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Home My Public Portal About9380 LOWER AZUSA RD_Building__ KION OF BUILDING AND SAFETY 1 L D 1 N t� apartment of County Engineer County of Los :rgeies WM. J. FOX, COUNTY ENGI'ILEER APPLICATION FOR APPLICANT TO FILL IN BBB� FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.DR REa.No. PERMIT NO. BUILDING A A 6 SQ b 3 T l3 ADDRESS `� a o►�� off. a us�9rJ, LOCALITYO S E/"/EA D R CEIVED BY �J DATE OFAPPL. DATE 1 SUED NEAREST //�1 �j f-MMK 1U1 a�{� CROSS ST. C�/+O VCP,A. Y /�'�� BUILDING �r / -7� ADDRESS f/ OWNER �J. /MAIL � LOCALITY D7fL4t1��•G•-� V ADDRESS Ql,LOo �.Oa9//cti. /y"zd.C,q Rte. N1cAREBTTEL n t�' GROSS BT. CITY Jy,>0-s Ine",/Qa NO. FIREf NO.CF �YPE i GROUpp•r-� ZONE I PLANS `1� AROH ITECT OR TEL I . ENGINEER NIL NO. SETBACK LINE 40 , C,$' ADDRESS USE APPROVED �,}J�- TEL ZONE A `I BY DATE CONTRACTORCC-4r(YE�W.(7.p`dg,NO.-bO�7f.S-r*a HOUSE NUMBERING ADDRESS .7 S� `nYf�/�iL !J�Cro.—/HIPC: MAP NUMBER Z NO. ASSIGNED BY LEGAL CORRECTION DESCRIPTION LOT NO. e' BLOCK TRACT rpz-nT LR/✓NEL or BLDMIL 61 SIZE OF LOT I NOW ON LOT O USE NC.OF � 6�oI9 U EXISTING BLDG. O FAMILIES DESCRIPTION OF WORK NEAT I V1 ALTERATION ADDITION / Z k Cd,�J?�-r�7 a R PAIR DEMOLITION FT. NO Or 9 E- O r' ROOMS +� STORIES v / EXT.WA LROOF _COVERING STUCI!A I COVERING C40 USE OF STRUCTURE /ex.-w G yG E INSPECTION FOR APPROVALS OCCUPANOYAS INSPECTOR'S SIGNATURE DATE FOUNDATION:LOCATION orf F `�e (Jsee/�+�� 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AR FORMB, MATERIALS PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRE STOPS, CORRECT. BRACING,BOLTS I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT,DUCTS BIGNATURE OF ,,�/yy �rJ n°'� LATH, INT. PERMITTEE './x /+�l7 h. ^.A1r ' w 61 n /fin LATH, EXT. � �C/� A/ ADORES A AUTHORIZED AaT_ 1-21' y s[ ,:-Gj PLASTER. INT. Q 0 P.c. PLASTER, EXT. :e S'S" O O FEE �� -• HOUSE NUMBER COR- D D E RECT AND POST ED VALUATION FEE �zS " FINAL 6/ "� 76A682.4 DB8 3 1-52 v WORKERS'COMPENSATION DECLARATION I herebyaffirm that I have a certificate of consent to self insure, r a certificate of Workers'Compensation Insurance, APP I CAT I mm BWLIJII4G PERMIT or a certified copy thereof(Sec. 3800, Lob. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING ¢ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ElCertified copy is filed with the county building inspec- BUILDINGp �J tion department. ADDRESS 9.5a 9 119aE/9 /' O&W 7rP. LOCALITY -�� NEAREST Date Applicant CITY �/1�/d'd�' Jl ZIP ei'�(PJ CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT 7500 S ,�. NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USENEl MAP hundred dollars($100)or less.) TRACT BLOCK n L � \ SPECIAL I certify that in the performance of the work for which this OWNER sClS 61"dVi N6.350-eAfqI� CONDITIONS CL permit is issued,I shall not employ any person in any manner pp ,// DISTRICT GROUP TYPE FIRE PROC SED BY O so as to become subject to the Workers'Compensation Laws. ADDRESS 9�OOL06!/E%. ��lSA �` /�(y CONST. ZONE VU Date Applicant CITY 0�AeF OT ZIP STATISTICAL CLASSIFICATION /V/ APT. IC? NDO. IIIII ARCHITECT OR TEL. NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CLASS NO. _DWEU..UNITS Exemption, you should become subject to the Workers' iiiiiiiiiiiiiR e. Compensation provisions of the Labor Code, you must forth- ADDRESSSEWER MAP H with comply with such provisions or this permit shall be TEL. deemed revoked. CONTRACTOR NO. BK. PGI 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. 2 D Professions Code, and my license is in full force and effect. CITY CLASS $ J SQ.FT. y NO.OF NO.OF CHECK !•' License Number Lic.Class SIZE 77/ STORIES FAMILIES ONE DESCRIPTION OF WORK �,+TJa�✓ NEw ❑ $ Contractor Date �2 66;8 A I am exempt under Sec. Jt/n/w TrsppO ,D aq ADD E•..• ,w I p ALTER ❑ FINAL # 0 0 0 0 23 ��• REPAIR ❑ DATE 8.8P.C. for this reason X 0 2,� 8 5 Date: USE OF FINAL EXISTING BLDG. DEMOL ❑ Signature ° APPLICANT TEL. By o o 2 7 859 OWNER-BUILDER DECLARATION (PRINT)-. TJE zas "eajNO. 3eSOfJ I hereby affirm that I am exempt from the Contractor's License ADDRESS .��'O�vmEQ�J2rJ�a� D, D 0 al —85 Law for the following reason (Section 7031.5, Business and Professions Code): PRESENT ❑ BUILDING I, as owner of the property, or my employees with ADDRESS 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 exclusively contracting CONTRACTOR NO. �✓ �/ with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP.LINE WIDTH V I hereby affirm that there is a construction Lending agency for FRONT I the performance of the work for which this permit is issued P.L. tSec. 3097, Civ. C.). SIDE B P.L. o Lender's Name n^-J �f P.C.Fee$ O� / R%T Permit Fee Lender's Address xI certify that I have read this application and state that the Issuance Fee above information is correct. I agree to comply with all County Investigation Fee 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. J o SEE REVERSE FOR EXPLANATORY LANGUAGE ` Signature of Applicant or Agent Date ®s COUNTY OF LOS ANGELES- TEMPLE CITY # 0508 BUILDING PERMIT • DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9610140010 PHONE: (818) 285-0488 EXT: EGA ID: NO. OF CONST NEW BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE OCCUP GROUP 9380 LOWER AZUSA RD STRUCTURE: 1169 1 V R3 TEMP CA 917804217 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: ALESSANDRO 8592-003-037 OTHER: THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ZONE: SS ED ON: PROCESSED B EXPIRES ON: EXIST OCC GRP: 12/02/96 TC 10/14/97 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: DE: CARREON JOSE D;ROSA - 1 86,510 W 0,Q,.1 9380 LOWER AZUSA RD lI TEMP 917804217 FEES PAID DESCRIPTION OF WORK ADDITION OF LIVING RM./MASTER BED/BATH AND FAMILY ROOM FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - B1 PLANCHECK W/ENERGY 86510.00 VAL 1,086.09 AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: AC STRONG MOTIOk R�SID 6510;00 VAL 8.65 B2 PERMIT W/EI�ERG�IfC F8.6510.0-by/ L 1,277.76 �`� TOTAL k•EES, 2,400.25 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION ON AND SETBACKS &--m& ��f� ARCHITECT 0 SOILS ENGINEER APPROVAL ENGINEER: TEL. 0: - I [ FOUNDATION/TRENCH FORMS LIC. NO: ��I/ _ `1� SLAB/UNDER FLOOR ---____--- - __-----_--� ___-- At�ISED FLOOR RAMING MAP N0: SEWER MAP 800K: PAGE: FIRE ZONE: CMP: I=' ' I V( +.q ' +� 1J UNDERFLOOR INSULATION 3 01 iL zJ' U - -� 1 f�� l \ , ST E OO SHEATH NO. OF ES: DWELLING S: T CO D: STAT CLASS: _ � ,; r0 +`� C j'J NO 21 � h1 ND LEVEL FLOOR SHEATH SCHOOLWITHINH AR 0 S �'' ,• /_'J '� `- 1 '• _ ;, / =�• ROOF SHEATHING THING AIR QUALITY: 10NO OFEET MATERIALS �• ,` I !./`�� FIRE DEPT. FRAME INSPECT Z i REQUIRED TAL SETBACK FROM EXIST =�L BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: 2-Z7 FRONT PL- SHEAR PANELS SIDE PL- INS�TION/W AT ER STRIP 2-27::Z INTERIOR Z -fINTERIOR LATH/DRYWALL -� EXTERIOR LAT LOT DRAINAGE SMOKE DETECTIO DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508 i