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Home My Public Portal About9521 FLAHERTY ST_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES WM. J. FOX. CHIEF ENGINEER B U 1 ' N G FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING - DISTRiCSNO. PLAN QCK.NO. /PERMIT/NO. ADDRESS 7 Flaherty St•� / / LOCALITY / �/ RECEIVED BY DATE OF APPL. DATE ISSUED fRoesBT. Cloverly Ave. , 'temple City !�y'ae�-. �, �� 7—C� 6 -7.-s�; / OWNER Meeker Land Company ADD EISS / �• L- T AMAIL DDRESS 11236 E. Live Oak Ave. LOCALITY NEAREST Arcadia TEL. D072151 CROSS ST. CITY NO. FIRE NO.OFPE GROUP ARCENGI�NEERT R PO A. sse11 NO. FL-7 ' 20 ZONE PLANS 'Z BLDG. 6� r ORD. O. ADDRESS SETBACK LINE G� APPROVED TEL. BY DATE CONTRACTOR NO. USE APPROVED ADDRESS ZONE 1 BY DATE LEGAL ZG�`.. CORRECTIONS DESCRIPTION LOTNO. 25 BLOCK TRACT 17179 SIZE OF LOT 5,L{,x132 NO.OF BLDGS. none NOW ON LOT USE OFnone - I NO.OF I NO.OF 6 EXISTING BLDG. FAMILIES ROOMS DESCRIPTION OF WORK NEW x ALTERATION ADDITION V✓-T'R H-—f a-)e ful O REPAIR MOVING DEMOLISH vLd 0 Sq.FT. 1118 NO.OF 1 ZD SIZE ROOMS 7S�TTORIES �� Q I Wrj- (� r, WALL ROOF COVERING Plaster I COVERING W•Shgles• USE OF NEW Residence BUILDING Plan 1-D Garage 18x20 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATIONS: LOCATION. INSPEC R DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS W� �---� AND STATE LAWS REGULATING BUILDING�103NETRUCTION. y.,{( SIGNATURE OF ER LAND y FBfRACING,BOLTS PERMITTEE ® LATH, INT. AUTHORIZE A V� r� LATH, EXT. 75A63HA-3 7-49 $ �� P.C $ PLASTER, INT. %p 7d�-® FEE 7-62PLASTER,EXT. VALUATION • � FEE ZO/ FINAL � � f 70 38A CE 9803 3 69 -. APPLICATION AIR BU I DING PERMIT .f COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS0"/ BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAM61E COUNTY ENGINEER COLEMAN W JENKINS SUP T OF BUILDING NEAREST CROSS ST t J i IC, ;FOR APPLICANT TO FILL IN DIS cT No GU P TYP P Es (PRINT OR TYPE ONLY) ♦ I BUILDING / C STATISTICALCJJLA SIFICAZION SEWER MAP ADDRESS 4 G CSSS�LA�A�SSa NNO DWELL UNITS 8K PG LOT NO 2 BLOCK U/ NOP 3 �� ) TRACT SPECIALf t / NO OF BLDGS CONDITIONS SIZE OF LOT /LfOXq NOW ON LOT h z* USE OF k EXISTING BLDG BLDG SETBACK FROM i TEL FRONT PROP LINE OF (STREET) OW NE ' TYPE OF EXISTING SETBACK HIGHWAY + YAR = TOTAL ADDRESS HIGHWAY WIDTH FROM C L 4� + A = CITY ARCHITECT OR TEL BLDG SETBACK FROM (STREET) ENGINEER NO SIDE PROP LINE OF TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C L EL + - C0 0Awi�ot 7 LIC a ADD 0 CORNER CUTOFF YES � NO � C LI d L CI CLASS SEE REVERSE�SIDE FOR SPECIAL APPROVALS Ilk CONSTRUCTION LENDLfR�� F NAME AND BRANCHLL ADDRESS r CL SQ FT NO OF NO OF L SIZE STORIES FAMILIES NEW _ L GF USE A Ltr STRUOCTURE �O S ADDER B�/:,� 01,AAI' A- TPI —0101— T07 EPAIR 4 g SIGNATURE OF DEMOL APPLICANT N VALUATION $ 9r w APPROVALS TA DATE INSPECTOR S SIGNATURE P C PMT FOUNDATION LOCATION FEE $ FEE $ l� FORMS MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME FIRE STOPS / BRACING BOLTS If (�, �—^�'O o♦'/ � AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ION FURNACE LOCATION WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC GAS VENT ATION TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I II ,,gg�� DUCTSi WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH INT A R he,-RA r,a✓h A$a r OF THE STATE OF CALIFORNIA IN�REL�ATING TO WORKMEN rS 4 PENSATION INSURANCE ,+/(� LATH EXT i� dv V t rp cc°O'w ii SIGNATURE OF PERMITTEE r HOUSE NUMBER CORRECT AND POSTED A D D R E;,6/d� l FINAL x �/ ifl1.F'1✓ f > JOHN F LEWIS PRINCIPAL STRUDu RAL ENGINEER ( PLAN CHECK VALIDA ON CK M O CASH - JPERMIT VALIDATION- CK M O CASH �Ar, u 9 6" MY26 1 D 2250- + .WORKERS' COMPENSATION DECLARATION ..." I hereby affirm that I have a certificate of consent to self insure, or a certificate'of Workers' Compensation Insurance, APPLICATION., FOR BUILDING PERMIT or a certified copy thereof (Sec. 3800, Lab. C.) • COUNTY OF LOS ANIsELES BUILDING AND SAFETY Policy No. Company BUILDING ❑ Certified copy is hereby furnished. FOR APPLIC°ANT'T6 FILL IN ADDRESS Z I ❑ Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS9521 E. Flagherty S CITY Temple City, zip 91780 Date Applicant LOCALITY PP NO. OF BLDGS. NEAREST ` CERTIFICATE OF EXEMPTION FROM WORKERS' ;SIZE OF LOT NOW ON LOT TWO CROSS ST. COMPENSATION INSURANCE ASSESSOR 3t/ (This section need_ not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100) or less.) r?i Moll DOU heat TEL 2 USE ZONE MAP OWNER y g y NO. 873445 I certify that in the performance of the work for which this f/; NO.loz SPECIAL >_ permit is issued, I shall not employ any person in any manner ADDRESS- Same CONDITIONS O so as to become subject to the Workers' Compensation Laws. V n CITY ZIP Date 11—1.6--92Applicant ARCHITECT TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY 0 it NOTICE TO APPLICANT: If,"after makingthis Certificate of ENGINEER 29ner/Bu1l�} er NO Same O CONST. ZONE Exemption, you should become subject to the Workers' V 0 . Compensation provisions of the Labor Code, you must forth- ADDRESS Q/� N with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. I CONDO. Z deemed revoked. CONTRACTOR NO. ,,��• � LICENSED CONTRACTORS DECLARATION LIC. CLASS NO.�_DWELL. UNITS — I herebyaffirm that I am licensed under provisions of Chapter 9 ADDRESS' NO. P P LIC. SEWER.MAP (commencing with Section 7000)of Division 3 of the Business CITY CLASS and Professions Code,and my license is in full force and effect. BK17_ VALIDATION SQ. FT. NO. OF NO. OF CHECK License Number Lic. Class SIZE STORIES IFAMILIES ONE VALUATION _ Contractor Date DESCRIPTION OF WORK NEW ❑ $ am exempt under Sec. 7031 .5 3/4 bathhoom a ddition ADD ❑ J C/J , ALTER _ B.BP.C. for this reason REPAIR 0 Vis• Date: USE OF enclosed pa do are DEMOL.:❑ �~ _ EXISTING BLDG. APPLICAN TEL. AC•C•I =e Signature (PRINT) Dougherty N�873445: FINAL OWNER-BUILDER DECLARATION DATE — .33071/ I hereby affirm that I am exempt from the Contractor's License ADDRESS 9521 Fl agherty St. T.C. •ria Law for the following reason (Section.7031.5, Business and FINAL i lPrroofessions Code): PRESENT By LAI I,. as owner of the property, or m employees with BUILDING ACCT■s P P Y� YADDRESS wages as their sole compensation,will do the work and �r,7 13r3, the structure is not intended or offered for sale(Section LOCALITY , J3U( 7044, Business and Professions Code.) MOVING TEL. ITEMS CONTRACTOR NO. 2 ITEMS ❑ I, as owner of the property, am exclusively contracting i with.licensed contractors to construct the project (Sec- ADDRESS TOTAL 1.37 -69 tion 7044, Business and Professions Code.) L� t CONSTRUCTION LENDING AGENCY SETT BACKD YARD HWY TOTAPROP SETBACK LINEFROM WIDTH �• E. t liJ',LiJ� I hereby affirm that there is a construction lending agency for FRONT t ��AANGE the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). NONE FIDE Lender's Name i� l l3-0001. ll/ler/�7 o LDMA Ref. # p►e� m P.C: Fee.$ (J� J Permit Fee / jj��j 1 t{t! 3;l-, Lender's Address , 0 1 certify that I have read this application and state that the Issuance Fee � LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee 8 ordinances a d State law elatinfie to building construction, Total Fee LDMA Perm. # a and herb uthorize ep se taof this County to enter upon t bove- a on d opor inspec i n p r os {� _��- 2 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of p ]cant or AgjDnt Date J�