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HomeMy Public PortalAbout4937 WILLMONTE AVE_Building__ BABA'CE#809--- APPLICATION, � �U I L�D I IV G PERMIT . -- 1 B=DING AND SAFETY DIVISION ABUILD DDRESSING r7� 1/t/ , Deportment of County Engineer of County of Los Angeles LOCALITY JOHN A.LAMBIE, COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. P DISTRICT NO. GROUP. TYPE SEWER MAP FOR APPLICANT TO FILL IN _I I B `�--PG CONS _ BUILDING /)7wfll STATISTICAL CLASSIFICATION ADDRESS 7J CLASS.NO. DWELL':UNITS I' LOT NO. BLOCK AP // STATE Q' NUMBER D . -b HWY YES O TRACT •. CC (1 USE ZONE SPECIAL !/ )( 3 I NO.OF BLDGS. O A1—( CONDITIONS SIZE OF LOT ; NOW ON LOT 1 _ USE OF. �14_0 - EXISTING BLDG. C��� BUILDINGYARD' HWY STREET NAME EXIST. f/ SETBACK WIDTH- OWNER / //• FRONT P. L. MAIL ppo ADDRESS O SIDE - - CTR G TEL E �- a6 P. L. CITY - -INSPECTION RECORD ARCHITECT OR TEL. ' ENGINEER R / NO. i i• Q �A ��e S c!►�i3 ` ADDRESS - •y� .s ��� TEL. i�cT1LJ5=�' ?� � ��1L CONTRACTOR t•, VjA)9=Ik NO. - ADDRESS _ J DESCRIPTION OF WORK = NEW ADD ALTER REPAIR DEMOLISH FT. NO.OFNO.OF SIZE 7V_ V STORIES FAMILIES / d� V USE OF Svv- UCT°lJ 1 ��F G 4t—d / i. Z.J APPROVALS +� � SIGNATURE ' APPLICAN DATE ! INSPEG OT R S SIGNATURE ©7� FOUNDATION:LOCATION ADDRESS FORMS.MATERIALS P.C. 8 3 FRAME: FIRE STOPS, f �yQ�A+?� FEE BRACING.BOLTS VALUATION � v'� $ O' FU�2NACE: LOCATION. FEE ak GAS VENT—DUCTS 1 HEREBY A WLEDGE THAT-1 HAVE READ HIS AP- LATH. I.NT. PLICATION A STA E THAT THE ABOV IS CORRECT AND /J AGREE TO CO PLY ITB ALL T RDINANCES AND LATH, EXT. STATE LAW REG G BUl G CONSTRUCTION. SIGNATURE F d HOUSE NUMBER COR-; PERMITTE` RECT AND POSTED a ADDRES � FINAL OHN A.LAMBIE.COUNTY ENGINEER, CLYDE N.DIRLAM;PRINCIPAL STRUCTURATE-NGINEER PLAN CH= VALIDATION CK. M.O. CASH �TERMiT VALIDATION CK. M.O. CASH . (LG3 7 1 8S OCT24 1 6 2 3,.00 1 M - ;�0 5 0-6 6P; DECA 2 1 4 -6-.00. WORKERS'COMPENSATION DECLARATION ereby affirm♦ Workers' I hive a certificate of consent to self APPLICATION FOR BUILDING P E RM I T ure,or a certificate of orkers'Compenstion Insurance,or ertified copy thereof(Sec. 3800, Lab. C.) • COUNTY OF LOS ANGELES BUILDING AND SAFETY icy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with the county building inspec- UILDING -7 `� ,r /f tion department. DDRESS 3 / /1/. ASV IL � � /'r LOCALITY I NEAREST to Applicant CITY 7-,--Al �• C f T'1 ZIP do CROSS ST. O!.e/Ap- ?�� — CERTIFICATE OF EXEMPTION FROM WORKERS' i NO.OF BLDGS. j ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT / MAP BOOK PAGE PARCEL is section need not be completed if the permit is for one t G USE ZONE EMAPndred dollars($100)or less.) TRACT BLOCK LOT NO. k 1 „ A �a' Lertify that in the performance of the work for which this OWNER f 7/7Y�! IONS O rmit is issued, I shall not employ an ers in any marine DISTRICT GROUP TYPE FIRE PROCESSED BY U as to become subject to the War C pen tion L // ADDRESS r CONST)2fd ZONE g_. to ��` 3 2 Applicant 6'f�, CITY ZIP STATISTICAL CLASSIFICATION APT. CONDO. U )TICE TO APPLICANT: If, after aking this Ce ificate of ;ARCHITECT OR TEL. r a ”. ENGINEER NO. CLASS NO. DWELL. UNITS ampfion, you should become subject to th Workers' W mpensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP Ih. comply with such provisions or this permit shall be TEL. �� Q"� emed revoked. CONTRACTOR y NO. BK PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC. ereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. VALUATION mmencing with Section 7000)of Division 3 of the Business and LIC. ifessions Code, and my license is in full force and effect. CITY CLASS $ "p, pQ� SQ. FT. NO.OF 1 NO.OF CHECK ense Number Lic.Class SIZE STORIES ( FAMILIES ONE ntractor Date DESCRIPTION OF WORK NEW ❑ $ `,� ADD I am exempt from the licensing requirements as I am a &Altl`V /UdA x1 /�/e d ALTER E] FINAL licensed architect or a registered professional engineer z,�f nn 7- acting in my professional capacity (Section 7051, ('r IQ 9 0 0- i6IV REPAIR ❑ Business and Professions Code). USE OF FINAL EXISTING BLDG. DEMOL ❑ BY or Reg.No. Date APPLICANTTEL. OWNER-BUILDER DECLARATION PRINT) l �/ >� NO. `7 ereby affirm that I am exempt from the Contractor's License ADDRESS �tL N for the following reason (Section 7031.5, Business and Al.N 1H6;0rE- )fessions Code): PRESENT BUILDING I, as owner of the property, or my employees with ADDRESS 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 Cade). MOVING TEL. - ] I, as owner of the property, am exclusively contracting CONTRACTOR NO: I with licensed contractors to construct the project (Sec- ADDRESS 4 0 2.8 {� tion 7044, Business and Professions Code). REQUIRED YARD HWY TOTAL SETBACK FROM dWXID'STT� t: o o n o 0 1 CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE ereby affirm that there is a construction lending agency for FRONT performance of the work for which this permit is issued P.L. 2 o G 50.00 �c. 3097, Civ. C.). SIDE P.L. i nder's Name P.C. Fee$ Permit Fee n 5 1 7-P2 rider's Addressertify that I have read this application and state that the Issuance Feeove information is correct. I agree to comply with all County Investigation Fee finances and State laws irelatin to building construction, Total Fee 25-h eby thorize reprees of this County to enter e a -ment' ned y for inspection purposes. l 'r�r! SEE REVERSE FOR EXPLANATORY LANGUAGE Signa ure of A .i7nt or Agent Dote ®3 r 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 9812080040 PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OT_ CONST NEW BUILDING ADDRESS: TR: 9848 LT: 4 SQ. FT STORIES TYPE OCCUP GROUP 4937 WILLMONT£..AV STRUCTURE: 0 VN R3 TEMP CA 917804045 ASSESSOR INFORMATION NUMB R: GARAGE: NEAREST CROSS STREET: LOWER AZUSA 8589-023-022 OTHER: 225 1 THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG E: SE ZONE: SSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 12/22/98 UT 12/22/99 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DAT L BY: CODE: PHAN LAN T (818) 444-9397- 5,130 Ur 4937 WILLMONTE AV TEMP 917804045 FEES PAID D SCRIPT ON OF WORK - ATTACHED SCREENED IN PATIO-NO P.LUMBING .OR. CLOSET AND FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: REROOF EXISTING HOUSE APPLICANT: E : SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID _ 5130.00 VAL 0.51 SPECIAL CONDITIONS: AX BUILDING REVIEW-FEE" 54.70 B2 PERMIT W/ENERGY," '5:130.00 VAL 164.34 TOTAL PEE.S 247.30 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO LOCATION AND SETBACKS ' SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: O: FOUNDATIONITRENCH FORMS LIC. NO: - SLAB/UNDER FLOOR RAISED FLOOR FR MIN 14AP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 01 • NO. OF FAMILIES: ELLING NITS: P CON : STAT CLASS: 1ST LEVEL FLOOR SHEATH NO 21 2ND LEVEL FLOOR SHEATH SCHOOL IT IN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TOTAL-SETBACK0 EXIST " ' G DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS SIDE PL- IN U ATO WEATHER STRI INTERIOR LATH/DRYWALL EXTERIOR LATH LOT DRAINAGE SMOKE-DETECTION D ICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS05O8