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Home My Public Portal About10726 MILOANN ST_Building__ WIAPPLICATION FOR -BUILDING PERMIT � COUNTY OF LOS.ANGELES' -ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL - BUILDING AND SAFETY" DIVISION BUILDING 61AKE CHECKS PAYABLE TO: ADDRESS O L 7J HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN NEAREST" Q , Print ort a onl CROSS ST: DISTRICT NO. GROUP TYPE P OQESSED BY BUILDING ��aG! CONS'(. ADDRESS Cf V K�LC.s+t+a STATISTICAL CLASSIFICATION SEWER"MAP LOT NO.: BLOCK . tZ CLASS NO. -DWELL.UNITS � BK PG(V TRACT' f USE ZONE MAP NO.OF BLDGS.'. NO: SIZE OF LOT �� NOW.ON LOT- (2-1 SPECIAL. USE OF CONDITIONS . EXISTING BLDG. rr OWNER d BLDG.SETBACK FROM ADDRESS�Q FRONT PROP.LINE OF. (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL Lie HIGHWAY WIDTH FROM C.L. ARCHITECT OR TEL: + ENGINEER NO. . BLDG.SETBACK FROM ' a ADDRESS SIDE PROP.LINE OF, (STREET) TEL. - TYPE OF EXISTING SETBACK HIGHWAY - + YARD = TOTAL C CONTRACTOR UOZ-� NO. HIGHWAY WIDTH FROM C.L. C ADDRESS `��✓� NO. + G LIC. - _ col CITY CLASS CORNER CUTOFF. YES'❑ NO CONSTRUCTION LENDER NAME AND BRANCH k1 UNC SEE REVERSE-SIDE-FOR SREC ,LAPPROVALS ADDRESS _ SQ. FTs:Z.::?P} NO. OF ii NO. OF' NEW ❑ SIZE STORIES 1 FAMILIES ' USE OF ADD STRUCTURE h_( - 1 ALTER ❑ :��?� ��'J,',,P" >�F�e+)»• ?'d,. `+:�:' ! S A-: REPAIR❑ r.. y`. ..! _;� // / f3.v , e!�/G: ro SIGNATURE OF ,.+' APPLICANT DEMOL ❑ r / VALUATIONS (,�� APPROVALS INs TURF P.C, PMT, r" ?_� FOUNDATION: LOCATION FEES' FEE$ FORMS, MATERIALS. FRAME: FIRE-STOPS, / I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING, BOLTS !/ AND STATE THAT THE ABOVE AS CORRECT AND AGREE TO:COMPLY. FURNACE: LOCATION,- _ WITH ALL ORDINANCES AND LAWS REGULATING BUILDING-CON- GAS VENT, DUCTS STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED _ HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OF THE STATE OF -CALIFORNIA IN--'RELATING TO : I I ;mrdyy/,; .L;tw�•� . WORKMEN'S COMPENSATION INSURANCE. L' r ' V AT'H, EXT,- jD f "y SIGNATURE-0 F r � HOUSE-NUMBER COR= ' PERMITTEE RECT-AND POSTED �J ADDRESS FINAL PLAN CHECK VALIDATION CK. M.O.- CASH _ P .'VALIDATION CIi: M.O. CASH ►_,' .;.0 '.1 s 3?3 .;'IAft 2 1 '� 3 5.2.5 N DEPARTIMST OF COUNTY ENGaaft '"ONION OF BUILDING AND SAFETY . COUNTY OULOS LOS ANGELffi .O WILLIAM J: FOX, COUNTY ENGINEER -� CASSATT'D. GRIFFIN, SUPT OF BUILDING APPLICATION FOR APPLICANT TO FB.L IN FOR OFFICE USE.,ONLY BUILDING DISTRICT NO. PLAN CK.OR REC.'NO. PERMIT NO. ADDRESS LOCALITY RECEIVEDAY DATE'OF'APPL.. DATE ISSUED . NEAREST f CROSS ST a BUILDING OWNER a 0 f, ADDRESS.MAIL co nn ADDRESS I'/ r i LOCALITY q NEAREST TEL. CROSS ST. CITY r " O ARCHITECT OR TEL. ZONE ,� I PLANS �S NO. "I TYPE -: I IJ CiROU�— ENGINEER NO. • ADDRESS BLDG. ✓ R NO. SETBACK LINE CONTRACTOR �e U I N I USE APPROVED ZONE "I BY'. DA ADDRESS HOUSE NUMBERING LEGALMAP NUMBER d S/ NO: ASSIGNED BY • DESCRIPTION LOT NO. 21, BLOCK CORRECTIONS TRACT 7. ) 3 — NO. OR BLDGS. SIZE OF LOT _ I• NOW.ON LOT USE OF NO. OF _. EXISTING BLDG. FAMI Ie DES-AWTION OF WORK RE AIR -I DEMOLITION TIbN I ' ADDITION z BQ..FT. Q NO. OF" SIZE 1 ROOMS STORIES. CRF O EKING U C C. I COVER NG Q.OrA�• USE OF STRUCTURE 3 a: a A'FPBOVALS: .INSP 'S SIGNATURE: " DATE FOUNDATION:LOCATION ePay�� FORMS, MATERIALS ..00�ti tt99 1.HEREBY ACKNOWLEDGE THAT 'I HAVE READ THIS AP- FRAMEd FIRE STOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS CORRECT. FURNACE:LOCATION. 1 AGREE TO COMPLY RNA WITH ALL. COUNTY ORDINANCES;, RNAGAS ENTDUCTS AND.STATE.LA ULATING BUILDING CONSTRUCTION.. VENT.- SIGNATURE OF r 'LATH, INT. PERM Al e QIP -LATH. EXT. r _ ADD PLASTER, INT.— AUTHORIZED'AGT. PLASTER, EXT. $ d O P. C. $ S. HOUSE NUMBER COR= r.7.W FEE �j/ RECT AND POSTED VALUATION FINAL / O 78A888A DEW 3 8-82 1 „WORKERS' COMPENSATION DECLARATION hereby affirm that I have certificate of consent self ®P L I CAT'® BUIL®I PERMIT E IT insure, or a certificate of Workers' Compensation Insurance, �® or a certified copy,thereof (Sec. 3800, Lab. .) COUNTY OF LOS ANGELES , • ;� BUILDING AN® SAFETY Policy NoblCompany Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ertified copy is filed with The unty building inspec- BUILDING f) t o/n partment. ADDRESS 6J Date ` Applic CITY ` ZIP LOCALITY NO.OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT r CROSS ST. COMPENSATION.INSURANCE2 ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK 9 LOT NO. f MAP BOOK PAGE aA PARCEL-12-6 hundred dollars ($100)or less.) TEL OWNER USE ZONE MAP NO. NO. I certify that in the performance of the work for which this /1 permit is issued, I shall not employ any person in any manner ADDRESS „y_/ SPECIAL O I� CONDITIONS so as to become subject to the Workers'Compensation Laws. U CITY ZIP Ce Date Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CON ZONE Exemption, you should become subject to the Workers' �� Compensation provisions of the Labor Code, you must forth- ADDRESS with comply with such provisions or this permit shall be TEL• STATISTICAL CLASSIFICATION APT. CONDO. N Z deemed revoked. '• CONTRALTO NO. LICENSED CONTRACTORS DECLARATION LIC. 3 CLASS NO. 4—r-0-/ DWELL. UNITS — I hereby affirm that I aADDRESS m licensed under provisions of Chapter 9 �j ` NO' SEWER MAP (commencing with Section 7000)of Division 3 of the Business LIC. ”' and Professions Code,and m license is in full force a effect. CITY CLASS BK PG� VALIDATION SQ. FT. NO. OF NO.OF CHECK License Numb Lic. Class SIZE STORIES FAMILIES ONE VALUATION ,� DESCRIPTION OF WORIE ' 1 NEW ❑ ::3 � Contractor �– e , yr $ 3'700 pjo4 ❑I am exempt under Sec. CJU 1/'L/✓ ADD - ALTER ❑ � � ° f B.&P.C. for this reason '' REPAIR ❑ $ Date: USE OF 1 EXISTING nel- _ DEMOL ❑ ACCT i APPLICANT TEL. AC 1°4 Signature (PRINT) �` ; FINAL OWNER-BUILDER DECLARATION S NO. DATE – �17 lav° I hereby affirm that I am exempt from the Contractor's License Low for the following reason (Section 7031.5, Business and 673 ADDRESS FINAL ,3 ITEMS Professions Code): PRESENT By I El1, as owner of the property, or my employees with BUILDING TOTAL 20"R .34 wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section *LOCALITYCHECK/ G+1°.,� 7044, Business and Professions Code.) MOVING TEL. I ❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. CHANGE °[I[I with licensed contractors to construct the project (Sec- 3 tion 7044, Business and Professions Code.) ADDRESS �y a CONSTRUCTION LENDING AGENCY REQUIRED BACK YARD HWY TOTAPROPALINEFROM WIDTH rJ�–Q��1 ��14/�� I hereby affirm that there is a construction lending agency for FRONT 1 t+°46the performance of the work for which this permit is issued P.L. u° (Sec. 3097, Civ. C.). SIDE P.L. Lenders NameA4- 7,/ P.C. Fee$ , '71 Permit Fee dLDMA Ref. # Lenders Address 1 certify that I have read this application and state that the Issuance Fee 1;7 73� LDMA P/C# POl above information is correct. I agree to comply with all County Investigation Fee j2 �l •` ordina and State laws relating to building construction, Total Fee . LDMA Perm. # and h re authorize representatives of this County to enter Upon b Z�re-mentio d prope y nspe • pur�poses. on o ___1 / SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or en Date COUNTY OF LOS ANGELES I 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 1001070013 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: ITR: 17867 IT: 26 SQ. FT STORIES TYPE 10726 MILOANN ST I ISTRUCTURE: 25 V-B I TEMP CA 917803413 ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: 18574-002-002 I THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl (TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: (EXIST OCC GRP: 101/ 07/10 SR OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: JFIYAL DATE FINJ&L Y: CODE: 1VALDEZ RAYMOND (626) 445-1215- I 6,500 10726 MILOANN ST TEMP 917803413 FEES PAID IDESCRIPTION OF WORK 1 I TEAR OFF TO EXISTING SHEATING, INSTALL 30 LB FELT + 40 YR I [FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: GAP ASPHALT SHINGLES 25 S.F. APPLICANT: TEL. NO: I I IJN DAVIS ROOFING (626) 815-1279- IAA BLDG PERMIT ISSUANCE 27.75 I IAB STATE GREEN BLDG FEE 6500.00 VAL 1.00 ISPECIAL CONDITIONS: JAC STRONG MOTION RESID 6500.00 VAL 0.65 D2 PERMIT W/O EN-HC 6500.00 VAL 166.20 TOTAL FEES 195.60 CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE IJ N DAVIS ROOFING (626) 815-1279- I 11308 H. COLORADO BLVD., #B LIC. NO ILOCATION AND SETBACKS ]PASADENA, CA 93.106 572125C39 * - I ISOILS ENGINEER APPROVAL I I I (ARCHITECT OR ENGINEER: TEL. NO: - I IFOUNDATION/TRENCH FORMS I I I 1 LIC. NO: I (SLAB/UNDER FLOOR IRAISED FLOOR FRAMING I I I IMAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:J (UNDERFLOOR INSULATION I I I I147H277 3 001 I I I I I I IFLOOR SHEATHING I I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I NO 21 I ROOF SHEATHING SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I V I (AIR QUALITY: 1000 FEET MATERIALS I I I I I NO NO NO I IFRAME INSPECTION I I (REQUIRED TOTAL SETBACK FROM EXIST I IFIRE SPRINKLER HANGERS ISET BACK YARD: HWY: PROP LINE: WIDTH: I I I I I IFRONT PL- I (INSULATION/WEATHER STRIPI I I I SIDE PL- I I 1-1 I NTERIOR LATH/DRYWALL I I I I (EXTERIOR LATH I I IRATED FLOOR/CEIL ASSEM. I I I I [RATED WALL ASSEMBLIES I I I IRATED SHAFTS/OPENINGS I I I IT-BAR CEILINGS I* ADDITIONAL DATA ON FILE ILOT DRAINAGE I I I (REPORT ID: DPR261 ROUTE TO: BS0508 I I I I