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Home My Public Portal About10670 LORA ST_Building__ WORKERS'COMPENSATION DECLARATION I hereby affirm that I have certificate of consent to self APPLE P L E CAT F I 13 U I� � PERMIT E RM I T 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 ::, BUILDING P Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS S� ❑ Certified copy is filed with the county building inspec- BUILDING /, tion department. ADDRESS G' Q e5' JC 74'/ LOCALITYNEAREST � T Date Applicant CITY �� ZIP / 79a CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' / /N OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT V1 MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one . USE ZONE MAP hundred dollars($100)or less.) TRACT ..� BLO LOT NO. Q NO. • TEL. J SPECIAL I certify that in the performance of the work.for which this OWNER N — �' CONDITIONS IL permit is issued,I shall not employ any person in any manner DISTRICT .GROUP TYPE FIRE PROCESSED BY O so as to become subject to the Workers'Compensation Laws. ADDRESS CONST. ZON u Date •Applicant CITY ZIP ST TISTICAL CLASSIFICATION A 1CONDO� NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR L. U 'Exemption, you should become subject to the ,Workers' ENGINEER NO. CLASS NO. DWELL. UNITS =J 0 Compensation provisions of the Labor Code, .you must forth- ADDRESS SEWER*MAP to with comply with such provisions or this permit shall be TEL. deemed revoked. CONTRACTOR NO. BK. PG, VALIDATION 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. Professions Code,and my license is in full force and effect. CITYCLASS $ SQ.FT. NO.OF NO.OF CHECK License Number Lic.Class' SIZE STORIES FAMILIES ONE Contractor Date DESCRIPTION OF WORK / EW $ � ` i ADD I am exempt under Sec. / ... ALTER FINAL o y ;•1 \;: ;v B.&P.C. for this reasonDATE if d REPAIR s Date:. USE OF DEMOL FINAL EXISTING BLDG. Signature APPLICANT TEL. By OWNER-BUILDER DECLARATION PRINT NO. I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS Professions Code): PRESENT BUILDING I, as owner of the property, ormy employees with ADDRESS wages as their sole compensation,will do the work and 9'4A 6 Athe 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. 00 0 0 0 0 with licensed contractors to construct the project (Sec- ADDRESS 'tion 7044, Business and Professions Code). 2'- a-59.2.5 REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH 0'0 0 59,25' I hereby affirm that these is a construction lending agency for .FRONT the performance of the work for which this permit is issued P.L. 01.28-83 tSec. 3097, Civ. C.). SIDE "o P.L. e Lender's.Name .. •r"" , P.C.Fee$ Permit Fee Lender's Address ��yyyy I certify that I have read this application and state that the Issuance Fee ��7U above information is correct. I agree to comply with:all County Investigation Fee s j� ordinances and State laws relating to building construction, Total Fee and hereby authorize representatives of this County to enter ...,. . . ...•, upon the above-mentioned property for inspection purposes. e SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date ®s w WORKERS'COMPENSATION DECLARATION r I bereb"firm that I ,have a certificate of consent to self insure,or:d certificate of Workers'Compenstion Insurance,or APPLICATION F R BUILDING PERMIT a certified-copy thereof(Sec. 3800, Lab. C.) Policy No. Company COUNTY OF LOS ANG LES BUILDING AND SAFETY ❑ BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with the county building inspec- BUILDING Ir tion department. ADDRESS lel , v LOCALITY. NEAREST Date' Applicant ` CITY �� ZIP CROSS ST. � CERTIFICATE OF EXEMPTION FROM WORKERS' / j NO.OF BLD S. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP-KOOK PAGE PARCEL (This section need not be completed if the permit is for one - U ZON MAP hundred dollars($100)or less.) TRACT BLOCK – LOT NO. �� NO. TEL !� SPECIAL OWNER >~ NO (/ CONDITIONS �' I cehifythat in the performance of the work for which this ' STRICT GROUP1#1 TYPE FIRE CE E BY_ O permit is issued, I shall not employ any person in any manner ADDRESS f ICONST.`- so as to become subject to the Workers'Compensation Laws. `�� `��//� J CITY ZIP- ,�• 'Date Applicant STATISTICAL CLASSIFICATION APT. CONDO. ARCHI ECT OR TE. NOTICE TO.APPLICANT: If, after making this Certificate of � � Exemption, you` should become subject to the Workers' ENGINEER NO. CLASS NO. 17� DWELL. UNITS Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP Z .With comply with such-provisions or this•permit shall be •– deemed revoked. CONTRACTOR Np, I BK. �eG, VALIDATION . .LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. / VALU TI t (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 % $ vU SQ. FT. ' NO.OF NO.OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE Contractor Date DESCRIPTION OF WORK i NEW $ I am exempt from the licensing requirements as I am a �' Jr ADD licensgd architect or a registered professional engineer ALTER FINAL acting in my professional capacity, (Section 7051, DATE - REPAIR "; Business and Professions Code). USE OF FINAL EXISTING BLDG. DEMOL BY Lic.or Reg.No. Date APPLICANT TEL. 1. 1 OWNER-BUILDER DECLARATION (PRINT) NO: I hereby affirm that I am exempt from the Contractor's License 'I qY/ 12,19 Law for the following reason (Section 7031.5,'Business and ADDRESS aw Professions Code : PRESENT BUILDING G,+ I, as owner of the property, or my employees with ADDRESS v,;... .. 'wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY L7 7044, Business and Professions Code). MOVING TEL. ,7 —7� ,A- e� • I, as owner of the property, am exclusively contracting CONTRACTOR NO. ;7-- with licensed contractors to construct the project (Sec- ADDRESS //!/[`/ ![rte[ ,b O.8 A tion 7044,.Business and Professions Code). � VV REQUIRED TOTAL SETBACK FROM EXIST. `�5 n [ # o e o 0 0 CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH vr' I hereby affirm that there is a construction lending agency for FRONT `V( '.� #'0 0 0 0 0 _ the performance of the work for-which this permit is issued P.L. /v (Sec. $097, Civ. C.). I SIDE / 2 0 e 3[I O O P.L. Lender's Name � (((�� 0 0 -3[j,,O O� i P.C.Fee$ Permit Fee �i- Lender s Address I certify that I have:read-this application and state that the O Pi O 7–8 O PP •• '. Issuance Fee � t above information is correct: I agree to comply with all County Investigation Fee . �m ordinances and State laws relating to building construction, and hereby authorize representatives of this County to enter Total Fee i upon the a ove-mentioned property for. pection purposes. W- f SEE REVERSE FOR EXP-LANATORY LANGUAGE Signature of Applicant or Agent ®s APPLICATION F®R COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY.ENGINEER .. .BUILD'ING PERMIT BUILDING AND SAFETY DIVISION FOR-APPLICANT TO FILL IN: ADDRESS BUILDING ADDRESS r�- A - LOCALITY��F71�if�c c� CITY 1va,,> P�l (_(� ZIP NEAREST CROSS ST. j x' J ' NO.OF BLDGS. ASSESSOR SIZE OF LOT (j NOW ON LOT MAP BOOK PAGE PARCEL � _ DISTRICT GROUA- YPE FIRE SER SSED BY TRACT Z S 6 BLOCK. l ONS/T LOT NO. TEL OWNER 11 jujamb t b NO. tf STATISTICAL CLASSIFICATION SEWER MA= ADDRESS I �p�7O.�i I1(J�?/� CLASS NO.��DWELL,UNITS BK Y G CITY 1ef_y1 110 1 v� -ZIP USE ZONE MAP �0/1� ENG NARCHITECT OR EERj �/7�-L�� NO TE LVrS�C I ]SPECIAL CONDITIONS ADDKESS/5-1157.50 ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONTRACTOR % ,UCS✓ NEL BLDG.S TBACK FROM LI FRONT PROP.LINE OF (STREET) AD0RESS�2191/lj �lJ+ll)(�t'1B(491R)L1►ilOr � HIGFWA + YARD = TOTAL SETBACK FROM TYPE OF EXISTING i LIC. "� FRONT PROP. LINE HIGHWAY WIDTH CITY 0 v/NIk CLASS L---. J . CONSTRUCTION LENDER + - yy NAME AND BRANCH BLDG.S BACK FROM Q ADDRESS CITY, SIDE PRO 'LINEOF (STREET) v CK FROM. TYPE OF EXISTING SQ Ij FT. NO. OF NO. OF CHECK HIGHWAY } YA - HIGHWAY WIDTH a SIZE STORIES . FAMILIES ONE SIDE PROP. LI i7 DESCRIPTION OF WORK NEW + PAA'{ �' �`�J // i tDD ❑ CORNER CUTOFF YES ❑ NO ❑ ! ALTER ❑ , - —REPAIR[:] IN OPEN SPACE YES ❑ NO ❑ USE OF IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG. DEMOL ❑ -APPLICANT_ IJ/ /� �1 TEL fir( (PRINT) .y /\�C/ rJ�..�•"1 NO.. ��L�rl.T� BY (SIGNATURE) r 7 J•' / - �✓^d�• i�.'�'f�'CL.: b��C•�� .'�"'+� 1 HEREBY ACKNOWLEDGE THAT i HAVER AD THIS APPLICATION YC-W14-Y (N/7,q ! G-/i1•� 6,'''4 ' AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYWITH ALL ,,rr !/ J q ON- STRUC TION,ORDCERTICFY THAT E-S AND LAWS DOING REGULATING WORK AUTHORIZED ED �I•.� .� /t, /'! �(/GflCy� HEREBY' I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE �'• LABOR "CODE OF THE STATE OF CALIFORNIA IN RELATING TO 'WORKMEN'S COMPENSAT INSURANCE. - - - SIGNATUREOF �J�lU%� FINAL%,6_,-/ PERMITTEE. DATE (f ADDRES I L( 'S6� Oil IAO J TEL. 2� + 'c c ` P.C. Fee$ C 3 Permit Fee ��76 CITY NO. NO. Issuance Fee VALUATION j�vC�_ -7 ^� Total Fee///�� .�, /•� PLAN CHECK VALIDATION L/ M.O. CASH o PERMIT VALIDATION ( Cl(. M.O. CASH 1- 4.6.3 v 48.7 76AGSBA Cd*80310 12/79 < - _ - ' •-' - ^- ®5 78#688( CE/808(REV.8/78) r APPLICATION FOR BUILDING PERMIT � U COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN ADDRESS ,�CJt7 O '�. �'� gr. BUILDING SS �,. LOCALITY ADDRE . �/ Cr (/ NEAREST CITY G /fiJ `� �'' ZIP / d- CROSS ST. K / NO.OF BLD ASSESSOR SIZE OF LOT 7.S }� NOW ON LOT Z MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE AVMZ�4 TRACT BLOCK 'LOT NO.- Q r CONS TEL.• is eil— OWNER d(�d NO. STATISTICAL CLASSIFICATION SEWER MA�1 ADDRESS-,/O' Zg + CLASS NO. I'—f--DWELL.UNITS BK G CITY f�7 1 ZIP ARCHITECT OR TEL. VALUATION ENGINEER NO. ADDRESS BLDG.SETBACK FROM TEL. FRONT PROP.LINE OF (STREET) CONTRACTO O. HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTIN G LIC. = FRONT PROP.LINE HIGHWAY WIDTH ADDRESS NO_ _ LIC. + CITY CLASS CONSTRUCTION LENDER BLDG.SETBACK FROM NAME AND BRANCH SIDE PROP. LINE OF (STREET) HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS CITY SIDE PROP.LINE. HIGHWAY WIDTH SQ.FT NO.OF NO.OF CHECK + = V SIZE STORIES FAMILIES ONE o DESCR,IPTION OF WORKZ-51K IF/ . e EW. P.C.Fee..$ . Permit Fee ADD ❑ � Issuance Fee �y ALTER ❑ �� Z USE REPAIR 1-3TotalFee EXISTTIING BLDG. DEMOL �/F _fiLJ G-« �Z APPLICANT TEL l7�� (PRINT) NO. C BY(SIGNATURE( ;257 A IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE. Y THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES W #'o o io 0-0.1 AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE S WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF U THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- Z } 2 — 6 6 1.00 PENSATION INSURANCE. - `� 61,00H SIGNATURE OF --me +'n PERMITTEE dl�U - ' ] 2 5 79 ADDRESS Ze ` � Z T00. EL C CIT NO. � G USE ONE MAP „ !/Vf i a 11 ; 6 I2 SPE SPECIAL > ' ,- CONDITIONS FINAL BY m DATE �PPLICATION FOR BUILDING PERMIT F APPLICANT TO FILL IN (Print or type only) BUILDING �ry -COUNTY OF LOS ANGELES ADDRESS Cl�o C, Q ,9 S�' DEPARTMENT OF COUNTY ENGINEER CITY/G1 ZIP . ��d BUILDING AND SAFETY DIVISION X *- f BUILDING NOWONLOT ADDRESS SIZEOFLOT D TRACTn' BLOCK LOT NO. �/ LOCALITY OWNER /beaA2� / Z 4 NO..�7 CROSS ST. ASSESSOR ADDRESS/ea MAPBOO K46: PAGE PARCEL (� DISTRICT UP TY FIRE ESSED BY CITY ZIP d O ! _ZONE ARCHITECT OR TEL. u� ENGINEER NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS. /, ` -7 �7 CLASS NO. DWELL.UNITS BK PG CONTRACTOR .�IAJ .N L. 1-/71/ }} I/ E�ONE NO. LIC.ADDRESS D 1 6 n. NO. �J Y SPECIAL LIC. w / / CONDITIONS CITY CLASS`_" `F'D ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO 1-1CONSTRUCTION LENDER NAME AND BRANCH BLDG.-SETBACK FROM FRO PROP.LINEOF (STREET) ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING HIG AY + YARD SQ.FT. RO STORIES IE NO.OF CHECK - FRONT PROP.LINE HIGHWAY WIDTH SIZE 0 CJ STORIES FAMILIES ONE } DESCRIPTION OF WOK NEW ❑ + O A,_ ADD BLDG.S ACK FROM ad v ` SIDE PROP. E OF (STREET) O ALTER ❑ TOTAL SETBACK FROM TYPE OF EXISTING w HIGHWAY + - SI PROP.UI9 HIGHWAY WIDTH . a USE OF REPAIR ❑ Z EXISTING BLDG. IDEMOL ❑ + APPIL T f " TEL ��;/ ']�j/�7 CORNERCUTOFF YE IPRINTI ` q:SdU/��("QnnplO� )� "/. /1 l ., ' '� IN OPEN SPACE YES ❑ NO ❑ BY)SIGNATURE) IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION$ y� J I HEREBY ACKNOWLEDGE THAT.I HAVE READ THIS APPLICATIO7AND TATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES v AND LAWS REGULAT ING CONSTRUCTION.I CERTIFY THAT IN DOING THE �: .F+al,�[d WORK AUT HEREBY WILL NOT EMPLOY ANY,PERSON IN VIOLATION OF THE LA CODE OF THE STYE OF CALIFORNIA IN RELATING TO RKMEN'S COM• PENSA ON INSURANCE �. cj SIGNATURE PERMITT A'D�✓/� 7 DATEIL CITY �� NO. �/��/ FINAL _ BY MAKE CHECKS PAYABLE TO: FEE FEET /, 7� HARVEY T.BRANDY,COUNTY ENGINEERc,2/. 7,6 �J-� PLAN CHECK VALIDATION CK. M.o. CASH c (�/,��PERMIT VALIDATION CK. M.O. CASH 81.2-.7.1Z AFR-- 20 2.:1: 0 6:5 3 d, 8'21 s AP:tt' 2.0. _s ® : ..2 1.7.5 ®s 76A638A CE#803 3.75' COUNTY OF LOS ANGELES ! TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9610070024 PHONE: (818) 285-0488 EXT: LEGAL D: NO. OF CONST BUILDI G DDRESS: TR: 12585 LT: 10 SQ. FT STORIES TYPE 10670 LORA ST STRUCTURE: 0 V TEMP CA 917803429 ASSESSOR I FOR ATION NUMBER: NEAREST CROSS STREET: 8585-030-010 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY TENANT: i E IST BLDG USE: RESID ISS ED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 10/07/96 TC 10/07/97 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FIN ODE: LIM SIOK TJOE - 1 9,800 �p.l 10670 LORA ST TEMP 917803429 FEES PAID DESCRIPTION OF WORK REMOVE COMP. SHINGLE INSTALL U.S. CLAYMAX LIGHT WGT. TILE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLI NT: TEL. NO: DIAMOND ROOFING (909) 861-7663- AA BLDG PERMIT ISSUANCE 27.75 1636 FOX GLEN DR. AC STRONG MOTION RESID 9800.00 VAL 0.98 SPECIAL CONDITIONS: DIAMOND BAR, CA D2 PERMIT W/0 EN-HC �� 9800.00 VAL 217.80 ��I'�L-T:OTA�L FEES 246.53 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE DIAMOND ROOFING (909) 861-7663- 1636 FOX GLEN DR. LIC. NOLOCA IO AND SETBACKS DIAMOND BAR, CA. 91765 693092 C39 op SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION TRE CH ORMS // l — LIC. N0. �f r J �..,;;, SLAB/UNDER FLOOR , ((( ---_-- IL ~ RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ' I j ' ��C WO �-} C UNDERFLOOR INSULATION 147H273 3 01 �� p �"`• FLOOR SHEATHING 0. 0 FAMILIES: DW I G UNI S: APT/CON STAT CLASS: �';i i•.., co NO 21 + '� ROOF SHEATHING 071-B;-=V SCHOOL WITHIN HAZARDOUS `moi' \,. ir' + i1 ;�,-`", f SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST cl FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- � 8� @� INS CATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CE L ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS05O8