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HomeMy Public PortalAbout9950 MILOANN ST_Building__ •; RKE S'COMPENSATION DECLARATION hereby, affcfhqr I havecertificate of consent to self APPLICATION FOR • BUILDING PERMIT ",insure, or a certificate of Workers'Compensation Insurance, or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Pohicy No. i Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING W L tion Certified copy is filed with the county building inspec- BUILDING r1p� I LDA,1 I, ADDRESSr. � ���C C i tion department. ADDRESS ((�� SI/ 1✓/�/ /✓� h '�/ Date Applicant CITY PLt?r c ZIP ` / v LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST m j COMPENSATION INSURANCE SIZE OF LOT tJ LLf/d NOW ON LOT 3 CROSS ST. 5ife,D (This section need not be completed if the.permit is for one TRACT BLOCK LOT NO. ASSESSOR -hundred dollars($100)or less.) �J,�,,, p ' y� MAP BOOK PAGE PARCEL OWNER T MI IN �j NOL 6(✓`W USE Z NE MAP I certify that in the performance oft work for which this NO. permit is issued, I shall not em to erson in an manner �s ,/,/ I ,, (' , SPECIAL so as tolb e s ject to the yrk s'Comp s o aws. ADDRESS � t/ /' l"1491� ! CONDITIONS Q TZU Date Applica CITY �_'Y - ZIP U ARCHITECT OR TEL. .r NOTICE TO APPLICANT: If, after mak' g this Certificate of DISTRICT G OUP TYPE FIRE PR CFSSED BY O Exemption, you should become subject to the Workers' ENGINEER NO. !}t;/ CONST. / Z E V Compensation provisions of the Labor Code, you must forth- ADDRESS U IV/ yi with comply with such'provisions or this permit shall be" y deemed revoked. TEL. STATISTICAL CTSIFICATION APT. PPNDO. Z CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION LIC, CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS ' NO. 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 CLASS BK PG VALIDATION SO.FT.ddI► NO.OF_ NO.OF J CHECK License Number Lic.Class SIZE spa STORIES FAMILIES ` ONE �, 1 VALUATION Contractor Date DESCRIPTION OF WORK O VV J NEW 1:1s ® /N M ADD (J LJ l.I am exempt under Sec. �� / ❑ ALTER pill. . B.BP.C. for thi ason REPAIR ❑ $ Date •r USE EXISTOING BLDG. Gg; DEMOL ❑ Si natur APPLICANT TEL . g NER- IL R D RATION PRINT f H � NO. UO DATEL I hereby affirm that I a6f exempt from the Contractor's License � ��� r S 1 b 6 A Law for the following reason (Section 7031.5, Business and ADDRESS FINAL Professions Code): PRESENT By # o 0 0 0 a 1 ❑ BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and ' ( 0 1 2(l,8 8 the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. ❑ CONTRACTOR NO. I,as owner of the property,am exclusively contracting o 0 1 21L88'0 with licensed contractors to construct the project (Sec- t ADDRESS tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM T. 07,31 _86 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. (Sec. 3097, Civ. C.). SIDE DILIA P.L. o Lender's Name / �( LDMA Ref. # P.C. Fee$ Permit Fee 4 3 ^ - Lender's Address _ r I certify that I have read this application and state that the Issuance Fee e LDMA P/c# 3 above information is correct. I agree to comply with all County Investigation Fee 9 ordinances and State laws relating to building construction, i Total Fee J and authorize representatives of this County to enter J 1 LDMA Perm. # re S upt above-me prop rty ed for inspection purposes. _ SEE REVERSE FOR EXPLANATORY LANGUAGE D Signa pplicant or Agent Date COUNTY.OF LOS`ANGELES TEMPLE CITY # 0508, BUILDING PERMIT .. '-, „ 4r :• .'DEPARTMENT OF PUBLI,C,WORKS '9707, LAS TUNAS:'',;',° f;;;p',.: •RESIDENTIAL';ADD/AL'T/REP :., BUILDING-AND SAFETY % LAND DEVELOPMENT' : :':'� "TEMPLE:CI•TY,CA•''9.1780' BL' 0508`0208230004 , PHONE: .(626) 285-0488 EXT: .. ,. :. :���. ., ...•..:,;. _ ,`F CNS : B •L.' S:, , TR':-12268 LT: 23 ``I S.0..FT.'-STORIES 'T:YPE OCCUP'GROUP 9950 MILOANN,ST. ST VN :R3• '' TEMP.CA•:977803927 STRUCTURE 70.9 1• ASSESSOR UMBE GARAGE: NEAREST 'CROSS STREET:, BALDWIN/ yjFJ�" 8589-007-016 OTHER: : THOMAS PAGE:,.597.,.c GRID: B4 / LOO�eAALITY• EMPLE CITY, TENANT: S G • USE 0• S• g , EXIST OCC GRP: 10%18/02:' :.JIC 04/16/03 OWNERTE ,.! 0:' SLOGS. • ON OT:. VALUATION :I. FIAL BY: CODE: TSENG;YEN FOU AND HUEY JIE (6 26) 452-0188- 56,000 ' 9950 MILOANN ST TEMP.917803927 FEES I .S P O PIRED0 ..' R .. EXPAND SIZE OFJAMILY RM & LIVING RM;ADD OFFICE.&',ENTRY FEE DESCRIPTION.: OUANTIT.Y:.UOM: AMOUNT: APPLICANT: 0: .. SAME AS OWNER - B1.PLANCHECK W/ENERGY 56000.00 VAL 804.33. AA BLDG.PERMIT .ISSUANCE 27.75 SPECIAL CONDITIONS: AC STRONG"MOTION�RESID._,,----56000.00'VAL 5.60 B2 PERMIT W/EQRGYf_ '"`` ",5/4000:00 VAL 946.28 yC"+ �-EoTOTI�L fEES�, 1,783.96 . CONTRACTOR: TE N0: +l/�' APPROVALS DATE INSPECTOR SIGNATURE SAME AS'OWNER LIC. NO ,,�.r °�; LOCATION AND, SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OENGINEER: TEL. NO: ( "Ali ,a 0 D IO /T C R S LIC. N0� "'" ° SLA B UNDER FLOOR 3 $`"` 11 11 111 1 j fi RAISED FLOOR FRAMING MAP NO.: SEWER , AP.BOOK: PAGE: RE'ZO E: 0 P:: 0 -� y'. U DER FLOOR I'NSU AT 0 uBU ' L 3 1 A. `� 1J t ST L R S 0. 0 ES: DWELLING UNIVS: C D: STAT NO 21 ,..r :3 � ND E E F OOR S T SCHOOL ITHIN HAZARDOUS SEA I /eepp AIR QUALITY: R00 1000 FEET MATERIALS NO r ;: Y NO NO �>:,�.: l; :��,(``''��'� # �� FIRE DEP FRAME INSPECT �— TOTALREQdliED SETBACK IST , {�• ;''+r �`' \�/✓ BLDG DEPT. FRAME TWEETCIA— FRONT l SET BACK YARD: HWY: PROP LINE•: WIDTH: °'ti,` �/o `. ., © :- (A FRONT PL- C.�V P V!C@ SHEAR•PANELS - , y, SIDE PL- 0 S L P. S 'RIP /�3� 3 '•;7: INTERIOR AT j o3 IC LL A.3 A, b 3 p 'r CA 1 ER 1 NLM - I OT DRAI AGE :•r'' ' 1j FIR iDEPARTME T APPROVAL REPORT ID:. .PR261 ROUTE TO: BS0508