HomeMy Public PortalAbout9892 FLAHERTY ST_Building__ r
COUNTY.OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0306200001
PHONE: (626) 285-0488 EXT:
LEGAL ID: 0. OF CONSTS:
TR: 18002 LT: 12 SQ. FT STORIES TYPE OCCUP GROUP 9892 FLAHERTY ST
STRUCTURE: 560 1 VN R3 TEMP CA 917801710
3S SSOR fNFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: GOLDEN WEST
5385-024-030 OTHER: THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: S ONE: ISS ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 07/22/03 JK 07/16/04
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
KEUNG MING KWONG & LAURA (213) 892-1572- 48,000 /� /j
9892 FLAHERTY ST /a_/b ill :
TEMP 917801710 EES PAID DESCRIPTION OF WORK
ADD MASTERBEDRM & BATH, FAMILY RM, & DINING RM
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
SAME AS OWNER B1 PLANCHECK W/ENERGY 40000.00 VAL 623.82
B1 PLANCHECK W/ENERGY 48000.00 VAL 97.23 SPECIAL CONDITIONS:
AA BLDG PERMIT ISSUANCE 27.75
AC STRONG-MOTION RESID 48000.00 VAL 4.80
B2 PERMI=T W/ENERGY' -._ 48000.00 VAL 848.76 (,V IM A0� A( f�a z" p F �uT,
CONTRACTOR: TEL. N0: - TOTAL 'FEES-' .. 1,602.36 APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER ;,-
LIC. NO r= ,� ,���� LOCATION AND SETBACKS
;�� �0 �'•� SOILS ENGINEER APPROVAL -
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS _
LIC. N0: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
3 01
ST LEVEL FLOOR SHEATH
0. OF FAMILIES: DWELLING UNITS: AP /COND: STAT CLASS: -
NO 21' _ -- ND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS �` ROO SHEATHING
AIR QUALITY: 1000 FEET MATERIALS � - ' ,' 'q-Icb 03 /
NO NO NO '�� FIRE DEPT. FRAME INSPECT
EQUIRED TOTAL SETBACK FROM EXIST ,�_ -,,� BLDG G PT. RAM INSPECT
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- SHEAR PANELS
SIDE PL-
INSULATION/WEATHER
LINSULA IO /WEA ER STRIP ,vD
INTERIOR LATH/DRYWALL
EXTERIOR LAT GR
LOT DRAINAGE
SMOKE DETECTION DICES
FIRE'DEPARTMEN APPROVAL
REPORT ID: DPR261 ROUTE TO: BS0508
;WORKERS'COMPENSATION'DECLARATIOIN 4 t
hereby,affirm that'I have'r certificate of consent r self' A P P L I CAT I QN` F O'R BUILDING :P E RM I T
insure, or'a certificate.of„Workers','Compensation•Insurances: F;
or a certified-copy thereof (Sec. 3800,•,Lab:'C.) - I. ' >
UI'' COUNTY_ OF LOS-ANGELES ,,- .:_t _ ,BUILDING ANDJSAFETY .
Policy No.J -Company' -4,
BUILDING G y
Certified copy is hereby furnished FOR APPLICANTJO FILL-IN- -> ADDRESS' v
' Certrfied copy•is-filed-with the'county building inspec- BUILDING
_tion department- ADDRESS' rJ Q� LOCALITY y'
/ ADDRESS�;° NEAREST
Date• //,, "
II— �"A-Applicant � CITY ZIP' V'- CROSS ST:-:
CERTIFICATE OF EXEMPTIO FROMrWORKERS' NO OF BLDGS!''" ASSESSOR t�
,:COMPENSATION.INSURANCE. SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL'•"_, '
(This section need noi.be'completeclif the permit•is for-one >. USE'ZONE, MAP.. Fwd
hundred:dollars ($100)orless,):`: " TRACT' BLOCK LOT NO,: • NO:'' V
TEL" .. p/. r:. SPECIAL :,' �'•e ,
I'cerTify ThaY.in'The:performance,bf the work for which this OWNER NO. /` CONDITIONS " --? �
DISTRICT GROUP ' TYPE.. FIRE •PROCESSED_BY ,•O
peimtt is issued,.I`shall'not employ any'pe�son in,any manner / //,—, N e
sods to become subject to the Workers'Compensbtion Laws ADDRESS YJd If--L� �,f� CONST:r- ZONE
:s i - -;•�:' ,. CITY '---„V :ZIP 3 o
Date Applicant " STATISTICAL CLASSIFICATION•, ,;: P,T.,, CONDO.• H
ARCHITECT'OR'{ TEL V
NOTICE TO.APPLICANT:,,If, -aftei-makingthis.Certificate of w" -•y.
t ' ENGINEER o-• NO- CLASS NO',` DWELL. UNITS W
Exemption, you ;should'become 'subject to, the Worker's' " a:
Com ensation rovisions of the"L•abor•Code, ou;"must.forth- Vf
with-comply T with' such ,provisions'or this -permit shall. be' L TEL
ADDRESS' = SEWER MAP 22, ,
deemed revoked. J (R);� w _NO- A.S' BK L FG,J,A` ,; •'•VALIDATION
CONTRACTOR
LICENSED CONTRACTORS.DECLARATION '; .,, `I I J 41C
I hereby affirm that I`am licensed under pro visions of Chapter 9 ADDRESS }? I�/(A,10 3V' Jd/ALUATI N`
(commencing with Section,7000)of-Divi`sion'.3 of'the Business and LIC Gj J f
Professions•Code;,and my-license is-in full•force and effect." CITY �C11/V� '?ct rt�'I CLASS-c—� ('• $
SQ.'FT-• NO.OF NO."OF CHECK-
Licer se,Number J/-=►V v —Lic..Ckass'� �4• SIZE STORIES FAMILIES• ONE ,
Contractor C�l���l•`g � to /' "�. } DESCRIPTION OF WORK C �C�rj 5 _ NEW Q $
El I am�exempT under•Sec
OZ)�-• ADD + s
ALTER O FINAL
B.BP.C.'for this reason p� a, I -e V, lt5 ^O DATE
REPAIR it•+
Date: USE OF :�_ - ,ti_._ DEMOL-t El FINAL
' - �• •' EXISTING'-BLDG•• BY C 1)-•,•,�..�q.t,.�,r' ,. �
Signature' : APPLICANT TEL ' fi b`7 4'A :
OWNER-BUILDER DECLARATION PRINT NO,.. L
Thereby affirrn.that'I am exempt from the Contractor s License ADDRESS , - ���'
`o_o a"�
Law for the following reason j(Sgction 7031-.5,;Business'.and - "•
Professions`Code): ;i- ,•,. :, is ; . - a t PRESENT - 2'0 °,tJ 9�2'5.
t BUILDING
1, as;owner of the property,sor-my employees•with ADDRESS
wages as their sole compensation,will'do the work-and o,0>0'S-9,.2`Jr
the structure is not.intended'or:offered^for"sale`(Section. LOCALITY
t
7044,'Business and Professions Code). : . - w, MOVING TEL. ",=1 1,'1 0'=$',3•,'"
a1;-cis owner of`the property, am'ezdusively contracting' CONTRACTOR.. NO
with licensed.contractors•to construct•the prolect.(Sec- 1.'.
tion 7044;Busineas•and Professions Code).' _
ADDRESS ;:
•REQUIRED, ' TOTAL SETBACK FROM EXIST.
CONSTRUCTION.LENDING AGENCY` SET BACK YARD.; HWP PROP"LINE ' WIDTH
hereby affirm„that there is,o'coristruction lending agency'for• '•_FRONT -
the'performance of the” rk for which this permit is•issued' P.L
,.(Sec.
,.3097, Civ. C.). SIDE q,•• -.
Q `L'ender's Name
Lender's Addres's P. Fee$ Permit Fee y �/ ��
1•certify that]'have* read this application and,siate'that the, Issuance'Fee
above information is correct. I agree to comply witFi all County' Investigation Fee
$ ordinances and State dows,relating to,building construction,; - Z*
v and hereby authorize representatives of;this County to enter Total Fee i
upon"the above'`mentioned property•for inspection purposes. - ., •--• -
SEE REVERSE FOR EXPLANATORY-LANGUAGE
'.Signature of Applic t or Agent Data. ®s..