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HomeMy Public PortalAbout9943 NADINE ST_Building__ DEPARTbq NT OF BUILDING AND SAFETY APPLICATION FOR PERIVIIT COUNTY OFLOS ANGELES ®� WM. J. FOX, CHIEF ENGINEER NG). FOR APPLICANT TO M IN FOR OFFICE USE ONLY BUILDING - DISTRICT NO. PLAN CK. NO. PERMIT NO. ADDRESS / / -14 a (p 2� O Z y LOCALITY le L" RECEIVED BY DATE OF APPL. DATR(ISSUED NEAREST /� G 3 — 1 s CROSSOT, (r fjJ C BUILDING /y ADDRESS OWNRR 1. MAILLOCALITY ; C ADDRESS �, ,so �,( y e NEAREST o` '� 3 6 CROSS ST. CITY S FIRE NO. OF TYPE GRO ARCHITECT OR TEL. ZONE PLANS RNGINEER NO. BLDG. ORD. NO. SETBACK LINE ADDRESS APPROVED TEL BY DATE CONTRACTOR �'1 C TNO.EL - 36 USEAPPRbED L ZONE BY DATE ADDRESS y S HOUSE NUMBERING LEGAL DESCRIPTION NO. BLOCK MAP NUMBER �O FIELD CHECK BY PT _ TRAC• NO. ASSIGNED BY--Ae!e-e----DATrl NO. OF BLDGB. CORRECTIONS - SIZE OF LOT NOW ON LOT / USB OF NGL _ SA m b ^' EXISTING BLDG. ' FAMILIES DESCREPTION OF WORK NEW ALTERATION I I ADDITION I w dt V@ 0 RRPAIR ( DEMOLITION 0. / I I � SQ 2 _Z ROOMS 6 STORIES lone Z SIZE Z EXT. WALL ROOF Y t' COVERING C I COVERING USE OF STRUCTURE q Q T PROVMV INSPECTO SIGNATURE DjkTR 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS CORRECT. 1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS; �• HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS LAWS REGULATING BUILDING ,C./ONSTRU ION. FURNACE: LOCATION, SIGNATURE OF G GAS VENT, DUCTS vA K PERMIrrEff It " n L � LATH, INT. ADDRES - �w_ TH, EXT. AUTHORIZED AGT. Q e ��•G�y) PLASTER, INT. 76ABOBA• OEMs 10-4-5f ®'1D P. C. $ ! © J FEE I� PLASTER, ®CT. J VALUATION / Z d FEE 33 FINAL ¢ y� COUNTY OF I,AS ANGEI,ES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1012020025 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST NEW I BUILDING ADDRESS: ON FILE I SQ. FT STORIES TYPE OCCUP GROUPI 9943 NADINE ST 1 ISTRUCTURE: 499 1 V-B R3 I TEMP CA 917802623 (ASSESSOR INFORMATION NUMBER: I GARAGE: I NEAREST CROSS STREET: CAMBURY J OTHER: 18588-018-010 I J I i THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: USE ZONE: (ISSUED ON: PROCESSED BY: (EXIST OCC GRP: 101/31/11 SR OWNER: I I I I TEL. N0: 1BLDGS. NOW ON LOT: VALUATION: IFCODE: 1 IQUON GLENN W;KIM YEE (626) 271-6176- 1 77,970 1 19943 NADINE ST I DA FI BY: I ITEMP 917802623 I FEES PAID ID C IPTI N OF WORK v1 I - (ADD 1 BEDROOM, 1 BATHROOM, EXTEND EXISTING BEDROOM AND IFEE DESCRIPTION: QUANTITY,: UOM: AMOUNT: JTEAR OFF AND REROOF WITH COMPOSITION SHINGLES TO MATCH NEW *J (APPLICANT: TEL. NO: I I I IGONG, ROCKY (626) 350-1345- JB1 PLANCHECK W/ENERGY 73970.00 VAL 969.80 1 I IAA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS: J I JAB STATE GREEN BLDG FEE 77970.00 VAL 4.00 1 JAC STRONG MOTION RESID 77970.00 VAL 7.80 1 JB2 PERMIT W/ENERGY 77970.00 VAL 1,184.20 I I ICONTRACTOR: TEL. NO:- I TOTAL FEES 2,193.60 JAPPROVALS DATE INSPECTOR SIGNATURE 1 IQUON, GLENN (626) 271-6176- I 1 I 19943 NADINE STREET LIC. NO 1 ILOCATION AND SETBACKS I ITEMPLE CITY, CA 91780 NONE J I i I I I ]SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: - i (FOUNDATION/TRENCH FORMS 1 11 I LIC. NO: i (SLAB/UNDER FLOOR I /� I I IRAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:J JUNDERFLOOR INSULATION I I I I I I 3 OOI J1ST LEVEL FLOOR SHEATH I J I ]NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I NO 21 1 12ND LEVEL FLOOR SHEATH I J I SCHOOL WITHIN HAZARDOUS ] IROOF SHEATHING J I ]AIR QUALITY: 1000 FEET MATERIALS I ;p J I NO NO NO i (FIRE DEPT. FRAME INSPECF I I I I I JBLDG DEPT. FRAME INSPECT �I I I ISHEAR PANELS 1 I I JINSULATION/WEATHER STRIP ] I JINTERIOR LATH/DRYWALL J I 1 1EXTERIOR LATH ] y ] I ILOT DRAINAGE I ISMOKE DETECTION DEVICES I ] I I I IFIRE DEPARTMENT APPROVALI I I J* ADDITIONAL DATA ON FILE I I I I J IREPORT ID: DPR261 ROUTE TO: BS0508 ] I I I I I i I I I WORKERS'COMPENSATION DECLARATIONI her .insure, affirm cificatethat lhave a of Workers'Compenstionoln consent o'r. APPLICATION FOR BUILDING PERMIT , . a Policy a LC20 thereof-(Sec. 3800, Lab, C.) \ . COUNTY OF LOS ANGELES BUILDING AND SAFETY PolicyhlaCC20-400-16",7, Argonaut Ins. Co.- Certified copy is hereby furnished.. FOR APPLICANT TO FILL IN ADDRESS 3 ® ` Certified copy is'filed with the county building inspec- BUILDING tion department. ADDRESS 9-943 Nadine LOCALITY Tem le Cit 917HO. NEAREST Date 1'1-1-81 Applicant$oward T.- Rnnrinl Co; CITY P y ZIP CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP hundred dollars ($1001 or less.) TRACT BLOCK LOT NO. NO. (=:12 r TEL. /l SPECIAL Q I certify that in the perfoemance of the work for which this OWNER Raymond Armenia No —5542 coNDlTlotvs 0 permit is issued, I shall not employ any person in any manner, DISTRICT GROUP- TYPE FIRE PROCESSED BY U � Q� � TO . so as-to,become subject to the Workers'.Compensation ,ADDRESS COTA ZONE ompensation Laws. _ �p Y •� OC Date 12-9-81 Hnwarri T._ •RanAnl CITY ZIP IS /1 F_ Applicant CO,' STATISTICAL CLASSIFICATIONT. CONDO. NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. W DWELL. a ' Exemption; you should become subject to ENGINEER NO. CLASS NO. �• the Workers' WELL. UNITS rA Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this permit.shall be deemed revoked. CONTRACTOR Howard L.. Randol C O 288-4040 BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC: I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS-529 E. . Valle Bl. NO. 186086 VALUATION (commencing with Section 7000)of Division 3 of the Business and Professions Code, and my license is in full force and effect. CITY San Gabriel LIC. C-3 $ 1979.00 � SQ.I FT. NO. OF NO. OF CHECK License Number 186086 Lic.Class C-39 SIZE STORIES FAMILIES ONE Contracto goward L. Randol &A- '12-9-81 DESCRIPTION OF WORK Re—roof house NEW ❑ $ ara e . ❑ lam exempt from the licensing requirements as I am a g g - with 12x18 composition ADD licensed architect or a registered professional engineer ALTER -❑ FINAL acting in my professional capacity (Section 7051, shingles. REPAIR - DATE Business and Professions Code). USE OF EXISTING BLDG. SFD DEMOL E] By AL Lic.or Reg.No. Date APPLICANT TEL. OWNER-BUILDER DECLARATION PRINT O. 288-4040 I hereby affirm that I am exempt from the Contractor'"s License Law for the following reason (Sectio,n 7031.5, Business and ADDRESS 529 E.Vallev Bl. San Gabriel Professions Code): PRESENT 10-29 BUILDING 1,I, as owner of the property, or my employees with ADDRESS wages'as their sole compensation,will do the work and �.2 2 9.8 R the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code): MOVING TEL. # ` 1 1, as owner of the property, am exclusively contracting CONTRACTOR NO. • • • • • �' with licensed contractors to construct the project (Sec- ADDRESS 2 •,• 4300 tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. Z _ CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH • • ° 4.3,Q O 3 I hereby affirm that there is a construction lending agency for - FRONT - l - the performance of the work for which,this permit is issued P.L. Q D ( 2, 1 .4:-8 1 (Sec. 3097,.Civ. C.). SIDE P.L. Lender's Name Lender's Address P.C:Fee$ Permit Fee w I certify that I.have read this application and state that the Issuance Fee 8.50 W above'information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee $43.,00 and hereby authorize representatives f this County to enter a upon the ov ed pr pe r inspection purpose I. SEE REVERSE FOR EXPLANATORY LANGUAGE Sign ure of Applicant gent Do ®+