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HomeMy Public PortalAbout5620 WELLAND AVE_Building__ 76A638A CE 1+803 4/70 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK ! PAGE PARCEL BUILDING AND SAFETY DIVISION ADDRESS JOHN JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING + LOCALITY FOR APPLICANT TO FILL IN NEAREST Print ort n nI CROSS ST. ocl 7 BUILDING DISTRICCT t�C� GR P TYPE P D CJY CONST, ADDRESS i20 bllanl 1,4035 STATISTICAL�SIFICATION S12WER MAP LOT NO r 3 U Cif j /BLOCK 14 CLASS NO. � DWELL,UNITS BK PG� TRACT ` USE ZONE MAP NO.OF BLDGS. N . SIZE OF LOT NOW ON LOT 3 SPECIALO USE OF 111 CONDITIONS EXISTING BLDG. L. OWNER O T TC �' NO BLDG.SETBACK FROM ADDRESSj FRONT PROP.LINE OF (STREET) 1-353 ] ad. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY Pasadena HIGHWAY WIDTH FROM G.L. ARCHITECT OR TEL. I + ENGINEER NO. BLDG.SETBACK F ADDRESS SIDE PROP.LINEOF (STREET) l�� / / n TYPE OF EXISTING SETBACK H AY + YARD = TOTAL CONTRACTOR tlonarch oof�.r. NpS 6-61%1 HIGHWAY WIDTH FROM C.L. L _ n ADDRESS t� NO.IC.62370 + - C CITY PpsP1Ccna CLASS V^39 CORNER CUTOFF YES ❑ NO ❑ C CONSTRUCTION LENDER c NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS n v ADDRESS S ZE SOFT. ORINEW 2 OO TES 2 FAMILIES El STRUO TURE .USE F 3C?roo Tdtl1 1-�30,i 'elt DD ❑ .'0jcap sheCt, portion of rood' ALTER ❑ REPAIR© SIGNATURE OF APPLICANT DEMOL ❑ I VALUATIONS —foo.Do APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE S EES FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 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 STRUCTION. 1 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 •CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCF�. LATH, EXT. SIGNATURE OF` i'L.,/ jV `L � HOUSE NUMBER COR- PERMITTEE r RECT AND POSTED ADDRESS 175 Vista .kzr_�P@s.ndena 97107.kzr_�P@s.7dena 93-.07 FINAL JOHN F. LEWIS PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK M Cl. CASH _ PERMIT VALIDATION CK M O. CASH 7 C c/v • TEMPLE CITY 76A639A 803 z-63 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES 61ILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS L i BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. DISTRICT Nu- GROUP TYPE R Y FOR APPLICANT TO FILL IN to E iq CONST. BULD' NG We ST TISTICAL CLASSIFICATION k9WER MAP ADDRESS K PG� CLASS. NO. DWELL. UNITS LOT NO. (j BLOCK WATER NOT REQUIRED,❑ RECEIVED ❑ CERTIFICATE: TRACT MAP HIGHWAY STATE MAJO SECOND, LOCAL NO.OF BLDGS. NO. (CIRCLE) SIZE OF LOT C71 NOW ON LOT ~� USE ZONE SPECIAL USE CONDITIONS EXISTING BLDG. TEL. OWNE BUILDING EXI T. .SETBACK YARD HWY STREET NAME W )„I )ADDRESS FRONT ARCHITECT OR o TEL. P. L. ENGINEER NO. SIDE P. L. ADDRESS 0 TEL. CONTRACTOR �[. O. ADDRESS O DESCRIPTION OF WORK a /06Z 3 `n NEW ADD ALTER REPAIR DEMOLISH SQ. FT. NO. OF NO. OF _ SIZE STORIES FAMILIES Ems` USE OF A G /* STRUCTURE SIGNATURE APPLICAN VALUATION $ APPROVALS DATEj INSPECTOR'S SIGNATURE P.C. ` PMT. r FOUNDATION: LOCATION • 2. 'I FEE S L� FEE $ FORMS, MATERIALS FRAME: FIRE STOPS. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS / Q%-_'L''✓., AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS - r' BUILDING CONSTRUCTION, 1 CERTIFY THAT IN DOING THE WORK ' AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE F CAL IFOR1y1.A RELAT- ING TO WORKMEN'S C P N�NSU CE. LATH. EXT. C% SIGNATURE O . HOUSE NUMBER CO PERMITTEE RECT AND POSTED ADDRESS_ A 44, FINAL ,✓� JOHN F. LEWIS. R NC PAL STR AL ENGINEER PLAN CHECK VALIDATIONG M.O. CASH _ PERMIT VALIDATION CK. M.U. CASH UtW9073-13' SEP 323 D 189.001 V i� 0 5 6 4:a SEP 2 4 1 D 3 7 8.010'' WORKERS' COMPENSATION DECLARATION to self insure, orairm afcertif certificate of Workers' Compensat on that I have a certificate of coent Insurance, APPLICATION FOR BUILDING PERMIT or a certified copy thereof (Sec. 3800, Lob. 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- BUILDING tion department. ADDRESS Date Applicant CITY ZIP LOCALITY Pp NO. OF BLDGS. NEAREST 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 BOOK PAGE PARCEL hundred dollars ($100)or less.) TEL. USE ZONE MAP OWNER NO. NO. I certify that in the performance of the work for which this SPECIAL permit is issued, I shall not employ any person in any manner ADDRESS f - CONDITIONS } so as to become subject to the Workers Compensation Laws. 0' CITY ' ZIP Date Applicant ARCHITECT OR TEL. DISTRICT I GROUP TYPE FIRE PROCESSED BY LL NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CONST. ZONE Exemption, you should become subject to the Workers' u Compensation provisions of the Labor Code, you must forth- ADDRESS Ck with comply with such provisions or this permit shall be TEL STATISTICAL CLASSIFICATION APT. CONDO. G deemed revoked. CONTRACTOR NO. G LICENSED CONTRACTORS DECLARATION NO. CLASS NO. DWELL. UNITS C I herebyprovisions of Chapter 9 ADDRESS affirm that I am licensed under h p p LIC. SEWER MAP u (commencing with Section 7000)of Division 3 of the Business CITY CLASS VALIDATION ~ and Professions Code,and my license is in full force and effect. BK. PG. SQ. FT. NO. OF NO. OF CHECK License Number Lic. Class SIZE STORIES FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF WORK NEW ❑ ADD ❑ ❑I am exempt under Sec. ALTER ❑ BAP.C. for this reason REPAIR ❑ $ Date: USE OF DEMOL ❑ EXISTING BLDG. Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION (PRINT) NO. DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS FINAL } Professions Code): PRESENT BY {fir BUILDING r'• I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and LOCALITY pool 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. I 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. Lender's Name LDMA Ref. # 8 P.C. Fee$ Permit Fee , Lender's Address I certify that I have read this application and state that the Issuance Fee LDMA P/C# 3 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 representatives of this County to enter upon the above-mentioned property for inspection purposes. o j SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date COUNTY OF LOS ANGELES TEMPLE CITY 9 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0406020009 PHONE: (626) 285-0488 EXT: EGA D: No. 0 C04 BUILDING ADDRESS: TR: 10898 LT: 29 BL: .001 SQ. FT STORIES TYPE 5620 WELLAND AV STRUCTURE: 360 VN TEMP CA 917802951 ASSESSOR INFORMATION NUM E NEAREST CROSS STREET: LIVE OAK 8573-019-025 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY, C TENANT: IS BLDG USE. RESID USEZONE: R-2 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 06/02/04 VG 05/28/05 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE D Y: CODE: SANDHU HARGURPAL;HARMINDER (626) 287-9218- 2,000 4814 KAUFFRAN AV _ TEMP 917804144 FEES PAID ESCRIPT ON OF WORK CONVERT UTILITY ROOM INTO OFFICE (STOVE TO BE REMOVED) APPLICANT: TEL. 0:• FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: DRYWLL REPAIR,REPLACE DOOR ON SO WALL & WINDOW ON NORTH BALL SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 2000.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC 2000.00 VAL 82.20 TOTAL FEES 110.45 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT 0R ENGINEER: TEL. 0: Ot UaDATION/ RENCH FORMS LIC. NO: (SLAB/UNDER FLOOR nMA_ ISED FLOOR FRAMING MAP N0: M ER-MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION XX 3 02 FLOOR SHEATHING NO. OF FAMILIES:TWEED NG UNI S: APT/COND: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL Z EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES �P RATED SHAFTS/OPENINGS 1 T-BAR CEILINGS LOT DRAINAGE ( REPORT ID: DPR261 ROUTE TO: SS0508