HomeMy Public PortalAbout4850 WILLMONTE AVE_Building__ /8A888A CE 880810-88 APPLICATION FOR BUILDING.. PERMIT; �.
COUNTY OF LOS ANGELESB[J1LDING
DEPARTMEEERNT OF COUNTY ENGINADDRESS ysm
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. v�
DIST I_Q,I GROUP �pE P Illy
FOR APPLICANT TO FILL IN I CONST.
BUILDING 1 I STATISTICAL CLASSIFICATION SEWER MAP
SS —Inn H
_ r CLASS.NO.�W /
/ELL.UNITS I
LOT NO. D 1 BLOCK MAPN MBER ��l C7. STATE YES NQ
TRACT � USEZONE SPECIAL:
y�
NO.O LDGS
CONDITIONS
SIZE OF LOT, r/ I NOW O OT
USE OF -
EXISTING BLDG. BUILDINGYARD HWY STREET NAME EXIST.
SETBACK WIDTH
OWNER FRONT I
MAIr
ADDRESS a (', �. SIDE O
TEL. P.L.
t CITY NO. INSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO. � r4® e
s
ADDRESS
TEL.
CONTRACTOR m NO.- A*1 _ j c
ADDRESS
DESCRIPTION OF WORE —
H A its. CAI.cN `A ,M
NEW ADD ALTER REPAIR DEMOLISH
SQ.FT. NO.OF NO.OF
SIZE STORIES FAMILIESUSE OF – .,p+
STRUCTURE f�1Y� , J� /
SIGNATURE
APPLICAN ♦ APPROVALS �--BATE INSPECTOR'S SIGNATURE
ADDRESS 4Cj 14A'f FOUNDATION:LOCATION
VALUATION$ . 047 FRAME:C� FORMS,MATERIALS
FRAME:FIRE STOPS. ♦q
BRACING.-BOLTS
�{+� FURNACE:LOCATION. ' .�rl
FEE^ EOC✓ FEE E GAS VENT,DUCTS 0 4d/ r
I HEREBY ACKNOWLED AT HAVE READ THIS AP-
PLICATION AND STATE T E OVE IS CORRECT AND LATH.INT. .�
AGREE TO COMPLY A O TY ORDINANCES AND f�
STATE LAWS 1 . ''Dl CONSTRUCTION. LATH,EXT.
R COR-
POS EDSIGNAE HOUSE
PERMITTE RECT AND
� n ZADDRES
FINAL
G f ---
CLYDE N. DIIRLAM, *PRINCIPAL STRUCTURAL R
PLAN CHECK VALIDATION CK. M.O. ASH PERIIIIIT VALIDATION CK. M CASH
LG 20 '7.2 SEP 323 A. -.2'S.50
_. .. �.
c� d / 7ii z,,--r 1 1 1 A rJ 1 .0 u ;
'MB90A OB#803 2/60 APPLICATION FOR BUILDING. PERMIT- 1
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGRUM ADDRESS
BUIMING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST. -
DISTRICTJajg� GR
TYPE ESS4DB
FOR APPLICANT TO FILL IN (►� Dv •CONST0
BUILDING STATISTICAL CLASSIFICATION SEWER MAP-
ADDRESS: E(}!�Ar iY1DN e C �� BK
CLASS.NO DWELL.UNITS-
LOT NO., D �l BLOCK MAP STATE YES Q
NUMBER HWY.
TRACT ' v US Z061K SPECIAL
NO.OF BLDGS. _ CONDITIONS
SIZE OF LOT I NOW ON LOT `
USE OF
EXISTING BLDG. BUILDING YARD I HWY STREET NAME EXIST.
OWNER Rc,,3fr73iNh4.1 SFRONTK WIDTH
P.L.
ADDRESS lV� ivEj� 47tvv7'cP SIDE
ARCHITECT OR TEL. P.L.
ENGINEER NO. INSPECTION RECORD -
ADDRESSTEL ?z
} �j
CONTRACTOR ;Lli=0 4l:d4 PI.A.5 NO. eee_ r I'�, /I •.wt.e a/�1 ..r_e�O�w �_�a !.
ADDRESS•r qf:9 C to AAS icpyAS ¢ '' -� •_i i..A/.Lesrn.,-�. / f EIw�.S] d .-- (�
DESCRIPTION OF WORK " • 0
NEW ADD ALTER REPAIR DEMOLISH
SQ.FT. NO.OF :-NO.OF 29 /4,45-15
SIZE STORIES --.FAMILIES Y �,
USE OF ' '
STRUCTURE
SIGNATURE OF �� ` �, �.
APPLICANTIV
VALUATION
I JJ�Z V
$ �yQle^J !L-,
APPROVAL VATE# INSPEWOR'S SIGNATURE
PC PMTFOUNDATION:LOCATION �"�, n.
FEE '$ _ � FEE"$ FORMS,MATERIAL' /�L/cFxiI .e.:
FRAME:'FIRE STOPS, Av
I HEREBY ACKNOWLEDGE THAT t HAVE READ THIS AP- BRACING BOLTS
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE:LOCATION;
AGREE TO COMPLY WITH,ALL COUNTY ORDINANCES AND GAS VENT,DUCTS
STATE LAWS' REGULATING BUILDING CONSTRUCTION.
1 CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH,INT.
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
WORKMEN'S COMPENSATION LAWS OF-CALIFORNIA. LATH,EXT.
•OF/7 �/ HOUSE NUMBER COR-
SIGNATURE
T /� c v`•- RECT AND POSTED n I
ADDRESS FINAL
CLYDE N. DIRLA_M; PRINCIPAL STRU RAL ENGINEER
PLAN CHECK YRLIDATION (��m.o.
cARH . PERMIT VALIDATION l►_/ m.o. cnsx:
�r iso 6 4 7 0 c" SEP 5 2 3 c 3.7 5 - ,w
C0 G 4 7 �1 2 SEP 1 5 1 D 1 -5.() C
p / .
. =_T.KMFLf9 -CIT'
76A638A CE#803 2-63APPLICATION FOR BUILDING PERMIT .
COUNTY OF LOS ANGELES BUILDING
ADDRESS
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
• WILLIAM A.JENSEN,SUPT OF BUILDING CROSS ST.
DISTRICT,Nr G UP TYPE P B
FDDRESS
R APPLICANT TO FILL IN `-' 0 . CONST. aL
STATISTICAL CL IFICATION S WER MAP
t
CLASS.NO. DWELL.UNITS IdY BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE:
TRACTzs� MAPQ/ HIqHWAY
NEI STATE MAJORS O D,LOCAL
O. /
SIZE OF LOT ��f NOW OF OBLDGS. NO.N LOT ( USE ZONE SPECIALUSEOF r
EXISTING BLDG. ,p {/�wL CONDITIONS
TEL.//� . It aca- �P
OWNER e T NO(j/ BUILDING YARD HWY STREET NAME EXIST.
// �r SETBACK WIDTH
ADDRESS c7O r.(�� FRONT p
ARCHITECT OR TEL P. L.
ENGINEER Ne NO. SIDE >;P. L. a
ADDRESS O
TEL.
CONTRACTOR Q NO. U
ADDRESS ? 1tx
O
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SQ*
IZ FT. �` I NO. OF
SIZE J ORIES FAMILIES ' �
t•,�
USE OF - Y-'x 1•+ Srf /.�.P .l�Zr.rKi!/ ��'d b*Ev'1 •• �.'.f'P
STRUCTURE 77
Q t
SIGNATURE OF - ell f, wti%� 1�.a -� 0- ally
APPLICANT
VALUATION S O mj� ,Z`1 ;ATE
Q APPROVALS DA E INSPE R'S SIGN.ATU E
�Q,� FOUNDATION: LOCATION
FEE $ FEE $ / V V FORMS, MATERIALS t �rT/
FRAME: FIRE STOPS. '/
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS �.# - Jv
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS
BUILDING CONSTRUCTION. I 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 OF CALIFORNIA RELAT.
ING TO WORKMEN'S COMPENSATIO NSURANCE. t l
EA'TH-.EXT.
SIGNATURE OF c HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS ' FINAL
JOHN F. LEWIS, PRINCIPAL SSRAL ENGINEER
PLAN CHECK VALIDATION CK. M.D. CASH _ PERMIT VALIDATION .CK. M.O. CASH
Lu"o 6 9 5 1 i uiR 2 Jc 1 D 8,00-
WORKERS:.tOMPENSATION DECLARATION
here `�aafcertif cet� LWorkersrtCompensation ensuran e'f APPLICATION FOR BUILDING PERMIT
ti r
,or a tertifiied copy thereof.(Sec. 3800,LY lT"�'Lab.
,/C.)) COUNTY OF LOS ANGELES BUILDING AND SAFETY
v�
.Po licy Notel��ompany J Z5
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN t
BUILDING ��++•• ,�•�
ADDRESS /7�V V�-/� 1 l •�{ M-7
❑ Certified copy is filed with the county building inspec- BUILDING '
tion department. ADDRESS �U rW ) MOP`U�(J
Date 3 Applicant CITY Le- G ZIP LOCALITY `a
CERTIFICATE OF EXEMPTION FROM WORKERS' �•± NO.OF BLDGS. NEAREST
COMPENSATION INSURANCE SIZE OF LOTC00 I NOW ON LOT CROSS ST.
(This section need not be completed if the permit is for one ASSESSOR
hundred dollars($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL
TEL.//��� �.x USE ZONE MAP D
I certify that in the performance of the work for which this OWNER 5. �C�• J ) A� NO. 0 Z� NO07E. All }
permit is issued,I shall not employ any person in any manner ADDRESS �'4ji7 �•Y I/d�G)� 1 v CONDITIONS
so as to become subject to the Workers'Compensation Laws. y V
CITY `G A'.,2 C-1 ZIP 09
Date Applicant ARCHITECT OR----,+, p TEL.
NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER '`T `��'��J�t•� NO. ��U.� DISTRICT GROUP. TYYl—
TEL.
FIRE PROCESSED BY,
Exemption, you should become subject to the Workers' �� ��ii C-7-73
CZONE
Compensation provisions of the Labor Code, you must forth- ADDRESS ZZ I �43' e- "'Wo r /✓ IL
with comply with such,provisions or this permit shall be Y7 p�
deemed revoked. CONTRACTOR f� �Jw .V NO. STATISTICAL CLAS$IFTIATION APT. CONDO.
LICENSED CONTRACTORS DECLARATION �^+ LIC, • ��O CLASS NO. oCJ DWELL. UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 1 60111, R&.1"YV i G C-NO, j SEWER MAP
(commencing with Section 7000)of Division 3 of the Business.and ��y �. p/I LIC.
Professions Code,and my license is in full force and effect. CITY /"ry d'J CLASS BK PG VALIDATION
HECK
License.Number -� -` ` e Lic.Class SIZE �S ISTORIES FAMILIESI CONE
yy�� ��•-�r� VALUATION• '
Getf�. GC/C Vic— ❑
Contractor Date DESCRIPTION OF WORK NEW y� $
❑ A�.n 9010M ADD ,
I am exempt under Sec.
ALTER
B.&P.C. for this reason �el, — ennl! ICI T.0, REPAIR ❑ $
Date: USE OFEXISTING BLDG. C IAM •9. DEMOL ❑
Signature OWNER-BUILDER DECLARATION APPLICANT
Y� T'G ;,�C�tCI� NOEL'- G 7 DAT FINAL 2.1 :2 6 7 Q 3 A
I hereby affirm that I am exempt from the Contractor's License ADDRESS i (v d� �� �t e-C'� •
Law for the following reason (Section 7031.5, Business and FIN. 0 0 0 0 0.1
Professions Code): PRESENT BY
❑ I, as owner of the property, or my employees with ADDRESS i - 171.75
wages as their sole compensation,will do the work and
the structure is not intended or offered for sale(Section LOCALITY o o z
7044, Business and Professions'Code). MOVING TEL. J7 U—
❑ 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).
CONSTRUCTION LENDING AGENCY SETBACK YARD HWY TOTAPROP.L NECK FRO 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
g P.L.
Lender's Name
3 Lply►A Ref.#
Lender's Address P.C.Fee$ Permit Fee l �^
r I certify that I have read this application and state that the Issuance Fee rU( 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 17le 70 [DMA Perm. #
J and hereby authorize representatives of this County to enter
;s upon the above-mentioned property for inspection purposes.
-2 -f,7;7 SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applic nt or Agent Date
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL Of BUILD�jG ADDRESS /
I hereby affirm that I have a certificate of consent to self insure, ! BUI IN ADDR D
or a certificate of Workers'Compensation Insurance,or a certified N
copy thereof,5ec 3 0 La . .) 6 . ' ZIP 1 112 LOCALITY
Policy No. Company I OF LOT NO.OF BLD S.NOW ON LOT
❑ Certified copy is hereby furnished. NEAREST CROS ST.
❑ Certified copy is filed with the county buildi Rspection TRACT BLOCK LOT NO.
dep m nt. USE ZONE MAP NO.
I/Date 7 Applicant ASSESSOR MAP BOOK PAGE PARCEL
SPECIAL CONDITIONS
CERTIFICATE OF EXEM FROM ORKERS' ER TEL NO. YES!/ No
COMPENSATI INSURAN E WITHIN 1000 FT.OF SCHOOL?
� A
(This section need not be completed if the permit is for one hundred I DISTRICT GROUP TYP NST. FIRE ZONE PROCESSED BY
dollars($100)or less.)
CI ZIP v
I certify that the performance of the work for which this permit ILIN PILL Of �y�� :b-
is issued, I shall not employ any person in any manner so as to A CHITECT OR ENGINEER
become subject to the Workers'Compensation Laws. TEL NO.i STATISTICAL CLASSIIFICATION APT CONDO
Date Applicant ADDRESS CLASS NO. DWELL UNITS
N077CE TO APPLICANT. If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you should become subject to the Workers' C P 1 N r SET BACK 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. I Ap u .NO. PL
LICENSED CONTRACTORS DECLARATIONi5f SIDE
_
I hereby affirm that I am licensed underprovisions of Chapter 9 PL SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and SQ. .SIZE O.OF STORIES I NO.OF FAMILIES
Professions Code,a d license is in full force and ffec NEW ❑ BK PG O}.
/� DESCRIPTION OF WORK VALUATION
License Number `f/ Lic.Class v I ADD ❑ 0
Contractor Date ALTER ❑
I am exempt under Sec.
REPAIR ❑
BAP.C.for this reason ��� DEMOL ❑ LDMA P/C# W
E OF E ING BLDG. N
Date: - URM ❑
Signature APPLICANT(PRINT) TEL NO. LDMA Perm# & Z
❑ I, as owner of the property, or my employees with wages as Z ACC j °F
their sole compensation, will do the work and the structure is ADDRESS -1 331331-7■fj-1
not intended or offered for sale (Section 7044, Business and FINAL DATE Q
Professions Code.) i G 1 ITEMS
WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL 1, J
❑ 1, as owner of theproperty, am exclusive) contractingwith OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE y ��y
y AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY I TOTAL ITAL 137 o 40
licensed contractors to construct the project (Section 7044, _
VES❑ NO❑ �.
Business and Professions Code.) 1
WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING (r HECK 131.4L,
OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH {'t
CONSTRUCTION LENDING AGENCY I COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR CHANGE '10
i GUIDELINES.
I hereby affirm that there is a construction lending agency for YES❑ NO❑
a the performance of the work for which this permit is issued(Sec. 1-01000-000 j }� •�r Q
of 1 HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING 4 � G
a 3097,CIV.C.) I CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, '''
Lender's Name MATERM S TITLE 2.CHAPTER
E ORTING AND FOR OBTAINING A PERMIT FROM THSCAOMD.CONCERNING HAZARDOUS Lr•90 1 8 M
0o Lender's Address 'Ir fj
p OwaR OR AGENT
c 1 certify that I have read this application and state under penalty
4 of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE
N with all county ordinances nd State laws relating to building
;5 construction,and he orize representatives of this County ISSUANCE FEE
ma co to enter upon the a do d pro ty for inspectio pu OS
W • INVESTIGATION FEE TOTAL FEE
SOMIM d APOGM a Dtlo
! SEE REVERSE FOR EXPLANATORY LANGUAGE
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 1409290045
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: 1
ITR: 9848 IT: 18 UN: .003 I SQ. FT STORIES TYPE 1 4850 WILLMONTE AV [
I ISTRUCTURE: 440 V-B I TEMP CA 917804042
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18589-025-013 i I THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY CAI
(TENANT: EXIST BLDG USE: CARPO USE ZONE: R-1 [ISSUED ON: PROCESSED BY: [
EXIST OCC GRP: 109/29/14 SR 1
(OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: iINAT,IIATE FINAr.BY: CODE: [
ISURMENIAN ARA;LISE (626) 941-6191- 1 3,500
14850 WILLMONTE AV I
ITEMP 917804042 I FEES PAID ESC IPTION OF WORK [
I I IREPAIR EXISTING CARPORT (E ISTING GARAGE IS PERMITED) I
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT-1 [
[APPLICANT: TEL. NO: I
ICORREA, MANUEL (626) 786-2347- IAA BLDG PERMIT ISSUANCE 27.80 I I
12509 EIICLID CRESCENT JAB STATE GREEN BLDG FEE 3500.00 VAL 1.00 ISPECIAL CONDITIONS: [
1 UPLAND CA 91784 IAC STRONG MOTION RESID 3500.00 VAL 0.50
I IDI PLANCHECK W/O EN-HC 3500.00 VAL 98.40
D2 PERMIT W/O EN-HC 3500.00 VAL 115.80
[CONTRACTOR: TEL. NO: I TOTAL FEES 243.50 JAPPROVALS DATE INSPECTOR SIGNATURE [
IS X D CONSTRUCTION (626) 786-2347-
12509 EUCLID CRESCENT E LIC. NO [
[UPLAND CA 91784 627142 (LOCATION AND SETBACKS 1 1
II(SOILS ENGINEER APPROVAL I 1 I
1ARCHITECT OR ENGINEER: TEL. NO: - I FOUNDATION/TRENCH FORMS I
I LIC. NO: I (SLAB/UNDER FLOOR [ I I
I I I
IRAISED FLOOR FRAMING I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION [ I I
I 3 ouI I I I
I IFLOOR SHEATHING I I I
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: ]
NO 21 i [ROOF SHEATHING
I
SCHOOL WITHIN HAZARDOUS ISHEAR PANELS I [
(AIR QUALITY: 1000 FEET MATERIALS
1 NO NO NO1 1FRAD7E INSPECTION I I I]FIRE SPRINKLER HANGERS I
1
INSULATION/WEATHER STRIP( I
1 1 I I
I (INTERIOR LATH/DRYWALL
1EXTERIOR LATH I
IRATPD FLOOR/CEIL ASSEM. I I I
I IRATED WALL ASSEMBLIES I ] [
] I ]
I I IRATED SHAFTS/OPENINGS I ]
I 1 I
[T-BAR CEILINGS I I I
] I (.LOT DRAINAGE I I
I
IMPORT ID: DPR261 ROUTE TO: BS0508 I I
I I I 1