HomeMy Public PortalAbout9812 FLAHERTY ST_Building__ " ' APPLICATION FOR BU-I-LDING PERMIT
FOR APPLI A* NT TO FILL'IN -(P-r-int or 1Vpe only)
ABU I LD1 F4G`DDRESS- 9812 Flahert - COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
CITYTemple City =ZIP BUILDING AND SAFETY-DIVISION
- `, NO.OF_BLDGS- BUILDING
SIZE OF-LOT C? NOW ON ADDRESS c
TRAG ,M BLOCK '- 'tr-1C�`•"'� L LOCALIT
TEL. NEAREST
OWNER• Robert. -Weibel .-NO. 286=42 ROSS ST. S
ASSESSOR
ADDRESS 9812'-=Flahert- - MAP BOOK - - - PAGE CEL -
rTI� DISTRICT GROUP TYPE' FIR PROC SSED BY--
Clmple City ZIP �.y CONST. `.ZON "
ARCHITECT OR - TEL.
ENGINEER Knowlton ' . _ - STATISTICAL CLASSIFICATION SEWER MAP
ADDRESs1220 Lincoln Samta A'IOnl.Ca CLASS NO: DWELL.UNITS BKI— P
CONTRACTOR -Alrflo Alum Co 321 E
NO
-ADDRESS 13012, Crenshaw Bii&d 2321.11 SPECIAL '
-CITYGardena _
CLASS C-61 CONDITIONS -
ROAD
_ DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑
CONSTRUCTION LENDER none
NAME AND BRANCH B G.SETBACK FROM >
F 0NT PROP.LINE OF (STREET) - aO
ADDRESS - CITY _ TOTAL SETBACK FROM TYPE OF EXISTING
H GHWAY + YARD = V
SQ F- NoNO OF NO. OF 'CHECK' - FRONT PROP. LINE HIGHWAY WIDTH pC
SIZE STORIES FAMILIES ONE _ O
DESCRIPTION OF WORK NEW ❑ + ILLJ
BLOG.SETBACK FROM N
'_20'x1Q' 11" Patio--Cove ADD SIDE PROP. LINE OF, - (STREET) z
ALTER ❑ HIGHWAY + YARD = TOTAL SETBACK-FROM PE OF 1EXISTING
L A Co Std# 25610= REPAIR❑ SIDE PROP. LINE HINWAYJ WIDTH
USEO NG-BLDG. Residence DEMOL ❑ +
APPLICANT -TEL CORNER CUTOFF YES ❑ NO ❑- -
(PR NT) - -• NO. _
BY (SIGNATURE) IN OPEN SPACE Y,ES ❑ -N O ❑
C - IN COASTAL ZONE -YES ❑ NO ❑
•.VALUATION-$ 500.00 -- - - - -
• CATEGORICAL EXEMPTION YES❑ NO ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION -ENVIRONMENTAL
AND STATE THAT THE ABOVE IS CORRECT ANO,AGREE TO COMPLY- -IMPACT EXEMPTION DECLARATION SIGNED (DATE)
WITH ALL ORDINANCES -AND LAWS REGULATING BUILDING CON-
STRUCTION. I CERTI FY,THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE)
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE STAT OF CALIFORNIA IN RELATING TO -
WORKMEN'S COMPENSATION I .URANCE. _
SIGNATUREOF
PERMITTEE
ADDRESS P 0 B 364 •a Puente -917F1 NA L G��/
CITY ., NpL., _ DATE // �� BY /sf/.Or'��4 / -
,IIAKE CHL_CKS PAYABLE =L 0: p E $ ((�, FEE Y
HARVEY T•. BRANDT, COUNTY ENGINEER Z- .0 O
PLAN CHECK VALID ION-.-- M O CASH PERMIT VALIVATION CK, M O CASH
3 0'731 J 4' 24- 3,-.6
- r' 2 9 1 ' : .t1lL 2 4
1 . .0 0 .
76A638A CE 9803 12/„72 _ - -- - - -
"-6A638A•CE 9803 4/70 `y_yj�� •
APPLICATION ' FOR BU ILDI"IG 010ERMIT
COUNTY OF LOS ANGELES ,aSSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS, SUP T OF BUILDING LOCALITY �-
�c
FOR APPLICANT TO FILL IN" rte'/" NEAREST
mt ort a onl - .!/ CROSS ST.
Pr
BUILDING DISTRICT NO. GROUP TYPE CESSED BY
ADDRESS •9 /Z ;�t: v CONS
LOT NO- - BLOCK STATISTICAL CLASSIFICATION SEWER MAP
CLASSNO.� / DWELL UNITS-14o.
BK P j -•�
TRACT - 12? USE ZONE MAP 25
NO.OF BLDGS. NO. �L�G
SIZE OF LOT e C NOW ON LOT SPECIAL
USE OF CONDITIONS
EXISTING BLDG, - -
OWNE ` .
R�?/�,� � "'(a(,I,1(1=n,1NO.TEL~f ���-//F� BLDG.SETBACK FROM
ADDRESS _,��h/1/�CL /I�'/�- �(!j' --`_ FRONT PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY ` "v�•,�� HIGHWAY WIDTH FROM C.L.
ARCHITECT OR TEL. +
ENGINEER NO. BLDG.SETBACK FROM c_
ADDRESS ✓"� SIDE PROP.LINE OF (STREET)
Gig TEL. TYPE OF EXISTI
ADDRESS NG SETBACK HIGHWAY + YARD = TOTAL
CONTRACTOR NO.j HIGHWAY WIDTH FROM C.L.
NOtLO:.> �� + = CD
LIC. U
CITY CLASS � CORNEW6UT,OFF i•, YES_G NO'
CONSTRUCTION LENDER
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVA S ►`,j
a
��� N
SQ
ADDRESS
NO. OF NO. OF ! �' Rj ..moi'' �-'
SIZE iI STORIES / FAMILIES NEW �1 //•�
USE OF ADD ❑ � v L1.��/
STRUCTURE �_f yz.�
ALTER ❑ ���
REPAIR❑
SIGNATURE
APPLICAN I DEMOL ❑
VALUATION APPROVALS DATE INS PESCTOR'S 51 NATURE
PCe-^ PMT. / �V FOUNDATION: LOCATION i' y
S � �r FEES 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:.LOCA TION,
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUC TI ON. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO
WORKMEN'S COMPENg�TION INSURAN E. ,
c 5 � LATH, EXT,
SIGNATUgE OF—�I/ / LJ�f:-L; / HOUSE NUMBER COR-
PERMITTEE `-v/� .C•c
•l RECT AND POSTED
ADDRESS1 (� �''4fi.,- �_Prn-: / FINAL
. cnsH _ JOHN F LEWIS. PRINCIPAL SURAL ENGINEER
PLAN CHECK VALIDATION 0.1 -0 1PERMIT VALIDATION CK M O. CASH
r,n 3 8_1.L-_' FEB .2 3- D 5, 130
6• J 5 FEB 2 3 D 15.75--
I-rr - 8 6 7 ?--;-:z! FEu 9 1 D 1 1 1 .7 5~ '
APPLICATION FOR BUILDING PERMIT �
" COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION
FOR APPLICANT TO FILL IN BUILDING ADDRESS
BUIL Dr �ia
I hereby affirm that I have a certificate of consent to self insure,
or a certificate of Workers'Compensation Insurance,or a certified CI zl
copy thereof eg.3600,Lab.C.) n� /� LOCALITY
Policy No. Company / �+� & Y SIZE OF LOT l NO.OF BLDGS.NOW ON LOT
2'Certlfied copy is hereby furnished. NEAREST CROSS ST.
❑ Certified Copy is filed with the county buil ' inspection TRACT BLOCK LOT NO.
department.� o USE ZONE MAP NO.
Date s—A Applicant -'-- ASSESSOR MAP BOOK PAGE PARCEL
PP '� X_/ SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTIO ROM WORKERS' o R TEL.NO. YESNo
COMPENSATION INSURANCE WITHIN 1000 FT.OF SCHOOL?
AD ESS
(This section need not be completed if the permit is for one hundred r L DISTRICT GROUP TYPE CON FIRE ZONE PROCESSED BY
dollars($100)or less.) CI zIP
1 certify that in the performance of the work for which this permit } p73 .
i3 issued, I Shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO.
become Subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO
Date Applicant ADDRESS CLASS NO. / DWELL UNITS
NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST
AC OR TEL.NO.
Exemption, you should become subject to the Workers' CONTRn _ SETBACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code, you must forthwith FRONT
comply with such provisions or this permit shall be deemed revoked. ADPRESS / `/' / LIC.NO. PL
SIDE
LICENSED CONTRACTORS DECLARATION n'
�yI P L p
I hereby affirm that I am licensed under provisions of Chapter 9 I 03 i•/ 4 LIC SEWER MAP v
(commencing with Section 7000)of Division 3 of the Business and SQ. SIZE C7 NO.OF STORES NO.OF FAMILIES C
Professions Code,and my license is in full force and effect. NEW ❑ BK PG
RIPTION OF WORK ADD ❑ U
License Number Lic.Class g �? ` , V 0 Io� �h y
Contractor �/� i�t2�f. ate '� ''`` _ ALTER ❑ •.� V _z
C '-S& REPAIR
❑ I am exempt under Sec. . •
DEMOL ❑
B.&RC.for this reason LOMA P/C# i
Dat USE OF EXISTING BLDG LlRM ❑ 1
Signature APPLICANT(PAINT) TEL.NO. LDMA Perm# ACCT.s '
❑ I, as owner of thea y, or my employees with wages as p 1tj r4• ,5
their sole compen Ion, will do the work and the structure is ADDRESS F
not intended or offered for sale (Section 7044, Business and FINAL DA G TTE �
Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLEA HAZARDOUS MATERIAL g �3 -a TOTAL 6-4 a 23
❑ I, as owner of theproperty, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN
Y g THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL Y
licensed contractors to construct the project (Section 7044, YES❑ NO❑ / CHECX ?13t°''
Business and Professions Code.) r
WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING{ :����E .011
OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH / 77–
D G _
CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST l�
FOR GUIDELINES
lendingI hereby affirm that there is a construction agency
the performs ce of the work for wh ch this permit sissued(Seer YES 11 No❑ 0000-00012/28/92
I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD _
3097,CIV.C.). PERMITTING CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES -7 ��''yy l��j �,7 ��
COUNTY CODE,TITLE 2,CHAPTER 220 SECTIONS 2 20 100 THROUGH 2.20.140 CONCERNING 7240 i AM /:33
Lenders Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD: -
Lenders Address
OWNER OR AGENT
o I certify that 1 have read this application and state that the above FEE P.C. PERMIT FEE
information is correct. I agree to comply with all county
ordinances and State laws relating to building construction,and T
¢. hereby uthorize repres ntatives of this County to enter upon ISSUANCE FEE
the a mentioned p erty for insp ction purppoosses.�
¢ 68–� INVESTIGATIQN FEE TOTAL FEFif D
slyxwna�cp�n a�end
/V//� SEE REVERSE FOR EXPLANATORY LANGUAGE /�
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 1209170070
PHONE: (626) 285-0488 EXT-
ILEGAL ID: I NO. OF CONST BUILDING ADDRESS: 1
IBK: 30 PG: 4 PC: 2 SQ. FT STORIES TYPE 1 9812 FLAHERTY ST J
I , ISTRUCTURE: 25' V-B TEMP CA 917801710 - J
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET:
15385-026-032 I I THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, Cl
I I I I
(TENANT: JEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY-
J IEXIST OCC GRP: 109/17/12 -SR J
I I I I
(OWNER:- TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IFINAL D TE FI BY: CODE:
ISHIGEMITSU, KEN (323) 528-6296- 1 6,000 1
19812 FLAHERTY ST I 1
ITEMP 91780171.0 1 FEES PAID ID SCRI TION OF WORK J
I IREMOVE ALL ROOFING TO SUBSTRATE INSTALL 1/2" PLYWOOD CLASS J
IFEE DESCRIPTION. QUANTITY: UOM: AMOUNT: 1"A" COMPOSITION ROOF ATTACHED GARAGE 25 SF THERE IS R-30 1
(APPLICANT: TEL. NO: I IIN ATTIC 1
12ARAJAS, ELI (323) 696-5640- IAA BLDG PERMIT ISSUANCE _27.80 1
14159 VERDUGO VIEW DR JAB STATE GREEN BLDG FEE 6000 00 VAL 1.00 ISPECIAL CONDITIONS: 1
ILOS ANGELES CA 90041 - IAC STRONG MOTION RESID 6000.00 VAL 0.60 - J
J ID2 PERMIT W/O EN-HC 6000.00 VAL 149.40 - J
- I TOTAL FEES 178.80
ICONTRACTOR: TEL. NO: ,J JAPPROVALS DATE INSPECTOR SIGNATURE
JA N R ROOFING (323) 982-9505- I - I
15018 EAGLE ROCK BLVD. LIC. NO I ILOCATION AND SETBACKS 1 1 1
ILOS ANGELES, CA 90041 874964 1 - -
I I ISOILS ENGINEER APPROVAL
I I I I I I
(ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS
1 LIC. NO: J JSLAB/UNDER FLOOR J 1 1
I I I I I I
J RAISED FLOOR FRAMING J I
I I I I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( _ 1UNDE'RFLOOR INSULATION I I I
153H269 3 OOI ' IFLOOR SHEATHING 1 1 1
INO. OF FAMILIES: DWELLING UNITS: APT/GOND STAT CLASS: I I-'
• 0 NO 21 IROOF SHEATHING / 11-
. 1 SCHOOL-WITHIN HAZARDOUS I ISHEAR PANELS I ! I
JAIR QUALITY- 1000 FEET MATERIALS
1 NO NO NO IFRAME INSPECTION 1 1 I
I I I I I I
I (FIRE SPRINKLER HANGERS
I JINSULATION/WEATHER STRIPI I - I
I I, JINTERIOR LATH/DRYWALL J J 1
II I J I I
EXTERIOR LATH I I
J I IRATED FLOOR/CELL ASSEM. - I
I I I I J I
I I IRATED WALL ASSEMBLIES J J
I - IRATED SHAFTS/OPENINGS J J
I I I J I I
• J -
IT-BAR CEILINGS J J I
I• ILOT DRAINAGE
1 REPORT ID: DPR261 ROUTE TO:-BS0508 J