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HomeMy Public PortalAbout9629 VAL ST_Building__ - -+r .•�.A=.s.�,= .. APPLICATION FOR BUILDING PERMIT I COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUIMING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST CASSATT D GRIFFIN !UP T OF BUILDING CROSS ST DISTRICT NO ROUP TYPE P ' ED BY FOR APPLICANT TO FILL IN CONST BUIIp INE / ` STATISTICAL CLASSIFICATION SEWER MAP ADDREBB (O S T ` CLASS NO WELL UNITE BK P LOT NO BLOCK MAP USESTA �, S &0 NUMBER HWY TRACT y USE ZONE SPECIAL SIZEOFLOT r3 p 1.4C 0' I NOW sO.N LOTS CONDITIONS EXISTING BLDG /� V/0 �a. BUILDING EXIST SETBACK YARD HWY STREET NAME WIDTH OWNER JS61V 7z-,q-syThFRONT MAIL Cl— � ' L. SIDE ADORERS �+n CITY T I'7 PL INSPECTION RECORD ARCHITECT OR TEL aL��L�l• ENGINEER NO ADDRESS / / "POW-1 TEL z� } CONTRACTOR 01W Nt'/Q NO ADDRESS ' DESCRIPTION OF WORK NEW ADD / ALTER REPAIR DEMOLISH so FTNO OF NO OF ppSTORIES FAMILIES SIZE 4,STRUCTURE •V T MOD SIGNATURE OF APPLICANT APPROVALS DATE INSPECTOR SSIGNATURE ADDRESS FOUNDATION LOCATION v FORMS MATERIALS VALUATION$ FRAME FIRESTOPS. PmT B RACIN BOLTS PC FURNACE LOCATION. FEE s FEE 1 OA8 VENT.DUCTS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH INT Q PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS RE LA NG a (LDINQ CO UCT)ON LATH EXT BI GNATURE F HOUSENUMBERCOR- PERMI. RECTANDPOSTED r ADDR_S '� FINAL �7 '� /EE/fit CLYDE N DIRLAM. PRINCIPAL STRUCTURAL Etj PLAN CHECS VALIDATION CK. U D cAo l PERMIT VALIDATION — mo \/ umI M36506; OCT 7 1 A 9.0 0 �6 DEPARTMENT OF BUILDING AND SAFETY APPLICATIMIT ON FOR PER COUNTY OF LOS ANGELES BUILDING WM. J FOX. OHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING -? 2 -6--- /� L IIA OIBTRIOLNO PLANCK NO - PERMITNO ADDRESS .J ` V/�i S 41:1082- 3 LOCALITY EIVED By DATE OFAPPI. DAT (ISSUED NEAREST Lp lo- F-5' 0 I O - J O �+ BUILDING OWNER _ ADDRESS ADD RAl LEBS Z -7^ 1'-S. G LOCALITY L NEAREST PITY _5'q,,7 GR6f/ G/ ITio egoss ST E FIRE NO OF TYP OROU ARCHITECTOR TEL ZONE PLANS ENGINEER NO BLDG ORO NO ADDRESS SETBACK LINE �1 APPROVED CONTRACTOR PZ 'ZIIWUIY4YX0L4T- Y347 By 00 DATE 72}' - S, Sc,n Gab /e/ HUSE — o ZONE By OAT[ LEGAL CORRECTIONS DESCRIPTION LOT NO BLOCK TRACT 14WNO OFSLD _ SIZE OF LOT NOW ON LOTOS UB[O► NO OFNO Or EXISTING S1-130 fA.ILIC, O DESCRIPTION OF WORK NEW ALTERATION L ADDITION D A REPAIR MOVING DEMOLISH p BCS D NO OF L IS Z coROOMS G/ BTORIIB V r COVERING {'L WALL C CCOV ER IING UBE OF NEW / • O BUILDING Q Aya V IA _ peva is v! —. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLIOATIDN AND STAT[ THAT THE ABOVE IB CORRECT FOUNDATIONI LOCATION INSPECTOR DAT[ AND AGREE TO COMPLY WITH ALL COUNTY ORDINANC[B ►OpMB.MATERIALS AND STAT[ LAWS REGULATING BUILDING C /70 /// ,ONL�TRUCTIOM �' l' J� FRAmct BRACING.Rit BOLTS ara BIONATUp6 OF PERMITT[ LATH. INT AUTHORIZED AOT I /� LATH. EXT-77lA63BA-3 T4E OV P O / S1O PLASTER,INT 7 � to FEE I � PLASTER.OTT VALUATION Q FEE r FINAL I —wl 75AG34A CE 0e03 I2V89 , /�JA– APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING 6z JOHN A LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS, SUP T OF BUILDING LOCALITY_ R APPLICANT TO FILL IN NEAREST S� t CROSS ST DISTRICT NO GROUP BUIT PE P _EqED BY ADDRESS 9629 East Val Street S CONST STATISTICAL CLASSIFICATION SEWER MAP LOT NO BLOCK CLASS NO Z/OWEI UNITS_ BKA1 PG11 TRACT USE ZONE MAP NO OF BLDGS NO �0 3 SIZE OF LOT NOW ON LOTP ' SPECIAL USE OF /�+ CONDITIONS EXISTING BLDG TEL OWNER NO �A.� BLDG SETBACK FROM ADDRESS $27 Twin Palma FRONT PROP LINEOF ISTREETI S8II Gabriel TYPE OF E%I SETBACK HIGHWAY } YARD = TOTAL CITY HIGHWAY WI OM C L ARCHITECT OR TEL + _ ENGINEER NO BLDG SETROP LI EOF FROM ADDRESS �a CO. SIDE PROP LINE OF —(STREET) 01 SETBACKCONTRA CTORV it O CNOL 2 HIGHWATYPE OF Y WIDTH FROMCL HIGHWAY } YA RO TOTAL ADDRESSSan I.AbriAl ILIA } _ O CITYSan Gabriel 91776 c'LDASs C-39 CORNER CUTOFF YES ❑ NO U CONSTRUCTION LENDER p NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS !•_, W ADDRESS � d y SO FT ST OF NO OF NEW ❑ _ SIZE STORIES FAMILIES USE OF ADD ❑ STRUCTURE Heroof rear of house With comp. shingles ALTER ❑ SIGNATURE OF REPAIR APPLICANT DEMOL VALUATION S 262.00 APPROVALS DATE INSPECTOR'S SIGNATURE P C PMT rHOUSE NDATION LOCATION FEES FEES ORMS MATERIALS ME FIRE STOPS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, RACING BOLTS AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY NACE LOCATION WITH ALL OR DINAIICES AND LAWS REGULATING BUILOING CON- AS VENT DUCTS ST RUC TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE H INT LABOR CODE OF THHEEE STATE OAF CALIP ON NIA IN RELATING TO WORKMEN B CO MP[MSA/IPI�"�MC[_ //�/, H ENT SIGNATURE OF NUMBER COR- PERMITTEE� ECT AND POSTED ADDRESSFINAL /3 JOHN F LEWIS PRIf4CIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK MO CASH _ PERMIT VALIDATION CK .0 CASH iDt ; 81s7�- BEC29 1 D 9.00- a APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES' BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUIgNG ADDREss }o I hereby affirm that I have a certificate d consent to self Vsure BIALNG DADDRESS C or a cerf ficate of Wb" Compensation Insurance or a caddied 9629 E, V al St. copy thereof(Sac 3800 Lab C) crTY ZIP Temple Policy Company SIZE OF LOT NO OF BLDCS NOW ON LOT ❑ Cerfrhed copy is hereby furnished NEAREST CROW ST ❑ Certded copy is bled with the County buaGng umpedon TRACT BLOCK LOT NO department 16867 3 USE ZONE 1AAP NO Date Applicant ASSESSOR AMP BOO( PAGE PARCEL 3 sPEc1AL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS 01NdER TEL No COMPENSATION INSURANCE Gilliland Mr. 699-446-2097 — — WITHIN 1000 FT OF SCHOOL? YES No (This section need not be completed ret the permit a for one hundred ADDRESS ddlara 15,001 pr Ie9s) 9629 V asTRmc GROUP m caNsr FRE zoNE PRocEssEO ar I certify that In the performarhoa d the or whxh Ihis permit clry LP e reaued I shall not empty achy I manner so as to Tem le 1 3 MCHITECT OR ENGINEER TEL NO ' became b M the NbnkBre Laws STATISTICAL CLASSIFICATION APT CONDO ,2k,�Caflf ADDRESS CLASS NO Vic_ DWELL U11i5 NOTICE TO A i If r makng the Certdrate of REOUIRED TOTAL SETBACK FROM EX19T Exemption you should mlotect to to WUrkers CONTRACTOR TEL NO SET BACK YARD HWY PROP LINE VaDTH Canpensaton pfOw9mOre of the Labor Code you must forthwith Dream Home Construction 818-574-7418 FRONT comply with such provsmons or the perrtut shall be deemed revoked ADDRESS UC NO -PL LICENSED CONTRACTORS DECLARATION 5720 N. Cloven EOE Cm' LIC CLASS P L I hereby affirm that I am licensed unhderpmrnsors of Chapter 9 SEWER AMP Professor alp with Section my 7000)d Drvreon 3 e the Buemeae and SO WE OF STORES NO OF FPAAILIE NEW BK PG UUU Professors Code snit my license e m full force and effect License Number 1517662[1 Lc Clea fJ DEscmPraN of WORK ADD ❑ VALUATION CD _ o Contractor jg,egg12 KgeJaHate ALTER ❑ $ -4LOW w a ❑ 1 am exempt under Sec REPAIR ❑ $ rn z BBPC for the reason RPqirIPnrP, DEMOL ❑ LOW PIC A Date USE OF EXISTING BLDG URM ❑ ��• �fI I.T Signanae , TEL NO LDMA Po - ED-, 1�i.?` ❑ 1,as owner of the property or my enooyees with wages as rll eamTtlOri.IDe Construction 18-574-7418 z tern sole compensation will do the work and the structure a ADDRESS 0 : ITEPw nit intended or offered for sale (Sector 7044 Business and 5720 N, CloverIv FNALCC F Proleeaone Coda) wuL THs AFFtuurr on FUnXE BUILDING 000~T H Q E A HAZAnoae AwrewAL (I/1 0 TOTAL� -12 1. � v. 5 ❑ 1 as owner of the property am exclusively contracts with off A M TtsE GONTUNING A HAZAaoous MATERML cook m OR< TER n nE Q c MouN EMCD ON THE W GoUS WTER Ilf-0RMATICN GUN' F�h L BY > I_ Basins contractors to Code) the project (Sector 7044 Business and Professions Code) WU❑ NO� C WEI .0.I V4LL THE INTENDED ECU14EPE V THE SUINUNG BY TIE ARLCANT OR FU T1 E SOUTH OCCUMAR OE y A PERI.R FOR OONerR SCAO D) M0a6mLAT9N FRpA THE 9QITHCONSTRUCTION LENDING AGENCY OOAST�+Owury wNu'fMSNT psrtacr Iswoum ssE FEnlwrrNo uECKIsr Frn `4I/ ou0Elaes I hereby affirm that thane e e construction the p lending agency( for vEs❑ N011 eceeT—I Bei ?/2o y'4 T.. the performencce d the work for which the permit s eBnBd(SBC m 3097 Cr, C) ipui�sr I unEnswio Mr�RE9MENTs�urTiDEnOTHE ug6 NoEu.E�9caxrav CODEC J` ^ nTle z c PTER 2 TO SEclora a 20 100 nnouGH 2 m 140 cONrEPxHp HAZAmeus 4 �4 1 1fi:f Lenders Name WiTERMLS WPORme AND FOR Cali A KE FROM TIE 6LAOW Lenders Address p QNCR OR.KIR 1 candy that have read the applcabon and sate under penalty g d pe0ury that the ebom rdormaton a correct I agree to comply PC FEE PERMR FEE R Coo ordinances and sate taws relating to budding by emonede rep"for in99 I^VSUANCE FFrE r to r -nherhtloned property for 1 on m \ 37.9 NVESTKIAT10N FEE TOTAL FEE SEE REVERSE FOR EXPLANATORY LANGUAGE APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING ND SAFETY WORKER S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN — LONG ADDR f0/ VA-L,--" I hereby affirm that I have a certificate of consent to soft Insure Bl114 ESS . `�/J&L � or a certificate d Nbrkers Compensation Insurance « a cershad copy thereof(Sec 3800 Lab C) C Company— T.. /. ZIP a/1 C� C.J�i LOCnuTY SIZE OF LOT A Q NO OF 5 NOW ON LOT ❑ Candled copy a hereby fumghed X 148 NEAREST CROSS ST ❑ Certified copy is filed with the county building inspection TRACT I/_Q �� BLOCK LOT NO department {yQ USE 70NE AMP NO Date Applicant ASSESSOR MPP PAGE RCEL 3 013 PApp3 SPECIAL CONDITIONS 047,0- 41 CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER _ YES No COMPENSATION INSURANCE L-L-� L— VMM 1000 FT OF SCHOMI (This sactran need rot be CortWeted d the Permit m for one hundred ADOR 5 ^ F- . L ST_ C DISTRICT GROUP TYPE C ST FIRE ZONE PROLE dollars ($100)w lose) p 1 certify that m the performeroe d which this permit �,'� LF -7 80 O D �� e e&1Bd I shall not empty ery In m nor 80 e9 10 AfiGiITECi OR ENGINEER TEL NO beaOIT10 the NUlkele STATISTICAL TION APi CON Date Applicant ADDRESS CLASS NO DWELL UNITS M7TACE 70 APPLICANT e e making the Kate of REQUIRED TOTAL SETBACK FROM EIgST Exemption you should subfect to Workers CONTRACTOR TEL Q SET BACK YARD HWY PROP LINE WXYTH Compernsabon prOwsroM of t Labor Code you must fortlnNth S rj ,CJ FRONT comply with such provlsi«1e or this pormt shall be deemed revoked AODRE 2 D 6LD`��` Np P L LICENSED CONTRACTORS DECLARATION G5 1'c. SIDE CITYC ' UC CLPS9 P L I hereby affirm that I am IKansed underprovusong d Chapter B TF-HPLIE MAP (connmenci g with Section 7000)of DNtlgn 3 of the Ruthless and SO FT SIZE NO OF ST IES OF FM ES NEW 11 BI(SEWER PO O Plofessons Code and my licensea In full force end ed LI CD Lcense b« Class _ DESCRIP ON OF E ADD C) VA N pool Centrad« to ALTER Er w ❑ lam exempt REPAIR El order Sec $ _ BdPC for this reason ESI Eh�C� DEMOL ❑ LDMA PIC Date USE OF EXISTING BLDG URM ❑ Sgnature 1pgpTT TEL CDMA Perm 1.as Owner of the property or Try employees with wages as Ir 2 + Their ode compereered well do the wok and the sines is . /' not intended or offered for sale (Section 7044 Business and CiV✓ Fl L,��ie 7 Q `311 50._d ProfessionsOne Cade) Nil TE MPLICNR On FUTURE 9ALgN3 MATERANI WS T A HA2Ani0nUe NAN TPo j �3' ❑ I AB Owner d ifle proPertY Bm 0%dUerve CAlIIraCtlnlg with CRA 40(1U£COKWNNW A HAZARDg191AAiFiML E(AIAL ro OR aPEAIEA TIYw THE FINAL BY � i ty NAouns sFE «+TIE HAzu+oouS IMTEfWLa!FORMATION auoE+ lKareed andccciPr fe to construct true «oleo (Sodom 7044 YEs❑ ram Ac CT.AT f3rnress and Rolessrore Code) NlL rnL'�nl THE UM pF THE RULING BY THE AC0.1GHr OR FUTURE aIA H CONSTRUCTION LENDING AGENCY COASTMR REQUIRE A rERArr FOR cTRICT(crloK OR uooncm«'O CH TIE souTH i-'�1.�i �C1 i.67 cun),E NR«,WJITV,IMNA(fMENr pD'IiLCT 19CAa1.01 9EE f£nirrnNG CHEC1(UeT FOm I hereby effmm that there e a construction Iondlng agency for s❑ s NO f]f ? ITEM" the performance of the work for which this permit is Issued(Sec IH,ehP1=AOTIE Ro0U9MATERUtaINFORMATIONaIOEADTHEeG« KRu TW 19 3067 Cm C) TOTAL '?C? n CHECKen UNpERS4fA)W REWREI.E UNL+ER THE 109 INOELES CAIkT'CODE Lard«is Name TTUF 2 s'�I R n20S` ONS 22010) 201 � CHECK 252.19 Lender Address CHANGE .ion 1 certify, that I hale read this application and state under penalty S Of Perry that the above Information a correct I agree to comply PC FEE�o . So PERMIT FEE ' SA Z `OI]I]-0101 �I 17Y4 $ with all county ordinances and State laws relatug to budding constiudon he authonze regesentatnes of the County ISSUANCE F E m rem«ed pingo tY � 0 6315 1 AN 3t3--,m s.NESTIGATION FEE TOTAL FEE spiv wen..ter. or SEE REVERSE FOR EXPLANATORY LANGUAGE