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Home My Public Portal About9503 KENNERLY ST_Building__ ' APPLICATION FOR BUILDING PERMIT 76A638A CE#803 8-64 COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOC A L I T Y v JOHN A. LAMBIE. COUNTY ENGINEER NEAREST f. COLEMAN W JENKINSSUP T OF BUILDING CROSS ST DIST T N GROUP_ TYPE OR BY FOR APPLICANT TO FILL IN CONST BUILDING STATIST ICA ASSI FI CATION SEWER MAP ADDRESS B PG��fh J2 A CLASS NO DWELL UNITS ��JJ LOT NO ` y _ BLOCK USE ZONE ' MAP (J�`.�/ NO TRACT I \ r SPECIAL NO OF BLDGS CONDITIONS SIZE OF LOT NOW ON LOT USE OF ISTING BLDG SETBACK FROM TEL [/ FRONT PROP LINE OF (STREET) OWNER NO 7 TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WI 'F FROM C L L CITY ARCHITECT OR EL BLDG SETBACK FROM ENGINEER NO SIDE PROP LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C L d n TEL + = 0 CONTRACTOR O 76 v V ADDRESS LI D(� CORNER CUTOFF YES NO Iw 0 LEA -t-,.��- LI` / SEE REVERSE SIDE FOR SPECIAL APPROVALS W DESCRIPTION OF WORK ,a Z_ DD ALTER REPAIR DEMOLISH NO OF NO OF ' STORIES FAMILIE_ _ ' 'n OF$ APPROVALS DATE INSPECTOR'S 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 'BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN V 2A- LATH INT TION OF THE LABOR COD OF THE STATE OF CALIFORNIA LAT- ING TOWORKMIEN S Cn TION INSU NCE LATH EXT SIGNATURE F HOUSE NUMBER COR- P EfR?M 11 OR-PE42MITTEE RECT AND POSTED /J ADDRESS FI NAL ,j 1�R►•h .1�/ JOHN F LEWIS, PRINCIPAL ST7CK) RAL ENGINEER. . PLAN CHECK VALIDATION CK M O CASH ' _� PERMIT VALIDATION M O CASH L��o & _ 1 8.0 0N 78Aj98A CEry8088-89 APPLICATION FOR BUILDING ' PERMIT COUNTY OF LOS ANGELES BOI EISNsADDfJ DEPARTMENT OF COUNTY ENGINEER f BUILDING AND'SAFETY'DIVISION LOCALITY .JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN Suwr oFr-BuILDINa -- CROSS-ST DISTRI O GROUP TYPE PRO SED 'FOR APPLICANT TO FILL"IN CONST 'BUILDING (� - STATISTICAL CL IFICATION SEWER AP ADDRESS ar f� � _ - BK ' PG- ` ••t - - CLASS NO /DWELL UNITS S G/ LOT NO BLOC NUMBER OL - HWYE -YES TRACT .V 10 . o f�'L��` USE ZONE SPECIAL ' NO OF BLDGSy /4_1, CONDITIONS. SIZE OF LOT Q I NOW ON LOT' 2- USE OF EXISTING LDG - %• BUILDING EXIST SETBACK YARD Hw-r STREET NAME WIDTH OWNER •' A _ FRONT MAIL 2 ( P L- �[J ADDRESS' V 3 " /�^'.' h h e� 1 y �°• SIDE � t CITY - { e '' - - J o ! ., - INSPECTION RECORD ARCHITECT CPR TEL _ ENGINEER - NO ADDRESS - _ ' 4 I GQom, G� A-,! 7 �•D�. - TEL. CONTRACTOR NO - ADDRESS DESCRIPTION OF-WORK I "Y L v 1'1- NEW ADD kllALTER ' , REPAIR DEMOLISH SQ FT:' O OF NO OF .� SIZE ORI ES FAMILIES USE OF STRUCTURE q- , -SIGNATURE OF, APPLICANT - - ` APPROVALS - DATE - INSPECTOR'S SIGNATURE I ADDRESS 3 1 FOUNDATION LOCATION _ FORMS, MATERIALS - 1 1=-I J T I'-�"7 VALUATION $ - FRAME FIRE STOPS, � BRACING, BOLTS ,/ Z-'y3-a`( PC PMT FURNACE LOCATION, , FEE $ I FEE $ I GAS VENT, DUCTS - I HEREBY ACKNOW] E E THAT 1 HAVE READ THIS AP- LATH, INT. l PLICATION AND STATE THAT THE ABOVE IS CORRECT AND - _ AGREE TO COMPLY WITH ALL COUNTY'ORDINANCES'AND STATE LAWS REGULATING BUILDING CONSTRUCT N. LATH, EXT- SIGNATURE OF - HOUSE NUMBER COR- r• - , PERMITTE RECT AND POSTED AbDRESS FINAL d �/0 CLYDE N. DIRLAM, PRINCIPAL",STRCKTURAL ENP?n E,- PLAN CHECK:VALIDATION CK. MO CASH PERMIT VALIDA--TION:- h LACO 4. 2 7 4 0!�. DEC 14 1 A 9.0 G a " 76AB38A-CE#803 8-63 APP I ATI N FOR-BUILDING PERMIT L C O COUNTY OF LOS ANGELES BUILDING DEPARTMENT' OF COUNTY ENGINEER ADDRES 9503 Kennerl BUILDING AND SAFETY DIVISION LOCALITY Temple City JOHN A. LAMBIE• COUNTY ENGINEER NEAREST WILLIAM A JENSEN, SUPT OF BUILDING CROSS ST DISTRICT G PROCESSED BY ' FOR APPLICANT TO,FILL IN GG//�,(( ,y CONStr /�/ BUILDING STATISTICAL CLASSIFICATION SEWER MAP ! ADDRESS BKPG p CLASS NO DWELL UNITS, LOT NO BLOCK WATER NOT REQUIRED El RECEIVED ❑ ' CERTIFICATE TRACT �/!/ MAP /JAS / HIGHWAY STATE MAJOR SECOND LOCAL NO OF BLDGS NO v!/ a (CIRCLE)' SIZE OF LOT NOW ON LOT USE ZONE SPECIAL USE OF - �_7 CONDITIONS EXISTING BLDG /C/_/ - TEL' OWNER Iva Heaton' NO 443- 1 BUILDING YARD HWY STREET NAME EXIST ADDRESS 7503 Kennerly, Temple City SETBACK WIDTH p ARCHITECT OR TEL P L ENGINEER NO SIDE el P L ADDRESS- - d TEL 0 CONTRACTOR NO97_0507V ADDRESS 600 So. San Gabriel Blvd. ,- S 0 DESCRIPTION OF WORKJ Z2, G` — W NEW - ADD ALTER REPAIR DEMOLISH N SQ FT NO OF NO OF Z SIZE STORIES FAMILIES _ USE OF STRUCTURE Reroof house & garage with 235# Compo. Shingle. , over 5/2 wood , a SIGNATURE OF APPLICANT VIRGIN ROOF CO. ' VALUATION $ U O 00 APPROVALS DATE INSPECTOR'S SIGNATURE P C PMT FOUNDATION LOCATION FEE $ FEE $ FORMS, MATERIALS FRAME FIRE STOPS I 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 I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH INT TION OF THE LAB R CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN COMPENSATION INSURANCE LATH EXT' SIGNATURE OF uJ HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ar is en, ec y. RIVH- FINAL ADDRESS - Z-66, g Gabriel JOHN F LEWIS PRINCIPAL STRU RAL ENGINEER PLAN CHECK VALID 'ION CK M O CASH PERMIT VALIDATION CK M O CASH L 03 6- 5 5� JUL 1 D 6.0 0 ' 78A009A cHtl9U82/00 APPLICATION FOR BUILDING _PERMIT . - . • �,1' COUNTY OF LOS ,ANGELES BUILDING • �'_ �/ 7 _ ADDRESS ' DEPARTMENT OF COUNTY EM.32M R , . , BUILDING'AND,SAFETY DMSION- LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT of BUILDING CROSS ST DISTRIC�Tq NO. GROUP TYPE PR ESSED BY FOR APPLICANT TO FILL IN �;U CONST. BUILDINGSTATISTICAL CLASSIFICATION •'S ER MAP ADDRESS 9'503 Kennerl T m le qj- ' K ,:-PG CLASS NO Z_DWELL _UNITS LOT NO BLOCK MAP STATE YES N NUMBER , i HWY. TRAGI.- - e USE ZONE ^SPECIAL NO OF BLDGS. j CONDITIONS SIZE OF LOT I NOW ON LOT 1` USEOF OResidence EXISTING BLDG.: BUILDINGEXIST. TEL - SET,BACK•. 'YARD HWY STREET NAME , WIDTH OWNER Mrs: Iva Hea n •NO. - FRONT �9 i / , P L, ADDRESS 9' SIDE ARCHITECT OR TEL. P L• - ENGINEER NO INSPECTION RECORD ADDRESS CONT'RACTOReya-nt Heating & AM'286-114 e v O ADDRESS-13-SO-E. Las T -na s D-iv U DESCRIPTION OF WORE _ ► / .r, 1� .._ _ e' J O 31) NEW ADD iALTER ' REPAIR DEMOLISH (`'[• / ' , SSIZE Q FT. NO.OF NO OF J� ,�,{.y/y � USE OF STORIES FAMILIES P �y^�J STRUCTURE Residence y ''(' f/_l Install heating system. IV SIGNATURE OF , APPLICANT - - VALUATION$ 900.00mosmEammm 2= I • APPROVALS DATE INSPECTOR'S SIGNATURE PC - ` PMT. O 0FOUNDATION'LOCATION FEE FEE:$ .00 'FORMS,MATERIALS I HEREBY-ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME .FIRE STOPS, BRACING, BOLTS _ PLICATION AND.STATE THAT THE ABOVE IS CORRECT'AND FURNACE. LOCATION, AGREE TO.COMPLY-WITH ALL COUNTY ORDINANCES AND GAS VENT;DUCTS f1�I>v7 STATE LAWS REGULATING BUILDING CONSTRUCTION., - - 1' CERTIFY THAT IN DOING THE WORK AUTHORIZED '1 LATH, INT WILL NOT EMPLOY A Y PERSON IN LATION OF THE _ _ WORKMEN'S COMPEN ATION LAWS CALIFORNI LATH, EXT. SIGNATURE OF HOUSE NUMBER COR--_ PERMITTEE- RECT AND POSTED 'ADDREss1350 E Las Tunas . Temple Ci FINAL CLYDE N..DIRLAM, PRINCIPAL ST URAL ENGIN ER PLAN CHECK VALIDATION. , cK. M.O. CASH PERIVIIT VALIDATION CK. M.O. -CASH - Of- 08 t 0 8 4 S 2� _FES 9 1 D 3.Q 0~ ` h �` APPLICATibN FOR 'BUILDING. PERMIT t'(5R APPLICANT TO FILL IN IPrint or type only) BU LCI NG - - COUNTY OF LOS ANGELES ADDRESS O' 3 2 t-- •, DEPARTMENT OF COUNTY ENGINEER CITY �. zIP (� BUILDING "AND=-SAFETY DIVISION - NO OF BLDGS r BUILDING SIZE OF LOT X NOW ON LOT ADDRESS �� .> i TRACT BLOCK LOT NO d LOCALITY {Gdj/y Q�// _ OWNER N*kt9 G OSS ST �` OLlG►°'` - i- ASSESSOR ADDRESS Iv MAP)600K PAGE PARCEL DISTRICT JGROUP �TYPE FIRE PROCESSE e Y CITY ` ZIP CONS/T� •Z f,,,,E - tf ARCHITECT OR�- -' TEL 5;o '�J' ��j •� ENGINEER NO STATISTICAL'CLASSIFICA TION ER MAP 1 ADDRESS - _ CLASS NO �/ DWELL UNITS BK`' PG CONTRACTOR -• NOL - USE ZONE NADP z��1 LIC ADDRESS _ NO t -'' �� SPECIAL" LIC 'r CONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG SETBACK FROM FRONT PROP LINE OF (STREET) ADDRESS CITY - TOTAL SETBACK FROM TYPE OF EXISTING eg HIGHWAY + YARD - SO FT- NO OF - NO OF CHECK FRONT PROP LINE HIGHWAY WIDTH C SIZE STORIES FAMILIES ONE L + LL 93. DESC -1 PTION OF WORK -_ NEW ❑ ❑ BL-DG SETBACK FROM ADD - - - - - -- Z SIDEPROP LINEOF (STREET) ALTER gsTOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY + YARD - REPAIR[I SIDE PROP LINE HIGHWAY WIDTH USE OF t = EXISTING BLDG �,.,,�- _ DEMO_ L El APPLI A TE CORNER CUTOFF YES ❑ NO ❑ (PRINT) L.4 kj N0. BY (SIGNATURE) IN OPEN SPACE YES ❑ • NO ❑ Q IN COASTAL ZONE YES ❑ NO ❑ VALUATION $Y 4 - - CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE-THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY" - IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I -WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE ST TE CALRNIA N RE/LAATIrNG TO WORKMEN'S COMPENSATI INS E ^ r' / evevi SIGNATURE OF PERMITTEE 8-0 ADD 5 - - /-f �_J / �] FINAL �/ 9• 7 �y ,�QJ nn� ✓ I°^t�V BY DATE CI Y MAKE_ CII EC KS 75AYABLE TU F E $ FEE YJ HARVEY T. BRANDT. COUNTY ENGINEER PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M 0 CASH 4B412JUL `1.7 - 1 0 9".00A! 76A638A CE#803 7/73 _ APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S•COMPENSATION DECLARATION ` FOR APPLICANT TO FILL IN BUILDING ADDRESS ' BUILDING ADDRESS O �n1 I hereby affirm that i have a certificate of consent to self insure, �� or a certificate of Workers' Compensation Insurance, or a certified Cl ZIP �O�i•? � J copy thereof (Sec 3800,Lab C) LOCALIT Policy No Company SIZE OF LOV N F BLDGS NOW ON LOT ❑ Certified copy is hereby furnished' NEAREST CROSS ST Q led LOCK LOT NO TRACT B ❑ Certfied copy is fled wdh the county building mspecti°n USE ZONE MAP NO department Date Applicant - ASSESSOR MAP BOOK - PAGE PARCEL • - 'SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER „ COMPENSATION INSURANCE WITHIN 1000 FT OF SCHOOLS YES NO (This section need not be completed If the permit Is for'one hundred ADDRESS �J/n DISTRICT GROUP TYP C NST FIRE ZONE' PRO dollars ($100) or less) ' '�` CITY �11 ' �' IP r q I r I certify that in the performance of the work for which this permit ` � (p/( ' is issued, I shall not employ any person in any manne so as to " become Subject t0 t Workers'Compensation Law AR HIR TE NO _ G{J STATISTICAL CLA SIFICATION APT CO O Date- Applicant / ADDRESS CLASS NO 65 DWELL UNITS NOTIE TO APPLICANT If, aft r making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject t0 the Workers, CONTRACT 0 SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith / G ' comply with such provisions or this permit shall be deemed revoked FRONT P Y P P ADDRESS LIC NO P L , i o LICENSED CONTRACTORS DECLARATION SIDE Ic LASS P L I hereby affirm that I am licensed underprovisions of Chapter 9 f SEWER MAP (commencing with Section 7000)Of Division 3 of the Business and SQ F.T NO OF-S RIE N"FAMILIE�S Professions Code, m licen a is n full force ar e ct _ EW ❑ BK PG ►LicenseNumber d� Llc Class IrfE R TON OF WOR DD ❑ VALUATION �� 0_ Contracto Date ALTER ❑ $ t 0 ❑ I am exempt under Sec / / 71 REPAIR ❑ $ OO B&PC for this reason EMOL ❑ W LDMA P/C# -Date USE OF EXISTING BLDG R ❑ - 1 CO Signature APPLICANT(PRINT TE N _ / LDMA Perm# AUT°a 10d"�� Z Z ❑ I, as owner of the property, or my employees with wages as u° their sole compensation, wdl do the work and the.structure Is ADDRESS , O not intended or offered for sale (Section 7044, Business and L / FINAL DATE Q 1 ITEMS Professions Code) WILL THE APPLICAPK OR FUTURE BUILDING OCCUPANT HANDLE A44AZARDOUS MATERIAL _ OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE El 1, as owner of the property, am exclusively contracting With AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDES FINAL BY TOTAL �O o � licensed contractors to construct the project (Section 7044, YES C3 NQ El CHECK 108°90 Business and Professions Code) , •WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING , OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH_ CHANGE .00 CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINES I hereby affirm that there Is a construction lending agency for YES❑ No❑ ��(�pn'g�n'�pn'�� (�� cm the performance of the work for which this permit Is Issued(Sec HAVE READ THE HAZARDOUS MATER ALS INFORMATION GUIDE AND THE SCAQMD PERMITTING �+'r�+�•+-'•+` O1 7/24/95 N 3097,CIV C) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, 134 1 PM 5°17 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 SCAQMD o Lender's Address O ONNER OR AGENT o I certify that I have read this application and state under penalty o of perjury that the above information Is correct I agree t0 comply PC FEE PERMIT FEE o with all county ordinances and State laws relating to building m construction, an reby authorize representatives of this County ISSUANCE F m nter pon thi Aove-mentioned property for inspection purp e;;� V a 5 � INVESTIGATION FEE TOTAt70 - gneWre of ApPI— l Agent Dete Au SEE REVERSE FOR EXPLANATORY LANGUAGE