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HomeMy Public PortalAbout9108 DUFFY ST_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 1301280024 PHONE: (626) 285-0488 EXT: (LEGAL ID: N0. OF CONST I BUILDING ADDRESS: ITR: 16116 LT: 1 I SQ. FT STORIES TYPE 1 9108 DUFFY ST 1 I ISTRUCTURE: V-B I TIME CA 917802448 1 (ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 15367-021-009 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY CAI II (TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 ))ISSUED ON: PROCESSED BY: (EXIST OCC GRP: 101/28/13 SR 1OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: FI L D TE FIN BY: CODE: IWONG, CHAD (626) 807-077'1- 1,200 / I91o8 DUFFY ST TEMP 917802448 FEES PAID DESCRIPTION OF WORK —� REPLACE 5 WINDOWS AND CHANGE SLIDING DOOR TO WINDOW ON IEEE DESCRIPTION: QUANTITY: OCR: AMOUNT: IBEDROOM 1APPLICANT: TEL. NO: I 1 (SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 IAB STATE GREEN BLDG FEE 1200.00 VAL 1.00 ISPECTAL CONDITIONS: 1 AC STRONG MOTION RESID 1200.00 VAL - 0.50 1 IDI PLANCHECK W/O EN-HC 1200.00 VAL 82.10 1 ID2 PERMIT W/O EN-HC 1200.00 VAL ' 82.20 (CONTRACTOR: TEL NO: JFR INV WORK W/O PERMIT 339.60 DOL 339.60 )APPROVALS DATE INSPECTOR SIGNATURE I SAME AS OWNER - I TOTAL FEES 533.20 1 LIC. NO 1LOCATIDN AND SETBACKS I I ISOTBS ENGINEER APPROVAL I I IARCHITECT OR ENGINEER: TEL NO: )FOUNDATION/TRENCH FORMS I LIC. N0: (SLAB/UNDER FLOOR I I RAISED FLOOR FRAMING � 1 MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 147H265 3 001 FLOOR SHEATHING IND. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 0 NO 21 IROOF SHEATHING 1 1' SCHOOL WITHIN HAZARDOUS -% SHEAR PANELS )AIR QUALITY: 1000 FEET MATERIALS f NO NO NO (FRAME INSPECTION I- -(FIRE SPRINKLER HANGERS INSULATION/WEA STRIP I INTERIOR LATH/DRYWALL )EXTERIOR EACH RATED FLOOR/CEIL ASSEM. II I I I I I RATED WALL ASSEMBLIES I I (RATED SHAFTS/OPENINGS I I I I IT-BAR CEILINGS ILOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 I I I I I I r -WORKERS' COMPENSATION DECLARATION - - - I hereby affirm that I have o.certificate of consent to self QpPUQLAVOR FO.p°3. .BUROPMG PIEp°3MP7 insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lob. C:) COUNTY'OF LOS ANGELES BUILDING AND SAFETY Policy No. Company - C-.�. ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS D s{ - ❑ Certified copy is filed with the county building inspec- BUILDING C 6,67 ADDRESS tion department. .. Date ,Applicant CITY C/ ' C�L ZIP • t/ - LOCALITY - NO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT 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 hundred dollars dollars ($100)or less.) s TEL OWNER O N USE ZONE MAP - I certify that in the-performance of the work for which this [[ Mill i"INO. permit is issued, I shall not.employ any person in any manner ADDRESS ��/� Gv/ �'y�o[/.— SPECIAL >_ CONDITIONS a :so as to become subject to the Workers' Compensation Laws. 0 CITY ZIP Date Applicant - ARCHITECT OR - TEL. Of NOTICE TO APPLICANT: If,. after making this Certificate of ENGINEER NO. - .DISTRICT .GROUP. C P T FZIRE PR ESSED BV O Exemption, you should become subject to the Workers' G w Compensation provisions of the Labor Code, you must forth- ADDRESS Q { - _ d with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. C DO. LD deemed revoked. CONTRACTOR NO. -.- z LICENSED CONTRACTORS DECLARATION UC. .,CLASS NO. DWELL. UNITS— I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business LIC. SEWER MAP and Professions Code,and my license is in.full force and effect. CITY CLASS BK PG VALIDATION SO. FT NO.NO. OF / NO. OF CHECK .. License Number. - Lia Class SIZE STORIES FAMILIES ONE - - VALUATION Contractor _ Date ' DESCRIPTIIOON/OF WORK ❑ nom// NEW - /N5t/SIO L❑ C(/ L DD' D I am exempt under Sec. ALTER ❑ B.&P.C. for this reason s[f REPAIR F-1 $ - Date: USE OF AQ. Z 2. E GG - EXISTING LDG. DEMOI ❑ Signature PLICNi ZJ DFINAL OWNER-BUILDER DECLARATION (PRINT) /]' N / DATE 7-Z-96 I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5,,Business and ADDRESS FINAL - Prof A ssions Code): PRESENT � _. eIt . I, as owner of the property, or my employees with BUILDING ADDRESS Same a6 aTA5 01 wages as their sole compensation,will do the work and - _ (;I' A - the structure is not intended or offered for sole(Section LOCALITY 'T 7044, Business and Professions Cade.) MOVING TEL. D ,303 125 ee Itos owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS - 1 ITEMS tion 7044, Business and Professions Code. 1.25'—. -55- . REQUIRED - TOTAL SETBACK FROM .EXIST. _ _ _TUTAL - s CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH C I hereby affirm that there is a construction lending agency for FRONT CHECK � 125.55 the performance of the work for which this permit is issued P.C. - CHANGE .00 (Sec. 3097, Civ. C.). SIDE - P.I. Lender's Name ' m - P.C. Fee E Permit Fee - - LDMA.Ref. q 0000-0001, 6/18/96 Lender's Address qqD a I certify that I have read this application and state that the Issuance Fee .7� LDMA P/C q 6993 1 PM c%14 Sabove information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, - Tocol Fee LDMA Perm. q a and hereby authorize representatives of this Caunfy to enter upo above-m bion d ro erty for inspection purpos - _ _- - , D SEE REVERSE FOR EXPLANA70RY LANGUAGE Signature of Applmant or Agent Date �• � DEPAH7MENS OF COUNTY ENGINEER MD U U LED N DMSION OF BUMDING AND SAFETY COMITY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER / - APPLICATION --" - i CASSATT D: GRIFFIN, SU►•T OF BUILDING I - FOR APPLICANT TO FILL IN FOR OFFICE USE.ONLY BUILDING �7 Q)(-)-('Z, A^` l^ DISTRICT 110, PLU/�N CK.OR RRee.NO. PERMIT [N[O_., ADDRESS to `IV()- �1,.1f — _ V / �// d�\O L • LOCALITY F—NA L C ` RECEIVED BY 1 DATEOFAPPL. DATEIlSSUED NEAREST cRoss ST BUILDING r l/ ADDRESS, _ . V 44 OWNER � I L- ��� MAIL r' • 4['+ LOCALITY \ ADDRESSEL. /'^ n V C, NEAREST CITY e TO GA I �� CROSSST. C'� I - ARCHITECTOR TEL. FIRE 1T ZONE NO. . O -TYPJ! ROUP! NS ENGINEER 1 1No. t ` n9 \J ADDRESS �l I `� ��` % 11 L.^I �� SE7BAC LINE , / L :%Of ✓-PL oeD NO. TEL. USE CONTRACTOR O C� O. ZONE _ BYPROVED ATE ADDRESS I HOUSE NUMBERING' LEGALMAP NUM ER 1JD{o fNO. ASSIGNED BY DESCRIPTIONLOTNO. BLOCK ORRE TIONS_' TRACT NO. OFBLOGS.(� (ic SIZE OF LOT I NOW ON LOT n1O NC USE OF NO. OF 1 ' - '- - -- EXISTING BLDG. FAMILIIID Ou4C3 I N;;O - DESCRIPTION OF WORN P�a P D - NEW ALTERATION I ADDITION -�7 G n /TGtlGK IF'F!T D = REPAIR DEMOLITION � � 90. FT. 1 4r�.�1 NO. OF ' (/ F L.d. .0 Tf=S' SIZE l ROOMS STORIES FXT. WALL ROOFII /may DO,�RL 4Ja c, J COVERING STU CC(� I COVERING Sf'}��.I.�(,G USEER NTR UCTU RE /� �— C. % S /hl (o (- r 1 /YI iL, Mr �2L'Z mva- .� C, c- tI rfO�L zr� A-1Z 4. -a, ry810 4ZA APPROVALS I S S I ♦LT INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION- FORMS, OCATIO FORMS, MATERIALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP. FRAME: FIRE STOPS. B �[ PLICATION AND STATE THAT THE INFORMATION GIVEN IS , BRACING, BOLTS S `u CORRECT. OR AGREE TO COMPLY WITH ALL COUNTY ORDINANCES 'FURNACE: LOCATION. AND STATE LAWSS'REGULATING BUIILL�DIINNG CONSTRUCTION. GAS VENT, DUCTS1P SIGNATURE OF /; \ . l Y1'I•��[(A�, I LATH. INT. / f(J-/ya7/� T/f PERMITTEE "` /`j.1./.,OG�/1�D -11 bfl fNt/� / 1`71J/1 — ^/J/ ADDRES9� '1����' "" LATH. EXT. PLASTER, INT. / AUTHORIZED AGT. PLASTER, EXT. , S FEE ®- ECTAND POSTED HOUSE NUMBER COR- ^ t (� �J Rq .l VALUATION FEE to 2 FINAL LA k �. TDAWIIA ODDe PDII �76A630A 0.6.3 12.54 APPLICATION FOR.' BUILDING PERMIT DIVISION OF BUILDING AND SAFETY BUILDING p y^ ADDRESS - Deportment of County Engineer County of Los Angeles LOCALITY .�.£i✓v�4�.r.t� sr WM. J. FOX, COUNTY ENGINEER NEAREST T CASSATT D. GRIFFIN. SUP'T of BUILDING ' CROSS ST. 71 e-�C •' - DISTRICT O. GROUP SEWER MAP ' FOR APPLICANT TO FILL IN y (TYPE BK PG BUILDING >J �/ CONST. G gip/ ADDRESS a ��� NUMAPMBER L OU' (O SHWY '� � LOT NO, BLOCK USE],ANE SPECIAL , CONDITIONS TRACT NO. OF SLOGS. SIZE OF LOT I NOW ON LOT BUILDING YARD HWY STREET NAME EXIST. USE OF SETBACK WIDTH EXISTING BL G. FRONT' �V ' OWNER Ix I y1 SIDE --- - - MAIL - P. L. I(� ADDRE TEL DWELL. I UNIT 5 INDUSTRIAL CITY NO ARCHITECT C4t 2 DUPLEX UN - 6 PUBLIC BLDG. TEL. ENGINEER NO. 3 "APT. UNITS 7 ADDN.,ALT., ETC. . ADDRESS q COMMERCIAL 8 MISCEL. �. �%I ® TEL. , CONTRACTOR (/L( J-'�j] NO, . INSPECTION RECORD ADDRESS - DESCRIPTION OF WORK NE// ADD ALTER REPAIR DEMOLISH SO. FT. NO. OF NO. OF SIZE U -STORIES FAMILIES USE OFIRUCTURE / QL3 k�D �T/LA'-GNPs SIGNATURE OF PP ICANT �• 1 APPROVALS ADDRESS Q �_ DATE INSPECTOR'S SIGNATURE " FOUNDATION: LOCATION 7n� $ P.t. S FORMS, MATERIALS FRAME:BRACING, STOPS. BOLTS VALUATION (! W FEE FURNACE: LOCATION, GASVE GAS VENT, DUCTS' 1 HEREBY AE THAT I HAVE READ THIS APPLICATION ANDND STATE THE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT. _ AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. LATH, EXT. SIGNATUREOF �///..//��/,•' /JY 1 n HOUSE NUMBER COR- r I PERMITTEE Y' .h JJL..✓✓✓��/ / N REST AND POSTED. ADDRESS FINAL wm.• J. FOX. COUNTY ENGINEER VALIDATION er • : . . .. 2 76'r6� Apt-S4 1. DEPUTY _ .� EPUQTTY BY BY x h/ © DEPUTY-' DEPUTY