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