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Home My Public Portal About9056 RANCHO REAL RD_Building_1956-01-03 '91wt4M91A 01391.3 8.915 _ " '— - •••' ` '�! . _--�—.. _- -- s . APPLICA'T'ION FOR OI1.,OW! PERMIT. ,a DIVISION OF BUILDING AND SAFETYILO1xG �- � �� rf Deportment of County Engine DRESS County of Los Angeles LOCALITY r WN.J.FOX.COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICT NO. I 'GROUP ( �+ SEWER MAP FOR APPLICANT TO FILL IN _C 1 oN$s BK �,,,�, PG BUILDING / / y / .�. . :a ADDRESS �.t LFi 9 /i G I l C NUMBER o f - STATE YES LOT NO. BLOCK USE ZONE SPECIAL CONDITIONS TRACT p NO.OF SLUGS. / BUILDING EXIST. SIZE OF LOT / OCA NOW ON LOT / BUILDING YARD HWY STREETNAME WIDTH XI T. useorf� •^ P.L. 4 ; EXISTING BLDG. %4��}++/// t�` FRONT OWNER Z)AAl J. /'`� r 1 SIDE OWNER MAIL / ADDRESS 5_7v,;-L 0?a yte_1" --r., O TRACT DWELL. _ ! UNIT. rJ, INDUSTRIAL arrY 7 ,,.,#�1 c� 7 c c r�v73 t .DWELL. ! UNIT 6 PUBLIC BLDG. ARCHITECT OR ��''"� Tom„ X DUPLEX ! UNIT* 7 DDN..ALT..ETC. ENGINEER wi"Y NO. ;3 APT. UNIT ADDRESS sL COMMERCIAL 8 MI8CEL. CONTRACTOR NO' INSPECTION RECORD ADDRESS ZCs-S DESCRIPTION OF WORE NEW D ALTER REPAIR DEMOLISH �� I W �` SQ.FT. j F' NO.OF ,I NO.OF _SIZE �/ 7 STORIES J FAMILIES 4 �y USE OTRUCTURE 'at..& v•N . e � •1+C�.�L= •�.e M e .t>C3i SIGNATURE OF ' � �f /V APPLICANT '" L"r• j _ APPROVALS ADDRESS ��.+G h�Cf!f s�W-'+r•C c DATE INSPECTOWS SIGNATURE E FOUNDATION:LOCATION 00 P.C. 1$' FORMS.MATERIALS 2 � SCea 3 �' FEE S FRAME: FIRE STOPS, VALUATION S (Q BRACING,BOLTSIze EEFURNACE:LOCATION. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT.DUCTS APPLICATION AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT. AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. LATH.EXT. SIGNATURE OF � J� HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS 0GM6 Uti(s/w.�' lr c ' FINAL WM.J.FOX,COUNTY ENGINEER VALIDATION C.N.DIRLAM,'CHlEF BLDG. INSPECTOR a1 3 s,3 JAN 3 1 2.0 0 � ' WORKAS' COMPENSATION DECLARATION , ' I hereby affirm that I have certificate of consent to self insure, or a certificate of Workers' I APPLICATION FOR BUILDING PERMITkers'Compensation Insurance, or K'certified copy thereof(Sec. 3800, Lab. C.) i COUNTY OF LOS ANGELES j BUILDING AND SAFETY Policy No. Company BUILDING ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESSt- ❑ Certified copy is filed with the county building inspec- BUILDING ADDRESS tion department. DateApplicant CITY L Iu cep G;^ ZIP j7 gb LOCALITY L s C=am NO.OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK I LOT NO. MAP BOOK I PAGE I PARCEL hundred dollars ($100)or less.) ! v TEL. OWNER Lla L N E Xe l"C NO.,�196fr 73 USE ZONE OP -7 H I certify that in the performance of the work for which this $ec`AA SPECIAL (O CL permit is issued, I shall not employ any person in any manner ADDRESS OJ �K1N"C�o l CONDITIONS so as to become subject to the Workers'Compensation Laws. O CITY E I� C" ZIP 9 e 7 ° Date Applicant ARCHITECT OR TEL, �' NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. DISTRICT GROUP TYPE FIRE P GIBBED BY O Exemption, you should become subject to the Workers' . CONST. ZONE t- Compensation provisions of the Labor Code, you must forth- ADDRESSG� a with comply with such provisions or this permit shall be TEL STATISTICAL CLASSIF APT. CONDO. N deemed revoked. CONTRACTOR NO. Z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. 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 LIC. SEWER MAP and Professions Code,and my license is in full force and effect. CITY CLASS BK PG VALIDATION SO.FT. NO. OF NO.OF CHECK License Number Lic. Class SIZE I STORIES FAMILIES ONE VALUATION DESCRIPTION OF WORK 6-1P0 A VA'T0 cNEW ❑ Contractor Date $� ❑I am exempt under Sec. CoVes7-- ADD Er ► ALTER ❑ B.BP.C. for this reason REPAIR ❑ $ Date: USE OF EXISTING BLDG. DEMOL ❑ Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION (PRINT) NO, 1 hereby affirm that I am exempt from the Contractor's License DAT J _r i Law for the following reason (Section 7031.5, Business and ADDRESS FINAL 1 Professions Code): PRESENT By A t j,4 ❑ I, as owner of theproperty, or m o BUILDING Y employees P Yees with ADDRESS 3307 40■ f wages as their sole compensation,will do the work and , Am structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code.) MOVING TEL. I,as owner of the property,am exclusive) contracting CONTRACTOR NO. , .s. P P Y� Y 9 i��i•I o v with licensed contractors to construct the project (Sec- tion 7044, Business and Professions Code.) ADDRESS Ll� Ilo+�, REQUIRED TOTAL SETBACK FROM EXIST. ITEMS CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH i 2 t E S 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. TOTAL 110 o 55 (Sec. 3097, Civ. C.). SSIDE CHECK l: 110.55 Lender's Name d LDMA Ref.# CHANGE .1113 P.C. Fee$ Dq Permit Fee zi Lender's Address ' 1 certify that I have read this application and state that the Issuance Fee LDMA P/C# ' above information is correct. I agree to comply with all County Investigation Fee rl�I 1/3 1 r ordinances and State laws relating to building construction, Total Fee LDMA Perm. # _t3 7'7 1 AM11:504 and hereby authorize representatives of this County to enter l upo a above-mentioned prop r y for Inspection purposes. Mv SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Ageoft Date 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 1005170026 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST BUILDING ADDRESS: ITR: 11218 IT: 1 BL: D I SQ. FT STORIES TYPE 9056 RANCHO REAL RD I ISTRUCTURE: V-B I TEMP CA 917803030 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: SULTANA 15388-005-001 [ 1 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY, Cl ITENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: I (EXIST OCC GRP: 105/17/10 SR 1 [OWNER: TEL. NO: 1BLDGS. NOW ON IAT: VALUATION: IFINAL DATE FINAL BY: CODE: I IKELTY, ELEAINE (626) 230-4540- 1 50,000 I 1 19056 RANCHO REAL RD I I 1 ITEMP 917803030 1 FEES PAID [DESCRIPTION OF WORK I I I INTERIOR REMODEL ENTIRE HOUSE I I IEEE DESCRIPTION: QUANTITY: DOM: AM0UNT:1 I JAPPLICANT: TEL. NO: I I I IWESTGATE, ROBERT (626) 230-4540- JAA BLDG PERMIT ISSUANCE 27.75 1 1 19056 RANCHO REAL RD. IAB STATE GREEN BLDG FEE 50000.00 VAL 2.00 [SPECIAL CONDITIONS: [TEMPLE CITY CA 91780 IAC STRONG MOTION REBID 50000.00 VAL 5.00 I I JB2 PERMIT W/ENERGY 50000.00 VAL 877.47 I 1 TOTAL FEES 912.22 J I ICONTRACTOR: TEL. NO: 1 JAPPROVALS DATE INSPECTOR SIGNATURE J IWESTGATE, ROBERT (626) 230-4540- I 1 1 19056 RANCHO REAL ROAD LIC. NO [ (LOCATION AND SETBACKS [ 1 TEMPLE CITY, CA 91780 NONE 1 SOILS ENGINEER APPROVAL I 1 1 [ARCHITECT OR ENGINEER: TEL. NO: - —1 [FOUNDATION/TRENCH FORMS I I I [ LIC. NO: [ [SLAB/UNDER FLOOR [ I [RAISED FLOOR FRAMING J I I IMAP 147 : SEWER MAP BOOK: PAGE: FIRE ZONE: CMoo1 [UNDERFLOOR INSULATION IH26I I I I I [FLOOR SHEATHING I I 1 INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I [ NO 21 1 [ROOF SHEATHING [ 1 1 SCHOOL WITHIN HAZARDOUS I SHEAR PANELS I [ I [AIR QUALITY: 1000 FEET MATERIALS I � } 1 NO NO NO [ \�f �i�/ FRAME INSPECTIONEm I � �_✓ FIRE SPRINKLER HANGERS I I a (INSULATION/WEATHER STRIP I r - I I 1 JINTERIOR LATH/DRYWALL 1 I 1 [EXTERIOR LATH 1 IRATED FLOOR/CEIL ASSEM. I I I 1 I IRATED WALL ASSEMBLIES [ 1 I RATED SHAFTS/OPENINGS I 1 I IT-BAR CEILINGS 1 _ 1 I 1 1 I ILOT DRAINAGE I I I I I 1 IREPORT ID: DPR261 ROUTE TO: BS0508 1 I I I I I I I I I