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Home My Public Portal About9053 EMPEROR AVE_Building__ kil- 7APPLICATION FOR.-BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING: DEPARTMENT OF COUNTY ENGINEER ADDRESS 905" mporer BUILDING AND SAFETY'DIVISION LOCALITY San Gabriel JOHN A. LAMBIE, COUNTY ENGINEER NEAREST- WILLIAM EAREST WILLIAM A. JENSEN, SUPT OF BUILDING - CROSS ST. DIST R T NO. GROU TYPE, �P,�ESSED Y FOR APPLICANT TO FILL IN �" CONST. !/JF-�j� BUILDING "+ - 'STATISTICAL CLASSIFICATION SEWER MAP ADDRESS C)� L'elI1T70rer .. 'BK G - �. CLASS. NO. � DW ELL'. UN ITS LOT NO. & r - r.l. 9C�K WATER - CERTIFICATE: NOT REQUIRED RECEIVED ❑ TRACT C- fl, tib(• -Ilk 7 r MAP HIGHWAY F * NO.OF.BLDGS. NO._. J .,CIRCLE) STATE MAJOR SECOND, OCA SIZE OF LOT NOW ON LOT USE ZONE SPECIAL . USE OF CONDITIONS EXISTING BLDG. r es I d n CP. -OWNER Uc 'NO.�- BUILDING EXIST. 'SETBACK YARD HWY 'NAME WIDTH ,ADDRESS same FRONT .01 ARCHITECT OR - _ _ TEL. P L ENGINEER- NO. L SIDE } • ADDRESS' - - ". CLO TEL CONTRACTOPacific Installers No-4 2--1231 •ADDRESS 10920 E. Grand0 DESCRIPTION OF WORK - w CL NEW ADD ALTE / REPAIR DEMOLISH Z SQ. FT. NO. OF. -NO. OF ' SIZE STORIES FAMILIES . USE OF 1. thru Well :STRUCTURE '� l nstall-- air COndo. - - SIGNATURE OFA' • ' APPLICANT •VALUATION 5269.09 , - _ APPROVALS • DATE I NSPECTOR;SISI G NATURE FOUNDATION:. LOCATION / •t FEE !�-�^ FEE 6,00 FORMS, MATERIALS / { FRAME: FIRE STOPS. I HEREBY.ACKNOWLEDGE THAT 1. HAVE.READ THIS APPLICATION BRACING, BOLTS AND STATE-THAT-THE ABOVE IS CORRECT AND AGREE TO COMPLY" FURNACE: LOCATION. WITHALL 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. LATH, INT. - TION OF THE LABOR CODE-OF THE STATE-OF CALIFORNIA RELAT- INGTO WORKMEN'S COMPE SATION INSURANCE - LATW EXT. - -SIGNATURE OF // //f��7 //-- HOUSE'NUMBER COR- 'PERMITTEE 6•�/ ///7 ,RELY AND POSTED ADDRESS FINAL - oZ pC.S/wj JOHN F. LEWIS, PRINCIPAL ST URAL ENGINEER- PLAN CHECK VALIDATION cK. M.O. CASH. PERMIT. VALIDATION CK. M.G. CASH `tt. G G:� f,'AY 1. 3 1. p 6,0 0r. WORKEKS'COMPENSATION DECLARATION affirm that I have certificate of consent to self APPLICATION FOR BUILDING P E RM I T insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy NAP—_ Company Certified copy is hereby furnished FOR APPLICANT TO FILL IN BUILDING ��a ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING tion department ADDRESS 3 F__/ Q (/F. 40 Date =Applicant CITY GL ZIP J LOCALITY 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 MAP' PAGE PARCEL '�OWNER TEL USE ` 30 -^y Z NE I certify that in the performance of the work for which this NO NO NO permit is issued, I shall not employ any person in any manner 'x SPECIAL so as to become subject to the Workers'Compensation Laws ADDRESS t CONDITIONS $� U Date � v� Applicant y ,�� CITY r2 ZIP � ARCHITECT OR TEL DISTRICT GROUP TYPE FIRE PRO SSED BY NOTICE TO APPLICANT If, after king is a ti 1cate of ENGINEER NO O Exemption, you should become subjec to the Workers' �( CONST. / ZONE U Compensation provisions of the Labor Code, you must forth- ADDRESS / Jt V (� 3 W with comply with such provisions or this permit shall be, R::510.1 T�} deemed revoked I CONTRACTOR STATISTICAL CLASSIFICATION APT DO C/)NO' LICENSED CONTRACTORS DECLARATION UC CLASS NO r DWELL UNITS Z I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 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 CLASS BK VALIDATION SQ FT NO OF NO OF ) CHECK License Number Lic Class SIZE STORIES FAMILIES ! ONE ❑ VALUATION Contractor Date DESCRIPTION OF WORK NEW _ ❑ ADD ❑I am exempt under Sec 12, RIF kiLJ , ALTER B&P C for this reason REPAIR ❑ : Date USE OF DEMOL EXISTING BLDG ❑ Signature APPLICANT TEL FINAL OWNER-BUILDER DECLARATION PRINT / /�) NO DATE,4 I hereby off irm that I am exempt from the Contractor's License �``,, //� pp Low for the following reason (Section 7031 5, Business and ADDRESS 3 FM � (W, 9/w 4��3RI9 L FIN L Ts M(a p Pr esslons Code) By # 2,2 ,p tI' BUILDING I, as owner of the property, or my employees with ADDRESS _ - 29025 wages as their sole compensation,will do the work and t the structure is not intended or offered for sole(Section LOCALITY 0 0 2 9 0.2 5 5 7044, Business and Professions Code) MOVING TEL s ❑ 1, as owner of the property, am exclusively contracting CONTRACTOR NO t ` 0 6-88 88 with licensed contractors to construct the project (Sec- ' r tion 7044, Business and Professions Code) ADDRESS CONSTRUCTION LENDING AGENCYREQUIRED YARD HWY TOTAL TB t SET BACK PROP LINE 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 PL Lender's Name LDMA Ref # m Lender's Address PC Fee$ Permit Fee I certify that I have read this application and state that the Issuance Fee !�.J LDMA P/C# ", l above information is correct I agree to comply with all County Investigation Fee t 0 ordinances and State jaws relating to building construction, Total Fee - ' R and hereby authorize representatives of this County to enter 6 LDMA Perm # upon the above-mentionedoperty for inspection purp ses / a SEE REVERSE FOR EXPLANATORY LANGUAGE Sign a of Applic nt or Agent - Date ` • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT • DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9810220012 PHONE: (818) 285-0488 EXT \ LEGAL ID. NO. OF CONST NEW G DRESS: ON FILE SQ. FT STORIES TYPE OCCUP GROUP 1 9053 EMPEROR AV STRUCTURE. 40 1 VN R3 SGAB CA 917752016 ASSESSOR INFORMATION N GARAGE: NEAREST CROSS STREET. ROSEMEAD 5382-011-013 OTHER THOMAS PAGE 596 GRID: H1 LOCALITY: TEMPLE CITY TENANT: E I LD USE: USE ZONE ISSUED PROCESSED Y• R S ON: EXIST OCC GRP: 10/26/98 UT /26/99 OWNER• TEL. NO- BLDGS. NOW ON LOT: VALUATION:- FINAL DATE FINAL BY CODE: ONAMI MAYUMI - 1 4;000 9053 EMPEROR AV ✓? SGAB 917752016 FEES P SCR P ON OF WORK ADD ONE 40 SQ. FT. BATHROOM (2N BATHROOM) FEE DESCRIPTION: QUANTITY: UOM AMOUNT. APPLICANT TL. NO. SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27 75 AC STRONG MOTION RESID 4000.00 VAL 0.50 SPECIAL CONDITIONS- AX BUILDING REVIEW=FEE�1 54 70 B2 PERMIT W/ENERRag-I (� 4OOO. VAL 127.38 CONTRACTOR: TEL. NO: TOc�TAL FEES 210.33 SAME AS OWNER _ �® �ay�p� APPROVALS DATE INSPECTOR SIGNA/R LIC NO LOCATION AND SETBACK� SOILS LNGINEER APPROVAL ARCHITECT OR ENGINEER" TEL. NO: TU NDATION/TRENCR-MR—MS LIC. NO: _ 1111111 SLAB/UNDER FLOOR 1� RAI-SED R FRAMING MAP N0: SEWER MAP BOOK PAGE: FIRE 20N3• CMPOr,� �� (�� UNDERFLOOR INSULATION 1� L1tiL51111f�\� T� LE L SH OF FAMILrES: DWELLING UNITS: A OND: STAT S: 1 NO 21 IIS ND LEV L FLOOR SHEATH SCHOOL WITHIN HA7ARDOUS Ff*. F SHEATHING AIR QUALITY: 1000 FEET MATERIALS Q NO NO NO cl FIRE DEPT. FRAME INSPECT E RET- TOTAL SETBACKFROM EXIST Q� DEP RA SP T SET BACK YARD : HWY: PROP LINE. WIDTH: ��(.' c��a�.��v$�® SHEAR PANEL //- Z1` SIDE PL- y ` INSULA ION TH STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508