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HomeMy Public PortalAbout10240 NADINE ST_Building__ DIVISION �= Of 00'ty AND� eSA, BUILDING U ' LD ' NG Of I" Angeibe APPLICATION WM J FOX, COUNTY ENGINEER FOR FNy FOS OFFICE USE ONLY DISTIN NO. P.CK Da R. ND Pt IT O. NUILDINN )F) ADCROWN ` RECEI BY DATE Or APPS A ISSUE LOCALITY ��, NEAREST ,t�1 0110011117 l� BUILDING ADDRESS V OWNER � MAIL LOCALITY ` / ADDRESS NEAREST TEL ORCIIS ST O NO FIRE NC.of GROUwa& P ARCHITCOT OR TEL ZONE PLANS ENOIN[[R I:%;,- BLDG, 07'-v 00-- OQO am NIL SETBACK LINE ADD USE APPROVED TEL ZONE -BY DATE CONTRACTOR NO. HOUSE NUMBERING AD MAP NUMBER NO ASSIGNED BLIONALY DESCRIPTION LOT NO BLOCK ONS TRACT NO. Or BLOOM y LO SIZE of LOT NOW ON LOT use OrNO.OFIA EXISTING BLDG. FANILIq I \ DESCRIPTION OF WORK 0 NEW ALTMMATION ADDITION / _ REPAIR DEMOLITION r B IPT Moor IZC , ROOMS STORIES Iif EXT WALL CCVERIN C INS USE OF OTURE L INeOlECTIoN FOR APMOYALS OCCUPANCY AB INSPECTOR B 8IONATURE DAT[ rOUNDATIONs LOQATIDN FORM, MATERIALS PLICATION A D STAACKNTE THAT THE INFORMAT BC THAT I HAVE ON 01VE FRAMES FiRtBTOPB, CORRECT BRACING,BOLTS AND STATi LAWS RCOULATINO BUILDING CON RDBTRUCTI COENS FURNACE LOCATION OAR VENT DUCTS IIIOIKATLIIIE�01 LATH, INT PERMITT[ ADDR[ ^' LATH, EXT , INT AUTHORIZED AOT PLASTER, OIT O + Re tl House NUMBER COR- RECT RECT AND POSTED VALUATION F D� &a-d FINAL - 76A636A DEN 3 1 82 O� 70Ae99A C6#a�, ,- APPLICATION FOR BUILDING PERMIT , WING AND SAFETY DIVISION ADDRESS D Deposhnent of County Englaeer County of Los Angeles LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST FOR APPLICANT TO MI IN DISTRICT N�o GROUP ITypCO SEWER MAP CONS /S� BUILDINGvD / STATISTICASSIFICATION ADDRESS b /�Lc S T LOT NO 30 BLOCK CLASS NO DWELL UNITS MAP STATE YES O �rGNUMBER HWY TRACT X Ci Z U E ZONE SPECIAL NO OF SLOGS , �! CONDITIONS SIZE OF LOT x /7,0 I NOW ON LOT USE OF r EXISTING BLDG' �E/LL pAfY E IST BUILDING YARD HWY STREET NAME WIDTH OWNS O aAl FRONT MAILyy�� nn P L A ADDRESS AJB i/F c SIDE �aID P L CITY '- OG ItN �:E 27 71NOWTION RECORD Wv4ll ARCHITECT OR / TEL ENGINEER NO / 9L ADDRESS ATEL /� J CONTRACTO � I/JT NO IQ�Q y� i ADDRESS 84,00 Af&%ffO-AACOW-rg D DESCMMON OF WORK NEW AD ALTER REPAIR DEMOLISH Him" NO OF NO OF SIZE oo STORIES FAMILIES_ USE EOO�F{.STRUCTURE M ®vr APPROVALS SIGNATURE OF APPLICANT DATE INSPECT-OR S SIGNATURE ADDRESS FOUNDATION LOCATIONLL / FORMS MATERIALS -r2,7-17-7g it.0 P C s FBRACING BO TSE FIRE S �(/ FEE siO J VALUATION FURNACE LOCATIO FEE GAS VENT DUCTS 1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS AP LATH INTY.pi �J 0;7- PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH EXT STATE LAWS REG NG B IL NG C STRUCTION SIGNATURE OF HOUSE NUMBER COR PERMITTEE RECT AND POSTED ADDRESS FINAL JOHN A LAMBIE COUNTY ENGINEER CLYDE N DIRLAM PRINCIPAL STRUCTURAL ENGINEER PLAN CM= VALIDATION CK M O CASH PERWT VALIDATION CK M O CASH L ACa 8 4 3 c,- MAY 2 2 1 1 U O O in �����3437 P�QY22 16 250 in r 78A888A CEie808 8 88 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ADDRESS 40 Nadine St. DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION LOCALITNTem el City JOHN A LAMBIE COUNTY ENGINEER NEAREST WILLIAM A JENSEN SUP T OF BUILDING CROSS ST DISNICTT NO TYPE RO SS BY FOR APPLICANT TO FILL IN G UCONST BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRES CLASS NO DWELL UNITS BK PG LOT NO + BLOCK WATER CERTIFICATE NOT REQUIRED RELIVED TRACT MAPHIGHWAY NO OF BLDGS NO (CIRCLE) STATE MAJOR SECOND OCAL SIZE OF LOT NOW ON LOT USE ZONE §IPECIAL USE OFAlITIONS EXISTING BLDG �7 /fJ�- OWNER e N%42-5 321 BUILDING EXIST SETBACK YARD HWY STREET NAME WIDTH ADDRESS 10240 Nadine St. FRONT © �' ARCHITECT OR TEL P L ENGINEER Standard plan NO SIDE P L ADDRESS TEL �v /o /N JCO CONTRACTOR 210JLJ Dal_ ADDRESS 0 DESCRIPTION OF WORK e. E S Q d NEW [ADD ALTER REPAIR DEMOLISH H SO FT NO OF NO OF rL t C.• r, Z SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OA S16LF LA Tc.4,Nb, o Q at,! skQ.�.'- APPL I CAN VALUATION 2500.00 APPROVALS I DokTE INSPE OR SSIGNATURE PC PMT � FOUNDATION LOCATION FEE $ FEE FORMS MATERIALS fit I 'a n L FRAME FIRE STOPS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION 4 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION 1 CERTIFY THAT IN DOING TWORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERS O OLA LATH INT TION OF THE LABOR CODE OF THE STATE O IF N RELATVI ING TO WORKMEN S C P SATIN INSURA LATH EXT SIGNATUI PMOME-7TOKBEIR COR PERMITTEE RECT AND POSTED ADDRESS L Z JOHN F LEWIS P N PAL ST rdR URAL ENGINEER PLAN CHECK VALIDATIONCK M o CASH PERMIT VALIDATION ul M o CASH JIlJ1� 1 0 6 3 a -,930 2 1 0 3 7 5- " 0 6 4 0 APR 3 0 1 A 15 00' L1)i110 1 � AP!JCATION FOR -BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKERS COMPENSATION DECLARATION �) FOR APPLICANT TO FILL IN BUILDING ADDRESS I hgreby affirm that I have a certificate of consent to self Insure BU�O C�ApDOESSN IAIS l O or a certificate of Workers Compensation Insurance or a certified CITY ZIP �� copy thereof(Sec 3800 Lab C) LOCALITY Policy No Company SIZE OF�LNO OF BLDGS NOW ON LOT J./ ❑ Certified copy Is hereby furnished o x NEAREST CROSS ST ❑ Certified copy Is filed with the county building Inspection TRACT BLOCK LOT NO department USE ZONE MAP NO or Date Applicant ASSESSOR MAP BOOK® PAGED PARCEL ril / SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS K►i � � g84�f r•Vl COMPENSATION INSURANCE WITHIN 1000 FT OF SCHOOLS YES No (This section need not be completed If the permit is for one hundred AD R�fE �^ �I dollars($100)or less) f v "10 t jlellN DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY CIT • ZIP I certify that In the performance of the work for which this permit is Issued I shall not employ any person In any manner so as to (/ /C become subject to the Workers Compensation Laws ARCHIT OR ENGI ER TEL Np p onY C K 7Z•QA4t7 STATISTICAL CLASSIFF ATION APT CONDO Date Applicant ADDRESS 1 wI�'�E� P,�s ,rA- CLASS NO�L DWELL UNITS NOTICE TO APPLICANT If after making this Certificate Of , r REQUIRED TOTAL SETBACK FROM EXIST Exemption you should become subject to the Workers CONTRACT_ of TEL NOSET BACK YARD HWY PROP LINE WIDTH �•�O� Compensation provisions of the Labor Code you must forthwith o(// ri FRONT comply with such provisions or this permit shall be deemed revoked ADDRESS. LIC NO PL LICENSED CONTRACTORS DECLARATION ss7��� SIDE CITY L�� LIC CLASS PL I hereby affirm that I am licensed underprovisions of Chapter 9 J SEWERpMP (commencing with Section 7000)of Division$of the Business and SQ FT E NO OF STORIES NO OF FAMILIES ,,Y/ Professions Code and my license Is In full force and effect Q NEW ❑ BK PG , }a License Number LIC Class DES RIPTION OF WORK' A ��� ADD VALUA)TI N /s 40 Contractor Date N ALTER ❑ $ / �/ 0 V AW REPAIR ❑ ❑ I am exempt under Sec $ B&PC for this reason DEMOL ❑ LDMA P/C Date USE OF FMSTIUG�K G n_5' A URM ❑ 'E'Jr CL Signature APPLI yT(PRIN Jr Res. • TEL NO LDMA Perm# AC`+I•T Z I as owner of the property or my employees with wages as * !R M^ Z �33^d, their sole compensation well do the work and the structure Is ADD S F ', e not Intended or offered for sale (Section 7044 Business and VP R FINAL DATE ' 1 Professions Code) WALL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL { ; OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE I _ J At CT T ❑ I as owner of the property am exclusively project contracting tmg 44 AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDES FINAL BY licensed contractors to construct the project (Section 7044 K �23i 3303 -139 61,Business and Professions Code) ves❑ No F,� � �. WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING ' ITEM=S OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH + CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR /0 7,30AI..�a"' TUTAL5 - �. GUIDELINES I hereby affirm that there Is a construction lending agency for YES❑ No �{ 1 CY the performance of the work for which this permit is issued(Sec 1HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMDPERM ITTING CHE4�i 391 10 3097 CIV C) CHECKLIST 1 UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE ■�� TITLE 2 CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS CHMGE Lenders Name TIT MATERIALS C APTOR220 D FOR OBTAIN1116 A PERMIT FROM THE SCAQMO vim/ oLender s Address ` 0 OWNER e I certify that I have read this application and state under penalty �I]-1] 1 ��l�,. of perjury that the above Information Is correct I agree to comply PC FEE �0 PERMIT FEE N with all county ordinances and State laws relating to building // / 0960 1 AM construction and hereby authorize representatives of this County ISSUANCE FEE ,/� !v to enter on' anyntloied property for Inspection purposes aE/�6� INVESTIGATION FEE TOTAL FEE ? e 0 (p 0 SEE REVERSE FOR EXPLANATORY LANGUAGE I ' I � I 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 BL 0508 0107160006 PHONE (626) 285 0488 EXT DUPLICATE LEGAL IV NO Of CONST BUILDING ADDRESS TR 15862 LT 30 SG FT STORIES TYPE 10240 NADINE ST STRUCTURE 1500 VN TEMP CA 917802727 ASSESSOR INFOR14ATION NUMBER N8586 026 019 TH014ASTPAGOSS597REEEN GRID D63 LOCALITY TEMPLE CITY TENAN USE ZONE R I T9900-m— PROCESSED BY EXPIRES ON EXIST OCC GRP 07/16/01 UT 01/12/02 OWNER TEL NO BLDGS NOW ON LOT VALUATION FINAL DATEMCGUIRE MICHAEL J CO TR MCGUIRE TRU (626) 448 8041 1 4,000 10240 NADINE ST V" _a c 6 r TEMP 917802727 FEES PAID UP WORK NEWIROOF AND SHEATHING, 25YR COMPOSITION SHINGLE FEE DESCRIPTION QUANTITY 11014 AMOUNT APPLICANT TEL NO LLOYD SONAR INVESTMENTS & CONST (909) 888 6125 AA BLDG PERMIT ISSUANCE 27 75 AC STRONG NOTION RESID 4000 00 VAL 0 50 SPECIAL CONDITIONS D2 PERMIT 14/0 EN-HC^4000 00 VAL 115 80 CONTRACTOR TEL NOy �NGELEST`AO FEES 144 05 OVALS DATE INSP LLOYD SONAR INVESTMENTS & CONST (909) 888 6425 �,o A� , P 0 BOX 2095 LIC NO LOCATION AND SETBACKS FONTANA CA 92335 NONE t SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TK--No FOUNDATIONPREffff-MW I/ I LIC NO 1 NAP NO SEWER MAP BOOK PAGE FIRE ZONE UNDERFLOOR INSULATIONIOR RAISED FLOOR FRA14ING 147H273 3 '00 7 ® l K NO OF FAMILIES DWELLING UNITS APT/COND STAT CLASSNO 211 v �V���VVV ROOF SHEATHING SCHOOL WITHIN mr=Dur— 19 AIR QUALITY 10000 FEET MATERIALS 49 QNo N §,lI FRAME INSPECTION REQUIRED FROM EXISTFIRE SPRINKnT-ffMMffff9-- t Vit_ SETFROBACKT PL YARD HWY PROP LINE WIDTH 46��c Serve That�otINSULATION/WEATHER STRIP� SIDE L REPORT ID DPR261 ROUTE TO BSO508 LOT DRAINAGE