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Home My Public Portal About10561 DANBURY ST_Building__ ` r • . 7,y-,Tj,� ,lam" .�,Tf� -� _15A.]OA CC;90S 9-E3 APPLICATION FOR- BUILDING PERMIT COUNTY OF LOS ANGELESqpo HNs O' DEPARTMENT OF COUNTY ENGINEER d BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST // 1 WILLIAM A. JENSEN, SUPT OF,BuaDING CROSS ST. L 'DISTRICT NO. GROUP TYPE PROCESSED BY FOR APPLICANT TO FILL IN, BUILDING _ STATISTICAL CLASSIFICATION SEWER MAP ADDRESS AAI 1�f � � UR � CLASS. NO, p � DWELL. UNITS BK PG LOT NO, 12 BLOCK WATER NOT REQUIRED ❑ RECEIVED TRACT 28607 MAP CERTIFICATE: HIGHWAY NO.OF BLDG5. NO. ,�/O Iagc LE) STATE MAJOR SECON■ LO AL SIZE OF LOT 0 NOW ON LOT none. U5E ZONE SPECIAL USE OF / CONDITIONS EXISTING BLDG. r �- OWNERBald{Yin Bldg. Contr NO. �5i! BUILDING EXIST. SETBACK YARD HWY STR T NAME WIDTH ADDRESS 5041 Baldwin Ave. Tem le Crit FRONT , "e"ARCHITECT Qft TEL. P. L. ' ENGINEER fou Rodwell NO. SIDE ADDRESS 4224 Aralia Rd. Altadena Q EL CONTRACTOR B.B.0 NTO. .p /, - u z. ^I q s ADDRESS 5041 Baldviin Tem le Cit -O DESCRIPTION OF WORK �J. W' d NEW 3C ADD ALTER REPAIR DEMOLISH SQ. FT. NO. OF .NO. OF Z ` SIZE STORIES 21 FAMILIES 1 USE O STRUCTURE lPelsi ence & GaragpQ SIGNATUREO APPLICANT VALUATI ! G27 - •` APPROVALS DATE INSPECT q'SftIGNATURE - PMT. FOUNDATION:FORMSMATERALLOCATION s'Lr. Q FEE $ 2 I FEE $ 6 s FRAME: FG. BOLOPS, HEREBY THAT THE THAT HAVE READ THIS APPLICATION BRACING. BOLTSAND V WITHSTATE THAT THE ABOVE IS CORRECT AND AGREE E COMPLY FURNACE: . DUCTS'. WITH ALL COUNTY ORDINANCES AND STATE LAWN REGULATING GAS VENT. DUCTS'. AUTHORIZED CONSTRUCTION. CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- TION LATH. INT. TION OF THE LABOR C�1G OF THE SThTE OF CALIFORNIA RELFT� INC TO WORKMEN'S QMP NSATION INSURANC LATH. EXT. '-�•-3,-4 G SIGNATURE OF HOUSE NUMBER COR. ` n d' PERMITTEE -1 RECT AND POSTED ADDRESS_ FINAL I JOHN F. LEWIS.PRINCIPAL STR URAL ENGINEER PLAN CHECK VALIDATION cK. M.O. CASH _ PERMIT ,VALIDATION GN M.D. CASH r LHI o 7 6 6 1 G P,FR 1. 4 2 .3 0 J 7 5� L'. tiEa ' 7u ;"!Ay-15 7 0 74.50 I WORKERS' COMPENSATION DECLARATION II hereby affirm that I have a certificate of consent to self QppLpCQ7p0Nu FOO R , o M�dMMG PERNT LS insure, or a certificate of Workers'Com penstion Insurance, or ' _ ace ifi� g ��y (Sec. 3800, Lab. C.) Di COUNTY OF LOS ANGELES BUILDING AND SAFETY .Pal o. Company - Pv v FOR APPLICANT TO FILL IN ADDRESS IOS(o 1 E. Certified co is hereby furnished. A,N 1UQ.. Certified copy is filed with the county building in spec- BUILDING 1 -r— tion department. ADDRESS OS N,QtJ LOCALITY ` e L.L _T -L Q �-� Q SST. R X4A �. Date `1�- "�APPlica nt CITY f pM le Gi ZIP -{ ( O 7e CROSS CERTIFICATE OF EXEMPTION FROM WORKERS', I NO. OF SLOGS. f ASSESSOR COMPENSATION INSURANCE SIZE OF LOT O NOW ON LOT MAP BOOK I PAGE PARCEL (This section need not be completed if the permit is for one 1-F61 7 USE ZONE MAP 6 TRACT a BLOCK LOT NO. -� r NO. hundred dollars ($100) or less.) - ` > +/ c TEL. p.1 ` SPECIAL d I certify that in the performance of the work for which this OWNER KA L� �UMAIJNO. "I�S98 CONDITIONS O permit is Issued, I shall not employ any person in any mannert DIS RIC T GROUP TYPE FIRE PROCESSED BY U so as to become subject to the Workers'Compensation Laws. ADDRESS Io S 16U (/ C�ST/ ZONE - O CITY L rl gQ Date Applicant T , CL ZIP STATISTICAL CLA IFICATION APT. CONDO. U NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR L� TEL. W g ENGINEER W. N0797 L CLASS NO. DWELL UNIT'_ a Exemption, you should become subject to the Workers' N Compensation provisions of the Labor Code, you must forth- ADDRESS Q;[ojI, A, .54A) DIm^S SEWER MAP Z with comply with such provisions or this permit shall be - TEL n�QQ 7q7�-� e2. VALIDATION deemed revoked.' CONTRACTLIFORNI�A !�S'Kb BK. PG, / , LICENSED CONTRACTORS DECLARATION t POOLS, 100. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 8806 EAS III HOZ VALUATION (commencing with Section 7010)of Division 3 of the Business and SAN GABRIEL, CALIFORNIA 91r� G Q t/V1 DO Professions Code, and my licenseisin full force and effect. CITY LAS -J 3 'S 1 t.�l License Number- 1s4s( 10 ` Lic.Class C `j`5 SIIZZE FT ISTORIES F MILLIIES,('T CHECK Contractor\-j"k F0nkS Dote `f 1�+_�+� r NEW g DESCRIPTION OF WORK I am exempt from the licensing requirement's as I am a _ ADD ❑ '�3'6 8.2 A I� licensed orchitect or a registered professional engineer ALTER ❑ FINAL acting in my professional capacity (Section 7051, REPAIR ❑ DATE �S��O�`ti'Zft . e e e 'z1 Business and Professions Codel. USE OF ' EXISTING BLDG. L p'eNL DEMOL ❑ INA 2'e,e-5 9.6 4 7 Lic. or Reg. No. _Date APPLICANT CALIFORNIA POOLS, - .� �. .�e OWNER-BUILDER DECLARATION 5 9.6 4 I hereby affirm that I am exempt from the Contractor's License 8806. AST LAS TUNAS DRIVE Low for the following reason (Section 7031.5, Business and ADDRESS SAN _ 0 4 1 6-82 Professions Code): PRESENT ❑ I, as owner of the property, or my employees with ADIDRESS 'V wages as their sole compensation, will do the work and LOCALITY the structure is not intended or offered for sole(Section 7044, Business and Professions Code). MOVING F� TEL. .I, as owner of the property, am exclusively contracting CONTRACTOR - r with licensed contractors to construct the project (Sec- ADDRESS Finn 7044, Business and Professions Code). z.316 8 3 A REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH e o'e o e 1 I hereby affirm that there is a construction lending agency for FRONT 4 the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE 2 1 5. 0 0 1 I' . Lender's Nome P.L Ut1 k-FI�uJ L, /r 5 000, _ Lender's Address P.C. Fee S Permit Fee (.'(C+ ,(� 0 Q 1 '6-8 2 I certify that I have read this application and state that the Issuance Fee - aabove information is correct. I agree to comply with all County Investigation Fee B(.j ordinances and State laws relating to building consfruclion, Total Fee and heheby authorize representatives of this County to enter mupon t e above-ohentioned property for inspect at pu poses. - SEE REVERSE FOR EXPLANATORY LANGUAGE SI ppllcont or Agent D to ._ its WORKERS'COMPENSATION DECLARATION - II hereby affirm that I have a certificate of consent to self 4 PPUCAMN FOR o MMM NO PUNT i nsrd)•Q a certificate of Workers'Compenstion Insurance, or a cB rt`f' � pthereec 3800, Lob. C ) /�I Z l j [�d COUNTY OF LOS ANGELES BUILDING AND SAFETY PCTfcy o. Company 1 /V A Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING S 1p ADDRESS JO V � IDCi! Certified copy is filed with the count bu' g inspec- BUILDING / C tlo epa intent. ADDRESS ��5,6 ( LOCALITY 1 �� 917. NEAREST �] A 1 � Date Applicant CITY I ZIP CROSS ST. {� E'11._. CE TIFI ATE OF EXEMPTI FROM RKER NO. OF BUDGE. ASSESSOR COMPENSATION I SIZE OF LOT NOW ON LOT / MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP hundred dollars ($100) or less.) TRACT BLOCK LOT NO. NO. C� } T" SPECIAL - a I certify that in the performance of the work for which this OWNER ArNnA J� NO. 7 / O Ii ONS Q permit is issued, I shall not employ any person in any manner CC DISTRICT TYP BY L V so as to become subject to the Workers'Compensation Lows. ADDRESS 0 Ci• CO Z Date ' Applimnt CITY I GI ZIP'TEL. CLASSIFICATION APT.' CONDO. QV NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR 'TEL. W . _ - Exemption,,you should become subject to the Workers' ENGINEER NOCLASS NO. DWELL UNITS_ 4rn Compensation provisions of the Labor Code, you must forth- ' - Z with comply with such provisions or this permit shall be ADDRESS SEWER MAP deemed revoked. CONTRACTOR A6 A TELNO' 2,6-r BK. PG, VALIDATION . LICENSED CONTRACTORS DECLARATION UC r I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS � U" NO, /CS/d 2 VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. j5c� Professions Code, and my license is in full force and effect. CITY U ��. CLASS C—63 Qf 11 r7 C SQ. FT. NO. OF NO. OF CHECK License Number kJ ` Lic.Class :7� SIZE STORIES FAMILIES ONE 9 Contractor L_JW 0?=1p Date 7� DESCRIPTION OF WORK NEW El m exempt from the licensing require ent as I am a w4 ADD11 - licaensed architect ar.o registered professional engineer ALTER FINAL < acting in my professional capacity (Section 7051, ❑ DATE S�V -Business and'Professions Code). USE OF �J/f REPAIR EXISTING BLDG. e DEMOL E] FINAL � Lic. or Reg, No.--DateAPPLICANTAL ,, TEL By " OWNER-BUILDER DECLARATION (PRINTt,.. -L. 1 hereby affirm that I am exempt from the Contractor's License Low for the'following reason (Section 7031.5, Business and ADDRESS lS0 �r G Professions Code): -PRESENT BUILDINI, as owner of the property, or my employees with ADDRESS ADDRESS 3.8 7.2 A wages as their sole compensation, will clothe work and the structure is not intended or offered for sole(Section LOCALITY 7044, Business and Professions Cade), MOVING TEL. 0 1, as owner of the property, am exclusively contracting CONTRACTOR NO. 2'•le 2 8. O 0- with licensed contractors to construct the project (Sec- _ ( U tion 7044, Business and Professions Code). ADDRESS 1� s to 2 R 00 REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY - PROP. LINE WIDTH504-82 hereby affirm that there is o construction lending agency for FRONT ' the performonce of the work for which this permit is issued P (Sec. 3097, Ci, C.). SIDE - , _ U AlgRo W13 P L Lender's Nome ,{ Lender's Address P . Fee S Permit Fee �c j, w I certify that I have read this application and state that the Issuance Fee 6 /, above infor anon is correct. agree to comply with all County Investigmion Fee ordina nc and State laws relating to building construction, Total Fee L' m and her y authorize representatives of this County to enter a upon t above-mentioned or r artnspection u oses: a / LZkg SEE REVERSE FOR EXPLANATORY LANGUAGE ' Signature of Applica r Agent ate - ®t COUNTY OF LOS ANGELES TEMPLE CITY N 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1407300057 PHONE: (626) 285-0488 EXT: ILECAL ID: NO. OF CONST ITR: : BUILDING ADDRESS: 28607 IT 12 T SQ. FT STORIES. TYPE 10561 DANBUAY ST (STRUCTURE: 2000 V-B TEMP CA 917802822 (ASSESSOR INFORMATION NUMBER: _ NEAREST CROSS STREET: PAL MAL 8586-011-057 THOM!S PAGE: 557 GRID: C3 LIOCALITY: TEMPLE CITY CAI I I (TENANT: (EXIST BLDG USE: REBID USE ZONE: R-1 JISSUED ON: PROCESSED BY. (EXIST OCC GRP: - 1107/30/14 SR TOWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL Y: CODE: BOLIMAN, WILLIAM W (626) 378-7444- 110561 DANBURY ST 6,800 `/yD)/�L H T (TEMP 917802822 FEES PAID (DESCRIPTION OF WORK 1 I= OFF REROOF WITH ASPHALT SHINGLES 1FEE DESCRIPTION: QUANTITY: UOM: AM0UNT: 1 I APPLICANT: TEL. NO: I I I SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.80 1 1 JAY STATE GREEN BLDG FEE 6800.00 VAL 1.00 (SPECIAL CONDITIONS: 1AC STRONG MOTION REBID 6800.00 VAL 0.70 ID2 PERMIT W/O EN-HC 6600.00 VAL 166.20 1 1 TOTAL FEES 195.70 (CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - I LIC. NO ILOCATION AND SETBACKS I I I ISOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER: TEL. NO: (FOUNDATION/TRENCH FORMS I � \ LIC. NO. (SLAB/ONDER.FLOOR 1 I IRAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: I UNDERFLOOR INSULATION 3 001 FL00R SHEATHING T INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I NO 21 1 (ROOF SHEATHING T I SCHOOL WITHIN HAZARDOUS (SHEAR PANELS (AIR QUALITY: 1000 FEET MATERIALS 1 1 1 NO NO NO FRAME INSPECTION (FIRE SPRINKLER HANGERS I I I _ TINSULATION/WEATHER STRIPI I (INTERIOR LATH/DRYWALL ' (EXTERIOR LATH T (RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES I I I RATED SHAFTS/OPENINGS I I I IT-BAR CEILINGS I I I I TLOT DRAINAGE IREPOAT ID: DPR261 ROUTE TO: BS0508 III