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Home My Public Portal About9907 NADINE ST_Building__ II'ARMEW 09' 13MMING AND SArM A"UCAMN FOR PUNIT COUNTY OF LOS ANGEL=S wM. j. rox. QNttF LNGINiER Wu 11 D I N G .4 FOR 'APPLICAI+T .TO FILL IN FOR OFFICE USE ONLY BUILDING ADDRESSt . Dt07'RIdT NO. PLAN QK,NO, PERMIT NO. No LppA1,ITY RtQE1VtD BY DATE OF APPL. DATE ISSUED s NEARLST G M MORE=. IN OWNER MAIL ITY ADDRESt � / S V/, TEL r EST in f No.OF TYPE GROUP ARONtTtOT OR TEL XI,}M¢ PLANS T ENGINEER NO. SLOG. sORD,NO. KENN BETEACK INE L► t^ y NO� APPRavED my DATE CONTRACTOR 3` USE APPROVED ZONE BY' DATE L„ CORRECTIONS OEBQ RFION �y�Tmo. BLOCK TRACT {/� Z NO.OF BLDOB. sizt OF LOT .6 p NOW ON LOT USE OF NO.OF NO.OF F II DESCRIPTION OF WORK 000 NEW L000O ALTERATION ADDITION p A REPAIR MOVIND DEMOLISH O SZE1169 ROOMS STORIES r r WALLA ROOF OOVERINO G COVERING USE OF NEW J Q BUILDINO lam. let �a r t HERESY ACKNOWLEDGE THAT 1 HAVE READ THIN APPROVALS APPLICATION AND STATE THAT THE ABOVE IB.00RRCCT ICUNOATION:LOCATION INSPE R DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES: FCI MII6 MATERIALS AND STATE LAWS REGULATING BUILDING CONST UCTION,t C FRAMES FIRE STOPS. � 4,0 � SIGNATURE OF /if /� SPACING.BOLTS PERMITT[ ? /F LATH, INT. AUTHORIZED AOT LATH, EXT. 7GA63BA-3 7-49 $ P.p,S PLASTER,INT. FEE - PLASTER.EXT. VALUATION ��" FEE $ FINAL G _Q APPLICATION FOR BUILDING PERMIT �] 4 COUNTY OF LOS ANGELES;,: v BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN r BUILDIN DD Ess I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS or a certificate of Workers' Compensation Insurance,or a certified 0 7 A 1A, NAfr �T copy there�o,f,/(Sec.3800,Lab.C.) GI 76W/04-2 /J j &f 'IP q` pQ LOCALITY J Policy Np,/� Company. '� 6 SIZE OF LOT (•� NoJF BLDGs.NOW CON LOT ❑ Certified copy'is hereby furnished. NEAREST CROSS ST. ❑ Certified copy is filed with the countquildiW inspection TRACT BLOCK LOT NO. department. I USE ZONE MAP NO. Date 4-�-43 Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' ER /��1 Tt� L NO. COMPENSATION INSURANCE TEWITHIN 1000 FT.OF SCHOOL? YES NO This section need not be completed if the permit is for one hundred AD S ,f dollars($100) or less.) Q NAD/Atpf ST DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY I certify that in the performance of the work for which this permit CIT OLS ZIP 17 81D 781D is issued, I shall not employ any person in any manner so as to ARCHITECT O GINEER TEL NO. become subject'to the Workers'Compensation Laws. STATISTICAL CL SSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT: If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become Subject to the Workers' C NTRACTORDf�^� / T NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must'forthwith F fXJ CI-W FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESSLI 0. G�� PL LICENSED CONTRACTORS DECLARATION _0A . � SIDE CIT,y� LIC LAS$, PL I hereby affirm that I am licensed underprovisions of Chapter 9 /:7AL'0Gvl�tJ .4� �j (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORIES NO.OF FAMILIES SEWER MAP Professions Code,an my license is in full force and effect. Q 0 / NEW ❑ BK PG , a DES IPTION OF WORK VALUATION 0 License Number Z� Lic.Class 0' s ADD ❑ /QYi�l�✓S "I / . Date E&&-,q-0,0CW �i_,4 SS f� ALTER ❑ $ 3�D U Contractor cc ❑ 1 am exempt under Sec. G 85' REPAIR )Z $ 0 B.BP.C.for this reason DEMOL ❑ LDMA P/C# W Date: USE O TING_BJ„p�,� URM ❑ i Signature �,(/�j 1 AP NT(PRINTTE NO. LDMA Perm# Z ElI, as owner of the property, or my employees with wages as Tim//V 5 �33 13t Z ACC�Tva their sole compensation, will do the work and the structure is -ADDRESS s O 133 911 not intended or offered for sale (Section 7044, Business and �G�p'v S� �A L . �/� FINAL DATE Q 3307 J.r e•_ Professions Code.) - G1110. WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL 1 ITEMS ❑ 1, as Owner of the property, am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE Q �� AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL YES El NB / w C licensed contractors to construct the project (Section 7044, TATAL 133 m 50 Business and Professions Code.) O)I CHECK 3313 o c0 WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH A Q///�� /��{ CONSTRUCTION LENDING AGENCY COAST AIR OUAUTY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR17� C'L{t71'i - I{p GUIDEUNES. �/ CHANG 911 • 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(Sec. - - rn I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING 3097,Civ.C.) ( I�—I�I� 1 4/ v/�1 j �N � r• CHECKLIST. UNDE TAND Tt��THRO REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, Lender's Name TITLE CHAP ECT2.20.140 CONCERNING HAZARDOUS S RE G D FROM THE SCAQMD. Q Lender's Address ( 9 L15 i Am $ 0/ p e o I certify that 1-have read this application and state under penalty P.C.FEE PERMIT FEE of perjury that the abode information is correct.I agree to comply /0 N with all county ordinances and State laws relating to building construction, and hereby authorize representatives of this County ISSUANCE FEE ��V ro to enter upon the above-mentioned property for inspection purposes. INVESTIGATION FEE TOTAL FEE �• O r Sig t—w APCIf a A�t Dara SEE REVERSE FOR EXPLANATORY LANGUAGE 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 0507120078 PHONE: (626) 285-0488 ERT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 17002 LT: 11 SQ. FT STORIES TYPE 9907 NADINE ST STRUCTURE: VN TEMP CA 917802623 ASSESSOR INFORMATION NUMBER: - - NEAREST CROSS STREET: CAM13URY 8588-018-002 - THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 07/12/05 JK 07/07/06 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE BY: CODE: GRIFFITHS DONALD;DOROTHY TRS (626) 28672632- 9,950 9907 NADINE ST 't 3 l TEMP 917802623 FEES PAID DESCRIPTION OF WORA- REPLACE 11 WINDOWS (SAME SIZE) DOUBLE GLASS - FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: - SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 9950.00 VAL 1.00 SPECIAL CONDITIONS:. D2 PERMIT W/O EN-HC 9950.00 VAL 216.60 TOTAL FEES 245.35 CONTRACTOR: TEL. NO: - APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO - LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION TRENCH FORMS LIC. NO: SLAB UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION XX 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT COND: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET -MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: - FRONT PL- INSULATION WEATHER STRIP SIDE PL- - - - INTERIOR LATE DRYWALL EXTERIOR LATH RATED FLOOR CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 :