HomeMy Public PortalAbout4946 WILLMONTE AVE_Building__ 761' aajA CE 9609 4/70
APPLICATION FOR BUILDING PERMIT
• COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK , PAGE PARCEL
BUILDING AND SAFETY DIVISION ADDRESS �7/ '4/. W L /�OR�
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY �� ��x
FOR APPLICANT TO FILL IN NEAREST Lo c �a&q
riot ort a onl CROSS ST. cy�
DISTRICT NGP TYPE
0. P CESSED BY
BUILDING CONS
ADDRESS � f .J—O9
STATISTICAL CLASSIFICATION SEWER MAP
LOT NO. r BLOCK
CLASS NO. � � DWELL,UNITSJ�L BKPG5�;'
TRACT USE ZONE MAP 2a /
NO,OF B % NO.
SIZE OF LOT6-0 �(/t NOW ON LOTOT / SPECIAL
USE OFCONDITIONS
EXISTING BLDG, OVO f
TEL
OWNE , Q1 Ltd EIj NO .. ,a-/f BLDG.SETBACK FROM
ADDRESS 16 _ FRONT PROP.LI NE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY G+ HIGHWAY WIDTH FROM C.L.
ARCHITECT OR TEL. �+a1 + 'Zd
ENGINEER NO. BLDG.SETBACK FROM
ADDRESS SIDE PROP.LINE OF (STREET)
TEL. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CONTRACTOR NO. HIGHWAY WIDTH FROM C.L.
c
ADDRESS LIC.NO, + _
LIC,s
CITY CLAS'� I CORNER CUTOFF YES ❑ NO C
CONSTRUCTION LENDER t
NAME AND BRANCH Ila evA! SEE REVERSE SIDE FOR SPECIAL APPROVALS n
v
ADDRESS Z
SQ, FT. NO, OF NO, OF l NEW
SIZE STORIES FAMILIES
USE O ADD ❑ _
STRUCTURE -V-,J,. ALTER ❑
SIGNATURECF 10 . REPAIR[]
APPLICANT ".L�� �J"(jJ04'ter' DEMOL
1,�• ❑
VALUATIONS V v !!/0•a VO
APPROVALS DATE INSPECTOR'S SIGNATURE
�� / a y� FOUNDATION: LOCATION
P.C. $ /+ (p• i(J FEES v FORMS, MATERIALS 7 dS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS y-
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, ( �',/ a
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS - L C-1
WITH
1 CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO
WORKMEN'S ATION NSURA CE. '+ _
1 LATH, EXT.
SIGNATOR +� f„g,,,I�w/ HOUSE NUMBER COR-
PERMITTE ti RECT AND POSTED
ADDRESS -�-� ^ FINAL
�-- JOHN F. LEWIS. PRINCIPAL STRU_qjURAL ENGINEER
PLAN CHECK VALIDATION l .e_IsM.O. CASH _ PERMIT VALIDATIONCK. M.O. CASH
o c:
1 7 9 5
""cm -30
3 D 6.30— Q
3
7 9 5 9r- 9 6.0 0N
APPLICATION FOR
BUILDING PERMIT
BUILDING
FOR APPLICANT TO FILL IN ADDRESS 4/6
BUILDING
ADDRESS I� LOCALITY
NEAREST
CITY. - �• ZIP CROSS ST.
/ NO.OF BLDGS. ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE• PARCEL
M II— DISTRICT GR TYPE FIRE BY
TRACT BLOCK LOT N �� j TY ZONE
TEL DO
OWNER NO.
STATISTICAL CLASS CA ION ,� SEWER P
ADDRESS 9 JG- �1�1�[ CLASS NO. DWELL.UNITS BK G
CITY _ �' ZIP 1717,fO USE ZONE MAP
ARCHITECT OR TEL. NO.
ENGINEER NO. SP
CONDITIONS
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑' NO❑
TEL.
CONTRACTOR 0H/ NO. BLDG.SETBACK FROM
/ LIC FRONT PROP:•LINE OF (STREET.).•
ADDRESS (O NO: _ 'TOTAL SETBACK FROM TYPE O� EXISTING
LIC HIGHWAY + YARD - FRONT PROP.LINE HIGHWAY WIDTH-
CITY CLASS
CONSTRUCTION LENDER + a
NAME AND BRANCH BLDG.SETBACK FROM OV
SIDE PROP.LINE OF (STREET) 0
ADDRESS CITY O
SQ.FT. NO.OF NO.OF CHECK HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING V
SIZE STORIES FAMILIES ONE SIDE PROP.LINE HIGHWAY WIDTH CL
N
DESCRTXPN OF WORK NEW
�a • may ADD ' CORNER CUTOFF YES ❑ NOALTER
❑
Rom REPAIR ❑ IN OPEN SPACE YES ❑ NO ❑
EUSE XISTOING.BLDG. 2 J 6 DEMOL ❑ IN COASTAL PERMIT ZONE YES- ❑ NO ❑
APPLICANT TEL 1,7g
(PRINT) t� NO. +�
BY(SIGNATURE) qpw
f +•'/I
r - r
I HEREBY ACKNOGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS RRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATI BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE '1
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM-
PENSATION INSURANCE. '
SIGNATURE OF FINAL BY
PERMITTEE DATE
`ADDRESS U
TEL. P.C.Fee$ Permit Fee
CITY NO.
Q@ a Issuance F
'9ee
Total Fee 27
'PLAN CHECK'VAL'IDi4TION\i- cK M.o. '
CASH' ' PERMIT VALIDATION aK.' ..a' CASH ;
9 6'2 9A'PR 1.8 8,& D 5 0.4 0N
9 6 31*APR.1$, 'i�, .D 9 C) 0 AU
15S 76A6388-CE 18086 8/77 .- ~ 1
A WORKERS'COMPENSATION DECLARATION I / G�
h�teby affirm that I have certificate of consent to self APPLICATION FORBUILDING PERMIT
ins'J're, 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 BUILDING ���6
ADDRESS
❑ Certified copy is filed with the county building inspec- BUILDING �C lLL �Ja,q �� / F 7— de 4
tion department. � ADDRESS II '% /v r!(/ LOCALITY ! E��ry)�TGd O's
ea re T a.
Date Applicant I CITY ZIP 7 d°O CROSS NEARESTT. �L.o�,UE>p vV
CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT 7 D I �J NOW ON F BLOT MAPSBOOK PAGE PARCEL
COMPENSATION INSURANCE r�
(This section need not be completed if the permit is for one Yr USE ZONE MAP
hundred dollars($100)or less.) TRACT 5 BLOCK LOT NO. 1 NO. O
' ; EL. qq I SPECIAL
I certify that in the performance of the work for which this OWNER sr� �` eeirj� O.4 ���4� f� CONDITIONS d
permit is issued,I shall not employ any person in any manner ' DISTRICT GROUP TYPE FIRE PRO SSED BN V
so as to become subject to the Wo ke Co pen tion Laws. ADDRESS ,6 W/+^F./"7 oo r l4�� ; U(�j CONST. ZONE
Z ' clrr lz- C/T zip /7o0 's• d
�[ Date Applicant ; STATISTICAL CLAS FICATION A CONDO. I
NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL.
ENGINEER NO. CLASS NO. DWELL. UNITS W
Exemption, you should become subject to the Workers' j AL
Compensation provisions of the Labor Code, you must forth- 1 ADDRESSSEWER MAP h
with comply with such provisions or this permit shall be TEL Z
deemed revoked. I CONTRACTOR ez
NO. BK. FIG,
VALIDATION
LICENSED CONTRACTORS DECLARATION i LIC.
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESSez NO. VALUATION
(commencing with Section 7000)of Division 3 of the Business and LIC.
Professions Code,and my license is in full force and effect. CITY CLASS $ d
SQ.FT. a O.OF NO.OF CHECK ►
License Number Lic.Class 4 SIZE STORIES I FAMILIES ONE
NEW 13 $
Contractor Date 1 DESCRIPTION OF WORK
I am exempt under Sec. i r`10 4&*4! " ADD ❑ 7
B.BP.C. for this reasonOPE-A.),
b�� ALTER ❑❑' DATEFINA�'
7` REPAIR
Date: USE OF FINAL
EXISTING BLDG. I DEMOL ❑ By r
Signature APPLICANT TEL.
OWNER-BUILDER DECLARATION PRINT NO.
I hereby affirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031.5, Business and ADDRESS
Professions Code): PRESENT PS
El
BUILDING
I, as owner of the property, or my employees with ADDRESS
wages as their sole compensation,will do the work and ;r z { 8 p.
the structure is not intended or offered for sale(Section LOCALITY
7044, Business and Professions Code). MOVING TEL.
1, as owner of the property,am exclusively contracting CONTRACTOR NO.
with licensed contractors to construct the project (Sec- I ADDRESS 2•o o (j.9,
tion 7044, Business and Professions Code).
REQUIRED TOTAL SETBACK FROM EXIST. n S
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH e ^ ° 4 9,rr 8
I hereby affirm that there is a construction lending agency for FRONT w
the performance of the work for which this permit is issued P.L. (1 F C _8 3
Sec. 3097, Civ. C.). SIpE
6 P.L.
Lender's Name
aJ� )
P.C.Fee$ Permit Fee 3
Lender's Address _
f I certify that I have read this application and state that the Issuance Fee Jr v
above information is correct. I agree to comply with all County Investigation Fee y
ordinances and State laws relating to building construction, I Total Fee (/
and hereby authorize representatives of this County to enter
u e bov en.ioned property for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signal re of Applicant or gent Date ' Abs
f
106- A
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0503210027
PHONE: (626) 285-0488 EXT:
LEGAL D: NO. OF CONSTBUILDING ADDRESS*
BK: 19 PG: 47 PC: 1 SQ. FT STORIES TYPE OCCUP GROUP 4946 WILLMONTE AV
STRUCTURE: 281 1 VN R3 TEMP CA 917804044
ASSESSOR 0 GARAGE: NEAREST CROSS STREET: LOWER AZUSA
8589-026-049 OTHER: THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY, C
TENANT: EXIST L G S : USEE: ISSUED 0 PROCESSED S .
EXIST OCC GRP: 03/29/05 JK 03/24/06 .
OWNER: TEL. NO: BLOGS. NOW ON LOT: VALUATION: ri TE NA BY: CODE:
YOUNG, DIANA (626) 455-0080- 30,000
4946 WILLMONTE AV J
TEMP 917804044 S DDICRIPTtUN 0
A D ONE FULL BATHROOM, ONE WALK-IN CLOSET TO CONNECTED TO
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: E,XIISSTING BEDROOM 8 NE KITCHEN TO BE BUILT AT NEW LOCATION
APPLICANT: TEL.
SAME AS OWNER N0. - 61 PLANCHECK W/ENERGY 30000.00 VAL 501.80 T � S
AA BLDG PERMIT ISSUANCE 27.75 SPECIALCONDITIO S:
AC STRONG LOTION RESID 30000.00 VAL 3.00
B2 PERMIT W/ENERGY 30000.00 VAL 590.37
TOTAL FEES 1,122.92
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO LOCATION AND-SETBACKS
50IT5 ENGINEER APPROVAL
C I ECT OR NGINEER: TEL. NO: FOUNDATION/TRENCH FO S Z
LIC. NO: SLAB/UNDER FLOOR
RAIVED FLOOR FRAMING
P NO: SEWER MAP BOOK: PAGE: FI E : CMP: FLOOR INSULATION
3 01
IST LEVELR SHEATH
0. OF FA ILIES: DWELLING S: APT/CO : STAN CLX§S-
No 21 2ND LEVEL FLOOR SHEATH
SCHOOL IN HAZARDOUS ROOFG
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FIRE P . FRA E NSPE'
REQUIRED TOTAL SETBACKR ST-- BLDG 10077FRW INSPECT
SET BACK YARD: HWY: PROP LINE: WIDTH: 4-
FRONT PL- SHEAR PANELS
SIDE PL- 7N-U 0 R
I�NTERIOR LATH/DRYWALL
EXTERIOR
LOT DRAINAGE
SMOKE-DETECTIONE S
FIR DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS0508