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Home My Public Portal About9966 HOWLAND DR_Building__ 76A636A CE N803 /" APPLICATION FOR �UI.:L®I'NG, PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS -BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COU NTY•ENGINEER _ NEAREST WILLIAM A. JENSEN, SUP•.T OF BUILDING - 'CROSS ST. _ DISTRICT NO GRO TYPE PRO 9E- BY FOR APPLICANT TO FILL IN ONST. BUILDING / STATISTICAL CLAS FICAT.ION SEWER MAP ADDRESS jj (�.�' �� •E-BK PG LOT NO. . 5Q �O' � � " CLASS: NO. DWELL. UNITS '� LOCK, WATER NOT REQUIRED RECEIVE DD CERTIFICATE: � _ . . TRACT J J . MAP QHIGHWAY STATE MAJOR ECOND, LOCAL NO. OF BLDGS. NO. (CIRCLE) SIZE OF LOT Ov NOW ON LOT G' USE ZON SPECIAL V-7 - - USE OF _ - �. CONDITIONS (/_ / • EXISTING BLDG. - - TEL. /7 s 0 . ' OWNER Cbej� . er// NO Lgr e }- / I BUILDING. YARD HWY < STREET NAME EXIST. ADDRESS• 6- evn e a (glr/�J• SETBACK) , WIDTH ARCHITECT O _ T _ - P. L. ENGINEER 'SIpE � AAALLLyam,.,,� , "• `�' d ADDRESS TEL. ��P iJO CONTRACTOR �e✓No. Zz8 te - O ADDRESS - - DESCRIPTIO OF WO K Z-A?l W 'NEW ✓ AD/D'' ALTER .REPAIR DEMOLISH �!� -SQ. FL ,Z SIZE T (% TORIES Z FAM NO. OF NO- OF ES / 11S -C..O : .f 61 .� USE OF Ap , ,;STRUCTURE zqlt �� a`ta SIGNATURE O F , .APPLICANT VALUATION' �- • °, ' . - APPROVALS -.DAT@ INSPEC�TO�RIjSS�IyG�NAyTU RE P.C. PMT. �7 t,3.�J FOUNDATION: LOCATIONL',f FEE'$ �� FEE $ /, � `"�� FORMS, MATE RIALS j/ " FRAME: FIRE STOPS. !.'� 1 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. 1 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 C LIF NIA RELAT- _ ING.TO.WORKMEN'S COMP ATI INSUR C LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE I RECT AND POSTED ADDRESS G �� • ` FINAL r ' 6 - JOHN F, LEWIS.•PRI NCIPAL.ST RAL ENGINEER- PLAN CHECK VALIDATION ( FK. /M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH' Lrl; 5 2 2 2�n OCT 2 3 1 78.00 . y APPUCAMON FOR BULMNG PER T. COUNTY OF LOS ANGELES :,` BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN r, BUILDING.. S /' I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS - r � W or a*certificate of Workers' Compensation Insurance,or a certified _ ca*io bt2` copy thereof(Sec.3800,Lab.C.) S+lu�� /1 ZIP � LOCALITY Policy No. Company SIZ OF' T NO.OF'BLDGS.NOW ON LOT El Certified copy is hereby furnished. NEAREST CROSS ST. I� BLOCK LOT NO. 04 El copy is filed with the county building inspection TRACT _t, department. USE ZONE MAP NO. Date Applicant - ASSESSOR MAP BOOK - PAGE• PARCEL -- - .. •SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' ow R TEL No. COMPENSATION INSURANCE Z- WITHIN 1000 FT.OF SCHOOL? VES No (This section need not be completed if the permit is for one hundred ADORES DISTRICT GROUP Z CONST. FIRE ZONE PROCE dollars ($100)or less.) CITY - - ZIP n �J G I certify that in the performance of the work for which this,permit /� �1 is issued, I shall not employ any person in any manner so PS to .� become bje t to the Workers'Com ens tion Laws. ARCHITECT OR ENGINEER TEL NO. STATISTICAL CLA SIFICATION APT Co 0 Date S ' Applicant f7, p�'✓ /yi N��. ��J ADDRESS CLASS NO. z DWELL UNITS NOTId TW APPLICANT. If, after•making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption;, you Should become subject to the Workers' NTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code;.yola must forthwith A•ZO)k,71 -&, 2-46 FRONT comply with such provisions or this permit shall be deemed revoked. �ADDRESS LIC./N-O.. P IL / .. ,i o i s" $u"'f CP IQ! SIDE LICENSED CONTRACTORS DECLARATION CITYA �Q� 9 LIC.C(�'c'S PL 111"I hereby affirm that I am licensed underprovisions of Chapter 9 `-'' +/40632 SEWER MAP. . (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES Professions Code,and my license'is in full force and effect. I NEW BK PG License Number �� 2 � Lic.Class C-' DF�$CRIPTION OF WORK®�. ADD ❑ VALYATION D 0 Contractor'JP �c�/P7X� / �/6�te �.1 ALTER ❑ $ 6®' 00 ❑ I am exempt under Sec. / REPAIR L� $ 0 B.AP.C.for this reason l .�b�r G DEMOL 11LDMA PIC# U • _ W Date: - -U,E OF EXISTI BLDG.. - - U RM ❑ JLd Signaturer 209°?� APPLICANT(PRINT), TEL,NO.... LDMA Perm# '� ❑ 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 0 not intended or offered for sale (Section 7044, Business and FINAL DATE /� 0 PfOfeSSIOnS Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ✓7--.��. 1 TTEhiS ..OR A MIXTURE CONTAINING A HAZARDOUS.MATERIAL EQUAL TO OR GREATER THAN THE VVV G' J El I, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors to construct the project (Section 7044, YES 1:1 NO� I-Aek 'V7e o�+-} Business and Professions Code.) WILL THE INTENDED USE OF THE BLIOUNG BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST GUIDELINES. I hereby affirm that there is a construction lending agency for YES❑ NO I C the performance of the work for which this permit is issued(Sec. CHANGE e�� HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD 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 _ 3 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. p Lender's Address OWNER OR nceN. 0000-0001 2 / O 1 certify that I have read this application and state under penalty - 7I,..r11t�e. o P.C.FEE PERMIT FEE of perjury that the above information is correct. agree to comply /p��a Wn ec t ht t L o with ail county ordinanc S and State laws relating to building / e>�• f 1��. 1 Fir!•: :46 m construction, and her by auth ize representatives of this County 'ISSUANCE FEE - - to enter on the a en' e roperty for inspectio purp es. ZZ Q INVESTIGATION FEE TOTAL FEE s.gnawre of Wig ,ngem Date If - SEE REVERSE FOR EXPLANATORY LANGUAGE ��. 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 0907160005 PHONE: "(626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST BUILDING ADDRESS: ITR: 6755 LT: 38 UN: .002 I SQ. FT STORIES TYPE I 9966 HOWLAND DR I I (STRUCTURE: 260 V-B TEMP CA 917803234 (ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BALDWIN 18589-006-037 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl (TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: I. IEXIST OCC GRP: 107/16/09 SR I I I I (OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE: 1 IMARTINEZ„ ROSEMARY .(626) 443-7948- 1 1,200 1 19966 HOWLAND DR ITEMP 917803234 FEES PAID IDESCRIPTION OF WORK 1 IRE-STUCCO WORK EAST FACING WALLS, FRONT PORCH WALL RESIDENCEI I IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IAND GARAGE I (APPLICANT: TEL. NO: I I I (MARTINEZ, (626) 443-7948- IAA BLDG PERMIT ISSUANCE 27.75 I_ 1 19966 HOWLAND DR. IAB STATE GREEN BLDG FEE 1200.00 VAL 1.00 (SPECIAL CONDITIONS: 1 ITEMPLE CITY CA 91780 IAC STRONG MOTION RESID 1200.00 VAL 0.50 IDR PERMIT W/0 EN-HC 1200.00 VAL 82.20 . I _IFR INV WORK W/0 PERMIT 257.00 DOL 257.00 ICONTRACTOR: TEL. NO: I' TOTAL FEES 368.45 IAPP OVAL DATE INSPECTOR SIGNATURE IMARTINEZ, JIMMY (626) 443-7948- I LIC. NO' 1 . (LOCATION AND SETBACKS 1 I 19966 HOWLAND DR. NONE TEMPLE CITY, CA 91780 ISOILS ENGINEER APPROVAL I f I i (ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS I I LIC. NO: I ISLAB/UNDER FLOOR I - IRAISED FLOOR FRAMING-1-1 I " I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( 1UNDERFLOOR INSULATION I - 1147H269 3 001 I I IFLOOR SHEATHING INC. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I 1 I NO 21 I IROOF SHEATHING I I I I SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS - (AIR QUALITY: 1000 FEET MATERIALS I I I NO NO NO I. 1FRAME INSPECTIONIREQUIRED TOTAL SETBACK FROM EXIST 1 EXPIRE IFIRE SPRINKLER HANGERSISET BACK YARD: HWY: PROP LINE: WIDTH: I FRONT PL- (INSULATION/WEATHER STRIPI I I I SIDE PL- %� _' I I ( a U/ INTERIOR LATH/DRYWALL I (/ - I.EXTERIOR LATH I I i. I I IRATED FLOOR/CEIL ASSEM. I IRATED WALL ASSEMBLIES I I I IRATED SHAFTS/OPENINGS I IT-BAR CEILINGS ILOT DRAINAGE 1 1 I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I I I I I