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HomeMy Public PortalAbout4924 DOREEN AVE_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 0603150023 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 13645 LT: 59 SQ. FT STORIES TYPE 4924 DOREEN AV - - STRUCTURE: 2600 VN TEMP CA 917804116 - ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA 8585-025-023 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: I• EXPIRES ON: EXIST OCC GRP: 03/15/06 JK 03/10/01 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: HOOKER DORCAS J TR DORCAS J HOOKER (626) 442-1304- 8,860 4924 DOREEN AV TEMP 917804116 FEES PAID SCRIPTION OP WORK TEAR OFF EXISTING ROOFING HOUSE & GARAGE RE-SHEET & INSTALL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: CLASS A FIBERGLASS SHINGLES (2,100 SO. FT.) INSTALL BUILT UP APPLICANT: TEL. NO: RANDOL ROOFING & CONSTRUCTION (626) 288-4040- AA BLDG PERMIT ISSUANCE 27.75 2304 TROY AVE AC STRONG MOTION RESID 8860.00 VAL 0.89 SPECIAL CONDITIONS: SO. EL MONTE 91733 D2 PERMIT W/O EN-HC 8860.00 VAL 199.80 TOTAL FEES 228.44 CONTRACTOR: TEL. NO: 'APPROVALS DATE INSPECTOR SIGNATURE RANDOL ROOFING AND CONSTRUCTION (626) 288-4040- 2304 TROY AVE LIC. NO LOCATION AND SETBACKS SO. EL MONTE, CA 91733 451937C39 SOILS 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: UNDERFLOOR INSULATION 14414273 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 ROOF SHEATHING A 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/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS * ADDITIONAL DATA ON FILE LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 WORKERS'COMPENSATION DECLARATION i //•`^' ^�^/ �I ' I hereby affirm that haver certificate of consent to self W O u L�C 1 � O N, FOR B n��D�,l G PUNT J'SI insure, or a certificate of Workers' Compensation Insurance, (rJ uV L,L.LJJ uv , or a certified copy thereof (Sec. 3800, Lab. C:) COUNTY OF LOS ANGELES BUILDING AND SAFETY ❑Poli<vi'ertifiied c p .compo%� yr BUILDING Certified copy is hereby furnis ed. FOR APPLICANT TO FILL IN ADDRESS © Certified copy is filed with the county building inspec- BUILDING .tion department. ADDRESS 4924 Doreen - LOCALITY 11-1-86 Randol Roofing Temple City, 917. NEAREST Dote . Applicant CITY ZIP CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDG$. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT Now ON LOT- MAP BOOK I PAGEPARCEL (This section need not be completed if the.,permit is for one - USE NE MAP �— Z7 hundred dollars ($100)or less.) TRACT BLOCK LOT NO. NO. - TEL. ' ' / SPECIAL - - y O. —1 _ certify that in the performance a the work for which this OWNER NIL , DIST .G UP TYPE FIRE RO SSED BY� O permit is issued, shall nott employ any person.in any manner RICT CONDITIONS ADDRESS 4924 Doreen iaa q CONST. 'ZONE V so as to become subject to the Workers'Compensation Laws. Temple City `//'T rVl 0 10-23-86 Randol Roofing . , CITY - ZIP, 91780 . O Date Applicant STATISTICAL CL,S2CA N APT. CONDO.,, V NOTICE TO APPLICANT: If,;after•making this Certificate of ARCHITECT OR TEL. )' *Exemption, you should become .subject to the Workers' ENGINEER NO, CLASS NO. ` DWELL. UNITS_ Compensation provisions of the Labor Code, you must forth- ADSEWER MAP '- to ,� Z with comply with such.provisions or.this permit shall be DRESS TEL deemed revoked. - CONTRACTOR Np..-'� _ BK. PG, VALIDATION .LICENSED CONTRACTORS DECLARATION ue�' I hereby affirm that l am licensed under provisions of Chapter 9 ADDRESS 529 E. Va11e Blvd -451937 VALUATION , .(commencing with Section 7000)of Division 3 of the Business and G-39 San Gabriel LIC. Professions Code, and my license is'in full force and effect. CITY CLASS � 1900.00 .451937 C-3g SQ. F. NO.OF No.of -CHECK License Number Lic.Class SIZE STORIES FAMILIES ' ONE , DESCRIPTION OF WORK Re—roof'house and NEW ❑ $ Contractor Raftfl6} GE)4j:F gDote ❑ I am e>empt under Secgarage with CalsS A Fiber- ADD ❑ g as S ing e5. ALTER ❑ FINAL B.BP.C. for this reason = REPAIR DATE` USE OF Date: EXISTING BLDG. SFD' DEMOL E] Date.. FYi re Sig natu - APPLICANT TEL.- PRINT 288-4040 Randol Roofing NO - OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS 17@ D I - Professions Code): ❑ - A s'v I, as owner ofBUILDING. the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended cr offered for sale(Section LOCALITY 4. .• 7044, Business and Professions Code). MOVING TEL ❑ I, as owner of:the property, am exclusively contracting CONTRACTOR NO. -- zr with licensed contractors to construct the project (Sec- ADDRESS - . . `tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWv PROP. LINE WIDTH ;25824A 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. - s •.e;.0 r� (Sec. 3097, Civ. C.). SIDE - P.I. I' 4 9.;8 8,. Lender's Name s . - 39.38 . . . 49,880 Permit Lender's Address P.C.'Fee S. Pers Fee -. ,. r I certifythat I have read this application and stole that the - I Q 2 9.—'8 b PP Issuance Fee above information is correct. I agree to comply with all County Investigation Fee g ordinances and State laws relating to building construction, Total Fee 949 FIR - t"i and reby authorize reoresentatives of this County to enter ' u n above- ti rty for spection p rrpos a - - ,Q '9�09(�l _ SEE REVERSE FOR EXPLANATORY LANGUAGE - Signature of Applic t or Agent Dat ®s