HomeMy Public PortalAbout9855 ESTRELLA AVE_Building__ APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (P,i H, 0, fYDO onlv)
BUILDING COUNTY OF LOS ANGELES
ADDRESS DEPARTMENT OF COUNTY ENGINEER
T- 'zIP BUILDING AND SAFETY DIVISION
/ I OF BLOCS. BUILDING
SIZE OF LOz. //�/`� NOW ON LOT �/v/� ADDRESS �S
TRACT 1« BLOCK LOT NO. / LOCALITY
TEL. NEAREST
OWNE + C/ Y NO. CROSS ST.
ASSESSOR
ADDRESS - _J MAP BOOK PAGE CEL
/+ •� DISTRICT GROUP TYPE FIRE PROCE SED BY
CI TY� .- C. i / ZIPCONST. - ,wry Y
ARCHITEC OR TEL, y`r 5
ENGINEER NO.
STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS �Q�+ CLASS NOD`" OWELL.UNITS BNo G
CONTRAC O _ IZ C' N05,, / USE ZONE NO U
ADORES ,-�/ CC NI�EO b SPEC AL
LIC. CONDITIONS
CITY CLAS^
ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH B G.SETBACK FROM C
F ONT PROP.LINE OF (STREET)
ADDRESS CITY _
HI HWAY } YARD p TOTAL SETBACK FROM TYPE OF EXIST114G
SO. FT, NO. OF NO. OF CHECK RO T OP. LINE HIGHWAY WIDTH 'C
SIZE STORIES FAMILIES ONE
_ _ YJ
DESCRIPTION OF WORK NEW
ADD [:] BLDG.SETBACK FROM Z
9
ALTER ❑ SIDEPROP, LINEOF (ST ET)HIGHWAY f YARD _ TOTAL SETBACK FROM TYPE OF (STING
REPAIR[] SIDE PROP. LINE HIGHWAY IDTM
USE OF }
EXISTING BLDG. DEMOL ❑
APPLICANT/ eQ TEL CORNER CUTOFF YES ❑ NO ❑
NO.
IN OPEN SPACE YES ❑ NO ❑
By ISIGNA TUR E) '
IN COASTAL ZONE YES ❑ NO ❑
VALUAT CATEGORICAL EXEMPTION YES❑ NO ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE)
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE)
HEREBY 1 WILL N MPLOY ANY PERSON IN VIOLATION - THE
LA 90R CODE OF T STATE OF LWORNIA IN RELATING TO
WORKMEN'S CO PE ATION IN E.
SIGNATU I O
PERMIT E
ADD
FINAL BY
C ` NO/�CO y�/✓ DATE
KAKI: CIIF_C KS
PA YA BLF TOr FEE $ FEE
HARVEY T. BRAN DT. COUNTY ENGINEER
PLAN CHECK VALIDATION CIK. N.D. CASH PERMIT VALIDATION ON, N.o. CASH
1
~' 3A.AP 4 1 0 1 2.0 0 s!j8
76A638A CER803 7/73 �'
RTMENT OF BUILDING ANDS IT
4 APPLICATION FOR PERM
COUNTY OF LOS ANGEL �"�
WIA. J. FOX. CHIEF�ENOINEER /
1 FOR AgPLI6'ANT TO FILL IN FOR OFFICE USE ONLY
UILDNGI `/'qd r DISTRICT NO. PLAN CK.NO. PERMIT NO.
ADDR[IBS T"l 7 •R P Np el ♦r ✓�Y a0
— 7 SS ZaZ 37 -7 E6
LOCALITY 72-_'_1 n le— /�C, RECEIVED By DATE OF
APPP.�L.t 1. DATE ISSUED
NEAREST /�1W I,N /'•I°b �� // / U.s'50 jam•✓-V-z _
CROBB BT. Q
J. '.\_pi BUILDING •7 / ////7 f.
OWNER G A/[✓Lh A/ � r.� "Q(� ADDRESS C�'�Y T7 O
_ADDRESS .u4 IB M S RQ /MAIL � �� LOCALITY / �/
NEAREST
CITY NpLAP jl li/ CROSS ST.
FIRE NO.OF TYPE / OROU
ARCHITECT OR TEL. ZONE PLANE y 1
ENGINEER NO.
BLDG. / OR�D.)N O.
ADDRESS SETBACK LINE / I LL`•7
APPROVED
CONTRACTOR CPFS R44N J BY DATE
� / �bep ��� ZONE
LI
ADDRESS /SYPROVED DATE
.•E B3 ..5. �Q N
LEGAL L3 -E CORRECTIONS `
DESCRIPTION LOTNO. Y BLOCK
TRACT
NO.OF BLDGB.
SIZE OF LOT�� /� / / NOW ON LOT
USE OF NO.OF NO.Of
EXISTING BLDG. FAMI I.IEB ROOMS
DESCRIPTION OF WORK
ALTERA
ADDITION 0
NEW MOVING TION DEMOLISH
D
A
REPAIR
Bq.FT. NO.OF 2
SIZE ROOMS STORIES r
WALL Oo
COVERING R
Cjji.ia I COVOEFRING / L
NEW
BUILDING Fla/ 6I�/�/^/' 90
ri i
1 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 LAWB,REOULATINO ILDIND•CONBTRUCTION.
FRAME: FIRE STOPS,
BIG NATURE OF BRACING,BOLTS
PERMITTL� LATH. INT.
Y
AUTHORIZED AOT LATH. EXT.
76A63BA-3 3-50 .�' P.C.B
PLASTER.INT.
' FEE PLASTER.EXT. _
9 O I 9
FINAL
VALUATION FEE /J� / �•''/y}'� J ��/
;6WORKERS' COMPENSATION DECLARATION
y �, pp��C�AT�Oo.f� fOoQ BNJOdDO[r�1C� P[ QIMI��
I hereby affirm that I have a certificate of consent to self O D O O
insure, or a certificate of Workers'Complain tion Insurance or i
Q cer f' c thereof (Se . 3800, Lab. COUNTY OF LOS ANGEL SL ✓ BUILDING AND SAFETY
Poll panBUILDING
/Certified copy is hereby furnished, _I�i FOR APPLICANT TO FILL IN ADDRESS
-Certified copy is filed with the county bul lding inspec- c+ BUILDING /s _ -
,J tion department. ADDRESS Sa �S Q ? LOCALITY i
Date " 'Applicant CITY Q NEAREST
/� . T QIP CRASS BT.
"CERTIFICATE OF EXEMPTION FROM'WORKERS' - J - NO. OF BLDGS. ASSESSOR
• COMPENSATION INSURANCE SIZE OF LOT 3.O NOW ON LOT MAP.BOOK PAGE PARCEL
(This section need not be completed if the permit is for one USE ZONE MAP
TRACT BLOCK LOT NO.. NO. ®a
'hundred dollars ($100)or less.) - >
TEL. ..(( t SPECIAL - 0.
certify that in the performance of the work for which this OWNER L 40 Al NQJ A % CONDITIONS - O
perm It is issued, shall net employ any person in any manner DISTRICT GROUP TYPE FIRE PROCESSED BY V
�%a os'to become subject to the Workers'Compensation Laws. ADDRESS COQ •pC
Date Applicant CITY JAI 0" ZIP STATISTICAL CLA CATION - APT: CONDO. V
ARCHITECT OR TEL /7 - sy
NOTICE TO APPLICANT: If, after making this Certificate of �� CLASS N-.-DWELL. UNITS_
ENGINEER NO. 0.
Exemption, you should become subject to the Workers' N
Compensation provisions of the Labor Code, you must forth- gDDRE55 SEWER MAP Z
with.comply with such provisions or this permit shall be
TEL / VALIDATION
deemed revoked. . CONTRACTOR NO.. /dy/f BKA PG v
. LICENSED CONTRACTORS DECLARATION II LIC
I hereby affirm that I am licensed under provisions of Chapter ADDRESS 6 NO... 3 .76/3 VALUATION
(commencing with Section 7000)of Division 3 of the Business and - LIC.
Professions Code, and my license is in full force and j"effect. CITY . C CLASS S �Q,
�� SQ. FT. NO.OF - NO. OF
LicenseNumber 1/�
Lid.Class SIZE STORIES FAMILIES ONE
Contractor Date i7 �� DESCRIPTION OF ORK G �.° T '"`�) p❑p��
q Y4
Ilam exempt from IF4 licensing requirements as Lam a /(ICFt/ /✓ /°Q/C Nli/✓ °jd'+� �
licensed architect or a registered professional engineer
11 FINAL
acting in my professional capacity (Sect &.*
ian 7051, PIF$'' 7Q ❑ DATE '. F U'
Business and Professions Code). USE OF REPAIR J
EXISTING BLDG. DEMOL ❑ FINAL _
Lic.or Reg. No. _Date APPLICANT TEL _ By - -
' ' ' OWNER-BUILDER DECLARATION i (PRINT NO, '
I hereby affirm that I am exempt from the Contractor's License - -
Low for the following reason (Section'7031.5, Business and t ADDRESS
Professions Code): PRESENT' -
❑ - . BUILDING '
I, as owner of the property, or my employees with ADDRESS 6,
wages as their sale compensation, will do the work and
the structure is not intended or offered for sale(Section _ LOCALITY
7044, Business and Professions Code). MOVING TEL
'I, as owner of the property, am exclusively contracting CONTRACTOR NO. _ r z 3173, 1 A
with licensed contractors to construct the project (Sec- ADDRESS
• - tion 7044, Business and Professions Code). '# ° ° • ° ° 1
REQUIRED TOTAL SETBACK FROM EXIST '
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH
I hereby affirm that there is a construction lending agency for FRONT 2.• ° 6 is 0 0
the performance of the work for which this permit Is issued P.L.
(Sec. 3097, Civ. C.), SIDE r _ ° ° ° b 1.Q Q v
P.L.
Lender's Name 0 d. 1 3—8 1 -
$ P.C. Fee S Permit Fri
_Lender's Address -
W I certify that I have read this application and stalethat the Issuance Fees
a .. above information is correct. I agree to comply with all County Investigation Fee
ordinances and State laws relating to building construction, Total Fee '
.and hereby au rize r resent atives of this County to enter
mupon dbov enc' n property for inspection purposes.
< I /3 - SEE REVERSE FOR EXPLANATORY LANGUAGE '
Signoture of Applicant or AfJt
COUNTY OF LOS ANGELES TEMPLE CITY _ # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0203040042,
PHONE: (626) 285-0488 EXT: DUPLICATE
LEGAL _ __ _ _ _ _ __ _ _ _ _ _ 0. 0 _ E _ _ _ G ADDRESS:
TR: 16712 � "LTc 9� � � ' "'-�� � - �� SQ. FT STORIES TYPE - � OCCUP GROUP 9855ESTRELLA AV
STRUCTURE: 0 __ 1 _ _ _ VN _ _ ____ R_3__ _.__ __.-._ _ _ TEMP CA 917801417 _
ASSESSORRMATION LMB GARAGE: � � �� - - � � - �- � �-�� 'NEAREST CROSS STREET: LONGDENLL
5383-023-009 OTHER: - THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY
EXIST BLDG USE: SISSUED ON: PROCESSED B P N:
EXIST OCC GRP: 03/04/02 JK 08/31/02
OWNER: TEL. O: BLDGS. NOW ON LOT: VAL ATION: FINAL DATEFI IAL BY: CODE:
YIN HOU C;JU Y (626) 300-8733- _ 18,000 61
9855 ESTRELLA AV -
TEMP 917801417 FEES PAID DESS P 0 RK
REMODEL EXISTING TO ADD ADDITIONAL BD & BA, RELOCATE KITCHEN
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TOTAL WHEN DONE:36D/26A
APPLICANT: L.
TSENG'S CONSTRUCTION - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID - 18000.00 VAL 1.80 SPECIAL CONDITIONS: -
81 PLANCHECK W/ENERGY-18000.00 VAL 328.19
B2 PERMIT pN W/,ENERGY 18000:00`VAL 386.10 TOTAL•FEES
CONTRACTOR: TEL. N0: S - 743.84 APPROVALS DATE INSPECTOR SIGNATURE
TSENG'S CONSTRUCTION (626) 378-8570-
12029
12029 SAN RIO ST LIC. NO LOCATION TBAC S
EL MONTE CA91732 458578 B
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: .. EL. NfOUNDATION/TRENCH FORMS
LIC. NO: 111111 SLAB/UNDER FLOOR
RAISED FLOORFRAMING
MAP NO: SEWER MAP BOOK-7-PAGE: FIRE ZONE: CMP:RUBRR\��//���\\�p/ UNDERFLOOR INSULATION
0. OF FAMILIES: DWELLING UNITS: P /CO S A CLASS:
NO 212ND-LEVEL FLOOR SHEATH
3J Ir
SCHOOL WITHIN A DOUS � 0 ROOF SHEATHING
AIR QUALITY: 1000 .FEET _ MATERIALS Z9
NO NO NO A 0 e ®y FIRE DEPT. FRAME INSPECT
TTOL SE�UBACK YARD: - HWY: iAPROPTBINE: - WIDTH:ACK FROM EXISTV6/jC V-at� -._.__.._...._..__ G DEP RAM SPECQ
FRONT PL- Sere cO That SHEAR PANELS
SIDE PL-
INSULATION/WEATHER
L-
NS N W THER STRIP
INTERIOR LATH/DRYWALL
EXTERIOR LATF
LOT DRAINAGE
SMOKE DETEM-0-N-DIV C
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS0508
A,6Ag63-CF.BW 10/72 APPLICATION FOR ELECTRICAL Y E V, �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JAOB AooaE65 `79.5'5 Ls rRCLL j#1/E
BUILDING AND SAFETY DIVISION
LOCALITY 'TEMPL. Gt'r
NEAREST eL w/(i A-vc
FOR APPLICANT TO FILL IN CROSS ST. L7 a
OUTLETS N0. EACH FEE OWNER OR
S $ FIRM NAME !
RECEPT. IO MAIL n A�
FIRST 20v AOORESS 5 moi/ FCELLA /7 ✓�
LIGHT 2$
SWITCH S TOTAL CITY PLe GjT' TEL. NO. 2g '/7
OVER 20 .10 PLAN CHECK
FIRST 202S APPLICANT
LIGHTING l TOTAL
/( �10
OVER 20 ADDRESS
FIXTURES
RESIDENTIAL APPLIANCES CITY TEL. NO,
PERMIT
RANGEpRV ER_WTR. HTR._ APPLICANT .1 Q
STA. COOK_DISP. F.A.U._ ADDRESS IV
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH._ FICEN MBER CLASS.
FAN—OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT ANO AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE 6 TYPE OVER TO
1 HEREBY CERTIFY AM PROPERLY REGISTERED AND/OR
/ � 0 - 1 L00 J �J O LICENSED ASREQUIRED
BY BY LOS ANGELES COUNTY AND STATE Or
CALIFORNIA Ofl THAI I AM THE LEGAL OWNER OF THE ABOVE
1 - 10 3,00 2� /,U OES CFICEO RESIDENTIAL PROPERTY. O
_JJ l PERMITEE
10 - 50 SOO SIGNATURE! /�/✓U�'� I�
O
50 - 100 10.00 w
DISTRICT NO. ROC SED BY
8 d
100 - 500
Z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTWS51GMMRE
TUBE, OR
MARQUEE AODITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AMP ! 3.00 Q UNDERSLAB WORK
SERVICE OVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE, &APPURTENANCES 5.00 WIRING C 7S
TEMP LIGHT OR RECEPT. SYSTEM' 3.00 FIXTURES /
POWER AUTHORIZED y
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE ''ll
PERMIT ISSUING FEE 3.00 3 V
TOTAL FEE
PLAN CHECK VALIDATION CK. M.G. CASH PERMIT VALIDATIO / CK. M.o. cAsn
�
C:
LC, 1 3 4 773 MAY 29 2 D ,'1 6.2 5!-
SEE
!SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
75A563 CRS 5A 3-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES 57FUT fAm m Il
WILLIAM J. fox, CHIEF ENGINEER
FORA ICAN I LIN DISTRICT NO. GROUP ZONE PERMIT NO.
. / 09/ /S/2,(.c2j
ELECTRICIAN
RECEIVED BY READY FOR DATE ISSUED
ADDRESS G. - FIRST INSPECTION
CITY TEL. NO. OSI
COUNTY LICENSE NO.' EXPIRES & k> l BUILDING J
PERMIT FEES ADDRESS v
' NUMBER EACH FEE LOCALITY 6
LIGHT OUTLETS Y NEAREST /
CROSS ST.
RECEPTACLES R-/
01
WALL SWITCHES OWNER
TOTAL OUTLETS 5C S MAIL
ELEC. RANGES J 25 Q ADDRESS
ELEC. HEATERS _ / 25 �'� CITY TEL NO.
FIXTURES !/ 5 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MI6C. S APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT I OBSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY L ENSE. OR 1 AM THE LEGAL WNER
NEw MVO. HP
OVER INC. EACH OF THE,RESIDENTI PROPER DESCRIBED ABOV
V. a LE99 $ .25 SIGNATURE OF
I/E 2 .50 PERMITTE
2 S I.DD INSPECTION RECORD
5 is 1.50
is so 2.50
so zoD 5.00
zaa Soo 1 O:uG p 13 7 >7 i n-3 h�V-Vi Q
_ soo IDaD 15.00 •� Z
OVER 1000 20.00 L7
M.G. SET/FRED. CHANGER-HP , B:
WELDERS•AC-KVA D
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% of oRICd
MOVED MOTORS (75% OF URIR.)
M ISC.
61GN6
N . NO.TRANS. APPROVALS
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT: ff
� CONDUIT JI J9�'�I�.� r -'H/
WIRING I.aO
FIXTURES $1.00 WIRINGAWW�III
SUPPLEMENTARY .50 FIXTURES R�>�+��fl I(ILVA')
POWER
TOTAL FEE B UTILITY CO.NOTIFIED
FINAL VV\ I-V