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HomeMy Public PortalAbout5355 WELLAND AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY `'rrl'1`'t'i ivi� r v� r�lclYai i COUNTY OF LOS ANGELES BUILDING WM. J. FOX, CHIEF ENGINEER NO. OF ,= BLDG. ORD.NO. DISTRICT NO. PLAN CK. NO. PERMIT NO. PLANS SETBACK LINE - FIRE APPROVED f ZONE BY DATE RECEIVED BY DATE OF APPL. DATE ISSUED USE APPROVED ZONE BY DATE APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY It BUILDING '+ 0 E NAME ADDRI- ILI ESS V W F Z ADDRESS LOCALITY I Z NEAREST W CITY CROSS ST. a STATETEL. LICENSE NO. a41d' NAME W a, tk��— z MAIL t O NAME ; ADDRESS F O U TEL. Q ADDRESS CITY NO. C Z 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS U CITY APPLICATION AND STATE THAT THE ABOVE IS CORRECT STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO. NO. AND STATE LAWS REGULATING BUILDING CONSTRUCTION. Z LOT NO. > SIZE OF LOT?O/ >,7t. SIGNATURE OF O OWNER Q4NO. OF SLOGS. f BLOCK NOW ON LOT ! AUTHORIZED AGT. y ." 0� J0 TRACT (tea U RRECTIONS . O USE OF SLOGS. NOW ON LOT DESCRIPTION OF WORK USE OF BUILDINGoloor w � f P Z n 0 X 0 Z D NEW TYPE I GROUP NOOF NO. OF . ALTERATION ROOMS y~ FAMILIES ADDITION SIZE 4 REPAIR STORIES MOVING WALL COVERING DEMOLISH I ROOF COVERING S P.C.$ FINAL APPROVAL FEE INSPECTOR'S VALUATION ~" o FEE DATE NAME D89-3 25M SETS-6-46 1 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES S ' WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY + 0 DISTRICT NO. PLAN CK. NO. PERMIT NO. BUILDING ADDRESS ,3 /.��ff/ (///y�,/ "'-- LOCALITY �'fG 'ti �M7 ` f /" RECEIVED BY BY �DATE OF APPL. DATE ISSU/E�D'7 NEAREST CROSS ST. `� I BUILDING 303 OWNER ADDRESS MAIL or LOCALITY �J•��i�-, NEAREST � TEL. CROSS 9T. CITY �: �.f''.P. NO. FIRE NO.OrI- TYPE I GROUP -.L- ARCHITECT OR TEL. ZONE I PLANE ENGINEER NO. BLDG. ORD. NO. ADDRESS SETBACK LINE APPROVED TEL. BY DATE CONTRACTOR NO. USE APPROVED ADDRESS ZONE BY DATE LEGAL CORRECTIONS DESCRIPTION rj LOT NO. I BLOCK_ TRACT 6 NO. OF BLDGS. SIZE OF LOT 7/ !�� I NOW ON LOT USE OF 7�I'] NO.OI NO. OF EXISTING BLDG. �I�QS P� I FAMlucs I ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O REPAIR MOVING DEMOLISH D SQ, rT. NO.OF Z SIZE ROOMS STORIES D r WALL I ROOF COVERING COVERING USE OF NEW BUILDING -t/�'Q APPROVALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS -- APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE OF / BRACING, BOLTS OWNER � J /I LATH, INT.: AUTHORIZED AGT LATH, EXT.: 4 PLASTER, INT. 4. FEE PLASTER, EXT. SO - • VALUATION FEE FINAL _ D,B a-43 SEM BETEE DEPARTMENT OF BUILDING AND SAFETY ! 'PLIf AI4��T FOR I''g.Itlrl COUNTY OF LOS ANGELES BUILD"I WM.'J. FOX; CHIEF ENGINEER NO.OFBLDG. ORD.,NO. DISTRICT NO. PLAN CK. NO. PERMIT NO. PLANS.___l SETBACK LINE FIRE APPROVED – ZONE BY DATE RECEIVED BY DATE OF APPL. DATE ISSUED USE APPROVED ZONE BY DATE APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY BUILDING +, `_/& 1. L- 7„/ C� - O NAME ADDRESS ��T V` J. � J L M O NTE F W W 7 ADDRESS LOCALITY 1- 0 NEAREST ��' r►'Q U W CITY CROSS ST. .r�.�. Q STATE -' TEL. LICENSE NO. NO. C NAME W MAIL p: Z NAME i ADDRESS ^ — O „ I- O TEL. _r.. t ADDRESS _ CITY NO. K F- I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS Z O CITY - APPLICATION AND STATE THAT THE ABOVE IS CORRECT U STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO. NO. AND STATE LAWS REGULATING BUILDING CONSTRUCTION. Z QSIGNATURE OF O LT NO. Q SIZE OF LOT + I- OWNER NO. OF BLDGS. 0 a BLOCK NOW ON LOT AUTHORIZED AGT. �. W U D ,� p CORRECTIONS yl TRACT D USE OF BLDGS. NOW ON LOT DESCRIPTION OF WORK USE OF - -------------- BUILDINGThis MT,stlactfun may te WARNINGI In violation o War Produ^"-- r,- -7� 0 cautioned iTh your local War 2 work -auii. d in this - ; r NEW TYPE GROUP NO.OF NO.OF ALTERATION ROOMS FAMILIES ADDITION SIZE REPAIR STOR1EB MOVING WALL COVERING DEMOLISH ROOF ROOF COVERING .._._.�..._..- S FINAL APPROVAL PE6 - C/ s(D l �� INGPECTOR'S1 VALUATION FEE �" DATE I NAME /f I WORKERS'COMPENSATION DECLARATION hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING P E RM I T insure, or a certificate of Workers' Compensation Insurance, � or a certifi d copy thereof (Sec. 3800 Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. S/5 Company-�1'�'t� ❑� BUILDING Certified copy is.hereby furnished. FOR APPLICANT TO FILL IN ADDRESS S.!�s WwNyb XuQ_ 'SPL Certified copy is'filed with The county building inspec- BUILDING tion department. ADDRESS 1f11 Date-i 13-gi Applicantmi-40 O.Luen` CITY Te21N?LfL CVT• NO.OF IP 9IGS. v® RL] ST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR Q ? (This section need not be completed if the permit•is for one TRACT BLOCK LOT NO. MAP BOOK lJ ✓ PAGE eltl4v PARCEL dAq- hundred dollars ($100)or less.) �q TEL•�l USE ZONE MAP y a OWNER © L V N W NO."7 ��3� NO. / I certify that in the performance of the work for which this _� SPECIAL 77 >_permit is issued, I shall not employ any person in any manner ADDRESS CONDITIONS 13- so so as to become subject to the Workers'Compensation Laws. O CITY ZIP U Date Applicant ARCHITECT OR TEL. O' NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. DISTRICT GROUP TYPE FIRE PROCESSED,BY Exemption, you should become subject to the Workers' n y,� CONST.,/ ZONE Compensation provisions of the Labor Code, you must forth- ADDRESS //O '3 ✓ I., Le a with comply with such provisions or this permit shall be TEL. !O STATISTICAL CLASSIFICATION APT. CONDO. Z deemed revoked. CONTRACTOR {RL NO.$ _ LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL.UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS O N fi (commencing with Section 7000)of Division 3 of the Business LIC. I SEWER MAP and Professions Code,and my license is in full force and effect. CITY �J � CLASS" BK. PG. _ VALIDATION License Number � SIZES STORIES FAMILLIIES O EK Lic. Class ji" _[J, VALUATION �;.;•_ Contract9rNRr'0 NLYM Date 1 H1 DESCRIPTION OF WORK NEW $ Elam exempt under Sec. 0 Q� ADD ❑ ► +,,+IJ'i 1°tiC t✓ p • ; ALTER ❑ $ ilii 1 BAP.C. for this reason REPAIR_�� ❑ Date: USE OF EXISTING BLDG. �. ► DEMOL ❑ 189 C: Signature PRINTICANT TE FINAL q OWNER-BUILDER DECLARATION DATE — t - E I hereby affirm that I am exempt from the Contractor's License �-HN Law for the following reason (Section 7031.5, Business and ADDRESS FINAL rr- Professions Code): PRESENT By ' ❑ I, as BUILDING owner of the property, or my employees with o the work and ADDRESS [+ - thstructure es as eis of intenir sole ded or�offere�d ll for sale(Section , D Z !iti;i�l-i► a'! i r'i�•ii=;''- LocAIaTY 7044, Business and Professions Code.) MOVING TEL. /.. C+oti ❑ 1,as owner of the property,am exclusively contracting i CONTRACTOR NO. ��r L AM � with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code.) REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. Lehder's Name fi� LDMA Ref. # B P.C. Fee$ CO Ca Permit Fee Do�'V Lender's Address �1 1 certify that I have read this application and state that the Issuance Fee O`'7' �� LDMA P/C# above information is correct.I agree to comply with all County Investigation Fee ,/ ordinances and State laws relating to building construction, Total Fee a 0• (camO 6 LDMA Perm. # and hereby authorize representatives of this County to enter g u on the above- entioned property for inspection purposes. a SEE REVERSE FOR EXPLANATORY LANGUAGE ignature of Applicant or Agent Date i r !� b WORKERS'COMPENSATION DECLARATION hereby affirm that I have a certificate of consent to self 1 APP`I CAT I N F BUILDING PERMIT insure,or a certificate of Workers'Compenstion Insurance,or a certified copy thereof(Sec. 3800, lab. C.) COUNTY OF LOS ANGELES 1 BUILDING AND SAFETY Policy No. 'Company iiiiis�I`iiiiii BUILDING I _ Certified copy is hereby furnished. FOR'.APPLICANT TO FILL IN ADDRESS Certified copy is filed with the county building,inspec- BUILDING p/ t� y7� - tion department. ADDRESS 53-5 /V► W CUAMf, A06. LOCALITY C� NEAREST (% Date ApplicYant •.CIT `—e C' 2, 1 ZIP t 90 CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' i NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT 5b X S 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 LOT NO. NO. S. 11.1.1 TEL. p SPECIAL OWNERMir 11 NO �O nl� CONDITIONS I certify that in the performance of the work for which this S C V permit is issued, I shall not employ any person in any manner � �` ���U r{- DISTRICT GROUP TYPE FIRE Pfd D BY ADDRESS a� •lam so as to become subject to the Vers'CoOIL, (L/Ja/ws. ` 0�� CONST. `Date Applica. CITY-,TE 144- C In ,' ZIP Q r ARCHITECT OR TEL STATISTICAL CLASSIFICATION APT. 16ONDO. NOTICE TO APPLICANT: If, after making this Certificate of - Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO. DWELL. UNITS CL Compensation provisions of the labor Code, you must forth.- ADDRESS , SE;r__PG P with comply with such provisions or this permit shall be B ��� deemed revoked. TEL:;' :COaTRACTOk' NO:' VALIDATION LICENSED CONTRACTORS DECLARATIONy,ti LIC: I hereby affirm that I am licensed under provisions of Chapter 9 y, ADDRESS 'S =' NO. VAATI (commencing with Section 7000)of Division 3 of the Business and r' LIC. Professions Code, and my license is in full'force and effect. 'CI•TY.••.• fi.r •" = :_ ••a' =-CLASS. 1'• $ �•a SQ. FT.?o 'i NO!OF NO.OF CHECK License Number Lic.Class SIZE" ./• STOR^IESAA, FAMILIES.-.:•. -ONE :•DESCRIPTION OF N(OR1CA 1J� N � NEW \. $ Contractor Date ., . I am exem t from the licensing requirements as I am a n, ADD' P 9 4 t P.a1�^,trL\ •� N Y 6�- ALTER FINAL licensed architect or a registered professional engineer ALTER �7 acting in my professional capacity (Section 7051, 4 IPR A DATE i REPAIR Business and Professions Code). t; USE OF ' FINAL (f ~ 1 EXISTING BLDG. T1C7 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 BUILDING I, .as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and I ,. the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. G 5 J,2 A ❑ I, as owner of-the property, am exclusively contracting CONTRACTOR NO. 1 with licensed contractors to construct the project (Sec- # 0 0 0 0 0 1 tion 7044, Business and Professions Code). � ADDRESS " REQUIRED TOTAL SETBACK FROM EXIST. 9 1 4200 CONSTRUCTION LENDING AGENCY SET BACK YARD Hy/Y PROP. LINE WI I hereby affirm that there is a construction lending agency for FRONT0 01420010 the performance,of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE 0'3,2 5-8 1 P.L. - Lender's Name - .• �3J�� r �./ P.C. Fee$ Permit Fee Cmc/ _ 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/ and hereby authorize•representatives of this County to eriter 1 upl e above-men rop rty for inspection purposes. ' s .. ,�S SEE REVERSE FOR EXPLANATORY LANGUAGE 9� t i i Sig a ure of pplicant or Agent Date Ii ` ®s COUNTY OF LOS ANGELES TEMPLE C111 # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0404090006 PHONE: (625) 285-0488 EXT: LEGAL ID: 10. OF CONST NEW BUILDING ADDRESS: TR: 10260 LT: 27 SQ. FT STORIES TYPE OCCUP GROUP 5355 WELLAND AV ,STRUCTURE: 989 1 VN R3 TEMP CA 917803508 ASSESSOR INFORMATION NUMB k: GARAGE: NEAREST CROSS STREET: FREER 8573-016-025 OTHER: THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: USE ZON : ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 05/27/04 VG 05/22/05 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DPyTE h By: CODE: CHAN, ALAN (626) 442-2430- 83,500 j 5355 WELLAND AV TEMP 917803508 , FEES PAID DESC PTI N OF WORK DEMO EXIST 2 BDRMS, ADD 2 NEW BDRMS, 2 BATHS & 1 FAMILY RM APPLICANT: -TEL- N0: _IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: AND REROOF EXISIIHG RESIDENCE . WONG (626) 731-0973- B1 PLANCHECK W/ENERGY 83500.00 VAL 1,063.51 2023 A S. 8TH ST. SAA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: ALHAMBRA, CA 91803 AC STRONG MOTION RESID 83500.00 VAL 8.35 32 PERMIT W/ENERGY 83500.00 VAL 1,251.20 TOTAL FEES 2,350.81 CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE CHAN, ALAN (626) 442-2450- 5355 WELLAND AVE. LIC. NO LOCATION AND SETBACKS TEMPLE CITY, CA 91780 NONE SOILS ENGINEER APPROVAL ARCHITECT-OR ENGINEER.: TEL. NO: FOUNDATION/TRENCH FORMS �q� WONG, DENNIS (626) 731-0973- 2023 A S. 8TH ST. LIC. NO: SLAB/UNDER FLOOR ALHAMBRA, CA 9180380 NONE RAISED FLOOR FRAt;I G MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMp., UNDERFLOOR INSULATION 3 01 ST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: PT COND: S T CLASS:- NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME IITSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS SIDE PL- INSULATION/WEA 'ER S?. IP INTERIOR LATH/DP.YI:ALL f,3- EXTERIOR EXTERIOR LATH !�/ -� LOT DRAINAGE L1 SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508