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Home My Public Portal About9545 KENNERLY ST_Building__ -3 n•• ETS 2-46 I J �EV?ARTtJENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT ti- COUNTY OF LOS ANGELES Wh9. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDIDISTRICT NO. -PLAN CK. NO. PERMIT NO. - ADDRE S •i � � 9V c � 3 13 ADDRESS - ,I LOCALITY RECEIVED BY /DATE OF APPrL,. DATE ISSUED CROSS BT. {8 �} NEAREST 6 /_ -.,.c —' c / ..-��•��/•,- / (U (p a BUILDING P f �� OWNER & ADDRESS i MAIL ^�11 I� 1 n. _ MAIL 9 I T /�R^y./� `►�/ LOCALITY _ NEAREST Q _CITY � CROSS ST- ` NO'A FIRE NO.OF s TYPE I GROUP� ARCHITECT 'TEL. - ZONE PLANS _ ENGINEER NO. I i n , BLDG - ORD. NO. ADDRESS �/Ip SETBACK LINE ` o' J -TE _,' APPROVED CONTRACTOR 1,�W�NO.( BY DATE USE APPROVED , ADDRESS - � ZONEW�/ BY DATE LEGAL DESCRIPTION I LOT NO. r_ y 'I BLOCK _ CORRECTIONS TRACT _`I `f� �B• ' SIZE OF-LOT y-%� If$ I NOW ON LOTS O USE OFNO.OF NO OF EXISTING BLDG. I'FAMILII8 I ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O A REPAIR MOVING DEMOLISH p Sq. FT. NO.OF /_ ( ` Z I SIZE - I D O ROOMS (Q STORIES WALL I ROOF _ = COVERING COVERING ' USE OF NEW " BUILDING 7 ' r ` I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, " BRACING, BOLTS SIGNATURE OF - , OWNER LATH, INT: AUTHORIZED AG - y- r LATH,-EXT.: i P C. PLASTER, INT. ® ® FEE �/ , v PLASTER, EXT. VALUATION FINAL FEE _ ' 78A889A CH#803 ,_6, APPLICATION ,FOR BUILDING PERMIT COUNTY OF LOS ANGELES` ' BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A JENSEN SUPT OF BUILDING CROSS ST DISTRI T NO GROUP. -R.pEP SSED BY FOR APPLICANT TO FILL IN CONST BUILDING STATISTICALCLASSIFICATION SE ER MAP ADDRESS E L v S77. BK PG EH CLASS NO DWELL UNITS LOT NO BLOCK- WATER NOT REQUIRED RECEIVED CERTIFICATE TRACT MAP HIGHWAY NO OF BLDGS NO (CIRCLE) STATE MAJOR SECOND OCAL SIZE OF LOT �JQ �/ ?' I NOW ON LOT / USE ZONE SPECIAL , USE OF CONDITIONS EXISTING BLDG t' % �y OWNER �. NOTEL •6 V BUILDING EXIST ''7''�s SETBACK YARD HWY STREET NAME WIDTH ADDRESS J ` • FRONT ARCHITECT OR TEL P L ENGINEER NO SIDE P L ADDRESS INSPECTION RECO O /21d� CONTRACTaO��R Z~( TEL NO ADDRESS .G^ �� 0 O DESCRIPTION OF WORK, G CL N ADD - ALTER REPAIR DEMOLISH Z ST FT NO OF NO OF IZE STORIES FAMILIES USE OF STRUCTURE LES [3 , SIGNATURE OF APPLICANT VALUATION 5' 2 ery �L APPROVALS DATE INSPECTOR SSIGNATURE PC PMT , FOUNDATION FORMS, MATERIALS /f Q R ,INaa�f FEE $ \� FEE $ �' 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 CERTIFY THAT IN DOING THE WORK BUILDING CONSTRUCTION I CER AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT TION OF THE LABOR CODE OF THE S TE OALIFORNIA RELAT- kq ING TO WORKMEN S COMPE SATI SUR CE /J LATH,EXT SIGNATURE OF /S � HOUSE NUMBER COR- / l� PERMITTEE RECT AND POSTED /p )N! ' ADDRESS 8' FINAL 1 I � 11A Z44 CLYDE N DIRLAM, PR![CIPAL STR ~RAL ENGINEER PLAN CHECK VALIDATION CK. M o QWH PERMIT VALIDATION cK m o. aABH , ; t3 1 3 9 5 w AUI.3, 1 d AP P L I CAT I O N FOR COUNTY OF LOS ANGELES BVI LD I N G� P E R M IT DEPARTMENT BUILD NG AND SAFET DIV SION ENGINEER �� < FOR APPLICANT TO FILL-IN BUILDING ADDRESS BUILDIN ` ADDRESS LOCALITY I - NEAREST r—T CITY CROSS ST ry NOBLDGS ASSESSOR SIZE OF LOT NOW O ON LOT MAP BOOK PAGE PARCEL DISTRICT UP T PE FIRE PRO SED B TRACT 136" BLOCK LO LNO ONST I ZO t v i r OWNER O STATISTICAL CLASSIFICATION SEWER MA ADDRESS -,'CLASS NO �DWELL UNITS BK PG CITY ZIP ZONE MAP ARCHITECTTE (/(/ NO - EN NO d �I' SPE CONDITL IONS A D D R ESJ(�6 ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ N 22 TE CONTRACayofoN BLDG SETBACK FROM LIC FRONT PROP LINE OF (STREET) ADDRE l NTOTAL SETBACK FROM TYPE OF EXISTING LIC HIGHWAY + YARD = FRONT PROP LINE HIGHWAY WIDTH CITY CLASS CONSTRUCTION LENDER + a NAME AND BRANCH O BLDG SETBACK FROM U ADDRESS CITY SIDE PROP LINE OF (STREET) O O SQ FT NO OF NO OF CHECK HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING SIZE STORIES FAMILIES ONE SIDE PROP LINE HIGHWAY WIDTH + = Z DES PTION OF WORK NEW �( AD CORNER CUTOFF YES ❑ NO ALTER ❑ IN OPEN SPACE YES ❑ NO REPAIR ElUSE OF ❑ IN COASTAL PERMIT ZONE YES ❑ NO EXISTING BLDG DEMOL APPLICANT TEL (� ' (PRINT) FlopV`V BY(SIGNATURE) / IHEREBY ACKNOWLEDGE THAT I HAVE READ T APPLICATIOWAND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COM Y WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE ` WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM PENSATION INSURANCE f ' SIGNATURE OF FINAL PERMITTEE 0r DATE �l 9. BY apZ ADDRESS .26 TELA , PC Fee$ d Permit Fee Z- CITY NO Issuance Fee VALUATION$ (�, V� , _ v� C,L_JLJ Total Fee '.PLAN CHECK VALIDATIONc PERMIT VALIDATION lc M o CASH �*. I� SA`P`i 276.5{°JUN 2�2' LF : :)' ICY HOLDER: 2 6 6 N Jllid D `' 9.(),C'j A e$ 76A638A CE d803A 8/77 - POLICY NUMBER: W�7-7 ell7 v, _ - WORKERS' COMPENSATION DECLARATION hereby hffirm that ,I have a certificate of consent to self _ APPLICATION FOR -B U�DING P.E RM I T insure, or a certificat4 of Workers' Compensation Insurance, ' or a certified copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company ❑ PY is x Certified co hereb-'furnished FOR APPLICANT TO FILL IN BUILDING Y t . ADDRESS Certified copy is filed with the county building inspec- BUILDING P15.4 G`i 'llj� tion department ADDRESS{ i�►��`Wlc _ CITY I ZIP O LOCALITY c Date Applicant NO OF BLDGS CERTIFICATE OF-EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT NEAREST CROSS ST COMPENSATION INSURANCE ASSESSOR ° ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO MAP BOOK- •' PAGE PARCEL ` 4 hundred dollars ($100) or less ) TEL OWNER NO USE ZONE OPLin 21 I certify-that in the performance of the work for which this DSPECIAL77 /, permit is issued, I shall not employ any person in any manner ADDRESS /�-�� CONDITIONS e a so as to become subject to the Workers' Compensation Laws _ O 1 CITY ZIP A 1 Date Applicant ARCHITECT OR TEL . � NOTICE JO APPLICANT If, after making this Certificate of ENGINEER NO DISTRICT GROUP TYPE FIRE PROCESSED BY OCONST ZONE Exemption, you should become .subject .to the Workers' _� U Compensation provisions of the Labor Code, you must forth- ADDRESS - ,�(� a with,comply with such provisions or this, permit shall be TEL STATISTICAL CLASSIFICATION _APT CONDO in deemed revoked CONTRACTOR T _ Z LICENSED CONTRACTORS DECLARATION LIC CLASS NO DWELL UNITS - I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO (commencing with Section 7000)of Division 3 of the Business LIC SEWER MAP and Professions Code,and my license is in full force and effect __ CITY CLASS BK_ a VALIDATION SQ FT NO OF NO OF CHECK License Number Lic Class SIZE STORIES FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF WORK NEW ❑ $ j -ADD � , ❑I am exempt under Sec ALTER .❑ - B&P C for this reason REPAIR ❑ $ Date USE OF EXISTING BLDG DEMOL ❑ Signature- APPLICANT TEL W FINAL OWNER-BUILDER DECLARATION (PRINT) NO ,DATE, I hereby affirm that I am exempt from the Contractor's,License Law for the following reason (Section 7031 5, Business and ADDRESS '' FINAL Professions Code) PRESENT By _._Ir i , tc BUILDING u 11 as owner of the property, or my employees with ADDRESS 17e wages as their sole compensation,will do the work and = " ' LOCALITY ; t the structure is not intended or offered for sole(Section ► ly ��, 7044, Business-ond Professions Code ) MOVING - TEL ❑ 1, as owner,of the property,,am exclusively contracting CONTRACTOR NO �1 - ,- with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code ) , I I CONSTRUCTION LENDING AGENCY REQUIRED TOTAL SETBACK FROM EXIST' 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 permit is'issued PL t (Sec 3097, Civ C ) SIDE PIL Lender's Name /D �� LDMA Ref # Lender's Address � PC Fee$ Permit Fee (O ,I certify that I have read this application and state that the Issuance Fee ✓ �� LDMA P/C# ` 8 above information is correct I agree to comply with all County Investigation Fee, µ_ ordinances and State laws relating to building construction, Total Fee g 7y. 'LDMA Perm # a and hereby authorize representatives of this County to,enter upon the above-mentioned property for inspection purposes XtI I-IG�IJAIAJJ9V SEE REVERSE FOR EXPLANATORY LANGUAGE _ Signature of App it cant or Agent,,' Date F , COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS DEMOLITION BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0306300048 PHONE: (626) 285-0488 EXT: -11GAL-Mi- NO. OF CONST BUILDING ADDRESS: TR: 13620 LT: 42 SQ. FT STORIES TYPE 9545 KENNERLY ST STRUCTURE: 510 TEMP CA 917803838 ASSESSORNEAREST CROSS STREET: CLOVERLY 8590-013-027 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: SWIMM USE ZUWE-- ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 06/30/03 VG 06/24/04 OW -TE-E. N0: BLDGS. NOW ON LOT: ALUATION: FINAL DATE FINAL CURTIS, JAMES (626) 287-2217- 5,000 9545 KENNERLY ST -0-3 TEMP 917803838 FEES TXrF DOCU UN Up WORK DEMOLISH A SWIMMING POOL APPLICANr-- TEL. NO: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 5000.00 VAL 0.50 SPECIAL CONDITIONS: 02 DEMOLITION INSPECTN 163.50 TOTAL FEES 191.75 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO PEDESTRIAN PROTECTION I SEWER DI9E5TN--ECTION-- ARCHITECT OR ENGINEER: . N0: ABANDON LIC. NO: UNDERGRND STRUCT REMOVAL I AND SOIL RECOMPACTION P O: SEWER MAPBOOK: PAGE: FIRE ZONE: -CRF- XX :XX 01 NO. OF S: 1 P NO 23 HAZARDOUSSCHOOL WITHIN AIR QUALITY: 1000 FEET MATERIALS NO NO NO REPORT ID: DPR261 ROUTE TO: BS0508