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HomeMy Public PortalAbout9632 LEMON AVE_Building__ ©s 76A638A CITY OF,; TEMPLE CITY CE#803(REV 6/78) '. APPLICATION FOR BUILDING PERMIT COUNTY'OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN ADIDRESS (� BUILDING ADDRESS 9632 E. Lemon— - LOCALITY NEAREST CITT em l e Cwt ZIP• 917 80 CROSS ST NO'.OF BLDGS ASSESSOR SIZE OF LOT NOW.ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE PROCESSED BY TRACT BLOCK- LOT NO CONSI� ZON OWNER Lewis Allen TEL • 44 �(� 9632 E. Lemon STATISTICAL CLASSIFICATION, SEWER MAP ADDRESS CLASS NO DWELL UNITS /'l BK /4PG CITY Temp le Ci•t :-ZIP 91780 0 1pl ARCHITECT OR TELVALUATION $ •100 ENGINEER NO ADDRESS BLDG SETBACK FROM L� O O FRONT PROP LINE OF (STREET) CONTRACTOR H. L .. R a n d o 1 TEL 1860862 8 8 HIGHWAY + YARD .= TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS `�2 9 E. V a 1 1 ey �.�,.NCO FRONT PROP LINE HIGHWAY WIDTH CITY San Gabriel ', -. CA:• CL SS' C-39 + BLDG SETBACK FROM CONSTRUCTION LENDER NAME AND BRANCH � SIDE PROP LINE OF (STREET( HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF 1EXISTING L ADDRESS CITY SIDEPROP LINE_ --IHIGHWAYJ WIDTH 0 SO FT ' NO OF NO OF CHECK + _ SIZE STORIES FAMILIES ONE O• DESCRIPTION OF WORK P a rt i a l r e-•r o o f ❑ PC Fee$ Permit Fee 15.0 0 using A8D ❑ Issuance Fee 7 .00 Vf o ALTER ❑ Z a 2 Ply F REPAIR )[3 Toto Fee 2 2 USE OF DEMOL' ❑ EXISTING BLDG Z APPLICANT TELO (PRINT) H. L. Ran'dol No 288-40'40 a 1 '824 A Q #•O 0 0 0 0 1 BY(SIGNATURE) > I HEREBY ACKNOWLEDGE THAT I 4VE READ THIS APPLICATION AND STATE _ YY 210 -2200 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL.ORDINANCES U AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE V •O O o220.00 WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM Z PENSATION INSURANCE - - 21 4,--78 SIGNATURE OF /' PERMITTEE ADDRESS 5 9 E. Valle ' Blvd Z - O CITY San Gahriel _ .No 288-4040 `a J� O A-E NE P NO1OV 3.. > ,77 0,1 L07 SPECIAL CONDITIONS X oc FINAL �/' Bw- si ' DATE �v WORKERS' COMPENSATION DECLARATION • �(l ereby affirm that I have a certificate of consent to selfure; or a certificate of Workers' Compensation InsurdAPPLICATION,, BUILDING PERMITnce, - ' ', or a certified copy thereof (Sec 3800, Lab C ) - c'c 2 0'-;41 2�106.3 2 7•'Argonaut• Ins'. : COUNTY OF'LOS ANGELES BUILD_ING AND SAFETY Policy No ompany ❑ C ertified copy is'hereBUILDING by furnished FOR APPLICANT TO FILL IN ADDREss46;' ©, Cerhfied copy is filed v;rth the county building mspec- _ BUILDING tion department ADDRESS 9 6.3 2 R Lemon/ LOCALITY 11111-,z83 Randbr-i Roof Ring . NEAREST 'Date Applicant CITY T em 1"e. City ZIP•`917 8 0 CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS' NO OF'BLDGS - ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL USE ZONE MAP ' ,(This section need not be completed if the permit-is for one TRACT BLOCK LOT NO• NO lr � D � hundred dollars ($100)or less ) _ _ OWNER Levis, Al 1 e n TEL ` SPECIAL No4 4 7 115 4 ` " CONDITIONS , I , I certify that m the performance of the work for which this DISTRICT GROUP TYPE ".t FIRE PROCESSED BY O 'permit is issued, I shall not employ any person in any manner ADDRESS 9 h 3,2 'L em0T1 CONST ' ZONE U so as to become subject to,the Workers'Compensation Laws _ 1 CITY Tem 1 e Cit ZIP 91780- IX, V �j O Date ApplicantSTATISTICAL CLASSIFI TION APT' JCOII(130 IIS NOTICE TO APPLICANT' If, after making this Certificate of ARCHITECT OR- TEL Exemption, you should become subject to the Workers' ENGINEER -NO CLASS NO 24 DWELL UNITS LU, Compensation provisions of the Labor Code, you must forth- ADDRESS - SEWER MAP to with comply with such provisions of•this permit shall be Z TEL VALIDATION ` deemed revoked CONTRACT o f ijag NO 288 404 BK PG, LICENSED CONTRACTORS DECLARATION' LIC I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 5,29- 'R Valley NO 1 8 6 Q 8 fi VALUATION (commencing with Section 7000)of Division 3 of the Business and an• ah r i e 1 917 7�C S Professions Code, and my license is in full force and effect CITY CLASS C �.3 9 $ 97.0• 0 18 6.Q8(i r C- 3 9_ SQ FT NO OF NO OF CHECK License Number- Lic Class SIZE STORIES FAMILIES ONE Randol " OOf q 10_ �283 'Contractor atDESCRIPTION OF WORK R e�r o o t w_i t h_ NEw ❑ $ ❑ I am exempt under Sec • 04T�en S, e o X n it g f g O:_ AX AADDR ❑❑ FINAL t B BP.0 for this reREPAIR ason © PATE Y Date:- USE OF FINAL - , t'• EXISTING BLDG S D DEMOL ❑ APPLICANT TEL By Signature PRINT ado 1 -Roof in NO 288 4 Q4 0 OWNER-BUILDER DECLARATION I`hereby affirm that I am exempt from the Contractor's LicenseADDRESS 5_2 9 y a 11 e y Law for the following reason (Section 7031 5, Business and 1✓ Professions Code) PRESENT BUILDING ❑ I, as owner of the property, or-my employees with ADDRESS2' ' '(3'6 a 8 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 exclusrvely'contracting CONTRACTOR NO 12,-,- 4 01610, With licensed contractors to construct the project (Sec- }ion 7044, Business and Professions Code) ADDRESS o o o [( G 5 0 63 REQUIREDTOTAL SETBACK FROM EXIST - + CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH ® I 1,Q g—83 I hereby affirm that there is a construction lending agency for FRONT !he'performance of'the work'for'which this permit is issued P'L, ' (Sec 3097, Civ C ) SIDE PL a Lender's Name' Lender's Address P C Fee$ Permit Fee 30 .-OG - I certify that,I have read this application and,state that the Issuance Fee 10 ­5 0' a above information is correct I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee 40'. 50 and hereby authorize representatives of this County to enter U on the Bove-menu ed op;Jfor.inse n ur osesp ��� pAc.'�e* SEE REVERSE FOR EXPLANATORY LANGUAGE -Signature of Applicant a Agent COUNTY OF LOS ANGELES TEMPLE CITY # 0508 J BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1202290019 PHONE (626) 285-0488 EXT ILEGAL ID- NO OF CONST 1 BUILDING ADDRESS I I ON FILE SQ. FT STORIES TYPE I 9632 LEMON AV E - I I ISTRUCTURE 2000 V-B I ARCD CA 910077866 I (ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET I 15383-013-010 1 I THOMAS PAGE: 596 GRID- J1 LOCALITY TEMPLE CITY, Cl (TENANT- 1EXIST BLDG USE. RESID USE ZONE. R-1 (ISSUED ON PROCESSED BY I 1 (EXIST OCC GRP- 102/29/12 SR I (OWNER: TEL. NO: 1BLDGS. NOW ON LAT VALUATION- IFII4AL DATE F N BY CODE• 1 ICHERRY, JUDY (626) 260-5507- 8,000 1 1 19632 LEMON AV I / ��/ 1ARCD 910077866 - I FEES PAID IOESCRIPTION OF WORK I I (TEAR OFF A PORTION OF THE ROOF WITH WOOD SHINGLE, PLYWOOD INI I _IFEE DESCRIPTION. QUANTITY: UOM AMOUNT-IRE-ROOF WITH 30 YR FIBERGLASS SHINGLE TEAR OFF ONE FLAT SECTI (APPLICANT TEL NO. I ZION ON BACK OF HOUSE RE-ROOF WITH CLASS A BUILT UP HOT MOP *I (DICKEY, JOSH (562) 944-5817- IAA BLDG PERMIT ISSUANCE 27 80 1 I IAB STATE GREEN BLDG FEE 8000 00 VAL 1 00 (SPECIAL CONDITIONS I I IAC STRONG MOTION RESID 8000 00 VAL 0 80 1 : -,_ ID2 PERMIT W/O EN-HC 8000 00 VAL 183 00 1 'l1 ,( � 1- n I ( I TOTAL FEES 212 60 1 -t (CONTRACTOR TEL NO- (APPROVALS DATE 4 INSPECTOR SIGNATURE'^ 1 CASSADY ROOFING, INC. (562) 944-5817- 113021 LAKELAND RD LIC NO (LOCATION AND SETBACKS I I I ISANTA FE SPRINGS CA 90670 531906 C39 I I I I (SOILS ENGINEER APPROVAL I I I (ARCHITECT OR ENGINEER: TEL. NO IFOUNDATION/TRENCH FORMS I I I LIC NO: - (SLAB/UNDER FLOOR I 1 I I (RAISED FLOOR FRAMING I I IMAP NO: SEWER MAP BOOK. PAGE FIRE ZONE CMP 1UNDERFLOOR INSULATION I I 1153H269 3 OOI 1 11 I I - I (FLOOR SHEATHING 1 1 INO OF FAMILIES DWELLING UNITS APT/COND- STAT CLASS: I I I 0 NO 21 (ROOF SHEATHING SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS 1AIR QUALITY 1000 FEET MATERIALS 1 - ' I NO NO NO 1 FRANCE INSPECTION I I I - IFIRE SPRINKLER HANGERS I I I 1 INSITL,ATION/WEATHER STRIP I I I I I I 11NTERIOR LATH/DRYWALL I I I I (EXTERIOR LATH I I I I I (RATED FLOOR/CEIL ASSEM. I I I ) I 1 (RATED WALL ASSEMBLIES I I I I (RATED SHAFTS/OPENINGS I I I I IT-BAR CEILINGS I I I 1* ADDITIONAL DATA ON FILE I -1-1 I ILOT DRAINAGE I I I I I I I I I I (REPORT ID. DPR261 ROUTE TO BS0508 I I I I 1