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HomeMy Public PortalAbout10727 GRAND AVE_Building__ i DEPARTMENT COUNTY ENGINEER BUILDING c. ' DIVISION OF BUILDING AND SAFETY "COVIn'T: i DMSION OF BUILDING AND SAFETY BUILDING U I L D I N G Department of County Engineer County of Loa Angeles WM. J. FOX, COUNTY ENGINEER APPLICATION J BUILDING APPLICANT TO FILL IN woo `<>a �, BUILDING -,ZLOCALITY ADDRESS v �u .�� NEAREST - LOCALITY CROSS ST. DISTRICT NO. PLAN CK. OR RUC. No. PERMIT NO. NEAREST �L CROSS ST. - - OWNER //��' RECEIVED BY DATE OF APPL. DATE ISSUED MAIL ADDRESS Ll�/2� USE ZONE I PLAIOOSF I TYPE I GROUP I FIRE ZONE TEL. 4 / CITY C17 NO. A ARCHITECT OR TEL. _ ZONING DATED ENGINEER ��w/.,%BIZ NO. ��` APPROVED BY- BUILDING ORD.No. ADDRESS SETBACK LINE: TEL. APPROVED _DATE CONTRACTOR © NO. d... BY: HOUSE NUMBERING ADDRESS LEGALc✓ MAP NUMBER - NO. ASSIGNED BY DESCRIPTION LOT NO. ! BLOCK DATE CORRECTIONS I INSPECTOR TRACT LOT NOW ON LOT �� ��/ I NO. OF SIZE OF LOT USE OF /��. NO. OF EXISTING BLDG. f I FAMILIES 0 DESCRIPTION OF WORK z NEW ALTERATION-I DEMOLITION -I ADDITION REPAIR f S ZEA �'j� �If '� ROOMS r STORIESEXT. WALL COVERING ��cy I COVVERING USE OF STRUCTURE • A �1 � � G.y,e 1��hr APPROVALS INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION FORMS, MATERIALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN IS CORRECT. BRACING, BOLTS 1AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS SIGNATURE LATH, INT. PERMITTEE /L LATH. EXT. ADDRESS PLASTER, INT. AUTHORIZED AGT. P. C.>6 PLASTER, EXT. COR- ------ FEE FEE HOUSE NUMBER COR- RECT AND POSTED VALUATION FEE FINAL _ 76AS38A DBS 3 2-88 \1 WORKERS'l..V*01Et,4SAT'ION VLl_1.MRMTIVI•l ;t, y affirm that'l ha�vp a certlflcute of conient,to self �nsure, or a certtflcate of Work" Compensatlan Iniurance, - APPLICATION F CS R. B lJ I L D I�fG P E R11A1T dr"a'certlfibd'copy thereof.{Sec. 3800, Lab:-C ) - - - ' - .. COUNTYOF LOS ANGELES d111LWIN0,A-NWSAF FbIIq No: Co rppany O Certtfled,copy Is hereby bumtshed. .. FOR APPLICANT TO FILL IN •Certified copy Is filed`wlth the-Gounty bulldlho.lnipec- BUILDt}fG 'tlbn departmeht.' ADDRESS DateL Applicant ZIP_ / LOCALITY - - d"FICATI�CIF OMAAPTfON'FROM WORKERS' - - NO.OF BLDGS _ CQAkWNSATION INSURANCE; SIZE OF LOT Nkow oN LOT ST. Mi iectlon deed,wfbe-comp leted if the perm1t'1z for -. 1: ASS$$QR .. ,• hundred;¢ol(pra 100 I Tom" BIOOc LOT NO.^ BOCK' PAGE PARCH I certify th' .In th¢,performan'4 of the"work for whA this T ZONE. I }ia �R � 1 'I pertr111 b lisped, I s Ihrlot dmplby d�, n lh'ahy mpnner so-006 1»coihq rfobleLi to th*,Workerit mpensutlon Laws. Alm" c �•- � D ft ApplfcarS , I� �lCldf•I3/LJ CITY _ ZIP_ 4 r > -tx ARCHTfECT' TEL IXSTR1Ci CrRQIR TrRE _ FIRE 6Y V �NOtlCt'aO APPCICAW:-If, aftbf'-making 'this Cerflflcate of ZONE =Exetnptlon, you rhauld bbcome svblect to the Woiiters'- - Fffi2 NO- E�� TYPE p!. satlo�5iprovlslons of the Labqr Code, you must Forth- ADS with•tor ply.with-,such provisions .Qr,.thla,.permlt shall be __ _ _ STATIST1C11L CLASSIFIC4TFOfJ - AFF: dt�mRd.Tgyoked• ;,. :� ,,.^ r r. : - ? CONTRACT NO. _ -- LfCI NSED CONTRACTORS DEC1ARAT16N -- - -tic- - -- - CLASS NO. DWELL UNITS I hereby,affJrm that I am IIcer}sq�uridet provlslorp of Chapter 9 ADDRESS NCL - (commegdng with Sectlon'/000)of DlvWon 3 of the Busk ss and _ --. L� _ SEWER AAAP Pfofe�lons.Codp,,'und my lfceribb Is 1P-%Il force aid iffbd. CITY -CLASS - - : - VAIIDAT{ON- `-LJ ,•,.' SQ NO.Cf .OF CHECK BK RG. _ .• c:.:' C�tense Ngmber i'Llc L� t _. .- STORIES ES -� T_ .,�` t•..a T �. Contractor' DESCRIPTION of WORt( _ _ _ NEW.- ; ,1 t ADD (J , : 4 I am exempt under Set - - . ALTER � � - B.&P.C- for this reason" REPAIR - - - - - USE OF — - Date-- a EXISTING BLDG. OWNER-BUILDER IMCLARATION _ NT NO. Lhereby.afflrm that I:am-exempt from the Contrador'sllcense Law'for the fallowlhq'redsbrt�Sectlon 7031.5, Business and P%/, I Prafeeslbns'Cocle): - - - - - Q_ I, as owner of the-?*T ty, or m employees with BUILDING Y P. yam..- wages as their sole CQmpgnsa lon,wlltdo the work and the structure Is not Intended or offered for sale{Section-; # 0 0 0.:o.0., • , r _ _.,.7044;busInew and Profewlons Code.) - _� _. - - -MOVING - -- ... - --Ta.-`: - • I, a;owrw of the property, am exc.luslvely contracting-' CQNTRACTOR - - - V c o 4 Q 5 0 with ilcensbd contractors to construct-the project (Sec- __. . . _ flon 7044, Business and Prof esslohs,Code} ADDRESS - _ SFTRACK _--coNs[RucTroN{ENDING AGENCY- SET BACK YARD HWYREWIRM - XTALPROP. ME WIDTH 4 a S�� I hereby affirm that then Is a construction lending agency for FRONT - The performance of-the work for-whlch thl� petmlt h-Issued P.L (Sec,3097, Clv:C. SIDE - H - Lender's Name r C Fey_ Psrm Fee Ref. � .. --. ' Kt . 1,certify that I'havb read this appllcatlon'and-state.that the __ _ _ _ -. Isumxe FM,- - - LE3AAA P/C-/- - - -. •- - above Inform n Is caTeet.,l agrge to comply with all County r InwatiQatbrr FM ordlnprares or 4 State laws_relat(pg to bul)ding corai!ru�tlon; '_. Tota Fee - LDM� Penn: f ' r and hereby a6t'k-6 z:e TeWmentatives of.this bounty To Enter the above-mentioned propertyfor Iaspectlion pM!l MIM FQt DPLAMATORY LANQUAGE �,,n of-Applicmt or Agent - - - - - •Datr - -- - - -'- - - --- -- •- - l COUNTY OF LOS AT171:U,&S TEMPLE CITY #! 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AMID SAFETY / LAND DEVELORt T TEMPLE CITY CA 91780 BL 0508 1301240079 PHONE: (626) 285-0488 ETT: LRa7 ID: NO. OF CONST BUILaING aDDR&QS: _ TR: 17867 LT: 59 SQ. FT STORIES TYPE 10727 GRAND AV STRUCTURES 1800 V-B TEW CA 917803408 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8574-002-035 T8 S-M PAGE: 597 'GRID: C4 LOCALITY: TEMPLE CITY CA TEZANP: MUST BLDG USE: RESID USE 7,ONF: R-1 ISSUED ON: PROCESSED BY: EAST OCC GRP: 01/24/13 SR OWER: TEL. NO: BLDG9. NOW ON LOT: VALUATION: FINAL 4m � FINAL CODE: BERGSTROM, NEAL - 5,800 10727 GRAND AVE TEMPLE CITY CA 91780 FEES PAID DESCRIPTION OF WORK TEAR OFF 2-ROOF LAYERS INSTALL 30N FELT, 30 YR 3-DI34ENSIONAL FEE DESCRIPTION: QUANTITY: UDM: AMOUNT: COMPOSITION SNT9GLR , APPLICANT: TEL. 190: LECLERCQ, DAVID (714) 673-2300- AA BLDO PERMIT ISSUANCE 27.80 18310 WARD STR.KRT AB STATE GR= BLDG FEE 58-00.00 VAL 1.00 SPECIAL CONDITIONS: FOUNTAIN VALLEY CA AC STRORU MOTION REBID 5800.00 VAL 0.60 D2 PERMIT W/O EN-gC 5800.00 VAL 149.40 TOTAL FEF8 178.80 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE ABSOLUT ROOFING INC (800) 655-2231- 18310 WARD STREET LIC. NO ON AND S TTBACMS FOUNTAIN VALLEY CA 92708 761116 SOILr4 E24GER ER APP OVAL ARCHITECT OR ENGINPER: TEL. NO: FOIIID&TION T'AENCH FORMS LIC. 190: BLAB UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOI: AGE: FIRE SONE: C14P: UNDERFLOOR IIISULAYION 147H.277 3 00 FLOOR SHEATHING FAMILI29: DW�EJ I NG U NITS: APT GOND: STAT CLASS 0 NO 21 ROOF SHEATIING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET ►AXKRIALS NO NO NO I FRAME INSPECTION FIRE SPRINKLER HANGERS IN$D'LATION MRATHER STRIP INTERIOR LAM/DRYWALL EXTERIOR LATH RATED FLOOR CELL A88EM. RATED WALL ASSESS, RATED SHkFTB OPENINGS T-BAR CEILINGS + ADDITIONAL DATA ON FILE LOT DRAINAGE REPORT-ID: DPP-261 ROUTE TO: BS0508