Loading...
HomeMy Public PortalAbout10517 KEY WEST ST_Building__ I � 76A630A CE#.03 6.62 APPLICATION FOR- BUILDING PERMIT ' G COUNTY OF LOS ANGELES BUILDINGRS DEPARTMENT, OF COUNTY ENGINEER ADDES BUILDING AND'SAFETY DIVISION LOCALITY ` r JOHN A LAMBIE, COUNTY ENGINEER I NEAREST WILLIAM A JENSEN, SUPT OF BUILDING CROSS ST DISTRICT N GRO P PE P ESSED BY r FOR APPLICANT TO FILL IN , coNsr BUILDINGS: © STATISTICAL CLASSIFICATION - WER MAP �/ BCLASS NO DWELL UNITS BK PG LOT y�7 _ LOCK WATER CERTIFICATE NOT REQUIRED ❑ RECEIVED _ TRACT MAP /,o (CIRCLE) —� / NO OF BLGS NO � (CIRCLE) STATE MAJOR SECON OCAL SIZE OF LOT f gG DNOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS, "EXISTING BLDG TEL OWNER NO BU,ILDING EXIST SETBACK YARD HWY STREET NAME WIDTH •ADDRESS y` �� ./�� � •�✓� FRONT ARCHITECT OR TEL P L ENGINEER f NO SIDE } P L G. ADDRESS - _ - O TEL AMA-4_3 �� ��� )� �1 �,,,y �N V CONTRACTOR NO E.. A-4 �c /Y; •+ .O' "�"'�'� �� ♦ / GC ADDRESS — y / O DESCRIPTION OF WORK YfA ~ CL EW SIZE ADD ALTER REPAIR DEMOLISH SQ FT NO OF NO OF STORIES FAMILIES /f USE OF STRUCTURE �RA� S - SIGNATURE OF `ice` J ' 1V � 6 APPLICANT VALUATION $ APPROVALS -,!DATE INSPECTORS SIGNAfTU RE P G^ PMT FOUNDATIONON FORMS, MATERIALS FEE $ FEE $ FRAME FIRE STOPS, ��p %{�/f ///n / /✓ �69/ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS _ 7/rL1^'ijGT7 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK - (. AUTHORIZED HE I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF THE LABOR COD C OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN S COMPENSATI-ON:INS�NCE 1 LATH, EXT SIGNATURE OF HOUSE NUMBER COR- F ' PERMITTEE RECT AND POSTED ADDRESS7Vgf FINAL 3 F LEWIS PRINCIPAL PLAN CHECK VALIDATION CK MO CASH JOHNPERMIT VALIDATION TRCK RAL EN cgsHER Li)r�a ? 4 9 5 "M26 1 'D 1 15 0� d' 76A638A CE#803 6-62 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ADDREIN ��, DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A JENSEN,,SUP'T OF BUILDING CROSS ST J DIST ICTO G P YPE ESSED BY FOR APPLICANT TO FML IN coNsr BUILDING /p���r� '� STATISTICAL CLASSIFICATION '' S WER MAP AD RESS !% / --,r�-� BK G _ l- CLASS NO DWELL UNITS LOT NO' � 7 O WATER59, r ❑ ..s✓►� CERTIFICATE NOT REQUIRED RECEIVED TRACT .- 9010 MAP / HIGHWAY STATE MAJOR SECOND OCAL NO OF BLDGS NO f f IRCLE> SIZE OF LOT O NOW ON LOT USE ZONE SPECIAL USE OF _ / CONDITIONS _ EXISTING BLDG (�Q„Q� �- '7 OWNER a NO 2/ BUILDING EXIST SETBACK YARD HWY STREET NAME WIDTH ADDRESS 165 . FRONT ARCHITECT OR TEL P L ENGINEER NO SIDE P L ADDRESS O TEL V CONTRACTOR NO - l N ADDRESS ae CRIPTION OF WORK 0 ` v W NEW ADD ALTER REPAIRDEMOLISH d N SQ FT NO OF Z SIZE STORIES FAMILIES USE OF STRUCTURE 17 If r I SIGNATURE OF APPLICANT VALUATION $ APPROVALS DATE INSPECTOR S SIGNATURE PC �� PMT FOUNDATION LOCATION / FEE $ FEE $ .! FORMS MATERIALS FRAME FIRE STOPS DI 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 BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH INT TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT 1 ING TO WORKMEN S COMPENSATION IN ANCE LATH EXT \\"+` �✓ SIGNATURE OF� HOUSE NUMBER COR- PERMITTEE Vr�+ � RECT AND POSTED O r/ ADDRESS P FINAL JOH PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATION STRUCTURAL EN cASHER L !La 4.�J� 2 4 9 e� MAR ?6 1 D I f 76A638A CF#B03 6-62 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS ! / BUILDING AND 'SAFETY DIVISION LOCALITY \ JOHN A LAMBIE. COUNTY ENGINEER NEAREST j WILLIAM A JENSEN, SUP T OF BUILDING CROSS ST DISTRICT NO GROUP TYPE CESSED BY FOR APPLICANT TO FILL IN CONST .004 BBUIILDING /' ` y ,�, STATISTICAL CLASSIFICATION WER MAP ��! / e CLASS NO DWELL UNITS BK P LOT N 7 fU / O K WATER CERTIFICATE NOT REQUIRED RECEIVED ' TRACT (� MAP HIGHWAY / QNO OF BLDGS n NO (CIRCLE) STATE MAJOR SECON OCAL SIZE OF LOT O O NOW ON LOT 2 USE ZONE SPECIAL USE OF 4 CONDITIONS E ISTING QLDG TEL OWNER NO , 7� BUILDING YARD HWY STREET NAME EXIST SETBACK _WI TH AOdRESS gJ.6 FRONT ARCHITECT OR TEL P L ENGINEER NO SIDE P L I ii ADDRESS / TEL -l_ m� /y1 ��y`l_ ` / O j� - . 1�y� CONTRACTOR NO � � /�/C� ADDRESS DESCRIPT ON OF WORK V Lu NEW ADD A KR REPAIR DEMOLISH 0- V)N SQ FT NO OF NO OF Z SIZE STORIES F MILIES USE OF / STRUCTURE SIGNATURE APPLICANT VALUATION $ APPROVALS DATE INSPECTOR 5 SIGNATURE P C PMT FOUNDATION LOCATION ' FEE $ '— FEE $ —7-1 FORMS MATERIALS FRAME FIRE STOPS 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 BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH INT TION OF THE LABOR CODE OF THE 5 TE OF CALIFORNIA RELAT • A ING TO WORKMEN S COMPENS, N I S RAN LATH, EXT SIGNATURE OFA- HOUSE NUMBER COR- PERMITTEERECT AND POSTED AA ADDRESS )o - FINAL m/` ,G PLAN CHECK VALIDATION CK M O CASH JOHN F LEWIS PRINCIPAL STRUCT LTRAL E R PERMIT VALIDATION cK M O CASH LhCo 1 8 3 3'1 f.AR 8 1 D 8.00- _ - I WORKERS' COMPENSATION DECLARATION hereby affirm that 1 have certificate of consent to self APPLICATION � P P L I CAT I®N ■ ®R BUILDING P E Rill)l T insure, or a certificate of Worr kers' Compensation Insurance, /�\ oro certified copy thereof (sec 3800, Lab C COUNTY OF LOS ANGELES BUILDING AND SAFEJY Policy No Company7�� ❑ Certified copy is hereby furnished FOR APPLICANT TO FILL IN BUILDING /6 S�7 ADDRESS (� Certified copy is filed with the county building i'nspec- BUILDING 1 a1 `/ — tion department ADDRESS L 3 DateJApplicanCITYZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' Nb OF BLDGS . NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST (This section need not be completed if the permit is for oneASSESSOR hundred dollars ($100)or,less ) TRACT BLOCK LOT NO MAP BOOK PAGE PARCEL OWNER {�) �7 TEL 7, USE Z NE MAP I certify that in the performance of the work for which this O NO permit is issued, I shall not employ any person in any manner ADDRESS <D X3 �� �� �S� ,r SPECIAL so as to become subject to the Workers'`Compensation Laws CONDITIONS s O �,°may � t,.. U Date - rI �Applicant�-' CITY �� LA-, C0 ZIP 0 TEL NOTICE TO APPLICANT If, after making is Corti tate of ARCHITECT OR ENGINEER NO DISTRICT GROUP TYPE FIRE PROCESSED BY Exemption, you should become sublet to the, orkers' CONST J ZONE U Compensation provisions of the Labor Code, you must forth ADDRESS with comply with such,,provisions of,'this permit shall be CL ���JEL STATISTICAL CLASSIFICATION APT NDO 0 deemed revoked CONTRACTO �1'"''�OLa0 1 it I� Z LICENSED CONTRACTORS DECLARATION r LIC CLASS NO v(—DWELL UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS�� �[ � -NO _2,1 01g (commencingti- with Section 7000)of Division 3'of the Business and `. �� "I LIC �2 SEWER MAP Professions Code, and my license is in full force and effect CITY Y�G�� �� CLASS 'J - BK �PG ' 3 22-1...0-10) +�,, � SQ FT �o NO OF NO OF CHECK ' SIZE �fl STORIES FAMILIES ONE I - 39780 License Number Lic'Class �I (_ lY� t-J- I A �j3 IYI '�j{5� NEW ❑ VALUATION �Q DESCRIPTION OF WORK = 1100. Contractor `rate $ �� 0 0 3 9 7,g ❑ I am exempt under Sec �j� 2 ADD - -- __7L ALTER t I 0,18 g 8 B 6P C for this reason 7 �_ ( J4 U�E OF1,1 1 � � REPAIR 1\ Date EXISTING BLDG OV�w` l — DEMOL ❑ Signature APPLICANT ' TEL TEL PRINT FINAL 1 OWNER-BUILDER DECLARATION F DATE I hereby affirm that I am exempt from the Contractor's License C��g lj1 .4Q Law for the following reason (Section 7031 5, Business and ADDRESS t FINAL (/ V t 'Professions Code) PRESENT _ By ❑ BUILDING j, as owner of the property, or my employees with ADDRESS wages as their sole compensation,,will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code) MOVING.• TEL ❑ j, as owner of the property, am exclusively contracting CONTRACTOR NO with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code) REQUIRED, TOTAL SETBACK CONSTRUCTION LENDING AGENCY SET BACK YARD HWY - 'PROP LINE WIDTH I hereby affirm that there is a construction lending agency for Lntigation ONT the performance of the work for which this permit is issued , (Sec 3097, Civ C ) E Lender's Name LDMA Ref # ee$ P it Fee Lender's Address I certify that I have read this application and state that the Issuance Fee LDMA P/C# 3 a above information is correct I agree to comply with all County Fee ordinances and State jaws relating to building construction, Total Fee TDMA Perm q ereby authorize repro ntat ves of this County to enter pon a above-menti ned operty for inspectioon�purposes �'J � SE!REVERSE FOR EXPLANATORY LANGUAGE r ignature of kpPlicAt o Vent Date 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 1005050053 PHONE (626) 285-0488 EXT LEGAL ID I NO OF CONST J BUILDING ADDRESS ITR 11290 LT 12 BL C UN 002 I SQ FT STORIES TYPE I 10517 KEY WEST ST I I ISTRUCTURE 18 V—B I TEMP CA 917803463 (ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET HALIFAX 18585-023-052 THOMAS PAGE 597 GRID C4 LOCALITY TEMPLE CITY, Cl JTENANT (EXIST BLDG USE RESID USE ZONE R-1 JISSUED ON PROCESSED BY J (EXIST OCC GRP 105/05/10 SR I I I I (OWNER TEL 4— (BLDGS NOW ON LOT VALUATION i � DATE BY CODE IREYES, RAINIER/DAISY (626) 484-1563— I 3,960 10517 KEY WEST ST JTEMP 917803463 1 FEES PAID IDESCRIPTION OF WORK J J I ITEAR OFF REROOF INSTALL FACIA BOARDS AND INSTALL 30 YR I IFEE DESCRIPTION QUANTITY UOM AMOUNT JLAMINATED SHINGLES + HIGH PROFILE HIP & RIDGE I (APPLICANT TEL NO J I I ISAME AS OWNER — JAA BLDG PERMIT ISSUANCE 27 75 1 J JAB STATE GREEN BLDG FEE 3960 00 VAL 1 00 1SPECIAL CONDITIONS J JAC STRONG MOTION REBID 3960 00 VAL 0 50 I ID2 PERMIT W/O EN—HC 3960 00 VAL 115 80 I IFR INV WORK W/O PERMIT 257 00 DOL 257 00 I J ICONTRACTOR TEL NO I TOTAL FEES 402 05 (APPROVALS DATE INSPECTOR SIGNATURE J ISAME AS OWNER — I J I LIC NO i (LOCATION AND SETBACKS J I JSOILS ENGINEER APPROVAL I J JARCHITECT OR ENGINEER TEL NO J JFOUNDATION/TRENCH FORMS I J I LIC NO i JSLAB/UNDER FLOOR I I I I I I IRAISED FLOOR FRAMING I I I i IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I (UNDERFLOOR INSULATION I I I 1147H273 3 001 I 11 I I I (FLOOR SHEATHING INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS J I I NO 21 1 JROOF SHEATHING 1 SCHOOL WITHIN HAZARDOUS I 1SHE4R PANELS �I JAIR QUALITY 1000 FEET MATERIALS I J J I I J NO NO NO I . JFRAME INSPECTION I I I JFIRE SPRINKLER HANGERS I I I JINSULATION/WEATHER STRIPI J I (INTERIOR LATH/DRYWALL I J I I I I (EXTERIOR LATH I J I J I IRATED FLOOR/CEIL ASSEM I J I J J I I I I J 1RATED WALL ASSEMBLIES I I J I J RATED SHAFTS/OPENINGS I I 1T—BAR CEILINGS I I r J 1 LOT DRAINAGE J IREPORT ID DPR261 ROUTE TO BS0508 c