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Home My Public Portal About9065 RANCHO REAL RD_Building_1963-10-29 'T MP4 CI'T'Y 76A638ACE#6032-63 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESSpy BUILDING AND SAFETY DIVISION LOCALITY - JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A.JENSEN,SUPT OF BUILDING CROSS ST. DISTRI�,T,N� GROUP TYPE PRO BY FOR APPLICANT TO FILL IN �S CONST. ,TYPE STATISTICAL•CL IFICATION. SEWER MAP ADDRESS 906.5 , K GI/ CLASS. NO. DWELL.UNITS ' C7 LOT NO. ! BLOCK WATER NOT REQUIRED RECEIVED CR ❑ ETIFICT AE: Da TRACT ?j MAP' HIGHWAY STATE MAJOR SECOND,LOCAL NO.OF BLDGS. NO. (CIRCLE) SIZE OF LOT Z X B NOW ON LOT Z USE ZONE SPECIAL USE OF �I �� CONDITIONS EXISTING BLDG. j E� , . IA TEL OWNER IA NO. B Z./ BUILDI GEXIST. YARD HWY STREET NAME' SETBACK WIDTH ADDRESS /sZ / FRONT [ ARCHITECT OR TEL. P. L. ENGINEER 4.7, NO. (� Z7 SIRE P. L: ADDRESS' / f e /0 e,, - . T = n I V CONTRACTOR fV Q NO. ADDRESS �f C 4 O / � t ~ DESCRIPTION OF WORK �I' CA`ar .ec:wu NEW ADD ALTER REPAIR DEMOLISH ? NO.OT NOOF I/ -1 F4V91 SZE �,�ip!t ^r ::� •6+ y_ ^Ja .... STORIES FAMILIES USEOF STRUCTURE GYCI"L'� Q .. ✓•�.� r.�i=ti •- ttst3sf� �bt'� J.L a f SIGNATURE OF � APPLICANT a VALUATION $/�QV •APPROVALS DAT I NSPI(CT054 SIGNATURE FEE FEE $ //75o -FORMS FOUNDATION: LOCATION , MATERIALS / . FRAME: FIRE STOPS, �^ / �/��•�� I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS'- �� AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. �' f 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- _ LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION 111SURANCE. LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS OGtr>P!� FINAL (F/� JOHN F. LEWIS. PRRNCIPAL STR RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH aQl 9 5 81 OCT29 . 1 D 11.5 0 N WORKERS'COMPENSATION DECLARATION � of coent to insure, or afcertif certificate of Wo ke s'tificate Compensat on Insuran elf A P L"r�U CAT 10 N FOR O U I L®I N G PERMIT or a certified copy thereof}(Sec. 3800, Lab. C.)' "" P2-14'% ` ? COUNTY OF LOS ANGELES BUILDING AND SAFETY Po' y No.far Company Ah5l"AD8b-- Certified copy is hereby furnished. m FOR APPLICANT TO FILL IN BUILDING ADDRESS Certified copy is filed with the county building inspec- BUILDING /�/� �,( tion department. ADDRESS (/��(t7 /feel i LOCALITY A REST Date' /V—f Applicant CITY W- ZIP 4 CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKE S' r NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE I '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 ($100)or less.) TRACT BLOCK LOT NO. NO. �J TEL. SPECIAL I certify that in the performance of the work for which this OWNER Cs ,I D NO. CONDITIONS I permit is issued, I shall not employ any person in any manner DISTRICT GROUP TYPE FIRE PROCESSED BY Q so as to become subject to the Workers'Compenso' n Laws. ADDRESS 40 64 CONST. ZO E U Date Applicant I CIN ZIP STATISTICAL SSIFICATION APT. JCONPO. NOTICE TO APPLICANT: If, after making this Corti cafe of ARCHITECT OR TEL. Exemption, you should become subject to the Workers' ! ' ENGINEER / NO. ey j 7 CLASS NO. DWELL.UNITS Compensation provisions of the Labor Code, you must forth- ADDRESS (p i ��C SEWER MAP with comply with such prdvisions or this permit shall be TEL. deemed revoked. gK• PG, VALIDATION CONTRACTOR (,:o NO. LICENSED CONTRACTORS DECLARATION LIC, I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS`,K NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and J_ A ` LIC. �J /' Professions Code, and my license is in full force and effect. CITY /� A fr d o/ CLASS p=/ s� A /{ ,r SQ.FT_ �' _ NO.OF r NO.OF CHECK License Number -7 f1 Lic.Class SIZE STORIES IFAMILIES ONE DESCRIPTION OF WORK _O� d0NEW a $ Contractor Date ADD T I am exempt under Sec. ALTER . FINAL B.BP.C. for this reasonREPAIR DATE ��r^� ' t ilollDate: ;, USE OF DEMOL FINAL 1'.EXISTING BLDG. �: ❑: � � '�'CJ `` APPLICANT TEL. Signature y By g G PRINT —, NO. �r��iG. _ OWNER-BUILDER DECLA ATION. I hereby affirm that I am exempt from the Contractor's License ADDRESS Law for the following reason (Section 7031.5, Business and �. Professions Code): PRESENT ❑ BUILDING I, as owner of the property, or my employees with ADDRESS r 7 0 0,2 A wages as their sole compensation,will do the work and LOCALITY the structure is not intended or offered for sale(Section # 0 0 0 0 0 7044, Business and Professions Code). MOVING TEL. 2 0 0 c7 I,as owner of the property,"am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- i, ADDRESS o 0 o r'j�j tion7044,7044, Business and Professions Code). , REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY 1 SET BACK YARD HWY PROP. LINE WIDTH j 0.20-82 I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued i P.L. tSec. 3097,Civ. C.). ISIDE ' P.L. i Lender's Name P.C. Fee$ Permit Fee J Lender's Address I certify that I have read this application and state that the Issuance Fee ( above information is correct. I agree.to comply with all County Investigation Fee ' ordinances and State laws relating to building construction, Total Fee and hereby authorize repreqontatives of this County to enter IbM _...:. ,...., .. upon th b ve- ntione ro erty f nspection purposes. � /(/•R"�V -��SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date ..®s " 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 0108210059 PHONE: (626) 285-0488 EXT: GA CONST BUILD-MADDRESS: TR: 11218 LT: 21 BL: .001 SQ. FT STORIES TYPE 9065 RANCHO REAL RD STRUCTURE: VN TEMP CA 917803031 ASSESSOR INFORMATION NUMR: NEAREST CROSS STREET: ROSEMEAD 5388-002-028 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY EXISTD SE: RESID USESSE 0 : PROCESSED EXPIRES ON: EXIST OCC GRP: 10/02/01 JK 03/31/02 OWNER: TEL. NO: BLDGS. NOW ON LO AL ION: FIA DAT FINAL BY: CODE: SUNG 9065 RANCHO REAL RD 5,000 k TEMP 917803031 FEES PAID SCR IO OF-WORK C CONVERT EXISTING BEDROOM CLOSET TO BATHROOM APPLICANT: TEL. NO: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ZI YI LI (626) 233-8148- AA BLDG PERMIT ISSUANCE 27.75 4152 LINCOLN AC STRONG MOTION RESID 5000.00 VAL 0.50 SPECIAL CONDITIONS: EL MONTE AX BUILDING REV•I=EW=FEES_ 54.70 B2 PERMIT�W��R L TOfi�FEES' VAL 145.86 228.81 CjELL�s � CONTRACTOR: TEL. NO: S APPROVALS DATE INSPECTOR SIGNATUR ZI YI LI (626) 487-9163- 4152 LINCOLN AVENUE LIC. NO LOCATION AND SETBACKS EL MONTE CA 91731 766875,8 / �� SOILS ENGINEER APPROVAL ARCHITECT ORG /'/ �, FOUNDATION/TRENCH FORMS PETRA CONSTRUCTION MANAGE. (626) 233-8148-r `�� 898 S. GARFIELD AVE. LIC. NO?�I� SLAB UNDER FLOOR MONTEREY PARK, CA 91754 761300 Br MCIS D 0 FORM MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: 7(iMR�- 'ff11 ff11 O 1n -� ? � UNDERFLOOR INSULATION XX 3 �01:� , � L � � �� C FLOOR SHEATHIffU u -� OF FAMILIES: DWELLING S: AP CO D: STAT CLASS:-- NO 21 - ---i / LJ / ROOF SHEATHING SCHOOL T HAZARDOUS ` / ❑ SHEARPANELS AIR QUALITY: 1000 FEET MATERIALS 1-7 [i NO NO NO i�� i 1T`-II 1J FRAME INSPECTION �� 3 REQUIRED TO AL SETB C FROM S G$ I I �� SPR L R G RS SET BACK YARD: HWY: PROP LINE: WIDTH: FS DE P�_ C `SE'rvic a-gh2�ti INSULATIO /WEAT ER STRIP - MYER rOYUTHY loR "l EXTERIOR LATH RATED LOO L ASSEN. RATED WALL ASSEMBLIES RATED S SOEN GS T-BAR CEILINGS LOT DRAINAGF REPORT ID: DPR261 ROUTE TO: BS0508