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Home My Public Portal About10102 LANDSEER ST_Building__ 79AS30A C6#SG!•1b1 APPLICATION FOR BUILDING PERMIT �. COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS V BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. DISTRICT NQ._ GRg1iP TYPE P S BY FOR APPLICANT TO FILL IN Ol' ✓j/� CONST. ST. ./ K P r STATISTICAL CLASSIFICATION SEWERMAPPG ADDRESS (� • CLASS. NO.-j2-DWELL,UNITS___/j LOT NO. - BLOCK WATER NOT REQUIRED ❑ RECEIVED CERTIFICATE• TRACT.�� "Z_ MAP HIGHWAY NON STATE MAJOR SECO LOCAL NO.OF BLDGS. (CIRCLE) SIZE OF LOT- NOW ON LOT USc ZO E -SPECIAL USE OF CONDITIONS EXISTINGBLDG.i—� ' TEL. OWNER //�� .-- {! C NO. ^ ILDI G YARD HWY STREET NAME EXIST. ' ADDRESS' 77 SETBACK WIDTH FRONT /1 ARCHITECT OR TEL. P L. _O��J0 ' ENGINEER NO. SIDE P.L. ADDRESS TEL INSPECTION RECORD a CONTRACTOR/'�yGJ- G� NO ADDRESS?& z` DESCRIPTION OF WORK /�'�Mg 57,,e /Ago r4J_wtfIe e5k, O NEW k' ADD ALTER REPAIR DEMOLISH J 1 y�� qp cn SQ. FT. . NOF NO.OF / Ate✓ <Cd'G✓ � tia. '9r-,: Ni IZE STO.ORIES FAMILIES - - '•-� ,�-dr, ? ✓ ,s P'v USE OF STR CTURE L� {^ SIGNATURE OF APPLICANT VALUATION I APPROVALS DATE INSPECTOR'S SIGNATURE P. PMT. f� FOUNDATION: LOCATION FC.EE'$ O FEE $ �I FORMS, MATERIALS FRAME: FIRE STOPS, 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL COUNTY ORDINANCES AND•STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONS TRUCTION. I CERTIFY THAT IN DOING THE WORK - AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- - LATH, INT. TION OF THE LABOR CODE OF THE STATE OF CALIF NIA RELAT- ING TO WORKMEN'S COMP SeATI E LATH,EXT. )al+7 SIGNATURE OF - HOUSE NUMBER COR- / PERMITTEE RECT AND POSTED ADDRESS - 4 FINAL �JI vFU 1 ' CLYDE N. DIRLAM, PRINCIPAL STR RAL ENGINEER PLAN CHECK VALIDATION cK o. cwSH PERM VALIDATION cK. M.O. CASH ^I � iwc-3 1 8 9 'C'EP ?7 2 3 D 2 2.5 U ' - JLo 3 7 4 4 OCT "I �) 1 D 45 .O J -WORKERS' COMPENSATION DECLARATION I hereby-affirm that I have a certificate of consent to self nsui�t-dr a ct�ificate of Workers'Compenstton Insurance, or APPLICATION F O B ILD I N G PERMIT ' a certified copy thereof (Sec. 3800, Lab. C.) �_ _ . : COUNTY-OF LOS ANGELES • , BUILDING.AND SAFETY Policy No. Company If BUILDN , Certified copy is hereby furnished FOR.APPLICANT TO FILL IN ADDREISSG Certified copy is filed with-the county building inspec- BUILDING tion department, ADDRESS LOCALITY NEAREST Date Applicant CITY ,� ih/ ZIP31 CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS' i X O NO-OF BLDGS ASSESSOR COMPENSATION INSURANCE - OT OW ON LOT �- MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one Z MAP - hundred dollars ($100)or less ) TRACT BLOCK LOT NO NO TEL /�/�, SPECIAL fZ I certify that in the performance of the work for which this _ OWNE 4 e NO r(/ CONDITIONS O ' ,permit is issued, I shall not employ any person m any manner DISTRICT GROUP TYPE FIRE, PR C D BY V so as,to become subject to the'Workers'Compensation Laws ADDRESS e� CONS/ Z E ad Date Applicant CITY ZIP STATISTICALCLASJICATION APT CONDO V ARCHITECT OR TEL. NOTICE TO APPLICANT- If, after making this Certificate of - 1 W ' ENGINEER _ NO CLASS NO DWELL UNITS a. Exemption, you should become subject rto the' Workers' - N Compensation provisions of the Labor Code, you,mustfforth- ADDRESS SEWER P Z ,with comply with such provisions or this permit shall be deemed revoked - W J $C.{ TEL BI�-� PG�� VALIDATION' " CONTRACTOR' LICENSED CONTRACTORS DECLARATION LIC I hereby affirm that I am licensed under pro vistons of Chapter 9 ADDRESS ( NO - - VALU TON (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 $ SQ FT NO OF NO OF CHECK , License Number Lic.Class SIZE STORIES FAMILIES ONE Contractor Date DESCRIPTION OF WORK NEW ❑ ❑ _ _ ADD' I am exempt from the licensing requirements as I am a' licensed architect or a registered professional engineerN _ -ALTER- .❑ FINAL r Q acting in try professional capacity (Section 7051, EPAIR "❑ DATE Business and Professions'Code). USE OF' \1 ' FINAL EXISTING BLDG DEMOL `❑ By �J � Lic..or Reg. No Date APPLICANT • TEL - OWNER-BUILDER-DECLARATION (PRINT) NO , I hereby affirm that I am exempt from the Contractor's License Law for the following reason_(Section,7031.5, Business and ADDRESS ^ Professions Code) PRE ENT ❑ BUILDING _ 2 9,2 1 A . 1, as owner-of the property, or. my employees with ADDRESS wages as-their sole compensation,will do the work and # o e!o•'o 0 1 the structure is not-intended or offered for sale(Section LOCALITY 21 87.0 7044, Business and Professions Code) MOVING TEL o- CONTRACTOR NO , _ I, as owner of the property, am exclusively contracting o•O 1 8 7� �'c� with licensed contractors to construct the project (Sec-- tion•7044, Business and Professions CodADDRESSe). 0 2 104'-8 2 Einvestigotion TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY YARD HWY PROP LINE WIDTH I hereby affirm that there'is a construction lending agency for r the performance of the work for which this permit is issued (Sec 3097, Civ C ) - Lender's Name m - Permit Fee Lender's Address W I certify that I have read this application and state that the Issuance Fee v above information is correct I-agree to comply with all County. ee < ordinances and State laws relating to building construction, S g g - Total Fee /' 02) .1 - , and hereby authorize representatives of this County to enter aup the aove-mentio ed grope y'for inspection purposes a — Z SEE REVERSE FOR EXPLANATORY LANGUAGE ®s Signature of Applicant or Agent Date - 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 0606190053 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE 10102 LANDSEER ST STRUCTURE: 33 VN TEMP CA 917803338 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8585-003-055 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 06/19/06 JK 06/14/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: F; U; E FINAL BY: CODE: LEUNG NELSON Y;GRACE N (626) 443-2553- 12,300 10102 LANDSEER ST TEMP 917803338 FEES PAID DESCRIPTION OF WORK T/O WOOD SHAKE ROOF INSTALL 1/2. OSB SHEATING NAIL DOWN 30LB FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: FELT PAPER INSTALL 40YR FIBERGLASS ROOF (2) SKYLIGHTS ONE 2X APPLICANT: TEL. NO: RCC CONSTRUCTION, INC. (562) 941-0956- AA BLDG PERMIT ISSUANCE 27.75 15102 HORNELL ST. AC STRONG MOTION RESID 12300.00 VAL 1.23 SPECIAL CONDITIONS: WHITTIER, CA 90604 D2 PERMIT W/O EN-HC 12300.00 VAL 267.00 TOTAL FEES 295.98 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE R C C CONSTRUCTION, INC. (562) 941-0956- 15102 HONELL ST. LIC. NO LOCATION AND SETBACKS WHITTIER, CA 90604 873570- B SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUVDATION TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING - MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 147H273 3 O1 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT GOND: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO i FRAME INSPECTION /G REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL - EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS * ADDITIONAL DATA ON FILE LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 -