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Home My Public Portal About9836 ESTRELLA AVE_Building__ ,6A638A CE#803G ., APPLICATION FOR BUILDING PER IT COUNTY OF LOS ANGELES BUILDING9 3 Estrella DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND 'SAFETY DIVISION LOCALITY Temple City JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. DISTRICT O UP TYPE P FOR APPLICANT TO FILL IN j;Q CONST. BUILDING p ](-, -STATISTICAL CLASS)Fl AT10N SEWER MAP ADDRESS 836 Estrella,Temple C • BK O CLASS. NO. DWELL. UNITS — LOT NO. 16 BLOCK WATER NOT REQUIRED RECEIVED CERTIFICATE://�� Lj TRACT 2 NOP DV�PdRCLE) STATE MAJOR SECOND OCAL SIZE OF LOT. 60 X120 t �I NOW ON LOTNO OF BLDGS 2 ' USE ZONE SPECIAL USE OF CONDITIONS 'EXISTING BLDG. Pr.Res . & -Gar. - OWNER Charles Vines NO At615 BUILINC EXIST. SETBACK YARD HWY STREET NAME WIDTH ADDRESS 9836 Estrella,Ten le Cit FRONT - ARCHITECT ORT,l TELLA� P. L. 1120 M } ENGINEER James M. FOX NEoLs 3 O 4 SIDE �• ADDRESS 8060 Telegraph Rd.Dpwney P. L u CONTRACTOR Crane -B1drs.In'jo- St463 % /INSPECTION RECORD ad 0 .I ADDRESS 11522 Ventura B1vd.8h.0. r u DESCRIPTION OF WORKNEW // H S' ADDSO FT48 NO.OF ALTER AIR DEMOLISH IZE 48O STORIES FAMILIES USE OF PrivateC-lswimminool STRUCTURE b' P - SIGNATURE OF Crane Builders, Inc• APPLICANT *- .ee 9D�, o o VALUATION APPROVALS _//i,aDATE / INSPECTOR'S SIGNATURE .FEE $ .�� PMT. O POFR MS!MATERCALSON ��T 2 l/+ {%�/✓'J//. .�7/I /_1 FEE $ FRAME: FIRE STOPS, I*HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS I FANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. 'WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS l BUILDING,CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK , AUTHORIZED HEREBY TWILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. TION OF THE LABOR CODE OF,THE STATE OF CALIFORNIA RELAT IN TO WORKMEN'S COMPENSATION INSURANCE. ane Bu lder n(`• LATH,EXT. SIGNATURE OF n_ HOUSE NUMBER COR FERMI i" �^ RECT AND POSTED ADDRESS1�r 7 FINAL I!J IU�tfJ f22in CLYDE N. DIRLAM. PRINCIPAL STRURAL ENGINEER PLAN CHECK VALIDATION cK M.o: WBH PERMITVALIDATION,' cK m.o. c H a ilCo 417 0 1�2 MR 1 4. 2 3 D 7 .5 Q ^' Lp,,o 4 7 0 2 E MAY 14 1 0 1 5.0 0� a DEPARTMENT OF BUILDING AND SAFETY t PLICATION FOR PERMIT COUNTY.OF.IAS ANGELES �r I L �= WM. J. FOX. CHIEF ENGINEER t1 FOR APPLICANT TO FILL IN FOR OFFICE IISE;ONLY - DISTRICT O` PLAN CK.NO. PERMIT NO. ADDRESS .�%�LOCALITY RECEIVED BY DATE OF APPL. DATE ISSUED NEAR ET "0:' R BBOT. 1J-��'+a BUILD'NB OWNER ADDRE SS C� MAIL U h / LOCALITY T / ADDRESS �!a R /VNEAREST CITY NO CROSS T. r FIRE NO.OF TYPE BROi�f— ARCHITECT OR TEL. ZONE PLANS L ENGINEER \ NO. BLDG. � ORO.No. ADDRESS BETBACK LINE APPROVED CONTRACTOR ` NOL L. BY ATE G ZU�OS-NE •-/ APPROVED ADDRESS BY ✓D/ ATE LEGALACORRECTIONS DESCRIPTION LCNO. BLOCK TRACT ,/ N TNS/ -\, I ANO.OF SLOGS. SIZE OF LOT �G �� I NOW ON LOT �3 USE OF NO.OF NO.OF EXISTING BLDG, FAMICIEa 11 ROOMS _ DESCRIPTION OF WORK NEW \X'TI ALTERATION REPAIR ' MOVING DEMOLISH rO NO.OFv y 7 _ 91ZE J ROOMS ' STORIES / _/ ,VJ)A i /C./ ALB6 7 �i�''A/SYS• Z> WALLE+T I ROOF¢.,• eo->4 COVERING_ JJ �.frrlCiCL- COVERING USE OF NEW If BUILDING f _ -- 1-I`0 f s i- 1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IB CORRECT FOUNDATION: LOCATION INS EO OR DATE _ AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION, ��✓f/ `2 LATH,FRAME: FIRE STOPS, //��__.�,,�� .n SIGNATURE OF, BRACING.BOLTS /"TI11Aw PERMITTEE LATH. INT, AUTHORIZED ADT LATH. EXT. 7...A-3 .-SG � t✓.7 �v P.C.B/ PLASTER.INT. �0 FEE PLASTER.EXT. VALUATION B FEE 3/ FINAL WORKERS' COMPENSATION.DECLARATION - - 'I hereby ofhrn ,Ihal' I hpve a cenificaie of"�onsem.to self insure, or a certificate offiWorkers' Compensation Insurance, rPPVrT9 � V.. R BUR® NIG PIERW r , ora certified copy thereof,(Se c. 3800, Lab, C.) /. COUNTY OF LOS ANGELES - BUILDING AND SAFETY Policy Na _Company��:/ FEL KYJ .Certified copy is hereby turn ishe T- FOR APPLICANT TO FILL IN ADDRIIN �' ,�A�A ❑ Certifiedcopy-is filed withthe county building inspec- BUi L"" r y tion department. ADDRESS - Date%—/'L•-89: Applicant CIT ZIP917AW LOCALITY / C..L' ' CITY CERTIFICATE OF EXEMPTION FRO ORKERS' NO, OF BLDGS. NEAREST m -yT COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. This section need.not be completed if.the permit is for one - - - ASSESSOR hundred dollars ($100)or less.) TRACT. BLOCK _ LOT NO. . MAP BOOK PAGE PARCEL TEL. USE ZONE MAP 'I I certify that in the performance of the work for which this OWNER,ONP_jNO. NO. OC _ permit is issued, I shall not employ any person in any To SPECIAL so as to become subject,to the Workers'Compensation Laws.. ADDRESS 3 �� CONDITIONS - - - CITY ZIP D - Date Applicant- ARCHITECT OR - TEL. ' .NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. - DISTRICT GROUP TYPE FIRE ROCESSED BYZONE Exemption, you should' become subject to the Workers' - _ n CONST. ' IAO Co mpensotion provisions.of the Labor Code, you must forth- - ADDRESS /✓1 3 IV— w" +V{ '— with comply with 'such provisions or'this permit shall be z - deemed revoked. - TEL, STATISTICAL CLASSIFICATION. APT. CONDO. CONTRACTOR NO LICENSED CONTRACTORS DECLARATION - LIC., CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS ( C/ O.Jq / 771 SEWE MAP (commencing with Section 7000)of Division 3 of the Business and LIC. -.Professions Code, and my license is in full force and effect. CITY ® CLA55. - BK. g� VALIDATION }+, SO. 17 17 1 NO.OF NO. OF CHECK d License Numberirta �-7 Lic.Class.'i 4 SIZE STORIES FAMILIES - ONE �'�'�' A [� VALUATION U .•Contractor as. � --T�� ate -/�^�V DESCRIPTION OF WORK, NEW D s 1 E 000 -o ❑ I am exempt under Sec _ "RI , ALTER B.BP.C..for this reason - - REPAIR,2 R USE ❑ z Date EXISTING BLDG. ' DEMOL _ S' t ' Q �-fA �((,A APPLICANT - TEL p Lj 'FINAL (gyp. ' OWNE LDER DECLARATION PRINT) NO.�By--Q66g DATE I hereby affirm that I am exempt from the Contractor's License. -,. �' ., low'for the following reason (Section 7031.5, Businessrand 'ADDRESS �^ L FINA i Professions Code):' PRE E T BUILDING ' 1,'as owner of theproperty, or m em to ees,with ADDRESS ❑ Y t Y ACCI'.T wages as their sole compensation,will do the,work and LOCALITY -„ the.structure is not intended or offered fon sale(Section D -.isu7 78.00. .7044, Business and Professions Code) MOVING TEL p p y,eam exclusively contracting CONTRACTOR NO. - .... - '^• 1 ITEMS I, as owner.of the ro ert with licensed contractors to construct the project (Sec- ADDRESS - TOTAL 73' -.,0101 tion 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY REQUIRED. YARD HW TOTAL CHECK WIDTEXISTH - - CHECK 7H.0 l •I hereby affirm that there is a construction lending agency Tor FRONT -the performance of the,work for which this permit is issued-•'- P.I. '`-" CHANGE :UU '(Sec.--3097, Civ. C:). - • SIDE - - P.I. , Lender's'Name - _ �r�•r{ d P.C. Fee$ Permit fee �s 5 O LDMA Ref. R - - 000 -OU01 IOL 16Iti5 m Lender's Address- e-r ,. > 1 AM 4:51 3 $ I certify That i have read this application and state that the , Issuance Fee r LDMA P/C M , _ above information is correct..l agree to comply with all County •. Investigation Fee - ordinances and State laws relating to building construction, Total Fee glii,nOTDMA Perm. R - and hereby authorize representatives of this.County to enter up the above nlioned property for inspection purposes. - - SEE REVERSE FOR EXPLANATORY LANGUAGE ✓o^!y�R9 Si re of Applicant or Agent Date