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Home My Public Portal About9007 CALLITA ST_Building__ _ WORKERS' COMPENSATION DECLARATION _ I hereby affirm that I have o certificate of consent to self O �(/,a //C�� FI��Ip� FOR �I�rylp�,/��s I��y l�}��r��y��Lq�j insure, or a certificate of Workers' Compensation Insurance, APPIU V/%-MON FO �1 BUMM Il' G. ISII�IBV T , ' or a certified copy thereof (Sec. 3800u, L,Nab. C.) COUNTY OF LOS ANGELES BUILDING-AND SAFETY - ' Policy NoAAQ LW 11 Company gine 17cmha BUILDING ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ❑• *Certified copy is filed with the'county building inspec- BUILDING - /L !, 1 , - - tion department. •-� (j.,,r� ADDRESS LJ.-I- Date J3 .1-ga ApplicantJ:(A) C S'�. "L-c'+/nJTW CITY zip q 1 -7-7-5 NO..OF BLDGS. NEAREST LOCALITY ' ! CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR - - (This section need not be completed if the permit is for one - TRACT - BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100) or less.) - TEL p1 p . .. - OWNER -yr N . (y� a` fl� 3 USE ZONE MAP . NO. certify that in the performance of.the work for which this - (�OSPECIAL permit is issued, I shall not employ any person in any manner - 'ADDRESS lQ D_ - CONDITIONS - so as to become subject to the-Workers'Compensation.Laws. - I _ O CITY aJo ZIP I 5_- U . Date Applicant - ARCHITECT OR TEL. - d' NOTICE TO APPLICANT: If,'after"making this Certificate of - ENGINEER' - .. NO - DISTRICT 'GROUP- TYPE FIRE PROCESSED BY CONST. ZONE �O Exemption, you should become subject t Y the Workers p' q - 3 - Ua Compensation provisions of the Labor Code, you must forth- ADDRESS - •�0 - J s" N with comply with such provisions or this permit Shall be _ TEL STATISTICAL CLASSIFICATION - APT. CONDO. Z deemed revoked. _, CONTRACTOR No.BI d- 8 - 00 LICENSED CONTRACTORS DECLARATION uC. CLA55 NO. a DWELL. UNITS_ I hereby affirm that I am licensed under provisions of Chapter 9 ._ ADDRESS 00$ N0.- a a9 a 9- (commencing with Section 7000)of Division 3 of the BusinessLIC. SEWER MAP �• ,and Professions Code,and my.license is in full force and effect. CITV 0. 91 CLAS BK VALIDATION ' o p SQ. FT.. NO. OF NO. OF CHECK License Number 3 O O LLic. Class SIZE STORIES FAMILIES .ONE , _ n.,,_ 1� (�f1 Cl VALUATION Controctor.l o ewe41-KanLL YIC Date Cr- �� DESCRIPTION OF WORK NEW ❑ , $ _ .ADD ❑ �[ D. El am exempt under Sec. E. _ . �Ie ALTER ❑ - B.BP.C. for this reason ' REPAIR-Z]USE OF .C REPAIR• -Date: EXISTING BLDG. DEMOL ❑ Signature /S/U/7 9Rg. APPLICANT nq TEL. FINAL - (PRINT)�,L1-). 'A-S\ I (\ TE r - { TOWNER-BUILDER DECLARA ON DAW I hereby affirm that I am exempt from the Contractor's License :Law for the Following reason (Section 7031.5, Business and ADDRESS)�$ GP Flrygl�: r •�•. 'L { •' Professions Code):. c PRESENT Dy - ❑ I, as owner of the property, or my employees'with BUILDING ADDRESS "� f .'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 Code.) - MOVING - TEL. t a=;- J F1 1,I, as owner of the property, am exclusively contracting CONTRACTOR NO. 1 I_..L' with licensed contractors to construct the project (Sec- - ';> - tion 7044, Business and Professions Code.) - ADDRESS 1 - ,yt 7'Lf :=3 REQUIRED TOTALSETBACK FROM' EXIST.: CONSTRUCTION LENDING AGENCY - SET BACK YARD HWY PROP..LINE WIDTH -. I hereby affirm that there is a construction lending agency for FRONT - Hfztlf tali the performance of'the work for which this permit is issued P.C. (Sec. 3097, Civ. C.). - SIDE - - P.L. • - Lender's Name. is .. LDMA R.I. # P.C. Fee$` - Permit Fee �" 11_'-" Lender's Address t o I certify that I have read this application and state,that the Issuance Fee 7S� LDMA P/C# D 8 above information is correct. I agree to comply with all County Investigation Fee s - k ordinances and State laws relating to building construction; Total Fee [lc LDMA Perm. # Q and hereby authorize representatives of this Countyto enter 3 upon the above-mentioned property for inspection purposes. - a ,. • _ SEE REVERSE FOR EXPLANATORY LANGUAGE- Signature of Applicant or Agent Date 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 0306180007 PHONE: (626) 285-0488 EXT: LEGA ID: 0. OF CONST BUILDING-ADDRESS: . TR: 12522 LT: 1 SO. FT STORIES TYPE 9007 CALLITA ST STRUCTURE: VN SCAB CA 917752005 ASSESSOR INFORMATION NUMBER: <NEAREST,CROSS STREET: ROSEMEAD 5382-011-019 THOMAS PAGE: 596 GRID: H1 LOCALITY: TEMPLE CITY TEEXIST BLDG USE: R SID USE ZONE: R- S D 0 : ROCES EXPIRES ON: EXIST OCC GRP: 06/18/03 VG 06/12/04 OWNER: (62 TEL. NO: 26- BLDGS. NOW ON LOT: � � VALUATION000 FINAL DATE �+ rF ANAL BY CODE: CHOW;B9007 CALLITA AVE 00 � \ Iyg 1 TEMPLE CITY 91780 FEES PAID D SE CKIF1UN U� JWUKK KITCHEN REMODEL, REPLACE 10 WINDOWS, 1 DOOR AND INSTALL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 SKYLIGHT APPLICANT: EL. WING TAM (626) 574-5936- AA BLDG PERMIT ISSUANCE 27.75 154 W LA SIERRA DR AC STRONG MOTION RESID 5000.00 VAL 0.50 SPECIAL CONDITIONS: ARCADIA B1 PLANCHECK W/ENERGY 5000.00 VAL 123.98 82 PERMIT W/ENERGY 5000.00 VAL 145.86 TOTAL FEES 298.09 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE ABLE CONSTRUCTION CO. (626) 574-5936- 154 W LA SIERRA DR. LIC. NO LOCATION AND SETBACKS ARCADIA CA 91007 590920 B SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: L. NO: FOUNDATION/TRENCH R S LIC. NO: SLAB/UNDER FLOOR IPPB LL F MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION XX 3 01 FLOOR SHEATHING N0. OF FAMILIES: DWELLING UNITS: APT OND: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER A S SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP ^ SIDE PL- ATG KfI ( -2<- a3 7 INT Iq LA /DRYWALL `71 (S-ETRCcIC/tE R[OR LATH 7l J v 111 �i�� ✓ RA D FLUUK/LtIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENING T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 (' 1 i COUNTY OF LOS ANGELES TEMPLE CITY R 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 0305160018 PHONE: (626) 285-0488 EXT: L AE ID: NO. OF CONSTNEW BUILDING ADDRESS: TR: 12522 LT: i SQ. FT STORIES TYPE OCCUP GROUP 9007 CALLITA ST STRUCTURE: 498 1 VN R3 SGAB CA 917752005 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST.CROSS STREET: ROSEMEAD 5382-011-019 OTHER: THOMAS PAGE: 596 GRID: H1 LOCALITY: TEMPLE CITY TENANT: XIST BLD USE: USE ZONE: SUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 05/22/03 JK 05/16/04 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FjNAL BY: ///�� CODE: CHOW;BEN (626) 330-7226- 45,000 /C- ,,/ 9007 CALLITA AVE TEMPLE CITY 91780 FEES PAID ESCRIP ION OF WURK ADD 2BR 8 2BATH FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: L. WING TAM (626) 574-5936- AA BLDG PERMIT ISSUANCE 27.75 154 W LA SIERRA DR AC STRONG MOTION RESID 45000.00 VAL 4.50 SPECIAL CONDITIONS: ARCADIA 81 PLANCHECK W/ENERGY 45000.00 VAL 684.84 B2 PERMIT W/ENERGY 45000.00 VAL 805.70 TOTAL FEES 1,522.79 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE ABLE CONSTRUCTION CO. (626) 574-5936- 154 W LA SIERRA DR. LIC. NO LOCATION N SETBACK ARCADIA CA 91007 590920 B S 7 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: L. N0: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR 1 RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION j 3 01 ST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT CO : STAT ASS: NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS OUFSH HING '7 AIR QUALITY: 1000 FEET MATERIALS 7 NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK-FROM X LDG DEPT. FRAME INSPECT _ SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS SIDE PL- NSULA.TION/WEATHER STRIP b /1 INTERIOR LATH/DRYWALL EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION D ICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508