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Home My Public Portal About5319-5321 SANTA ANITA AVE_Building__ APPLICATION FOR BUILDING IT FOR APPLICANT TO FILL IN (Print or type only) • BUILDING ��= •l ES ADDRESS C DEPARTMENT OF COUNTY ENGINEER CITY �r ZIP (), BUILDING AND SA TY DIVISION NO.OF BLDGT.' BUILDINGG SIZE OF LOT i 7CO NOW ON LOT �i ADDRES -.-b'� r�� l TRACT BLOCK LOTNO� �' LOCALITY J TEL. NEAREST cr OWNERj•V C 0: NO. LJrjQ CROSS ST. i+ ASSESSOR ADDRESS v' d MAP BOOK PAGE PARCEL CITY ZIP C- DISTRICT GROUP TYPE FIRE PR SSED BY b O CONST. ARCHITEcf 611 TEL. ,��jj ENGINEER (/I�d / NO. Gvf z/ STATISTICAL CLASSIFICATION ( yWER/pl1A ADDRESS J ,// CLASS NO. DWELL.UNITS Z� BK PG CONTRACTOR fb +4�'S N* U ZONE MAP LIC NO. ZOO_5)-DADDRESS r J ��7'✓/0 NO. _'5r '_�21 SPECIAL LIC CONDITIONS CITY Ott(/ c,al CLASS ROAD DEPARTMENT APPROVAL RE U RED YES ❑ NO ❑ CONSTRUCTION LEND / f'09- � L ) NAME AND BRANCH 4n./ /� �� BLDG.SETBACK FROM - RONT PROP.LINE OF_ �y �� (STREET) ADDRESS I/LJ Y I+J�� Z TOTAL SETBACK FROM TYPE OF EXISTING SQ.FT, NO. 01 NO.OF CHECK HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE DESCRIPTION OF WORR-3'9X8Z , NEW + / Q O ADD [:] BLDG.SETBACK FROM SIDE PROP.LINE OF ( EETI O ALTER ❑ TOTAL SETBACK FROM TYPE OF EXISTING 13 HIGHWAY + YARD = SIDE PROP.LINE HIGHWAY WIDTH W USE OF REPAIR ❑ Z EXISTING BLDG. �� -- DEMOL ❑ + APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) IN OPEN SPACE YES ❑ NO ❑ BY(SIGNATURE) IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION$ /G D I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFOR I IN RELATING TO WORKMEN'S COM- PENSATION INSURANCE. SIGNATURE OF PERMITTEE ADDRESS FINAL B�t CITY t No DATE MAKE CHECKS PAYABLE TO: P.C. PMT.Q HARVEY T.BRANDT.COUNTY ENGINEER FEE FEE •P 3 PLAN CHECK VALIDATION CK: M.O. CASH PERMIT VA 16ATP'N M.O. CASH 3 9ur-"nFC 23 2 3 0 1 5 3.0 0 ,&zd 1396Si PR 123 105.08 anonnPR 1 1 p 43013aJd ®s 76A63BA CE#803 3.75 ^ / -- WORKERS'COMPENSATION DECLARATION hereby affirm that I have certificate of consent to self i APPLICATION FOR BUILDING PERMIT Insure, or a certificate of 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. I FOR APPLICANT TO FILL IN ADDRESS er en- ❑ Certified copy is filed with the county building ins ec- BUILDING tion department. ADDRESS LOCALITY _ NEAREST Date _ - Applican ZIP CROSS.ST. CERTIFICATE OF EXEMPTION FROM WORKERS' I NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP hundred dollars($100)or less.) TRACT BLOCK LOT NO. NO. TEL. SPECIAL I certify that in the performance of the work for which this OWNE QA�S N ' -7 �1 CONDITIONS permit is issued,I shall not employ an person in an manner LL STRI GROUP TYPE FIRE PROCESSED BY p p Y r P y I ^DDRESS J 3 �- 5 32 ri G.�� CONST. ZONE so as to become subject to the Workers Compensation Laws. � Date Applicant I CITY t ZIP STATISTICAL CLASSIFICATION A CONDO. I-- NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. LU i ENGINEER NO. CLASS NO. &-211 DWELL.UNITS 'Exemption, you should become subject to the Workers' l Compensation provisions of the.Labor Code, you must forth- I ADDRESS SEWER MAP with comply with such provisions or this,permit shall be deemed revoked. ! CONTRACTOR (" TEL. 121W_12XP7/ BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION 1� LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 0, OX NO. LUATION (commencing with Section 7000)of Division 3 of the Business andIC, CU'o Professions Code, and my license is in full force and effect. CITY L /0ydLASS ` `I'O License Number ``"F l ,y SQ.FT. NO.OF NO.OF CHECK ► � Lic.Class ,moo z i SIZE STORIES FAMILIES( ONE _ Date�` -i D •, I NEW $,Contracto DESCRIPTION OF WORK ADD ❑ I am exempt under Sec. - V _ ALTER ❑ FINAL B.BP.C. for this reason � REPAIR ❑ DATEc USE OF FINAL Date: I EXISTING BLDG. DEMOL ❑ By f 5 t• Signature j APPLICANT TEL. OWNER-BUILDER DECLARATION PRINT NO. I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS Professions Code): PRESENT ❑ BUILDING I, as owner of the property, or my employees with i ADDRESS n 1 1 3•'� A wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY ;s.o 0 0 0 0 1 7044, Business and Professions Code). i MOVING TEL. ❑ I CONTRACTOR NO. I,as owner of the property,am exclusively contracting 1 0 0 [; 9. 8 8 with licensed contractors to construct the project (Sec- ADDRESS o�'� u 0 ? ; _T tion 7044, Business and Professions Code). [, _ _ REQUIRED TOTAL SETBACK FROM EXIST. Z CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LIN WIDTH Pilo OG 1 c-8„ I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. tSec. 3097, Civ. C.). SIDE o P.L. o Lender's Name P.C. Fee$ Permit Fee , Lender's Address r I certify that I have read this application and state that the Issuance Fee above information is correct. I agree to comply with all County Investigation Fee A of ordinances and State laws relating to building construction, Total Fee and hereby authorize representatives of this County I enter upon the above-mentiod property for inspection purposes. I SEE REVERSE FOR EXPLANATORY LANGUAGE ®s Sigture of Applicant o Agent Date na 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 0610190002 PHONE: (626) 285-0488 ERT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 32489 UN: 9 SQ. FT STORIES TYPE 5319 5321 SANTA ANITA AV STRUCTURE: 10 VN TEMP CA 917803626 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8573-036-027 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: REBID USE ZONE: R-2 ISSUED ON: PROCSSSBD BY: EXPIRES ON: EXIST OCC GRP: 10/15/06 JK 10/14/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DA FINA J& HY: CODE: D SOUZA MELANIUS A - 2,500 1718 AVENIDA ENTRADA `C/ SDIM 917734314 FEES PAID DESC. PTION F WORK TEJV OFF 1 LAYER AND INSTALL 1 LAYER HOT MOP 10 S.F. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: GARCIA (626) 333-8500- AA BLDG PERMIT ISSUANCE 27.75 2014 LYNDA IN. AC STRONG MOTION REBID 2500.00 VAL 0.50 SPECIAL CONDITIONS: W. COVINA CA 91792 D2 PERMIT W/O EN-RC 2500.00 VAL 99.00 TOTAL FEES 127.25 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SOUTH COAST AND VALLEY ROOFING (626) 333-4500- 2014 LYNDA LIC. NO LOCATION AND SETBACKS W COVINA CA 9179232 830059 C39 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: UNDEROLOOR INSULATION 147H277 3 O1 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT COND: STAT CLASS: NO 21 ROOF SH&W ING r:L,.Q - k t� SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY. PROP LINE: WIDTH: FRONT PL- INSULATION WHATHER STRIP SIDE PL- INTERIOR LATH DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. {� RATED WALL ASSEMBLIES RATED SHAFTS OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 i ` COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATIOA REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 SL 0508 0405130041 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 32489 UN: 9 SQ. FT STORIES TYPE 5319 5321 SANTA ANITA AV STRUCTURE: 2000 VN TEMP CA NEAREST CROSS 626 STREET: ASSESSOR INFORMATION NUMBER: 8573-036-027 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG S -UN USE ON : R- ISSUE ON: PROCESSED B PIRES ON: EXIST OCC GRP: 05/13/04 VG 05/08/05 OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: FINAL DATE F BY: CODE: GIBSON, FRANCES (626) 448-0324- 4,800 �� f 5321 SANTA ANITA TEMPLE CITY 91780 FEES PAID DESCRIPTION OF WO REMOVE FLAT ROOF & TILE MANSARD, INSTALL BUILT-UP ON FLAT APPLICANT: TEL. N0: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: AND FIBERGLASS SHINGLES ON MANSARD EAGLE ROOFING (626) 446-6466- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 4800.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC 4800.00 VAL 132.60 TOTAL FEES 160.85 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE EAGLE ROOFING (626) 446-6466- 2650 S MYRTLE AVENUE #1 LIC. NO LOCATION AND SETBACKS MONROVIA, CA 91016 698529 C39 SOILS ENGINEER APPROVAL RCHITEC OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FOR LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION XX 3 02 NO. OF FAMILIES: DWELLING NITS: APT/GOND: STAT CLASS: FLOOR SHEAING NO 21 ROOF SHEATHING �/ b y r P\--- SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS- SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED OOR CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENIGS T-BAR CEILINGS LOT DRAINAG REPORT ID: DPR261 ROUTE TO: BS0508