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Home My Public Portal About9240 KEY WEST ST_Building__ DFPARTMENT OF BUILDING AND SAFETY APPLICATIONFORPERMIT r COUNTY OF LOS ANGELES ffs , WM. J. FOX. CHIEF ENGINEER �{; UIL ' G FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. t AODR[IB® /� 9240 $ey -West Street (l2 65I T LOCALITY Temple Cit y; -Calif ornia RECEIVED BY . DATE OF APPPL. DATE ISSUED �ROR xi.o $OndO Avenue, OWNER i RNEF1 HOMES INC., ADD EISS � Ea a��" EauJ Fs l MAIL ADDRESS 26 East Santa Clara St. - LOCALITYNEAREST CITY Arcadia NO-DO 7••3563 DRDBB Br. FIRE 7 NO.OF TYPE GROUP ARCHITECT OR TEL. ZONE PLANB rp ENGINEER NO. BLDG. L �'" � 1'�° ADDREBB -- SETBACK LINE � k,(y Q �' � APPROVED TEL CONTRACTOR Same NOUS .. BY DATE USE4 APPROVED AD [ ZONE BY DATE LEGAL �i®� CORRECTIONS DESCRIPTION - LOT NO. 84 BLOCK p��y TRACT 1647 q Ar SIZE OF LOT 61 R 113 I NOW ON LOTB� NO USE OFI NO.OF I NO. IF EXISTING BLDG. NO FAMILIES ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O A REPAIR MOVING DEMOLISH p Bq. _ NO.OF Z BIZ[FT. 104V ROOMS 4 STORIES 1- 1 r WALL ROOF COVERING aster COVERING USEOFBU LDING NEW Dwellin h 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECTINSPECTOR DATE FORMS, AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES I FI LOCATION •A { FORMS,MATERIALS AND STAT[ LAWS REGULATING BUILDING CONSTRUCTION � FRAME: FIRE STOPS, SIGNATURE OF D NO C• BRACING,BOLTS I PERMITT[ ii LATH, INT. AUTHORIAC IT AT LATH. EXT. �% t 76A BA-3 2-50 $/ �i4� P.C.B 5 PLASTER.INT. v b t./ FEE 22,50 PLASTER,EXT. S '�'`_ VALUATION FEE FINAL �rvv"`c APPLICATION FO R v! - 'P-'--" COUNTY'OF LOS ANGELES �� DEPARTMENT OF COUNTY ENGINEER U I L D I N G PERMIT BUILDING ANDS FETY DIVISION BUILDING I FOR .�/APPLICANT f(TSO FILL I�(N ADDRESS BUILDADD ADDRESS 9 OC k�Tf I wE V r LOCALITY CITY /�tVI pL C C-f/ / ZIP NEAREST ' CROSS ST 40 -NO OF BLDGS / ASSESSOR- SIZE OF LOT x �� NOW ON LOT MAP BOOK PAGE PARCEL (j (J'(� DISTRICT GROUP TYPE FIRE . RO SSE BY TRACT 16 • BLOCK LOT NO !� '`r]•`�• CONST ZONE / ..,�. TEL J tLD -OWNER �� GCS�l / NO 07 �O�JJ STATISTICAL CLASSI ICA TION SEWER MAP ADDRESS YO( ��7 ��J I CLASS NO DWELL UNITS �BK 2,PG MA CITY / fWj 6' CIT ZIP U ZONE NO �d L ARCHITECT OR� TEL SPECIAL ENGINEER ' CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONTRACTOR pE/V/v� I ,S'NEtc�C; U BLDG SETBACK FROM p��,., LIC e� �/ FRONT PROP LINE OF (STREET) ADDRESS S, UL[. �J�c O J/70 g0 _ TOT HIGHWAY + YARD AL SETBACK FROM TYPE OF EXISTING CITY tt) ifOfi k CLic LASS �-f FRONT PROP LINE HIGHWAY WIDTH CONSTRUCTION LENDER + NAME AND BRANCH epa BLDG SETBACK FROM ^ ADDRESS CITY SIDEPROP LINEOF (STREET) SQ FT ��^^Q NO OF NO OF J CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING W J38SIZE STORIES I FAMILIES / ONE SIDE PROP LINE HIGHWAY WIDTH DESCRIPTION OF WORK M([ NEW ❑ + � F^ Rcom gory not(( ADD CORNER CUTOFF YES ❑ NO ❑ Z ALTER ❑ - REPAIR❑ IN OPEN SPACE YES ❑ NO ❑ USE O ❑ IN COASTAL PERMIT ZONE YES ❑ NO EXISTING BLDG RESr4gfU7" EMOL APICANT,0F ^/SS � CAWaL-13iPR NO ❑ f'�i `+Q3 /�" ,Q ;A Q�"g,� /,�{�� BY (SIGNATURE), 1 1 /y,•. "v �7-/YJI ,04 REAM QK- I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTIONI CERTIFY THAT IN DOING THE WORK AUTHORIZED `Zy e� �•F. HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S CO P E NSATION INSURANCE SIGNATUROF `F[ F!ERMITTEE � DATE B ADDRESSTE J �• LG •/C1�'i�G G �/`�(O /6. Lj V{.: CITY JA, , (.��V�I�O� NOL —/A. 7 PC F6e$ Permit Fee �• S' QIssuance Fee VALUATION V s'y� 0,, Total Fee _ (g. 7 PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATIONCK M o CASH 567ro-DEC :22 1 u 48.75 ,W', 76A638A CE#8038 12/75 y ^ •~ - .., APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUILDING •_ COUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER CITY ,� ,lJl _ zIP % BUILDING AND SAFETY DIVISION O OF SLOGS BUILDING SIZE OF LOT NOW ON LOT ADDRESS d /^ TRACT BLOCK LOT NO �] LOCALITY C OWNER NOL "y CROSS ST ASSESSOR ADDRESS zi_ MAP BOOK PAGE PARCEL N 7�� DISTRICT GROUP TYPE FIRE PROCESSED<BY CITY ZIP ��• CONST ZON ARCHITECT,41OR TEL ENGINEER NO . _ STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO DWELL UNITS BK PG CONTRACTOR L�f' NOL USE ZONE MAP - LIC NO ADDRESS NO SPECIAL LIC CON DITI ONS CITY CLASS CONSTRUCTION LENDER /,r ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ NAME-AND BRANCH L BLDG SETBACK FROM FRONT PROP LINE OF (STREET) ADDRESS CITY , HIGHWAY } YARD TOTAL SETBACK FROM TYPE OF EXISTING SQ FT FRONT PROP LINE HIGHWAY WIDTH SIZE �, �/} NO.OF- NO OF CHEC STORIES ~/ FAMILIES / ONE + d DESCRIPTION OKWORK - ` NEW I 1 1 ADD,I BLDG SETBACK FROM C7 SIDE PROP LINE OF (STREET) cr ` - LTER _ TOTAL SETBACK FROM TYPE OF EXISTING � HIGHWAY + YARD - HIGHWAY WIDTH ❑ SIDE PROP LINE W USE OF EPAIR i �r�•2flO/t9 �7IVD + _ a- N EXISTING BLDG EMOL ❑ Z APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) _ _ NO ` - B (SIGNA TORE) IN OPEN SPACE YES ❑ NO ❑ Y _ IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION,s �7L - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION '� 75 V I.-ath AND STATE THAT THE ABOVE 15,CORRECT AND AGREE TO COMPLY WI TH ALL UC TION ORDINANCES DCERTIIFY THAT L IN REGULATING BUILDING DOIING THE WORK AUTHORIZEDCON- STIR HEREBY I WILL NOT EMP OY ANY PERSON IN VIOLATION OF THE r LABOR CODE SOF THE S /ATE OF CALIFORNIA RELATING TO WORKMEN'S CIOMPENSATION INSURANCE ./ >�j" -/ SIGNATURE O i /.b'�';C'x�>!` jj'.ii '; •�!�/) %>01�yr'C � C.% �GSA PERMITTEE _ _ �- dyp, /j, .;•, r r ADDRESS - � 01'/7 /"'ArJ,�1, f'/(�r537 FINAL 1py 'TEL DATE oSy ' CITY NO _ j r � MAKE CHECKS P 1)ABLE lO -FEE � FEE HARVEY T. BRANDT, COUNTY ENGINEER Qa PLAN CHECK VALIDATION = .CK ' M O^ CASH PERMIT VALIDATION CK M o CASH 3,5,"JAN c94 1 D � 6 9.0,0 a-, 78A838A CE*803 5/74• , ` APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self Insure, BUILDING ADDRESS �Cl� or a certificate of Workers Compensation Insurance,or a certified copy thereof(Se 3800,LaD_C) CITY ZIP �"�� IV_ � LOCALITY % Policy No [=Y� Company ,�,� � �~� SIZE OF LCT NO OF BLDGS NOW ON LOT I mortified copy Is hereby furnished NEAREST CROSS ST El Certified copy Is filed with the county building Inspection TRACT BLOCK LOT NO department y? � USE ZONE MAP NO Date Applicant P �- ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO YES NO COMPENSATION INSURANCE ••/T WITHIN 1000 FT OF SCHOOL? (This section need not be completed If the permit Is for one hundred ADDRES 10 dollars ($100)or less) C DISTRICT GROUP TYP CONST FIRE ZONE PROCESSED BY CITY, ZIP o -3 LL I certify that In the performance of the work for which this permit M d G Is Issued, I shall not employ any person In any manner SO as t0 ARCHITECT OR NGINEER TEL NO D become subject to the Workers'Compensation Laws STATISTICAL CL&SSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO c>O/ DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate' of REQUIRED TOTAL SETBACK FROM EXIST Exemption; you should become subject t0 the Workers CONT CTOF� TEL NO SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code; you must forthwith G ^0106.G.. 315 FRONT 4 comply with such provisions or this permit shall be deemed revoked AD R SS r LIC NOP L LICENSED CONTRACTORS DECLARATION CITY ` ` /� SIDE � LIC CLAS P L I hereby affirm that I am licensed underprovisions of Chapter 9 •0. -3y SEWER MAP } (commencing with Section 7000)of Division 3 of the Business and ,SQ T SIZE NO OF STORIES NO OF FAMILIES 0 Professions Code,and my licensee Is In full force and effect„ NEW 13 BK PG ► License Number �qj 2Za 6 LIC Class G—72 DESC IPTION F WORK ADD ❑ VALUATION rD 5 D, x Contractor Date n, •ALTER El0 El am exempt under SEC l} REPAIR El $ U DEMOL ❑ W B RP C for this reason - LDMA P/C# d _ XISTING BDG � z Date U URM ❑ Z Signature APPLICANT(PRINT) TEL NO LDMA Perm# ❑ I, as owner of the property, or my employees with wages as Z ryi-i-; .1r their sole compensation, will do the work and the structure IsADDRESS FINAL DATE O� , � t i1�a 1C' not Intended or offered for sale (Section 7044, Business and � 330-,� ( Professions Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL C O i J l ITEM: ❑ I, as owner of the property, am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE Y. y g AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE'+ FINAL BY 5 Ti I T HL 169 - 65 licensed contractors to construct the project (Section 7044, YES❑ No❑ Business and Professions Code) - I +_HEi_I i WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING _ -- OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH , CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR fHGE ��,� GUIDELINES - I hereby affirm that there Is a construction lending agency for YES C-1NO❑ the performarx;e Of the Work for Which this permit IS issued(Sec I HAVE READ THE HAZARDOUSMATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING -_ 3097,CIV C) IrHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE ijll!ij—+'[ij �,�i,-O 1 N TITLE 2 CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS 3 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD ry�tLFi � hk:'i-1 1�y'` IL Lender's Address LF 7l t 1 L OWNER OR AGENT o I certify that h read this ppllcatl and state under penalty O of perjury th t t above Infor ation I correct I agree to comply PC FEE PERMIT FEE /� o with all co fta rdinances nd Sta laws relating to building a constructio hereb aut orize r resentatives of this County ISSUANCE FEE CD D`° to ente p ned pr rty for Inspection purposes (p• m ait INVESTIGATION FEE TOTAL FEE ome �9. SEE REVERSE FOR EXPLANATORY LANGUAGE