HomeMy Public PortalAbout9828 ESTRELLA AVE_Building__ DEPARTMENT OF BUILDING AND SAFEJY ' APPLICATION FOR PERMIT
COT/INTY OF-LOS ANGELES fEB 7 1
WM. J. FOX, CHIEF ENGINEER a
FOR APPLICANT TO FILL IN i FOR OFFICE USE ONLY
DISTRICT NO. PLAN,CK.,NO.— —PERMIT-NOBUILDING .
ADDRESS
LOCALITY RECEIVED BY DATE OF APPLt T 1 DATE ISSUED
NEAREST ^^ 11
CROSSST 5 T �J W / ,V
BUILDING
TT ))
ADORE..
OWNER V TT C �J
AMAIDDRE69 / (�/ L.J/V/P F /Y d ' LOCALITY S 6 {
A
NEAREST,
SAN 9rA AR/,g- E ! CROSS ST. �.�-✓L ,///(�
CITY FIRE 1 I NO.OF TYPE GROUP
ARCHITECT OR TEL. 4 ZONE ' PLANS 2 v S a®
ENGINEER NO.
BLDG. 1 I CRD: NO.
ADDRESS SETBACK-LINE
/,/A , APPROVED _ ti:..
CONTRACTOR�AM/LY MEt,°�/(" L"Al BY i DATE I
.y USE /� APPROVED
ADDRESS L SA �OS�. ZONE/`.-� BY . DATE
—LEGALNO. �(.(� BLOCK VO
DESCRIPTION T
/O. 7$' j Z�e�n , CORRECTIONS
TRACT 71 LF
/ h
/ y o NO. OF BLDGS.
SIZE OF LOT 6a NOW ON LOT
USE OF NO.OF I NO. OF i
EXISTING SIDG. FAH i LIES ROOMS F �
DESCRIPTION OF'WORK _ y�.IC--1 N'A r v- ,g12 Lo -r
NEW 'ALTERATION ADDITION I
_ _ '6RtJli 1 fy ii A
• REPAIR MOVING DEMOLISH\ � R'S 'C0 PIP.nP:IS
FT. i NO. OF (( - .....p ........••j ..,.C7^�1..'l .� Z
SIZE � ROOMS �J STORIES / co Nr-ekR ED SNI T1.1 Ri n� Q,
COVWAL . COVERING -G>V1T.RING tJ _ �
UBE OF NEW /11P �C17�/t•«� I/ I 1 r R Q I I IV F` .E.] �.�HIL� i
BUILDING (p�/
q_n/� WAW-Il_n STAND / Ann �.WrA097,
PJ Al F2
,,_s s-.1-/ 60L. iz a N///P- i l✓,,-
r yr N) tw Po /,,rviArA,e
I HEREBY ACKNOWLEDGE THAT I HAVE READ'•THIS APPROVALS 014-7,9/kr (Wl'
APPLICATION AND STATE THAT THE ABOVE IS CORRECT INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION (�Mi
OF ^�
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. I FORMS, MATERIALS
M 'L FRAME: FIRE STOPS,
SIGNATURE
BRACING, BOLTS
PERMITTEE . ,I/
I � / LATH. INT. ��''//// 7 ,
AUTHORIZED AGT. �^ �• ��L /A r n
U /w✓:(�( / / vW V/,/ LATH, EXT.
.' v5A538A-a to-s. $ P.C.$ PLASTER, INT. V
1 T^f U FEE PLASTER, EXT.
VALUATION
. ,. - FEE ,�V FINAL /�//YJ /•S/
WORKERS' COMPENSATION DECLARATION
by affirm that I have a certificate of consent to self //[��\ Ir��' O
7. L ure, or a certificate of Workers' Compensation Insurance, �/ �!+ . PLIC4 Y���u V.--.��LL�.,,✓�o'6 DBLLV�N PERMIT
U�� .
or a certified copy thereof (Sec. 3800_, Lob.-C.) _ COUNTY OF LOS ANGELES L BUILDING AND SAFETY
,Policl No. Company -
BUILDING
❑ Certified copy is hereby furnished. :'FOR APPLICANT TO FILL IN - ADDRESS
�lified copy is filed with the county building inspec- BUDDING. y - _ -
tion department. - - ADDRESS _ /
` CITY �I Y 1 1 i-C '. P �:. .
Date /0^Applicant r LOCALITY
NO. OF B GS. r NEAREST �Q
CERTIFICATE OF EXEMPTION FROMWORK SIZE OF LOT' NOW ON OT "' CROSS 57. -
+ COMPENSATION INSURANCE . ASSESSOR
(This section need not be completed if the permit,is for one TRACT BLOCK - LOT NO." MAP BOOK- PAGE - PARCEL
hundred dollars+.($100)or less.) - TEL' " USE ZONE MAP
OWNER' NO."- NO. '
I certify that in,the performance of the work for which this 1- '' . SPECIAL. - }
permit is issued, I shall 'not employ'any person in any,manner ADDRESS `f CONDITIONS a
so as.to become subject to the Workers' Compensation Laws. r Q
•. CITY
Dote Applicant: " - ARCHITECT OR TEL.
•NOTICE TO APPLICANT: If, after makingthis Certificate of. ENGINEER NO.. DISTRICT .GROUP TYPE _ FIRE , PR CESSED BY
' CONST. ZONE' U
Exemption, you should become 'subject to the•Workers- J, 2 / 3 U
Compensation provisions of the Labor Code; you must forth- ADDRESS J `/ W
with comply with such provisions or this permit shall be /� STATISTICAL CLASSIFICATION APT: CONDO.
deemed revoked.., CONTRACTOR (i �T / - z
LICENSED CONTRACTORS DECLARATION LIC At
aA55 NO. DWEI I. UNITS
1 hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS O. - • -
SEWER MAP
(commencing with Section 7000)of Division 3 of.the Business kr� y LASS
and Professions Code„and my license is in full fo ce and effect. SO,CIT7 BK PG VALIDATION '
7 Qa ' SO FT. - NO. OF NO. OF CHECK
License Number — _ / Lic,CIas4,IJ/ SIZE A STORIES FAMILIES ONE
VALUContractor ION
DESCR`I/P�TION OF WORK �.� NEW• fJ �•
(TTi` - G - �, . +.'I "� ^ADD' ❑ $
❑I am exempt under Se - - -
N _ ALTER ❑ - ..
B.BP.0%for this reason bViI REPAI
: , USE OF
Date _, _ '
EXISTING BLDG. ' DEMOL'❑
Signature APPLICANT FINAL
.OWNER-BUILDER DECLARATION (PRINT) _ /n,
I hereby affirm that I am exempt from the Contractor's License G /` .F DATE 23-4f' L -
Law for the following reason.(Section 7031.5, Business'and ADDRESS O CJ FINAL
Professions Code):. - PRESENT - - B
❑ I; as owner of the property, or m employees with' BUILDING - 9.
P P Y�' YADDRESS'
-- - - - S//�(l .—�. \ t a 'f•. ' v., v
the structure isnot intended or offered for sale(Section LOCALITY
wages as their sole conipensation,.will do the work and
7044, Business and Professions Code.) - MOVING - TEL.
.❑, 1, as owner of the property, am exclusively contracting CONTRACTOR NO. - 1
-
with licensed contractors to construct the project (Sec- t L.IEr.:
tion 7044, Business and Professions Code.) ADDRESS -
--REQUIRED .- TOTAL SETBACK FROM EXIST. l H'')fi !J
• 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 +it;t is fll li yy +i;T iii.
- P.L. ..
Lender's Name �y [�'11PI :`'
i8 Gy _LDMA.Ref..N _
P.C. Fee.$ Permit Fee oaf
Lender's Address i
o I certify that I have read this application and state that the Issuance Fee Al -7J- LDMA P/C N D -
above information is correct.-I agree to comply with all County Investig_aton Fee '
ordinances and State laws relating,to building construction, Total Fee - LDMA Perm. It
a and her
eb authorize representatives of this County to enter
upon the ve-mentioned �rop ty for inspection purposes.
a
! - SEE REVERSE FOR EXPLANATORY LANGUAGE
s
^ ature,of Apr,icor t or Agent Dote
•s COUNTY OF LOS ANGELES _ TEMPLE CITY # 0508 �.- v.. BUILDING PERMIT
-�� DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9909070062
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
TRi 16712 LT: 15 SQ. FT STORIES TYPE OCCUP GROUP 9828 ESTRELLA AV
STRUCTURE: 420 1 VN R3 TEMP CA 917801416
ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: LONGDEN
5383-021-001 OTHER: THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: USE ZONE: IS UED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 09/14/99 UT 03/12/00
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FIN L BY: CODE:
MOLLES M;LORENA D (626) 286-5310- 1 31,080
TREE ��
9828 91780141 AV
TEMP 917801416 FEES PAID DESCRIPTION OF WORK
ADDITION OF BEDROOM, BATHROOM AND EXTEND LIVING ROOM
FEE DESCRIPTION: QUANTITY: LOM: AMOUNT:
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 31080.00 VAL 3.11 SPECIAL CONDITIONS:
AX BUILDING REVIEW-FEES\ 54-70
B2 PERMIT W/ENERGVE S 31080`00 VAL 619-08
P,N TOTAL-FEES 704-64
CONTRACTOR: TEL. NO: SOS -Un/ APPROVALS DATE INSPECTOR SIGNATURE' /
SAME AS OWNER -
LIC. NO _ LOCATION AND SETBACKS
/ SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL- 0: / FOUNDATION/TRENCH FORMS
LIC. NO:// _ 1111111 SLAB/UNDER FLOOR
��(����---111'---IEEE RAISED FLOOR FRAMING
A�(
MAP N0: SEWER MAP BOOK: PAGE: FIRE-ZONE- CMP-. n O n ��j-'� C1 /1 //0 rf11�/j.� UNDERFLOOR INSULATION �A
I lJ Y U [IIS i\I J \!1'lll\11 JI1 iN,="Il11Cl\1 ST LEVEL FLOOR SHEATH—
NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS:-
NO 21 TND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS ROOF SHEATHING
AIR QUALITY: 1000 FEET MATERIALSNO NO NO A �� FIRE. DEPT. FRAME INSPECT
SET
FROBACK YARD: HWY:REQUIRED 7OTAPROP
T LINE:FROM WI TH. G6 �7Q Service That��+� SHEARDPANELSRAME INSPECT
SIDE PL- - 4
INSULATION/WEATHER STRIP
INTERIOR LATH/DRYWALL
EXTERIOR LATH #000
LOT DRAINAGE
SMOKE DETECTION DEVICES
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS0508
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 9909270013
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 16712 LT: 15 SQ. FT STORIES TYPE 9828 ESTRELLA AV
STRUCTURE: 77 VN TEMP CA 917801416
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN
5383-021-001 THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY
T ANT: EXIST BLDG USE: RESID USE ONE: R-1 ISSUED ON: PROCESSED Y: EXPIRES ON:
EXIST OCC GRP: 09/28/99 VG - 03/26/00
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
MOLLES DION M;LORENA D (626) 286-5310- 5,698 �'y n
9828 ESTRELLA AV `''/V/',/'J 1-2.
TEMP 917801416 FEES PAID - D-� T O 0 WO K
ADDITIONAL 77 S.F. TO EXISTING PERMIT ISSUED 9-14-99 '
FEE DESCRIPTION: QUANTITY: UOM: - AMOUNT: _
APPLICANT: TEL. NO: -
SAME.AS OWNER AA BLDG PERMIT ISSUANCE 27-75
AC STRONG MOTION RESID 5698.00 VAL 0.57 SPECIAL CONDITIONS: -
B2 PERMIT W/ENERGY-----�5698.00 VAL, 164.34
P�GELESTO`TAOL-FEES 192.66
CONTRACTOR:
TEL. NO: �O�j U/�ry APPROVALS DATE INSPECTOR SIGNATURE
SAME AOWNER
LIC. NO LOCATION AND SETBACKS
/ SOILS ENGINEER APPROVAL
ARCHITECT OR G - EL-. NO: / FOUNDATION/TRENCH FORMS
LIC- N0: 1111111 SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO:.SEWER MAP BOOK: PAGE: FIRE ZONE: LMP•: InI InI �f/(\�\�/Q R��J(/�J UNDERFLOOR INSULATION
XX - - 3 ' u1. U.:/ L J C lJ l/ Oil Ll Il U S - FLOOR SHEATHING
W0-.—OF FAMILIES: DWELLING UNITS: PT/ OND: STAT CLASS:-
NO 21ISI, ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS `\ O J� *;- SHA PANE S -
AIR QUALITY: 1000 FEET MATERIALS \ ,YC
NO NO NO Q
A 0 ®y FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH: b/j
C
FRONT PL- Service That INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL ,
EXTERIOR LATH
RATED F OOR/CEIL ASSEM.
- RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
- LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
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 0403040013
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUI DING ADDRESS:
TR: 16712 LT: 15 SQ. FT STORIES TYPE 9828 ESTRELLA AV
STRUCTURE: 121 VN TEMP CA 917801416
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET : BALDWIN
5383-021-001 THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: RESID USE ZONE'.--R-7-
EXIST
ONE: REXIST OCC GRP: 03/04/04 VG 02/27/05
OWNER: TEL. N0: BLOCS. NOW ON LOT: - VALUATION: Ft AT.E^L� FINAL B CODE:
MOLLESOWNER: DI ON M;LORENA D (626) 286-5310- 25,000 (/
9828 ESTRELLA AV _
TEMP 917801416 FEES PAID DESCRIPTION OF WORK
CONVERT BREEZEWAY TO ENLARGE AND REMODEL KITCHEN
APPLICANT: -79L.
FEE DESCRIPTION: QUANTITY:`UOM: AMOUNT:
N0:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 25000.00 VAL 2.50 SPECIAL CONDITIONS:
AX BUILDING REVIEW FEE 54.70
B2 PERMIT W/ENERGY 25000.00 VAL 515.46
_ TOTAL FEES 600.4
CONTRACTOR: TEL. N0: APPROVALS - DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: ,FOUNDATION/TRENCH-FORMS,
LIC. N0: SLAB/UNDERFLOOR
-_- T
iRAISED FLOC: FRAM NG _4'S4
MAP NO. SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
153-269 3 01
FLOOR SHEATHING
0. OF FAMILIES: DWELLING UNITS: qPT/GOND: STAT CLASS:
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP '/
SIDE PL- _ �7
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CELL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE _
REPORT ID: DPR261 ROUTE TO: BS0508
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 1202280056
PHONE: (626) 285-0488 EXT:
I LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ITR: 16712 LT: 15 I SQ. FT STORIES TYPE 9828 ESTRELLA AV
I (STRUCTURE: 17 V-B TEMP CA 917801416
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: BALDWIN
15383-021-001 1 THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY, Ci
1TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 11SSOED ON: PROCESSED BY: 1
1EXIST OCC GRP: 102/28/12 SR
I
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
IMOLLES DION M;LORENA D (626) 451-6884- ],000
19828 ESTRELLA AV l�
TEMP 917801416 FEES PAID IDESCRIPTION OF WORK
1RL'-ROOF OVER EXISTING PLYWOOD TEAR OFF PORTION OF OLD ROOF
IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT: IMATERIAL AND LEAVE ROOF THAT IS ONLY 5 YEAR OLD WITH COMPOS11
APPLICANT: TEL. NO: I IT10N SHINGLES
SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 1__
AS STATE GREEN BLDG FEE 7000.00 VAL 1.00 (SPECIAL CONDITIONS: _
IAC STRONG MOTION RESID 7000.00 VAL 0.70
ID2 PERMIT W/O EN-HC 7000.00 VAL 166.20 �w
TOTAL FEES 195.70
CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER - I_
LIC. NO - ILOCATION AND SETBACKS
I I I
ISOILS ENGINEER APPROVAL
I I
ARCHITECT OR ENGINEER: TEL. N0: 1FOONDATION/TRENCH FORMS I I I
LIC. NO: I 1SLAB/UNDER FLOOR
I I I
IRPASED FLOOR FRAMING
(MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: cmiPJ (UNDERFLOOR INSULATION I I - ]
115311269 3 001
1 _1 FLOOR SHEATHING
1
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I _. ]0 NO 21 _1 1ROOF SHEATHING {�
Hyl/ I
SCHOOL WITHIN HAZARDOUS SHEAR PANELS 113
1AIR QUALITY: 1000 FEET MATERIALS ] _
I
NO NO NO FRAbIE INSPECTION
(FIFE SPRINKLER HANGERS
I I I
INSULATION/WEATHER STRIPI
INTERIOR LATH/DRYWALL I
IEXTERIOR LATH 1
I I I )
IRATED FLOOR/CEIL ASSEM. ]
RATED WALL ASSEMBLIES
I I I
IRA TED SHAFTS/OPENINGS I
i
IT-BAR CEILINGS
I I I
I ]LOT DRAINAGE
I I I
REPORT ID: DPR261 ROUTE TO: BS0508
I I I ] I ]