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Home My Public Portal About9622 VAL ST_Building__ DMSION OF BUILDING AND SAFETY Dep nof County Engineer BUILDING County of Los Angeles WM. U. FOX, COUNTY ENGINEER APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING /� Z DISTRICT N0. PUN Cc DR RI No MIT MO ADDRESS 1� fly LOCALITY R E DRY D/IT[or APPL S 9ATE IPBUED KEAREST DSS ST 1, BUILDING _ ADDRESS `L OWNER MAIL LOCALITY 1 ADDRESS iaLNZAREST 1� TEL CROSS ST CITY N0. S rlRe NO OF TYPE O ZONL PLANE � ARCHITECT OR T[L ENGINEER NO, BLD0. ORD NO SETBACK LIN[ ADDRESS UBE APPROVED CONTRACTOR lTIL. ZONE BY DAT[ O HOUR[ NUMBERING ADDRESS MAP NUMBER NO ASSIGNED BY OT N0. uawL BLOCK CORRECTIONS D[SORIPTIO//N L TRACT (O BIZ[ OF LOT NO 01 BL NOW ON LOT T USE OFQ.J EXIST NG BLDG .( .1.9 jJ/ NO. FAMILIOr DESCRIPTION OF WORK as 0 NEW ALTOtATION I ADDITION 2 1 REPAIR DEMOLITION r B0.rT. NO OF BIZ[ ROOMS STORIES EXT WALLI pOOF COVERING COVERING � USE OF STRUCTURE INSPECTION FOR APPROVALS' OCCUPANCYAB INSPECTOR•BBIGNATUR E DATE FOUNDATION LOCATION FORME, MATERIALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- PLICATION AND BTATt TWAT THE INFORMATION GIVEN IB rRAME rIR[BTDP% -7—,lCORRECT ,BRACING.BOLTS 1 AGREE TO COMPLY WITH ALL COUNTY CROINANO® AND STATE LAWS REGULATING BUILDIN / FURNACE LOCATION.TTBAS VENT. DUCTS SIGNATURE Or, LATH, INT PfiRMITT[[ LATH, EXT ADDR� PLASTER. INT AUTHORIZED ACT IS PLASTER, Orr. P Q ; / rite HCUBENUMBERCOR- 1 /n D RECT AND POSTED VALUATION / v B FLE FINAL 9GA4 DBB 3 1 92 I � DEPARTMENT OF BUBMWG AND SAFETY APPLICATION FOR PERMIT COUIM OF LOS ANGELES ! L®I IV G WM .1 FOX CHIEF ENGINEER FOB APPLICANT TO FILL IN mquillel FOR OFFICE USE ONLY BUILDING DISTRICT NO PLAN CK NO PERMIT NO // ADORE" - 1 S 6L 7 5-6 LOCALITYC.0 70 Y RIEPEIVED BY DATE OF APPLr DATE ISSUED NEAREST (I,_S S m o—/L CROSS ST Y L ADDRESS OWNER LOCALITY MAIL i G/ ADDRESS 2.2. 9 YA z s T NEAREST TEL _ CROBBST /Y J CITY L NO , FIRE NO OF TYPE GROUP T• ARCHITECT OR TEL. ZONE PL11NS Jf� [NOIN[ER NO BLDG / /L OR SETBACK LINE / 45 ADDRESS APPROVED TEL BY DATE CONTRACTOR AF4 NO UBE APPROVED ZONE By DATE ADDRESS HOUSE NUMBERING LEGAL DESCRIPTION I LOT NO BLOCK MAP NUMBOi_� MELD CHECK BY TRACT NO ASSIGNED BY DAT of NO OF SLOGS CORRECTIONS SIZE OF LOTSQ S Z NOW ON LOT US[OF NO OF EXISTING BLDG FAN Uu DESCRIPTION OF WORK NEW ALTERATION I ( ADDITION O RVAIR DEMOLITION I I a Q NO SOF RIZ[FT ROOMS STORIES > EXT WALL ROOF r COVERING COVERING UBE OF STRUCTURE APPROVALS INSPECTOR'S SIGNATURE DATE I HERESY ACKNOWLEDGE THAT I HAVE READ THIS AR FOUNDATION LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN IB FORMS, MATERIALS CORRECT 1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME FIRE STOPS, HQROON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS LAWS REGULATING�"BUILDING CONSTRU/��QTTT-10 FURNACE LOCATION. BIGNATUR[OF Ai i C / ii. �. GAS VENT, DUCTS LATH. INT ADDR[Bm LATH, EXT AUTHORIZED AGT PLASTER INT 71Af Do" 10110 s ' P C • 0 �, O / FE[ PLASTER EXT VALUATION III FEE / FINAL C� ' DEPA$6DSEWfOF'BIIII MG AND SAFETY 35 APPLICATION FOR PEBDIII? COUNTY OF LOS ANGELES BUILDING `-i WM. J. FOX. CHIEF ENGINEER FOR OFFICE II FOR APPLICANT TO FILL IN DIBTRIOT NO. PLAN OK.NO ONLY PERMIT q9 BUILpINO .�/ I AODR[BB //�T V LDDALrFY L•/ RECEIVED BY DATE OF APPI- CAT[ ISBU[D NEAREST 35 O 1 -16- 5- d `S BUILDING ADOREM (� OWNER e MAIL LOCALITY AODREBS NEAREST (J S T[L DROSS BT FIR[ NO Or TYPE� ORO UP- ARCH TFEDTOR TEL L ZONE PANE ENGINEER NO ORD NO := BETSACK LIN[ �Q i, I APPROVED DATIE pONT11AOTOp NO L L US[ APPROVED BY �s �L/�'•� ZONE DAT[ LEGAL CORRECTIONS DESCRIPTION LOTHO LO IJ TRACT a m Q S Sa /JJ J- NO or BLDOB C e SIZE OF LOT NDW pN LOT USE or NO Or — No or E DESCRIPTION OF WORK Gc LIIiGS Z 2z.G N[WALTERATION ADDITION U O a 0 R[PAIq MOVING DEMOLISH No y�j Z B ZE (J 7P RO MB BTpgl[B e I I r WALL ROOF DOV[gINO OOV ERING .� UB[OF NEW pUILDINO • T' //'' I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APFLIOATION AND STATE THAT THE ABOVE IB CORRECTINSPECTOR DATE FOUNDATION IODATION AND AOR[[ TO COMPLY WITH ALL COUNTY ORDINANCES FORME. MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION TRAM[ rIR[pTOPB. BRACING,BOLTS BIGNATUR[OF ;VAt P[RNITT[ � LATH. INT. AUTHORIZED AGM LATH, EXT �eweaA-a 7-19 $ P C m !7 PLABT[R, INT FEC �7 PLASTER. X ET / t� VALUATION r[[ !-� FINAL 1 7-�,-• r • • COUNTY OF LOS ANGELES TEMPLE CITY N 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 8L 0508 0107170060 PHONE (626) 285-0488 EXT LEGAL 10: NO of CONST BUILDING ADDRESS- TR 09285 LT' 01 SO FT STORIES TYPE 9622 VAL ST E STRUCTURE 2200 VN TEMP CA 91780 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET TEMPLE CITY BLVD 5383-014-005 THOMAS PAGE GRID- LOCALITY: TEMPLE CITY TENANT. EXIST BLDG USE SFR W USE ZONE XX ISSUED ON PROCESSED BY EXPIRES ON EXIST OCC GRP 07/17/01 UT 01/13/02 061 V9622A, VISTENT (626) 447-5548- 2,900 T TEMPLE CITY, C11 FEES PAID UhbLKJ RE-ROOF OVER ENIStAG 1 LAYER F W/COMP SHINGLES 30YR APPLICANT --Tn—vr— FEE DESCRIPTION QUANTITY UCM AMOUNT: TEMPLE CITY ROOFING CO (626) 279-1224- AA BLDG PERMIT ISSUANCE 27 75 5436 PAL MAL AC STRONG MOTION RESID 2900 00 VAL 0 50 SPECIAL CONDITIONS TEMPLE CITY CA 91780 D2 PERMIT W/0,EN:HC—,2900 00 VAL 99 00 5 PNGELESTOTO�EES 127 25 CONTRACTOR —7n--mAPPROVALS DATE INSPECTOR SIGNATURE TEMPLE CITY ROOFING CO- (626) 279-1224- G �Ty 5436 PAL MAL LIC NO TEMPLE CITY CA 91780 HIC * / ARrHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH FOW LIC NO SLAB/UNDER1�l ltll XX 3 o, D CG �l��I 0 [� FLOOR SHEATHING NO 21 CLASS -NO. OF FAMILIES DWELLING LIMITS APT/COND STAT ( O� (j AIR QUALITY 1000 FEET MATERIALS N N NO FRAME INSPECTION REQUIRED TOTAL SETBAMMUM EXIST SET BACK YARD HWY: PROP LINE: WIDTHS b/� O FRONT PL- C erVICeTha�� INSULATION/WEATHER 97M SIDE PL- INTERIOR LATH/DRYWA= EXTERIOR LATH * ADDITIONAL DATA ON FILE LOT DRAINAGE REPORT ID DPR261 ROUTE TO BS05DS WORKERS COMPENSATION DECLARATION hereby affirm ,hate) hover certificate of consent to Insurance APPLICATION FOR BUILDING PERMIT �l insure or a certificate o'`Workera"Compenwtion Insurance «a�Lc�e��r��h��h(e1�d cop�ylthe�eLor�('Sec 3800 Lab C ) T�1^ COUNTY OF LOS ANGELES BUILDING AND SAFETY PoIlcyNo"��7 j )Company �LM�./� ZIA, Certified copy Is hereby furnished FOR APPLICANT TO FILL IN AISUILL)REING 2 I Certibed copy a fled with a county budding mspec BUILDING hon department ADDRESS L-. S Date V-1 PJA Applicant CITU ZIP-91,190 LOCALITY CERTIFICATE OF EXEMPTION F M WORKERS' NO BLDGS NEAREST COMPENSATION INS NCE S`IZE.�OF LOT NOW ON Lor ST (Thu section need not be complet d the permit a for one T 1.LTA tilN L CR OILA-10A) 8 V- ASSESSOR 4 hundred dollars($100)or less ) BLOCK LTE nl0 MAP BOOK PAGE PARCEL TEL /, U�SEE�� MAP I certify that In the performance of the work for which ,hrs OWNER NO 44 y(TFlE NO permit Is Issued, I shall not employ any parson in any manner ADDRESS Z2. ,L_ UATLL ps Il/1 y SPECIAL 6 W as to become subject to the Workers Compensation Laws CONDITIONS O V Date Applicant CITY T-1 ZIP NOTICE TO APPLICANT If after making this Certificate of ARCHITECT S (L� TEL DISTRICT GROUP TYPE FIRE SSED BY O Exemption, you should become subject to the Workers ENrAU�" IJ ,a CONST ZONE U Compensation provisions of the Labor Code you must forth- (KL J ✓✓3 uyF with comply with such provisions or this permit shall be ADDRESS d aIf deemed revoked CONTRACTOR Ls- lL AIIL i y f STATISTICAL ClA551 1 TION APT DO Z LICENSED CONTRACTORS DECLARATION r LIC ,J/ G LASS NO =DWELL UNITS_ I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS l3G- Atrw " L tl (commer,cing with Section 7ODD)of Division 3 of the&nlress and LIC SEWER MAP Professions Code and my license is In full force and effect CITY C.Naq/p, CLASS BK PG VALIDATION SO NO aF NO aF CHECK License Nuumber[� fat LILc�Class SIZE STORIES FAMILIES ONE Contractdr`y' %µI t-o AI IISfl/�e`r y K�j DEsampTrON OF WORKA01) 55M I L&J NEW VALUATION c I am exempt under Sec ADD B 8P C f«this reason ((�0 1 ALTER $ (({ •• lg1L qRl 2f, Date USE OF IC£ SJC G' OEPMOL V u• " "U EXISTING BLDG Signature APPUCANT LTEL OWNER-BUILDER DECLARATION PRINT L L\NO DAA I hereby affirm that 1 am exempt from the Contractor s License ADDRESS J I 1N r 1 9 9 Law f« the following reason (Section 7031 5, Business and BUILDI R �] Professions Code) By I, as owner of the property or my employees with AODRBS�S i�i t7(� wages ce their sole compensation will do the work and LOCALITY 7 the structure is not intended or offered for sale(Section 508-85 70" Business and Professions Code) MOVING � TEL 0 I as owner of the property am exclusively contracting - ` with licensed contractor to construct the project (Sec ADDRESS a' Iron 70", Business and Professions Code) CONSTRUCTION LENDING AGENCY REQUIRED ACK Ptictivi MMT SET BAD( YARD HWY TOTAL LINE WIDTH I hereby affirm that there iso construction lending agencyfor FRONT the performance of the work f« which this permit is issued P L (Sec 3097, Civ C ) SIDE I ) PL Lender s Name /111 / LDMA Ret S Lender's Address PC Fee$ 367, 9)- Permit Fee o 2. I certify that I have read this application and state that the hsaonce Fee Q LDMA P/C i above information is correct I agree to comply with all County Inveaegahon F" Q ordinances and State jaws relating to building construction Total Fee J- TDMA perm If u and&reby authorize representatives of this County to enter upo the above- ntion property for inspection purposes ^ NI 'E_ SU @VON FOR ODLANATORY LANGUAGe gnatwe of Apphmm or Agent Dote