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HomeMy Public PortalAbout9903 NADINE ST_Building__ D iA31 tom' Btf # S APPLICATION FOIL PET CbOftY OF LOB ANOIELES - BUILDING PW APPLICANT TO ML IN FOR OFFICE USE ONLY LD/N0• ���� ��' ,� DISTRICT NO. PLAN 01C.NO. PERMIT NO. ' #J f12---j� _ REOtIV[D BY DATE OF^PPI. DATE ISSUED I / L ,� .AMR- ADOPIC58 " ADD Z L ' /fI ALITY off iqfb FHttNO.OF TV C WIOUP , AIM WT CR TEL. ZONE PLANS tN01 RR NO. *Lou. Ono.NO. _ BACK LINIE ADDRESS APPROVED CONTRACTOR tj Sly DikTlc USE Z Z K �` `o,h ZONR? BY DATt DtG0RtPT10N LOT NO. BLOCK CORRECTIONS J TRACT Z E. I� NO.OI'-SLoSS.- O!LOT NOW OM OTCLIP USE Wl' NO.QF NCL or DtocRuITION OF wom ALTERATION ADDITION C RER R MOVINp DEMOLISH O_ NO.OF Z V ROOMS STORIES r WAL L ROOK COVERING �ti0 COVE ING .I BU LDF 13 L> �K 1 HEREBY ACKNOWLEDwe THAT I H4Vt.READ *qIs" APPROVALS APPLICATION AND STATE THAT THE AMWC IN t¢CRREa INSPECTOR DATE ORM AND AGREE TO COMPLY WITH ALL COUNTY INANOEp FFORMS,MATERIALS LOCATION FORMS,MATERIALS --�,•_/—>7 AND STATE LAWS REGULATING ■UILDING co"wroWiTioN. J r FRAME: FIRE STOPS, SIQNATUSE OF ,'I`/J (, GRACING.BOLTS PERMITTE LATH, INT. AUTHORIZED AOT LATH, EXT. P,C.• 5 °!;t PLASTER,INT. FEE PLASTER,EXT. VALUATION PEE FINAL f i.: i 70AS38A CE.8083-88 APPLICATION FO BUILD G PERM1�1' COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINM ADORE SS BUILDING AND SAFETY DIVISION LOCALITY i JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS.SUP•T OF BUILDING CROSS ST. DIS R1CT O TYPE. - PR ES BY FOR APPLICANT TO FILL IN 0 CONST. BUILDING _ STATISTICALIFICATION SEWER MAP ADDRESS ,*A,n 1,4jL CLASS NO. DWELL UNITS BK - PG r LOT NO. BLOCK USE ZONE MAP NO. TRACT SPECIAL �D S N0. OF BLDOS. SIZE OF LOT CONDITIONS 'Y NOW ON LOT USE OF _ EXISTIU BLDG. SETBACK FROM _ TEL.- y FRONT PROP. LIN!OF (STREET) OWNER ��yy NO. 'l�L�/ TYPE OF EXISTING. SETBACK HIGHWAY YARD = TOTAL ADDRESS V NIG Y F M C.L. S CITY + .2C7 �N P BLDG. SETBACKFROM ARCHITECT OR TEL. ENGINEER NO. SIDE PROP. LINE OF (STREET) TYPE OF I EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL + _ CONTRACTOR / Cd jeoojC/A(e2NO Y LIC ADDRESSAV746 I NO - CORNER CUTOFF YES NO V n LIC I T Y SEE REVERSE SIDE FOR SPECIAL APPROVALS C F DESCRIPTION F WORK Lu a NEW ADD CALTER7 REPAIR DEMOLISH Z SQ.FT. OF NO. OR SIZE STORIES FAMILIES USE /rQ STRUCTURE C� L- - o SIGNATURE OF APPLICANT ' VALUATION$ •Q� APPROVALS DATE INSPECTOR'S SIGNATURE MP.C. PMT. / FOUNDA I N TERIA TION FEE$ FEE$ G•Do FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING (SAS VENT. DUCTS 9UILDING CONSTRUCTION. 1 CERTIFY THAT, IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT• ING TO WORKMEN'S IMPENSATION INSURANCE. LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRES ' FINAL i JOHN F. �L�E�WIS.. PRISf NCIPAL RAL ENGINEER PLAN CMCK VALIDATION CK. M.O. CASH _ iLL1L�iia VALWALION M.O CASH ui,oS 6 1 7CEO- PAY 18- 1 D 6.0 0- r 76ASSOA Ce#80310.58 APPLICATION FOR BUILDING PERMIT'' 1� COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND .SAFETY DIVISION . . LOCALITY JOHN A. LAMME. COUNTY ENGINEER` NEAREST p�/ CASSATT D. GRIFFIN,SUPT OF BUILDING .CROSS ST. T DISTRICT O. 1 GROUP TYPE PR FOR APPLICANT TO FILL IN CONST. BUILDINGB STATISTICAL CLASSIFICATION SEW ER MAP ADDRESS 90 / BK-.+ CLASS.NO�WELL.UNITS LOT'NO. BLOCK NUMBER HWY. YES O TRACT USE ZONE SPECIAL / NO.OF.BLDG3 CONDITIONS SIZE OF LOT I NOW ON LOT .. ' USE EXISTITI NG BLDG EXIST. O � SETBACK BUILDING YARD HWY STREET NAME, -. WIDTH OWNER A1 FRONT o�OI Q"' yw MAILb P.L. O� 07 ADDRESS D JI• SIDE TEL P.L. cITY m � NO INSPECTION RECORD ARCHITECT R TEL. ENGINEER NO. ADDRESS nX111#1109- EL CONTRACTOR.O� /I E .TNO ADDRES 4-SAl l DESCRIPTION OF WORE `SD NE ADD ALTER REPAIR DEMOLISH FT. g NO.OF NO.OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT �y a APPROVALS DATE -INSPECTOR'S SIGNATURE ADDRESS d FOUNDATION:LOCATION FORMS,MATERIALS VALUATION's FRAME:FIRE STOPS. BRACING,BOLTS P.C. $ PMT. $ ------ FGASAVENT,DUCTS N. FEE FEE t HEREBY ACKNOWLED 'THAT 1 HAVE READ THIS AP-. LATH.INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND p STATE LAWS RE TI BXIICONSTR CTI N. LATH,EXT. SIGNATURE OF HOUSE NUMBER CDR - PERMITTE RECT AND POSTED ADDRESR APFINAL . 12 1 l CLYDE N. DIRLAM,PRINCIPALS RAL ENGINEER. PLAN CHECK VALIDATION CK. M.O. CASH PERM VALIDATION M.O. CAS" M3. 0 3 9.r SEP 24 1 A 9.00 �®' 76AG38A CH#803 10.118 APPLICATION FOR BUILDING PERMIT 1 COUNTY OF•LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST � qL CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST Y DISTRI O. GRO TYPE P ED FOR APPLICANT TO FILL IN CONST. -' BUILDING .�. STATISTICAL CL�,88IFICAT[ON 'SEWER MAP ADDRESS �/ D BKS PG CLASS.NO WELL.UNITS MAP LOT NO. BLOCK NUMBER Q HWY. YES TRAM.. O d USE ZONE SPECIAL NO.OF.BLDGS CONDITIONS SIZE OF LOT I NOW ON LOT USE OF EXISTING BLDG. O f4 a BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH OWNER FRONTO! MAIL _ P.L. p[ ADDRESS !29,0.-? SIDE TEL. P.L. 0.&CITY G No. d INSPECTION RECORD ARCHITECT O TEL. ENGINEER NO. ADDRESS TEL CONTRACTOR L/ NO ADDRES DESCRIPTION OF WORK S7'._ e 11T NEW ADD LT REPAIR DEMOLISH SQ.FT. •NO. F NO.OF SIZE Q ES FAMILIES USE OF �►I`�, /r,6D P CO Rn STRUCTUR I . SIGNATUA OF APPLICANT 1� APPROVAL.B DATE tf INSPECTOR'S SIGNATURE ADDRESS D FOUNDATION:LOCATION FORMS,MATERIALS VALUATION S ® I� FRAME:FIRE STOPS, BRACING.BOLTS '- /, FURNACE:LOCATION. FEE $ FEE' $,./ GAS VENT,DUCTS I HEREBY ACKNOWLEDGE THAT t HAVE READ THIS AP- LATH.INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGU TING tjILDI NSTRUCypN. LATH,EXT. SIGNATURE OF HOUSE NUMBER COR PERMITTEE. n RECT AND POSTED a �:0 ADDRES INAL CLYDE N.DIRLAM,PRINCIPALS RAL ENGINEER PLAN CHECK VALIDATION CK. �+•G• + PERMIT VALIDATION M.O. r " 3 0 9 0 A . SEP 4 1 A 5.00 W�` KERS'­COMPENSATi.ON DECLARATION r.• • +�( -� _1' that IfRave-a certificate of consent to Self AFP1ICATION FOR BUILDING PERMIT ir15Ur�, or d certificote of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lob.-C.) , - COUNTY OF LO>i ANGELES. 'BUILDING AND SAFETY Policy No. Company El "� 'Certified copy is hereby fBUILDINGurnished. FOR APPLICANT TO FILL IN ADDRESS �O� ❑ Certified copy is filed.with the county building inspec- BUILDING o /AJ tion departrpent. ADDRESS �A IJ CITY' m 12 L/, C ZIP LOCALITY Dat pplicant NO OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT 2-NOW ON LOT Z CROSS ST. G COMPENSATION INSURANCE ASSESSOR (This section need not be completed if�the permit is for one TRACT Q BLOCK LOT NO. MAP BOOK 5 a a PAGE C Af PARCEL hundred dollars ($100)or less.) USE ZONE MAP /J7 / OWNER NO. I7 / �6 I certify that in the performance of the work for which this y .- SPECIAL } permit is issued,"I shall not employ any person in any manner ADDRESS / /VCS / CONDITIONS y! a- so as to become.subject to the Wor rs'C cation Laws. l �a CITY C L.e �� ZIP X Date ZZ 7 -Applicant ARCHI CT OR TEL. DISTRICT GROUP TYPE FIRE°-= PROCESSED BY ` NOTICE TO APPLICANT: If, after makin this Certificate of ENGINEER NO. CONST. NE 7- Exemption, you should become subject -to the Workers' �Qd // t t'_< w Compensation provisions of the Labor Code, you must forth- ADDRESS v a with comply with such provisions or this permit shall be J . STATISTICAL CLASSIFICATION deemed revoked. CONTRACTOR 41AIA %flk - LI CLASS NO. DWELL. UNITS i`I (.{� LICENSED CONTRACTORS DECLARATION. / �� . ADDRESS ZZ UNI 6T 1. I hereby affirm that I am licensed under provisions of Chapter 9 LIC. SEWER MAPf- w (commencing with Section 7000)of Division 3 of the Business CITY �' C /7�-^- CLASS 3 VALIDATION and Professions Code,and my license is jn full force and effect. gK• pG• p ( SQ. NO. OF �7 NO. OF CHECK License ber u J Lic. Closs f SIZE STORIES v FAMILIES ONE VALUATION Contr Date —2 y DESCRIPTION OF WORK D/sJ NEW ❑ - = �� ADD pop Bam ex exempt under Sec. U 7�' ( ALTER El �d/ Doo O BP.C. or this reason �/ r" a r REPAIR ❑ $USE _ +� OING BLDG. IW EXIST �^ ` ��"/' DEMOL ❑ ;„ysi Signature APPLICANT p TEL FINAL OWNER-BUILDER DECLARATION. . (PRINT). Cd/T GVf N� �7�Z DATE i I hereby affirm that I am exempt from the Contractor's License //'�f 2 r�0 2. Law for the following'reason (Section 7031.5, Business and ADDRESS v /JZ FINAL - t' !='s' Professions Code): PRESENT rr.�te,, ❑ I, as owner of the property, or m employees with ` BUILDING ., P Pe Y, Y. �,' ADDRESS �� ,t wages as their sole compensation,will do the work and 1 t ` - D -L LOCALITY the structure is not intended or offered for sale(Section r=)] r �= MOVING'is. "TEL. ��. ,i" V i i+�. 94 m -_> t 7044, Business and Professions Code.) ' l / CONTRACTOR NO. !O s r -.1/1 ` ❑ I, as owner of the property,am exclusively contracting ; - �_ �(-l.��J. .Iii.:�. -'T•.,x•.. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code.). » ' �� +.� t '''t' j� -,GE REQUIRED TOTAL SETBACK FROM EXIST.. CONSTRUCTION LENDING AGENCY. SET BA K YARD HWY PROP, LINE WE TH 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. J.. >I„il [_l-fiJU 4. i/' (Sec. 3047, Civ. C.). SIDE. t, dd - ��. R Lender's Name P.C. Fee E Permit Fee • LDMA Ref. # Lender's Address ?� 0 1 certify that I have read this application and state that the ��' 6 Issuance Fee ��/: 7� LDMA P/C# , 8 above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee ✓• 6 LDMA Perm. # and heby authorize representatives of this County to enter u e above- oned property for inspectio purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9811130059 PHONE: (818) 285-0488 EXT: CONSTLEGAL ID: NO. OF . TR: 17002 LT: 10 SQ. FT STORIES TYPE 9903 NADINE ST STRUCTURE: 0 VN J EMP CA 917802623 ASSESSOR INFORMATION NUMBER: ,NEAREST CROSS STREET: GOLDEN WEST 8588-018-001 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY TENANT: EMT-Eff USE: RESID USE ZONE: R-1 ISSUED ON: FKU6tbbtV BY: EXPIRES ON: EXIST OCC GRP: 11/13/98 UT 11/13/99 TEL. 0: BLDGS. NOW ON LOT: U FINAL DATE FIN . HARDWICK JOHNIE L;LINDA C (818) 285-6660- 1 900 _��� 9903 NADINE ST TEMP 917802623 MCRIPTION OF WORK- TEAR OFF (GARAGE ONLY) AND RE VER WITH ELK 30 YR. COMP FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID------900.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/0 EN°HC900:00 VAL 65.40 S .T4GELETOTAi�UEES 93.65 V . 0. - �,� �Ty I S SAME AS OWNER i LIC. NO SOILS' ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUND ATION/TR9ffEFT6fflW- LIC. NO: 1171111 SLAB/UNDCR FLOOR RTTSE i 0• E E PBOOK: PAGE: FIRE : cmp�� PUBL�C UNDERFUM INSULATION WORKS 147H269 3 01 FLOOR SHEATHIWT NO. OF FAN G UNITS: APT/COND: STAT CLA NO 21 • 1 1 RdWSHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO ". ®� INSPECTION MURMF- TOTAL SETBACK FROM FIRE SPRI R HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- 46/�C SerV1Ce That�O� LA SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH i, . RATED WALL SS RATED, SHAFTS/OPENINGS CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508