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HomeMy Public PortalAbout9420 CAMINO REAL AVE_Building__ 4 .76A5"A Q[1003 I I+a7 APPLICATION FOR BUILDING PE MIT .1 COUNTY OF LOS ANGE M BUILDING I)EPAHTMEINT OF COUNTY ENGINEER ADDRESS BUILDING AND'SAFETY DIVISION LOCALITY JOHN A.LAMBIg,COUNTY ENGIN[ER NEAREST CASSATT D GRIFFIN 6UPT OF BUILDING CROSS DISTRICT NO. GROUP TYPE EWER. NLALP FOR APPLICANT TO FILL IN PG CO ADDREDS L �FGCfIp, STATISTICAL. IFICATION CLASH.NO UNI LOT NO. BL f� NUMBER -Y Ca MAPHwy. YE.S O TRACT 1 USE ZONE SPECIAL NO.OF DLDGH. /� ,y CONDITIONS SIZE OF LOT NOW ON LOT' USK OF �C 111 111 BUILDING NAMEMET. SETBACK YARD HY STREET NAE WIDTH OWNER ' (Z2'A/ FRONT MAIL /� P.L' SCJ ADOMWE Y �ZD / G HIDE ' P.L INSPECTION RECORD A RCH I TECT OR TEL— ENGINEHR PK4NO. ADDRKSZ TEL ' CONTPtACTOR 0 Lt2 Al jZ kJ NO. ADDRESS D ON OF WOGS /Q` fjt /�'l�,P lES Fd NEW D ALTER REPAIR DEMOLISH SQ.FT. NO.OP ] NO.OF — SIZE STORIES / FAMILIES / USE OF CTURE SIGNATURE OF ��/��� APPROVALS /�(�j(//y'(r ,1/- 19 APPLICANT DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATIONI LOCATION FORMS,MATERIALS S P.C. ; FRAMEi FIRE STOPS, FEE BRACING BOLTS VALUATION D� s FURNACE: LOCATION ����LE GAS VENT DUCTS IHERMY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AOREI TO COMPLY WITH ALL COUNTY ORDINANCEb AND STATE LAWS REGULATING BUILDING CONSTRUCTION. LATH IE SIGNATURE OF HOUSE NUMBER COR- PYRMITTx RECT AND POSTED ADDRFINAL i CLYDE N. DIRLAM PRIM IPAL TRUCTVRAL E Ni! PIAN CBE=VALMAMOA C L Y.O. CASH PERbUT V>eTMUMOE cx ._Y.O. CA1H 1 0 7 4 4,x' MAY 121 A .0.0 — - 2_ O. DEPARTMENT OF HUIMING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES BUILDING� ' � D 1 - WM. LL FOX. CHIEF ENOIN[ER FOR APPLICANT TO FILL. IN FOR OFFICE USE ONLY NCI DISTRICT NO. PLAN OK.NO. PERMIT NO. I ADLD KILM /7�JZa �o C l hJa G�. �- r / a U/ L LOCALITY 1 R[p[ fY DATi OF APPL DATE ISSUED H[AMEST dU1LDINO OWNER ADDR[SC MAIL p ® LOCALITY ADD QT I T=L- x CROSS ST. AROHrrK0TOR ZONE PLANE TYr GROUP [NOINEIR p, CLDO. DIRD.NO, T BECADK LINK ZQ F AiI Al ••�- APPROVED OCNT7lADTOR� 'NO• "�`�,�� 15Y DMT[ USEU� (A < -T-Tc-_ ZON APPROVED ZONE WY DAT[ L[OAL ,�-. CORRECTIONS DESCRIPTION /�. NC. CLOCK 4 i c kl NO.OF CLD13M A/ ■IZi OF LOT NOW ON LOT f{/ USE OF _ NO.OF NO.OF OO DESCRIPTION OF WORK NEW ALTIRATION ADDITION O p REPAIR MOVING D[MOLICH p S0.FT. NO.OF J� 012E ROOMo V BTDRI[B r WALL T ROOF /�� DRINaDVER w[ O INO l USI NEW ` Cr- BUILDIDI G N ` (� c A ` 477' d d' ea G hL I H[R[CY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APrLI0ATION AND STATE THAT THE ADw[ 1■ CORRECT AND AOR[[ TD COMPLY WITH ALL COUNTY ORDINANCES FOUNDAT LOCATION IN�[OTO DATE FORMS,MATERIALS AND STAT[ LAWS REOULATINO CUIL.DINO CONSTRUCTION. FRAMs FIR[STOPS, WIONTUR[OF � I ' t/F L'S ( I N 1C- CRACINO.BOLTS A P[RMITTI / vv RRRJJJ V ��/ TH, INT. AA1 AUTHORIZM AOT /L� LATH, EXT. u 7' aw A_7 7-49 V rr fp. • _ PLASTER,INT. PLANER.[XT. VALUATION 3�_ FINAL � WORKERS'COMPENSATION DECLARATION hereby affirm that 1 have r certificate nz consent r bff APPLICATION FOR BUILDING P E RM I T Intone, or a certificate of Wor}cets' Compensation Insurance, 1 or a certified 9opy thereof'(Sec 3800 Lab. C.) PoflryNo c�2�4c�1'0_ra�7 Argonaut InEL. COUWY.OF LOS ANGELES BUILDING AND`SAFETY M Cacopy i, harsby furnished. FOR APPLICANT TO FILL IN Bu (� ADDRESS Certified copy Is filed with the county building Inspec- BURDR,IG I� tion ddparnnent.. ADORFss 44 2 Q E. C am l„n Q $e a 1,. LOGUJTY . Dare11.�1r8�ppllcant ' Ratdol R4QUng � Arcadia ZJP 91QQb NNEARESr. ••• CERTIFICATE OF DS%PTIQN FROM WOR>�s' NO.OF BLDG&- '- - ASSESSOR COMPENSATION-INSURANCE SIZE OF LOT NOW ON LOT AW BOOK V PAG, PARCEL (This section need not be com le* if the permit Is for one TRACT gLOp� LOT USE ZONE 00 hundred dollars (;100)or less SPfCLAI I certify that In the performance of the'work for which this �� d C 1 u C Zo_4 4 5 2 f14 5 �� GOND IONS � permit h Ecom,.l shall not employ any person In any manner ADDRESS a4 2 Q E C amiu O Rea 1 y r �T BY V to as to bdcome subject to the Workers Compensation Laws. J 3 arY Arc-adALA ZIP .Q.1WAL ��} � 0O Date A Ilcant Al�dt17ECi OR TEL STATtSTICAI C1ASS1FK:4 AFT. NOTICE TO APPLICANT: ff after making this Certtficnte of Exei �Olon, you should become subject to the Workers NO CLA53 NO. DWELL 11Nff5 a Compensation provisions of the Labor Code, you must forth- AJC SIEyypt MAP, ' with comply with such provisions or this permit shall be deemed revoked. ��?,ando1 Rooiing_ a TEL 2884Q4Q BK. PG, vA"noN NO_ - LICaZED CONTRACTOR$DECLARATION I herby-afftrrrt that I am IIcersed under provlslons of Chapter9 ADDRESS 5 2 q E Val 1 e t,O. VAtUATFON 4(com_ mendr with Section 7000)of Division 3 of the Boslnen and L� Protesbns Code, .and my license Is In full force and effect. crrY a SS Q 3 4 1'2.31 . 00 18 Q 8(� So. FT.. OF NO.OF , ` licente Number LIc.Clast SIZE STORIESFAM LIES ORE Contractor Ran d o 1 Roof 4'h 2X15--r.-84 DESCRIPhON OF WORK NEW bEl ; I'am exempt unddr Sec. u e and ,ADD RNAL , D.BP.C. for this reason a IL a e. ALJ-t b- 2-' 1 h0 f &I ZR DATE USE OF Date: EMSTIN0 BLDG. ft _ANAL g APPUGANr TEL By CVW,&R-BUILDER DECLARATION I NO-2 8 8 404Q I hereby affirm that I am exempt from.the Contractors Ucense Law for the following reascin (Sectlon 7031.5; Buslness and 5 24 4 pa I l e .91776 Professloru Code):' BUILDING .P El1,.as owner of the property, ormy Empployees with ADDRESS - fo to,�4 $, wopes as their sole compensation,will doYhe work and , the structure Is not intended or offered for sale(Section LQCALITY `.o c - 4 9,a8,�s . 7044, Business and Prof Ions Code). PE TEL_ E I, as owner of the NO. ,Q'�'O 8"—•8,4, property, bm exclusively contracting with licensed contractors-td construct the project (Sec- ADDRESS tion 7044, Business and Professions Code) _ COfJSTRLICTION LENDING AGENCY YARD I WV ��8�� �TM I hereby off] that then b b 4onstruction lending agency for the performance of the work for which this permit Is Issued JSec 3097, Civ. C.)_Lenders Ndmd Lenders Address Kermit Fee �� I cwtffy that I have read this appllcctio.n and"state that the Issuance 1 Q /�•,^� above.Information Is correct. I agree to cornpfy with all County Inves4gatlon Fee lata laL ordinances and $ ws rekrting to building cors"clion, and hereby aUthorize.reprgeentatives of this County to enter Total F« 3.�• 7 V upon the abo ndd rty for lruq)-ect VIIIIIIII 11IVtM FOR DQLANATORY LANGUAGE Sigrwture,of Applkamt or Agent - Dole COUNTY OF LOS ANGELES TEMPLE CLTY 0508 BUILDING PERMIT DEPARTKENT OF PUBLIC WORKS 9071 LAS TUNAS r r ti_ w� R[SIDENTIAL ADD ' BUILDING AND SAFETY / LAND DEVELWMENI- TEMPLE CITY CA _ BL 0508 9604180016 PHONE:. (818).2850488 EKT:LEGAL ID: NO. OF UNSrNEW ON FILE SG.' FT STORIES TYPE' OCCUP GROUP 9420 CAMINO REAL AV E STRUCTURE: 126 1 � V R3 ARCD CA 910077711 ASSESSOR WbkOTION' GARAGE:' 0 1 NEAREST'tROSS STREET: 5382 010-02T OTHER THOMAS PAGE: X96 GRID: J1 LOCALITYt TEMPTEXAMT: EXIST BL LISE: USE759E.— ISSUED ON: PROCESSED BY. EXPIRES ON: CITY EXIST OCC GRP: 09/19/96OWNER- MO. CI,UCK'q ALD L•MARGARET A . (818}-445-2695- 1 9,300 r•,.' 9420 CAMINO REM All. . - - ARCD 910077719 ADD OF 126 SG. FR. 0�1 FEE DESCRIOTION: QUAD TIT.Y: L04: AMC1lIwT:APPLICANT" TEL NO-. B TOM b'LEARY CONSTRUCTION F (818) 287-427- AA BLDG PERMIT. ISSkNCE 27.75 4856 ARDSLEY _ AC STRONG MOTION.R IL .00-VAL . 10.9E TEMPLE-CI-TY, CA AX BUILDING R 70 ._ B2 _P[RMIT Y E0 239.56. -EE y ) 322.96 (MMMORZ TEL TOM 01LEARY CONSTRUCTION (81 i) a7'0927- LJ/ 4856 ARbSLEY DRIVE LIC. NOLOCAT AND SETBACKS TEMPLE CIT-Y, CA 91780 -, - 489354 B-1 � � 88�� , . . LIC; NO; Ilan7NDER.FLOM 0—1 S: DWELLING UNITS: APTICOND- STAT NO. Or FAMILIEMO 21 CLAM. � a co SC WITHIN HAZARDOUS ROOF SHEATHI96- AIR OUALITY: - 1000 FEET MATERIALS NO NO KO FIRE bEP RON r� FRAME INSPECT SET BACK YARD: HWY: -PROP LIME: WIDTH: V �� FRONT PL- ery C ��. SIDE PL- INSULATIONIWEA THER STRIP it .7 so REPORT ID: OPR261 ROUTE TO: BS0508 <, ?,WQRKERS' C.OMPEr�SATION DELL I h affirm fica l ffW r ce'-Co tet�tsati n o seg APPLICATION FOR BUILDING PERMIT k41<r}-e; or a certFficatq of Workers'tompensatlon Iruuranc�, �• C r a certifled copy thereof (Sec. 3800; Lab. ) __ No���qQ- Company COUNTY OF 40S ANGELES BUILDING'AND SAFETY Policy � ' BO I LDA NG Certified copy Is hereby fumbhed. FOR APPLICANT TO FILL IN ADDRESS ❑ Cdtttfied copy b filed with the county building Irtspec- ' D D DDRESS � � L ��to dy1 tion department. /lJ C.17 Date --13-q 0. Appllcdnt TIP 910 U LCCA J it CERTIFICATE OF EXEMPTION-FROM YVORKERS' SIZE OF LOT tl d tJOW ON LOT T QDMPENMT10N INSURANCE CRO55 yC (This section need not be completed If the pa mit Is for one TRACT B10ClC LOT NO. MAP ASSESSOR p PARCEL hundred dollars (;100) or.leas. TEL I certify that In the performance of the work for which this p f NO.y _ L9 USE ZQrE. MAP SPECIAL permlt Is Issued, I shall not employ any person In any manner ADDRESS / CA1,,vz /p L CONDRICNS so as to become subject to the Workers'Compensation Laws O Crry 2« zip 9/©e'7 U Date Applicant ARCHOR, 11 TE. NOTICE TO APPLIICANT: If, after making this Certificate of ENGINEERrseA IVO. z ��/ DLSTR1Ci GROUP TYPE �� BY O Exemption, you should become.subbed to the Workers' CONST. Z Compensation provisions of the Labor Code, you must forth ADDRESS I V'411'Cle with m I with such visions or this N' c4 e Y Pro permit shall be TEL STATISTICAL CLASSIF1G4TKDN CONDO. Z deemed revoked. CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION LFC CLASS NO._ DWELL UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWS MAP (commencing with Section 7000)of Dlvlslon 3 of the Buslness � and Professions Code,and IIcentsq Is In full force and effect. CLASS B� PG. y ALID TFdN r 54 F NO. OF NO. OF CHECK tTL' License Number�`+� Ic. Clan. _ SIZE STORIES FAMILIES / ONE' `� u VALUAnON 1 ITBE Contractar���7 I �5 Date. �i-/3 DESCRIPTION OF WORK 3 /J✓/ NEW ❑ ❑I am exempt under Sem �/t+TO�I / �r•� �/v /r ADD 1 TIITAL3.92 . 07 �-+ ALTER lJ ► U#'. 39��.07 B.BP.C, for this reason REPAIR ❑ $ O • 1tl C,r USE OF fie: EXISTING BLDG. /—/C- MAOI El 'Iql OR - Signature APPLICANT TEI OWNER-BUILDER DECLARATION PRI V XaA.�J�+'�� No DATE AL S�Q — [ r,W�+�+-0001 11(FI L� I hereby affirm that I am exempt from the Contractors License 9�o G A ��� - I. AMII.5�1 Law for the following reaabn (Section 7031,5, Bua,lriess and ADDRESSJ FI (i i Professions Code): -Y ❑ I, m owner of the property, or my employees with BUILDING ; •+ I f + �f i h7��., y7 .W wages as their sole comperoatlon,will do the work and 1 I the structure Is not Intended or offered for sale(Section LOCdITY , i 1 ITECiS 7044, Business and Professions Code.) MOyItJG TEL ' ❑ I, as owner df the property, am exclusively contracting CONTRACTdR NO. TOTAL 70 - 00 with licensed contractors to construct the project (Sec- ADDS + I f�tS K tion 7044, Business dnd Professlont•Co¢o.) \' I ti+.rlA-` CONSTRUCTION LENDING AGENCY YARD HWY FROM J i f 1 , `' � I ' C VOCE •X1 I hereby affirm that there-Is a construction lending agency for FRONT the performance of the work for which thismit Is-Issued P.L I (Sec. G, Civ. ). P� SIDE, '' ` �: •` ' �00-s001 . 4/13/% P.L. zo Lenders Namqy. 0096 1 AM 9:47 ' L.enders Address P.C. Fee q O Permit Fee / O I certlfy that I have read this appllcatlon and state'that the r [nuance Fee' Lb MA P/C/ above Information Is correct. I agree to comply with all County Invert Ion Fee to oT41nances and State laws relating to building construction, Total Fee t/ / [DMA Perm. JZ reby orize ropresentatives of this County to enter n e a mentioned property for Inspecttllurpos[es. � r y 7^r /b fel RrVN=POR EXPLANATORY LANGUAGE .� t ■ �_ Slgrwhxe of—Applicant or Agent Dais ri S I� � r Lel WORt03tS' COMPENSATION DECLARATION I. hereby affirm that I haw r certificate of consent to ' . APPLICATION FOR BUILDING P E RM I T Irtsure, or a certificate of Wgrkeri Compensation Insurancece,, or a certified oopy thereof (Sec 3800, Lab. C-) COUNTY OF LOS ANGEM WILDING AND SAFETY Policy No.'l' Company t Certtfied copy Is herby fumisfred. FOR APPLICANT TO FILL IKADDRESS ❑ Certifled copy is filed with the county building Irtspec- r tion department. Bu f c. eft•. ., l..y� w J l lu.. :f. .!� .t ,'.f { 1. CJT1I f' �I yirl LP Doh Applicant iJO.OF 111 DGS1 �.Rf,ST CERTIFICATE OF DD:AnP91oN FROM WORKERS, s01:of Lor ?? • Fo 5 4,'r .Now ON Lor ! ar,SS ST. COMPENSATION INSURANCE (This section reed not be completed If the permit Is for one TRACT BLACK LAT NO. MAPAPSSOR PAGE PARCEL #tundred dollars(1100)or less ) ,F•I ;• + r 1 . TEL rI ` USE ZONE I certify that fn *w performance of the work for wh Ich th Is {���� permit b fssued, 1 shall not employ arty person In arry manner ADlx�S t ��•"r : -..�L SPECIAL OONDR10N5 so as to become ribied to the Woekenr Compensation Laws. } QTY t , 1 w r h ZIP �l L-C n Date App lkartt ARCFHTECr OR TH.. _ NOYICE TO APPLICANT: If, after makkt'y this Certificate of i1 I` - r . .y, 4� , No. �r' r DI GROUP TYPE PROCESSED BY V Exempttar, you should become subrect to the Workers' r r', 1 CONST. r j ZQpfi7 u Cgmpensatl n ixovislons of the Labor Code, you must forth- ' `' ( 1 t-' (f "' --. � 'i with comply wtth sugh provisions or this permit shall be STATISTICAL CLAStiIFiCATION AFT." CONDQ ,> deemed revoked paz UCC, ED CONTRACTORS DECLARATION LIC QASS"O. UNITS — I hereby affirm tlwt I am licensed under provlsb of Chapter 9 ADDRESS NO. (coma n with Sedan 7000)of Dhrltlon 3 of the BuslnessLit aveTR MAP and PrOesiors Com,and my Rownse is In full force and effect. cm, CLASS BK PG. VALIDATION SQ_FT. .4 , NO. OF / CHECK � License Number ' Ic Clcm sin - smees FAMIUES OPE r � VALUATION OESOOTI N OF WOW �� , f y l NEW ❑ s �li r--r"__.- Contractor ❑1 am exempt under'Sec +• ��� f ADD ► ' ALTER ❑ &&P.0 for this reason r REPAIR ❑ s �. Dcde: lig OF BLDG. `!t/_ DEMOL ❑ S4gnatur r,ti ,�:_ ,V�+:�'.., NO.' ' }'j r FINAL CWNER-BUI1)ER DECLARATION DATE - I hereby affirm that I am exempt from the Contractors License Law for the following reason (section 7031.5, Busines and ADDRESS RNAL' - 1 R ofenlors Codek PRESENT BY ' ? ❑ I, as owner of the property, or my employees with ADDRESS— wag"as thele sole aompensatfon,will do the work and � the structure Y not Intended or offered for sale(Sedlon kC__ Fv.* , 7044, &:sirs and Profeslons Code.) ASOVIING OR NO. ❑ 1, as owner of the property,am exclusively contracting IM with licensed contractor to construct the project (sec- ADDRESS } tion 70644, Bi►ah»n and Profesalons Cpde_) CONS RUCTION LENDING AGENCY YARD HWYTOTA �- I hereby affirm df,pa there is a construction Ierdinp opehcy for FRONT the performanoe of the work for which this permit Is Issued(Sec. 3097; Clv„C).Lenders Name LDMA-Rif.Perm It Fee i Lenders Address - , I certify that I have read this application and state that the ? lswance -' LDMA PEC f - obova Information tion Is correct.I ogres to comply with all County lrr' a 1pcwon Fee f ordlnancw and state laws relatfny to building corstruction, Total Fee � r LDMA P*'. f~ ' and hereby authorize representattwo of this County to enter upon the above-mentioned property for Inspection purposes. r tit!Rr4MM PO[IXIOLANATORY L&N UAGtt T