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HomeMy Public PortalAbout6403 TRELAWNEY AVE_Building__ TSw�aul"S s•u 1 APPLICATION FOR BUILDING PERMIT 1 DIVISION OF BUILDING AND SAFEPY BwooR®Bu1LOINa ! DspomuEnl of Comp Enffh T erzo County of Loa Angela LOCALITY WM J FOX COUNTY ENGINEKR NSARKST CASSATT O GRIFFIN SY T OF BUII.DINa CROSS BY DISTRICT j�0 GROUP ,n,PK [ HK MAP FO//B APPLICANddT A�TO FILL IN JG/ ad BUILDSBUILDING CD O / /V. ,/I I MAP 1 STATE NUMBER GJ HWY -� LOT NOZ�BLOCK USE ZONR SPECIAL / CONDITIONS TRACT I15000 NO OF IGLOO SIZE OF LOT S7 L NOW ON LOTS O BUILDING YARD Hwr BrRKKr NAM[ EXISTSETBACK WIDTH US[OF FRONT EXISTING BLDG P L / OWNER SIDE _ L P ADDS®S (r MAIL - iQS�7� .sT O TRACT DWELL 1 UNIT Lf INDUSTRIAL S ,¢ N� DWELL I UNIT B PUBLIC BLDG ARCHITECT OR TEL 2 DUPLEX I UNIT 7 ADDN ALT ETC. ENGINEER NO S APT _UNITE B MISCEL ADDRESS TEL 4 COMMERCIAL e�wr �c� CONTRACTOR Q10'�✓F� INWEC ION RECORD NO ,/ ADD S J,,,I, DFSCRIMON OF WORK NEW L-'ADO ALTER REPAIR DEMOLISH / F NO YSTORIES ZH FAM�PES UBE OF STRUCTURE `+ SIGNATURE OF � APPLICANT APPROVALS ADDRESS DATE INSPECTOR$SIGNATURE FOUNDATION LOCATION i ► C. S �O FORMS. MATKAIALS 2 ✓ � FEs , /�'n RACING FIRE VALUATION _ m FVFURNACE LOCATION 1 HEREBY ACKNOWLEDGE 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 �� A AND STATE LAWS REGULATING SUI NG CONSTRUC- TION LATH EXT SIGNATURE OFy HOUSE NUMBTED ER COR- S� f 'l PERMITTEE RECT AND POS ADDRESS FINAL Z'Z WM J FOX.COUNTY ENGINEER VALIDATION C. N DIRLAM CHIEF BLDG INSPECTOR W L0 5 0 7 11S JUN 2 1 6 1. 5.Q T1.61110 7 2 S juN 2 4 1 3000 0 m : d 56;'6ieA CEReDD [-°°APPLICATION FOR BUILDING PERMIT J COUNTY QF LOS ARGELES BUILDING � t D �403 EPARTMENT.OF COUNTY ENGINEER ADDRESS /'gyp` W/4 e BUII.DING AND SAFETY DIMION LOCALITY JOHN A LAMBIE, COUNTY ENGINEER NEAREST / COLEMAN W JENKINS, SUP T OF BUILDING CROSS ST O e/Y) 1%, S T• FOR APPLICANT TO FILL IN DISTRICT NO GROUP TYPE / PROCESSED BY (Print ort a .1 (f CONST j /.D_ 5wC / BUILDING STATISTICAL CLASSIFICATION G—�-_ 67-SK MAP !�� ADDRESS Q.3 e_iA I L floe , CLASS NO--t--DWELL UNITS_ G SK PGI LOT NO 16 BLOCK WE ZONE MAP Q 2 TRACT • SPECIAL 7 f NO OF SLOGS CONDITIONS SIZE OF LOT J NOW ON LOT USE OF EXISTING BLDG / BLDG SETBACK FROM OWNER UCG QW NOL�A 'SIfr4 FRONTPROP LINEOF (STREET) TYPE OF QI STING SETBACK HIGHWAY + YARD = TOTAL Y WIDTH FROM C L ADDR=S 6vu /� a ue XIGHWA66 CITY7e_,,, /Q `I O NI BLODG SETBACK FROM +� , ARCHITECT OR / TEL SIDE PROP LINE OF (STREET) ENGINEER / P_ NO TYPE OF EXISTING SETBACK HIGHWAY + YAM = TOTAL ADDRESS HIGHWAY WIDTH FROM C L CONTRACTOR TEL + _ N Pi N LI ADDRESS NO CORNER CUTOFF YES ❑ NO C CITY LIC SEE REVERSE SIDE FOR SPECIAL APPROVALS CONSTRUCTION LENDER a NAME AND BRANCH L 2 6 ADDRESS SO FT NO OF NO OF 06 SIZE .0 STORIES FAMILIES NEW Lj USE OF ADD STRUCTURE ALTER ❑ r-i��I O` D Y - -••� l"�1 \ SIGNATURE OF '17 REPAIR❑ � � \ . APPLICANT Q (� DEMOL ❑ /// G 0 /- , 1_- VALUATION $ OO APPROVALS DAT (HSP c on e n N TURK P C PMT FOUNDATION LOCATION FEE S FEE S FORMS MATERIALS FRAME FIRE STOPS // //�� 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS - 7Y 19" SLI/ AND STAT[ THAT THE ABOVE la CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT DUCTS STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IM VIOLATION OF THE LATH INT LABOR COOS OF THE STAT[ OF CALIFORNIA IN RELATING TO WORKMEN B COMPENSATION INSURANCE LATH EXT r SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED Ej I ADDRESS 4qP3 FINAL 6 JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION Cl M O GASH _ PERMIT VALIDATION CK NO CAE t IAC,9 1 7 8 Am 7 1 D 1 725- - l WORKERS COMPENSATION DECLARATION a hereby affirm certificate that I hove r certificate of consent to self APPLICATION"FOR BUILDING PERMIT insure, or a certificate of Workers' Compensation Insurance, or a certified copy t21re f (Sec 3&70, Lob C COUNTY OF LOS ANGELES - BUILDING AND SAFETY Policy No a- 2Z Company ❑ Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRE�I�I 2 ified copy is filed with the county building inspec- BUILDING GVD3 T e5 �, (/ 11vvv✓�� tion department ADDRESS p Date S-/'2-;P2Applicant 1/ ^�c^i�O CITYCE L' T zlv LOCALITYMY\ G NO OF BLDGS NEAREST IO CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST COMPENSATION INSURANCE - ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO MAP BOOT( PAGE PARCEL hundred dollars ($100)or leu ) r OWNER D E— L//G4 6- S/a ZONE MAP I certify that in the performance of the work for which this L//� SPE permit is issued, I shall not employ any person in any manner ADDRESS T .4J ���'• f INQ CONCDIITTIONS so m to become subject to the Workers'Compensation Laws O -/1 -9�, ,/ '/ CITY 9i !o L) Dale pphcant z~_�O�! ry �Q ARCHITECT OR 6 C T ZIP TEL - 04 O NOTICE TO APPLICANT If after making this Certificate of ENGINEER NO DISTRICT GROUP TYPE FI PROCESSED BY _ CONST ZONE rr Exemption, you should become subject to the Workers Compensotion provisions of the Labor Code, you mum forth- ADDRESS F 1 �" V with comply with such provisions or this permit shall be TEL STATISTICAL CLASSIFICATION APT CONDO in deemed revoked _ CONTRACTOR /►/ �NO 1dy 90/� Z LICENSED CONTRACTORS DECLARATION !/,�1 .✓. T✓.9C UC CLASS NO DWELL UNITS_ ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 TILL` NO ys1_ X - (commencing with Section 7000)of Division 3 of the Business LIC SEWER MAP t.., and Professions Code,and TTmy license is in full force and effect CITY �'� < < CLASS C� 3✓ VALIDATION Me PG License Number 7�0✓—F CJ'/ � O ST � - FA OF CHECK Lic Class SIZE STORIES FAMILIES ONE� rll q VALUATION Contractor. &4!%%W ��/jf Date 11—/Z DESCRIPTION OF WORK �ArF L'iMJOis ❑ N.L'' j,I�Q y�'i + iiSN Li El am exempt under Sec y 3 /(l/T/l ADD ► �/J3- ALTER ❑ — B 8P C for this reason da0f ,IB AW f/86e"&,/Q.f,s REPAIR ❑ f Oeste USE OF EXISTING BLDG cSPCrC'/`/GAT.hI.rJS DEIAOL ❑ Signature APP TENALL OWNER-BUILDER DECLARATION WRINTI �yC�roNO -� '9D DATE �L(` �2/ I hereby affirm that I am exempt from the Contractor's License ADDRESS N T` E / r �x Law for the following reason (Section 7031 S, Business and FINAL I / Professions Code) Y _ El 1, as owner of the o BUILDING Y property, or my employees with ADDRESS wages as their tole compensation,will do the work and the structure is not intended or offered for sole(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- CRESS tion 7044, Business and Professions Code ) CONSTRUCTION LENDING AGENCY I YARD HWY TOTAL BA INEFRO,M M wiDTH I hereby affirm that there is a construction lending agency for FRONT i the performance of the work for which this permit is issued P L (Sec 3097 Gv C ) SIDE PL Lender's Name LDMA PC Fee f Permit Fee Ref N Lender's Address , I certify that I have read this application and state that the Issuance Fee TDMA PIC N above mformot ect I agree to conpply with all Count' Inveaepotion Fee ordinance State la relating to bwlding construction, Total 13, LDMA Perm N Q and h uthori prasentanves of thn County to enter YA u t bove- oned pr rty for inspection purposes � 3 ia9.z SEE RIVERU FOR l%PLANATOIIY LANGUAGE &g Lure of Applicant w Agent Dote aebWORKERS COMPENSATION DECLARATION i o affirm that I have certificate of consent to .elf APPLICATION FOR BUILDING PERMIT insure or a certificate of Workers'Compensation Insurance or a certlfqtFlcopy thereof (Sec 3800 Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No 30 Company F7fftdV:.Ei �Nr i ❑ Certified copy is hereby furnished FOR APPLICANT TO FILL IN BUILDING ? ADDRESS [7T Certified copy Is filed with the c unity bu l g 'n c- BUILDING Ia flan deportment ADDRESS A. p /Ht Dora / L/P' Applicant Cm ZIP 7/-/Oo LOCALITY CERTIFICATE OF EXEMPTION ROM NO OF BLDGS NEAREST COMPENSATION ROAM SIZE OF LOT NOW ON L ST (Thu section need not be comp) ed if the permit is for one ASSESSOR hundred dollars ($100)or leu ) TRACT BLOCK LOT NO // MAP BOOK PAGE PARCEL I certify that in the performance of the work for which this OWNER TEL 115E ZONE NO SPECIAL permit is Issued I shall not employ any person in any manner ADDRESS /�K I CONDITIONS so as to become subject to the Workers'Compensation Lows ��p O U CITY T C zIP q// • o pore Applicant ARCHITECT OR TEl 0 NOTICE n, APPLICANT If, cher making this Certificate rs NGINEER NO DISTRICTS GROUP TYPE ZONE SSED BY Exemption, you should become subject to the Workers 3(//IQO' � �T Z� Compensation provisions of the Labor Code, you must forth ADDRESS with comply with such provisions or this permit shall be L7. deemed revoked TEL STATISTICAL CIASSIF TION APT N CONTRACTOR 7T —023 Z LICENSED CONTRACTORS DECLARATION '080 -/ LiC CLASS NO DWELL UNITS_ I hereby affirm that I am licensed urder provisions of Chapter 9 ADDRESS /V i NO (commencing with Section 7000)of Division 3 of the Business and LICy SEWER MAP Professions Code and my license is in full force and affect CITY U C1A55 N SK PG VALWATTON SO NO OF NO HECK License Nutilber 2MIIPVS Lic Class ^r SIZE STORE Ag FAOLIES / CONE V TION Contractor Date /Z ��8 DESCRIPTION OF WORK NEW $ /17 00 ADO Q J / Pilo am exempt under ALTER B BPC for this r 9.49 �yT— REPAIR $ SE I! EXISTING BLDG Signature n ` NNAL OW ER-BUILDER TION APPLICANTAct 61,17 AJ 'NO 7 '-0LV�/ DATE �i I hereby affirm th t I am exempt the Contractor's License Law for the foll ing reason (Section 7031 S, Business and ADDRESS Al wW d k RN 8$ 1 4 A Professlons Code) YTZd OBUILDING I g owner of the property, or my employees with ADDRESS 4 • • • • •t1 wages ct their Bole intended droff will do the work and the structure is not intended or offered for sob(Section LOCALITY ,) • • 4 9 8 8 7041, Busmen and Professions Code) MOVING TEL F1 I as owner of the property am exclusively contracting CONTRACTOR NO • • - 49 886 with licensed contractors to construct the project (Sec- tion 7011 Business and Profewon Code) ADORE 01.21 -88 L SETBACK Hirum CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE IDTH I hereby affirm that there is o construction lending agency for FRONT the performance of the work for which this perms a issued P (Sec 3D97, Cor C ) SIDE PL Lenders Name LDMA Ref N P C Fes$ Permit Fes Lender s Address I certify that I ha read this application and state that the Issuance Fes IDMA P/C• above InfarmatI correct I o comply with all County In~.gatwn Fee adirwnns an Stats I ro building construction, R and hereby a h ze reps b this County r enter Total Fee LDMA Perm e upon the obo s onedfor inspection purposes _ —M $0 REVERSE FOR EXPLANATORY LANOLIAGE `97s i of Apptico t I Dau -10-rG C �0/ /-s%2 aZ COUNTY OF LOS ANGELES TEMPLE CITY 6 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVRLoPINIT TEMPLE CITY CA 91780 BL 0508 0513080078 PHONE (636) 385-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS TR 17706 LT 30 BL 001 SQ FT STORIES TYPE 6403 TRELAMHEY AV STRUCTURE 3600 VN TEMP CA 917801314 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LEMON 5383-010-063 THOMAS PAGE 596 GRID J1'" LOCALITY TEMPLE CITY C TENANT EXIST BID(; USE REBID USE ZONE R-1 ISSUED OB PROCESSED BY EXPIRES ON EXIST OCC GRP 17/08/05 Jt 11/03/06 OWNER TEL NO BLDGS NOW ON IAT VALUATION FINAL DATE FINAL BY CODE GILLILAND GEORGE M TR (616) 818-9716- 6,000 �� 6403 TRELAWNEY AV / IL V- TENP 917801314 FEES PAID DESCRIPTION OF WORK TRAR-OFF AND REROOF COMPOSITION SHINGLES HOUSE AND GARAGE FEE DESCRIPTION QUANTITY VOM AMOUNT APPLICANT TEL NO URBAN HOME CONSTRUCTION (676) 677-7069- AA BLDG PERMIT ISSUANCE 77 75 6373 LIVIA AVE AC STRONG MOTION REBID 6000 00 VAL 0 60 SPECIAL CONDITIONS TEMPLE CITY CA 91780 D7 PERMIT W/O ZM-HC 6000 00 VAL 149 40 TOTAL FRES 177 75 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE DREAM HOME CONSTRUCTION (676) 185-4471- 6373 LIVIA AVE LIC NO LOCATION AND SETBACKS TEMPLE CITY, CA 91780 744854B BOIL9 HNOI11EYit APPROVAL ARCHITECT OR ENGINEER TEL NO FOUNDATION TREE® FORME LIC NO SLAB UNDER FLOOR RAIEED FLOOR FRAMING MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP UNDERFLOOR INSULATION 153H165 3 01 FLOOR SHEATHING NO OF FAMILIES DWELLING UNITS APT COND STAT CLASS NO 71 ROO SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY 1000 PRET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD HWY PROP LINE WIDTH FRONT PL- INSULATIOB WEATHER STRIP SIDE PL- INTERIOR LATE DRYMALL EXTLRIOR LATE RATED FLOOR CBIL ASSRM RATED MALL ASSWLIES I RATED SB&FT8 OPBNIWGS T-BAR CEILINGS ADDITIONAL DATA ON PILE LOT,DRAINAGE REPORT ID DPR761 ROUTE TO RB0508 l