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Home My Public Portal About9219 KEY WEST ST_Building__ r 6 3 8 A CE 4803 4/70 . ,. APPLICATION FOR BUILDING PERMIT . COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS, SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST Print or tvDe only) CROSS ST DISTRICT NO4L � T TYPE PROCESSED BY BUILDING r CONST ADDRESS k°J 1 �, STATISTICAL CLASSIFICATION EWER MAP LOT NO BLOCK CLASS NO DWELL UNITS BK PG TRACT USE ZONE MAP NO OF BLDGS' NO SIZE OF LOT NOW ON LOT - SPECIAL USE OF - . CONDITIONS EXISTING BLDG TEL OWNER _v -20rC_kj&)pjAj NO l BLDG SETBACK FROM - - Pf- - - ADDRESS -- - FRONT PROP LI NE OF (STREET) - TYPE OF EXISTING SETBACK. HIGHWAY _+ YARD = TOTAL CITY F17 HIGHWAY WIDTH FROM C L ARCHITECT OR TEL •Q� I + CU►i _ D� ENGINEER NO BLDG SETBACK FROM ADDRESS _ _ _ SIDE PROP,LINE OF (STREET) TEL TYPE OF'EXISTING SETBACK HIGHWAY + YARD = TOTAL CONTRACTOR NO HIGHWAY WIDTH FROM C L ' ADDRESS NO _ O�,,,,g52_ sy` _ r + /0 ' p� CD LIC N, CITY CLASS CORNER CUTOFF - IN YES ❑ , NO, ]❑ 0 CONSTRUCTION LENDER F- NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS w ADDRESS � qtr N SQ FT NO O NO OF 2 � d� l �� 0 3'"� � � SIZE /0017 STORIES FAMILIES NEW X d USE OF ADD ❑ ei h MP STRUCTURE ALTER ❑ r //I _ lU' �! RE ❑PAIR7 KJ�iL/ (A LK d SIGNATURE OF APPLICANT 1 DEMOL ❑ VALUATION $ �� U 0� ✓�— APPROVALS DATE INSPECT RE P C PMT FOUNDATION LOCATION FEE $ FEE $- ' FORMS,%MATERIALS FRAME FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION - BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTI ON I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT LABOR CODE OF THE STATE OF CALIFORNIA 'IN RELATING TO WORKMEN'S COMPENSATION INSURANCE - LATH, EXT SIGNATURE OF(--7> ,✓ ///� HOUSE NUMBER COR- PERMITTERECT AND POSTED r ADDRESS FINAL PLAN CHECK VALIDATION CK M o cnsH JOHN F LEWIS PRI CIPA ST RAl ENGINEER PERMIT VALIDATIO cK M O CASH tr� 1 D 1 -,2.0=0~ DEPARTMENT OF BUILDING AND SAFETY ! APPLICATION FOR PERMIT COUNTY OF LOS ANGELES WM. J, FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDD RI NS ASS 9219 Rev West Street x+20 3 LOCALITY T e=le City, Calif ornia RECEIVED BY DATE OF APPL. DATE ISSUED Non, Fratus Drive 9 /7/0 BUILDING A r9 � a OWNER TU1lMR-HOMES .LNC.--- ADDRESS V `I� �s t � � �+� l- es 1 MAIL c ADDRESS 26 East Santa Clara St.' LOCALITY L CROSS CITY ArQgdia TELNO.-DO 7-3563 CROSS ST. FIRE NO.OFTYPE GROUP 1 ARCHITECT OR TEL. ZONE PLANS '� -7 ENGINEER NO. BLDG. P ORD.NO r ADDRESS - SETBACK LINE APPROVED CONTRACTOR SUSE Same NO.' DATE E 1 APPROVED ADDREGS ZONE BY DATE LEGAL to t 6 CORRECTIONS DESCRIPTION ►:LOT NO. BLOCK TRACT 16475 1 -IQ -111 NO OF BLDGH. *TO SIZE OF LEIT59X NOW ON LOT lY UBE OF wT I NO.OFI NO OF EXISTING BLDG. 1Y� FAMILIC19 ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O A REPAIR- �j MOVING DEMOLISH p Bq.FT. NO.OF _ Z SIZE 3 ROOMS STORIES 1 D r COVERING Plaster- I CO/VEE}�RING�[�- IIl UUOFNIGW Dwelling L_ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVAL$ - APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION IN PECTOR DATE AND AGREE TD COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS ` I AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE SIGNATURE OF BRACING,BOLTS / � / $f PERMITTEE ER vO NC LATH, INT. AUTHORIZED AMT LATH. EXT. ' y , l� 76A63BA-3 2-50 � / �/ �7� � P.C.8 7 I PLASTER,INT. V FEE G •ZO I PLASTER, FEE EXT. VALUATION 28.88 FINAL v 76AW9 A C6#803 SO-EB APPL'I CA`r I ON FOR BUILDING PER-MIT - ' •.��.-� �- COUNTY, OF LOS ANGELES BUILDING _ DEPARTMENT OF COUNTY,ENGINEER- ADDRESS_ a " BUILDING'AND'SAFETY DMSIOM, LOCALI JOHN A. L-AMBIE;COUNTY ENGINEER NEAREST- _ ` _CASSATT D GRIFFIN, SUPT OF BUILDING CROSS ST „•t - - DISTRICT-NO GROUP I TYPE _� P CESSED BY FORAPPLICANT TO,FIU IN - .�G-� .-1cONST. BUILDING �//�� STATISTICAL CLASSIFICATION SEWER MAP- ADDRESS n(. — BK PG. t'CLASS NO DWELL UNITS____A' LOT NO BLOCK MAT '' STATE YES NO` NUMBER �J 'HWY TRAGI. -4 / ro ,p USE ZONE SPECIAL t k CONDITIONS NO'OF BLDGSj SIZE OF LOT // I I" NOW-ON LOT USE OF EXISTING BLDG, .-a .z BUILDING =YARD `HWY- ;STREET NAME�'�a2_-EXIST SETBACK _,WIDTH a OWNER — _" FRONT •7/� -Li� MAI L P L ALd ADDRESS - _ SIDE ) .. �• _ .,TEL P L V CITY N 'a - INSPECTION RECORD ARCHITEC 'OR STENOL" - ADDRESS tC/c'r (S co Kwoo —NE . `�' _ - --C T �rvn/rc,To ,•�� » -7�'� t � -�n ADDRESS /�Q --� 1 (/ DESCRIPTION-OF WORK EW, ADD ALTER REPAIR DEMOLISH NO OF--- NO OF i _�l'� •Se rC1( r<.✓N<%_ N t.7•--1� SIZE STORIES FAMILIES _ USE OF -STRUCTURE. - SIGNATURE O -APPLICANT - `/ q APPROVALS - - DATE -INSPECTOR'S SIGNATURE ADDRESS- W D-- _ 1 �k�• L/�r FOUNDATION LOCATION • - _ FORMS,MATERIALS I VALUATION$rCP FRAME FIRE STOPSi J BRACING,BOLTS - PC PMT _ FURNACE LOCATION. s FEE $ I FEE $ �' GAS VENT,DUCTS: I HEREBY ACKNOWLEDGE THAT_I HAVE READ THIS AP-; LATH INT 'PLICATION AND STATE THAT THE ABOVE IS CORRECT AND• - -• -AGREE-,TO COMPLY WITH ALL COUNTY ORDINANCES AND ' I _ . STATE LAWS REGULATING BUILDING CONSTRUCTION -LATH,EXT SIGNATURE O _ HOUSE NUMBER,COR- ` e /', / •' �J�' ` ' .PERMITTE D p RECT AND POSTE - �/y /!%�! ADDRESS' v 1 '� - � FINAL' '�, _ "•i• CLYDE IV' DIRLAW PRINCIPAL STCT RAL ENGINEER - PLAN CHECK VALIDATION �+� M O CASH .' PERMIIT VALIDATION,: CK M O CASH 0')p WORKERS' COMPENSATION DECLARATION %I hereby'liffirm that I have a certificate of consent to self insure, ora-certificate of Workers' Compensation InsurQnce, APP LSI CATION FOR BUILDING PERMIT or'd certified copy thereof (Sec. 3800, La . C.) r �:. ,1 � � 4 ~.AUNTY OkLOS WGELES BUILDING AND SAFETY Policy No o pany BUILDING ❑„ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with.-the county building inspec- BUILDING tion department. ADDRESS J Date ? Applicant J CITY IP LOCALITY NO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTio4 FROM ORKERS' SIZE OF LOT NOW ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK' LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100) or less.) TEL. Ll/}�/ .A 9' �S'(a'Ef)GLUSE ZONE OP OWNER � / 7 1 certify that in the performance of the work for which this SPECIAL J� permit is issued, I shall not employ any person in any manner ADDRESS Zzl - CONDITIONS so as to become subject to the Workers' Compensation Laws. O CITY �( i✓� (Z Date Applicant ARCHITECT OR TELe DISTRICT GROUP TYPE FIRE PROCESSED BY NOTICE TO APPLICANT: If, after makingthis Certificate of ENGINEER NO. CONST. ZONE 0 Exemption, you should become subject.to the Workers' Compensation provisions of the Labor Code, you must forth- ADDRESS �� GG a with comply with such provisions or.this permit shall .be /J TEL. STATISTICAL CLASSIFICATION APT. CONDO. deemed revoked. CONTRACTOR p J NOPk-?-_ J4 Z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. a DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS �Y�t i�J74�/LG NO. (commencing with Section 7000)of Division 3 of the Business "� �� `- LIC. SEWER MAP and Professions Code,and my license is in full force and effect. CITY-oCLA "'SIJ--�j BK PG'� VALIDATION ��!! --yy// J� SQ. FT. p p� NO. OF NO. OF CHECK License Number i"r7S_"376- Lic. Class/- e_e e-31-, SIZE p0 STORIES FAMILIES ONE VALUATIONS Contractor Date 1 U z °r' DESCRIPTION OF WORK NEW ❑ $ ❑I am exempt under Sec. (� ADD / ,�, / ALTER B.BP.C. for this reason eA- (,�:L�C- c REPAIR ❑ $ D USE OF %�_ "'�' DEMOL ❑ �- EXISTING BLDG. Signature APPLICANT TEL. FINAL (PRINT , U �� OWNiR UILDER DECLARATION ` NO. DATE I hereby affirm that lxn exempt from the Contractor's License Law for the following reason (Section'7031.5, Business and ADDR FINAL Professions Code): PRESENT By _ •; BUILDING =r_= t o9 ❑ 1, as owner of the property, or my'employees with *' ADDRESS ' L^ _ -ac wages as their sole compensation,will do the work and "" , r 2N'307 1 the structure is not intended or offered for sale(Section LOCALITY a 7044, Business and Professions Code.) MOVING TEL. ❑ I, as owner of the property, am exclusive) contractingCONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS , 1 $ tion 7044, Business and Professions Code.) ^r 71 i REQUIRED TOTAL SETBACK FROM EXIST. LIr r l:e i_! CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH ,;-;•; I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. �-�+ (Sec. 3097, Civ. C.). SIDE TOTAL 7-_.Q r ''-` P.L. Lender's Name, 1-H CK _59° LDMA Ref. # IG P.C.Fee$ Permit Fee ��' J3 , CHANGE � Lender's Address 0 1 certify that I have read this application and state that the _ Issuance Fee � LDMA P/C# 8 above information is IrecT. I agree to comply with all County Investigation Fee / i l 13 i�ii�i?-; 3_l S i it i,',`;';'`-'! o ordinances and Stat laws relating to building construction, Total Fee / LDMA Perm. # N rt�i'� �:t't a and hereby a�t�F?o�i e represen es•-of"this County to enter t,:._}i 1 ;f _ upo`tl�e'ab v - ntrcJld property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Sii 6tu're'of Applicant or Agent Ddfe 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 0411190038 PHONE: (626) 285-0488 EXT: . OF CONSTDI DDRES : TR: 16475 LT: 93 SQ. FT STORIES TYPE 9219 KEY WEST ST STRUCTURE: 1580 VN TEMP CA 917803730 ASSESSOR INFORMATION NUMBER: " NEAREST CROSS STREET: FRATUS 8590-027-019 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY TENANT: X SE: RESID USE ZONE: R-3 ISSUEDON: PRO Y: EXPIRES . EXIST OCC GRP: 11/19/04 rK 11/14/05 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: DE: ENG;TIMOTHY AND JENNIFER (626) 282-7321- 4,600 921 // / 9219 KEY WEST ST ,/y"n ., /�z�f TEMP 917803730 ES P DESCRIPTION 0 K T/0 REROOF EXISTING W 30 YEAR SHINGLES WITH ASPHALT HOUSE & PPLIC T0: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: GARAGE. SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 4600.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC 4600.00 VAL 132.60 TOTAL FEES 160.85 CONTRACTOR: TEL. APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS SOILS ENGIN ER APPRO A CHIT GIN 0: 0 / FOR LIC. NO: SLAB/UNDER FLOOR RAISED OR FRAMING MA NO: SEWER MAP B00 PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION XX 3 01 FLOOR SHEATHING N LL S: AP STAT ASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUSE AN / AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HA G SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- I S LATIO /WEATHER STRIP SIDE PL- EA ALL EXTERIOR LA H RATEDFLO CEIL ASSEM. RATED WALL ASSEMBLIES RATED sHA OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508