HomeMy Public PortalAbout9808 MILOANN ST_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLiGATiON YOlt Y1'anMJL.
COUNTY OF LOS ANGELES ® �
WM. J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.NO. PE'MIT NO.
BUILDING
ADDRESS `�/v+ m dTTP ,� �„/ S/f 6
LOCALITY J /7� P - /� 12911 /$ /_.l�¢rl RECEIVED BY DATE orAPPL. g.-DAT)E IISSUED
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MAIL �I A� LOCALITY
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CITY
T h� �,�� �i f�? TN L-a. 7- - ,�l_�G CROSS ST. 45;r I? Geo LDC'3NGr1�57
" �� FIRE NO.OF TYPE GROUP
ARCHITECT OR �e / TEL. ZONE PLAN
ENGINEER_ NO.
BLDG. e ORD.NO.
ADDRESS SETBACK LINE,," '-Y-,!
G+ APPROV��p/7
CONTRACTOR J / 'r NOLO BY `�'': F.!f y DATE
USE APPROVED
ADDRESS ZONE l BY DATE
LEGAL
DESCRIPTION LOT NO. BLOCK �p CORRECTIONS
TRACT
NO.OF SLOGS,
SIZE OF LOT 613 1G Q I NOW ON LOT
USE OF1 .e /� NO.OF NO.OF
EXISTING BLDG.90 nI e 9 W t I-I FAMILIEBI ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION O
A
REPAIR MOVING DEMOLISH p
Bq.FT. NO.OF t 2
81ZE Ie ® ROOMS STORIES r
WALL �� ROOF
COVERING J l/ /19 C/ I COVERING r� ,
UBE OF NEW �+/ /
BUILDING J h rJg C '4_
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVAL'S
APPLICATION AND STATE THAT THE ABOVE I8 CORRECT FOUNDATION:LOCATION y INBPE13TOR DA
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS.MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
�o _ FRAME: FIRE STOPS. E
SIGNATURE OF �i ._ BRACING.BOLTS t
PERMITTEr z Jia LATH, INT.
AUTHORIZED AMT LATH, EXT.
7BA63BA-3 2-30 P.D,B PLASTER.INT.
..�� �'
�O- REE PLASTER.EXT.
6 SIC
VALUATION FEE FINAL d.+-rte Ag I,fJ.
76A638A CEa8032-63 APPLICATION 'FOR BUILDING- PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER • ADDRESS ,
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST.
DISTRICT NO. ROUP YPE CESSED BY
FOR APPLICANT' TO FILL IN CONST._
5' D ,
BUILDINGSTATISTICAL CLASSIFICATION 4EWER MAP.'
ADDRESS 9608 Mlnann T.(;
CLASS. NO.�DWELL.UNITS �� �
LOT NO. BLOCK WATER
CERTIFICATE: NOT,REQUIRED RECEIVED
TRACT MAP HIGHway. 111///WWW
NO.OF BLDGS.
NO. , (CIRCLE) STATE MAJOR SECOND, OCAL
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL m .
USE OF CONDITIONS .
EXISTING BLDG. V/pv-
OWNER �Y�i.K. Els tun NO. BUILDING EXIST..
SETBACK YARD HWY STREW NAME WIDTH
ADDRESS FRONT.,
ARCben
HITECT OR TEL. P. L.
ENGINEER NO. SIDE
P. L. p;
ADDRESS 0
CONTRACTOR Vir in Roof C oilkT70507 cccc
ADDRESS 600 S.San Gabriel Blvd.. 10-
DESCRIPTION
DESCRIPTION OF WORK TX, 1 a
NEW, ADD . ',ALTER REPAIR DEMOLISH Z
SQ. FT. N NO. OF L --
SIZE STORIES FAMILIES
USE OF
STRUCTURE
Re-ro f hou a anlv..
SIGNATURE O -
APPLICANT
VALUATION $
o FOUNDATION: LOCATAPPROVALS DATE .s.-,INSPECTOR'JS SI'G-TIATURE
FEE
$ � FEE $8-00 FORMS. MATERIIAL.SION
FRAME: FIRE STOPS,-
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS
D
ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. - J/
WITH ALL COUNTY ORDINANCES. AND STATE LAWS REGULATING GAS VENT. DUCTS .] J
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I W LL'NOT EMPLOY Y PERSON IN VIOLA- LATH. INT. J
TION OF THE LAB R C OF TF`1E ST F ORNIA,RELAT-
ING TO:WORKMEN S 1 I•
LATH.EXT, i
SIGNATURE OF HOUSE NUMBER.COR.
PERMITTEE •RECT AND POSTED
ADDRESS,e FINAL f�
San Gabriel JOHN F. LEWIS, PRINCIPAL ST URAT- ENdINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
*: Li
Go 2' 4'6 8TAUs,1..1 1 b 8.00— co
M
WORKERS'COMPENSATION DECLARATION 840407 BG I
hereby affirm that I have certificate of consent to self APPLICATION F ORBUILDING PERMIT
insure, or a certificate of Workers'Compensation Insurance,
or a certified copy thereof(Sec. 3800, Lab. C.) I
Policy No1V84-22515 mpanf remont Indemnity ; COUNTY OF LOS ANGELES BUILDING AND SAFETY M
Certified copy is hereby furnished.
BUILDING
1:1FOR APPLICANT TO FILL IN ADDRESS �.
FCertified copy is filed with the county building inspec- BUILDING
XItiondepartment. ADDRESS 9808 E. Mi Joann LOCALITY
•` NEAREST
Date 8/22/84 Applicant Virgin Roof Co. cITY T m 1 e Cit zIP cROss sT. fl
CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. ASSESSOR
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
(This section need not be completed if the permit is for one USE ZONE MAP
hundred dollars($100)or less.) TRACT BLOCK LOT NO. NO.
TEL.
� SPECIAL �
I certify that in the performance of the work for which this OWNER Mrs. Elstun NO. CONDITIONS ti
permit is issued,I shall not employ any person in any manner DISTRICT .GROUP TYPE FIRE PROC SED BY 0
so as to become subject to the Workers'Compensation Laws. ADDRESS 808 E M i l oann CONST ONE r
CITY Tem 1 e Cit zIP
Date Appllcanf STATISTICAL CLASSIFICATION APT. CONDO. V
NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. U
Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO. DWELL. UNITS
Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP
with comply with such provisions or this permit shall be TEL.
deemed revoked. CONTRACTOR V i r i n ROOF CO NO. 28 �0 0 BK. 4ePGd 1 VALIDATION
LICENSED CONTRACTORS DECLARATION LIC.
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRE Q BOX J NO. 1606 0 VALUATION
(commencing with Section 7000)of Division 3 of the Business and LIC.
Professions Code,and my license is in full force and effect. CITY San Gabriel 91778 CLASS C39 $ Poo.
FT. NO.OF NO.OF CHECK
License Number 160650 Lic.Class C39 SIZE STORIES FAMILIES ONE
Contractor V i r4 i n Roof Co.Date 8/22/84 DESCRIPTION OF WORK NEW ❑ $
❑I am exempt under Sec. 220# Class A composition shing 691. El
ALTER ❑• FINAL
B.BP.C. for this reason 17 1/2 5 s• REPAIR ❑ DATE
Date: 1 USE OF FINAL �s
EXISTING BLDG. dwellingDEMOL ❑`
Signature APPLp IR NNT Virgin Roof Co. No287-0507
OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Q BOX J San Gabriel 91778
Law for the following reason (Section 7031.5, Business and ADDRESS P.O.
Professions Code): PRESENT 99.4
El
BUILDING o o o o o
I, as owner of the property, or my employees with ADDRESS
wages as their sole compensation,will do the work and ' , o () 9 F 8
LOCALITY
the structure is not intended or offered for sale(Section
7044, Business and Professions Code). MOVING TEL. - -
❑ I, as owner of the property,am exclusively contracting CONTRACTOR NO. C L Q _ 4
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
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.
I;Sec. 3097, Civ. C.). SIDE
'a P.L.
o Lender's Name p
.� P.C.Fee$ Permit Fee 8
Lender's Address
pI certify that I have read this application and state that the Issuance Fee 10.50
above information is correct. I agree to comply with all County Investigation Fee
ordinances and State laws relating to building construction, I Total Fee 49.88
and h by authorize representatives of this County to enter
upon eabove-mentioned pert for inspection urpos s.
p + SEE REVERSE FOR EXPLANATORY LANGUAGE
Si ure of Applicant or Agent Date ®s
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 0807140026
PHONE: (626) 285-0488 EXT:
(LEGAL ID: [ NO. OF CONST [ BUILDING ADDRESS:
ITR: 12830 LT: 31 I SQ. FT STORIES TYPE [ 9808 MILOANN ST I
I (STRUCTURE: V-B [ TEMP CA 917803925
[ASSESSOR INFORMATION NUMBER: [ [ NEAREST CROSS STREET: I
18589-008-022 [ [ THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
(TENANT: [EXIST BLDG USE: RESID USE ZONE: R-1 [ISSUED ON: PROCESSED BY: EXPIRES ON:
[ [EXIST OCC GRP: 107/14/08 SR 01/10/09 I
(OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: [FINAL DATEfY: CODE: I
TINSLEY DAN (626) 705-1930- I 250 I �7 r
19808 MILOANN ST [ [ IIS `gyp IH,Mo
(TEMP 917803925 [ FEES PAID (DESCRIPTION OF WORK [
[ [CLOSET DOOR, REPLACE DRYWALL AS NEEDED FOR KITCHEN REMODEL [
[ IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:[ I
[APPLICANT: TEL. NO: I I I
(SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.75 I I
I IAC STRONG MOTION RESID 250.00 VAL 0.50 (SPECIAL CONDITIONS: I
[ JB2 PERMIT W/ENERGY 250.00 VAL 48.02 I I
I IFR INV WORK W/O PERMIT 128.50 DOL 128.50 [
[ I TOTAL FEES 204.77 I I
(CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE [
ISAME A3 OWNER LIC. NO I (LOCATION AND SETBACKS [ I [
I [ ISOILS ENGINEER APPROVAL I I I
(ARCHITECT OR ENGINEER: TEL. NO: [ (FOUNDATION/TRENCH FORMS [ I I
[ LIC. NO: I (SLAB/UNDER FLOOR I I I
[ [ (RAISED FLOOR FRAMING I I I
(MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I [ I
1147H269 3 Ol[ I [ [ I
I I ]FLOOR SHEATHING I I [
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I
I NO 21 I (ROOF SHEATHING I [ [
[ SCHOOL WITHIN HAZARDOUS I ]SHEAR PANELS I [ I
IAIR QIIALITY: 1000 FEET MATERIALS I I I I I
] NO NO NO I ]FRAME INSPECTION I I
REQUIRED TOTAL SETBACK FROM EXIST I [FIRE SPRINKLER HANGERS I ] [
ISET BACK YARD: HWY: PROP LINE: WIDTH: I I I I
(FRONT PL- I [INSULATION/WEATHER STRIP( I I
I SIDE PL- I I -1-1 I
I I [INTERIOR LATH/DRYWALL I I I
I I [EXTERIOR LATH I [ I
[ [ (RATED FLOOR/CEIL ASSEM. [ I [
I [ IRATED WALL ASSEMBLIES [ [
1 I (RATED SHAFTS/OPENINGS
I I IT-BAR CEILINGS [ [ [
I I (LOT DRAINAGE I I
I (REPORT ID: DPR261 ROUTE TO: BS0508 [ I I I
I I I
AOUNTY OF LOS ANGELES TEMPLE CI:'� # 0508 SBUILDING PERMIT)
DEAARTMENT OF PUBLIC WORKS 9701 LAS TUNA'S _� RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 L8L-0508 9904280004
• PHONE: (626) 285=0488 "EXT:
EGA ID: NO. OF CONST NEW _B I DI G ADDRESS:
TR: 12830 LT: 31 SQ. FT STORIES TYPE OCCUP GROUP `ti •9808-MYL-OANN-ST
STRUCTURE: 141 1 VN R3 ,TEMP CA 917803925
ASSESSOR INFORMATION NUMBER: GARAGE: `NEARES•T-CROSS-STREET: GOLDEN WEST
8589-008-022 OTHER: THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY
S B G SUSE-20-W.- ISS. -O •: CESSE ,
5
EXIST OCC GRP: s V /28/99 — UT 10/25/99 .
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FIN L DATE FIA BY: CODE:
TINSLEY DANIEL P;SHALOM J (626) 286-2696- 1 10,580 3 D-a�
9808 MILOANN ST
TEMP 917803925 FEES PAID DESCRIPTION OF WORK
ADDITION OF 141 SQ. FT. BATHROOM
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TE O:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RES 10580.00 VAL 1.06 SPECIAL CONDITIONS:
AX BUILDING R I•EITFE 54.70
B2 PERMIT GE L E 0580 VAL 256.74
CONTRACTOR: TEL. NO: ®g ��A� 340.25 APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL Z
ARCHITECT OR ENGINEER: TEL. NO: - FO D 0 R NC FORMS
LIC. NO: SLAB/UNDER FLOOR
1111111
AISED FLOOR F NG
P NO: SEWER MAP BOOK: PAGE: FIRE ZONE: Tul
n nD ��� WO�K
NDERFLOOR INSULATION
U ILS^Su ST LEVEL OOR SH T
NO. OF FAMILIES: DWELLING S: APT/CO : STAT CLASS-:-
NO 21h ND LEVEL FLOOR SHEATH
SCHOOL WITHIN A DOUS \\ O AJi.
AIR QUALITY: 1000 FEET MATERIALS Q El d .f 00 S H G
NO NO NO El ® '+ �� FIRE DEPT. FRAME INSPECT
REQUIRED TOTAL SETBACK ROM EXIS 4� 0�� G DEPT. F S
SETBACKFRONT YARD: HWY: PROP LINE: WIDTH: ��c �ervuce'That� SHEAR PANELS
SIDE PL-
NS ION/W R STR
INTERIOR LATH/DRYWALL
EXTERIOR 6-21-4
LOT DRAINAGE
SMOKE D TECT 0 DEVICES
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS05O8