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Home My Public Portal About5317 NOEL DR_Building__ r w" APPLICATION FOR BUILDING PERMIT Z G AND SAFETY DIVISION BUILDING orlment of County Engineer ADDRESS County of Los Angeles LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST CASSATT D GRIFFIN SUP T OF BUILDING CROSS T DISTRICT GRIP Typs SEWER MA PG FOR22APPLICANT TO FILL IN J CONST ING BUILD ) 7 O L 'E.n C/ STATISTICAL CLASSIFICATION LOT NO BLOCK CLASS NO�DWELL UNITS NUMBER MAP1 O STATE YES O [ADDRESS RACT Z U ZONE SPECIAL jfq� NO OF SLOGS / CONDITIONS SIZE OF LOT I Sl.� I NOW ON LOT C- ,7. EXISTINUSEOFG BLDG 90W f? '& S?J2A6-I BUILDING EXIST SETBACK YARD HWY STREET NAME WIDTH OWNER Q 4 vi p Q&,,,1Y0c.,,a'01w FRONT „/ Q MAIL P L U ADDRESS S.3 t I it/UG L b SIDE CITY TeA1 pLE C f T� TE Rr?q-w P L SPECTION RECORD ARCHITECT OR TEL ENGINEER NO / %*— 4&— ADDRESS. TEL CONTRACTOR NO ADDRESS DESCRnTION OF WORK NE ADD AL:-ER REPAIR DEMOLISH 11r- NoOF NO OF SIZE 6 STORIES ES FAMILIES USE OF STRUCTURE APPROVALS SIGNATURE OF APPLICANT IDATE INSPECTOR S SIGNATURE ADDRESSS3f 7/Y'DLEL 00, '1:5-1 PILE ClFOUNDATION LOCATION FORMS MATERIALS 1 �a YQM $ P C i FRAME FIRE STOPS ER BRACING BOLTS LO VALUATION' OD O FEE fl �- FURNACEGASVENT DUACTISN 1 HEREBY ACKNOWLEDGE 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 LATH EXT STATE LAWS REGULATING 6UILD1 CONSTRUCTION SIGNATURE OF x � � HOUSE NUMBER COR PERMITTEE �r RECT AND POSTED ADDRESS 1 Ot:L E/tPtt:r C 1 FINAL - 1- L JOHN A LAMBIE COUNTY ENGINEER CLYDE N DIRLAM PRINCIPAL STRUCTURAL ENGINEER PLAN CIISCB VALIDATION CK M 0cw8 PERMIT VALIDATION CK AS M O CH . VA2970 OCT 4 1 600 g WOcerRKERS COMPENSATION DECLARATION r y that I have a certificate of consent to self APPLICATION FOR BUILDING PERMIT insure W.certificate of Workers Compensation Insurance or a certified copy thereof(Sec 3800 Lab C ) ' L—.�tt�l p �5 CX�sv� COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No ompony =r2 BUILDING 1:1Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS S 3/ NV 2 ElCertified copy is filed with the cam++ b Id J�iinspec BUILDING / %� + tion p rtment � (/r(Jf/14�1� ADDRESS S 3 A dC I— bp— Date Applicant CITY� Ic (rJZ ZIP / V LOCALITY //�� CERTIFICATE OF EXEMPTIO OM WORKERS I*b OF SIZE OF LOT NOW ON LOTS OY ROSS ST V L/// T REST COMPENSATION I URANCE �r (This section need not be completed if the permit is for one TRACT / BLOCK LOT NO MAP BOOK SESSOR �� d PAGE Q PARCEL hundred dollars($100)or less ) OWNER ZIM^ USE ZONE MAP e I certify that in the performance of the work for which this 0/ , >- permit is issued I shall not employ any person in any manner SPECIAL d so as to become subject to the Workers Compensation Laws ADDRESS CONDITIONS V Date Applicant CITY 4>or1 I F ZIP 11780 EIC NOTICE TO APPLICANT If after making this Certificate of ENGINETECTER O / L ��fid DISTRICT GROUP TYPE FIRE PROCESSED BY G Exemption you should become subject to the Workers / CONST ZONE Compensation provisions of the Labor Code you must forth ADDRESS V/f�A (� �i✓/9' /� (/ 3 y with comply with such provisions or this permit shall be L STATISTICAL CLASSIFICATION APT CONDO Z deemed revoked CONTRACTOR NO �� LICENSED CONTRACTORS DECLARATIONLIC CLASS NO �L—DWELL UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO / (commencing with Section 7000)of Division 3 of the Business and LIC SEWER MAP Professions Code and my license is in full force and effect CITY CLASS SK PG VALIDATION SQ FT NO OF NO OF CHECK License Number Lic Class SIZE 54M STORIES FAMILIES ONE VALUATIONNEW 2 4Is�' Contractor Date DESCRIPTION OF WORK ❑ ADD �! I am exempt under Sec + ALTER ❑ (,L/9r�S' B&P C for this reason ILIPAIR ❑ $ r 77 i Date USE BLDG ,G — DEMOL ❑ N I,3 s Signature APPLICANT TEL FINAL OWNER BUILDER DECLARATION PRINT NO DATE ✓ I hereby affirm that I am exempt from the Contractor s License r Law for the following reason (Section 7031 5 Business and ADDRESS FI Professions Code) BUILDING .15*11 AJa 13 I as owner of the property or my employees with ADDRESS m, t wages as their sole compensation will do the work and r' r. the structure is not intended or offered for sale(Section LOCALITY i 7044 Business and Professions Code) MOVING AEL t+ i 2 3 7 6<0 A ❑ I as owner of the property am exclusively contracting CONTRACTOR NO with licensed contractors to construct the project (Sec # • • • • • tion 7044 Business and Professions Code) ADDRESS 1 CONSTRUCTION LENDING AGENCY SETTBACK YARD HWY TOTAPROPBALINE WIDTH 95,3925 I hereby affirm that there is a construction lending agency for FRONT • e 539255 the performance of the work for which this permit is issued PL (Sec 3097 Civ C ) SIDE PL t �= s 0106-86 `. Q Lender s Name LDMA Ref Lender s Address PC Fee E Permit Fee 528'.75- + 1 certify that I have read this application and state that the Issuance Fee �oa Sd LDMA P/C s above information is correct I agree to comply with all County Investigation Fee �� n� ordinances and State laws relating to building construction Total Fee , 2( LDMA Perm 0 U and hereby authorize representatives of this County to enter up o t a ov mentioned property for inspection p s O SEE REVERSE FOR EXPLANATORY LANGUAGE Sign tura of-Applicipli Agent e 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 1412080065 PHONE (626) 285 0488 EXT ILEGAL ID I NO OF CONST I BUILDING ADDRESS 1 ITR 11218 LT 28 BL E I SQ FT STORIES TYPE I 5317 NOEL DR 1 ISTRUCTURE 2500 V B I TEMP CA 917803021 (ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 15388 006 009 I I THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY CAI II ITENANT (EXIST BLDG USE RESID USE ZONE R 1 (ISSUED ON PROCESSED BY 1 1 (EXIST OCC GRP 12/08/14 SR 1 (OWNER TEL NO IBLDGS NOW ON LOT VALUATION IF NAL DA3.E FI BY CODE 1 1WUJEK THOMAS L MARIA F (626) 286 1442 i 8 000 i � 1 15317 NOEL DR 04 ITEMP 917803021 I FEES PAID ID SCRIPTION OF WORK NJJ 1 I I ITEAR OFF AND RE ROOF SINGLE FAMILY RESIDENNCE 2 LAYERS 1 IFEE DESCRIPTION QUANTITY UOM AMOUNT IHOUSE ONLY 25 SQUARES 2 LAYERS 4 12 PITCH 30 YRS ASPHALT 1 (APPLICANT TEL NO I ISHINGLES 1 ISANCHEZ AMANDA (626) 444 7555 IAA BLDG PERMIT ISSUANCE 27 80 1 I 119020 E NORTHAM ST IAB STATE GREEN BLDG FEE 8000 00 VAL 1 00 ISPECIAL CONDITIONS 1 IWEST COVINA CA 91792 IAC STRONG MOTION RESID 8000 00 VAL 0 80 1 I I ID2 PERMIT W/O EN HC 8000 00 VAL 183 00 1 TOTAL FEES 212 60 1 I ICONTRACTOR TEL NO 1 (APPROVALS DATE INSPECTOR SIGNATURE 1 ITRS SERVICES (626) 444 7555 I 1 I ITHE ROOFING SPECIALISTS LIC NO 1 ILOCATION AND SETBACKS I I I 119020 E NORTHAM STREET 968981 I 1_ I I I IWEST COVINA CA 91792 I ISOILS ENGINEER APPROVAL I I I (ARCHITECT OR ENGINEER TEL NO I IFOUNDATION/TRENCH FORMS I I I 1 LIC NO I (SLAB/UNDER FLOOR I I I I I IRAISED FLOOR FRAMING I I IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I 1UNDERFLOOR INSULATION I I I I 3 001 1 1- I IFLOOR SHEATHING I I I INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I I I I I 1 NO 21 1 IROOF SHEATHING I I 1 SCHOOL WITHIN HAZARDOUS ISHEAR PANELS I I (AIR QUALITY 1000 FEET MATERIALS I I- I I I NO NO NO 1 IFRANE INSPECTION I I I I i IFIRE SPRINKLER HANGERS I I I (INSULATION/WEATHER STRIP( 1 I _ I I 11NTERIOR LATH/DRYWALL I I I I I 1EXTERIOR LATH I I IRATED FLOOR/CEIL ASSEM I I I I I IRATED WALL ASSEMBLIES I I RATED SHAFTS/OPENINGS I I IT BAR CEILINGS I I I ILOT DRAINAGE I I I 1 REPORT ID DPR261 ROUTE TO BS0508 I I I