HomeMy Public PortalAbout9223 FLAHERTY ST_Building__ 76A838A CE#803 3 eBAPPLICATION FOR BUILDING PER T
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY T
JOHN A LAMBIE, COUNTY ENGINEER
COLEMAN W JENKINS, SUP T OF BUILDING NEAREST
CROSS ST
FOR APPLICANT TO FILL IN DI ;T NO c P CONST71- PSE By
Print ort a only)
BUILDING STATISTICAL CLASS ICATION t SEWER MAP
ADDRESS 9223 Flaherty Street,TempleCit CLASS NO DWELL UNITS BK PG
LOT NO BLOCK USE ZONE MAP
NO
TRACT SPEC4 { CONDIIT ONS
AL
NO OF BLDGS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDcDwelling BLDG SETBACK FROM
TEL FRONT PROP LINE OF (STREET)
OWNER E R Watson NO 287-4726 TYPE OF EXISTING SETBACK HIGHWAY + YARD =k TOTAL
HIGHWAY WIDTH FROM C L
ADDRESS9223 FlahertySt
CITY
TgUle City BLDG SETBACK FROM
I
ARCHITECT OR TEL (STREET)
ENGINEER NO SIDE PROP LINE OF _
TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL
ADDRESS HIGHWAY WIDTH FROM C L
CONTRA CTORVir in Roof NOL287-0507 + CL.
LICCD
ICD
ADDRESS600 II ie NO CORNER CUTOFF YES ❑ NO ❑
CITY San Gabriel CL SS C-39 SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK a
KEKUUII
z
NEW ADD ALTER REPAIR DEMOLISH
SO FT NO OF NO OF
SIZE STORIES I FAMILIES
USE
STRUOCTUREReroof House & Garage with
35" Com osit oShingles
SIGNATURE OF
APPLICANT
VALUATION $ 460 00 APPROVALS DATE INSPECTOR S SIGNATURE
P C PMT FOUNDATION LOCATION
FEE$ FEE $ 9 00 FORMS MATERIALS '
FRAME FIRE STOPS
I HEREBY 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
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT LATH INT
ING TO WORKMEN S COMPENSATION INSURANCE r
lr in Roof Co LATH EXT
SIGNATURE OF g HOUSE NUMBER COR
PERMITTEE RECT AND POSTED
ADORES 600 FINAL
JOHN F LEWIS PRINCIPALST RAL ENGINEER
PLAN CHECK VALIDATION CK M o CASH _ PERMIT VALIDATIO CK M o CASH
07 6 5 1DEC13 1 D 9 00- 0.
I
DIVISION OF BUILDING AND SAFETY
Department of County Engmeer ! nuILDING
County of Los Angeles APPLICATION
WM J FOX, COUNTY ENGINEER
gill
lu
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT N0. PLANCK OR REc NO / PERMIT NO
AUILDING -02
DDRESS 3LOCALITY
_ RECEIYEDB DATE OF APPL DATE ISSUED
CROSSST
BT � � , BUILDING
` ADDRESS -v /
OWNER
MAIL LOCALITY
ADDRESS n ! NEAREST
TEL i CROSS ST
CITY NO FIRE NO OF TYP GROUP
ARCH ITECT OR TEL ZONE PLANS
ENGINEER NO t
BLDG
SETBACK LINE
ADDRESS i
USE APPROVED
TEL ZONE I BY DATE
CONTRACTOR NO I HOUSE NUMBERING
ADDRES13 MAP NUMBER/z_y O NO ASSIGNED BY
LEGALCORRECTIONS
DESCRIPTION LOT NO BLOCK
f
TRACTBLDj
SIZE OF LOT �j�/� j NO. OF LOT j
NOW ON LOT j
USE OF NO CW !
EXISTING BLDG FAMILIES J
DESCRIPTION OF WORK
��//
o
NEW ALTdiATIOTI ADDITION X j Z
D
REPAIR DEMOLITION ! r
SD FT NO OF j
SIZE ROOMS STORIES
EXT WALL I ROOF
COVERING COVERING
USE OF STRUCTURE /
INSPECTION FOR� APPROVALS
OCCUPANC./YAS p + �� �1 INSPECTOR'SSIGNATURE DATE
'PakG/f �p6f FOUNDATION
ION LOCATION ( ff
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- ' N
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAMEI FIRESTOPS, 2- 13
7
CORRECT BRACING BOLTS J J
I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE LOCATION
AND STATE LAWS REGULATING BUILDING CONSTRUCTION i GAS VENT DUCTS
SIGNATURE OF LATH INT
PSRMITTE
��� ; LATH, EXT 3
ADDRESS. r 3
PLASTER, INT
AUTHORIZED AOT
O
PLABTER, EXT
� � P C >B �
goo FEE HOUSE NUMBER RECT AND POSTEDR /
VALUATION FEE FINAL
76A638A DBS 3 1 52
A
ARM ENT OF BUILDING AND SAFE APPLICATION FOR PERMIT
�C6UNTY OF LOS ANGELES
WM J FOX CHIEF ENGINEER r
BUILUM41,
mmom
FOR ARPLIC,ANT TO FILL IN FOR OFFICE S ONLY
T DISTRICT NO PLANCK NO PERMIT NO
BUILDING
ADDRESS
'
l REC 17�D BY DAT OF APPL DA E-1 ErS U E D
LOCALITY s lI 1 J
NEAREST' 1 E�
CROSS ST .gyl t I r BUILDING �.
ADDRESS
OWNER
OWNER �
c ` i, LOCALITY
MAIL S ('�
ADDRESS J-6 �j[,� NEAREST
.. y I I TEL 9�G�7 y ' CROSS ST /�-���. h� f
+CITY I � �j f�i>��v NO �' �)Q OJ FIRE NO OF TYP� GROUP=
ARCHITECT OR �n C TEL r + c ZONE PLANS -el
ENGINEER NO BLDG
SETBACK LINE
ADDRESS ��� APPROVED - t
TEL
BY DATE
CONTRACTOR I r �) NO t USE APPROVED
'j � _.L * - 1 + I 1, M ,1 r ZONA-1BY DATE
ADDRESS HOUSE NUMBERING I
LEGAL Z CY G IELD CHECK BY----i--
DESCRIPTkON LOT NO 3 BLOCK L: r MAP_ NUMBER
r _
TRACT � � NO! ASSIGNEDSBY DATE v
+ NO OF BL 'S CORRECTIONS /
SIZE OF LOT /p - I NOW ON LOT
I
USE OF ^ t NOOF _
EXISTING BLDG tS FAMILIES
r -�DESCRIPTION OF WORN '� � -�� /
NEW �� I r I ALTERATION I I ADDITION Il t
REPAIR,,,l r h y l DEMOLITION I �) I -
SQ FT y�r NO^ OFS^ 73 / ,.
SIZE i 41L:/ ROOMTORIE3~ I D
EXT WALLS J ROOF
COVERING „ ,1 I COVERING `O -r- D'/�F fT,e(���9'f r�I�7,.K�/s/ �' ,,,,••
USE OF STRUCTURE T
r
9254/ cera I L 10. T
APPROVALS
+ INSPECTOR S SIGNATURE DATE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP FOUNDATION LOCATION /�
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS MATERIALS / /
CORRECT
1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME FIRE STOPS
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING BOLTS 1
LAWS REGULATING BUILDING CONSTRUCTION FURNACE LOCATION v
SIGNATURE OF GAS VENT DUCTS
PERMITTER �"��
LATH INT1 IA v 'Z
ADDRESS v -C/I'+'✓�"C�„-' ��VV v
�
AUTHORIZED AGT G!!Y LATH EXT t'L.r,ri km
I PLASTER INT
70AY90A D898 1050 6 Q P C $ .& _
Q FEE PLASTER EXT
VALUATION FEE $ FINAL
WORKERS' COMPENSATION DECLARATION
hereby.affirm that.I havecertificate of consent to self APPLICATION FOR BUILDING PERMIT
insure, or a certificate of Workers' Compensation Insurance,
or a certified copy thereof (Sec. 3800, Lob. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. -�,y-71L(LfCompany
1:1Certified co is hereby furnished. BUILDING
PY y FOR APPLICANT TO FILL IN
ADDRESS
Certified copy is filed with the county building inspec- BUILDING
tion department. ADDRESSDDRESS _5
Of
Date pplicant CITY ZIP LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. NEAREST
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 certify that in the performance of the work for which this OWNER pm oN NO. NO. _
permit is issued, I shall not employ any person in any manner �� SPECIALi
so as to become subject to the Workers'Compensation Laws. ADDRESS ( CONDITIONS
UDate Applicant CITY ZIP
NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL.ENGINEER NO. DISTRICT GROUP TYPE FIRE PROCESSED BY 0
Exemption, you should become subject to the Workers' CONS �QNE I--.
Compensation provisions of the Labor Code, you must forth- �� ✓
ADDRESS U
GG4°GG�
_ with comply with such provisions or this permit shall be � -� `� Vii'
deemed revoked. TEL / �Iq STATISTICAL CLASSIFICATION APT. CONDO. (n
CONTRACTOR S NO. IC/ Z
LICENSED CONTRACTORS DECLARATION LIC. CLASS NO.';f DWELL. UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. ��
(commencing with Section 7000)of Division 3 of the Business and n � � LIC. /� SEWER MAP
Professions Code, and my license is in full force and effect. CITY a :S (X CLASS(/ 3 VALID
/� G/3 SO. FT. ,rn NO. OF NO.OF CHECK BK. PG.
License Number3ci ` �"-� Lic.Class SIZE vv STORIES FAMILIES ONE rn_
a DESCRIPTION OF WORK 1;iv NEW ❑ VALUATION
Contract to -- _ O��J 99
ADD ❑ ,
❑ I am exempt under Sec. 1LG — ❑
B.BP.C. for this reason ALTER $❑
Date: USE OF �(= EPAIR
EXISTING BLDG. DEMOL ❑
Signature APPLICANTTEL. l/ /_! 1-1J FINAL
OWNER-BUILDER DECLARATION PRINT NO.' "l b&1-1
I hereby affirm that I am exempt from the Contractor's License , LL q p DATE
Law for the following reason (Section 7031:5, Business and ADDRESS o2 �- �l/J 7l FINAL
Professions Code): PRESENT By
❑ BUILDING
I, as owner of the property, or my employees with ADDRESS
wages as their sole compensation,will do the work and
the structure is not intended or offered for sole(Section LOCALITY
7044, Business and Professions Code). MOVING TEL. ?`_(�' '`= `L
❑ CONTRACTOR NO.
I, as owner of the property, am exclusively contracting _ •�,
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code).
CONSTRUCTION LENDING AGENCY REQUIRED YARD HWY TOTAL SETBACK F r i t K� 1 2 1 ® .,,�5
SET BACK PROP. LINE WIDTH
I hereby affirm that there is a construction lending agency for FRONT ! t_s; 1 n 7_-
the performance of the work for which this permit is issued P.L.
t
(Sec. 3097, Civ. C.). SIDE (_.) r';^;4 t
P.L.
Lender's Name
(.j_ LDMA Ref. #
m P.C. Fee$
Permit Fee
Lender's Address -
a . I certify that I have read this application and state that the 41. �''
o Y PP Issuance Fee -/�^ LDMA P/C# - i i; .`_s a•L_
o above information is correct. I agree to comply with all County Investigation Fee
a ordinances and State laws relating to building construction, Total Fe ; 3-� "
R and hereby authorize representatives of this County to enter eLDMA Perm. #
m upon the above- entio ed prop rty for inspection purposes.
M
—y L SEE REVERSE FOR EXPLANATORY LANGUAGE
Signor f pplicant or Agent Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDINGPERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0202200031
PHONE: (626) 285-0488 EXT:
LEGAL-ID: NO. OF CONST NEW BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE OCCUP GROUP 9223 FLAHERTY ST
STRUCTURE: 420 1 VN R3 TEMP CA 917801642
ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: ENCINITA
5385-002-018 OTHER: 222 1 VN R3 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED Y: EXPIRES ON:
EXIST OCC GRP: 02/27/02 JK 08/26/02
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FFINAL DA E FINAL BY: CODE:
PENG, ZHI-YONG (626) 291-5584- 31,500
9223 FLAHERTY STREET 0 2—
TEMPLE CITY 91780 FEES PAID R TION 0 WORK
VERT EXSTG KITCHEN TO BDRM;ADD KITCHEN & BATH(420SF);
APPLICANT: TEL. N0: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: PERMIT STORAGE CONVERTED TO BD(222SF);TTL WHEN DONE:4BD/2BA
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID--.-31500.00 VAL 3.15 SPECIAL CONDITIONS:
AX BUILDING 54.70
B2 PERMIT W/ENERGY��(Z7--Ll7C315001.00`VAL 619.08
CONTRACTOR: TEL. NO: c� TOTAL�FEES, 704.68
_ �� 9�� APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: - / 1 FOUNDATION/TRE CH FORMS
c\` 1 `1 SLAB/UNDER FLOOR
LIC. N0:
RAISED FLOOR RAMING
i
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: l/rr� �� C� UNDERFLOOR INSULATION
3 01 SrV w�1i 1iL1�� ii
I' /
N0. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: �- -_— - � --_— --- ---�--- -_---�- --_ _--_ - ST LEVEL FLOOR SHEATH
NO 21 ND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS \ ' �.`�. ROOF SHEATHING
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FIRE DEPT. FRAME INSPECT Z
� � �� �'`'�'
REQUIRED TOTAL SETBACK FROM EXIST QO�O I �5�Q�1 BLDG DEPT. FRAME INSPECT
SET BACK YARD: HWY: PROP LINE: WIDTH: 510oz-
FRONT PL- �a49r��^ SHEAR PANELS
SIDE PL-
INSULATION/WEATHER STRIP nt—
INTERIOR LATH/DRYWALL of
EXTERIOR LATH
LOT DRAINAGE
SMOKE DETECT ION DEVICES
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS0508
t COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1304220042
PHONE: (626) 285-0488 EXT: -
ILEGAL ID: NO. OF CONST NEW I BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE OCCUP GROUPI 9223 FLAHERTY ST 1
ISTRUCTURE: 176 1 V-BU I TEMP CA 917801642 1
(ASSESSOR INFORMATION NUMBER: I GARAGE: I NEAREST CROSS STREET: ENCINITA
15385-002-018 I OTHER: I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY
ITENANT: IEXIST BLDG USE: USE ZONE: (ISSUED ON: PROCESSED BY:
(EXIST OCC GRP: ` 104/22/13 SR
I
(OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE: I
IPENG, ZHI-YONG (626) 291-5584- 1 3,339
19223 FLAHERTY STREET _
ITEMPLE CITY 91780 1 - FEES PAID IDESCRIPTION OF WORK I
I I IBUILD A 16' X 11" COVER PATIO IN THE BACK OF HOUSE 1
IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ( I
(APPLICANT: TEL. NO: I I I
ISAME AS OWNER - 1AA BLDG PERMIT ISSUANCE 27.80 1 1
IAB STATE GREEN BLDG FEE 3339.00 VAL 1.00 ISPECIAL CONDITIONS: 1
I IAC STRONG MOTION RESID 3339.00 VAL 0.50 I I
ID1 PLANCHECK W/O EN-HC 3339.00 VAL 98.40 I
I ID2 PERMIT W/O EN-HC 3339.00 VAL 115.80 I I
ICONTRACTOR: TEL. NO: I TOTAL FEES 243.50 (APPROVALS DATE . INSPECTOR SIGNATURE
ISAME AS OWNER -
I LIC. NO ILOCATION AND SETBACKS
ISOILS ENGINEER APPROVAL I I
(ARCHITECT OR ENGINEER: TEL. NO: I - IFOUNDATION/TRENCH FORMS
1 LIC. NO: I (SLAB/UNDER FLOOR I I I
EXPIRE® IRAISED FLOOR FRAMING I I
,y(MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( �� 1UNDERFLOOR INSULATION
3 001 11 p2' I 1 I I
(1ST LEVEL FLOOR SHEATH I 1
IND. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS:. (
I 0 NO 21 I 12ND LEVEL FLOOR SHEATH I I
SCHOOL WITHIN HAZARDOUS I IROOF SHEATHING I
(AIR QUALITY: 1000 FEET MATERIALS 1 1 111
NO NO NO I IFIRE DEPT. FRAME INSPECTI I I
(BLDG DEPT. FRAME INSPECTI I I
ISHEAR PANELS I I
(INSULATION/WEATHER STRIPI I
I I (INTERIOR LATH/DRYWALL I I
I (EXTERIOR LATH I
1 I I LOT jDRAINAGE I I I
ISMOKE DETECTION DEVICES I I I
I I I I
I IFIRE DEPARTMENT APPROVALI I I
I I I I I I
IREPORT ID: DPR261 ROUTE TO: BS0508 I I
I I I I I I