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Home My Public Portal About10249 NADINE ST_Building__ 7„BA68BA CE#809 B 84 APPLICATION FOR BUILDING PIERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS 4►';z BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST COLEMAN W JENKINSAUP T OF BUILDING CROSS ST r DISTRICT NO OROUPTYPE PRO SSEO BY FOR APPLICANT TO FILL IN c,yiN' aU4LDING �+ STATISTICAL C ASSIFICATION SEWER MAP ADDRESS 0 it CLASS NO DWELL UNITS BK PG / LOT NOIK BLOCK USE ZONE MAP NO 52,0ep TRACTSP SPECIAL NO OF GLOSS CQ_N_9jjLQhS SIZE OF LOT NOW ON LOT USE OF BLDG SETBACK FROM OWNER �� el TEL FRONT PROP LINE OF - (STREET) pp NO TYPE OF lXISTING SETBACK HIGHWAY YARD - TOTAL Ab ADDRESS u0U Z Ks S I NW FROM C L CITY TiEM L F 4«Y ACK ARCHITECT OR TEL BLDG TRFROM ENGINEER NO SIDE PROP LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL ADDRESS LQ /� g A HIGHWAY WIDTH FROM C L d CONTRACTOR / ,,LItANS NO /�7�'/��7�oC + V ADDRES r5 �� LI4 NO'alT CORNER CUTOFF YES NO O I- kl CITY LGS A a -E3 LICLASS SEE REVERSE SIDE FOR§PECIAL A PROVALS W DESCRIPTION OF WORK �� f Z NEW ADD ALTER REPAIR DEMOLISH _ SQ S ZET 360 STORIES FAMILIES Ir T w' r USE OF `d/�ir �LQ ' `�i STRUCTURE � i� ,4r, SI NATURE OF PLICANT VALUATION$ APPROV L DATE INSPECTOR SSIGNATURE PC FOUNDATION LOCATION FEE$ FEE$ FORMS MATERIALS FRAME FIRE STOPS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS 9UILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT "Tg7, TION OF THE LABOR C C OF THE STATE OF CALIFORNIA RELAY .NG TO WORKMEN 8 PENSATION INSU LATH EXT ow SIGNATURE OF l HOUSE NUMBER COR PERMITTEE RECT ANDPOSTED _ ADDRESS • 7 R "' FINAL 1 JOHN y�F��LEWIS PRINCIPAL STDCRAL ENGINEER PLAN CHECK VALIDATION CK M O CASH riailaC VANDATION M O CABNw 9870 FEB 21 1 D $.Q 0- a DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES � ' ® I vvm d FOX CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING ADDRESS 271 FjE Af /�� DISTRICT NO PLAN CK NO PERMIT NO ,p 7 LOCALITY �' L,E V �� RECEIVEDATE OF APOL DATE ISSUED NEA111101 MT. REST OWNER �LL�/�� / BUILDING ADDRESS MAIL ADDRESS /-13/i / � ✓/+rT./ ♦ PA— LOCALITY Jfl I► /I� d ' D C GM BST ITEC R FIRE NO OF TYPE GROUP ARON ENGINEER NO ZONE PLANS Z BLDG / 7 / ORD NO DD SETBACK LINE .. APPROVED CONTRACTOR a SY DATE USEAPPROVED ADD .�'� ZONE BY DATE LEGAL DESCRIPTION LOT ND BLOCK CORRECTS ION TRACT r BLD SIZE OF LOT /� D/ NO OW ON LOTS f) UBE OF NO OF NO OF EXI 1 BLDG F MILT a I ROOM DESCRIPTION OF WORK NEW ALTERATION ADDITION O B REPAIR MOVING DEMOLISH D Bq �f 2 NO OP / D 91ZEFT if^ �1 ROOMS J0, BTORIE6 COVERINGy f+ C COVERING UBE OF NEW BUILDING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IB CORRECT IN BP CTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDI NCEB FOUNDATION LOCATION AND STATE LAWSREGULATINGBUILDING CONST CTION FORME MATERIALS < Y _ FRAME FIREsTops �) SIGNATURE OF BRAD No BOLTSOLTs IN PERMITTE LATH INT r AUTHORIZED AOT LATH EXT � v 76A63BA 9 7 49 $1 &A P C S �� PLASTER INT FEE PLASTER EXT VALUATION 1FINAL �a) FEE 1 a d 5 WORKERS COMPENSATION DECLARATION hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING P E RM I T \ 1 insure pr a certificate of Workers Compensation Insurance V P*fied copy thereof(Sec 3800 Lab C) COUNTY OF LOS ANGELES BUILDING AND SAFETY 4cy No Company BUILDING M ❑ Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is filed with the county building inspec BU�ILDIINNG O A 91AW SS tion department CITY ZIP /-I(pv LOCALITYLq ITY Date Applicant NO OF OLDC75 NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS SIZE OF LOT Jrd A 2p NOW ON LOT l CROSS ST COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK I LOT NO MAP BOOK PAGE PARCEL hundred dollar ($100)or less) .I—I� q� t TEL�/� 7 OWNER VU`P �/LLL NOT z ��/ USE ZONE MAP N I certify that in the performance of the work for which this , r>/L � � SPECIAL } permit is issued I shall not employ any person in any manner ADDRESS �T r CONDITIONS 0 so as to become subject to the Worker Compensation Laws CITY /�.� 6 U ��/ ZIP ` aL Date Applicant ARCHITECT OR � �g DISTRICT GROUP TYPE FIRE PROCESSED BY 0 NOTICE TO APPLICANT If after making this Certificate of ENGINEER �/ 2- W CONS E Exemption you should become subject to the Worker U C'13 2 k/JW/ SIL l�• Compensation provisions of the Labor Code you must forth ADDRESS a with comply with such provisions or this permit shall be TEL STATISTICAL CLASSIFICATION A CONDO Z deemed revoked CONTRACTOR NO LICENSED CONTRACTORS DECLARATION vl L.� L CLASS NO DWELL UNITS — LICENSED NO I hereby affirm that 1 am licensed under provisions of Chapter 9 DDRB SEWER MAP (commencing with Section 7000)of Division 3 of the Business LIC and Professions Code and my license is in full force and effect CITY CLASS BK PG 23 VALIDATION SQ FT NO OF / NO OF CHECK M�►i'—� License Number Lic Class SIZE STORIES l FAMILIES MM�1.. Contractor Date DESCRIPTION OF WORK NEW D ❑ VAL 10 ' wlM7 3J7.g7 ❑I am exempt under Sec �� ► 3ry��V/�1 ITEMS ALTER ❑ !'� / O V TOTAL AL :a 35.97 B 8P C for this reason r ° REPAIR ❑ $v Date MISTINUSE G BLDGr� �1, DEMOL ❑ , CHECK �q7 Signature APPLICANT PRINT) �,/ m L NO ,37 FINAL 1 e00 OWNER BUILDER DECLARATION o DATE i I hereby affirm that I am exempt from the Contractor s License �r^ P10— Law for the following reason (Section 7031 5 Business and IRIADDRESS Al �l FINAL Pj-r�of ions Code) ELDIN BY Fri as owner of the property or my employees with gDDR� 5754 1 ��1E wages as their sole compensation will do the work and LOCALITY M\ \ the structure is not intended or offered for sale(Section ! 7044 Business and Professions Code) MOVING TEL ❑ I as owner of the property am exclusively contracting CONTRACTOR NO with licensed contractor to construct the project (Sec ADDRESS tion 7044 Business and Professions Code) - CONSTRUCTION LENDING AGENCY PggCK YARD HWY TOTALSETBACK AIL NE ROMWID ' I hereby affirm that there is a construction lending agency for FRONT �. the performance of the work for which this permit is issued P L 23 (Sec 3097 Civ C) SIDE O Lender s Name P L ACCT ' P C Fee$ �35i Permit Ref # 3307 107._r, Lender s Address 1 ITEMS 0 1 certify that I have read this application and state that the • Isa a Fee i LDMA P/C# above information is correct I agree to comply with all County Investigation 107.73 . ordinances and State laws relating to building construction Total Fe LDMA Perm # hereby authorize representatives of this County to enter E CHECK 107 73 the abo mention propert or inspection purposes IU HE REVERSE FOR EXPLANSO LANGJ§G V' G .00Si ature li nt or Agent Date �►J O AAAA AAA i •A 1n-lAA COUNTY OF LOS ANGELES TEMPLE CITY # 0508♦- BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ,.A ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9608280004 PHONE (818) 285 0488 EXT LEGAL ID NO OF MN§T-- BUILDING ADDRESS TR 15862 LT 14 SG FT STORIES TYPE 10249 NADINE ST STRUCTURE 0 V TEMP CA 917802728 ASSESSOR INFOR14ATION NUMBER NEAREST CROSS STREET 8586 027 014 THOMAS PAGE 597 GRID 63 LOCALITY TEMPLE CITY TENANT ISSUED ON PROCESSED BY EXPIRES ON EXIST OCC GRP 08/28/96 TC 08/28/97 OWNER TEL NO BLDGS LI LIU (818) 442 2238 N 1 0 0 800 AL pA COD 1OW NADINE ST (� TEMP 917802728 FEES-PMV- UUMMION OF WORK SINGLE PARTITION 18,4" IN 'l-NG ROON TO CREATE 3RD BEDROON FEE DESCRIPTION QUANTITY UOM AMOUNT SAME AS OWNER AA BLDG PERMIT ISSUANCE 27 75 AC STRONG MOTION RESID 800 00 VAL 0 50 SPECIAL CONDITIONS B2 PERMIT W/EN�RGII 880000 VAL 71 78 `(�.J�' TOTAL %ESO 100 03 SAME AS OWNER CONTRACTOR TEL APPRO ALS A INSPECTOR LIC NO GLOCATION A OARCHITECT OR ENGINEER FOUNDATION/TRMMW-FMW LIC NO SLAB/UNDER FLOOF RAISED FL 1MAP NO S 47H273 A 3 C7 PUBLIC WORKS UNDERFLOOR NO OF FAMILIES DWELLING UNITS APT/COND STAT C - r- i co NO 21 010 SCHOOL WITHIN HAZARDOUSSHEAR PANELS" RW SHEATHING AIR QUALITY 1000 FEET MATERIALS f �` NO NO NO ` FRANC INSPECTION _ v SEQUIRED R TOTAL SETBACK FRO14 EXIST FIRE SPRINKLER HANGERS ET BACK YARD HWY PROP LINE WIDTH �e� FRONT PL ,�QINSULATION/WEATHER STRIP SIDE PL v INTERIOR LATH/DRYWALL EXTERIOR LATH ASSER- RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T BAR C GS LOT DRAINAGE REPORT ID DPR261 ROUTE TO BS0508