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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