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HomeMy Public PortalAbout9878 FLAHERTY ST_Building__ DIVISION OF BUILDING AND SAFETY Department of County Engineer County of'Los Angeles WM. J. FOX, COUNTY ENGINEER APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDINGADDRESS 7 ,�i/�L ,/�y� I� DIST R NO. PLACK. -RFC.?�� o "PERMIT .3 �43 -/ C RE IVSD B DATE OF APPL r DATE ISSUED LOCALITY It:ARCBS EST /•1QLd '`'�C ..*-►� BUILD OWNER ING ��I. ('� ADDRESS (J (r" /� f�C••IY� (J�� /�M 1S F L Q V� <�A O N�a LOCALITY (iG 7 MAIL � � L �L F NEAREST ADDRESS 7 f / CROSS ST. DITY 1V 6- L7= N0. FIRE NO. OFP OUP ARCHITECT OR TEL ' ZONE I PLANS y I I�_1r BLDG ENGINEER NO. fff��� . 3. SETBACK LINE ADDRESS �— UBE �/ APPROVED L TEZONE BY DATE _ CONTRACTOR NO. —�GOfl HOUSE NUMBERING ADDRESS MAP NUMBER 4CORRECTIONS aNO. ASSIGNED BY LEGAL DESCRIPTION LOT NO. .�/ BLOCK 1.���jjs/Vi To CORRE ONS �L' ��o�°/�F to Z L.r /CO o✓Ge�.v1� . TRACT ONO. or BLOMS. SIZE OF LOT I NOW ON LOT b - USE OF NO. OF EXISTING BLDG. FAMILIBB DESCRIPTION OF WORN A NEW ALTERATION ADDITION Z D r REPAIR DEMOLITION SQ.FT. / NO.OF` SIZE l 7 7 ROOMS (y STORIES EXT.WALL �+-.y+- ROOF iii--- _ COVERINGy / (� P •JOOVERING \A1 0 C> S USE OF STRUCTURE INSPECTION FOR - j APPROVALS OCCUPANCY AS S INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION N FOYZMB, MATERIALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN 18• FRAME: FIRE STOPS, CORRECT. BRACING, BOLTS 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES C AND STATE LAW LATINO BUILDING CONSTRUCTION. FURNACE: LOCATION, GAS VENT, DUCTS SIGNAT E • LATH, INT. PERM! • " "�� ADDRESS LATH; EXT. l PLASTER, INT. AUTHORIZED AOT. _ PLASTER, EXT. FEE i HOUSE NUMBER COR- ,� RECT AND POSTED VALUATION 0 FEE FINAL 76A636A DBS 3 1-52 1 ©s 76A638A CE#803(REV.11/78) . APPLICATION :FOR` BUILDING PERM IT / COUNTY OF LOS ANGELES.,- _-• BUILDING AND SAFETY FOR APPLICANT TO FILL•IN _ ADDRESS: % �L BUILDING/� ADDRESS.% 8 E. _ LOCALITY NEAREST CITY (� ZIP / Q CROSS ST d - 34 �Q- NO OF BLDGS ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOKPA PAG"E RC •s RCEL DISTRICTGROUP TYPE FIRE PROCESSED BY TRACT BLOCK LOT NO Gk CONSTy ZONE \ _ TEL-. P[�.- 3 OWNER J. NO _ 3 _ STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO DWELL UNITS z__ BK-37G ( . CITY C r ZIP tql-7&0 ARCHITECT TEL / VALUATION $ ENGINEER AJ NO•J14�� - Zb /J� •� , ADDRESS 6L BLDG SETBACK FROM ' FRONT PROP LINE OF (STREET) CONTRACTOR 4d•b1• Odom COriSt• NO 66-58$2 HIGHWAY + YARD = TOTAL SETBACK FR TYPE OF EXISTING LIC Y.ARD PROP LI HIGHWAY WIDTH• ADD 2 Rancho El Enc. Covwo 207982 .LIC - - Q + CITY Covina CLASS B-1 CONSTRUCTION LENDER BLDG SETBACK FROM NAME AND BRANCH' Ejn SIDE PROP LINE OF STREET) /� //� HIGHWAY + YARD _ TOTAL SETBACK FROM TYPE OF EXISTING 9 ADDRESS AJr'7�4q w,;,$,hofCITY L S 1- agr SIDE PROP LINE HIGHWAY WIDTH.- O SO FT NO OF NO OF CHECK + = V SIZE .4r2 STORIES FAMILIES' ONE USE ZONE NO DESCRIPTION OF WORK - NEW-, •❑ SPECIAL IIL -� ADD O CONDITIONS 4A - ALTER ClFIN4' ( ¢-7a BY / Z REPAIR ❑ DATE USE OF ` f DEMOL ❑ Z EXISTING BLDG G % olO APPLICANT TEL PRINT) W. R. Odom No 966-5882 _ o BY(SIGNATURE) _ „ Q I HEREBY ACKNOWLEDGE THAT HAVER THIS APPLICATION AND STATE Y r THAT THE ABOVE_IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK'AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF V THELABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- _ _ _ Z _ ZZ y PENSATIO, N INSURANCE- - g 0 '1 J, I 'A "V SIGNATURE OF ` } 0 0.0 0 0 1 PERMITTEE ,}t-• ADDRESS 2 Rancho E cino z 2 - 1 6 O.b O , CITY Covina, Calif. . . _..•rio 966=5882' 1 6 0,10 0=._.. o 04:-29-8p PC Fee$ Permit Fee S� > Issuance Fee / W Tocol Fee � ' • 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 0908270037 PHONE (626) 285-0488 EXT LEGAL ID NO. OF CONST BUILDING ADDRESS: ITR. 18002 LT: 15 SQ. FT STORIES TYPE 9878 FLAHERTY ST 1 (STRUCTURE V-B TEMP CA 917801710 ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: 15385-024-033 THOMAS PAGE. 597 GRID- A2 LOCALITY: TEMPLE CITY, Cl (TENANT: JEXIST BLDG USE RESID- USE ZONE: R-1 JISSUED ON: PROCESSED BY: 1 EXIST OCC GRP: 108/27/09 SR (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFI AL DATEFIN Y: CODE: IMACKAY, TONY/ROSALINE 626873039 - 10,500 1 �iD 19878 FLAHERTY ST �� i / TEMP 917801710 1 FEES PAID JDE�CRIPTIONIOF WORK I IBATHROOM REMODEL REPLACE PLUMBING, LIGHT FIXTURES, NEW IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ISUBFLOOR & TILE ADJUST PLUMBING FOR NEW FIXTURES REPLACE WINI (APPLICANT: TEL. NO: I I I (PETERSON (909) 973-7282- IAA BLDG PERMIT ISSUANCE 27.75 1 1 1401 E COLUMBIA AVE. IAB STATE GREEN BLDG-FEE 10500.00 VAL. 1.00 (SPECIAL CONDITIONS: I IPOMONA, CA 91767 IAC STRONG MOTION RESID 10500.00 VAL 1.05 I I 1 IB2 PERMIT W/ENERGY 10500.00 VAL 256.74 1 i I I TOTAL FEES 286.54 I I (CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I (OASIS DESIGN AND CONSTRUCTION (909) 973-7282- 1 1 I 1401 EAST COLUMBIA AVE LIC. NO I (LOCATION AND SETBACKS I I I 1POMONA CA 91767 603452E I I- I I I (SOILS ENGINEER APPROVAL I 1 1 I I I I I I (ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I I 1 LIC. NO: 1 ISLAB/JNDER FLOOR 1 1 I (RAISED FLOOR FRAMING I 1 1MAP NO: SEWER MAP BOOK. PAGE: FIRE ZONE CMP.( (UNDERFLOOR INSULATION I I i 1153H269 3 COI I I I I I 1-FLOOR SHEATHING h 1NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS i I I ' v l 1 1 NO 21 1 (ROOF SHEATHING I 1 1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I I 1AIR QUALITY 1000 FEET MATERIALS 1 I 11 I NO NO NO I (FRAME INSPECTION I I (REQUIRED TOTAL SETBACK FROM EXIST I (FIRE SPRINKLER HANGERS I I ISET BACK YARD: HWY: PROP LINE: _ WIDTH: I I 1 1 (FRONT PL- I - - IINSUI.ATION/WEATHER STRIPI I I I SIDE PL- 1 I -1-1 1 1 I 11NTERIOR LATH/DRYWALL 1 1 I i I I I I 1 1EXTERIOR LATH 1 I I I I I I 1 IRATED FLOOR/CEIL ASSEM. 1 I I I I I I 1RATED WALL ASSEMBLIES 1 _ RATED SHAFTS/OPENINGS 1 I I I I I I 1 IT-BAR CEILINGS I I I• ADDITIONAL DATA ON FILE I I 1 1 1LOT DRAINAGE I I I I I I I IREPORT ID: DPR261 ROUTE TO. BS0508 1 I 1 I I I I I I APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND,sAFETY • . WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN I hereby affirm that I have a certificate of consent to self Insure, MSINE ADDRESS or a certificate of Workers' Compensation Insurance,or a certified `� ffp Copy there 800,Lab C) Gl /r1 LOCALITY 7� Policy No Company r LOTNO OF B DGS NNOW ON LOT J ���-L ertified copy is hereby furnished. NEAREST CROSS ST ❑ Certified copy is filed with*theddl specUon TRACT BLOCK LOT NO department USE ZONE MAP NO Dat Applicant ASSESSOR MAP BOOK PAGE PARCEL e'er �� - SPECIAL CONDITION_S CERTIFICATE-OF EXEOM WORKERS' o R J/fj1 L� 2RCOMPENSAANCE Min,- ✓ / e, a& WITHIN 1000 FT.OF'SCHOOL� YES NO AD ESS (This section'need not be completed if the permit is for one hundred �/IF DISTRICT GROUP TYPf CONST FIRE ZONE PROCESSED'BY dollars ($100) or less) • , , /'7 ZIP I certify that in the performance of the work for which this perrnit is issued, I shall not employ any person in any manner so as t14 orM& become subject to the Workers'Compensation Laws ARCHITECT OR NGINEER TEL NO ' STATISTICAL CLA SIFICATION APT' CONDO Date Applicant ADDRESS CLASS NO DWELL UNITS ' NOTICE TO APPLICANT: If, after making this Certificate *of f � REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTORTEL NOO SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith �fej 1 �(L�r/f7 FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS. LIC NO PL LICENSED CONTRACTORS DECLARATION SIDE C L �ssS�� PL I hereby affirm that I am licensed underprovisions of Chapter 9 a,0 "� SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ NO OF STORIES I NO OF FAMILIES Professions Code,and my license Is in full farce and eIf ct NEW ❑ BK PG License Number. LIC Class RIPTION OF WORK ADD ❑ VALUATION_7 Contractor Date•!a Q� ALTER C3 $ u O ❑ I.am exempt'u6der Sec. 'REPAIR $ 0 B&PC for thl son %jjj DEMOL ❑ LDMA P/C# W D e ,XISTINGG - URM ❑ i D- Signature WD PRWT) y►n/� TEL n LDMA Perm# 1 Z ❑ I, as owner of the or my employees with wages as O�� Z A'CT°g their sole comp s Ion, will do.the work and the structure Is ... p�� /� 3303 175.65 not intended o Bred for sale (Section 7044, Business and ! G� FINAL DATE r/ Q PfOfeSSIORS Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDS AZARDOUS MATERIAL �,.���J 1•ITEMS 'OR A MIXTURE,CONTAINING A HAZARDOUS MATERIAL EQUAL T OR GREATER THAN THE J ❑ I, as owner of the,property, am exclusively contracting with Q 5 -AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDES FINAL BY > _ TOTAL 175 . 6.e licensed contractors to construct the project (Section 7044, YES❑ NO❑ Business and Professions Code) CHECK 175.-65 WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT•OR FUTURE BUILDING _ , OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH {,,/' (� CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR CHANGE .00 GUIDELINES I hereby affirm that there is a construction lending agency for., YES❑ • NO❑• a the performance of the work for which this permit Is issued(Sec THE ��y (� /p 3097,CIV.C) I HAVE CHECKLIST I UNDERSTA DUMY REQUIREMENINFORMATION TS UNDERGUIDE THE OS ANGE EAND THE ASQCOUNPERMITTING CODE 0000-0001 12/11/95 95 TITLE 2,CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS �'J 7 3 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD 3675 1 PM 12 a 3'.0 o Lender's Address' OWNER OR AGENT ' o I certify that I have read this application and state under penalty Of perjury that the above.information IS correct I agree to comply PC FEE* PERMIT FEE N with all county ordinances and State laws relating to building Alf,16q) aD con c on, and he y authonze re sentatives of this County ISSUANCE FEE E ter pon the ab v -mentioned p erty for inspect purposes INVESTIGATION FEE. TOTAL FEE � S9�lure of Apdoant o Agem De / � � S SEE REVERSE FOR EXPLANATORY LANGUAGE