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HomeMy Public PortalAbout9674 LAS TUNAS DR_Building__ FDS 76A638A CE,#803(REV-1 1/78) APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING ADDRESS BUILDING .- ADDRESS LOCALITY 714 , NEAREST CITY ZIP CROSS ST. t / NO.OF BLDGS. ASSESSOR SIZE OF LOT J NOW ON LOT MAP BOOK �PAGEPARCEL DISTRICT GROUP TYPE FIRE PRO ESSEL-BY TRACT BLOCK LO`NO. sa.? 0 �/ei fi � CONST ZONE OWNER NOTE fi_ 3 STATISTICAL CLASSIFICATION EWER MA//P��' ADDRESS CLASS NO. [�DWELL.UNITS 115- BK�� PG 'T CITY ZIP ARCHITECT ORTEL. VALUATION s � ENGINEER 7C/t - NO )- ,912 7 ADDRESS o BLDG.SETBACK FROM TEL. FRONT PROP,LINE OF (STREET) CONTRACTOR6 NO - TOTA SETBACK FROM TYPE OF EXISTING LIC. HIGHWAY t YARD = F NT PROP.LINE HIGHWAY WIDTH ADDRESS NO. _ L& �J t CITY CLASS p CONSTRUCTION LENDER BLDG.SETBACK FROM NAME AND BRANCH SIDE PROP.LINE OF (STREET) HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING 13 ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH C SO.FT NO,OF NO OF CHEEK + = V SIZE STORIES FAMILIES ONE ^] O ❑ USE ZONE NOP �LsO / DESCRIPTION OF WORK NEW ADD ❑ C I SPECIAL d CONDITIONS yb ALTERFINAL❑ BY Z REPAIR ❑ DATE /s USE OF DEMOL G EXISTING BLDG. pi� � /� Z APPLICANT TEL 0 (PRINT BY(SIGNATURE) I HEREBY ACKNOWLEDGE THAT I HAVE RE THIS AT ON AND STATE // �/ {]L G J, -HAT THE ABOVE 15 CORRECT AND AGREE TO OMPL WITH ALL ORDINANCES '(O O W AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THEu # • • • • • 1 WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE PENSAT OR CODE OF THE S TE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- z CE Z.• 48850 SIGNATURE OF 0 G 8 R 5 0 5) PERMITTEE \ ADDRES ! /t � ) Z TEL. � 4.11 r 2 CITY NO. C J P.C. Fee$ M S,D,a Permit Fee �0 > Issuance Fee W Tocol Fee sv IL WORKERS'COMPENSATION DECLARATION APPLICATION ®. here6y�atg'm that I have.a certificate of consent-to self �P P����T I®� �®� ��'�®,I N G PERMIT i"insure, or`6 cerTifi'tafe of Workers'Compensation Insurance, or a certified copy thereof(Sec. 3800, Lab. C.) ' • . . COUNTY OF LOS ANGELES B DI •-AND SAFETY Policy No. Company ' Certified copy is hereby furnished. R APPLICANT TO FILL IN BUILDING ADDRESS ❑ Certified copy is filed with the county building'inspec- BUI[DING tion department. ADDRESS Date Applicant CITY- ' 4'/ !' ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS'' O.OF BLDGS. `.NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW'ON,LOT :CROSS ST. (This section need not be completed if the permit is for-one - ASSESSOR. hundred dollars($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL TEL. USE ZONE MAP �('71_ I certify that in the performanc t e w 'for.which'this OWNER NO. r1 /�!t NO. �v((//�r 24? � permit is issued, I shall not em an n i ny manner - f/ / �?j SPECIAL IL so as-to become subject fo e m n tion Laws. ADDRESS �v i' C\..// CONDITIONS O Date CITY ZIP = CSP NOTICE TO.APPLICANT: If, 'a er' Certificate of ARCHITECT O / TE DISTRICT GROUP TYPE FIRE PROCE ED BY Exemption,' you should b ome�biec fo• the Workers' ENGINEER N 7((/ CONSrT./ ZONE Compensation provisions the bor Code, you must forth- ADDRES D - V J C with comply with such , r ions or this.permit shall be - deemed revoked. CONTRACTOR ! � N L. ` STATISTICAL CLASSIFICATION APT. C DO. LICENSED CONTRACTORS DECLARATION [IC CLASS NO. ZZ' DWELL•. UNITS - I hereby affirm that lam licensed under provisions of Chapter 9 ADDRESS' .> N SEWER MAP (commencing with Secfiori•7000)of Division 3•�of the Business and •LIC; - Professions Code; and my license'is in full force and effect.. CITY CLASBK VALIDATION SQ.-FT. N. .OF _ NO.OF•- CHECK Lic u Lic.ClassSIZE STORIES FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF WO NEW - Q. $ops.fes t3� ❑ / ADD ��✓G�/I a exe rider Se 7 ® i . ALTEV❑' B 8P . for his reaso REPAIR' ❑ $ 6 4 3,2 A Date: USE OF DEMOL EXISTING BLD r ❑ o a o'0 2 # 1 Signature APPLICANT E FINA OWNER-BUILDER DECLARATION PRINT O_�- DAT ~� ( ° -.37.50 I hereby affirm that 1 am exempt from the Contractor's-License �• ADDRE - 3 7 5 0 Law for the following•reason (Section 7031.5, Business and - F A e o o Professions Codd):- i PRESET Y F1 1,I, as owner of the property, or myemployees with I ADDRESS• 0-1.29-87 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 TEL. ❑ I, as owner of the property,am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK.FROM . CONSTRUCTION LENDING AGENCY SET BACK• YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT -2.6 4 9.6 A. '.. the performance•of the work for which this permit is issued P.L. o o e o•0 1 (Sec. 3097, Civ. C.AlanL SIDE o P.L.. Lender's Name o 0 4 9.'8 8 w� LDMA Ref. # _' Lender's Address P:C:Fee$ (3 Permit Fee V•• 0 0 0 4 9 8 8 0 021 .0L-87 e 1 certify that'l have read this application and.state that the _ Issuance Fee D LDMA P/C#- above infor orr r to comply with all County Investigation Fee ; ordinances end State ws. lati to building construction, Total-Fee LDMA Perm. # 3 n by authorize r pr se ive f this County to enter j; Pon the ov_e-mentio o fo inspection purposes. - 1 SEE REVERSE FOR EXPLANATORY LANGUAGE Sign ure of-Applicant or Agent Date O WORKERS'COMPENSATION DECLARATION r —•'I hereby affirm that I have a certificate of consent to self y�q D D D Dj•. insure, or a certificate of Workers'Compensation Insurance, G�=t� �� 19 3110 M ON(RP EM T or a certified copy-thereo (Sec. 3800, b C.) Y Policy No Company COUNTY OF LOS ANGELES MOLDING AND SAFETY m Certified copy is hereby furnish FOR APPLICANT TO FILL IN BUILDING • ADDRESS Certified copy is filed with the county building inspec- BUILDING f ►r- tion department. ADDRESS s LOCALITY :' NEAREST �.. Date Applicant r CITY C&v ZIP CROSS ST. WAW 101, CERTI ICATE OF EXEMPTION.FROM ORKERS' NO.OF BLDGS. ASSES§OR COMPENSATION INSURANCE .'SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section neednot be completed if.the permit is for one• '. USE ZONE MAP hundred dollars($100)or less.), i.TRACT BLOCK LOT NO. l� NO. TEL. SPECIAL r `>_ I certify that in the performance of the work for which this OWNER9. LS NO. CONDITIONS 13 permit is issued,I shall not employ any person in any manner j DISTRICT GROUP TYPE FIRE PR SSED BY O so as to become subject to the Workers'Compensation Laws. ADDRESSf CONST.. r ZO Date Applicant' 44&CITY ZIP STATISTICAL CLASSIFICATION APT. CONDO. NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL.- LU 'Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO. DWELL. UNITS Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such.provisions or.this permit-shall be z deemed revoked. ��;%CONTRACTORAge Np, BK. PG, VALIDATION, 6161V LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm'that I am licensed under provisions of Chapter 9 ADDRESS NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. k2 -Professions Code, and my license-is in full.force.and effect: :r CITY CLASS $' `SQ. FT. NO.OF NO.OF CHECK License,Number L`6 3 - 5✓,Lic.Class SIZE STORIES FAMILIES ONE _ 7 6:4 A Contractor• Date DESCRIPTION'OF WORK NEW ❑ '� 0 0 0 0 2 3. 0 // lADD I am exempt under Sec. ` X1817' &UIMALTER ❑ FINAL �Q��s � e ? �C B.&P.C. for this reason D f REPAIR DATE (� Date: : USE OF ❑ FINAL C DEMOL r • :, EXISTING BLDG. - ❑ APPLICANT ' TEL. Y O •.1 2 4`j' 3 Signature' _ OWNER-BUILDER DECLARATION PRINT c��(�(� NO:- I hereby affirm that I am•exempt from the Contractor's LicenseQ/LO�(10U[ D Low for the following reason (Section 7031.5, Business and ADDRESS _ Professions Code): PRESENT ❑ BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. I,as owner of the property,am.exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH D I hereby affirm that there is a construction lending agency for FRONT the performance'of the work for which this permit is issued P.L. tSec. 3097, Civ. C.). SIDE 4 9'5;6 A c 'P.L• I' o Lender's Name ,••. • • � c� I `j'o 0 49,8.-8 P.C.Fee$ Permit Fee +. JV - Lender's Addres's I r I certify thct I have read thls application and state that' the 1 Issuance Fee �. sv 4 9 8:8 c=� c above informotiion,is correct:I c ree to'com I,with--ill Coun, O O — 9 PY ty. Invest(gat+on•.Fee.i O 4 z ordinances pnd.State;laws"relating•to:Iiuilding-;conatructiori; Tatal.Fee..' 2 " ....`:. and hereby authorize repre'seriiatives of this County to enter ' up the above-rim' tinned prop for,insp6ction'purposes: +'• ': .' '' : , ;:; ;m! , SEE,.REVERSE FOR EXPLAPIATORY LAPIGUAGrE �. ®s Sig ure of Appli or Agent Fitei' tt II �� 1 , COUNTY OF LOS ANGELES TEMPLE CITY „# 0508 . --BtJtE NG PERMIT . DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS - ALTERATION/REPAIR R BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 1 �BL, 0508 9808310014 PHONE: (818) 285-0488 EXT: 4 1 LEGAL ID: NO. OF CONST BUI.L-D­1 G-ADBRESS•: TR: 6561 LT: 523 SQ. FT STORIES TYPE U674 LAS TUNAS DR STRUCTURE: 0 VN %P-CA'9T7802139`- ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: KAUFFMAN 8587-021-012 - !THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY I TENANT: EXIST BLDG SE: COMME USE ZONE: C- ISSUED 0 PROCESSED EXPIRES ON: EXIST OCC GRP: 08/31/,98 UT 08/31/99 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL -DATE FIN CODE: URQUIDI CONRAD - (818) 281-3977- 2 3,800 « � 1033 2ND ST ALHM 918014720 I FEES PAID ;DESUR•1-PT=�0 '°OF'NO– TEAR �FF EXISTING 001, MQP AND INS, LCL NEW BUILT UP HOT��•.-TAR FEE DESCRIPTION: QUANTITY: UOM: AMOUNC' " APPLICANT: TEL. NO: RANCHO ROOFING (626) 914-4290- AA BLDG PERMIT ISSUANCE 27.75 5017 N. SUNFLOWER AV AE STRONG MOTION O.HER—,3800.00 VAL 0.80 SPECIAL CONDITIONS: COVINA, CA 91742 D2 PERMIT W/O EN=HC-- Z=-3800V00 VAL 115.80 / �NGELETOTA1;VFEES 144.35 CONTRACTOR: EL. N914-4290- \,�� ��A� APPROVALS DATE INSPECTOR SIGNATURE. 5017 N. SUNFLOWER AVENUE LIC. NOOC C T1,ON AND SETBACKS COVINA, CA 91724 602655/C39 I SOILSIENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH1FORMS " - I LIC. NO: lllllll SLAB/ NDER FLOOR RAID FLOOR FRAMING 150H269 3 0- [f- Ud � C K MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMPe' �O UNDERFLOOR INSULATION LOOR SH THING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 22 O ROOF SHEATHING SCHOOL ITHIN HAZARDOUS a ',� SHEAR'P NE S AIR QUALITY: 1000 FEET MATERIALS U � NO NO NO FRAME;INSPECTION EQUIRED TOTAL SETBACK FROM EXIST 46� O�� FIRE SPRINKLER A GERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- �i Service'that INSULATION/WEATHER STRIP SIDE PL- i I INTERIOR LA DRY A L i� EXTERIOR LATH (J RATCE ASSE . RATED MALL ASSEMBLIES i RAT D:SHAF S/OPE INGS 4 I 4 T-BAR;CEILINGS OT DRAINAGE f+ ,REPORT ID: DPR261 ROUTE TO: BS0508