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HomeMy Public PortalAbout9253 KEY WEST ST_Building__ �E PLE tY 76A636A CE 1803=-63 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 WILLIAM A JENSEN SUP T OF BUILDING CROSS ST - f DISTFCT NO GROUP TYPE ESSED BY ' FOR APPLICANT TO FILL IN 6.r D coNsr BUILDING `/.i ��/ Tc.s STATISTICAL CLASSIFICATION '.r SE ER MAP ADDRESS ;2,d3 A „ W,57 7 i6-'%� Q- "� +'BK 5G CLASS NO �)DWELL UNITS LOT NO BLOCK WATERElCERTIFICATE NOT REQUIRED RECEIVED TRACT - ” MAP j HIGHWAY NO OF BLDGS NO (CIRCLE) STATE MAJOR SECOND, L CAI,j , SIZE OF L'OT' NOW ON LOT USE ZONE SPECIAL , USE OF CONDITIONS EXISTING BLDG ' TE .� - OWNER �i G—JV'�t= NOL T 4 EXIST r SETBACK YARD HWY STREET NAME WIDTH ADDRESS �V A2 Vv Com/ 7-no lC FRONT ARCHITECT OR TEL I P L ENGINEERS NO ' SIDE a P L ADDRESS - i O ELJ> �0 r �---- --- 76 A DD R_ESS'3 M @� 5�1v�'wA L ' DESCRIPTION OF WOR R� �' W Z NEW ADD' - ALTER REPAIR DEMOLISH SO FT NO OF NO OF SIZE STORIES FAMILIES USE OF 1/i �l"� 1 STRUCTURE L� - if _ d e/ 1 *4ii SIGNATURE OF - APPLICANT e + 1 , VALUATION S ©aa APPROVALS DATE,,t INSPECTOR 5&NATURE PC PMT ✓Qv FOUNDATION LOCATION ` FEE S FEE S FORMS MATERIALS / FRAME FIRE STOPS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS I) AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION O / WITH ALL CUNTY 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 CODC OF THE STATE OF CALIFORNIA RELAT ING TO WORKMEN S COM ENS INSURANCE - ` ' LATH EXT I f SIGNATURE OF. HOUSE NUMBER COR- PERM ITT _A OR-PERMITTEERECT AND POSTED ADDRESS FINAL JOHN F -LEWIS PRINCIPAL STRUCTURAL ENG' R PLAN CHECK VALIDATION CK M O ,> CASH _ PERMIT VALIDATION CK M O CASH 19 7; 1 0 1 4 1 D 5.0.0`" !� , y DEPS iCMENT OF BUILDING ANP SAFETY APPLICATION-FOR PERMIT COUNTY OF LOS ANGELESU ' L ' N G WM. J. FOX. CHIEF ENGINEER V �1 FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY Key-West ��1 DISTRICT NO, PLAN CK.NO. PERMIT NO. ND p DREISB 9253 Key- YYest Street - c,G�p63-1 G q G�39 LOCALITY Temple Cityi galifornia RECEIVED BY DATE OF APPL. DATE ISSUED NEAREST Rio tondo Avenue /7� f// CROBB BT iRi o �,A � OWNER TMER-HOMES INC*- - BUILDING oirl r�� ey Wes ADDRESS b V b 1 MAIL LOCALITY 1 . ADDRESS 26-East Santa Clara St,TEL t T e� NEAREST `, 0 CITY Arcadia NO.-DO (—3563 CROSS ST. FIRE NO.OF' r TYPO OROUPJ, ARCHITECT OR TEL. ZONE PLANS i+A- ENGINEER NO. � BLDG. 1 FfQL ADDRESS _ SETBACK LINE s" APPROVED CONTRACTOR Berme NO U DATE UBE1 APPROVED AD E ZONE BY DATE LEGALp p 6 CORRECTIONS DESCRIPTION - LOT NO. 87 BLOCK TRACT 1647 NO.OF BLDG SIZE OF LOT 65 X 111 I NOW ON LOTS No UBE OFwf I NO OF I NO OF LN EXISTING B DG. o FAMILIES ROOMS DESCRIPTION OF WORK NEW X ALTERATION ADDITION C REPAIR MOVING DEMOLISH p eq.FT. ND.DF z BIZC ROOMS 4 BTORIES 1 r WALL RODE COVERING Plaster, COVERING USE OF NEW BUILDING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS i APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT , FOUNDATION: LOCATION 1 B11DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION I FRAME: FIRE STOPS. BRACING, /� d� /r//91/1r/ SIGNATURE OF T HOMES N NG,BOLTS f + PERMITTER! LATH, INT. , AUTHORIZED AGT ell LATH, EXT.76AS38A-3 2. / l� PLASTER,INT. -� FEE PLASTER.EXT. VALUATION FEE 28.88' FINAL I,! S$- WORKERS' COMPENSATION DECLARATION I 'hereaffirm that I have a certificac~ to •insure bor a certificate of Workers' Comtpensat on f coent Insuran elf ,A P P L I CATION .FOR BUILDING, PERMIT or�p certified copy thereof (Sec 3800, Lab C ) - COUNTY OF LOS ANGELESBUILDING AND SAFETY Policy No Company ❑� Certified copy is hereby furnishedBUILDING FOR APPLICANT TO FILL IN ADDRESS � J ❑ Certified copy is filed with the county building inspec- BUILDING' - _ - tion department ADDRESS CI r ZIP / �,/ LOCALITY Date/ pplcarit�`�'-��<'I `�-f�� �1 . CERTIFICATE OF EXEMPTION FROM WORKERS' O OF LOT NEAREST COMPENSATION INSURANCE SIZE OF LOT �Z'� z 1 TIOW ON LOT 2 CROSS S7 ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO MAP BOOK D PAGE DMZ PARCEL O hundred dollars ($100) or less ) TEL USE ZONE MAP OWNER 9 NO NO 1 certify that in the performance of the work for which this SPECIAL permit is issued, I shall not employ any person in any manner ADDRESS / CONDITIONS r' n so as-to become subject to the Workers' Compensation.Laws / O CI ZIP / - U ' Date Applicant ARCHITECT T91. NOTICE TO APPLICANT If, after makingthis Certificate of ENGINEER NO _ _ DISTRICT GROUP TYPE FIRE PROCESSED BY O CONST ZONE I'_ 'Exemption, you should become subject to the Workers' � G / w Compensation provisions of-the Labor Code, you-must forth- ADDRESS p�'�O -� V23 CS► o_ with comply with such provisions or this`permit shall be EL ( N P Y P P STATISTICAL CLASSIFICATION APT CONDO Z deemed'revoked CONTRACTOR NO .��j '' — LICENSED CONTRACTORS DECLARATION s���� IC CLASS NO DWELL UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS:,7[/[i7/% NO (commencing with Section 7000)of Division 3 of the BusinessLIC SEWER MAP ,and Professions Code,and my license is in full force and effect _ CITY pp CLASS BK PG VALIDATION SQ FT - NO OF NO OF CHECK License Number Lc Class SIZE STORIES FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF WORK NEW ❑ ���1��� I am exempt under Sec ADD El CJ , ALTER ❑ B&P C for this reason-r6,�_�-+.� - REPAIR ❑ $ _ __7 e244date �J��7�9USE OF EXISTING BLDG DEMOL ❑ SignaturAPPLICANT TEL FINAL OWNER-BUILDER DECLA TION (PRINT) NO DATE 1 I hereby affirm that I am exempt from the Contractor's License Law for the'following reason (Section 7031 5, Business and ADDRESS FINAL L Professions Code) PRESENT - •� - - By'DIN ❑ I, as owner of the property, or my employees with ADDRESS ``-t T.T 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 n TEL CONTRACTOR NO ❑ I, as owner of the property, am exclusively contracting L , with licensed contractors to construct the project (Sec- ADDRESS ,.114L 93 ,= 6:3 tion 7044, Business and Professions Code ) , REQUIRED TOTAL SETBACK FROM EXIST 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 PL Lender's Name 1 �� LDMA Ref # - _ P C Fee$ - Permit Fee Lender's Address �� Art o x o I certify that I have read this application and state that the Issuance Fee �3 � LDMA P/C# 8 above information is correct I agree to comply with all County Investigation Fee .• �� �� ordinances and State jaws relating to building construction, Total Fee LDMA Perm # a and hereby authorize representatives of this County to enter upon above-mentioned property fo inspection purposes - a _ f� SEE REVERSE FOR EXPLANATORY LANGUAGE Signature o Applicant or Agent v Dote i1NORKERS'COMPENSATION DECLARATION r :^insurer a certif caof Workers's' Com affirm rte 1eof on eInsuran Insurance, APPLICATION FOR BUILDING PERMIT Compensation or a certified copy thereof (Sec 3800, Lab C ) 1. ' COUNTY OF LOS ANGELES, BUILDING AND SAFETY Policy No Company BUILDING Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with the county building•tnspec- BUILDING r,1Q j tion department ADDRESSqu=t) 145 Date Applicant CITY ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO 01`SIZE OF LOT NOW ONLOTCROSS SST ➢u0 � COMPENSATION INSURANCE (This section need not be completed if the permit is for one ' (� ASSESSOR hundred dollars ($100)or less ) TRACT A(,���,,`y�7 BLOCK {{{LLO�T NO MAP BOOK PAGE PARCEL I certify that in the performance of the work for which this OWNERK(K�CT J /// ��""/NO USE ONE P NO permit is issued, I shall not employ any person in any manner n-691 / d / SPECIAL ' so as to bec me subject to the Workers'Compensation Laws ADDRESS yCJI W n CONDITIONS U Date 911 Applcant CITY / IL 1/ ZIP NOTICE T APPLICANT If, after making his Certifcate of ARCHITECT OR TEL DISTRICT GROUP TYPE FIRE PR SS D BY O ENGINEER W NO CONST Z NE F- Exemption, you should become •suble to the,Workers' \ (� Compensation provisions of the Labor Co e, you must forth- ADDRESS �� / a, with comply with such provisions or this permit,shall be TEL STATISTICAL CLASIFITION APT TNDO N deemed revoked CONTRACTOR NO 7 ► Z LICENSED CONTRACTORS DECLARATION LIC CLASS NO 2 N`_DWELL UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO SEWER MAP (commencing with Section 7000)of Division 3 of the Business and LIC Professions Code, and my license is in full force and effect CITY CLASS BK PG VALIDATION SQ FT NO OF NO OF CHECK License Number { Lc Class SIZE STORIES FAMILIES ONE A VALUATION Contractor Date DES/C�RIPTIONnOF WORK>4� — 5 NEW ❑ $ LU ION LI �1-}-TI>` ADD r CJCJ , I am exempt under Sec � ,,,^ p��,,,,, ALTER ❑ B 8P C for this reason ` — ,► /Ise— ��-'/�r0+o REPAIR ❑ $ Q 5 7.$ A USE OF Dote EXISTING BLDG fUGCIs IC /C. DEMOL ❑ APPLICANT TEL # • o o • o j Signature PRINT /.l�/l� NO FINAL OWNER-BUILDER DECLARATION DAT 1 - 23738 I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031 5, Business and ADDRESS FI Professions Code) ` ' PRESENT •o'9 2 3 73 8 5, , BUILDING 1, 1, as owner of the property, or my employees with ADDRESS ; a If , wages as their sole compensation,will do the work and , i r q;of '.`8 8 the structure is not intended or offered for sale(Section LOCALITY ® r ti ai 7044, Business and Professions Code) MOVING TEL f 1, as owner of the property, am exclusively contracting CONTRACTOR NO with licensed contractors to construct the prolect'(Sec- hon 7044, Business and Professions Code) ADDRESS ` REQUIRED TOTALwim CONSTRUCTION LENDING AGENCY ` SET BACK YARD HWY PROP SETBACK LINE WIDTH _ ,r `,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, Gv C ) SIDE PL Lender's Name LDMA Ref # m P C Fee$ Permit Fee D Lender's Address _ I certify that I have read this application and state that the Issuance Fee WMA P/C# above information is correct I agree to comply with all County Investigation Fee aordinances and State laws relating to building construction, Total Fee LDMA Perm # and hereby authorize representatives of this County to enter 9 u on theobove-mentioned pr party f r inspection purposes ' - r SEE REVERSE FOR EXPLANATORY LANGUAGE SrllO,,e of Applicant or Agent Date r • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS j ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0710300022 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS ITR 16475 IT 87 SQ FT STORIES TYPE 9253 KEY WEST ST STRUCTURE 2600 VN TEMP CA 917803730 (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET 1 18590-027-013 I THOMAS PAGE 596 GRID J5 LOCALITY TEMPLE CITY, Cl (TENANT (EXIST BLDG USE RESID USE ZONE R-1 JISSUED ON PROCESSED BY EXPIRES ON I (EXIST OCC GRP 110/30/07 SR 04/27/08 1 (OWNER TEL NO IBLDGS NOW ON LOT VALUATION 1FINkL DA FI BY CODE I ISOTO TONY,JEANETTE (626) 731-4031- I 4,980 1 '/ 19253 KEY WEST ST I 1 1 ITEMP 917803730 I FEES PAID ID SCRIPTION OF WORK 1 IREMOVE EXISTING ROOF INSTALL 30 FELT INSTALL 50 YEAR SHINGLE IFEE DESCRIPTION QUANTITY UOM AMOUNT IHOUSE AND GARAGE I (APPLICANT TEL NO 1 1 I ITRINO HERRERA (626) 644-1875- 1AA BLDG PERMIT ISSUANCE 27 75 1 1 11846 S CALIFORNIA 1AC STRONG MOTION RESID 4980 00 VAL 0 50 ISPECIAL CONDITIONS I IMONROVIA, CA 91016 1D2 PERMIT W/O EN-HC 4980 00 VAL 132 60 1 I I 1 TOTAL FEES 160 85 1 I ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE I 1HERRERA ROOFING, INC (626) 358-0082- 1 1- 11846 _11846 S CALIFORNIA AVENUE LIC NO 1 ILOCATION AND SETBACKS 1 I I IMONROVIA, CA 91010 777529 C39 1 I I I I 1SOI-LS ENGINEER APPROVAL I 1 I (ARCHITECT OR ENGINEER TEL NO I IFOUNDATION/TRENCH FORMS I I I 1 LIC NO 1 ISLAB/UNDER FLOOR I I 1 1RAISED FLOOR FRAMING I IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I 1UNDERFLOOR INSULATION I I I 1144H265 3 011 1 I 1 1NO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I iFLGOR SHEATHING I I NO 21 1 (ROOF SHEATHING I I I SCHOOL WITHIN HAZARDOUS I ISHFAR PANELS I I 1AIR QUALITY 1000 FEET MATERIALS 1 I ' 1 1 I NO NO NO I IFRAME INSPECTION 1 I IREQUIRED TOTAL SETBACK FROM EXIST I IFIRE SPRINKLER HANGERS I I ISET BACK YARD HWY PROP LINE WIDTH 1 I -1-1 I IFRONT PL- I IINSULATION/WEATHER STRIPI I I I SIDE PL- 1 1_ 1-1 1 I I IINTERIOR LATH/DRYWALL 1 I 1 1 I 1EXT'ERIOR LATH I 1 1 I I IRATED FLOOR/CELL ASSEM 1 1 1 I I IRATED WALL ASSEMBLIES 1 1 1 I 1RATED SHAFTS/OPENINGS 1 I 1 I 1 1T-BAR CEILINGS 1 I I ILOT DRAINAGE I I I 1 1REPORT ID DPR261 ROUTE TO BS0508 I 1 1 I 1 I I I