The URL can be used to link to this page

Home My Public Portal About9132 EMPEROR AVE_Building__ 76A636A CE 9803 2-63APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ADDRG IS/ .� a DEPARTMENT OF COUNTY ENGINEER c .moo BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST / WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPE ✓ C,; BY FOR APPLICANT TO FILL IN �; D�' f CONST. i/ ,_,_ - BUILDING. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS 9132 E. Em eror _ - --' At BKQ PG CLASS. NO. DWELL. UNITTS� LOT NO. BLOCK WATER CERTIFICATE: NOT REQUIRED IX 1 RECEIVED 1:1^� TRACT c] �7 NOP 'G �MA � 0 ({CIRCLill E) STATE MAJOR SECON LOCAL /� NO.OF BLDGS. SIZE OF LOT (� NOW ON LOT USE ZONE - SPECIAL USE OF CONDITIONS EXISTING BLDG. Residence / TEL. OWNER Nancy Hastings NO. BUILDING EXIST. ADDRESS 9132 E. Emperor T.C. SETBACK YARD HWY STREET NAME WIDTH ARCHITECT OR TEL. P. L. ENGINEER NO. SIDE C ADDRESS Q CONTRACTOR Virgin Roof ComEoAT7050'7 i O 'ADDRESS600 S. San Gabriel Blvd. u DESCRIPTION OF WORK San Gab a t � Z "NEW ADD ALTER REPAIR DEMOLISH I '� SQ. FT. - NO. O NO. OF - SIZE STORIES FAMILIES USE OF STRUCTURE Re-roof House 'SIGNATURE OF APPLICANT C VALUATION $ 36 .00 APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION FEE S FEE 56#00 FORMS, MATERIALS 1. FRAME: FIRE STOPS. I HEREBY ACKNOWLEDGE THAT I 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 REGULATINGGAS VENT. DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I W LL NOT EMP ANY PERSON IN VIOLA. LATH, INT. TION OF THE LAB CO E O THE E ALIFORNIA RELAT- ING TO WORKMEN' PE SA 10 LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED e ADDRESS C) FINAL San Gabriel JOHN F. LEWIS. '.RIr4CIP4L ST RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.G. CASH -1- &-9' 7%-0 JUL28 1 D 6.00- V _.. ... DBH,;3 8ss9rrB 0�4ej j�,F - DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS.ANGELES 1 . WM. J. FOX, CHIEF ENGINEER B U I L FOR APPLICANT TO FILL IN FOR OFFICE-USE ONLY DISTRICT NO. PLAN CK. NO* PERMII/T� NO`..'' BUILDADDRE188 440 w. LOCALITY RREEJIFIIVj(E�D BY DDA/TE OF AP�P/L. DATE�11893UED �j NEAREST _ n /��,7 '� // _' ✓" -/ / �`-"� / CROSS ST. BUILDING / ,Yi�� t •�"`r� t�`o �Q�� OWNER ( G2" ADDRESS /(J� ,/� I LOCALITY / l /` ADDRESS MAIL r� �) �6�(J 4��d"�m• NEAREST / 0 1"; TELA CROSS ST. /'� CITY NO. / EP'/ _ T FIRE NO.OF YPE/" I [jRryQlt�� ARCHITECT OR �.-�-- TEL. ZONE ,-..�- I PLANB`�_ IJ �'I tel' ENGINEER NO. - - BLDG. O l �� j WeRD. NO. ADDRESS �" SETBACK LIN / `�d� APPROVED' "A�e/'� BY DATE CONTRACTOR ��y�+N� l� �� f,�(y� l �q� USE APPROVED ADDRESSatYZ e - \� ZON BY DAT[ LEGAL CORRECTIONS DESCRIPTION LOT QNO. Q� D BLOCK TRACT T-3 y CCd ®� NO. OF BLDGSP SIZE O0 F LOT lx Q Q NOW ON LOT(/%&�'Ut-ti USE OF c.r NO.OFNO. OF_ EXISTING BLDG. I FAMILILS - I ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION p ' U REPAIR MOVING DEMOLISH O SIZE ROOMS STORIES D WALL ��J�• r COVERING {(L,fi I COVERINGls USE OF NEW BUILDING / 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 CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE OF R. � � w�.��,{ BRACING, BOLTS OWNER LATH, INT.. AUTHORIZED AOT a LATH, EXT.: • $ p ® P. C. 8 PLASTER, INT. FEE ` PLASTER, EXT. VALUATION o FEE �� FINAL khdao G d 4p� I � APPLICATION.� FQR 130ILDING PERMIT COUNTY OF.LOS ANGELES R. EMILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS o+Z L/JZ or a certificate of Workers' Compensation Insu nce,or a c tified 11 ILCITY ZIP � • copy thereof Sec.3800, Lab.C.) r./t LGi fATY '1 $ ID LOCALITY Policy No//-a/v Company SIZE RF LOT -1 NO.OF BLDGS.NOW ON LOT ❑ Certlfie�c#p` i h reUy furnished. �( ` 1 NEAREST OSS ST M If ❑ Certified copy is filed with the county building inspection TRACTNe) ( r BLOCK LOT NO. ns-e� "d department. //��JJ11 �,11 �' �)z /� A7 �'S USE ZONE MAP Date= Applicant ,,±;i L7 �)ia'�LO ASSESSOR MAP �� PA PARC dL / SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' WNER TEL NO. COMPENSATION INSURANCE �• S• VI�Gr WITHIN 1000 FT.OF SCHOOL?V1JYES No (This section need not be completed if the permit is for one hundred ;ESS^ _1� DISTRICT GROUP TYPE CONST, FIRE ZONE PROCESSED BY dollars($100)or less.) CITY ZIP n I certify that in the performance of the work for which this permit �O Y g� is issued, I shall not employ any person in any manner SO as t0 ARCHITECT OR GINEER L N O /(� become subject to the Workers'Compensation Laws. /�EC O/ p t SIG 1(Y STATISTICAL C A�SIFICATION APT CONDO Date Applicant \ ADDRESS /1 (� ✓1" 1 �Y17 r� 1 V I r CLASS NO. DWELL UNITS NOTICE TO APPLICANT.' If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject t0 the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith 'Gn FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P L LICENSED CONTRACTORS DECLARATION '� LAG SIDE CITY LIC.CLASS •' P L I hereby affirm that I am licensed underprovisions of Chapter 9 ft C1 T Zq odd 12SEWER MAP d (commencing with Section 7000)of Division 3 of the Business an SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES - 0 Professions Code,and my license is in full force and effect. NEW ❑ BK Al PG 9� , 1#::i z` V License Number Lic.Class DESCRIPTION OF/`ORK �,�l ' ADD VALUATION "b Contractor y_1_t-j tee/ URPIZAQ Date ALTER ❑ "r N r ;- 0 V1 R A" ElI am exem t under Sec. REPAIR ❑ ,�i d moo' -: 7 -37 290 BAP.C.for this reason 1jo s. DEMOL ❑ - LU \,1t� LDMA P/C# ''i :�! a Date: r UJ OF EXISJWG LDG.� `ly �j URM ❑ s•_r • Signature V APPLICANT(PRINT A.Tt- T NO. LDMA Perm# ❑ I, as owner of the property, or my employees with wages as U UA 1 v5 �+ Z their sole compensation, will do the work and the structure is A DRESSO .. ; not intended or offered for sale (Section 7044, Business and s• bJ F_4 FINAL DATE Professions Code.) 0 WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE J � `•^ El 1, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors to construct the project (Section 7044, sifts a Business and Professions Code.) ves El No 1:1 WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING Y tM s1e.w• `�_r OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH `-'•'` " ' CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR 9 :_ GUIDELINES. !— I hereby affirm that there is a construction lending agency for YES C1No El N the performance of the work for which this permit is issued(Sec. '-^f 1 p� IHAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING _ _ r- - — -- N 3097,Civ.C.) /� CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, : �4_.•.:•. •,T,„�••L J.� •/ fl f'. A ///e,. TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS - Lender's Name Ll!�/t v( !l •(/'.4Y �(�•kil v/ MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. 0. o Lender's Address�7/ •� WeoeeRA 1 1 vf_` � OWNER OR AGENT o I certify that I have read this application and state under penalty o P.C.FEE PERMIT FEE :�.,„•� of perjury that the above information is correct.I agree to comply a / i •fi with all county ordinances and State laws relating to building D ��' � ''�'Is _a=`=�t� m construction, and hereby authorize representatives of this County ISSUANCE FEE / •?:-r-y •+ �• •-• � to ter upon the ab ve-mentioned property for inspection purposes. p�(O ``''- i `)' •�” yf+� ,•�?�,_ INVESTIGATION FEE TOTAL FEE Q' � 5gh��ura of Applicant or Aont Q Dare O I SEE REVERSE FOR EXPLANATORY LANGUAGE