The URL can be used to link to this page

Home My Public Portal About10903 GRAND AVE_Building__FIrT F BUILDING AND SAF121951 BUILDING Y OF LOS ANGELES 1 . . FOX, CHIEF ENGINEER APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY j,y DISTRICT NO. PLAN CK. OR REC.NO. ` P RMI J O. BUILDING ADDRESS �Q�(/J / /✓�"Ay RECEIVED BY DATE Or APPL. DATE 188U D LOCALITY NEAREST CROSS ST BUILDING /� ADDRESS /D MAIL ♦/� LOCALITY e G/ ADDRES O 3 [ --4&4 NEAREST TEL CROSS ST. 0- G� CITY ...! r, NO. q !� /-kj < FIRE I NO.OF TYPE I GROUP ARCHI—ENGINEERTs A >C7 TI NO. 6•!-e �l�°-. ZONE PLANS BLDG. JD [CORD. NO. 1 SETBACK LINE / ADDRES �� "�"�` • USE _ APPROVED ` TEL ZONE BY DATE CONTRACTOR NO. HOUSE NUMBERING ADDRESS MAP NUMBER 0s/ NO. ASSIGNED aX LEGALJ CORRECTIONS DESCRIPTION LOT NO. f yf - �tBCtK TRACT /1a9r NO. OFSIZE OF LOT s r` x ' I NOW ON BLOTG� USE OF I NO. OF EXISTIN BLDG. FAMI LIES DESCRIPTION OF WORK NEW ALTERATION ADDITION r REPAIR DEMOLITION SQ.FT. NO.OF SIZE ROOMS STORIES EXT.WALL I ROOF COVERING COVERING "' < USE OF STRUCTURE , INSPECTION FOR APPROVALS OCCUPANCY AS i INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION �- FORMS, MATERIALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- PL ICATION P-PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRE STOPS, CORRECT. BRACING, BOLTS I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, AND STATE LAW/SS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS SIGNATURE OFF,,....f . .�' ' LATH. INT. 'r�t� PERMITTEE(e I LATH, EXT. ADDRESS ' PLASTER, INT. AUTHORIZED AGT. I (� �j PLASTER, EXT.P.C.$ / D HOUSE NUMBER COR- FEE /�_ RECT AND POSTED m 410 SL a g VALUATIONFI NAL 3 FEE �- 76A63BA DBS 3 7-51 WQR1(FM' COMPENSATION DECLARATION 7 hereby affirm that l have a certCbmp of 6n Int to self. APPLICATION . 'FOR. BUILDING •P.E ISM I T . a.ceotl$cate of Worker' Comperndtlon Insurance, ,: - , r a certified copy thereof (Sec. 3600,Lab. �) ,. .BOUNTY QF LOS ANG"MES BUILDING AND SAFETY C - ► ompany '�r'�i VK 7_ {❑ Certified copy h here fu mt i FOR APPLICANT TO FILL IN- ADDRESS I �090� ��yp f Certtfledcopy Iii filed a cou Ildl ADDRESS ��'� (o _ tlon department. Date �4ppllcant CTFY I ZIP f. IpULm NO. OF CERTIFICATE OF WORICE S S OF T �T�}c7 NOW ON LOT. NEAREST ST p ' N INSURANCE.. ASSESSOR ((TSh�its 180n need not completied tf the permit h for one TRACT /�f B10ClC LOT NO. / AAAP BOOT( PAGE �V 0 PA S/ d� Z dollars ($190)or lesu)• USE zorE. t aerttfy that In the.perforFnance of-the•work fcr.whlch thisSPEMAL }} permit Is Issued, I sball not-employ any person In artymanher ADDRESS - �D.Td (o CO Dt0N5 0 G so as.fb become sul�(ect to the Workecs'Cornpt penlon Laws. O CTIY 23P 9! _ Date Applicant ARCH naa OR TEL DI P TYPE — RE BY.- a . NOTICE TO AMCANT: If, after maklrig this Cealftcate of ENGINEER NO: COrtSr. ZONE �xemptlon, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- AbDRE55.. OC9 �t with comply with such. provisions pr fhls• permit shall•be ' TEL STATISTICn1 C7AS� TIOfJ APT. [CbNDQ z deemed revoked. ' :, , OONTRACTOR L& NO. z4X _ _ U $JSED'C01FTRaCTQRS:Df{1ARAi10N LIC ' CLASS N0. UNITS I here by offIr m that I am licensed under provWoris of Chater p 9 ADDRt� NO. 2'fZ Y SEWER MAP (comm rtcing with,Sectlon 7000)of Division 3 pf the-5uslness ❑G Ions Code,and my license-Is In full force arKlAffect: CITY CLASS P t3K CLT PG. // VALIDATION SQ. IFF' NO. OF NO. OF CFEOC , Ucertse u bet T tc�Class B'�_ STORIES F UES Ct•lE \ VALUATION Cohtr Date DESCRIPTION OF.WORK El _ ;2T/ ❑I am exempt under Sec pzM ADD , ALTER B,Bp.C. for thl;.reri4an REPAIR LJ $ - e: : E�JQ$TtNG Sty /t _ ❑ .. - � - APPLICANT PiNAI SJ9 naturoO1vVNER4�UImER DECLAIZ4TION —' ~� DATE I hereby ar lrni that 1 am exempt from the Contractors License , Law for the following reason (Section 7031.5, Busln6w and RNAL, Professions Code): �F T BUILDING w rt�tr•1 .r . ❑ 1, as owner of the property, or.my employees wl h ADDRESS wages as fhelrsole compenptlgrr,wIll.do the work and LOCALITY thestructure Is not Intended or offered foe sale(Section 1, 70", BuslneAs and Professions Code.) MSOV'ING TEL , A.-CONTRACTOR ❑ I, as owner-of the property, am exciuslvely contracting NO. - Ar.0 �.T with licensed contractors.-to constrict the prolecf-(Sec- rADD �.. tion 7044,"Business and Professlons'Cgde.) {' 37 :'-471,9,' - o,.\ CONSTRUCTFON LENDING.ACENC,'Y YARD I nw FROM �'�' ITEMS I heTeby affirm that there Is.a cortstrucHon lending agency for ,a;;. S �y tthe performance of the Work for whlch-thh permit li Issued � 1 r 0 - c( 3097 Cty G} DE Lender sNamqLDMA Rsf. :a I Permit Fee— ars Address I that I have read this application and hate,thatthe lisuance P/C l abo I arm n 1;correct. spree to co ly with all County Invsttagatbn �1—f 1 5/ ordl n a tate atI to b 1 Ing constrxtlon, Total Fee LDM14 Perm. and ou rite of County to enter 3143 •-1 AM11:I1�, upon ab`o flo I Ion.pdrpob . M.FZVUM POR E0gANAT0RY LANGUAGE Signature of Applkant Agent bats WORKERS'CqPENSATION DECLARATION here, o affirm that I have a certificate of consent to ,'elf APPLICATION FOR BUILDING PERMIT � Jnsure, or a certificate of Workers'Compenstlon Insurance;or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS GELES BUI DING AND SAFETY Polity No.�_Company ed copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESB IUDIN f4�1 Certified copy Is filed with the county building Inspec- B111LDING tion department. ADDRESS C G L� LOCALfTY N -T �C NEAREST . Date Applicant CITY 1 ZIP 7 6 CRO55 5T. N I 'CERTIFICATE OF EXEMPTION FROM WORKERS' .OF BLD(, ASSESSOR COMPENSATION INSURANCE S OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (this section need not be completed If the permit Is for one TRACT BLOCK LOT NO USE ZONE NO hundred dollars ($100)or less.) . Z �4. 7E7. � �� V I certify that In the performance of the-work for which this OWt�R 7 NO. CONDFrtONS permit Is Issuecl I shall not employ any person In any manner / DISTRICT GROIJ CTMO�fJST ZONE BY V so as to become subject'to the Workers'Compensation Laws C'� / OC Date Applicant CITY Z P STATISTICAL CLA.SS7_FIICCATION Y APT. CONDO. G NOTICH kNOGANEER CE TO APPLICANT: If, after making this Certificate of rFECT OR t L- Exemption, you should become subject to the Workers' LASS NO. DW�LL UNfTS Compensation provisions of the Labor Code,.you must forth- . ADDRESS SEWER MAP � with comply with such provisions or .this permit shall be TEL. ,r deemed revoked. _ CONTRACTOR NO BK_ LPG, /f VALIDATION LIQENSED CONTRACTORS DECLARATION LIC_ T I hereby affirm that I am licensed under provlslons of Cbapter 9 ADDRESS NO. VALUATION (commencing with Section 7000)of Division 3of the Business and Dr— Professions IC Professions Code, and my license Is In f,Jll force and effect. CLASS $ SQ, FT. NO.OF NO. OF CHECK License Number LIc.Class SIZE, STCK21E5 FAMlUES ONE S ContractorDate�_ DESCRIPTION OF WORK NEW ❑ I ADD am exempt from the licensing requirements sI am a . q Ilcertsed architect or a registered professional ehginger 9 V ALTER FINAL t acting In my professional capacity (Section 7051, REPAIR ❑ DATE Business and Professions Code). USE OF FINAL EXISTING BLDG. DEA40L ❑ By r w Llc.or Reg. No. Date APPLICANT TEL OWNER-BUILDER,DECLARATION PRINT NO. I hereby off rrm that I am exempt from the Contractor's License Law for the following reasgn (Section 7031.5, Business and ADDRESS profeulons Code): X71 BUILDING J 7n(T\I I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure Is not Intended or offered for'sale(Section LOCALITY 7044, Business and F'rofeulons Code). MOVI TEL. I, as owner of the property, am exclusively contracting CONTRACTOR NO. 2 7 R R A with licensed contractors to.construct the project (Sec ' ADDRESS # 0 0a 0 0 tion 7044, Business and Professions Code). , REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH 2 o o79, 00 I hereby affirm that there Is a construction lending a ency for FRONT Q S the performance of the work for which this permit is Issued' P.L o o 0 0 7 O 0 Q (Sec. 3097, Civ. C.). SIDE — (�Lender's Name Q24 8 _$ Lender's Address P.C- Fee S Permit Fie I certify that I have read this application and state that the I=iorce Fee above Information-is correct. I agree to comply with all County Invedlgatton Fee ordlnances and State laws relating to bullding construction, Tonal Fee and hereby authorize representatives of this County to enter upon t above-mentloned property for Inspection purposes. o d J 4. SEE REVERSE FOR EXPLANATORY LANGUAGE ^ Slgrwture A Appllcont or Agent Dote - �s y COUNTY OF LOS ANGE7Fa TALE CITY f 0508 BUILDING PERMIT DEPARTMENT' OF PUBLIC WORKS 9701 LAS TTRA.4 RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVEIAP!� TEMPLE CITY CA 91780 BL 0508 1201170032 PHONE. (626) 285-0488 STT: LEGAL ID: NO. OF CONST NEW BUII,DING ADDRESS: TR: 11497 LT: 16 BL: A UN: .002 SQ. FT STORIES TYPE OCCUP GROUP 10903 GRAND AV STRUCTURS: 298 1 V-B R-3 TES CA 917803552 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: 8574-008-018 OTHER: TBO61AS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY, C TBTIANT: EZIST BLDG USE:. USE ZONE: ISSUED ON: PROCESSED BY: EXIST OCC GRP: 02/16/12 SR O$nm: TEL. NO: BLDGS. NOW ON LOT: VA ZATION: FINALPATE CODE: MOON CHIN (626) 283-0710- 44,170 10903 GRAND AV ; afl� TEMP 917803552 FEES PAID DfLqcRiPTidN OF WORK ADD NEW BEDROOM AND BAS'HROOM . FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: _ TEL. NO: SAME AS OWER - Bl PLANCHRCX W/KNERGY 44170.00 VAL 683.60 AA BLDG PERMIT ISSUANCE 27.80 SPECIAL CONDITIONS: AB STATS GR= BLDG FEE 44170.00 VAL 2.00 AC STRONG MOTION REVD 44170.00 VAL 4.40 B2 PERMIT W/ENERGY 44170.00 VAL 804.20 CONTRACTOR: TEL. NO: 08 CERTIF OF OCCUPANCY 101.30 APPROVALS DATE INSPRCTOR SIGNATURE SAME AS OWNER - TOTAL FRES 1,623.30 LIC. NO LOCATION AND .SFTHACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGII=: TEL. NO: FOUNDATION TRENCH FORMS BOBADI7-LA, GABRIEL (626) 510-0617- 725 E. WALNUT ST. LIC. 190: SIAB FLOOR PASADE A, CA-91101 NONE RAISED FLOOR FRAMING IAP NO: SEWER MAP BOOL: PAGE: FIRE ZOM: CMP: _ UNDERFLOOR INSULATION 3 00 LST LEVEL FLOOR SHEATH 190. OF FA 11,1 .S: D4MJ-I NGa UNITS: APT COND: STAT CLASS: 0 NO 21 2ND LS'VEL FLOOR SHEATH SCHOOL WITHIT2ff HAZARDOUS ROOF SHEATHING AIR QUAL.TTY: 1000 FEST MATT IALS 1.40 NO NO FIRE DEPT. FRAME INSPECT T BLDG DEPT. FRAME INSPECT SHEAR PANELS INSULATION/WEATHER STRIP INTERIOR LATH DRYWALL ErhOLIGR LATH LOT DRAINAGE SMOKE ON DEVICES FIRE DEPARTMEMT APPROVAL REPORT ID: DPR261 ROUTE TO: B80508 COUNTY OF LOS ANQELS_9 TFJSPT.R CTT'Y # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WOPKS 9701 LA$ TUNAS RESIDENTIAL ADD BUILDING AND SAFE'T'Y / LAND DEVELOPMENT T26PLE CITY CA 91780 BL 0508 1304080067 PHONE: (626) 285-0488 EYT: LEGAL ID: NO. OF CONST NEW BUIIZING ADDRESS: TR: 11497 LT: 16 BL: A ON: .002 SQ. FT S'T'ORIES TYPE OCCUP GROUP 10903 GRAND AV STRUCTURE: 298 1 V-B R-3 'TEMP t?. 917803552 A.JSES,9OR INFORMATION NUMBER: GARAGE: - Nan REST CRASS S'TR..EET: - 8574-008-018 OTHER: TFIObW PAGE: 597 GRID: D4 LOCALITY: TEMPLE CI'T'Y, C TENT: EZIST BLDG USE; USE ZONE: ISSUED ON: PROCESSED BY: ED= OCC GR-P: 04/08/13 SR OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: F F BY: CODE: IRON CHIN (626) 283-0710- 44,170 10903 GRAND AV TEMP 917803552 FEES PAID CRIPTIOK OF WORK ADD MrV BEDROOM AND BAT'HROON SEE ALSO BL 1201170032 FEE DESCRIP'T'ION: QUANTITY: DON: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER _ - AA BLDG PERMIT ISSUANCE 27.80 AS STATE GREEN BLDG FEE 44170.00 VAL 2.00 SPECIAL CONDITIONS: AC S'T'RONG MOTION R.ESID 44170.00 VAL 4.40, " D8 PERMIT EOPTENSTON FEE 403.45 DOL 403.45 TOTAL FEES 437.65 CONTRACTOR: - TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETSAC S SOrt.a ENGINEER APPROVAL ARCHITECT' OR ENG22EMR: TEL. NO: FOUryDATION/TRENCH FORMS BQHADILLA, G)•TaBTRT (626) 510-0617- - 725.E. WALNUT ST. _ LSC. NO: 9 PASADENA, CA 91101 NONE Li�Y,'•UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: Ute R INSULA=ON 3 00 1ST LEVEL FLOOR SHEATH ' NO. OF'7AKILTES: DWELLING UNITS: APT CONED: STAT 0 NO 21 LEVEL FLOOR SHEATH i SCHOOL WI-f= HAZARDOUS ROO SHEATHING AIR QUAL I'TY: 1000 FEET MATER ALS I NO NO NO Fl" DEPT. FRAME INSPECT BLDG DEPT. FRAME INSP SHRA,Z PANELS INS ON/MFiATH.ER STRIP INTF(RIOR LATH/DRYWALL OR LATH - LOT'D A NAGE 1.. l . SMO DETECTION DEVICES' T ) FIRE 1 EPARTMHNT APPROVAL REPORT ID: DPR261 ROUTE TO:. BS0508