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Home My Public Portal About9635 VAL ST_Building__ DE, i"TMENT OF BUILDING AND SAFETY � ' L ® ' COUNTY OF LOS ANGELES NG WM, J. FOX, CHIEF ENGINEER APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTR N0. PUN OB-OR REO NO PERMIT NO. BUILDING ADDRESS �l ✓ TE OF APPL. ATE IRBUED [1 E BY D LOCALITY ' NEAREST ✓ OBB BT BUILDINGG ( ADDRESS L It / OWNER MAIL _ /f LOCALITY ADDRESS Q(/ a,4 NROMST.TIC QI No - O FIRE I Noor - 1 TYP ARCHITECT OR O P ZONE PLANS T[L ENGINEER NO BLVD SETBACK LIN[ 7,vL YY ADDRESS UB[ APPiIOV[D TEL ZON BY DAT[ CONTRACTOR MAPVL_� NO M HOUSE NUMBERING ADDRESS MAP NUM BE• 2!!P-(ANO ASSIGNED BY LEGAL CORRECTIONS DESCRIPTION I LOT NO BLOCK _ TRACT Na or BLDGS BIEE OF LOT NOW ON LOT No or USE - I r1C U / ✓ 3 J IXIBor T N BLDG -a4 FAM LIMB - IN DESCRIPTION OF WORK Gae. s° N NEW I ADDITION I - e 2 O REPAIR DEMOLITION r NOT 1,�. SQ FT. O Me RDOMS STORIES NT,� r �� ! EXT WALL ROOF COVERING COVERIN CQLv n- 1�\ E D CTUBE 70 ,6f OCCOA64 OC INSPEOTIOL FOR So/NFdRM APPROVALS QCGUpR!✓T OCCUPANCY AB P IGNATURE DATE FOUNDATION LOCATION FORMS, MATERIALS I HEREBY D STATE THAT THAT 1 HAVE READ THIS AP- PLICATION AND STATE`` THAT TH[ INFORMATION GIVEN IS FRAM[ FI. BOLTS CCRRECT II AGREE TO QCMPq WITH ALL COUNTY ORDINANCES SRA6ING. BOLTS AND STATE LAWS REOU TING BUILDING CONSTRNCTIO FU NACE.JJ]OATION, t � GL VENY,�SDDT79-� SIGNATURE Of A A Ill LATH, IMT PERMITT[ LATH, EXT -en-S=- ADDREB PLASTER, INT. AUTHORIZ[O AOT P O • PLASTER, EXT FEL HOUSE NUMBER GOR- - RECT AND PORTED VALUATION rc[ • FINAL oewe 013113 9-5I TEMPLE CITY TYtlY APPLICATION FOR BUILDING PERMIT I COUNTY OF LOS ANGELES BUILDING S ADORERS DEPARTMENT OF COUNTY ENGPiEER BUWING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE, COUNTY ENGINEER NEAREST WILL AMAJENSEN. SUP TO U CR08g ST 1 DISTRICT NQ 6 UP TYPE PROCES86D BY FOR APPLICANT TO FM IN (JY CONST BUILDING / STATISTICALC IFICATION SEWER ADDRESS 6 OL , CLASS NO nn WELL NI LOT NO BLOCK MAPNUMBER o� HWYSTATE YES TRACT 1691017 U ZgNE SPECIAL !I� NO OF SLOGS / CONDITION SIZE OP LOT NOW ON LOT USE OF EXISTING BLDG GS 1 de-nc Q L G' BUILDING YARD HWY STREET NAME EXIST SETBACK OWNERAllanNO FRONT P L ADDRE86 SIDE ARCHITECTOR/' T L P ENGINEER l0 NO INSPEMON RECORD ADDRESS TEL CONTRACTOR NO ^ ADDRESS `V•[ DESCREMON OF WORK ?a n P3 NEW ADD ALTER REPAIR DEMOLISH eG PT NO OF NO OF RI 8USEOF 12E S STORIES PAM I LIES /��.//�/��J STRUCTURE • ;Z-194004% JJ n /i ,1 F('Ti4W S SIGNATURE OF APPLICANT VALUATION S T0,4/ G//�^p 617-6 APPROVALS DATE INSPEtTOR 3 SIGNAWRE PC PMT �0 FOUNDATION LOCATION FEE FEE . FORMS MATERIALS I HEREBY ACKNOWLEDGE THAT 1 AVE READ THIS AP- FBMH PIRE STOPS, H PLICATION AND STATE THAT THE ABOVE IS CORRECT AND BRACING BOLTS AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND FURNACE LOCATION STATE LAWS REGULATING BUILDING CONSTRUCTION GAB VENT DUCATS I CERTIFY THAT IN DOING THE WORK AUTHORIZED 1 LATA INT WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE WORKMEN 8 COM TION LAWS OP CALIFORNIA LATH EXT SIGNATURE OF HOUSE NUMBER COR- FERMI TT RECTANDPOSTED -� DDR FINAL CLYDE N DIRLAM, PRINCIPAL STRUCTURAL PLAN CE= VALIDATION m N o uex PERMIT VALIDATION o ma cAox 2 4 4 5 J'J,a ? 0 10 1 8 0 o ° ®. oo_/C_� DgPARTMENT OF BUILDING AND SAFELY 1, APPLICATION FOR PERMIT - — - COUNTY OF LOS ANGELES 1 1 ®8va ® I I� WM. J. FOX. CHIEF ENGINEER _ FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING Z / N DIBTRI�NO PLAN DK NO PERMITHO AGGRESS cc Q LOCALITY y •� C EIVED SV DATE Or AP PL 1 DATE ISSUED NEARESTnRI309 ST. 5'14 4 S-ro ` O'�^ BUILDIND� OWNER UAL 137 ^ � � A- ADOREBB G� MAIL CI ADDRESS A LDCALITY 1 TEL �lr CR O66 CI Q S 7l FIRE T NO OF TYPE GROUP ARCHITECTOR TEL ZONE PLANE ENGINEER NO SLp0 ORD NO SETBACK LINE ADDRESS / APPROVED � f.• � k NOL �/ /�P BY DATE CONTRACTOR ro ADD ! UOE APP �V�J RE Z ^S_ JS,H Gab Ei e/ ZONC By DATE LEGALCORRECTIONS —DESCRIPTION LOOT NO BLOCK TRACT L► 1� NO OF BLOBS i SIZE DF LOTL3 x I NOW ON LOT USE OF NO OFHB OF B I ID DESCRIPTION OF WORK NEW ALTERATION ADDITION REPAIR MOVING DEMOLISH r �^ 7 O BO FT I� C _ NO OF Z v > SIZE ROOMS STORIES F WALL S'� AC GJA ROOF COVERING L OOV[RIMG [7 USE or New !E F BUILDING C r I' lien c 044 - 7 f4r719L, 10 e ! z.✓ I HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLIOATICN AND STAT[ THAT THE ABOVE 10 CORRECT FOUNDATION LOCATION INSPECTOR DAT[ AND ARRC[ TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STAT[ LAWS REGULATING BUILDING CONSTRUCTION IF FRAM[ FIRE STOPS. SIGNATURE OF BRACING,BOLTS PERMITTC 714 LATH, INT AUTHORIZED AOT LATH, [XT PLASTER,INT T FE6 , PLASTER.[XT. FA VALUATION •J FINAL V✓I I �I v WORKERS' COWENSATION DECLARATION APPLICATION FOR BUILDING PERMIT I hereby affirm that I have a certificate of consent to self Insure, or a certificate of Workers Compensation Insurance or a certified copy thereof (Sec 3800, lab C) - COUNTY OF LOS ANGELES BUILDING AND SAFETY Y Policy No Company BUILDING ❑ Certified copy is hereby furnished ` FOR APPLICANT TO FILL IN ADDRESS J L EL- ❑ Certified copy Is filed with the county building inspec- BUILDING �H I/� 5Pf hon department ADDS i' Data Applicant Cin /��Vi4 E ei zip �17 0 LOCALITY NO OF BLDGS CERTIFICATE OF EXEMPTION FROM WORKERSNEAREST SIZE OF LOT NOW ON LOT q CROSS ST / L COMPENSATION INSURANCE /� ASSESSOR (This section need not be completed if the permit is for one TRACE 6 7 BLOCK LOT NO MAP BOOK PAGE /T PARCEL hundred dollars ($IOD)w leas ) OWNER 7 1 �,—f•Y. � USE ZONE MAP I certify that In the performance of the work for which this �i7 D1/J� permit is Issued I shall not employ any person In any manner ADDRESS 1\� CONDIITIONS Qa so m to become subject to the Wo ers'Compens tion Laws r-r s OU / CITY / �/` ZIP //O Date .Ir4 Appllcon /f ARCHITECT ITEL I GROUP TYPE FIRE PROCESSED BV Q NOTICE TO APPLICANT If, after making this Certificate of ENGINEER NO CONST ZONE G Exemption you should become subject to the Workers Compensation provisions of the Labor Code, you must forth- ADDRESS - w with complywith such provisions or this 2 pr permit shall be TEL STATISTICAL CLASSIFICATION APT CONDO deemed revoked CONTRACTOR NO � LICENSED CONTRACTORS DECLARATION LIC CLASS NO DWELL UNITS_ I hereby affirm that jam licensed under provisions of Chapter 9 ADDRESS NO SEWER MAP (commencing with Section 7000)of Division 3 of the Business LIC and Professions Code and my license is in full force and effect CITY OF CLASCHECK S BK PG 4 VALIDATION 50 FTI NO OF - License Number Lic Class SIZE ��cc STORIES NO FAAUUES ONE }��i VALVA N M Contractor Date DESCRIPTION OF WORK /CB lA,Gt NEW ❑ $ Mi ❑I am exempt under Sec 4Q. ADD LJI,JJ�Vf ► B 8P C for this reasonT7 t F QS /'7J 'e+ ALTER ® f DatUSE OFe REPAIR ❑EXISTING BLDG LGL DEMOL F1 Signature EOL FINAL (r T) D 4 Sp�T T —�'�� DATE V OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor s License ADDRE55'yb3.Jr ✓a.1 St �t fish' Law for the following reason (Section 7031 5, Business and FINAL 1 Professions Code) - - By ACCT. IK57SIf �isaner of the property, BUILDING, or my employees with ADDRESS ? 59.25 as 1Tieir sole com nsation will do the work and the structure is not intended crer'7 offfSr sa�tion LOCALITY Poo Business and Professions Code ) MOVING TEL 1 ITM ElI, as owner of the property, am exclusively contracting CONTRACTOR NO with licensed contractors to construct the project (Sec- ADDRESS TOTAL 59.25 tion 7044 Business and Professions Code ) i CONSTRUCTION LENDING AGENCY 1 YARD HWY OT LN FROM EXISTCFECK - 59.25 WIDTH I hereby affirm that there Is a construction lending agency for FRONT CHANGE •00 the performance of the work for which this permit is issued P L - (Sec 3077 Gv C) SIDE .sC pp Lender's Name P L _ O�OTDsO-0001 8/25/8' PC Fee f Perron Fee r - LDMA Ref N 5309 1 AM 9:30 Lender s Address Ff L I certify that I have read this application and state that the Wuonce F r 57) LDMA P/C N loop above information Is correct I agree to comply with all County Invemgohon Fee [y ordinances and State jaws relating to building construction, Total Fee .5 —/ .2 LDMA Perm N a and hereby authorize representatives of this County to enter g8] u obove-mentionedgrpj s�(,ry farinspectionpurposes irf WE REVERU FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Data