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Home My Public Portal About10158 NADINE ST_Building__ DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES BUILDING WM J FOX, CHIEF ENGINEER APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY AODREBB /.0/� DISTRICT PLANCK OR RBc No ��/ MIT NO BUILDING P N LOCALITY %puniVED BY DATE OF APPL DATE ISBUED NEAREST r CROBB BT C BUILDING //yy 1 ,, DREGS , �,/ LOCALITY lr OWNER W MAIL ADDRESS S , CROB9 NEAREST CITY N L FIRE ZONE TNOLANS Typ �� GROUP / ARCHITECT OR TEL G.1�� i/ ENGINEER NO BLDG MRD_ DI SETBACK LINE O �� ADDRESS USE f APPROVED TEL ZONE BY DATE CONTRACTOR NO HOUSE NUMBERING ADDRESS IcaMAPNUMBER �0 NO ASBIGNED BY `EGA` CORRECTIONS DESCRIPTION LOT NO BLOCK TRACT 44"% 1 f T SIZE OF LOT / A O V NO. OF LOT NOW ON LOT URE OF NO OF EXISTIN BLDG FAMILIC8 DESCRIPTION OF WORK o NEW ALTERATION ADDITION Z D REPAIR DEMOLITION r so FT NO OF SIZE V ROOMS STORIES EXT WALL ROOF COVERING COVERIND USE OF 8T C URE INSPECTION FOR APPROVALS OCCUPANCY AS INSPECTOR BBIONATURE DATE FOUNDATION LOCATION ` FORMB MATERIALS L�NjV /. 'ti �L` 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME FIRE STOPS `•1/IN _`J CORRECT BRACING BOLTB I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE LOCATION AND STATE LAWS REGULATING BUILDING CONSTRUCTI GAB VENT DUCTS SIGNATURE OF LATH INT PERMITTE ADDRES J LATH EXT PLASTER INT AUTHORIZED AST PLASTER EXT P C # / FEE HOUSE NUMBER COR 0 RECT AND POSTED VALUATION 01 FINAL FEE • 76^638^ D883 751 OF BUILDING AND DEPARTMCO T TY OF LOS ANGELES � ' ® ' S WM J FOX, CHIEF ENGINEER ► APPLICATION tFOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK,O/R REO No I�QPERM.IIT`NO ,Vg RECEIVED B DATE OFAPPL DATE ISSUED A DRESS LOCALITY � � _ � Z "'� NEAREST CROHB BT A 69BUILDING ADDRESS OWNER MAILLOCALITY G. ADDRE88 T I Cr _ NEAREST CRONS HT ��A-0_CITY 1 i G _ NO a FIRE NO OF ITYPE GROUP Z 'Z� ARCHITECT OR TEL ONE PLANS ENGINEER NOBLDG ` SETBACK LINE Q / �y0 y ORD NO ADDRESS x� USE APPROVED E - CONTRACTOR �IIEO ZON / BY KJ/V HOUSE NUMBERING DATE ADDRESS MAP NUMBER NO ASSIGNED B LEGALCORRECTIONS DESCRIPTION LOT NO BLOCK TRACT No or p SIZE OF LOT 2 / � I NOW ON LOTS L ij 1S T Z • FAMILIES EXISTIN BLDG P� I OQ O FAN 68 .—_ I R ,. 772" DESCRIPTION OF WORK LJ !` 0 1.J O NEW ALTERATION ADDITION _ REPAIR DEMOLITION au c « w I Iz c ,mac G / 9 ZEFT ROOMS STORIES z 7- EXT EXT WALLRO w&" COVERING CO COVERING f USEJ:STRUCTURE AD dr T– INSPECTION FOR APPROVALS OCCUPANCY AB INSPECTOR 8 SIGNATURE DATE FOUNDATION LOCATION 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP FORMS MATERIALS PLJC�TION AND STATE THAT THE INFORMATION GIVEN 18 FRAME FIRE STOPS 1 QRRECT BRACING BOLTS I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE LOCATION AND STATE LAWS REGULATING BUILDING CONSTRUCTIO RNGAS CEVENDUCTS SIGNATURE OF LATH INT PERMITTE /Q LATH EXT ADDRES AUTHORIZED AOT 94< PLASTER INT P C S PLASTER EXT v�7 FEE S/S HOUBE NUMBER COR RECT AND POSTED VALUATION FEE ®w,3 FINAL look y 76A638A OBB 3 7 81 WORKERS COMPENSATION DECLARATION surebora certificate that I have a certificateCom of consent r self APPLICATION FOR BUILDING PERMIT insure or a certificate of Workers Compensation Insurance �, or a certifi co thereoff�ec Lab C) COUNTY OF LOS ANGELES �' ! n�1BLIILDENG AND SAFETY Policy 71 I BUILDING Certified copy Is hereby urntshed FOR APPLICANT TO FILL IN ADDRESS Certified, is filed w the co my budding inspec Bu1LDINGKJO tion department A DL1RD s Date�A CITY ZIP 0 LOCALITY 1 NO OF BLDGS NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS SIZE OF LOT NOW ON LOT CROSS ST COMPENSATION INSURANCE ASSESSOR his section need not be completed if the permit is for one TRACT BLOCK I LOT NO MAP BOOK PAGE PARCEL !� hundred dollars($100)or less) TEL OWNER o U NO USE ZONE MAP I certify that in the performance of the work for which this INO permit is issued I shall notemploy any person in any manner ADDRESS SPECIAL a so as to become subject to the Workers Compensation Laws CONDITIONS O CITY ZIP Date Applicant ARCHITECT OR TEL aC DISTRICT GROUPTYPE FIRE PROCESSED BY O NOTICE TO APPLICANT If after making this Certificate of ENGINEER NO CONST ZONE Exemption you should become subject to the Workers p 0 Compensation provisions of the Labor Code you must forth ADDRESS ,�QA 1'e-.31 V with comply with such provisions or this permit shall be TEL r deemed revoked CONTRACTOR NSTATISTICAL CLASSIFICATION AFT CONDO O S 0 LICENSED CONTRACTORS DECLARATION _ AfO CLASS NO DWELL UNITS I hereby affirm that 1 am licensed under provisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business LIC Z7 and Professions Code and my license is m full force and CITY CLASS BK PG VALIDATION CHECK License Number V�Zre tic Clan SIZES STORIES F NO OF NU ES ONE VALUATION rQ Contractor Date V—7 DESCRIPTION OF WORK NEW s $ �. a O ❑I am exempt and Sec12 ADD ► ALTER ❑ B 8P C for thi ason E OF IMPAIR C1 $ EXISTING BLDG DEMOL ❑ Signatu APPLICANT TELFINAL OWNER LDER DECLARATION (PRINT NO Q D /— 1 he affirm that I am exempt from the Contractor s License DATE b i` Law for the foil)ing reason (Section 70315 Business and ADDRESS AUT e Professions Code BY ❑ 1 as owner of the property or my employees with AD LDDR� +']� t i 3 wages as their sole compensation wdl do the work and LOCALITY the structure is not intended or offered for sale(Section 7044 Business and Professions Code) MOVING TEL ❑ I as owner of the property am exclusively contracting CONTRACTOR NO with licensed contractors to construct the project(Sec tion 7044 Business and Professions Code) ADDRESS -y , 5131 �+- IRED YARD HWY TOTAL SETBACK FROM IST -y CONSTRUCTION LENDING AGENCY SET P LINE 1 hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P L PUL 147.38 (Sec 3097 Civ C) SIDE NECK 11,7 12 Lender s Name LDAAA Ref P C Fee 7 Permit Fes " �HANZ , Lender s Address r a4above I have read this application and state that the Issuance Fee .i LAMA P/C M at s correct lagreetocompplywithaIICounty Investigation Fee L"000--0001 1/70/9" d to laws relating to building construction Total Fee LDMA Perm M ut nze representatives of this County to enter 1441 Al 94- v entioned property for maplsctlon pu ses R I/"3a q----! SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date i APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS nPi I hereby affirm that I have a certificate of consent to self Insure BUILDING ADDRESS ioiao or a certificate of Workers Compensation Insurance or a certified 10158 NADINE ST copy thereof(Sec 3800 Lab C) CITY TEMPLE CITY. I ZIP 91780 LOCALITY Policy No 1046140 Company STATR WITUn SIZE OF LOT NO OF BLDGS NOW ON LOT ❑ Certified copy Is hereby furnished I NEAREST CROs ST XE Certified copy Is filed with the county building Inspection TRACT BLOCK LOT NO department USE DONE MAP NO Date 11-1-93Appllcant RANDOL ROOFING assEssoR MAP BOOK PAGE PARCEL I SPECIAL coNOmoNs CERTIFICATE OF EXEMPTION FROM WORKERS OWNER TEL NO COMPENSATION INSURANCE MARCUS HODSON — WITHIN 1000 FT OF SCHOOLS YES NO ADDRESS (This section need riot be completed If the permit Is for one hundred 10158 NADINE ST. DISTRICT GROUP I TYPE CONST I FIRE ZONE PROCESSED BY dollars($100)or less) CITY I certify that In the performance of the work for which this permit 91780 Is Issued I shall not employ any person In any, manner so as to ARCHITECT OR ENGINEER �P TEL NO �� 4 become subject t0 the Workers Compensation Laws SWTISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO DWELL UNITS N071W 71) APPLICANT If after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption you should become subject to the Workers CONTRACTOR TEL NO SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code you must forthwith RANDOL ROOFING 288-4040 FRONT _ comply with such provisions or this permit shall be deemed revoked ADDRESS LIC NO PL 529 E. VALLEY BLVD. 451937 SIDE LICENSED CONTRACTORS DECLARATIONLJC I hereby affirm that 1 am licensed underprov(slons of Chapter 9 Call Gabriel, CA 91776 P L C (commencing with Section 7000)of Dmsion 3 of the Business and SQ FT SIZE NO OF STORIES NO OF FAMILIES NEW MAP MI Professions Code and my license Is In full force and effect NEW ❑ BK PG } License Number 51937 LID Class C-39� DESCRIPTION OF WORK ADD 13VALuxnON , ACCj•i Oa �j Contractor ]-31 ��F REROOF HOUSE AND GARAGE WITH ALTER C3 $ s$10'000-00 33Q3 M.60 V to , — ❑ I am exempt under Sec 30 YEAR CLASS A FIBERGLAS REPAIR BE $ - 1 ITEM ¢ B&PC for this reason SHINGLES TEAR OFF ALL S DEMOL b ,�MA P/C* TOTAL 228.460 0W Date USE OF EXISTING BLDG URM ❑ CHEM 22$.60 IL Signature APPLICANT(PRINT) TEL NO LDMA Perm♦ z ❑ I as owner of the property or my employees with wages as _ _ Z their sole compensation will do the work and the structure Is ADDRESS d C) not Intended or offered for sale (Section 7044 Business and FINAL DATE R 001 7/21/93 Professions Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERNAL ❑ 1 as owner Of the property am exclusively contracting with OR A MD(TURE CONTAINING A HAZARDOUS MATERIAL EOUAL To OR GREATER TWIN THE — 1 All Q OW 1 AM 9.45 licensed contractors to construct the project (Section 7044 AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL gY _ __ y ^ Business and Professions Code) YES 13NO❑ f WALL THE INTENDED USE OF THE BUIDLNG BY THE APPLICANT OR FUTURE BUILDING, OCCURANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(BCADMD)SEE PERMITTING CHECKLIST FOR GUIDELINES I hereby affirm that there Is a construction lending agency for YES❑ NO❑ a the performance of the work for which this permit Is Issued(Sac Op (HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 3097 CIV C) CHECKLIST I UNDERSTIWD MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE TITLE 2 CHAPTER 2 20 ZAR Lenders Name MAlER1ALS REPORTING ANDD OR OBTAINING PA ERM S 2 20 100 THROUGHaFROM THE SCAOMD 20 140 CONCERNING� DOUS Lenders Address C OWNER OR AGENT I certify that I have read this application and state under penalty c of perjury that the above Information Is correct I agree to compy PC FEE PERMIT FEE 202 20 cQi with all s and State laws relating to budding constr I autho Sentahves Of IB y ISSUANCE FEE to �m I party for ms 26.40 INVESTIGATION FEE TOTAL FEE 228.60 SOMI a s e o APs t SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0909140019 PHONE (626) 285 0488 EXT LEGAL ID I NO OF CONST NEW I BUILDING ADDRESS I I ON FILE I SQ FT STORIES TYPE OCCUP GROUPI 10158 NADINE ST I ISTRUCTURE 465 1 V B R 3 I TEMP CA 917802725 I (ASSESSOR INFORMATION NUMBER ( GARAGE I NEAREST CROSS STREET BALDWIN 18586 026 033 1 OTHER 1 THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY Cl 1TENANT (EXIST BLDG USE USE ZONE (ISSUED ON PROCESSED BY I 1 1EXIST OCC GRP 101/06/10 SR I (OWNER TEL NO IBLDGS NOW ON LOT VALUATION IF NAL DATE FINAL Y CODE I IHODSON MARCUS BARBARA (626) 443 2389 1 74 930 1 I 110158 NADINE ST I I = -fo I ITEMP 917802725 I FEES PAID IDESCRIMION OF WORK I ILEGALIZING PREVIOUS ROOM ADDITION OF BEDROOM BATHROOM 465 I IFEE DESCRIPTION QUANTITY UOM AMOUNT IS F I (APPLICANT TEL NO I I 1 ICLINTON ` (626) 786 9336 JB1 PLANCHECK W/ENERGY 74930 00 VAL 980 20 1 I I JAA BLDG PERMIT ISSUANCE 27 75 ISPECIAL CONDITIONS I JAB STATE GREEN BLDG FEE 74930 00 VAL 3 00 I I JAC STRONG MOTION RESID 74930 00 VAL 7 49 I I JB2 PERMIT W/ENERGY 74930 00 VAL 1 153 19 I 1 ICONTRACTOR TEL NO I TOTAL FEES 2 171 63 JAPPROVALS DATE INSPECTOR SIGNATURE I IROBERTS CLINTON (626) 786 9336 I I I IP 0 BOX 92261 LIC NO I ILOCATION AND SETBACKS I I I IPASADENA CA 91109 NONE I I I I I I I ISOILS ENGINEER APPROVAL I I I JARCHITECT OR ENGINEER TEL NO I IFOUNDATION/TRENCH FORMS I I 1 IKY ENGINEERING LLC (323) 868 2054 I I I I I 17111 WALNUT STREET STE 212 LIC NO I (SLAB/UNDER FLOOR IPASADENA CA C62778 I I I I I I (RAISED FLOOR FRAMING 1 I 1 IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I 1UNDERFLOOR INSULATION I I I 1 3 001 11ST LEVEL FLOOR SHEATH I I I INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS J I 1 I I 1 NO 21 1 12ND LEVEL FLOOR SHEATH 1 I SCHOOL WITHIN HAZARDOUS I IROOF SHEATHING I I 1 JAIR QUALITY 1000 FEET MATERIALS I I I 1 1 1 NO NO NO 1 1FIRE DEPT FRAME INSPECTI IOR nI IREQUIRED TOTAL SETBACK FROM EXIST I JBLDG DEPT FRAME INSPECT �I ISET BACK YARD HWY PROP LINE WIDTH I I I 1 IFRONT PL I (SHEAR PANELS I J 1 I SIDE PL I I I 11NSULATION/WEATHER STRIP( I I I 11NTERIOR LATH/DRYWALL 1 1 1 I I IfiXTERIOR LATH I I ILOT DRAINAGE I I ISMOKE DETECTION DEVICES I I I I I IFIRE DEPARTMENT APPROVALI I 1 I I 1 I I I I (REPORT ID DPR261 ROUTE TO BS0508 I 1 I I