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HomeMy Public PortalAbout9657 CRAIGLEE ST_Building__ �af�I�LIC� LON FOR BUILDING PERMiT FOR APPLICANT TO FILL IN (Print or"type only) } BUILDING BUILDING ` LJ ADDRESS _ �c f -v le e- _ ADDRESS � 1 CITY •� . �' ZIP NO.OF SLOGS. ONE LOCALITY SIZE OF LOT NOW ON LOT N NEAREST _ - CROSS ST. _� // ASSESSOR TRACT BLOCK LOT NO. ({G MAP BOOK PAGE JB4zCEL ' TEL DISTRICT I.G:R:0�U4RIPE FIRE PRO SSED BY OWNER a�� RIF NE NO. y (}'� NS ZONE ADDRESS � j/ �7 c �� '. -� STATISTICAL CLASSIFICATION U.SEWER MAP -CITY�Q ,Q, zip _ -17 CLASS NO.�_OWELL,UNITS BK., PG ARCHITECT. R TEL ENGINEER. �nI�.N0. Q� USE 'ZONE MAP //'��`� NO. .ADDRESS -E c�/CA(� e e- �' -J SPECIAL TEL.' CONDITIONS CONTRACTOR NO ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ LIC. = ADDRESS NO.LIC BL .SETBACK FROM - LIC. - FR NT PROP.LINE OF ISTREE-T),' CITY CLASS TOTAL SETBACK FROM TYPE-,OF EXISTING CONSTRUCTION LENDER HIG WAY } YARD - HIGHWAY WIDTH NAME AND BRANCH FRONT PROP: LINE ADDRESS .. .CITY" NO. OF NO. OF C d SIZE OL" STORISQ, FT/ ES FAMILIES CHECK BLOG.SE ONE SIDE PROP. LINE OF (STREET) v r _ TOTAL SETBACK FRO TYPE OF EXISTING / NEW HIGHWAY } YARD p DE5C„RIPTION OF-.WORK rG�'X �� - '❑' SIDE PROP. LINE HWAY WIDTH ADD _ U } w A.LTER ❑ CORNER CUTOFF YES ❑. NO..❑ Z REPAIR❑ USE O N DEMOL ❑ EXISTIN BLDG. - IN OPEN SPACE YES ❑ NO, APPLICANT, TEL IN COASTAL.ZONE YES ❑ NO ❑. ' (PRINT) NO. •' ' _ CATEGORICAL EXEMPTION YES❑ NO BY (SIGNATURE) ENVIRONMENTAL - IMPACT EXEMPTION DECLARATION SIGNED (DATE) - VALUATION s L/Lr IMPACT REPORT PROCESSED (DATE) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS-A'PPLICAT ION - AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ` WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- - STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED " HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF TH STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPE IONA NC FINAL SIGNATURE OF — - PERMITTEE CC _ DATE 4r 7'� BY a„ "- ADDRESS G ' '1_2 I G Le e. I_ P.C', Q PMT. / 7 FEE A FEE CITY ��E-'YI/� L.e /^ G NO. �•7 �/ PLAN CHECK VALIDATION CK: M.O. CASH PERMIT VALIDATION CH M.O' CASH 2.2 9t�Q'MAY 19 1 D 9.0 0 Aub. 76A638B C EV803A 5/73 - DEPARTMENT OF BUILDING AND SAFETY 'APPLICATION FOR PERMIT ' COUNTY OF LOS ANGELES WM. J. FOX. CHIEF ENGINEER ? - FORAPPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING SS h 1O• kms r 0.1 I e ' D RICT O. - -PLAN CK.NO. - PERMIT�NO.. � j� 2'? Dg ° S' 1 LOCALITY EIVED BY DATE O`pF APPL. DATEISSUED NEAREST r✓sift 1I �� T'��1��•. t k/ CROSS ST. _ _ .Bt' `.d!l.dt. Oufhn BUILDING OWNER ADDRESS. MAIL �6.�C ADDRESS .gf LOCALIT p NEAREST` y� �f(� y��(� CROSS 5T. CCITY._s V •`� �'? �6s•Y/� / NO. _7. f FIRE - NO.OF - TYP - GROUP ARCHITECT OR TEL. ZONE PLANS ENGINEER NO. _ BLDG. URD.NO. ADDRESS /pd" [/ /�y�,/�J // /�,���j/ //��• �'¢` SET.BACK?LINE / A'l ! �J: k; TELNO./✓ �/���/' APPROVED . .CONTRACTOR BY _ DATE C� UE-,E APPRD >5 p� ADgRESS ZONE BY LEGAL CORRECTIONS M DESCRIPTION I LOT NO. BLOCK (/Jy fi TRACT - ,�( -64, * n SIZE OF LOT �t I NOW ON LOTSI�lQ// USE OF - NO.OF_ .OF 'EXISTING BLDG. I FAM. NO LIES I ROOMS DESCRIPTION OF WORK 2�` S t �? ~} ;� /319 p0 .•��-ffr,:�� NEW �¢ALTERATION ADDITION jZ w� ffy im' lG ** /31 t5 Q-A S T O REPAIR //rte MOVING DEMOLISH R l ,o nP �""O !'\ 5 ZEFT. R. ,� STORIES �J C(�e D WALL RC16F r* COVERIN _1� b i COVERING 11-1. - A G �=-8 6 !` �Y t BUE DING OF NEW �LL,A,> e ) FGR- AI C- fQ1b PPR I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS )4'1 ° A`PPPROv-A&rS-4r-(f v APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATIONI: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. j FRAME: BOLTS SIGNATURE OF BRACINGG,,BOLTS - �•l� PERMITTEE_ I LATH, INT. AUTHORIZED AOT LATH, 'EXT. 7SA63BA-3 7-49 �\►'$� ( P.0. +� o PLASTER,-INT. 1 � FEE � pLASTER,,EXT. VALUATION FINAL FEE f WORKERS' COMPENSATION DECLARATION d /' �10 I sure or affirm that I have a certificate of consent to selfUV IF .;RU LDELI G �IERMEU insure, or'a_certificate of Workers'Compenstion Insurance, or /11� L1�1 LJ Lll/U a certified copy'.thereof (Sec.3800, Lab. C.) COUNTY-OF LOS ANGELES l BUILDING AND SAFETY. Policy No Company t Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS -7 f Certified-copy is'filed withthe county building inspec- ,BUILDING �+ /J tion"department. 1•. :ADDRESS ��. ' l�'ZL�0, ems. ' LOCALITY CC�4 /i NEAREST Date Applicant CITY e;_v� e ZIP I C� CROSS ST. (rC Q1f/ i CERTIFICATE OF, EXEMPTION FROM WORKERS': NO. OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT . ,��; ��Q NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if'the permit'is for one USE ZONE MAP TRACT BLOCK LOT NO NO. :hundred dollars ($100)or less.)' , . / •� Q TEL. L'_/ SPECIAL I certify that in the performancelof the work for which this : OWNER I_)GL+✓)CJL ` V� _ NO.Z "Z I� /` CONDITIONS O P,- is.issued, shall not employ any person in any manner, DISTRICT GROUP TYPE' FIRE PROCESSED BY �:. ADDRESS �0. yy` . CONST. ZONE so as to became subject to the Wor 'Camp 'nsaf n laws. �0� _J 09 O _ P— Date Applicant W CITY ?IP - STATISTICAL CLASSIFICATION APT. CONDO. NOTICE TO A PLICANT: If after making`this Certifi to of ARCHITECT OR TEL Exemption,-''you- should become' subject to the Workers' ENGINEER NO. CLASS NO, DWELL. UNITS' N Cornperisation'provisions of the Labor.-Code,you must forth- ADDRESS' SEWER MAP z with comply,,w,ith such,provisions or'this ,permit shall be TEL , deemed revoked:_ - ' BK. PG, VALIDATION CONTRACTOR NO:' J LICENSED CONTRACTORS DECLARATION' uC. Thereby affirm that I am licensed under,provisions of,.Chapter 9 ADDRESS NO. VALUATION '(commencing with Section 7000)'of'Division,3 of the Business and LIC, OO© < Professions Code, and my license is in-full force and effect. CITY CLASS $ �J, '.SQ. FT. NO. OF NO. OF CHECK License Number Lic:"Class SIZE Q STORIES FAMILIES ONE t Contractor Date D .. j/ -.. NEW $ DESCRIPTION OF WORV e ❑ . - 'ADD C exempt from,the licensing requirements as I am c T ae-01"V licensed architect or a registered profe'ssionc&engineer � � ^ ALTER FINAL acting' in my.' professional capacity.'(Section 7051, @OY.� q T✓ +� a `REPAIR DATE Business and-Professions Code):• d USE OF EXISTING BLDG. 'LC'S`( E' CC DEMOL "❑ FINAL Lic.or.Reg,No. - • . Date APPLICANT TEL. OWNER-BUILDER'.DECLARATION (PRINT)64Zt;'i W E �.er' NO. Z8' —2. 6(h ' I hereby affirm that I am exempt fro,m.ihe Contractor's License t�js Lavv for the following' reason (Section 7031.5, Business and ADDRESS !Ca -Professions Code); d PRESENT BUILDING 1,'as owner of the. property or ny employees with ADDRESS " 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. z 4.4 3.'1-A I,'as owner of the property, am exclusively contracting ' CONTRACTOR NO. with licensed contractors to construct-the.project (Sec- #'0 0 0 0 0 1 tion.7044,,Business and Professions Code): - ADDRESS REQUIRED .TOTAL SETBACK FROM EXIST. o CONSTRUCTION LENDING AGENCY ' SET BACK YARD HWY PROP. LINE WIDTH j .2, 0 6 O O I hereby affirm"that there is a construction lending agency•for FRONT " the performance of the work for which.this•permit is issued P.L. t°s°.'1 O &.00 (Sec. 3097, Civ. C.).. .SIDE., P.L. Lender's Name m ' / P.C. Fee$ Permit Fee - - Lenders Address w I certify that I have read,this application and state that the• Issuance Fee above information is correct: I.agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, /1 / m Total Fee and by authorize representatives of this County to enter < upo •th above-mnentioned ploperty.for inspection,purposes. < � j 3 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or A nt D to s ?,WORKERS'.COMPENSATION DECLARATION V ! I hereby affirm that I,have a certificate of consent to self !J i1 LI p ��� O 11 �1 F O n O M 0 d DD d mo p C ka 0 u i,sure, or a certificate of Workers'Compenstion Insurance, or a certified copy,thereof(Sec. 3800, Lab.,C. ;.._COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy.No: Company -BUILDING ADDRESS Certified copy is hereby furnished: FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS E Ie LOCALITY NEARE Date Applicant CITY `�e F_ ZIP i CROSS ST. G G` -V7 ,- NO.OF.EXEMPTION FROM WORKERS' NO. OF BLDGS. / ASSESSOR ? COMPENSATION INSURANCE SIZE OF LOT D NOW ON LOT MAP BOOK PAGE PARCEL (This section'need not be completed if,the permit is for one �j� USE ZONE MAP hundred dollars ($100)or less.) q TRACT iE 8[c, BLOCK ILOT NO./ , j NO. . . a �I TEL q �I � 1 0 SPECIAL,, a I certify thot,in the performance of the work for which this O//NER W /�NO. Gl. '�(O /' CONDITIONS 0 permit is issued, I shall not employ any person in any manner , DISTRICT I GROUP ITYPEFIRE PRO9ESSED BY U so as to become subject to the Wor s'Coensatiol Law . ADDRESS 'O� CONST. ZONE ` ZIP 3 0 Date Loh? � CITY,Applicant STATISTICAL CLASSIFICATION APT. CONDO. L U NOTICE TO A PLICANT: If, after making this Certific of ARCHITECT OR TEL. — LU Exemption, you should-become subject to the Workers' ENGINEER NO. CLASS NO. DWELL. UNITS H Compensation provisions of the Labor Code, you must forth- , ADDRESS SEWER MAP _ with comply with such provisions or this permit shall be TEL. r ' deemed revoked.. CONTRACTOR NO., BK.N PG, VALIDATION 41 LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that.I am licensed under provisions of Chapter 9 ADDRESS 7 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 $ f�0 SQ. FT. NO.OF _ NO. OF ( ' CHECK License Number Lic.Class SIZE On STORIES FAMILIES ONE - - � .. NEW � $ - _ Contractor. Date _ DESCRIPTION OF WORK 0. I om exempt from the licensing requirements as I am a 4J - *IN 12 Lj �, ADD licensed architect or a registered professional engineer ALTER FINAL acting in my' professional capacity (Section 7051, Lt„_I-0t7 e- REPAIR DATE Business and Professions Code). USE 11. FINAL EXISTING BLDG. eS 1 �C By, Lic.or Reg. No. _Date APPLICANTTEL. OWNER- BUILDER DECLARATION (FIR i NO.22 7—2,826 hereby affirm that I am exempt from the Contractor's License 4 Law for the following reason (Section 7031.5, Business and ADDRESS Professions Code):' PRESENT ' BUILDING I, as owner of the property, or my employees with ADDRESS 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. a 2 7 a2 A I, as owner of the property, am exclusively contracting CONTRACTOR NO. z with licensed contractors to construct the project (Sec- ADDRESS # 0 0 0 0 0 1 tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. ' CONSTRUCTION LENDING AGENCY SETBACK YARD HWY PROP. LINE WIDTH Z ° ° 6 1'.00 I hereby affirm that there is a construction lending agency for FRONTt the performance of the work for which.this permit_is issued P.L. 16 Q °'O 0:6 1.0 0 c=� (Sec. 3097, Civ. C.).. SIDE, . P L. �d Q' a.2@ a � Lender's Name ( 02 4 -78 0' $ P.C. Fee$ Permit Fee _ Lender's Address s, "> 1 certify that I have read this application and state that the. Issuance Fee above information is correct. I agree to comply with all County nvestigation Fee 0 ordinances and State laws relating to building construction, Total Fee an reby authorize representatives of this County,to enter u n t eabove-mention property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 0 ^ Signature of Applicant o gent ©s 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 1312030001 �. PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST BUILDING ADDRESS: 1 ITR: 16867 LT: 16 SQ. FT STORIES TYPE 9657 CRAIGLEE ST 1 I (STRUCTURE: 2400 V-B TEMP CA 917801411 (ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 15383-018-005 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY CAI I I (TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: I (EXIST OCC GRP: 112/03/13 SR - (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: (FINAL DATE ff FI AL BY: CODE: HUAR SHUNG HOU (626) 628-7919- 1 4,600 19657 CRAIGLEE ST 1 J` I ITEMP 917801411 FEES PAID IftSCRIPTION OF WORK 1 1 1 ITEAiR OFF BASE SHEET AND COMP SHINGLES 30 YEARS COLOR GRAY 1 _IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IHOU$E (APPLICANT: TEL. NO: I I ISU, CARMEN (626) 709-7866- 1AA BLDG PERMIT ISSUANCE 27.80 1 1 11428 AMELAXEN AVE •,JAB STATE GREEN BLDG FEE 4600.00 VAL 1.00 ISPFCIAL CONDITIONS: 1 IHACIENDA HTS 91745 1AC STRONG MOTION RESID 4600.00 VAL 0.50 1 ID2 PERMIT W/O EN-HC 4600.00 VAL 132.60 1 TOTAL FEES 161.90 1 1 CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE ISWIFT=MEND ROOFING, INC. (626) 709-7866- 1 11428 AMELUXEN AVE. LIC. NO ILOCATION AND SETBACKS . IHACIENDA HEIGHTS, CA 91745 918419 1 ISOILS ENGINEER APPROVAL I I I I I I (ARCHITECT OR ENGINEER: TEL. NO: j IFOU2,DATTON/TRENCH FORMS 1 1 LIC. NO: iSLAB/UNDER FLOOR I I II I I 1 1RAIcED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: I IUND-dRFLOOR INSULATION 1 1 3 Oe1 ( I. IFLOOR SHEATHING INC. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: -I--- NO 21 IROO SHEATHING SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS 1 (AIR QUALITY: 1000 FEET MATERIALS 1 NO NO NO 1FRAME INSPECTION IFIRE SPRINKLER HANGERS I I I I I I INSULATION/WEATHER STRIPI I I- -1 IINTERIOR LATH/DRYWALL I IEXT!ERIOR LATH RATED FLOOR/CEIL ASSEM. (RATED WALL ASSEMBLIES I IRATED SHAFTS/OPENINGS IT-BAR CEILINGS I I I I i I I ILOT DRAINAGE I I 1 I IREPORT ID: DPR261 ROUTE TO: BS0508 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 1312030002 PHONE: (626) 285-0488 EXT: (LEGAL ID: NO. OF CONST I BUILDING ADDRESS: 1 ITR: 16867 LT.: 16 1 SQ. FT STORIES TYPE 1 9657 CRAIGLEE ST 1 I (STRUCTURE: 420 V-B I TEMP CA 917801411 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 15383-018-005 I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY CAI I I I (TENANT: (EXIST BLDG USE: DETAC USE ZONE: R-1 (ISSUED ON: PROCESSED BY: 1 I (EXIST OCC GRP: 112/03/13 SR 1 I I I I (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: (FINAL D�JAiTTEJJ^'�� FINAL BY: CODE: 1 IHUAR SHUNG HOU (626) 628-7919- 1 1,000 1r� 19657 CRAIGLEE ST I 1 01 (TEMP 917801411 1 FEES PAID IDESCRI TION OF WORK I1 I I (TEAR OFF BASE SHEET AND COMP SHINGLES 30 YEARS COLOR GRAY I _IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:IDETACHED GARAGE I (APPLICANT: TEL. NO: I I I ISU, CARMEN (626) 709-7866- IAA BLDG PERMIT ISSUANCE 27.80 11428 AMELAXEN AVE IAB STATE GREEN BLDG FEE 1000.00 VAL 1.00 ISPECIAL CONDITIONS: 1 (HACIENDA HTS 91745 IAC STRONG MOTION RESID 1000.00 VAL 0.50 1 ID2 PERMIT W/O EN-HC 1000.00 VAL 65.40 1 1 I TOTAL FEES 94.70 (CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1 (SWIFT-MEND ROOFING, INC. (626) 709-7866- 1 1 1 11428 AMELUXEN AVE LIC. NO I ILOCATION AND SETBACKS I I 1 (HACIENDA HEIGHTS, CA 91745 918419 1 1 1 I 1 (SOILS ENGINEER APPROVAL I 1 (ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I I I LIC. NO: I (SLAB/UNDER FLOOR I I I I I I I I IPUNISED FLOOR FRAMING I 1 IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: I (UNDERFLOOR INSULATION I • I 1 3 001 I 11 1 _1 (FLOOR SHEATHING I I 1 INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I- I 1 NO 21 1 (ROOF SHEATHING I 1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS 1 I (AIR QUALITY: 1000 FEET MATERIALS I I I I I NO - NO NO I IFRAME INSPECTION I I 1 I (FIRE SPRINKLER HANGERS 1 1 1 I I I I I I I (INSULATION/WEATHER STRIPI I I I I I (INTERIOR LATH/DRYWALL I I 1 I I I I I I 1 I (EXTERIOR LATH I I I I I I I I 1 I IRATED FLOOR/CEIL ASSEM. I 1 I I (RATED WALL ASSEMBLIES I 1 I I I I I I I 1 (RATED SHAFTS/OPENINGS 1 I 1 I I I I I I IT-BAR CEILINGS I I I I I I I I I ILOT DRAINAGE I I I I I I I I (REPORT ID: DPR261 ROUTE TO: BS0508 1 1 I I I I I I I I