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Home My Public Portal About10114 NADINE ST_Building__ ADBt�e It so / APPLICATION FOR BUILDING PERMIT 1 It as bMSION OF BuiEDING AND SAFETY ADDRESS 'IYA4 40K Department of County Engineer County of Los Angeles LOCALITY JOHN A LAMBIE.COUNTY ENGINEER NEAREST CASSATT D GRIFFIN,SUP T OF BUILDING CROSS ST FOR APPLICANT TO FILL IN DISTRICT``NO, GROUP TYPE SEWBER MAP J CONST ANG DDREUILD188 /D/ MAP NUMBER aZ Q O H„A,iE YES O LOT NOgj ,4- BLOCK � CONDITIONS SPECIAL TRACT OO 0 SIZE OF LOT Q NO NOW OF BLDGS N LOT BUILDING YARD HWY STREET NAME EXIST USE OF SETBACK WIDTH EXISTING BLDG FRONTq� S OWNE SIDE �L MAIL P L ADDRE8 O TRACT DWELL 1 UNIT 5 INDUSTRIAL CITY T ,3 1 DWELL 1 UNIT 6 PUBLIC BLDG ARCHITECT R T 2 DUPLEX /2 UNITS ENGINEER NO - 7 ADDN ALT, ETC 8 Atyi UNITS 8 MISCEL ADDRES COMMERCIAL CONTRALTO TEL INSPECTION RECORD ADDRES i __0 DESCRIPTION OF WORN NEW ADD ALTER REPAIR DEMOLISH 80 FT NO OF NO OF SIZE STO IES FAMILIES USE I StRUaTURE ef-d-w- - SIGNATURE OF APPLICANT APPROVALS ADDRES DATE INSPECTOR S SIGNATURE C 4 FOUNDATION LOCATION P $ FORMS MATERIALS � FEE FRAME FIRE STOPS VALUATION $ BRACING BOLTS FEE FURNACE LOCATION 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH INT AND STATE LAWS REGULATING BUILDING CONSTRUC- TION LATH EXT SIGNATURE OR HOUSE NUMBER COR- i PERMITTE RECT AND POSTED ADDRESS—A3 FINAL JOHN A LAMBIE,COUNTY ENGINIZAR VAIMTION CLYDE N DIRLAM. CHIEF BLDG INSPECTOR CK MO CASH 7 5 91A SEP19 1 6 17.50 A _" o T 39 92In JAN 9 1 3500 0 • } WORKERS COMPENSATION DECLARATION APPLICATION FOR BUILDING PERMIT I t&4 affirm that I have a certificate of consent to self •insure, or a certificate of Workers Compensation Insurance, or d S%t3rWied copy thereof(des 3800 Lab C) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy leo � mpany 47r- V O BUILDING ❑ Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS (� ❑ Certified copy Is filed with the county budding inspec- BUILDING tion department ADDRESS l Date Applicant CITY ♦ ZIP LOCALITY T _ NO OF BLM NEAREST CERTII OF EXEMPTION OM WORKERS SIZE OF LOT CJS NOW ON LOT CROSS S7 COMPENSATION I URANCE 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 ) ++ TEL OWNER V NO S - d USE ZO MAP , I certify that in the performance of the work for which this SPECIAL a permit is issued, I shall not employ any person in any manner ADDRESS 0k)ACONDITIONS O so as to become subject to the Workers'Compensation Laws (J CITY ZIP ly Date Applicant ARCHITECT OR TEL DISTRICT GROUP TYPE FIRE I ITESSED BY O NOTICE TO APPLICANT If, after making this Certificate of ENGINEER NO CONST ZONE Exemption you should become subject to the Workers 5 p 2 uJ Compensation provisions of the Labor Code, you must forth- ADDRESS �/�� A✓ N N with comply with such provisions or this permit shall be TEL STATISTICAL CLASSIFI TION APT CONDO Z deemed revoked CONTRACTOR ` NO 60 LICENSED CONTRACTORS DECLARATION LIC CLASS NO a A DWELL UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 3 O 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 45A-0 62 CLASS rl:!> BK PG39 VALIDATION � ''� SQ FT NO OF NO OF CHECK License Number 9 56 Lic Class SIZE STORIES FAMILIES ONE VALUATION Contractor Contractor Date v DESCRIPTION OF WORK NEW ❑ �o ADD [Ell $ ► [:11 am exempt under Sec ALTER ❑ B&P C for this reason REPAIR ❑ $ Date USE OF ❑ EXISTING BLDG ��D DFMOL Signature APPLICANT (PRINT) e N NOZ FINAL OWNER-BUILDER DECLARATION DATE I hereby affirm that I am exempt from the Contractor s License1 Law for the following reason (Section 7031 5, Business and ADDRESS 3 FINA Professions Code) PRESENT A ACCT A BUILDING 3507 3 I, as owner of the property or my employegs with ADDRESS -' 171■75 wages as their sole compensation,will do the work and LOCALITY , the structure is not intended or offered for sale(Section 1 ITEM 7044, Business and Professions Code) MOVING TEL C. ❑ 1,as owner of the property,am exclusively contracting CONTRACTOR NO TOTAL 171.75 with licensed contractors to construct the project(Sec- ADDRESS "C{ 171.75 tion 7044, Business and Professions Code) , CONSTRUCTION LENDING AGENCY SRE�T UI CK YARD HWY TOTAPROP iIEF EXIST DTH CN7G .00 I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued PL (Sec 3097 Civ C) SIDE - 1 PL `0000-0001 8/22/89 Lender s Name 0 AM t P C Fee S Permit Fee Ref # r}21V 1 F11 i ■7.� Lender s Address I certify that I have read this application and state that the Issuance Fee '�0 LDMA P/C# above information is correct I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee T LDMA Perm.#1- and hereby authorize representcpves of this County to enter upon_Jbp above.:Spentioned pylTerty for inspection purposes "Z SEE REVERSE FOR EXPLANATORY LANGUAGE S nature of Applicant or Agent Date 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 I BL 0508 0704270021 PHONE (626) 285-0488 EXT ILEGAL ID NO OF CONST I BUILDING ADDRESS 1 ITR 22438 IT 12 I SQ FT STORIES TYPE 1 10114 NADINE ST 1 I ISTRUCTURE 2000 VN I TEMP CA 917802725 (ASSESSOR INFORMATION NUMBER 11 I NEAREST CROSS STREET DAINES 1 18586-025-013 I I THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY, Cl (TENANT 1EXIST BLDG USE RESID USE ZONE R-1 11SSUED ON PROCESSED BY EXPIRES ON 1 (EXIST OCC GRP 104/27/07 JK 04/21/08 j 10WNER TEL NO IBLDGS NOW ON LOT VALUATION 1F FI BY CODE 1 IMARSHALL LEE B,KOTOMI TRS (626) 355-7655- 1 4 500 1 110114 NADINE ST 1 1 I ITEMP 917802725 1 FEES PAID IDESCRIPTI N OF WORK 1 I I IREMOVE (E) SHAKE RE-SHEET OOF WITH 1/2" PLYWOOD REROOFWITH 1 I IFEE DESCRIPTION QUANTITY UOM AMOUNT ICLASS "A" COMPOSITION PRESIDENTIAL SHINGLES AUTUMN BLEND COLI (APPLICANT TEL NO I I I IHERNANDEZ (626) 350-8285- IAA BLDG PERMIT ISSUANCE 27 75 1 1 1 1AC STRONG MOTION RESID 4500 00 VAL 0 50 ISPECIAL CONDITIONS I 1 D2 PERMIT W/O EN-HC 4500 00 VAL 132 60 1 TOTAL FEES 160 85 I I CONTRACTOR TEL NO 1 1APPROVALS DATE INSPECTOR SIGNATURE I IHERNANDEZ ENTERPRISES (626) 350-8285- 1 I 111828 CHERRYLEE DR LIC NO 1 ILOCATION AND SETBACKS I I I 1EL MONTE CA 91732 567245 C39 I I I I I 1 1 ISOILS ENGINEER APPROVAL I I I 1ARCHITECT OR ENGINEER TEL NO 1 (FOUNDATION/TRENCH FORMS I I I LIC NO 1 1SLAB/UNDER FLOOR I I IRAISED FLOOR FRAMING I I I I IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP 1 (UNDERFLOOR INSULATION I I I 1147H273 3 011 1 1-1 I I I IFLOCR SHEATHING I I I INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS 1 I II I 1 NO 21 1 - IROOF SHEATHING 1 1 1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I (AIR QUALITY 1000 FEET MATERIALS 1 I I I - I NO NO NO 1 IFRAME INSPECTION I I I IREQUIRED TOTAL SETBACK FROM EXIST 1 IFIRE SPRINKLER HANGERS I I I ISET BACK YARD HWY PROP LINE WIDTH 1 I I I I IFRONT PL- I (INSULATION/WEATHER STRIPI I I SIDE PL- I 1 1-1 I 1 11NTERIOR LATH/DRYWALL 1 I I 1 &bc I lrz'1 Q ( e tay, w 1"' - I EXTrRIOR LATH 1 i IRATED FLOOR/CEIL ASSEM 1 1 I IRATED WALL ASSEMBLIES I 1RATED SHAFTS/OPENINGS I I I I I I IT-BAR CEILINGS I I I I+ ADDITIONAL DATA ON FILE I i I I 1LOT DRAINAGE I I I I 1REPORT ID DPR261 ROUTE TO BS0508 I I I I I I I I I