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Home My Public Portal About9516 LEMON AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY ' APPLICATION FOR PERMIT. ,t,-,,COUNTY OF LOS ANGELES `� I WM. J. FOX, CHIEF ENGINEER _FOR'APPLICANT TO FILL: IN' FOR OFFICE USE,ONLY , BUILDING - •' DISTRICT NO.� PLANCK. NO. PE MIT NO. ADDRESS I r 0AY V Zy/ LOCALITY 77� ED BY' DATE OF APPL. DATEISSUED NEAREST CROSSST BUILDING ,r _ Q ADDRESS Al - w(/- OWNER MAIL LOCALITY —Q/7746 .{ ADDRESS ��8/� NEAREST TEL.NO CROSS ST. CITY 'e•,, —, ' O FIRE NO. OF TYPE( .� / I GROUP ARCHITECT OR TEL, - ZONE / PLANS ♦- ENGINEER - NO. BLDG. -ORD. NO SETBACK LINE ADDRESS APPROVED i - - , TEL. BY / DATE CONTRACTOR NO. USE / APPROVED _ ZONE BY DATE - ADDRESS i; - HOUSE NUMBERING LEGAL DESCRIPTION LOT NO. BLOCK MAP NUMBEfi FIELD CHECK BY , TRACT - , A NO. ASSIGNED BY nATIT NO. OF BLDGS. CORRECTIONS SIZE OF LOT-' NOW ON LOT .USE OF NO OF - 'EXISTING BLDG. FAMILIES - DESCRIPTION OF WORK NEW , I I ALTERATION' I J I 'ADDITION •I - ,. , O REPAIR DEMOLITION _A SQ FT. NO. OF D SIZE ROOMS STORIES Z EXT. WALL,. ROOF r COVERING I COVERING ' USE OF STRUCTURE , /-Z APPROVALS INSPECTOR'S SIGNATURE DATE 1 HEREBY' ACKNOWLEDGE THAT, 1 HAVE READ THIS AP-1 FOUNDATION: LOCATION ' ' PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS,.MATERIALS ' CORRECT. I AGREE�TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, ' HEREON AND WITH ALL COUNTY ORDINANCE^ AND STATE BRACING, BOLTS - LAWS REGULATING S DING CO tRUCTION. FURNACE: LOCATION, SIGNATURE-OF '� GAS VENT, DUCTS PERMITTE '9 - LATH, INT. •, - - - ADDRESS LATH, EXT. AUTHORIZED AGT. � /I PLASTER, INT. 76wafaA, 10 , for / P. C.,$ ® < FEE PLASTER, EXT., , VALUATION FEE Is / '�_ FINAL r�'3 o S~) DEPARTMENT'OF COUNTY-ELgGM tL DIVISION OF BUILDING AND SAFETY COUNTY OF LOS ANGELES B-u WILLIAM J. FOX.,COUNTY ENGINEER APPLICATION CASSATT D. GRIFFIN, SUPT OF BUILDING FOR APMCCANT TO FILL IN FOR OFFICE USE ONLY ABUILDING DDRESS ,[ O DISTRICT NO. PUN CK.OR Rbc.No. PERMIT NO. LOCALITY /^ •may/ RECE_IyF,D BY DATE OF APPL. SSU1 CNEARESTROSS ST I J�(5// Ste, - BUILDING OWNER �✓ ADDRESS �•J/!� �'V //"/�� MAIL `� - j LOCALITY r---� ADDRESS NEAREST CITY - 0L•• 7 CROSS ST. ARCHITECTOR TEL. FIRE NO. OF TYGROUP j ENGINEER NO. ZONE I PLANS I r V ADDRESS BLDG. - ORD. NO: SETBACK LINE TEL- USE APPROVED CONTRACTOR - NO ZONE• BY DATE ADDRESS _ HOUSE NUMBERING , _ LEGAL - - •MAP NUMBER NO. ASSIGNED BY DESCRIPTIONLOT NO, I .BLOCK CORRECTIONS ` :TRACT NO. OF BLDGS. SIZE OF LOT I NOWON LOT USE OF NO. OF EXISTING BLDG. FAMILIK DESCRIPTION OF WORK- o — NEW Ia ALTERATION •_ ADDITION D_ REPAIR DEMOLITION I Z _ r SQ. FT. NO. OF / SIZE O ROOMS STORIES EXT. WALL ROOF _ COVERING I COVERING USE OF STRUCTURE 7, a, APPROVALS _ INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION - - FORMS, MATERIALS I HEREBY ACKNOWLEDGE THAT 1 HAVE-READ THIS AP- FRAME: FIRESTOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS " CORRECT. FURNACE: LOCATION, I AGREE TO COMPLY'WITH ALL COUNTY ORDINANCES GAS VENT, DUCTS AND STATE LAWS ULATI G•BUILDING CON UCTION SIGNATURE OF LATH, INT. PERM'TTE LATH.,EXT. ADDRESS // /✓C PLASTER, INT. AUTHORIZED AGT. - • PLASTER, EXT. - $ g V FEE HOUSE NUMBER COR- . /q�� RECT AND POSTED VALUATION FEE $ f FINAL 76AS30A OD6 9 9-SA ' _ _ ,t r�RI,,WORKERS'♦CONPENSATION�DECLARATION Y;yF,{hereby affirm that I have a certificate of consent to self., ; : APPLICATION_ _ F ORR •��lJ I L D I N G 'PERMIT �r a insure,or,a certificate of �iVorkers' Compensation Insurance, -.} '-'S. mit' ry or'a:certified copy'thereof (Sec 3800;Lab',C t)' _ y COUNTY,OF LOS ANGELES BUILDING'AND SAFETY T ,x (Policy No Company l\ Certified copy is-hereby furnished-.' FOR APPLICANT TO FILL IN BUILDING ' ADDRESS Y�t�✓ + � Certified`copy`is filed with''the'county building inspec '_ -BUILDING' - ' tion department " ' t ' ADDRESSi`� ✓ •Date• "Applicant - - CITY{- lf� /w IP LOCALITY ,t ' CERTIFICATE OF EXEMPTION FROM WORKERS' -' /NO F BLDGS NEAREST_ j• w>.. ._. _. �' ` a "COMPENSATION INSURANCE ' SIZE OF LOT NOW ON LOT CROSS ST Ifs (This se"coon'heed not.be completed if the',permrt,is foi'one - --•- - - - ASSESSOR -� hundred,dollors ($100)or less ) TRACT 8L r LOT NO -''� MAP BOOK I PAGE i PARCEL t T L USE ZONE- MAP (.certify chat in'the,performance of the "for-w 'is OWNER` i O` d NO c. til • �. permit is issued, I shall not'employ' pe n' y ma` e - - SPECIAL i• -'- • -j- - ,- -- - --•- , d so as to become subject to the rkers'C pe sotto a' ADDRESS 5'_ CONDITIONS' CITY - ZI. Date.. P LAPPhcan`;, - u s . s a• ARCHITECT O ;TEL, 1 DISTRICT GROUP TYPE_ _ t FIRE PRO SSED-BY_ r 10 NOTICE-;TO APPLICANV'lf; afte} this''Certtficate of Exemption, ?you should become ` :lett•to' Chet Workers' ENGINEER NO CONST r ZONE- Comperisation provisions-of the CabonCode,'you must,forth: ADDRESS 5 s�(� 1-_ ( t'� •d 'with comply%with such-provisions or-this•permit shall be _ . _ 1,tA deemed,revoked•, TEL STATISTICAL CLA IFIL TION APT CON v i .•Z CONTRACTOR NO- q LICENSED CONTRACTORS DECLARATION r _. j LIC CLASS NO �f--DWELL•UNIT '-_ _l I hereby affirm that I am licensed underprovisions of Chapter 9 ADDRESS _ NO I' (commencing wrth Section 7000)of Division 3tbf the Business and''.,'_ SEWER MAP. LIC PPofesstons-Code'; and my license is ;n:full force'and'effect CITY CLASS - , ti ' VALIDATION (-. SQ FT NO OF _ NO OF CHECK f BK PC' ; License Number '° Lic Class SIZE STORIES / FAMILIES , ONE- t ;.1-,t ,c •• ` .r. "�o . a ,_. •••�. .. _.. .> VALgriohl Contractor Date NEW ; DESCRIPTION OF'WORK/- /S'' I am exempt under Sec , c„ ` pp U /lJT/VI , ;2.0.8-6-7 Aµ_- t TER ! B&P C for thts reasonl AIR 0 0 0 01 --: - - - - Date -- - USE OF &TV DEMOL EXISTING BLDG l Signature ' " `" APPLICANT EL'" FINAL- < OWNER-BUILDER DECLARATION PRINT O� I -5 0. DATE.. 2`: (•hereby affirm that Lam exempt from the"Contractor's License _ - _ Law for the followin'g"feason (Section 7031 5, Business and ADDRESS �Y .� FINAL' '' { f' ) 0,1 2" 8'4 'Professions Code) PRE - - By: ^ v W BUILDING -I; cis owner of the property, or my employees with, 'ADDRESSt- `_wages as their-sole compensation,will do the work and " the structure is not intended or offered for sale(Section LOCALITY `7,044,•-Bust ness'and Professions Code)--' MOVING TEL-%, ' !,� - '• - r` ❑ CONTRACTOR �� NO , ! ' I, as owner of the property, am exclusively contracting j < with licensed contractors to construct the prolect'-(Sec- -' ^° tion 7044, Business and Professions Code) ADDRESS ,_REQUIRED TOTAL SETBACK �" ��ls;i = = t r CONSTRUCTION LENDING AGENCY... SE7 BACK -YARD HWX- -'PROP LINE WIDTH, - " I herebyaffirm that there is a construction lending a enc -for t' ^r 9 9 Y -FRONT•-the,performance of the work for'which-this-permit is issued - - P•L - - -- - - •3 ,(Sec 3097, Civ C ) SIDE ' Lender's Name -� J - • $ - - _ LDMA'Ref'1# "-Lender's Address• P C Fee Permit Fee V D I,cehify that I have_read.this application and state-thai_the _ _ Issuance Fee 4 %J G'. kLD P/C#•• - �- •- = ^t3�' .� ' Q above information is correct f agree to comply with bill County Investigation Fee ordinances State laws relEttin to buildin construction, 4 $ _ 9 9 - Total-Fee - r LDMA Perm d and re y author a tatives of this County to enter u n the above- ntioned ty for inspection purposes _ f —`- - - SEE REVERSE FOR EXPLANATORY LANGUAGE - ~� +• ,. we ire o pphca or_Kg - -- Date-' - - ..� r ""_ -- - --- -- - - - -• -- - .::�, - _. .. - _.. ;r.�.... .a,k _ •�i WORKERS'COMPENSATION DECLARATION I hereby affirm that I have certificate of consent to self insure, APPLICATION F O R �B U I L D I'N G PERMIT insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES,-. BUILDING AND SAFETY, Policy No Company Certified copy is hereby furnished -FOR APPLICANT TO-FILL IN -" ADDRESS Certified copy is filed with the county building inspec- BUILDING _ Le .tion department ADDRESS LOCALITY - NEAREST Date Applicant CITY Zip CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS' O OF BLDGS ASSESSOR COMPENSATION INSURANCE SIZE OF LOT O SC D NOW ON LOT MAP BOOK PAG PARCEL (This section need not be completed if the permit is for one USE ZONE MAP hundred dollars ($100)or less ) TRACT BLOCK LOT NO NO TEL pG SPECIAL } I certify that in the performance of the which this OWNER /(/�/u1J0 G 8 303 �! CONDITIONS a RE permit is issued, I shall not emplo person in r ADDRESS �/77Q/�) CONST ZODISTRICT GROUP TYPE FIPROCESSED BY O NE so as to become subject to the orkers'Com tion Ix Date Applican ! CITY C,'7- ZIP STAT TICAL C SSI CATION PT ONDO O NOTICE TO APPLICANT. If, after making this Certificate of CHITECT OR P1 TEL C3 Exemption, you should become subject to the Workers' ENGINEER NO CLASS NODWELL UNITS a. Compensation,provisions of the Labor Code, you must forth- ADDRESS - SEWER MAP in with comply with such provisions or this permit shall be z deemed revoked TEL CONTRACTOR NO .. BK PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO VAL�IATION (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 S &-0 SQ FT NO OF NO OF CHECK , License Number Lic Class SIZE '�c�C� STORIES FAMILIES , ONE DESCRIPTION OF WORK C, / 2 NEW $ Contractor Date D It'� j am exempt under Sec S 660 ADD Y, ALTER FINAL B&P C for this reason -REPAIR- E] DATE it Date: USE OFBLDG L FINAL EXISTING Signature APPLICANT ' TE By OWNER-BUILDER DECLARATION PRINT O�Sd Imo• N I hereby affirm that I am exempt from the Contractor's License 1 E , Law for the following reason (Section 7031 5, Business and ADDRESS /V Professions Code)- - PRESENT BUILDING j, as owner of the property, or my employees with ADDRESS2 2 6 A #,oo oo 0 wages as their sole compensation,will do the work and the structure is not intended or offered for sole(Section LOCALITY w, , 1 7044, Business and Professions Code) MOVING TEL , , TRACTOR NO I, as owner of the property, am exclusively contracting CON2'0 0 17 Q Q' with licensed contractors to construct the project (Sec- tion 7044, Business and Professions Code) ADDRESS '010l0;7 8 O 0 REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH , 0;`a 1 'S—8'4 I hereby affirm that there is a construction lending agency for FRONT - w the performance of the work for which this permit is issued P L (Sec 3097, Civ C ) = SIDE m -PL Lender's Name Lender's Address PC Fee$ Permit Fee it I certify,that I hove read this application and state that the Issuance Fee , above information is correct I agree to comply with all County Investigation Fee ordinances tate la tin building construction, Total Fee17 911,n In >1 and h y outhoriz prese s of this County to enter up the abov ntioned y for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE; Signature of Applicant or Agent Dote ®s s 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 0507260007 PHONE. (626) 285-0488 ERT LEGAL ID NO. OF CONST BUILDING ADDRESS TR 12706 LT: 1 SQ. FT STORIES TYPE 9516 LEMON AV STRUCTURE VN TEMP CA 917801304 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET• / 5382-022-017 THOMAS PAGE: 596 GRID J1 LOCALITY. TEMPLE CITY, C TENANT EXIST BLDG USE RESID USE ZONE R1 ISSUED ON. PROCESSED BY: EXPIRES ON EXIST OCC GRP. 07/26%05 JK 07/21/06 1 OWNER• TEL. NO BLDGS NOW ON LOT: VALUATION FINAL DATE•, /J CODE ROBINSON ROY N TR ROY N ROBINSON TR (818) 445-1688- 2,500 .1 9516 LEMON AV TEMP 917801304 FEES PAID DESCRIPTION OF WORK TAKE OUT OLD FIREPLACE PUT IN NEW ONE FEE DESCRIPTION QUANTITY UOM AMOUNT APPLICANT TEL NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27 75 AC STRONG MOTION RESID 2500 00 VAL 0.50 SPECIAL CONDITIONS. D2 PERMIT W/O EN-HC 2500.00 VAL 99.00 TOTAL FEES 127.25 CONTRACTOR• TEL NO APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL. NO FOUNDATION/TRENCH FORMS LIC NO SLAB UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK PAGE. FIRE ZONE• CMP UND2RFLOOR INSULATION , 153H265 3 01 _ 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 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 _2� EXTERIOR LATH 1-2- RATED FLOOR/CEIL ASSEM RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-B_'+R CEILINGS LOT DRAINAGE REPORT ID DPR261 ROUTE TO ES0508 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 0507200030 PHONE (626) 285-0488 EXT: LEGAL ID. NO OF CONST BUILDING ADDRESS TR: 12706 LT 1 SQ. FT STORIES TYPE 9516 LEMON AV STRUCTURE 18 VN i TEMP CA 917801304 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET 5382-022-017 THOMAS PAGE: 596 GRID J1 LOCALITY TEMPLE CITY, C� TENANT EXIST BLDG USE. RESID USE ZONE: R1 ISSUED ON PROCESSED BY EXPIRES ON EXIST OCC GRP 07/20/05 JK 07/15/06 OWNER TEL NO BLDGS NOW ON LOT- VALUAT=ON: FIN ATE FINAL BY. CODE- ROBINSON ROY N TR ROY N ROBINSON TR (626) 445-1688- 8,000 9516 LEMON AV TEMP 917801304 FEES PAID DESIPYION OF WORK RER F WOOD SHAKE ON SOLID SHEATING ROOF WITH 30LB DER FEE DESCRIPTION• QUANTITY: UOM AMOUNT: LAYM Y WOOD CREST COMPOSITIOj7 SHINGLES CLASSUNA (SHAKE APPLICANT TEL NO ' BAUTISTA (905) 917-2778- AA BLDG PERMIT ISSUANCE 27 75 1317 HANSEL IN AC STRONG MOTION RESID 8000 00 VAL 0 80 SPECIAL CO ITIONS- SAN DIMAS CA 91773 D2 PERMIT W/O EN-HC 8000 00 VAL 183 00 TOTAL FEES 211 55 CONTRACTOR- TEL NO APPPOVALS DATE INSPECTOR SIGNATURE G B ROOFING INC. (909) 599-8196- 1317 HANSEL LANE LIC NO LOCATION AND SETBACKS SAN DIMAS, CA 91773 743622039 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL NO FOUNDATION TRENCH FORMS LIC NO- SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMF: 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 * ADDITIONAL DATA ON FILE LOT DRAINAGE REPORT ID DPR261 ROUTE TO BS0508