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
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DISTRICT NO. PLAN 01C.NO. PERMIT NO.
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#J f12---j� _ REOtIV[D BY DATE OF^PPI. DATE ISSUED
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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
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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