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