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HomeMy Public PortalAbout10124 NADINE ST_Building__ 1 Wi 7�6A638AME •8034/7APPLICATION OR DING PERMIT d COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING MAKE CHECKS PAYABLE TO ADDRESS Io1� HARVEY T BRANDT COUNTY ENGINEER LOCALITY FOR APPLICANT T FILL IN NEAREST not CROSS ST BUILDING r DISTRICT NO GROUP TYPE PR ESS D B CONST ADDRESSAl ZZ 7file STATISTICAL CLASSIFICATION SEWER P Do LOT NO BLOCK CLASS NO�_DWELL UNITS BK P TRACT USE ZONE MAP X 96-�/ NO OF SLOGS NO D SIZE OF LOT (P bb NOW ON L T / SPECIAL USE OF r CONDITIONS EXISTING BLDG TEL OWNER BLDG SETBACK FROM ADDRESS AbQ FRONT ROP LINEOF (STREET) YPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY IGHWAY WIDTH FROM C L ARCHITECT OR TEL + ENGINEER NO B DG SETBACK FROM ADDRESS ------- --^- SI PROP LINE-OF— (STREET) r TEL TYPE ISTING SETBACK HIGHWAY + YARD = TOTAL �. CONTRACTOR NO �` HIGHWAY p ADDRESS E NO 7,21 + CITY CLASS CORNER CUTOFF YES E] O ❑ Z CONSTRUCTION LENDER NAME AND BRANCH �-' SEE REVERSE SIDE FOR SPECIAL APP OVALS ADDRESS A R NO OF NO OF 41- SO SIZE STORIES FAMILIES NEW USE OF C ADD 111117 STRUCTURE 4 .� ALTER ❑ SIGNA URE OF REPAIR❑ APPLICANT DEMOL ❑ VALUATION S 5, ccb APPROVALS ^ DATE INs CTOR S SI ATUR6 P C PMT FOUNDATION LOCATION FEES FEES FORMS MATERIALS 6 FRAME FIRE STOPS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ HIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON GAS VENT DUCTS STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THELATH INT LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COMPENSATION INSURANCE II/� LATH EXT NATURE OF HOUSE NUMBER COR SIG PERMITTEE _ RECT AND POSTED ADDRESSZW4 offFINAL ri" CHECK VALIDATION CK M O CASH _ PEUVIIT VAioe8 CK M O CASH r _ 5 873 APR 13 t 7 5 N a ,.A.s.ADes;a°APPLICATION FOR BUILDING PERMIT 1 rDWMON OF RUMDING AND SAFETY BUILDING DeparbnenADDRES8 COBBipt d Las Aags�les LOCALITY WM J FOX COUNTY ENGINEER NEAREST CASSATT D GRIFFIN SUP T OP BUILDING CROSS ST DISTRICT NCJ GROUPSPE SEWER MA PQ FOR APPLICANT TO FILL nq CONSTUILDING ADDRESS 9I NUMBER STjryry YBS O LOT NOBLOCK USE ZONB SPECIAL CONDITIONS TRACT l- ' SIZE OF LOT + fi NOW ON LOS BUILDING YARD NWY STREET NAME EXIST USE SETBACK WIDTN OUSTING PLT f7 J/ NG BLDG T OWNER SIDE L MAIL ADDRESS JJI E7 O TRACT DWELL IUNIT S INDUSTRIAL CITY NO v� DWELL / I UNIT 6 PUBLIC BLDG ARCHITECT ORT _/ Z DUPLEX I UNIT 7 ADDN ALT ETC ENGINEER NO $ ppT UNITS 8 MISCEL ADDRESS 4 COMMERCIAL CONTRACTOR mss - —f7 INSPECTION RECORD ADDRESS ` R ESCREMON OF WORK NEW ADD ALTER REPAIR DEMOLISH Sq FT NO NO OF SIZB STORIESOF FAMILIES /t unit F URE cG SIGNATURE OF APPLICANT APPROVALS ADDRESS DATE INSPECTOR S SIGNATURE IN CS FFORMS M TERIALSLOCATION FRAME RIRS STOPS VALUATION $ DU BRACING BOLTS •I FEE FURNACE LOCATION IN 1 HEREBY ACKNOWLEDGE THAT I 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 E TION LATH ®IT SIGNATURE OFH _OUSE NUMBER COR / PERMITTEE RECT AND POSTED O-J ADDRESS FINAL WM J FOX COUNTY ENGINEER VALIDATION C N DIRLAM CHIEF BLDG INSPECTOR LAC05 FEB25 16 850 - m (&5522L FE825 1 3400 WORKERS COMPENSATION DEC'JARATION surely a cur that I have certificate of consent to self APPLICATION FOR BUILDING P E RM I T insure'or a certificate of Workers Compensation Insurance or a certified copy thereof(Sec 3800 Lab C) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company BUILD❑ NG Certified copy is hereby furnished FTOR TO FILL IN ADDRESS I� /t/�i IfW_ ❑ Certified copy Is filed with the county budding mspec FADDR88 � (/1IA4� M ' tion departmenta C� Date Applicant T s zipq1720 LOCALITY I NO OF CERTIFICATE OF EXEMPTION FROM WORKERS SIZE OF LO7 NOW ON LO NEAREST cRoss ST I K2 COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO MAP BOOK GE PARCEL hundred dollars($100)or less) ' TEL OWNER L /Ile_' NO 7 USE ZONF� MAP , NO I certify that in the performance of the work for which this QIWA- � SPECIAL � a permit,is issued I shall not empno n manner ADDRESS �Q OW so as to b com subject to the ion laws /� CONDITIONS J Q CITY ZIP ` /a V Date Apphcanf ARCHITECT OR TEL NOTICE TO APPLI NT If after ma ung this ertificate of ENGINEER NO DISTRICT GROUP TYPE FIRE PROCESSED BY Q Exemption you should become subject to the Workers CONST ZONE Compensation provisions of the Labor Code you must forth ADDRESS /(411R 3 h with comply with such provisions or this permit shall be TEL STATISTICAL CLASSif ICATION APT NDO Z deemed revoked CONTRACTOR NO _ LICENSED CONTRACTORS DECLARATION LIC CLASS NO DWELL UNITS 1 hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO (commencing with Section 7000)of Division 3 of the Business LIC SEWER MAP and Professions Code and my license is in full force and effect CITY CLASS BK PG,,,3g VALIDATION SQ FT 76 1 NO OF NO OF CHECK License Number Lic Class SIZE STORIES FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF WORK NEW ❑ $ ❑I am exempt under Sec ADD ► ALTER 110:31 ` B 8P C for this reason USE OF REPAIR [:] $ Date EXISTING BLDG IM /fti 4%j EMOL ❑ \ VVV Signature APPLICANT (PRINT) O jg E, N , FINAL OWNER BUILDER DECLARATION DATE" I hereby affirm that I am exempt from the Contractor s License r. Law for the following reason (Section 7031 5 Business and ADDRESS I� FINAL �" 1 Pro scions Code) PRESENT By I as owner of the property or my employees with BUILDINGACCT wages then sole compensation will o the work and LOCALITY '( �i.� U` 3M7 68.63 the structct fure is not intended or offered for sale Section l V Y 7044 Business and Professions Code) MOVING TEL 1 ITERS 1 as owner of the property am exclusively contracting CONTRACTOR NO with licensed contractors to construct the project (Sec ADDRESS TOTAL Erb.Er3 tion 7044 Business and Professions Code ) I MICK �. 63 CONSTRUCTION LENDING AGENCY ETPFRONT BACK YARD HWY UIREDTOTAL PRO IN ROM WIIST � � t � I hereby affirm that there is a construction lending agency for e y C .00 the performance of the work for which this permit is issued(Sec 3097 Civ C)Lender s Name 1 ,$/22/$9 LDMA Ref #Lender s Address PermitFeeCC 5203 1 AM $L 11 1 certify that I have read this application and state that the Issuance Fee ,5 LDMA PSC# , above information is correct I agree to comply with all County Investigation Fee / 6 ordinances and State laws relating to building construction Total Fee (6d , LDMA Perm # andh e representatives of this County to enter upo th v ntioned property for mspectto pur ses 7 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 RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0107190002 PHONE (626) 285 0488 EXT LEGAL TO NO OF CONST NEW BUILDIN TR 22438 LT 9 SQ FT STORIES TYPE OCCUP GROUP 10124 NADINE ST STRUCTURE 76 1 VN R3 TEMP CA 917802725 ASSESSOR INFORMATION NUMBER GARAGE NEAREST CROSS STREET DAINES 8586025 010 OTHER THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY TENANT EXIST BLDG USE USE ZONE EXIST OCC GRP 07/26/01 UT 01/22/02 OWNER TEL NO BLDGS NOW ON LOT VALUATION E PARKS DANIEL E COLLEEN (626) 575 3068 1 367 10124 NADINE ST 9 f) r TEMP 917802725 FINALIZE EXPIRED PERMIT #520 OR ROOM ADDITION FEE DESCRIPTION QUANTITY UOM AMOUNT APPLICANT TEL NO TORKIAN CONSTRUCTION (310) 478 0666 AA BLDG PERMIT ISSUANCE 27 75 11805 MISSISSIPI AVE AC STRONG NOTION RESID 367 00 VAL 0 50 SPECIAL CONDITIONS LOS ANGELES 90025 B2 PERMIT W/ENERGY=��367 00 VAL 48 02 G s TOTAL-FEES 76 27 CONTRACTOR TEL NOAPPROVALS DATE INSPECTOR G R TORKIAN CONSTRUCTION INC (310) 478 0666 11805 MISSISSIPI LIC NO / LSUMA AND ;ETRACKS LOS ANGELES 550877,A&B / LS G I _ LIC NO, � � � illllll L —— IF- MAP RE FIRE 0 A 3 u101QL WAY, ��(� L IST LEVEL FLOOR SHEATW-- NO OF FAMILIES DWELLIN-MlYS APT/COND STAT CLAW-- NO 21ZND LEVEL �sc 61 r miyy �^ewauryffunwrwr— i_ T AIR QUALITY 1000 FEET MATERIALS O 0NO NO NO I�� S E REQUIRED TOTAL SETBACK FRUF--MTIJ /��� BLDG DEPT FRA14E INSPECT SET BACK YARD HWY PROP LINE WIDTH 4��BC _ �OQ ` FRONT PL ert ice Ttl SHEAR PANELS SIDE PL INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH LOT DRAINAGE DEPARTMENTSMOKE DE7RTr5W3E7rMr FIRE APPROVAL REPORT ID DPR261 ROUTE TO BS0508