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HomeMy Public PortalAbout10018 GREEN ST_Building__ 76A639A CE#80310.66 APPLICATION FOR BUILDING PERMIT .. COUNTY OF LOS ANGELES BUILDING ©D / DEPARTMENT OF COUNTY ENGINEER ADDRESS L .I BUILDING AND SAFETY DIVISION LOCALITY •�+� JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. TYPE FOR APPLICANT TO FILL IN DISTRfy1d0. GR I CONST. P BUILDINGSEWER MAP STATISTICAL CLASSIFICATION ADDRESS © BIK Pte_ CLASS.NO. DWELL. UNITS LOT NO. CK MAP � STATE NUMBER tJ C'�f HWY. YES NO TRACT USE ZONE SPECIAL �— SIZE OF LOT � Q I !.f I NO.OF BLDGS. _.. I CONDITIONS NOW ON LOT USE OF I EXISTING BLDG. JBUILDING EXIST. SETBACK YARD HWY STREET NAME WIDTH OWNER /�� Q�, Y FRONTMAIL ADDRESS SIDE TEL. clrY NO., INSPECTION RECORD ARCHITECT I TEL', ENGINEER R NO ADDRESS yyyy TEL. CONTRACTOR L/ 4212 NO. ADDRESS - DESCRIPTION OF WORK YFsl�. NEW ( ADD ALTER REPAIR DEMOLISH SQ.FT. ��-- NO.OF NO.OF SIZE 1 i STORIES FAMILIES USE OFSTRUCTURE i SIGNATURE OF APPROVALS APPLICANT _ DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION FORMS.MATERIALS / r 4C. S FRAME: FIRE STOPS. ��� E BRACING. BOLTS " " '- - VALUATION FURNACE: LOCATION. FEE GAS VENT,DUCTS 1 a t HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP_ LATH,INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH AL COUNTY ORDINANCES AND LATH, EXT. STATE LAWS REGULATING B INd CONSTRUCTION. SIGNATURE OF f HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL V� CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGLUr.ER PLAN CHECK VALIDATION m.o. CAi PEBMIT VALIDATION CK. M.O. ASH 1 .0562 S ^ APR =� 32 3 A 27.Q0 r.,5 9 4 0 APR 3( 1 A 5 4. Fl APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKE!R'S COMPENSA60N DECLARATION FOR APPLICANT TO FILL IN BULDNO ADDRESS/OO I hereby affinTn thffi I have a oertfficete of coneeM to self insure, j 'or a oertffke d Worker' CpmperTeatbn Insurance,or a certtfied aTY ZP /7 G LOCALLY SVE OF LOT Na OF BLD38-NOW ON LOT ❑ Certified oopy is hereby fumisixxi NEAREST CROSS ST. ❑ Cerwed copy Is ffled with the c=Tty buimQ hs;3- dbn TRACT BLOCK LOT NO. USE ZONE AMP f'r0. Date= Applbant ASSESSOR MAP BOOK PAOE PM,AOF1 SPEC-Al-COrDITIONB CERTIRICATE OF EXEMPTION FROM WORKERS' R COMPENSATION INSURANCE VATi-�+ 1000 F r OF SCHOOL? vEs NO 01*section need not be oompieted If the permk Is for one hundred DISTF13C7 GROUPFRE GAPE PfiOCMSSED BY dollars($100)or lees.) CITY I certtfy ttTat in the performance d the work for wNch this permit is Issued, I shah notemploy any person in any rha ner eo as to Eff me beco &A*c*to the Nbrkere'Corrpermtbn Laws- -T RTEL NO Sjas C APT COf DO pd� Date At ADDRESSADDRESSCLASS N"A1 a. / DWELL LlNIT8 /VIOTICE TO AWL"MT.• If. after making this Cwt ilcete of REQUVFED TML SETBACK FROM EXIST Exennption, you should beCOme &A*ct to tine Workers' / �, SET&W-K YARD I fy PROP UNE WiDTH ort C --Won provisions of thq Lebow Codm e, you ust forttTwlth —t/� FRONT cony with aHroh VvAdons or this panTA shall be deemed revoked. PL LICENSED CONTRACTORS DECLARATION SIDE CITY LIC.CLASS C P L ee I hereby affirm that I am ficend underprwbbre of Chapter 8 39 SEWER MAP r (comw)*g with Sectbn 7000)of Dhrtsbn 3 of ttTe BuiTew and SQ FT.SUE NO.OF STORES NO.OF FANILIES a- Prokesions Code 7 In hal form and NEW BK PQ O Licence QLLic Cie. DESCRI T OF ADD ❑ WaMON U Contractor Date ALTER ❑ eLw ❑ I am mcwnpt under Seo. I OCEJ- REPAIR ❑ $ CL BAPL.for this reasonD1.4 DEMOL ❑ z LA P/C D of BLDG 61 ❑ 1 APFL rANT fLDMA Perm. ACCT.'Y El1,as owner d the property, or my err#oyeee wfth wages els L L4 1 — Z ;r their sole oompeneatfon, wtfl do the work,and the shizture la ADDRESS � JKji IT� 121.�.I notlaterded or offered for sale (Section 7044, Qu&wes and r mAL w, Protemions Code.) MLL THE A PUG Nr OR FUTIIE BU rrra OCCUPANT FWAE A FIAZA DOLm 1�m4AL �3 --Q ❑ t, aa owner d the property, am exduehreiywith OR A WrU E C06CM04a A HIAZAFDCLM uATSW.EOL4L TO OR OFF-ATM THAN THE �y kerteed oor ractors' to construct the pro}eot (Sec�nPtion 7044, ANOLKM OPr�ON TIE NAZAao«,e UAJER LS WOOL� "GIDE? FNAL,BY TOTAL 1-2 1 - 35 Elueirma and Prdesslorm Code.) YES❑ Ha❑ C�ECK 2 1.35 MALL THE wmcm USE 6F THE mxxm BY THE APPLICANT OR FURiE elr.� 64 r� OCCUPANT FEQtFE A PERWT FOR CONSTRUCTION OR NCOFICAT"FRCM TFE eOUTH X17" CONSTRUCTION LENDING AGENCY COMT An QUALITY MAW*WE+T DOTRIZT(eCAQW)SEE PEFUTTNG a-EaalaT FOR vI ru 1u .00 - OUDELI Ea I hereby affknn tined there b a porTeUuctlon len cl4V apency for YES❑ No❑ a the performance of the work for whloln this permlt is issued(Sec, CA r j� (y y�i 3/10/94/i r�/a o H FEA.TUE EFdn ND ►WSMLB lEJ4TS CIONNDE GLIDE A!O THE LES CC HTY CTHG LRP JLrCrI!U 1 J/ lU1 7 3097,Civ.C.) a-Ecla.lar.i uNOEUTawo uv Reau�►orTe UNDER THE LOO ANGEnFFC�Y cooE. TKM 22a 100 TWO" 14-0 CCNCMHM MLenrs Name �E FEPCFrrM ACFAPTER 2-20 ND PM Of"AN3 A PERMT FROMITHE - 4295 1 PM 6:01 Larders Address SORA I cer fty that I have read tfTb ap kerion and state urder panafty r d perkry thed the above Ir bmmtbn Is correct I agree to conoy P.C.FEF PEF*AFr FEE with a0 oourty ordnancee and State laws relatling to buRdknp conslructton, and hereby auttortze repreowtstivee of this C LETty tk96LIAWCE FEE b ttTe merrtbned property for u O NVESTtOASION FEE TOIL FEE Lj SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LAS ANGEL,FS TEMPLE CITY () 0508 B=ING PERM2T DEPART'ME'NT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUTILDIPG AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1107200049 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BU=ING ADDRF-99: ON FILE SQ. 17T STORIES TYPE 10018 GREEN ST STRUCTURE: 29 V-B TEMP CA 917803331 ASSESSOR INFORMATION NU{,MER: NYAREST CROSS STREET: BAIDWIN 8585-007-037 THCl4.9 PAGE: 597 GRID: B4 LOCALITY: 'T24Pr.H CITY TENANT: EZIST BLDO USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EZIST OCC GRP: 07/20/11 SR OIIDISR: TEL. NO: BLDGS. NOW ON LOT: VAIU=C)N: Y: CODE: BUFFINGTON EVERETT - 6,450 10018 GREEN ST TEMP 917803331 _ F'ER.9 PAID EfEgCRIPTIN OF WORK TEAR OFF 3 LAYERS INSTALL 30 YR WHITE SHINGLE 30; FELT =ER FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: LA-YN= HOUSE AND GARA E APPLICANT: TEL. NO: EBERSOLE, JIM (951) 522-3755- AA BLDG PERMIT ISSUANCE 27.80 � 32300 SAN TIMO TB0 CY AB STATE GREEN BLDG FEE 6450.00 VAL 1.00 SPECIAL CONDITIONS: REDLANDS, CA 92373 JAC STRONG MOTION RESID 6450.00 VAL 0.70 D2 PERMIT W/O RN-HC 6450.00 VAL 166.60 TOTAL FEFS 196.10 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SR( EBERSOLE ROOFING (951) 522-3759- 32300 SAN TDMOTEO CYN LIC. NO LOCATION AND 8EraaCra REDLANDS, CA 92373 397498 C39 SOTT-9 EDGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNIATION/TRENCH FORMS LSC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOL: PAGE: FIRE ZONE CMP: UNDEMI'L,OOR INSOLATION 147H-269 3 00 FLOOR S[-BATHING NO. OF FAMILIES: D l L29G UNITS: APT/COND: STAT CLASS: 0 NO 21 ROOF SHEATHING SCHOOL WlIHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATF:RTAr-9 NO NO NO FRAME INSPECTION FIRE SPRINKLER HANGERS INSULATION THEE STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR CELL ASSEM. RATED FPS,L ASSEMBLIES RATED SHAFTS OPENINGS T-BAR CETT TW(7a LOT DRAINAGE REPORT ID: DPP-261 ROUTE TO: BS0508