HomeMy Public PortalAbout9819 FLAHERTY ST_Building__ 74AGBOA CIE#803 E-ea „ APPLICATION- FOR, BUILDING PERMIT 1.
BUILDING (�f
COUNTY. OF LOS ANGELES ADDRESS .819 Flaherty Temple City .
DEPARTMENT OF'COUNTY ENGINEER
LOCALITY Temp 1 e City, C a 1 i f
BUILDING AND SAFETY DIVISION
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST '
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.G o ld en We S t
DIST RIC O. GROUP TYPE• P SED EYj FOR APPLICANT "TOCFILL IN �` ICONST. � ��'C
BUILDING 9g19 "Flahert St . T j STATISTICAL JLASSIFICATION SEBKR MAP G
ADDRESS y I .?'•
Part- of Lot 6 '' r CLASS. NO.�DWELL. UNITS
LOT NO. �7 BLOCK NUMAP MBER H ATE YES NO�
TRACT MB-6-13 ( USE ZONE SPECIAL
NO OF.BLDGS. CONDITIONS
SIZE OF LOT6 2 X 13 I�7 I NOW ON LOT, 2
USEOFRos. &-Gar. '
-E IST B D BUILDING EXIST.
YARD HWY STREET NAMF�
SETBACK s WIDTH
OWNERMra & -Mrs. G. Taffl FRONTe `I-
MAILADDRESS9o19, ,Flaher�y. SIDE
SI
CITY*Temp-le City No;AT61425 P.L.
AINSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO. '
ADDRESS
CONTRACTOR"Saln & Swope TE AT 08320 �3 ✓�n � �lfiF_Pht l.y A
D s 1 1 S.. San Gabriel .Blvd d ay sMlai J. :7`6r
DESCRIPTION OF WORK
'NEW ADD, • ALTER REPAIR DEMOLISH �J`"�
SIZE , g4 1.• SNO.OFTOR ES 1 FAMOF ES 1 - Cyn rio i✓flLL1 (x10o S.0AhR,
USE OF.STRUCTURE 1i57_-11V RPhd)/1rr, As 7-/,-,1/7&,
f="Ac H r SrIm
SIGNATURE OF APPROVALS
APPLICANT
ADDRESS 1731 S. San Gabriel Blvd DATE. INSPECTORSS,IaGQNATURE
FOUNDATION
M T:ERIIALSTION
$ P.C. $, FRAME: FIRE STOPS.
FEE BRACING. BOLTS �O ,Ity�&
VALUATION 1800
-, $9. 00
FURNACE: LOCATION.
FEE 9• 00 GAS VENT,DUCTS n qq n
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP. LATH,INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND cV
STATE 'LAWS 'REGU . TINGUILDININSTRPCTION. LATH, EXT.
SIGNATURE OF � HOUSE NUMBER COR-
PERMITTPE
RECT AND POSTED /, p
ADDRESS 1r 31 S• San Gabriel Blvd. FINAL "4l/Q D_1 ja
CLYDE N. DIRLAM, PRINCIPAL STRWnTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION tCK. Y M.O. CASH
124
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76A638A CE 9603 2-63APPLICATION FOR BUILDING PERMIT,,: '
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF:COUNTY ENGINEER ADDRESS
BUILDING`-AND SAFETY DIVISION LOCALITY
JOHN'A. LAMBIE, COUNTY ENGINEER. ,NEAREST.
WILLIAM A JENSEN, SUP T OF BUILDING CROSS'ST
DISTRIC N GROUP TYPE CESSED BY
-FOR APPLICANT TO FILL IN cDNSr
BUILDING STAT( TICAL•CLASSIFICATION WER MAP
ADDRESS. 9819 . FlahertyT.C. : -� - BK G
CLASS NO DWELL UNITS
LOT NO - LOCK WATER NOT REQUIRED- ! RECEIVED ❑
CERTIFICATE:
TRACT / 7L MAP HIGHWAY STATE MAJOR SECOND, OCA
,(CIRCLE)
NO OF BLDGS. NO ✓ ,
SIZE OF LOT NOW-ON LOT USE ZONE SPECIAL -
USE OF ^ CONDITIONS
EXISTING BLDG - ResidenceTEL
OWNER G. Taffl - NO BUILDING
SETBACK ,YARD HWY a VREET AME // EXIST.- WIDTH '
ADDRESS 9819 E'. FlahertyT.0 o FRONT
ARCHITECT OR TEL P L
ENGINEER - NO SIDE - a
P L
ADDRESS_ - I OV
CONTRACTOFVir in Roof 0o. NkT70507 ; cd
ADDRESS 600 S. Sari Gabriel Blvd. 0
DESCRIPTION OF WORK San Gab a
i Z
NEW ADD ALTER REPAIR DEMOLISH - 1
SQ FT NO OF NO OF _
SIZE STORIES FAMILIES -
USE OF
STRUCTURE -
Re-roof Huse ara e.
SIGNATURE OF
APPLICANT
VALUATION $ 1400•00
APPROVALS- DATE�INSPECTOR'S�SIGNI
ATU RE
P C PMT FOUNDATION LOCATION /
FEE $ ll '50 FORMS, MATERIALS • J.,
FRAME FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, •BRACING, BOLTS j )
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 I
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN S % •E'NSATIO�-yN SURANCE
-LATH. EXT
'SIGNATURE Og�� /�/" HOUSE NUMBER COR- V
PERMITTEE v �L COR-
RECT AND POSTED
ADDRESS 600 S bLaf, FINAL
San Gabriel JOHN F LEWIS. PRINCIPAL ST DUC LEURANGINEER
PLAN CHECK VALIDATION CK MO CASH _ PERMIT VALIDATION ' M O CASH
tti�o 0 5 2 .o.� JuN 2 51 D1 1.„5 0�
WORKERS'COMPENSATION DECLARATION
hereby affirm that Ir have a certificate of consent ,o Self APPLICATION YFOR. ,�U I L D I'N G PERMIT
' insure, or a certificate of Wor'ke'rs' Compensation Insurance,
or a certified copy thereof (Sec. 3800, b AAND-.SAFETY
- _ -
'' ;'• COUNTY OF LOS ANGELES BUILDING AND:SAFETY
Policy No. - Company BUILDING
a, Certified-copy is:hereby furnished. - -.., FOR APPLICANT TO FILLJN ADDRESS
Certified copy is filed wiih'th1.e'courity,buildm
ing spec- BUILDING
ti 'de artment. '' 'r ADDRESS
Dat ?� v • Applicant CITY• ZIP LOCALITY
'CERTIFICATE OF EXEMPTION FROM•WORKERS' = ` "" " "-" NO-OF BLDGS- NEAREST
" COMPENSATION INSURANCE"'-''" .`• SIZE OF LOT NOW ON LOT CROSS ST. _
(TFiis sectiornneed not.be•corripleted if the permit is for-one - - - - - - ASSESSOR
hundred,dollars ($1100)or less.) .. TRACT BLOCK LOT NO MAP EtOOK PAGE PARCEL
- TEL i USE ZONE MAP.
I'cert4f that'in the.performance of the work foi=