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Home My Public Portal About9721 VAL ST_Building__ ,.,a... . •.. -R, APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING C DEPARTMENT OF COUNTY ENGINEER ADDRESS O BUILDING AND SAFETY DMSION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. PR 8 Y FOR APPLICANT TO FILL IN DISTRICT N G P I TypECONST. BUILDING . / SFATISTICALC IF-CATION / SEWER MAP ADDRESS BK—� CLASS.NO. WILL.UNIT LOT NO. BLOCK WATER NOT REQUIRED RECEIVED MAP IWAY CERTIFICATE: TRACT y. NNO.OF OW ON LOGS. de'/ NO. -N NO. -2 SIZE OFLT J STATE MAJOR SECON LOCAL F 7 CONDITIONS TI DG. ��yyy�'��-�F/�C ��/,�}( TEL. OWNEf&ojp�c Ml Q!I NO. Ell SETBACK YARD HWY STREET NAME WIDTH ADDRESS FRONT / r A.RBFHiEiii-0R TEL P. L .�O V NO b- SIDE P.L. d ADDRESS INSPECTION RECORD 0 CONTRALTO ADDRESS d -r __ _- 0 DESCRIPTION OF WORK _ G NEW /"ADD ALTER REPAIR DEMOLISH Z SO NO.OF IN FES IZE OLV M USE OF STRUCTURE — G /, SIG ATURE OF r k. o / APPLICANT 1. .! P CQ rl VALUATION S // C / �9 I APPROVALS /bAVE INSPECTORS SIGNATURE P C.FEE • /O FEE j FOUNDATION:LOCATION FORMS. MATERIALS FRnM E: FIRE STOPS. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATI N BRACING BOLTS AND STATE THAT THE ABOVE 18 CORRECT ANDA.G E TO COMP Y FUPNACE: LOCATION. WITX ALL COU ORDIN CEB TATE A REGULATI G GAS VENT DUCTS BUIIDIND CO TION CERT THAT IN DOING TXE W K ALTXORIZE- T LATH INT. TION OF TM L OR _ S T L T- ING TO WORKMEN'S OMP RANGE. LATH,EKT. Ti7O SIGNATURE O Jr HOUSE NUMBER COR- PERMITTE RZCT AND POSTIKD ADDRESS FIN CLYDE N. DIRLAM. PRINCIPAL STR RAL ENGINEER PLAN CHECK VALIDATION ( eK J r.o. cASH PERM[ A7,m 4IASK L"O s 2 i"� JW20 1 0 4 3.00 $ APPLICATION FOR BUILDING PERMIT 78-140cim F OR APPLICANT TO FILL IN ADDR S.�. l VHl 8tr• Eye o,� LOCALITY Mle City ZIP 91780 NEAREST CR7555T NO OF BLDGS ASSESSOR LOT NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE ED B BLOCK LOT NO p CONST ZON M.M Rile NO 445-7446, �TELd0 3 c MO S 9721 {IHl St- STATISTICAL CLASSIFICATION SEWER CLASS N0 . DWELL UNITS B PG le Cit ZIP U5�7E MAP CT OR TEL (`//{•\"J R Np �l SPECIAL CONDITIONS S p ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO MTEL ❑ CONTRACTOR EIGM G. CO* NO 26 181 BLDG SET CK FROM p� LIC FRONTPRO LINE OF (STREET( ADDRESS O '6 82 NO TOTAL SETBACK FROM TYPEOF EXISTING HIGHWAY + ARD = FRONT PROP LINE HIGCLASS HWAY WIDTH CITY roe A igeleH UC c-39 CONSTRUCTION LENDER _ + a NAME AND BRANCH BLDG SETBACK FROM 0U ADDRESS CITY SIDE PROP LINE OF (STREET) SOFT NO OF VN OF CHECK HIGHWAY + YARD TOTALSETBACK FROM EOF EXISTING rj SIZE STORIES FAMILIES ONE SIDE PROP LINE HI AY WVDTH a N DESCRIPTION OF WORK ae-roof With NEW + Z Ftigid prepared.Glass nc" ADD CORNER CUTOFF YES ❑ NO ❑ material ALTER IN CPEN SPACE YES ❑ NO ❑ REPAIR USE OF IN COASTAL PERMIT ZONE VR ❑ NO ❑ EXISTING BLDG $eaidenoe DEMOL APPLICANT TEL (PRINT) NO ✓v BY ,'Vo NSL�S-Grinn/ GJ!tC-E'�— jam ZS BY(SIGNATURE( HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATON AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGU DOING CONSTRUCTION I CERTIFY THAT IN DOING THE WOR((AUT D HE WILL NOT EMPLOY ANY PERSON IN VIIXATK]N OF THELABO EOFTHE Si EOF CALIFORNIA IN RELATING TO ENSCOM �l �EZIITTEE T INSURANCE d Mfg. A OF FINAL BV DATE ADDR $ Woods Ave CI A lea (!A-Q0022 N0263-5181 PC Fee$ Permit Fee Issuance Fee VALUATIONI /O S"a p��1T Tofol Fee I, • iif-Ind PERMIT VAUD ON CK Ma CASH POLICY HOLDER: "' "" 1 1 4�'iAR 1b 1 0 3 4.0 0 w �, 9Q&4aYftNWiA8ER: 77 TEMPLE CITY, ' i 75AS38A CE#8032,, APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ... DEPARTMENT DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER gbREST WILLIAM A JENSEN SUP T OF BUILDING L'�OSS ST DISYRIC7 G P TYPE FOR APPLICANT T a CONST FUSE LDING GTATISTICAL C�FICATION SEWER MAP RESS BK_ PCAIfAn CLASS NO DWELL UNITS NO BLOCK KATER NOT REQUIRED RECEIVED CERTIFICATE CT MAP �.1 �j HIGNwAY O BLOCS NO V 71 CIRCLE STATE MAJOR 6ECOND OCAL OF LOT NO ON LOT USE ZONE SPECIAL OF _ p / CONDITIONS EXISTING BLDG TEL OWNER NO BUILDING YARD HWV STREET NAME EXIST SETBACK WIDTH ADDRESSFRONT /{ 12'91 / ARCHITE O TEL IP L V JJ LL ENGINEER NO SIDE P L ADDRESS y O CONTRACT �� NE l.1 C ADDRESS O DESCRIPTION OF WORK a N N ADO ALTER REPAIR DEMOLISH Z SO FT NO OF NO OF SIZE STORIES FAMILIES USE OF ST UCTUREHT v SIGNATURE OF APPLICANT- S PPLICANT VALUATION $ APPROVALS DATE INSPECTOR aaIcnATUR[ PC PMT FOUNDATION LOCATION FEE S FEE $ FORMS MATERIALS FRAME FIRE STOPS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION G( WITH ALL Co.NTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS Lj BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT INC TO WORKMEN aCOMP TION INSURANCE H EXT SIGNATURE OF HOUSE NUMBER COR PERMITTEE I RECT AND POSTED ADDRESS gl PC FINAL JOHN F LEWIS P NCIPAL STRUCTu AL EN PLAN CHECK VALIDATION CK .0 CASH PERMIT VALIDATION CK .0 CABH X 9 4 7 813 AUS 2 8 1 0 ' 4.00- 17 1 WORKERS COMPENSATION DECLARATION W APPLICATION;FOR BUILDING PERMIT by affemithat I have a certificate of convent to self more or a certificate of Workers Compensation Insurance or o ceinfied cojfy thereof (Sec 3800 Lob C ) �� - COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No'Compbny -�i _ c ` BURDING Certified copy hherebyl'urnished FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with the county building inspec BUILDING / CT tion department ADDRESS Date r L.Applicant CITU G� (�/r♦` ZIP p 0 LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS J NO OF SLOGS Z. NEAREST COMPENSATION INSURANCE SIZE OF LOT �J NOW ON LOT CROSS ST (This section need not be completed if the permit is for one "T O AIJr 5,4AJYA BLOCK LOT FIO J/ ASSESSOR hundred dollop($100)or less ) TRA �% MAP BOOK PAGE PARCEL TEL 5E E 1 certify that in the performance of the work for which this OWNER L, /L.L NO MA }}. permit is Issued, I shall not employ any person in any manner ADDRESS S „��•r� SPECIAL L` w as to be/. com,e-subbjjeect to the Workers'Com nsation Laws CONDITIONS O Date Applicant ARCHITECT OR .t CITY ZlP TEL �1 NOTICE TO APPLICANT If, after making this Certificate of N R +/ // NO to �6 DISTRICT GROUP TYPE FIRE BY Exemption, you should become subject to the Workers' EN mss- �''�T ZONE Compensation provisions of the Labor Code, you must forth- ADDRESS Sri 3 LDa.� with comply with such provisions or this permit shall be 7El STgTISTICALFI TION APT DO c) deemed revoked CONTRACTOR Z LICENSED CONTRACTORS DECLARATION LIC CLASS NO DWELL UNt75_ 1 hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO (commerciN with Section 7000)of Division 3 of the Business and LIC SEWER MAP Professions Code and my license is in full force and effect CITY CLASS BK PG VALIDATION SO FT NO OF NO OF CHECK License Number Lw Class SIZE STORIES FAMILIES ONE VALUATN Contractor Dote DESCRIPTION OF WORK O ADD $ IOQOD 00 I am exempt under Sec `� .F>Jv /tl,✓r6 � ^ f I r ALTER EJ = B 8P C for the reason /� DEgEpgjg Date U Of E%I LNG BLDG S1.✓eLC .D. Ll• MOL Signature APPLICANT 7 TEL FINAL OWNER-BUILDER DECLARATION PRINT L v NO DATE 031. 1 A I hereby affirm that I am exempt from the Contractor s License Law for the following reason (Section 7031 5, Business and ADDRESS I30 Jam._ FIN # • e • • • 1 Professions Code) MESENISY BUILDING 1, as owner of the property or my employees with ADDRESS I i \s1 ) . 1 2 E4 2 5 wages as their sole compensation,will do the work and v ,� the structure is not intended or offered for sole(Section LOCALITY 125.256 t �y 7040, Business and Professions Code) MOVING TEL loll �' � I I as owner of the property am exclusively contracting CONTRACTOR NO /' : O q 2 9,t!B B with licensed contractors to construct the project (Sec- hon 7044, Business and Professions Code) ADDRESS ' _ N CONSTRUCTION LENDING AGENCY REQUIRED SET BACK YARD HWY PROP LINE WIDTH I hereby affirm that there is o construction lending agency for FRONT the performance of the work for which this Permit is issued P L (Sec 3097, Civ C ) SIDE PL Lender s Name $ C LDMA Ret 0 Lender s Address P C FMS Permit Fee J I certify that I have read this application and state that the Iswonce Fee of w' TDMA P/C• above information is correct I agree to comply with oil County Investpo°on Fee $ ordinances and State jaws relating to building construction Total Fee 12 5 Zr LDMA Perm R $ and hereby authorize representatives of this County to enter upon the above mentioned property for inspection purposes SU RIVNSE FOR EXPLANATORY LANGUAGI r Signature of Applicant or Ages Data COUNTY OF Ips 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 1005050001 PHONE (626) 265-0488 EXT LEGAL ID NO OF CONST ON FILE BUILDING ADDRESS 1 9Q FT STORIES TYPE 9721 VAL ST 1 )ASSESSOR INFORMATION NUMBER [STRUCTURE V-B TEMP CA 917800000 NEAREST CROSS STREET LONGDEN 5383-017-010 I THOMAS PAGE ORI➢ LOCALITY TEMPLE CITY Cl I TENANT IEXIST BLDG USE REBID USE ZONE R-1 ISSUED ON PROCESSED BY IEXIST OCC GRP 05/05/10 SA IOWNER TEL NO BLDGS NOW ON LOT VALUATION FINAL. DATE FINAL BY CODE I ICANCINO, NORIA (626) 462-0013- I 900 19721 VALLEY ST 1 ITEMP 917800000 I FEES PAID [DESCRIPTION OF WORK [BATHROOM REMODEL AND ADDED WINDOW IFEE DESCRIPTION QUANTITY DOM AMOUNT I I APPLICANT TEL NO SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27 75 AB STATE GREEN BLDG FEE 900 00 VAL 1 00 SPECIAL CONDITIONS AC STRONG MOTION REBID 900 00 VAL 0 50 B2 PERMIT W/ENERGY 900 00 VAI. 71 94 IFR INV WORK W/O PERMIT 128 50 DOL 128 50 CONTRACTOR TEL NO TOTAL FEES 229 69 APPROVALS DATE INSPECTOR SIGNATURE ISAME AS OWNER I LIC NO LOCATION AND SETBACK I SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL NO I FOUNDATION/TRENCH FORMS LIC NO SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO SEWER MAP BOOK PAGE FIRE TONE CHP [UNDERFLOOR INSULATION I I 153H269 3 001 [ FLOOR SHEATHING NO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS NO 21 1 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS I [SHEAR PANELS AIR QUALITY 10NO FEET MONO I71I.S N ((;;�� I'� FRAME INSPECTION EXPJ ED FIRE SPRINKLER HANGERS !�f'}1, INSULATION/WEATHER STRIP[ T _— INTERIOR LATH/DRYWA EXTERIOR LATH RATED FLOOR/CEIL ASSEM RATED WALL AS96MBLIE9 [RATED SHAFTS/0PENINO9 T-BAR CEILINGS LOT DRAINAGE i I (REPORT ID DPR261 ROUTE TO BSOSO8 I I I I