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HomeMy Public PortalAbout9467 KENNERLY ST_Building__ 78A638A CE0803 3 68mple City APPLICATION FOR BUILDI G PER /fT COUNTY OF LOS ANGELES BUILDING el DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION L O C AL I T Y JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W JENKINS,SUP T OF BUILDING CROSS ST DIST IET,/NO OR T E P CES BY FOR APPLICANT TO FILL IN 3 ,(/ NST BUILDING STATISTICAL CL SSIFICATION SEWER MAP ADDRESS 46 Kenne CLASS NO DWELL UNITS BK PG LOT NO BLOCK USE ZONE 'MAP- NO. TRACT SPECIAL ' A NO OF BLDOS CONDITIONS SIZE OF LOT 0 L NOW ON LOT USE OF EXISTINO BLDG, DwPTTing BLDG SETBACK FROM TEL FRONT PROP. LINE OF �/'��L .(STREET) OWNER William Ma NO TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRES HIGHWAY WIDTH FROM C L CITY Temple Cit + ,2a = o' ARCHITECT OR TEL DG 9ETBACK FROM ENGINEER NO SIDE PROP LINE OF (STREET) TYPE OF_ EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C L / (� CONTRACTOR V• CoTOL + ADDRESS6OO San Gabriel B1`4�§ 160650 CORNER CUTOFF YESEl NO d Xw C TY LI` C- SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK X-X= I.J. NEW ADD ALTER REPAIR DEMOLISH �� Z SQ.FT NO OF NO OF Cid V SIZE STORIES 1 FAMILIES / USE OF STRUCTURE composition shingles. SIGNATURE OF APPLICANT VALUATION$ 2 8 1 Q •U0 APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMTFOUNDATION, LOCATION FEE$ FEE$ .00 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 9UILDI NG CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED AEREEIWILL NOT EMPLOY ANY PERSON IN VIOLA•• LATH INTTIONF THEDE OF THE STATE OFCALIFORNIA RELAT•ING' WORKPENSATION INSURANCE LATH EXTSIGNATUREr f HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS 600 S n Gabriel Blvd. , S. FINAL /r. / AL PLAN CHECK VALIDATION CK M o CASH _ JOHN PERMIT VALIDATION T CK RM O ENGINEER 9 8-4 0� JUL ( _ 1 t1�o� 2 7 D 9-bo- 4 76A899A DBS-3 9.HAPPLICATION f �T I FOR BUILDING PERMIT ` �. N t ! DIVISION OF BUILDING AND SAFETY ADDRBUILDING ESS57 4 Department-of County Engineer ` County of Los Angeles LOCALITY WM.J. FOX, COUNTY ENGINEER NEAREST - CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST. DISTRO. GROUP -I TYPE I SEWER MAP FOR APPLICANT TO FILL IN �JJr CONST. -rr— BUILDING67 'A / YES O- ADDRESS i �Y, NUMBER D its - HWY- LOT NO. BLOCK USE NE SPECIAL �) NDITIONS TRACT NO. OF BLDGS. BUILDING EXIST.- SIZE OF LOT f0 'tUSE OF �],+_1 I NOW ON LOT SETBACK YARD HWY STREET NAME WIDTH EXISTING BLDG. ""i aj J Cf1 0 FPOL T O AAAA �' �� SIDE OWNER 1"A a P L. 60 MAIL 2q6 / ifer�l�r,�r�11 - ADDRESS T V "7 O TRACT DWELL. 1 UNIT - 5 INDUSTR AL' -7— ];792 1 DWELL. 1 UNIT CITY / : G 1 / � 6 PUBLIC BLDG. - ARCHITECT OR TEL. 2 DUPLEX 1 UNIT 7 ADDN..ALT.. ETC. ENGINEER NO. 3 APT. UNITS . $ MISCEL. - ADDRESS - - y 4 COMMERCIAL CONTRACTOR %` ,�7 NO. �'S V `'` - INSPECTION RECORD ADDRESS - r �14 L&:-c. GA � �Dc� 'V PA./.l DESCRIPTION OF WORK EW ADD LTER - REPAIR DEMOLISH d SFT. D NO. OF NO. OF 9 m _✓�� •' ®O _��_ SIZE J STORIES FAMILIES USE OF STRUC RE SIGNATURE OF t APPLICANT IV q� j,+ OVALS • �,,,. ADDRESS 470`7b�l,� Pie i DATE w.INSPECJ011!S SIGNATURE $ P. C. $ FFORMS. MTERIALS LOCATIONLLJ FEE FRAME: FIRE STOPS, / r VALUATION V-3 )� �O BRACING. BOLTS �f VALUATION // FURNACE: LOCATION, . I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT, DUCTAPPICATION AND STATE THAT THE ABOVE IS CORRECT S ANDLAGREETO C PLY WITH ALL COUNTY ORDINANCES LATH/ INT. AND STATE LAW REGULATING ILDING CONSTRUC- TION. LATH. EXT. SIGNATURE OF i HOUSE NUMBER COR- PERMITTEE f - RECT AND POSTED ADDRESS FINAL WM.J. FOX, COUNTY ENGINEER _ VALIDATION C. N. DIRLAM,CHIEF BLDG. INS ECT R .• V; AC3446� OI;T17 1350 1 #' WORKERS' COMPENSATION DECLARATION t insure,hereby certif carte,of Workers' Comtpensat on Insuran of APPLICATION FOR BUILDING PERMIT or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company El Certified copy is hereby furnished. FOR APPLICANTBUILDING TO FILL IN ADDRESS `J��/� c/LNPk l ❑ Certified copy is filed with the county building inspec- BUILDING C tion department. ADDRESS �`7 �/ �<v C'de ` Oate Applicant CITY �1-,W � cC (/ -ZIP q / '7f© LOCALITY NO.OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST. G`�U •AL2 !C . COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT Z BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100) or less.) TEL. OWNER C/ eCd NO. USE ONE NO. _ Z I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner ADDRESS SPECIAL CL \ CONDITIONS so as to become subject to the Wo ers' Compensation Laws. CITY U Date / Applicant ARCHITECT OR TEL. FM1 SSED BY � DISTRICT GR P TYPE NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. ZIROE NE;' -n 0 CONExemption, you should become subject to the Workers' °=' °' U Compensation provisions of the Labor Code, you must forth- ADDRESS �< OQ vv with comply with such provisions or this permit shall be / ('TEL. STATISTICAL CLASSIFICATION s.APT. CONDO. a z' deemed revoked. CONTRACTOR &, _ 4 n.t A IQ Ll f/S=/Gs� - Z IC. CLASS NO. 2 DWELL. UNITS l A.I L'I LICENSED CONTRACTORS DECLARATION ADDRESS �!1 al4/l"" NO. 3 -If_/ I hereby affirm that I am licensed under provisions of Chapter 9 -s" 1 - 4 �. (commencing with Section 7000)of Division 3 of the Business GG J LIC. SEWER MAP A. and Professions Code,and my license is in full force and effect. CITY" �` t' CLA55 BK ti PG e'P�'VALIDATION iso _/S / SQ. FT. NO. OF 7-N-0. OF CHECK t 1- ;-t r't License Nu er Lic. Class SIZE STORIES FAMILIES ONE i.i.. all_ VALUATION -7�/ 7 DESCRIPTION OF WORK NEW Contractor ��� / ry Date _ $ � ADD ❑ Q Poo, ❑I om exempt under Sec. ' - - ALTER ❑ cr:- i -A:;; :,�, B.BP.C. for this reason /J— �� t0 REPAIR ❑ $ Date: EXISTING BLDG. DEMOL ❑ Signature APPLICANT / � EOL.. TN(PRINT) FINAL OWNER-BUILDER DECLARATION _ DAT - _ I hereby affirm that I am exempt from.the Contractor's License c i € / -- i Law for the following reason (Section 7031.5, Business and ADDRESS `� �l�� Professions Code): PRESENT BUILD NG By 6-8- m 6_35 ❑ I, as owner of the property, or my employees with ADDRESS wages.as their sole compensation,will do the work and LOCALITY the structure is not intended or offered for sale(Section 7044, Business and Professions Code.) MOVING TEL. 3 ❑ t, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to.construct the project (Sec- ADDRESS A 1 tion 7044, Business and.Professions Code.) / ,7, 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 -.T; _ > i-if 10,27,Cz the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.): SIDE P.L: 0 Lender's Name. $ Lender's Address P.C. Fee$ zz Permit Fee � 3 LDMA Ref. # o I certify that I have read this application-and state that the Issuance Fee �� LDMA P/C# oil 0 8 above information is correct. I agree to comply with all County Investigation Fee - R orwna s an State laws relating to building construction, Total Fee o LDMA Perm. # a and erebt�iorize repre tatives of this County to enter =.' a-`menti prop for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9706160006 PHONE: (818) 285-0488 EXT: EG 0. OF CONSTD AD TR: 15890 LT: 7 SQ. FT STORIES TYPE OCCUP GROUP 9467 KENNERLY ST STRUCTURE: 654 1 VN R3 TEMP CA 917803836 SS R: GARAGE: NEAREST CROSS STREET: 8590-012-023 OTHER: THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY BLD E ZONE: IS PROCESSED BY: EXPIRES 0 : EXIST OCC GRP: 06/19/97 TC 06/19/98 TEL. NO:- RIMS- ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: KUO YU-CHUN;ZHANG GUO-MEI (818) 286-3397- 1 58,400 9467 KENNERLY ST TEMP,917803836 FEES PAID UB-C-UPTIUN OF WORK ADDITION OF NEW KITCHEN,BATH,FAMILY ROOM, DEN, BEDROOM AND FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: WALK-IN CLOSET FOR EXISTING BEDROOM. CONVERT EXISTING.* TMFETC-AWTE: TEL. SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 58400.00 VAL 5.84 SPECIAL CONDITIONS: B1 PLANCHECK W/ENERGY 158,400.00 VAL 830.83 B2 PERMIT W/ENERGYLnL E,58400:00 VAL 977.46 TOTAL FEES 1,841.88 CONTRACTOR: TEL. �/] APPROVALS DATE INSPECTOR SI SAME AS OWNER - - �//O LIC. NO � ,�j _ 0 AND SETBACKS SOILS ENGINEER APPROVAL_ ARCHITECTOR ENGINEER: TEL. N0: - pFOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOO�! R llll;l 0: SEWER P BOOK: A : FIRE ZONE: C U1 n ('���� ��� � UNDERFLOOR INSULATION NO. OF FAMIL15S: D UNITS: (� v -y U U SHEATH 1ST LEVEL FLOOR NO 21 p ' ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO Q FIRE DEPT. FRA E INSPEFT REQUIRED TOTAL SETBACKFROM EXISTD� BLDG DEPT. FRAME INSPECT l SET BACK YARD: HWY: PROP LINE: WIDTH: r FRONT PL- SHEAR PANEL SIDE PL- �`bb � ic� S 0N/WEATHER STRI15 • - INTERIOR LATH/DRYWA ERTMOR LATH7r/ LOT DRAINAGE SMOKE DETECTION FIRE DEPARTMENT APPROVAL * ADDITIONAL DATA ON FILE REPORT ID: DPR261 ROUTE TO: BS0508