HomeMy Public PortalAbout9118 DUFFY ST_Building__ 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 1208010006
PHONE: (626) 285-0488 EXT:
ILEGAL ID: NO. OF CONST BUILDING ADDRESS:
ITR: 16134 LT: 11 SQ. FT STORIES TYPE 9118 PUFFY ST
I ISTRUCTURE: 25 V-B I TEMP CA 919802448
(ASSESSOR INFORMATION NUMBER: _ NEAREST CROSS STREET:
15387-021-006 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl
I I I I
(TENANT: IEXIST BLDG USE: RESID USE ZONE: R-l ' ISSUED ON: PROCESSED BY:
IEXIST OCC GRP: 108/01/12 SR
OWNER: TEL. N0: IHLOGS. NOW ON LOT: VALUATION IFINAL DATE F BY: CODE: I
IBARRAGAN RUDY E (626) 437-0073- 1 9,000
15575 NOEL DR.
ITEMP 917802448 1 FEES PAID IDESCRIPTION OF WORK
I I (TEAR OFF EXISTING ROOFING INSTALL 1/2" PLYWOOD a 30 YR
I IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ICLASS "A" COMP
(APPLICANT: TEL. NO: I
ITOP NOTCH ROOFING (626) 533-3070- AA BLDG PERMIT ISSUANCE 27.80 1
11615 SO. MAYFLOWER 1AR STATE GREEN BLDG FEE 9000.00 VAL 1.00 SPECIAL CONDITIONS:
IMONROVIA, CA IAC STRONG MOTION RESID 9000.00 VAL 0.90
1 ID2 PERMIT W/O EN-HC 9000.00 VAL 199.80 ^
1 TOTAL FEES 229.50
CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1 ,
ITOP NOTCH ROOFING (626) 533-3070- I 1-
11615 S MAYFLOWER LIC. NO I 1LOCATION AND SETBACKS I
MONROVIA CA 91016 653825-C39
ISOILS ENGINEER APPROVAL
I I I
(ARCHITECT OR ENGINEER: TEL. N0: 1 .1FOUNOATION/TRENCH FORMS I I I
I
1 LIC. NO: 1 5LAB/UNDER FLOOR I I I
I I
RAISED FLOOR FRAMING I I I
i
1MAP N0: SEWER NAP BOOK: PAGE: FIRE ZONE: CMP: 1 UNDERFLOOR INSULATION I I I
1147H265 3 001 1
I I IFLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: Iq-�—
0 NO 21 (ROOF SHEATHING fA/\/ L11
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
1AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
I I (FIRE SPRINKLER HANGERS I I I
I I
. 1NSU44TION/WEATHER STRIP(
I I
INTERIOR LATH/DRYWALL I
I
I EXTERIOR LATH I
I
I I (RATED FLooR/cell Assem. I I I
I
I I IRATED WALL AssePmLles
I I (RATED SHAFTS/OPENINGS I I I
I I IT-BAR CEILINGS I I I
ADDITIONAL DATA ON FILE I
-- LOT DRAINAGE
IREPORT ID: DPR261 ROUTE TO: BS0508 I
'bEPARTMENT OF BUILDING AND SAFETY rm Fl � 0 L O U 'N G
.COUNTY OF LOS ANGELES SIJ del
WM. J. FOX, CHIEF ENGINEER APPLICATION. . _
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DIST R N0. PLAN Cc. oR R..:No: ^ PERMIT O-
BUILDING
S/ Y3 >F
(r
ADDRESS (� �l
RE IVED BY - DATE OF APPL. DATE ISSUED
LOCALITY r•f - y - .1 -9`0-
NET
EST J L /�
CROSS ST. BUILDING 51 /r UF/" `/ ('r
ADD RE96, T /- L.J
OWNER p L/
MAIL p /� NEARELOCALIST' T e -
ADDRESS [ O S� 66 `• NEAREST O 14 J
CROSS ST. �`�
TEL Y
CITU ' NO FIRE I NO.OF G P
ZONE PLANS i
ARCH ITECT OR TEL
ENGINEER � BLDG. i
/•� w NO.
ADDRESS / 1. J SETBACK LINE - • �� O
USE APPROVED
TEL ZONE BY ' DATE
CONTRACTOR &<n:vr o_s,%A NO. 1• HOUSE NUMBERING n/
ADDRESS MAP NUMBER ✓�/S0 ,NO. ASSIGNED BYL�
LEGAL
DESCRIPTION) LOT NO. J I BLOCK ' TJ CORRECTIONS
' '
TRACT !O{{ I 7(, C. E � SI� �O 04,4 '
SIZE OF LOT J%2 ��g1ftI NOW ON LOT S �� `��•,�./�V `/ /�/ /J /
USE OF NO. OF /07i6✓r ..'0�.� ��Y�'lJ?
EXISTIN BLDG. I FAMILIES
DESCRIPTION OF WORK °x
NEW ALTERATION ADDITION Z
D
r
REPAIR DEMOLITION
` Sq.FT. / �j NO. OF
SIZE / B �J ROOMS s STORIES /
EXT.WALL I RODE _ Q
COVERING COVERING
.=
LIBF/OF STRUCT�O RE
'CGD /�� �i�-a
L�R••j4 KBS n(LJ i V
INSPECTION FOR APPROVALS
CCCUPANCYAS INSPECTOR'S SIGNATURE DATE
FOUNDATION: LOCATION
FORMS, MATERIALS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- / / ///
PLICATION AND STATE THAT THE INFORMATION GIVEN 19 FRAME: OPS, - v /
CORRECT. BRACING. BOLTS BOLTS / e��a••• �
I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, �C 6/
AND STATE LA W
-SSRRE/PLATING BUILDING CONSTRUCTION. GAS VENT, DUCTS
SIGNATURE OF -/ LATH. INT.
PERMITTE /—A •—I� j//� �• ��ll'��
ADDRESS-9-0 9' L G• G•�O�&WLJ-e�9_ LATH, EXT.
T
PLASTER, INT.
AUTHORIZED AOT. -
$ PLASTER, EXT.
P C 9
O FEE 3 oro HOUSE NUMBER COR-
�- RECT AND POSTED
VALUATION FEE B U '-•- FINAL
76A63BA DBS 3 7-51
r
1:•
76A63.>CE 90B._., pLICATI.ON FOR BUILDING PERMIT ; �/ i•.
COUNTY OF'LOS ANGELES
- BUILDING /
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING'AND SAFETY:DIVISION COCALITY
p - .JOHN A. LAMBIE. COUNTY ENGINEER NEAREST ,
WILLIAM A.JENSEN• SUPT OF BUILDING ' 'CROSS ST
DISTRIC�NO G P TYPE OR D
'FOR APPLICANT TO FILL IN CONST. $� W
BUILDING STATISTICAL CL FICATION : SE ER MAP
ADDRESS ., 1 BK PG
CLASS. NO. DWELL, UNITS
LOT NO. BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE: Fj
TRACT HIG LEI
NO. OF BLOCS. . NO. / STATE MAJOR SECON LOCAL
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL'
USE OF - CONDITIONS'
EXISTING-BLDG.
TEL �.
OWNER NO. BUILDING YARD HWY BEET NAME
EXIST.
SETBACK. WIDTH
'-ADDRESS % _ :.FRONT 'T /^/
ARCHITECT OR TEL., �-'P. L. cz C A
ENGINEER NO: 1 SIDE
ADDRESS ,a - - A D- '
TEL. O
.CONTRACTOR NO. „ U
ADDRESS _
DESCRIPTION OF WORK O"
NEW• AD ALTER REPAIR DEMOLISH - N '
Z
SQ.-FT. ¢I. NO. OF NO. OF,. —
SIZE - 3 STORIES FAMILIES
USE.OF -
,a
STRUCTURE - _
SIGNATURE OF .
APPLICANT"'
VALUATION
APPROVALS //DATE') c INSPECTOR'5 SIGNATURE
FOUNDATION: LOCATION /7,f/
P.C. PMT, %�/ FORMS
,FEE-S - _ ! i FEE $ , MATERIALS
FRAME: FIRE STOPS. .- �•/ - �'
I HEREBY,ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS
AND STATE-THAT THE ABOVE IS CONRECT'AND AGREE TO COMPLY FURNACE: LOCATION. A
.WITH ALL.COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
BUILDING'CONSTRUCTION: 1 CERTIFY THAT IN DOING THE WORK.
4AUTHORIZED HEREBY WILL NOT EMPLOY ANY,PERSON IN VIOLA- LATH•'INT.
TION OF TME LABOR CODE OF THE STATE OF CALIFORNIA NELAT-
tNG TO WORKMEN'S COMPENS 10 INSU NCE. qTH. EXT.
SIGNATURE OF OUSE NUMBER COR
PERMITTEE .RUSE AND POSTED / . .
ADDRESS _ FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENG R
PLAN CHECK VALIDATION CK: M.G. 1 CASH; _ PERMIT VALIDATION C . M.G.0CASH
r #880513 BG
WORKERS' COMPENSATION DECLARATION "
I hereby affirm that I have a certificate of consent to self //(]�� O O ((/,a //(��� M FOR
L��( �FL��Lp�[�[p�-. O I��(�(��Bry/L�� [I
insure, or a certificate of Workers' Compensation Insurance, 4'l\PPLI�y!/- 790 V 11 OR ✓UMDO VG PEUOL1C 'T". IIIfIi
or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No.W0007146 Company Beaver Ins.
❑; Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING
ADDRESS
OCertified copy is filed with the county building inspec- BUILDING -- A -/
tion department. ADDRESS 9118 Duffy
Date 7-1-89 Applicant Virgin Roof Co. CITY Temple City zip 91780 LOCALITY ( 74
CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. _ NEAREST
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. -
(This section need not be completed if the permit is for one ASSESSOR
hundred dollars ($100)or less.) - TRACT BLOCK - LOT NO. MAP BOOK PAGE PARCEL
TEL,Whitehead NO
& Mrs. . LITEMAP }.
['certify Ihat in the performance of the work for which this OWNER' Mr. �I NO. d
permit is issued, I shall not employ any person in any manner ADDRESS 9118 Duffy St. - SPECIAL O
so as to become subject to the Workers'Compensation Laws. CONDITIONS C.1
Date Applicant CITY Temple Cit zip 91780 O
ARCHITECT OR TEL. F—
NOTICE TO APPLICANT: If, offer making this Certificate of Dtgi 4i GROUP TYPE FIRE PRO SED BY V
ENGINEER NO.
Exemption, you should become subject to the Workeri CONST I/ ZONE W
Compensation provisions of the Labor Code, you must forth-
ENGINEER
�� Lr a
with comply with such provisions or this'permit sholl be
deemed revoked TEL STATISTICAL CLAam1`FICATION APT. NDO.
CONTRACTOR Virin Roof Co. No. 287-0507 z
—
LICENSED CONTRACTORS DECLARATION - - LIC CLASS NO. DWELL. UNITS
-1 hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS P.O. BOX J NO. 160650 SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and LIC
Professions Code, and my license is in full force and effect. CITY San Gabriel - CLASS C39 BK VALIDATION
SO. FT. NO. Of NO. Of CHECK
License Number, 160650 tic:Class C3�9 - SIZE STORIES FAMILIES - ONE
Virgin Roof CO. DESCRIPTION OF WORK House and Garage: ❑ VALUATION
Contractor Date 6-30-89 NEW
❑ ADD E] S2658.00 am exempt under Sec. Over existing apply class A ❑ ,
ALTER
B.BP.C. for this reason fiberglass shingles. 271 s s REPAIR ❑ $
Date: USE OF DEMOL ❑
EXISTING BLDG. Dwelling
Signature APPLICANT TEL. - FINAL
PRINT Virgin Roof Co. No.287-0507
OWNER-BUILDER DECLARATION DATE
I hereby affirm that I am exempt from the Contractor's License - - —
Low for the following reason (Section 7031.5, Business and ADDRESS P.O. Box J San Gabriel 1778 FIN A
Professions Code): PRESENT .By. O 9.9.4
❑ I, as owner of the property, oBUILDING
r my employees with ADDRESS
wages as their sole compensation,will do the work and - - -
the structure is not intended or offered for sale(Section LOCALITY D - -
7044, Business and Professions Code), MOVING TEL � -
e e * 59.2560
❑ I, as owner of the property, Orn exclusively contracting CONTRACTOR NO.
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code). it 25`8 8 ,
REQUIRED TOTAL SETBACK
CONSTRUCTION LENDING AGENCY - SET BACK YARD HWY PROP. LINE WIDTH' -
I hereby affirm that there is a construction lending agency for FRONT O
the performance of the work for which this permit is issued P.I.
(Sec. 3097, Civ. C.). SIDE
P.I.
Lender's Name 248.75
'
m Lender's Address P.C. Fee$ Permit Fee
$ LDMA Ref. R
3
certify that I have read this application and stale that theIssuance Fee 10.50 LDMA P/C R
above information is correct. 1 agree to comply with all Count ,
9 pY Y Investigation Fee
ordinances and State laws relating to building construction, total Fee $59.25 LD - ,
and hereby authorize representatives of this County to enter r'/�P.Perm. R
_
upon the above-mentioned property for inspection purposes.
,5 10,21E-88 SEE REJSE FOR EXPLANATORY LANGUAGE
Si ramm of Applicant or Agent Dote
f