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HomeMy Public PortalAbout9426 EMPEROR AVE_Building__ ' TEMPLE CHTY fuaaeAce#eoa 1�11 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER p DDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE, COUNTY ENGINE911 NEAREST WILLIAM A JENSEN SUPT OF BUILDING- CROSS ST FOR APPLICANT TO FILL IN DISTRIC)N GR TYPE SE CONST BUILDING STATISTICALC IFICATION -SEWER MAP ADDRESS Z . C K G CLASS NO DWELL UNITS �r LOT NO 018 vf T BLOCK WATER NOT REQUIREDRECEIVED 't CERTIFICATE Iff— TRACT 431q MAP HIGHWAY NO OF BLDGS NO IRC LE MS ATE MAJOR SECON LOCAL SIZE OF LOT I NOW ON LOT USEONESPECIAL USE OF CONDITIONS EXISTING BLDG TEL y� OWNER NO I / 31 aILDING YARD HWY STREET NAME EXIST p� SETBACK W DTH ADDRESS 2Co '6FlP Q '1'EHP� C.T FRONT v / ARCHITECT OR TEL P L ENGINEER NO SIDE P L ADDRESS CL TEL JNSPECTION�RECORD O CONTRACTOR NO / ,w '.a-� �p ADDRESS o/ O DESCRIPTION OF WORKi a h NEW ADD LTER REPAIR I DEMOLISH Z SQ FT NO OF NO OF IZE STORIES FAMILIES USE OF STRUCTURE QEDI.Ac6k�'2N6A► Wluatow I.IITrlWluatoW I.)ITrI _ _ _ Q t T ?o SIGNATURE OF APPLICANT VALUATION$ 13W 0--� APPROVALS DATE INSPECTOR S SIGNATURE PC PMTOQ7t) FOUNDATION LOCATION , FEE $ FEE $ FORMS MATERIALS FRAME FIRE STOPS IHEREBY 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 REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK I AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF THE LABOR C�NS STATE OF CAL ORNIA RELATING TO WORKMEN S CO INS NCE LATH EXT SIGNATURE OC'N HOUSE NUMBER COR- ' PERMITTEE RECT AND POSTED s ADDRESS Z PA / h FINAL PLAN CHECK VALIDATION cK. m o cAsit CLYDE P °ERIT VALIDATIONM, PRINCIPAL T/ cic//RMA Lo ENGINEER ER f�j'�7 6 9 9 FEB 1 1 p 2.0 0 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT ,COUNTY OF LOS ANGELES U q L WM. J. FOX, CHIEF ENGINEER OR APPLICANT TO FILL IN FOR OFFICE USE ONLY I DISTRICT NO 'PLAN CK NO.' PERMIT NO BUILDING ADDRESS 3 3 1 , t LOCALITY t / RECEIVED Y DATE OF APPL DATEISSUED -,NEAREST CROSS ST. 1 b �/ BUILDING �~ OWNER ply /, a le? ADDRESS ppt�s- v MAIL LOCALITY ADDRESS NEAREST , 00 TEL CROBB ST. -s CITY 1 ND. FIRE NO OF TYB GROUP 1 ARCHITECT OR TEL. ZONE PLANS ; ENGINEER NO. yJ !� BLDS O i�. I � R 47O ADDRESS �w„„ �A 1 SETBACK LINE k 4 �/ Q APPROVED CONTRACTOR k/I/1 99 16'> 'o NO. ,d/}•�'e �'6 96 BY i DATE - USE APPROVED � ADDRESS J r,/ W 77 C V �� ZONE BY DATE LEGALf , CORRECTIONS _DESCRIPTION SLOT NO. -/!' BLOCK TRACT 4 NO OF BLOGS. - SIZE OF LOT/,%pp 0 's n6 4, I NOW ON LOTUSE t EX STO G NO BLDNf� /�+ I NO OF / I NO OF O a N13 O . ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION D REPAIR _ MOVING DEMOLISH SQ NO Or Z SIZE 9Ityn yJ'R'OOMS / STORIES WALLRocir COVERING 109,6P��fi4 J I COVERING r /per'// J d BUILDUSE ING W / Kl/le /�'�I Ci !�V /71-L-21 _ E I HEREBY ACKNOWLEDGE THAT 1 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: SIGNATURE OF BRACINGG,,BOLTS PERMITTEE LATH,INT.: AUTHORIZED AGT LATH,EXT.: OBS-3 SOM BETB 1-48 $ C.III PLASTER,INT. PLASTER,EXT. n VALUATION LIFEE �� FINAL DS-3 1,-40 SSM 89TS "PLICATION FOR PEPMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES BUILDING WM J FOX, CHIEF ENGINEER NO OF BLDG ORD NO DISTRICT NO PLAN C O� PEER/MIT NO PLANS SETBACK LINE („p77 FIRE APPROVED i ZONE BY DATE ECEIV Di BY DATE OF APPL DATE ISSUED USE APPROVEDI � �� /A. ZONE BY DATE ry S� APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY C BUILDING 2 a p NAME ADDRE86 p yUj = ADDRESS LOCALITY ~ C1 NEAREST V Z CITY CROSS ST Q STATE TAME �(/C,/•B+V, '� LICENSE NO NO MAIL - -- o x NAME e � ADDRESS ! � r k p TEL ADDR886 CITY NO F v 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS, U CITY APPLICATION AND STATE THAT THE ABOVE IS CORRECT STATE TEL AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO NO AND STATE LAWS REGULATING BUILDING CONSTRUCTION Z r O LOT NOkY 8126 OF LOT&�+ !! if SIGNATURE OF OWNER • e d f NO OF BLD G8 AUTHORIZED AGT 2 - BLOCK NOW ON LOT TRACT 5` CORRECTIONSUSE OF D NOW ON LOT SLOGS / t` DESCRIPTION OF WORK USE OF BUILDING A RBVING1 This constructlon mayViolation o War Production 0 cautioned to consult with your load War ;U ibefolecumumuc- irm the worked in the t. Z D NEW TYPE !9GROUP [- NO OF I NO OF ALTERATION ROOMS J FAMILIES ADDITION SIZE / /� 4 REPAIR STORIES MOVING WALL COVERING 0000 DEMOLISH ROOF COVERING I � t9+O P c $ a FINAL-APPRC6L,/ FEE r 8 I �,/y (� I INSPEC OR'8 � VALUATION FEB ��®� DATE / NAME APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self Insure, 9•I'le- c ����2 Av r�/_ Eli� h� t/� or a certificate of Workers'Compensation Insurance,or a certified �((p e/�C/ Y Copy thereof(Sec 3800,Lab C) CITY M�Lc c(�..y ZIP q/790 LOCALIT'Y' L� Policy No Company SIZE OF LOT NO OF BLDGS NOW ON LOT El certified copy is hereby furnished &3 yC q 3 NEAREST CROSS ST ❑ Certified copy is filed with the county building Inspection TRACT BLOCK LOT NO USE ZONE MAP NO department ASSESSOR MAP BOOK PAGE PARCEL Date Applicant SPECIAL CONDITIONS OWNER A&wei Tr/9 TEL NO YES NO CERTIFICATE OF EXEMPTION FROM WORKERS' L�,1i(2c',tka $rci/�NS .;7� -(r COMPENSATION INSURANCE WITHIN 1000 FT OF SCHOOL? ADD ESS (This section need not be completed If the permit is for one hundred ��db fM��� DISTRICT GROUP TYPE CONSTFIRE ZONE OCESSE Y dollars($100)or less) CITY _ ZIP �7 01 I certify that in the performance of the work for which this permit ��/y/�t c �� 9 /Kc) is issued, I shall not employ any person In any manner so as to ARCHITECT OR ENGINEER TEL NO become subject to the Workers'Compensation Laws Or✓AJt��' STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate ofREQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL NO SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith 0, , I LIC NO FRONT ADDRESS comply with such provisions or this permit shall be deemed revoked PL SIDE LICENSED CONTRACTORS DECLARATION CITY LIC CLASS P IL U I hereby affirm that 1 am licensed under provisions of Chapter 9 SO FT SIZE NO OF STORES NO OF FAMILIES SEWER MAP OZ (commencing with Section 7000)Of Division 3 of the Business and1 9NEW BK PG O Professions Code,and my license Is in full force and effectF- DESCRIPTION OF WORK ADD ❑ VALUATION License Number Llc Class Contractor Date QAR �OR ALTER ❑ O z REPAIR ❑ ❑ 1 am exempt under Sec B&P C for this reason DEMOL ❑ LDMA P/C# Date USE OF EXISTING BLDG URM ❑ Signature APPLICANT(PRINT) TEL NO LDMA Perm N ZAC1/12ArC� �Q ST✓�A1S ��7'6��,z Z ( a I, as owner of the property, or my employees with wages as O AC'(1 a' their sole compensation,will do the work and the structure is ADDRESS not Intended or offered for sale (Section 7044, Business and H 9`>1vT 4 c FMPzieo.2 -72pRtr e47- FINAL DATE a ;LI�,7 � Professions Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE AHAZARDOUS MATERIAL J { ITEMS Cl I, as owner Of the property, y contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN Q 1 ITE `j p perty, am exclusive) g THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? F19 licensed Contractors to construct the project (Section 7044, YES❑ NO❑ TOTk 58 - 75 Business and Professions Code) WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDINGCi OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CHECK t \ 5J•7CI CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINES CHANGE e Oct I hereby affirm that there is a construction lending agency for YES❑ NO❑ ` the performance of the work for which this permit Is issued(Sec .erw-) I HAVE READ THE 3097,Civ C) PERMITTING CHECKLIST II UNDERSTAND RDOUSi MLY REQU INFORMATREM AND UNIDER THE LOWANGE ES m COUNTYCODE TITLE2 CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20140 CONCERNING Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD Lender's Address ,,�«„ 1: Z 1 l� 3:04 AGENT 0 1 certify that I have read this application and state that the above PC FEE PERMIT FEE information Is correct I agree to comply with all county ordinances and State laws relating to building construction,and hereby authorize representatives of this County to enter upon ISSUANCE FEE 0 a ' theve-mentionedrppe or inspection purposes l! 4--/3-90 INVESTIGATION FEE TOTAL FEE t` a Appll�t Asw� Dae SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9804090005 PHONE (818) 285-0488 EXT: --LEGAL . OF CONST BUILDING ADDRESS TR: 4314 LT: 8 SQ. FT STORIES TYPE 9426 EMPEROR AV STRUCTURE 0 VN TEMP CA 917801301 ASSESSOR NEAREST CROSS STREET 5382-010-053 THOMAS PAGE: 596 GRID: J1 LOCALITY: TEMPLE CITY EXISTG USE RESID USE ZONE R-1D . EXIST OCC GRP: 04/09/98 UT 04/09/99 OWNER. TEL. NO BLDGS. NOW ON LOT: VALUATION. FINAL DATE F L CODE STEVENS LAURENCE R;HENRIETTA (818) 287-6862- 1 3,300 2�_Q 9426 EMPEROR AV U TEMP 917801301 FEES PAID DESCRIPTION OF WORK TEAR OFF AND INSTALL 1/2" PL OOD, GAF CLASS A COMP SHINGLE FEE DESCRIPTION QUANTITY: UOM: AMOUNT (HOUSE AND GARAGE) APPLICANT 0- WEATHERITE ROOFING (626) 446-1106- AA BLDG PERMIT ISSUANCE 27 75 AC STRONG MOTION RESID 3300.00 VAL 0.50 SPECIAL CONDITIONS- D2 ONDITI S-D2 PERMIT W/O EN=HC----' 3,300-00 VAL 116.10 F L ETOTA ES 144 35 CONTRACTOR ROOFING TEL. N287 0669- d � APPROVALS DATE INSPECTOR SIGNATURE WEA4016 TEMPLE CITY BLVD LIC NO LOCATION AND SETBACKS ROSEMEAD CA 91770 423177039 SOILS ENGINEER APPROVAL i ARCHITECT ENG TEL. ; �� �- �� FOUNDATION/TRENCH FORMS LIC. NO: / SLAB/UNDER FLOOR �; _ , � �1 1111 �1 RAISED RAM UNDERFLOOR MAP N0: S L OR INSULATION ER MAP BOOK: PAGE- FIRE ZONE. CMP,: ,� i I��; , �/ � �� r �. I � � , 153H265 3 01 i ����7 `�' ��i, �_�� ��i '� SHEATHING OF FAMILIES- W=LNG UNITS AP CLASS NO 21 � 7 �, t; ' �� �� 00 SHEATHING �, SCHOOL IN HAZARDOUS \ ' j i - , ;i '� //� NELS AIR QUALITY: 1000 FEET MATERIALS \ _ NO NO NO FRAME INSPECTION REQUIRED0 SETBACK FROMEXIST ` ` \ / NGER SET BACK YARD: HWY: PROP LINE: WIDTH- FRONT IDTH FRONT PL- v " INSULATION/WEATHER STRIP SIDE PL- - - - N R ALL EXTERIOR LATH RAT D WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508