HomeMy Public PortalAbout10124 NADINE ST_Building__ 1 Wi
7�6A638AME •8034/7APPLICATION OR DING PERMIT
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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
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LIC NO,
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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