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Home My Public Portal About8731 HERMOSA DR_Building__ 76AS JB A CE 778052-. APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES AoILD NO E10 i, DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY .. JOHN A. LAMBIE, COUNTY ENGINEER NEAREST t /I WILLIAM A. JENSEN, SUPT OF BUILDING GROSS ST. G,Y( (F Q�f/� f �' (/f DISTRICT NO. I GRO P TYPE PROCE BY FOR APPLICANT TO FILL IN corvs . ADOREIN � F Er C r /r/ STATISTICAL ASSIRCATION SEWE AP J (7 O �X W CLASS. NO. DWELL. UNIIT�S I LOT NO Cly WATER NOT REQUIRED I ✓1� RECEIVED lil CERTIFICATE: TRACT :Te7c,3 1 S MAP(. AP HIGHwnv 6 NO. O BLDGS, NO. Ia RCLEI STATE MAJOR SECOND. OCA SIZE OF LOT �2 NOW ON LOT US ZONE SPECIAL USE OF // CONDITIONS EXISTING BLDG. � USF OQYG/ F- OWNER IJ)Ta wt� TELSE NO�} BUILDING EXIST � / SETBACK YARD HWY STREET NAME WIDTH ADDRESSQ 7OU W �tiI FRONT < , ARCHITECT OR TEL. P. L. ENGINEER NO. SIDE P L ADDRESS O. TI 0 CONTRACTOR ej- NOL f(T .J 1,S ADDRESS q 70O 4�F44S ` - ZA G 6 j O DESCRIPTION OF WORK W a yr EW ADD ALTER REPAIR DEMOLISH Z SO. FT. • NO. OF NO. OF _ SIZE e, h STORIES FA ILIES USE OF 74t Slab _ STRUCTURE _� SIGNATURE OF APPLICANT VALUATION S ✓�Q-O "'� APPROVALS DATE INSPCT 'S SIGNATURE P.C. PMT. 6 FOUNDATION: LOCATION FEE S FEE S FORMS. MATERIALS (i FRAME: FIRE STOPS. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. / WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS BUILDING 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 WORKMENS�CCOMM�PENSATION INSURANCE, LATH, EXT. SIGNATURE OFA /1_' HOUSE NUMBER COR- PERMITTEE !!�� ,r i RECT AND POSTED ADDRESS FINAL �/ >✓ � ' jAk JOHN F. LEWIS. PRINCIPAL STRUCTURAL EN R PLAN CHECK VALIDATION CN. M.G. DASH _ PERMIT VALIDATION K. M. DASH L,I, o4073�— JAF1 3 1 A 4.00— v WORKERS' COMPENSATION DECLARATION - herepy affirm that l have a certificate of consent to self APPLICATION FOR . BUILDING PERMIT insure, or o.certifT:ate of Workers' Compensation Insurance, or a certified copy thereofZ6ec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING❑ IfJ�Certified copy is hereby furnished. FOR PLIC P NT TO FILL IN ADDRESS �� ❑ Certified copy is filed with the county building inspec- BUILDING' D� tion department. ADDRESS Date Applicant CITY / / ZIP / LOCALITY - CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF NEAREST - 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.) Q �T T OWNER i II ) 4 )e2 USE ZONE MAP certify that in the performance of the work for which this NO.r SPECIAL >_ permit is issued, I shall not employ any person in any manner ADDRESS III CONDITIONS d ,so as to become subject to the Workers' Compensation LOWS. /� cl I O CITY ZIP Date Applicant ARCHITECT OR TEL. -NOTICE TO APPLICANT: If, after makingthis.Certificate of ENGINEER NO. DISTRICT -GROUP TYPE FIRE PROCESSED BY CONST. ZONE 0 Exemption, yoshould become subject to the Workers' n O _ �j 1 Compensation provisions of the Labor Code, you must forth- ADDRESS /7. JI . N APT. CONDO with comply with such provisions or-this permit shall be TEL. STATISTICAL CLASSIFICATION Z deemed revoked CONTRACTOR NO. - LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. Q.;_V DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP (commencing with Section 7000)of Division 3 of the Business LIC. .and Professions Code„and my license is in full force and effect. CITY CLASS BK VALIDATION SO. FT. SIT OF NO. OF CHECK - License Number Lic. Class SIZE STORIES FAMILIES ONE VAL 7ATIONJ' Contractor Date DEBCRIPTION•OF WORK NEW ❑ ❑ $ D , Elam exempt under Sec. ADD ALTER ❑ . B.BP.C. for this reason REPAIR $ Dote: USE OF - EXISTING BLDG. DEMOL ❑ Signature APPLICANT TEL FINAL OWNER-BUILDER DECLARATION (PRINT) NO . I hereby affirm that I am exempt from the Contractor's License DATE Law for the following reason (Section 7031.5, Business and ADDRESS FINAL 4 _ Prpfessions Code): PRESENT - .. - - ' By i LpJ`I as owner of the property, or my employees with ) BUILDING f .t I, ADDRESS °a wages as their sale compensation,will Bothe work and the structure is riot intended or offered for sale(Section LOCALITY - , ` �� L+ .1_+1r _ -c 7044, Business and Professions Code.) MOVING TEL. ._ - i ❑ F 1, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- tion Seotion 7044, Business and Professions Code.) ADDRESS 'zA- _ I 75 CONSTRUCTION LENDING AGENCY REQUIRED=HWV TOTALSETBACK FROM EXIST. CH'-,H C_D SETBACK PROP. LINE WIDTH +. _^ •-.+ hereby affirm that there is a construction lending agency for FRONT CHANGE ,+tl the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.I. Lender's Namef;” ,.< `%.F P.C. Fee $ Permit Fee LDMA Ref. F d a Lender's Address =C+S Vii') `;;2,_, I certify that I have read this application and state that the Issuance Fee PV LDMA P/C 8 Sabo a information is correct. I agree to comply with all County Investigation Fee ,./o ord ances and State laws relating to building construction,' - Total Fee LDMA Perm. N man hereby authorize repr entalives of this County to enter up n the above-rweMion roperty for inspection ' a Milli SEE REVERSE FOR E%PLANATORY LANGUAGE . Sig Lure of Applicant or Agent Dale 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 0503240039 PHONE: (626) 285-0488 EXT: LEGAL ID: WO. OF CONST BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE 8731 HERMOSA DR E STRUCTURE: 2600 VN SGAB CA 917753008 ASSESSOR INFORMATION NUM NEAREST CROSS STREET: MUSCATEL 5386-013-038 THOMAS PAGE: 596 GRID: G3 LOCALITY: TEMPLE CITY, C EXIST BLDG USE: R SI US E: R-1 ISSUED N: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 03/24/05 JK 03/19/06 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: TORRES VIRGINIA (626) 287-5102- 6,000 8731 HERMOSA DR 7 SGAB 917753008 FEES PAID DESCRIPTION OF WORK REMOVE OLD ROOF WOOD SHINGLES & INSTALL OSB PLYWOOD 1/2 INCH FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 915 FELT DIMENSIONAL SHINGLES 30 YEARS HOUSE & GARAGE APPLICANT: TEL. NOt SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 6000.00 VAL 0.60 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC 6000.00 VAL 149.40 TOTAL FEES 177.75 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT M ENGINEER: 0: FOWDA- E C LIC. NO: SLAB/UNDER FLOOR R MAP NO: SEWER MAP 800K: AGE: FIRE ZONE: CMP: UNDERFLOOR NSULATION 151H261 3 01 FLOOR SHEATHING N0. OF FAMILIES: DWELLING S: APT/C : SIAT CLASS: NO 21 ROOF SHEATHING is SCHOOL N HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPEINSPE TION REQUIRED AL SE C FROM EXIST FIRE SPRINKLER HANGER- SET G RSSET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- TRTTRTOR LAT /DSL EXTERIOR LA-9H- W R/-FCL A 5W1- RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508