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Home My Public Portal About9234 HECLA AVE_Building__ DIVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles WM. J. FOX, COUNTY ENGINEER APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DIBTRICT NO. PLAN CK. OR RE�C,NO. PERMIT NO. UILDING ADDRESS y / RECEIVED BY DATE OFAPPL. DATEIBBUED LOCALITY E NAREST CROSS ST. - 1 w_1 V BUILD IN D Q, 1 ADDREBS OWNER j� 40 AMAIL DDREBS � + '� '+ LOCALITY e NEAREST t CROSS ST. TIL11 'CITY "' 1 ®/s»!' NIL p2 �d�s' FIRE NO.OF II TYPE I GROUP 4. r f 'ZONE PLANS ARCHITECT OR TEL ENGINEER ".P_r NO. BLDG. ORD. NO. SETBACK LINE IADOREBB USE � TEL.: ZONE/�""� APPROVED DATE CONTRA TOR (�'�"�jp .�-'2w��'°9 Z NO. HOUSE NUMBERING - ADDRESS MAP NUMBER '- 9:5 ENNO. ABSIGNED•BY LEGAL CORRECTIONS LOT NO. BLOCK // TRACT 8 7 �.NO; OF BLOGS. ,,rry� �,r SIVE OF LOT �`(,y',{ I NOW ON LOT USE OF NO.OF w EXISTING BLDG. I FAMILIES DESCRIPTION OF WORD s A o NEW . ALTERATION ADDITION Z D REPAIR DEMOLITION r 8 Q. ROOMS STORIES EXT.WALL ROOF COVERING ,yGy`�f"'L>-` . y' + I COVERING1>] Wlr�t�y - USEOFSTRUCTURE. Q. ' J 9- INSPECTION FOR APPROVALS OCCUPANCYAS _ INSPECTOR'SSIGNATURE DATE FOUNDATION: LOCATION FORMS, MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- PLICATION AND BTATE THAT THE INFORMATION".GIVEN 13 FRAME: FIRESTOPS, CORRECT. BRACING, BOLTS I AGREE TO COMPLY WITH ALL COUNTY OROINANCEB FURNACE: LOCATION, "� AND STATE LAWS REGULATING BUILDING CONSTRUCTION. _ RNGAS VENT,DUCTS SIGNATURE OF ` � .� p " LATH, INT. / J PERMITTEE® �s A r� LATH, EXT. lee ADDRESS t d L PLASTER, INT. AUTHORIZED ADT. 2PLASTER, EXT. 1 � FEES 0�� HOUSE NUMBER COR- RECT AND POSTEDa d ...a VALUATION FEE FINAL / ® ✓.� 76A63BA D853 1-52 v Y WORKERS' COMPENSATION DECLARATION I-herebyaffirm that I have a'certificate of consent to self O D M D D) M O D nn insure;or a certificate of Workers' Compensation Insurance, L/Z1 L CAV d O LI V F D R" LJ -� IJV ` P E 0 V Lld U or a certified copy thereof (Sec: 3800, Lab. C.) COUNTY OF LOS ANGELES- BUILDING AND SAFETY., -... . Policy"No. Company9 . BUILDING Certified.copy'is hereby furnished. FOR APPLICA T-TO FILL IN- ADDRESS' - N- �3 ® Certified copy js'filed with the county'b'uilding inspec- BUILDING -tion department. ADDRESS., LOCALITY NEAREST Date1 O Applicant CITY ZIP CROSS ST. �/0C,0,C, C 0 0 �elll CE RTI ICATE OF.EXEMPTI FRO WORKERS' NO. OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section,need not be completed if the permit is for one E ZONE `:` MAP V TRACT BLOCK LOT NO. NO.' -hundred dollars($100)or less.) ^e'" r TEL. , SPECIAL Certify that in the performance of the work for which this OWNER NO. CONDITIONS permit is issued, l shall not employ any'person in any manner DISTRICT GROUP TYPE FIRE PROCE ED BY ADDRESS 'CONST. ZONE so as to'become subject to the Workers'Compensation Laws. �!, CITY ZIP v ' ��3 t� 3 O Date Applicant> STATISTICALCLASSIFIC TION APT., CONDO I— CE TO APPLICANT: 'If, after making this Certificate of ARCHITECT OR TEL. .� Ij ENGINEER NO. CLASS NO. LDWELL-. UNITS Exemption, you should become 'subject to the 'Workers' C Compensation.provisions of the'Labor.Code; you must forth- ADDRESS SEWER MAP' with comply with,such provisions or this permit shall be deemed revoked. TEL. BK. PG,; '^ VALIDATION CONTRACTOR NO. � .66G LICENSED CONTRACTORS DECLARATION.' LC. I hereby offirm'that I am'licensed'under provisions of Chapter 9 ADDRESS' /� NO. / VALUATION (commencing with Section 7000)of Division 3-of the Business and LIC. Professions.Code; and my license is in full force and effect. CITY CLASS $ � SQ. FT. NO. OF NO.OF CHECK "'License Number �e43 •` Lir:Class SIZE STORIES FAMILIES ONE D 1198 'L ca DESCRIPTION OF WORK NEW ❑ $ Contractor Date4. tt o _.. D o 0 0 I am exempt under Sec. I o'o 9675- ALT ER ❑ FINAL _ ❑ DATE z-z o 0 0 9 5 B.BP.C. for this reason REPAIR _ 6 7 . ate: USE OF .DEMOL ❑ FINA 1 2'1',0-8 4 EXISTING BLDG. By lay . Signature APPLICANT TEL. NER-B DER DECLARATION PRINT NO. her aff.' that I am exempt from the Contractor's License Law for th .f ollowing'•reason (Section 7031.5, Business and ADDRESS Professions.Code): PRESENT BUILDING ❑< '1; as owner of the property or my employees with ADDRESS wages as'their sole compensation,will do.the work and , LOCALITY the structure is not intendedbr offered for sale(Section. - 7044, Business and Professions Code). MOVING TEL. ❑ I, as owner,of the property, am exclusively contracting CONTRACTOR NO. with' licensed"Contractors to construct the project,(Sec- ADDRESS: tion 7044, Business and'Professions Code). REQUIRED TOTAL SETBACK FROM EXISL:, CONSTRUCTION LENDING AGENCY YARD' HWY WIDTH SET BACK PROP. LINE I hereby affirm that.there'is a construction lending ogency'for FRONT, the performance'of'the work for which this permit is.issued P.L. D (Ser. 3097, Civ. C:J:. SIDE < Lender's Name Lender's Address' P C:'Fee$ Permit Fee- I'�J I certify thdt I have read this application and state that the to Fee L/ J W above information is correct. I agree to.comply.with.all County Investigation Fee $ ordinances and State laws relating to building construction,, Total Fee u andereby authorize representatives of this County to enter m upo he above-m nti ned property for inspection purposes. -- /O �¢ SEE REVERSE FOR EXPLANATORY LANGUAGE_ Signal a-of Applicant or Agent Date - ®s I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1002160034 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST BUILDING ADDRESS: ITR: 17387 LT: 2 I SQ. FT STORIES TYPE 1 9234 HECLA AV 1 I (STRUCTURE: 2300 V-B TEMP CA 917803120 (ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: HILTON 18588-031-002 I THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl I I ! I (TENANT: - IEXIST BLDG USE: RESID USE ZONE: R-1 - IISSUED ON:- PROCESSED BY: I I (EXIST OCC GRP: 102/16/10 SR I (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: ITNAL DATE FINAL BY: CODE: IVARRYSON, ELINE - I 5, 00 9234 HECLA AV r ITEMP 917803120 FEES PAID (DESCRIPTION OF WORK 1 I ITEAR-OFF EXISTING CAL SHAKE ROOF INSTALL PLYWOOD .AND 30 YEARI I �IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ICOMP'CLASS A FIRE RATED SHINGLES AND RIDGE (APPLICANT: TEL. NO: I I IKEEFER'S ROOFING CO. (909) 608-0622- IAA BLDG PERMIT ISSUANCE 27.75 1 - I 11216 BEGONIA COURT IAB STATE GREEN BLDG FEE 5000.00 VAL 1,00 (SPECIAL CONDITIONS: I (UPLAND, CA 91784 IAC STRONG MOTION RESID 5000.00 VAL 0.50 1 1 ID2 PERMIT W/O EN-HC 5000.00 VAL 132.60 I 1 I TOTAL FEES 161.85 (CONTRACTOR: TEL. NO: 1APPROVALS DATE INSPECTOR SIGNATURE 1 IKEEFER'S ROOFING CO. . (909) 608-0622- 11216 BEGONIA COURT LIC. NO 1 ILOCATION AND SETBACKS (UPLAND CA 91784 760903 C39 I I I I I (SOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS I I 1 LIC. NO: 1 ISLAB/UNDER FLOOR I I I I I I I I I I I IRAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:�1 (UNDERFLOOR INSULATIONI I I I 1147H265 3 001 .. 1 1 IFLOOR SHEATHING INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I1 1 1 NO 21 IROOF SHEATHING SCHOOL WITHIN HAZARDOUS ISHEAR PANELS 1AIR QUALITY: 1000 FEET MATERIALS 1 NO NO NO I IFRAME INSPECTION 1 I IREQUIRED TOTAL SETBACK FROM EXIST IFIRE SPRINKLER HANGERS 1 1 1 I I 1 ISET BACK YARD: HWY: PROP LINE: WIDTH: I I I I IFRONT PL- 1 11NSULATION/WEATHER STRIPI I I SIDE PL- I 111 _ 1 I (INTERIOR LATH/DRYWALL 1 I 1EXTERIOR LATH I 1 1 I I I I IRATED FLOOR/CEIL ASSEM. 11 I 1 (RATED WALL ASSEMBLIES (RATED SHAFTS/OPENINGS IT-BAR CEILINGS I I I ILOT DRAINAGE ` I I I REPORT ID: DPR261 ROUTE TO: BS0508 I I I I