HomeMy Public PortalAbout9403 KENNERLY ST_Building__ 76A638A CEN803 3-66 APPLICATION FOR BUIL I NG- PERM I'
COUNTY OF LOS ANGELES BUILDINGyam"
DEPARTMENT OF COUNTY ENGINEER ADDRESS ' /
BUILDING AND SAFETY DMSION LOCALITY / !J P L J r
JOHN A..LAMBIE, COUNTY ENGINEER NEAREST �y
COLEMAN W. JENKINS.SUP'T OF BUILDING CROSS ST L-6 .S
DIST R CI N GR TYPE PRO ES Y
FOR APPLICANT TO FILL IN vF� CONST. 1_7-
BUILDING w/,(/L STATISTICAL C SIFICATION, SE ER MAP
ADDRESS -3 &�A/4 `/z L- CLASS NO. DWELL UNITS- SK PG-
LOT NO. BLOCK USE ZONE U MA
NOP... ) -
/// , /
TRACT / 9r75 / - '� SPECIAL,
CONDITIONS ? ...•
SIZE OF LOT SG X I�.8 NO. OF BLDOS. / _
NOW ON LOT
USE OF � v
• EXISTING BLDG, _� -/✓L BLDG. SETBACK FROM -
OWNER • LCl� NO. G6
TEL
�J`'-�j FRONT PRO_P..LINE OF ,.(STREET)
,1L� TYPE OF EXISTING SETBACK HIGHWAY, + YARD = TOTAL
ADDRESS ��y/V` [,. HIGHWAY WIDTH FROM C.L.
CITY �_L= �'�I�L�E C / T •� - •+ _- •'
ARCHITECT OR TEL. BLDG. SETBACK FROM -
ENGINEER NO. SIDE PROP. LINE OF (STREET)
TYPE OF EXISTING SETBACK -HIGHWAY + YARD TOTAL
ADDRESS M may► �s p HIGHWAY WIDTH FROM C.L '
CONTRACTOR `7�/,q// l�SO4EL•�Op7p'G-73 +
ADDRESS :5-L7 CLat-�� NO 19/O CORNER CUTOFF YESEl- NO a
O
LIC
c TY / ` e CL A S S SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK `L CZ
W
NEW ADD ALTER REPAIR DEMOLISH V
SQ,FT. p NO. OF NO OF Z
4Z
SIZE � 0 STORIES I FAMILIES
USE
STRUOCTURE
It '2.7
SIGNATURE OF
APPLICANT
VALUATIONd a d •00 APPROVALS DATE_ INSPEC R'S SIGNATURE _
P.C. PMT. II FOUNDATION, LOCATION _
FEE$ FEE$ 0 FORMS, MATERIALS
FRAME, FIRE STOPS, 9 P
I HEREBY•ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT S 1
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
%UILDING 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 COMPSATS N INSURANCE -,
- / LATH. EXT.
SIGNATURE OF HOUSE NUMBER COR- _
PERMITTEE ECT
AND POSTED
z R
ADDRESS `� , FINAL
JOHN F. LEWIS. PRINCIPAL ST �RAL ENGINEER
PLAN CHECK VALIDATION CK. M O. CASH _ PERVALIDATION CK. M.O CASH
-�Y MIT LAG 7 2 9 3 FEB 2 3 1 D 1.3 0
DMSION OF BUILDING AND SAFETY
DepoxI sul of County Engineer A
County of Los ngeles
WM. J. FOX, COUNTY ENGIN-EER. APPLICATION
BUILDI FOR APPLICANT TO FILL IN ADDRESS O p
BUILDING _ LOCALITY
ADDRESS
• - NEAREST -
LOCALITY J�7 ' C J r CROSS ST. S _S
NEAR ST. (.�� , - STRICT NO. PLAN CK. OR'RHC. No. ,PERMIT NO.
-CROS ���lo
OWNER � (y, �L r✓/Q�`T• RECEIVED BY .DATE OF APPL. - /DATE ISSUED ,
M ./Il � �V -5�
AIL
ADDRE88
USE O E NO. OF. TYP�F• GROUP/ FIRE ZONE
TEL. �M1Q/'�J / PLANS IJ I c� /
CITY JZ� NO_ •'�(J�d.cT C�/" „.S/.!• !/ c
ARCHITECT OR - TEL. - /� '�11 _ ZONING, •. •DATED
ENGINEER. NO. . ��QV.y . APPRoveD By-
BUILDING �(C y ORD•No.
ADDRESS SETBACK LINE:
TEL. APPROVED _ DATE• -
CONTRACTOR NO. By,
�,c h HOUSE NUMBERING
ADDRESS
LEGAL - MAP NUMBER '� to NO."ASSIGNED BY R�
DESCRIPTION .LOT NO. BLOCK' - - V
- - - DATE I CORRECTIONS I INSPECTOR "
TRACT / ..
NO. OF BLDGS.
SIZE OF'LOT 15 I NOW ON LOT
USE OF BLDG. NMIOLFEBi I � r
I OEXISTING FA --
DESCRIPTION
OF WORK
Z
NEW ALTERATION ADDITION r
REPAIR- DEMOLITION
SQ. FT. NO. OF -
SIZE 1 •04� Q ROOMS STORIES I -
EXT. WALL t ROOF
COVERING 27��L�G I COVERING�����
USE OF STRUCTU E -
Z
At APPROVAM
INSPECTOR-6 SIGNATURE DATE
FOUNDATION: LOCATION j
FORMS, MATERIALS -;!f;- 7J j'n•G
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS �0�/
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS �1
CORRECT. 11 ,,
•1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION
N
:AD STATE LAWS RE ULATING BUILDI G CONSTRUCTION. GAS VENT, DUCTS(
SIGNATURE OF - LATH, ,INT.
PERMITTEE LATH, EXT. `/•r .00/` I gyp"
ADDRESS
' PLASTER, INT.
AUTHORIZED AGT. /
.` PLASTER, EXT.' S✓
i OD .yI FEE 7 �p HOUSE NUMBER COR- -
RECT AND POSTED //n
'VALUATION FEE �Zg � • FINAL eg s--.i
76AGS84 DBS 9 2-88
76A638A CE#803 3-6'6 APPLICATION FOR BU I.LDI G PER I
COUNTY OF'LOS ANGELES BUILDING `J
DEPARTMENT OF COUNTY ENGINEER ADDRESS _ `7
BUILDING AND SAFETY DIVISION LOCALITY '
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS.SUP-T OF BUILDING CROSS ST.
DISTRICT NO G , P TYPE _ _ .BY
FOR APPLICANT TO FILL IN t CONST.
ADDRESS 4O kN�L(Z �iC STATISTICAL Cj.,AS_SIFICATION SE ER,MPG
CLASS NO.__/•(„j_y'DW E L L-UNITS
- BK - PG
LOT NO. BLOCK USE ZONE MAP - --NO.
TRACT SPECIAL
CONDITIONS
NO. OF BLDGS.
SIZE OF LOT NOW ON LOT
USE OF
BLDG. SETBACK FROM ,
' D TEL FRONT PROP. LINE OF - (STREET)
OWNER NO. TYPE OF EXISTING SETBACK HIGHWAY, YARD TOTAL
ADDRESS 4_ O 7a' N N c RL HIGH AY D F M C,1. _
+ _ _
CITY VOL ZE C I T-tj ,
ABLDG. SETBACK FROM
RCHITECT OR TEL: _ -_•_, _. _
ENGINEER NO. SIDE PROP. LINE Of (STREET)
TYPE OF EXISTING SETBACK. HIGHWAY + YARD-=_, TOTAL
ADDRESS - r/ ROM C.L.
CONTRACTOR Al—i iNSa GEL. 28 G/7 HIGHWAY WIDTH 'pt
a�G - + --- -- - -
ADDRESS 7L CLOV�2L NO CORNER CUTOFF YES NO E a
C
CITY - C C LC,4 S S SEE REVERSE SIDE,FOR SPECIAL APPROVALS
DESCRIPTION OF WORK
. /�. LtJ
NEW ADD ALTER l(, REPAIR DEMOLISH - Z
SQ.FT. NO OF NO. OF
SIZE STORIES .FAMILIES
USE OF
STRUCTURE -pA-MI
'>
SIGNATURE OF r
APPLICANT
VALUATION$ .00 APPROVALS DATE INSPECT94LP SIGNATURE
P.C. PMT. FOUNDATION, LOCATION -
FEE$ FEE$ FORMS, MATERIALS
FRAME, FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITHALL COUNTY ORDINANCES AND STATE LAWS'REGULATING GAS VENT. DUCTS
IUILDI NG 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 E STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S CO TI NI SURANC
'LATH. EXT.
SIGNATURE F -� HOUSE NUMBER COR-
PERMITTEE RE AND'POSTED
ADDRESS Fl NAL
JOHN F. LEWIS, PRINCIPAL STRATCT RAL ENGINEER
.PLAN CHECK VALIDATION CK. M O. CASH _ PERMIT VALIDATION cK. M.0 CASH
<.., i., a 8 .1 MAR 2 9 1 0 1 1.5 ON
r APPLICATION FOR BU L®I,NG PERMIT.
COUNTY OF LOS'ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN F, BUILDI(JJG DDRESS
I hereby,affirm that I have a certificate of consent to self Insure, BUILDING ADDRE S . -
i
or a certificate of Workers',Compensation Insurance,or a,certlfied J
copy thereof(Sec 3800,Lab•C) IT 1. t ZIP O LOCALITY
Policy No Company SIZE F L T NO.OF BLDGSeNOW ON LOT
❑ Certified copy Is hereby furnished 0 NEAREST CROSS S
❑ Certified copy is filed With the county budding inspection TRACT BLOCK LOT-NO
department .- USE ZONE MAP NO. y
Date Applicant ASSESSOR MAP BOOK PAGE - PARCEL
SPECIAL CONDITIONS.
W E . -
• 'CERTIFICATE OF EXEMPTION FROM WORKERS' OTEL NO
-
COMPENSATION INSURANCE WITHIN 1000 FT'OF SCHOOL YES NO
(This section need not tie completed if the permit Is for one hundred A KESS
S/• DISTRICT GROUP TYP ONST FIRE ZONE, PROCESSED BY
dollars($100)or less 01 OC
6
IT ZIP
1 certify that in the performance of the work,for which this permit' �/
is issued, I shall not employ any personin any manner so as to ARCHITE OR ENGINES TEL NO s
become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO
Date Applicant - ADDRESS CLASS NO DWELL UNITS
NOTICE, TO APPLICANT.'- If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you should become. Subject to. the -Workers' CONTRACTOR - , - TEL NO '- SET BACK YARD HWY -PROP LINE WIDTH
Compensation provisions of the Labor•Code, you must ,forthwith FRONT
comply with such provisions or this permit shall be deemed revoked ADDRESS LIC NO P L ;
LICENSED CONTRACTORS DECLARATION SIDE
CITY LIC CLASS P L
I hereby affirm that I'am licensed underprovisions'of Chapter 9 SEWER MAP
(commencing with Section_7000)of Division 3 of the Busmess*and SQ��E NO OF STORIES NO OF FAMILIES
NEW BK PG
Professions Code,and my license is in full force and effect , a
License Number LC Class DES7IPTIO li F RI$ ADD E] !VALUATION _, • _ Q
Contractor Date / D ALTER ❑ U
;cam REPAIR El �Ll lJ _^f•J 0
❑ I am exempt under SEC $ 1-
B&P C for this reason DEMOL, El LDMA P/C#i
TOTAL Ej" _W
Date USE OF EXISTING BLDG URM .❑ '- .` - T 1"53 � �_z a.
S gnature I i,'' 5_'� .IZ
APPLICANT(PRINT) - -TEL NO LDMA Perm# , _ E_i% �'-^� :—
as-owner of the property, or,my•employees with wages as
,their sole'compensation, will do the work and-the structure•Is ADDRESS 3'
not intended or offered for sale (Section 7044, Business and FINAL DATE Q
Professions Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL _
❑ I, a5 owner of the property, am exclusive contracting•with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE Q !"{IJE 31;-'I��=i i�, yl�i_#•j;73-+j•
p y. Y AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDES FINAL BY
licensed contractors'to 'construct the project (Section 7044, 7 q fir{ _:.
YES❑ NO❑ . . •!y5".1 1 P1 E .S e`n_
Business and Professions Code) "
IMLL THE INTENDED USE OF THE BUIDLING 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 FOR
GUIDELINES
I hereby affirm that there is a construction lending agency for - YES❑ NO❑ '
a the performance of the ork for which this permit Is issued(Sec I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING
3097,CIV C) / L CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE,
N - 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 ;
o Lender's Address
O OWNER OR AGENT
o I certify that I have read this application and state under penalty '
0 of perjury that the above information is correct.I agree to comply' PC FEE PERMIT FEE -
$ with all county'ordinances and,State laws relating to building
m
construction, and hereby authorize representatives of this,County -ISSUANCE FEE
m to Anter pon the above-mentioned pro rty for in chop purposes Q
INVESTIGATION FEE- _ TOTAL FEE,
SEE REVERSE FOR EXPLANATORY LANGUAGE
/ CbONTY OF"LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9807300053
PHONE: (818) 285-0488 EXT:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
TR: 19059 LT: 1 SQ. FT STORIES TYPE OCCUP GROUP 9403 KENNERLY ST
STRUCTURE: 0 1 VN R3 TEMP CA 917803836
ASSESSOR INFORMATION NUMBER: GARAGE:. NEAREST CROSS STREET:
8590-012-012 OTHER: 185 1 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG U ZONE: ISSUED ON: PROCESSED BY: EXPIRES
EXIST OCC GRP: 07/30/98 UT 07/3
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY CODE:
LEDDY KATHERINE E TR LEDDY FAMILY T (818) 286-5035- 1 2,000
9403 KENNERLY ST
TEMP 917803836 FEES PAID DESCRIPTION OF WO
NEW FREE STANDING PATIO WITH LI EIGHT ROOF
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT:
APPLICANT-: TEL. NO:
MCCURDY'S CONSTRUCTION (626) 963-0425- AA BLDG PERMIT ISSUANCE 27.75
1123 ARROW HWY. D2 PERMIT W/O EN-HC 2000.00 VAL 82.20 SPECIAL CONDITIONS:
GLENDORA, CA _ TOT-AC'-'FEES 109.95
CONTRACTOR: TEL. NO: ®� APPROVALS DATE INSPECTOR SIGNATURE
MCCURDY'S CONSTRUCTION (818) 963-0425- V �^
1123 E. ARROW HWY. LIC. NO LOCATION AND SETBACKS
GLENDORA, CA 91740 57814
SOILS-ENGINEER APPROVAL
ARCHITECT OR ER: TE 0: FO NDATION/TR C S
- LIC. NO: 1111111 SLAB/TINDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMFOil 3
FUD n W010-
�K UNDERFLOOR INSULATION
U (� STLFVEL FLOOR SHEATH
NO. OF FAMILIES: DWELLIN ITS: AP D: STAT CLASS:'\
N0 , 21 16F0 2ND "VEL FLOOR SHEATH
SCHOOL WITHIN ZARDOUS Ff* ROOF 73HEATHING
AIR QUALITY: 1000 FEET MATERIALS 0 0
NO NO NO 0 ® ®� FIRE DEPT. FRAME INSPECT
REQUIRED TOTAL SETBACKFROM S �✓�j , El �A�p�� T. FRAME INSPEET
SET FRONTACK PL- YARD: HWY: PROP LINE: WIDTH: z�C S'�r vic a ���$Vtl SHEAR PANELS
SIDE PL-
INSULATION/WEA-TffER STRIP
INTER`OR LATH/DRYWALL
EXTERIOR LATH
LOT DRAINAGE
SMOKE DETECTION DEVICES
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS0508