HomeMy Public PortalAbout5460 SARA MAR LN_Building__ 7NA""DER S 1 u
APPLICATION FOR BUILDING PERMIT 1
DIVISION OF BUILDING AND SAFETY G. G
Dep�Ot of CO>nit ADDR[BUDINSY
County of IAS AD90IM LOCALITY
WM J FOIL. COUNTY ENGINEER NEAREST
CASSATT O GRIFFIN SIFT of OU1LDINR CROSs ST.
FOR APPLICANT 70 FILL INDISTRICT N GROUP TYPE [YAK M pa{G
BUILDING 'Al �Qb NATE
WY
BUIL NUMBER Meer oft
LOT NO B USQ ZONE SPECIAL
CONDITIONS
TRACT /
SIZE OF L NOW ON LOT UILDING YARD In1/Y STREET NAM[ EZIST
e EILDIN WIDTH
UB[or +FROL T /
aX BLDG
SID[
OWNER F '
MAIL
ADDRESS O TRACT DWELL I UNIT INDUSTRIAL
f T 1 OWaL. I UNIT
el s ►ueue•Loa
ARCHITECT OR TEL 2 DUPLEZ 1 UNIT 7 ADON ALT ET/ .
ENGINEER NO 9 APT _UNITS
B MIBCEL
ADDRESS A COMMERCIAL
Tom- INSPECTION RECORD
CONTRACTSR / O n,
DDReDS 1.7 LDT Lnw w1 P J 1 K 1 "t
DESCRIPTION OF WORK Or Of
NEW AlOADD ALTER REPAIR DEMOLISH
SO FT NO OF NO OF
SIZE STONUOI. FAMILIES
u•s of k
u 2t2 19
SIGNATURE OF
AP►LICANT APPROVALS
ADDRESS ISL �D- o.s ,DATE INSPECTOR E SIGNATURE
S P.C S 00 F FORMSTION MAT RI LTION ss
VALUATION RE FRAME FIRE STOPS.
V �/<O �� • SO BRACING TIeISS /'
FURNACE LOC
TION.
1 HEREBY ACKNOWLQDOE THAT 1 HAVE READ THIS GAS VENT
DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH INT
AND STATE LAWS REGULATING BUILDING CONSTRUE
TION
LATH EZT.
SIGNATURE OF F HOUSE NUMBER COR-
RECT AND POSTED
ADDRESS FINAL
WM.J.FOX.COUNTY Emaimmm VALIDATION C. N.DIRLAM, CHIEF BLDG. INSPECTOR
cog 1071^ OCT 1816 _ �71f 1'00AWio9161—� OCT 19 1 / � 2200 In
Oma' O � �• (°.o,.--r-ly ✓�1
.i.WORKERS COMPENSATION DECLARATION - s C 7- i
,,hereby affirm that I haver certificate Come of tion Insurance
self - - APPLICATION FOR BUILDING- PERMMMMMMMMif
insure or a certificate of Workers Compensation Inwrance
or a carhhed copy thereof (Sec 3800 Lob C ) t - _ - - - - ---
1/' COUNTY OF LOS ANGELES �, BUILDING AND-SAFETY
Policy Nci{Fg.3 YO V Company S'T9Ts� N10 ._ - -
O Certified copy is hereby furnished FOR APPLICANT TO FILL IN BUILDING _yg SAS /L /L)U
Certified copy is filed with the county building innssp��ec BUILDING _ - ,
hon deportment ' Y �� /� n ADDRESS —S—'YG D nl
I' t , L'�,, , µ // _
Date �!-g9. Applicant CITY / ZIP LOCALITY
CERTIFICATE OF EXEMPTION FROM WORdkS SIZE OF LOT NO pBLDGS EST
i t, COMPENSATION INSURANCE' + " _
(This»than need not be'completed rf the permit o fw,one - - - - -- - ASSESSOR
hundred dollop ($100)or leu ) TRACT &00( LOT NO MAP BOOK1 PAGE PARCEI
OWNER _ C NO - _ 115E ZONE MAP 7
I certify that�in the performaTEL
nce of the work for which this NO - }
permit is issued I sholl not employ any person in any manner _ SPECL41 i - - - - - - d
so m to become iubject to the Workers Compensation Laws ADDRESS /9/Yf -- - - _1' I CONDITIONS V
1 ' , �• i '
Data " '
Applicant ° L CITY
ECT OR ZIP ;O
NOTICE TO APPLICANT If, after making this Certificate of TEL DISTRICT_ GROUP TYPE _ , FIRE _PROCEESSED BY _
ENGINEER NO TT��..��--..
Exemption you,should become subject to they Workers ADDRESS 5r /v�/ � S I Zi
Compenwtiomprovmons of the Labor Code, you must forth � 1 (�Q d
with comply with such.provimons cr this`permit shall be .n ' TEL - - - STATISTICAL CIAS4 I TION APT CONDO Z
deemed revoked , . t , , CONTRACTOR �H�/�/ .� NO ( _
LICENSED CONTRACTORS DECLARATION - - _ K ANO DWELL
OSS UNITS
—
I hereby affirm that 1 am licensed under provisions of Chapter 9 ADDRESS OV✓7 "
(commencing with Section 70DO)of Division 3 of the Business and _ LIC 'SEWER MAP
Professions Code'and my hcerue is in full force and effect CRY /Y! AD CLASS � - BK - PG' I h. r T(ALIDATION
} _ SO FT NO OF NO OF _ CHECK
1 3/7 SIZE'" STORIES _ FAMILIES ONE - 1 i r•,_ c
License Number Lic Clan � q VALUATION rll7-e J'7 i
Connector/[.Y ffTN1F/17T!- Data - 30-90 PT ON OF WORK — oo $ gS0• mcg j t TTL-M:' I
I am exempt under Sec - , -_�O`^ ALTER - , TI 1TAl �9 - '7 j
B&P C for this reason /'7 REPAIR - :" ' _ - - - ' ` (`tILW/ - - ca
-- , Date USE OF_ EXISTING BLDG DEMOI - f'4JGf�irv- .0I0
Signature - _ __ _ _ _ APPLKANT TEL FINAL I
OWNER-BUILDER DECLARATION �_ INT _ _ _ _ DATE-
I hereby off nm that I am exempt from the Contractor s License T - / ,fli li dl-Ttfin 1 1 /-1 /D4
Low for the followingireason (Section 7031 5 Business and ADDRESS s
-Professions Code) PRESENT 1141E 1 AM11:41
I as owner of theproperty, or my employees BUILDING
em to ees with ADDRESS i
wages a:their sole compensation will do the work-and
the structure is not intended or offered for sale(Section LOCALITY i
7044, Busmen and Professions Code) - -- - - IMOVING - -- - TEL - - •-
I as owner of the property, um exclusively contracting CONTRACTOR NO
—with licensed contractors to construct the project (Sec- - - -
hon 7044 Business and Profession Code) ADDRESS
- CONSTRUCTION LENDING AGENCY - - REQUIRED
SET BACK YARD HLVY PROP LINE WIDTH
I hereby affum that there b a construction lending agency for FRONT
the performance of the work for which this permit is issued - ti P L - - -- - - -- -
(Sec 3097, Gv, C ) SIDE
Pl.
Lender s Name Ref • t
r"
P C Feet - Permit Fee
r- -Lender a Address_ __ _ _ _
S I certify that I have read this application and stale that the' __ _ _ _ Issuance Fee sLDA1A P/C EL
above information is correct I agree to cora with all County `
s PI'/ ty Invest non Fee 7 6 i
8 ordinances and State Iowa relating s building construction _ _ _� Twat Fee•- .�/-� - - ' IRNA Parr. Y \ -
d and hereby authorize representat as of this County to enter ;
upon th bove-mentioned pro for In ction pur�rppo�ses t
_
Jj EEVEM FOR ULPIANATORY LANGUAGE
Sig l it or Agent - Dab
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LARD DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0106280013
PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST NEW BUILDING ADDRESS
ON FILE 90 FT STORIES TYPE OCCUP GROUP 5460 SARA MAR LN (�
STRUCTURE 204 1 VN R3 TEMP CA 917BO3224ad r1V",e- IJV-- ve-
ASSESSOR INFORMATION NUMBER GARAGE 410 1 VN U1 NEAREST CROSS STREEeMOADWAY
8588-022-027 OTHER 249 1 VN R3 THOMAS PAGE 597 GRID A3 LOCALITY: TEMPLE CITY
IFNANT EXIST BLDG USE USE ZUWF— ISSUED ON PROCESSED BY EXPIRES ON
EXIST OCC GRP 07/31/01 U( 01/27/02
OWNER —
TEL. NO uLoGS; NOW ON LOT VALUATION FINAL DATE FINAL Y:
TSANG 41,682 CODE:
5460 SARA MAR LN _
TEMPLE CITY CA 91780 FEES PAID OtSURIFT
CONVERT EXISTING GARAG TO DEN (249SQ.FT )/ ADD ATTACH 2 CAR
APPLICANT: TEL NO FEE DESCRIPTION QUANTITY' LOOM. AMOUNT- GARAGE (410SQ FT )/ AI ADDITION OF ,BEDROOM, 1 BATHROOM
KWOK (323) 728-4833- B1 PLAMCHECK W/ENERGY 41682 00 VAL 648 22
109 E FLORAL DR AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS
MONTEREY PARK AC STRONG IMOTION.RESID X41682 00 VAL 4.17 '
az PERMIT.W/EMP1,G E _E S 41682`00 VAL 762.63
5 TOTAL-FEES 1,442 77
CONTRACTOR TEL NO. APPROVALS DATE INSP TURE
ALAN SERVICE CO (626) 309-9623- �,0 NTy
4841 TEMPLE CITY LIC NO LOCATION AND SET;;�L
TEMPLE CITY , CA 91780 648308 B
ARCHITECT OR ENMWnT- t:L NO: FOUNDATION/TRENCH F-laMmwlr-
KWOC TERENCE (323) 728-4833
109 k FLORAL DR LIC NO.J/ 711717SLAB/UNDER FLOUR
MONTEREY PARK, CA 0-24796RAISED FLOUR FRAP419F
���'------
MAP NO SEWER MAP BOOK: PAGE: MD[rrOr-
3 I U UC lVfV KS 15T LEVEL FLOOR SHEATH
NO OF FAMILIES -Ugn=UNITS APUENF-Mrmgg—�
No 2, C1
AIR QUALITY: 1000 FEET MATERIALS
NO NO MOrrqr-n" FRAME INSPECT
REQUIRED TOTAL SETBA RUM EXISTBLDG DEPT FRAME INOM
�9
SETBACK YARD HWY PROP LINE WIDTHFRONT PL- Serif 0 8 O
SIDE PL- CB Th /
INSULATION/WFATHER P.
cle
INTERIOR LATH/DRYWALL
EXTERIOR LATH
LOT DRAINAGE
SMOKE DETECTION DEVICES
rn&-15MRTMENT APPROVAL
2
ADDITIONAL DATA ON FILE q
REPORT ID- DPR261 ROUTE TO SS0508