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Home My Public Portal About9225 FLAHERTY ST_Building__ APPLICATION FOR BUILDING PERMIT POR A&ICANT TO FILL IN (Print or type only) BUI LID I'�G COUNTY OF LOS ANGELES ADDRESS Z„ A DEPARTMENT OF COUNTY ENGINEER CITY ZIP fliboa BUILDING AND SAFETY DIVISION NO OF BLDGS BUILDING SIS OLQ- J� NOW ON LOT ADDRESS PACT BLOCK L LOT NO LOCALITY 7I`K� O NEAREST OWNER �//y NO CROSS ST ASSESSOR ADDRESS MAP BOOK PAGE --- PARCEL DISTRICT GROUP TYPE FIR PROCESSED BY CITY ZIP CONST ARCHITECT OR TEL i ENGINEER I NO STATISTICAL CLASSIFICATION WER MAP ADDRESS CLASS NO�� DWELL UNITS 6K G CONTRACTOR 1/'T1 EL E ZONE NADP ^ LIC C•� ADDRESS NO 9'� (] SPECIAL CITY LIC CONDITIONS CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES NO CONSTRUCTION LENDER NAME AND BRANCH BLDG ETBACK FROM p}, FRONT ROP LINEOF (STREET) C ADDRESS CITY i TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY } YARD SQ FT NO OF NO OF CHECK FRONT PROP LINE HIGHWAY WIDTH C SIZE STORIES FAMILIES ONE F } CLL DESCRIPTION OF WORK NEW ❑ C ADD ❑ BLDG SETBACK FROM Z SIDE PROP LINE OF TREET) ALTER ❑ _ TOTAL SETBACK FROM TYPE ON EXISTING HIGHWAY } YARD — HIGHWAY WIDTH REPAIR SIDE PROP LINE USE OF } _ EXISTING BLDG DEMOL APPLICANT //�G / TEL CORNER CUTOFF YES C] NO (PRINT) e-51t /(,U NO BY (SIGNATURE) IN OPEN SPACE J YES NO � IN COASTAL ZONE YES NO ❑ VALUATION 00 CATEGORICAL EXEMPTION YES NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON ST RUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY COWILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CDE OF THE STATE OF CALIFORNIA IN RE ATIN TO WORKMEN S COMPENSATION 5 'AICE SIGNATURE OF Q/ Of��1� I PERMITTEE /9 ` ,.�-^��s. At'�+ .b, ADDRESS /~��eav .�S.[� e 1iY/'v5—LSJ h.IfGr P/6P I .�/ri TEL FINAL BY + CITY NO DATE/—/3 M4KF ,C11FECKS PAYABLE TO C $ MT $ FEE FEE HARVEY T BRANDY COUNTY ENGINEER PLAN CHECK VALIDATION CK M 0 CASH _ PERMIT VALIDATION ` cK M o CASH 1 2 3It-ZS& d6 1 D 1 5.0 0 mt;o 76A638A CE#803 7/73 r. — ,. I DEPART14M OF COUNTY ENGINM BUILDING DIVISION OF WELDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J FOX COUNTY ENGINEER APPLICATION CASSATT D GRIFFIN Sup T of Bumo1N6 FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING DISTRICX.NO PLANCK ort REc No P p IT NO _ n 17 G�yi ADDRESS �j LOCALITY R C ED BY ATE PFAFPL DATE IS UED NEAREST q� CROSS ST (/« BUILDING OWNER r ADDRESS MAIL LOCALI ADDRESS TEL NEAREST /^L CITY O CROSS ST ARCHITECT O TfiL FIRE NO OF I TYP I G P ENGINEER r JQ /ANO �Q� ZONE PLANS ADDRESS *� ! BO� t-L 17L 0 PIV BLDG SETBACK LINE O%Rrlr/ W/ HL TEL USE APPROVED CONTRACTO ZONE / BY PATE ADDRESS �7 /� / HOUSE NUMBERING LEGAL Pq RT O { r IIAP NUMBE��NO ASSIGNED By 2 rASSIGNED BY DESCRIPTION LOT NO 1-3 BLOCK L s,i,vm qlvfrn Co CORRECTIONS TRACT137 p r-mARY ' NO OF SLOGS SIZE OF LOT NOW ON LOT IZ- USE OF NO OF EXISTING BLDG lE z/_ FAMILIES DESCRIPTION OF WORK o — NEWLTERI I/ DfiMOLI1TION -ITION ADDITION , 1 '� D REPAIR SQ FTpy6 /tT z NO OF A 7 r r SIZE / ROOMS STORIES V [ EXT WALL ROOF A l COVERING COVERING USE OF STRUCTURE J s- sd r✓ RF Fs-r C- 4 T; 5WIAl 41 Arne p s o ki 1 y l APPROVALS INSPECTOR S SIGNATURE DATE FOUNDATION LOCATION 17-,112/� FORMS MATERIALS v 1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP FRAME FIRE STOPS PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING BOLTS CORRECT 1 AGREETO COMPLY WITH ALL COUNTY ORDINANCES FURNACE LOCATION AND STATE LAWS REGULATING BUILDING CONST4e-0 GAS VENT DUCTS SIGNATURE OF ATH INT PERMITTER ATH EXT I Aa ADDRESS ?)a LASTER INT AUTHORIZED AGT LASTER EXT P CFfiEOUSE NUMBERCOR RECTAND POSTEDVALUATIONFEE INAL 76AG38A 008 3 6-11Y 4 ! 76A638A CE#803263 APPLICATION FOR BUILDING PERMIT f COUNTY OF LOS ANGELES ADDREIN s 7 /� DEPARTMENT OF COUNTY ENGINEER T BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY,ENGINEER ` NEAREST WILLIAM A JENSEN SUP T OF BUILDING CROSS ST FOR APPLICANT TO FILL IN ,DIST ICT NO GR TYPE IP B ` � CONST r¢` BUILDING STATISTICAL CLA I ICATION SEWER MAP i ADDRESS 9225 Flaherty Street` BK PG CLASS NO DWELL UNITS 4 t I LOT NO BLOCK ' WATER CERTIFICATENOT REQUIRED ❑ RECEIVED ❑� TRACT ,, '�' MAP NO IGH WAY NO OF BLDGS NO (CIRCLE) STATE MAJOR SECOND LOCAL SIZE OF LOT NOW ON LOT 1 USE ZONE SPECIAL USE OF I CONDITIONS t EXISTING BLDG Residence OWNER Mr A. Braun Eo286- 184 BUILDINGEXIST r I SETBACK YARD HWY STREET NAME WIDTH ' ADDRESS I EL FRONT ARCH ITEC OR P L ENGINEER > NO SIDE r P L s t a ADDRESS I n O CONT&c-rc e Payne Heat I ngCo NO 2 '1 ,' v ADDRESS 9242 Beve r 1 y'B 1 vd• B• H. A DESCRIPTION OF WORK s ` a M N NEW ADD ALTER REPAIR iDEMOLISH Z SQ FT NO OF NO OF . t SIZE y STORIES FAMILIES USE OF STRUCTURE i, a SIGNATURE OF (� APPLICANT 2 @ } VALUATION $ 345 CC `� � APPROVALS DATE INSPECTOR 5 SIGNATURE i PC PMT FOUNDATION LOCATION a FEE $ > FEE s6.00 FORMS MATERIALS a t FRAME FIRE STOPS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS s AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION if WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I rR) NOT EMPLO ANY PERSON IN VIOLA LATH INT TION OF THE LABOR DE OF THE ATE CALIFORNIA RELAT / ? ING TO WORKMEN S BENS O ,/NSURAN , r t r LATH EXT K SIGNATURE OF - HOUSE NUMBER COR PERMITTEE RECT AND POSTED ADDRESS FINAL PLAN CHECK VALIDATION CK Mo CASH JOHN F LEWIS PRINCIPAL STR 6-TURAL E GINEER PERMIT VALIDATION CK MO CASH r — _ Lsa,o'o_ 16,5� « R 3J 1 D 6YC�0� s _ 2 T � $ WORKERS COMPENSATION DECLARATION t hereby affirm that I have a certificate a of consent to self APPLICATION FOR B U I L D I NG PERMIT insure or a certificate of Workers Compensation Insurance or a certified copy thereof (Sec 3800 Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company BUILDING /J ❑ Certified copy is hereby furnished APPLICANT O FILL IN ADDRESS % �� ' C" ❑ Certified copy is filed with the county building inspec [ADDRIE e/ tion de artment /! Date "' kpplicant �'v ' �/ �I zip 709 LOCALITYCERTIFICATE OF EXEMPTION FROM WORKERS NO OF BLDGSNEARESTrCNOW ON LOT f CROSS ST COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one BLOCK LOT NO MAP BOOK PAGE PARCEL hundred dollars ($100) or less ) �6A�Tlyv USE ZONE MAP 1.d certify that in the performance of the work for which this o_ NO permit Isossued I shall not employ any person in any manner SS Y. z �' r� �— SPECIAL y 4",fCONDITIONS CL ? so as to become subject to the Workers Compensation Laws r O CITY / ZIP Date Applicant ARCHITECT TEL � pp DISTRICT GROUP TYPE FIRE PR CESSED BY _ NOTICE TO APPLICANT If after making this Certificate of ENGINEER - � NO '� � CON , ZONE � Exemption you should become subject to the Workers �(7J Compensation provisions of the Labor Code you must forth ADDRESS - w a with comply with such provisions or this permit shall be i r TELNO STATISTICAL CLASSIFICATION APT CONDO N deemed revoked CONTRACTOR � Z LICENSED CONTRACTORS DECLARATION - LIC CLASS NO DWELL UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS , NO (commenting with Section 7000)of Division 3 of the Business LIC SEWER MAP r t and Professions Code and my license is in full force and effect CITY CLASS BK PG VALIDATION SQ FT NO OF NO OF CHECK License Number Lic Class SIZE STORIES FAMILIES ONE VALUATION r DESCRIPTION OF WO K NEW 1:1 i�o _ Contractor Date $ �- ❑I am exempt under Sec ADD ❑ ► ALTER ❑ B&P C for this reason REPAIR ❑ $ _ 1 Date USE OF - r EXISTING BLDG Signature APPLICANT TEL DEMOL ElFINAL ✓ OWNER BUIL ER DECLARATI (PRINT) NO '1'1i(i 51 DATE /& _ I hereby affirm that I am exempt from the Contractor s License y T Law for the following reason (Section 7031 5 Business and ADDRESS FINAL4� a r�/`` -"A 1 Y ACCT.A r Professions Code) j PRESENT -— - By ElBUILDING I-as owner of the property or my employees with ADDRESS _ wages their sole compensation will o the work and LOCALITY ® 5 , * 3307 t 40 50 the structct f •ure is not intended or offered for sale(Section x 7044 Business and Professions Code ) MOVING TEL 1 ims Elas owner of the property am exclusively contracting CONTRACTOR NO with licensed contractors to construct the project (Sec ADDRESS r TOTAL .40 a 150 tion 7044 Business and Professions Code ) ' CONSTRUCTION LENDING AGENCY SETT REQUIRED ACKK YARD HV" TOTAPROPALINEFROM WIDTH CHECKIST 40.50 I hereby affirm that there is a construction lending agency for FRONT _ CHANE the performance of the work for which this permit is issued P L .00" (Sec 3097 Civ C ) SIDE PL X01 b/ 6/8"Lenders Name r a� LDMA Ref # -�p�/ 4 PC Fee$ Permit Fee vO� a3804 1 C Lenders Address I 'I certify that I have read this application and state that the Issuance Fee LDMAP/C#above information is correct I agree to comply with all County Investigation Fee /`ordinances and State jaws relating to kiutlding construction Total Fee CLDMA Perm # a and herebyu ortze r resentattves o this County to enter m upon t a e m IJ ed r f` spection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date WORKERS COMPENSATION DECLARATION hereby affirm that I have a certificate of consent to self APPLICATION FOR BUILDING PERMIT insure or a certificate of Workers Compensation Insurance or a certified copy thereof (Sec 3800 Lab Cl) Policy No Company I COUNTY OF LOS ANGELES BUILDING AND SAFETY ❑ Certified copy is hereby furnished FOR APPLICABUILDING T FILL ADDRESS ❑ Certified copy is filed with the county building inspec F NG g tion department SS /►2 �j ��Dote Applicant eL; /ZIP 7 0 LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS • O OF BLDGS NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST (This section need not be completed if the permit is for oneC L '?1 ASSESSOR " hundred dollars ($100)or less ) BLOCK LOT NO MAP BOOK PAGE PARCEL y USE Z E MAP I certify that in the performance of the work for which this OWNER r� O i` tJ _ NO _ permit is issued I shall not employ any perso in any mann r ADDRESS ��i 't Jj/ I SPECIAL , t so as to become subject to the Worke n i s p� CONDITIONS .� �v F CITY ZIP V+ Date Applicant ARCHITECT O EL NOTICE TO APPLICANT If after king this Certificate of DISTRICT ROUP TYPE FIRE PROCESSED BY Q ENGINEER NO ,r ? CONS Z NE U Exemption you should become sublect to the Workers U Compensation provisions of the Labor Code you must forth ADDRESS Az + with comply with such provisions or this permit shall be TEL CLs deemed revoked CONTRACTOR NO STATISTICAL CLASSIFI ATION APT C DO N LICENSED CONTRACTORS DECLARATION } LIC CLASS NO DWELL UNITS Z 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 LIC SEWER MAP ^ Professions Code and my license is in full force and effect CITY CLASS BK PG VALIDATION SQ FT NO OF NO OF CHECK License Number * Lic Class SIZE Ca STORIES FAMILIES ONE w , ❑ VALUATION Contractor Date DESCRIPTION OF WORK / NEW ❑ ❑ si ® ~I am exempt under Sec ADD ❑ ,+ ALTER B &P C for this reason _ REPAIR ❑ :) Date USE OF EXISTING BLDG r Signature APPLICANT TEL FINAL OWNER BUILDER DECLARATION PRINT NO DATE 0 3 2 2 A I hereby affirm that I am exempt from the Contractor s License Law for the following reason (Section 7031 5 Business and ADDRESS FINAL #+• • • • • Professions Code) PRESENT - By BUILDING !1 1 as owner of the property or my employees with ADDRESS it�•j• 6,Q 5 0 wages as their sole compensation will do the work and the structure is not intended or offered for sale(Section LOCALITY �/I (//,� • • • 6 Q 5,0 7044 Business and Professions Code) MOVING TEL vn) h ❑ property y CONTRACTOR NO 1 0 a 011 it-8 8 I as owner of theom exclusive) contracting / with licensed contractors to construct the project (Sec ADDRESS tion 7044 Business and Professions Code) _ REQUIRED TOTAL SETBACK FROM t:Albl YARD HWY CONSTRUCTION LENDING AGENCY SET BACK PROP LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit isrissued P L I (Sec 3097 Civ C ) SIDE � PL Lender s Name ) LOMA Ref # m Lender s Address PC Fee$ Permit Fee r 1 I certify that I have read this application and state that the Issuance Fee r�v LDMA P/C# pool. o above information is correct I agree to comply with all County Investigation Fee 0 ordinances and St to laws relating to building construction J f $ and hereb o ri re re t es of this-Co unt to enter Total Fee LDMA Perm N 9 upon t b / tionp 'p arty for in o urp `o ✓ �< 7 v SEE REVERSE FOR EXPLANATORY LANGUAGE gnature of Applicant or Agent Date I - 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 1211190013 PHONE (626) 285 0488 EXT ILEGAL ID I NO OF CONST BUILDING ADDRESS ON FILE I SQ FT STORIES TYPE 9225 FLAHERTY ST (STRUCTURE 25 V B TEMP CA 917801642 (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET 15385 002 007 I THOMAS PAGE 596 GRID J2 LOCALITY TEMPLE CITY Cl ITENANT IEXIST BLDG USE RESID USE ZONE R 1 (ISSUED ON PROCESSED BY EXIST OCC GRP 111/19/12 SR OWNER TEL NO IBLDGS NOW ON LOT VALUATION IFINAL DATE FINAL BY CODE IMR LOU (626) 230 9983 I 9 500 19225 FLAHERTY ST 1 ITEMP 917801642 1 FEES PAID IDESCRIPTION OF WORK 1 IREMOVE ALL LAYERS AND INSTALL COMPOSITION SHINGLES 1 FEE DESCRIPTION QUANTITY UOM AMOUNT (APPLICANT TEL NO IJANG HONG KYU (213) 666 3981 2 IAA BLDG PERMIT ISSUANCE 27\80 14219 S ALAMEDA ST IAB STATE GREEN BLDG FEE 9500 00 VAL 1 00 ISPECIAL CONDITIONS I ILOS ANGELES CA 90058 IAC STRONG MOTION RESID 9500 00 VAL 1 00 1 _ ID2 PERMIT W/O EN HC 9500 00 VAL 216 60 TOTAL FEES 246 40 I CONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE IY S J CONSTRUCTION & ROOFING INC (213) 663-8812 I I IDBA PRO ROOFING CO LIC NO I [LOCATION AND SETBACKS I I I 14219 S ALAMEDA STREET 956975 * I I ILOS ANGELES CA 90058 I ISOITS ENGINEER APPROVAL (ARCHITECT OR ENGINEER TEL NO (FOUNDATION/TRENCH FORMS I I I I LIC NO (SLAB/UNDER FLOORII I EXPIRED I RAISED FLOOR FRAMING IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP IUNDFRFLOOR INSULATION I I I 115DH265 3 001 /� I 1 I I 1/� /o FLOOR SHEATHING I I INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS CJS 1 0 NO 21 ROOF SHEATHING I SCHOOL WITHT_N HAZARDOUS SHEAR PANELS (AIR QUALITY 1000 FEET MATERIALS I NO NO I I FRAI+C' INSPECTION _ NO_ I I I IFIRE'SPRINKLER HANGERS I I I I (INSULATION/WEATHER STRIPI IINTERIOR LATH/DRYWALL (EXTERIOR LATH I RATFD FLOOR/CEIL ASSEM r I IRATED WALL ASSEMBLIES I I I (RATED SHAF-S/OPENINGS I I I I IT BAR CEILINGS I I* ADDITIONAL DATA ON FILE I I ILOT DRAINAGE I I I 1 'REPORT ID DPR261 ROUTE TO BS0508 I I I I }