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HomeMy Public PortalAbout10144 GREEN ST_Building__ `""7--- 76A838A CE#803.10.56 APPLICATION FOR BUILDING PER T 1 BUILDING AND SAFETY DIVISION BUILDING Department of County Engineer ADDRESS County of Los Angeles LO^ALITY 01 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 n I ADDRESS (1 C� � STATISTICAL CLASSIFICATION r LOT NO.- � + O`d � 3 ti CK t CLASS. NO!'� DWELL. UNITS MAP STATE YES NUMBER HWY TRAC iw� NE SPECIAL NO.OF BLDGS. CONDITIONS SIZE OF LOT NOW ON LOT USE OF _ EXISTING BLDG. L� BUILDING EXIST. SETBACK YARD HWY ST ET NAME WIDTH OWNER a f►�J FRONT ✓ _l MAIL P. L. ADDRESS A SIDE j TEL. P. L. CITY 1 1ri 7NN0. INSPECTION RECORD ARCHITECT OR TEL ENGINEER &7 y)fa(,L. A,2 j NO. ADDRESS TEL. tL NO. n ADDRESS 7 (� �7 „�'f �ySe,J6AX/ DESCRIPTION OF WORK NEW >C ADD ALTER REPAIRDEMOLISH SO. FT. NO. OF NO.Oh' SIZE STORIES FAMILIES USE OF STRUCTURE 3�S APPROVALS SIGNATURE OF APPLICANT DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION FORMS, MATERIALS $ P. C. $ /' FRAME: FIRE STOPS. a FEE �� BRACING. BOLTS VALUATION $ �. FURNACE: LOCATION, FEE GAS VENT. DUCTS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH. INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH. EXT. STATE LAWS REGULATING t 1 ��Z: UCTION . SIGNATURE OF HOUSE NUMBER COR- PERMITTEE_ RECT AND POSTED Ole ADDRESS FINAL JOHN A.LAM1.41E, U TY ENGINEER, CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION 4 K. M.0. CASH LAW 0 6 2 5- JUL 25 16 2.75 " Lt . 0625- J- 25 1 11 .00 DIVISION OF BUILDING AND SAFETY - BUILDING ' -Wpartment of County Engineer t County of Los Angeles APPLICATION VVM. J. FUX, COUNTY ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO, PLAN CK. OR REc.No. PERMIT NO. BUILDING 1 ADDRESS RECEIVED BY DATE OF APPL. E 1 ED LOCALITY L,-• .f (" N£AREBT CROBSST. BUILDING ADORERS OWNERJ­y of MAIL XLOCALITY _ ADDRESS V NEAREST CROSS ST. .. TEL CITY NO. FIRE NO.OF TYPE GROUP ARCHITECT O TEL ZONE PLANS ENGINEER NO. BLDG. ORD. NO. 13ETRACK LINE ADDRESS USE APPROVED ZONE BY DATE CONTRA OTOR NO. HOUSE NUMBERING L ADDRESS AP NUMBER e� 6 NO. ASSIGNED BY LEGAL CORRECTIONS ✓ ,�, DESCRIPTION LOT NO. BLOCK TRACT NC. DF BLDGS: SIZE OF LOT I NOW ON.LOT USE OF I NO. OF EXISTING BLDG. FAMILIES DESCRIPTION OF WORK A - m NEW ALTERATION ADDITION Z D REPAIR DEMOLITION r SQ.FT. NO.OF r SIZE ROOMS STORIES EXT.WALL I ROOF (�12& COVERING r1. - COVERING USE UCTIARE, INSPECTION FOR APPROVALS OCCUPANCYAS INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION FORMS, MATERIALS ��,,I.i, ✓ _ ,, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIN AP- PLICATION AND STATE THAT THE INFORMATION GIVEN 18 FRAMEI FIRE STOPB, f CORRECT. BRACING, BOLTS 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES ACE: LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FUpRNRN VENT, DUCTS SIGNATURE OF LATH, INT. PERMITTEE LATH, EXT. ADDRE9 PLASTER, INT. AUTHORIZED AGT. PLASTER, EXT. P. S HOUSE OUSE NUMBER COR- FEE RECT AND POBTED VALUATION ©p FEE ( �L FINAL 76A639A DBS 3 1-52 COMPENSATION DK ARX-n ' c _ 7 C11 erg y that I hfWorke•' CComtpeensatioonInsto urra cif APPLICATION FOR BUILDING PERMIT � nsure, or a certificate of W r a certified copy thereof (S., W, La C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY IIcyO /No��`'� G mpany IIIIIIIIN BUIU1iNG Certified copy Is hereby fumlahed. FOR APPLICANT TO FILL IN ADDRESS Q Certified copy Is filed wl my bulldin BUILDING tion department. ADDRESS / (�/'c ��u LOCAIJTY L t— PPI Cr Y �T / NEAREST LP / O cROss Sr. aRTIFICATE. FROM NO. OF ASSESSOR ON INSU SUt OF LOT NOW ON LOT MAP BOOK PAGE PARCEL h section need riot be com rated.If.the pePmlt�ls for one- USE Zow, t7 . unfired dollars (;100}or lessor TRACT sPEC AL certify that 16 the performance of the work for which this OWNER CON 916 It Is issued, I shall not employ any person In any manner ADDRESS DISTRICT. GROUP TYPE RE B= O CONS[. Zbt� V as to become subject to the Workers Compensation Lawn. ,/ Ix CITY f/ bate Appllcartt AROifTC{T OR ZIP TEL STATISTPCAL CLASSIFICATION APT. DO. LU NO (NOTICE TO APPLICANT: If, after making this Certificate of 1. 'Exemption, you.should become subject to the Workers' U4alCLASS NO. d / DWELL UNITS LU Compensatlon provisions of the,Labor Code, you must forth ADDRESS SEWER MAP Z with comply with such provislons or this permit.shall be _ deemed revoked. CONTRACTOR BK S PGfO ,/ VALMATN LKCENSED CONTRACTORS DECLARATION 1 hereby affirm that I am Ilcensed under provisions of Chapter 9 ADDRESS 440_. xV ATIQ (�suummencirgwFth Section 7000)of DtvWon 3 of the Busmen and ae_ - Profewlons Code,-and my license is In full force and effect. dY t ! ��yr� _� SI ST IE ONE � �Icenae Number / Llc CI �A STORES FAMILIES ONE Contractor //� 5 � p—� DESCRIPTION OF WORK NEW ❑ _ I am.exempt under Sac._ ADD ALTER ❑ FINAL 6.BP.C. for this reason ❑ DATE REPAI R Date: EXISTING BLDG. / DEMO( ❑ �N S l g natu re APPLICANT TEL By OWNER-BUILDER DECLARATION PINT) NO. 11—Ar I hergby affirm that I am exempt from the Contractors Ll cense Law for the following reason (Section 7031.5,-Buslnass and ADDkESSu/ Profesalons.Code): �j/q/3�� fpp I, as owner of the property, or my' employees with AILDING ADO_RESS es - / /� 1 � wagas their sole cbmpensatlon,will dathie work and /J t / 'rip th4 structure Is not Intended or offered for sale(Section LQCALrrY / s 704", Business and Professlons Code). MOVING TEL I, as owner of the property, am exclusively coniracting QQNTRACTOR NO. 1r �\ with Ilcensed.contractors to constnlct the project (Sec- EA �} Q Q tion 7041, Business and Professions Code)_ CONSTRUCTION LENDING AGENCY.' TOTAL SETBAOC FROM EXIST. YARD PROP. u DTH I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is.issued Sec. 3097, Clv. C.).- Lenders Name Lenders Address Perm It Fee S Q I certify that I have read this abpllcation and state that the lasuance Fyy 0 above Information Is correct. I to comply with.all County ee. ordinances.and =State laws re g to building construction, Total Fee and herebyauthorize Ives of this County to enter u abovo- anti operty for Inspection purposes. r 2, M RRV M POR KXPLAIP ATORY LANGUAGE Stgrwhtn Ikant or Agem Data i � Y I Y , COl!lIT7 OF LOS ANGELES TEMPLE CITY 05tS8 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TU AS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9711170049 PHONE: (818) 285-0488 EXT: I LEGAL -ID: CfF CONST BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE 10144 GREEN ST STRUCTURE: 0 VM TEMP CA 917803333 NEAREST CROSS STREET: 8585-007-067 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY E)(IST BN USE: RESID 'USE-LONE- R-1 1$SLFED ON: PROCESSED BY: EXIST OCC GRP: 11/17/97 UT 11/17/98 OWN ER BALLIPHYLLIS - 1 3,800TEL. NO BLDGS. NiOW ON-LOT: —7 VALUATION: FINAL DATE FIME BY� CODE: 10144 GREEN ST TEMP 91780= -DESCRIPTION U'r W36LK RE#IOVt= AND RECOVER PITH 1/2• PL CELOTEX CLASS A 30 YR FEE DESCRIPTION; QUANTITY: UOM:_ AMOLKT: COMP. SHINGLE 6WEATHEkITE ROOFING (626) 287-0667 AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 3800.Q0 VAL 0.50 SPECIAL CONDIT ONS: D2 PERMIT W/O EM-HC 00 VAL 116.10 &4L FEES 144.33 TEL. NO: - APPROVALS DATE INSPECT-OR SIGNKTURE WEATHERITE R00FING (818) 287-0669- O� LOCATION AND SETRACKS 4016 TEMPLE 7 BLVD LIC. NO 91 ROSEMEAD CA 91770 423177039SOIL�ENGINEER APPROVAL ARCHIIECI OR ENGINEER: TEL. NO: FOmOTION/IKENUH FORNt' LIC. 160: SLAB/UNDER FLOM RAISEb FLOOR FRAMING 1KAP NO: SEWM�-KAP M:. PAGE: -MRE ZONE: cm v UNDER fLODR IMAT ION 47HM 3, 011 PUBUC WORKS NO. OF FAMTLIES: DWELLING LIMITS: APT/MiLD: STAT CEX997 No 21 + 0 ROOF SHEATHING 0 co SC WITHIN HAZARDOUS0 SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS h! Q I No MD G FRAME INSPECTION ❑ p /• REQUIKr-U TOTAL SETBACK FROM E)(I ST SET BACK YARD: MY: ?ROP LINE: "WIDTH: C, � FRONT PL- SIDESIDE PL- EXTdIOR LATH RATED SKAFTS/OPENINGS REPORT ID: DPR261 ROUTE TO: BSO50B l i