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Home My Public Portal About10307 KEY WEST ST_Building__ ` WORKERS'COMPENSATION DECLARATION :. I;.hereby affirm that I have a certificate of consent to self g P P L I C AT I O N FOR BUILDING PERMIT }hsure, or'a certificate of Workers' Compensation Insurance, or a certified'copy thereof (Sec. 38001"Lab. C.) r COUNTY OF LOS.ANGELES. BUI DING ND SAFETY Policy No. ' Company ' ❑ Certified copy is hereby furnished. w FOR APP.LIGANTtiTO"FLIE IN �Y, BUILDING .\ ADDRESS E! Certified copy is filed with the county'building ins pec- BUILDI GN� tion-department. AO RE$S Date, Applicant CITY ' „-ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' •.'NO.OF`BLDGS. `' NEAREST SIZE OF LCT_ , 'f _ tJOW ON LOT CROSS ST. COMPENSATION INSURANCE - „ 5y ,A (This section need not be completed if the permit is for one ASSESSOR hundred dollars ($100)or less.) TRACT 6�; 3� BLOCK LOT NOT] MAP BOOK• PAGE PARCEL TEL. USE ZONE MAP I certify that in the performance of the'work for which this OWNER %%P/J/iFs��'�� T/��NO. y/� ` NO, l permit is issued, Ishall not employ any person in any manner ADDRESS 6 yy� C,- I SPECIAL so as to become subject to the Workers'Compensation Laws. /� CONDITIONS .EG �� .. ZIP lO �- Date • Applicant' -• CITY NOTICE TO'APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PRO ESSED BX ENGINEER NO. CONST. ZONE E� Exemption, you 'should become subject to the Workers: � r � Compensation provisions of the Labor-Code, you must.forth- ADDRESS with comply with such provisions or this permit'sholl be` deemed revoked. TEL. / / STATISTICAL CLASSIFICATION APT. CONDO. CONTR�T 1��'G�f/y N �aJfzJ� LICENSED CONTRACTORS DECLARATION. o .1. LIC. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS jr NO.��S �y SEWER MAP (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and effect. CITY CLASS BK VALIDATION SQ. NO.OF _ NO, OF CHECK License Number Lic.•Class SIZ F d STORIES FAMILIES ONE / VALUATION 'DESCRIPTION OF WORK �f,?�J Contractor " Date NEW ❑ $ 9zoa� - ADD ❑ I am exempt under Sec. �� ❑ , , ALTER 2 A B.&P.C. for this reason REPAIR E] S USE OF Date`. EXISTING BLDG. DEMOL E] k.•a o 0 0 2 3 APPUCANyJ/' p- / TEL. Signature PRIt�¢ �e- 1✓�/�'��r NO.�. FINALor.. -,6 33.05 OWNER-BUILDER DECLARATION DAT _ hereby affirm that I am-exempt from the Contractor's LicenseS�p�� e ti �'j C Law for the following reason (Section 7031.5, Business and ADDRESS IF Professions Code): PRESENT Y._ ? " C l 2 1 EJ1, I, as owner of the property, or myemployees with ADDRESS �• � wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITYji3� 7044, Business and Professions Code). MOVING TEL. ' 261 ❑ CONTRACTOR NO. + I, as owner of the property, am exclusively contracting r•. # 0 0 0 0 with licensed-contractors to construct the project (Sec- ADDRESS I ° 6330 5 tion 7044, Business and Professions Code). REQUIRED.- .TOTAL SETBACK-FROM. EXIST. CONSTRUCTION LENDING AGENCY YARD HWY 6 3 3 0 5 E SET BACK PROP. LINE WIDTH -'+ o o Z: I hereby affirm that there is a construction lending agency for FFRNT O 8, 08-8 5 the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).Lender's NameLDMA Ref, #\ee$. ..-(i' �•� {1.J- Permit Fee Lender's Address A� �Q 2267„2 certify.that I have read this application and state that the ... .. 3 Issuance Fee &V v LDMA P/C�# a above information is correct. I agree to comply with all County Investigation Fee m ordinances and State laws relating to building construction, S _ # 0 0 0 0 0 u and hereby authorize represent6tives of this County to enter ToraFFee a? LDMA Perm. # upon the bove-mentioned ro a ty fo inspection urposes. a 7 55.25 , a SEE REVERSE FOR EXPLANATORY LANGUAGE /2 �f✓ Signal a of App ant or ge Date - /Z1 a- 5 O° I 08. .8 COUNTY OF LOS ANGELES 13UiLDING PERMIT DEPAR*IMENT OF PUBLIC WORKS 97u: "A'S TL: `,S -'.LTERATION/REPAIR BUILDING AND SAFETY LAND DEVEL"�:PMENT T Lc f-4 P L E C,1 1 Y CA 91780 UL 0508 041025002*5 PHONE: (620", 2,35-0488 EXT: !LEGAL ID: NO. OF CONST BUIL NG ADDRESS: TR: 36735 LT: 3 SQ. F11- STORIES TYPE 10307 KEY 1,;E--:T ST STRUCTURE: I VN TE-','i:; -A Q17AC3477 ASSESSOR 1 N IFOFZM,,''lr I ON' NIUMSER: NEA,�E"'T CRCSS STREET: HALIFAX 0. THOMAS PlAt;E- 597 GRID: C4 TEMPLE CITY, C 8585-018- 67 P�OCESSED BY: �7ENAtJT: EXIST BLDG USE: USE "fom- ;371 'ISSUED ON: E��N S ON, 1EXIST OCC GRP: 10/25/04 JK "0:211/OS OWNER. TEL. N'0" IBLUGS. NOW CNUT': VAL U T O:,;. F I—NALDAI E -1-N—AL—BY:----- 5-E—" IWONG, QUINN/STEPHAN! (323) 7,'2-344,3- 4,0'010 10307 KEY WEST ST 11-1-f 214PLE CITY CA 91'-'0 FEES PAID DESCRIPTION OF �'C'K REPLACE 9 SIZE) & 1 PATIO F-100'R TO DUAL PATE �A7FEE DESCIPTTC,-'- QUANTITY: AMOUNT:IWINDOWS PPLLCANT: TEL ISAME AS OWNER IAA BLDG PERMITT, .7:75 j IA;: STRONG MOTIQ`r: RESID 4000.00 URLu §P CIAL CONDI'; ID2 PERMIT Wl" 4000.00 VAL "5.80 TOTAL FEES :44.05 ";'0;;ATURr I (SAME AS OWNER LIC. NO SO LS ENGT-NEER APPROAl" OP ENGINEER' El NO: Lic, t".. !SLAB/UNDER -- - ---- -30-05 PAGE; cmp'd T'V' UNDERFLOOR INSULAN — --' ixx 01 i !FLOOR 5H STAT �a; NO. CF FAMILIES. DWELLING UNITS. APT/COND. . CLAT�— i I NO 21 0—OF SCHOOL WITHIN HAZARDOU'S iSHEAR PANEL'S IAIP QUALITY: 1111 FEET MATERIAL3 —----- No Nu FRAME IINSPLCT71 REQUIRED TOTAL SETBACK FROG EX ST t spr AN ISET BACK YARD: HWY: PROP LINE: 1-1 i D"ll H- I -T ,FRONT PL- SIDE PL- -f- INTERIOR L A ' -fA L L �EXTERIOR LATH IRATED FLOCIQCE-li- ASSEM71— RATED 0A I—11�!;�-FFKF'l FS T-BAR CEILINGS LOT REPORT ID: VPR761 ROUTE TO: BS0508 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 0411050010 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 36735 LT: 3 SQ. FT STORIES TYPE 10307 KEY WEST ST STRUCTURE: VN TEMP CA 917803477 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: HALIFAX 8585-018-067 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESIDSE ZONE: R ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 11/05/04 JK 10/31/05 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE r' FINAL BY: CODE: WONG, QUINN/STEPHANI (323) 788-3443- 2,000 10307 KEY WEST ST �^/J TEMPLE CITY CA 91780 FEES PAID DE&CR PTIVV N OF WORK COVER PATIO (9 X 41) & CHANGE OUT SLIDING DOOR TO WINDOW APPLICANT: TEL. N0: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: (5 X 4). SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 2000.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC 2000.00 VAL 82.20 TOTAL FEES 110.45 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION XX 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 ROOF SHEATHING 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- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CELL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508