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HomeMy Public PortalAbout9838 LEMON AVE_Building__ ORKERS' COMPENSATION DECLARATION I her W �C � -��/' AY C,I /-' —S insure borrafcertif certificate of Workers' Compensation a certificate of eInsuran e, APPLICATION FOR BUILDING PERMIT' or a certified copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY • r�� T �� , Policy No BUILDING El Companys/ l Certified copy is hereby,furnished FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with the county-,building mspec- _BUILDING 2 tion department ADDRESS ..J ALE M6 ki &V Date 4 Applicant L//;f� � � CITY T=#A P LE Lel ZIP LOCALITY ' -• CERTIFICATE OF EXEMPTION FROM WORKERS' OF BLDGSNEAREST SIZE OF LOT NOW ON LOT CROSS ST COMPENSATION INSURANCE (This section-meed not be completed if the permit is for oris ASSESSOR hundred dollars ($100)or less.) - TRACT BLOCK LOT NO MAP BOOK PAGE PARCEL TELUSE Z JE MAP I,certify that in the performance of the work for wHch this OWNER NO NO permit is issued, I shall not employ any person in any manner // i L 1 so as to become subject to,the Workers'Compensation Laws ADDRESS- C i CONDITIONS 0 CITY , ZIP IJp Date Applicant ARCHITECT OR TEL0, NOTICE TO APPLICANT• 'If, after making this Certificate of ENGINEER NO DISTRICT GROUP TYPE FIRE PROCESSED BY �' Exemption, you should become subject to the Workers' _J CONST r 3E Compensation provisions of the Labor Code, you must forth- ADDRESS , `" \ `✓-• pW.i with comply with such provisions or this•permrt shall be TEL / STATISTICAL CLASSIFICATION AP CONDO N deemed revoked CONTRACTOR O / Z LICENSED.CONTRACTORS DECLARATION / LIC- ,CLASS NO DWELL UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 6 ©¢ NO Z (commencing with Section 7000)of Division 3 of the Business and LIC SEWER MAP Professions Code, and my license is in full force and effect CITY /j70 CLASS BK PG VALIDATION SQ FT NO OF NO OF CHECK' License Numbei Lc Class SIZE STORIES FAM/LILIES ONE VALUATION Contractor/W_©�FLE.0 Ca jJ Date 5'-�+ DESCRIPTION OF WORK f� N EW ❑ $ v?0 D O n ` ADD ❑ a I am exempt under Sec ALTER ❑ B.BP C for this reason REPAIR $ Date USE OF ❑ DEMOL EXISTING BLDG ; APPLICANT TEL C ✓ Signature NO FINAL ` OWNER-BUILDER DECLARATION - PRINT � DATE - I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031 5, Business and ADDRESS ® FINA Professions Code) By 0 6 4.1 A BUILDING " El I, as owner of the property, or my employees with ADDRESS �; wages bs their sole compensation,will do the work and LOCALITY #$ o e.s jo •,� the structure is not intended or offered for sale(Section f; 7044, Business and Professions Code) MOVING TEL; ® ` ' t + I;)`;° ° 5 9,2 5 CONTRACTOR NO I, as owner of the property, am exclusively contracting i = with licensed contractors,to construct the project (Sec- ADDRESS s. ;- ° " ° 5 9,2.5" tion 7044, Business and Professions Code) •`I-RUM - CONSTRUCTION LENDING AGENCY REQUIRED BACKD YARD HW TOTAPROP ALINE WIDTH t ` 9':0 9'-88 A hereby affirm that there is,a construction lending agency for FRONT the performance of the work for which this permit is issued P L • (Sec 3097, Civ C ) SIDE PL Lender's Name' • -_ LDMA Ref q m PC Fee S Permit Fee Lender's Address - 1 certify that I have read this application and state'that•the Issuance Fee J C/ LDMA FSC it A,- above mformat+ori is correct I agree to comply with all County Investigation Fee 4, o ordinances and State laws relating to building construction, Total Fee LDMA Perm and hereby authorize representatives of this County to enter a upon the above-mentions roperty for inspection purposes - a SEE REVERSE FOR EXPLANATORY LANGUAGE ��•Signature of Applicant ar 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 0503280012_ PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE 9838 LEMON AV E STRUCTURE: VN ARCD CA 910077931 ASSESSOR NUMBER: NEAREST CROSS STREET: BALDWIN 5383-025-007 THOMAS PAGE: 597 GRID: Al - LOCALITY: TEMPLE CITY, .C. TENANT: UMT-90G USE: - ISSUED ON: EXPIRES ON: EXIST OCC GRP: 03/28/05 JK 03/23/06 OWNER: TEL. BLDGS. NOW ON LOT: VALUATION: FtL FINAL BY: -CODE: HSUE ALEX F;HSUE ANDREW C (626) 810-1186- 600 18060 VIA AMOROSA J ROWH 917482501FEES PAID > 5 F- -•- WINO REPAIR EXISTING WINDOW 115" X 54 1/2" WE WILL REPLACE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IS WITH TWO 57 1/2" X 54 1/2" WINDOWS APPLICANT: . SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 600.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC 600.00 VAL 43.65 TOTAL FEES 71.90 CONTRA EL. NO: APPPO ALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO LOCPTION AND SETBACKS SLITS ENGINEER APPROVAL ARCHITECTL. TJI; A E S LIC. NO: SLAB/UNDER FLOOR RAISED MAP N0: SEWER MAP BOO G ZONE: CMP: UN-D—ERFLOOR INSULATfbW— XX 3 01 UNITS: FLOOR SHEATHING NO. OF FAMILIES: DWELLING 0STAT CLATF- NO 21 SHEATHING SCHOOL WITHIN HAZARDOUSLS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIREDSETBACK FROM SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- TSLL I /W IP SIDE PL- INTERIOR EEXTEER R LATH RATED FLOOR/CEIL ASSEM. i TED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 4 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 0711050013 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST �_ BUILDING ADDRESS ON FILE SQ FT STORIES TYPE 9838 LEMON AV E STRUCTURE- VN ARCD CA 910077931 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 15383-025-007 THOMAS PAGE 597 GRID Al LOCALITY TEMPLE CITY, Cl ITENANT JEXIST BLDG USE RESID USE ZONE R-1 JISSUED ON- PROCESSED BY EXPIRES ON EXIST OCC GRP 111/07/07 SR 05/05/08 OWNER: TEL NO J 1BLDGS NOW ON LOT VALUATION IFINAL DATE FINALrkY CODE IWUO XUAN LEI (626) 864-8898- 1 35,000 _ \ 19836 E LEMON AVE v I L IARCADIA, CA 91780 FEES PAID IDESDES R�ON OF WORK 11BR/1BA RELOCATE 1 BATHRM, NEW KITCHEN, FAMILY RM,DINING RM 1 IFEE DESCRIPTION. QUANTITY: UOM AMOUNT (RELOCATED 2 ENTRACE DOORS INTERIOR REMODEL & STUCCO ENTIRE *I APPLICANT TEL NO IYUM (626) 410-3113- IB1 PLANCHECK W/ENERGY 35000 00 VAL 562 82 J_ 1260 E GARVEY AVE IAA BLDG PERMIT ISSUANCE 27 75 ISPECIAL CONDITIONS: (MONTEREY PARK 91755 IAC STRONG MOTION RESID 35000 00 VAL 3 50 1 JB2 PERMIT W/ENERGY 35000 00 VAL 662 15 1 IFR INV WORK W/0 PERMIT 257 00 DOL 257 00 CONTRACTOR TEL. NO I TOTAL FEES 1,513 22 (APPROVALS DATE INSPECTOR SIGNATURE (CHIN SOY PING (626) 922-8783- I 1316 N PRIMROSE AVE LIC NO LOCATION AND SETBACKS IALHAMBRA, CA 91801 635242 B (SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL NO (FOUNDATION/TRENCH FORMS I I IKWOK, TERENCE (323) 697-2120- I t 11 � 1260 E GARVEY AVE LIC NO (SLAB/,UNDER FLOOR MONTEREY PARK, CA 91755 C24796 I (RAISED FLOOR FRAMING IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I (UNDERFLOOR INSULATION I I I 1150H269 3 Oil I I I I I I IFLOOR SHEATHING I I I INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I I I I NO 21 I IROOF SHEATHING I I I SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS II I (AIR QUALITY 1000 FEET MATERIALS I I I I I NO NO NO 1 (FRAME INSPECTION I I LI IREQUIRED TOTAL SETBACK FROM EXIST I IFIREISPRINKLER HANGERS ISET BACK YARD HWY PROP LINE- WIDTH I (FRONT PL- I IINSULATION/WEATHER STRIPI I I SIDE PL- I IINTERIOR LAT /DRYWALL {+ r I I l (EXTERIOR LATH µ1 IRATED FLOOR/CEIL ASSEM C ?- _ I IRATED WALL ASSEMBLIES I - IRATED SHAFTS/OPENINGS I I i* IT-BAR CEILINGS 1 1 ADDITIONAL DATA ON FILE I 1 ` I ILOT DRAINAGE 1 (REPORT ID DPR261 ROUTE TO BS0508 I I I I I 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 1202280012 PHONE (626) 285-0488 EXT ILEGAL ID NO OF CONST I BUILDING ADDRESS I ON FILE SQ FT STORIES TYPE- 1 9638 LEMON AV E 1 ISTRUCTURE- 2100 V-B I ARCD CA 910077866 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I 15383-013-020 I I THOMAS PAGE 596 GRID: J1 LOCALITY. TEMPLE CITY, Cl ITENANT IEXIST BLDG USE RESID USE ZONE: R-1 (ISSUED ON PROCESSED BY 1 1EXIST OCC GRP: 102/28/12 SR I 10WNER TEL NO IBLDGS NOW ON LOT. VALUATION IFINATfDATE F AL BY. CODE 1 1KLINE, STEVE (626) 422-9027- 1 4,200 19638 LEMON AVE- IARCD 910073011 1 FEES PAID IDESCR PTION OF WORK 1 I (INSTALL 30 YR COMP OVER EXISTING ONE LAYER COMP 1 IFEE DESCRIPTION _ QUANTITY UOM. AMOUNT. 1 1 1APPLICANT TEL. NO: I I I IDOWD ROOFING (626) 857-1070- IAA BLDG PERMIT ISSUANCE 27 80 1 I I 1 IAB STATE GREEN BLDG FEE 4200 00 VAL 1.00 ISPECIAL CONDITIONS. 1 1 IAC STRONG MOTION RESID 4200 00 VAL 0 50 1 I ID2 PERMIT W/O EN-HC 4200 00 VAL 132 60 1 1 1 1 TOTAL FEES 161.90 1 I (CONTRACTOR. TEL NO- 1 (APPROVALS DATE INSPECTOR SIGNATURE 1 IDOWD ROOFING CO (626) 857-1070- I 1 I 1540 S GLENWOOD AVE LIC NO I ILOCATION AND SETBACKS I I I IGLENDORA CA 91741 380611 C39 I I I I I I I ISOILS ENGINEER APPROVAL I I I (ARCHITECT OR ENGINEER TEL. NO IFOUNDATION/TRENCH FORMS I I I LIC NO I (SLAB/UNDER FLOOR I I IRAISED FLOOR FRAMING I I IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I 1UNDERFLOOR INSULATION I - I 1153H269 3 001 1 1-1 I I I IFLOOR SHEATHING I I INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I I I I I 0 NO 21 1 IROOF SHEATHING I I I I I I I 1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I (AIR QUALITY 1000 FEET MATERIALS I I I NO NO NO 1 IFRAME INSPECTION I I I IFIRE SPRINKLER HANGERS 1 1 I I I IINSULATION/WEATHER STRIPI I I I I IINTERIOR LATH/DRYWALL I I I I I 1EXTERIOR LATH I 1 I I 1 IRATED FLOOR/CEIL ASSEM I I I r� I IRATED WALL ASSEMBLIES 1 I I I I IRATED SHAFTS/OPENINGS 1 I I rr I I IT-BAR' CEILINGS 1 1 I ILOT DRAINAGE I I I I IREPORT ID- DPR261 ROUTE TO. BS0508 1 I I I r • (