HomeMy Public PortalAbout10708 MILOANN ST_Building__ ar. ST OF COUNTY ENGINEER BUILDING
DIVISION ION OFOF BUILDING AND SAFETY ,.
COUNTY OF LOS ANGELES
WILLIAM J. FOX. COUNTY ENGINEER APPLICATION
CASSATT D. GRIFFIN, SUP-T of BUILDING
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING q DISTRICT NO. PLAN CK.o REC.No. PERMIT NO.
ADDRESS 1 lSF• ��'
LOCALITY !! ti ! RECEIVEDBY DATE OF ALLPPL. DATE ISSUED
NEAREST
CROSS ST am ori �
OWNER ` ADDRESS d Q U `I l K,.C'ClU—"
MAIL 1 C LOCALITY
ADDRESS E� NEAREST
TEL CROSS ST.
CITY I O .3 G w
ARCHITECT ORTEL.' FONE, . I NO.PLANO I TYPE*T I GROUP/s�
ENGINEER N .
!, / QJt
ADDRESS BLDG. NO.SETBACK LINE L D• l 7' 77
CONTRACTOR N L' USE APPROVED /
�+ I ONE A BY DAT �.J
HOUSE NUMBERING
ADDRESS
LEGAL ON LOT NO. g BLOCK MAP NUMBER I� d �I ' NO. ASSIGNED BY
DESC
LEGAL
i
CORRECTIONS
TRACT
Q NO.OF BLDGS.
N
SIZE OF LOT / I O ON LOT
USE OF NO. OF
EXISTING•BLOG. I FAMI IE �I
D TION OF WORK ! D -
NEW ALTERATION ADDITION
f Z
REPAIR DEMOLITION r
Q. FT. NO.OF
SIZE 3 ROOMS M STORIES
EXT.WALL r ROOF
COVERING �) t' I COVERING R'v
USE OF STRUCT RE
i
f
APPROVALS
INSPECTOR'S SIGNATURE DATE
FOUNDATION:LOCATION /,,.y�
FORMS, MATERIALS r v r� J2.3
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS Al r FRAME: FIRE STOPS,
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING. BOLTS —6 3e
CORRECT. FURNACE: LOCATION.
1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES GAS VENT, DUCTS
AND STATE LAVVS REGULATING BUILDING CONSTRUCTION
.+
SIGNATURE OF LATH, INT.
f '•� , � n
PERMITrIlrlp
At
�9 w LATH. EXT.
ADDRESS �.
PLASTER, INT.
'
AUTHORIZED AGT.
PLASTER, EXT.
P. C. S G� HOUSE NUMBER COR-
FEE 1p RRem AND POSTED A /r -
VALUATION '70" FEE. �1 (c !'�� FINAL
•'76ASSSA Des 3 s-S2 _ ;
APPLICAWONF R BUADING PERMIT
FOP,PDD
APFJoLICANT TO FILL IN (Print or type only)
G , COUNTY OF LOS ANGELES
S 0 b N DEPARTMENT OF COUNTY ENGINEER
i7fr, zIP / BUILDING AND SAFETY DIVISION
O.OF BLDGS. BUILDING / ``qqff LOT./' NOW ON LOT ADDRESS / O ?0 /v`( ko q
TRACT BLOCKJ c LOT N LOCALITY a
TEL. T
NEARES
OWNER e ) r 6 IGssI NO. y.?SoYS/ CROSS ST.
ASSESSOR
ADDRESS /0 769 A11' 10
A% 0 Q n MAP BOOK PAGE PARCEL
p/1
DISTRICT GROUP ITYPE FIRE PROCE SED BY
CITYT -(? _/� ZIP /7pV •� d CONST,/ E
ARCHITECT CISTEL.
ENGINEER �/� ' NO. O
STATISTICAL CLASSIFICATIONSEWER MAP
ADDRESS O Q 5 CLASS NG��_DWELL.UNITS BK PG
TEL. C_
CONTRACTOR ie NO UNE NOP /�
LIC .
ADDRESS NO, PECIAL
CITY LIC. CONDITIONS
CONSTRUCTION LENDER CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
NAME AND BRANCH BLDG.SETBACK FROM
FRONT PROP.LINE OF (STREET)
ADDRESS CITY HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING
SQ. FT NO. OF NO. OF CHFBCK FRONT PROP. LINE HIGHWAY WIDTH
SIZE STORIES FAMILIES -ONE
DESCRIPTION OF WORK NEW ❑ O
.y�� BLDG.SETBACK FROM v
�' ' yi I G ADD ❑ SIDE PROP.LINE OF (STREET) CC
fOk LTER HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING v
REPAIR❑ SIDE PROP. LINE HIGHWAY WIDTH LJ
LL
USE OF + - h
EXISTING BLDG. j l"c-E. DEMOL ❑ Z
APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑
(PRINT) NO.
BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑
IN COASTAL PERMIT ZONE YES ❑ NO ❑
VALUATION$/a�� 9U (,J
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE 5Tj1TE OF -CALIFORNIA IN RELATING TO
WORKMEN'S COMPEN TION INSURANCE.
SIGNATURE OF
PERMITTEE
ADDRE`SS/O' O TE
CITY/ , NO. Y SD DFINAL BY
ATE
,NAGE CH KS PAYABLE TO: FEE $ FEE
HARVEY T. BRANDT, COUNTY ENGINEER /.
PLAN'CHECK VALIDATION CK. M.O. CASH PERMIT VALIDA ION(.CK./-.-. CASH
/ 9 _-)r_„AV :L0 i U 2 1.7 5
76AG38A C6#803 3/74 `��
r y
. WOkKERS'COMPENSATION DECLARATION
herebm,fiat I havecertificate of consent to self APPLICATION F®R BUILDING P E RM I T
insure-or
pr a a c&r>4ficate of Workers'Compensation Insurance,
or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company 'Cuy/J BUILDING
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN j ADDRESS IO 7D2� 'A.641114
�1 Certified copy is filed with the county building inspec-
tion department.
ADDRESS d / LG
!A-d�/v /�
Date
4j—a-�O (Applicant CITY �UW LG 6I ZIP LOCALITY E,�i ti
CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. PE)Q$t U A4
n�T
(This section need not be completed if the permit is for one �- ASSESSOR
hundred dollars($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL
TEL. USE ZONE MAP c7 Q4T
I certify that in the performance of the work for which this OWNER �fi.-VI' C/i si NO. Z'� �(1 NO. <-E.>
permit is issued,I shall not employ any person in any manner 1`�,y� SPECIAL I
so as to become subject to the Workers Compensation Laws. ADDRESS .S /¢e+>✓�� CONDITIONS UO
CITY ZIP ad
Date Applicant
NOTICE TO APPLICANT: If, after makingthis Certificate of ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY
ENGINEER NO.
Exemption, you should become subject to the Workers' CONST. ZONE
Compensation provisions of the Labor Code, you must forth- ADDRESS s`V ^� 3
with comply with such provisions or this permit shall be TEL. /� STATISTICAL CLASSIFICATION APT. ONDO. g
deemed revoked. CONTRACTOR C012 47 10.&
�^ NO. 'T q'
LICENSED CONTRACTORS DECLARATION LI Ce CLASS NO. —DWELL. UNITS
—
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS270 �• J►•r!l�i369<N_ -� / SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and LIC.
Professions Code, and my license is in full force and effect. CITY q'a CLASS BK PG VALIDATION
SQ.FT., NO.OF / NO.OF CHECK
License Number Lic.Class SIZE Z STORIES f FAMILIES ONE
VALUATION
DESCRIPTION OF WORK
NEW $ QQv
Contractor Date ADD $ )
I am exempt under Sec. O ALTER
vs
�•
B.BP.C. for this reason REPAIR $ �2096
Date: USE OF DEMOL r# 0 0 0 0 0
EXISTING BLDG.
APPLICANT TEL.
Signature (PRINT)0,0.,V --C60-6dj eM. FINAL C 1 0 1 0 6 1
OWNER-BUILDER DECLARATION �o Q DATE / b
I hereby affirm that I am exempt from the Contractor's License ADDRESS 0 fA./ C� "1 Wf/ R&ft
Law for the following reason (Section 7031.5, Business and v FINAL 1 61
Professions Code): PRESENT By ( o 0 0
❑ BUILDING
1, as owner of the property, or my employees with ADDRESS U,2 3—8 5
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 YARD HWY TOTAL SETBACK FROM
CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH
I hereby affirm that there is a construction lending agency for FRONT
the performance of the work for which this permit is issued P.L.
(Sec. 3097, Civ. C.). SIDE
P.L.
Lender's Name
LDMA Ref. #
P.C.Fee$ Permit Fee !
Lender's Address _
I certify that I have read this application and state that the Issuance.Fee S LDMA P/C#
above information is correct. I agree to comply with all County Investigation Fee �( j
ordinances and State laws relating to building construction, Total Fee V . r LDMA Perm. #
U and hereby authorize representatives of this County to enter
upon the above-mention Rroperty for inspection purp=oses.
cJ SEE REVERSE FOR EXPLANATORY LANGUAGE
•o
Signature of Aoplicant or Agent Dat
• 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 0611150002
PHONE: (626) 285-0488 ERT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 17867 LT. 29 SQ. FT STORIES TYPE 10708 MILOANN ST
STRUCTURE: VN TEMP CA 917803413
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: PERSIMMON
5574-002-005 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 11/15/06 JK 11/10/07
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
GALASSI DENNIS J;LINDA (626) 442-5048- 2,600 'L�/1_ {�
10708 MILOANN ST fLL ((4� Jo
TEMP 917803413 FEES PAID DESCRIPTION OF WORK
REPLACE 1 BAY WINDOW AND RE-STUCCO FRONT HOUSE ONLY
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 2600.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC 2600.00 VAL 99.00
FR INV WORK W/O PERMIT 257.00 DOL 257.00
TOTAL FEES 384.25
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: UNDERFLOOR INSULATION
147H273 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 LATS
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508