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Home My Public Portal About8763 HERMOSA DR_Building__ 1 i ,s....A.Es,o,lo.,a APPLICATION FOR BUILDING PERMIT 1 COUNTY OF LOS ANGELES BUILDING ADDRESS L DEPARTMENT OF COUNTY ENGINEER„ S BUILDING AND SAFETY DIVISIONLOCALITY JOHN A. LAMME, COUNTY ENGINEER NEAREST - CASSATT D. GRIFFIN. SUPT of BUILDING CROSS ST. DISTRICT NO. GROU TYPE PROCESSED BY FOR APPLICANT TO-FILL IN �— I CONST. BUILDING c STATISTICALCLAIFICATION I SEWER[ A 1 ADDRESS ;I�' 3 c. N /(f'jos9 DR BK PG ry CLASS.NO. DWELL.UNITS LOT NO. / BLOCK NUMBER OO HMAP WYE YES TRACT 9 //U$.$JE ZONE SPECIAL NO.OF.BLD GS /CJ� CONDITIONS SIZE OF LOT NOW ON LOT ti mo B USE OF EXISTING BLDG, L I YI Nc/ BUILDING YARD HWY STREET NAME EXIST. _ SETBACK WIDTH OWNER /1R 4 Aft � Da tlE/�/ FRONT L MAIL tr n ADDRESS �3"f=� L' MOSH SIDE ' TEL. CITY 9.4A' < RI EL NN 74' INSPECTION RECORD ARCHITECT OR TEL. ENGINEER NO. _ ADDRESS TELCONTRACTOR E� -ETzi - NO.N y/2C ADDRESS J73/F. IC I-h C S I DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SO.FT. g L,�v L r NO.OF NO.OF SIZE !` STORIES FAMILIES USE OF STRUCTURE C w 34)R SIGNATURE OF APPLICANT APPROVALS DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION:LOCATION may, _ FORMS,MATERIALS / —!. 91/ �.yJ VALUATION$ 210D FRAME:FIRE STOPS, PC. PMT. _ V FURNACE:LOCATION. FEE S FEE $ 0` GAS VENT,DUCTS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH.INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING BU IL p ING CONSTRUCTION. LATH,EXT. ' SIGNATURE OF , HOUSE NUMBERCOR- PERMITTE RECT AND POSTED /y� ADDRESS r FINAL Z 'R J(.CO //. I. CLYDE N. DIRLAM, PRINCIPAL ST RAL ENGINEER - PLAN CHECK VALIDATION CK. M.O. CASH PERM VALIDATION V M.O. CASH l08483 -Ln Jf.0 LF 1 A 3 .00 ^® /.f9rv1��'n APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES A BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS BUILDING ADDRESS hereby affirm that I have a certificate of consent to self insure, 8763 EAST HERMOSA DRIVE or a certificate of Workers' Compensation Insurance,or a certified copy thereofJ�$�c 3a O,Lab.C.) GTEMPLE CITY "91780 LOCAUTv Policy No.W910Company CAL SIZE OF LOT NO.OF BLDGS.NOW ON LOT � G ❑ Certified copy is hereby furnished. NEAREST CROSS ST. Certified Copy is filed with the county building inspection TRACT BLOCK LOT NO. deartmenL USE ZONE MAP NO. Date /01/94 Applicant �SS�' �l �'r UC- ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO COMPENSATION INSURANCE BILL/HELEN RICE 18/285 5041 WITHIN 1000 FT OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDRESS dollars ($100)or less.) 8763 E. HERMOSA DR. DISTRICT GROUP TYPE CONST. FIRE ZONE PROLE SED BY certify that in the performance of the work for which this permit CIT CITY, CA Z191780 rJ ,0'6R'3 3 i5 issued. Shall not employ any person in any manner BO a5 t0 ARCHITECT OR ENGINEER TEL IN become subject to the Workers Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO q Date Applicant ADDRESS CLASS NO. =1_ DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith MASSIE ROOFING CO. , INC. 818/796 3928 PROM comply with such provisions or this permit shall be deemed revoked, ADDRESS LIC,NO. P L LICENSED CONTRACTORS DECLARATION 2548 E. WALNUT ST 501048 SIDECITY UC.CLASS P L I hereby affirm that I am licensed underprovisions of Chapter 9 PASADENA, CA 91107 C-39 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and 5�1.FL�ZE N j OF�ORIES NO,OF FAMILIES Professions Code,awigly iipense is in full force CnQgffectL �V NEW X BK PG , } 7UllYdtS .3`� a License Number Lic.Class DESCRIPTION OF NARK App ❑ VALUATION O ContractorM�SIE F!'CIIS' OJ Date ll/�/94 HOMTEAR OFF ALL ROOFING, ALTER ❑ $ 3,910.00 U cc ❑ am exempt under Sec. NSTALL S= UND132IAYME:QT, 112IP EPAIR ❑ $ O B.BP.C. for this reason C[ SS "A" EI"DIN= DEMOL O LDMA P/C x W Date: USE OF EXISTING BLDG. URM ❑ CL Signature APPLICANT(PRINT) TEL NO. LDMA Perm x ' Z ❑ I, as owner of the property, or my employees with wages as Z their sole compensation, will do the work and the structure is ADDRESS F lit.l,f .a Trot intended or offered for sale (Section 7044, Business and FINAL DATE Professions Code. ? 1] Code.) WILL THE APPLICANT OR FUTURE BUILDING COCUPANT HANDLE A HAZARDOUS MATERIAL El „as Owner of the property, am a%OUSIVEy contracting Wlth OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE 7 AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDED FINAL BY I ITEM'_ licensed contractors to construct the protect (Section 7044, YES El NO El and Professions Cade.) _tTHL e c WALL THE INTENDED USE OF THE BWCUNG BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR OONSITUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT Is0AOMm SEE PERMITTING CHECKLIST FOR CHE.'K 1',.CC GUIDELINES CHANGE I hereby affirm that there is a construction lending agency for YES 11 NO El (_i�ANGE AI] the performance of the work for which this permit is issued(Sec. 1 pr I HAVE READ THE HAZARCOUSMATERIALS INFORMATIONGUIDE AND THE SCAQMO PERMITTING 3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, TITLE 2.CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS __ Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. II_I�I�I��II_h(� ?/ 7_/9. o Lender's Address w+NEn ADEM M o I i Am :37' o I certify that I have read this application and state under penalty 4 of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE N with all county ordinances and State laws relating to building 1• ZJ� m nstruction, and hereby authorize representatives of this County ISSUANCE FEE �,� w o nte;upon the b ve-IRentiened roperty or inspection purposes. a , J �/�^ «7 �1 ,� „^// / INVESTIGATION FEE TOTAL FEE ^ � SEE REVERSE FOR EXPLANATORY LANGUAGE - r WORKERS' COMPENSATION DECLARATION suresey affirm that have a certificate of consent to self APPLICATION FOR. BUILDING PERMIT , . L insure `or a certificate of Workers' Compensation Insurance, Polior-o certified copy thereof (Sec. 3800, Lab. C.) - - COUNTY OF LOS ANGELES BUILDING AND SAFETY ' Policy No. Company n Certified co is hereby furnished. BUILDING l I /l F ❑ _ copy y -' FOR APPLICANT TO FILL IN ADDRESS ;J r/ J C:. VJ.C/ Certified cbpy'is filed' vith the county building inspec- BUILDING tion department. ADDRESS 3 l ' Date ^{ Applicant a�K.- CITZIP K LOCALITY CERTIFICATE OF EXEMPTI N ROM W KERS' - NO.OF BLDGS. NEAREST i COMPENSATION INSURANCE SIZE OF LOT V NOW ON LOT CROSS ST. .u� '✓ t (This section need not be completed if the permit is for one - ._ ASSESSOR '- hundred dollars ($100)or less.) _ TRACT BLOCK LOT NO. MAP BOOK - PAGE PARCEL TEL. U��S55B Z NE MAP //./f I certify_that in the performance of the work for which this OWNER- NO. NO U /Q�/ Y permit is issued, I shall not employ any person in any manner ADDRESS - �'0� CONDITIONS Q SPECIAL 0- so as to become subject to the Workers'Compensalion Laws. V Date Applicant ' CITY. - _ ZIP NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE. PROCESSED By Exemption; you should become subject to the Workers' ENGINEER NO, CONST. ZONE Compensation provisions of the Labor Code, (- I/ W p p you must forth- ADDRESS . ��0 y d with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO. N deemed revoked.,, CONTRACTOR lea NO. )) Z LICENSED CONTRACTORS DECLARATION - • LIC CLASS NO. Zl DWELL, UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADD Q-ram NO. (commencing with Section 7000)of Division 3 of the Business andA r^ SEWER MAP Professions Code, and my license is in full force and effect. CIT r lle „ CLAIJ01 C BK, �. VALIDATION S '1°7/ s �`e-e-�9 13 �.E FT. STORIIEES FAMILLIIES CHECK License Nu ber. .J/ bb Lic Class ' VALUATION � �- i/��,� DES IPTION Of WORK - NEW ❑ Contractor .f �1Opte--y ADD ❑ $ ❑ I am exempt under Sec. � � C• ALTER ' B.BP.C, for this reason t�'tLSt.�� / �� REPAIR '$ ..-Dale: City-USE OF 7L 7lfT.LL� ;21 4 7.4 A EXISTING BLDG. DEMOL ❑ Signature "" APPLICANT TEL FINAL # e e e e e 1 OWNER-BUILDER DECLARATION (PRINT) NO. DATE . --hereby affirm that I amexemptfrom the Contractor's License I; Law for the following reason (Section 7031.5, Business and ADDRESS FINAL Professions Code): - " ' PRESENT BY ❑ BUILDING +Te. ,) e e49,88 I. as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and - - -- - the structure is not intended or offered for sale(Section LOCALITY ✓ �� - e. e e e 9 8 8 v - 7044, Business and Professions Code). - _ -MOVING TEL. 4- /`' . 4 q 8 5 ❑ CO. Q I, as owner of the property, am exclusively contracting!' CONTRACTOR N �!�/ with licensed contractors to constructthe proje<I (Sec- ADDRESS tion 7044, Business and Professionsstars Code). , CONSTRUCTION LENDING AGENCY REQUIRED YARD HWV TOTAL PROP.ETBACK FROM WIDTH hereby affirm that there is a construction lending agency for FRONT -the performance of the work for-which this permit is issued P.L. - --- - (Sec. 3097, Civ. C.). SIDE _ P.L. Lender's Name L LDMA Ref. If -Lender's AddresP.C. Fee$ - Permit fee J - s , > ,,11 I certify that I have.rea his application and state that the Issuance Fee ` U.SV LDMA P/C N Poo above information car ct. I agree to comply with all County investigation Fee G S ordinances and _ s relating to building construction, - -. Total Fee - �-, 0 -DMA Perm. A a hereby out or presentatives of this County to enter - up v - nY ed to sent for inspection �[po es. " 7 f�� SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent - - - Date - - - - - - - - - COUNTY OF LOS ANGELES TEMPLE CITY R 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 HL 0508 1406110049 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST ITR: 5903 LT: 79 ON: .002 SQ. FT STORIES TYPE BUILDING ADDRESS: 8763 A DR E CA 917 I 15TRUCTURE: V-B SCAR CA 917753008 I (ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 15386-012-059 THOMAS PAGE: 596 GRID: G3 LOCALITY: TEMPLE CITY CA 1 ITENANT: (EXIST BLDG USE: RESID .USE ZONE: R-1 (ISSUED ON: PROCESSED BY: IEXIST OCC GRP: 106/11/14 SR IMAM, TEL. NO: iHLDGS. NOW ON LOT: VALUATION: *NATE' FID A] L BY: CODE1MAN, WILLIAM (626) 456-4150- 24,0001 8763 HERMOSA DRSCAB 917753006 FEES PAID TIOP WORK (REMODEL EXISTING KITCHEN, MASTEN BATH I BATHROOM. CHANGE OUTI (FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IEXISTING FIXTURES & CABINETS (NO CHANGE OF LOCATION) (APPLICANT: TEL. NO: ICHENG, JASON (714) 757-5999- IAA BLDG PERMIT ISSUANCE 27.80 I 15161 DOVER DRIVE IAB STATE GREEN BLDG FEE 24000.00 VAL 1.00 ISPECIAL CONDITIONS: 1 LA PALMA CA 90623 IAC STRONG MOTION RESID 24000.00 VAL 2.40 IBI PLANCHECK W/ENERGY 24000.00 VAL 422.40 192 PERMIT W/ENERGY 24000.00 VA , 497.00 (CONTRACTOR: TEL. NO: IFR INV WORK W/O PERMIT 344.00 DOL 344.00 (APPROVALS DATE INSPECTOR SIGNATURE ITS PRECISION CORP (714) 757-5999- I TOTAL FEES 1,294.60 I 15161 DOVER DRIVE LIC. NO I (LOCATION AND SETBACKS 1LA PALMA CA 90623 930282 ISOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER: - TEL. NO: IFOUNDATION/TRENCH FORMS I LIC. NO: ISLAB/UNDER FLOOR I I I 1 RAIS3D FLOOR FRAMING MAP NO: SEWER MPR BOOK: PAGE FIRE ZONE: CMP:' IUNDERF'LOOR INSULATION 3 Oi: IFLOOR SHEATHING IND. OF FAMILIES: DWELLING UNITS: APT/CONDI STAT CLASS: I NO 21 IROOF SHEATHING SCHOOL WITHIN HAZARDOUS (SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS _ NO NO NO FRAME INSPECTION (FIRE SPRINKLER HANGERS (INSULATION/WEATHER STRIPI I (INTERIOR LATH/DRYWALL IEXTERIOR LATH RATED FLOOR/CEIL ASSEM. (RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BPR CEILINGS 1 I I (LOT DRAINAGE I I I IRE PORT ID: pPA261 ROUTE T0: 850508 COUNTY OF LOS ANGELES TEMPLE CITY 4 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9806100080 I PHONE: (818) 285-0488 XT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 5903 LT: 79 UN: .002 SQ. FT STORIES TYPE 8763 HERMOSA DR E STRUCTURE: 0 VN SGAB CA 917753008 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: MUSCATEL 5386-012-059 THOMAS PAGE: 596 GRID: G3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 06/10/98 UT 06/10/99 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY CODE: RICE HELEN B TRUSTEE (626) 285-5041- 1 900 /_� 8763 HERMOSA DR `Q SGAB 917753008 FEES PAID DESCRIPTION OF WORK FEE DESCRIPTION: QUANTITY: UDM: AMOUNT: REPAIR EXISTING FREE STANDING C PORT - ROOF AND ROTTEN WOOD APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION REBID 900.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC 900.00 VAL 65.25 _- _TOTAL.FEES 93.50 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO •�� = LOCATION AND SETBACKS ARCHITECT OR ENGINEER: TEL. N0: SOILS ENGINEER APPROVAL I\ - FOUNDATION/TRENCH FORMS 1 1L 1 _ SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:. - UNDERFLOOR INSULATION 150H261 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: SAT CLASS: NO 21 �\ - ROOF SHEATHING SCHOOL WITHIN HAZARDOUS - j SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO _ � FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXISTFIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- " 3 INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 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 0701180022 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: , TR: 5903 LT; 79 UN: .002 SQ. FT STORIES TYPE 8763 HERMOSA DR E I - STRUCTURE: 2600 VN SCAB CA 917753008 IASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: MUSCATEL 15386-012-059 THOMAS PAGE: 596 GRID: G3 LOCALITY: TEMPLE CITY, Cl TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 JISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 01/18/07 SK 01/13/08 IOWNER: TEL. N0: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE: IRICE HELEN B TRUSTEE (626) 285-5041- 5,260 �J/ /• 18763 HERMOSA DR I /�'•O-� SGAS 917753008 1 FEES PAID IDESCRIPTION OF WORK (TEAR OFF 1 LAYER OF ROOFING TO WOOD DECK. INSTALL 4 PLY CAP I FEE DESCRIPTION: QUANTITY: COM: AMOUNT: ISHEET & TIMBERLINE 30 YR SHINGLES I APPLICANT: TFL--50 ISAMES LACKEY (323) 223-4081- IAA BLDG PERMIT ISSUANCE 27.75 I 1 11821 DALY ST. IAC STRONG MOTION RESID 5260.00 VAL 0.53 SPECIAL CONDITIONS: _ LOS ANGELES CA 90031 ID2 PERMIT W/O EN-HC 5260.00 VAL 149.40 TOTAL FEES 177.68 - (CONTRACTOR: TEL. N0: _ APPROVALS DATE INSPECTOR SIGNATURE UNITED ROOFING COMPANY, INC. (323) 223-4081- 11821 'DALY ST LIC. NO ILOCATION AND SETBACKS ILOS ANGELES CA 90031 1376SOC39 I (SOILS ENGINEER APPROVAL IARCHITECT OR ENGINEER: TEL. NO: (FOUNDATION/TRENCH FORMS I I LIC, NO: SLAB/UNDER FLOOR �- I RAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: I UNDERFLOOR INSULATION 150H261 3 Oil I I IFLOOR SHEATHING INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I NO 21 ROOF SHEATHING V-2 1 I SCHOOL WITHIN HAZARDOUS I SHEAR PANELS (AIR QUALITY: 1000 FEET MATERIALS NO NO NO iFRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST / (FIRE SPRINKLER HANGERS I SET BACK YARD: HWY: PROP LINE: WIDTH: (FRONT PL- (INSULATION/WEATHER STRIP( I I I SIDE PL- 11 1 i (INTERIOR LATH/DRYWALL I I I (EXTERIOR LATH I I I (RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES (RATED SHAFTS/OPENINGS T-BAR CEILINGS ILOT DRAINAGE 1 11 IREPORT ID: DPR261 ROUTE TO: BS0508 I