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HomeMy Public PortalAbout10425 KEY WEST ST_Building__ 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 0509140040 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 37579 LT: 7 SQ. FT STORIES TYPE 10425 KEY WEST ST STRUCTURE: 25 VN TEMP CA 917803479 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: HALIFAX 8585-018-028 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 09/14/05 JK 09/09/06 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DFINAL BY: CODE: MIGUEL JOHN R;HELEN V (626) 524-2771- 10,500 10425 KEY WEST ST / 7 TEMP 917803479 FEES PAID DESCRIPTION OF WORK REMOVE EXISTING WOOD SHAKES SHEET & REPLACE W/ LIGHT WEIGHT FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TILE ICBO # ER-2093 HOUSE AND GARAGE APPLICANT: TEL. NO: A PITCH ABOVE (800) 589-1009- AA BLDG PERMIT ISSUANCE 27.75 4840 DESPERADO DR AC STRONG MOTION RESID 10500.00 VAL 1.05 SPECIAL CONDITIONS: RIVERSIDE, CA 92509 D2 PERMIT W/O EN-HC 10500.00 VAL 233.40 TOTAL FEES 262.20 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE A PITCH ABOVE (800) 589-1009- _ 4840 DESPERADO DR LIC. NO LOCATION AND SETBACKS RIVERSIDE, CA 92509 816626C-39 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 147H273 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: " NO 21 ROOF SHEATHING v SCHOOL WITHIN HAZARDOUS SHEAR PANELS b 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/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 0 ' n J gORKERS' COMPENSATION DECLARATION I hy affirm that I have a certificate of consent to self insure, or a certificate of Workers'Compen ion Insurance, or APPLICATION FOR BUILDING PERMIT c y of (Sec. 8 Lab. 7�.,� �1 COUNTY OF LOS ANGELE BUILDING AND SAFETY Policy o. Co44fhpany BUILDING ❑ /Certified copy is hereby fu ish,ed. �� FOR APPLICANT TO FILL IN ADDRESS Certified copy is'filed with the county 6uildihg inspec- BUILDING T tion department. ADDRESS/gO�� LOC LITY NEAR Date Applicant ' CITY �� i ZIP 1 - ® CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' /NO. OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LO NOW ON LOT 0 MAP BOOK AGE PARCEL (This section need not be completed if the permit is for one USE ZO E MAP hundred dollars ($100)or less.) TRACT 3757-3 BLOCK LOT NO. / NO. � TEL. SPECIAL � I certify that in the performance of.ihe work for which this OWNER NO. CONDITIONS0 . permit,is issued, I shall not employ any person in any mannerADDRESS142 Z; CONST. DISTRICT GROUP TYPE FIRE P OCE ED BY so as to become subject to the Workers'Compensation Laws. � J ' i?1� Date Applicant CITY C ZIP STATISTICAL CLASSIFICATION APT. CONDO, NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR p TEL Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO, l/ DWELL. UNITS Compensation provisions of the Labor Code, you must forth- with comply with such provisions or this permit shall be ADDRESS SEWER MAP deemed revoked. TEL. BK. PG, VALIDATION CONTRACTOR NO LICENSED CONTRACTORS DECLARATION LIC.O N I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS1424; M e-I r7.� . VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and effect. CITY ctio CLASS R $ G (fes SQ. FT. NO. OF NO. OF CHECK License Number AGSEN6T Lic.Class v ` SIZE STORIES FAMILIES I ONE �493.9A y� 1 DESCRIPTION OF-WORK ' NEWIN $7/1 O 67�Contractor1�.1 Ir`hr1L1��I�hate # o o'o o 23 I am exempt from the licensing requirements as I am a 1 ADD E]licensed architect or a registered professional engineer ALTER ❑ FINAL ,f 2 0 o91,20 acting in my professional capacity (Section 7051, REPAIR DATE Business and Professions Code). 0 0 0 USE OF FINAL' 9 1`2 0 5 EXISTING BLDG. DEMOL ❑ By �� Lic.or Reg. No. Date APPLICANT TEL. 0 G,2 4—8 1 OWNER-BUILDER DECLARATION (PRINT) No.4.4 2 I hereby affirm that I am exempt from the Contractor's License �� a I'� Y ove c3 Law for the following reason (Section 7031.5, Business and ADDRESS �2 Professions Code): PRESENT ,//• e� ❑ BUILDING I, as owner of the property, or my employees with ADDRESS z4 9 LI 0 A wages as their sole compensation,will do the work and a _�S�.�Y the structure is not intended or offered for sale(Section LOCALITY /� 7044, Business.and Professions Code). LRE TEL. # 0 0 0 0 0, ❑' 1, as owner of the property, am exclusively contracting CTOR NO. 2'-,55t�,50 with licensed contractors to construct the project (Sec- S " tion 7044, Business and Professions Code). (} 'REQUIRED TOTAL SETBACK FROM EX15T. ° ° 5 17 5 L/U CONSTRUCTION LENDING AGENCY CK YARD HWY PROP. UNE WIDTH 1 hereby affirm that there is a construction lending agency for T 0 [h 2 O —8 the performance of the work for which this permit is issued 07 (Sec. 3097, Civ. C.). _ Lender's Name $ j i Permit FeeLender's Address-I certify that I have read this application and state that the Y� Issuance Fee `' eaabove information is correct. I agree to comply with all County tion Fee g ordinances and State laws relating to building construction, Total Fee:/` ' and hereby authorize representatives of this County to enter upon the ove-mentioned pro rt -inspn purposes. a ect' SEE REVERSE FOR EXPLANATORY LANGUAGE Sign re of Ap icon r nt Date ©s