HomeMy Public PortalAbout9616 VAL ST_Building__ APPLICATION FOR BUILDING PERMIT
RFOR ARPLICANT TO FILL IN (Pn OT P. TYPB GHIY)
BLJLDI NO - COUNTY OF LOS ANGELES
ADDRESS q616 E. Val DEPARTMENT OF COUNTY ENGINEER
CITY Temple City - ZIP BUILDING AND SAFETY DIVISION
NO OF BLOCS BUILDING
SIZE OF LOT Y NOW ON LOT ADDRESS
TRACT on file BLOCK LOT NO LOCALITY
TEL NEAREST
OWNER F NO CRO55 ST
ASSESSOR
ADDRESS 9616 E V MAP BOOK PAGE P RCEL
DISTRICT GROU TYPE FIRE R SSED BY
CITY ZIP CONST i/' ZON
ARCHITECT OR TEL ✓1/�f
ENGINEER NO
STATISTICAL CLASSIFICATION 5 ER MAP
ADDRESS .t n 1qONE
CLASS N0�DWELL UNITS BK G
CONTRACTOR A. Brice Carl$OIITENE MAP
ADDRESS LINOE NSPECIAL
Ll CONDITIONS
CITY Sierra Madre CCONSTRUCTION LENDEREPARTMENT APPROVAL REQUIRED YES❑ NO ❑NAME AND BRANCH ETBACK FR ONPROP LINEOF ISTREETI
ADDRESS CITU + YARD _ TAL SETBACK FROM TYPEOF EXISTING
SO FT NO OF NO OF RONT PROP LINE HIGHWAY WIDTH CCSIZE STORIES 1 FAMILIES �CHD.D.
DESCRIPTION OF WORK Add r1 NEW ❑ + WLL
[1
DD BLDG SETBACK FROM H
[1G)DmV SIDEPROP LINEOF (STREET) 2
ALTER ❑ HIGHWAY } YARD TOTAL SE ROM TYPE OF EXISTING
EPAIR❑ SIDE PROP LINE IOTH
USE OF } _
EXISTING BLDG Dwelling DEMOL ❑
APPLICANT TEL CORNER CUTOFF YES El NO 1:1
(PR NO
BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑
�}}/E�R/FyNE�N /Ey��W IN COASTAL ZONE YES [:] NO [_]N
VALUATIONS W. CATEGORICAL EXEMPTION YES❑ NO ❑
I HERESY ACKNOWLEDGE THAT I HAVE READ TNIS APPLICATION ENVIRONMENTAL
AMD STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION BIONEO (DATE)
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- I
STRUCTION I CERTIFY THAT IM DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED IDATEI
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE STAT OF CALIFO IN RELATING TO or
WORKMEN S COMPEN�t URABLCE
SIGNATURE OF C
PERMITTEE u�
ADDRESS B Hiizhlqnd
�Wx�/1 evyC 2'•C p�
IH �S
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FINAL I BY
TE
CITY Sierra Madre H NOL
11,,1ladr -006 DATE
1111,E ( HL f ILS P 11A 131.L 10 PC $ FEE 7
l PMTGE-
HARVEY T BRANDY COUNTY ENGINEEFEE R .�(./
PLAN CHECK VALIDATION cN H o c.EH PERMIT VALIDATIO cH M o cA.H
14r- 3 6 4 573 OCT 17 1 D 2 8.5 OA
76A636A CENS0312/72
lr _ APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKERS COMPENSATION DECLARATION FOR APPUCIINT TO R.I.IN BUILDING ADDRESS
I hereby affirm Met I have a certificate of consent to self Irmlx& BUILDING ADDRESS ' L S
Or'a cartllkats of 1VcrksW CompermAw Insurance,a a cartllled /�' / L S
copy Hereof(Sac 3800,Lab C) Cfff G ILP -fes
Paley No Company v `DCAL"" LE
SIZE OF LAT � !/0 OF BI.DLiB ON IAT
❑ C "Ified copy m hereby furnished NEAREST ORM ST
❑ cervilets copy Is filed with the county buildup Iropacbon TRACT BLOCK LOTNp WIAI
USE ZONE MAP NO
Dese Applkbnt ASSESSOR IMP BOOK PAGE PARCEL
SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERV ` �u�i 5- q8'
COMPENSATION INSURANCE WITHIN toxo FT OF SCHOOL? YE,s No
dol
This section need not be canrlPleted d the peRnrt m for one hundred VAL
^ DISTRICT GROUP TYPE CONSTFIRE ZONE
dollars(:BOO)o<lees) c — 11 :7Q C"I Ty ILP O �l,
I owft dont In Me performance of the work for Which this permitpermitD 3
�r O� �'�J
Is WROd I shell not employ any person In any manner so as to ARCHITECT OR ENGINEER TEL.NO
become sub*d to the Vkdw>r Compensation Laws STATISTICAL CLASSIFICATION APT CONDO
Date Applicant ADDRESS CLASS NO DWELL UNITS
NOTICE TO APPLICANT If after making thm Certificate of REQUIRED TOTAL SETBACK FROM E10ST
Exemption you should become subject to the Workers' CONTRACTOR TEL NO SET BAD( YARD HM PROP UNE WIDTH
Compensation provmlons of the Labor Code, you mus[IDnUmTWth FRONT
comply with Stijl proYlelone a thq permit shall be deemed mewled ADDRESS LIC NO
PL
LICENSED CONTRACTORS DECLARATION Cm tic cuss sPIOE
I hereby affirm that I aryl licensed under promlona of Chapter S MAP
No of STORES
NO OF FAMILIES with Section 7000)of Division 3 of the Business are
AolessIons Code,and my license is m full fobs and effect NEW BK PG
V 710N
Licence Number LIc Cleat DESCRIPTION OF WORK ADD y�
Contractor Deft ALTER S 903,50 z
11I am REPAIR 11 $exempt under Sec — —
BBPCforthisn OFfe DEMOL ❑ LDMA P/C0
Date USE OF EXISTING W DO URM ❑
Signature APPLICANT(PRINT) To-NO Low Perm s Z 1
❑ I as owner of the property or my employees with wages ell O AC•CT.i
their sole compenmtlon will do the work and the structure is ADDRESS
not intended or offered for rode (Section 7014, Business end FRI L < jjO7 ^5'7 14
Profesalonm Code) J.v
MxL THE APILIG V!T OA RTR111E BULOII(T OCp1MlR HW CIE A HAIARDDUe IL[TFJaAI
To W U1Fi 1M NAz teas EQML TMN 1 ITEhS
❑ 4 as owner Of the property BRI exClualVely, hrg as A MxnxE OONMINIIO A wTEi41L CofmtraCwith TTE AMOIAnq BPerxrl®oN TIm IrArArmous uATvuNLLa lsonlATlDN ouoaT FINAL
hoeree0 contrctaa to constructthe project (section 7044, los ElNo ElTOTAL 358 - 14
Business and Prolaeelonu Code) ,
wAL TE INTENDED USE OF THE eULgNO BY THe A{RKANr OR RnLsa IIUILDING 7
OCCUMNT PEDOIEAFBatlT FOR DCISrLLIOIlON O11YODIFIGTTgN nROYTfleDUTH �O(/Q CNEU, 35S.14
CONSTRUCTION LENDING AGENCY camrr An
canon=WAOWN son PE1pR ocean W CHANGE .�iJ
I hereby dfirm Mat there Is a construction lending agency for Yrs❑ No❑ F(j�tJ/� '
the perfoomance of the work for which this permit Is Issued(Sec I HAVE MM THE IIAl.ViDOIS wTEiNAlB IlFariAIATIDIr Duma AW THE
auao
8
M.CNC 1 IEWRTNe C EaDST I unolvmrANo W wouvd•IemI uraEl TIE IDs AIIDHPe
2 Lenders NameIwimolgMla ''aREtronnro omAr�natA T�iw'wpTla Owl 6I15IIl'
Lenders Address 1297 1 IM 7:3c
I certify that I have read this appticatiom and state tilt the above PC FEE PERMIT FEE ,
mformabon le eorrsct I agree to comply with an county /
ordinances and State Tawe rolad g to build"construction,and
suUlorlZerep
ry 0},iJlb� ISSUANCE FEE / O
the red n beotlon p ose �
INVESnGATION FEE TOTAL FES
IIr.NAn`.+a NV+ Y
0 SEE REVERSE FOR ODLANATORY LANGUAGE
ti -
000MTY 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 0412060032
PHONE (626) 285-0488 EXT
LEGAL ID
NO of CONST BUILDING ADDRESS
ON FILE SQ FT STORIES TYPE 9616 VAL ST
STRUCTURE 1200 VM TEMP CA 917800000
ASSESSOR INFORPIATION NUMBER' NEAREST CROSS STREET TEMPLE CITY
5383-014-004 THOMAS PAGE GRID' LOCALITY TEMPLE CITY, C
TENANT. EXIST BLUG USE RESID USE ZONE R-3 ISSUED ON PROCESSED BY EXPIRES ON
EXIST OCC GRP 12/06/04 JK 12/01/05
OWNER. TEL NO BLDGS NOW ON LOT VALUMU_ FINAL DATE FINAL BY CODE
IP WAI K/CHOY L (626) 475-1708- 2,000 _
9616 VAL ST
TEMP 91780 FEES PAID DESL`
3 R7FiTDD
TOR--01' WORK �—
REROOF FOR MAIN HOUSE COMPOSITION SHINGLES 30 YEARS INSTALL
FEE DESCRIPTION QUANTITY LION AMOUNT 1 WINDOW ON GARAGE, RE-CONVERT WORKSHOP TO BACK TO ITS "
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27 75
AC STRONG MOTION RESID 2000 00 VAL 0.50 SPECIAL CONDITIONS
D2 PERMIT W/O EM-HC 2000 00 VAL 82.20
FR INV WORK W/O PERMIT 257 00 DOL 257 00
TOTAL FEES 367 45
CONTRAC TEL NO- APPROVALS DATE _-TWn7M-9TUMUkr--
SAME AS OWNER -
LIC NO L=TION AND SETBACKS
SOILS ENGINEER APPR5VXr
ARCHITECT OR ENGINEER TEL NO FuUNDATION/TRENcH FOW
LIC NO SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER KPkP BOOK PAGE UNDERFLOOR INSULATIW_
XX 3 01
NO. OF FAMILIES: DWELLING UNITS APT7EffllU-§TXT7n-AjT--- FLOOR SHEATHING
NO 21 ROOF SHEATHING
SCHOOL WITHIN 7909mbuor— SHEAR PANELS
AIR QUALITY 1000 FEET MATERIALS
NO NO No FRAME INSPECTION
SET BACK YARD: HWY: PROP LIME WIDTH
FRONT PLINSULATION/WEATHER Sr M
-
SIDE PL-
INTERIOR LATH/DRYWALE---
EXTERIOR LATH
RATED WALL ASSEMBLIEF_
RATED SHAFTS/OPENINC9--
* ADDITIONAL DATA ON FILE
LOT DRAINAGE
REPORT ID OPR261 ROUTE TO- SS0508
COUNTY OF IAS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC NORXS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0805300001
PHONE (626) 285-0488 EXT
ILEGAL ID NO OF CONST BUILDING ADDRESS
ON FILE SO FT STORIES TYPE I 9616 VAL ST
STRUCTURE V-B TEMP CA 917800000
ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET TEMPLE CITY I
15383-014-004 1 THOMAS PAGE GRID LOCALITY TEMPLE CITY CI
1TENANT EXIST BLDG USE REBID USE ZONE R-1 ISSUED ON PROCESSED BY EXPIRES ON 1
(EXIST OCC GRP 05/30/08 SR 11/26/08
(OWNER TEL NO IBLDGS NOW ON IAT VALUATION FT{1kLDATE FI CODE 1
1HUANG, JUNE (626) 447-1880- 1 1 000 1g w
/^_
19616 VALLEY ST I
ITEMP 917800000 FEES PAIDDES I IO OF YORK
I OPRN 3 WINDOWS AND CLOSE TH SLIDING DOOR
FEE DESCRIPTION QUANTITY DOM AMOUNT
(APPLICANT TEL NO I
ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27 75 1
I IAC STRONG MOTION REBID 1000 00 VAL 0 50 ISPECIAL CONDITIONS
IFR INVWORK IT /W/O PEERMIT 1000 00 VAL 65 40
28 50 DOL 128 50 1
TOTAL FEES 222 15 1
CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE
SIDE AS OWNER - I 1
LIC NO VACATION AND SETBACKS
(SOILS ENGINEER APPROVAL
1ARCHITECT OR ENGINEER TEL NO I (FOUNDATION/TRENCH FORMS 1
LIC NO I SLAB/UNDER FIOOR 1
i
RAISED FIOOR FRAMING
(MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I UNDERFLOOR INSOLATION I I I
I153H269 3 011 I I
FLOOR SHEATHING 1
IND OF FAMILIES DWELLING UNITS APT/COND STAT CLASS
NO 21 (ROOF SHEATHING
1 SCHOOL WITHIN HAZAADODS I SMEAR PANELS I I
LAIR QUALITY 1000 FEET MATERIALS I
NO NO NO FRAME INSPECTION 1
(REQUIRED TOTAL SETBACK FROM MIST FIRE SPRINKLER HANGERS 1
SET BACK YARD HWY PROP LINE WIDTH
(FRONT PL- (INSULATION/WEATHER STRIP
SIDE PL- I I
INTERIOR LATH/DRYWALI.
I I EXTERIOR LATH I
I RATED FLOOR/CEIL ASSEM 1
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS 1
I 1 IT-BAR CEILINGS I I
IAT DRAINAGE -
I I �
IREPORT ID DPR261 ROUTE TO BS0508
I I I I I
.� COUNTY OF LOS ANGELES TEMPLE CITY 0 OSOB BUILDING PERMIT
DEPARTMENT OF PUBLIC WORXS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0701100003
PHONE (626) 285-0400 RET
LEGAL ID NO OF CONST BUILDING ADDRESS
ON PILE SQ FT STORIES TYPE 9616 VAL ST
STRUCTURE VN TEP CA 917800000
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET TEMPLE CITY
5383-014-004 THOMAS PAGE GRID LOCALITY SIMPLE CITY C
TZHANT EXIST BLDG USE REBID USE LONE R-1 ISSUED ON PROCESSED BY EXPIRES ON
EXIST OCC GRP 01/11/07 JX 01/06/08
OWNER TEL NO SLOGS NOW ON LOT VALUATION FINAL DATE FINAL BY
WANG, JBIB (636) 350-1170- 1 500 1-.?6— '?
9616 VAL 8T
THMIP 917800000 PHEB PAID DESCRIPTION OF MORN
NEN RILL FOR F MORA
AND ENCLOSED 9 X 30 PATIO
lifilipp-
PER DESCRIPTION QUANTITY UOM AMOUNT Qn u/� ? rr�
APPLICANT TEL NO `
9616 (636) 350-1170- AA BLDG PERMIT ISSUANCE ]] 75
9616 VAL 8i AC STRONG MOTION RBSID 1500 00 VAL 0 50 SPECIAL CONDITIONS
TEMPLE CITY CA 91780 AX BUILDING REVIRM PER 54 70
B2 PSAM IT M/ENERGY 1500 00 VAL 90 42
TOTAL PEES 173 37
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
HUANG JUNE (626) 350-1170-
9616 VAL STREET LIC NO LOCATION AND SETBACKS
TEMPLE CITY, CA 91780 NONE
SOILS 1falOINEER APPROVAL
ARCHITECT OR ENGINEER TEL NO FOUNDATION TRENCH FORMS
LIC NO SLAB UNDHR FLOOR
RAISED FLOOR FRAMING
NAP NO SENSE MAP BOOK PAGE FINE ZONE CKP UNDLRFLOOR INSULATION
1538269 3 01
FLOOR SHEATHING
NO OF FAMILIES DWELLING UNITS APT GOND STAT CLASH
NO 31 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS Se " PANS"
AIR QUALITY 1000 FEET MATERIALS
HO NO NO FRAME INSPECTION -7
X PR6.,
REQUIRED TOTAL SRTBACOM EXIST FIRE SPRISlKLEU HANGERS ! CT
Sof BACK YARD RNY PROP LIKE WIDTH
FRONT PL- INSULATION WHATRRR STRIP
SIDE PL-
INTERIOR LATH DRYWALL /
6ZTERIOfl LATIN '/
RATED FLOOE CKIL ASSIGN --
RATED WALL ASSEMBLIES
RATED SHAFTS OPENINGS
T-BAH CEILINGS
LOT DRAINAGE
REPORT ID DPR261 ROUTS TO BSO508