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Home My Public Portal About8714 HERMOSA DR_Building__ 70538.'CE#803.8-64 APPLICATION FOR BUILD�'I�NG�� PERMIT �J COUNTY OF LOS ANGELES pDDR EING SS " F {^�N y DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY ] ac- JOHN A. LAMSIE COUNTY ENGINEER NEAREST p COLEMAN W. JENKINS,SUP-T.OF BUILDING CROSS ST. L�V rir. O F•-� DISTRICT NO. GROUP TYPE PROCESSED BY FOR APPLICANT TO FILL IN CONST. BUILDING - STATISTICAL CLASSIFICATION SEWER MAP _ g �j. ' BK ADDRESS P CLASS NO. DWELL UNITS LOT NO. BLOCK USE ZONE MAP Zoo TRACT NO. Z "' 1 CONDI L p I .y3�y N0. OF BLDGS. CONDITIONS r G. SIZE OF LOT NOW ON LOT USE OF Ne BLDG. SETBACK FROM EL. ��Mn,^i b. FRONT PROP. LINE OF (STREET) OWNER ``% _ S 0. U� TYPE 0! E%19T1 N0 SETSACN NI OOZY } YARD - TOTAL ADDRESS '"` XIGXW Al W 'I M 0.L. CITY �.ti . Lac. L..COC� 30 } BLDG. SETBACK FROM ARCHITECT OR TEL ENGINEER NO. SIDE PROP. LINE OF (STREET) TYPE 0! I WIDTH JSETaFROM CK HIGHWAY } YARD = TOTAL } ADDRESS HIGXW AY WIOTX FROM C.L. y TEL. } = 0 CONTRACTOR - �% JG, NO LIC ADDRESS CORNER CUTOFF YES E] NO ❑ Q V cl r LIE 'SEE REVERSE SIDE FOR SPECIAL APPROVALS w DESCRIPTION OF WORK NEW App ALTER REPAIR DEMOLISH SOFT. _ NO. OF NO. OF / SIZE r STORIES a- FAMILIES USE OF �' ✓ '�'�� STRUCTURE SIGNATURE OF APPLICANT •/ t VALUATION O4 �1 PMT. w APPROVALS DATE � INSP EC TOR'991GNATtURf PC.FEE$ �/a`U -�rQ FOUNDATION, MATERCA LSON /�`,;I)_/ ej'° 8/ FEES FRAME, FIRE STOPS, I HE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS ,�J / / A•• AI. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE! LOCATION /�/�(/J/ ✓G�{'C'A'1 7 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS {{ 9UILDING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK - AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. � '(� ) TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. ING TO WORKMEN'S COMPENSATION INSURANCE. LATH. £%T. `- SIGNATURE OF HOUSE NUMBER COR-- / PERMITTEEq � RECT AND POSTED ADDRESS 7%e / FINAL JOHN F. LEWIS. PRINCIPAL SV4WCTURAL ENGINEER PLAN CHECK VALIDATIONCK. M.D. DASH PERMIT VALIDATIO cK. M.D. CASH Ln5 3 : 6 t� SEP 8 2 3 A J 2.0 O A LYLo `9, 41; SEP 27 1 A 64.00 ' /�YY1"S/�/Y.✓� WORKERS' COMPENSATION DECLARATION hereby affirm that I have certificate 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 LOS ANGELES ` BUILDING AND SAFETY Policy No.fAfq.7,Sqq Company eQA, "127 T.cCS: Certified copy is hereby furnished. FOR APPLICANT TO FILL IN r ADDRESS Lk -' B J ❑ Certified copy is filed with the county building inspec- BUILDING py N O S / tion department. ADDRESS 4 7 !;;A r6 7 d CITY L L ZIP / LOCALITY Date.O--�L Appica ni NO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT / CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO, MAP BOOK PAGE PARCEL hundred dollars ($100) or less.) / TEL' I� USE ZONE MAP OWNER [. O/ No.�O�-.2/773 ZO NO. Z I certify that in the performance of the work for which this / SPECIAL } permit is issued, I shall not employ any person in any manner ADDRESS S CONDITIONS d so as to become subject to the Workers' Compensation Laws. O CITY ZIP U Date Applicant ARCHITECT OR TEL DISTRICT GROUPTYPE FIRE PROCESSED BY 0 NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CONST. ZONE Exemption, you should become subject to the Workers' �j /J U Compensation provisions of the Labor Code, you must forth- ADDRESS ��0 r� _5 �/ _ with comply with such provisions or this permit shall be //�� TEL. STATISTICAL CLASSIFICATION APT. CONDO. N deemed revoked. CONTRACTOR , (Y/ NO .3S 7H z LICENSED CONTRACTORS DECLARATION p /p/ LIC CLASS NO. DWELL UNIT$_ I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS p AW• GN,z dA/A /V(/(, NO. va 99 ,$� (commencing with Section 7000)of Division 3 of the Business LIC. SEWER MAP and Professions Code,and my license is in full force and effect. CITY pn/ cf(//JC CLAS$ BK. PG. Z� VALIDATION Z� Q a--� 50. FT. NO. OF NO. OF CHECK License Number_7 6 i 9 7z� Lic. Class SIZE STORIES FAMILIES ONE //l/ yy p / n VALUATION Contractor�VVRL6 fT Date A' O�/ DESCRIPTION OF WORK 16,010 6 LS mey, � NEW ❑ /pJ ADD ElC� ❑ S c�Q Q4Cn. OO , I am exempt under Sec. /`z2! L6 M- 6T .pp❑I B.BP.C. for this reason KG A/ r ,ALTER REPAIR.Lf $ Date: SE OF - EXISTING BLDG. 6 DEMOL ❑ Signature APPLICANT - TEL. FINAL OWNER-BUILDER DECLARATION (PRINT) NO. DATE - hereby affirm that I exempt from the Contractor's License Law for the followingg r reason (Section 7031.5, Business and ADDRESS FINALt FJTf�y�.� Professions Code): PRESENT _ BY ! _ ❑ I, as owner of theproperty, or m em Io employees with BUILDING y» . Y P Y ADDRESS wa es as their sole compensation,will clothe work and the structure is not intended or offered for sale(Section LOCALITY , 1E -"ivf T • __ 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 tiENf_ tion 7044, Business and Professions Code.) -(jly� Jv5 m �0 REQUIRED TOTAL SETBACK FROM EXIST. _ CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH -- - I hereby affirm that there is a construction lending agency for FRONT CHJ tC.K the performance of the work for which this permit is issued P.I. t flF __ (Sec. 3097, Civ. C.). SDE .I=1_ P.I. Lender's Name LDMA Ref. # ; Lender's Address P.C. Fee S Permit Fee '�U B D i-Cj 1,111 I certify that I have read this application and state that the ksuance Fee LDMA P/C# , I. •�l above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee L7) LDMA Perm. # a and hereby authorize representatives of this County to enter upo he above-me 'oned property for inspection purposes. off �-9l SEE REVERSE FOR EXPLANATORY LANGUAGE Signa r of Applicant or Agent Dote COUNTY OF LOS ANGELES TEMPLE CITY $ 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9901 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91980 BE 0508 1311210090 PHONE: (626) 285-0488 EXT: (LEGAL ID: N0. OF CONST BUILDING ADDRESS: ITS: 3623 LT: 115 SQ. FT STORIES TYPE 8914 HERMOSA DR E I {STRUCTURE: V-B SCAB CA 919953009 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5387-006-035 THOMAS PAGE: 596 GRID: G3 LOCALITY: TEMPLE CITY CAI I (TENANT: IEXIST BLDG USE: REBID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: IEXIST OCC GRP: 111/21/13 SR OWNER: TEL. N0: IBLDGS, NOW ON LOT: VALUATION: iE91P)'+L Dp FINAL gY: CODE: {WONG, WAI MING (626) 696-7308- I 28,000 I 2/11\ .--y,A�V, 18714 HERMOSA DR SCAB 917753009 FEES PAID I EII PTION OF WORK IKITCHEN, 2 BATHROOMS REMODEL, REPLACE 6 WINDOWS, HACK DOOR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ENTITY AND PATIO SLIDING DOOR APPLICANT: TEL. NO: ISAME AS OWNER - IPA BLDG PERMIT ISSUANCE 21.60 { { {AB STATE GREEN BLDG FEE 28000.00 VAL 2.00 ISPECIAL CONDITIONS: I AC STRONG MOTION REBID 28000.00 VAL 2.80 H2 PERMIT W/ENERGY 28000.00 VAL 561.90 FR INV WORK W/O PERMIT 344.00 DOL 344.00 _ CONTRACTOR: TEL. NO: TOTAL FEES 938.50 APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: i iFOUtiDAT10N/TRENCH FORMS LIC. NO: 1SLAB/UNDER FLOOR I I RAISED FLOOR FRAMING (MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( UNDERFLOOR INSULATION 3 001 I IFLOGR SHEATHING INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I NO 21 1 1ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS 1AIR QUALITY: 1000 FEET MATERIALS NO NO NO (FRAME INSPECTION IFIRE SPRINKLER HANGERS INSULATION/WEATHER STRIPI I { IINTERIOR LATH/DRYWALL { { { I I I IEXTERIOR LATH I I iRATED FLOOR/CEIL ABBEM. I I I { {RATED WALL ASSEMBLIES (RATED SHAFTS/OPENINGS I I I IT-BAR CEILINGS LOT DRAINAGE IREPORT ID: DPR261 ROUTE TO: ES0508 ' I I