HomeMy Public PortalAbout10055 GREEN ST_Building__ 76A696A CE#6 9_6-57 APPLICATION FOR BUILDING PERMIT 1
CQUNTY OF LOS ANGELES ADDRESS D — //i
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY TT �r
JOHN A.LAMBIE.COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP TYPE SEWER MAP
FOR APPLICANT TO FILL IN -, BK PG
CONST. __
BUILDING �9
ADDRESS �.. "
- J� STATISTICAL CLASSIFICATION I
fJ� �
CLASS.NO. DWELL.UNITS
LOT NO. BLOCK MAP STATE
NUMBER Z&16 HWY. YES
TRACT USE ZONE SPECIAL
/. NO.OF BLDGS. Al,/ CONDITIONS
SIZE OF LOT <T�JC •� NOW ON LOT %--L.A—
USE OF
EXISTING BLDG. �'�"'s BUILDING YARD HWY STREET NAME EXIST.
r. ` / SETBACK WIDTH
OWNER -/��/O�L,.. .-1/ FRONT
MA'LP.L.
ADDRESS ,<ti -/� t� SIDE
P.L.
CITY INSPECTION RECORD
ARCHITECT OR �/� TEL.
ENGINEER /!/ ./- NO.
ADDRESS
CONTRACTO 4.-4 o /': A.Nm JZ)s ♦ nr,,
ADDRESS
DESCRIPTION OF WORK
E ADD ALTER REPAIR DEMOLISH
}
SQ. FT. NO.OF NO.OF
SIZE STORIES FAMILIES -
USE OF STRUCTURE -;v;
T
SIGNATURE O$%.. ` / APPROVALS � I
APPLICANT
DATE INSPECTOR'S SIGNATURE
ADDRESS O.5 S - / FOUNDATION: LOCATION
FORMS,MATERIALS '
P.C. S FRAME: FIRE STOPS. ,f
FEE BRACING, BOLTS
VALUATION $ ..' FURNACE: LOCATION,
FEE _GAS VENT,DUCTS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-
P
P- +�� _•
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND LATH, INT.
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING BUILDING CONSTRUCTION. LATH.EXT. .1• �"
SIGNATURE OF '/< HOUSE NUMBER COR- !' -
PERMITTEE '�`�'- RECT AND POSTED
�' ^
ADDRESS - �''. ,'.' / FINAL
JOHN A. LAMBIE.COUNTY ENGINEER. CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. PERMIT VALIDATION CK. M.O. CASH
I-c1509 FEB 251 6. A 28.00A
o
Ap 7 2 0i► �� f I A 5 61) 0 °'
76A638A CE#80311-57 APPLICATION FOR BUILDING PERMIT Z
COUNTY OF LOS ANGELES ABU
DDRESS
DEPARTMENT OF COUNTY ENGINEER �o
NG
BUILDING AND SAFETY DIVISION LOCALITY . Ca
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SuP'T OF BUILDING CROSS. T
FOR APPLICANT TO FILL IN
DISTRICTNO. GROUP TYPE SEWER MAP
1 BK PG
CONST.
ADDRESS FF
BUILDING STATISTICAL CLASS TYPE
� II��``
CLASS.NO.�DWELL.UNITS
LOT NO. BLOCK MAP STATE
NUMBER HWY. YES NO
TRACT USE ZONE SPECIAL
NO.OF BLDGS. CONDITIONS
SIZE OF LOT I NOW OjN LOT
USE OF
EXISTING BLDG. BUILDING YARD HWY STREET NAME EXIST.
! SETBACK WIDTH
OWNER elf 444aFRONT
MAIL i P.L.
ADDRESS SIDE
TE , P.L.
CIT ,.� INSPECTION RECORD
ARC ITECT. TEL.TEL.
ENGINEER ` NO. .. /
22� 1
ADDRESS �!J''
TEL. Liz
CONTRACTOR NO.
ADDRESS r '�
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SQ.FT. NO.OF NO.-OF r
SIZE A STORIES FAMILIES ,P
USE OF STRUCTURE
APPROVALS
- �
SIGNATURE OF A '' �--
APPLICANT
DATE INSPECTOR'S SIGNATURE
ADDRESS FOUNDATION: LOCATION
FORMS,MATERIALS
P.C. S FRAME: FIRE STOPS.
FEE BRACING.BOLTS
FURNACE: LOCATION,
VALUATION ;;._:a;.,,,,, GAS VENT,DUCTS
FEES
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY DINANCES AND
STATE LAWS REG 1 G B ILDI ONSTRUCTIION. LATH,EXT.
SIGNATURE OF / HOUSE NUMBER COR-
SIGNATURE
RECT AND POSTED
ADDRESS FINAL
CLYDE N.DIRLAM, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
4 1 SEP I] 1 A 1 .0 U 'F ®�
APPLICATION. FOR.. BUILDING PERMIT,
COUNTY OF LOS ANGELES BUILDING AND'SAFETY
WORKER'S COMPENSATION DECLARA`nON FOR APPLICANT TO FlLL INBUUANQ SSS . '
affirm ��.
I hereby that I have a certificate of contf Y>
vent to aeQure,
br a certfticaLe of Vrbr$"s`Cornpenaatk n Yvwuance,or a certffled JT7
copy thereof(Seo.-3800,Lab.C.) CT "P Y
Policy-No.' C--any SIZELOT I N).OF BLDOS.NQW ON LOT .
❑ Certffled'oopy b hereby fumlahed. X NEAREST CRO ST.
❑ Cef$fied copy b filed with the county busdhlg Yiepecibn' BLOCK I:OT NO.'
� � 118E ZDtE AARP NO. ,
Date '. dam A4AP BOOK P7`
EA. .
� . Sfj=ClAL COADfT1ONS
'
CERTIFICATE OF EXEMPTION FROM WORKERS' YES �
COMPENSATION INSURANCE iIl 1 q W+T i toxo Pr.of scr poL�
ADOF FRE
(TITS eec8on need not be completed Ifthe permit b DFSTRICT OROUP TYPE DONE PROCESSED BY
for one hundred (��(� �'�fC .
ddlars'(S100)or less)n f
I certify that the performance of,thwork e for whbh1mmlf
le pet ISP-I 1-7 90 ,
fe WaLbed, I shill root employ any'person Ill any manner so sa to .ARG-rrECT OR FtE;� - TE1 Na .
become t0 the VIrOr'l(Hf8' "mTICt,L " AFT CONDO
APpl t ADDRESS CLASS NC �--L�
NOA7 1-- TO APPLC4N(.' If, after makthg this of FIEOUIRED TOTAL SETBACK FROM EX18T
E>ehvtbrl, YOU `ahCUJCr become , a[ub}ect 4o tha Ntxkers' CC)NTRACITOR TEL SETa&tK YARD OWY PRdP WNE WtgTH
naAtfo
ConipAn provWons of the Labor Code, you must fortfrvlth 4TU TT
corrpfy with such prwbbns or thb permit shell be deemed revoked,. ADDRESS LIC.NO. P L
SUE
UCFNSED.CONI�tACfOR3 DECLARATION CrFy Luc CLASS P L .
I hereby Efflrm that ]-am licensed underprovbbne of Chapter to p
(Cornrrwclnp,wIth Section 7000)of 4:)Malon 3 of the Bughass and NO.OF sTpPoE3 NO. FAM UE9 l
Profesalaie Cod6,and rrry.11cenee Is In full force and effect. r NEW BK" �AL.'fER ❑ CCT. 07p-
Lk:em a Numbbr Uc.C1aaa OF ADD El ,_ 1 U
cowTactor gateIA ' AT
❑ I em exonurj¢er Se.:,- ry\pG REPAIR ❑ 3 `44.355
1pt
BARC:for ails reaeon DEMOI_ ElLDMA Pio IF 1 ITEM UJ
Date: Ex1S1 W BLDG U H M - TOTAL
ryU�T/�y/ _ r
5✓ �rrT LDw Perm• ,5 iY 244.35—
L1d'I, as ov✓rter of the property, or my'emp4Dyaes wtjh wagee as �l z
their sole compermation,.wl11 do pro work and the atnichae is Awf;E88 ° �00
not Inberided or otten4d for aafe (Section 7044, Bushes and + ) &&ften FNAL DATE
PrOfeBslOme Code.) ' WILL THE APPUCANT OR FUTURE BUILDING OCCUPANT HANDLE A MZAAooQ8 IJAFE-IA,L
❑ I, es,owner of the property, am exduah+afy contractsrig with A CONV1rI0 A HAZAICC O►ITERAL EOLML To OR GREATER THAN N n-E f ��yyy �yyy i 1 p
.PECFEo ON TFE HIAZIRDOUB►wEw,Le IFORAW70N oLUE2 FINAL aY L'IWL�VL�11.:. VI Qt7�S
licensed,contractgrq f0 gomatruct the pro} (Section 7044, 1-1No El -
BIJlrleas and Professions code.) YEB 1145 1 AM 9:51.
wu THE WENDED UBE OF THE BUOLMG BY THE APPUCANT OR FUTURE BULDW JWA2�
OCCUPANT FEOXE A PERI T FOR OR NOONCAION FFIOY THE aOUTH ,��/�
CONSTRUCTION LENDING AGENCY COAST AJR UJALMY MANAoEleTr�l GEF PF:t T XR a-EaarBT POR d7/i�t,
o Irawa
I hereby affh m drat#here fa a'ccrmt rUctbn lerdhp agency for YEs❑ No❑
a the pbrformance of the work for which this permit Ia Issued(Sen n .
30137,Ctv.C) IHWE READ C3 E i�uY er u►oaa LOA�E�EB couNrY co�o
n ITF E 2,C7-HPTIIR 220 100 TH RO"2.20.140 CONCETPANG HAZAFD" .
Lender's NQrr10 '1�'f q '.• _ REPCFT 7 MD O�PJ�lM3 A"U FR AJ THE aak&C .
Leodeea Addrea.e
I'cer#!y that I have read this application and state order panatty
of pert rry that the above lnfor rwtign b Correct.I agree to conply pr-FEE, PEFMT FEE �I�] G�
wdth ata .county ordtnences and State' lQwe relating tD bu5d no 1 ` 4
conetruotlon, and hereby authorize rapreW atim of thb County ISSUANCE FEF ` I
/ the fQr lrRepecffon (/
14VE8TX3ASI0N FEE TOTAL FEE /']
J .
S(=E REVERSE FOR EXIN-U ATOR`!LANA E
COUNTY OF LOS AWELE9 TEMPLE CITY 0 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORXS 9701 LAS TUNAS ALTERATION/RFPAIR
BUZIDI190 AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0905060022
PHOKE: (626) 285-0488 EZT:
LEGAL ID: NO. OF ODNST BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE 10055 GREEN ST
STRUCTURE: 33 V-B TEMP CA 917803332
ASSESSOR INFORMATIOA ER: NRAR29T CROSS STREET: BAIZWZN
8585-001-028 TAOMAS PAGE: 597 GRID: 34 LOCALITY: TEMPLE C1'IR, C
TENANT: EXIST BLDG USE: REBID USE ZONE: R-1 ISSUED OF: PROCESSED BY:
EXIST OCC GRP: 05/06/09 SR
OWNER: TEL. NO: BL GS. NOW ON LAT: VALUATION: F F BY: CODE:
FUENTES, BEN (626) 443-4410- 10,200
10055 GREEN ST p p
TEMP 917803332 FEES PAID M9CRIPTIO& OF WORK
TEAR OFF CAL SHALE ROOFIOG ravl:Ra FROM HOUSE 4 GARAGE IN-gTAL
FEE DFSCRIPTION: QUANTITY: UOM: AMOUNT: L THE 1/2. O.S.B. PLYWOOD OVER ENTIRE ROOF TOP. INSTALL THE
APPLICANT: TEL. NO:
MARTIN (626) 333-5615- AA BLDG PERMIT ISSUANCE 27.75
AB STATE GREEN BLDG FEE 10200.00 VAL 1.00 SPECIAL CONDITIONS:
AC STRONG MOTION RESID 10200.00 VAL 1.02
D2 PERMIT W/0 EN-HC 10200.00 VAL 233.40
TOTAL FEES 263.17
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
RRXNAY ROOFING (626) 333-5615-
507 N AZUSA AVE LIC. NO LOCATION AND SETBACKS
STE C 655986C-39
LA PUENTE, CA 91744 SOILS ENGIM ER APPROVAL
ARCHITECT OR EWIFEIIt: TEL. NO: FOUND TION TRENCH FORMS
LSC. NO: SLAB/UNDER FIAOR
RAISED FLOOR FRAMING _
_L
MOPP NO: SEWER ASAP BOOK: PAGE: FIRE ZONE: CMI: 0.0ERPLOOR INSULATION
147H273 3 00
FLOOR SHEATH32QG
NO. OF FAKa. : DN'FT. @, ] UNITS: APT/CO2®: STAT CLASS:
NO 21 ROOF SH]ULTHIBG
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEST MATERIALS
NO NO NO FRAM L29PECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LIQ: WIDTH
FRONT PL- INS`U AZZON WMkTHER STRIP
SIDE PL-
INTERIOR LATS DRYWALL
ETTrrRrOR LATH
I
RATED FLOOR CEIL A98-EM.
RATED WALL ASSF}OL.IES
RATED SIAFTS OPENIMS
T-BAR CEILINGS
+ ADDITIONAL DATA ON FILE
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: B90508
C6UNTY OF LOS ANGELES TEMPLE CITY I f 0508 BUILDING PERMIT
DEPARTMENTOF PUBLIC WORKS 9071 W TtWiS I�,� 44_ RESIDENTIAL ADD/ALT/REP
BUILDIN4 AND U-,ETY / LAND DEVELOPMENT TEMPLE CITY CA : BL 0508 9806080037
PHONE: (818) 285-0488 EXT:
LEGAL ID: NO. OF CONST N E61 ADDRESS:
ON FILE SQ. FT STORIES TYPE OCCUP GROUP 10055 GREEN ST
STRUCTURE: 330 1 VN R3 TEMP CA 917803332
ASSE GARAGE: NEAREST CROSS STREET: BALDWIN
8585-001-028 OTHER: THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY
TOMT: M(rgT=USE: USE ZONE: T9990-m—i PROCESSED BY: EXPIRES-ON:
EXIST OCC GRP: 06/09/98 UT 06/09/99
OWN ER TEL. NO: BLM. NiOW ON LOT: VALUATION: FINAL DAT E FINA E
FUENTES, BENJAMIN 000 - 1 24,420
10055 GREEN ST IL 4
TEMP 917803332 FEES PAID PESURIPT"low
ADDITION OF FAMILY ROOM/DEN-330 FT.
APPLICANT: TEL. NO: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
SAFE QUAKE CONS. (213) 728-7368- AA BLDG PERMIT ISSUANCE 27.75
2168 S. ATLANTIC BL. AC STRONG MOTION RESID=— 2 0_00 VAL 2.44 SPECIAL CONDITIONS:
MONTEREY PARK, CA AX BUILDING�I j �E—' _�_ 54.70
B2 PERMIT.l3 G �j EES- �VfiL 519.26
'f S 0 � �. 604.1-5
CONTRACTOR: TEL. NiO: j b; : APPROVALS DAT E INSPECTOR SIGNATURE
SAFE QUAKE CONSTRUCTION (213) 728-7363- �,� \` lei
r'
216$ S ATLANTIC BL LIC. NOLOCATION AND SETBACKk,,-
9291 571102 B
MONTEREY PARK G 91754SOILS ENGINEER APPROVAL VW
ENGINEER: T -TR
ARCHITECT DRf �- �1�
LIC. NO: _ I --- "x1111,1, —IMTUROFFLOOR
ETRE-' 3 �.J�r �
1ST LEVEL MOM SHEATH
MO. OF FAMILIES: DWELLING UNITS' APT/COND: STAT CLASS-
2ND LEVEL FLOOR SHEATTF_
No 21
95M WITHIN HAZARDOU9ROOF SHEATHING
AIR QUi ITY: 1000 FEET MATERIALS A �\
IJ 1 `•" ` !llrrr �! FIRE DEPT. FRAME INSPECT
REQiUIRED TOT L, BLDG DEPT. FRAME INSPECT F
FEBACK- YARD: HWY: PROP LINE: WIDTH-
FRONT
IDTH:
SHEAR PANELS
SIDE PL- / l
INSULATIDN/WEATHER STRIP
INTERIOR LATHIDRYWAlL
LOT DRAIME
r
SMOKE DETEffTTW3EVrn'9__
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS05DB