HomeMy Public PortalAbout9944 MILOANN ST_Building__ f(iA6:3AdA DBS•8 I Y-S4 -
1. APPLICA'`TI-®•IV FCR. BUILDING PERMIT 1
DIVISION OF BUILDING AND SAFETY BUILDING 9 9�/r�/
Department of County Engineer ADDRESS �7^/
County of TAS Angeles LOCALITY / r
WM.J. FOX, COUNTY ENGINEER
CASSATT D:GRIFFIN,SUPT of BUILDING NEAREST' /t
CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE SEWBER MAP
BUILOING CONST
ADDRESS if i727..�.�,. hiAP 2 !//' STATE
NUMBER 0 /9 HWY ,
LOT NO. 2-- BLOCK USE ZONE SPECIAL
17
CONDITIONS
TRACT. /7/ / q 6OD
_SIZE OF LOT /J �G I NOW ON LOTS
�jD /� Lr BU LDINGEXIST.
USE OF ,�.ss p
SETBACK YARD HWY STREET NAME WIDTH
EXISTING BLDG. FRONT
P. L. != r�
OWNER SIDE
MAILP. L.
ADDRESS
TEL.�/ t DWELL. I UNIT 5 INDUSTRIAL
CITY, NO./Z T� I 2 DUPLEX_UNIT 6 PUBLIC BLDG.
ARCHITECT OR V TEL.
ENGINEER NO. 3 APT. UNITS 7 ADDN.,ALT.,ETC.
ADDRESS ¢
COMMERCIAL - 8 MISCEL.
CONTRACTOR NO.
. 31 INSPECTION RECORD I
ADDRESS '�st?� )fiSL?• t1.t114i� FLL �� "t e- '?.'Y G. �.4A6",6 _
DESCRIPTION OF. WORK
NEW ADD 'ALTER REPAIR DEMOLISH Y
SO. FT. NO. OF NO.OF .r
SIZE � h 2) STORIES FAMILIES F
USE O STRUCTURE
SIGNATURE OF
APPLICANT L2pAPPROVALS
ADDRESS , DATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION• aZ `5 r
S ��O FORMS, MATERIALS 1 l • S'L s
FEE
FRAME: FIRE STOPS, Epl,,� 1Al
VALUATION S �_ BRACING,BOLTS c ?,S A r A•.. ._. -
FEE i FURNACE: LOCATION,
GAS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS VENT,DUCTS AI� tt�
APPLICATION AND STATE THAT THE ABOVE tS CORRECT .II�}+•11
AND AGREE'TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT.
AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION. LATH,EXT. %L
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED (�
-
ADDRESS FINAL
WM. J. FOX. CouNrV F.HamEER WMATION ,
DEPUTY DEPUTY
— r
BY BY
Z) DEPUTY DEPUTY
76A638A CE#8032-63 APPLICATION FOR- BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING. �� /Go�-,�✓.t/
DEPARTMENT OF COUNTY ENGINEER .
BUILDING AND" SAFETY DIVISION LOCALITY ��'��G� �f
JOHN A. LAMBIE, COUNTY-ENGINEER NEAREST Ai J)�i°/ri j
WILLIAM A;JENSEN,SUPT OF BUILDING CROSS ST. It'GdL�j�J /V
DIST CTP TYPE PROCESSED BY
FOR APPLICANT TO FILL'IN )5 GR CONST.
FDDRESS
STATISTICAL CLASSIFICATION SEWER MAP
BK�
CLASS. NO. DWELL.UNITS
. 7 BLOCK WATER NOT REQUIRED ❑ RECEIVED
y CERTIFICATE:
TRACT Y� STATE MAJOR SECONDOIL
MAP rS ! HIGHWAY
NO.OF BLDGS. NO. �Z+�GJ (CIRCLE)
SIZE-OF LOT X NOW ON LOT USE ZONE SPECIAL •
USE OFCONDITIONS
EXISTING BLDG.
TEL. 7004 0
OWNER % ;NO. BUILDING YARD HWY STREET NAME EXIST.
�.. SETBACK WIDTH
ADDRESS9414 A,4c id'
FRONT
ARCHITECT OR TEL. P. L.
ENGINEER NO. SIDE,
P. L. O.
ADDRESS O
TEL. V
CONTRACTOR NO.
ADDRESS O
DESCRIPTION-OF WORK w
D_
N
NEW ADD ALTER REPAIR DEMOLISH Z
SQ.FT.' NO.OF NO. OF
SIZE STORIES FAMILIES
USE OF.
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION $ z a6_
APPROVALS DATE INSPECTOJeSWGNATURE
P.C. PMT. FOUNDATION: LOCATION
FEE $ - FEE $ FORMS, MATERIALS
FRAME: FIRE STOPS,
'I HEREBY ACKNOWLEDGE THAT I HAVE READ-THIS APPLICATION BRACING. BOLTS 7r)
AND STATE•THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE- LOCATION.
WITH•ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS '
BUILDING CONSTRUCTION. •I'CERTIFY THAT,IN DOING THE WORKrw----
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. 6 ��•6;p`-}r•'� ,�
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. '
y.. Y`.
INC TO WORKMEN'S COMPENSATION INSURANCE: LATH,EXT. '- '� lE ;dyf„-�
SIGNATURE OF � [C� - Q HOUSE NUMBER COR.
PERMITTEE�¢ y� �.�� o� `�$� RECT AND POSTED
ADDRESS FINAL
JOHN F:LEWI.S, PRINCIPAL ST C RAL ENGINEER
PLAN. CHECK:VALIDATION CK. Wa. CASH _ PERMIT VALIDATION . CK. M.O. CASH
lJ ,o o AUG-24 4 1• D 1 7.2 5 N
all,
9 C/,7
76A636A CE#6032-63 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ADDRESS
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. A.JEN E, COUNTY ENGINEER NEAREST J)��/��
WILLIAM A.JENSEN, Sup•T OF BUILDING CROSS ST.
DIST CT GR P TYPE PROCESSED BY
FOR APPLICANT TO FILL IN X. CONST.
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS BK�PG
CLASS. NO. DWELL.UNITS
LOT NO. BLOCK WATER
CERTIMAP FICATE; El
NOT REQUIRED ❑ RECEIVED ❑
TRACT NO. +�6J HIGHWAY
STATE MAJOR SECOND SR
v NO.OF BLDGS.
SIZE OF LOT K NOW ON LOT USE ZONE SPECIAL
USE OF �y CONDITIONS
EXISTING BLDG. C
TEL.
OWNER �. NO. BUILDING YARD HWY STREET NAME EXIST.
�., SETBACK WIDTH
ADDRESS FRONT
' ARCHITECT OR TEL. P. L.
ENGINEER NO. SIDE
CL
ADDRESS P L 0
O
TEL. V
CONTRACTOR ' NO.
ADDRESS O
DESCRIPTION OF WORK W
a
y
NEW ADD ALTER REPAIR DEMOLISH Z
SQ.FT. NO.OF NO. OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION $ ��
APPROVALS DATE INSPECTO S GNATURE
P.C. PMTFOUNDATION: LOCATION /
FEE $ FEE. FORMS. MATERIALS e
FRAME: FIRE STOPS. 1.4
[ HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS '"I_cf
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK F `L�1 ♦ _
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT. `: 'A ( i�
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE11� �'�c��— RECT AND POSTED
ADDRESS 1 7AiAl NOL10 ---� FINAL
JOHN F. LEWIS. PRINCIPAL ST C RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
LU;uo 0 7 3 1 AUG 2 4- 1D 1 7.2 51 c'
WORKERS'COMPENSATION DECLARATION
.'I hereby affirm that I have a certificate of consent to self I APPLICATION FOR U I L D I N G P E RM I T
insure, or a certificate of Workers' Compensation Insurance,
or-acertified copy thereof(Sec. 3800, Lab. C.) I COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy Nmpany T"19 BUILDING
❑ Certified copy is hereby furnished. °°FOR APPLICANT TO FILL IN ADDRESS
Certified copy is filed with the county building inspec- BUILDING
-{.q�-I 16.D ANNtion de arrtment.
k- q• Likj k se(d- B CITY EN�PL C IT ZIP C LOCALITY
Date Applicant NO.OF BLDG5. NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST.
COMPENSATION INSURANCE ASSESSOR
(This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL
hundred dollars ($100)or less.)
OWNER � � 19 400 $0 1 USE ZONE MAP
I certify that in the performance of the work for which this e 4,r w p�A No
.
permit is issued, I shall not employ any person in any manner ADDRESS�I_L`4 4 )AILb X0111/ SPECIAL CONDITIONS n•
so as to become subject to the Workers'Compensation Laws. O
CITY 1S CJ ZIP 87 pK/
Date Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY 0
NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. a CONST. ZONE
Exemption, you should become subject to the Workers' ��® � 3
Compensation provisions of the Labor Code, you must forth- ADDRESS ,,` a
with comply with such provisions or this permit shall be �9OLQUC VPGT'7M 14cK I GT STATISTICAL CLASSIFICATION APT. CONDO. N
CONTRACTOW Nkli� 1p' a °vi • Z
deemed revoked. �q �/
LICENSED CONTRACTORS DECLARATION ��d� LIC. �p� CLASS NO..�DWELL. UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS TM`fwt NC;. �a 7� SEWER MAP
(commencing with Section 7000)of Division 3 of the BusinessLIC.
and Professions Code,and my license is in full force and effect. CITY C_LA18_ 0&• CLASS C-31 BK PG VALIDATION
e,ee SQ. FT. NO.OF NO.OF CHECK
License��Number Y� Lic. Class C'34 SIZE STORIES FAMILIES ONE
&°LW U10- w VALUATION
Contractor TJX► Date ' '� I DESCRIPTION OF WORK)I�"�'!� � A NEW ❑ $
❑I am exempt under Sec. wbao
S G�sa� �Si A ADD ❑ om
Y B'-�LJ ►
ALTER ❑
B.BP.C. for this reason CAV Ste• bOEL- 09A° REPAIR ❑ $
Date: USE OF
EXISTING BLDG.- DEMOL ❑
Signatu � APPLICANT �L• FINAL
gf4VNER-BUILDER DECLARATION (PRINT)GL�`Q ���Q - NO. 85-7`B�1 �DATE
S—
I hereby affirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031.5, Business and ADDRESS t0 w 1tN' C4%P_ FINAL
Professions Code): PRESENT By '
El 1, as owner of the property, or my employees with ADDRIESS CC'j VSs
wages as their sole compensation,will do the work and .,
the structure is not intended or offered for sale(Section LOCALITY ® 33 j7 157.
7044, Business and Professions Code.) MOVING TEL.
❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. 1 -n
with licensed contractors to construct the project (Sec- ADDRESS TOTAL -187 - 1-4
tion 7044, Business and Professions Code.) [ 187.14 CONSTRUCTION LENDING AGENCY SETQBACK YARD HWY TOTAPROPA INE FROM WIDTH CHEEK 1V f o 14
I hereby affirm that there is a construction lending agency for FRONT CHANGE o`IL
the performance of the work for which this permit is issued P.L.
(Sec. 3097, Civ. C.). SIDE
P.L.
Lender's Name 10130-131301 61241/41
gLDMA Ref.#
P.C. Fee$ Permit Fee /- �
Lenders Address , W[D 1 Arl11:01
a I certify that I have read this application and state that the Issuance Fee ' DSO LDMA P/C#
R above information is correct.I agree to comply with all County Investigation Fee
ordinances and State laws relating to building construction, Total Fee LDMA Perm. #
c and hereby authorize representatives of this County to enter
upon the above-mentioned property for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant or Agent Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS I ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0504080001
PHONE: (626) 285-0488 EXT:
LEGALD: NO. OF CONSTi I GADDRESS:
TR: 12268 LT: 24 SQ. FT STORIES TYPE 9944 MILOANN ST
STRUCTURE: 45 VN TEMP CA 917803927
ASSESSOR-INFORMATIONNEAREST CROSS STREET:
8589-007-017 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, C
A - S 5 S 0 S P .
EXIST OCC GRP: S 0• 04/08/05 JK 04/03/06
OWNER- TEL. O: 6LDGS. NOW ON LOT: VALUATION: NAL p FINAL BY: CODE:
RIESAU VICTOR D;BEVERLY (626) 444-3698- 11,000 L/,G
5336 VILLAGE CIRCLE
TEMP 917803360 FEES PAID DES 0 0 K
REMO E EXISTING CAL SHA E INSTALL 1/2" CDX PLYWOOD INSTALL
FEE DESCRIPTION: QUANTITY: UDM: AMOUNT: 30 YR ELK CLASS "A" COMPOSITION HOUSE AND GARAGE
APPLICANT:
E
TOP NOTCH ROOFING (626) 305-1122- AA BLDG PERMIT ISSUANCE 27.75
1615 SO. MAYFLOWER AC STRONG MOTION RESID 11000.00 VAL 1.10 SPECIAL CONDITIONS:
MONROVIA D2 PERMIT W/0 EN-HC 11000.00 VAL 233.40
TOTAL FEES 262.25
CONTRACTOR: TEL. 0: APPROVALS DATE INSPECTOR SIGNATURE
TOP NOTCH ROOFING (626) 305-1122-
1615 S MAYFLOWER LIC. NO LO,ATION AND SETBACKS
MONROVIA CA 91016 635825HIC
SOILS ENGINEER-APPROVAL
ARCHITECT OR E 0: E C S
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOORFRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
147H269 3 01
0. 0 S: DWELLING NTS: P COND: STAT CLASS: FLOOR SHEATHING
NO 21 ROOF SHEATHING ,Z
SCHOOL DO SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO F HE INSPECTION
REQUIRED TOTAL SETBACK FROM IST FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
OR A
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
i
RXrE
D SHAFTS/OPENINGS
-B R CEILINGS
* ADDITIONAL DATA ON FILE
LOT ]DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508