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HomeMy Public PortalAbout10109 LANDSEER ST_Building__ I. 7:A638ACE#803', 1­61: ` APPLICATION FOR BUILDING PERMIT' COUNTY OF,LOS' ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER DEPARTMENT BUILDING AND SAFETY DMSION `LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENBEN.SUP'T.OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN 'DISTRICT NO GRO TYPE­ PR BY • V,� (J CONST..- Q� 'BUILDING �f STATISTICAL CLASSIFICATION SEWER MAP ADDRESS.' O ` La ,,,�•�eY �{�� © / BK - PG ' CLASS. NO. DWELL..UN ITS LOT NO. BLOCK WATER NOT REQUIRED ECEIVED • /' , - '„- R CERTIFICATE. ' TRACT'_ 6 Z Z ' - MAP HIGHWAY STATE-MAJOR-SEC, LOCAL' ,L� NO'OF-BLDGS. No '(CIRCLE) SIZE'OF.LOT D ^ �O I• I NOW ON LOT D'Ide USVEQ E SPECIAL , USE OF - - - - - CONDITIONS EXISTING BLDG. EL - •� - V e 0.ATILDING OWNER . . NYARD HWY• - STREET NAME EXIST. 8I3Z-4 / _�.CJ h — SETBACK WIDTH' -ADDRESS FRONT -, ARCHIT,ECTORTEL.- -- P.L. - ENGINEER - ' NO - - SIDE - ADDRESS- IL TNEL. 7r INSPECTION RECORD 0' CONTRACTOR,. O. �/,�r ADDRESS -^” DESCRIPTION OF WORK '� 'G� -�' -�/-n i . NEW ADD//�� QALTER REPAIR DEMOLISH / - SQ FT. O'-• 'STORIES �- -•F'NOOF O OF S ( ��� // .hr.� ` .�.'��IZ "1 USE OF n STRUCTURE SIGNATURE OF ,APPLICANT - - - VALUATION$' APPROVALS DATE INSPECTOR'S SIGNATURE P.C. - _ PMT. `-� FOUNDATION: MATERIALS -FEE $ J FEE $ J Y FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT'1 HAVE READ THIS APPLICATION BRACING, BOLTS "''�' �'•' Y. AND STATE THAT THE-ABOVE 15 CORRECT'AND AGREE TO'COMPLY FURNACE: LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS I ' BUILDING CONSTRUCTION I CERTIFY THAT IN'DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN vIOLA. LATH, INT. �� 1Q(�• ,� ,!y�•,'�jp.�lG""" ' TION-OF THE LABOR CODE OF THE STATE OF CA FORNIA RELAT- ING TO WORKMEN'S'COMPENSATION INS UR c LATH, EXT. - 1� 1 ', , I ✓ , SIGNATURE OF HOUSE NUMBER COR- ' PERMITTEE RECT AND POSTED I ' ADDRESS' - •� - 2 'LLQ FINAL r a CLYDE N. DIRLAM, PRINCIPAL' STR RAL ENGINEER .'PLAN CHECK VALIDATION cK ' M.O. CASMIT H PERVALIDATION cK M.O. CASH .Ja3' 9 0 ��� 2 7 3 D . , 2 2.5 Q-I .WORKERS' CO%vIPENSATION'DECLARAjIOfJ•-' .• ; I .� ";,� � hereby affirm that I.have a-certificate•of conserl tb self,• - APPLICATION FOR BUILDING.-PERMIT insure, or a,certificate of Workers'Compenstibn Insurance, or a certified copy thereof (Sec 3800, Lab.'c.) ` COUNTY OF'LOS ANGELES BUILDING,:AND SAFETY Policy No. • : Company" Certified co s hereby furnished, " BUILDING. Copy ; Y FOR APPLICANT TO FILL IN ADDRESS D Certified copy is filed with�the county building inspec- BUILDING /���/J�, tiondepartmeFt Y ADDRESS D j�%-�� �/1 LOCALITY •, NEAREST,' • Dare • , = - Applicants • - CITY��1�1i/ L`�i ZIP4111-7- AO' CROSS.ST' 7G CERTIFICATE OF EXEMPTION FROM WORKERS'- NO OF BLDGS / ASSESSOR CQMPENSA,TION-INSUR!{NCE; SIZE OF LOT�OFi �DD�fjNOW.ON LOT MAP BOOK PAGE PARCEL (This section need not'be completed,if the permit is for one k USE ZONE MAP' hundred dollars ($1,00),'dr'less ) TRACT ��,SZ LOCK LOT NO J NOd ,�jj �j TEL �/ p �(/���/ SPECIAL � � d • •' OWNER Lj/ i�E.!//AZ NO 7 O 7��T� •/� CONDITIONS' O. 1 certify that'in•the performance of the work for-which this -DISTRICT GROUP TYPE FIRE PRO ESSED-BY V permiT is issued, I,sholl not employ any pe son in any manner ,�(( ADDRESS D Q irZ�T- ^ CONST ZONE ad 'so as to'.becdme subject ta`the WorktfrCbmpensdlion Laws 3 r j' 3 O CITY �L�L'/y GST. ZIP ••/ 8© V Date v Applicant STATISTICAL CLASSIFICATION: APT CONDO V v ARCHITECT OR TEL W NOTICE;TO A LICANT If, after making this C tificate o NO CLASS NO a ENGINEER /✓e DWELL'' UNITS N Exemption, you•'shouldbecome-'subject to the'Workers' Compensation,provisions of,the Laborr Code, you'must forth- ADDRESS SEWER MAP g with scomply with-such-provisions or-this .permit shall be /�� TEL deemed revoked CONTRACTOR4iV� K/!IL BK PG,�.J VALIDATION.) . LICENSED CONTRACTORS DECLARATION , - LIC I hereby affirm that I,om licensed under provisions of Chapter 9 ADDRESS NO VALUATION"---• (commenting with Section 7000).of Division 3 of-the Business and LIC �'. O��' Professions Code, and my license is in full force'and effect CITY CLASS' $ SQ'FT ScQ, NO OF NO OF CHECK License.Number Lic Class - SIZE , STORIES FAMILIES ONE - DESCRIPTION OF WORK NEW ❑ _ • _ Contractor Date ADD- I'am exempt frorr the licensing requirements as I am a O " licensed architect or a-registered professional engineer ALTER ❑ FINAL acting in my., professional capacity ,(Section 7051, REPAIR DATE❑ Business•and Professions Code) USE OF A EXISTING BLDG SE � � , DEMOL ❑ FINAL ..� - By Lic-or Reg No _Date APPLICANT; T TEL p OWNER-BUILDER DECLARATION (PRINT) %�L/Lr %J�//�ZG' 'NOS' ' S� I hereby affirm that I•am exempt.from,the Contractor's License ADDRESS _Law for the following reason (Section-7031 5,_Business and Professions Code'). PRESENT F-1 BUILDING. I i I,;as owner'of the property, or my employees with-- ADDRESS wages as iheir'sole compensation,will do the work and the structure is r of intended or offered for sale (Settlor LOCALITY o' 7044, Business and'Professions Code), MOVING TEL 4176 8 a l�[I "I, as ownet,of the' ro ert y g 'CONTRACTOR NO '' " l �l p p y,'am exclusively contrachn 0 0 0 0 •o with licensed con tractors,to construct the p-rolect (Sec- hon 7044; Business and Professions Code)'• LADD r . 2 0 �'r 2,0-0 TOTAL SETBACK FROM EXIST _ :CONSTRUCTION-LENDING AGENCY YARD' WY PROP LINE WIDTH I hereby affirm that'there is a construction lending agency for the performance of the work for'which'thispermit'is issued' (Sec 3097,'Civ- C ) Q7.o.6.-8'2 Lender's Name - - - Permit Fee Sr - Lender's Address w I certify that ],have read this application and'stote that the ssuance,Fee i �v _ ,above information is correct.I agree to comply with.all County . '] Fee• < ordinances and State laws relatin to,buildin construction,0 9' 9 1 Total Fee w and here a horize represent ves of this County to enter upon t a ve-mention pr p ty for tnspectton rposes 1 a 1 G �z SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant r ent Date ©s i 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 1111170003 PHONE: (626) 285-0488 EXT. I ILEGAL ID: NO. OF CONST BUILDING ADDRESS: ITR: 26522 LT: 5 SQ. FT STORIES TYPE-- I' 10109 LANDSEER ST I I (STRUCTURE: 2500 V-B I TEMP CA 917803339 (ASSESSOR INFORMATION NUMBER: I" NEAREST CROSS STREET: GLICKMAN-_ 1 18585-002-005 _ I THOMAS PAGE: 597 GRID B4 LOCALITY: TEMPLE CITY, Cl (TENANT: IEXIST BLDG USE- RESID USE ZONE- R-1 (ISSUED ON- PROCESSED BY: I' I (EXIST OCC GRP: I11/17/11 SR I I I I (OWNER: TEL. NO: IBLDGS. NOW ON LOT. VALUATION: IF N DATE FI BY: CODE: IDIAZ RAUL H,MARIA E (626) 448-4175- 1 _ 10,000 I' /E 110109 LANDSEER ST • I I / - I' ITEMP 917803339 FEES PAID IDESCRIPTION OF WORK I I IT/O EXIST ROOF ON HOUSE AND GARAGE, RESHEAT AND INSTALL IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:.ICOMPOSITION SHINGLES 1APPLICANT- TEL. NO. _ IRAIN DANCE ROOFING (626) 339-1455- IAA BLDG PERMIT ISSUANCE 27.80 1 ' IAB STATE GREEN BLDG FEE 10000.00 VAI, 1.00 ISPECIAL CONDITIONS: _ IAC STRONG MOTION RESID 10000.00 VAL 1.00 ID2 PERMIT W/O EN-HC 10000.00 VAL 217.10 I= TOTAL FEES 246.90 ICONTRACTOR•- TEL. NO: I - (APPROVALS DATE INSPECTOR SIGNATURE IRAIN DANCE ROOFING- (626) 339-1455- 1 I - 11506 S. NEWHAVEN LANE LIC. NO 1 ILOCATION AND SETBACKS I _ IGLENDORA CA 91740 683813039 I I— I I - - I ISOILS ENGINEER APPROVAL 1 I I I I I I (ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS 1 LIC. NO: ' I 1SLAB/UNDER FLOOR I I I I I I I IRAISED FLOOR FRAMING I 1 IMAP NO- SEWER MAP BOOK: PAGE: FIRE ZONE- CMP. ( 1UNDERFLOOR INSULATION I XX 3 001 I- I I I (FLOOR SHEATHING INO OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I 1 1 0 NO 21 I (ROOF SHEATHING I{ n SCHOOL WITHIN HAZARDOUS ISHEAR PANELS (AIR QUALITY 1000 FEET MATERIALS 1 NO NO NO 1FRAME INSPECTION 1' I I I I I I • IFIRE SPRINKLER HANGERS I I (INSULATION/WEATHER STRIPI. I1 [INTERIOR LATH/DRYWALL IEXTERIOR LATH IRATED FLOOR/CEIL ASSEM. I IRATED WALL ASSEMBLIES I I IRATED SHAFTS/OPENINGS IT-BAR CEILINGS (LOT DRAINAGE IREPORT ID- DPR261 ROUTE TO BS0508 + 1 I I I I I I - 1 i