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Home My Public Portal About10715 DANBURY ST_Building__ COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS O7/ or a certificate of Workers' Compensation Insurance,or a certified 5 n copy thereof (Sec.388p00,Lab.C.) r C ZIT=/Q� ,Q Policy No. 1321 D0 Company ruY\� it 1 -I B� LOCALITY SIZE OF LIOT N0.OF BLDGS.NOW ON LOT Certified copy is hereby furnished. NEAREST CROSS ST ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT No depar(me t.' y.�rVT �� ` USE ZONE MAP NO. Date Applicant \/Glf'lL' ` ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL No S No COMPENSATION INSURANCE qD 'I O WITHIN 1000 FT OF SCHOOL? (This section need not be completed if the permit is for one hundred ADDRESS 'f D t,- �Y ,�� 6 DISTRICT GROUP C ST. FIR ZONE PROCESSED BY dollars ($100)or less.) CITY TIP I certify that h the performance of the work torany which this permit �Q �D0 is issued, Shall not employ any ompen at any ma. 50 as t0 ARCHITECT OR ENGINEER TEL NO. �L J become Subject f0 the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO CIV DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of REQUIREDTOTAL SETBACK FROM EXIST Exemption, you should become Subject to the Workers' GON CTOR ,r _ - T N�Oq ^ SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith we - CO IA, / 77 -T�� FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS / R LC.NO. PL LICENSED CONTRACTORS DECLARATION �`5 L0.- - 'Os'� �r, 7 �' SIDE CITY ff LIC�L^B P L I hereby affirm that I am licensed underprovisions of Chapter 9 (�( } (commencing with Section 7000)Of Division 3 of the Business and so,FT.SIZE NO,OF STORIES NO.OF FAMILIES SEWER MAP d Professions Code,and my license is in full force and effect. NEW f� SK PG D O ��'L `-3 DESCRIPTION OF WORK pop ❑ VALUATION z License Number Lia Class Zu Oo O Contractor Ak 1nlGakl,tr TS� Pi� n t r ALTER ❑ $ �OO/ w T-nST'au 10 TJk wgrREPAIR ❑ � ❑ I am exempt under Sec. r nn ii f r $ ? B.SP.C. for this reason �tM1S}D.« 2S !, �1�1`J$ S I DEMOL ❑ LDMA P/C Date: USE OF EXISTING BLDG. - URM ❑ Signature -A- — APPLICANT(PRINT) TEL NO. LDMA Perm a ❑ 1,as owner of the property, or my employees with wages as - Z their sole compensation, will d0 the work and the structure is ADDRESS 0 'i'- I +V not intended or offered for sale (Section 7044, Business and FINAL DATE r,7 Professions Code.) y WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL El 1. a5 OWner Of the property, am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE) FINAL BY ) licensed contractors to construct the project (Section 7044, res❑ rvo❑ //i'� MI5 .- 1 Business and Professions Code.) ,L.B.' I LI i FL . ! MALL THE INTENDED USCOF THE BUGLING BY THE APPLICANT ORFUTURE 9UILDING - .-_ _ OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION oR MODIFICATION FROM THE SOUTH COAST _L v-,{1 1 CONSTRUCTION LENDING AGENCY GUIDE A Quaurr MANAGEMENT DISTRICT Iscnomol SEE PERMITTING CHECKLIST FOR s�»uiCa S Qx _ AEs I hereby affirm that there is a construction lending agency for YES No El NIGE ,Ilii a the performance of the work for which this permit is issued(Sec. HAVE w MATERIALS INFORMATION GIDE AND THE SCAQMD PERITTING 3097, Civ.C.) IC CHECKLIST,I UNDERSTANDTHEDMY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CONE. TITLE 2 CHAPTER 2.20 SECTIONS 2,20,100 THROUGH 240.140 CONCERNING HAZARDOUS -Ji Lender's -! 1•j+'i ' r Lendel s Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMO. �.I j!_il_ l_t'I"' " 12j 71 Lender's Addressan+eR OF.ceR. * _I; j. AM 4.u;' 0 o I certify that I have read this application and state under penalty o PC.FEE PERMIT FEE �jO n of perjury that the above information is correct. agree to comply i with all county ordinances and State laws relating to building m construction, and hereby author) re sentatives Of this County IPSUANCE FEE ,[ / ,L„ to enter Gov -m r(tion rty for inspoecti purp se ,o A// INVESTIGATION FEE TOTAL FEE/O O a am SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY M 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1207250043 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: ITR: 13613 LT: 146 SQ. FT STORIES TYPE OCCUP GROUP 10715 DANBURY ST I ISTRUCTURE: 50 1 V-B R-3 I TEMP CA 917002826 (ASSESSOR INFORMATION NUMBER: I GARAGE: I NEAREST CROSS STREET: 18573-002-009 1 OTHER: I THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl I 1 ITENANT: IEXIST BLDG USE: USE ZONE: (ISSUED ON: PROCESSED BY: 1 IEXIST OCC GRP: 107/25/12 SA IOWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: FINAL DATEvFINAL BY: 1HOUSA RISK (626) 674-5074- 7,412 �� Y 110715 DANHURY ST 1TEMP 917802826 FEES PAID IDESCRIPTION OF WORK I (ADD 50 SQ.FT. TO ENLARGE EXISTING DINING ROOM I 1FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: I I APPLICANT: TEL. NO: I I I 1DAPHNE ABERGEL (816) 344-4449- AA BLDG PERMIT ISSUANCE 27.80 1 1 119562 VENTUA BLVD. AB STATE GREEN BLDG FEE 7412.00 VA, 1.00 1SPECIAL CONDITIONS: I IAC STRONG MOTION REBID 7412.00 VAL 0.70 B1 PLANCHECK W/ENERGY 7412.00 VAL, 171.20 'B2 PERMIT W/ENERGY 7412.00 VAL 201.30 CONTRACTOR: TEL. NO: -` I TOTAL FEES 402.00 APPROVALS DATE INSPECTOR SIGNATURE IT L C HOME IMPROVEMENT, INC. (800) 989-1410- 1333 S GRAND AVE LIC. NO I 1LOCATION AND SETBACKS 7� 125TH FLOOR - 299151B Y ILOS ANGELES, CA 90071 ISOILS ENGINEER APPROVAL I I I ARCHITECT OR ENGINEER: TEL. NO: i iFOUNDATION/TRENCH FORMS I LIC. N0: I 15 LAB/UNDER FLOOR I I' I I RAISED FLOOR FRAMING I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: I UNDERFLOOR INSULATION 3 ODI (1ST LEVEL FLOOR SHEATH I NO. OF FAMILIES: DWELLING UNITS: APT/GOND: .STAT CLASS: I 1 0 NO 21 1 12ND LEVEL FLOOR SHEATH I I I SCHOOL WITHIN HAZARDOUS I IROOF SHEATHING 1 1AIR QUALITY: 1000 FEET MATERIALS I I 1 I NO NO NO I IFIRE DEPT, FRAME INSPECTI I 1 I I IBLDG DEPT. FRAME INSPEC I I I I I (SHEAR PANELS I I I I I INSOLATION/WEATHER STRIP I I I I I IINTERIOR LATH/DRYWALL I I IEXTERIOR LATH I I ILOT DRAINAGE I I ISMOKE DETECTION DEVICES I I I . I IFIRE DEPARTMENT APPROVAL ADDITIONAL DATA ON FILE IREPORT ID: DPR261 ROUTE TO: BS0508 I 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 1207190045 PHONE: (626) 285-0468 EXT: LEGAL ID: INO. OF CONST I BUILDING ADDRESS: ITR: 13613 IT: 146 SQ. FT STORIES TYPE 10715 DANBURY ST STRUCTURE: V-B TEMP CA 917802826 A555550R INFORMATION NUMBER: NEAREST CROSS STREET: 18573-002-009 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl (TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON. PROCESSED BY: (EXIST OCC GRP: 107/19/12 SR IOWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: (FINAL DATE s/p� FINAL BY: CODE: IHOUJA110715 RINK (626) 674-5074- 1,200 i B/y pn 10715 DANeURY ST W Y (TEMP 917802826 FEES PAID (DESCRIPTION-OPIWORK Ids' (BATHROOM REMODEL (NO STRUCTURAL) CHANGES ALL FIXTURES TO BE FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ISAME SIZES FOR SAME LOCATIONS, DRYWALL REPAIR AND TILE (APPLICANT: TEL. NO: IYARDEN, FARKP.SH (800) 989-1410- AA BLDG PERMIT ISSUANCE 27.80 1333 S. GRAND AVE (AB STATE GREEN BLDG FEE 1200.00 VAL 1.00 (SPECIAL CONDITIONS: ILOS ANGELES 90071 IAC STRONG MOTION RESID 1200.00 VAL 0.50 1 182 PERMIT W/ENERGY 1200.00 VAL 90.40 TOTAL FEES 119.70 CONTRACTOR: TEL. NO: 1 ((APPROVALS DATE INSPECTOR SIGNATURE IT L C HOME IMPROVEMENT, INC. (800) 989-1410- 1333 S GRAND AVE LIC. NO 1 (LOCATION AND SETBACKS 25TH FLOOR 2991618 I ILOS ANGELES, CA 90071 ISOILS ENGINEER APPROVAL I I IAACHITECT OR ENGINEER: TEL NO: I (FOUNDATION/TRENCH FORMS 111 I I I I LIC. NO: (SLAB/UNDER FLOOR I 11 (RAISED FLOOR FRAMING MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: i UNDERFLOOR INSULATION I I I 150H273 3 00 INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: (FLOOR SHEATHING 1 0 NO 21 IROOF SHEATHING 1 SCHOOL WITHIN HAZARDOUS I 1I SHEAR PANELS I I (AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION FIRE SPRINKLER HANGERS 1 I I I 11 INSULATION/WEATHER STRIP I I (INTERIOR LATE/DRYWALL I I I (EXTERIOR LATH I I I (RATED FLOOR/CEIL ASSEM. (RATED WALL ASSEMBLIES I I I (RATED SHAFTS/OPENINGS T-BAR CEILINGS I I I * ADDITIONAL DATA ON FILE ' ILOT DRAINAGE I (REPORT ID: DPR261 ROUTE TO: BS0508 1 I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTRENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILIURG AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BE 0508 1206250082 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST BUILDING ADDRESS: ITR: 13613 LT: 146 SQ. FT STORIES TYPE 10715 DANBURY ST ISTRUCTURE: V-B TEMP CA 917802826 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 18573-002-009 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl I TENANT: 1EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: 111 1EXIST OCC GRP: 106/25/12 SR TOWNER: TEL. N0: IBLDGS. NOW ON LOT: VALUATION: FINAL D TE � '�✓ FyI L BY: �1+ CODE: AI - IHOUJA RIZK (626) 674-5074- 10,500 110715 DANBURY ST XP6P TEMP 917802826 FEES PAID 1DESCRIPTION OF WORK (REPAIR/REPLACE APPROX 250 S.F. OF STUCCO ALL AROUND HOUSE EEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ILINE FRONT 200 S.F. BRICKS AND CHANGE OUT 16 WINDOWS TO BE I APPLICANT: TEL. NO: ISAME SIZES FOR SAME LOCATIONS IYARDEN, FARKASH (800) 989-1410- IAA BLDG PERMIT ISSUANCE 27.80 1 1333 S. GRAND AVE IAB STATE GREEN BLDG FEE 10500.00 VAL 1.00 ISPECIAL CONDITIONS: ILOS ANGELES 90071 IAC STRONG MOTION RESID 10500.00 VAL 1.10 1 1 ID2 PERMIT W/O EN-HC 10500.00 VAL 233.40 IFR INV WORK W/O PERMIT 342.20 DOL 342.20 CONTRACTOR: TEL. NO: TOTAL FEES 605.50 IAPPkOVALS DATE INSPECTOR SIGNATURE T L C HOME IMPROVEMENT, INC. (800) 989-1410- 1333 S GRAND AVE LIC. NO LOCATION AND SETBACKS 25TH FLOOR 299161B ILOS ANGELES, CA 9D071 ISOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: (FOUNDATION/TRENCH FORMS I I I I I I LIC. NO: SLAB/UNDER FLOOR beRAISED FLOOR FRAMING (NAP NO: SEWER NAP BOOK: PAGE: FIRE ZONE: CMP: JUNDFPFLOOR INSULATION 1150H273 3 001 +- ��,.••VVV«<✓VVllliii r I I IFLOOR SHEATHING I I I INO. OF FAMILIES: DWELLING UNITS: APT/CONN: STAT CLASS: 1 0 NO 21 IROOF SHEATHING I SCHOOL WITHIN HAZARDOUS ISHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO ,1 (FRAME INSPECTION I I I I I1 IFIRE SPRINKLER HANGERS I i - INSULATION/WEATHER STRIP( I 11NT3RIOA LATH/DRYWALL � I (EXTERIOR LATH I (RATED FLOOR/CELL ASSEM. I 1RATED WALL ASSEMBLIES 1 1 iRATED SHAFTS/OPENINGS 1 I I IT-BAR CEILINGS ADDITIONAL DATA ON FILE ILOT DRAINAGE I I I REPORT ID: DPR261 ROUTE TO: BS0508 I I I I�IY I i 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 0511070005 f PHONE: (626) 285-0488 EXT: 1 LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 13613 LT: 146 SQ. FT STORIES TYPE 10715 DANBURY ST STRUCTURE: 2300 VN TEMP CA 919802826 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: EL MONTE 8573-002-009 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: REBID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 11/07/05 JK 11/02/06 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: , ED - 7,900 10715 10715 DANBURY ST TEMP 917802817802826 FEES PAID DESCRIPTION OF WORK TEAR-OFF EXISTING INSTALL 1/2' SHEETING 30# FLET 30 30 YEAR FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: APPLICANT: TEL. NO: MICHAEL MORRIS (626) 926-5894- AA BLDG PERMIT ISSUANCE 27.75 9707 PINEWOOD AVE AC STRONG MOTION RESID 7900.00 VAL 0.79 SPECIAL CONDITIONS: TUJUNGA, CA 91042 D2 PERMIT W/O EN-HC 7900.00 VAL 183.00 TOTAL FEES 211.54 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE BIENEK ROOFING (800) 499-1340- 22622 LAMBERT LIC. NO - " ' LOCATION AND SETBACKS SUITE# 303 B/L0454 LAKE FOREST CA 92630 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING I MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 150H273 3 01l FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/GOND: 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- INTE.1IOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAB CEILINGS * ADDITIONAL DATA ON FILE LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9801150069 PHONE: (818) 285-0488EXR LEGAL ID- NO. OF CONST NEW BUILDING ADDRESS: TR: 13613 LT: 146 SQ. FT STORIES TYPE OCCUP GROUP 10715 DANBURY ST STRUCTURE: 294 1 VN R3 TEMP CA 917802826 ASSESSOR INFORMATION NUMBER: GARAGE: - NEAREST CROSS STREET: 8573-002-009 OTHER: THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 01/15/98 UT 01/15/99 OWNER: TEL. NO: BLOGS. NOW ON LOT: VALUATION: FINAL DATE F NAL BY: CODE: GHANEM GHASSAN T;SAADE NABIL (626) 443-3214- 1 21,800 dd _qg AA 10715 DANBURY ST 7- TEMP 917802826 FEES PAID D SCRIPTION OF WORK , ADDITION OF BEDROOM, BATHROOM AND CLOSET ADDITION FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: GUERRERO CONSTRUCTION (213) 661-0716- AA BLDG PERMIT ISSUANCE 27.75 1317 MALTMAN AC STRONG MOTION RESID - .21800.00 VAL 2.18 SPECIAL CONDITIONS: LOS ANGELES, CA AX BUILDING REVIEW 'FEE 54.70 B2 FERMI T-W%ENEI RGY'_'__14: 21800.00.VAL 463.32 —TOTALIFEES` 547.95 CONTRACTOR: TEL. NO: '�% �'� ' ,;-� APPROVALS DATE INSPECTOR SIGNATURE GUERRERO CONSTRUCTION (213) 661-0716- 1317 MALTMAN AVE LIC. NO LOCATION AND ACKS LOS ANGELES, CA 90026 638018/8 (. `1 J` ��',. i✓.--�- V `.��k 41 SOILS ENGINEER APPROVAL � 1 ARCHITECT OR ENGINE TEL. N0: I - �' FOUNDA.ION/TR ENL FORMS LIC. NO: -_-� r I I I -"' ''i,� SLAB/UNDER FLOOR RAISED L00 RAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 01 ST LEV L LOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/CONDI AT CLASS NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO i iiy FIRE DEPT. FRAME INSPECT TT UBACK YARD: HWY: O T F 0-PF—EXIST ��'" a" !�� BLDG DEPT. FRAME INSPEC SEPROPLINE: WIDTH: +" �'''`/1�2 dam SHEAR PANELS FRONT PL- _ SIDE PL- INSULATION/WEATHER L- S LA 0 /WEA HER STRIP d INTERIOR LATH/DRYWALL f EXTER LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508