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Home My Public Portal About9581 KENNERLY ST_Building__ I DIVISION OF BURRING AND SAFETY E23UILDING Department of County Engineer County of Los Angeles WM. J. FOX, COUNTY F_NGINEER APPLICATION FOR APPLICANT 'T/O FILL IN ADDRESSBUILD G ADDNG RESSI K2 Pt-'� LOCALITY C r---� c NEAREST �\ CROSS 9T. LOCALITY 1 DISTRICT NO. PLANCK OR Rea ND. PERMIT NO. NEAREST OWNER v RECEIVED BY- ANTE OF APPLL.` DATE ISSUED MAIL ADDRESS f �� USE ZONES NO OF, TYPE GROUP FIRE ZONE CITY NOL -S r I PLANS I I I ARCHITECT OR TEL. 1 ��``�� ZONING DATED_ ENGINEER - NO. Scob APPROVED BY T 1C�Q.p'I 3- ��J BUILDING 1 RD.No. 'ADDRESS - SETBACK LINE• {,._. TEL. APPROVED �...- DATE ,, �n �, CONTRACTOR NO BY J Q�., ADDRESS HOUSE^NUMBERING ^ � 1 ' LEGAL MAP NUMBER 1 1 `D NO ASSIGNED BY DESCRIPTION LOT NO // BLOCK - ' / / DATE. I CORRECTIONS I INSPECTOR n�� TRACT Y L6 NO OF SLDGS. �_ I SIZE OF LOT I NOW ON LOT USE OF NO. OF �� /�/� '�� EXISTING BLDG FAMILIES �/N/ .�f/� O D ION OF WORK z NEW ALTERATION ADDI_Tr REPAIR DEMOLITION SQ FT NO OF SIZE ROOMS STORIES EXTWALL ROOF COVERING COVERING USE OF STRUCTURE zr -e I I APPROVALS INSPECTOR'S SIGNATURE DATE FOUNDATION• LOCATION FORMS, MATERIALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: PLICATION AND-STATE THAT THE INFORMATION GIVEN IS BRACFIRE STOPS' CORRECT ING, BOLTS 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS SIGNATURE OF �� LATH, INT. PERMITTE LATH, EXT. ADDRESS_ PLASTER, INT. AUTHORIZED AGT. ... _ PLASTER. EXT. FEE $ �� HOUSE NUMBER COR- `�J RECT AND POSTED y� $ VALUATION FEE Cp 0Q), FINAL 76AS38A DBS 3 2-88 / APPLICATION POR BUILDING PERMIT ' COUNTY'OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION' FOR APPLICANT TO FILL IN e I jEss , I hereby affirm that I have a certificate of`consent to self Insure, B IN DDR-SS / or a certificate of Workers' Compensation Insurance,or a certified copy thereof S c 3800,Lab C) ,� C T ZIP �� _ LOCALITY Policy o Compan G SIZE F LOT NO OF BLDGS NOW ON LOT Certified copy is hereby furnished NEAREST CROSS ST ❑ Certified copy is filed with tmy build spection TRACT BLOCK ' LOT NO f department "CrUSE ZONE MAP NO _ e ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS i Date/ Applicant CERTIFICATE OF EXEMPT N FROM WORKERS'. owN TEL N COMPENSATION INSURANCE T' WITHIN 1000 FT OF SCHOOLS YES No [ADtDRIESS' (This section need not be completed If the permit is for one hundred � DISTRICT GROUP TY C FI ZONE PROCESSED BY ' dollars ($100)or less) I certify that In the performance of the work for which this permit is Issued, I shall not employ any person In any manner so as to ARCHITECT OR ENGINEER TEL NO ' 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 t0 the Workers' CQNTR_CTOR O SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith �j�� FRONT - comply with such provisions or this permit shall be deemed revoked ADD ESS �: LIC NO P L ZM LICENSED,CONTRACTORS DECLARATION f L 31--7:2 SIDE CIT if .'� LIC��C P L I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and &RIPT�;; J> NO OF STORIES NO OF FAMILIES Professions Code,and my license is in full force and effect " NEW ❑ BK PG License Number �� LIC Class WORK ADD ❑ VALUATON , _ Q U Contractor Date �t�� ALTER ❑ $15 1 cc El am exempt under Sec REPAIR $ /C lB&PC for this son DEMOL ❑, ,LDMA P/C# W Date USE OF EXISTING BLDG URM ❑ - Signature APPLICANT(PRINT) TEL NO - LDMA Perm# �• Z L , ❑ I, as owner of theeert,�, or.my-employees with wages as ZO C{ .itheir sole compensl do the work and the structure Is ADDRESS r not Intended or offered for sale (Section 7044, Business and FINAL DATE Professions Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL 7y OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL'TO OR GREATER TZ I I Er J❑ I, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDES FINAL BYE / �J _ licensed contractors to construct the project (Section 7044, YES❑ No❑' I /V I t f{i�� } m � Business and Professions Code) , WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING L_t3CF•�Y 1C!{(C.o(I OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH liGl CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR _ GUIDELINES !_I-f€NCE' I herebyaffirm that there Is a construction lending agency for ,Isis 9 g y YES❑ NO❑ a the performance of the work for which this permit Is Issued(Sec I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 3097,Civ C) 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 I€ILf'_!�I„}L IL{j "11 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD Lender's Address 0 7 f 1 M 7:53 G • OWNER OR AGENT, _ y o I certify that I have read this application and state under penalty O of perjury that the above Information Is correct I agree to comply PC FEE PERMIT FEE N with all county ordinances and State laws relating to budding �(J < cons on, and hereby thorize representatives of this County ISSUANCE FEECO toe on the abov - tioned prop y for Inspection purposes T 0 co W Appk;¢M Aoem ' - ' �3 INVESTIGATION FEE TOTAL FEE �` � - ' tO V � S�e�we Dai , SEE REVERSE FOR EXPLANATORY LANGUAGE - COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0608070036 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS TR 19316 LT 11 SQ FT STORIES TYPE 9581 KENNERLY ST STRUCTURE 2200 VN TEMP CA 917803838 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 8590-013-003 THOMAS PAGE 597 GRID A4 LOCALITY TEMPLE CITY, C TENANT EXIST BLDG USE RESID USE ZONE R-1 ISSUED ON PROCESSED BY EXPIRES ON EXIST OCC GRP 08/07/06 JK 08/02/07 OWNER TEL NO BLDGS NOW ON LOT VALUATION FIY- TEMP DF�TE FINAL BY CODE DOLBEE VIRGIL H,ALICE C TRS (626) 286-3077- 4,500 9581 KENNERLY ST 917803838 FEES PAID D21SCRIPTION OF WORK " TEAR OFF TO SOLID SHEETING, INSTALL 30LB FELT AND 50 YR ELK FEE DESCRIPTION QUANTITY UOM AMOUNT APPLICANT TEL NO SIERRA PACIFIC ROOFING (909) 949-7663- AA BLDG PERMIT ISSUANCE 27 75 1042 N MOUNTAIN AVE AC STRONG MOTION RESID 4500 00 VAL 0 50 SPECIAL CONDITIONS UPLAND, CA 91786 D2 PERMIT W/O EN-HC 4500 00 VAL 132 60 TOTAL FEES 160 85 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE SIERRA PACIFIC ROOFING (909) 949-7663- 1042 N MOUNTAIN AV B 383 LIC NO LOCATION AND SETBACKS UPLAND, CA 91786 627233 C39 _ SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH FORMS LIC NO SLAB/UNDER FLOOR RAISED FLOOR FRAMING i MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP UNDERFLOOR INSULATION 144H269 3 01 FLOOR SHEATHING NO OF FAMILIES DWELLING UNITS APT GOND STAT CLASS NO 21 ROOF SHEATHING ��7 V SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD HWY PROP LINE WIDTH FRONT PL- I INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAP. CEILINGS LOT DRAINAGE REPORT ID DPR261 ROUTE TO BS0508