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HomeMy Public PortalAbout6358 TRELAWNEY AVE_Building__ DE�JIRTMENT OF BVII ffG $ Ft WILDING ATION FOR PERMIT ea COuwff OF Los 1� 195 B WM. J. FOX. CHIEF [N FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO PLAN OK NO PERMIT NO BUILDING 1 �� 39/ ADORES! LOCALITY R[O�[yIV[D MY DAT[OF ADPL DAT[ISSUtD alms err. azie/rco BUILDING OWNER ADDRESSMAIL ADDRESS LITY OCALG ! NEAREST / TEL. CROSS ST / FIR[ NO OF TVP DROUr, AROHIT[CTORA /T_ _ TEL. ZONE PLANS R �f— ENGIN[[ • NO ADDRESSBLDG ORD NO SETBACK LIN[ L ✓ '�� TEL APPROVED CONTRACTORN BY C^TE UB[ APPROVED 20N BY DATE LEGALIONLOT O BLOCK �e CORB��O DESCRIPT TRACT A/.2 6 3 a or Biz[Or LGT B \ NOW ON LOSS LOT/j4 %A A. uB[or NO Or NO or wl IROOMS DESCRIPTION OF WORK 1>, e oX - 8 r CAiiir NEW x ALTERATION ADDITION A REPAIR MOVING DEMOLISH O_ :&rT /O Q ZOOMS ,_ STORIES / WALL ROOF QOV[RINO OOV[111N0 USE Or NEW SUILDI NG 2 61 1 HBY ADKNOWL[DG[ THAT 1 HAVE READ THIS APPROVALS APPLICATEREION AND STAT[ THAT THE ABOVE IB CORRECT [CTOR DATE AND AGR[[ TO COMPLY WITH ALL COUNTY ORDINANDFA FOUNDATIONS LOCATION AND STAT[ LAWS REGULATING BUILDING CONSTRUOTION FORME MATERIALS /.�-g�i FRAM[ FIRE STOP86 sin NATUR[Or BRACING BOLTS Z' PERMITTEE .moi , � LATH. INT. p' AUTHORIZEDAOT VII V LATH. IXT. �-3 PD S PLASTER.IMT. PLASTER.EXT. F[[ VALUATION FEE �' FINAL WORKERS COMPENSATION DECLARATION 7'(v hereby affirm that have o certificate of consent a .elf APPLICATION FOR BUILDING PERMIT insure or o certificate C cate of Workers ompenstion Insurance or a cqrtaied pcoop�y thereof �(Sac 39DO Lab//C ) /) COUNTY OF LOS ANGELES BUILDING AND SAFETY Poi o>p737'• Company�Y�...���7.�2�� l.Yi� 11 C rifled copy is hereby furnished FOR APPLICANT TO FILL IN BUILDING 3 S ADDRESS Certified copy 4s filed with the county buildin Inspec BUILDING �J tion d ent ADDRESS ((f ri LOCALITY 0,4 NEAREST Dote Appb CITY ZIP O CROSS ST CE IFICATE OF EXEMPTI F W RS OF BLDGS +� ASSESSOR COMPENSATION INSURANC SIZE OF L07 WON LOT L MAP BOOK PAGE PARCEL (This section need not be completed If th rm,t a for one TRACT �Z& USE ZONE MAP oz) hundred dollars ($100)or less ) BLOCK LOT NO N > TEL / SPECIAL S I certify that in the performance of the work for which t OWNER CONDITIONS permit Is Issued hall not emplo in any mo r (STRICT GROUP TYPE FIRE SSED BY so as to bec a bled tot orkers Com sot s ADDRESS ,O r/ 7f_4 CONST. / ZONE � (OA�C NDote�Appllc AITY -repiaRCHITECi OR 7 ZIP T D STATISTICAL CLASSIFICATION �/ PT CONDO U NOT( TO P ICANT If after aking is rt icate of ENGINEER CLASS NO DWELL UNITS_ LU LU Exemption you should become ruble to h Workers yt Compensation provisions of the Labor Code ou ust forth ADDRESS / SEWER MAP Z with comply with such provisions or this per it shall be deemed revoked CONTRACTOPd/UMNL BK PG 3 VALIDATION LICENSED CONTRACTORS DECLA ON Ll I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS Z VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC Professions Code and my license is in full force and effect CITY C1A55 ���� f 70 fl License Number 2.3�� SQ F NO OF OFSIZE Lic Clara SIZE STORIES FAMILIES CHECK ONE NO NEW S Contractor —Date DESCRIPTIONOF WORK ❑ am exempt from the licensing require en as 1 am a u421 ADD :9 1 0 0 0 A licensed architect or a registered professional engineer ��C7 ALTER FINAL acting In my professional capacity (Section 7051 REPAIR DATE • • • 023 Business and Professions Code) USE OF EXISTING BLDG pEMq FINAL LIc or Reg No Date APPLICANT TEL By LI 12!-,- 2160 OWNER-BUILDER DECLARATION PRINT • • • 2 1.B O v I hereby offum that I am exempt from the Contractor s License r- .2?40Law for the following reason (Section 7031 5 Business and ADDRESS r 0 9 0 1 —8 1 Professmns Code) ❑ BUILDING _ I as owner of the property or my employees with ADDRESS wages as their sale 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 ADDRESS .9 1 0 G 1 A ' tion 7044 Business and Professions Code) REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH 1 hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P L 0 Q 2 -,- 34.00 _ (Sec 3097 Cry C ) SIDE PL • • • 36. 005 Lender s Name �s PC Fee f Q Permit Fee a / 0 901 -8 1 Lender s Address _ I certify that I have read this application and state that the I»uonce Fee above information is correct I agree to comply with all County Invesugatron Fee ordinances and State laws relating to building construction C and hereby authorize represenlalrves of this County to enter Total Fee upon abo+s mentioned �apwtyspecti pur EE REVERSE FOR EXPLANATORY LANGUAGE SigrwTura of Applicant ar Dote WORKERS COMPENSATION DECLARATION hereby affirm that I have r certificate Come of tion Intro ,elf APPLICATION-'-OR BUILDING PERMIT msare, a o certificate of Workers Compensation Insurance or a cerLhe&copy thereof (Sec 3800 Lab C ) COUNTY 01 LOS ANGELES BUILDING AND SAFETY Policy No Company p ❑ Certified copy a BUILDING hereby furnished FOR APPLICANT TO FILL IN ADDRESS �pC �!Xci ElCertifiedcopy is filed with the county building inspec- BUILDING tion department BU L U. Date Applicant CITU o;2 'Ut-a�• l ZIP —MID LOCALIry NO OF BLDGS CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT v CROSS 5TUMA COMPENSATION INSURANCE A (This section need not be completed if the permit is for one TRACE BLOCK lOT NO MAP BOOK Z pgOE Oay PARCEP hundred dollars ( 100)or less ) L OWNER FSG ik tNNO 'ZQJ-I"I USE ZONE MAP I certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner ADDRESS �O L +UOjrJ CONDjI'jOHS a so as to become 2subject to the Worker Compensation Lows p., O �.L� ,L'2 CITY T OF CL ZIP W U Date I 7 Applican ARCH'TE CI OR TEL � NOTICE TO APPLICANT If, oft oking this Certificate of ENGINEER l7f(�'71t.IRE N071 - DISTR GROUP TOY ZONE BY rO Exemption, you should beco subject to the Workers n Q G Compensation provisions of the Labor Code, you must forth- ADDRESSLW L%� -� c/ with comply with such provisions or this permit shall be - TEL l0 STATISTICAL C1A551FICATION APT CONDO deemed revoked CONTRACT R NO Z. LICENSED CONTRACTORS DECLARATION ,,11- /��� U�C��r� CLASS NO DWELL UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS�`� aPVI 7'A � NOt-6Zz. (commencing with Section 70DO)of Division 3 of the Business LIC SEWER MAP and Professions Code and my license is in full force and effect CITY �b` CLASS IIK PG VALIDATION License Number LfeZ37-1�� ��11iiLtc Class ZE"t )3 �ES FAMILNO IES CHECK Contractor._ yilys.`C�"'�4�Le 39'9 p VALUATION DESCRIPTION OF WORK NEW ❑ $ 3Z l `� ❑I am exempt under Sec Beoa ' ADD L• -1 ► B&P C for this reason 1o�/t ALTER 6f ` REPAIR ❑ _ Dais EXISTIING BLDG •. R1 DEMIX ❑ Signature '(PRINT) ;�4Irlio" � ALN � FINAL OWNER-BUILDER DECLARATION L{' DATE Z� I hereby affirm that I am exempt from the Contractor's License ADDRESS 'T-0,..R,w�Y f �( P��G'l l Law for the following reason (Section 7031 5, Business and1 Fes(. FINAL .0 Professions Code) By Ia� T.i E3as owner of the property, or my employees with BUILDING ADDRESS wages as their sole compensation,will do the work andLOCALITYoil, t s s 3007 48.75 5 the structure is not intended or offered for sale(Section 70" Business and Professions Code ) MOVING - TEL ' 1 ❑ I, as owner of the property,am exclusively contracting CONTRACTOR NO a with licensed contractors to construct the project (Sec- ADDRESS lal�T.• hon 7044, Business and Professions Code ) i - X307 595.�� CONSTRUCTION LENDING AGENCY REQUSEi BA ED YARD tTsvr Ai P L FROM WIDTH IST IT I hereby affirm that there is a construction lending agency for FROM ` the performance of the work for which this permit is issued P L • TOTAL 642 . 01 (Sec 3007, Civ C ) PCHECK 641.01DE , r . .'<� s Lender's Name TDMA Ref i CHANE PC Fee f i Perms Fee (O d , 2 Lende/a Address c I certify that I have read this application and state that the Issuance Fee TDMA P/C i above information is cortect I agree to comply with all County Investigation Fee - / a L�O'�Z A3/ 5/97 ordinances and State laws relating to building construction, Total Fee \7 LDMA Perm N y] j 1 rry j1G�h Q and hereby authorize representatives of this County to enter 4Y4 upon the above-mentioned prop far Inspection purposes g If 3.1013 SEE REVERU FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date • COUNTY OF LOS ANGELES TEMPLE CITY Y 0508 _• BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ' NEW RESIDENTIAL BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9901110054 PHONE (626) 285-0488 EXT' LEGAL ID No OF CDNST NEW BUILDING ADDRESS TR 14263 LT 7 SO FT STORIES TYPE OCCUP GROUP 6358 TRELAWNEY AV STRUCTURE 435 1 VN R3 TEMP CA 917801311 GARAGE NEAREST CROSS STREET LEMON 5382-022-035 OTHER THOMAS PAGE 596 GRID J2 LOCALITY TEMPLE CITY TENANT USE ZONE R-1 ISSUED ON PROCESSED BY EXPIRES ON 01/13/99 UT 01/13/00 HIDING DONG 0 (626) 285-5033- 32,190 /? �41y 6358 TRELAWNEY AV ) C TEMP 917801311 FEES PAID DESCRIPTION OF WORK NEW GUEST HOUSE 435 SO FT FEE DESCRIPTION QUANTITY DOM AMOUNT APPLICANT: ILL NO SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27 75 AC STRONG MOTION RESID32190 00 VAL 3 22 SPECIAL CONDITIONS AK BUILDING REVi d�1-F,fE� 54 70 82 PERMIT W/I P1Rr�ELES 321 0'GOEES VAL 637 12 OTAO12 CONTRACTOR TEL. NO 5 SAME AS (AMER - v� NTy LIC NO LOCATION AND SETBACtV ENGINEER:ARCHITECT OR LIC NO 1111111 ✓ T f 1MAP NO SEWER MAP BOOK PAGE: FIRE zON 5UNDERFLOOR 311265 3 10� 'UBLIC WORKS TAT NO 0SS12ND LEVEL FLOOR SHEATH t 'ii_ AIR QUALITY: 1000 FEET MATERIALS -� NO NO NO REQUIRED TOTAL SETtIAff-MRff--Mn3T— RTU-RTr FRAME INSPECT �Dy SET BACK YARD HWY PROP LINE WIDTH C t tN ✓✓b/� Ot FRONT PL- Service Tha SIDE PL- INSULATION/WFATHER STM INTERIOR LATH/DRYWALL SMOKE DETEMM-W= FIRE DEPARTMENT APPRO W REPORT ID: DPR261 ROUTE TO BS0508