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HomeMy Public PortalAbout5257-5259-5249-5261-5263-5267 VILLAGE CIRCLE DR_Building__ 7,rer--�- • APPLICATION .FOR BUILDING PERMIT , `FOR APPLICANT TO FILL IN (Print or type only) FN37-59-61—.3-5-7 Village C r. Dr COUNTY OF LOS ANGELES 15EPARTMENT 'OF COUNTY ENGINEERle City zip 9178.0 BUILDING ANDSAFETY DIIVISION I NO.OF BLOTS 1 ADDFtES43.2,5 TRACT2 602 • LOT NO. 1 LOCALITY TE NEAREST i OWNEF2 Yjj I ]al TS V1n S` NO. -8801 CROSS ST. ADDRESS 61 So• bake St.' MAP 600K ASSESSORI PAGE PARCEL DISTRICTy� GROUP TYPE FIRE P OC ED BY CITY Pasadena ZIP 91101 ��)( CON T, ZONARCHE L•tii7 ENG NIEERTEC.bW Foerstel No%4-001 ��JJ STATISTICAL CLASSIFICATION (/gip SEWER MAP ADDRESS C Of ndGLASS NO, _DWELL,UNITS �' BK PG CONTRACTORNoel Baldwin NOI448-390 U/S�EnZON\E NO. ADDRESS 10017 Green St• NLI o`237497 !r�f �U SPECIAL CITY LIC. RIP CONDITIONS Tem le Cit CLASS B-1 ROAD DEPARTMENT APPROVAL REQUIRED YES NO CONSTRUCTION LENDER NAME AND BRANCH ^,' T� v i & BLDG.SETBACK FROM r� _ F ADDRES56l Bo• Lake CITY '.Cas adena FRONT PROP,LINE OF v, bl/ (STREET) c HIGHWAY + YARD = TOTALS TBACK FROM TYPE OF EXISTING L SQ, Fz. NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH C SIZE Zj101 STORIES 2 FAMILIES ONE + DESCRIPTION OF WORK NEW IL ADD ❑ BLDG,SETBACK FROM (STREET) New Development SIDE PROP.LINE OF ADD LTER ❑ HIGHWAY + YARD _ TOTAL SETBACK FROM TYPE OF EXISTING - REPAIR❑ SIDE PROP. LINE HIGHWAY WIDTH USE OF NG BLDG.S'in le Famil '=Re E`MOL.❑ + EXISTING APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) Noel Baldwin N0. ,8- 0 BY (SIGNATURE) IN OPEN SPACE YES ❑' NO J 3 IN COASTAL ZONE YES ❑ NO ❑ VALUATION$ - / d CATEGORICAL EXEMPTION YES❑ NO ❑ •I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND.AGREE TO COMPLY IMPACT EXEMPTION.DECLARATION SIGNED (DATE) WITH AL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUC N. I"CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (GATE) HEREBY WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR C OF THE STATE OF CALL R RELAT GTO /^Q S� 0411 `/ I n tI� �J� s-� WORKMEN'S CO NSATION INSU NCE f [9 J f/G i� I*" SIGNATURE OF �.� ,U� /�/ Z PERMITTEE ,�. ADDRESS n—St ree �.57-�- ,& -ry B-5 &,cc,,oVtMAL �i� CITY Temple City TE CITYDATE 2 —le .6 BY "o p MAKE CHECKS PAYABLE TO: FEE $�2 63•y� FEE PMT.$ HARVEY T. BRANDT, COUNTY ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VAIN ION��)M.O. CASH; 8 2 9tiFM 18 2 1, D' 2. 6 .3.4 byb 8 3 i�:FLb :Ld 1. D 5 2.6.9 5 a 76AB38A CE#803 7/73 APPLICATION FOR COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ; BUILDING PERMIT BUILDING AND SAFETY DIVISION BUILDING [ADDRESS OR APPLICANT TO FILL IN ADDRESS 5QA C / %Ar F IZ119CT'E Cl�E 5:161 v �C LOCALITY � rJA� �f j�/ C �,4 f�� , NEAREST /vf/�CE C1TY ZIP � 7�� CROSS ST. �� I NO.OF BLDGS.- ASSESSOR �.. LOT NOW ON LOTr� .� /3�. MAP BOOK �.� PAGE �',�"'76 PARCEL DISTRICT G P TYPE FIRE SED BY L C60� BLOCK/Q LOT NO. C NST. ZONE/ { TEL. q J - SF,17fj/ /I%�1100/�J NO. �SU /nti.1 STATISTICAL CLASSIFICATION SEWER ���� ///i�/��G` ��,QeX4E 47/e CLASS NO.�DWELL.UNITS BK PG ACF 62/T`/ CA.l ZIP ?/` dFv -kjkE ZONE NOP /CT ORTEL. SPECIAL ENGINEER NO. CONDITIONS ADDRESS 'ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONTRACTOR S L TEL. BLDG.SETBACK FROM LIC. FRONT P OP.LINE OF �J�4fi^ triJAJ (STREET) L _ - ADDRESS NO. HIGHWAY + - YARD _ TOTAL SETBACK FROM TYPE OF EXISTING CITY LIC. FRONT PROP. LINE HIGHWAY WIDTH CLASS _ CONSTRUCTION LENDER + NAME AND BRANCH BLDG.SETa KFROM C ADDRESS CITY SIDE PROP.LI (STREET) G TOTAL SQ. FT.-. . 1 SETBACK FR TYPE OF EXISTING NO. OF NO. OF CHECK HIGHWAY + YARD - F SIZE %" STORIES FAMILIES ONE SIDE PROP. LINE %HW.AYj WIDTH DESCRIPTION OF WORK NEW 0 + d T U - C�lJCn /��/lJ/� ADD - @ CORNER CUTOFF YES ❑ NO ❑ LTER ❑ REPAIR❑ IN OPEN SPACE YES ❑• NO ❑ USE TI ���/^���� ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG. 1 V �• DEM,OrL AP (PRINT) �i� �II» N@e TEL N-1-Y 9Ao BY (SIGNATURE) 1 HEREBY ACKNOrMfLLLEOGVTHAT I HAVE READ T915 APPLICATION AND STATE THAT/TAE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL 0RDI ANCES AND LAWS REGULATING BUILDING CON- STRUCTION. 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 CALIFORNIA IN RELATING TO WORKMEN'S COMPENS.TION INSURANCE. J PSIGNATURE OF � Cj FINAL PBY ERMITTEE ;� J��'� v?�0��`�"�, DATE i ADDRESS �ra1' •� r! �. i:J a12�:, 1:). TEL CITY ,�+ P.C. Fee$ Permit Fee Z � NO. �7��!'J'� GQ Issuance Fee VALUATION A 6 o2 O Total Fee PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. a + 7BA638A CE rJ#B03H 12/75 ! 75c`_-,JUN 1 '1 0 2.0 .p A58 APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) DDRES BUILDING _ v S ,/ , ,_ COUNTY OF LOS ANGELES A Y� DEPARTMENT OF COUNTY ENGINEER CITY--Fe.e. ZIP BUILDING AND SAFETY DIVISION NO.OF BLDGs. BUILDING SIZE OF LOT NOW ON LOTADDRESS&,2_15� TRACT BLOCK LOT NO. LOCALITY �*✓`�"�` TEL. NEAREST OWN NO. CROSS ST. ASSESSOR ADDRES , MAP BOOK PAGE ARCEL DISTRICT GROUP TYPE FIRE PRO SASE BY CITY ZIP �^ a8 CONSjr: ZONE ARCHITECT OR TEL. ENGINEER NO. � STATISTICAL CLASSIFICATION ' SEWER MAP ADDRESS in A= CLASS NO. DWELL,UNITS BK PG CONTRACTOR NEEO�we`� �� 'USE ZO MAP qq NO, d �v ADDRESS Q�7+ C/Y>`� N0�2,37 j SPECIAL LIC. CONDITIONS CITY CC-- CLASS _/ ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONSTRUCTION LENDER NAME AND BRANCH BLD . ETBACK FROM FRO T PROP.LINE OF (STREET) ADDRESS CITY HIGH AY {• YARD ,TOTAL SETBACK FROM TYPE OF EXISTING SQ. FT NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH SIZE O� STORIES FAMILIES ONE DESCRIPTION OF WORK NEW + C ADD [:] c' BLDG,SETBA SIDE PROP.LINE OF (STREET) C • ALTER ❑ HIGHWAY + YARD = TOTAL SETBACK FRO PE OF EXISTING C~] REPAIR[] SIDE PROP. LINE HI AY WIDTHUSE OF a EXISTING BLDG. DEMOL [:] + Z APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) NO. I BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION:$ I 1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATIONgle AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTI 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREB I WILL NOT EMPLOY ANY PERSON IN VI CATION OF THE LABOR C STATE OF •CALIFOR IN ELATI Q TO c U WORKMEN'S COMPE NS ION INSURA 4 SIGNATURE OF PERMITTEE ,OZ ADDRESS FINAL BY CITY_ / ` NE d7 DATE 44 MAKE CHECKS PAYABLE TO: FEE FEE $ HARVEY T. BRANDT, COUNTY ENGINEER PLAN'CHECK VALIDATION CK. M.O. CASH PERMIT VA ATIQN CK. M.O. CASH 0 0 1'c'_'FE6 pis 1 D 3 5 1.3 Q Cyt 76A638A C6#603 5/74 - , , T WORKER,.S,'COMPENSATION DECLARATION C l � hereby affirm that I have a certificate of consent to self APPLICATION FOR BUILDING PERMIT insure,or a certificate of Workers'Compenstion Insurance,or a certified copy thereof (Sec. 3800, Lab. C..) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is filed with the county building inspec- FBUILDING /�tion department. , ��110. 0, Ck'<'d Di- - /� LOCALITY NEAREST Date Applicant 1 L e 4- ZIP I (7 J d CROSS ST.CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. ;ASSESSOR COMPENSATION INSURANCE NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one J. USE ZONE INDITIONS PS hundred dollars ($100)or less.) TRACT BLOCK LOT NO. pn l 40 TEL. F rCIAL I certify that in the performance of'the work for which this OWNER a-O /r NO. I -Fj7O ermif is issued, I shall not employ any person in any manner _ DISTRICT GROUP TYPE FIRE PRO ESSED,BY U ADDRESS `�`vZ (u_ r, 9 y , CONST. ZONE sous to beco-m/e subject to the Worke n en "fion Laws. ,/ t9 ate 7 Applicant T r ARCHITCITY-rECT (� "� c ZIP 7�U STATISTICAL CLASSIFICATION!/ PT. CONDO. W ARCHITECT OR TEL. NOTICE TO APPLICANT: If, aft making this Creificate of Es+ Exemption, you should become subject to thV Workers' r ENGINEER NO. CLASS NO. DWELL.UNITS Compensation provisions of the Labor Code, you must forth- I �r fL' v' with comply with such provisions or this permit shall be ADDRESS SEWER MAP deemed revoked. No f� (��C CONTRACTOR BK. PG, VALIDATION r LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS Jf/��S'+1L NO,3 24?Z 11.3 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 - CLASS 3 �l�' I•' SQ. FT. NO.OF NO OF CHECK License Number ZZ-2Z Lic.Class �� 'SIZE STORIES FAMILIES' a/ ONE ContractoX, w!i Date Z V DESCRIPTION OF WORK L- f f sL 1r`c`f, 1, NEW ❑• $ C-1" ❑ 01)01) . I am exempt from t e licensing requirements as I am a Gr' �� '�` t5'G - �j GYL NJ ADD © licensed architect or a registered professional engineer i ALTER ❑' FINAL / p acting in my professional capacity (Section 7051, ] r�G Gj REPAIR ❑ DATE Business and Professions Code). s USE OFFINAL EXISTING BLDG. rt t P,LE. C-- DEMOL ❑ By r Lic.or Reg.No. Date APPLICANT �, TEL. OWNER-BUILDER DECLARATION (PRINT) Gy d t [y NO.Lill3 ,l0 7 0 I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS )r~ Professions Code): PRESENT F-1BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and rLOCALITY 1 56,011, the structure is not intended or offered for sale(Section 7044, Business and Professions Code). MOVING TEL. #' 0 0 0 0 0 1 ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- 2 0 02500 tion 7044, Business and Professions Code). ADDRESS CONSTRUCTION LENDING AGENCY REQUIRED YARD HWY TOTAL SETBACK FROM EXIST. o o u 2 5 SET BACK PROP. LINE WIDTH 2 � 0 I hereby affirm that there is a construction lending agency for FRONT 01 5-81 the performance of the work for which this permit is issued P L. (Sec. 3097, Civ. C.). SIDE P.L. ;. f Lender's Name i P.C. Fee$ Permit Fee Lender's Address 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 ordinances and State laws relating to building construction, Total Fee I and hereby authorize representatives of this County to enter on ' u fh aY m ed property for inspection purposes. p Ky SEE REVERSE FOR EXPLANATORY LANGUAGE i �. Signature of ApplicantrAgent Date ea 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 0901130004 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST BUILDING ADDRESS: ITR: 29602 IT: 1 UN: 12 SO. FT STORIES TYPE 5257 VILLAGE CIRCLE DR I ISTRUCTURE: V_B TEMP CA 917803356 (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: BALDWIN 18585-001-079 i i THOMAS PAGE: 597 GRID: 84 LOCALITY: TEMPLE CITY, Cl ITENANT: EXIST BLDG USE: RESID USE ZONE: R-3 ISSUED ON: PROCESSED BY: 1EXIST OCC GRP: 01/13/09 SR (OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: FINAL tiATwtf BY: CODE: ISHIPPEN VERA (626) 443-6370- i 2,000 15257 VILLAGE CIRCLE NOFITEMP 917803356 FEES PAID DESCRIPTIOWORK REPLACE SLIDING GLASS DOORS WITH MORE ENERGY EFFICIENT ONES FEE DESCRIPTION: QUANTITY: DOM: AMOUNT:j JAPPLICANT: TEL. NO: I ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27 JAB STATE GREEN BLDG FEE 2000.00 VAL 1.50 ISPECIAL CONDITIONS: AC STRONG MOTION RESID 2000.00 VAL 0.50 D2 PERMIT WIO EN-HC 2000.00 VAL 82.20 JFR INV WORK W/O PERMIT 127.00 DOL 127.00 ICONTRACTOR: TEL. NO: 1 TOTAL FEES 238.95 JAPPROVALS DATE INSPECTOR SIGNATURE ISAME AS OWNER I I LIC. NO (LOCATION AND SETBACKS ;SOILS ENGINEER APPROVAL JARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS I I LIC. NO: ISLAB/UNDER FLOOR I I I IRAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 1UNDERFLOOR INSULATION 1147H269 3 00 I IFLOOR SHEATHING IND. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 1 IROOF SHEATHING SCHOOL WITHIN HAZARDOUS _iA FH R PANELS JAIR QUALITY: 1000 FEET MATERIALS NO NO NO IFRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST ;FIRE SPRINKLER HANGERS ISET BACK YARD: HWY: PROP LIKE: WIDTH: IFRONT PL- JINSULATION/WEATHSR STRIPI I I SIDE PL- I 1--1 JINTERIOR LATH/DRYWALL JEXTERIOR LATH JRATED FLOOR/CEIL ASSEM. [RATED WALL ASSEMBLIES (RATED SHAFTS/OPENINGS IT-BAR CEILINGS IMT DRAINAGE- I IREPORT ID: DPR261 ROUTE TO: BS0508