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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 I I