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HomeMy Public PortalAbout10420 KEY WEST ST_Building__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 /�,� BUILDING PERMIT DcPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ��J ALTERATION/REPAIR PUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0103130074 PHONE: (626) 285-0488 EXT: LEGAL 10. OF CONST ILDI G ADDRESS: TR: 37579 LT: 17 SQ. FT STORIES TYPE 10420 KEY WEST ST STRUCTURE: 2900 VN TEMP CA 917803478 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: HALIFAX 8585-018-038 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY TENANT: XIST BLDG USE: SFR USE ZONE: SSU 0 PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 03/13/01 UT 09/09/01 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: L E FINAL Y: CODE: MC COL, JUE 7,500 10420 KEY WEST 1 3 2O6 I TEMPLE CITY CA 91780 FEES PAID ITESCRIPTION RK REMOVIE ROOF INSTA;; 1/2 INCH. COX PLYWOOD AND 30 YR CLASS A FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: COMP. SHINGLES APPLICANT: TEL. KEENER (626) 334-8866- AA BLDG PERMIT ISSUANCE 27.75 686 S. ARROYO HWY AC STRONG MOTION RESID—_ 7500.00 VAL 0.75 SPE,�IAL CONDITIONS: PASADENA CA 91105 D2 PERMIT W/O-EN:HC 7500.00 VAL 183.00 (¢i��_ 60b pq,,�s�e�,� �• Imo. dai ��,..✓� �TOTAL�FEES 211.50 1`� CONTRACTOR: TEL. N0: /��� '' �'t"`9�� Inti.o..v- �•�cu��.ce. Cycs�de,..�c,� �1ev�-FL�vC•��. APPROVALS DA E INSPECTOR SIGNATURE , WORLD'S BEST ROOFING (626) 796-8550 � cl-y Ts v,-Ku— Ve cE 686 SO. ARROYO PARKWAY LIC. NOj' LOCA IO #271 726379/C30 CKS PASADENA, CA 91101 H j// ti �f �\ �\ SOILS ENGINEER APPROVAL wi 'XJ ARCHITECT OR ENGIN L. 0: � rL / \A 0 NDATION/TR K41& LIC. NO --- t `X111111, SLAB/UNDER FLOOR IRAISED FLOOR FRAMING MAP XNO: EWER MAP BOOK: PAGE: FIRE ZONE: t1ol UNDERFLOOR INSULATION L TUTOW-MEATRiNG OF : DWELLING : APT/COND: STAT CL S5: NO 21' - / — - ROOF SHEATHING SCH L WITHINHAZARDOUS \ ��� - - • !/i� SHEAR PANELS �T AIR QUALITY: 1000 FEET MATERIALS NO NO NO \x FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EX I ST +� S� R SPR G R SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- ��� r''y��;w �T�d����� INSULATION/WEATHER STRIP SIDE PL- INTERIOR LAT i EXTERIOR LATH RATED ASSEM. RATED WALL ASSEMBLIES RATED G T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 WORKERS"COMPENSATION DECLARATION JI hereby affirm that I have a certificate of consent to self APPLICATION F O U I L D I nl G, -PERMIT-., insure, or a certificate of Workers'Com enstion Insurance, or ,insure, c�rtyfie�opy herd-f 3800, Lab _ COUNTY OF LOS�ANGEL BUILDING D SAF Y. Po cy o •� / Company l2 a- a Certified copy is hereby f nished�� 1, �f FOR APPLICANT,TO FILL+IN BUILD ADDRESS/ Certified copy is filed with the county ldi mspec- BUILDING Tion department ADDRES Q Wes 5t, LOCALITY NEAREST Date t. LApplicant CITY ` ZIP CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS' i If NO OF BLDGS ASSESSOR ' COMPENSATION INSURANCE SIZE-OF LOT 4 102 NOW ON LOT © MAP BOOK PAGE P RCEL (This section need not be completed if the permit is for one USE ZO E MAP t hundred•dollars ($100)or less ) r TRACT3T57 BLOCK LOT NO r NO } TEL �� /)� 'SPECIAL f I certify that in the performance of the work'for which this OWNER NO r75 CONDITIONS O " STRICT GROUP •TYPE FIRE PROCES D BY permit is issued, I shall not employ any person in any manner \ _ V ADDRESS CONS so as to subject to the Workers'Compensation Laws +® . Date Applicant CITY , (� 1 ZIP STATISTICAL CLASSIFICATION APT CONDO NOTICE TO•APPLICANT',If, after making this Certificate of ARCHITECT OR a x TEL ' , 9LU Exemption, you should become subject to the Workers' ENGINEER OS NO CLASS'NO Ci DWELL,UNITS 1/1 t CL Compensation provision's of the Labor Code,.you,must forth- ADDRESS j7 .l SEWER MAP with,comply with such provisions or this permit shall be deemed revoked CONTRACTOR NO — BK PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIG 1 hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 2 \ NO VALU TION w (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 $ ' /' - SQ FT NO OF NO OF CHECK - License NumberLA- SSM ' Lic Class SIZE STORIES FAMILIES ONE /1 4'9 5 A_ Contrdctor&i r f ay?n Owate DESCRIPTION OF WORK , NEW $ /b 2 3 0 0.0'0 �• ADD I am exempt from the licensing requirements as I am a licensed architect or a registered professional'e4neer. ALTER FINAL• 2'o'/o"8 1.6 0 acting in my professional capacity (Section .7051, REPAIR DATE ��r (1 _-- Business and Professions Code) USE OF DEMOL FINAL ° 8 1,"60 c� EXISTING BLDG By, 0 4 2 4,'—8.1 Lic or Reg No Date APPLICANT' TEL O� » 'OWNER-BUILDER DECLARATION PRINT) NO I hereby affirm that I am exempt from the Contractor's License 25 He_Io F„"1� y— Q Law for the following reason (Section 7031 5, Business and ADDRESS Professions Code) t PRESEN �" BUILDING 1, y 1, as owner of the property, or, my employees with ADDRESS wages as their solecompensation, will do the work and the structure is not intended or offered for sole(Section LOCALITY 4'9,3 6 A' 7044, Business and Professions Code) MOVING TEL ❑ CONTRACTOR NO 7 # 0 0 0 0 0 1 I, as owner of•the property, am exclusively contracting' with licensed contractors to construct the project (Sec- ADDRESS 2 °`5 3 0,5.0 tion 7044, Business and Professions Code)- - , REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINEWIDTH, r°t0 530,5 0 U I hereby affirm that there Is a construction lending agency'for ' FRONT the performance of the work for which this permit is issuedP L O U 2 Ll'-8`1' (Sec 3097, Civ C ) SIDE P L Lender's Name _ / �/ / _ 6%O✓O Lender's Address P C Fee .pC Permit Few w I certify that I have read this application and state that the U Issuance,Fee 7, - aabove information is correct I agree to comply with all.County Investigation Fee � �y� ordinances and State jaws relating to building construction, - Total Fee '�J ' t and hereby authorize representatives of this County to'enter aupon t bove-mentioned pro for Insp Ion purposes ¢° - SEE REVERSE FOR EXPLANATORY LANGUAGE ' SIgr e of App an gent Dote - - �s