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HomeMy Public PortalAbout9116 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 0308180031 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 16134 LT: 10 SQ. FT STORIES TYPE 9116 DUFFY ST STRUCTURE: VN TEMP CA 917802448 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: NOEL 5387-021-005 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY TENANT: EXIST USE: SI USE ZONE: R- ISSUED N: EXPIRES ON: - EXIST OCC GRP: 08/18/03 JK 08/12/04 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL 8Y• CODE: KLEINDUFFYEDLER SALTER J JR (626) 285-0361- 3,500 �ti JL2 1 TEMP 917802448 FEES PAID DESCRIPTION OF WOR T/0 HOUSE & GARAGE; INSTALL CLASS A 30YR COMP OVER EXISTING FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: PLYWOOD APPLICANT: L. 0: TOP NOTCH ROOFING (626) 305-1122- AA BLDG PERMIT ISSUANCE 27.75 1615 S MAYFLOWER AC STRONG MOTION RESID 3500.00 VAL 0.50 SPECIAL CONDITIONS: MONROVIA D2 PERMIT W/O EN-HC 3500.00 VAL 115.80 TOTAL FEES 144.05 CONTRACTOR: TEL. NO: _ - APPROVALS DATE INSPECTOR SIGNATURE TOP NOTCH ROOFING (626) 305-1122- 1615 S MAYFLOWER LIC. NO LOCATION AND SETBACKS MONROVIA CA 91016 635825HIC SOBS 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 147H265 3 01 FLOOR SHEATHING 0. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 ROOF SHEATHING �7 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/WE THER STRIP SIDE PL- INTERIOR LATH DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASS MBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS * ADDITIONAL DATA ON FILE LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 APPLICATION FOS R �OUNTYOFLOSANGELES BUILDING P E R I1/r'IT i;:` DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION. BUILDING FOR APPLICANT-TO FILL IN - ADDRESS / BUILDING _ - ADDRESS LOCALITY ;.�.... , NEAREST CITY Z - - - ZIP - `(J CROSSST: NO.OF'BLDGS. ASSESSOR SIZEOFLOi - NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE OC ED BY TRACT /(/�{ BLOCK - ALOT NO.'I O o J' .CONST. / Z ;E r_ OWNER 0-k-.� .� l/ _ 07 STATISTICAL CLASSIFICATION SEWER MAP ADDRESS T rP' rA% �' CL'ASS NO DWELL.UNITS BK PG rZ'�c7 ..USE ZONE NOP .o. CITY -Zi � V ARCHITE OR-„ r /• �`. .TEL., ,1, SPECIAL ENGINEEP / --"� " NO. - CONDITIONS ADDRESS • 1 '"M1' "'A't- Lr--- '�'U ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ EL. CONTRACTOR •NO. BLDG.SETBACK FROM LIC. FRONT PROP.LIN E OF (STREET)• ADDRESS - NO. TOTAL SETBACK FROM TYPE OF .EXISTING LIC. HIGHWAY '+ YARD - FRONT PROP.LINE HIGHWAY WIDTH CITY CLASS CONSTRUCTION LENDER - + n NAME AND BRANCH0 _ BLDG.SETBACK FROM 'V SIDE PROP.LINE OF ISTREETI' ADDRESS CITY - - O SQ.FT. - NO.OF NO OF CHECK HIGHWAY + YARD = T�4 LSETBACK FROM TYPE OF EXISTING w SIZE STORIES FAMILIES ONE PROP.PROP.LINE - HIGHWAY WIDTH , N + Z DESCRIPTION OF WORK � NEW © _ _ .ADD- ❑ CORNER CUTOFF - YES ❑ NO ❑ ❑ IN OPEN SPACE YES ❑. NO ❑ REPAIR '❑ EXISTTIING BLDG. - DEMO�Lf' /❑ IN COASTAL PERMIT ZONE YES .❑ NO ❑ APPLICANT - TEL [PRINT) J2 V fA . BY 151 GNATUR G , I HEREBY ACKNOWLEDGE TH H VE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT A D AGR TO COMPLY WITH.ALL ORDINANCES' AND LAWS REGULATING BUIIDI CONST CTION. CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY W NOT E LOY ANY PERSON IN VIOLATION OF THECABORCODEOF THE STATE OF IA IN RELATING TO WORKMENSCOW PENSATION INS RAN - - SIGNATU ` FINAL BV q� PERMITTEE DATE, � ADDRESS CITYTEL 2 ,c .C. Fee$ Permit Fee - � / - Issuance Fe VALUATION$ •� � .. - /// Total Fee T 'PLAN CHECK VALIDATION CK: ' M-0.' SASH PERMIT VALIDATION CK. W0. CASH 952NJUN 13 >1 U: 34.00A% ®5 7GA636ACE#803AS/77 , DEPARTMENTCOUNTY OF LOS ANGE ESAFETY S U O (] ® � WM. J. FOX, CHIEF ENGINEER APPLICATION . FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLgN CX, oa Re//c.No. - PERMIT NO.: BUILDING ADDRESS , ( fes. dd Zb �9ZC7 � yy�. �� RECEIVED BY /',�♦OAT'11APPL. DATE 10 UED LOCALITY 4 >S Z NEAREST 4 CR099 BT. BUILDING ADDRESS i OWNER MAIL L LOCALITY /�/7� _ ., ADDRESS D NEAREST! q > CROSS ST. CITY 'l ` Mo. / LI ZFIRE o.ONE I PLANB �`I TMPE y /1 I GROUP ARCM ITECT OR TEL ENGINEER NO. _ BLDG. I .D��O. SETBACK LINE . 9-0 ' X /Y ADDRESS USEAte/ APPROVED TEL ZONE Jr BY DATE CONTRACTOR NO. HOUSE NUMBERING P^ , ADDRESS MAP NUMBER 920_0C NO. ASSIGNED BV LEGAL CORRECTIONS DESCRIPTION LOT NO. D BLOCK / d / 3Y SIZE DF LOT '5' b// X /O O NM OF BLOGB. NOW ON LOT USE OF NO. OF EXISTIN BLDG. FAMwES 1 - S/o GE�lcr FAi...,..osrc nJ-BnG�S rwr DESCRIPTION OF WORK °a ��Parz/.�.:n Pati a:.,-L�.r,.-�' _.o• NEW ALTERATION ADDITION ' _ r REPAIR ^/ DEMOLITION No. or SIZE 1 / / 6, ROOMS 6 STORIES EXT. WALL �y_ I ROOF COVERING iE�.w.lrt_dl+ C OVER[NO USE OF 9TRDCTII RE INSPECTION FOR U `S APPROVALS OCCUPANCYAS INSPECTOR19 SIG PPRO A610 NATURE DATE OCCUPANCYAB, FOUNDATION: LOCATION I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FORMS. MATERIALS - PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: k Z CORRECT. BRACING,G, BOLTS 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, n L< i AND STATE LAWS REGULATING BUILDING CONSTRUCTION. - yr ) S/ GAS VENT. DUCTS q�,✓ SIGNATURE OF� �, LATH. INT. PERMITTEE_--/ �/� �/✓ LATH, EXT. V ADDRESS — PLASTER, INT. AUTHORIZED AST. PLASTER, EXT. /✓/ P.C. 1.3z I S FEE HOUSE NUMBER COR- '1 � RECT AND POSTED wuvmw, VALUATION �� O V FEE 33 FINAL S� 9 76A63BA D893 7-51 WORKERS' COMPENSATION DECLARATION rl sure,as c6r That haver certificate of consent to =elf APPLICATION- FOR BUILDING PERMIT insure,or a certifictite of Workers' Compensation Insurance, Ce9 certifCd copy thereof (Sec. 3800, Lab. C.) COUNTY Of LOS ANGELES BUILDING AND SAFETY Policy No. - Company BUILDING J F1 Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS 0 Certified copy is filed with the county building inspec- BUILDING 17 / �/ tion deportment. ADDRESS ) �yflD Du FF I S Date Applicant CITY fv L�jr/��-C C�// / ZIP LOCALITY r CERTIFICATE OF EXEMPTION FROM WORKERS' - NO.OF BtDGS. - NEAREST - - - COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. t (This section need not be completed if the permit is far one - - - ASSESSOR. hundred dollars ($100)or less.) TRACT BLOCK LOT NO. MAP BOOK - PAGE PARCEL TEL OWNER "I\-L'[, -/N NO.,2g -036 USE ZONE MAP ' I certify that in'the performance of the work for whit this .I NO. > permit is issued, I shall not employ any person in an, nner SPECIAL - - - - d so as to become subject to the War amp n o Laws. ADDRESS ✓� CONDITIONS V �_rJrry// CITY _ _ ZIP - -Date 12 ARCHITECT OR TEL. 'O NOTICE TO APPLICANT: If, after king this er ficate of DISTRICT, GROUP' TYPE I FIRE PRO ESSED BY _ _ ENGINEER NO. CONST. ZONE Exemption, you should become sub'ect to' the Workers' L./ //r�(/ P ' Compensation provisions of the Labor Code, you must forth- ADDRESS "I✓ 'r '`/ ,y with comply with such provisions or this,permit shall be -- '�. TEL [/'` <2 CC STATISTICAL CIASSIF�CATION APT. ONDO. g deemed revoked. - CONTRACTOR d.L NO. gM JJoty� /. LICENSED CONTRACTORS DECLARATION E�O C7. No.,Z G (a CLASS NO. //DWELL. UNITS_ I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS SEWER MAP - (commencing with Section 70DD)of Division 3 of the Business and ss LIC. - Professions Code,"and my license is in full force and effect. CITY C�0.[ [-V CLASS - BK - '- VALIDATION I _ SO. F NO.OF - NO. OF __CHECK License Number�� ��` Lic.Class 1� SIZE STORIES FAMILIES ONE I I ,/� VALUATION Contractor TQl.�•tA L A,- Date�'� DESCRIPTI NOF WORK L - NEW ❑ $ y ® it I am exempt under Sec. _ ALTER !J l/ , B.BP.C. for this reason REPAIR -❑ $ Date: USE CIF EXISTING BLDG. P DEMOI ❑ ' _ Signature - APPLICANT TEL. ` bG FINAL OWNER-BUILDER DECLARATION PRINT y}+ �y NO. J E_G DATE - I hereby affirm that I am exempt from the Contractor's License ADDRESS h� 1""Y +n FI Low for the following reason (Section 7031.5, Business and Professions Code): - PRE EN fAl :2 5 5 1 A I, as owner of the property, or my employees with BUILDINGADDRESS wages as their sole compensation,will do the work and # e e e e a the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). - MOVING -- -TEL. , ( e - 49.88 I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- e-e e 49.8 8 5 tion 7044, Business and Professions Code). ADDRESS REQUIREDCONSTRUCTION LENDING AGENCY SETT BACK YARD HWY - TOTAPSETBAROP tJNEF M WIDTH EXIST. - - 0 7,29-86 I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued fl❑ (Sec. 3097, Civ. C.). SIDE , P.I. - m Lender's Name " $ LDMA-Ref. R Lender's Address Permit Fee t W '.. I certify that I have read this application and state that the Issuance Fee V� - LDMA P/C B ^ above information is correct. I agree to comply with all County Investigation Fee- g ordinances and State laws rela g to building construction, .. .. - Total fee - - - •LDMA'Perm. If -and hereb authorize repr se __ves of this County to enter $ up a ave-men io d operty,for inspection purpose's. ' a , a t SEE REVERSE FOR EXPLANATORY LANGUAGE Signature f' ror Agent Date J