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HomeMy Public PortalAbout9653 LOWER AZUSA RD_Building__ J a I•AMACESMG.n APPLICATION FOR BUILDING PERMIT 1 COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENG]NEER ADDRESS MWING AND SAFETY DMSION LOCALITY JOHN A.LAMBIE.COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN Burr or Bu1LDIHG C OSS DIST NO GROUP TypE P ESS FOR APPLI TO FILL IIT � � I CONST BUILDING STATISTICAL IFICAT ION SEWER MAP ADDRESS PG/ / CLASS NO DWELL UNIT Z v LOT NO Z BLOCK MAP o STATE YES NUMBER J HWY TRACT O USEZ NE SPECIAL NO OF BLDGSCONDITIONS SIZE OF LOT • O X 7e NOW ON LOT ' r� USE OF Do �. SETBAICK YARD HWY STREET NAME NG EXIST OWNER FRONT MAIL 01P L ADDR SIDE AV 1 , NO .60/6/ P L INSPECTION RECORD ARCHITECT DO TEL ENGINEER NO l / Al DDR TEL CONTRACTO a NO �.� DESCRIPTION OF WORK A. NEW ADD k ALTER REPAIR DEMOLISH SO FT +y�� NO OF NO OF .� SIZE a 0 V STORIES / FAMILIES USE OR STRUCTURE SIGNATURE OF � P LS APPLICANT DATE INSP TOR S SISNATUR6 ADDRESS FOUNDATION LOCATION FORMS MATERIALS I til`Z & S p C. S FRAME FIRE STOPS. Q ���• FEE BRACING.BOLTS p1 VALUATION / D D FEE S +� FURNACELOCATION. GAS VENT DUCTS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP. LATH INT _ PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMP WITH ALL COUNTY ORDI NCES AND STATE LAWS N RJdCTION. LATH.EXT SIGNATURE OF f HOUSE NUMBER COR OF - PERMI RECT AND POSTED ADDRES FINAL r CLYDE N DIRLAM,PRINCIPAL STRUCTURAL NsamM PLAN C==VALIDATION CK- M O CASH PERImT VALIDATION CK M O CASH ''5 8, 6 1 OR- OCT 1 7 1 A 9.0 0 TEMPLE aTY 711A42IIA CR#8011,1-61 BUILDING O APPLICATION FORPERMIT COUNTY OF LOS ANGELES BUILDING 96 3 Lo w — �z u5 DEPARTMENT OF COUNTY ENGINEER ADDRESS BUIMING AND SAFETY DMSION LOCALITY Tep4PL-E C i JOHN A. LAMBIE. COUNTY ENQINIEER NEAREST WILLIAM A. JENSEN SUPT I'BUILDING CROSS ST. G�KC E L A DISTRICT NO. GROUP T.pE PROCESSED BY FOR APPLICANT TO FILL IN 5-- 0-7 1 2 CONST_ G o Lo v Icy, BUILDINGSTATISTICAL CLASSIFICATION SEWER MAP ADDRESS BK PG _ CLASS.NO.--f-DWELL.UNITS 6 - Z LOTNO. E ST �'Ih"�-I OF S_ BLOCK WATER NOT REQUIRED RECEIVED CERTIFICATE: El Li TRACT MAP- - HIGHWAY STAT MAJOR ECONO, LOCAL I R NO.OF BLDGS. n (CIRCLE) SIZE OF LOT NOW ON LOT ` USE ZONE SPECIAL USE OF we�R h-1 CONDITIONS EXISTING BLDG. G �L C / TEL. NO. BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH ADDRESS FRONT 1 ARCHITECT OR 4erEL. P.L. LoWE(>` ifZGSAFo ENGINEER NO. SIDE P.L. �- ADDRESS TEL IN ECg RECORD 0 CONTRACTOR NO. p V ADDRESS " Y '�0 DESCRIPTION OF WORK W A C NEW ADD ALTER REPAIR DEMOLISH '{ - SQ.FT. /NO.OF NO.OF 7- SE STORIES FAMILIE USE OF STRUCTURE +G-Grir��� , SIGNATURE OF APPLICANT IS VALUATIO BOG APPROVALS IPATJE INSPEC 'S SIGGNATUA P.C. pMT, _ ��� FOUNDATION:LOCATION `31 3l FEE S FEE S 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 BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- INT. r TION OF THE LABOR ODE THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN' ERS N NSURAN µEXT / SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POST9D ADDRESS FINAL CLYDE N. DIRLAM. P INCIPAL ST C RAL ENGINEER PLAN CHECK VALIDATION CK. M.Q. CASH MUCT VALIDATION cK M.D. CASH 1.0 APPI L_ ti WORKERS'COMPENSATION DECLARATION ero affirm that I have a certificate of consent to self �' APPLICATION FOR -BUILDING P E RM I T ure, or a certificate of Workers' Compensation Insurance, ls� t o a certified copy thereof(Sec 3800, Lab C) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company BUILDING ❑ Certified copy is hereby furnished FOR APPLICANT Luiet T FILL IN ADDRESS Gt� ❑ Certified copy is filed with the county budding inspec- BUILDING G5� tion department ADDRESS Date Applicant CITY t zip /'7Q LOCALITY NO OF BLDGS NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT LOCK LOT NO MAP BOOK PAGE PARCEL hundred dollars ($100)or less) OWNER ' ZONE MAP 1 certify that in the performance of the work for which this NO permit is issu ,I shall not employ any person in any manner ADDRESS 1CONDITIONS a so as to o e0lect to the Worke Compensatio Laws --r" OO CITY t ZIP, tie 1 Date Applicant ARCHITECT TEL DISTRICT GROUP TYPE FIRE PROCESSED BY V NOTICE O A PLICANT If, after making this Certificate ENGINEER NO CONST NE Exemption, you should become subject to the Workers' �j coCompensation provisions of the Labor Code, you must forth- ADDRESS ��O - with comply with such provisions or this permit shall be STATISTICAL CLASSIFICATION APT I CONDO Z deemed revoked CONTRACTOR sdCe6A-;P / LICENSED CONTRACTORS DECLARATION LIC CLASS NO DWELL UNITS I here affirm that I am licensed under ADDRESS NO SEWER MAP by provisions of Chapter 9 LIC (commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect CITY CLASSBK PG VALIDATION SQ FT NO OF NO OF CHECK License Number 1.1c Class SIZE STORIES FAMILIES ONE VALUATION Contractor Dote DESCRIPTION OF WORK NEW 1:1f o ADD ❑ ► ❑I am exempt under Sec IaLa 00 . r I , ALTER B 8P C for this reason REPAIR ❑ $ Date USE OF EXISTING BLDG DEMOL ❑ Signature APPLICAN FINAL OWNER-BUILDER DECLARATION PRINT) DATE I herebyaffirm that I am exem t from the Contractor's license Z ,Law fothe for reason(Section 7031 5, Business and ADDRESS ^� �•C FINAL 1 ofessions Code) PRESENT By I, as owner of the property, or my employeesw'th ADDR� ACCT.-Ta wages as their sole compensation,will do the work and LOCALITY , 7 Lr?�.1J f the structure is not intended or offered for sale(Section 1 IT� 7044, Business and Professions Code) MOVING TEL ❑ I,as owner of the property,am exclusive) contractingCONTRACTOR NO with licensed contractors to construct the project (SeADDRESS TOTAL. 64. 13 tion 7044, Business and Professions Code) I TOTAL SETBACK FROM 'EXIST DECK �•13 CONSTRUCTION LENDING AGENCY SET gA YARD HWY P P LINE wl 7 I hereby affirm that there is a construction lending agency for FRONT ONE .00 the performance of the work or which his permit is issued P L (Sec 3097, Civ C) P L SIDE VWJIJ- 1 il/ �7/ .; Lender's Name 0-1 � Lender's Address PC Fee S Permit Fee If 3 •r�� LDMA Ref a X315 1 AM 11 52 I certify that I have read this application and state that the Issuance Fee o`f 1 LDMA P/C M above information is correct I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee LDMA Perm R and hereby authorize representatives of this County to enter upon the above-m ntione roperty for spection p s ' it! dk �' .Z SEE REVERSE FOR EXPLANATORY LANGUAGE Signotur of Apply nt or Agent Dat i I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILD G�MIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATI.0 --REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 05080001180042 PHONE: (626) 285-0488 EXT: LEGAL ID NO. OF CONST BUIPING-WRESS. TR: 14467 LT: 52 SQ. FT STORIES TYPE 9653 LOWER AZUSX RD NUMBER: STRUCTURE: 0 VN T91P CA 917806228 ASSESSOR INFORMATION �EARESTi CROSS STREET: KAUFFMAN 8589-016-001 TOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY TENANT: Wgr-M USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES EXIST OCC GRP: 01/18/00 UT 07/16/ 0 ON: OWNER: TEL. NO: NOW.-M ON LOT. F FINAL BY, CODE:i GROMAN;TINA (626) 451-0123- 1 3,100 Z l 9653 LOWER AZUSA TEMPLE CITY, CA TEAR OFF ALL ROOFING, INSTALL CLASS A 30 YR., B.O.K. SYSTEM FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ON FLAT SECTION APPLICANT: TEL. NO: J W ROOFING (626) 852-2150- AA BLDG PERMIT ISSUANCE 27.75 138 BRANCH OAK CT. AC STRONG MOTION RESI 3100.00 VAL 0.50 . GLENDORA, CA D2 PERMIT W/ ! 00.00 VAL 115.80 PNC,ELES sCONTRACTOR: NO: 0 144.05 J W ROOFING SERVICES (626) 852-2150- x,05 APPROVALS��T�. 138 BRANCH OAK COURT LIC. NO LOCATION AND SETBACKS GLENDORA, CA 91741 662149BC39 LIC. N MAP NO: SEWER NO BOOK: PAGE: -IFIRE 111111SLABAINDER FLOOR RAISED FLOOR FRAMING UNDERFLOOR INgUCATT6W- 144H269 3� IMPUBLIC WORKS NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT C[A NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS � ,' � SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS Ver pr!- . NO NO NO A © ®yFRAME INSPECTION SET BACK YARD: HWY: PROP LINE. WIDTH. 46�jC, S a NI0 ervlce Th tINSULATION/WEATHER ST SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLODR/CV171999F- RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO- SS0508