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HomeMy Public PortalAbout9858 FLAHERTY ST_Building__ 76A638A ;Ei+8033-69 APPLICATION FOR BUILDING PERMI COUNTY OF LOS ANGELES BUILDING J DEPARTMENT-OF COUNTY ENGINEER aooREss BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS ST. PEXISTING R APPLICANT TO FILL IN `01SSJ$ICT/�NO. GROUP TYP 'CONST. S BY' (PRINT OR TYPE ONLY) v t V BUIL 'O � �� �^ CLASSSTATISNIOCAL CLASSI DWELOLNUNITSSEBER MAPG BLOCK USE ZONE )MOAP/3 SPECIAL. OF BLDGS. CONNOW ON LOT . j i(/ 4� `� BLDG. SETBACK FROM/ � NOLFRONT PROP. LINE OF - - - (STREET)•r( TYPE OF EXISTING SETBACK HIGHWAY +• YARD - TOTAL ADDRESS `�'�� ,�I�L �`/Pf-� HIGHWAY WIDTH FROM C.L. /_� J( CITY / / ©�P / .--. +.-• CJ�E/ Qz 6 ' ARCHITECT OR TEL. BLDG. ETBAC FROM - STREET) ENGINEER N0. SIDE PROP. LINE OF TYPE OF] EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL. _ 0- CONTRACTOR , (20&-- $ � NO.7�^j'/fW/'� - + C ADDRESS g''-- �I,•. 3-�{.0.,�, X10 � CORNER CUTOFF YE ❑ NO ❑ LIC. Q [APPLICANT /e ��' �j i ` CLASS ,g - SE REVERSE SIDE FO ECIALjPPROVALS' TRUCTION LENDER.-, / U w E AND BRANCH ESS �— FTS` STORIES r FAMOF NO �LIES NEW ❑ C 7 D o UOCTURE ALTERI REPAIR0 �O ATU0 EMOL ; y"UATI APPROVALSDATE INSPECTOR'S SIGNATURE S FEE $ �� FOUNDATION: LOCATION 4/ FORMS MATERIALS ,J f I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS, �,�ae� d? AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY BRACING BOLTS • �'9'- �¢ WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- FURNACE: LOCATION, , 044,11.1 114 TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I GAS VENT DUCTS `.. WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT. OF THE STATE CALIFORNIA IN RELATING TO WORKMEN'S COM- �V�/ PENSATION IN A CE. �j� LATH, EXT. /� HOUSE NUMBER CORRECT PERM TTEE /�• �J AND POSTED ADDRES l 0-1-e d 2 FINAL ~ JOHN F. LEWIS, PRINCIPAL STRUCT_URAL:ENGINEER PLAN CHECK VALIDATION CK. M.0. CASH _ PERMIT VALIDATION CK. M.o. CASH (; �� 3 ;a 3. 3" t"1,3R 2 1 D 2 7.7 5 �, 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, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified cois hereby furnished. BUILDING copy y . FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS LOCALITY r NEAREST Date Applicant -CITY r ZIP CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' INO. OF BLDGS. / ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one � ,� USE ZONE MAP V TRACT BLOCK LOT NO. NO. hundred dollars ($100)or less.) W TEL. SPECIAL _J I certify that in the performance of the work for which this OWNER ! ' NO. CONDITIONS LL permit is issued, I shall not employ person in an DISTRICT GROUP TYPE FIRE PROCESSED BY r P P Y an Y P y manner ADDRESS 1 .� CONST. ZONE � so as to become subject to the Worker��mpensation Laws. ��. i.;. ., .,. CITY ZIP Q Date Applicant '` STATISTICAL CLASSIFICATION APT. CONDO. 0 ARCHITECT OR_ TEL. t. NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER •' NO, CLASS NO. DWELL. UNITS Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- SEWER MAP LU P P Y ADDRESS ~ with comply with such provisions or this permit shall be deemed revoked. / r" TEL. BK PG VALIDATION CONTRACTOR / NO. LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS r ` NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and - LIC. Professions Code, and my license is in full force and effect. CITY :' M ..:- CLASS '! $ �^ SQ. FT. NO. OF NO. OF t CHECK License Number Lic.Class SIZE STORIES FAMILIES / ONE $ A" DESCRIPTION OF WORK NEW k x Contractor----i— T—Date N ADD ❑ I am exempt under Seca .: ALTER ❑ FINAL B.&P.C. for this reason REPAIR ❑ DATE Date: DEMOL ❑ * .x USE OF FINAL �. EXISTING BLDG. yy BY Signature APPLICANT TEL. OWNER-BUILDER DECLARATION (PRINT) NO, I hereby affirm that I am exempt from the Contractor's License , M Law for the following reason (Section 7031.5, Business and ADDRESS Professions Code): PRESENT ❑ BUILDING a ' i, I, as owner of the property, or my employees with ADDRESS t` , • i wages as their sole compensation,will do the work and t the structure is not intended or offered for sale (Section LOCALITY r> 7044, Business and Professions Code). MOVING TEL. ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. a r Ly A'P,818 with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). ff REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT ► the performance of the work for which this permit is issued P.I. (Sec. 3097, Civ. C.), SIDE m P.L. .. < Lender's Name i....-•^""'- P.C. Fee$ Permit Fee Lender's Address r' I certify that I have read this application and state that the Issuance Fee ,6``• a above information is correct. I agree to comply with all County Investigation Fee $ ordinances and State laws relating to building construction, Total Fee ✓. !' and hereby�oythorize representatives of this County to enter upon tl e ove,mentionedodperty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGEIDS Xr Signature of Applicant or Agent Date ! 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, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING Pol Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS`` ❑ Certified copy is filed with the county building inspec- BUILDING tioM department. ADDRESS LOCALITY NEAREST Date Applicant CITY ZIP CROSS ST. >, CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. ASSESSOR IZ COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL O (This section need not be completed if the permit is for one USE ZONE MAP V hundred dollars ($100)or less.) TRACT BLOCK I LOT NO. NO. UJ TEL. SPECIAL I certify that in the performance of the work for which this OWNER NO. CONDITIONS LL. DISTRICT GROUP TYPE FIRE PROCESSED BY �. permit is issued, I shall not employ any person in any manner ADDRESS CONST. ZPNE J Q so as to become subject to the Workers'Compensation Laws. s /' OC Date Applicant CITY ZIP STATISTICAL CLAS ICATION APT.i CONDO. O NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. f• a N Exemption, you should become subject to the Workers' NO. ENGINEER CLASSO. DWELL. UNITS W Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this permit shall be deemed revoked. TEL' BK. PG, VALIDATION CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my licenseAig in full force and effect. CITY CLASS $ SQ. FT. NO. OF JNO. OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE ► DESCRIPTION OF WORK NEW $ Contractor Date ADD ❑ ❑ I am exempt under Sec. ALTER ❑ FINAL s: • • t • B.&P.C. for this reason ❑ DATE REPAIR USE OF j' • , µ ¢ n, Date: EXISTING BLDG. DEMOL ❑ FINAL Signature APPLICANT TEL. BY �' • ° .� OWNER-BUILDER DECLARATION (PRINT) NO. I hereby affirm that I am exempt from the Contractor's License j Law for the following (Section 7031.5, Business and reason (SADDRESS t" n Professions Code): PRESENT 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 sale(Section LOCALITY '4 7044, Business and Professions Code). MOVING TEL. ❑ • • ;F; I, as owner of the property, am exclusively contracting CONTRACTOR NO. • with licensed contractors to construct the project (Sec- ADDRESS S _ tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT , the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE m P.L. Lender's Name Lender's Address P.C. Fee$ Permit Fee I certify that I have read this application and state that the Issuance Fee a above information is correct. I agree to comply with all County Investigation Fee g ordinances and State laws relating to building construction, Total Fee u and hereby authorize representatives of this County to enter m upon the above-mentioned property for inspection purposes. a � SEE REVERSE FOR EXPLANATORY LANGUAGE n Signature of Applicant or Agent Date �� WORKERS'COMPENSATION DECLARATION , irisureboraffa certif cairrn'thitte.of Workers' Compensation tnt o self APPLICATION FOR BUILDING PERMIT or a certified copy'thereof (Sec. 3800, Lab. C. COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No - Company n Certified copy is hereby.furnished. BUILDING FOR APPLICANT.TO FILL IN ADDRESS 7' Certified copy-is filed with the county building inspec- BUILDING•QQ` z tion,department. , ADDRESS'716, , LOCALITY NEAREST Date Applicant CITY' ZIP CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS' ' NO. OF BLD ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON L MAP BOOK PAGE PARCEL i (This section need not be completed if the permit is for one USE ZONE _ MAP ; hundred dollars ($100)or less.) • . TRACT B C� LOT NO NO. • TEL�.nn J - SPECIAL ' I certify that.in the performance of the work for which this OWNER N(�L 86�/I CONDITIONS A. permit is issued, I shall not employ erson in any manner O �J DISTRICT .GROUP TYPE FIRE PROCESSED BY 0 so as to become subject-to the rker Co a sati n- c s. ADDRESS 7 8J CONST ZONE V �TIr..JJ��{� ad Date Applicant `'�_• CITY IF ZIP STATISTICAL cLASSIFICATIONCONDO. ARCHITECT Of ,�i NOTICE,TO APPLICANT: If,,•diter making thi Certificate of ENGINEER NO - _` V Exemption, you 'should become*subject to the -Wo,rkers' CLASS-NO. DWELL. UNITS W a Compensation provisions of the Labor Code, you-must forth- ADDRESS SEWER MAP with comply with such provisions -or this permit shall be TEL. deemed revoked. N S g VALIDATION CONTRACT BK.. PG, LICENSED CONTRACTORS DECLARATIONp, LIC SQ I'hereby affirm that I'am licensed under provisions of Chapter 9- ADDRESS? ND J7VALUATION 0 O (commencing with Section 7000)of Division 3 of the Business and LIC Professions Code,.ond my license is in full force and effect. ClT CLASS $ 8DD• �S`� R , SQ FT NO OF NO OF CHECK License Number ��`�— Li, Class v SIZE STORIE FAMILIES ONE Contracto Date 4—"•3 DESCRIPTION OF WORK add llNEW ADD a I am exempt under Se10f4 El ALTER E] FINAL z 9.0 l 8 A B.&P.C:for this reason REPAIR .] 'DATE _ Date: EXISTING BLDG DEMOL El FINAL 0 0 0 ;2 3 " APPLICANT TEL. By Z Signature PRINT / � NO o ° 3 7 5 0 OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License /� ° ° ° 3 7;5 0 c=� Law•for the following reason (Section 7031.5, Business and ADDRESS Professions Code): PRESENT GAJ 0 -1, 1 BUILDING 'I, o I, as owner of the property, or my employees with ADDRESS' z 9 0 IL9 A wages as their sole compensation,will do the Work and the structure is not intended or offered for sale(Section LOCALITY '0 0 0 0 0 1 7044, Business and Professions Code). MOVING TEL. ' CONTRACTOR NO v I, as owner.of the property, am exclusively contracting 2 0 0 [J.9�t 8 with licensed contractors to construct the project (Sec- ADDRESS oyo o O 9 tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION;LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH , Q 1. 1 3-83 I hereby affirm that there is a construction lending agency for FRONT the performance of the work for Which'this permit is issued L;-iP.L (Sec. 3097, Civ. C ), SIDE m P.L., Lender's Name Lender's Address - P.C. Fee$ l7 (/ Permit Fee ' it I certify that I-have read this application and state that the Issuance Fee -�. above information is correct,'i agree to comply with all County Investigation Fee g• ordinances and State laws relating to building construction, Total Fee' d and hereb uthorize representatives of this County to enter lill upon t ab ve-menti a oprt r inspection puerpposes. ATM `"p3 SEE REVERSE FOR EXPLANATORY LANGUAGE ®_ Signature of Applicant r Agent Date 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 0602130025 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE 9858 FLAHERTY ST STRUCTURE: 26 VN TEMP CA 917801710 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5385-026-004 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 02/13/06 JK 02/08/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FIN�A7L DATE FINAL BY: CODE: ALPINE MARY S TR ALPINE TRUST (818) 286-6116- 8,480 9858 FLAHERTY ST TEMP 917801710 FEES PAID DESCRIPTION OF WORK REMOVE OLD ROOFING INSTALL 1/2 INCH CDX PLYWOOD 30 LB FELT FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: CLASS A COMPOSITION SHINGLES 30 YEAR APPLICANT: TEL. NO: JERRY'S ROOFING, INC. (562) 691-8111- AA BLDG PERMIT ISSUANCE 27.75 22622 JUNIPER RD AC STRONG MOTION RESID 8480.00 VAL 0.85 SPECIAL CONDITIONS: PERRIS, CA 92570 D2 PERMIT W/O EN-HC 8480.00 VAL 199.80 TOTAL FEES 228.40 i CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE JERRY'S ROOFING, INC. (562) 691-8111- _ 22622 JUNIPER RD LIC. NO LOCATION AND SETBACKS GALVILAN HILLS, CA 92570 415691 HIC SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAP/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 153H269 3 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 I ROOF, SHEATHING SCHOOL WITHIN HAZARDOUS I SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS ' T-BAR CEILINGS * ADDITIONAL DATA ON FILE _ LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 WORKERS'COMPENSATION DECLARATION n ,hereby affirm that I havecertificate of consent to self FOR BUILDING PERMIT JI�I insure, or'o certificate of Workers',Compensation Insurance, or a•certified copy thereof'(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified co is hereby furnished: BUILDING Q Q ❑ , copy y FOR.APPLICANT TO FILL IN ADDRESS ElCertified copy is filed'with the county building inspec- BUILDING tion department. ADDRESS J Q LOCALITY NEAREST Date Applicant CI ZIP CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDG . / ASSESSOR. COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT / MAP BOOK IPAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP hundred dollars ($100)or'less.) - TRACT LOCK LOT NO NO' TEL SPECIAL I certify that in the performance of the work for which•this OWNER NO. CONDITIONS I permit is issued, I shall not employ any p son in any manner .. DISTRICT GROUP TYPE FIRE PROCESSED BY O so as to become sublect to the Worker ompensat' L63 aws. ADDRESS �� CONST l! >V_IfS Date ` Applicarit CITY ZIP STATISTICAL CLASSIFICATION CONDO NOTICE TO APPLICANT: If, after makingARCHITECT, TEL. this Certificate of - V Exemption, you should become subject to the' Workers' ENGINEER S^ NO. CLASS NO DWELL. UNITS a Compensation provisions of the Labor Code, you must forth- Vf ADDRESS - SEWER MAP with comply with such provisions or this permit 'shall be L ��./� Z deemed revoked. TE0�7�4+�� BK PG, VALIDATION CONTRACTOR N LICENSED CONTRACTORS DECLARATION /' LIC. t I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS �j Nj� VALUATION (commencing with Section 7000)of Division 3'of the Business and LIC- Professions Code, and my license is in full force and e ect. CITY • CLASS '+ $ 8 � Q SFT ' O OF CHECK ►- ; License Numbe J 7 Lic.Class SIZE ST FAMILIES STORIES FAMILIES ONE Coniracto '�• Date 3 DESCRIPTION OF WORK r:,c NEW $ ❑ ADD 0 9 3 2 6 A I am exempt under Sec. ❑ ' _ ALTER E] _ FINAL � � #10 o so o'2 3 B.BP.C. for this reason DATE (o— REPAIR USE OF ❑ —_~ 2Po 0 37,50 Date: FINAL - EXISTING BLDG DEMOL ❑ � Signature APPLICANT TEL. oro a 3 7,•5 0'6 OWNER-BUILDER DECLARATION PRINT NO I hereby affirm that I am exempt from.the Contractor's Licensepopfl il,2 4—813 Law for the following reason (Section 7031.5, Business and ADDRESS Professions Code): PRESENT -9 3 2 7 A ❑ -I, as owner of the property, or my employees with ADDRESS #`0 0 0 0 0 wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 2';:o 4 9,88' 7044, Business and Professions Code). MOVING TEL ❑ t CONTRACTOR NO. 40,010 2 I, as owner of the property, dm exclusively contracting • 4 9,8 8'c� with licensed contractors to construct the project (Sec-, ADDRESS 'tion 7044, Business and Professions Code). �,2 4 -8 3 'REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK 'YARD HM PROP. LINE WIDTH I hereby affirm that there is d construction lending agency for FRONT the performance of the work for which this permit is issued P L (Sec. 3097, Civ. C.). SIDE m :P.L. . Lender's Name Lender's Address P.0 Fee b Permit fee - I certify that I have read this application and state.that the Issuance Fee J above information is correct. I agree to comply with•all County Investigation FeeOZ g ordinances and State laws relating to building construction, Total Fee tj and hereb uthorize representatives of:this County to enter upon T ov - entione perty for.i spection purposes. o •jO� rz SEE REVERSE FOR EXPLANATORY LANGUAGE n Signature of Applicant or Agent Date Os