Loading...
HomeMy Public PortalAbout5215 SANTA ANITA AVE_Building__ I6A688A DBS-R4•86 ' �r APPLICATION FOR BUILDING PERMIT ,. DIVISION OF BUILDING AND SAFETY BUILDING•S�/f�!� Deportment of County Engineer ADDRESS 7 J° ,�; County of Los Angeles LOCALITY :fA/4 P! g' C. P I ll. A Lf F WM.J.FOX,COUNTY ENGINEER NEAREST �j CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST: /[ -va FOR APPLICANT TO FILL IN DISTRICT. O. GROUP TYPE //�' SEWER BK MA PG I CONST.J� - BUILDING r A /� I1 y� ,./ MAP / STATE ADDRESS ZI�N•DOALE OR. /'EmPLE Cir NUMBER YES LOT NO. BLOCK USE ZONE SPECIAL CONDITIONS TRACTNO.OF SIZE OF LOT (p JL. X I N y I NOW ON LOTS BUILDING YARD HWY STREET NAME EXIST' USE OF //�� SETBACK WIDTH EXISTING BLDG. a IN E I_L k FRONT ,p. /y P.L. fJ OWNER (/• /. GRAAGk SIDE P.L. 1 MAIL /�/� ADDRESSS2ISDOOBLE DR. O TRACT DWELL. I UNIT 5 INDUSTRIAL CITY!jFlmp(.E c-fY NO. 1 DWELL. I UNIT g PUBLIC BLDG. ARCHITECT OR TEL. 2 DUPLEX 1 UNIT ADDN.,ALT.. ETC. ENGINEER NO. 3 APT. UNITS 8, MISCEL. - ADDRESS 4 COMMERCIAL R.A. Lir TNt 0.A. Q p INSPECTION RECORD CONTRACTOR . . +�' ADDRESS)a27 IDOLS QJ.. '`r. Ce _ ' DESCRIPTION OF WORK r NEW ADD r�r� ALTER REPAIR DEMOLISH SIZ FT. �.7 J STORIES � FAMILIES � SIZE _ USE OF STRUCTURE l tv'rrr r-1 ri v �� 'A;`i Af ;� ��-Ark � SIGNATURE APPLICANT- PPLICANT F APPROVALS ADDRESS DATE INSPECTORS SIGNATURE FOUNDATION:LO ATION / boo FEE $ $ FORMS,MATERIALS 010 FRAME: FIRE'STOPS, VALUATION $ +�` BRACING.BOLTS FEE FURNACE:LOCATION, D I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT.DUCTS �"-"'�yA"�`� APPLICATION AND STATE THAT THE ABOVE IS CORRECT 1 I// IL.�/ C AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH,INT. 1 ! 4''I AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. 6 ff/ N LATH.EXT. SIGNATURE OF/ a aG�� HOUSE NUMBER COR- PERMITTEE ,��� RECT AND POSTED aK ADDRESS �f'XL!/ . )v o FINAL WM.J.FOX.COUNTY ENGINEER VALIDATION C.N.DIRLAM.CHIEF BLDG. INSPECTOR 4 9 2 4N APR 10 1 .8.o b to /pe d-® 18A888A CE111808 8-89 APPLICATION. FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING C•� DEPARTMENT; OF COUNTY ENGINEER ADDRESS _ I , BUILDING AND SAFETY DIVISION LOCALITI`/ JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A.JENSEN,SUPT OF BUILDING CROSS ST. DISTR T N GROUP TYPE P BY FOR APPLICANT TO.FILL IN ' 00 CONST. IZ BUILDING STATISTICALYl FICATION SEWER MAP ADDRESS CuASS. NO. DWELL.UNITS !97 � LOT NO. BLOCK WATER NOT REQUIRED ® RECEIVED ❑ CERTIFICATE: TRACT MAP HIGHWAY STA AJOR 'GOND,L I Ij 4—t NO.OF BLDGS. NO. (CIRCLE)-i4. SIZE OF LOT NOW ON LOT W5ETSACK SPECIAL ^ USE OF TIONS EXISTING BLDG. EL.OWNER O. EXIST. YARD HW STIR ET NAME WIDTH ADDRESS FRONT D �a ARCHITECT OR TEL. P. L. ENGINEER NO. SIRE y P! E i ADDRESS EL /�' O, � . CONTRACTOR 42 O. V. f . ADDRESS / I DESCRIP ON OF WORK /�' IT/ wL, �y O _ p, NEW _ ADD ALTER REPAIR DEMOLISH 1� N SQ.PT. NO.OF NO.OF - U� G Y''' z SIZE Q STORIES FA ILIES / USE OF STRUCTURE SIGNATURE OF APPL I CA VALUATION PLI 6 . APPROVALS DATE INSPECTOR'S SIGNATURE P.C. / PMT. �� FO FORMS IOUNDATMATERIIALSON FEE. FEE $ FRAME:.FIRE STOPS, 0 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE •WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S PENS TION INSURANCE LATH.EXT. ' SIGNATURE OF © HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS. PRINCIPAL STRUC URAL EN R PLAN CHECK VALIDON K. Ya'M.O. C SH PERMIT VALIDATION cK. M.O. CASH LI`il,O 7 9 3 4 APR 22 1 D 8.0 0 APPLICATION FOR !BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN I BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS or a certificate of Workers'Compensation Insurance,or a certified Z �' P W 1 --ti.ZIr y 5�k5 ��' copy thereof(Sec.3800,Lab.C.) t . LOCALITY �F7- 1 I Policy No. Company SIZE F LOT NO.OF BLDGS.NOW ON LOT G ❑ Certified copy is hereby furnished. -4il- NEAREST CROSS ST. 1 ❑ Certified copy is filed with the county building inspection TRACTBLOCK LOT NO. USE ZONE MAP NO. y/ n department. nnn J;Zp( Date Applicant ASSESSOR MAP BOOK PAGE PARCEL K_ SPECIAL CON RI NS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER I TEL NCJ. YES NO COMPENSATION INSURANCE 6 uSr v `L WITHIN 1000 FT.OF SCHOOL? ADDRESS (This section need not be completed if the permit is for one hundred L I .1 C DISTRICT GROUP TYPE ECCON ST.' FIRE ZONE ROCESSED dollars($hat or less.) CITY ZIP �! h� I certify that in the performance of the work for which this permit (a. •b 1 L `//► �e`er/^• is Issued, I shall not employ any person In any manner so as to ARCHITECT R ENGINE TEL NO. become subject to the Workers'Compensation Laws. •� e �, u STATISTICAL CLASSIFICATION APT 99>110 Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL.NO. SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P L LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS FIDE 73 C I hereaffirm that I am licensed under provisions of Cha c3 � P Chapter 9 SEWER MAP ACCT.1*g � (commencing with Section 7000)of Diyision 3 of the Business and so.FT.SIZE : NO.OF STORES NO.OF FAMILIES Professions Code,and my license is in full force and effect. NEW ❑ BK PG , 3307 7?°e030 License Number LIC.Clens DE RIPTION OF WORK ADD PATI' 'N a Contractor ; Date . t �� 121`1 ly� ALTER ❑ ITEMS� y lot •BUJ a - 2�(� �,o��,s TOTAL m 0 � ❑ IamexemptunderSec. �, REPAIR ❑ $ /��� DOD CHECK 728,03,, B.BP.C.for this reason DEMOL ❑ LDMAP/C# {�q r Date: USE OF EXISTING BLDG. •URM - ❑ �.HAKE ■0 Signature APPLICANT(PRINT) TEL NO. LDMA Perm# ❑ 1, as owner of the property, or my employees with a�as as �� VO tjn ���- p — � 11{.3ia11 their sole compensation,will do the work and the st ucture is ADDRESS FINAL DATE < Is L1! 7 not intended or offered for sale (Section 7044, Business and Professions Code.) WILLTHEAPPLICANT OR FUTURE BUILDING OCCUPANT HANDLEA HAZARDOUS MATERIAL -j ❑ I, as owner Of the property, am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN a P Y g THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors to construct the project.(Sectioh 7044, YES No Business and Professions Code.) L THI�" WIE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING OC PANT REQUIREA PERMIT FOR CONSTRUCTION OR MODIFICATION FROMTHESOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT.DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST (� FOR GUIDELINES. I hereby affirm that there is a construction lending agency for YESNO El the performance of the work for which this permit is issued(Sec. / I HA READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD 3097,CIV.C.). PERMITTING CHECKLIST.I U ERST D MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE,TITLEZ CH 2 SECTIONS 2.20.100 THROUGH 220.140 CONCERNING Lenders Name HAZARDOUS MATERIA RT tae��+wITFROMTHE SCAQMD. Lenders AddressORAG ENi— o I certify that I have read this application and state that the above P.C.FEE PERMIT FEE information is correct. I agree to comply with all county ordinances and State laws relating to building construction,and • hereby authorize representatives of this County to enter upon ISSUANCE FEE the above-mentioned property for Inspection purposes. INVESTIGATION FEE TOTAL FEE I.° 81yuWre W Appim„t wApant DUW SEE REVERSE FOR EXPLANATORY LANGUAGE 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 1107130033 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST [TR: 13363 LT: 5 SQ. FT STORIES TYPE 5215 SANTA ANITA AV ADDRESS: [ I ]STRUCTURE: V-B 5215 SAN ASSESSOR INFORMATION NUMBER: TMP CA NEAREST 917803622 CROSS STREET: FREER 18574-009-005 [ THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY, Cl [TENANT: [EXIST BLDG USE: RESID USE ZONE: R-1 JISSUED ON: PROCESSED BY: [EXIST OCC GRP: 07/13/11 SR OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE: IRANGEL DELICE - 3,100 [ 5215 SANTA ANITA AVE TEMP 917803562 FEES PAID IDESCRIPTION OF WORK REPLACE 14 WINDOWS EGRESS REQUIRED [ FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - JAA BLDG PERMIT ISSUANCE 27.80 JAB STATE GREEN BLDG FEE 3100.00 VAL 1.00 ISPECIAL CONDITIONS: iI JAC STRONG MOTION RESID 3100.00 VAL 0.50 ID2 PERMIT W/O EN-HC 3100.00 VAL 116.00 [ JFR INV WORK W/O PERMIT 257.00 DOL 257.00 [ CONTRACTOR: TEL. NO: TOTAL FEES 402.30 JAPPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - [ LIC. NO [ LOCATION AND SETBACKS [ 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: 1147H277 3 OOj �IINDEP.FLOOR INSULATION j D INO. OF FAMILIES: DWELLING UNITS: APT/CONDI STAT CLASS: NI� in�� •FLOOR SHEATHING 0 NO 21 1111//11 [ROOF SHEATHING llll��� SCHOOL WITHIN HAZARDOUS � � /�✓� SHEAF PANELS AIR QUALITY: 1000 FEET MATERIALS U [ NO NO NO [ FRAME INSPECTION [ I [FIRE SPRINKLER HANGERS [ i [ [ INSULATION/WEATHER STRIP [ [ [INTERIOR LATH/DRYWALL [ [ [ [ [ [EXTERIOR LATH [ [ [ RATED FLOOR/CEIL ASSEM. [ [ (RATED WALL ASSEMBLIES [ 1[ [RATED SHAFTS/OPENINGS j [T-BARICEILINGS [ LOT DRAINAGE [ '[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 0107230002 PHONE: (626) 285-0488 EXT: GA . OF CONSTG SS: TR: 13363 LT: 5 SQ. FT STORIES TYPE 5215 SANTA ANITA AV STRUCTURE: 2200 VN TEMP CA 917803622 ASSESSOR R NEAREST CROSS STREET: FREER 8574-009-005 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY • :G SSFR D USE S N: PROCESSED B ON: EXIST OCC GRP: 07/23/01 UT 01/19/02 OWNER: TEL. NO: BLDGS. ON LOT: LUA ION: FINAY DA E FIA BY: CODE: RANGEL RICHARD RICKJERRY DELICE MA (626) 443-2676- 2,200 5426 MCCULLOCH AV 0 TEMP 917803562 FEESPAID R GLES, OVER 1 LAYER COMP. SFR/GARAGE N 0 N APLY 5YR. COMP. S FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. N0: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RES_I_D__ 2200.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O-EN- -- 2200.00 VAL 99.00 TOTAL FEES 127.25 CONTRACTOR: TE N0: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO LOCATION AND SETBACKS `+ A, SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: FOUNDATION/TRENCH FOR S LIC. N0: SLAB UNDER FLOG RAISED FLOOR FRAMING � MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATIO XX 3 01 FLOOR SHEATHING NO. OF FAMILIES: WELL G TS: APT CO D: STAT CLASS: - NO 21 ROOF SH THING a3 c SCHOOL WITHIN HAZARDOUS SHUR PRES AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION Q R 0 SETBACK S SPRINKLER G RS SET BACK YARD: HWY: PROP LINE: WIDTH: = =�• FRONT PL- _ �: :' I S LATION/ EATHER STOP SIDE PL- RIOR LA-rMRYWALL EXTERIOR LATH RATEDR S - RATED WALL SSEMBLIES RATEDSHAFTS/OPENINGS T-BAR CEILINGS LOT DR)kINAGE- REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 r BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS •.9701 LAS TUNAS ALTERATION/REPAIR• BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA.91780 BL 0508 9908190008 PHONE: (626) 285-0488 EXT: LEGWSID: NO. OF CONST LDING ADDRESS: TR: 13363 LT: 5 SQ. FT STORIES TYPE " 5215 SANTA ANITA AV STRUCTURE: 0 VN TEMP CA 917803622 ASSESSOR INFORMATION R: NEAREST CROSS STREET: FREER 8574-009-005 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY TENANT: :{ S BLD S RESID USE ZONE: - S D O C S - , E S EXIST OCC GRP: 08/19/99 UT 02/15/00 . OWNER: TE 0: BOGS. NOW ON LOT: VALUATION: FINAL DATEFINAL B : CODE: RANGEL RICHARD'RICK;TERRY DELICE MA (626) 443-2676- 1 500 8-Z3-ems 5426 MCCULLOCH AV 0 i TEMP 917803562 FEES PAID SC 0OFMORK RECOVER PORTION OF ROOF AT FRONT 0 HOUSE- - FEE DESCRIPTION: QUANTITY: UOM: AMOUNT- -- A 0: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG NOTION RESID 500.00 VAL 0.50 . SPECIAL CONDITIONS: D2 PERMIT W/0 NCH 500.00 VAL 43.65' R,OGE LE$ �® BEES 71.90 CONTRACTOR : TEL. N0: - o, ��A APPROVALS DATE INSPECTOR SIGNATURE SAME LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. 0: - O N A 0 TR C OR S LIC. N . / 1111111 SLAB UNDER FLOOR LRAISED FLOOR FR G AP NO: SEWER MAP BOOK: PAGE: FI � UNDERFLOOR INSU LATION 147H277 3 U20)L C WAV(0 I�L<K S FLOOR SHEATHING 0 OOFFAS: DWELLING TS: APT CON : STAT C SS:1 NO 21SH O O ROO EATHING �: SC 00 RDO S O ❑ fI*+ SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS Q ?f i NO NO NO ff.;� FRAME INSPEC-T-ION REQUIRED 0 SETBACK FROM EXIST /V !; SP N L R A G RS SET BACK YARD: HWY: PROP LINE: WIDTH: 48/• ❑ O� FRONT PL- �L' `ser1/ICe'fv% INSULATION/WEATHER STRIP INTERIOR L L EXTE IOR LATH RATEDOO /CEIL SSE . RATED WALL ASSEMBLIES TE AFTS/OP G T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: SS0508