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Home My Public Portal About10732 DANBURY ST_Building__ 'WORKERS' COMPENSATION DECLARATION hereby affirm that I havecertificate of consent to self /O� pp��LL AkMOU V Il ODU L�JURM VO PIS11�111G T insure, or a certificate of Workers' !rokers' Compensation Insurance, � � IS `V - or a certified copy thereof (Sec. 3800, Lab. C.) r '\ .COUNTY OF LOSANGELES BUILDING AND SAFETY - :.Policy No445--in Company- S�TE r( '❑ Certified copy Is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS 3a �- Certified copy is filed with the county building inspec- BUILDINGI D 73 2 PIMA' Z� tion department. ADDRESS Dare q-Z(�0 7q' Applicant t 'cW1_ BITV GM £ C.IT'' ZIP 9/7s-0 LOCALITY NO. OF BUDGE. ._ NEAREST - CERTIFICATE OF EXEMPTION FROM WORKERS' - SIZE of LOi NOW ON LOT CROSS ST. COMPENSATION INSURANCE _ - ASSESSOR _ (This section need not be completed if the permit is for one' TRACT' BLOCK LOT NO, MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) - TEL, 1 �T - OWNER from, I�.IL('ACL-SON No 'IJ USE ZONE MAP I certify that in the performance of the work for which this WLU,bbrt ..`` NO. permit is issued, shall not employ any.person in any manner ADDRESS �f�� V V-E DAA. _ - - n— I SPECIAL CONDITIONS so as to become subject to the Workers' Compensation Laws. _ - O E, � CITY C �(E3�-IEL - ZIP -/ p/ ' U Date Applicant ARCHITECT OR TEL. NOTICE TO APPLICANT: If, after makingthis Certificate of ENGINEER - NO. t STRICT G OUP TYPE FIRE ROCESSED BV X CONST.,,,.)-� ZONE O Exemption, you should become subject to the Workers' ,D✓ w Compensation provisions of the Labor Code, you must forth- ADDRESS U a with comply with such provisionsor this permit shall be '1 7EL. en deemed revoked. - CONTRACTOR AGZA�AAX)l GNt EtYW�p.. s(y- STAP5TICALCIAS IFICATION APT. CONDO., Z LICENSED CONTRACTORS DECLARATION q t�CygN LIC CLASS NO. DWELL. UNITS_ I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS /(923 I�- NO. 5-67211 LIC. p SEWS MAP <. (commencing with Sectie,an my license of Division 3 of the Business CIN ��'V/� eA. 9i1jZ CLASS �'J and Professions Code,and my license is in full force and effect. - ' gK_ PG VALIDATION C �I F� SO. FT. � NO. OF NO. OF CHECK e License Number 5il ' Lic Class 0-57 SIZE STORIES FAMILIES ONE - 4ZW"12- L /' VALUATION /' cc DESCRIPTION OF WORK (EFytZ CrY �rNO NEW ❑ � 0-^,07�' _ -Contractor LCZL Date 69 f W Wax— ALTER ADD ❑ D ❑ am exempt under Sea 'SN- W (`1(A1C10f B.BP.C..for this reason pp //�� REPAIR �-PEIaF LVWlf7- SFINBI,.� REPAIR ❑ _$ Date: USE OF - EXISTING BLDG. DEMOL ❑ Signature APPLICANT TEL OWNER-BUILDER DECLARATION (PRINT) NO. FINADATL LJa 3/ �9 I hereby affirm that I am exempt from the Contractors License - - - - - - r7 Law for the following reason (Section 7031.5, Business and ADDRESS FIN � 1 Professions Code): PRESENT - - ' '/ ACCT.4 a PRESENT ' El 1,I, as owner 'of the property, or my employees with BUILDIADDRESS wages as their sole compensation,will do the work and D - 330-7 49.uv the structure is not intended or offered for sale(Section LOCALITY TTCMi� El 1, Business and Professions Code.) MOVING TEL - - 1 ITS$ I, as owner.of the property, am exclusively contracting CONTRACTOR NO. �� ADDRESS with licensed contractors to construct the project (Sec- - ' - TOTAL- 49 a vu tion 7044, Business and Professions Code.) -. . CHECK 49.88 REQUIRED TOTAL SETBACK FROM EXIST:' - '" ' CONSTRUCTION LENDING AGENCY SETTBACK YARD HWY PROP LINE I WIDTH IC+llAafrl - 0O I hereby affirm that there is.a construction lending agency for FRONT +DD�tlWWLL V J ,the performance of the work for which this permit is issued P.I. " (Sec. 3097, Civ. C.). SIDE Lender's Name P.L. - - - . GOOD—D0019/1-9/8? DMA Ref. q )982 1 AM 11:20 - P.C. Fee.$ Permit fee r � Lender's Address - .. . . . a I certify that I have read this application and state that the Assuance Fee s LDMA P/C q D 8 above information iscorrect. I agree to comply with all County Invevigotion Fee ordinances and State'laws relating to building construction, Totol Fee x LDMq Perm. # a and hereby authorize representatives of this County to enter t �Siq ve- entioned property for_inspection purposes. 9-2� � SEE REVERSE FOR E%PLANATORV LANGUAGE ure of Applimnt or Agent Date' 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 1012140054 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILOING AD➢RESS: JIB: 13613 LT: 160 SQ. FT STORIES TYPE 10732 DANBURY ST _ISTRUCTURE: V-S TEMP CA 917802825 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: PERSIMMON 8573-002-023 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl TENANT: IEXIST BLDG USE: REBID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: IEXIST OCC GRP: 112/14/10 SR _I TOWNER: TEL. N0: 18LDG5. NOW ON IAT: VALUATION: 1F NAL DATE FIN Y: CODE: 1 7,340 _ rl Il0�N, SONNY ST. ITEMPLE CITY CA 91780 FEES PAID ESCRI PTION OF WORK REPLACE OLD 17 WINDOWS WITH NEW DUAL PANE VINYL WINDOWS AND IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT:JSLIDING DOOR (APPLICANT: TEL. NO: 1 I 1MV1, CONSTRUCTION (714) 337-9940- IAA BLDG PERMIT ISSUANCE 27.80 1 13038 BROOK IAB STATE GREEN BLDG FEE 7340.00 VAL 1.00 SPECIAL CONDITIONS: SANTA ANA CA 92704 JAC STRONG MOTION RESID 7340.00 VAL 0.70 ID2 PERMIT W/0 EN-HC 7340.00 VAL 183.40 FR INV WORK W/O PERMIT 257.00 DOL 257.00 - CONTRACTOR: TEL. NO: TOTAL FEES 469.90 (APPROVALS DATE INSPECTOR SIGNATURE MVI, CONSTRUCTION (714( 337-9940- 13038 BROOK LIC. NO LOCifION AND SETBACKS SANTA ANA, CA 92704 839435 ISOILS ENGINEER APPROVAL _- ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: (SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: I (UNDERFLOOR INSULATION 150H273 3 001 IND. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I IFL00R SHEATHING NO 21 1 IROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION FIRE SPRINKLER HANGERS INSULATION/WEATHER STRIPI INTERIOR LATH/DRYWALL IEXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES (RATED SHAFTS/OPENINGS ! T-BAR CEILINGS ILOT DRAINAGE IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT j DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0003200022 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 13613 LT: 160SQ. FT STORIES TYPE OCCUP GROUP 10732 DANBURY ST STRUCTURE: 0 1 VN R3 TEMP CA 917802825 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: EL MONTE 8573-002-023 OTHER: 1 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 03/20/00 UT 09/16/00 NICHOLSON WILLIAM C;ROSE TRS TEL. N0: BLDGS. NOW ON LOT: VALUATION800 FINAL DATE ®O I NAL BY: COD 815 ARAPAHO ST +7�_2y✓- �LA.y FEES PAID DESCRIPTION OF WORK NEW UNATTACHED OPEN COVERED WOOD PATIO FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. N0: . GALAXY HOME IMPROVEMENT (800) 559-8999- AA BLDG PERMIT ISSUANCE 27.75 5522 WILSHIRE BLVD. AC STRONG MOTION RESID 1800.00 VAL 0.50 SPECIAL CONDITIONS: LOS ANGELES, CA AX BUILDING REVIEW:FEE_—__-'� 54.70 D2 PERMIT W/O=EN=HC--�1800Y00 VAL 82.20 P�UELESTOTAL-FEES 165.15 CONTRACTOR: TEL. N0: /0 T/- APPROVALS DATE INSPECTOR SIGNATURE GALAXY HOME IMPROVEMENT (800) 559-8999- 5522 WILSHIRE BLVD. LIC. NO LOCATION AND SETBACKS LOS ANGELES, CA 90036 726855 B / SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: / FOUNDATION/TRENCH FORMS LIC. NO`:�— 1111117 SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP.:: 0 O n �� q ,�O(-tel n/7 UNDERFLOOR INSULATION U 7 U LIS V//� J�L LIK(V ST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/C ND: STAT CLASS:- NO LAS :-NO 21 �l O S r� ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUSa\\ AIR QUALITY: 1000 FEET MATERIALS \ Q Q tai ROOF SHEATHINGY NO NO NOFEXISTIRE FIRE DEPT. FRAME INSPECT SET BACK YARD: HWY:REQUIRED TOTAPROPTLINE:CK FROM WIDTH: G6�/C. S6ar V'Ce Thai `� SHEAR DPANELSFRAME INSPECT FROSIDE PL- INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL * ADDITIONAL DATA ON FILE REPORT ID: DPR261 ROUTE TO: BS0508