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Home My Public Portal About5607 SANTA ANITA AVE_Building__ 76a638A Ci:#8153 B-64 APPLICATION FOR BUILD C PERMI �J 'COUNTY.OF LOS ANGELES- BUILDIrlq DEPARTMENT OF .COUNTY-,ENGINEER ADDRESS- BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAM BIE'.'COUNTY ENGINEER' ' NGINEER NEAREST COLEMAN 1N. JENKINS,SUP.T.oF BUILDING CROSS ST. DIS CT NO. GROUP= TYPE.. PR CES E Y FOR APPLICANT TO-FILL IN D CONSTm 9UILDING P STATISTICAL C SI_FICA_TION. 'SEWER MAP ADDRESS' ,, O - . // B,K CLASS NO: DWELL-UNITS_� ' LOT NO. BLOCK USE ZONE MAP NO. O-S -TK-ACT 0 3 SPECIAL _ N0. OR-BLDOS. CONDITIONS SIZE OF LOT NOW ON LOT USE OF ..; ... -. . -IZ 3. BLDG. SETBACK FR .qA /'+ TEL. / FRONT PROP. LINE 0 REST)OWNER�a Y l..�Yt - NO: S , TYPEOR EX.I8TIN0' BE BACK. •MI.OHWAY :ARD = TOTAL ADDRESS. � HIGH Y F M�G.L. ' CITY 0 Com• Q& 1 r \ ,+ - ARCHITECT OR TEL. BLDG. SETBACK FROM ENGINEER NO. SIDE PROP. LINE OR (STREET) _ TYPE OF XXI!330 SETBACK- HIGHWAY + ARD = TOTAL } ADDRESS HIGHWAY )POTH FROM C.L. a TEL. �G 'F 0 CONTRACTOR 'I I/N— NO 'ADDRESS LO 3 al CORNER CUTOFF YES. . NO O c . Y CIC - .'SEE REVERSE SIDE FOR SPECIAL APPROVALS - W DESCRIP ION OP WORK — '. h Z NEW 'ADD. " ALTER REPAIR DEMOLIS SQ,FT: NO.-OF SIZE STORIES FAMILIES UBE.OF ' STRUCTURE' SIGNATURE OF APPLICANT VALUATION$• :�� APPROVALS 'DATE INSPECTOR'S SIGNATURE P.C. PMT. 920'7/ FOUNDATION, LOCATION FEE_. FEE$ ��- FORMA,:_MATERIAL$ FRAME, FIRE STOPS, I HEREBY ACKNOWLEDG%'THAT 1 HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO.COMPLY FUR'NACEI LOCATION _ WITH.ALL COUNTY ORDINANCES AND STATE LAWS REGULATING. GAS VENT. DUCTS BUILDING CONSTRUCTION.'I CERTIFY THAT. IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH.-INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- . ING TO WORKMEN'S COMPENSATION INSURANCE. LATH. EXT. SIGNATURE OF HOUSE NUMBER COR PERMITTEE RErT RE . AND POSTED -•+ ADDRESS' ' FINAL r'--L(p r'W� ®��r�/• JOHN F. LEWIS, FRINCIPAL S C AAL-' PLAN*CHECK VALIDATION CK. M.O. CAS - PERMIT VALIDATION CK. M.o. CASH 1. '49 Q' MAY . 7 - 1 D . 4.00F T 76A68BACE08098-64 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING U � S DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALITY JOHN A.-LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,SuP T.oF BUILDING CROSS ST. DISTRICT NO. G OUP TYPE. P ESSED BYp FOR APPLICANT TO FILL IN ,C7� �� CONSTI�tH `Zs BUILDING STATISTICAL CLASSIFICATION SE ER MAP ,• ADDRESS CLASS NO. 4- DWELL UNITS ' BK. ?IP G. 12 LOT NO. f BLOCK A . USE ZONE MAP �y N O. ---W I TRACT t� SPECIAL 8 �� N0. OF BLOBS. CONDITIONS SIZE OF LOT NOW ON LOT ' USE OF /1 E S NGII BLDG. BLDG. SETBACK FROM , NER bi � CpI.�S�Y4 TEL'Sl- OW7�3 FRONT PROP. LINE OF / / (STREET) p•�O TYPE OF EXISTING SETBACK HIGHWAY + YARD i= TOTAL ADDRESS HIGHWAY WIDTH "FROM C.L. + .2d = D CITY (Aj BLDG. SETBACK FROM ARCHITECT OR TEL. SIDE PROP. LINE OF (STREET) ENGINEER NO. 'TYPE OF EXISTING 9ETBACIf H-IGHWAY -{• YARD = TOTAL � ADDRESS - HIGHWAY WIDTH FROM C.L. C CONTRACTOR C/L7"Y NOL + - 0 Ax ADDRESSgO^le3 0O•' NO CORNER CUTOFF YES NO 0 O CITY �� -- L' s SEE REVERSE SIDE FOR SPECIAL APPROVALS W J DESCRIPTION OF WORK 4 (5 Aa f Z' NEW K ADD ALTER REPAIR DEMOLISH Sq NO. OF NO. OF 1 `r �� -f7 SIZE STORIES FAMILIETv (-1 /� .,,� �� • /� / •USE'OF ,,t 7 �r P1r*r STRUCTURE 16 oVi 7O W DP O&tz{:b4.i 5' � /'�'�/�'�P��.L•- A�•.�e... I! .R" pj�/Y-'r.�cr"�r�f.C�� SIGNATURE OF ��i �C#"E' "G-- .�,'��i" /1,w-w APPLICANT ,CG q VALUATION$ ( � / �Q� 690 OAPPROVALS DATE INSPEISQRISSIGNATURE P.C. 2 C_jZ' PMT. , FOUNDATION, LOCATION FEE$ j6J FEE$�� FORMS,,,MATERIALS FRAME, FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT /' AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURN' CE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GALS VENT. DUCTS 13UILDING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK AUTHORIZED HEREBY'[ WILL NOT EMPLOY ANY PERSON IN VIOLA.- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT• ING TO WORKMEN' nMPENSATION INSUR NCE. LAT/�. EXT. U SIGNATUREF �d� HOUSE NUMBER'COR-- PERMITTEE�- - RECT AND POSTED ADDRESS v��n 6 S7 kj,CtaAitc, FI NAL ^L, yf� JOHN F. LEWIS. PRINCIPAL STURAL ENGINEER PLAN CHECK VALIDATION cK. M.O. CASH = PERMIT VALIDATION CK. M.O. CASH LAW 9 - 3 513 MIAR 5 2 3 D 1 5.3.5 0 A - Ljo 0 1 7 8 APR I 1 D 3 0 7.0 0- �' APPLICATION SWI.DING PERMIT COUNTY &.LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICAN;T�T �� O FILL IN BUILDINDRESS ' BUILDIN DRE `jrf_ JWQ / I hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers'Compensation Insurance,or a certified C ZIP copy�J�h ( C.3800,Lab.C.) LOCALITY PolicyTTo. �� Company SIZE OF LIVT NO.OF BLDGS.NOW ON LOT ❑ fied copy is hereby furnished. NEAREST CROSS . Certified copy is filed wit a fy building in a TRACT BLOCK LOT NO. depe USE ZONE MAP NO. Date App an ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE O EXEMPTION ROM WORKERS' OWWR /— COMPENSATION INSURANCE ADD T L -1 WITHIN 1000 FT OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred dollars($100)or less.) � DISTRICT GROUP TYPE CONST. FIRE ZONE PROC SSED BY (/ 7 I certify that in the performance of the work for which this permit CITY ,, ! .+ ZIP /y�l is issued, I shall not employ any person in any manner so as to ,(/ 7 become subject to the Workers'Compensation Laws. ARCHITECT OR ENGINECR TEL NO. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate of J REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' C NTRACTORL N SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith (/g FRONT comply with such provisions or this permit shall be deemed revoked. ADD LIC. 500, PL LICENSED CONTRACTORS DECLARATION SIDE PL I hereby affirm that I am licensed underprovisions of Chapter 9 CIr)/ /1 J,�2 LIC.CLAS SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQA b SII�� NO.OF TORIES%!/NO.OF FAMILIES NEW ❑ BK PG C Professions Code,a d c s I in full force and eff 0 License Number LIC.Class DESCPJPTION OF /J_�� ADD [3 VALUATION C Contractor to ' //�Jf ALTER ❑ ❑ I am exempt under so. �'8-T REPAIR El $ LL LL BAP.C.for this reason DEMOL ❑ LDMA P/C# Date: USE O EXISTIN L G. URM ❑ Signature AP LICANT( ) TEL NO. LDMA Perm# ❑ I,as owner of the property, or my employees with wages as / z r1i"I _T their sole compensation, will do the work and the structure is ADDRESS O e' not intended or offered for sale (Section 7044, Business and FINAL DATE Q ��'�'= 315. :r_ -" Professions Code.) WILL �„ LL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL "� J ❑ I, as owner of the y y g OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE property, am exclusive) contracting 44, AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY TA 3't +"— licensed contractors to construct the project (Section 7044, ves❑ No❑ �I-''I��' �"')""-a c -4-5 Business and Professions Code.) c. WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING C"HEC ��o"T OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY GUcolo LINEQUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR :;1 �[ I hereby affirm that there is a construction lending agency for YES❑ NO❑ I� a the performance of the work for which this permit is issued(Sec. � I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING N 3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LAS ANGELES COUNTY CODE• i'0,jO-tj;u ; 672'"sir'�. T TITLE 2.CHAPTER 2 20 SECTIONS 2 20.100 THROUGH 2 20.140 CONCERNING HAZARDOUS Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. 7 1 t N S�d 1=, , , 5: I � �: e G Lender's Address p OWNER OR AGENT ' c Ice ify that 1 ve read this a i state under penalty Of p jury t the above inf a" i Ct.I agree t0 comply P.C.FEE PERMIT FEE .� n a with all unty ordinanc a ws relating to building G CO co ion, and hereb a resentatives o this County ISSUANCE FEE / �0 r on a abo - d pro pection urpos �O CO INVESTIGATION FEE TOTAL FEE sluo.a MMI n m Onu l • J SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9808040043 PHONE: (818) 285-0488 EXT: LEGA NO. OF CONST BUILDING ADDRESS: TR: 10898 LT: 11 BL: A SQ. FT STORIES TYPE 5607 SANTA ANITA AV STRUCTURE: 0 VN TEMP CA 917802948 ASSESSOR INFORMATION 0—MBERF NEAREST CROSS STREET: LAS TUNAS 8573-020-007 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG SE: R SID USE ONE: R-5 ISSUED ON: PROCESS D BY: EXPIRES 0 : EXIST OCC GRP: 08/04/98 UT 08/04/99 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATEr ,,lul B CODE: KORNREICH KURT;HELEN - 1 23,500 /\/"\(\ 98 LEWIS LN FEES PAID DES—GRIPTIO F OR TEAR OFF AND INSTALL 1/2" CDX CLASS A GENSTAR 25YR. COMP FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SHINGLE APPLICANT: TEL. 0: NATIONAL ROOFING (818) 888-7586- AA BLDG PERMIT ISSUANCE 27.75 5636 KEOKUK AC STRONG MOTION RES•ID -23500.00 VAL 2.35 SPECIAL CONDITIONS: WOODLAND HILLS, CA D2 PERMIT W/0 EN-HC 23500.00 VAL 451.80 -TOTAL FEES,. 481.90 CONTRACTOR: TEL. N0: 4,•''•' 1 �.'';; APPROVALS DATE INSPECTOR SIGNATURE NATIONAL ROOFING (818) 888-7586- �� .•. 5636 KEOKUK LIC. NO ! LOCATIO AND SETBACKS WOODLAND HILLS CA 91367 594952039 �+' �` + SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: ' OUNDATION/TRENCH FORMS LIC. N0: � ' — SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 150H277 3 01 FLOOR SHEATHING NO. OF ILIES: DWELLING UNITS: APT CO D: STAT CLASS: YES 21 \ ' ROOF SHEATHING p`'/_/J SCHOOL WITHIN HAZARDOUS +. `'\+ I �. SHEAR PA E S AIR QUALITY: 1000 FEET MATERIALS NO NO NO s FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST ? :_ 'r' FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: -;�. �.' ++� ::; ';��;• y ' FRONT PL- _ ,• .s`' INSULATION/WEATHER STRIP SIDE PL- � - - - - _ INTERIOR LA /DRYWALL EXTERIOR LATH I RATED FLOOR/C IL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS ' I T-BAR CEILINGS OT DRAINAG REPORT ID: DPR261 ROUTE TO: BS0508