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Home My Public Portal About9913 NADINE ST_Building__ h . I 7EAes0A CE IIE079-60 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING � DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALI -c�y JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUF'T OF BUILDING CROSS ST. DISTRICT NO. 040UP I Typ PR ESSED BY FOR APPLICANT TO FILL IN S' CON T. BUILDING A STATISTICAL�C�LASSIFICATION SEWER MAP ADDRESS / ' �l�t SK PG CLASS. NO DWELL. UNITS LOT NO. BLOCK MAP oo�� STATE NUMBER.2 Q if HWY. YES NO TRACT USEZONE SPECIAL NO.OF CDGS. CONDITIONS SIZE OF LOT NOW ONLOT USE OF Res EXISTING BLDG. G BU DING EXIST. YARD HWY STREET NAME OWNER IN S D NEL O _ SETBACK WIDTH FRONT � ADDRESS Is YVN SL P L SIDE ARCHITECT OR r.,1in` ' TE P L ENGINEER j..XJ�/ NO. INSPECTION RECORD } ADDRESS tt�� 0 CONTRACTOR Q0%jPj,_ ��.,�� [m1,S NLL�� y. ADDRESS COQ owb>CAJ Qeovct lka., O DESCRIPTION OF WORK ri Lu a NEW xADD ALTER REPAIR DEMOLISH N SQ.FT. NO.OF NO.OF ? SIZE STORIES FAMILIES USE OF URE SIGNATURE OF a APPLICANT I VALUATION APPROVALS D TE INSPECT R'S SIGNATURE P.C. �v PMT. D� FOUNDATION: LOCATION FEE FEE $ FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AAT TO COMPLY FURNACE: LOCATION, ' WITH ALL COUNT ORD ES AND TEGULATING GAS VENT DUCTS z BUILDING CONSTR I ERTIFY ARF MANCEOF THE WORK FOR I 5 T IS5 LL NOTLATH,INT. EMPLOY ANY PERS I O ABUECTIL TO THE WORKMEN' COMPE ION LAWR LATH,EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTER RECT AND POSTED ADDRESS !v FINAL CLYDE N. DIRLAM, PRINCIPAL ST R URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION Cw M.O. CASH Lkl' r h ,a0y03 �u- 1 2 3 d 3.C-) •r 0904 12.0 76A838A CE0809-9-87APPLICATIO OR BLUILbING. PERMIT _ COUNTY OF LOS`ANGELES _BUILDING. -, DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS ST. DISTRICT NO GROU TYPE P E BY FOR APPLICANT TO FILL IN �� a CONS Printwor t a onl BUILDING ' TATISTICA ON ADDRESS . 13 NA n 1 NF SCLASS NO.L C DWELL,IUNITS SEW PPV F LOT NO. BLOCK USE ZONEMAP NO. TRACT Toa SPECIAL NO.OF BLDGS. CONDITIONS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. BLDG.SETBACK FROM � •- TEL, ` .FRONT PROP.LINE OF (STREET). .OWNER US( iAl S NO• 6✓� TYPE OF EXISTING. SETBACK HIGHWAY .•F YARD. TOTAL A DDR ESS�/�' - HIGHWAY WIDTH FROM C.L. CITY J_' L f _ ARCHITECT OR TEL. BLDG.SETBACK FROM (STREET) SIDE PROP.LINE OF ENGINEER NO: - TYPE OF EXISTING SETBACK HIGHWAY + YARD _ _ TOTAL ADDRESStt - HIGHWAY -WIDTH FROM-C.L. CON TRACTORP1jSC-L/a,OIAJ NO.. + ADDRESS �( 6 Ai D A4iNo- 7 CORNER CUTOFF YES ❑ NO U / � CITY 6 6 AV I CLASS B SEE REVERSE SIDE FOR SPECIAL' APPROVALS 8 006 aim" W DESCRIPTION OF WORK . a; AI i PAlaKVV,4Y TP. E R U:! E ? NEW ADD ALTE REPAIR DEMOLISH SQ. FT. NT0 OF NO. OF �e: SIZE STORIES FAMILIES A, `' fwd f>+i�9YB�•sm cZ siaUa ii.. s5a m 6^ �{tSMt.,ai '��,:,f. R �+\ USE OF �* STRUCTUR •'c., J ip 0,-d i #®' : SIGNATURE OF hu been mwv4 APPLICANT w 'VALUATION$ 3-5 ,04 ,O b ✓ APPROVALS AATE INSPECTOR'S SIGNATURE P.C. PMT,' FOUNDATION: LOCATION FEE$ FEE $� • / FORMS, MATERIALS FRAME: FIRE STOPS, 00 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING- BOLTS AND STATE THAT THE ABOVE IB CORRECT AND ACRE[ TO COMPLY FURNACE:_LOCATION, WITH ALL COUNTY ORDINANCES AND-STATE LAWS REGULATING. GAS VENT; DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- ' TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- LATH, INT. - ING TO WORKMEN'S COMP NSATION INSURANCE. - LATH, EXT, SIGNATURE OF a HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS 16re2jztkftg FINAL • JOHN F.�L�E�WIS. PRINCIPAL STRUC URAL ENGINEER. PLAN CHECK VALIDATION CK. M.O. CASH _ PEilNU VAWiJATION CK. M.O. CASH , 1 D 2' 7.?g 4:6 =o� 15 N WORKERS'COMPENSATION DECLARATION hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT � insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY PolicyNo. 1039547 CompanyState Comvensatinn U Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING 15 &) j ADDRESS Certified copy is filed with the county buil ' gins c- BUILDING Tion department. ADDRESS 9913 Nadine Date 1/3/89 Applicant CITY Temple City ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one ASSESSOR hundred dollars ($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL TEL. USE ZONE MAP I certify that in the performance of the work for which this OWNER No579-6667 NO } permit is issued, I shall not employ any person in any manner SPECIAL is so as to become subject to the Workers'Compensation Laws. ADDRESS 9913 Nadine CONDITIONS u Date Applicant CITY ZIP 09 NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR none TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY Q Exemption, you should become subject to the Workers' ENGINEER NO. CO ZONE t;r� W Compensation provisions of the Labor Code, you must forth- ADDRESS t v IZ with comply with such provisions or this permit shall be TEL. STATISTICAL LASSIE LION APT. CONDO. Z deemed revoked. CONTRACTOR United Roofing Co. N0.223-4081 LICENSED CONTRACTORS DECLARATION2-11 -47155 IC. CLASS NO. DWELL. UNITS — I hereby offirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP LOS n (commencing with Section 7000)of Division 3 of the Business and Angeles Llc' C39 1 Professions Code, and my license is in full force and effect. CITY $ CLASS BK PG q�.;.-VALIDATION SQ. FT. NO.OF NO.OF CHECK rI� License Numb r 1376 Lic.Class C39 SIZE 22 STORIES 1 FAMILIES ONEt O VALUATION _ —6° Contract Date 1/1/99 DESCRIPTION OF WORK NEW a ADD _.� -77. I am exempt under Sec. gginti oOfpI pt 1 —_NlaslefTER tlou eull araun r1n tall 3mfapvR ❑ $ B.&P.C. for this reason s g A Date: EXISTING BLDG.residence DEMOL &K'E ° f I Signature APPLICANT TEL. FINAL _ OWNER-BUILDER DECLARATION PRINT United Roofing Co. DAT 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS D FIN °''� Professions Code): BL s PN 1°3•_ BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and LOCALITY ' 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 contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). CK FROM FXIST. CONSTRUCTION LENDING AGENCY �gq� YARD HWY TO7APROP LINE WIDTH 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. (Sec. 3097, Civ. C.). SIDE P.L. Q Lender's Name $ P.C. Fee$ none permit Fee 26.25 LDMA Ref. tf Lender's Address ' I certifythat I have read this application and state that the PP Issuance Fee 10.50 LDMA P/C ff ¢ above information is correct. I agree to comply with all County Investigation Fee $ ordinances and State laws elating to building construction, Total Fee 36.75 LDMA Perm. # u and hereby authorize re sentati of this County to enter upon the ab ve-ment' ed pro ►Y for inspection purposes. a ,o SEE REVERSE FOR EXPLANATORY LANGUAGE Signotu of Applicant or Agent Dote COUNTY OF IAS 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 1112140016 PHONE: (626)- 285-0488 EXT: ' ILEGAL ID: i NO. OF CONST I BUILDING ADDRESS: 1 ITR: 17002 LT: 12 I SQ. FT STORIES TYPE 1 9913 NADINE ST 1 I ISTRUCTURE: 14 V-B I TEMP CA 917802623 1 (ASSESSOR INFORMATION NUMBER:- - 1 t 1 NEAREST CROSS STREET: 1 18588-018-003 1 I THOMAS PAGE: 597 GRID: A4 LOCALITY. TEMPLE CITY, Cl ITENANT: 1EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: 1 I (EXIST OCC GRP: 112/14/11 SR 1 (OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE: 1 1EWING JERRY (805) 551-5629- 1 5,000. 1 19913 NADINE ST 1 111 I ITEMP 917802623 1 FEES PAID IDESCRIPTIO14 OF WORK 1 I I ITEAR-OFF EXISTING ROOF APPLY CLASS "A" 30 YR COMPOSITION SHIT I IFEE DESCRIPTION: QUANTITY: UOM: AM0UNT:INGLES I (APPLICANT: TEL. NO: I I- ILANSFORD ROOFING INC. (626) 390-5480- IAA BLDG PERMIT ISSUANCE 27.80 I I IAB STATE GREEN BLDG FEE 5000.00 VAL 1.00 1SPECIAL ONDITIO I 1AC STRONG MOTION RESID 5000.00 VAL 0.50 i I ID2 PERMIT W/O EN-HC 5000.00 VAL- 132.80 I I TOTAL FEES 162.10 1 I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1 ILANSFORD ROOFING, INC. (626) 390-3480- 1 .1_ I 13535 LANDFAIR RD . - LIC. NO .,1 ILOCATION AND SETBACKS I I I (PASADENA, CA 91107 775436-C39 •'1 I I I I I ISOILS ENGINEER APPROVAL I I I (ARCHITECT OR ENGINEER: TEL. NO: . 1 IFOUNDATION/TRENCH FORMS 1 1 I 1 LIC. NO: 1 (SLAB/UNDER FLOOR I I 1 I I IRAISED FLOOR FRAMING 1 1 1 IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 1UNDF.RFL0OR INSULATION 1 1 I 1147H269 3 OoI 1 1. I I I I I IFLOCR SHEATHING I I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1 I 1 0 NO 21 1 IROOF SHEATHING 1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS 1AIR QUALITY: 1000 FEET MATERIALS NO NO NO 1 (FRAME"INSPECTION 1 1 I 1 1 (FIRE SPRINKLER HANGERS 1 1 I I I 11NSULATION/WEATHER STRIPI I I I I (INTERIOR LATH/DRYWALL I I I I I 1EXTERIOR.LATH I I I I I IRATED FLOOR/CEIL ASSEM. I I I I IRATED WALL ASSEMBLIES I I I I I IRATED SHAFTS/OPENINGS I I I I I IT-BAR CEILINGS I 1* ADDITIONAL DATA ON FILE I I I I I I ILOT DRAINAGE I I I I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I I I I I I