Loading...
HomeMy Public PortalAbout9426 LEMON AVE_Building__ 76A638A Cc#803 8-64 APPLICATION FOR BU ILD NG PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER A D D R E SS '' BUILDING AND SAFETY DIVISION LOC A L I T Y, �> `s JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,SUP'T of BUILDING CROSS ST. DISTR_T N GROUP TYPE PROCESS 8 FREss7.2_ OR APPLICANT TO FILL IN -,, /i' _ colvsT /' �- / j� _ STATISTICAL CLASSIFICATION SEWER MAP �C i ldC BKS" PG L , �.7 CLASS NO, DWELL UNITS �� �e - BLOCK USE ZONE MAP- NO / � ^� (�-y� -��� SPECIAL / CONDITION OT i • NOW ON LOT TEL FRONT PROPNG BLDG. BLDG. A CLINE OM " " (57REEY) NO• TYPE OF EXISTING SETBA HIGHWAY + YA = TOTAL ., A, ��c.L-� HIGHWAY WIDTH OM C.L. CITY , -I 7 ' -L� + BLDG. SETBACK FROM ARCHITECT OR TEL. SIDE PROP. LINE OF (STREET) ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L.I d TEL. + = O CONTRACTOR NO U LIC CORNER CUTOFF YES NO ADDRESS NO O H LC CITY C'LASS SEE REVERSE SIDE FOR SPECIAL APPROVALS w 0- DESCRIPTION OF WORK Z CAIET') ADD ALTER REPAIR DEMOLISH SQ.FT. �'� NO. OF NO. OF SIZE STORIES FAMILIFS USE OF STRUCTURE--V.1647-77 ©� G� SIGNATURE OF APPLICANT11 VALUATION$Vl X' R4 ) APPROVALS DATE INSPECTOR'S SIGNATURE P.C. -� PMT. FOUNDATION, LOCATION FEES FEE$._i FORMS, MATERIALS FRAME, FIRE STOPS, I HEREBY 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 9UILD I NG CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. -L,ATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S Cn �EN ATION INSURANCE. LATH. EXT. SIGNATURE F HOUSE NUMBER COR- PERMITTEE �—r RECT AND POSTED ADDRESS FI NAL JOHN F. LEWIS. PRINCIPAL STR )CRAL ENGINEER PLAN CHECK VALIDATION CK. / M.O. CASH PERMIT VALIDATION CM.O CASH 5 2 2 8.50' v r - p 5 7.00- WORKERS'COMPENSATION DECLARATION insure hereby ce ffirm if catte of Worke srlificate of Compensat on eInsurancnt to e, - A P P L I CATION, .FOR- BUILDING, PERMIT or a certified cop thereof (Sec 3800, b C ) - COUNTY OF LOS ANG ''ES BUILDING AND SAFETY Policy No Company, mpany ❑ Certified copy is'hereby furnished FORBUILDING APPLICANT TO FILL IN ADDRESS 2/'Certified copy is filed with the county 61cling'inspec- BUILDING ti�o/nJ department t. ADDRESS E LeIk o Dated 3 A - l�cant�" m�►��o+'� cITY�Q1'n ZIP 9I 90 LOCALITY pp- /_ (' f NO OF BLDGS _ NEAREST -CERTIFICATE.OF EXEMPTION'FROM•WORKERS' SIZE OF LOT (nD 9 NOW ON LOT CROSS ST = •COMPENSATION'INSURANCE" ASSESSOR �`/n) (This section'need not be completed%rf the permit is for one ' TRACT' Z?t'� BLOCK LOT NO MAP BOOK •-� g2 PAGE O1w PARCEL0:?> ` hundred dollars ($100) or less ) p-- TEL OWNER- � J-e c��- NO �� '�Z�] USE ZONE' MAP I certify that in the performance of the•work for which this SPECIAL > NO' permit is issued, I•shall not employ , !r Zip any:person in any manner ADDRESS / -t j.,QvY10{� CONDITIONS CL so as to become subject to the Workers'Compensation Lawsq O CITY l Q C1 ZIP Date Applicant ARCHITECT OR TEL 0 NOTICE TO APPLICANT If, after'making-this Certificate of DISTRICT GROUP TYPE FIRE PROCESSED BY ENGINEER NO CONST ZONE -0 Exemption, you should become subject to,the Workers' g Compensation provisions of the Labor Code, you,must forth- ADDRESS J a with comply with such provisions or.this permit shall be �CS=OS STATISTICAL CLASSIFICATION APT CONDO Z deemed revoked CONTRALTO ' _ LICENSED CONTRACTORS DECLARATION' Aj2 LIC CLASS NO a WELL UNITS I hereby affirm that I am licensed under provisions,of Chapter 9 ADDRESS of0 �! (commencing with Section 7000)of Division 3 of the Business LIC n / SEWER MAP �i C: '[� and Professions Code,and my license is in full force and effect C /�� �' C��, BK PG VALIDATION r- !� /' / SQ FT NO OF NO OF CHECK License Number `� ` / d-'Lc. Class SIZE NO FAMILIES 'ONE NEW Glo VA UATION Contractor Date DESCRIPTION OF WORK SEcd ❑ ; Elam exempt under Sec ' a�,� ADD , ALTER ❑ -• B&P C for this re son q REPAIR ❑ $ D to )L—y—/Z._ USE OF ' DEMOL ❑ i EXISTING BLDG e L � Signature APPLICANT TEL FINAL - OWNER-BUILDER DECLARATION (PRINT)— Uaj\ne NO �'�S DATE I hereby affirm that I am exempt from the Contractor's License ADDRESS' � 2—�+ Zia '�®�Ll�L1 ' Law for the following reason (Section 7031 5, Business and FINAL Professions Code) PRESENT By &a� ❑ j, as owner of the ro ert 'with BUILDING t14 T.a P P Y, or m Y em to P YeesADDRESS wages as their sole compensation,will do-the work and , 13�I7' 50.5f, the structure is not intended or offered for sale(Section '• LOCALITY 7044, Business and Professions Code ) MOVING TEL i ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO i with licensed contractors to construct the project (Sec- ACCT.ITL ADDRESS• r" tion 7044, Business and Professions Code ) L.: 1?2,.'r'ij REQUIRED, TOTAL SETBACK FROM. EXIST - ' CONSTRUCTION LENDING AGENCY SET BACK YARD 'HWY PROP,LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT 2 ITEMS the performance of the work for whch"this permit is issued, P L - (Sec 3097, Civ C ) h ) SIDE TOTAL�TAL 2PL m �� Lender's Name 'v �v /f LDMA Ref # it n Lender's Address 229.,41 P C Fee$ �v` Permit Fee = 5- �� Cl ( I certify that I have read.this application and state that the Issuance Fee of d' d LD'MA P/C# j above information is correct I agree to comply with all County Investigation Fee0000-000 rt/17�Of? ordinan s and State laws re ting To building construction, Total Fee / LDMA Perm # R and er b or epre olives of this County to enter 'F,t4 1 _H{°} �:I4 upo t e b ve- a ne p perty for inspection jEiurposes. " o r( IL. 1_92 - SEE REVERSE FOR EXPLANATORY LANGUAGE"- 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 0508160061 PHONE (626) 285-0488 EXT LEGAL ID NO. OF CONST BUILDING ADDRESS ON FILE SQ FT STORIES TYPE 9426 LEMON AV STRUCTURE 25 VN TEMP CA 917801302 ASSESSOR INFORMATION NUMBER- NEAREST CROSS STREET TEMPLE CITY 5382-014-037 THOMAS PAGE 596 GRID J1 LOCALITY TEMPLE CITY, C TENANT EXIST BLDG USE -RESID USE ZONE R-1 ISSUED ON PROCESSED BY EXPIRES ON EXIST OCC GRP 08/16/•05 JK 08/11/06 >` OWNER TEL NO BLDGS NOW ON LOT VALUATION FINP)L DAT FINAL BY CODE PARK EDWARD I;ESTHER Y TRS PARK TRU (626) 445-5772- 11,540 t;r/AJ 2 'I 9426 LEMON AV , TEMP 917801302 FEES PAID DESCRIP ION OF WORK REMOV WOOD INSTALL OSS PLYWOOD INSTALL DUNALITE TILE FEE DESCRIPTION QUANTITY• UOM AMOUNT SAKE STYLE SMOKEY COLON 5 7 LB. HOUSE AND GARAGE APPLICANT TEL. NO GRATER (909) 593-4982- AA BLDG PERMIT ISSUANCE 27 75 7115 MONTEREY ST AC STRONG MOTION RESID 11540 00 VAL 1 15 SPECIAL CONDITIONS. LA VERNE, CA 91750 D2 PERMIT W/O EN-HC 11540 00 VAL 250 20 TOTAL FEES 279 10 CONTRACTOR. TEL. NO APPROVALS DATE INSPECTOR SIGNATURE D AND G ROOFING (909) 593-4982- 7115 MONTEREY ST LIC NO LOCATION AND SETBACKS --' - LA VERNE, CA 91750 534986/C39 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL NO ^ FOUNDATION/TRENCH FORMS LIC NO SLAB UNDER FLOOR .z RAISED FLOOR FRAMING MAP NO SEWER MAP BOOK. PAGE FIRE ZONE CMP - UNDERFLOOR INSULATION 153H265 � 3 01 FLOOR SHEATHING NO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS. NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY 1000 FEET MATERIALS NO NO NO FRAME INSPECTION 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 LOT DRAINAGE REPORT ID. DPR261 ROUTE TO BS0508