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HomeMy Public PortalAbout9180 BIDWELL ST_Building__ 75AMSA 4kxm_O!A-d4 AIPPLICATIOI' 'FGIR BUILDING RMIT COUNTY OF LOS ANGELESeUILDINa DEPART TENT OF COUNTY ENGINEER ADDRE33 -2z BUILDING AND SAFETY DIVISION LOCALITY JOWN AK I AMBIE, COUNTY ENGINEER NEAREST COLEMAN W. JENKINSAUP'T.OF DUILDING CIRO" ST, DISTRICT N&(' TYPE. SD7rD DY FOR APPLICANT_TO FILL IN O)•1ST eUILDINa STATYSTICAL-C I ON- DD HR MAP - ADDR"$ `>—� �' CLADS NO.gL► DWELL UNI Tyl, DK P.O43 _ LOT NO. r - QLOC-K USK ZONE MDTNo. TRACT � SPECIAL - - I16. OF ■LDS/.. _ CONDITIONS 'DIZE.OP LCT. MOW OM LOT - f + .. U!E OF - - . BLDG. /[T/ACK FROM -TEL. FRONT PROP. LAIC OF (STR[[7) OWN NO. TYP[ OF [[I/TIIM1L SK_T>•AGR. _11JlHM'AY YAII,D-_= TATA: C ADDRESS - CITY .. LDS. / T/A - RC E OR TE 91D[TROP. LIIOI OF /rxKIII` ENGINEER N _ TYPE oP EMOTING 1[TlACK-' HIGHWAY�"'� YARD — "TOTAL HIGHWAY WIDTH r-pt Or C L. ADDRESS ..0 CONTRACTORL IC NO ADDRES! NO CORNET!CUTOPF Y[-/ NO O LCLA lc _ . SEE REVERSE SIDE F01 SI6£CIAL APPROVALS DESCRIPTION OF WORK .' > Z NHW ADD ALTER A DkMOLIIH NO, OF NO. OF SIZE 2-To-RimsFA ItIHS - USK OF STRUCTLLR !la ATURE O APPLICANT - .. ' VALUATYON$ APPROVAL$ DATXf IASP[CTOR'SJI/MATJJR[ FOUNDATI N,LOCATION FQD$ FD[ FOR M TRRI L . AMD, F R[ ! !, I HamY ACKNOWL[Dd[ THAT I KAV[ RVAD THIS APPLICATION eRACINa MOLTS AND STATS THAT'TH[ ABOVE I[ CORK/CT AND AGR[L T.Q COMPLY FURNACDI OCATION WITH ALL COUNTY ORDIHANC4 AND STAT[ LAW/ RKOULATINO GA! YINT.:PUCTO 7UILDINO CONSTIIUCTION. 4 C[RTIFY THAT. IN DOING THK WORK AUTHORIZm H[R'JkSY 1-,YII,L NOT [MPLOY /ANY P[RSON IN VIOLA- LATH. INT. ' TION OF THK L,ASOR.COD[ O THK STAT[ OF C,ALIF0 IA Rl LAT- IND TO WORKl1[N'S COM TION-INSUPANCK. LATH. ZXT. 810NATURE OF � OU/D NUM R COR PLftM ITTEERLlrTAN ADDAEae Fl NAL 4 JOHN F. LEWIS.-PRIM, IPAL STRUCTUKAL EN _ PLAN CH= VALIDATION CK. •-M.P. ZASVALMATION M.Ot cArM 4-8 2 CoSE T- �- D 970 " 7USS"R1006,1­41 APPLICiATION FOR BUILDING PERMIT 11 COUNTY OF LOS ANS ADDRESS BUILDING S DEPARTMENT OF COUNTY ENGINEER A BUnDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY QNGIINKKt NEAREST Y A. J CROSS ST. DISTRI TYPE P YD DY FOR APPLICANT TO FILL IN CONST. BUILDING QTATISTICALCLASSIFICATION H ERIIAP DDRESS K A CLA8p.NO.-01-DWE .UN 4 / LOT NO. BLOCK WAR�TIFICATE: NOT REQUIRED11 RECEIVED TRACT MAP �J �.. HIGHWAY STATE MAJOR SECOND, L NO.OF BLDG8. NOa.�'CJ (CIRCL[) SIZE OF LOT. I NOW ON LOT O U8 Z NE SPECIAL USE OF CONDITIONS EXISTING EL.DG TEL OWN lltjOr .NO. UILDINO YARD HWY a-!'KELT NAME EXIST. ADDREDH �` �! �/ SETBACK WIDTH FRONT ARCHITECT OR TEL P L. ENGINEER NO. SIDE } ADDRESS TEL INSPECTION RECORD 0 -CONTRACTOR NO. ,r �. �^ J, 6_'0 PESCAPTION,OF WOAK .NEW ADD ALTER RrpAipt DEMO ISH 8Q.PT. NO.OF NO.OF IZE STORIES FAMILIES .yf. USE OF {l,/ STRUCTURE SIGNATURE OF APPLICANT n VALUATION S i APPROVALS -DATE INSPECTOR'S SIGNATURE P PWT `� FOUNDATION: LOCATION _ FEL FEE FORMS MATERIAL8 FRAYS:FIRE STOPS, IHEREBY ACKNOWLEDGE THAT I HAVE READ PP THE/APPLICATION BRACING DOLT8 AND STATE THAT THE ABOVE 19 CORRECT AND AOR[[TO COMPLY FURNACK:LOCATION, ?j WITH ALL COUNTY ORDINANCEB AND STATE LAWS REOULATINO GAB DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHOR1ZtD HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- uT14 INT r TION OF THE LABOR CODE OF THE STATE F CAL ORH IA REJ1T- ING TO WORKMEN'S CO ■ATION INSU C r LATH, ENT. SIGNATURE OF UBENUYBQRCOR- �1LA� PE RMITTE RICT AND POET WJ ADDRESS- . NA CLYDE N. DIRLAM, PRINCIPAL STR ruRAL EER NGINE PLAN C2= VALIDATION D Y.O, CASH PE MT VALIDATION Y O CLASH } 07 8 8 7�2 JAN 26 2 3 D 9.004 • `. — — 83060 F8 5 1 D 7,8.00 cv •WOROks= 'COMPENSATION DECLARATION - - - - - .} .,,� hereby affirm that I have q certtflcate of consent to,sell A P L I CAt I rV T�R .�U.I L O I NG PERMIT Insure, or a certificate of WorkerC s' ompensation Insurance, or a ceri fled c o py'.t h a r eof (Sec. 3800, Lab. O.) - - COUNTY OF LOS /ANGELES BUILDING.-AND $AFIETY Policy No. Company -- - - - Certified copy Is hereby furntshed. FOR APPLICANT TO FILL IN BUILDING ADDRESS 'Certified copy'Is filed-with the county building Ihapec- f BUILDING tion#deparTment. ADDRESS } ., - - (Joie ApplicantC174 ZIP LOCALITY 'CE01 RTIFICATE OF EXEAAPTION FROM WCK2xERS'' - - --" NO. OF Bt9( NEAREST- 5& COMPEN ATI0N INSURANCE: S}ZE of L© Now oN LOT ST. (This section need not be,com leted If the permit 7s for ooe TRACT — BLOCK LOT NO. ASSESSOR PAGE' PARCH hundred dgllars (;2100)or less. AMS Bbd ... CI._ USE ZONE MAP I.certify11"that In the perforrrlance of the work for whicft this D ph�mlt I;Issued, I shallnot employ ahy person In any manner .:_ __._ 1C'r/ ^ so as;to become subject to ihb Wo Compensation ADDRESS D /` CONDfTK)rI5 �I Dale AI Appl leant ARCHI-FEU TEL CJTY NOTI TO (CANT: If, after'ma 'king This Certlficaf EfJGlh�t DISTRICT . P; TYPE_ Exemption, fou 'sho0rd become lublect to the Work COST_ Compensation provisions-of the Labor Code,you must forth-, ADDRESS with,comply,with-suer-provisions or thls.permlt shall be deemed revoked, NO STATISTICAL Cl IFICArIOfJ AFT. LICENSED.CONTRACTORS DECLARATION - -- - - - -LIG - CLASS NO.�DwELL UNrrS I hereby affirrn that.I am licensed under provAions of Chapter 9 ADDRESS NO. (comrr,e ocing with Sbctlori yOM).of D~3 of the E nines and _ .._ _-. LIC - -. WOOER AWProfesslohi Code, anti my license Is,In hill fotce'arld effect.' CITY CLASS - - VALIDATION _LBKPG. T. NO,Q1F_ . .. ._ tJO. QF- License Number Ll' Cl m STORIES F UES ONE :. . r VALUATION Contractor Vie, DESCRIPTION-0F WORK" NEW ; I am exempt under Sec. B.&P.C. for this reason REPAIR- Data. OF NG BLDG. DCMOL Signature - - APPLI T1 L FINAL,, OWNER-BUILQER DECLARATION -._._I DA I hereby-affirm that-I am exempt from the Contractor License D ' 1_aw for the following Tbason (Section 7031.5, Businees and - Professions Code): - BUILDING 1, as owner of the_prGia", or my employees with ADDRESS wages as their sole compensation,will do thework and }J the s"cture Is not Intended or offered for sale(Sectipn LOCALITY I 706"; Business and Professions Code) MOVING, - TEL -" - - - - - - - F I, as owNTRACTOR NO. ner of the property,am'exduslvely confradlnq _ - 4-8 a 9.A 1 with licensed-contractors to construct the project (Sac- ' ADORES t `. tion 7044, Business and Professlons Code)_ YARD' FIVJYWIDTH— _.. .. _ ° O . ° O'1 CONSTRUCTION'LENDING AGENCY BAOc PROP. LINE WIDTH 1 hereby affirm that them Is p construction lending agency for FRONT4, the performance of the work for whlctr this permit is Issued - P.L °_9 EL J� (Sec.'3097, 0v. C) SIDE P.L 09675 ; _ Lender's Noma LDMA Ref. ! 0 6 2`5 8 6' 8 P.0 F«$ - Permit Fee i - - Lendw,s Address I certify-that I have-read thla appllc8tlon and state that the Fee, - LDMA P/C! - ; above Information Is corra+ct. I agree to comply with all Cooney J Investigation Fee ordinances and-Stafa laws mlgting.lo bVl0ng conshvctlan, Total Fee LDAAA and.hereby authorize-representatives of this County to enter upo a above-mentioned PRgearty for Inspection purposes. _' _. SM RFV1M FOR EXPLAlIATORY LANGUAGE &grwrvre of Appl l «- Date 4 COUNTY OF LOS ANGELES T$NPLE CITY 0 0508 BUILDING PERMIT DEPARTRENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TELE CITY -CA 91780 BL 05.08 0210010042 PHONE: (62.6) 285-04M EXT: LEGAL ID: ' NO. OF EMT BUILDING XMM: I. TR: 12977 LT: 14 S0. FT_ STORIES TYPE .'9180 BIDYELL ST STRUCTURE: VN TEw CA 917802454 ASSESSOR INFORIMATION NURSER:- NEAREST CROSS STREET: ENCINITA 5M7-018-010 :,-THOMAS PAGE: 594 GRID: J3 LOCALITY: TEMPLE CITY -1 1 S-SUED ON: EXPIRES ON: EXIST OCC GRP: 10/01102, JK 03/30/03 OWWER: TEL. WO: BLDGS. NO W ON LOT: VALLATT6W.7- F I UZ;0TjiF F I NAL'BY.- OWE: CH N JODIE (626) 2$5-3367- 2,000 0 Z 91 BIOWE LL ST TEMP 917802454 FEES PAID WORK EX QE 7 WIiNDOYS (SANE SIZE) FEE DESCRIPTION: QUANTITY: LION: AMOUNT: APPLICANT: TEL. NO- SANE AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG NOTIONE$IA�2000_00.VAL 0.50 . D2 PERMIT Y 20 00 VAL 82:20 I y� tIGE .0. 110.45 CONT ZACTOR: TEL. NOti;� rJ�T\ AP ALS DATE INSP SAME AS OWER LIC, NOSOIL.- ENG I NEER'9TRWAL ARCHITECT OR ENGINM: TEL. NO: T5*XTION/TRENCH Tmw SLAB�UNDER FLOOR 'LIC. 15 FLOOR Fuxnu FLOOt SHEATHING 150H 3: 0 , =t �n,j] 1, r I -SEWER ��a QLD����� `��tiJ .J[i t NO 217' \ l'? �9 a 1 , � \ � i J1. SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS V [I S % /� No No NO \.1 /� r j SET BACK YARD: WY: PROP LINE: WIDTH: \\�4= - FRONT ❑ t o m' FRONT PL- �!'►/jc SIDE PL- PAT INTERIOR LATH/DRYWJkLL EXT61OR LATH { T-W CEILINGSi LOT�DUIMU REPORT ID: DPR261 ROUT-E TO: BSO508 i f , I I �.