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HomeMy Public PortalAbout9081 EMPEROR AVE_Building__ 78A898A CE#809-7.58 APPLICATION FO R BUILDING PERMITZZ � 1 BUILDING AND SAFETY DIVISION BUILDING ADDRESS Department of County Engineer . County of Los Angeles- LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST • CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUPTYP I E- I SEWER MAP FOR APPLICANT TO FILL IN o j` S BK PG CONST. 'BUILDING ADDRESS gdj�j� L. jd=-�.0're e E, STATISTICAL CLASSIFICATION!9I AV G–' -8- CLASS. NO. DWELL. UNITS LOT NO. BLOCK MAP STATE �j YES �j NUMBER a�--v HWY TRACT l/ �/ U$E�ZONE SPECIAL /y�,/ NO. OF BLDGS. / CONDITIONS SIZE OF LOT 57Y 7 NOW ON LOT USE OF EXISTING BLDG." BUILDING EXIST. YARD HWY STREET NAME � T (� SETBACK WIDTH OWNER Zj:�- CpiL�Q -'v ,, /c,J � FRONT MAIL % b0 � /t ��'�`��/ �/L( P. L. ADDRESS - . y �,n /� SIDE CITY 7s1/ vl�lrLc.C,.t ./ NO u/✓` .��- P. L. . ARCHITECT OR TEL. INSPECTION RECORD ENGINEER �,i/n.r . NO. i ADDRESS TEL. CONTRACTOR NO. ADDRESS DESCRIPTION OF WORK NEW ADD ALTER. REPAIR DEMOLISH SQ. FT. NO. OF NO. OF SIZE STORIES .FAMILIES _ USE OF STRUCTURE 15f) I APPROVALS SIGNATURE OF✓ APPLICANT °'"'�'�� �y A' DATE INSPECTORS SIGNATURE ADDRESS `/// � ,:/� �f/�" fry y ✓' . FOUNDATION: LOCATION �©©- y FORMS, MATERIALS P. $ FRAME: FIRES P TOS. / r P• ,I,g f � FEE - BRACING. BOLTS VALUATION. $� (J -FURNACE: LOCATION. FEE GAS VENT. DUCTS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH. INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH. EXT. STATE LAWS REGULATIN BUILDING CONSTRUCTION . — SIGNATURE OF O I� HOUSE NUMBER COR- PERMITTEE 111111��� 1 :A RECTA D POSTED ADDRESS - FINAL - JOHN A..LAMBIE. COUNTY EN INEER CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION cK M. PERMIT VALIDATION CK. M.O. CASH :_AC06 6 4 APR 1 .2.0 0 � - 7GA638A DBS-3 12.54 APPLICATION FORBUILDING PERMIT - DIVISION ERMIT -DIVISION OF BUILDING AND SAFETY BUILDING f Department of County Engineer ADDRESS �T��^ /,/�� County of Los Angeles LOCALITY WM. J. FOX, COUNTY ENGINEER CASSATT D. GRIFFIN, SUP'T'OF BUILDING - NEAREST CROSS ST. FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE SEWER MAP BK PG BUILDING n fi _ 11�-. CONST. YJ ADDRESS G`(�/ MAP QP STATE .hew ,, _ NUMBER `�® HWY LOT NO. t —�=-� -_BLOCK USE�.ONE SPECIAL - CONDITIONS TRACT +/ NO. OF BLDGS. SIZE OF LOT ,.�� �[ ! I NOW ON LOT 4,t-V1,LQ BUILDING YARD HWY STREET NAME EXIST. USEOF ETBACK WIDTH EXISTING BLDrr.j FPP. L. OWNER SIDEMAIL a P. L. ADDRESS _ - TEL. //�� � DWELL. 1 UNIT 5INDUSTRIAL CITY NO. C/7��S�J Olb - - 2 DUPLEX—UNIT 6 PUBLIC BLDG ARCHITECT OR TEL. ENGINEER NO. 3 APT. UNITS 7 ADDN.,ALT., ETC. ADDRESSXA�� 4 COMMERCIAL � 8 MISCEL. EL- CONTRACTOR r NO d� w� �' , _ INSPECTION RECORD ADDRESS /0 DESCRIPTION .OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ. FT. Jr NO. OF / NO. OF SIZE �!1] STORIES / FAMILIES USE OF RUCTU E �-�i� 2X. Dl= baAM ��2�cle(� D/�N/lt/TF f/�PEPLfICC .'GdEJ Y EU - U , 1S U/'/'U.�z71 SPE O,r. 02t's1 mss• SIGNATURE OF APPLICANfT �^�+ APPROVALS ADDRESS DATE INSPECTOR'S SIGNATURE ) FOUNDATION: LOCATION �1A• 4 P. C. S c.SFORMS, MATERIALS FEE f 'P'j FRAME: FIRE STOPS. S. BRACING, BOLTS J J JYfTi7i.' _ VALUATION a FURNACE: LOCATION, e., ,, n)Ir FEE � C,d C'A �/f,♦<l GAS VENT..DUCTS I0 ACKNOWLEDGE THAT 1 HAVE READ .THIS APPLICATION AND 5 ATE THAT THE ABOVE IS CORRECT AND AGREE TO CO Y WITH ALL COUNTY ORDINANCES LATH, INT. - �L7� AND STATE LAW EGULATING -BUILDING CONSTRUC- (! /(/i/r(.e-�2' TION. LATH, EXT. v - SIGNATURE OF HOUSE NUMBER COR- PERMITTEE _ RECT AND POSTED t/ ADDRESS 0 - '� FINAL 56 WM. J. FOX. COUNTY ENGINEER VALIDATION BY BY ArQ 7. 1 ;, ':AUG 24 1 6 DEPU.TY1 `t•0 .0 ..� � � , /� DEPUTY BY J; 5'5 2- SEP 6 1 2 8.0 0 � ® DEPUTY - �� DEPUTY WORKERS' COMPENSATION DECLARATION / ' hereby affirm that I.have a certificate of consent to self APPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers'Compen n Insurance, or P-o icry ZF, fhpany Lab. —� y thereof (S COUNTY OF LOS ANGELES BUILDING AND SAFETY Certified copy is hereby fur fished. yy FOR APPLICANT TO FILL IN BUILDING %� —p� ADDRESS ElO dV/ tidied copy is filed with the county building inspec- BUILDINGQl_ f� n tion department. ADDRESS 0 LOCALITY NEAREST Date Applicant CITY ZIP ��' CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL COMPENSATION INSURANCE MA USE ZONE P ^ (This section need not be completed if the permit is for one hundred dollars ($100)or less.) TRACT BLOCK LOT NO. NO. � TEL. '� SPECIAL I certify that in the performance of the work for which this OWNER CONDITIONS P C SED BY r V per49 mit is issued, I shalt not employ any person in any manner ADDRESS r DISTRICT GROUP TYPE FIRE CONST. ZONE so as.to become subject to the Workers''Compensation Laws. t" �3 CITY. - ZIP EL��. c� Date Applicant STATISTICAL CLASSIFICATION A CONDO. UA NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR T . J ENGINEER � � NO. � -! 91 CLASS NO.�_DWELL.'UNITS � Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- ADDRESS 'GN m` SEWER MAP with comply with such provisions or this permit shall be //nn TEL. / �/ deemed revoked. CONTRACTOR/ 6,FAN C�/i( NO 7 BK PG. �J VALIDATION LICENSED CONTRACTORS DECLARATION LC C. �j I hereby affirm that I am licensed under provisions of Chapter 9 ADDRES /� NO.0 ( VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and effect. CITY CLASS $ Q [� 9 g�� ) SQ. FT. INC. OF �J NO. OF CHECK License Number r� �1d( Lic.Class�� SIZE (! STORIES G FAMILIES ONE G Ip Contractor. -¢ l I�( :�iN. Date DESCRIPTION OF�WORK NEW / ❑ ADD I am exempt from the licensing requirements as I am a Giddy! .1"' / licensed architect or a registered professional engineer 1 (J� ALTER ❑ FINAl�_/ � z p 8 8.9 A a ❑ DATE acting in my professional capacity (Section 7051, ea/ REPAIR # o a o-o 23 Business and Professions Code). USE OF /�1 EXISTING BL/D�G. ��y>/�/ " DEMOL ❑ By AL / Lic.or Reg. No. Date APPLICANT RIT)46?e til l (, M N � _1 ��-� 2 ° 04,40 OWNER-BUILDER DECLARATION �j •° o 0(I. (I 0 I hereby affirm that I am exempt from the Contractor's License p P Law for the following reason (Section 7031.5, Business and ADDRESS- �� �T/��/ /G�k. ,/ h Professions Code): PRESENT '2 L 1 ❑ BUILDING 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 kADDR Y 7044, Business and Professions Code). I TEL. ❑ I, as owner of the property, am exclusively contracting CTOR NO. _ with licensed contractors to construct the project (Sec- S -f C 8 9,C A tion 7044, Business and Professions Code). RED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY CK YARD HWY PROP. LINE WIDTH # 0 0 0 0 0 I hereby affirm that there is a construction lending agency for T the performance of the work for which this permit is issued 2 o 3 3 8 5 C (Sec.•3097, Civ. C.). Lender's Name / Lender's Address S e, / Permit Fee0825-81 w I certify that I have read this application and state that the �Q - Issuance Fee7-above information,is correct. I agree to comply with all County ation Fee 0 ordinances and State laws relating to building construction, Total Fee �Oi `U� U and hereby authorize representatives of this County to enter a upone above-mentioLfed property for inspection purposes. / (� /7J ! a _ SEE RISE FfEX� L N TORY LAN34SUAGE kl' Signa_Gre of Applicpift or Agent Ze P ORKERS`COMPENSATION DECLARATION rl!h7w.by raafcertif carte of Workers'iComipensat on Insuran nt e" APPLICATION FOR BUILDING PERMIT or a certified copy thereof (Sec. 3800, Lab. C'.) " COUNTY OF LOS ANGELES-, . . BUILDING AND SAFETY Policy No. . Company f ❑ Certified copy is hereby furnished: FOR APPLICANT TO FILL IN BUILDING ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING J n^/� tion department. �, ADDRESS / /00 t J/� Date Applicant CITY ` • -J ZIP LOCALITY " ` CERTIFICATE OF EXEMPTION FROM WORKERS' ' No. OF BLDGS. NEAREST -- 'COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. ASSESSOR (This section need not be completed if the permit is for one hundred dollars ($100)or less.-) TRACT BLOCK LOT NO. MAP'BOOK PAGE PARCEL ! TEL. . USE ZONE MAP ' I certify that in the performance of the work for which this OWNER-///-, 3 NO, NO. permit is issued, I shall not employ any person in any manner I SPECIAL d' so as'to become subject to the Worker 'Compens ion L ws. ADDRESS CONDITIONS V Date 1� d _ CITY ZIP OG �ic'� Applicant O NOTICE TO APPLICANT: If, after making this Certific e of ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROC SED BY (- ENGINEER. NO. CONST. ZONE 11611 Exemption, you should become subject to the Workers' r LU Compensation provisions of the Labor Code, you must forth- 5 t(J8 �' � � y with comply with such provisions or this,permit shall be ADDRESS / TEL. STATISTICAL CLASSIFICATION APT. CON Z deemed revoked. CONTRACTOR ./ ,�' n NO,��-S `-- LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 3� fS E>Ar. NO. (commencing with Section 7000)of Division 39f the Business and LIC. �f/ SEWER MAP Professiohs Code, and my license is in full force and effect. CITY -j A ��'1�4.0?�/_= CLASS 't(!N d/ BK FG VALIDATION SQ. FT. NO. OF NO. OF ( CHECK n " License Number Lic.Class SIZE STORIES FAMILIES l ONE VALUATION +� 21 5 3n Contractor Date DESCRIPTION OF WORK NEW ❑ $ _ # ® ° ° ° °,1 1 / ADD ❑ I am exempt under Sec. [.� - NALTER � a , 1.1 e 12&88 .. B.&P.C. for this reason at, REPAIR $ USE OF s DEMOL o a I 24,882i Date: EXISTING BLDG. G'S. eJlt J(r E] 0 220"85 Signature APPLICANT F� TEL 2 g �D/�f ��` NC�.-�U�S- lDfrJ FINAL PRINT) �r OWNER-BUILDER DECLARATION i DATE ✓�Q -' - ---- I hereby affirm that I am exempt from the Contractor's License � 9 Law for the following reason*(Section 7031..5, Business'and ADDRESS Professicins Code): PRESENT `1Y ❑ BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and oil, 1 the structure is not intended or offered for sale(Section LOCALITY N// 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). CONSTRUCTION LENDING AGENCY SETT BACKK YARD HWY TOTAPREOTPAINEFROM WIDTH 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 m P.L. Lender's Name o LDMA Ref. # P.C. Fee$ .. .. - Permit Fee Lender's Address I I certify-that I have read this application and.state that the Issuance Fee LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee / j(' m ordinances and State laws relating to building construction, - Total Fee 2 1 l!/ LDMA Perm. # u and hereby authorize representatives of this County to enter upon T above-mention d property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applican or Agent tfate Qi F I I'ORKERS'COMPENSATION DECLARATION I•hereb off}'rm thatol have a ertificate of consent to self insure, or'q/"ertificate of Workers' Compensation Insurance, A P P L I CATION FOR .B U I�L D I N G P E RM I T or a certifieYNNc py thereof (Sec. 3800,'Lab. C. COUNTY OF LOS ANGELES BUILDINGAND SAFETY Policy No. Company 1:1Certified copyts hereby furnished. FOR APPLICANT TO FILL IN BUILDING ` ADDRESS / ❑ Certified copy is fled with the county building inspec- BUILDING s tion department. ADDRESS 1 ®' Date, Applicant CITY - ClZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. NEAREST COMPENSATION'INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. Q 1 (This section need not be completed if the permit is for one 1 1 GI ASSESSOR hundre_d,donars ($100)or less..) Y TRACT / / 7 D BLOCK LOT NO. MAP BOOK PAGE PARCEL t USE ZONE MAP I certify that in the performance'of tke work for OWNER which this �'� '"�'D NO. d� permit is issued,*1 shall not employ any person in any manner SPECIAL so as_to.become subject to the Workers' ompens n La s. ADDRESS' _ CONDITIONS V QQ 1AQCITY 1 ZIP Date �� ��Hpplicanf -AIZCHITECT OR ' TEL. NOTICE TO'APPLICANT: If, after making' this Certifica e of DISTRICT GROUP TYPE FIRE PRO SSED BY p. ENGINEER Q%� NO. ZONE U Exemption, you should become subject to the Workers' /}1A) _ CONST. Compensation-provisions•of the labor Code,.you must forth- ADDRESS �wV i&a"4� with comply with such provisions or this permit shall be "' TEL. deemed revoked. '— ! STATISTICAL CLASSIFICATION CONDO. • CONTRACTOR NO / LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS l /Q(�I% .NO� f (commencing with Section 7000)of Division 3 of the Business and LIC SEWER P C Professions ode, and my license is'in full force and effect. CITY j / CLASS ^ BK �' VALIDATION SQ. FT. NO. OF NO. OF CHECK ' License Number Lic.Class- SIZE STORIES FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF WORK ADD' ❑❑ $ QO I am exempt under Sec. CLQ /S�i.❑ , AL3ER B.&P.C. for this reason J REPAIR ❑ a' DUSE O Date:" DEMOL ❑ EXISTI BLDG. - Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION PRINT NO. DATE �Z6 ` lj 2 2 1 a 6 A I hereby affirm that I am exempt from the.Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESSFI # 0 0 0 o. 23 Professions Code):' PRESENT B F' ❑ BUILDING STA 0 0 6 5314 I; as owner of the property, or my employees with ADDRESS wages as Their sole compensation,will do the work and LOCALITY ' 0 0 o b 5 3 4'c=� the structure is not intended or offered for sale(Section 7044, Business and Professions Code). MOVING TEL. I, as owner of the property, am exclusively contracting CONTRACTOR NO. of 3,0-8, 5 ❑ with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY REQUIREDBACK YARD -HWY TOTAL SETPROBACK EFRO EXIST. 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. - 2 3 0 A (Sec. 3097, Civ. C.). �s SIDE P.L. # 0 0 0 0 0 1 Q Lender's Name C LDMA Ref. # P:C. Fee'$ cJ cJ Permit Fee < �D 0 0 8738 Lender's Address it ..I certify that I have read this application.and state that the Issuance Fee LDMA P/C# ' o 0 0 8 7.3 8 6). a above information is correct. I agree to i o` ply with all County Investigation Fee Q� ordinances and State laws relating tocbuilding construction, Tota l Fee V LDMA Perm. # 'yj fj 0 6 2 8- -85 u and hereby authorize rept sentatives of this County to enter I , a upon a above-mention property for inspection purposes. t -(9 SEE REVERSE FOR EXPLANATORY LANGUAGE O' SignatureofApplica or Agent- Date COUNTY OF LOS ANGELES TEMPLE CITY r 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEI'PLE CITY CA 91780 BL 0508 04080900,7 i�E G1d._ (62&) 285-0488 EXT: LEGAL ID: w _ NO. OF CONST BUILDING ADDRESS: ON FILE SO. FT STORIES TYPE 9081 EMPEROR AV STRUCTURE: 2_5 VN SGAR CA 9/7752016 ASSESS�RMAT!ON NUMBER: NEAREST CROSS STREET: 5382-012-022 THOMAS PAGE: 596 GRID: H1 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE. RESiD USE ;-ONE: R ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 08/09/04 JK 08/04/05 OWNER: TEL. NO: BLDGS. NOW OFTUT—_-. VALLA i'JN: FINAL DATE FINAL BY: CODE: JUSTUS JAMES K;CHRISTINE A (818) 286-9547- 5,300 / 9081 EMPEROR AV _ _ ( ___ SCAB 917752016 FEES PAID DESCRIPTION OF WOR' T/0 AND RESHEAT NEW COMPOSITION SHiNG-D _ S CLASS A FEE DESCRIPTION: QUANTITY: Ur`;'; AMOUNT: APPLICANT: TEL. NO: PERAZA (213) 446-4677- AA BLDG PERMIT ISSUANCE 27.75 905 E. JEFFERSON BL AC STRONG MOTION RESiD 5300.00 VAL 0.53 SPECIAL CONDITIONS: LOS ANGELES 90001 D2 PERMIT W;'O 4N EIC 5300.00 VAL 149.40 TOTAL FEES 177.68 CONTRACTOR: TEL. N0: APPROVALS ' DATE INSPECTOR SIGNATURE 1ASTROM ROOFING (213) 446-4677- _ 905 JEFFERSON LIC. NO LOCATION AND SETBACKS LOS ANGELES CA LOMITA SOILS ENGINEER APPROVAL —! A�RC'r;ITECT Jr .Ci?ICER (CL. NO: FCUNDATI Jiff/TRE?a:N_T57R S L.IC. NO: 1 SLAB,/11t�^�R FLCC,c RAISED FLOOR FRAMING MAP NO: SEWER F,W BOOK: —PAGE: FIRE ZONE: cmp. UNDER.FLO,5R iNSULATION��` �-- XX 3 03 FLOOR SHI_I.TIlIW.G NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS i SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS ( — NO NO NO FRAME INSP::CTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRIEaKLER tiSNGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- _ INTERIOii Laih1DF.Y!•l,4LL EXTERIOR LATH RATED FLOOR/CELL ASSEM. RATED WAIL ASSEMBLIES _ RATED SHAFTS/OPENINGS T-BAR CEILINGS * ADDITIONAL DATA ON FILE LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508