Loading...
HomeMy Public PortalAbout10528 KEY WEST ST_Building__ 1 ©S 7eA638A , C9/8034REV 6/78) APPLI.CATION 'FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY BUILDING j FOR APPLICANT TO FILL IN ADDRESS BUILDING ADDRESS LOCALITY l NEAREST /C �VK «'7 CITY (� ZIP CROSS ST r NO OF BLDGSASSESSOR SIZE OF LOT' NOW ON LOT � MAP BOOK PAGE PARCEL , DISTRICT GROUP TYPE FIRE ES D BY TRACT 14949BLOCK LOT NO CONST/ aE of TL Ev OWNER T L ,2- STATISTICAL CLASSIFICATION ERR MAP ADDRESS Q e-- �S'f CLASS NO DWELL UNITS BKS+ SPG CITY Ap (,.-c` / ZIP917eO - ARCHITECT OR TEL VALUATION $ ENGINEER NO ADDRESS BLDG SETBACK FROM TEL FRONT PROP LINE OF (STREET) CONTRACTOR NO HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING LIC FRONT PROP LINE HIGHWAY WIDTH ADDRESS a / NO LIC + CITY CLASS BLDG SETBACK FROM CONSTRUCTION LENDER ,+q / SIDE PROP LINE OF (STREET) NAME AND BRANCH TOTAL-SETBACK FROM TYPE OF EXISTING HIGHWAY + YARD = SIDE PROP LINE HIGHWAY WIDTH ADDRESS CITY O SO FT NOOF NO OF CHECK + = V SIZE 7 STORIES FAMILIES ONE ) A DESCRIPTION OF WORKe {�'~ NEW ❑ PC Fee$ Permit Fee / ADD a Issuance Fee us ALTER G u!J REPAIR ❑ Total Fee USE OF DEMOL EXISTING BLDG ZZ APPLICANT TEL (PRINT) NO Q BY(SIGNATURE( THAT THE ABOVEEREBY ACKNOWLEDGE ISO CORRECT TAND( HAVE AGREE TOD THIS COMPLYWTICTION AND STATE m HAALL ORDINANCES bd AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE S 2041.9 A WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF V THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM z # 0 0 0 0 0 1 PENSATION INSURANCE v� # 0 0 0 0 0 SIGNATURE OF l'// 2 0 0 88,00 PERMITTEE ADDRESS �• p o008a00� TEL r CITY NO �y 09,22-'t8 USE ZONE NMA O 1 0 0 � �2 CIAL. �- NDITIONS FINAL �f BY�j�' ul DATE VSATION DECLARATION , � • r certificate of consent to self ms6iuiA P'P L'I CAT I O FOR BUILDING,, UIL®I N G, PERMIT ERMIT e� �rkers' Compensation Insurance, _ u or a ceib bec 3800; Lab C ) COUNTY OF LOS ANGELES BUILDING,AND SAFETY Policy No_ Company BUILDING F 'Cert,' -t ti s hereby furnished f 'FOR APPLICANT TO'FILL'IN ADDRESS " Certified copy'is filed with the county building fnspec- BUILDING ; hon department r - ADDRESS r i Date- i Applicant CITYTE ZIP 2,�0 LOCALITY a CERTIFICATE OF EXEMPTION FROM WORKERS' ' s NO,OF BLDGS NEAREST COMPENSATION INSURANCE SIZE OF LOT Q NOW ON LOT CROSS ST (This section need not be completed if the,permit is for one TRACT a' BLOCK 1 LOT-NO 3 ASSE55OR '` 1 hundred dollars ($100)or less ) MAP BOOK ;, GE PARCEL OWNER TEL USE ZONE MAP ,I certify that in the performance of the work for which this /1 NO ��'s NO permit is issued, I shall not employ'any person in'any manner r / SPECIAL ADDRESS D,ro�g CONDITIONS so as to become subject to the Workers'Compensation Laws Q ` ,��u CITY Cfl4 l , 67;;" ZIP g12� - C� Date Applicant w ;NOTICE'TO,APPLICANT If, after making this Certificate of. ARCHITECT OR NLO DISTRICT GROUP TYPE FIRE CESSEDBY Q• Exemption, you should become "subject to the Workers' ENGINECONST ZONE � U Compensation provisions of the Labor Code, you`must forth' ADDRESS with comply with such provisions or ,this,permit shall be TEL N deemed revoked STATISTICAL CLASSIFICATION APT CONDO CONTRACTOR NO Z LICENSED CONTRACTORS_DECLARATION, LIC ' CLASS NO DWELL UNITS - I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO (commencing with Section 7000)of Division 3 of the Business and+ LIC SEWER MAP r Professions Code, and my license is in full force and effect CITY CLASS BK `� VALIDATION: • s f SQ FT a�. s� NO OF NO OF CHECK License_Number Lic Class SIZE` /sL/ STORI FAMILIES ONE 6EG VALUATION N Contractor Date``"" DESCRIPTION OF WORK' NEW'' 2 C1 _ ADD, D $ '� - I am exempt under Sec Q ALTER �B&P C for this reason REPAIR- ❑ $ Date USE OF• _ EXISTING BLDG DEMOL Signature APPLICANT TEL FINAL OWNER-BUILDER DECLARATION PRINT �c NO' .Z" _DATE — „ . Ithereby affirm that I am exempt from the Contractor's License ADDRESS /1 ' Law for the following reason (Section 7031 5, Business and FIN iProfessions Code) -` By_ ` BUILDING i a, I, 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 7.044, Business and Professions Code) MOVING TEL j, as owner of`the property, am exclusively contracting CONTRACTORNO 4WI�TH 735(1 Awith licensed contractors to construct the project(Sec- rhon 7044, Business and Professions Code) - ADDRESS # e' s o e eREQUIRED TOTAL SETBACK FROMCONSTRUCTION LENDING AGENCY SET BACK YARD d,HWY PROP LINE o eI hereby affirm that there is a construction,lending agency for FRONT ;'I 5 9,2'5 the performance-of the work•for which this permit is issued - P L �'�re5 9, 2 5,0(Sec 3097, C v C ) SIDE '0 6 2'9'°8 7.Lend'er's Name11 1 P L Ref #Lender's AddressP C-Fee$ Permit FeeI certify that I,have read this application and state that,the f Issuance Fee �� A P/C#above information-is correct I agree to comply with all County ' Investigation Fee oordinances and State jaws relatin to buildin construction, ZR g g Total Fee, A Perm # i •. R=t and hereby,outhorize representatives of this County to'enter < upon the obo entionedproperty for inspection purposes < - m L QlSEE REVERSE FOR EXPLANATORY LANGUAGE _ r '7—Signature of Applicant or Agent 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 0506100030 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS TR 11290 LT 3 UN 002 SQ FT STORIES TYPE 10528 KEY WEST ST STRUCTURE 1600 VN TEMP CA 917803462 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET HALIFAX 8585-024-044 THOMAS PAGE 597 GRID C4 LOCALITY TEMPLE CITY, C TENANT EXIST BLDG USE RESID USE ZONE R1 ISSUED ON PROCESSED BY EXPIRES ON EXIST OCC GRP 06/10/05 JK 06/05/06 OWNER TEL NO BLDGS NOW ON LOT VALUATION FINAL DATE FINAL.-BY CODE LIU JAMES J (626) 975-8367- 5,000 _ 10528 KEY WEST ST /-7 TEMPLE CITY CA 91780 FEES PAID UESCRIPTION OF WORK RE-ROOF (A) REMOVE EXISTING ASPHALT SHINGLES (B) INSTALL NEW FEE DESCRIPTION QUANTITY UOM AMOUNT CLASS-A ASPHALT SHINGLES WITH 30 LB FELT HOUSE AND GARAGE APPLICANT TEL NO YANG (626) 452-8895- AA BLDG PERMIT ISSUANCE 27 75 12012 LOWER AZUSA AC STRONG MOTION RESID 5000 00 VAL 0 50 SPECIAL CONDITIONS EL MONTE, CA 91732 D2 PERMIT W/O EN-HC 5000 00 VAL 132 60 TOTAL FEES 160 85 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE J C Y CO (626) 452-8895- 121012 LOWER AZUSA ROAD LIC NO LOCATION AND SETBACKS EL MONTE, CA 91732 582921B SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH FORMS LIC NO SLAB/UNDER FLOOR RAISFD FLOOR FRAMING MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP UNDEFFLOOR INSULATION 147H273 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/CEIL ASSEM RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS " T-BAR CEILINGS LOT DRAINAGE REPORT ID DPR261 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 0505100017 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS TR 11290 LT 3 UN 002 SQ FT STORIES TYPE 10528 KEY WEST'ST STRUCTURE VN TEMP CA 917803462 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET HALIFAX �- 8585-024-044 THOMAS PAGE_ 597 GRID C4.- LOCALITY'a_TEMPLE CITY„C TENANT EXIST BLDG USE RESID USE ZONE R-1 ISSUED ON PROCESSED BY EXPIRES ON EXIST OCC GRP 05/10!05 JK 05/05/06 OWNER TEL NO BLDGS NOW ON LOT VALUATION FINALS � C). OS— F AL B CODE LIU JAMES J (626) 975-8367- 2,000 ill/ / 10528 KEY WEST ST TEMPLE CITY CA 91780 FEES PAID DESCRIPTION OF WORK REPAIR EXIST'G WOOD SIDING REPLACE W/STUCCO EXTERIOR, MATCH FEE DESCRIPTION QUANTITY UOM AMOUNT TO EXIST'G HOUSE - APPLICANT TEL NO CHOU (323) 839-9666- AA BLDG PERMIT ISSUANCE 27 75 825 BANK ST INC STRONG MOTION RESID 2000 00 VAL 0 50 SPECIAL CONDITIONS SO PASADENA 91030 D2 PERMIT W/O EN-HC 2000 00 VAL 82 20 TOTAL FEES 110 45 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE CHOU DESIGN & CONSTRUCTION CO (323) 839-9666- 825 BANK STREET LIC NO - - _ LOCATION AND SETBACKS _ SOUTH PASADENA, CA 91030 524905B 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 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 1 RATED FLOOR/CEIL ASSEM J RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID DPR261 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 0511020047 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS TR 11290 LT 3 UN 002 SQ FT STORIES TYPE 10528 KEY WEST ST STRUCTURE VN TEMP CA 917803462 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 8585-024-044 THOMAS PAGE 597 GRID C4 LOCALITY TEMPLE CITY, C TENANT EXIST BLDG USE RESID USE ZONE R1 ISSUED ON PROCESSED BY EXPIRES ON EXIST OCC GRP 11/02/05 JK 10/28/06 OWNER TEL NO BLDGS NOW ON LOT VALUATION FINAL DATE FINAL BY CODE CHAU, HUNG (626) 484-6862- 4,000 / /� 10528 KEY WEST ST (/ l TEMPLE CITY CA 91780 FEES PAID DESCRIPTION OF WORK CONVERT EXISTING FAMILY ROOM INTO A BEDROOM & UTILITY ROOM FEE DESCRIPTION QUANTITY UOM AMOUNT INTO A BATHROOM APPLICANT TEL NO SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27 75 AC STRONG MOTION RESID 4000 00 VAL 0 50 SPECIAL CONDITIONS AX BUILDING REVIEW FEE 54 70 B2 PERMIT W/ENERGY 4000 00 VAL 127 38 TOTAL FEES 210 33 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/CEIL ASSEM RATED WALL ASSEMBLIES RATED SHAFTS OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID DPR261 ROUTE TO BS0508