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Home My Public Portal About4902 WILLMONTE AVE_Building__ 76A638A CE#8035.61APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARITAENT OF COUNTY ENGINEER ADDRESS �' BUILING AND SAFETY DMSION LOCALITY f JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP TYKEI-IRROCESSED BY+ FOR APPLICANT TO FILL IN 6 Q' coNsr. BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS 4 6102'Wi l l mnnt e J BK PG , CLASS.NO. / DWELL.UNITS LOT NO. south 01 of lot 19 BLOCK WATER NOT REQUIRED ST RECEIVED CERTIFICATE: TRACT 9848 / uest 166.43 MAP f% HIGHWAY STATE MAJOR SECOND OCAL NO.OF BLDGS. IVO (p L SIZE OF LOT 50x15T.43` I NOW ON LOT none USE ZONE SPECIAL USE OF / CONDITIONS za EXISTING BLDG. L,,__ OWNER T.C. & W.B. Ashley NO.j{D2Z,126 BUILDING YARD HWYTR NAME EXIST. , ADDRESS 3371. N. Corrida Dr. ,Covina SETBACK '� WIDTH FRONT ARCHITECT OR TEL. P.L. `�. ENGINEER NO. SIDE O. P.L. O ADDRESS Te INSPECTION RECORD CONTRACTOR J.C. � W.B. Ashl_eyNo ED2L.126 ADDRESS 3371 N. Corrida Dr. , Covina rr 'o'��+ ! '+ . W DESCRIPTION OF WORK H _ Z NEW X ADD ALTER REPAIR DEMOLISH Sl INO OF NO.OF ZE T'1373 STORIES 1 FAMILIES .1• STRUCTURE residence. &•detatched garage SIGNATURE OF APPLICANT VALUATI APPROVALS DApT[ INSPECT,ORR''yS�SIGNAYURE P.C. b PMT. _` FO ON FEE $ ,s� FEE $ FORMS.MATERIIALS FRAME:FIRE STOPS, /J 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ T1415 APPLICATION BRACING BOLTS AND STATE THAT THE.ABOVE,18 CORRECT AND AGREE TO COMPLY FURNACE:LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING'THE WORK AUTHORIZED THEREBY 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 COMPENSATION INSURANCE. �,7rx - LATH,EXT. � e SIGNATUR HOUSE NUMBER COR- PERMITTE REdT AND POSTED I_ fn ADDRESS FINAL y ++f I° �r CLYDE H. DIRLAM, PRINCIPAL STR RAL ENGINEER PLAN CHECK VALIDATION cK. M.O. CASH _ PEBbUT VALIDATION CK. M.O: CASH ',5 8 5 6; DEC ' 7 3 D r— .2 2_5 0� M - 5 9',6. 5 DEC 11 1 D '48-00 10 WORKERS'COMPENSATION DECLARATION hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT insure, 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 ADDRESS BUILDING �j Certified copy is filed with the county building inspec- BUILDING '/,/ � tion department. ADDRESS d 2— (fir /I10 T-- Date Applicant CITY 7F.) ZIP F LOCALITY rjzl CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST J COMPENSATION INSURANCE SIZE OF LOT 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 VO.D MAP BOOK PAGE PARCEL TEL. OWNER /�— .5,eWA; NO. USE NE MAP I certify that in the performance of the work for which this ,,I NO. permit is issued, I shall not employ any perso trh any manner r SPECIAL so as to become subject to the Workers'Compensation Laws. ADDRESS %� IJJ i� dAl / CONDITIONS 0 CITY ZIP Date ApplicanT NOTICE TO APPLICANT: If, of ' making this Certificate of ARCHITECT OR TEL DISTRICT GROUP TYPE FIRE PRO SED BY Exemption, you should become subject to the Workers' ENGINEER NO. q CONST. ZONE Compensation provisions of the Labor Code, you must forth- ADDRESS t / 13 V with comply with such provisions or this permit shall be v DW.. deemed revoked. CONTRACTOR NC+ STATISTICAL CLASSSIIF��CATION I APT. Jr. C0 LICENSED CONTRACTORS DECLARATION LIC CLASS NO.. U.. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business and LIC SEWER P Professions Code,and my license is in full force and effect. CITY CLASS BK PG VALIDATION SQ.FT. NO.OF r NO.OF CHECK License Number Lic.Class SIZE/ STORIES I FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF WORK NEW ❑ I am exempt under Sec. /�r9cc/2 .� � �/S�Y7i'N ,�/cF ADD L Epill.❑ $ �� B.&P.C. for this reason f Z G;C7, iyzi 0/-z tty C0 1F 7'ee RR E] $ Dote: USE OF DE OL ❑ Jt( (_�L EXISTING BLDG. Signature APPLICANT �/ / TEL. FINAL OWNER-BUILDER DECLARATION (PRINTA) �C LSF NO. DATE gl Z I herebyaffirm that I am exempt from the Contractor's License 2 Low fothe for reason(Section 7031.5, Business and ADDRESS 0N/"- FIN Professions Code): FREbENTBy BUILDING 1, ' I, as owner of the property, or my employees with ADDRESS60, wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. 00, 1,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). REQUIRED TOTAL SETBACK 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 15 if, / I `SJ LDMA Ref. q • Lender's Address P.C.Fee$ Permit Fee I certify that I have read this application and state that the Issuance Fee / (/„J v LDMA P/C R above information is correct. I agree to comply with all County Investigation Fee ? ordinances and State laws relating to building construction, and hereby authoriz presentatives of this County to enter Total Fee LDMA Perm.'q upgtt the abov k. ntioned pro ert�for �ecfion purposes. D5 e/ SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date V COUNTY OF LOS ANGELES TEMPLE CITY # 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 1010250044 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: ITR: 9848 LT: 19 UN: .003 SQ. FT STORIES TYPE OCCUP GROUP[ 4902 WILLMONTE AV 1 ISTRUCTURE: 1295 2 V-B R-3 I TEMP CA 917804044 ASSESSOR INFORMATION NUMBER: GARAGE: 670 1 V-B U NEAREST CROSS STREET: LOWER AZUSA 18589-025-016 OTHER: 1404 2 V-B R-3 THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY, Cl (TENANT: JEXIST BLDG USE: USE ZONE: JISSUED ON: PROCESSED BY: EXIST OCC GRP: 101/19/11 SR OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: [MRS. NGAR MEI HSIN (626) 807-7395- 1 317,200 19227 BLACKLEY ST. I TEMP 917804044 FEES PAID DESCRIPTIO14 OF WORK I ADD 2ND:FLOOR MASTER SUITE, 3 BEDRM, 2 BATHRMS, REMODEL KITCI I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IHEN, FMLY RM, DINING RM, 1 BEDRM, BATHRM, DEMO (E) GARAGE * 1 (APPLICANT: TEL. NO: I I 1 ILIN, DAVID (626) 926-4876- IB1 PLANCHECK W/ENERGY 317200.00 VAL 2,543.50 1 15917 OAK AVE PMB 372 IAA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS: ITEMPLE CITY CA 91780 IAB STATE GREEN BLDG FEE 317200.00 VAL 13.00 1 1 IAC STRONG MOTION RESID 317200.00 VAL 31.70 [ IS2 PERMIT W/ENERGY 317200.00 VAL 2,992.30 I 1 [CONTRACTOR: TEL. NO: 108 CERTIF OF OCCUPANCY 101.30 (APPROVALS DATE INSPECTOR SIGNATURE I [LIN, DAVID (626) 926-4876- 1 TOTAL FEES 5,709.60 11 15917 PMB 372 LIC. NO 1 [LOCATION AND SETBACKS [ 1 ITEMPLE CITY, CA 91780 NONE [ 1 1 1 1 I ISOILS ENGINEER APPROVAL 1 1 1ARCHITECT OR ENGINEER: TEL. NO: IFOL*NDATION/TRENCH FORMS I I I IT AND W CONSULTING ENGINEERS (626) 288-0708- 11168 SAN GABRIEL BLVD. LIC. NO: [ (SLAB/UNDER FLOOR [ 1 1 IROSEMEAD, CA 91770 C35693 I I_ 1 1 RAISED FLOOR FRAMING i 1 IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 1UNDERFLOOR INSULATION 1 I 3 001 11ST LEVEL FLOOR SHEATH �u / INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1 NO 21 1 12ND LEVEL FLOOR SHEATH -[ A'I 1 1 SCHOOL WITHIN HAZARDOUS IROOF SHEATHING 1 1 I (AIR QUALITY: 1000 FEET MATERIALS I I- 1 1 NO NO NO 1 IFIRE DEPT. FRAME INSPECTI I (BLDG DEPT. FRAME INSPECTI 1� 1 ISHEAR PANELS � [ 1 [INSULATION/WEATHER STRIP( I �Q IINTERIOR LATH/DRYWALL I I I 1 IEXTERIOR LATH I �� [ ILOT DRAINAGE [ I [ SMOKE DETECTION DEVICES I [ IFIRE DEPARTMENT APPROVALI II I* ADDITIONAL DATA ON FILE 1 1 1 1 IREPORT ID: DPR261 ROUTE TO: BS0508 I I 1 1