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Home My Public Portal About5561 WELLAND AVE_Building__ TEMPLE CITY TEMPLE CITY 76A838A CE #803 12/69 � `• APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY `i+r FOR APPLICANT TO FILL IN NEAREST Print or tvDe only) CROSS ST. �. i j BUILDING ISIS, DISTR CT NO. GRCFUP ITYPE 'ROCESSkD BY ADDRESS 5561 N . Welland CONST 01 f SEW M STATISTICAL CLASSIFICATION ER MAP LOT NO. V BLOCK y� CLASS NO.� DWELL.UNITS BK PG TRACT 0 USE ZONE MAP r NO.OF BLDGS. NO. SIZE OF LOT NOW ON LOT !J SPE AL USE OF CONDITIONS EXISTING BLDG. Dwelling OWNER EL. OWNER O. BLDG.SETBACK FROM ADDRESS FRONT PROP.LINE OF (STREET) W H GHF EXI DTHG SETBACK HIGHWAY } YARD = TOTAL CITY Temple City ARCHITECT OR TEL. - } ENGINEER NO. BLDG.SETBACK FROM ADDRESS SIDE PROP.LINE OF (STREET) TEL. TYPE OF EXISTING SETBACK HIGHWAY } YARD — TOTAL CONTRACTOR NO. HIGHWAY WIDTH FROM C.L. ADDRESS 529 EValley BlvdNo• 18608 ' + = o CITY San Gabriel X.X 8341 CORNER CUTOFF YES ❑ NO ❑ C CONSTRUCTION LENDER NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS O G SQ. FT. NO. OF NO. OF NEW ❑ SIZE STORIES FAMILIES USE OF ADD ❑ STRUCTURE Re-roof with Owens ALTER ❑ Corning Fiber glas shingle� REPAl17upl SIGNATURE OF IM APPLICANT DEMOL ❑ VALUATION S 400. 00 ISISAPPROVALS DATE INSPECTORS SIGNATURE PMT FEE$ FEES 9 . 00 �OFORMS,IMATERIIA MATERIALS 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, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTI ON. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OF THE STATE OF 'C LI IA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. I ^ LATH, EXT. SIGNATURE OF !?/K/,j -'A.(!a-1(/�/ HOUSE NUMBER COR- PERMITTEE. J RECT AND POSTED ADDRESS 529 IVa l eys�a n Gabriel FINAL �✓ �-�` �F r�.°�_ , JOHN F. LEWIS. PRINCIPAL STR AL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH � �r,. 2 9 3 673 twc 24 1 D '9.00A V .:WJ:kKgRS'COMPENSATION DECLARATION 'I• a by.affirm tl;at I hate a certificate of consent to self APPLICATION FORBUILDING p E RIGA I T cl insule, or a certificate of Workers'Compensation Insurance, or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ADDRESS Certified copy is filed with the county building inspec- BUILDING J tion department. ADDRESS 5(O ELL AAP f✓-5 Date Applicant CITY /87 !r5 ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' - NO.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT 7 4 7 (07 NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one TRACT �� BLOCK LOT NO. /� ASSESSOR hundred dollars($100)or less.) MAP BOOK PAGE PARCEL //�� TEL. USE ZONE MAP OWNER aSInQ c/JG(��O�fHi�t1 NOo'1S(7^60a:3 Z7 I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner a G, Gzct ,�LVI� SPECIAL so as to become subject to the Workgrrss'Co,. nsaf•on La s. 1/ ADDRESS /� �f�} CONDITIONS Date ✓�� —�T APPlicant�llJJ�� //��r�owt+�r v•^ CITY OJ�Fi W L�0 ZIP ��1 /" I= NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY ENGINEER /►+G NO. Exemption, you should become subject to the Workers' CONST. ZO E � Compensation provisions of the Labor Code, you must forth- ADDRESS IL with comply with such provisions or this permit shall be _ - y deemed revoked. TEL. STATISTICAL CLASSIFICATION CONDO. Z CONTRACTOR n6 NO. LICENSED CONTRACTORS DECLARATION LIC. CLASS NO.A„3d!!5? DWEII UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP (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 VALIDATION SQ.FTS „ NO.OF NO.OF �' CHECK BK.; PG. License Number 7 - �� Lic•Class __ SIZE STORIES FAMILIES.r) ONE Jr /� �(ALUATIOI /5d�0�+ ContractorVl3�6AA 0t5f1Et D (p 'lam DESCRIPTION OF WORK NEW Date $ I am exempt under Sec. &A) ��jy��.d �rn ��, ADD i 01111.ALTER B.BP.C. for this reason $ REPAIR G Date: USE OF EXISTING BLDG. �Q jvE DEMOL Q Signature APPLICANT, �' TEL. FINA / g OWNER-BUILDER DECLARATION PRINT OM �R'1-t� NO.j990 6-033 DATEL 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS ." FI Professions Code): PRESENT ❑ BUILDINGV// �j1 G1 f, I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will f o the work and LOCALITY ® 3�s2 3 the structure is not intended or offered for sale(Section � ' 1 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- 6/a2,/,? tion 7044, Business and Professions Code). ADDRESS CONSTRUCTION LENDING AGENCY REQUIRED YARD HWY TOTAL SETBACK FROM X T. SET BACK 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.). �C/ SIDE : Lender's Name ��Q� - AFal*1V�� A-34 P.L. : 0 0 0 o c I /+, LDMA Ref. N Lender's Address //ALLEN f)Ly� ^� �-� P•C. Fee$ IGr; Permit Fee (/ . j I /� I % c r I certify that I have read this application and state that the Issuance Fee a + It P/C Yr above information is correct. I agree to comply with all County Investigation Fee ° ,,-f 1 r5 '1-9 ordinances and State laws relating to building construction, Total Fee1P1,LZ1;51 LDMA Perm. N r and hereby authorize re sentatives of this County to enter ( upon the bove-mentio pro ty for inspection purposes. i D (!,/, �2 p SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date @° YORKERS'COMPENSATION DECLARATION • .eaffirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT � insure,, pr a certificate of Workers'Compensation Insurance, I or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN :no RESS Certified copy is filed with the county building inspec- tion department. ADDRESS `�.] W6 6L go U_b 411/6 IF Date Applicant CITY reWI �b G A4 ZIP LOCALITY y CERTIFICATE OF EXEMPTION FROM WORKERS' ) NO.OF BLDGS. / NEAREST r COMPENSATION INSURANCE SIZE OF LOT / 6 NOW ON LOT / CROSS ST. (This section need not be completed if the permit is for one TRACT a(pO ASSESSOR hundred dollars($100)or less.) BLOCK LOT NO. �� MAP BOOK PAGE PARCEL TEL USE ZONE MAP OWNER �- I5 NO. d'X33 I certify that in the performance of the work for which this NO. permit is issued, I shall not employ any person in any manner I 1 SPECIAL so as to become subject to the Workers'Compensation Laws. ADDRESS ��d V 1(7-76 � CONDITIONS O0 �� A --r pt JVWLL0 CITY IP 009 U Date pplicanf ARCHITECT OR TEL. ;DISTRICT GROUP TYPE FIRE PROCESSED BY NOTICE TO APPLI NT: If, after making this Certificate of ENGINEER b NO. ri Exemption, you should become subject to the Workers' CONST. ZQ-NE Compensation provisions of the Labor Code, you must forth- ADDRESS W with comply with such provisions or this permit shall be p s. Cn TEL. STATISTICAL C IFICKI ION APT. CONDO. Z deemed revoked. CONTRACTOR_-5�qmE NO. LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS - I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP (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 BK IZ� VALIDATION SQ.FT NO.OF NO.OF j CHECK License Number ZZ y 3 Lic.Class SIZE V0 STORIES FAMILIES / ONE � VALUATION Contractd% p�17S R �1�+ Date `13 DESCRIPTION OF WORK NEW ❑ $ CQb 5�� ❑ ADD ❑ a7 I am exempt under Sec. ALTER ❑ B.BP.C. for this reason REPAIR $ Date: USE OI F BLDG. �. DEMOI 1 9 7 7 A EXISignature APPLICANT TEL. FINAL PRINT &OIt7 (,VAL.ZO NO.v1��6d��' r a o 0 0 1 OWNER-BUILDER DECLARATION DATE I hereby affirm that I am exempt from the Contractor's License ADDRESSV w 'S�� FI 2 o f 0 50 Law for the following reason (Section 7031.5, Business and Professions Code): B n _ PRESENT „ () Q F-1 BUILDING I, as owner of The property, or my employees with ADDRESS Q ` .� L_ wages as their sole compensation,will do the work and LOCALITY G //� , the structure is not intended or offered for sale(Section 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 tion 7044, Business and Professions Code). REQUIRCONSTRUCTION LENDING AGENCY SET BACK YARD HWY TOTAPROP. LINE CK FROM 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 o ��``''' P.L. Lender's Name f7fQEa4 �&2f aMt7 QIV 9� A LDMA Ref. # ' Lender's Addressti b Q L Ls!/. �L�y P.C. Fee$ Permit Fee r I certify that I have,read this application and state that the Issuance Fee 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 LDMA Perm.# and hereby authorize representat'ves of this County to enter upon T above-menti n d pr Ty for inspection purposes. r I �fYt� •-t,3—� SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent- Date @ �y ,. 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 1110270057 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST 1 BUILDING ADDRESS: I ITR: 10260 IT: 10 I SQ. FT STORIES TYPE 1 5561 WELLAND AV 1 ISTRUCTURE: 80 V-B I TEMP CA 917802962 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 18573-015-011 1 i THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY, Cl ITENANT: (EXIST BLDG USE: APART USE ZONE: R-2 (ISSUED ON: PROCESSED BY: I JEXIST OCC GRP: 110/27/11 SR I I I I I (OWNER: TEL. NO: [BLDGS. NOW ON LOT: VALUATION: IF NikLQATE FINAL BY: CODE: I ]LAY, EMILY (626) 251-3889- 1 15,000 1 1 I II I I I FEES PAID ID RI TION OF WORK I ITEAR, OFF EXISTING ROOFING ATERIAT, INSTALL MELARKEY 30 YRS [ IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:]SHINGLE ON APARTMENTS [ ]APPLICANT: TEL. NO: I I I IMAO, MELODY (909) 598-8988- IAA BLDG PERMIT ISSUANCE 27.80 1 1 1 JAB STATE GREEN BLDG FEE 15000.00 VAL 1.00 ISPECIAL CONDITIONS: I 1 IAC STRONG MOTION REBID 15000.00 VAL 1.50 I 1 I ID2 PERMIT W/O EN-HC 15000.00 VAL 301.50 I 1 1 1 TOTAL FEES 331.80 I 1 ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1 ISUNSHINE ROOFING INC. (626) 581-7688- 1 1 ] 1516 N DIAMOND BAR BLVD #183 LIC. NO ] VACATION AND SETBACKS ] I 1 IDIAMOND BAR, CA 91765 755126 C39 I I- I 1 I ISOILS ENGINEER APPROVAL I 1 I (ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I�I I [ LIC. NO: [ [SLAB/UNDER FLOOR I I I I I I I I I I I IRAISED FLOOR FRAMING I I I I I I I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I I ] 1150H277 3 001 1 1-1 [ I I IFLOOR SHEATHING I I [ INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I 1 0 NO 21 1 (ROOF SHEATHING ] 1 SCHOOL WITHIN HAZARDOUS1 ISHEAR PANELS I ] (AIR QUALITY: 1000 FEET MATERIALS I I I 1 NO NO NO 1 IFRAME INSPECTION I I I 1 I I I I ]FIRE SPRINKLER HANGERS I ] (INSULATION/WEATHER STRIP[ ] ] IINTERIOR LATH/DRYWALL ] I I I I I I I I [ [ 1EXTERIOR LATH I 1 ] ] 1 [RATED FLOOR/CEIL ASSEM. I I I I I IRATED WALL ASSEMBLIES 1 1 I I I IRATED SHAFTS/OPENINGS 1 ] I I IT-BAR CEILINGS I ] 1 ] I ILOT DRAINAGE I I ] IREPORT ID: DPR261 ROUTE TO: BS0508 1 I ] I I I I I I I