HomeMy Public PortalAbout9628 CRAIGLEE ST_Building__ 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 0304090005
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING-ADDRESS:
TR: 16867 LT: 28 SQ. FT STORIES TYPE 9628 CRAIGLEE ST
STRUCTURE: VN TEMP CA 917801408
ASSESSOR INFORMATIO NUMBER: NEAREST CROSS STREET: TEMPLE CITY
5383-015-018 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: R S D USE ZONE: R ISSUED ON: PROCESSED BY: EXPIRES
EXIST OCC GRP: 04/09/03 JK 04/03/04
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY- CODE:
ALISA 4,300 T C
FEES PAID DES R PTION OF WORK
T/O;INSTALL PLYWOOD & 20YR S INGLE ON HOUSE & GARAGE
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
CESAR MAYORGA (626) 437-3700- AA BLDG PERMIT ISSUANCE 27.75
2418 E MARDINA ST AC STRONG MOTION RESID 4300.00 VAL 0.50 SPECIAL CONDITIONS:
WEST COVINA D2 PERMIT W/0 EN-HC- 4300.00 VAL 132.60
TOTAL FEES 160.85
CONTRACTOR: TEL. NO: - APPROVALS DATE INSPECTOR SIGNATURE
MAYORGA ROOFING (626) 858-9226-
2418 E MARDINA AVE LIC. NO , LOCATION AND SETBACKS
WEST COVINA CA 91791 755837 C39
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
-i-
LIC. N0: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
153H269 3 01 ,
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/COND: 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 HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/C IL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
DEPARTMENT OF BUILDING AND SAFETY , APPLICATION. FOR PERMIT
COUNTY OF LOS ANGELES
WM. J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY-
�w, o ® � DISTRICT NO. PLANCK.NO.-• -� - PERMIT-NO.,,
BUILDING GJ. 0 !/��, {r l
ADDRESS
LOCALITY /��y����'-` �l RECEIVED BY DATE OF APPL. DATE ISSUED
CNEAREST
ROSS ST. �G?�. C. ,f �f9 "' .. .`' /�•. r®BUILD
��3 ► ® .
OWNER � P .� �® /1 L� ppp---777 __ADOREISS'ADDRES
MAIL o 9�2,4- ����/ / LOCALITY , Gaa•_ V6..-
TEL.
Q!A �1 �;✓�+J NO.� JnEy NEAREST
4 CROSS ST.
CITY
FIRE NO.OF TVP GROUP�
ARCHITECT OR TEL. ZONE PLANS
_ENGINEER NO.
BLDG. ORD.NO.
ADDRESS II SETBACK LINE -49 JLsJ
CONTRACT'O•R�p� . x111 c� Np Qt fY3� 1 BBYPROVED - DATE
USE
ADP RE BS"'+ , � -' � � Q G'f�I ZONE r/ BYPROVED DATE
LEGAL CORRECTIONS
_ DESCRIPTII/OlN�• LOT NO. BLOCK -®
TRACTNO.OF
/ ���P �
e. SIZE OF LOT,^ X 10 7 1- �S I NOW ON LOTS .1 t/p me m. ,�" ♦ ;��`�
USE OF NO.OF NO.OF
EXISTING BLDG. I FAMILIES I ROOMS /1t
DESCRIPTION OF WORK = 1-7 U /
NEW ALTERATION ADDITION O
A
REPAIR A/ MOVING [ DEMOLISH/' +n �j
NO OF
SIZE T r �¢p/Rr�ObMS 67 STORIES
,^(,/ y��l D
WALL
COVERING t� (/� l-C' L,[,lI�COVOERING UV 14t (s + 67,A ./ r
USE OF NEW
BUILDING 1�' C� �r� Idp.IgtvzR h v
k-
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION!: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND_STATE LAWS REGULATING BUILDING CONSTRUCTION.
F
P RAMEI FIRE
' SIGNATURE OF BRACING,BOLTS
PERMITTEE
FFEE
LATH, INT.
AUTHORIZED AOTLATH, EXT.
76A639A-3 7-49LpD ,. PLASTER.-INT.
dYY PLASTER,EXT.
VALUATION FI NAL (,/4d1'AA,
ERS'COMPENSATION DECLARATION $' %&a ' °� ° ;.
rm.that 1 have.a certificate of consent to;self fn� p p n O c,/1 ^YF O� O 0 L [P E IMO
nn C•
sun*ar a..ertificate of Workers Com ensaiion nsurance,' (/=J L ,L (1� _ �f`v L_� 11 V Ul/U
9.
or a certified copy thereof (Sec.ti3800 Lab.
C\) LOS
COUNTY OF e4YVGELES BUILDING AND SAFETY'
Policy No '. Compan_ _ -
a _ Certified'copy:'is';hereby furnishedr. . FOR APPLICANT TO'FILC'-
BUILDING
ADDRESS "
:•
Certified copy)s filed with'the county building ins ec
P, BUILDING
tion,department:`_ ' s
ADDRESS �, �
Dafe { Applic an CITY LOCALITY
``.CERTIFICATE QF`EXEMPTION FRONi'WORKERS - NO OE"BLDGS --t'- NEAREST-
COMPENSATION-INS
SIZE OF LOT NOW ON LOT: - CROSS
(This section'need'•not a15rripleted'.f?the'permi ' - or:one ^'- "�" "'-^ - ASSESSOR
hundred dollars•,i$100)or less ) TRACT BLOCK LOT NO MAP`BOOK ''PAGE PARCEL
' TEL�" ` //�
r
;OWNER Nb9/CI f�aj7'ry
certif ,that,in the erformance of the;work for which this NOP -
Y P
, _ ._
permlt;is Issued, )shall,not.employ any person in any.manner __,_ SPECIAL
fi )/ , O
so as'to become subject to the Workers: om ensahon La s. ADDRESS" "` �(" 1 CONDITIONS
.,' CITY.__ .ZIP f [�
:...
Date Applicant ., ARCHITECT-OR TEL. ED ®'
NOTICE TO'APPLICANT_.If after,making`'th'is.Certrficat f ENGINEER
_ -.. : _ TY ST'A
N
Exem'ption, you-•should become° subject'' a rkers' UP1-CON Z
.._DISTRICT GRQ IRE PROCESS BY
Com ensdtion'provisions of the Labo_r'Code; ou must
forthADDRESS
p yhsuch provisions, or1this Permit shall be4. - -
R/�.✓ �J' s TEL.y,4 ,. . STATISTICAL CLASSIFICATION
APT.. NDO Z
CONTRACTOdeemed-,revoked
NO. ` _ _.....
LICENSED CONTRACTORS DECLARATION' DWELL`. UNITS
I hereby,affirm'that.I am licensed under provisions of-Chapter 9 ADDRESS=.. NO: a?
CLASS NO
(comrrienang;wlth Section 7000);of.Drvlsicn,3 of iAe Business and _ LIC, _- .. SEWE
R MAP
Professions Code, an license is in full force and effect. CITY' CLASS BK:'A.
' L VALIDATION
j L!• SQFT NO.._OFNO.OF .CHECK
1
License,Number Li Class SIZE ® STORIES FAMILIES / ONE
VA
LUA 1 N (
DESCRIPTION-OF*WORK' "' "`' NEW �
Contractor- -Date .� ADD "$ t�tV. V v
a I amexempt-under ec
rALTER� �"
• B.&P C for this reason _ _ REPAIR
T. .- .,.... .._.. ..-... USE OF
Rat e: 0
APPLICANT TEL'. z J5 O 0,'6 A
r� LX
G. DEMOL
i FINAL
Signature _
OWNER-BUILDER DECLARA�119P1 PRINT)' _ NO. _ DATE.. #.:o 0 0 0 0 1
I°hereby affirm that I am exemptfrom the Contractor's license
w...
Law for the following•reason-(Section 7031.5, Business,and. ADDRESS FIN fi
„. . .,.
`Professions Code). . �` - ` " '•
o e
PRESENT •, - .. .6 3
} r
BUILDING z
6.8 �l
owner of the ro._ect or m em to ees.with _: :ADDRESS 6,•
B
P___P_ Y Y P..Y _ �`
wages as their sole compensation,will do the•work and
the structure isnot intended or offered for s61e_(Section LOCALITY \'y - I 1 �'8
7044 Busiriess'and Professions Code).. " MOVING „ :' TEL.
- —•.
I,as owner of'the property, am exclusively contracting ACTORNO.,
CONTR NO '
p. I 1 ( - .
•with'licensed cantractors,to consirucT Th'e ro ecf Sec- ADDRESS 1 } •.. '
tion 7044, Business and Professions Code). _-
REQUIRED - NOTAL SETBACK-FROM— I T: _
" CONSTRUCTION'LENDING AGENCY SET BACK YARD; ` HWY, PROP. LINE WIDTH
_,I hereby affirm that there is a construction lending.agency for FRONT. .
-the performance of,fhe work fo_r which this'permiYtis issued --P'L: - _ _ ,_ ____. _. _ _
(Sec.,3097, CiJ. C.). SIDE a ''
P.L.
Lender's Name
LDMA-Ref #
o — '
P.C. fee$ ._ •Permit'Fee - - - -
Lender's Address
L certify that 1-have read this-application and state that the Issuance Fee' LDMA P/C#
<': above information is correct.l-agree to,comply with all County Investigation Fee y_ i
:,,ordinances and State.laws relating_to building,construction __.t __—Total—Fee -^' CJ LDMA'`Perm.
' and hereby authorize representatives ofthis County to enter �✓
�- upon the bove-mention d prop rty for inspection purposes. .-
.
SEE REVERSE FOR EXPLANATORY LANGUAGE
+ Signature of Applicant or Agent
Date-
Signature