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Home My Public Portal About4933 WILLMONTE AVE_Building__ v "" APPLICATION FOR . BUILDING PERMIT a� FOR APPLICANT TO FILL:IN ADDRESS BUILDING ADDRESS / 3: -G LOCALITY mac.• NEAREST CITY C, ZIP : CROSSST. LL No.OF BLDGS. ASSESSOR SIZE OF LOT J� x 1NOW ON LOT MAP BOOK PAGE CEL DISTRICT GROUP TYPE FIRE PGL`ESSED Y TRACT.:r BLOCK LOT NO. CONST. ZO TEL. �,U� 1�_ OWNER T / A NO. STATISTICAL CLASSIFICATION SEWER MA ADDRESS AIRW—2 CLASS NO. DWELL.UNITS BK •PG CITY G ZIP USE ZONE MAP ARCHITECT OR TEL. N0. ENGINEER NO. �'I. SPECIAL _ _ CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ TEL. CONTRACTOR NO. -BLDG.SETBACK FROM IC. FRONT PROP.LINE OF (STREET) — ADDRESS S O Q NO. QO cQ, TOTAL SETBACK FROM TYPE OF EXISTING LIC. HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH CITY' R-6 SeM CAP CLASS 19 _ CONSTRUCTION LENDER + IL O NAME AND BRANCH BLDG.SETBACK FROM U SIDE PROP.LINE OF (STREET) ae 'ADDRESS CITY O SQ.FT. NO.OF NO.OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYPEOF EXISTING U SIZE Z3 STORIES FAMILIES ONE SIDE PROP.LINE HIGHWAY WIDTH N. DESCRIPTION OF WORK NEW ' 2 7 S ADD N •CORNER'V66F YES ❑ NO ❑ ALTER ❑ IN OPEN SPACE YES ❑ NO ❑ REPAIR ❑ USEOF BLDG. DEMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NOXISTIN ❑ APPLICANTTEL W' �s IPRINTI M 11-Cl C/�-Q tTQ+i oZ - " r_,— ;- i U lzE�GUJ LADDRESS INATURE) /f/ EREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI TION AND.STATE r � HE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES s WS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE a UTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF- THE i OR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- ION INSURANCE. TURE OF, r FINAL• �,— BY f ..�...t`,-Q� TEE DATE t ESS 3TEL. P.C.Fee$ Permit Fee - F NO. Issuance Fee ATION$ Total Fee PLAN CHECK VALIDATION CK., M.P. CASA � PERMIT VALIDATION cK.� M.o. CASH 4 5.00-OCT 12 .1 U. 5 5.5. 0 .,&L Os 76A6888 CE_ #8088 6/76 GA688A CE„80$10-88 APPL.ICAT'.ION .FOR BUILDING •PERIy U. - --1 COUNTY OF.LOS ANGELES:, BUILDING DEPARTMENT OF COUNTY ENGINEER aaaREss BUILDING AND SAFETY DMSION LOCALITY _ JOHN A.LAMBIE.COUNTY ENGINEER NEAREST ' CASSATT D.GRIFFIN SUPT OF BUILDING CROSS ST. DISTRIC�ptn. GRnya� TYPE ROCE$SED BY FOR APPLICANT TO FILL IN V .L 'I CONsr. BUILDING ADDRESS Y��,. i..a-,. � STATISTICAL C SSIFICATION 14AIS S' CLASS.NO, DWELL.UNITS LOT NO. BLOCKMAP STATE 'YES _� n NUMBER O f HWY: ___ TRACT �p �X E ZONE SPECIAL SIZE OF LOT QI• NO.OF HLDGS.- I--- CONDITIONS. -- NOW ON•LOT USE OF e )_ � USE G BLDG. U/is�[/� BUILDINGLYAR.DHWY STREET NAMEI ' SETBACK WIDTH. OWNER FRONT AIL 1 � P.-L. _ ADDRESS SIDE TEL. P.L. N CITY . O. ARCHITECT- ELINSPECTION .RECORD O T . ENGINEER NO. !6. ,a Z�I . " ? " ADDRESS , TEL. CONTRACTOR NO, ADDRESS , r^ , DESCRIPTION OF WORK - rr=,�----- __ EW• ADD ALTER REPAIR DEMOLISH SQ,FT. NO.OF NO.OF SIZE m�! STORIES FAMlLIE _ USE OF STRUCTURE i SIGNATURE OF 'opAPPROVALS APPLICANT G DATE INSPECTOR'S SIGNATURE ADDRESS ✓ -� FOUNDATION: LOCATION+ p FORMS,MATERIALS p. ( FFRiE $Ca O FRAME: FIRE STOPS. 4 BRACING.BOLTSVALUATION $ FURNACE: LOCATION; /t�,.�,,� GAS VENT,DUCTS d 9i -�1 / f` 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT. �J PLICATION AND STATE THAT THE ABOVE IS CORRECT AND L•� AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH.EXT. STATE LAWS R GULATING BUILDING STRUT SIGNATURE O HOUSE NUMBER COR- c �- PERMITTE RECT AND POSTED ADDRESS FI AL LYDE N.DIRLAM,PRINCIPAL . CT ST AL ENGINEER PLAN CHEM VALIDATION ati. M.o. CASH PEEPT,VALIDATION CK. M.O: CASH LACO6. 174 14y1 � 2 3 A- - 21 .0OAM OF 7 0 01 ;ii' 5 ' 1 .A I 4:2.0'\ 0 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS BUILDING ADDRESS U z I hereby affirm that I have a certificate of consent to self insure, 7��J ,l ,� or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) Policy No.Pic-16 .76� Company �C '�F►1 �� CITY �jt � /r� ZIP 1 LOCALITY SIZE OF LOT NO OF BLDGS.NOW/N,SLOITJ ❑eaerfifi d copy is hereby furnished. NEAREST CROSS ST. ed copy is filed with the county building inspection TRACT BLOCK LOT NO. depart env /J USE ZONE MAP NO. Date Applicant //�/ ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS OWNE CERTIFICACO PENSATIONTE OF I INSURANCE ORKERS' ADDRE �• TE No `` WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDRESS �� DISTRICT GROUP TY CONST. FIRE ZONE PROCESSED BY dollars($100)or less.) I certify that in the performance of the work for which this permit Cl f ZIP ^c o �O� `� is issued, I shall not employ any person in any manner so as to E OR 1 � 1 c/1 , .5 ,_�52�&�� become subject to the Workers'Compensation Laws. ARCHITECT OR ENGINEER TEL NO. STATISTICAL CLA S /IFIC�ATION 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 t0 the Workers' CONTRA .0 1 _TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith + 0 4 V O 1�d� FRONT AD comply with such provisions or this permit shall be deemed revoked. DRESS _ LIC.NO. P L Z L 4 � o re y Z SIDE LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS PL I hereby affirm that I am licensed underprovisions of Chapter. 9 (lC 4a I ei SEWER MAP > (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF Professions a Professions Code,and my license is in full force and effect. f ( NEW ❑ BK PG , C S7 ZJ'L S� $ D SCRIPTION OF RK VALUATION License Number Lic.Class ADD ❑ Contractor . Uz1�i S so I Data - 7 K4,00 G D t/�! a ALTER IV C ❑ 1 am exempt under Sec. W rl` C�GSS T / REPAIR 1:1 $ I- BAP.C.for this reason DEMOL ❑ LDMA P/C# LL CL ate:/ USE OF EXISTING BLDG. URM El i V f liY1� S>h / 7i svl i ACCT. -(- Signature T°9'a 11 1, (PRINT) TEL NO. LDMA Perm#I, as owner of the property, or my employees with wages as C 1'It11r�� 10their sole compensation, will do the work and the structure is ADDRESS ° not intended or offered for sale (Section 7044, Business and FINAL DATE o 1 ITEMS Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL 17 OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ��/// TOTAL 260. 10 ❑ I, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL B licensed contractors to construct the project (Section 7044, CHECK Business and Professions Code.) YES 11 No❑ 1 �+° WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING �1 }yN!,�GE �'t�l OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH Wq N1ry+,,_ °S:CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR j GUIDEUNES 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. / ) •01,0 0 0 i `�/`� ?i to I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING �, L�JI��—I.I�� /!sf 7ti N 3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, q{ TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20 140 CONCERNING HAZARDOUS 1917 1 AM,1 y:233 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. o Lender's Address 0 OWNER OR AGENT o I certify that I have read this application and state under penalty c of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE a with all county ordinances and State laws relating to building pf Z5 construction, and hereby authorize representatives of this County ISSUANCE FEE ato enter upon the above-me property for inspection purposes. 7 INVESTIGATION FEE TOTAL FEE �J D O Gq tm°d Apo.M.AWnt Uma t� r 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 0808260018 PHONE: (626) 285-0488 EXT: (LEGAL ID: I NO. OF CONST I BUILDING ADDRESS: 1 TR: 9848 LT: 4 UN: .002 I SQ. FT STORIES TYPE 4933 WILLMONTE AV [ ISTRUCTURE: 30 V-B I TEMP CA 917804045 ] (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LOWER AZUSA I 18589-023-023 ] I THOMAS PAGE: 597 GRID: B5 LOCALITY. TEMPLE CITY, Cl TENANT: 1EXIST BLDG USE: RESID USE ZONE: R-1 IISSUED ON: PROCESSED BY: EXPIRES ON: I I 1EXIST OCC GRP: 108/26/08 SR 02/22/09 1 1OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IF AaL�DATT F BY: CODE: 1 11MAI HITOSHI;TAKEKO (626) 448-2490- 1 8,900 I �1_.+X 1 14933 WILLMONTE AV I 1 i� i7 1 ITEMP 917804045 FEES PAID DESCRIPTION OF WORK 1 (REMOVE CAL SHAKE ROOF ROOF W/FIBERGLASS CLASS "A" COMP I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:ISHINGLES HOME/GARAGE ATTACHED. 1 (APPLICANT: TEL. NO: I I ICAMPAGNA (626) 255-5058- IAA BLDG PERMIT ISSUANCE 27.75 I I I IAC STRONG MOTION RESID 8900.00 VAL 0.89 ISPECIAL CONDITIONS: I ID2 PERMIT W/0 EN-HC 8900.00 VAL 199.80 1 1 TOTAL FEES 228.44 1 I I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1 ICAMPAGNA ROOFING (626) 398-1302- 1 1 I 11655 HOMEWOOD DR. LIC. NO I ILOCATION AND SETBACKS I I I IALTADENA, CA 91001 518327 C39 I I I I I I I ISOILS ENGINEER APPROVAL I I I (ARCHITECT OR ENGINEER: TEL. NO: 1 [FOUNDATION/TRENCH FORMS I I I LIC. NO: i ]SLAB/UNDER FLOOR I I I I IRAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:I (UNDERFLOOR INSULATION I I 1144H269 3 Oil I I I I IFLOOR SHEATHINGI I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I ] 1 NO 21 1 IROOF SHEATHING Lf, 1 1 SCHOOL WITHIN HAZARDOUS ISHE4R PANELS I I (AIR QUALITY: 1000 FEET MATERIALS I I [ NO NO NO ] IFRAME INSPECTION I I I IREQUIRED TOTAL SETBACK FROM EXIST I [FIRE SPRINKLER HANGERS I I ISET BACK YARD: HWY: PROP LINE: WIDTH: I I I I I IFRONT PL- 1 ]INSULATION/WEATHER STRIPI I I 1 SIDE PL- 1 I I I I IINTFRIOR LATH/DRYWALL [ I I I I (EXTERIOR LATH ] I I 1 I IRATED FLOOR/CEIL ASSEM. I [ I I I IRATED WALL ASSEMBLIES I ] I I I (RATED SHAFTS/OPENINGS 1 IT-BAR CEILINGS I I I I (LOT DRAINAGE I I [ IREPORT ID: DPR261 ROUTE TO: BS0508 ] I I I I I I I I