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HomeMy Public PortalAbout9527 KENNERLY ST_Building__ 76A638ACE08038-64 APPLICATION FOR BUILDINPERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W JENKINS,SUP T OF BUILDING CROSS ST UIS TR CT NO GROUP TYPE R CESS 8 FOR APPLICANT TO FI L IN coNsr BUILDING STATISTICAL SSI FICATION SEWER MAP ADDRESS CLASS NO DWELL UNITS BK G LOT NO J-471BLOCK USE ZONE MAP, NO TRACT12L2 SPECIAL _ NO OF BLDGS 2. CONDITIONS SIZE OF LOT NOW ON LOT ' USE OF I NG BLDG SETBACK FROM1 TEL r-- FRONT PROP LINE OF r STREET) OWNER a NO TYPE OF EXISTING SETBACK HIGHWAY YARD TOTAL f ADDRESS HIGHWAY WIDTH 'FROM C L CITY26 BLDG SETBACK FROM ARCHITECT TEL SIDE PROP LINE OF (STREET) ENGINEER O TYPE OF EXISTING SETBACK HIGHWAY -I- YARD = TOTAL ADDRESS - S.. HIGHWAY WIDTH FROM C L d TEL + = O CONT NO U IC CORNER CUTOFF YES NO O ADDRESS 12 7 "f - clrY cic SEE REVERSE SIDE FOR SPECIAL APPROVALS U W DESCRIPTION OF WORK N Z_ NEW ADDALTER REPAIR DEMOLISH SQ FT NO OF NO OF SIZE STORIES FAMILIES _ USE OF STRUCTUR SIGNATURE OF _ APPLICANT VALUATION$ APPROVALS DATE INSPECTOR'S SIGNATURE P C PMT FOUNDATION, LOCATION FE 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 ' WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS { 9UILDING CONSTRUCTION I CERTIFY,THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY ERSON IN VIOLA LATH INT TION OF THE LABOR DC OF THE STATE OF ALIFORNIA RELAT ING TO WORKMEN Co P SATION INSUR LATH EXT SIGNATURE F HOUSE NUMBER COR- ` PERMITTEE RE9T AND POSTED \Z ADDRESS FINAL Ll-ell JOHN F LEWIS PRINCIPAL ST RAL ENGIN ER PLAN CHECK VALIDATION CK M o CASH _ PERMIT VALIDATION _CK M o CASH m _ACo,5 6 4 8 SEP 16 1 D 6.00- ,' 76A638A CE #803 3-69 r APPLICATION FOR BUIL DIN PERMIT COUNTY OF LOS ANGELES BUILDING {� DEPARTMENT OF COUNTY ENGINEER ADDRESS v BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE, COUNTY ENGINEER COLEMAN W JENKINS, SUP'T OF BUILDING NEAREST CROSS ST FOR APPLICANT TO FILL IN DISTRICT No GROU TYPE C ' PR OW S Y tt� (PRINT OR TYPE ONLY) V t BUILDING �/ STATISTICAL CL S ICATION _ SEWER MAP ADDRESS 9�rz7 /S �vioea,( � CLASS NO �DWELL UNITS BK PG LOT NO BLOCK USE ZONE MAP NO C/ TRACT 2 SPECIAL NO OF SLOGS CONDTIONS SIZE OF LOT x/3 a NOW ON LOT Z_ USE OF EXISTING BLDG BLDG SETBACK FROM TEL FRONT PROP LINE-OF - - (STREET-) OW NER C������ NO Z8 7996 _ TYPE OF EXISTING SETBACK HIGHWAY + YARD ' TOTAL ADDRESS /..�1 �� AJ itl.4��L. �� HIGHWAY WIDTH FROM C.L. _ _ CITY /f,� (�/r7 ARCHITECT OR TEL BLDG BAC FROM` (STREET) ENGINEER NO SIDE PROP LINE OF, TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L TEL + CONTRACTOR NO LIC ADDRESS o..i'!I .pvy.CT.� �D NO Z 2s'I�Z- LIl CORNER CUTOFF YES ❑ NO ❑ _ C' L CITY ��c„'Gy6e��V CLASS SEE REVERSE SIDE FORS ECIA PPR VALS , C CONSTRUCTION LENDER - NAME AND BRANCH O LL a cv ADDRESS 2 SO NO OF NO 0 F SIZE FT STTORIES f FAMIILIES NEWUSE OF ADD ❑ STRUCTURE ALTER ❑ REPAIR ❑ SIGNATURE OF DEMOL ❑ APPLICANT C , VALUATION $ t�✓�U `Q�J APPROVALS DATE INSPE R's SIOIJAT,4RE PMT �y.�� FOUNDATION LOCATION FEE $ FEE $ V(/ FORMS, ORMS MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME FIRE STOPS, BRACING BOLTS AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- GAS VENT DUCTS TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- , PENSATION INSUR CE / 1/ LATH, EXT SIGNATURE OF HOUSE NUMBER CORRECT PERMITTEE�_,� AND POSTED ADDRESS ( // �d�JCT� znO 's'4'J�`V,5 FINAL d JOHN F LEWIS, PRINCIPAL STRUC URAL ENGINEER PLAN CHECK VALIDATION CK m 0. CASH _ PERMIT VALIDATIONCk' M 0 CASH 3 8 7 3,C F E B 2 7 1 0 V 76A63QA C60803*4 APPLICATION FOR BU I LDI PERMIT COUNTY OF LOS ANGELES BUILDIN DEPARTMENT OF COUNTY ENGIN$ ADDRESS- ER BUILDING AND SAFETY DMSION L O C A L I Y > - JOHN A LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W JENKINS,SUP T OF BUILDING CROSS ST - FR APPLICANT TO FILL°IN DIST CT GROUP- TYP P s e Z CON STATISTICAL C SSIFICATION SEWER MAP z CLASS NO DWELL UNITS BK PG BLOCK USE ZONE MAP SP �� SPECIAL _ NO OF SLOGS CONDITIONS NOw ON L"ISTIM ��'�' /J BLDG SETBACK FROML FRONT PROP LINE OF O TREET) NO TYPE OF �;TING SETBACK HIGHWAY YARD TOTAL ADDRESS H GIIWAY _WIDTH 'FROM C L r e � + za = 2 d CITY AZ if ARCHITECT R L LDG 9 TRACK FROM - ENGINEER NO SIDE PROP LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADD ES _ HIGHWAY WIDTH FROM C L _ TEL + = O TRA TOR 'S Q V C C S NO � ADDRESS SNO �` O cIT [� - C'ASSLIC SEE REVER Sg' FtT� fLR PP OVALS U w DESCRIPTION OF WORK v Note: Permits for curb, gu+tBr, si�:e•�a14, and driveway,approach i Z NEW AD ALTER REPAIR DEMOLISH 01�uld 130 a,en OU r (o Oa Dept, Altaden SQ. NO OF NO OF ffice, or T. C. CoEngine SIZE STORIES FAMILIE lengthy delay, Survey & Design work takes time and is not started USE OF STRUCTURE or partway tree perm) of T. G Ity Hall. n e = 77/2k, �yf / j� A LAPPLICA RE F _ 6 !2�/ �` /,- i4 y'r lr,���UZ NON OO 000, ` /APPROVALS Wepw DATE , INSPECTOR S8IGNATU E PMTLOC F FEE$ /L../ �•�' FO FORMS,I MADAN�TERIALSON 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 yAJG� WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS li 9UILDI NG CONSTRUCTION I CERTIFY THAT /INING THE WORK I ,- `AUTHORIZED HEREBY I WILL NOT EMPLOY ARSON IN VIOLA LATH INTTION OF THE LABOR DC OF THE STATE OIFORNIA RE LAT ING TO WORKMEN CO P ATION INS U A LATH EXT , SIGNATURE F ,HOUSE NUMBER COR- PERMITTEE RE AND N POSTED ADDRESS FINAL •� ��j JOHN F LEWIS PRINCIPAL STRUCTURAL ENGIN ER PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATION CK • M O CASH L.? 4 1 8 1 O JUL30 1D 1 5.00- c- A_'P:"e0`UCATMN FOU BU0 DNQ PERMIT COUNTY OF LOS ANGELES: BUILDING AND SAFETY z WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDIN D RFySs I hereby affirm that I have a certificate of consent to self Insure, BUILDING ADDRESS Sr.or a certificate of Workers' Compensation Insurance, or a certified _ 52 / RAIWEA4 Y / copy thereof(Sec 3800,Lab C) CITY _ zip TENni cirY -7171f-0 LOCALITY POIICy NO Company SIZE OF LpT / NO/�pF B GS NOW ON LOT ` ❑ Certified copy is hereby furnished 58.SX ��7-'J0 3 S p L '(/NCL. I��RAfaF. ) NEAREST CROSS ST " ❑ Certified copy is filed with the county budding inspection T CT BLOCK LOT NO department _ USE ZONE MAP NO - Date ApplicantASSESSOR P TBO� PAGE PARCEL �I,(, , ✓ D SPECIAL CONDITIONS . OW TE NO YES NO CERTIFICATE OF EXEMPTION FROM WORKERS' / r`O WITHIN 1000 FT OF SCHOOL COMPENSATION INSURANCE '44 N � �d p (This section need not be completed if the permit is for one hundred AD S,�.,' DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY dollars($100)-or less) I certify that in the performance of the work for which this permit A" is Issued, I shall not employ any pe son in any manners as t �� ( _-`/� P ^� d'h� become subject to the W kers'C pensatl LBWS RCHITE TOR ENGINEER `TEL NO f+, [/ LAf'6LEW CA`t/MER a l f• .f 2 Z STATISTICAL CLASSIFICATION APT CONDO Date Ap c ADDRESS p N CLASS NO DWELL UNITS NOTICE TO APPLICANT If, after making / Certificate of- Jr� T��/LE a� eLyn a0� C• f�7eO REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' C N RACTOR TEL NO _SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith ,� _"��p023 FRONT comply with such provisions or this permit shall be deemed revoked AD RESS / LIC NO P IL LICENSED CONTRACTORS DECLARATIONT9 / � ���N'� SIDE LIC CLA � PL I hereby affirm that I am licensed underprovisions of ChapSEWER MAP (commencing with Section 7000)of Division 3 of the Businesl NO OF TORIES NO OF FAMILIES Professions Code,and rry license is in full force and effectNEW ❑ BK PGLicense Number LIC Class, PTION OF WORK ADD ❑ VALUATION Contractor Date FX/Jr/N6 RCSIPFAM11`L � Q ALTER ❑❑ I am exempt under Sec I}T�IO�//V X F. REPAIR �`❑ $ Q / /PG Y CWXrR&Cr10A1 J"� LDMA P/C# W BBPC for this reason DEMOL i ; U Date USE OF EXISTING BLDG ORM ❑ 1 _ CL Signature 'APPLICANT(PRINT) TEL NO - LDMA Perm# _ _ - �"- Z_ ❑ I, as owner of the property, or my employees with wages as s-T•r their sole compensation, will do the work and the structure is ADDRESS - _ _�� not Intended or offered for sale (Section 7044, Business and FINAL DATE Q 3303 -175= T--I I ,Professions Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL 1 TEI} _h_ - - e OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE J I, as owner of the property, am exclusively contracting With AMOUNTS SPECIFIER ON THE HAZARDOUS MATERIALS INFORMATION GUIDES '1 FINAL BY -'--- '< - licensed contractors to construct the project (Section 7044 Yes❑ NO `T�TOTAL- 17-_8 ® 90' Business and Professions Code) _ 75.90 WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING i-HEi�1 i/ OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH _ _ __ �J CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR `CHANGE CID GUIDELINES ., I hereby affirm that there is a construction lending agency for YES No❑ a the performance of the work for which this permit is Issued(Sec pi 'I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING ]Ul�l7_I:�I�01 bf..c� ` 3097, CIV C) CHECKUST I UNDERSTAND MY REQUIREMENTS UNDER'THE LOS ANGELES COUNTY CO I 7 1 Q TITLE 2 CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDO S Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD 04C e _I1 -i 1--AM Vo0J o Lender's Address ' CI OWNER OR AGENT - o 1 certify that I have read•this application and state under penalty o PC FEE PERMIT FEE i of perjury that the above Information Is correct I agree to comply N with a c my ordina es and State s relating to building p�J a cons c n,-and hgr authorize re SeRtat of this Cou ty ISSUANCE FEE ao �^ oto upon thea mentioned pe ty f I pection p es �/l INVESTIGATION FEE TOTAL FEES sgmtu,e of Apel—c, m aye SEE REVERSE FOR EXPLANATORY LANGUAGE PERMIT AFRI-OLICATION COUNTY OF LOS ANGELES --- -- 9•-- BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING DRESS DING BUI DADDRESS I hereby affirm that I have a certificate of consent to self insure, NG or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800,Lab.C.) ZIP �r "� LOCALITY Policy No. Company SIZE OFeZOT y NO.OF BLD S fLQW ON L0;_1 ❑ Certified copy is hereby furnished. r f� ` ._LA/ NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK OT NO USE ZONE MAP NO. department. Q -�7^ Date Applicant ASSESSO MAP BOOK PAGE ` PANEL_ / 6) ��•/ SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' ER Q Jr / TEL NO COMPENSATION INSURANCE .t_ L/C ` WITHIN 1000 FT.OF SCHOOL? Y No (This Section need not be completed if the permit is for one hundred DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars ($100)or less.) ZIP I certify that in the performance of the work for which this permit `/7�`1p+ oe is issued, I Shall not employ an rson in any manner as to ARC IT TOR ENGINEER, ,{ become 'ubje t0 the W er ' mperysa n Laws �� ®� rteSTATISTICAL CLAS IFICATION APT CONDO .til Date Ap IC AD RESS „� pp// / tr CLASS NO. DWELL UNITS NOTICE O APPLICANT. If, after ma ng IS Certificate of PC`s" F- v REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject' to the Workers' C TR CTORj / � TEL NO. _® SET BACK YARD HWY PROP LINE WIDTH provisions rovisions of the Labor Code, you must forthwith �L/. FRONT - comply with such provisions or this permit shall be deemed revoked. ADRESS I LIC. p� PL LICENSED CONTRACTORS DECLARATION � �, f+�w �IE SIDE - - /s LIG C•LFy6 P L ISO affirm that I am licensed underprovisions of Chapter 9 � 47 /�J - (commencing with Section 7000)Of Division 3 Of the Business and SO FT.SI NO.OF STC IES NO.OF FAMILIES SEWER MAP NEW �� PG ll'ro� Professions Code, and my license is in full force and effect. ❑ BK =i`; License Number Lic.Class SCRIP ON OF WORK _ ADD VALUATION \ BG _ p.t =`js', .-' - r Contractor Date ALTER ❑ ❑ I am exempt under Sec. ol REPAIR ❑ $ C BAP.C.for this reason DEMOL ❑ `-{s+'LI'j-'°_'_I ? _ '_' • -'k Date: USE OF EXISTA, G BLDG. URM 1:1 F'I Signature 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 - not intended or offered for sale (Section 7044, Business and FINALDA L�✓7 - Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL J I, as owner of the property, am exclusive) contractin With OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE p Y. Y g AMOUNTS SPEC ED N THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY +i i'•;� ';•'i+✓�� '' censed contractors to construct the project (Section 7044, YES❑ NO Business and Professions Code.) WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING . '-'f i+-•'=`-`- +•• r:••• OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH 1 4.+...�- CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. P" I hereby affirm that there is a construction lending agency for YES —No❑ r ?;i ' a the performance Of the Work for whlch.•this permit IS Issued(SBO. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING 3 / 01 [i tt��i -i TS i 3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE. ..tl-._.f_ 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. IL Lender's Address ` t OWI`IER OR AGENT O 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 P.C.FEE (f5 PERMIT FEE ® 4 with all county ordinances and State laws relating to building d co �Coonru ion, and hereby auth�I(ze rep entatives of this Co m '-`' ISSUANCE FEEm upon t bove-mep tined pr ty for inspe on pur oses. NVESTIGATION FEE TOTAL FEE n ` /e (�!° Cf SEE REVERSE FOR EXPLANATORY LANGUAGE \ I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMEM,T OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDIN(:*AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9702040027 PHONE: (818) 285-0488 EXT: LEGALD: NO. OF CONST BUILDING ADDRESS: TR: 13620 LT: 39 SQ. FT STORIES TYPE 9527 KENNERLY ST STRUCTURE: 500 V TEMP CA 917803838 ASSESSOR IMP59MATION NUMBER: NEAREST CROSS STREET: 8590-013-024 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY ST SE: RESID USE ZONE: R-1 ISS D OCE ES ON: EXIST OCC GRP: 02/04/97 TC 02/04/98 OWNER: TEL. NO: BLDGS. NOW ON OT: VALUATION: FINAL—D A T E FINAL Y: CODE: BAILEY MARILYN A - 1 1,800 9527 KENNERLY ST TEMP 917803838 FEES PAID UESCR7POF WORK zl%v'%nTEAR-OFF, INSTALL 1/2" CDX,RECOVE / 20YR COMP-GARAGE ONLY A EL. FEE DESCRIPTION: % TIcTtY:�o ? /1� AMOUNT: REXWAY ROOFING INC. (818) 336-4437- AA BLDG PERMIT ISSUANCE 'bCl 27.75 AC STRONG MOTION RESIDd1800.-00-VAVALL\ t0�`i75 SPECIAL CONDITIONS: D2 PERMIT W/O EW-HC"" 1800:00- E 82 20 �1 TOTAL FEES 110'.70', CONTRACTOR: TEL. NO: O `APPROVALS ATE INSPECTOR SIGNAT RE REXWAY ROOFING, INC. (818) 336-4437- 507 N. AZUSA AVE #C LIC, NO �/ ldt 0 O 10CATI SETBACKS LA PUENTE CA 91744< 655986C-39 n SOILS ENGINEER APP 0 A ARCHITECT OR EER: EL. t SM U LI lJ 11 �� a 1 � 0 / E LIC. NO: — I ,1;1111 SLAB/UNDER FLOOR ti RA S R FRAMING AP NO: SEWER MAPBOOK: PAGE: FIR ZONE: CMP: UNDERFLOOR INSULA ION 144H269 3 01 C )) r FLOOVSHEATHING OF IES: DWELLING UNITS: APT/COND: STAT CLA9197 NO 21 ROOF SHEATHING SCHOOLDO O G1 /�1 S , AIR,QUALITY: 1000 FEET MATERIALS n` JJ �c�11 NO NO NO 003� FRAME INSPECTION �)7 IR OT SETBACK F EX FIR SPRI ERS 7 SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- Twroum t EXTERIOR LATH i ATEDu OOR/C M. RATED;WALL ASSEMBLIES t RATEDSHAFTS/OPENINGS T-BAR;CEI INGS LO D IAGE I REPORT ID: DPR261 ROUTE TO: BS0508