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