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Home My Public Portal About8638 HERMOSA DR_Building__ 270 APPLICATION FOR Il BUILDING PERMIT 78=141 RB FOR APPLICANT TO FILL IN ADDURESS e � ADlDRESSS 8638 S. Hermosa Dr. _ OCAUTY San Gabriel . N AR T �� CITY ZIP CROSS ST. NO.OF BLDGS.' _ ASSESSOR SIZE OF LOT NOW ON LOT MAPBOOK PAGE PARCEL TRACT ' BLOCK LOT NO. DISTRICT GROUP TYPE FIRE PROCESSEDD B y CONST ZO , OWNER C. Westerhol'h No. 286-6626 J 8638 E. Hermosa Dr. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO. DWELL.UNITS BK PG CITY Clan Gabriel ZIP 91.775 USE ZONE MAP ARCHITECT OR TEL /l/., NO, ENGINEER NO. ? / SPECIAL _ CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED VES ❑ NO❑ CONTRACTOR RIGID NM* CO TEL 263-5181 BLDG.SETBACK FROM FRONT PROP.LINE OF (STREET) ADDRESS P.O.BOX.67b2 LIC NO.1'S9496 TOTAL SETBACK FROM TYPEOF EXISTING LIC. HIGHWAY + VARD = FRONT PROP.LINE IHIGHWAYI WIDTH CITYI+os Angeles CLASS C-39 _ CONSTRUCTION LENDER - + a NAME.AND BRANCH BLDG.SETBACK FROM w ADDRESS CITY SIDE PROP.LINE OF (STREET] SO.FT, NO.OF NO.OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING w SIZE STORIES FAMILIES ONE SIDE PROP.LINE HIGHWAY WIDTH N _ DESCRIPTION OF WORK NEW 10 + Z- Re-roof with Rigid prepared ADD ❑ CORNER CUTOFF VES ❑ NO ❑ Class "C" material ALTER ❑ IN OPEN SPACE YES ❑ NOUSE ❑ REPAIR EXISTTIING BLDG. Garage DEMOL ❑ IN COASTAL PERMIT ZONE VES ❑ NO 1:1 APPLICANT TEL (PRINT) -' NO. Y _ BY(SIGNATURE] f7 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE ~ THAT THE ABOVE.IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES Y AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE WORK AUi (ZED HEREBY WILL NOT EMPLOY ANY PERSON IN VIOLATION OF WORK CO OF iNE STATE OF CALIFORNIA IN RELATINGT ORKMEN5 COM_ i N :GECO. SIGNA EO ,'JTC sA FINAL BY PERMITTEE cc�i .�- �'l_/ DATE �� - ADDRE 00 8 e n Angeles, Ca TEL 263-5181 P_C. Fee$ Permit Fee !ls 00 CITY NO. y� / h Issuance Fee .��C✓ VALUATION$ �/[ O Tocol Fee it PL'AN;CRECK?VALIDATIUNIENS oR T ION�,CaSH-" Off PERMIT VALIDATION CK. M.O. CASH . ' 1 OffE'B 24 .1 A 1 7.0 d ,v5d ' 'OLICYgH0LDE{R.,:A? ✓/ ®� ;,®s Lail.l�l�lClJ IY1f�CITs,''q'4 7/- yS�O WORKERS' COMPENSATION DECLARATION hereby affirm that I have fimte of consent to self APPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.) _ . COUNTY OF t05 ANGELES BUILDING AND SAFETY - Policy No.1223829Compcny State Comp. Ins. ❑ Certified co is hereby furnished, ' Fund FOR APPLICANT TO FILL IN BUILDING PY Y ADDRESS ®- Certified copy is filed with f V county buildLcta X BUILDING tion department. ADDRESS F.- Hprmo ,Date.' 4/1/9 Applic t v CITY . San Gabriel ZIP 91775 LOCALITY CERTIFICATE OF EX P ION F WORKERS NO. OF BLDGS. - NEAREST COMPENSATION•I ANCE SIZE OELOT - ` NOW ON LOT CROSS ST. -"- ASSESSOR (This section need not be completed if the permit is for one TRACT qBLOCK LOT No. MAP BOOK PAGE PARCEL hundred dollars ($100) or less.) ^,-: TEL OWNER Charles- WesterholmNO. -286-6626 USE ZONE NO I certify that in the performance of the work for which this permit is issued, is hall not employ a person in any manner ADDRESS 8638 E� He mosa Avenue - ISPECIAL CONDITIONS a so as to become subject to the War ' Compen Law . O cITY San Gabriel ZIP 91775 Date `' Appica ARCHITECT OR TEL DISTRICT GROUP Oc TYPE FIRE PROCESSED BY NOTICE-TO APPLICANT: If, after maki is ertifi of ENGINEER NO. CONST. Z E Exemption, .you should become sub' t to the orkers' �q ,(� 2 'yr/, V Compensation provisions of the Labor Code, you-must forth- ADDRESS ✓ �r/ -J y L(�[�LGL a With comply with such provisions or this permit shall be - TEL STATISTICAL CLASSIFICATION APT. CONDO. Z deemed revoked. CONTRACTOR T,vt I e Rnof ina N079 —5 7 LICENSED CONTRACTORS,DECLARATION LIC. CLASS NO. '�" f DWELL. UNITS ADDRESS 2948 E. Walnut St. No.186303 I hereby ting that am licensed under provisions of Chapter 9 SEWER MAP - (commencing with Section 7000)of Division 3 of the Business LIG ' and Professions Code,and my license is in full force and effect. CITY Pasadena CLASS C3 9 BK VALIDATION License Number 186303 SO. FT NO. OF NO. OF CHECK Lic. Class C 39 SIZE 155 S STORIES ' Cl FAMILIES 1 ONE VALUATION Contractor Lytle ROOfinCj Date ' 3/31/93 DESCRIPTION OF WORK NEW ❑ $ 1 20000 ❑I am exempt under sec. - Reroof middle house and ADD - ❑ ► ) r a s ❑ 8.&P.C. for this reason ULR21ALTER - f�- ' - USE Fass REPAJ�F FR'F] $ i , Date' EXISTING BLDG. Residence Gara e DEMOL ❑ ) Signature APPLICANT TEL FINAL OWNER-BUILDER DECLARATION - (PRINT) p, 792-54 7 I hereby affirm that I am exempt from the Contractor's License ) DATE A //) r - Low,fon,the following reason (Section 7031.5, Business and ADDREss2948 E. Walnut St . Pasaden FINAL Professions Code): PRESENT ❑.. I,•tas owner of theproperty, or m employees with BUILDING 1 YtADDRESS ✓plf l �Gf/ the structure; ct their sole compensation,will for the work and L- the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code.) MOVING TEL. `x.11: ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. s+-r^!.i,-` ` • with licensed contractors to construct.the project (Sec- ADDRESS t F i -tion 7044, Business and Professions Code.) I?j rj_ REQUIRED TOTAL SETBACK FROM EXIST.. .CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH j:H[C;Ij hereby offirm that there is a construction lending agency for FRONT -'-' the performance of the work for which this permit is issued P.L.' - !�'1(il'1!.lE ,IiFj (Sec. 3097, Civ. C.). SIDE N 0 N E PL' Lender's Name. LDMA Ref. N P.C. Permit Fee $58 .88 Lender's Address I certify that I have read this application and state that the - Issuance Fee LDMA P/C N 8 above information is correct. I agree to comply with all County Investigation Fee - S83 .63 ordinances and State lows relating to 60 ding construction, Total FeeLDMA Perm. N and Rraby authorize totive this County to enter up above-m oned ` oper or inspection purposes. - 10/23X91 SEE REVERSE FOR EXPLANATORY LANGUAGE Sign re o pplicani or 69191, Date COUNTY OF LOS AMGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0006150098 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 3623 LT: 116 SQ. FT STORIES TYPE OCCUP GROUP 8638 HERMOSA DR E STRUCTURE: 0 1 VN R3 SGAB CA 917753007 ASSESSOR INFORMATION—NUMBER: GARAGE: NEAREST CROSS STREET: MUSCATEL 5387-006-028 OTHER: 144 1 THOMAS PAGE: 596 GRID: G3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 06/15/00 UT 12/12/00 OWNER: TEL. NO: SLOGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: HACCUS;9655 E.GLADYS J.LEMON AVE. (626) 447-2030- 2 3,600 t-x<ptR / ARCADIA, CA 91007 FEES PA D DESCRIPTION OFI WORK CONSTRUCT NEW WORKSHOP/W LAUNDRY FACILITIES ATTACHED TO FEE DESCRIPTION; QUANTITY: UOM: AMOUNT: APPLICANT: TEL.—NO- SAME O:SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 3600.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O-EN-HC^_ _ .3600.00 VAL 115.80 TOTAL"FEES 144.05 iaNG C�: CONTRACTOR: TEL. NO: i y ✓{'� �.♦ APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - , �,�; LIC. NO ^� �? LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. N0: �; - .� FOUNDATION/TRENCH FORMS LIC. NO i( L -, � SLAB/UNDER FLOOR f, l 1 1 - . ' j RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: dCMP; �' "��, ! „ .� ;. UNDERFLOOR INSULATION 3 i�01 . . . ST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/CONO: SIAT CLASS: -- - - - -- - NO ' i - y SCHOOL WITHIN HAZARDOUS 21ND LEVEL FLOOR SHEATH ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO a� ��/ FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL-SIDE PL- `� .�`E''VICO I� a- /' SHEAR PANELS �"'�---. -.- INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508