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HomeMy Public PortalAbout9114 EMPEROR AVE_Building__ APPLICATION FOR COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER • _BU'I L D I N G PERMIT BUILDING AND SAFETY DIVISION BUILDING e FAE R APPLICANT TO FILL IN ADDRESS �. I M eY� V e� LOCALITY �- NEAREST Ler/Q ZIP .� CROSS ST NO OF BLDGS ASSESSOR U x )-Zs- NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE P CE ED Bi BLOCK LOT NO �G CONST ZO,I n� NOj45GG O STATISTICAL CLASSIFICATION SE ER MA ADDRESS J (�(iy-tom ( CLASS NO 21 DWELL UNITS BK G CITY ZIP /77.5— U ZQNE MAP Zad3 ARCHITECT OR TEL SPECIAL ENGINEER NO CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONTRACTOR TEL BLD 'SETBACKFROM NO FR T PROP LINE OF (STREET) LIC ADDRESS NO NIGH AY t YARD = TOTAL SETBACK FROM TYPE OF EXISTING LIC FRONT PROP LINE HIGHWAY WIDTH CITY CLASS _ CONSTRUCT[O<LENDER t NAME AND BRANCH BLDG SETBACKFROM p ADDRESS CITY SIDE P OP LINE OF (STREET) SQ F ,}/ NO OF NO OF / CHECK HIGHWAY YARD = TOTAL SETBACK FROM TYPE OF EXISTING O� SIZE '�J�O STORIES FAMILIES/ ONE SIDE PROP LINE HIGHWAY WIDTH FU, DESCRIPTION OF WORK NEW ❑ t W Q / ROO fh ADD CORNER CUTOFF YES ElNO Z ALTER ❑ REPAIR❑ IN OPEN SPACE YES 1:1E]NO USE OF IN COASTAL,PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG c(ESM/O/L ❑ 9'` d��J `'y JA/ ,,/f y� APPLICANT / �.i^SGI. TEL�OJ _Ll 0 YW 71,WL/'�'•/ No`s/'. (PRINT) NO `fes BY (SIGNATURE) I HEREBY ACKN WLEDGE THAT I HAVE READ THIS APPLICATION /• �7� ©� �, � � �--�,� AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYWITH ALL STRUC TION ORDCERTCFY THAT LHW DON- ORNG UTNEI WORKNG IAUTHORCZED �� ' HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODECOOF THE ST TE OF CALIFORNIA IN RELATING TO WORKMEN'S MTI IN SIGNATURE OFPEN FINAL BY PERMITTEE DATE f ADDRESS //q CITY / , lQ�r�GG./ I�GL NO P C Fee$ Permit Fee Q Issuance Fee VALUATION Total Fee 0 J PIAN CHECK VALIDATION CK M o CASH _ PERMIT VALIDATION CK M o CASH 342rJAN 26 1 a 89.25e�a 78A836A CE*80313 12/75 DB9-�a Q�,y aE38 6-46 ?' y DEPARTMBNT7�OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ' ® I WM. J. FOX, CHIEF ENGINEER FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN ^ DISTRICT NO PLAN CK. NO. PERMIT NO. BUILDING /..-` �� //a 7 ADDRE88 / tP �KK6...���/"`��� /�3 LOCALITY RECEIVED BY DATE OF APPL. DATEgISSU/ED NEAREST ///"�j� m ''T CROSS 9T. az L . � /�a �e� �• ADDRESS let"- up-,m m - f-I 147 /MAIL LOCALITY / j ADDRESS J C NEAREST �I !`'_-', TEL y1,Iy� CROSS ST CITY Cv c NO N FIRE NO.OF TYPE, / I GROUP 7" ARCHITECT OR - TEL ZONE �"" I �, PLANS ^ V ENGINEER NOBLDG SD %RD. NO SETBACK LINE 2 ADDRESS �c TEL. •! APPROVED CONTRACTOR ��n- � �NO��'�///�� `T�� BY Y DATE USE ADDRESS N-_�O C��dwe /L ZONE/�" BY DATE DATE LEGAL CORRECTIONS DESCRIPTION I LOT2ZNO. 3 BLOCK TRACT � J NO. OF BLD GB SIZE OF LOT X I NOW ON LOT USE OF I NO OFI NO OF— EXISTING BLDG. �^ FAMILIES ROOMS DESCRIPTION OF WORK „r Cys L NEW ALTERATION ADDITION REPAIR MOVING DEMOLISH G Bq. FT. NO OF = SIZE �/d YYO ROOMS STORIES IF WALL ^y I ROOF y,� COVERING��p COVERING([/ " USE OF NEW BUILDING A-- APPROVALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS Y AND STATE LAWS REGULATING BUILDING CONSTRUCTION FRAME: FIRE STOPS, SIGNATURE OF BRACING, BOLTB OWNER LATH, INT: AUTHORIZED AGT � LATH, EXT I /1/JO P C 8 PLASTER, INT FEE PLASTER, EXT VALUATION yp FEE ��,�0 FINAL 1 DEPARTNIENT OF COUNTY ENGII1IEER DIVISION OF BUILDING AND SAFETY COUNTY OF LOS ANGELES u I L D 11k,40 WILLIAM J. FOX, COUNTY ENGINEER t APPLICATION i CASSATT D GRIFFIN, 8UP•T OF BUILDING FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING DISTRICT NO PLANCK.OR REc No PERMIT NO ADDRESS y 1 4g5, 70 LOCALITY RECEIVED Y ' DATE OF APPL _DA7t ISSLItD NEAREST CROSS ST ADDRESSG zs OWNER MAIL LOCALITY ADDRE4pm, NEAREST CITY TENOL -d2 0 CRO88 ST C9�dJ j►! ARCHITECT OR FIRE I NO OF TP GRO= ENGINEER �NO Y,TEL ZONE _�� PLANSIr °�" ADDRESS BLDG f� SETBACK LINE d� ,I TELUSE APPROV0. ED / CONTRACTOR NO. ZONE BY DATE. „s/ ADDRESS HOUSE NUMB;RING v LEGAL MAP NUMBER ��3 NO ASSIGNED BY DESCRIPTION LOT NO. BLOCK � CORRECTIONS TRACT SIZE OF LOT O J I NO OF BLDGS. NOW ON LOT USE OF I NO OF EXISTING BLDG FAMILIES , DESCRIPTION OF WORK NEW 1-I ALTERATION I_I ADDITION <I REPAIR- DEMOLITION �/� /i l� S 11/J N n GY r ` r SQ FT " '30 ROOMS STORIES / ���� Ak- SIZEL L� EXT WALL I 'ROOF ` COVERING COVERING J USE O 8TRUCTURE t APPROVALS t INS PECTORIS,SIGNATURE DATE -FOUNDATION LOCATION FORMS, MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP-( FRAME FIRE STOPS, ` ,- PLICATION AND STATE THAT THE INFORMATION GIVEN SIS BRACING, BOLTS CORRECT I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES',1 FURNACE LOCATION, AND STATE LAWS R ULATING B ILDING CONSTRUCTION GAS VENT, DUCTS taZk LATH, INT - SIGNATURE OF' �� A PERMITTE � � LATH EXT ADDRESS PLASTER, INT AUTHORIZED AGT PLASTER, EXT P C ffi$ FEE HOUSE NUMBER COR- �a JL,a RECT AND POSTED J� VALUATION FEE ffi yF/ FINAL 76AG30A 056 Sr G-DA I ' WORKERS' COMPENSATION DECLARATION irmof to self nsue e, oraafcert certifthat Iicate of Workers' Comtpensat or5ent� Insurance, APPLICATION F®R BUILDING PERMIT or a certified copy thereof (Sec 3800, Lab COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No 3 Company Certified copy is hereby furnished FOR APPLICANT TO FILL IN BUILDING / ADDRESS (71 Sbrtified py is filed withPoutying inspec- BUILDING //tion p tment ADDRESSDate Applicant CITY, ZIP LOCALITY RT KATE OF EXEMPTIOS' NO OF BLDGS NEAREST COMPENSATION SIZE OF LOT NOW ON LOT CROSS ST �} (This section need not be completed if the permit is for one TRACT BLOCK LOT NO ASSESSOR } hundred dollars ($100)or less ) MAP BOOK PAGE PARCEL - TEL USE ZT� MAP I certify that in the performance of the work for which this OWNER NO NO 4 permit Is issued, I shall not employ any person in any mannerSPECIAL , Ct C CONDITIONS ADDRESS so as to become subject to the Workers'Compensation Laws ' U 1 CITY - C ZIP , Date ApplicantARCHITECT OR TEL0 NOTICE TO APPLICANT If, after making this Certificate of ENGINEER NO DISTRICT GROUP TYPE FIRE PROCESSED BY O Exemption, you should become subject ,to the Workers' CONST` / NE Compensation provisions of the Labor Code, you must forth- ADDRESS �O V a wltH comply with such provisions or this permit shall be TEL TATISTICAL CLASSIFICATION APT CON to deemed revoked i CONTRACTOR NO Z LICENSED CONTRACTORS DECLARATION _ LIC CLASS NO DWELL UNITS - LICENSED hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS , NO SEWERP (commencing with Section 7000)of Division 3 of the Business and LIC Professions Code, and my license is in full force and effect CITY C CLASS BK PG VALIDATION SQ FT NO OF NO OF CHECK Lcense Number ' ' Lo Class SIZE STORIES FAMILIES ONE -. VALUATION' Contractor Date DESCRIPTION OF WORK NEW 0 ADD ❑ $ � �9 3 2 7'A I am exe pt under Sec • ° O� - ALTER o e B&P C for this reason USE OF REPAIR $ �,�; z' U Date EXISTING BLDG DEMOL ,i Signature APPLICANT TEL LL FINAL NT �J �J OWNER-BUILDER DECLARATION (PRDATE GG 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031 5, Business and ADDRESS FIN Professions Code) PRESENT By 1, 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 7044, Business and Professions Code) MOVING TEL - I I, as owner of the property, am exclusively contracting CONTRACTOR NO with licensed contractors to construct the project (Sec- ADDRESS' ti:t r tion 7044, Business and Professions Code) REQUIRED TOTAL SETB CONSTRUCTION LENDING AGENCY SET BACK YARD HWY• 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 Lender's Name r LDMA Ref ° P C Fee$ Permit Fee 22� �O i Lender's Address V - I certify that I have read this application-and state that the Issuance Fee ` VL'� (/t - LDMA P/C M r• Y1 4 above information Is correct I agree to comply with all County Investigation Fee 2� `D ordo inn s and State laws relating to ulldmg construction, Total Fee �7 3 LDMA Perm q t 1 1 R and he authorize representatives this County t ent r upon t ove- ntioned roperfy f inspection p pos s 1 m - a SEE REVERSE FOR EXPLANATORY LANGUAGE VSignature of wpPlIcAtior ent Da .1 , 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 0402030017 PHONE: (626) 285-0488 EXT: GAL . OF CONST B . TR: 14396 LT: 3 SQ. FT STORIES TYPE 9114 EMPEROR AV STRUCTURE: 3100 VN SGAB CA 917752019 ASSESSOR NEAREST CROSS STREET: ROSEMEAD 5382-015-003 THOMAS PAGE: 596 GRID: H1 LOCALITY: SAN GABRIEL, C TENANT: EXIST BLDG D USE ZONE: - SS ON: PROCESSED BY: EXPIRES ON EXIST OCC GRP: 02/03/04 VG 01/28/05 OWNER• TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL ATE FINAL BY: COD BERSANE TED L (626) 285-6690- 9,000 2 9114 EMPEROR AV SGAB 917752019 FEES PAID n$CRIP-Tatl T/0 EXIST ROOF ON HOUSE & GARAGE, RESHEAT AND INSTALL FEE DESCRIPTION QUANTITY• UOM• AMOUNT: CLASS A ELK SHINGLES AND MODIFIED CAP ON FLAT AREAS APP 0 LEACH ROOFING CO (626) 851-1427- AA BLDG PERMIT ISSUANCE 27 75 AC STRONG MOTION RESID 9000 00 VAL 0 90 SPELIAL CONDITIONS. D2 PERMIT W/O EN-HC 9000 00 VAL 199.80 TOTAL FEES 228.45 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE LEACH ROOFING CO. (626) 851-1427- 1627 N HUMBOLDT AVE LIC. NO LOCArION AND SETBACKS ONTARIO, CA 91764 691152 C39 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINS L. NO 7 FOUNDATION/TRENCH F0 MS LIC NO SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO• SEWER MAP BOOK: PAGE: FIRE ZONE: CMF: UNDERFLOOR INSULT-TION XX 3 01 FLOOR SHEATHING 0 OF F DWELLING UNITS A : STAT CLTgS--. NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUSSHEAR PANELS 1 AIR QUALITY 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TUFAL SETBACK FROMFIRE,SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/ L- I R 0 D EXTERIOR LATH RATE R/CEIL ASSEM. RATED WALL ASSEMBLIES RATEDA T NI T-BCEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508