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HomeMy Public PortalAbout9123 EMPEROR AVE_Building__ •� COUNTY OF LOS ANGELES TEMPLE CITY # 0506 l BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS , ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9908120016 PHONE: (626) 285-0488 EXT: LEGAL I ADDRESS: TR: 11990 LT: 6 SQ. FT STORIES TYPE 9123 EMPEROR AV STRUCTURE: 0 VN SGAB CA 917752018 ASSESSORFOR NEAREST CROSS STREET: ROSEMEAD _f "3 5382-012-027 THOMAS PAGE: 596 GRID: H1 LOCALITY: TEMPLE CITY TENANT: EXIST LDUSE: RESID USE ZONE: - p 0 : 0 D XP EXIST OCC GRP: 08/12/99, • 'UT 02/08/ � - OWNER: TEL. NO- BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY DE: CHAN;RODNEY (626) 445-3239- 1 7,000 ,/ •� 9123 EMPEROR AV 6 SGAB 917752018 FEES PAID 6NEWIFFMN REMODELING OF KITCHEN AND BATHR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: . SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 7000.00 VAL 0.70 SPECIAL CONDITIONS: D2 PERMIT 14/0 EN JE! �7000.00 VAL 166.20 ,OGE L.ET,OT L®EES 194.65 CONTRACTOR: TEL. NO: �� ��/� APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECTENGINEER: 0 LIC. NO. 1111111 SLAB/UNDER R � G - r MA NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: U DERFLOOR INSULATION 153H265 3 Oil F DD �n�L C V V 0�K 3 FLOOR SHEATHING OF F LING 1 NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS 0 SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS 0 E NO NO NO El ® ®� FRAME INSPECTION REQUIRED OTA E IST �✓�� n -wI0 FIRE SPRINKLER HANGERS SET PYARD: HWY: PROP LINE: WIDTH- FRONT IDTH FRONTTL �C g+�'rvice lba INSULATION/WEATHER STRIP SIDE PL- ILATH/DRYWALL EXTERIOR LATH RATED FLOOR/CFLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SA TS T-BAR CEILINGS LOT DRAINAGE REPORT ID DPR261 ROUTE TO: BS0508 t if - D13S-3 25M SETS 6-46 _ �- �J \• DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT - COUNTY OF LOS ANGELES L ® I WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. /PLAANCK. NO. PERMIT NO. BUILDING , /j_� _ d r f @ �^ CD 4'41 c ADDRESS ..7 LOCALITY a Jrf o/Y elhu 1,7a /'_a /i ar`h 8 REC ED BY 1yDATE OF AP,PrL., DATE ISSUED NEAREST 'IF CROSS ST.— BUILD T. K l /� /' BUILDING OWNER `4 r ll n rn C 1.7 t r a '��/,('m L/0 ADDRESS / } ADDRESS /9 7F 4 a S / (11� LOCALITYMAIL i y « NEAREST CITY /LI�'I�✓/� C./ / G NO'rECR099 HT ( [[ FIRE NO OF �,�,TYPE '/ i GROUP ARCHITECT OR TEL. ZONE I_ PLANS I/ ENGINEER NO 1 BLDG / ORD. NO ADDRESS SETBACK LINE / /� r TEL APPROVED CONTRACTOR _Il', G u NOL �[/ 8 /�. r BY /�J DATE USEADDRESS t' 1!1 �1Aj Ate c, Ili^ ZONE�i�/ BY DATE DATE LEGAL I DESCRIPTION I LOT NO I BLOCK —�� CORRECTIONS TRACT — mil/,� /9- GAry �t/o NO OF BLDS. -7- ro.�a roc Fr c y` y Y7 SIZE OF LOT �� NOW ON LOST 1° USE OF NO OFNO OF EXISTING BLDG i FAMI (�,y� I LI ROOMS DESCRIPTION OF WORK NEW ALTERATION I ADDITION O A REPAIR MOVING DEMOLISH p size NO or U b ROOMS STORIES D r WALL ROOF o Q COVERING S (J(�� COVERING na/ S USE OF NEW BUILDING /Y(� l �e n c_e/ cP. F 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS , APPLICATION AND STATE THAT THE ABOVE 19 CORRECT FOUNDATION, LOCATION, NBOR DATE AND AGREE TO,COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS Z1 2? AND STATE LAWS REGULATING BUILDING CONSTRUCTION FRAME: FIRE STOPS, SIGNATURE OF o/,/ BRACING, BOLTS �'��!9+�`-'�'1 �"�/✓ l c�� OWNER �j(/- %'� 1�9 60 LATH, INT.: AUTHORIZED AOT- 0G) -'. I LATH, EXT: $ r \ P. C.Ig PLABT,ER, INT. 6 odd VA FEE PLASTER, EXT. VALUATION111 0-10 0 / U v—_ FEE 1(5? FINAL L , DEPARTMENT OF BUILDING AND SAFETY � APPLICATION FOR PERK& COUNTY OF LOS ANGELES ® �® s WM. J. FOX,-CHIEF ENGINEERI LD® ®� "'FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK NO P.LRMIT NO BUILDNG ADD EISS //•� �/ ��ea "✓�� 1�� r(.1� LOCALITY (� �eo RE IVED BY DATE OF APPL DATE ISSUED NEAREST CROBS ST. ,,/_/,� OWNER // J�L _..�41 A_ B EIB9 .� L r MAIL ®� yn P 19_0 LOCALITY y !' ADDRESS Q� NEAREST CITY 4.//DYs �.� B'�e - ,Pv ` i,ll NO. CROSS ST TE � � ~ FIRE ',JNO OF TYPE GROU� ARCHITECTOR TEL. ZONE PLANS ^_ \ ENGINEER BLDG v / / D O ADD RE89 SETBACK LINE y APPROVED TEL. BY DATE CONTRACTOR NO USE APPROVED ADDRESS ZONE 091 BY DATE - LEGAL ` CORRECTIONS DESCRIPTION LOT NO. TRACT/7) P.Q c V✓ f lO / O OF BLDGB. _ SIZE OF LOT �^ ` I NOW ON LOT US OF Ay, NO OF NO OF per` EXISTIN LDCs FAeeIl1ED I ROOM9Jn� DESCRIPTION OF WORK NEW ALTERATION ADDITION �-�' S/ _ !•,7/�'�C�%s aP.�t�GKw r O REPAIR MOVING DEMOLISH+ ° A SI FT A NO OF SIZE..�� (✓ ROOMS ( STOR�I�ESWAL ��� g ROOF COV R R I COVERING //('�4'.c4��s',� v USE OF NEW t BUILDING to v � a-®"d ol . I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS; APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRU TION„ p FRAME: FIRE STOPS, - SIGNATURE OF BRACING,BOLTS PERMITTE LATH, INT.: i AUTHORIZED AOT LATH,EXT.: DBS-3 SOM SETS 7-47 $ _ P C t PLASTER,INT. - FEE PLASTER,EXT. VALUATION FEE �.:' FINAL \ I CS WORKERS' COMPENSATION DECLARATION hereby affirm that I have a certificate of consent toself APPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers'Compenstion Insurance,'or a certified copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No 5501 company' State Comnensat,' BUILDING F-1Certifiedcopy is hereby furnished 1 n s , Fund FOR APPLICANT TO FILL IN ADDRESS �I Certified copy is filed with the county building inspec- BUILDING LTJ tion department ADDRESS 91 23 Ee.ror LOCALITY 1 NEAREST Date -,-,-80 Applicant E{�y�a r d L . Ra nil f)1 C CITY ZIP CROSS ST � CERTIFICATE OF EXEMPTION FROM WORKERS' V,NO OF BLDGS ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL This section need not be completed if the ermit is for one USE ZONE EMAP fhundred dollars ($100)or less ) p TRACT BLOCK LOT NO kTEL �O OI certify that in the performance of the work for which this OWNER , NO 00� NS peimit is issued, I shall not employ'any person in any manner TRI T GROUP TYPE FIRE PROC ED BY V" so as to become subject to-the Workers'Compensation Lows ADDRESS 912 3 Em e r o r S t. �a�E �3 CONST / Z`O�NE 0 �t " CITY �„t ZIP 1 /V/ I- Date Applicant 1 C STATISTICAL CLASSIFICATION APT CONDO W NOTI TO APPLI ANT If, after makmg this,Certificate o ARCHITECT OR TEL CL ENGINEER NO CLASS NO DWELL UNITS Exemptiori, you should become subject to the Workers' Vi Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER P' ? with comply with tsuch provisions or this permit shall be _ deemed revoked CONTRACTO T L ^BK PG, � 4 VALIDATION LICENSED CONTRACTORS DECLARATION LIC I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO 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 San .G a b r i el) CLASS --C-39 $ 2095 . 0 0 NO OF CHECK License Number 186.086 Lic Class C-.39 o/1 SIZE SORIIEES FAMILIES ONE _ Contractor [toward L .Rand este CO. 11-13 -t8�! DESCRIPTION OF WORK - NEW ❑ $ _ ❑am exempt from the licensing requirements as I am a and a r a e 1 t h 12X18 ADD licensed architect or a registered professional engineer ALTER ❑ DATEFINA �^ acting in my professional capacity (Section 7051, REPAIR ® DATE r�Le Ile( Business and Professions Code) USE OF i EXISTING BLDG Lic or Reg No DEMOL ❑ FINAL NAL _Date APPLICANT' TEL Y (PRINT 'oward L . Randol C" 288-4040 OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License ADDRESS 2 9 �" a 1 1 e B 1 San Gab>>'m e Law for the following reasoy (Section 7031 5, Business'and Professions Code) - PRESENT BUILDING I, as owner of the property, ormy employees with ADDRESS wages as their sole co' ensahon,will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code) MOVING TEL -3 1 0, 1 A I as owner of the property, am exclusively contracting CONTRACTOR NO with licensed contractors to construct,the project (Sec- ADDRESS �y # 0 0 o e o 1 hon 7044, Business and-,Professions Code) s` e , REQUIRED LARHWY TOTAL SETBACK FROM EXIST _2 F0 0 (�3� 00' CONSTRUCTION LENDING AGENCY SET BACKPROP LINE WIDTH � s , I hereby affirm that there is a construction lending agency for FRONT �7 _ the performance of the work for which this permit is issued P L Q C) 1 ,0 0'0' 0-0 v (Sec 3097, Civ C ) SIDE PL 11424'-8,0 Lender's Name Lender s Address PC Fee$ Permit Fee $36. 00 w I certify that I have read this application and state that the Issuance Fee 7 .00 above information is correct I agree to comply with all County Investigation Fee 0 ordinances and State laws relating to building construction, Total Fee $43 . 00 4andher thorize representati s of this County to enterae lone 'p;o y for inspection purposesF / SEE REVERSE FOR EXPLANATORY LANGUAGE gnature of pplica or Agent /// Datetteell��---- �f