HomeMy Public PortalAbout9811 MILOANN ST_Building__ APPLICATION FOR BUILDING -PERMIT
-FOR APPLICANT TO FILL IN (Print or type only)
BUILDING" COUNTY OF LOS ANGELES
• ADDREFSS -f// _ DEPARTMENT OF COUNTY ENGINEER
CITY ZIP BUILDING AND SAFETY DIVISION
7z)e = NO.OF BLDGS. BUILDING �j • ;
SIZE O�LO NOW ON LOT ADDRESS o
a
TR BLOCK L R%Xae LOCALIT
�l�7+iv � � TEL NEAREST
OWNER J� NO ]2)/ CROSS ST.
��J ) ASSESSOR
ADDRESS �f2L.liP-CF�YrC/ MAP BOOK PAGE PARCEL
DISTRICTGROUP TYPE FIRESED BY
CITY ZIP T CONST. ZONE `
ARCHITECT Oft TEL.
ENGINEER NO.
STATISTICAL CLASSIFICATION _EWER MAP
ADDRESS CLASS NO.�DWELL.UNITS B PG
CONTRACTOR , N0Lp'j USE ZONE MAP /
ADDRESS - a NOLIC., 00 SPECIAL
LIC. CONDITIONS
CITY - CLASS
ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
CONSTRUCTION LENDER ,� Q
NAME AND BRANCH � / BLDG.SETBACK FROM C
FRONT PROP.LINE OF (STREET)
ADDRESS CITY C
HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING
SQ. FT. NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH c
SIZE STORIES FAMILIES ONE F
+/�d - °
DESCRIPTION OF WORK NEW ❑. + n
BLDG.SETBACK FROM v
ADD SIDE PROP.LINE OF (STREET)
Z/ ALTER ❑ HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
REPAIR[I
SIDE PROP. LINE HIGHWAY WIDTH
USE OF
EXISTING BLDG. DEMOL C] +
APPLICANTTEL �j CORNER CUTOFF YES ❑ NO
S ❑
(PRINT) �/ve� /_ 11,d ,1- 0. 07 J�77p
BY (SIGNATURE) .��� 1N OPEN SPACE YES ❑ NO ❑
Op IN COASTAL ZONE YES ❑ NO ❑
VALUATION$ QQ� CATEGORICAL EXEMPTION YES❑ NO ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE)
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE)
HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE ^or �- >6/
1
LABOR •CODE IN RELATING TO .•
WORKMEN'S COMM THE STATE OF CALIFORNIACALIFOPENSATION INSURANCE. Pp'C c;u )(G/
SIGNATURE O
PERMITTEE
ADDRESS 6 II Ills P�� / J rA
TELNO. FINAL BYE
DATE f
. �y�, r/
' CITY o�
MAKE C.HEC KS PAYABLE 7'0: FEE $ FEE
HARVEY T. BRANDT. COUNTY ENGINEER ` G;
PLAN CHECK VALIDATIONK. M
C .O. CASH o PERMIT VALIDATION CK.' M.O. CASH
7 '7�OMP 523 65.70.:.
t�'
17 1 1.:0 9.5 0.AS
78p698A CE#809 12/72 n) - � r ^.
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 1 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS . � 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0012180020
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDINGADDRESS:
TR: 12830 LT: 9 BL: .001 SQ. FT STORIES TYPE 9811 MILOANN ST
STRUCTURE: 0 VN TEMP CA 917803926
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BALDWIN
8589-009-035 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED -BY: EXPIRES ON:
EXIST OCC GRP: 12/18/00 UT 06/17/01
OWNER: TEL. N0: i BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: n CODE:
GUNNELS WAYNE E;BEVERLY J (818) 286-3431- I 1 4,800 Ho��l
9811 MILOANN ST
TEMP 917803926 FEES PAID DESCRIPTION OF WORK
TEAR/OFF HOUSE AND GARAGE ROOF, INSTALL 1/2" CDX CELOTEX
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: CLASS A COMP. SHINGLE
APPLICANT: TEL. NO:
WEATHERITE ROOFING (626) 287-0669- AA BLDG PERMIT ISSUANCE 27.75
4016 TEMPLE CITY AC STRONG MOTION RESID 4800.00 VAL 0.50 SPECIAL CONDITIONS:
ROSEMEAD, CA D2 PERMIT W/O..ENaHl -----_-14800.00 VAL 132.60
��— _TOTAL-FEES 160.85
CONTRACTOR: TEL. NO• � . f
� DATE INSPECTOR SIGNATURE
WEATHERITE ROOFING (626) 287-0669-
4016 TEMPLE CITY BLVD LIC. NO yi,' dZ� r✓`�? 4•\`� LOCATION AND SETBACKS
ROSEMEAD CA 91770 H I C * 'd �•,'•`
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: EL. 0: FOUNDATION/TRENCHIV � ~~, FOR S
LIC. NOy , _ - -— `1 SLAB/UNDER FLOOR
AISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMF: i it I ^11 I1 rT, ` ii'!r' y� UNDERFLOOR INSULATION
147H260 3 _� L l I'J� _�f�� ��; FLOOR SHEATHING
0. O FAMILIES: DWELLING UNITS: APT/-00-99'.-STAT CLASS - --_ -- --- - -----
NO 21�\i- - --- } i-"-"- -"" " -"")""' ti ROOF SHEATHING
SCHOOL WITHIN A DOUS ! ` !- ,1 T f�'�¢ SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS ":. !% I f,
NO NO NO ,�� , '� ,r f I- \ ::! ;,, •` FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST '"�`�eec,, FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FSODE PL_ ''�� etiv- a�� ✓'� INSULATION/WEATHER STRIP
I T R OR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL ASSE .
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENING
T-BAR CEILINGS
* ADDITIONAL DATA ON FILE
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: SS0508