HomeMy Public PortalAbout4816 WILLMONTE AVE_Building__ i
7eAGSBACH#8036APPLICATI®N FOR BUILDING PE I
COUNTY OF LOS ANGELES BUILDING f
DEPARTNIENNT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE.COUNTY ENGINEER NEAREST
CASSATT D'.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRW=NO. GR OU TYPE P Y
FOR APPLICANT TO FIb,I. IN CONST, p
BUILDI'NGL t , STATISTICAL CLASSIFICATION ' SEWER MAP
ADDRESS N �• •:�1 I
CLASS.NO. DWELL.UNITS_L_
LOT NO. BLOCK MAP STATE YES O
�^ NUMBER - HWY.
TRACT USE ZONE SPECIAL
NO.OF BLDGS. ' I CONDITIONS
SIZE OF LOT 8 i I NOW ON LOT 2 H
USE OF lJ�'
EXISTING BLDG. t9 Wtal l i ng Rr gara _P_ YARD HWY STREET NEXIST.'
AME
® BUILDING
SETBACK WIDTH
OWNER Norman T. Tpavlft. FRONTMAIL Pa q
ADDRESS $2 N. Baldwin SIDE
CITY Temple City NO.' P L INSPECTION RECORD
ARCENGIiNEERTOR Jewell Const. CIO.'
fr
CONTRACT014 swell Const. CO. NO..TEL Q eX��'c� ��1.! !t cf� ,,��15'� I��I
ADDRESS 5 1 6 r / w SC
DPTI
ESCRIO OF WO hfr 4 r.ses 6 c e Y c�
NEW X ADD ALTER REPAIR DEMOLISH
SQ.FT. NO.OF NO.OF
SIZE 0 9 STORIES 1 FAMILIES1-
USE OF SST IfUCTURE
SIGNATURE OF s APPROVALS
APPLICANT
z DATE INSPECTOR'S SIGNATURE
ADDRESS FOUNDATION: LOCATION .e
$ FORMS.MATERIALS
P.C. $ FRAME: FIRE STOPS. t
FEE BRACING,BOLTS
VALUATION �fy� $ f FURNACE: LOCATION. J,
FEE GAS VENT,DUCTS e / L , _
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT.
PLICATION ANDSTATE THAT THE ABOY.E,1S-EORR9CT AND
AGREE TO COM LY WI .H ACL=COUNTY ORDINANCE �f�p
__STATE-LAWS REGU ING BU ING .CONSTRUCTION; LATH,EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE/ rZ RECT AND POSTED
ADDRES --B-Ivd. , Fl_�Monte FINAL / r
J CLYDE N.DIRLAIV�PRINCIPAL ST RqmRAL ENGINEER
PLAN CS VALIDATION co
M.o, cASH PERMIT VALIDATION CK. M.O. CASH
,�07 1 s s 8 1 A 3 0.0 0
r� . APPLICATION FOR BUILDING PERMIT
' COUNTY OF LOS ANGELES BUILDING AND SAFETY
BUILDING ADDRESS �Q
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN O /1)/
I hereby affirm that I have a certificate of consent to self Insure, BUI DNI�ADDR�s�,LL�� , `57
u Its
or A certificate of Workers'Compensation Insurance,or a certified CITv ro (,(J zip
copy thereof(Sec.3800,Lab.C.) ��Me
L4 (CITY LOCALITY
F blicy No. Company SIZE OF LOT NO.OF BLDGS.NOW ON LOT NEAREST CROSS STp J
❑ Certified copy Is hereby furnished. SQ X/00 d wer )q7/
❑ Certified copy is filed with the county building Inspection TRACTS / BLOCK LOT NO. 1: USE ZONE MAP NO.
department. `�
Date Applicant '
ASSESSOR MAP BOOK FA! PARCEL
ZSPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' O1NV��OA/�CA OP.i iZS ZSTEL V-391 YES No
COMPENSATION INSURANCE WITHIN 1000 FT.OF SCHOOL?
ADDRESS
(This section need not be completed If the permit is for one hundred 323 S sorrow,44 s DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY
dollars($100)or less.)
CITY, ZIP p der
I certify that in the performance of the work for which this permit fOSCl1/1,C," ! 77 O �Vg �� P-2-- '
Is Issued, I shall not employ any person In any manner so as to ARCHITECT OR ENGINEER TEL NO.
become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION ® APT CONDO
Date Applicant ADDRESS CLASS NO. DWELL UNITS
NOTICE TO APPLICANT: If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you should become subject to the Workers' �����CONTRACTOR TEL NO. SETBACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code,you must forthwith FRONT
comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL
SIDE
LICENSED CONTRACTORS DECLARATION CITY LIC.CLASSp L C
C.3
1 hereby affirm that I am licensed under provisions of Chapter 9 SEWE�P /
SQ.FT.SIZE e.-OF STORES NO.JA
±rhyl
(commencing with Section 7000)of Division 3 of the Business and EW ❑ BK PG �
Professions Code,and my license is in full force and effect. /SO
RIPTION OF WORK VALUATION ,
License Number LIC.Class , DD I a
/1/ l219IE Z4,6 fc OO M P\LDMA
� W
Contractor Date �i LTER.J/�CK ka'� EPAIR ❑ � ��Ta41 am exempt under Sec. gg ^ 3 j( "r .B.BP.C.for this reason (Rmv /'r .1-ryY V " � EMOL ❑ p t:
22
USE OF EXISTINGBLDG. 1 ITEI�-
Date: i/HtRM ❑
TOTAL -140-22
Signature _ TEL NO. V LDMA Perm q
El 1. as owner of the property, or my employees with wages as Y r �s -39�T p CHEC► 1401 2'
their sole compensation,will do the work and the structure is ADDRESS
not intended or offered for sale (Section 7044, Business and .32.3s-3uO'rON Vr_ VS6A07&ti4J 0,61 FINAL DATE � 9 < CHANGE .00
Professions Code.) WILLTHEAPPLICANTOR FUTURE BUILDING OCCUPANT HANDLEA HAZARDOUS MATERIAL 13 iZA .1_\ �L/
I, as owner Of the property, am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN v
THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BYE `J Ei 'i ,,'f I
licensed contractors to construct the project (Section 7044, lI"JCIfI— � �/ srrt
Business and Professions Code.) WILYESL
❑ No❑ V ., a ± . f
WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING f2 f,L 1 Aid 3:134
OCCUPANT REQUIREA PERMITFOR CONSTRUCTION OR MODIFICATION FROM THESOUTH
CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST
FOR GUIDELINES
I hereby affirm that there is a construction lending agency for YES❑ NO❑
the performance of the work for which this permit Is Issued(SBC. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD F•-± "- ' ' !•.I _• ±'^''
3097,CIV.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES '-�� '- -G '±.. —' ±•'•1
O1 COUNTY CODE,TITLEA CHAPTER 220SECTIONS220.1007HROUGH 220.140 CONCERNING _� :3>
f±i
Lender's Name HAZARDOUS MATERIALS REPOR71NG AND FOR OBTAINING A PERMIT FROM THE SCAOMD.
Lenders Address , �, j_ r
C. r
ER
GENT
± ,
0 1 certify that I have read this application and state that the above P.C.FEE PERMIT FEE �I
Information is correct. I agree to comply with all county P 07. a r�
ordinances and to laws relating to building construction,and p.t
I hereby aut ►esentatives of this County to enter upon ISSUANCE FEE
the erty for inspection pure s.
INVESTIGATION FEE TOTAL FE V w
r ••v ty ;•.
sia m�w IX SEE REVERSE FOR EXPLANATORY LANGUAGE �'
COUNTY OF IAS 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 0809020002
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: I
ITR: 9848 LT: 15 UN: .002 I SQ. FT STORIES TYPE 1 4816 WILLMONTE AV 1
I ISTRUCTURE: 344 V-B I TEMP CA 917804042 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LOWER AZUSA
18589-025-039 1 1 THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY, Cl
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 JISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 109/03/08 SR 03/02/09
OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: ]FINAL DATE"� ❑ I SAI, BY: CODE 1
IREYES, LINDA A (626) 443-5262- 1 6,880 I l
14816 WILLMONTE AV I I . I
ITEMP 917804042 1 FEES PAID IDESCRIPTION OFWORK1
I I REPAIR EXISTING PATIO COVER 344 S.F. 1
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1
]APPLICANT: TEL. NO: I I I
IREYES (626) 643-5262- IDI PLANCHECK W/O EN-HC 6880.00 VAL 141.27 1 I
14816 WILLMONTE AVE IAA BLDG PERMIT ISSUANCE 27.75 ISPECIAL CONDITIONS: I
ITEMPLE CITY CA 91780 IAC STRONG MOTION RESID 6880.00 VAL 0.69 1 I
I ID2 PERMIT W/O EN-HC 6880.00 VAL 166.20 1 I
IFR INV WORK W/O PERMIT 128.50 DOL 128.50 1 I
ICONTRACTOR: TEL. NO: TOTAL FEES 464.41 (APPROVALS DATE INSPECTOR SIGNATURE 1
IMARCOS NAPURI (626) 827-7327- 1 I I
14816 WILLMONTE AVENUE LIC. NO 1 ]LOCATION AND SETBACKS I I I
[TEMPLE CITY, CA 91780 NONE I I I I I
ISOILS ENGINEER APPROVAL
(ARCHITECT OR ENGINEER: TEL. NO: ] IFOUNDATION/TRENCH FORMS I I I
1 LIC. NO: I (SLAB/UNDER FLOOR 1 I
I RA_ I I I
ISED FLOOR FRAMING I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( ]UNDERFLOOR INSULATION I I I
1144H269 3 Oil I I I I
I I IFLOOR SHEATHING I I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I
1 NO 21 1 IROOF SHEATHING
I I I
SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS 1 1 1
(AIR QUALITY: 1000 FEET MATERIALS [ I I ]
NO NO NO 1 IFRAME INSPECTION I I I
REQUIRED TOTAL SETBACK FROM EXIST I IFIRE SPRINKLER HANGERS ] I ]
ISET BACK YARD: HWY: PROP LINE: WIDTH: I I I I I
FRONT PL- 1 11NSULATI0N/WEATHER STRIP( [ I
SIDE PL-
INTERIOR LATH/DRYWALL I I I
I I I
[ I 1EXTERI0R LATH I I I
I I I
IRATED FLOOR/CEIL ASSEM. 1 [ I
] 1 (RATED WALL ASSEMBLIES 1 I I
I IRATED SHAFTS/OPENINGS
] 1 1
IT-BAR CEILINGS I I I
I I I
I ]LOT DRAINAGE ] I I
IREPORT ID: DPR261 ROUTE TO: BS0508 I I I 1
I I I I I