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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