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HomeMy Public PortalAbout10232 GREEN ST_Building__ AP _ ING PERMIT FOR APPLICANT TO FILL IN (Print or type only) TEMPLE CITY BUILDING COUNTY OF LOS ANGELES ADDRESS 10232 Green Street Tempi-L, City DEPARTME T OF COUNTY ENGINEER CITY ZIP / 7 BUILDING AND SAFETY DIVISION NO.OF BLDGS. BUILDING/� J SIZE OF LOT`/ O d NOW ON LOT ADDRESS -t1� TRAC 7Z^ L K L NOLOCALITY ' NEAREST OWNER James R. Bruton TENo. CRCSSST. ASSESSOR ADDRE-ss3821 C1 ark Avenue MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE ESSED BY CITY ZIP Q CONST ZONE ARCHITECT OR TEL 'LJl/ ENGINEER _ NO. STATISTICAL CLASSIFICATION SEWER ADDRESS CLASS No.-,2/ DWELL,UNITS S B PG TEL. CONTRACTOR -4 n 41 USE ZONE MAP /� No ADDRESS 2 E d 1 1 e B 1 Lo' 1 86086 f SPECIAL C/ LIC. CONDI TIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTR ON L E NAME AND BRANCH BLDG.SET CK FROM FRONT PR .LINE OF (STREET) ADDRESS CITY _ TOTAL SETBACK FROM TYPE OF EXISTING OC SFT. NO. OF NO. OF CHECK HIGHWAY YARD - FRONT PROP. LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE DESCRIPTION OF WORK Re-roof 1 a VEW ❑ DD ❑ BLDG.SETBA OM SIDE PROP.LINE O (STREET) ALTER ❑ TOTAL SETBACK FROM TY OF EXISTING HIGHWAY + YARD = 1 REPAIR SIDE PROP. LINE HIG Y WIDTH USE Ory 218 sh . An pi tched a + _ EXISTING LDG, OL ❑ AP P^IMT)NTH . L , n O TE 8IMOL CORNER CUTOFF YES ❑ NO ❑ BY (SIGNAT ) IN OPEN SPACE YES ❑ NO ❑ //�� Q?? +{ IN COASTAL ZONE YES ❑ NO ❑ VALUATION $ 1 1$11P. 00 /UJ 0(� CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I RAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE ID CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATIMG BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORM AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PER IN VIOLATION OF THE LABOR CODE OF THE ! T[ F I RNIA IN VELA TING TO WORKMEN'S COMP[N I I A [. SIGNATOR PERMITTEE ADDRESS TEL. FINAL CITY NO. - DATE -. MAKE CHECKS PAYABLE TO: FEE ff FEE $ 21 . 75 HARVEY T. BRANOT, COUNTY ENGINEER PLAN CHECK VALIDATION CK. M.O. CATH _ PERMIT VALIDATION CK. M.O. CASH 9 7cg�NU 4 1 0 � 2' 1.7 5 •�ld SBA B9BA CE#803 7/73 "/ APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUILDING COUNTY OF LOS ANGELES ADDRESS O7' 'mer' DEPARTMENT OF COUNTY ENGINEER CITY k,�W L� r7 i� ZIP BUILDING AND SAFETY DIVISION NO.OF SLOGS. BUILDING SIZE OF LOT // k c�� a NOW ON LOT �J ADDRESS TRAC /v T3- LOCK LOT NO. LOCALITY -y� TEL y NEAREST OWNS O`HQcaJ NO. -dIr3 CRCSS STASS . �Q�� ^ J L A MAP POOR ADDRESS p/ (y/ 7� �f-�' MAP BOOK PAGE PARCEL rr y� �ry- DISTRICT GROUP TYPE FIR PR ESSED BY CITY C� /'!1041/F ZIP l7el ^ �) T COIL' r' ZO E ARCHITECT OR TEL k�C t/ L V ENGINEER NO. STATISTICAL CLASSIFICATION SEWER MA ADDRESS CLASS NCL-:�'2/DWELL.UN ITS _yB1yQaG CONTRACTOR TEL. USE ZONE MAP NO. ADDRESS NO I OU SPECIAL CITY LIC. CONDITIONS CLIA SS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTIp ENDER } NAME AND BKANCH BLDG ETBACK FROM C7 FRO PROP.LINE OF (STREET) ADDRESS CITY HIGH 11 AY } YARD TOTAL SETBACK FROM TYPE OF EXIS NG LL' SQ. FT NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH SIZE/16 STORIES FAMILIES ONE ❑ + _ DESCRIPTION OF WORK NEW DD ❑ BLDG.SETBACK FROM Z SIDE PROP. LINE OF (STREET) ALTER TOTAL SETBACK--FI40MI TYPE OF EXISTING HIGHWAY + YARD = HIGHWAY WIDTH EPAIR❑ SIDE PROP. LINE USE OF OL ❑ + EN EXISTING BLDG. ,L `OL A P(PRINT) Zg &(fL CA pi{/NO.'yam / /3 CORNER CUTOFF YES ❑ NO BY (SIGNATURE r �/x IN OPEN SPACE YES ❑ NO ❑ ��J IN COASTAL ZONE YES ❑ NO ❑ t [�t VALUATION$ / 76 CATESORICAL EXEMPTION YES❑ NO ❑ I HERESY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AOREE TO COMPLY IMPACT EXCMPTION DECLARATION SIGNED (DATE) WITH ALLORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCED DED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STAT[ OF CALIFORNIA IN RELATING TO WORKMEN'S CO MP[Nl TION INS URA NC[.l'�e�� SIGNATURE O PERMITTEE- ADDRESS— FINAL ERMITTEEADDRESSFINAL BY TEL. CITY NO. DATE t MAKF CHECKS PAYABLE TO FEE + FEE HARVEY T. BRANDT. COUNTY ENGINEER PLAN CHECK VALIDATION CK. M.O. CADH _ PERMIT VALIDATION CK. M.O. r CASH 12! 4 NS& 26 1 v 2 1.7 • 75AB30A CEFS03 7/73 - "� ' - APPL•QATIONTOR BUILDING PERMIT COUNTY OF L S ANgELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BtLD+1+ci I hereby afflrm that I have a ate of conaerd to self Inoue, or a cer-Moate of Vlbrt®re' Compensation Insurance, or a oertffled copy tftereof(Sec.3800,Lab.C.) ' ri C /J Pd LDGUJTY P 'Y�' f d 8=OF LCP 40.OF BLD38.NOW ON LOT ❑ Certffled copy is hereby fumfahed. NEAREST CRO83 ST ElCerrmtx,1ectfon ed copy fa flied with the county ding trmpTRACT BLOCK Lor NO. depe &-TL USE ZONE MAP Na Date Appllcar,t AssEesoR MAP PA(3 r P►>ac��i2 3 G SF-.< AL coralTlorrs CERTIFICATE OF EXEMP71ON FROM WORKERS' 1 YES NO COMPENSATION INSURANCE /i ✓ r a+ loco Fr•of 8U-00L? (Thio section need not be completed If the permit h for one hand* DISTRICT pFIOUP TYPE CONST. aOrE PflOCFSSED BY dollars($100)or leea) I certify that In the performance of the work for which thb permftCLTY { G ?0 v le leaked, I shall nempty root arry person In any manner to as fo EN(YE£R TEL NO. p� become subject to the ylbrkers'CompelT>;atbn Laws. SWISTICAL CLA88iFiG410N APT CONDO Date Appkant ADDRESS - aass Na DwELL Orals NO7CCE TO APPLIGANT. If, after maktrp this Cerdficate of REOUtFED TUU L SETBACK FFK>M EAST Exenx t rn you should becorne subject to the Vkrkere' CON RACTOR ��, �,� / TFL NO. SET BACK• )ARD HYN PROP LITE V DTH Corrrpeneadon provialom of the Labor Code, you must fortl-vtth ��Cr/C.vc� FRONT comply with such provisions or this permit slush be deemed rewired. ADDRESS LIC.NO. P L LICENSED CONTRACTORS DECLARATIONSIDECLTY LIC,CLASS P L I hereby affirm that L am 6ceneed underprovlebne of Chapter 8 (Mnmendng with S&t*n 7000)of Dfvbion 3 of the Business and sa .s� 40.OF s. Na OF FAMLES SEWER MAP PrOfesabne Code,and my Ilcenee la In full force and affect • NEW BK PG User.Number tic.Cieas DE CfiONORK ADD Contractor Date � ALTER ❑ 's ❑ I am exempt under Sec. REPAIR ❑ CC B.SP.C.for thb reason DEMOL ❑ LDMA P/C EXt8TIN0 B1DQ t - ' Date: URIiA ❑ Signaiu re k�'�J'�L/�+T p APPLICANT(PIWT) TEL Nq LDAIA Penn 1 � Fll-4 1 5 E' 4 as owner of the`property, or my employeee wtth wages as L their soie comperrsatlor� wt0 do the worts and-the stru ure Is ADDRE38 �C0� -�y� � �y not Intended or offered for'ease (Section 7044, Bushiess and FNAL DATE IQ Er7�7LF� �0.50 Professions Code.) vv._L TFE APPLr- T OR FUTURE TDM CCCUPONT FLkWU A w.ZAFoa.1B ❑ 4 aB owner of the property, am excbelvey contwung wfth CR A hosed CON-OUNM A wzAfoous Maawl eCiyut TO OR GF EAaEER,� 1 AMduxra ON TFE FNZAAOOUa MA7SL1La PFORMIUION GUIDE? FINAL UT AOC T.0 oontrTic�ora to coreiruct the project (section 7044, A1.4T.# BAaneas and RD(eealone Code.) YEs❑ No CT oL NLL Tr-E NTD? USE OP TFE BIRD-M BY TF£APR-0CAW CR RRUE RA-DM IA3 /V.77QQ R C CCC "MNT FEOLFIE A PETt!!r CCNarRL CTgN OR 660MO J4TICN FF"A TFE 80UTH CONSTRUCTION LENDING AGENCY CCASr AIR MA F r DIeTF*cT(OC.Ada i eEe Pw�TT►x3 aEaarBT wR GkADEUNEs2 ITEMS I hereby affbi, that there le a oonstructfon lending agency for YEe0 NO �p�y CA the performance of the work for welch this permit b lasued(sec. iFwE�THE WCERA SWORMAIa,GUIDEAroTFEOCAQW� AT& 7477�r�;t7 3097,Cfv.C) a Eager. UMER TF-Ea Looe AHOEI-E L enders Name Tuna 2 oo A u FROM 0 C Lenders Address �� �,i7�su o 00 0 I certify trent I have reed thls application and state under penefty of pw)ury that the above Information le correct I agree to conPa FSE PERMIT FEE `4 with all Canty ordinances and Stabs Vaws rafsiing to bu0dng D• G�f b" 000D— 01 8/22/95 hereby m�,t`�`lod prOpert,`�`a°, of 23JANCE FEE C—nty Ali 9941 m INVESTK3AT10N FEE TO41L FEE /. o. (� SEE REVERSE FOR EXPLANATORY LANGUA13E ' - APPLICATION FOR BUILDING PERMIT �! COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN a `� I hereby affirm that I have a certtflcate of conaerd to aw hmxe, BLRJDNG ADDRESS or a oertmcate of workers' Compensatbn Insurance, or a certtfled /e Z 3 Z copy thariE�of(Sac.3.800,Lab.a) olZIP p Poacy No' ry IkO NO.OF NOW ON LOT �- ❑ Certw copy b hereby fumlehed. � 2 rFrAEST CROSS ST. EJcwttw copy le food with the�ry buil#tnq hapectbn TRACT LOT No. L l Ct ►� departrnL USE ZONE MAP NO. Date AppllCant ASSESSOR MAP BOQK PAGE PARCEL SPECK COf� CERTIFICATE OF EXEMPTION FROM WORKERS' TEL�' COMPENSATION INSURANCE SIt/H��Z WITHIN 1000 FT.OF SCHOOL? YES NO (Thfe eecbm need not be conpieted If die permft Is for one hundred ADDriEs9 dDllare ($100)or I(sa) DOTR}CT GROUP TYPE CONST. FRE NNE PROCESSED BY I certify that In the performance of the work for which this permft � ZJP Is leased, I shell not empty arty person In arty manner so ea to ARaIrEeT become eubjeCt to the Workers'COmpeneattort L awe. Oil ENGNEFT7 TEL SWOTr-ALCJ�T0N APT CONDO Date Applicant ADDRESS CLASS NO. DWELL LRJT9 NOTICE TO APPLKl1lf.- ff, after makklp this Certificate 0FEC9UIRED TMAL_SETBACK FROM EXIST mptbn, E)deyou soulrna should becoeub)ect to the Wbrkere' CONTRACTDR TEL Na SET BACK YAFD FTrvY PFOP LGE WIDTH CompenssUon provwom of the Labor Code, you moat torff withFRONT oompfy wfth auDh provbbrta or dib pwTnft st a I be deemed rewke¢ ADDRESS Lc,Na P L UCENSED CONTRACTORS DECLARATIONSI CITY Jr–CLASS P L J hereby affirm that I am licensed rmderprovhb om of Chapter 9 SEWER MAP (commenckV with 3ect3on 7000)of Division 3 of the Business and 9 NO.OF STORIES NO,OF FAMEES NEW ❑ BK Pp d Profeesbrg Code,and my license Is In full force and effect License Number LIC.Gess DESCFaPTtoN o�WORK ADD ❑ wLuxnON Contractor Date $ A l�• D O , V Q ALTER El ❑ 1 am exempt under Sec. REPAIR ❑ $ O BAP.C.for thhs reason DEMOL ❑ usm P/C r. Date USE OF EX]STWG BI-Da 5 URM ❑ i P APPLK.ANT(PHV TI Q' LDIAA Pour,AT �" as owner of the property, or rrr ernp"es wfth wages , Fir.+�:i :r — F d-ov sole compeneatior� will do the work Mrd the structure Is ADDRESS D - M71V J. I not hiterded or offered for sale (Section 704-4, Bush ass and FR1A1 DATEProfeaskxm coda) Y L TBE APPLX1Nr OR FUTuE aIA-DING OCCL"N7 HM XM A HAZARDCU8 u,aEnUL 1 ITaG ❑ I, as owner of the property, am exckiehefy contract4V wfjh OR A UIXnURIE CONW NO A HAZAraaia MAJ 1 EQUAL TO OR GREASER THAN THE &YOLM ePE�ON TfWTERPLa IFORAQIDN GUIDE? FINAL BY licensed contactors to construct the project (Section 704-4, YES Cl No�r TOTAL 105 � .� Buelnese and Profe&4Dna Code.) i- +_ 1jT1.30 wa 1 THE N rE�ueE OF THE a,oLNo BY T}f APPL IGANT oR ra.minE a.Eorx3 OCCUPMT F A PE}w FOR OR MoDFcxnoN rrom T-E 6ouTH CONSTRUCTION LENDING AGENCY «o AIR rn W&AQEAorT r�tacAQW SEE r�rrNO C,taamTFOR .(xl I hereby afftrm that there Is a cmatu;tIon Ierdlnp agency for YEa❑ No the performance of the work for wt*ch this perm ft is leaned(Sec- i HAE PEAT THE LAIARDOUS uae P4 GLIDE w E Aro THE aGAQW PATTNO 3087,Cfv.C) Tn E x c i ►r,ax� � NP +TsuriER THE Loe ANQELea COUNTY CODA I 1 aECIx�Ne a�a i rHAax3H ,4o coNCEF.a�O Hv¢AFooue �7i�}-lam]1 11/ 4 Lenders Name u,4-wALe A PEAfr THE,�...'•:S. Lender a oddness oR �'� a _ 3411 1 AM 0 I cer* that I hays read dila appflcatfon and slate under panafty P.0 FEF FEFiATT FEE of perjury that the above hformebm Is correct.I agree to oor pty d with 0 county ord1nances and State laws m1at1v to bulking corotrixxior>, and hmby uthortre represen atKw of the ISBUw�CF FEE m NVESTKIATION FEE TMAL FEE SEE REVERSE FOR EXPLANATORY LANGUAOF ' COUNTY OF NAS ANGELES TEMPLE CITY M 0508 BULLDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTMAL ADD/ALT/REP BUILDING AND S.AFETY / LAND DEVELOPMENT T&24PLE CI'T'Y CA 91780 BL 0508 1Obl270004 PHONE: (626) 285-0488 ETT: LEGAL ID: NO. OF CONST NEM BUILDI&G ADDRESS: ON FILE SQ. FT STORIES TYP3 OCCUP GROUP 10232 GREEN ST STRUCTURE: 108 1 V-B 0 TEMP CA 917803336 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET 8585-006-023 OTHER: TBO}41H PAGE: 597 GRID: B4 LOCALS'IT: SLE CITY, C TENANT: RTT T BLDG USE: USE ZONE: ISSUED ON: PRO(F69SED BY: EXT T OCC GRP: 01/27/10 SR OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FIAAL DATE F/�,L, BY: CODE: BALTIDRRA/VINCSNT, BARBARA (626) 452-0561- 500 ��� 10232 GREEN ST TEMP 917803336 FEES PAID DESCRIPTION OF WORK LEGALIZE 108 S.F. ADDITION TO REAR GARAGE AND 1/2 BATHROOM FEE DESCRIPTION: Qcu TTITY: UOM: AMOUNT: APPLICANT: TEL. 190: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AS STATE GREEN BLDG FEB 500.00 VAL 1.00 SPECIAL CONDITIONS: AC SPRDING MOTION REBID 500.00 VAL 0.50 132 PERMIT K/ENERGY 500.00 VAL 48.02 TOTAL FEW 77.27 CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGIVa URE SAME AS OWNER - LIC. NO LOCATION AND SE'IDAZKp i SOILS EM3IN=R APPROVAL ARCHITECT OR ENGIN=: TEL. NO: ON TRENCH FORMS LIC. NO: SLAB UND&R FLOOR RAISED FLOOR FRAMING MAP 100: SEVER MAP BOOK: PAGE: FIRE Z06E: CMP: UNDERFLOOR INSULATION 3 00 IST LEVEL FLOOR SHEATH NO. OF FAb=J:RS: DWBMJING UNITS: APT/CO2®: STAT CLASS: NO 21 2ND IEVEL FLOOR SHEATH SCHOOL XTTHIN HAZARDOUS ROOF SIDULT- 2C AIR QCAL.ITY: 1000 FRET bnmT3TALS NO NO NO FIRE DEPT. FRAME IN[SMCT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- L'- SHEAR PANELS SIDE PL- INSULA2'ION STRIP INTERIOR LASH/DRYWALL M(TERIOR LATH LOT DRAINAGE SM ER DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508