SIZE OF LOT 67 X lA&: I NOW,ON LOT ] BUILDING YARD HWY STREET NAME EXIST. USE OF SETBACK WIDTH EXISTING BLDG. DVlelllnE FP. L. A)vola. .z7lq - ./od, OWNER Donald C. Hulse SIDE MAIL �119[] NP. L. ADDRESC0 S o Double Drive TEL 1 DWELL. I UNIT 5 INDUSTRIAL CITY, Tamnle Q= NO.FO 0-1577 2 DUPLEX_UNIT 6 PUBLIC BLDG. ARCHITECT OR TEL. ENGINEER NO. 3 APT. UNITS 7 ADDN:,ALT..ETC. ADDRESS 4 COMMERCIAL 8 M18CI-L.emAih-,� CONTRACTOR MF;r.ahall Buil dersao' OL 518480 INSPECTION RECORD ADDRESS 951 N. La Cienega Blvd. LA 116 DESCRIPTION OF WORK NEW X ADD ,ALTER REPAIR DEMOLISH SO.FT. 4�0 . STORIES NO.OF NO OF SIZE '1v FAMULIES USE OF STRUCTURE D ezt g AYI nd Gn rq gA f SAPPLICREOF Msrahall Builders L APPROVALS ADDRESS 951 N. LaCienega Blvd. LA 46 DATE INSPECTOR'S SIGNATURE $ FOUNDATION:LOCATION FEE FORMS, MATERIALS FRAME: FIRE STOPS. ,I VALUATION S/�" BRACING.BOLTS FEE [D FGAS VENT,OCDUACTISN, ' 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY.WITH ALL COUNTY ORDINANCES 'LATH, INT. //�� ' AND STATE LAWS REGULATING. BUILDING CONS UC- l I .t,N��.0 a TION, f$�.d49S/l�LL Qdt�l72�iPS �y LATH. EXT. lr a SIGNATURE OF HOUSE NUMBER COR- PERM= 91 RECT AND POSTED ADDRES N L Cienega B vd. LA-46 FINAL wM. J. FOX CounTr ENOmsmm VALIDATION BY .G4*1 1B0,`; MAY 2 5 1 6.0 .d �' DEPUTY DEPUTY BY BY ® DEPUTY DEPUTY I`JORKERS'COMPENSATION DECLARATION , raffirsy that I ham r certificate of consent to self APPLICATION. .'F O I SSU I L D I N G PERMIT nsb(e�o–tt a certificate of Workers'Compensation Insurance, -Kor a certified copy thereof(Sec. 3800, Lab. C.) 60"MOF LOS ANGELES BUILDING AND SA ETY Voliry No. • Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ('� Certified copy is filed with the county building inspec- B70Q. 04,4 u tion department. A �'1 Date Applicant CIC ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST COMPENSATION INSURANCE SINOW ON LOT CROSS ST. (This section need not be completed if the permit is for one ASSESSOR hundred dollars($100)or less.) TRBLOCK LOT NO. MAP BOOK PAGE PARCEL Sf�gitN l� TEL.�/b USE NE, MAP I certify that in the performance of the work for which this OWNER NO. // NO. permit is issued, I shall not employ any person in any manner �yr� SPECIALi. so as to become subject to the Workers: ompe sati L s. ADDRESS 0 , / CONDITIONS U; Date Applic CITY ZIP / NOTICE TO APPLICANT: If, after making'this Certificate of ARCHITECT OR TEL. DISTRICTROUP TYPE FIRE PROCESSED BY O ENGINEER NO. P� r I CO ST ZONE U Exemption, you should become subject to the Workers' J (1 �s Compensation provisions of the Labor Code, you must forth- ADDRESS -5 GW.° with comply with such provisions or this permit shall be L. STATISTICAL CLASSIFICATION APT. NDO. to deemed revoked. CONTRACTORNC LICENSED CONTRACTORS DECLARATION LIC, CLASS NO. 2--t —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.FT. NO.OF NO.OF CHECK License Number Lic.Class SIZE 9 STORIES FAMILIES ONE VALUATION Contractor DESCRIPTION OF WORK NEW $ d❑ �tJ1' 0G❑ Date I am exempt under Sec. 0 0M _ t ADD en 16 ❑ t ALTER oil, B.BP.C. for this reason REPAIR ❑ $ USE OF Date: EXISTING BLDG. DEMOL ❑ 0 3 1.0 A Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION PRINT NO. DATE # o a a o o 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS FINAL – 1 026550 Pe sions Code): PRE ENT By x BUILDING 5014? S `.•y °•O 2 6 5 5 0 I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and Q J '• ` the structure is not intended or offered for sale(Section LOCALITY G r 7 2 9"'8 7044, Business and Professions Code). MOVING TEL. ti ❑ 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). RRMIRR CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTAPROP.L LICK NE 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 P.L. Lender's Name ' J� LDMA Ref. 1► ° P.C. Fee$ Permit Fee 5�5c V o Lender's Address e ' 1 certify that I have read this application and state that the Issuance Fee LDMA P/C N above information is correct. I agree to comply with all County Investigation Fee Cay � 1 ordinances and State laws relating to building construction, Total Fee ✓ � J LDMA Perm. N and-hereby authorize representatives of this County to enter $ on the above- enfioned perty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of App icant or Agent Date 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 1008110029 PHONE: (626) 285-0488 EXT: ILEGAL ID: I N0. OF CONST NEW BUILDING ADDRESS: I ITR: 13363 IT: 17 I SQ. FT STORIES TYPE OCCUP GROUPI 5019 SANTA ANITA AV I ISTRUCTURE: 263 1 V-B R-3 I TEMP CA 917803618 (ASSESSOR INFORMATION NUMBER: I GARAGE: I NEAREST CROSS STREET: 18574-009-018 1 OTHER: 1 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY, Cl ITENANT: IBXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: I EX ST OCC GRP: 112/22/10 SR 1 I I (OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: I FIVAL DATE FIjUijj BY: CODE: I IYU, ELVIS (626) 945-7818- 1 39,000 1 ' I 15019 SANTA ANITA AV I I I ITEMP 917803618 I FEES PAID I DE-d4CRfPTICJN OF WORK I I 11-STORY ADDITION BEDROOM, BATHROOM AND CLOSET I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 IAPPLICANT: TEL. NO: I I [ALVAREZ, JOSEPH (323) 273-8896- IBI PLANCHECK W/ENERGY 39000.00 VAL 610.80 1 I IAA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS: I JAB STATE GREEN BLDG FEE 39000.00 VAL 2.00 1 IAC STRONG MOTION RESID 39000.00 VAL 3.90 1 I I JB2 PERMIT W/ENERGY 39000.00 VAL 718.50 1 I ICONTRACTOR: TEL. NO: ID7 ADDNL PLANCHECK FEE 1.00 HOD 109.40 JAPPROVALS DATE INSPECTOR SIGNATURE 1 ILIN, DAVID (626) 926-4876- 1 TOTAL FEES 1,472.40 1 I 15917 PNB 372 LIC. NO 1 ILOCATION AND SETBACKS TEMPLE CITY, CA 91780 NONE I I T I 1SOILS ENGINEER APPROVAL I JARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS 1 I I JALVAREZ, JOSEPH (323) 273-8896- 1 1 I 1628 N. 21ST ST. LIC. NO: I JSLAB/UNDER FLOOR ITI IMONTEBELLO, CA 90640 NONE I _ I I 1RAISSD FLOOR FRAMING 1 1 I I I I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: Lf4P:I 1UNDERFLOOR INSULATION 1 I I I 3 001 I I I I 11ST LEVEL FLOOR SHEATH INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I 1 NO 21 1 12ND LEVEL FLOOR SHEATH I I I 1 SCHOOL WITHIN HAZARDOUS 1 IROOF SHEATHING JAIR QUALITY: 1000 FEET MATERIALS I I I I I NO NO NO I 1FIRE DEPT. FRAME INSPECT( I I I I IBLDG DEPT. FRAME INSPECT( I I L I I iSHEAR PANELS I I I I T 11NSULATION/WEATHER STRIP( I 1 1 I I JINTERIOR LATH/DRYWALL I I I 1 1 1EXTERIOR LATH 1 1 I 1L.oT DRAINAGE I I I I I 1SMOKE DETECTION DEVICES 1 1 IFIRE DEPARTMENT APPROVAL( I I I I I I I I IREPORT ID: DPR261 ROUTE TO: BS0508 4