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HomeMy Public PortalAbout5203 SANTA ANITA AVE_Building__ 7GA6.9.9A D58.8 12.54 - A APPLICATION FOR'. BVIL®ING PERMIT ]. DIVISION OF BUILDING AND SAFETY BUILDING Deportment of County Engineer ADDRESS a[�,t:[S./i �•:i County of Los Angeles LOCALITY s I WM.J. FOX, COUNTY ENGINEER .' �.i• . CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN DISTRICT O. GROUP TYPE SEWER MAP rr BUILDING 1- �J 1 --/ CONST. h ADDRESS�%�D (/®�l/�E O/Pr MAP �f STATE yg. spy J� NUMBER. 5^ �J HWY �J LOT NO. / BLOCK USE NE SPECIAL •� f/��/� CONDITIONS TRACT NO.OF BLDGS. SIZE OF LOT I NOW ON LOT07 BUILDING YARD HWY' STREET'NAME EXIST. USE OF SETBACK WIDTH " EXISTING BLDG.fLS' D G Y T FPROL I/ NTOr � OWNER ,I ES/YXP SIDE' MAIL P. L. ADDRESS � O O � - . �f� �/� r8 TEL. q� 1 DWELL. 1 UNIT 5 INDUSTRIAL CITY / &R / ' Y NO.�U��/� 2 DUPLEX_UNIT 6 PUBLIC BLDG. ARCHITECT OR TEL. ENGINEER NO. 3 APT. UNITS 7" ADDN:,ALT.,ETC. ADDRESS 4 COMMERCIAL 8 M'ISCEL. CONTRACTOR NO. INSPECTION RECORD ADDRESS DESCRIPTION.OF WORK NEW ADD ill/ALTER REPAIR DEMOLISH SO.FT. 7. NO.OF NA OF � SIZE /� STORIES / FAMILIES r USE OF STRUCTURE 94=i2 X SIGNATURE OF APPLICANT APPROVALS ADDRES DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION /L�l, f !/� $ rr P.C. 9 �•j �i/r1 FORMS, MATERIALS / , L 1 FEE 7 �^ FRAME: FIRE STOPS. VALUATION I/CJ /% J 8 00 BRACING.BOLTS FEE �•! FURNACE: LOCATION, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT. DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CO TY ORDINANCES LATH. INT. Nd•� AND STATE. LAWreE LATIN BtKLDIwG CONSTRU TION. LATH, EXT. SIGNATURE OF, //-- HOUSE NUMBER COR- PERMITTEE VJ RECT AND POSTED f i ADDRESS , FINAL J/�IF Y��� CLu/IttrLJ�VWtMf wM. J. F6x couNTY ENGfNEER VALIDATION BY AP-4-5 .9 71S 1 6 9.Q:Q'tpq,�Y4 2 'i In JUL- _ 7 1 - - 18-00 D EPIJ.TY DEPUTY BY BY r ® DEPUTY �G � �! "' DEPUTY •= BUILDING 1 ADDRESSAz BUILDING .-. f APPLICATION LOCALITY NEAREST DIVISION OF BUILDING AND SAFETY CROSS ST. Department of County Engineer DISTRICT RECEIPT NO. PE IT NO. County of Los Angeles 15— ;P e g e= WM- J. FOX, COUNTY ENGINEER 137 DATE RECEIVED DATE ISSUED CASSATT D. GRIFFIN, SUPT OF BUILDING `J7 FOR APPLI1CANT TTOI J O FI,L�L IN J TYP,�F eNaT. RECEIVED BY Is� _ OWNER /1 GAJ •A• 1. F'y�►! " ;jr- � MAP 7 T ST E� �� O � MAIL 1 p NUMBER �^-�J HWY ADDRESS USE ZONE SPECIAL cITY M .P a A. NOL. - � 1.+ CONDITIONS ARCHITECT OR f - TEL. '�A/1/1 ENGINEER f NO. 0 0 04 BUILDING YARD HWY STREET NAME EXIST. _ ADDRESS SETBACK WIDTH FRONT _ajO� CONTRACTOR QjL_1 NO.' SIDE V Lr± ADDRESS P.L. BUILDING rr I DATE CORRECTIONS INSPECTOR ADORE 8 LOT NO. j BLOCK TRACT NO.OF SIZE OF LOT 43 x 446 I NOW ON LOTS. I USE OF • � F.,XIRTING BLDG. / -C_+�st,l+C/ DE§CRIpTION OF WORK / o NEW ADD t/ ALTER REPAIR DEMOLISH Z Sq.FT. �/' +yy NO.OF NO.OF > SIZE Ljt)n STORIES FAMILIES r US�RUCTURE Il NO.OF EMPLOYEES 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN I8 APPROVALS INSPECTOR'S SIGNATURE DATE CORRECT. ' AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION .AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FORMS,MATERIALS '` FRAME: FIRE STOPS, . q SIGNATURE OF Ad , uj Ax�f./,/ p// BRACING,BOLTS PERMITTED `0 YYYY rrr ..� rr,.1 6�.i P FURNACE: LOCATION, ADDRESQ �(1 � i� GAS VENT,DUCTS • 11 ,! ttt / Ikt� , LATH. INT. + AUTHORIZED AOT. LATH, EXT. P.C.S HOUSE NUMBER COR- d 0 FEE' RECT AND POSTED VALUATION / o $ � rj e) c ......•_..., . e :r r Ips+ i FEE /1+ ��' FINAL 76AVBA DES 3 db 5-54 WORKERS'COMPENSATION DECLARATION '—I-'h�. 1:,,v safifirm°that l hats a seri ficate of consent to self APPLICATION FBUILDING 'PERMIT A` sUre, or a certificate of Workers'Compensation Insurance, f tor,o'certified copy thereof (Sec. 3800,tab:C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING �'Q ADDRESS CertifiM copy is"filed with the county building inspec- BUILDING j—, -7 tion department. ADDRESS 1•_.3 �c�t/1 !.L ��� cL- Date Applicant CITY Tern C1 Zip C , 1 90 I.00%ALITY P CERTIFICATE OF EXEMPTION FROM WORKERS' t J NO.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT (p �C NOW ON LOT CROSS ST. QLQiy (This section need not be completed if the permit is for one ASSESSOR L hundred dollars($100)or less.) TRACT BLOCK OT NO. MAP BOOK PAGE PARCEL TEL USE MAP I certify that in the performance of the work for which this OWNER �' ti1 . NO• - ZZ ONENO. permit is issued, I shall not employ any person in any manner ADDRESS 52,0", S- Z� Yl1 ( SPECIAL so as to become subject to the Workers'Compensati n Laws. CONDITIONS O 1 1 3� - CITY C zip 91-790 U� Date Applicant ARCHITECT oft TEL. NOTICE TO APPLICANT: If, after m king this Certt •tate of ENGINEER NO. DISTRICT GROUP TYPE FIRE PROCESSED BY O Exemption, you should become subject to the Workers' D CONST_./ ZONE V Compensation provisions of the Labor Code, you must forth- ADDRESS �.d 1�� 1� W with comply with such provisions or this permit shall be TEL, STATISTICAL CLASSIFICATION APT. CO DO. Cn deemed revoked. CONTRACTOR NO. Z- LICENSED CONTRACTORS DECLARATION LIC, CLASS NO. DWELL UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my licgnse is in full force and effect. CITY r7A S CLASS BK PG VALIDATION SQ.FTO.OF NO.OF CHECK License Number Lic.Class SIZE STORIES �, �y FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF WORK ADD D O $ 00 I am exempt under Sec. t •n new ata e— ALTER PoolV B.BP.C. for this reasonREPAIR #.$ 8 4 b 0 A Date: USE OF RQ a 0 0 0 0 EMOL EXISTING BLDG. O' Signature APPLICANTt/ l_ le-en - Z FINAL 1 -.1 2 4,8 8 OWNER-BUILDER DECLARATION PRINT Y�(� vl NO. DATE J I herebyaffirm that I am exem t from the Contractor's License / Law fothe following reason(Section 7031.5, Business and ADDRESS S�� !� o— FINAL o 0 2 4`�8`' -Professions Code): BUILDING E BY :( 1.30-87 I, as owner of the property, or my employees with ESSSS 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. with licensed contractors to construct the project (Sec- I ADDRESS tion 7044, Business and Professions Code). ROM CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTAPROP. R PSL SETBACK 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 / c P.C.Fee$ Permit Fee 16 LDMA Ref. N Lender's Address e I 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 �`�nx ordinances and State laws Eperty ting to building construction, Total Fee t� u LAMA perm.N and hereby authorize repreotives of this County to enter $ upo the above-mentioned for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date COUNTY OF LOS ANGELES TEMPLE CITY # 050$ BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUPLDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 ��� y. SL 0508 9909300009 PHONE: (626) 285-0488 EXT: GAL I • NO. OF CONST NEW BUILDING DDR SS: TR: 13363 LT: 7 SQ. FT STORIES TYPE OCCUP GROUP 5203 SANTA ANITA AV STRUCTURE: 292 1 VN R3 TEMP CA 917803622 ASSESSOR INFORMATION MB : GARAGE: NEAREST CROSS STREET: FREER 8574-009-007 OTHER: THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY, C TENANT: EXIST BL G 5 USE ZONE: TO ED 0 PROCESSED—BY: EXPIRS ON: EXIST OCC GRP: 09/30/99 VG 03/28/00 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FI L DATE AL BY: CODE: . HUYNH CUONG;TRAN HUONG (626) 575-0361- 21,000 f4 2& 5203 SANTA ANITA AV TEMP 917803622 FEES PATU oF;CRPTION OF-WORK) ADD BEDROOM AND WALK-IN CLOSET FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESP. 21000.00 VAL 2.10 SPECIAL CONDITIONS: AX BUILDINGjREV'TEW-FE� 54.70 B2 PERMI W%ENERG TELES ,TOO.EEO VAL 5441.54 26.09 CONTRACTOR: TEL. _N0: APPROVALS-�1� �/�/A� APPROVALS DATE INSPECTOR SIGN TURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS 'ARCHITECT 0 ENDURE TE NO: - / FOUNDATIONPRENCH FORMS LIC. NO/. 1111111 SLAB/UNDER FLOOR RAISED LOOK R I G MAP NO: SEWER MAP BOOK: -PAGE: FIRE ZONE: cUNDERFLOOR INSULATIO 3 b�1 U � UC WOO LrR K 3 1ST LEVELFLO-ORWIS-HUffff— NO. OF FAMIL ES: E I G UN qS: T CO D: STAT CLASS.- NO 21V 0 � � ND LEVEL FLOOR S EATH SCHOOLI A R U - Y ;i t., OO S G El [AIL AIR QUALITY: 1000 FEET MATERIALS 0 Elr a�1 NO NO NO A ©����� FIRE DEPT. FRAME INSPECT REQUIRED 0 A S CK FROM EXIST 48� �t� LDG D P . F P CT FRONSET T PL- YARD: HWY: PROP LINE: WIDTH: i� Service-That SHEAR PANELS / SIDE PL- I S ON/ ER STR -22-1/r-p INTERIOR LATH/DRYWALL LG EXTERIOR AT LOT INAGE S 0 E DE ECT 0 DE CE FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508 •, cq. COUg7y nF LOS ANGELES TEMPLE CITY 0 0508 r::;-i-jjG PERMIT DEPARTMC.;. nF ^UBLIC WORKS 9701 LAS TUXAa F- 11=T T A,L ADD/ALT/REP BUILDING AND -IFTY / LAND DEVELOPMENT TEMPLE CITY ZA 917£0 BL 0508 0408200009 PHONE: (625; as:)-0488 EXT: LEGAL D• NO. 0�- CONST ----NE-9-- LD G--ADDRESS: TR: 13363 LT: 7 SQ. FT STORIES TYPE OCCUP GROUPI 5203 SANTA ANITA AV STRUCTURE: 497 VN R3 TEMP CA 91780362?- ASSESSOR INFORMATION NUMB R: GARAGE: ` NEAREST CROSS STREET: 4BEFR X74-039-007 OTHER: I THOMAS PAGE: �T7 CRiD'- D4 LOCALITY. ��;;w2" CITY, C EXIST B G USE: USE ZO . --- ISSUED ON: PROCESSED BY: EXPIRES Cw.- EXIST OCC GRP: 10/22/04 JK 10/17/05 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: -' FINAL D TE FINAL BY• CODs: HUYNH CUONG;TRAN HUONG (213) 367-4671- 41,050 5203 SANTA ANITA AV TEMP 917803622 FEES PAID --.l f2ADD IP OF WORt AMI Y ROOM, BEDROOM, a, BATH 497 SF.FEE DESCRIPTION: QUANTITY: UOM: III ,APPLICANT: TEL. NO. SAME AS OWNER - 61 PLANCHECK W/ENERGY 41050.00 VAL 'A".22 AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS — : AC STRONG MOTION RESID 41050.00 VAL "..-I B2 PERMIT W/ENERGY 41050.00 VAL TOTAL FEES 1,41-2:H...L. (CONTRACTOR: TEL. N0: I 1APP OVALS DATE INSPECTOR Sl bXA,DRE iSAME AS OWNER �- II LIC. NO I LMAI I0. A SET6ALI o ---- �snTLS ENGINEER APPt:OVA OU,�iATION •RENCH FORMS LIC. NO: SLAB/UDDER FLOOR RAISED FLOOR FR. -:INN - - - - -i MAP NO: SEWER MAP'f-RV• ZONE: C IP:j uNUL"U LCUR 3 VJ ST LEVEL FLQOR SHEA�i-I�, - No 4� �I ES: D `,;�T,i::i:,. APT C . S�$S: 1- 1+C ND LEVEL FLOOR SHEATH i-- I - 1A SCHOOL WITHIN HAZARDOUS ! IRJD SHEATHING ! --- n1R QUALITY: 1000 FLL1 MATERIALS NO NO NO iFiKE DEPT. FRAME IiNarEZT �REOUIR D TOTAL 9ETRACK FROM EXIST BLDG DE R E I4'�PFCT�- ISET BACK YARD: HWY: PROP LINE: WIDTH: �A/J �J- !FRONT PL- SHEAR PANELS r 7— SIDE PL- INSULATION/WEATHER L- NS TION/ .A H R TRIP S� INTERIOR LATH/DRYW:.A.L L n r� EXTERIOR LA H S LOT DRAINAGE — -� SMOKE DETECT O DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508 , 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 1109270015 PHONE: (626) 285-0488 EXT: LEGAL ID: N0. OF CONST BIIILDING ADDRESS: [TR: 13363 LT: 7 SQ. FT STORIES TYPE 5203 SANTA ANITA AV ISTRUCTURE: V-B TEMP CA 917803622 1 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: FREER 18574-009-007 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY, Cl TENANT: [EXIST BLDG USE: RESID USE ZONE: R-2 JISSUED ON: PROCESSED BY: 1EXIST OCC GRP: 109/27/11 SR 1 OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL TE FI AL BY: CODE: [HUYNH CUONG;TRAN HUONG (213) 367-4671- 1 2,200 15203 SANTA ANITA AV TEMP 917803622 FEES PAID -1 DS IP IO OIF WORK IS WINDOW REPLACEMENT SAME SIZE OPENING (EXISTING) IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( APPLICANT: TEL. NO: I SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 1 IAB STATE GREEN BLDG FEE 2200.00 VAL 1.00 ]SPECIAL CONDITIONS: 1AC STRONG MOTION RESID 2200.00 VAL 0.50 1 D2 PERMIT W/0 EN HC 2200.00 VAL 99.10 TOTAL FEES 128.40 CONTRACTOR: TEL. NO: I [APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - I I I 1 LIC. NO 1 1LOCATION AND SETBACKS I I [ ISOILS ENGINEER APPROVAL I I I 1ARCHITECT OR ENGINEER: TEL. NO: - 1 1FOUNDATION/TRENCH FORMS I I I 1 LIC. NO: [ (SLAB/UNDER FLOOR I I I IRA SED FLOOR FRAMING 1 1 1 IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I I I 1147H277 3 001 I I I I I I IFLOOR SHEATHING I I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I I 0 NO 21 I IROOF SHEATHING I I I SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I (AIR QUALITY: 1000 FEET MATERIALS I I- I I I NO NO NO I IFRAME INSPECTION I I I I 1 1FIRE SPRINKLER HANGERS 1 I I (INSULATION/WEATHER STRIP( I I IINTERIOR LATH/DRYWALL I I 1 I I (EXTERIOR LATH I I I I I I [RATED FLOOR/CEIL ASSEM. I I I [ [ IRATED WALL ASSEMBLIES I I 1 [ [ IRATED SHAFTS/OPENINGS I I I I I I [ I 1T-BAR CEILINGS 1 I [ [ [ [LOT DRAINAGE I I [ IREPORT ID: DPR261 ROUTE TO: BS0508 [ I [ I I_ I� S • I�� I COUNTY OF IAS 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 1212100008 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: I ITR: 13363 LT: 7 I SQ. FT STORIES TYPE I 5203 SANTA ANITA AV 1 I ISTRUCTURE: V-B I TEMP CA 917803622 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: FREER I 18574-009-007 I I THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY, Cl I I I I ITENANT: (EXIST BLDG USE: RESID USE ZONE: R-2 ISSUED ON: PROCESSED BY: (EXIST OCC GRP: 12/10/12 SR OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: F NAL DATE FINILL BY: CODE: I 1HUYNH CUONG;TRAN HUONG (626) 575-0361- I 2,700 I 15203 SANTA ANITA AV I I ITEMP 917803622 I FEES PAID I DlggCltlPTfON OF WORK I ISTUCCO OVER EXISTING SIDING, 1/2 SOUTH SIDE OF THE HOUSE I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( I (APPLICANT: TEL. NO: II I ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 I IAB STATE GREEN BLDG FEE 2700.00 VAL 1.00 ISPECIAL CONDITIONS: I IAC STRONG MOTION RESID 2700.00 VAL 0.50 ID2 PERMIT W/0 EN-HC 2700.00 VAL 99.00 I 1 TOTAL FEES 128.30 ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE ISAME AS OWNER - I LIC. NO I ILOCATION AND SETBACKS 1 I I I ISOILS ENGINEER APPROVAL [ (ARCHITECT OR ENGINEER: TEL. NO: 1 [FOUNDATION/TRENCH FORMS I I I LIC. NO: I (SLAB/UNDER FLOOR I I I I I I I I I [ I IRAISED FLOOR FRAMING I I [ I I I I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:I [UNDERFLOOR INSULATION I I [ 1147H277 3 001 1 1-1 1 I IFLOOR SHEATHING I I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I 0 NO 21 1 IROOF SHEATHING I I SCHOOL WITHIN HAZARDOUS I 1SHEAR PANELS I I I AIR QUALITY: 1000 FEET MATERIALS I I I I NO NO NO I FRAME INSPECTION I I I 1 (FIRE SPRINKLER HANGERS I I I I I I I I I IINSULATION/WEATHER STRIP[ I I I I I I I I [ I IINTERIOR LATH/DRYWALL I [ I I I I I I I I 1EXTERIOR LATHI 4W I I [ I IRATED FLOOR/CEIL ASSEM. I I I IRATED WALL ASSEMBLIES I I I (RATED SHAFTS/OPENINGS [ [ IT-BAR CEILINGS [ I I [ ILOT DRAINAGE [ [ [ I I I IREPORT ID: DPR261 ROUTE TO: BS0508 [ I I I I I I I I