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HomeMy Public PortalAbout10765 GRAND AVE_Building__ i 76A638A CE 4803 3-69 -� APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS J BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS ST. FOR APPLICANT TO FILL IN DISTRICT/NNO. GROU TYP.F,CLIMST, PR CE E ol (PRINT OR TYPE ONLY) `� Li' BUILDING �n STATISTICAL CLF�JSSI�FICATION SEWER MAP ADDRESS lo765 E. Grand Te le Cit CLASS NO. � OWELL.UNITS BK PG LOT NO. BLOCK USE ZONE MAP .� ^ NO. i,)L TRACT '{J�' SPECIAL N0. OF BLOGS. CONDITIONS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. Residence BLDG. SETBACK FROM TEL. FRONT PROP. LINE OF (STREET) OWNER Bemice NO. _ TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL HIGHWAY WIDTH FROM C.L. ADDRESS 10765 E• Grand CITY Temple CityBLDG.SETBACK ARCHITECT OR TEL. ENGINEER N0. SIDE PROP. LINE OF (STREET) � TYPE OF EXISTING SETBACK HI Y + YARD = TOTAL [APPLICANT SS HIGHWAY WIDTH FROM C.L. TEL. + _ ACTORgo NO. �C' SS 337 S. Wooft AVea NO LICX59496 CORNER CUTOFF YES ❑ N ❑ O �., Los ]es CLASS C— SEE REVERSE SIDE FOR SPECIAL APPROVALS oc TRUCTION LENDER AND BRANCH V SS W a N T. NO. OF NO. OF ❑ Z STORIES FAMILIES NEWUSE — CTURE Reroof ADD ❑ ALTER ❑ REPAIR TURE OF DEMOL ❑ M -C> VALUATION $ 536.00 APPROVALS DATE INSPECTOR'S SIGNATURE PMT FOUNDATION: LOCATION FEE $ FEE $ ��-�� FORMS MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS, BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- GAS VENT DUCTS TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT. OF THE STATE OF CALIFORNIA IN RELATING TO WORK ME 'S COM- PENSATION INSURANCE. SIGNATURE OF j+� '�yJ�• /,/�► LATH, EXT. PERMITTEE Rigid 9p.1. Co. HOUSE NUMBER CORRECT tR AND POSTED ADDRESS-337S pho FINAL JOHN F. LEWIS, PRINCIPAL ST RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH - PERMIT VALIDATION ST M.O. CASH r 5 d 5 8c-_ Jtkl 6 1 0 9.0 oN 76A638A CE#803 2-63APPLICATION FOR BUILDING PERM T COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS /jJ BUILDING AND SAFETY DIVISION LO CA L I T" /j/y. JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. /- DISTRICT N GR9_VP TYPE PROC SS B FDRE OR APPLICANT TO FILL IN CONST. BUILDIADDRENG �� �- `�' � , STATISTICAL CLASSIFICATION SEWER MAP �,,/ sIVCLASS. NO. DWELL. UNITS'V ' (Ji— BLOCKWATER NOT REQUIRED RECEIVEDQ CERTIFICATE: 33J' NO 0,5MAP —/ HIIGRCVLE) STATE MAJOR SECOND,�J 6— NOWONLOTNO. OF S NUSEZONE SPECIAL CONDITIONS LDG. TEL. Jc:� ENO. CBULDING YARD HWY STREET NAME EXIST. �` SETBACK WIDTH U (p � Q 1L'.D - ,s FRONT I LRE TECT OR TEL. P. L. EER NO. SIDE P. L. SS / O T E V ACTOR („� `? ?` NO. � C � ` kw [[,,, ...�. yam^ )Q SS r\�� Wp) I� 1vidA 1 ' DESCRIPTION OF WORK JVa ° Z ADD ALTER REPAIR DEMOLISH . n1 NO. OF NO. OF /V STORIESFAMILIES F �j/L 1100)/% TURE *&74)- TURE FICANTTION � O'Q� APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. / ,S'-CY FOUNDATION: LOCATION FEE / (i FORMS, MATERIALS FRAME: FIRE STOPS. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. 1r WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS E BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S C PENSATION INSURANCE. LATH, EXT. SIGNATURE F _ /�/ � HOUSE NUMBER COR- PERMITTEE /✓- _ RECT AND POSTED ADDRESS_ ., O. j, L r. !� FINAL ``.•_�.t: t. JOHN F. LEWIS. PRINCIPAL ST R RAL ENGINEER PLAN CHECK VALI ATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH usa 3 4 1 31 DEC 11 1 D 1 8.50- L-4 -fai%Vab CE 14; APPLICATION FCR BUILDING PEMI_r COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK /� / PAGE PARC%L BUILDING BUILDING AND SAFETY DIVISION ADDRESt /`J-74 S COLEMAN W. JENKINS, "P'T OF ISUILDIH0 LOCALITY Xv R T T FILL NEAREST CROSS ST.(Print or tYD* only) L 1 Q DISTRICT NO. ROUP TYPE ESSED BY BUILDING CONS ADDRESS STATISTICAL CL IFICATION SEWER MHP LOT NO- BLOCK CLASS NO DWELL,UN17'S" .. BK PO�� TRACT - USE ZONEfiCIA c NO.OF BLOGS. No b+� SIZE OF LOT NOW ON LOT / L USE OF , TTT��� DII'IONS EXISTING BLDG. TEL OWNER NO. LDG,SETBACK FROM ADDRESS dF TPROP.LINkOF (SYI'kEE.T) TYPE OF TI 1U(K KIGHWAY } Y Ps = #OTXL CITY HIQHWA WI G.L. - ARCHITECT O TEL. 4 _ ENGINEER NO. BLDO.SETBACK FROM ADDRESS SIDE PROP.LINE Of' (S-rkEt T) TEL.. �j y r]^t TYPE OF ISTING SETBACK HIdR**'? k - TOTAL CONTRACTOR NO. �JJ /'614 HIGHWAY WIDTH FROM C.L ADDRESS a LIC NO q g + _ LIC. CITY ` CLASS- CORNER CUTOFF YES - NO CONSTRUCTION LENDER 4i NAME AND BRANCH SEE REVERSE SIDE FOR SPS APF5R0VAL,S M ADDRESS SQ. FT. -NO. OF / NO. OF NEW ❑ Z SIZE V STORIES / FAMILIES USE OF ADD STRUCTURE Q ALTER ❑ REPAIR❑ SIGNATURE OF APPLICANT DEMOL ❑ VALUATION i 8mD APPROVALS DATE INSP TBIi'i GiGXATVR■ / FOUNDATION: LOCATION FEE ! FEE S i7 S FORMS MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAV[ READ THfS APPLICATION BRACING BOLTS AND STAT[ THAT THE ABOVE IS CORRECT AND AIR[[ TO COMPLY 'FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING COX- GAS VENT, DUCTS STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIIED HEREBY I WILL NOT EMPLOY ANY PRNSON IN VIOLATION OF THE LATH, INT. LABOR CODE OF THE STAT[ OF -CALIFORNIA IN RELATING TO WORKMEN'S COMP[N TION INSUR NC[. LATH, EXT. PSIGNATURE OF HOUSE NUMCER COR- ERMITTEE RECT ANb POSTED ADDRESS FINAL Z p _ JOHN1. LEWIS. PRANCIIP*LSTR1fCTURAL E 9INEER PLAN.CHECK VALMATION KMA. CASH PERMIT VAWATroN .'CK. M.O. W. WH L o 2 7 6 RJ APR 4 1 21.75— a , IAP TION ere affi� I��e a certlflmte�ofAcon{wit to Jeff �Y. \� Insure, or a :! ftpate of Y(orkec� Compenstrtlon Insurance, A P P L CATION ..FOR -BUILDING P E RM I T or a certified copy thlTeof (Sec 3800,J ab.jl� ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy N?t. Company ❑ 4.Certified copy.ls hereby famished FOR APPLICANT TO FILL IN ,ppm 1676-C a it QMAfp,1+0� 0:. .tt on deed cDp department. with Jfq cou,ra.ty building Inspec-- BurLDINo G �3 ADDRESS 0 li S d Date Applicant Crry li Z1 PTr IDCALIT y y- NO. OF BLDGS. NEAREST CSMHCATE OI`:D(ZEW1QN FROM WQRKOZS' SIZE qF LOT, NOW ON LOT I CROSS ST. COMPENSATI Ot4F j NSU RANCE' ASSESSOR Is section need noF be cgmpleted-ff the pgrml( Is for on• TRACT BLOCK LOT NO. ASAP BOOK PAGE PARCEi J unfired dollars ($1 OD).or leei.) , OWT�t I --J USE MAP I certify that In the.perfgrrnante of lite^work for which this ,permit is Issued;IAholl not employ.anyp"n In any Manner ADDRESS so.as to become sub)ect to the.Workert Cbmpensaflori' _ O CITY ZIP Date noon t ARCHITECT OR TEL D P TYPE FI PROCESSED,-BY Q ' NOTICE TO if, r,making H'hh. ificate of Eta NO. —' Optbfi. . ZQNE Exemption, .you should become su4 ect to the Workers' V Compensation provisions of the Labot- o¢e, you mud forth- ADDkIESS co deemedwith.-complyrev with .such provJsloos or, this permit.shQll be Ta-NO SfATISTH AL TK>N _ APT. CONDO.. Z deemed revoked. .. •'' � CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION. uC Oma fd0: UNITST_ I hereby affirm that I am Ilcensed under pto'vl.Oons of.Chaphr 9 ADDRESS (commencing with Section-7000)of.Division 3 of the Business LK SEVER ASAP and Profiwlons Code,and my license is In:full force and effect. crry.. CLASS B� VALtDATFON sa. NO. of NO. OF a-MCc Ucen'se Number. Uc. Clara �' STORIES FAMILIES ONE . - ElVALUATFON Dmmm.)N OF wcI x �7 Contractor �a}e NEW ; ❑I am exempt under Sec Pl�Jr #AMN W ® , _ ALTER: El BAP.C. for this reason # hk�J !m.1 1nREPAIR'❑ ;USE-OF -. DusTiNG BLDG. DEMOII ❑ Signature APPUM b 7/ FiiAL OWNER-BUILDER DECLARATIONNT) DATE I hereby affirm That I am exempt from the Contractor's Ucerua � .� �� Law for the following reason;(Section 7031.5; Business and Filb41` r Professions Code): _ .. . BUILDING \ .r i ❑ , 1, as owner of the prop", or my employees with App � ■* wag"as their sole comperuatiorr,wIH std the work 4nd. _ .= 1 A•^l �+� .o�ap the structure Is not lnterrded'or offeTed for sale{Section LOCAUT �" --, 11T.�xr .�y� 7044, Businesrand PrQfe■slons CNo.NG NO l�l ,I,-as ownerof the property, am exclusively contracting �y•�A� with licensed contractors to constrid the project.(Sec- EADD C tion 7044, �ualnea and Professions Code.) -. , �� , �t■� + : T CONSTRUCTION LENDING AGENCY YARD EiMr1 ; '•}`1'. �� - I hereby affirm tbdt thwwrva construction Ifnding agency for WAR the performance of the work for *hlch fhla pecrhlt is Issued ■ (Sec 3097, Civ. C.). . t ��yy--yyyy��. r. Leddees Name - ••.VIJLR.JrIMIi 7/l2j'8 LDMA W. 1 Lendsus Address T P. Perm"F� 1 i fllllslig I certify that I fidve.read thA application and scute that the 4.ua O LDMA P/C f above Informptlon Incorrect. I agree to comply with all County Fee ordinances and State laws relating to bultding const, lion; Taal FM i LDAM Perm and hereby authorize representcrav".of this Ci unty to enter •above=mentloned for Inspection,pu fl■Fr RW POR DIPLANATORY LA0604" Sigrwtvrs of A*Ikmiv&Agent COUNTY OF LOS ANGELES TE 4PLE CITY # 0508 BUILDING PERMIT DEPART OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR ,.. - BUILDING AND SAFETY / LARD DEVELOPMENT TEMRLE CITY CA 91780 BL 0508. 1108100002 PHONE: (626) 285-0488 ETP: LEGAL ID: NO. OF CONST BUIlaING ADER£gS: TR: 13384 LT: 31 BL: .001 UN: .002 SQ. FT STORIES TYPE 10765 GRAND AV STRUCTURE: 2200 V-B TEMP CA 917803545 ASSESSOR INFORMATION NUMBER: xJUZEST CROSS STREET: 8574-004-019 1Z-10lA.9 PAGE: 597 GRID: D4 LOCALITY: T1r2rvl•F CITY CA TENANT: EXIST BLDG USE: REBID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXIST OCC GRP: 08/10/11 SR 01QqER: TEL. NO: BLDG9. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: MATSUURA MA.9AKAZU - 2 6,000 10765 GRAND AV TEMP 917803545 FERS PAID DMCRIPTION OF WORT COMPLETE TEAR OFF, SHEATH, INSTALL EDGE NERTAl., 15 LB FELT 30 FEE DESCRIPTION: QUANTITY: OOPS: AMOUNT: YEAR COMP ROOF APPLICANT: TEL. NO: LAM, BRUCE - AA BLDG PERMIT ISSUANCE - 27.80 AB STATE GREEN BLDG FES 6000.00 VAL 1.00 SPECIAL CONDITIONS; AC STRONG MOTION RESID 6000.00 VAL 0.60 D2 PERMIT W/O EN-HC 6000.00 VAL 149.70 _ TOTAL FEES 179.10 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE LAM, BRUCE PHUONC3 (626) 393-9089- 9640 OLIVE STREET . LIC. NO LOCATION ASID SETBAr 'TMPT•R CITY, CA 91780 NONE SOILS RNEER APPROVAL ARCHITECT OR ENGIN=: TEL. NO: FOUNDATION TRENCH FORMS LIC. NO: 9LAB/UND9k FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMB?: UNDERFLOOR INSULATION 147H277 3 Ob FLOOR SHEATHING NO. OF FAMILIES: DOLLING UNITS: AFT/GOND: STAT CLASS: 0 NO 21 ROOF SHEATFIING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEST MlNTE R I AL.9 NO NO 190 FRAME INSPECTION F= 9 vn hair,� HA14GE RS INSULATION/WEATHER STRIP I27IERIOR LATH/DRYWALL EXTERIOR LATH RATED FLDOR/CEI, ASSEMI. RATED HALL ASSEMBLIES RATED SHAFTS OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: RS0508 • COUNTY OF LOS ANGELES TEMPLE CITY 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORIS 9701 LAS TUNAS ALTERATION/REPAIR 'BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1108100003 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS; TR: 13384 IT: 31 BL: .001 UN: .002 SQ. FT STORIES TYPE 10765 GRAND AV STRUCTURE: 500 V-B TEMP CA 917803545 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8574-004-019 THOMAS PAGE: 597 GRID: D4 LOCA=: T34PLE CITY CA TEtANT: EKIST BLDG USE: GARAG USE ZONE: R-1 ISSUED ON: PROCE95ED BY: K7TRT OCC GRP: 08/10/11 SR OWNER: TEL. 190: BLDGS. NOW ON LOT: VALCIATION: F,114AL DATE FINAL BY: CODE: MAT'SIIURA MASAKAZU - 2 1,000 I �^ 10765 GRAND AV 7yTlNenl TEMP 917803545 FEES PAID DMCILIPTIC114 OF WORK Q'lWLLRI'E TEAR OFF, RESSUFAITH, INSTALL 15 LB FELT, INSTALS, 30 FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: YEAR COMP ROOF APPLICANT: TEL. NO: LAW, BRUCE - AA BLDG PERMIT ISSUANCE 27.80 AB STATS GREEN BLDG FEE 1000.00 VAL 1.00 SPECIAL CONDITIONS: AC STRONG MOTION RESID 1000.00 VAL 0.50 D2 PERMIT W/O`EN-HC 1000.00 VAL 65.40 TOTAL FEES 94.70 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE LAM, BRUCE PHUONG (626) 393-9089- 9640 OLIVE STREET LIC. NO LOCATION AND SETBACKS TEMPLE CITY, CA 91780 NONE SOPLS E 4GTNFF t APPROVAL ARCHITECT OR ENGIb=: TEM. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB UNDRR FLOOR RAISED FLOOR FRANQNG MAP NO: SEWER MAP BOOL: PAGE: FIRE ZONE: CMP: UND,-RFL00R INSULATION 147H277 3 00 FLOOR SHEATHING NO. OF FAMILIES:: DWELS._II4G UNITS: APT CON D: STAT CLASS: + 0 NO 21 ROOF SHEATHING SCI-NOOL WITHIN HAZARDOUS SHEAR.PANRLS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION FIRE SPRINKLER HANGER9 ON/WEA= STRIP INTERIOR LATH{ DRYWALL EXTERIOR LATH RATED FLOOR CIEIL A.9SEM. RATED 10ULL ASSEM T, RATED SHAFTS OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508