HomeMy Public PortalAbout10641 SPARKLETT ST_Building__ DEPAPMOM OF COMM 8tiGM�
DIVISION OF BMLDDFG AND SAFETY RU ILDII� — J
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WILLIAM J FOX. COUNTY ENGINKM I APPLICATION---- ----��
CASSATT D. GRIMM, BUTT OF BBILOIKG i
FOR APPLICANT TO F= IN I FOR OFFICE USE ONLY
BUILDING DISTRICT NO PLOI CK On RzC No PERMIT NOS
ADDR=8 O ,6
LOCALITY I RECEIVED BY I DATE Or AP�D(L DATE ISSUED
CROM ST. P4 &4 fNEAREST I ` - 7
BUILDING I I
OWNER oyll O 1
I t
MAIL Iy' LOCALITY
ADDRESS / Q NSARESTII I
' T� -` (`6 CROSS ST, I
CITY .15016ARCHTTEGf OR TEL FIRE NO OF i TYPE_ �� GROUR:.
ENGINES ZONE I PLANS 1
BLDG
ADDRESS BETBACKILINE I YC7�♦ IV /
CONTRACTOR ^'I N �� zuosNKiz4 , H1 , OVER I DA
ADD EES 1 ♦ / I I HOUSE NUMBERING I t
LEGALO MAP NUMB I / O ! O ASSIGNED BY I
n
DESCR Po _ _ I ,
COHHEGRIONS'
TRACT 17101 � E ,
BizE or LOT /00
0 NO OF M-13NOW ON
UBEMEMO of I - -- -- -------- -------
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DFSCB7MN OF WCW 1 "°T ' D -
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NEW AL-TRUTION ADDITION a
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REPAIR DEMOLITION >
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FT NO OF
SIZE BTCRIW
J,[ CCCOVERING
COVERING
USEOFSTRUCTURE
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APPBOV
INEP 'B IGHATURE QKTK.
FOUNDATION LOCATION
FORMS MATERIALS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS Al, FRANK FIRE BTOPB,
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING BOLTS
CORRECT FURNACE LOCATION
1 AORM TO COMELY WITH ALL COUNTY ORDINANCES GAB VENT DUCTS /
AND STATE LAWS REGULATING BUILDING CONBTRUO'TION
SIGNATURE OF I Ar N V LATH. INT
PERM
( - LATHMIT
ADD 131a'
PLASTER. INr /
AUTHORIZED AOT
PLASTER 8XT I
s e6l ' FEC B HOUSENUMBERCOR-
v� RECT AND POSTED
VALUATION ♦ Ob
FEE y"1" " FINAL" 1
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>.,ua.A ce aw,Icw APPLICATION FOR BUILDING PERMIT I
COUNTY OF LOS ANGELES ADDRESS �O 6�� Sb�i9�,r G F TT
DEPARTMENT OF COUNTY ENGINEER
BUIMING AND SAFETY DIVISION LOCALITY C
JOHN A LAMBIE. COUNTY ENGINEER CRROSS ST
CASSATT D GRIFFIN SUIT or BUILDING
FOR APPLICANT TO FILL R4 DISTRI O = TYPE PROCESS BY
CON HPY
BUILDING STATISTICAL CLASS[FICATION SEWER MAP
ADDRESS BK PG
CLASS NO-9!LVWELL UNITS
LOT NO BLOCK MAPSTATE
NUMBER -y O U HWY YES
USF�ONE w
TRACT NO
OF SLOGS J. P�7J I CONDITIONS �— l^/0 O AW GL
612E OF LO NOW ON LOT !/
USE OF
EXISTING BLDG BUILDING YARD HWY STREET NAME
SETBACK WI
MAILER FRONT �� r
ADDRESS D SIDE
7E P L
IIQSPECTION BECORD
ARCHITECT OR TEL
ENGINEER NO
ADDRESS
uJ
CONTRACTOR NO G
ADDRESS
DESC N OF WORK
NEW .ADD ALTER REPAIR DEMOLISH
SO FT jgj NO OF NO OF
SIZE STORIES FAMILIES
USE OP
STRUCTUREava
SIGNATURE O
APPLICANT
> APPROVALS DATE ECTORS NATURE
ADDRESS (! FOUNDATION LOCATION
FORMS MATERIALS
VALUATION$ g,fJv I FRAME FIRESTOPS. r '
BRACING BOLTS
PCPMT CPO FURNACE LOCATION.
FEE s FEE GAB VENT DUCTS ,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH INT,
PLICATION AND ST E THAT THE ABOVE IS CORRECT AND r
AGREE TO COMPL ITH ALL COUNTY ORDINANCES AND
STATE LAWS R LATIN BUILDING CONSTRUCTION LATH EXT
SIGNATURE O HOUSE NUMBER COR-
PERMITTE RECT AND POSTED '
t �l
ADDRESS FINAL
CLYDE N DIRLAM PRINCIPAL STRUCTURAL E50"MSR
PLAN CHEM VALIDATION CK N D CAYH PMUT VALIDATION - N o u a
LAC0 8 7 9 9 r JUL 1 1 A 9.0 0 .
_ - sy
' VgORKERS'COMPENSATION DECLARATION
aLheYby,6 certhatIhaver certificate oftidn consent Insurance APPLICATION FOR BUILDING PERMIT
• .mS or d certificate of Workers Compenaatidn Insurance
a a certified copy thereof (Sec 3800 Lab C )
•COUNTY OF l05 ANGELES BUILDING AND SAFETY
Policy No Company
Certified copy is hereby furnished FOR APPLICANT TO FILL IN euILDING (t
ADDRESS U
Certified copy is filed with the county building inspec- BUILDING
tion department AWRE55 & 6.n LOCALITY
NEAREST
Date_Applicant CITYL, ZIP CROSS ST _
CERTIFICATE OF EXEMPTION FROM WORKERS' OF BLDGS L 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 t USE MAP
hundred dollars ($100)or leas ) TRACT BLOCK N LOT NO NO
TEL � SPECIAL
I certify that in the performance of the work for which this OYJNER 2 NO �r7r�7 CONDITIONS 6
permit is issued, I shall not employ any person in any manner — _ DISTRICT CCC�QUP TYPE FIRE BY O
w ns to become subject to the Workers Compensotisii Laws ADORES s /J COST ZONE U
Dale � �� ��A-pphcam CITY ZIP STATISTICAL CLASSIFICATION APT _ _ O
NOTICECE 5041 NT If cher ma q this ificate of ENGINEER
NGIt R CT OR h�j Lig - CLASS h10 DWELL LIMITS_ W
Exemption, you should become w ject to the Worker y
Compensation provisions of the Labor Code you must forth-
with comply with such provisions or itis perms ADDRESS SEWER MAP shall be N
2
deemed revokedTi CONTRACTOROq TLO SK - PG VALIDATION
LICENSED CONTRACTORS DECLARATION • LIC
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS;@ElmNO VALUATION v -
(commit,ricing with Section 7000)of Division 3 of the Business and . LIC /
Professions Code, and my license is in full force and effect CITY CLASS $ a, L i-G ,
SQ FT NO OF NO aF CHECK
License Number Lia Class SIZE STORIES FAMILIES ONE
Contractor Date DESCRIPTION OF WORK
8 NEW ❑ s
0 1 am exempt under Sec tS7/N L ADD
s ALTER FINA - 1
B 8P C for this reason REPAIR C] DA
USE OF
Date EXISTING BLDG _ ❑
FINAL
OEIAOI
Signature APPLICANT TEL
OWNER-BUILDER DECLARATION PRINT NO
I hereby affirm that I am exempt from the Contractor's License 2 5 8 0 A
Law for the following reason (Section 7131 3, Business and , #
Profession$Code)
BUILDI[� ADDRESS
DDRESI • - 87.38
I as owner of the property, or my employees with ADDRESSS
wages as their sole compensation,will do the work and tr
the structure is not intended or offered_for Bole(SectionOCAUTY • • • 8 7 3 8 cT
7014, Business and Professions Code) MOVING TEL ,
I, as owner of theo CONTRACTOR No 8 0 1 —8 5
jx party, am exclusively conhacimq
with licensed contractors to construct the project (Sec- ADDRESS
tion 70", Business and Professions Code) ,
REQUIRED TOTAL SETBACK FROM EXIST
CONSTRUCTION LENDING AGENCY SET BACK YARD IfWY PROP LIN
1 hereby affirm that there is a construction lending agency for FROM
the performance of the work for which this permit is issued P L ►\
JSec 3097 Civ C ) SIDE ,
PL
Lender's Name
8 Lender's Address PC Fee$ Perms Fee ,
I certify that I have read this application and state that the Issuance FN <
above information is correct I agree to comply with all County Invpngohan Fr
ordinances and Stara jaws relating to building construction, 3
and hereby authorize representatives,of this County to enter Tocol Fee '
Upon the above-mentioned property farinspection purposes - -
^ Lt /� - SEE ti1/ERSE FOR EXPLANATORYlAN6UADE
Sq of i ai t or Agent V' Data - 0s,
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 I BUILDING PERMIT -
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS I ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL O50S 0102230030
PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST BUILDING ADDRESS _ ,
TR 19189 LT 102 SQ FT STORIES TYPE �� 10641 SPARKLETT ST
STRUCTURE 27 VN TEPP CA 917804136
1AS9ESSOR INFORMATION NUMBER - NEAREST CROSS STREET KEY NEST
18585-029-021 THOMAS PAGE 597 GRID C4 IOCALTTY TEMPLE CITY, C
(TENANT MIST BLDG USE RESID USE ZONE R-1 ISSUED ON PROCESSED BY EXPIRES ON
EXIST OCC GRP 02/23/07 JR 02/18/08
(OWNER TEL NO SLOGS NOW ON LOT VALUATION I /IF TTi F B CODE 1
MILAZZO JOSEPH,JOYCELYN TRS (626) 444-7974- 6 000 �//N/A/I���' /
10641 SPARKLETT ET _ -
nZ
17EMP 917804136 FEES PAID D SCRIPTION O• WORK
I (TEAR OFF EXISTING ROOF REPLAC WITH 30 YR ELK COMP SHINGLES
IFEE DESCRIPTION QUANTITY DOM AMOUNT 1 '
(APPLICANT TEL NO I -
MINDEL (310) 781-3012- AA BLDG PERMIT ISSUANCE 27 75
120725 WESTERN AVE AC STRONG MOTION ESSIG 6000 00 VAL 0 60 SPECIAL CONDITIONS
MELFANCE, CA 90503 D2 PERMIT W/O EN-HC 6000 00 VAL 149 40
TOTAL FEES 177 75
(CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
I PACIFIC HOMEWORRS (310) 781-3012- 1
120725 S WESTERN AVE #150 LIC NO (LOCATION AND SETBACKS
ITORRANCE, CA 90501 784477 C39 1 -
SOILS ENGINEER APPROVAL
I
ARCHITECT OR ENGINEER TEL NO FOUA-DATION/TRENCH FORMS 1
LIC NO SLAB/UNDER FLOOR
_ RAISED FLOOR FRAMING
I
(MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP - UNDERFL.00R INSULATION
114714273 3 O1
] ]NO OF FAMILIES DWELLING UNITS APT/GOND STAT Q FLOOR SHEATHING
NO 21 21 ROOF SHEATHING
1 SCHOOL WITHIN HAZARDOUS I SHHAR PANBLS I
]AIR QUALITY 1000 FEET MATERIALS I
NO NO NO IFRAMIE INSPECTION
IREQUIRED TOTAL SETBACK FROM EXIST (FIRE SPRINKLER HANGERS ]
SET BACK YARD HWY PROP LINE WIDTH _
FRONT PL- IINSUTATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
] RATED FLOOR/CEIL ASSEM i
RAT® WALL AS9RMLI69
(RATED SHAFTS/OPENINGS
T-BAR CEILIN(79
LOT DRAINAGE
] - (REPORT ID DPR261 ROUTE TO BS0508 ] I
1' I I