HomeMy Public PortalAbout10728 GRAND AVE_Building__ +
7eAe3ei..cE10e011 e_ea APPLICATION FOR BUILDING PE MIT
COUNTY OF LOS ANGELES BUILDINGD Q�� �� Yfr 1✓
DEPARTMENT OF COUNTY ENGINEER ADDRESS
F.''►7L� L/W
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST u�
WILLIAM A.JENSEN, •UP•T OF BUILDING CROSS ST. /mac
I CT G P TYPNF�s4' C ED Y
FOR APPLICANT TO FILL IN 10 co
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS 10724 Grand Ave .
SS. NO. DWELL UNITS
LOT NO. BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE:
TRACT D NAO. HCIR'c'La)
NO.OF BLDG3. STATE MAJOR SECOND, LOCAL
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
Ut3F OF _/ CONDITIONS
ISTING BLDG.
' TEL
OWNER a 1t 730. BUILDING EXIST.
C .
SETBACK YARD HWY STREET NAME WIDTH
ADDRESS 10724 Grand Ave. T. C • FRONT
A CHITECT OR TEL P. L
ENGINEER NO. I SIDE
P. L.
ADDRESS
CONTRACTOR Virgin Roof CO No 287-05
ADDRESS
DESCRIPTION OF WORK
NEW ADD ALTER REPAI DEMOLISH
SQ. FT. NO. OF
SIZE St 8 FAMILIES
USE OF
STR CTUREReroof portion over kitc
with 90#_Telt_
SIGNATURE OF .
APPLICANT-
VALUATION
PPLICANT VALUATION S 58. 00
APPROVALS 0ATE INar[CTO+e'eq TURV
FOUNDATION: LOCATION
FEE $ FEE f 4.00 FORMS, MATERIALS
FRAME: FIRE STOPS, ,l• }
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS
AND 1TAT[ THAI THE ADOVE le cORRECT AND AGR[[ J�H
Ow Ly FURNACE: LOCATION.
WITH ALL COUNT' OR
AND ETATE LAW8 RLATING GAS VENT. DUCTS
BUILDING CONeTA1,1 ION. I CiRTIFY THAT IN DOINGWORK
AUTHORR[D H[RIe I WILL NOT EMrLOY ANY rERfONVIOLA-
TION OF TH[ LAiO DE OETHE TE OF CALIFORRELIT- LATH. INT.
ENO TO WOR K+E[N'e I"EN EAT7 Ort IN NCE.
uTH. EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEEf RECT AND POSTED _
ADDRESS 600 +o. an FINAL
JOHN F. LEWES. NC AL l R EN ER
PLAN CHECK VALIDATION Ck M.O. cAsH PERMIT VA MATI CK. H.O. CADH
E
6 4 0 4E2 OCT 13 1 n4.00
i.
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76A638A CE+8032-63 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST A]
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST.
DISTRI GROUP I TYPE P OCE D BY
FOR APPLICANT TO FILL IN CONST.
BUILDING _�" STATISTICAL CLASSIFICATION EWER MAP
ADDRESS �,) �' O BK PG
CLASS. NO.�__DW ELL. UNITS
LOT NO. BLOCK WATER El
NOT REQUIRED 13 RECEIVED
TRACT O MAPHIGHWAY STATE MAJOR SECOND, LOCAL
NO. OF BLOGS. NO. (CIRCLE)
SIZE OF LOT NOW ON LOT USE ZONE ISPECIAL
USE OFi� CONDITIONS
EXISTING BLDG.
• TEL.
OWNER NO. BUILDING EXIST.
_ dd SETBACK YARD HWY STREET NAME WIDTH
ADDRESS i G FRONT %�S
ARCHITECT OR TEL. P. L. !V
ss
ENGINEER NO. SIDE }
P. L. ICy
ADDRESS O
TEL. V
CONTRACTOR NO. XA
ADDRESS 0
DESCRIPTION OF WORK w
CL
N
NEW ADD ALTER REPAIR DEMOLISH
. FT. O.OF NO. OF
SIZE C`v s TORIES l FAMILIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION 5 Cr cy
APPROVALS JDATE INSPECTOR'S SI GIfATAFRE
FOUNDATION: LOCATION
FEE FEE $ )/0 0 FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. .W
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- L'ATH, INT.Y"""'- "�'
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INSURANCE. g
SIGNATURE OF, HOUSE NUMBER COR- _---_
PERMITTEE r-5-1 RECT AND POSTED _
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.U. CASH
-i
76A638ACE#8033-66 APPLICATION FOR BUILDING PERM
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST '
COLEMAN W. JENKINS,SUP T OF BUILDING CROSS ST. Z J
DISTRICT N
GA TYPE PR S<D�Y
. ( �
FOR APPLICANT TO FILL IN CONSTj
BUILDING 2 STATISTICAL LASSIFICATION SEWER MAP
SS
ADDRE �j/�✓\ R � CLASS NO.STATISTICAL
UNITS GK PG
LOT NO.F JG ' e / USE ZONE MAP
7 NO.
TRACT �z� SPECIAL
NO. OF SLOGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF I
EXISTING BLDG. SETBACK FROM
FRONT PROP. LINE OF (STREET)
OWN `� C. .ST• NO. —
y� ••�� TYPE OF EXISTING SETBACK HIGHWAY + YARD — TOTAL
ADDRESSASL HIGHWAY WIDTH FROM C.L.
CITY �? V i�AI.�Y�L.�� BLDG. SETBACK FROM +
ARCHITECT OR TEL. SIDE PROP. LINE OF (STREET)
ENGINEER NO.
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL. +
CONTRACTOR NO
NO
LIC
ADDRESS NO CORNER CUTOFF YES NO V
LC
CITY CILA'S SEE REVERSE SIDE FOR SPECIAL APPROVALS o
DESCRIPTION OF WORK W
a-
NEW ADD ALTER REPAIR DEMOLISH Z
SQ.FT. NO. OF NO. .(
SIZE STORIES FAMILIES(
USE OF
STRUCTURE
SIGNATURE OF
APPLfCANT
VALUATION / -� [ ` •�� APPROVALS DATE INSPECTOR'S SIGNATURE
TP. PMT. �� FOUNDATION, LOCATION
FEE$ FEE$ FORMS, MATERIALS
FRAME, FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
9UILDI NG CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT.
ING TO WORKMEN'S O TION INSURANCE. LATH. EXT.
_ J
SIGNATURE HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL /77 �/ -
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION cK. M.O CASH
6 1 3 3 DEC 2 1 D 4.0 0-
dA-1
~cA1 -
c-
76A638ACE#8033-66 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING �� � �
DEPARTMENT OF COUNTY ENGINEER ADDRESS �--
BUILDING AND SAFETY DIVISION LOCALITY f / .
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST. - -✓I�/✓�G�
DISTRICT NO. GRO TYPE PROCESSED BY
FOR APPLICANT TO FILL
'_IIIN L; -Z CONST ��.
ADDRBUILDEISS iYrv�NG STACLASSSNO TICA�DWESI ILLA UINOITS / SEBWI�E R/MAP
PG
LOT NO ' �iK �` f9GK 'r3�+ USE ZONE MAP,, s,.� G�
No
TRACT / SPECIAL
NO. OF BLDGS.
CONDITIONS A-� 7
SIZE OF LOT NOW ON LOT
USE OF
E I TIN BLDG. SETBACK FROM �/�/l. /�7
TEL FRONT PROP. LINE OF (STREET)
OWNE L7"' P NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL
ADDRESS LZ"L y
HIGHWAY WIDTH FROM-7C.L.
CITY
ARCHITECT OR ``TEL. BLDG. SETBACK FROM
4' SIDE PROP. LINE OF - (STREET)
ENGINEER
�' [/ `]' NO. / �/I��- TYPE OF EXISTING SETBACK HIGHWAY + YARD
L
- TOTAL
ADDRESS HIGHWAY WIDTH FROM C. .
TEL. + _
CONTRACTOR NO
LIC CORNER CUTOFF YES NO a
ADDRESS NO _ C7
C�
CITY CILA SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK
U
uj
NEW ADD ALTER REPAIR DEMOLISH -.r f Z
f,
O.FT. Z NO. OF NO. 01= —
SIZE 12 71 STORIES FAMILIES
USE OF
STRUCTUR
r _ /r/ f
SIGNATURE F 'li3 lr St-/ 1 �� �""•�
APPL'C ANT
VALUATION$ I/ � G;,V ��/ .00 ,
APPROVALS gDATE"
INSPECTOR SIGNATURE
P.C. •7j PMT. '!" �"� J FO I MATERIALS
FEE �f FEE$_- •:� FORMS
FRAME, FIRE STOPS,
III I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION /
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
9UILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK ra�
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
INGTO WORKMEN'S COMPENSATION INSURANCE. LATH. EXT.
SIGNATURE O_ . ��� HOUSE NUMBER COR-
P
OR- JJ �.�
PERMITTEE / RECT AND POSTED �O
ADDRESS � �- FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION cK J M O. CASH _ PERMIT VALIDATION CK. M.O CASH
J�o5807'�-ao NOV 14 2 3 D 26.75►
�ht,o 6 1 3 2 DEC 2 1 D 5 3.50-
WORKERS' COM,PENSATION DECLAWATION
_
hereby ¢fflrm that (.have a certificate of, consent to self q�pI�A'��ON FO�tU;Y���NG PERMIT
Insure, or a certificate of Workers' Comperuatlon Insurance,
or a-cetllfibd copy_thereof (Sec. 3800, Lab. C.) _
COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy,NoIV83=.2 25 n Fremont•.Indemnity -
❑ --
.Certlfled: FOR Is hereby furnished. ;.; R APAPPLIAPPLICANTBUILDING
ITO FILL IN ADDRESS
Certlfied copy Is fL(ed with the cQUnty buHdlnflmo
I - BUILDING
tion deparfinent. ADDRESS
e
Dat5/23/8.4 Applicant Virgn .Raaf` Co. CITY le City ZIP LOCALITY
CERTIFICATE OF EXEMPTION"FROM WORKERS'• - NO.OF BLDGS. - NEAREST-- - _ _
'COMPENSATION INSURANCE.- .'` ,'. .• SIZE OF LOT NOW ON LOT ST.
(This section Beed not be,tompleted-If xhe pe+ It Ts for-one BLOCK LO NO. "( PgGE1 PARCA
hundred dollars ($100)or Less.) TEL USE
I P'ertify"that In the perlprmarlce of the work for which this - OWNER—Fred-- in.- -
NO:
permit Is Issued,'I sltall,not employ any=.n In any�manner '�f�„ 10724 E. Grand - -
to as To become subleci to the Wo&brs Co'mpensatltih taws. _ -
CITY Temple. City - __ZJP. ---
Date Applicant
NOTICE TO APPLICANT: If, after`rnaking'this Certlficate of ARCHRECT OR Al. DISIRK T .- .GROUP• TYPE _ BRE- _ Y.. O
Exemption, you should become subject to the Wb►ken'. Ems. COfJST' ZONE V
Compensation provisions of'the Labor Code, you must forth- ADDS
With:comply,with such:provisions .or this permit shall be -. - - TEE - STATISTICAL CLASSIFICATION CONDO.
deemed revoked.' ,. CONTACT '4r -NO. —
LICENSED CONTRACTORS DECLARATION - - LyC CLASS NO. DWELL,
UNITS
I hereby afflrmi that lam Ilcensed.udder provisions of Chapter 9 . ADDRESS .0. B4OX J tJo. 160650 SEWU MAP
(mmmenclrig with 5ecrlon 70bb)ofl�y1slon 3 of the 1}trslne�s and __-. _ _.
Professions Code, and'my Ilcerue IsIn full force and effect. Crly SaIf Gdbfiel 91778 BASS C39 r '' - VALIDATION
OF
Llt4nse,tNumber160650 LIc.Cfaii .-CZ - SIZE sroR?EFS FAMIUESJ ONE VALUATION _
Virgin l�Ioof 5/23 84 oescRrPrION of Wotac -Reroof- house. - taw -
ContractorIe T s 2,780.00
1 am'exam't under Sec_ With, CeloteX_.Dim. Shake/ 'ADD ..
ALTER
B.B,P.C. for thlsreason riC� e8 square REPAIR-' _ $'
_ . USE OF
_ Date: CGSTiNG BLDG. DEMO( - -.
- ' -
Slpriature APPLICANT in Roof '.CO. . r 0287-0507 RNte r-r
OWNER-BUILDER DECLARATION - — - - - - DATE v -
1-hwe affirm that I am exempt from-the Contractor's License '_ I
... - - GIlel. by Fl i=A ;-
u'. .o u c•Law for the followingfeasor,(Sectlon 7031.5, Buslnea and �� Box 159;2A
-Professlbhs C6de): BUILDING
1
❑ I, ¢s owner,of the proPerty, or my sTployees with ADDRESS
wages as their sole compensation,will do the work and - /"- t 2'e 5 9,2 5
the structure Is not Intended or offered for sale(Section LOCAZTY r.
i
7(144, Business and Professlans�ade} _ MO,I _... __ .._. _. TEI_ _ _ 10 :o 0 59.
-2'J`.�
I, as owner of the property,'am_exgluslvely contracting TOR NTRAC �' t •
❑ -With Ilcensad contractors to-consfiud-the project (Sec- 5,3 a--8-4
OR
tion 7044, Business and Profel<sions C:dde). ADDRESS,
CONSTRUCTION LENDING AGENCY ' SET BACK YARD FIWY - PROP. UNE WIDTH
I hereby affirm that there Is a construction lending agency for FRONT i
the performance of the work-for %Which this-permit Is-Issued P. -
(Sec 3097, Cly. C-).
SIDE _ r
Lender's Name - -
'41
- - P C Fee$ ,— Permit,Fee- $48.75 LI1frW Ref. -
Lenders Address
I certify that I have read thls_application and state that the l0'50
_ ._ . .. _ ...-- _ - lsuance Fee _. .. .LDMA P/C - •- - - r
above Information Is correct. I agree to comply with all bounty . - Invwdigatlonfoe_- _ - _
ordinances and $tate laws-relating tp--budn, -To►olfoe ding conktTuctlo --$59 . 25. MDMA perm. i
and hereby outhorize representatives of this County to enter
u n7�he�a�bpvo- ti ed property for Inspectlon purposes. _
V/ tel/ -
� 3B QVmi FOL[DmAllATO[Y U1fiOl1AW
- Signature of Irp
Ilcant or Agent -
r•
w
• COUVrY.OFT�}9 ANGELES TE24PLE CITY 2 0508 BUIJ DING PERMIT
DEPARTME2iT OF POBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILa174G AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1102220030
PHONE: (626) 285-0488 ETT:
LEGAL ID: NO. OF CONST BU=ING ADDRESS:
TR: 4902 LT: 36 BL: F ON: .002 SQ. FT STORIES TYPE 10728 GRAND AV
STRUCTURE: 1500 V-B TEMP CA 917803407
ASSESSOR INFORMATION NUMBER: NEAlWr CROSS STREET: EL MON TE
8574-025-037
THOMAS PAGE: 597 GRID: C4 L,OCALITY: TFFa[PLE CITY, C
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY:
EZI9T OCC GRP: 02/22/11 SR
OWNER: TEL. NO: BLDGS. NOW ON LOT: VAICUATION: FOIT'RIJKROOF
BY: CODE:
POND, KXL x (626) 350-3337- 2,000
10728 GRAND AVE. 4
TI•£ CITY CA 91780 FEES PAID N OF FORS
W= 9ITION SHINGLES
FEB DFSCRIPTION: QUANTITY: UOM: AM)UNT:
APPLICANT: TEL. NO:
SAME AS 0%2a R - AA BLDG PERMIT IS90ANCE 27.80
AB STATE GREEN BLDG FEE 2000.00 VAL 1.00 SPECIAL CONDITIONS:
AC STRONG MOTION REBID 2000.00 VAL, 0.50
D2 PSRMTT W/O EN-HC 2000.00 VAL 82.20
TOTAL FEES 111.50
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR 9IOUL URE
SAME AS 0WNER -
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGI7.UMZ: TEL. NO: FOUNDATION/97P CH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FRANIM
MAP NO: SEWER MAP BOOL: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
147H277 3 00
FLOOR SHIDUrHIRG
NO. OF FAMILIES:: rWnJ.ING UNITS: APT COND: STAT CLASS:
NO 21 ROOF 9HEA.THS19G
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATER)-ALS
NO NO NO FRAME IM PECTION
FIRS 9 PR ISR HANGERS
P INSULATION/WEATHER STRIP
IIPTERIOR LATH DRYKALL
EXTERIOR LATH
RATED FLOOR CRIL ASSEM.
RATED f7ALL ASSE21MLIE9
RATED SHA= OPENINGS
T-BAR CF•IIIMS
LOT DRAINAGE
REPORT ID: DPP-261 ROUTE TO: BS0509