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HomeMy Public PortalAbout9047 EMPEROR AVE_Building__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT/OF "L'BLSC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1007210056 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS I ON FILE SQ FT STORIES TYPE J 9047 EMPEROR AV I ISTRUCTURE V-B SGAB CA 917752016 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 15382-011-012 I THOMAS PAGE 596 GRID H1 LOCALITY TEMPLE CITY, Cl TENANT (EXIST BLDG USE RESID USE ZONE R-1 JISSUED ON PROCESSED BY (EXIST OCC GRP 107/22/10 SR OWNER TEL NO IBLDGS NOW ON LOT VALUATION IFI AL DATE FINAL BY CODE J IMATHIAS BAUDER, GUO H LI (626) 363-3661- J 80 19047 EMPEROR AV ISGAB 917752016 I FEES PAID ID SCRIPT OF WORK I I I (ADD 1 WINDOW TO STORAGE RO M 1 I IFEE DESCRIPTION QUANTITY UOM AMOUNT I 1 (APPLICANT TEL NO I I I ISAME AS OWNER - JAA BLDG PERMIT ISSUANCE 27 80 I J JAB STATE GREEN BLDG FEE 80 00 VAL 1 00 ISPECIAL CONDITIONS I JAC STRONG MOTION RESID 80 00 VAL 0 50 J ID2 PERMIT W/O EN-HC 80 00 VAL 43 60 J TOTAL FEES 72 90 I J ICONTRACTOR TEL NO J IAPPROVALS DATE INSPECTOR SIGNATURE 1 ISAME AS OWNER - I I LIC NO ILOCATION AND SETBACKS 1 I I I ISOILS ENGINEER APPROVAL J 1 I JARCHITECT OR ENGINEER TEL NO 1 IFOUNDATION/TRENCH FORMS I I LIC NO J ISLAB/UNDER FLOOR I I I J I I J IRAISED FLOOR FRAMING J I I I IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP 1 JUNDERFLOOR INSULATION I J I 1153H265 3 OOI I 1 -1 IFLOOR SHEATHING J I I 1 INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS J I NO 21 I I I 1 IROOF SHEATHING I I I 1 SCHOOL WITHIN HAZARDOUS ISHEAR PANELS I I I JAIR QUALITY 1000 FEET MATERIALS J I I I 1 NO NO NO I IFRAME INSPECTION I J I J J IFIRE SPRINKLER HANGERS I z I I I I I J JINSULATION/WEATHER STRIPI I I I I JINTERIOR LATH/DRYWALL I J I I I I I JEXTERIOR LATH J I I I I I J IRATED FLOOR/CEIL ASSEM I J I I I I 1 J IRATED WALL ASSEMBLIES J I I J I I IRATED SHAFTS/OPENINGS J J I I I J I IT-BAR CEILINGS 1 J I I I J ILOT DRAINAGE I I I I I 1 IREPORT ID DPR261 ROUTE TO BS0508 1 I 1 I I I I I I 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 0709200027 PHONE (626) 285-0488 EXT ILEGAL ID I NO OF CONST I BUILDING ADDRESS ON FILE I SQ FT STORIES TYPE 9047 EMPEROR AV 1 ISTRUCTURE VN SGAB CA 917752016 (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET 15382-011-012 THOMAS PAGE 596 GRID H1 LOCALITY TEMPLE CITY, Cl ITENANT (EXIST BLDG USE RESID USE ZONE R-1 (ISSUED ON PROCESSED BY EXPIRES ON I IEXIST OCC GRP 109/20/07 SR 03/18/08 I 1OWNER TEL NO IBLDGS NOW ON IAT VALUATION (FINAL AT ,� BY CODE I ILI, GUO HUA (626) 363-3661- 1 1,940 1 / p I 19047 EMPEROR AV I I , V, - I ISGAB 917752016 FEES PAID ID SCRIPTION OF WORK I I (TEA- OFF AND REROOF GARAGE ONLY WITH COMPOSITION SHINGLES 1 I IFEE DESCRIPTION QUANTITY UOM AMOUNT I& RcPAIR TERMITE DAMAGE, REPLACE 1 WINDOW-AND DRYWALL REPAIRI 1APPLICANT TEL NO I I I ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27 75 1_ I I IAC STRONG MOTION RESID 1940 00 VAL 0 50 ISPECIAL CONDITIONS 1 I ID2 PERMIT W/O EN-HC 1940 00 VAL 82 20 I IFR INV WORK W/O PERMIT 257 00 DOL 257 00 I 1 1 TOTAL FEES 367 45 I ICONTRACTOR TEL NO 1 (APPROVALS DATE INSPECTOR SIGNATURE ISAME AS OWNER - I I I I LIC NO 1 ILOCCTION AND SETBACKS ISOILS ENGINEER APPROVAL I I I (ARCHITECT OR ENGINEER TEL NO 1 IFOTQDATION/TRENCH FORMS I I I I LIC NO 1 1SLAB/UNDER FLOOR I I I IRAISED FLOOR FRAMING I I I IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP 1 1UNDERFLOOR INSULATION I 1 I 1153H265 3 OLI I I I I I I IFLOOR SHEATHING 1 1 I INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I I I I I 1 NO 21 1 IROOF SHEATHING I 1 1 SCHOOL WITHIN HAZARDOUS ISHE7-R PANELS I I (AIR QUALITY 1000 FEET MATERIALS I I I I NO NO NO (FRAME INSPECTION I I IREQUIRED TOTAL SETBACK FROM EXIST I IFIRE SPRINKLER HANGERS 1 I ISET BACK YARD HWY PROP LINE WIDTH I I I I I IFRONT PL- I 11NSULATION/WEATHER STRIPI I I SIDE PL- —1 (INTERIOR LATH/DRYWALL I I I I I I I I I (EXTERIOR LATH 1 I I IRV= FLOOR/CEIL ASSEM I I I I I IRATED WALL ASSEMBLIES I I I I IRATED SHAFTS/OPENINGS I I I I IT-BAR CEILINGS I I I ILOT DRAINAGE I I I IREPORT ID DPR261 ROUTE TO BS0508 I I I • + COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT , DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP + BUILDING AND SAFETY / LA►D DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0910130028 PHONE (626) 285-0488 EXT 1, LEGAL ID I NO OF CONST NEW I BUILDING ADDRESS I j ON FILE I SQ FT STORIES TYPE OCCUR GROUP] 9047 EMPEROR AV I ! ]STRUCTURE 88 1 V-B R3 I SGAB CA 917752016 �\ I (ASSESSOR INFORMATION NUMBER I GARAGE I NEAREST CROSS STREET ROSEMEAD 15382-011-012 -i OTHER 362 1 V-B R3 ! THOMAS PAGE 596 GRID H1 LOCALITY TEMPLE CITY, Cl ]TENANT IEXIST BLDG USE USE ZONE ]ISSUED ON PROCESSED BY 1 ]EXIST OCC GRP 110/21/09 SR (OWNER TEL NO IBLDGS NOW ON LOT VALUATION JFIpljL DATE FINAL Y CODE i IBAUDLER, MATTHIAS (818) 234-2589- 1 47,000 1 I 19047 EMPEROR AV I ISGAB 917752016 FEES PAID ]DESCRIPTION OF WORK 1 I 1 ]ADD 88 S F TO CONVERT EXISTING ROOM TO 2 BEDROOMS, BATHROOM] I ]FEE DESCRIPTION QUANTITY UOM AMOUNT (REMODEL KITCHEN 362 S F REROOF EXISTING CONCRETE TILE, 1 (APPLICANT TEL NO I I IBAUDLER (626) 863-2531- IBl PLANCHECK W/ENERGY 47000 00 VAL 709 24 1 1 IAA BLDG PERMIT ISSUANCE 27 75 ]SPECIAL CONDITIONS I 1 IAB STATE GREEN BLDG FEE 47000 00 VAL 2 00 IAC STRONG MOTION RESID 47000 00 VAL 4 70 I 'vij 1 I B2 PERMIT W/ENERGY 47000 00 VAL 834 41 ]CONTRACTOR TEL NO IFR INV WORK W/O PERMIT 257 00 DOL 257 00 ]APPROVALS DATE INSPECTOR SIGNATURE 41 IBAUDLER, MATTHIAS (818) 234-2589 1 TOTAL FEES 1,835 10 1 I IGUO HUA LI LIC NO I 1LOC?TION AND SETBACKS I 19047 EMPEROR AVENUE NONE ISAN GABRIEL, CA 91775 1 (SOILS ENGINEER APPROVAL I i (ARCHITECT OR ENGINEER TEL NO I (FOUNDATION/TRENCH FORMS I I 1 (ERIC ENGINEERS (310) 689-9939- 1305 N BROADWAY #3 LIC NO 1 (SLAB/UNDER FLOOR 1 I I IREDONDO BEACH, CA 90277 C70392 1 I I �/ I I IRAISLD FLOOR FRAMING 1 IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CM j _ (UNDERFLOOR INSULATION I I I 3 00 ^ _ 1 I iP' 11ST i,EVEL FLOOR SHEATH 1 I INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS 1 NO 21 I ' t�l2ND LEVEL FLOOR SHEATH I I 1 1 SCHOOL WITHIN HAZARDOUS 1 4� � (ROOF SHEATHING I (AIR QUALITY 1000 FEET MATERIALS I 1-- 1 �$81 NO NO NO I (FIRE DEPT FRAME INSPECTI I I I IREQUIRED TOTAL SETBACK FROM EXIST I (BLDG DEPT FRAME INSPECTII I I SET BACK YARD HWY PROP LINE WIDTH I JI- IFRONT PL- I (SHEAR PANELS I SIDE PL- (INSULATION/WEATHER STRIP ' I ANTERIOR LATH/DRYWALL I 1 EXTERIOR LATH I LOT DRAINAGE I I I I I 1 1SMOKE DETECTION DEVICES I I (FIRE DEPARTMENT APPROVAL! 1 * ADDITIONAL DATA ON FILE 1 (REPORT ID DPR261 ROUTE TO BS0508 I I ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAMD DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0912230030 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST NEW BUILDING ADDRESS J ON FILE SQ FT STORIES TYPE OCCUP GROUP 9047 EMPEROR AV I STRUCTURE 191 1 V-B R-3 I SGAB CA 917752016 (ASSESSOR INFORMATION NUMBER GARAGE NEAREST CROSS STREET ROSEMEAD 15382-011-012 OTHER THOMAS PAGE 596 GRID H1 LOCALITY TEMPLE CITY, Cl TENANT JEXIST BLDG USE USE ZONE JISSUED ON PROCESSED BY J EXIST OCC GRP 101/06/10 SR OWNER TEL NO JBLDGS NOW ON LOT VALUATION IkIiqAL DATE FIN Y CODE J 1BAUDLER, MATTHIAS (626) 451-6897- 1 28,310 1 19047 EMPEROR AV JSGAB 917752016 FEES PAID IDE CR�OF WORK (REVISED FLOOR PLAN TO ADD 2 BEDRMS, 2 BATHRMS, CLOSETS _(FEE DESCRIPTION QUANTITY UOM AMOUNT 1191 S F TOTAL 4 BEDROOMS & 4 BATHROOMS FOR ENTIRE HOUSE APPLICANT TEL NO IBAUDLER (626) 863-2531- IB1 PLANCHECK W/ENERGY 39965 00 VAL 623 82 1 IAA BLDG PERMIT ISSUANCE 27 75 ISPECIAL CONDITIONS I JAB STATE GREEN BLDG FEE 28310 00 VAL 2 00 I I IAC STRONG MOTION RESID 28310 00 VAL 2 83 I I JB2 PERMIT W/ENERGY 28310 00 VAL 576 02 I I ICONTRACTOR TEL NO I TOTAL FEES 1,232 42 JAPPROVALS DATE INSPECTOR SIGNATURE I JBAUDLER, MATTHIAS (818) 234-2599- J 1 IGUO HUA LI LIC NO I ILOCATION AND SETBACKS 19047 EMPEROR AVENUE NONE I I ISAN GABRIEL, CA 91775 I ISOILS ENGINEER APPROVAL J JARCHITECT OR ENGINEER TEL NO I IFOUNDATION/TRENCH FORMS },IBJ (�{�I JERIC ENGINEERS (310) 689-9939- J 1__ 1/�I 1 1305 N BROADWAY #3 LIC NO I JSLAB/UNDER FLOOR ^/ I I IREDONDO BEACH, CA 90277 C70392 I I 1 I I I 1RAISED FLOOR FRAMING T I IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP 1 JUNDERFLOOR INSULATION I I I 1 3 001 1 I I I I I1S^- LEVEL FLOOR SHEATH 1 1 JNO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS I I_ I 1 NO 21 1 121D LEVEL FLOOR SHEATH I I I I I I SCHOOL WITHIN HAZARDOUS I IROOF SHEATHING I JAIR QUALITY 1000 FEET MATERIALS I I 1 1 NO NO NO J IFIRE DEPT FRAME DEPT FRAME INSPECTI i I IREQUIRED TOTAL SETBACK FROM EXIST I JBLDG DEPT FRAME INSPECT( I I JSET BACK YARD HWY PROP LINE WIDTH I I JFRONT PL- I JSHEAR PANELS I I SIDE PL- I I !!!�T I i JINSULATION/WEATHER STRIP 9 I L /�/ ��I I J JINTERIOR LATH/DRYWALL U �"1� 1 1 1EXTERIOR LATH I I 1 JLOT DRAINAGE I I 1 JSMOKE DETECTION DEVICES I 1 I IFIRE DEPARTMENT APPROVALI I I I I I_ 1-1 I 1 IREPORT ID DPR261 ROUTE TO BS0508 1 1 I I I I I I 76ASBOA CIE#BOB 0-e8 APPLICATION FOR BUILDING PERMI I 1 COUNTY OF LOS ANGELES BUILDING .DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE,COUNTY ENGINEER NEAREST CASSATT D GRIFFIN,SUPT OF BUILDING CROSS ST DISTRICT NO GhOIUP TYPE P CESSED BY FOR APPLICANT TO FILL IN I CONST I ADDRESSE 10 �� STATISTICAL CLASSIFICATION I SE ER MAP 6` BK PG J .s. CLASS NO DWELL UNITS BLOCK yy + 013+8r 1/ � g /�/� NUMBER OG�-� HWYE YES TRACT 4 mkf U ZONE SPECIAL NO OF SLDGS /r CONDITIONS SIZE OF LOT I NOW ON LOT USE OF J a I D �� `� �' -- BUILDINGEXIST - - + �g SETBACK YARD HWY STREET NAME WIDTH MAI' ! e FRONT J� MAIL P L ADDRESS l k SIDE je $ TEL ,/. e P L CITY No I - INSPECTION RECORD ARCHITECT OR - TEL ENGINEER NO ADDRESSTEL Z�'—Z i�t] %P/ I'/� 2-,X & CONTRACTOR NO DESCRIPTION OF WORK rP A MA'X 1 — / ,0/T i n/;rlyI f NEW DO ALTER REPAIR DEMOLISH SQ FT NO OF NO OF SIZE STORIES FAMILIES USE OF STRUCTURE o � a SIGNATURE OF - APPROVALS APPLICANT DATE INSPECTOR S SIGNATURE ADDRESS FOORMSTMATER LOCATION P C. $ r - FRAME FIRE STOPS. - /CT v FEE BRACING, BOLTS VALUATION $ FURNACE LOCATION. FEE GAS VENT,DUCTS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT PLICATION AND STATE THAT THE ABOVE IS CORRECT AND — AGREE TO COMPLY WITH ALL COUNTY ORDI AN_IES A D STATE LAWS RE LATIN6 B� 1 STRUCT LATH,EXT J I SIGNATURE F HOUSE NUMBER COR- 4 OR- PERMITT i —RECT AND POSTED ADDRESS FINAL r , CLYDE N DIRLAM PRINCIPAL STRUCTURAL EN R PLAN CFISCS VALIDATION CK mo CASH PERMIT VALIDATION CK M O CASH ('eta .1 11 9 2 8 1 A 5-.00 rr 0B;< 11-4a :,:.X GXTS APPLICATION FOR FEd'MIT DEPARTMENT OF BUILDING AND SAFETY '60.4��� COUNTY OF LOS ANGELES WM J FOX, CHIEF ENGINEER NO OFy � c BLDG y ORD NO DISTRI O PLAN CK NO �JPERMIT NO PLAN S.f' SETBACK LINE / 7�Z7� FIRE �\ � APPROVED ZONE BY I DATE1991= BY DATE APAL DATE SSUED USE APPROVED // 7� // /_Q� L ZONE BY DATE ! e� APPLICANT FILL IN HEAVILY 6UTLINEb PORTION ONLY E BUILDING 3� O NAME ADDRESS wz LOCALITYy1 Z ADDRESS NEAREST U W CITY CROSS S < STATE LICENSE NO NO NAME MAIL�/ I�`� ENAME - ADDRESS 2, - V - - - O v TEL n R t ADDESS CITY r � NO C F 2 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS O CITY APPLICATION AND STATE THAT THE ABOVE IS CORRECT U STATE TEL AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES 1(7vLICENSE NO / NO / AND STATE LAWS REGULATING BUILDING CONSTRUCTION Z / 81ZE OR LOT SIGNATURE OQOWNER OF < IL NO OF BLDGS AUTHORIZED AG T J BLOCK NOW ON LO -' " STRACT ��pQ � D 2 I CORRECTIONS 1.1j USE OF 131-06 '�. O NOW ON LOT 8 DESCRIPTION OF WORK USE OF � BUILDING \yv LCL L�=!-�_ �L 4.40 /1 I ' . o�` R '� ani i A ...eoc a r e .\ This construct,on mc.v be , �notrr ," I o /, \ , Wur Produc l',on Board ordc rs You are ; t �� / 1 (t ,� 1��'��' ,� k'U'A'lulltt Lo GOrisu"L wi"n your Local Var 1'a / �— U 1 z �( ming ehe wort. Quth�rizedVin this u. , , , / dn h \ D NEW 'T �d TYPE GROUP Y i �� 1� r NO.OF I NO' OF ALTERATION ROOMSFAMILIES _ ADDITION SIZE 3"" ""A REPAIR STORIES 1 _ MOVING WALL COVERING DEMOLISH ROOF COVERING •" �O� ��h��� s JZ/ P.C.!6 FINAL APPR SVAL Fes IN£aPECTOR�� 'VALUATION FEE DATE 7/ NAME ®/ v DB-3 25M SETS o-44 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES BUILDINGWM. J. FOX, CHIEF ENGINEER NO. OF BLDG. ORD.NO. DISTRICT NO. PLAN CK. NO. PERMIT NO. PLANS SETBACK LINE ) FIRE APPROVED ZONE BY DATE _ RECEIVED BY I DATE OF APPL. DATE ISSUED USE APPROVED ZONE BY DATE 1 APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY it BUILDING O 173 y a- iii Ir NAME ADDRESS F W W Z ADDRESS LOCALITY ~ J = O NEAREST / • ape U W CITY CROSS ST. K Q STATE TEL. LICENSE NO. NO. E NAME W z MAIL w NAME 3 ADDRESS 0 p - F TEL. U Q ADDRESS 'tZITY NO. F- 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS Z CITY O APPLICATION AND STATE THAT THE ABOVE IS CORRECT - U STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE Nn. NO. AND STATE LAWS REGULATING BUILDING CONSTRUCTION. Z LOT NO. SIZE OF LOT SIGNATURE OF p OWNER ! JF- NO. OF BLDGS. Qp. BLOCK NOW ON LOT AUTHORIZED AGT. D� J0 TRACT CORRECTIONS W D USE OF BLDGS. NOW ON LOT DESCRIPTION OF WORK E USE OF BUILDING 0 A - 0 Z D r NEW TYPE ,. GROUP NO. OF NO. OF ALTERATION _ ROOMS FAMILIES ADDITION SIZE ? 2_q _ REPAIR STORIES MOVING WALL COVERING l� DEMOLISH ROOF COVERING ' P. C.; FINAL APPROVAL FEE: INSPECTOR'S S � INSPECTOR'S VALUATION FEE DATE cd NAME DIVISION OF BUILDING AND SAFETY I Department of County Engineer County of Los Angeles WM. J. FOX, COUNTY ENGINEER APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT N0. PLAN Cr- DR Rea No PER NO. BUILDING1 9 3 leg ADDRESS RECEIVEDOYJ DATE DF APPL DATE ISSUED LOCALITY PCEAR COT ROSS ST. C' Ina BUILDING .fir OWNER ) 5 5 � % �. ADDRESS MAIL T Ji LOCALITY C� E ADDRESS — -Ave" I NZAREBT ' I GROSS ST. '��] CITY Q' NO. i FIRE NO.OF TYPE GROUP ARCHITECT OR TEL ZONE PLANS V i ENGINEER NO. BLDG. ORD NO. SETBACK LINE "yo ADDRESS USE APPROVED TEL ZONE BY DATE CONTRACTOR NO. HOUSE NUMBERING AODRESB Emmarar A G' MAP NUMBER 0 ASS113NEO BY LEGAL DESCRIPTION LOT tN/M BLOCK ; CORRECTIONS TRACT ,,,Ja SIZE OF LOT 510 I NOW O LOT / 7? i �7''� EUSEOF XISTING BLDGLia FA.OF 44, � 6 0 DESCRIPTION OF WORD1p e6 NEW ALTERATION ADDITION D r REPAIR DEMOLITION SO.FT. N O.OF SIZE / 12 6 ROOMS - BTcJmIES EXT WALL Ocw COVERING (, /Q :5 -5 I COVERING USE OF RU T RE i LIP INSPECTION FOR APPROVALS OCCUPANCY AS INBPECTOR'SSIGNATURE DATE i FQtINDATI LOCATION O FRME, MAA TERIALS Gjl/ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AIM- PLICATION AND STATE THAT THE IN GIVEN ISFRAME: FIRE STOPS, CORRECT BRACING,SOLTS 1 I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES : LOCATION, v AND STATE LAWS REGULATING BUILDING CONSTRUCTION' FURNACE:GAS DUCTS SIGNATURE O LATH, INT PERMITTEE LATH, EXT. ADDRESS PLASTER, INT. AUTHORIZED AGT. PLASTER, EXT. FEE i HOUSE NUMBER COR- RECT AND POSTED VALUATION FEES FINAL 76A639A DBS 3 1-52 ` ` V 76A638ACE#8033-66 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING ADDRESS DEPARTMENT OF COUNTY ENGINEER �G�G/ BUILDING AND SAFETY DIVISION LOCALITY ae JOHN A LAMBIE COUNTY ENGINEER NEAREST COLEMAN W JENKINS SUP T OF BUILDING CROSS ST _ DIST��.c T Ngo, G7 TYPE -PROCESSED BY , FOR APPLICANT TO FILL IN .�.1L) GG CONST 1 BUILDING STATISTICAL` SSIFICATION SEWER MAP ADDRESS , i BK PG CLASS NO DWELL UNITS LOT NO �� d� J BLOCK USE ZONE MAPNo TRACT 1.'(�IViC/ fGdQr �Z� SPECIAL [/ NO OF BLDOS CONDITION SIZE OF LOT NOW ON LOT r USE OF BLDG SETBACK FROM ,�j� •_ TE FRONT PROP LINE OF _v (STREET) OWNER TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL ADDREiS HIGHWAY "QM C 60 + 2e = 2d CITY BLDG SETBACK FROM _ ARCHITECT OR TEL SIDE PROP LINE OF (STREET) ENGINEER NO TYPE OF EXISTING SETBACK HIGHWAY + YARD -- TOTAL ADDRESS HIGHWAY WIDTH FROM C L I CONTRACT _ OLv�- ADDRES C CORNER CUTOFF YES NO E a O Y LIQ CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK t LL NEW ALTER REPAIR DEMOLISH j cr Z SQ FT NO OF NO OF C� SIZE STORIES FAMILIES nm J UR SIGNATURE OF APPLICANT VALUATION$ ��® � .00 APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATION, LOCATION FEE$ FEE$ /,70 FORMS, MATERIALS FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION",, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS 9UILDI NG CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL'NOT EMPLOY A ERSON IN VIOLA LATH INT TION OF THE LABOR CODC OF T STATE LIFORNIA RELAT ING TO WORKMEN S C ENS T N INSU C LATH EXT /f �, SIGNATURE OF HOUSE NUMBER COR- PE4tMITTEE RE AND POSTED ADDRES 4 I NAL PLAN CHECK VALIDATION CK MO CASH _ JOHN F LEWIS PRINCIPAL ST AL ENGINEER MIT PERVALIDATION CK M O CASH 3 1 5-0 JUN 2'7 1 D 172- 5- &5 7.25-&5 G 1p :rDEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT I COUNTY OF LOS ANGELES -� 6 �g45 DI 1 WM. J. FOX, CHIEF ENGINEER QC BUILDING V NO OF ��� BLDG ORD NO DISTRICT NO PLAN CK NO. PERMIT NO. PLANS SETBACK LINE FIRE i APPROVED V Q •i1�fD ZONE "� BY DATE RECEI..Vw BY DATE OF APPPPL DATE'CSSJU 0 USE _/ APPROVED �®"g.I ZONE BY DATE pI APPLICANT FILL IN HEAVILY OUTLINED/? PORTIION ONLY 0 It NAME D /y/�:.fJ9tT��t T � h ADDRESS/n / /+ O/1�r]F� . AV' /� Z ADDRESS j] p - J�Aj\^ /I, LOCALITY 1 U W CITY } �„ 1 11 NEAREST CROSS ST A/wQ(iert,. a �Q STATE ,. TEL �l LICENSE NO - -NO E NAME W - Z MAIL 0 NAME 3 ADDREVS HO p. a ADDRESS CI �i&/ A;," ? NOL,! J^ ir ~ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS V CITY i APPLICATION AND STATE THAT THE ABOVE IS CORRECT STATE TEL AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSEE/NO ss NO J ( j AND STATE LAWS REGULATING BUILDING CONSTRUCTION O LOT N.'?,( SIZE OF LOT � %yJ ✓� SI OF JF, NO OF BLDGS OWNER /� Q &IT & d BLOCK �/ /��• p^� NOW ON LOT �y� AUTHORIZED AGT✓ ! ���"++��� J m TRACT �j�/� t)'A D f �� + , CORRECTIONS D USE OF BLDGSs NOW ON LOT �IF'S Aw rim DESCRIPTION OF WORK e �' USE OF BU LD NG o"l.- ../S�/Tla /I / /I//�Z'1.�// g"6a - L! I � l O p �,`�,��ii�(� < D NEW TYPEGROUP NO OF NO OF / f ALTERATION ROOMS f�Ca FAMILIgisrA a ADDITION SIZEy(� JI ✓�'����.i� REPAIR STORIES MOVING WALL COVERING /� �4� •�"�'� ;mop nEMOLISH ROOM COVERING `�. $ PC Sv m� FINAL APPROVAL FEE y�� $ aQ INSPECTOR'S NAME VALUATION _ �pFEE DATE i `� WORKERS' COMPENSATION DECLARATION (/1/ �' �1 U ✓�' C- L� ��3I f _ +nsrure, or ace" Tt cate rof Workers' Comtpensat on Insuran elf k APPLICATION FOR ,BUILD N G- PERMIT or a certified copy thereof (Sec 3800a )� ; ' COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No �3� mpany Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS (/ Certified copy is filed with the county building inspec- BUILDING (� C��, V� tion dep&rtment' ADDRESS l Date' —1 Applicant CITYZIP} " i LOCALITY Y ' " ^` NO OF BLDGS`,, NEAREST+ CERTIFICATE OF EXEMPTION FROM WORKERS' _ SIZE OF LOT `� NOW ON LOT CROSSyST V ' COMPENSATION'INSURANCE ', hThis section need not be completed if the permit is for one ASSESSOR undred dollars ($100)or less ) p TRACT - BLOCK LOT NO "` mf MAP BOOK PAGE PARCEL ' • TEL, ' USE Z NE MAP n I certify that'in the'6erformance of the work'for which this y OwNERr � � W NO NO permit,s issued, I shall+not employ any person in any manner * / SPECIAL +< ADDRESS CONDITIONS so as to become'sublect to`the Wbrkers'Compensation Laws O t CITY - ZIP , Date Applicant ARCHITECT OR TEL f NOTICE TO APPLICANT If, after making this Certificate of r DISTRICT GROUP TYPE FIRE PROCESSED BY O ( Exemption, you should become subject to the Workers' ENGINEER NO CONST I ZONE U 17�l Compensation provisions=of the Labor Code, you must forth- gDDRE55 a. - �1with comply �, py with h ` this permit be such provisions oris permisl -TEL• `�/ STATISTICAL CLASSIFICATION A CONDO U) f( deemed revoked CONTRACTOR -ckC-0 NO ��0� n ' Z LICENSED CONTRACTORS DECLARATION; LIC CLASS NO ___211, DWELL UNITS I hereby affirm that I am licensed `under provisions of Chapter 9 ADDRESS �5 �� NO 4 (commenting with Section 7000)of'Division 3 of the Business and LIC SEWER MAP Professions Code, and my (cense is in full force and effect CITY CLASS BK VALIDATION SQ FT NO OF NO OF CHECK PG License Number "L( LIc_Closs �J ,� SIZE STORIES` FAMILIES ONE _ ❑ VALUATION C Contractor Date — DESCRIPTION OF,WORK { NEW : 30oo " ❑ " a I am exempt under Sec ADD O ALTER fJ Noll. B&P C for this reason REPAIR s Date e� USE OF EXISTING BLDG !J DEMOL APPLICANT Signature TEL ' PRINT 0 NO FINAL OWNER-BUILDER DECLARATION DATE 4 hereby affirm that I am exempt from the Contractor' 8,4 Contractor's License cc Law for the following,reason (Section 7031 5, Business and ADDRESSt J, �� FIN `+ ;Professions Code) ", BY ❑ BUILDING I, as owner of the property, or my employees'with a" ADDRESS _� _ _ pf o I'S 9 5- -wages as their sole compensation,will do the work and _ LOCALITY ' the structure ,s not intended or offered for.sale'(Secton 7044;Business and Professions Code) MOVING TEL t 1 L ^ k CONTRACTOR NO I, as owner,of the property, am exclusively contracting with licensed contractors to construct the project (Seco ADDRESS ` A tion 7044, Business and Professions Code) i REQUIRED TOTAL SETBA CONSTRUCTION LENDING AGENCY i, SET BACK YARD r' HWY PROP LINE+`- WIDTH ' I hereby affirm that there is a construction lending agency for _ FRONT 1 the performance of the work for which this permit is issued P L (Sec 3097, Civ C ) SIDE Lender's Name P1 L ` �n LDMA Ref # m . P C Fee$ + Permit Fee Lender's Address I certify-that I have read this application and state that the Issuance Fee LOMA P C'# "4 x above information is correct I agree to comply with all County Investigation Fee S ordinances and State laws relatinto buildin construction, + ' g.unty to enter Total Fee LDMA Perm'# g w J and hereby authorize representatives of this Co " upon the menti ed property for inspection purposes °/� ^SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date r APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION_' FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self Insure, BUILDING ADDRESS or a certificate of Workers Compensation Insurance,or a certified 9047 E. Emperor Ave. CITY ZIP copy thereof S c 800,Lab C) 1 �+6 40 State Fund Temple Cit 91775 LOCALITY Policy No Company SIZE OF LOT NO OF BLDGS NOW ON LOT ❑ Certified copy Is hereby furnished NEAREST CROSS S ® Certified copy Is filed with the county building Inspection TRACT BLOCK LOT NO department USE ZONE MAP NO Datel 1-1-94 Applicant Randol Roofing ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO COMPENSATION INSURANCE James' Whi le 287-2935 WITHIN 1000 FT OF SCHOOL? ves No This section need not' completed com leted If the permit Is for,one hundred ADDRESS ( 9047 E. Emperor Ave. DISTRICT GROUP T T FIRE ZONE PROCESSED BY dollars($100)or less) ' CITY ZIP _ I certify that In the performance of the work for which this permit Temple City91775 3�OO eve IS issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER - TEL NO become subject to the Workers'Compensation Laws STATISTICAL CLA/SJ$IF�ICATION APT CONDO Date 3-9-94 Applicant Randol Roofing ADDRESS CLASS NO y`I_ DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers CONTRACTOR- TEL NO ,SET BACK YARD-- HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith Randol Roofing 288-4040 FRONT comply with such provisions or this permit shall be deemed revoked ADDRESS LIC NO PL LICENSED CONTRACTORS DECLARATION 529 E. Valle Blvd SIDE I hereby affirm that I am licensed underprovisions of Chapter g CI3L6 C ri Gabriel P L SEWER MAP }' (commencing with Section 7000)of Division 3 of the Business and SO FT SIZE NO OF STORIES NO OF FAMILIES IL NEW El 'BK PG Professions Code,and my license Is In full force and effect , O License Number 451937 LIC Class C-39 DESCRIPTION JF WORK pp VALUATION V Re-roo with fiberglas shingl sP: E] ContractorRandol Roofing Date 1-31-96 ALTER ❑ $, 2,770.00 01: O ❑ 1 am exempt under Sec REPAIR ER $ F- U B&PC for this reason DEMOL ElLDMA P/C# W a Date USE OF EXISTING BDGURM ❑ N SFD i Z Signature - APPLICANT(PRINT) TEL NO LDMA Perm# Roofing g ❑ I, as owner of the property, or my employees with wages as Randol Roo288-4040 z AC � their sole compensation, well do the work and the structure Is ADDRESS 2 ty j°_`1 not Intended or offered for sale (Section 7044, Business and FINAL DATE Q Professions Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL i 1 ITE OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE J ❑ 1, as owner Of the property, am exclusively contracting 44, AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDES Q 5 licensed contractors to construct the project (Section 7044, ��yy FINAL BY > �i I��I :12 :1 � ,,� _a YES❑ NO t2fl Business and Professions Code) :H£f t WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMITrFOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKUST FOR LH,;NrSE °i_J_t GUIDEUNES I hereby affirm that there Is a construction lending agency for YES❑ NO E� the performance of the work for which this permit Is issued(Sec I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING �I}}� 15/01t3097,CIV C) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE N TITLE 2 CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS 3 Lenders Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD 4 5,,T o Lenders Address OKNER OR AGE- 0 o I certify that I have read this application and state under penalty O of perjury that the above information IS correct I agree to comply PC FEE PERMIT FEE N with all county ordinances and State laws relating to building 94.95 < constr ction nd reby autho ze resentatives of this County ISSUANCE FEE to up t ove-menti ed perty for Inspection pur os s 26.40 INVESTIGATION FEE TOTAL FEE r r Iut>44plaffil«Men, 121 .35 SEE REVERSE FOR EXPLANATORY LANGUAGE