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HomeMy Public PortalAbout4919 WILLMONTE AVE_Building__ re"ge,%cm#aoaso-so APPLICATION FOR BUILDING PER'M•IT 1 ;< COUNTY OF LOS ANGELES BUILDING -.�•� DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALd JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS DISTRICT NO. GROUP pE PR CESSED BY 'FOR APPLICANT TO FILL IN coNST-�r X BUILDING STATISTICAL CLASSIFICATION SEWER MAP i ADDRESS / CLASS,NO WELL.UNIT . BK � LOT NO. IO fir/ BLOCK NUMBER oLQ �� H}AyE a.YES NO TRAGI •, MAP USE ZONE SPECIAL k NO.OF.'L" �] CONDITIONS SIZE OF LOT I NOW ON LOT B ,A ' USE OF =r EXISTING BLDG. BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH- '" OWNER Cr FRONT ' ADDRESS SIDE OF TEL. P..L. - c'rY ` NO. INSPECTION RECORD ARCHITECT_OR TEL. ENGINEER NO. v i 1 cs ADDRESS �1 d'p 3 CONTRACTOR \��'..e" NOI./yup 746 s ADDRESS Z a 7L •�(//ADX 1D'I' L o V f i1,. "�+—.�. DESCRIPTION OF WORK NE ADD ALTER REPAIR DEMOLISH =rsi �•� / .._�_ NO.OFNO.OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF n V APPLICANT �/�'' APPROVALS � E' INSPECTOR'S SIGNATURE a ADDRESS �►• - /oiFOUNDATION:,* FORMS.MATERIALS ION // ��C, i..e VALUATION$ Q Ca FRAME:FIRE STOPS, / ��5•� jI BRACING,BOLTSPMT. F E �o4,L•�' I FEE / �� FURNACE: VENT,DUCTS N. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH.INT. % v PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND %y ••� STATE LAWS REGULATING BUILDING CONSTgUCTION. •LATH,EXT. SIGNATURE OF'y HOUSE NUMBER COR- . •� �. PERMITTEE_ RECTAND POSTED ej . IRS ADDRESS a An / ��"''Ic FINAL .,CLYDE N. DIRLAM, PRINCIPAL ST RAL ENGINEER PLAN CHECK VALIDATION M.O. PERMIT VALIDATION'. yM•?• CASH do 8 0 3 45") NIOV24, 2 3 A 2 2.54-k n - - �p r68 1 0 0 iJ0V-?•5 Z h 4 5',0 0 M 'GAee0AGe#80210.68 APPLICATI®N FOR BUILDING PERMIT 1 :< COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS S wk DISTRICT NO. I GROUP P�+ "" P OCESSED BY FOR APPLICANT TO FILL IN CONSy. BUILDING I„!�� � STATISTICAL CLASSIFICATION SEWER MAP' ADDRESS #11az{a BK y f, rJ/ CLASS.NO. nWELL.UNITS_ d I �f LOTNO. /I/ J 40'//JBLOCK MAP. STATEjr YES O NUMBER HWY. USE ZONE SPECIAL 1 TRACT' CONDITIONS SIZE OF LOT I NO.OF. d j NOW ON LOT LOTS USE OF EXISTING BLDG. BUILDING SETBACK YARD HWY STREET NAME WIDTH OWNER �� FROP. NT •L AMAILDDRESS SIDE TEL. P.I CI.1Y NO. INSPECTION RECORD ARCHITECT OR TEL. ENGINEER NO. ADDRESS �f� ,, TEL. CONTRACTOR .46 �{l-20-- NO. ADDRESS a f>`vsl/W3'f ! f4 DESCRIPTION OF WORK NE ADD ALTER REPAIR DEMOLISH FT. NO.OF NO.OF SIZE STORIES FAMILIES USE OF STRUCTURE A SIGNATURE OF Q APPLICANT �+ APPROVALS DATE INSPECTOR'S SIGNATURE ADDRESS SPI /6® • FOUNDATION:LOCATION VALUATION$ !� .rte' FORMS,.MATERIALS FRAME:FIRE BOLTS S� I-7—G d FURNACE:LOCATION. FEE' $ I FEE T. `� I GAS VENT,DUCTS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH.INT. i • O PCATION AND STATE THAT THE ABOVE IS CORRECT AND LI AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND L _� STATE LAWS. REGU TING BUILDING CONSTRUCTION. LATH,EXT. SIGNATURE OF &, HOUSE NUMBER COR- PERMI7TE RECT AND POSTED ADDRESS ? '0 FINAL CLYDE N. DIRLAM,PRINCIPAL' S Ci1URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION f CKjj M.O. CASH Apo 8099A NO'V?�'- 1 A 9.00 Ln ' s �■ - �/Z� APPLICATION '� lUILDING PERMIT �1 54 COUNTY OF LOS ANGELES `S' BUILDING AND SAFETY +' WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS `��� � i BUILDING ADDRESS I hereby affirm that I have a cert'icate of consent to self Insure, 4919 N. W i 11 mo n to Avenue or a certificate of Workers'Compensation Insurance,or a certified CIN ZIP copy thereof(Sec.3800,Lab.c.) Temple Cit 91780 LOCALITY f Policy No. Company SIZE OF LOT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. 501X161' One 1 NEAREST CROSS 91r. ❑ Certified copy is filed with the county building inspection 848 BLOCK SIX 6 OT NO USEZONE MAIO.. department. ASSESSOR MAP BO K PAGE PARCEL /1 Date Applicant GE OD 3 � SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER ao TEL WITHIN 1000 FT.OF SCHOOL? YES NO COMPENSATION INSURANCE ADDRESS (This section need not be completed if the permit is for one hundred 4919 N. W i l l mo n to Avenue DISTRICT GROUP TYPE CONST.' FIRE ZONE PROCESSED BY dollars($100)or less.) CITY ZIP I certify that in the performance of the work for which this permit Temple Citif 91780 �'��' Is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. become subject to the Workers'Compensation Laws. Tim• Na a0 248-7532 STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NOXDWELL UNITS NOTICE TO APPLICANT: If, after making this Certificate of 3955 Markrid a Road Glendale REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject t0 the Workers' +CONTRACTOR TE NO. SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code,you must forthwith "r, r f !Sr .y FRONT comply with such provisions or this permit shall be deemed revoked. DRESSU NO. p� PL �/ ae ' ( tl eQ - 6 Z� O SIDE LICENSED CONTRACTORS DECLARATION ClLIC.CLASS p L 93- C3 I hereby affirm that I am licensed under provisions of Chapter 9 < < l-n SEWER MAP CJ (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORES NO.OF FA LIES Professions Code,and my licfense iy$'in full force and elle_ ct. Z One 1 One 1 N 0 BK f� PG poll. o License Number a a 4 �a LID.Class DESCRIPTION O WORK ADD �Auu►no contraaDlln A iso-. Data e�f93 Addition of Bedroom ALTER ❑ $ Oa' ' bathroom ❑ I am exempt under Sec. REPAIR ❑ $ ' B.&RC.for this reason DEMOL 11 LDMA PIC# USE OF EXISTING BLDG. °a Residence URM ❑ 23 Signature s '!! APPLICANT(PRINT) TEL NO. LDMA Penn p Z ❑ I,as owner of the property, or riye ployees with wages as OACCT.-V& their sole compensation,will do the work and the structure is ADDRESS F 3307 48a-5 not intended or offered for sale (Section 7044, Business and FINAL DATE Professions Code.) WILLTHEAPPLICANT OR FUTURE BUILDING OCCUPANT HANDLEA HAZARDOUS MATERIAL T 0 11 I, as owner of the ro B OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN Q •� a p p rty, am exclusively contracting with THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY ' r I .T a a licensed contractors to construct the project.(Section 7044, WIXX Business and Professions Code.) YES❑ No 37307 355.24- LL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REOUIREA PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH 2 1 TEMS CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. I hereby affirm that there is a construction lending agency for YES❑ NO Xx TOTAL 403.99 the performance of the work for which this permit is issued(Sec. CHECK403.99 I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD S.+[1Gi•!\ 1 3097,CIV.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES [� /''1� COUNTY CODE.TITLE2,CHAPTER 220 SECTIONS 2.20.100 THROUGH 220.140 CONCERNING �;IlA�L1L °f1)I Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SOAOMD. E in. Lender's AddressOWNM gi11eEW 0 1 certify that I have read this application and state that the above 1313100-001]1 2/17/93 information is correct. I agree to comply with all county PC.FEE P ordinances and State laws relating to building construction,and 8243 1 AM 1ERMIT FEE g � 4 ae 1F hereby authorize representatives of this County to enter upon ISSUANCE FEE 7� the above-mentioned property for inspection purposes. � INVESTIGATION FEE TOTAL FEE �� ^ Glr.h-dAP01-1wAq.t Data SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 !AALT!ERATION/R:EPAIR. G PER DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 970003 PHONE: (818) 285-0488 EXT: LEGAL 10: N0. OF CONST BUILDING D S _- TR: 9848 LT: 6 SQ. FT STORIES TYPE 4919 WILLMONTE AV STRUCTURE: 0 VN TEMP CA 917804045 ASSESSORI 0 0 B R: NEAREST CROSS STREET: 8589-024-003 THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY EXIST BL SE: R5SID USE ZONE: R- —ISSUE-U-0-r- PROCESSED P ON: EXIST OCC GRP: 09/09/97 UT 09/09/98 OWNER: TEL. NO: BLDGS. NOW ON LOT' VALUATION: FINAL DATE FIMRL BY: CODE: NAGAO MATAKI;RUTH H (818) 448-6824- 1 1,500 SIS 4919 WILLMONTE AV v TEMP 917804045 FEES PAID DESCRIPTION OF WORK CHANGE TO BL9707210064-REIAOF HOUSE AND GARAGE WITH COMP FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SHINGLE 40 YR. CELOTEX AND NEW 1/2" SHEATHING APPLICANT: 0: A-QUALITY ROOFING CO. (818) 448-6824- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 1500.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC= - 1.500.00 VAL 82.20 r _ -__TOTAL FEES 110.45 CONTRACTOR: TEL. NO: �`- APPROVALS DATE INSPECTOR SIGNATURE A-QUALITY ROOFING CO. (818) 701-5037- ' 8617 YOLANDA AVE. LIC. NO d LOCATION AND SETBACKS NORTHRIDGE, CA. 91324 639330 C39 SOILS .ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. N0: - - _. FO NDATION/ R C ORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:, UNDERFLOOR INSULATION 144H269 3 Oi FLOOR S EA ING 0. OF FAMILIES: DWELLING NITS: APT CO D: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL R 0 SHEARVANEFS AIR QUALITY: 1000 FEET MATERIALS NO NO NO '+ FRAME INSPECTION REQUIRED TOTAL SETBACKFR E 5TFIRE SPRINKLER HINCERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- " NTE I AT ALL EXTERIOR LATH RATED-FLOOR . TED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-B R CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY ; # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9707210064 PHONE: (818) 285-0488 EXT: . OF CONST D ADDRESS: TR: 9848 LT: 6- SQ. FT STORIES TYPE 4919 WILLMONTE AV STRUCTURE: 0 VN TEMP CA 917804045 0 NEAREST CROSS STREET: LOWER AZUSA 8589-024-003 THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY IS S RESIDR-7- ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 07/21/97 TC 07/21/98 OWNER: TEL. N0: 8LDGS. NOW ON LOT: VALUATION: FINAL'DAT FINAL CODE: NAGAO MATAKI;RUTH H (818) 448-6824- 1 4,000 4919 WILLMONTE AV TEMP 917804045 FEES PAID Uffs-Eym7mOF WORK TEAR OFF CALSHAKE, INSTALL NEW CALSHAKE - FRONT 1/2 OF HOUSE APPLICANT: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ONLY 50 YR.�GUARANTEE A-QUALITY ROOFING CO. (818) 448-6824- AA BLDG PERMIT ISSUANCE 27.75 4f! �Go �i AC STRONG MOTION REBID 4000.00 VAL 0.50 SPECIAL CONDITIONSC D2 PERMIT W/0 EN-HC �_ x4000.00 VAL 116.10 _TOTAL FEES 144.35 CONTRACTOR: TEL. N0: ? ' �: "�•� h APPROVALS DATE INSPECTOR SIGNATURE A-QUALITY ROOFING CO. (818) 701-5037- 8617 YOLANDA AVE. LIC. NO r r �" - ���d 2 0AND SETBACKS NORTHRIDGE, CA. 91324 639330 C39 '+; ;. ' ' �' `�'• _ SOILS ENGINEER R A ARCHITECT OR ENGINEER: TEL. NO: FOUN DAT ION/TRENCH FORMS LIC. N0: - SLAB/UNDER FLOOR SEQ FLOM9 FMING MAP 0: SEWER MAP BOOK: PAGE: FIRE ONE: C P:, UNDERFLOOR INSULATION 144H273 3 01 Siwnrd 0. G S: NO 21 ROOF SHEATHING SCHWL WITHIN OS ES i AIR QUALITY: 1000 FEET MATERIALS NO NO NORAM INSPECT 0 SETBACKREQUIRED TOTAL 0 �{' R S SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- a !�' ;`�.•r' N TIO / E STRIP SIDE PL- ��' -' .� - y -° INTER-Wit LATHIDRYWALL EXTERIOR LATH RATED FLWR/C5IL ASSEM. RATED-WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS- 0 REPORT ID: DPR261 ROUTE TO: BS0508