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HomeMy Public PortalAbout5318 WELLAND AVE_Building__ 76A638A CE1803 5-65 APPLICATION FOR BUILDIN PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER A D D R E S BUILDING AND SAFETY DIVISION LOCA LIT JOHN A. LAMBIE. COU arY ENGINEER NEAREST COLEMAN W JENKINS.SUP T OF BUILDING CROSS ST :- DISTRI�r NOS GRA P TYPE PRO ESS BY FOR APPLICANT TO FILL IN _L CONST BUILDING !�/(j /� STATISTICAL SSIFICATION SEWER MAP ADDRESS !� /d C.^ CLASS NO. DWELL UNITS B KF PG//, s LOT BLOCK USE '�ZONE MAPS 06 ,jZ TRACT /'az' SP �r SPECIAL y N0. BLOGS. CONDITIONS SIZE OF LO �1 N LOT + USE OF EXISTING BLDG. BLDG. SETBACK FROM D/ TEL. a FRONT PROP. LINE OF `� — (STREET) OWNER NO. J TYPE OF EXISTING SETBACK HIGHWAY + YARD — TOTAL ADDRESS HIGHWAY WIDTH FRO?4 C L. zO f — LIQ f CITY 1 ARCHITECT TEL. - BLDG 5 BACK FROM ENGINEER NO. SIDE PROP. LINE OF (STREET) _TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C L TEL. + _ CONTRACTOR NO O LIC V ADDRESS LINO CORNER CUTOFF YES NO OG CITY LIC SS SEE REVERSE SIDE FOR SPECIAL APPROVALS G DESCRIPTION OF WORK a ADD ALTER REPAIR DEMOLISH H Q.FT. / NO OF I NO. OF SIZE C! STORIF_S / FAMILIFS = USE OF jol • STRUCTURE SIGNATURE OF ,A APPLICANT fL4/ .. VALUATION$ (JOV• APPROVALS DATE INSPECTOR'S SIGNATURE P C. ,Ff ✓ MT. FOUNDATION, O FORMS, MATERIALS FEE S •r FEE$ FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 9UILDI NG CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODC OF THE STATE OF CALIFOR IA RELAT. ING TO WORKMEN S COM ENSATIONWANCE. LATH. EXT. SIGNATURE O HOUSE NUMBER COR- PERMITTEE � RECT AND POSTED a f ADDRESSL _ Fl NAL `{+ f' %, •.c r _ JOHN PLAN CHECK VALIDATION CK M O. CASH _ PERMIT VALIDATION TRCK ►URAL EN C CASH 1 D - 'GA638A CE0809 8_o3 APPLICATION FOR BUILDING PERM COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST. DI,§TR4. 1�7 N GR YPE Y FOR APPLICANT TO FILL IN ; CONST. BUILDING STATISTICAL CLA IF ATION SEWER MAP ADDRESS _ wl� � BK G// CLASS. NO. DWELL.UNITS LOT NO. , cW 17 BLOCK WATER CERTIFICATE: NOT REQUIRED ❑ RECEIVED TRACT MAP HIGHWAY NO.OF BLDGS. / NO. (CIRCLE) STATE MAJOR SECON LOCA SIZE OF LOT NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BL G. kv TEL.�/ OWNEleff� . NO!J LDING YARD HWY TREE NAME EXIST. � pp ETBACK WIDTH ADDRESS, 12 (J<rr/� ' FRONT �® � ARCHITECT OR TEL. P. L. pj ENGINEER NO. SIDE P. L. ADDRESS TE 0 CONTRACTOR E N e U ADDRESS 0 DESCRIPTION OF WORK r) • W AL NEW ADD ALTER REPAIR DEMOLISH z SQ.FT. NO.OF NO.OF SIZE STORIES. FAMILIES USE OF ST CTURE SIGN URE OF t r APPL I CANT VALUATION $ OG Pv APPROVALS DATE INSPECTOR'S SIGNATURE P C. PMTqFOUNDATION: LOCATION F E $ FEE $ (/ 'V FORMS, MATERIALS FRAME: FIRE STOPS, g I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS ��`� •� ✓'� AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- TI IOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S C EN,SAATTION INSURANCE. LATH.EXT. SIGNATURE OF- LL/ HOUSE NUMBER COR- PERMITTEE �V RECT AND POSTED ADDRESS FINAL (/ C/rte,C p—• JOHN F. LEWIS. PRINCIPAL STRUcTURAT ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. GASH .9 2 4 3� -JJN23 1 D 9.00- 17 • IEA633A CE 980310-1. - APPLICATION FOR BUILDING PERMIT 1 COUNTY OF LOS ANGELES BUILDING /7ilir DEPARTMENT OF COUNTY ENGINEER ADDRESS c C.,/� BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICT NO, GROUP I TYPE SSED BY 53/ FOR APPLICANT TO FILL IN CONST. BUILDING ' - ��`v STATISTICAL CLASSIFICATION SE fR MAP ADDRESS K PG CLASS.NO. DWELL. UNITS /` 1/ 7 LOT NO. BLOCK MAP STATE YES >�±LNUMBER HWY. TRACT aUSE ZONE SPECIAL .. / I NNO.OF OW ON LOTS Q / CONDITIONS SIZE OF LOT d U S E O F EXISTING BLDG. BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH OWNER '-• ..�cL FRONT MAIL P. L. ADDRESS SIDE TEL. P.L. ARTY v rr u No. INSPECTION RECORD ARCHITECT OR' / �, TEL. q ENGINEER p, I t ADDRESS CONTRACTOR (� TE 7%1-5 1 l/.7 -i r i �O ADDRESS 2_I�.LI /1'�f•"Q1(� "t'/,`�R. V�i(�1 DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SO.FT. NO.OF NO.OF SIZE t� STORIES FAMILIES USE OF STRUCTUR r __ U 446 SIGNATUREt OF APPROVALS - APPLIC T D E INSPECTOR'S SIGNA-TUOE ADDRESS, FOUNDATION: LOCATION $ _FORMS.MATERIALS P.C. S (,T6 FRAME: FIRE STOPS. FEE BRACING, BOLTS VALUATION S �.i FURNACE: LOCATION. FEE GAS VENT,DUCTS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ HIS AP- LATH,INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORD ANCES AND STATE LAWS GU NG B L G-"ICTIFN, LATH.EXT. ' SIGNATUgg OF +++ddd���0'//J HOUSE NUMBER COR- PERmler.rE RECT AND POSTED C ADDRESS FINAL1 L-_' I — CLYDE N.DIRLAM, PRINCIPAL STR AL GINEER PLAN CHECK VALIDATION M.O. H PERMIT VALIDATION CK. M.O. CASH ®F ;��5 2 0 5 a.gAY 5 1 A 4 2.00 r WORKERS'COMPENSATION DECLARATION , hereby' affirm that I have a certificate of const to self ` APPLICATION F OR BUILDING PERMIT insure, or a certificate of Workers'Compenstion Insurance, or a,certified copy thereof(Sec. 3800, Lab. C.) j COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company t . BUILDING 3 EJ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS �� EJ Certified copy is filed with the county building inspec- BUILDING Q '7— /� /1 -4-S, G tion department. ADDRESS (� v@ . LOCALITY 1= l l �A. !/ NEAREST Date Applicant ,_- CITY M ��- C ZIP / p CROSS ST. L W CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one - USE ZONE MAP hundred dollars ($100)or less.) TRACT BLOCK L NO. ,� NO. nn G EL. Z SPECIAL I certify that in the performance of the work for which this � lvr O.� -O ,` CONDITIONS permit is issued, I shall not employ any person in any manner ADDRE AS'.1f a vLp DISTRICT GROUP TYPE FIRE PROC SED BY U so as to become subject to the Workers'Compensation L ws. lD� � CONST. `ZONE �( �� o t �/ ate -� 1 Z Appli �� CITY C,41ZIP 7 �o STATISTICAL CLASSIFICATION V APT. CONDO. tU ARCHITECT OR TEL. NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. o� LU Exemption, you should be subject to the Workers' CLASS NO. DWELL. UNITS IL Compensation provisions of the Labor Code, you must forth- p p y ADDRESS SEWER MAP � with comply with such provisions or this permit shall be TEL. deemed revoked. CONTRACTOR NO. BK. pG �a VALIDATION LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. ; QljO Professions Code, and my license is in full force and effect. - CITY CLASS $ SQ.FT NO.OF NO.OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE Contractor Date DESCRIPTION OF WORK t NEW ❑ $ I am exempt from the licensing requirements as I am a ADD licensed architect or a registered professional engineer ALTER FINAL acting in my professional capacity (Section 7051, REPAIR DATE Business and Professions Code). USE OF EXISTING BLDG. DEMOL FINAL By Lic.or Reg.No. Date APPLICANT TEL. OWNER-BUILDER DECLARATION (PRINT) NO. I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS Professions Code): PRESENT ❑ BUILDING 2 6 6.0 AI, as owner of the property, or my employees with ADDRESS ) Wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY a U ' 0 0 0 0 0 1 7044, Business and Professions Code). MOVING TEL. 1, as owner of the property, am exclusively contracting CONTRACTOR NO. 2 o 0 5 2 0 0 with licensed contractors to construct the project (Sec- tion 7044, Business and Professions Code). ADDRESS o 0 0 REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH B-82 1 hereby eby affirm that there is a construction lending agency for FRONT J the performance of the work for which this permit is issued P L. cx)0 !O (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name Lender's Address P.C. Fee$ Permit Fee X3,10 I certify that I have read this application and state that the Issuance Fee O above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, del 1.1 and hereby authorize representatives of this County to enter Total Fee � upon -bo e- erty for inspecti purp s SEE REVERSE FOR EXPLANATORY LANGUAGE 0 gnature of Applicant or Agent Dote ®s I WORKERS'COMPENSATION DECLARATION , l� ` r ~ 1� I hereby affirm that I have a certificate of consent to self J insure, or a certificate of Workers'Compenstion Insurance, or � APPLICATION FOR BUILDING PERMIT a,certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING / I • Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS �.?f �� f a ( ✓� . • Certified copy is filed with the county building inspec- `� BUILDING Q �� ' /^ G tion department. ADDRESS p v� . LOCALITY C /tom l� `f1. n n NEAREST Date Applicant CITY 1M ��- ` r ZIP / CROSS ST. el CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL USE ZONE MAP hundred dollars ($100)or less.) TRACT BLOCK (This section need not be completed if the permit is for one ^7 L NO. / /f NO. y G EL. t"r 1- SPECIAL d 1 certify that in the performance of the work for which this O r O..S -O ,` CONDITIONS permit is issued, I shall not employ any person in any manner — DISTRICT GROUP TYPE FIRE PROC SED BY V ADDRE CONST. ZONE so as to become subject to the Workers'Compensation L ws. �3 ✓P d S/ } OC �( � . ZIP � Date/—If 1Z Appli 4 CITY • STATISTICALCLASSIFICATION APT CONDO. V NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. IW Exemption, you should becom subject to the Workers' ENGINEER NO. CLASS NO. a DWELL. UNITS N Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP Z with comply with such provisions or this permit shall be TEL. deemed revoked. CONTRACTOR NO. BK PG � VALIDATION LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC ��Cl Professions Code, and my license is in full force and effect. CITY CLASS S SQ. FT NO. OF NO. OF CHECK License Number Lic.Class f SIZE STORIES FAMILIES ONE Contractor Date DESCRIPTION OF WORK NEW $ ADD I am exempt from the licensing requirements as I am a licensed architect or a registered professional engineer ALTER FINAL acting in my professional capacity (Section 7051, DATE REPAIR Business and Professions Code). USE OF FINAL EXISTING BLDG. DEMOL By Lic.or Reg. No. Date APPLICANT TEL OWNER-BUILDER DECLARATION (PRINT) NO. I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS Professions Code): PRESENT BUIMING 4 !� ,. 2 2 6 0 A D I, as owner of the property, or my employees with ADDRESS I'llewages as their sole compensation,will do the work and # 0 0.0 0 1 the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL F1I, as owner of the property, am exclusively contracting CONTRACTOR NO 2 005200- with • 520Qwith licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). 5 20 0 v REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH 1, 1 8-82 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, V CJ (Sec. 3097, Civ. C.). SIDE P.L Lender's Name ) P.C. Fee S Permit Fee ,,J , S O Lender's Address ' I certify that I have read this application and state that the Issuance Fee O above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, dv Total Fee and hereby authorize representatives of this County to enter jC_7p_0n-*e above-mentioned erty for inspecti purp s tL SEE REVERSE FOR EXPLANATORY LANGUAGE , '• Os gnature of AppHwnt or Agent Dore COUNTY OF LOS ANGELES TEMPLE CITY # 0508 Buiii.i^G PERMIT DEPARTMENT OF PU9L1C WORKS 9701 LAS TUNAS A'-"'-:iTON/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BI. 1508 0408110004 PHONE: (626) 285-0488 EXT: LEC1L ID: -r NO. OF CONST r— BUILDING ACCRECC: T!?: 10898 LT: 17 BL: .001 SQ. FT STORIES TYPE 5318 WELLAND AV _ STRUCTURE: 28 VN TEMP CA 91780_i507 ASSESSO. INFORMATION NUMBER: NEAREST CROSS :TFEET: FREER 8573-035-018 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEINDLE CITY, C TE ANT: X15) BLDG USE: RESID USE ON - TSS ED 0PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 08/11/04 JK 08/06/05 01WNER: — TEL. NO: 6LOGS-NOW ON LOT: y VALUATION: ii'I11L DQTE� F57A'L BY: CODF: HUYNH VI T;STEPHANIE C (626) 401-2992- 4,900 JUJ6(� 5318 WELLAND AV _ TEMP 917803507 FEES PAID ! ESCRIPTION OF WORK T/O OLD ROOF REPAIR ROTIED WOOD INSTALL CLASS "a" 30 YEAR IFEE DESCRIPTION: QUANTITY: UOM: AMCLINT: COMPOSITION SHINGLES APPLICANT: EL. NO: LAI.( (626) 285-9016- IAA BLDG PERMIT ISSUANCE x'7.;5 _ 4533 SHIRLEY AVE AC STRONG MOTION RESID 4900.00 VAL 0.50 )SPECIAL CONDITIONS: EL MONTE, CA 91731 ID2 PERMIT W/O EN-HC 4900.00 VAL 132"60 � TOTAL FEES 760. 5 CONTRACTOR: TEL. NO: I IAPP1i0VALS DATE INSPECTOR bIGNAIURt: GOLDEN KEY INC., 6262859016 (626) 285-9016- 4533 SHIRLEY AVE LIC. NO LO ON AND SHACKS EL MONTE, CA 91731 775115039 STS ENGINEERAPPY0V�1L �I P.RC I 'EL'T OR ENGINEER: TELCO: I FOU.IDA d! Rl ENCH 4GRw:S —) LIC. NO: ISLis.:/UFIDER FLOOR �T2A!SVD FL03R FRAt.ING — i `— MAr NO: SEWER MAP BOOK: NAGN FIRE ZONE: 1"oOffFE-001i 1NSULATJOU XX 3 03� aR S II—THING X17. OF FAMILIES: DWELLING UNITS:S:A!•'i/ OWD: STA CLA53: NO ^-1 IF.0O� SHEATHING SCHOOL I N_ HAZARDOUS SS!.E R P LS ') FAIR QUALITY: 1000 FLET MATERIALS I NO NO NO :RA!tiE INSPECTION--- REQUIRED TOTAL SETBACK FROM EXIST SPRINKLER AN9F!?5 - SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PPL-L- IINSJLATION/WEATHER STRSIDE rP NT ER OR LATH/DRY ALC. (EXTERIOR LATH ) RAT D F OOR/C IL ASSEM. —�— RARTED WALL ASSEMBLIES I -- RATED SHAFTS/OPENINGS -`�— IT-B R CEILINGS (LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 I —� i I