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Home My Public Portal About9827 ESTRELLA AVE_Building__ DEPARTMENT OF BUILDING AND S1�fy Y C 195�P=TION FOR PERMITEm COUNTY OF LOS-ANGELE l�/ aJ WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN I FOR OFFICE USE ONLY DISTRICT NO. PLAN K.NO. PERMIT NO. B UILDINO p ADDRESS LOCALITY RECEIVED By DATE OF AP1PwL.... DAT[ISSU.RO NEAREST :CRO08 ST, _ SUILOING, . OWNER /W� � �� ry/Fy AMAIL DDRESS q WV�/1..�/W LOCALITY �f.Qnl� O Z7 AREST HE J TEL CROSS ST. ��+./�`✓!i✓ lI�'�'� CITY NO. FIRE NO.OF TYPE-r OROUPJ ARCHITECT OR T[L ZONE PLANS Z ENGINEER NO. BLDG. ORD.NO. ADDRESS SETBACK LIN[ 2-111 Al/ M T[L APPROVED CON CT R O. BY DAT[ U. JJ////.� APPROVED ADDRESS d 7r71 . ZDNE/ � BY DAT[ LEGAL (� Z�CJ 3 CORRECTIONS DESCRIPTION ILOT NO. / BLOCK TRACT 14 L SIZE OF LOT S NOW ON LOTS 'USE OF NO.OF NO.OFU - / EXISTING BLDG. FAMIEa ROOMS DESCRIPTION OF WORK (y; NEW ALTERATION ADDITION /a k O REPAIR MOVING DEMOLISH or 9 ZET Q ROOMS S STORIESWALL NOLT COVERING i( -GA. I COVERING W, vo44 p ) /S V N UBEOFNEWee '(� /� I'� /�. �/^ /.Aq BUILDING 1S (- F PAA. fL. `-®rA ` �twcst� zF 2 0 L e r /FvERLY R > C-f1 t. /_HT 1,23-x/ e4,^ PLH-Yf 70 CGOJ"F' f '7-0 7 iktgl✓,I'/TE' !�E/t/Yf7/-PLoaR I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS —.$6E I�CiA/;N►PPROVALS 19�.V6/F2C H/!lt y APPLICATION AND STATE THAT THE ASDVE IS CORRECTI FOUNDATION: LOCATION INSPECTOR DAT[ AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS.MATERIALS �s�l tl AND STATE LAWS REGULATING BUILDING CONSTRUCTION. .71 PRAMS: BOLTS SIGNATURE OF BRACING.GIBOLTS PERMITTEE- LATH, INT. / - I'l a.1 1- / AUTHORIZED AOT I TT �r Lb I - LATH. [%T. - V - 75AWISA-32-s $er-J Qaro P,0* , PLASTER.INT. Q � =B, 9')'�"1O` FEE /J � PLASTER,[%T. ' 0 /�-�/ / VALUATION FEE 32--0 FINAL �I fy ;; -Zn V / COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDR BUILDING / �� /�� I hereby affirm that I have�.a certificate of consent to self insure, 5 �e L ' or a certificate of Workers' Compensation Insurance,.or a certified copy thereof (Sec.3800,Lab.C.) CITY T /Q G`r —LOCALITY Policy No. Company SIZE OF LOT NO.OF SLOGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEARESTC 55 ST El Certified copy is filed with'the county building inspection TRACT, BLOCK LOT NO. department. -ZONE AP NO. ASSESSOR MAP BOOK PAGE PARCEL Date_ Applicant SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER - TEL .B COMPENSATION INSURANCE �� ` WITHIN 1000 FT OF SCHOOL? YES No (This section need not be completed if the permit.is for one hundred ADD E w // (,/ , DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY dollars ($100)or less.) I certify that in the performance of the Work for,which this permit GIT fJ`,y' /P ZO� is issued, shall not employ any er n in any manner so as to ARCHITECT R ENGINEER TEL NO. L �� Date U Iect t�Aepplicant. �'"s. ADDRESS STATISTICAL CLASSIFICATION DW APT CONDO Date *//, CLASS NO. CDWELL UNITS NOTICE TO APPLICANT; If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CON AGT �F Tf�L�/� />) SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor'Code, you must forthwith ✓1 (� m {Vi FRONT Comply with Such provisions or this permit shall be deemed revoked. AppFjESg / /Gk �I O y� P L LICENSED CONTRACTORS DECLARATION 77ii�rJ4 G . SIDE C706 Wne - LIG.G P L hereby affirm that am licensed un vision.vi of the of ChaptCrosse and O SEWER MAP - (commencing with Section 7000)Of DiviSioro3 of the$usiness and 50.FT SIZE N :OF STORIES NO.OF FAMILIES } Professions Code,and my license is in full force and effect. NEW ❑ BK PG D a License Nu mbe Lia Class DESCRIPTION OF WORK ADD ❑ VALUATION Q Contractor a CdO om Ii o%✓ ALTER ❑ $ / �- I ❑ 1 am exempt under Sec. '� 64/e• e II REPAIR ❑ -$ 0 B&P,C. for this reoSian B}Q, DEMOL ❑ LDMA P/C s USE OF EX TING BLDG. URM ,❑ - EL FEL Signature A �� - APPLIC (fWjll T LOO /� LDMA Perm» Z : Z ❑ I, as owner of the property, or my employees with wages as ('CJ O - a their sole compensation, will do the work and the structure is ADD S p / QL I� O Hi AT not intended or offered for sale (Section 7044, Business and / ` /G.I� FINAL DATE • Q +-� ,Professions Code.) - WILL THE APPLICANT OR FUTURE Do DOING Occ SR Us MATE T." `]-ll-�3 o LsCl7 ICIi° C! OR A MIXTURE CONTAINING A HAZARDOUS MATE O{Ff}�FF4 THAN THE r ❑ as owner Of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARWUS MgTE LS IN 11 KTSOrJEi FINAL BY ITE�� licensed contractors to construct the project (Section 7044, YES El NO 11 TOTAL 1 m Business and Professions Code.) 30 WILL THE INTENDED USE OF THE eUIDLING BY THE APPLICANT OR FUTURE BUILDING _ OCCUPANT PRO IRE A PERMIT FOR CONSTRUCTION OH.MODIFICATION FROM THE SOUTH `.LICI,L i,l?°`h CONSTRUCTION LENDING AGENCY COAST AIR OUAUTY MANAGEMENT DISTRICT ISCAOMD)SEE PERMITTING CHECKLIST FOR flC•{� 11111 J GUIDELINES. I hereby affirm that there is a construction lending agency for YES ElNo El CHANGE At the performance of the work for which this permit is issued(Sec. (HAVE READrHeHAURoousenATEwALsu+FoaMAnoNGaoE ANo mE�AanoPEBwlrnuG 30137;CIV.C.) CHECKLIST UNDERSTAND MW REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, TITLE 2.CHAPTER 2.20SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS (1 (� .I Lender's Name. MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. 1130100-0001 4! 2/92 o Lender's Address eNA�EF Da OFTT 1?029 1 1 0 o certify that 1 have read this application and state agree t penally 0 of penury that the above information i5 correct. agree to comply P.G.FEE PERMIT FEE /1 , / N with all county ordinances and State laws relating to building /(sn (C m construction, and hereby authorize representatives of this County ISSUANCE FEE to enter upon the above-mentioned property for inspection purposes. `•'r (O INVESTIGATION FEE TOTAL FEE sy,.+r�re er rod�.�d Aim wm SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY # 0506 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1206290001 PHONE: (626) 285-0486 EXT: (LEGAL ID: NO. OF CONST BUILDING ADDRESS: 1 ITR: 16712 LT: 14SQ. FT STORIES TYPE 9827 ESTRELLA AV 1 I _1ISTRUCTURE: 1100 V-B TEMP CA 917801417 1 (ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 15383-023-032 THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY CAI I TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 11S.SUED ON: PROCESSED BY: I IEXIST OCC GRP: 106/29/12 SR I I t I OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: F DATE F AL BY: CODE: SANCHEZ, KATHLEEN (626) 309-9317- 1 1 2,500 19827 ESTRELLA AV (TEMP 917801417 FEES PAID ESCRIPTIbN OF WORK IRE ROOF HOUSE WITH 20 YEAR SHINGLE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 111 APPLICANT: TEL. NO: I SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.80 AS STATE GREEN BLDG FEE 2500.00 VAL 1.00 ISP;LCIAL CONDITIONS: IAC STRONG MOTION REBID 2500.00 VAL 0.50 1 ID2 PERMIT W/O EN-HC 2500.00 VAL 99.00 I - TOTAL FEES 128.30 (CONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE (SAME AS OWNER - I It I LIC. NO I LOCATION AND SETBACKS I I I- 1-1 - SOILS ENGINEER APPROVAL _ I ARCHITECT OR ENGINEER: TEL, NO: I IFC�dDATION/TRENCH FORMS LIC. NO: (SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 1 UNDERFLOOR INSULATION 1153H269 3 001 1 -1 FLOOR,SHEATHING N0. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I , 0 NO 21 1 IROGF SHEATHING I SCHOOL WITHIN HAZARDOUS j ISHEAR PANELS 1AIR QUALITY: 1000 FEET MATERIALS _, NO NO NO j (FRAME INSPECTION 111 IFIRE SPRINKLER HANGERS (INSULATION/WEATHER STRIPI (INTERIOR LATH/DRYWALL - (EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RACED WALL ASSEMBLIES RATED SHAFTS/OPENINGS 'I 111 111 T-RAR CEILINGS LOT DRAINAGE 1 IREPORT ID: DPR261 ROUTE T0: BS0508 I I I_