HomeMy Public PortalAbout9048 EMPEROR AVE_Building__ 76A638A CE#803 3-68 APPLICATION FOR BUILDIN PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESSa
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST. .
CROSS ST.
PENGINEER
OR APPLICANT TO FILL IN DISTRICT NO GR ITYPE CONST. S BY
(Print or type only) `5
NG STATISTICAL C,L _I'FICATION SE E MAP In
SS O - CLASS NO.��DWELL.UNITS BK PG
. LOCK USE ZONE MAP_ NO.
,� CONDIT ONSSPECIAL
NO.OF BLOGS.F LOT NOW ON LOT
NG BLDG. BLDG.SETBACK FROM
TEL. jFRONT PROP.LINE OF (STREET).
NO. �/�/ YPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
WIDTH FROM C.L.A +TECT OR TEL. SI DG.SETBLI OM (STREET)
SIDE PROP.LINE OEER NO. TYPE OF EXISTING SETBACK AY + YARD - = TOTAL
ADDRESS HIGHWAY WI-DTH FROM C.L.
70 p� /� CL.
Ic. �O �4
1,9 "A O CORNER CUTOFF YES ❑ NO v
CITY CEAss SEE REVERSE SIDE FOR SPECIAL APPROVALS oLIJ�
U
DESCRIPTION OF WORK
rn
z
NEW ADD ALTER REPAIR DEMOLISH
SQ. FT. NO. OF NO. OF
SIZE STORIES FAMILIES
USE OF t / /'
STRUCTURE
If s
SIGNATURE OF.. /
APPLICANT
VALUATION $
0 al APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. ! PMT. FOUNDATION: LOCATION
FEE $ &V FEE FORMS, MATERIALS
FRAME: FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION' BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. -
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. LATH, INT.
ING TO WORKMEN'S COMPENSATION INSURANCE. '
J LATH, EXT.
SIGNATURE OF / r V� y��' HOUSE NUMBER COR-
PERMITTEE- fJ �r RECT AND POSTED
ADDRESS - p FINAL
JOHN F. LEWIS. PRI CIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
G
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 1112120062
PHONE: (626) 285-0488 EXT:
ILEGAL ID: NO. OF CONST BUILDING ADDRESS: 1
ITR: 12504 LT: 11 SQ. FT STORIES TYPE 9048 EMPEROR AV 1
I (STRUCTURE: V-B SGAB CA 917752040
(ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 1
15382-019-006 THOMAS PAGE: 596 GRID: Hl LOCALITY: TEMPLE CITY, Cl
(TENANT: 1EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: 1
IEXIST OCC GRP: 112/12/11 SR
OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL Y: CODE:
ICHAING (626) 451-6229- 1 6,100 1 _
19048 EMPEROR AV I1�
ISGAB 917752040 FEES PAID IDESCRIPTION OF WORK 1
IRE-ROOF + REDECK WITH PLYWOOD 2100 WITH COMP SHINGLES + 300
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ISQFT. REROOF PATIO WITH TORCH DOWN AND DRY WALL REPAIR ON
JAPPLICANT: TEL. NO: I ICEILING 1
IRAZ GRINBAUM (818) 448-1355- IAA BLDG PERMIT ISSUANCE 27.80 1
14759 KESTER AVE. JAB STATE GREEN BLDG FEE 6100.00 VAL 1.00 ISPECIAL CONDITIONS: I
ISHERMAN OAKS 91403 IAC STRONG MOTION RESID 6100.00 VAL 0.60 1
ID2 PERMIT W/O EN-HC 6100.00 VAL 166.60
1 1 TOTAL FEES 196.00
ICONTRACTOR: TEL. NO: I JAPPROVALS D;A.TE INSPECTOR SIGNATURE I
1CLASSIC HOMES REMODELING (800) 243-8006-
1523 VENTURA BLVD. LIC. NO 1 1LOCATION AND SETBACKS I I
IWOODLAND HILLS, CA 91364 811536 B I I 1 I
ISOILS ENGINEER APPROVAL
1ARCHITECT OR ENGINEER: TEL. NO: I � IFOUNDATION/TRENCH FORMS I I1
I LIC. NO: �./�+ 1SLAB/UNDER FLOOR
I I I I I I
1RAISED FLOOR FRAMING 1 I 1
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 1 I ,,, JUNDERFLOOR INSULATION I I
1153H265 3 001 1 1-1
I I IFLOOR SHEATHING I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I
1 0 NO 21 1 1 IROOF SHEATHING
1 SCHOOL WITHIN HAZARDOUS 1 f ISHEAR PANELS I f I 1
JAIR QUALITY: 1000 FEET MATERIALS
1 NO NO NO IFRAME INSPECTION
I
I 1 s IFIRE SPRINKLER HANGERS I 1 1
) I I I
JINSULATION/WEATHER STRIPI
1 1 (INTERIOR LATH/DRYWALL 1 1
¢!gyp d I EXTERIOR LATH
tS b I 1 I
I 1 IRATED FLOOR/CEIL ASSEM. 1 1
I I I I I I
(RATED WALL ASSEMBLIES
I I IRATED SHAFTS/OPENINGS 1 1
I IT-BAR CEILINGS
I I ILOT DRAINAGE I
IREPORT ID: DPR261 ROUTE TO: BS0508
�I 1Ay-0 � ( 1
WORKERS' COMPENSATION DECLARATION
of consent to
insure, ora
affirm
certif carte of Workers' Comtpensation Insuran elf A P P L I C AT I O.N FOR. BUILDING PERMIT
or a certified copy thereof (Sec. 3800, Lob. C.)
COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. 1046140 Company S;LQre :p4 4:p4 BUILDING
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS
QCertified copy is filed with the county building inspec- BUILDING
tion department. ADDRESS 9048 Emperor
Date 11-1-88 ApplicantRapdp] RoOf1�� CITYZIP LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLD NEAREST
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOTT CROSS ST.
(This section need not be completed if the permit is for oneASSESSOR
hundred dollars.($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL
TEL. USE NE MAP
.I certify that in the performance of the work for which this OWNEREileen She NO. 2 a 7 18 50 NO.
permit is issued, I shall not employ any person in any manner Same as Above SPECIAL by
so as to become subject to the Workers'Compensation Laws. ADDRESS CONDITIONS 0
8-11-88 Randol Roofing CITY ZIP
U
Date Applicant � �.
ARCHITECT OR TEL. DISTRICT OUP TYPE FIRE PROCESSED BY
NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. 0
Exemption, you should become subject to the Workers' � c /yam CONST ZONE U
Compensation provisions of the Labor Code, you must forth- ADDRESS �f W
with comply with such provisions or this permit shall be N'
CONTRACTOR Randol Roofing N
deemed revoked. TEo.L. STATISTICAL CLASSIFICATION APT. CONDO.
Z
LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS
—
I .
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS529 E. Valley B1. NO.
(commencing with Section 7000)of Division 3 of the Business and LIC SEWER MAP
Professions Code, and my license is in full force and effect. CITY San Gabriel CLASS C-39 BK PGVALIDATION
SQ. FT. NO.OF NO. OF CHECK
License Number 4 519 Lic.Class �3� SIZE STORIES FAMILIES ONE
1:1 VALUATION
Contractor a 7! 7 a Date 1-31—89 DESCRIPTION OF WORK — NEW-
& garage with GENSTAR 240# ADD ❑ : 2390.00 ,
I am exempt under Sec. ❑
ALTER
B.BP.C. for this reason Shingles REPAIR ❑ ;
Date: USE OF DEMOL
EXISTING BLDG. ❑
APPLICANT TEL.
Signature PRINT NO. FINAL 0 4 4, 0 A
OWNER-BUILDER DECLARATION DATE
1 hereby affirm that I am exempt from the Contractor's License ADDRESS FIN o 0
Law for the following reason (Section 7031.5, Business and 9, O°ZS
Professions Code): PR By
BUILDING ° ° o49. 8 8
El I, as owner of the property, or 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 .1 1 6--88
7044, Business and Professions Code). MOVING TEL.
I, as owner of the property, am exclusively contracting CONTRACTOR NO.
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code).
FROM E
CONSTRUCTION LENDING AGENCY SETT BACKK YARD HWY TOTAL SETBACK
WIDTH
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.
(Sec. 3097, Civ. C.). SIDE
P.L.
Lender's Name
TDMA Ref. #
m P.C. Fee$ Permit Fee 3
Lender's Address loop,3 I certify that I have read this application and state that the 10.50
o y pp� - Issuance Fee TDMA P/C#
2 above information is correct. I agree to comply with all County Investigation Fee
0 ordinances and State laws relating to building construction, Total Fee 49.88 TDMA Perm. #
and hereby authorize representatives of this County to enter
< upon a entione erty for inspecpur os�
v SEE REVERSE FOR EXPLANATORY LANGUAGE
ignature of Applic6nt or Agent Date
�. COONTY OF LOS ANGELES TEMPLE CITY # 0508 . .� . BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS • RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0002170016
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
TR: 12504 LT: 11 SQ. FT STORIES TYPE OCCUP GROUP 9048 EMPEROR AV
STRUCTURE: 140 1 VN R3 SGAB CA 917752040
ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: ROSEMEAD
5382-019-006 OTHER: 250 1 THOMAS PAGE: 596 GRID: H1 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 02/18/00 VG 08/16/00
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL CODE:
CHAING, Al YEH (626) 445-6143- 13,800 ^n
9048 EMPEROR AV
SGAB 917752040 FEES PAID DESCRIPT N OF WORK
FAMILY ROOM EXTENTION, LAUNDRY A A AND NEW LATTICE COVERED
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: PATIO
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID13800.00 VAL 1.38 SPECIAL CONDITIONS:
AX BUILDING REV:I:E_W=FEE=_ 54.70
B2 PERMIT W/ENERGY-- X13800:00 VAL 312.18
GE LE�TOTAFEES 396.01
CONTRACTOR: TEL. NO: � ��� APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: A FOUNDATION/TRENCH FORMS
LIC. NO:Il SLAB/UNDER FLOOR
�l — 111111 - RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:= I' r�;] 1 �I UNDERFLOOR INSULATION
L����/ ST LEVEL FLOOR SHEATH
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:------ ---/---��—/--- ------
NO 21\� - `i - -- ND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS Ft ROOF SHEATHING
AIR QUALITY: 1000 FEET MATERIALS \ 0 NO NO NO NO FIRE DEPT. FRAME INSPECT
REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT
SET BACK YARD: HWY: PROP LINE: WIDTH.
FRONT PL- SSeb Wce SHEAR PANELS
SIDE PL
_ INSULATION/WEATHER STRIP
INTERIOR LATH/DRYWALL
EXTERIOR LATH 11"AF
LOT DRAINAGE
SMOKE DETECTION DEVICES
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS0508
EPAR
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