HomeMy Public PortalAbout9402 KENNERLY ST_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES
WM. J: FOX. CHIEF ENGINEER BUILDING
FOR APPLICANT TO FILL IN FOR OFFICE .USE ONLY
BUILDING (�, �1•� DISTRICT NO. PLAN
CK.NO. PERMIT
PERMIT NO.
ADDRESS �J j'Fes-• s e O //j? T!/- �_ 2, 1
LOCALITY -CE ED BY DATE OF APPL. DATE ISSUED_ '
CROSS 13T
OWNER l�_ L,L 1 0 T-T BUILDING
ADDRESS Y=-
MAIL
ADDRESS r ~� (�j f � LOCALITY
• hh NEAREST �,
CI
NO. L y CROSS ST. - _ Uf
FIRE NO.OF TYPE GROUP.,
ARCHITECT OR TEL. ZONE PLANS
ENGINEER NO.
BLDG. ORD.NO.�
/ _
ADDRESS SETBACK LINE �� i
APPROVED
CONTRACTOR NO. BY -`����-I 0 '� DfATE
USE APPROVED 1
ADDRESS v v G7� ZONE V
BY O,rr 0 r� DATE
LEGAL' /D CORRECTIONS
DESCRIPTIONCLOT NO. BLOCK
TRACTNO.OF
SIZE OF LOT �.i.,J /� NOW ON LOTSUSE-F ��
CXIST NQ BL G. — FO O L. ` ROOMS Q/��Q�✓ -'�L/�c' '
DE IPTION OF WORK
NEW ALTERATION ADDITION
REPAIR Q I-
MOVING DEMOLISHiifiL.!'yI�G'
SO.FT.
9 E 'a-C U ROOMS STORIES j•�t�.G�.v�p`._Gv�-flL�,../ ��
D
Z
WALL ROOF
COVERING Z,Ci"��Z� I COVERING `,(�(,/iCr�-t,�
USE OF NEW
/���V \
1 BUILDING
rt- of M
v ,�� �. '�.rye�. .:Q , -ems fd .
-dam ..�� .._
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT INBOECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FFORMS, IOP6: LOCATION �AND STATE LAWS EGU TING BUILDING CONSTRUCTION, FORMS.MATERIALS
FRAME: FIRE STOPS,
SIGNATURE OF BRACING.BOLTS
PERMITTE /I •LATH, INT. BAS
AUTHORIZED,AGT p
LATH, EXT.
76A63BA-3 7-49 $ P.p, PLASTER, INT.
VVV FEE. 7 p1-ASTER.EXT.
VALUATION FEE �2 �� FINAL •,��- r/.�ll:�;IL J '
. '• ./�/f,/ivy C./,- - ,.� _ ,
76A638A CE#8035-61 APPLICA`FI"ON FOR--BUI DING- PERMIT : _
COUNTY OF LOS ANGELES BUILDING
ADDRESS
DEPARTMENT-OF`COUNTY.-ENGINEER-,BUILDING.
NGIN
•.BUILDING• AND-SAFETY DIVISION LOCALITY.
JOHN A. LAMBIE,,COUNTY ENGINEER I "NEAREST
WILLIAM A: JENSEN -SUP'T OF BUILDING '`CROSS ST. - ,•
DISTRICT NO. [ GROUP] TYpE PROCESSED BY•
FOR APPLICANT T0=-FILL IN- ' .- Sa , ' . CONST.
wef
BUILDIN Z '-STATISTICAL`CL'ASSI.FIICATION BK-
ADDRESS
MA
ADDRESS �' / CLASS.�NO WELL. UNITS `�` -
LOT NO. d_ BLOCK .WATER E
.NOT,REQUIRED RECEIVD.
CERTIFICATE _ „
TRACT D$' ° MAP, HIGHWAY '
NO OF BLDGS.-.
NO O' (CIRCLE)
STATE MAJOR SECOND LOCA
SIZE OF LOT IND
ON LOT -USE' E, SPECIAL '
USE OF �,''- + .CONDITIONS - -
EXISTING BI.Cro.
_ TEL.
OWNER •NO. .BUIL' ING EXIST.
_ -
`SETBACK YARD HWY• STREET NAME WIDTH
ADDRESS 'FRONT —• /
ARCHITECT - EL. P L 13
ENGINEER -N
O• - /� 0
•
P. L.- I,Q e C! V
ADDRESS TEL., SPECTION•RECORD, " W
CONTRACTOR NO. `
ADDRESS ;-/-n/ s/ W
DESCRIPTION OF WORK
r
•NEW ADDM
` ALTER- REPAIR DEMOLISH
17 -
SQ. FT. - NO.OF ,• NO OF l •� _ '/
IZE STORIES- FAMILIES
USE'OF' L
STRUCTURE O' - -
�d
SIGNATURE•OF ` - •.
APPLICANT -
VALUATION$ -
• 3' APP-
ROVALS /[SATE _ INSPECTOR'S SIGNATURE
P.C•. + PMT. _ FOUNDATION: LOCATION ��d/7
•FEE $ _ FEE:$ , FORMS,-MATERIALS` Y// f � f•st.�/•�
- FRAME: FIRE'STOPS,
1 HEREBY ACKNOWLEDGE THAT I'HAVCREAD THIS APPLICATION •BRACING'BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY- , FURNACE:LOCATION,
WITH ALC 'COUNTY O 'INANCES AND STATE LAWS REGULATING, GAS VENT DUCTS-',
BUILDING CONST 71 N I CERTIFY THAT IN DOING'THE WORK'
AUTHORIZED_HE BY WILL NOT EMPL ANY PERSON IN VIOLA•' LATH, INT.` `
TION OF THEK,
CODE OF THE S7 E OF CALIFORNIA RELAT- - •,
ING'TO WORK C PENS TION -
• LATH,EXT. • -
., 51'GNATURE F HOUSE NUMBER COR-
PERMITTEE .RECT.AND POSTED
ADDRESS FINAL
CLYDE N. DIF2LAM, PRINCIPAL STRUC'FUF:AL E R
PLAN CHECK VALIDATION :C CK. ' M.O. 'CASrI PERMIT VALIDATION c% M-0. CABH
1, , .�
WORKERS' COMPENSATION DECLARATION
hereby affirm that. I have 'a certificate of consent to Self = A p P L I CA.T•I O N FOR-a U L D I N.G 'PERMIT
insure4
, 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. Company
BUILDING
❑„ Certified copy•is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS
❑ Certified copy is,filed with the.courity building inspec-
BUILDING
�;'
tion department. }a. ADDRESS .
4 0 Date' A licant ti CIN I Cr7 ZIP L (� LOCALITY 4
PP a NO OF BLD S.. NEAREST
CERTIFICATE OF'EXEMPTION'FROM WORKERS',, SIZE OF LOT NOW ON LOT CROSS SL,
COMPENSATION:INSURANCE
ASSESSOR
(This section need not be'completed'if the permit is for one"�; TRACT BLOCK LOT NO. MAP BOOK " PAGE PARCEL
hundred dollofs ($100) or-less.) TEL
OWNER' N0. – 0� USE,ZONE MAP
I certify that in the, erformonce of the work for.which this SPE
Y P 1 �� SPECIAL"• a
permrto issued, I shall t to th ,Wor'ker person,in,any manner . ADDRESS l CONDITIONS
sous to become subject to the•Workers'•ComPensation'Laws.- = O
CITY
ZIP
U
Date Applicant' ARCHITECT O TEL.
� � 'DISTRICT "' GROUP TYPE' "FIRE' PROCESSED BY Q
NOTICE TO APPLICANT:.-If, -after, making.this`Certificate of ENGINEER, NO r CON ZONE _ 'U
-Exemption, you should; become subject to. the ,Workecs' - f - 1 - ,w
Compensation prov,isions of the LaborCode, you must-forth- ADDRESS - J•�O
with comply-with such..provisions or thi's permit shall be TEL STATISTICAL CLASSIFICATION APT CONDO Z
deemed revoked. CONTRACTOR Q NO, rJ� i.• —
�.
LICENSED CONTRACTORS DECLARATION " ' LIC. CLASS NO. •' 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
and Professions Code,and my license is in -VALIDATION
and effect. CITY CLASS BK PG
SQ. FT NO OF NO OF CHECK
'License Number '• Lic. Class' SIZE' Z 00 STORIES FAMILIES ONE
Elf VALUATION
DESCRIPTION OF WORK NEW U
Contractor Dates -3! 3 0'0, —
ADD ...❑
E]I am exempt under.Sec. o _ ow
c,
ALTER ❑•
,.BP.C.,for this reason . !� / REPAIR ❑ $
UWF; ❑
Date: EXISTING BLDG. Q5r'elel4l�d DEMOL
Signature " R;. . APPLICANT TEL - FINAL
OWNER-BUILDER DECLARATION (PRINT) NO. •DATE ...�'.�'
I.hereby affirm that I am exempt from the Contractor's License ADDRESS J T
Law for the following reason (Section 7031:5, Business and. FINAL - -_
Professions Code)' PRESENT t BY
BUILDING
1,
JLI� I, as owner of theproperty, 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
7044, Business and Professions Code.) MOVING . . TEL
I, as'owner of the property, am exclusively contracting CONTRACTOR NO.
El
with licensed contractors to construct-the projecf-(Sec '
tion ADDRESS 7044, Business* and Professions Code.)
V +
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 _.
the performance of the work for which this permitis'issued P L.
(Sec .3097,.Civ. C.,)., SIDE
P L.
Lender's Name
S' LDMA Ref. #
P C. Fee!F Permit Fee r�V
.. Lender's Address q!- = ,
o
'I certify 'that I hove read this application and state that the IssuanceFee LD P/C#
o.
8 above information is correct. I agree to comply with all County Investigation Fee
ordinances and State laws relating,to building construction, Total Fee 0 LDMA Perm #
Q' and hereby authorize representatives of this-County to-enter
2 upon the a ' -men' tied property for inspection purrp'os s.
a SEE REVERSE FOR EXPLANATORY LANGUAGE
- .
gnaturepplicant'or Agent - Date - - - -
COUNTY OF LOS ANGELES 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 0008300002
PHONE: (626) 285-0488 EXT:
LEGA NO. OF CONSTNEW BUILDING ADDRESS:
TR: 19059 LT: 10 SQ. FT STORIES TYPE OCCUP GROUP '9402 KENNERLY ST
STRUCTURE: 0 1 VN R3 TEMP CA 917803835
ASSESSOR INFORMATION U GARAGE: 462 1 NEAREST CROSS STREET: ALESSANDRO
8590-011-024 OTHER: THOMAS PAGE: 596 GRID: J5 LOCALITY: _TEMPLE CITY
TENANT: BLDG USE: ONE: ISSUED ON: PROCESSED EXPIRES .
EXIST OCC GRP: 08/30/00 UT -02/27/01
lO-2 --D
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE t f1NA CODE:
KUO JOHN M;CHRISTINE K (310) 952-1552- 12,900 /�
9402 KENNERLY ST
TEMP 917803835 FEES PAID DESCRIPTION OF WORK
NEW RESIDENTIAL GARXGf 462 SQ. FT.
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: 0:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 12900.00 VAL 1.29 SPECIAL CONDITIONS:
AX BUILDING REVI'EW FEE-� 54.70
D2 PERMIT W%0-E�Nf�HC-------- '12900'.'00 EES VAL 173-.35
CONTRACTOR: TEL. NO: �O�J FtES 257.09 APPROVALS DATE INSPECT SIGNATURE
SAME AS OWNER
LIC. NO LOCATION AND SETBACKS 3 1 2 v 1
SOILS ENGINEER APPROVAL
ARCHITECT OR NGINEER: --- FOUND TRENCH FOWWT
I
LIC. NOt�. 1111111 SLAB/UNDER FLOOR 3 '
RAISED FLOOR FRAMING
MAP N0: SEWER MAP BOOK: PAGE: FIRE ZON3: CM01_,n (� D ��� n /1/]O�K
� UNDERFLOOR INSULATION
LY J U \�1f//\\vl/ [R-Ra 1ST-LEVEL FLOOR SHEATH
NO. OF FAMILIES: DWELLING S: APT/COND: STAT CLASS:�-
NO 21 RC1,' 0 6 ND LEVEL FLOOR SHEATH
SCH00 WITHIN `�\ 10 0 .� ROOF SHEATHING
AIR QUALITY: 1000 FEET MATERIALS 0 ED]
®� FIRE DEPT. FRAME INSPECT
NO NO NO 0
REQUIRED TOTAL SETBACK 0 EXIST CI� O�� BLDG DEP INSPECT
FRONTTSET APEl
L YARD: HWY: PROP LINE: WIDTH: /�C `�('pVIC('Tha� SHEAR PANELS O
SIDE PL-
INSULATION/WEATHER STRIP
INTERIOR LATH/DRYWALL 2�
XTERIOR LATH Z(D o
LOT DRAINAGE
SMOKE DETECTION DEVICES
FIRE DEPARTMENT APPROVAL
i
REPORT ID: DPR261 ROUTE TO: BS0508