HomeMy Public PortalAbout9816 KEY WEST ST_Building__ r
AP P UI CAT 1 O N FOR COUNTY OF LOS ANGELES
BUILDING PERMIT DEPARTMENT BUILD NG AND SAFETY DENGINEER
DIVISION "
BUILDING J
FOR APPLICANT TO FILL IN ADDRESS
BUILDING
ADDRESS LOCALITY
NEAREST
CITY ZIP CROSS ST
NO OF BLDGS ASSESSOR
SIZE OF LOTNOWNOW ON LOT MAP BOOK PAGE PARCEL
r A- 9 BLOCK LOT NO 0 DISTRICT GROUP TYPE CONST FIRE
E ES BY
TRACT
TEL Og )Z3
OWNER NO
STATISTICAL CLASS_IFICATI9 NEWCE�R MAP
ADDRESS CLASS NO < - DWELL UNITS BK•
CITY ZIP USE ZONE I NOP
ARCHITECT OR TEL /
ENGINEER NO SPECIAL
CONDITIONS
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑
r� TEL
CONTRACTOR NO (J BLDG SETBACK FROM
LIC FRONT PROP LINE OF (STREET)
ADDRESS y NO ` HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF I EXISTING
LIC FRONT PROP LINE HIGHWAY WIDTH
CITY / CLASS -�
CONSTRUCTRON LENDER + >_
NAME AND BRANCH LL
BLDG SETBACK FROM _ 0_
ADDRESS _ CITY__ SIDE PROP, LINE OF - - (STREET) V
SQ FT NO OF NO OF CHECK HIGHWAY + YARD = TOTAL SET FROM TYPE OF EXISTING
SIZE STORIES FAMILIES ONE SIDE P LINE HIGHWAY WIDTH O
DESCRIPTION OF WORK NEW
❑ + U
ADD ❑ CORNER CUTOFF Y S ❑ NO ❑ a
ALTER IN OPEN SPACE• YES ❑ NO ❑ Z
REPAIR ❑
US'OF BLDG DEMOL ❑ IN COASTAL PERMIT ZONE YES El NOEXISTIN ❑
APPLICANTTEL
(PRINT) �� �� NO 3(j�
BY(SIGNATURE)
I HEREBY A WLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABO IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE
WORK AUTHO IZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CO EOTHE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM
PENSATION IN RAN E
SIGNATURE OF FINAL BY
PERMITTEE DATE
ADDRESS — �la�
TEL PC Fee$ Permit Fee
CITY � NO
Q Issuance Fee
VALUATION_.poOQ 0
Total Fee
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION CK M o CASH
76A638A CE N803A 6/76
;�. APPLICATION FOR BUILDING PERMIT
FOR A LICANT TO FILL IN"(Print or type only)
B
UL['I
NG C') COUNVY OF LOS ANGELES
ADDRESS G �� ? s7: DEPARTMENT OF COUNTY ENGINEER
CITY ZIP p - BUILDING AND SAF Y DIVISION
NO OF BLDGS BUILDING f
SIZE OF LOT&S6 NOW ON LOT ADDRESS (�
TRACT BLOCK LOT NO LOCALIT
pt TEL NEAREST
OWNER ` / NO CROSS ST
C ASSESSOR
ADDRESS �`_ MAP BOOK PAGE RCEL
�-y-- v DISTRICT GROUP YPE FIRE PRO ESSED BY
CITY /e 1C ZIP / Q /��- Q CONST ZON
ARCHITECT O TEL \J .0(/ /
ENGINEER NO
STATISTICAL CL SSSIFICATION SEWER AP
ADDRESS - CLASS NC 0 -DWELL UNITS if BK
CONTRACTOF(-W,P/jr'� f.7/ NOL `6 2 USE ZONEIMA NOP
ADDRESS LIC �j
NO �/ SPE IAL �
CITY LIC CONDITIONS
CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDG SETBACK FROM a
FRONT PROP LINE OF (STREET) C
C:
ADDRESS CITY _ TOTA SETBACK FROM TYPE OF EXISTING
HIGHWAY } YARD
SQ FT NO OF - NO OF CHECK FRONT PROP LINE HIGHWAY WIDTH C
SIZE STORIES FAMILIES ONE _ -`
DESCRIPTION OF WORK NEW } ce
l ADD ❑ BLDG SETBACKFROM Z
'BLDG
LINEOF (STREET)
_ LTER ❑ = TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY } YARD SIDE PROP LINE
HIGHWAY WIDTH
REPAIR[Ell
USE OF } _
EXISTING BLDG DEMOL ❑ /
-
AP(PRINANT� a SO TOLLOb�- S CORNER CUTOFF YES ❑ NO ❑
BY'ISIGNATURF , c IN OPEN SPACE YES ❑ NO ❑
- IN COASTAL ZONE YES ❑ NO
Q ❑
VALUATION•Y SaD CATEGORICAL EXEMPTION YES❑ NO ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE)
KITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE)
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO _
WORKMEN'S COMPENSATION INSURANCE
SIGNATURE O v
PERMITTEE U
A D D R E S 5FINAL g T Q�
CITY , D
NO 6 Z S DATE '�c� �� N BY vA'Y
MAKE Cf/F_ KS PAYABLE TO FEE FEE •I' / �l
HARVEY T BRANDT COUNTY ENGINEER ?� (
PLAN CHECK VALIDATION CK M O CASH PERMIT VALID TON CK M o C�,Hl'
I '
76A638A CE9803 7/73 1,0 3C`Z -�5 1 1 2.0-C)
DEPT . PERMIT , IS REQUIRED
;OTHF R ANY {MATERIAL STORAGE OR WORK
p E ROAD RIG T OF WAY >•�
7GAB89A CIE 8098-SD
'APPLICATION FOR U•IL®II�C�" PIEFSMl
'COUNTY OF-LOS ANGELES BUILDING "
DEPARTMENT OF COUNTY ENGINEER ADDRESS
10
BUII.DING, 'AND SAFETY DIVISION LOCALITY -
JOHN A. GWBIE. COUNTY ENGINEER ? NEAREST
CASSATT D,GRIFFIN, SUPT OF BUILDING
DISTRI N GROUP, -HYPE _ ESSED By,
FADORRESS
OR APPLICANT ,TO FILL IN'- aj 'CONST
jf S? �D "'WP�i�S� STATISTICAL CLASSIFICATION . 'S WER MAP
_ _ CLASS NO DWELL` UNITS'` BLOC MAP STATE
'NUMBER HWY AYES'• O- k .
TRACT - USE ZONE SPECIAL - -
NO OF BLDGS ,//�' CONDITIONS
SIZE OF LOT " S'a ' 'I NOW ON LOT _ /�► , /
USE'OF "' - n / , - ,
EXISTING BLDG BUILDING EXIST ,
! ,l ,SETBACK YARD -HWY' STREET NAME WIDTH,'
OWNER pf/7A�j / /p {������ I" i. • FRONTMAIL - y
ADDRESS,
tSIQ ��Yp. W eS �y P L
SIDE,
T ����, P L
CITY Te/►/� C ' `C'f) ��� NO" INSPECTION RECORD =
tt f
ARCHITECT OR j♦yFV r% i"i0 NO
ENGINEER iY+i � '
17-
ADDRESS
A .
TEL
CONTRACTOR NO
ADDRESS
DESCRIPTION' OF-WORK `�
NEW ' A ALTER REPAIR DEMOLISH
SQ FT NO OF NO OF
SIZE y �S STORIES FAMILIES
USE OF .�iti'tf" 4a<' v"!
STRUCTURE _ d - ,{ 0
SIGNATURE"OF/�� `�.t�51J�'
b(//f� ►d a,'., F
APPLICAQNT® )� jw,' APPROVALS -DATE •INSPECTORS SIGNATURE
ADDRESS/ C -&3 W Q S/ 37 xlw�e FOUNDATION 'LOCATION
FORMS, MATERIALS
'VALUATION $ 0 0 d '/ FRAME FIRE,STOPS,
BRACING, BOLTS /lj'�- /i'ffl.'A•r..Gi`I
O -. FURNACE LOCATION, ' V .•'
v FEE $ I d 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
STATE-CAWS REGJULATIN BUILDING CONSTRUCTION LATH,+EXT, ��`/Yvr� / n.r✓-�-
SIGNATURE OF•70L_,� HOUSE NUMBER,COR -
`
PERMITTEERECT AND POSTED,
ADDRESS ry"r FINAL �! ,f�,PsS ✓_
CLYDE N DIRL'AM'�PRINCIPAL bTRUCTURAL ENR
i PL CHECK VALIDATION CK M O` CAH- PERMIT•VALIDATION , CK MO CASH
.7_
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1007140031
PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST NEW BUILDING ADDRESS
ITR 14908 LT 10 SQ FT STORIES TYPE OCCUP GROUP 9816 KEY WEST ST
I ISTRUCTURE 234 1 V-B U I TEMP CA 917803918
ASSESSOR INFORMATION NUMBER GARAGE NEAREST CROSS STREET
18589-021-020 OTHER THOMAS PAGE 597 GRID A4 LOCALITY TEMPLE CITY, Cl
ITENANT JEXIST BLDG USE USE ZONE JISSUED ON PROCESSED BY
EXIST OCC GRP 101/27/11 SR
OWNER TEL NO 1BLDGS NOW ON LOT VALUATION IFI AL DATE FINAL BY CODE
1XIA, MATTHEW (626) 614-5889- 1 10,770
19816 KEY WEST ST 1
(TEMPLE CITY CA 91780 FEES PAID IDE CRI TION OF WORK
(ADD STORAGE ROOM ATTACHED TO (E) GARAGE
IFEE DESCRIPTION QUANTITY UOM AMOUNT
(APPLICANT TEL NO I
INGAN WUN NG (626) 388-0085- IDI PLANCHECK W/O EN-HC 10770 00 VAL 198 90
11051 HOLIDAY DR IAA BLDG PERMIT ISSUANCE 27 80 ISPECIAL CONDITIONS I
IW COVINA, CA 91791 IAB STATE GREEN BLDG FEE 10770 00 VAL 1 00 I
IAC STRONG MOTION RESID 10770 00 VAL 1 10
ID2 PERMIT W/O EN-HC 10770 00 VAL 234 00
(CONTRACTOR TEL NO I TOTAL FEES 462 80 IAPPRCVALS DATE INSPECTOR SIGNATURE I
ISHING CONSTRUCTION CO (626) 915-7702- 1 1 I
11051 HOLIDAY DR LIC NO I ILOCATION AND SETBACKS 1 I I
IWEST COVINA CA 91791 644361B I I I I I
ISOILS ENGINEER APPROVAL I I,
I I I I I I
(ARCHITECT OR ENGINEER TEL NO IFOUNJATION/TRENCH FORMS I
LIC NO (SLAB/UNDER FLOOR I I I
I I I I I I
I IRAISED FLOOR FRAMING 1 I I
I i I I I I
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP (UNDERFLOOR INSULATION
I I I
3 OOI 11ST LEVEL FLOOR SHEATH
I I I
INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I I I I I
NO 21 1 12ND LEVEL FLOOR SHEATH I I I
SCHOOL WITHIN HAZARDOUS I IROOF SHEATHING 1
1AIR QUALITY 1000 FEET MATERIALS
1 NO NO NO I IFIRE DEPT FRAME INSPECTI 11
q I
I 1BLDG DEPT FRAME INSPECT( I I
I I
ISHEAR PANELS I I
I I I
IINSU TION/ THER STRIPI I I
I 1 (INTERIOR LATH DRYWALL
1EXTERIOR LATH 1
, I I
I I ILOT DRAINAGE
I I I
I 1 ISMOKE DETECTION DEVICES I I I
I I I I I I
1 I IFIRE DEPARTMENT APPROVAL( I I
I I I I I I
IREPORT ID DPR261 ROUTE TO BS0508 1
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