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Home My Public Portal About9737 VAL ST_Building__ DIVISION OF BUMDING AND SAFETY BUILDING ?3l-1arbnadCam Df of , FaBlB"r 1/k WM J Fox, COUNTY F.r~,omom APPLICATION MR�JAPPUCMU TO FILL IN would 5. f�Z 5 ADDRESS 73 / 1-OLITY LOCALITY LC / CROGB�BT L DIBTRI cm PLAN CK n R No PERMIT NO NEAREST BA L- S_ 904COe OWNER AIVTDNIIV RXClFI DA F A D ISSUED GGREBB L o N 3//7 - 3 /7 S E e OF 6R P IREZO E TEL / /I PLANS CITY ARCADiA NOC ARCHITECT OR TZONING ENGINEER QYArrB - - A SzcAwlar BUILDING F SETBACK LINE _ /I Amaorm CONTRACTOR I lY BY, / T 3 ry�I O IVJ r�HC*K NUMBERING LEGAL /C MAP NUMBER ` QO� u0 ASSIGNE;INSPECTOR DESCRIPTION LOT NO BLOCK en�v.wr ��n DATE COHRDCPiONB TRACT No OF BLOOS Ac /` �7SIZE OF LOTNOW ON LOT Y G • •G, / a 9 Ue SOF DG FA oPES T AG O G D DESCHIMON OF WORK NEW ALTERATION ADDITION I I 4 REPAIR DEMOLITION - 8Q PT O ROS � / II i8ROOMS STORIES oRN, cUCCDco1'ES 0 D %7-S'rr9L./ - V� USE OF STRUCTURE ,y 2 S . AN D 1Cuia n�F K Y a GHrMFIme' -MEYA I nr rLNJHir✓G APPROVALS-/Ij}.rPtZwy1-11A, s INSPECTOR B SIGNATUR DATE FOUNDATION LOCATION /U l,! ) �/ FORMS MATERIALS Y' ^1 HHO ACKNOWLEDGE THAT 1 HAVE READ THIS A 8 FRAME FIRE STOPS. COL RS �ORRECTN AND STATE THAT THE INFORMATION GIVEN IS DRACINO BOLTS CORRECT 1AGRHi TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION GAS VENT DUCTS �Z( SIGNATURE OF 2r LATH INT PERMI W pq.�. LATH ExT ADDR PLASTER INT AUTHORIZED AGT f y`COO S S /I PLATER EXT FEE — CJ �7 vwL ~ TBSESECAND POSTED UATI fL IAL= A �� ]•AREA a 4 to I/ - WgRKERS COMPENSATION DECLARATION •I hereby affirm that I Love W r certificate of tion Int to self APPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers Compensation Insurance - or a certified copy thereof (Sec 3800, lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company ❑ Certified copy is hereby furnished FOR APPLICANT TO FILL IN AMREi 55 I f7 3 7 VA, L, �T ❑ Certified copy is filed with the county building inspec- BUILDING 1-7 DDRES bon department AS173 / ISE �j Date Applicant CITY TXO IPLE /�/ zip / / O LOCALITY / v' _/ t./ Y CERTIFICATE OF EXEMPTION FROM WORKERS SIZE OF LO7 a NOW ON LOT _ NEAREST 7 W E.ST COMPENSATION INSURANCE ASSESSOR (This section need trot be completed if the permit is for one Q:D BLOCK _r LOT NO MAP BOOK PAGE O PARCE hundred dollars ($100) or less ) LL L USE ZONE MAP a 9 OWNER I comfy that m the performance of the work for which this / SPECIAL a permit is issued I shall not employ any person m any manner ADDRESS 7L3 '7/, ` 4 L S T CONDITIONS so as t�oSjbecome subject to the Workers pe bang Laws CITY )0/� 7-/ ZIP � ZOO O Date�Applicant • ARCHITECT OR TEL NOTICE TO APPLICANT If, after making this Certificate of ENGINEER NO DISTRICT GROUP T T zIRE PROCESSED BY CONSONE rOr Exemption, you should become subject to the Worken' Q '/ V Compensation proviiucins of the labor Code, you must forth- ADDRESS .QQ -3 y J N with comply with such provisions or this permit shall be TEL STATISTICCLASSIFICATION APT CONDO Z deemed revoked CONTRACTOR � CLAS NO�LDWELL UNITS_ AL LICENSED CONTRACTORS DECLARATION ADDRESS NO (hereby that I am licensed under provisions of Chapter 9 LIC SEWER MAP (commencingcing with Section 7000)of Division 3 of the Business and Professions Code and my license is in full force and effect CITY ET / NO O NO O CLASS CHECK BK L PG '?0 VALIDATION License Number Lic Gass SIZE {� STORIES FAMILIES- V ONE VALLI TION Contractor Doe DESCRIPTION OF WORK t NEW ❑ $ Elam exempt under Sec ) rA App Poo.LJ B BP C for this reason REPAIR ❑ $ Date USE OF EXISTING BLDG DFMOL ❑ Signature APPLICANT TEL FINAL OWNER-BUILDER DECLARATION (PRINT) NO DAT! L �,• I hereby affirm that I am exempt from the Contractor's License Low for the following reason (Section 7031 5, Business and ADDRESS FINAL 1 Professions Code) PRESENT I as owner of the property or my employees with BA�RE55 BY wagesas their sole compensation wilidotheworkand ?„S[I, the structure is not intended or offered for sole(Section LOCALITY 7044, Business and Professions Code ) MOVING TEL <`La%O�-W�` 1 1)EMCC ❑ 1, as owner of the property, am exclusively contracting CONTRACTOR NO •r'�` with licensed contractor to construct the project (Sec- ADDRESS � - {� r\ Ri l til 140 - 22 hon 7004, Business and Professions Code ) s ` CHEC4 CONSTRUCTION LENDING AGENCY SEr UI YARD HWY OTAI.SETB LON FROM EXIST I hereby affirm that there is a construction lending agency for FROM PROPIE WIDTH t HMG •( I the performance of the work for which this perms is issued P1. _ - (Sec 3097, Civ C ) SIDE Lenders Name PL QI]I]Q-I](]�l ,;/12/51 �/ LDMA Ref 1 Lender s Address 603 � P C Fee S Permit Fee •/' 6031 1 AM S:4_' a I certify that I have read this application and state that the luuanca F �� LDMA P/C# Pilo above information n connect I agree to comply with all County Inveatigr,on Fee ordinances and State laws relating to building construction, Tonl Fee � dZ IDAV.Perm 0 ` and hereby outhorIze re sentahves of this County to enter RYq imp�fiy�� //n /J/¢�op�eny fa inspe�ctio�n/p/u�rpQose�s r°. ' `'/11 yi(Q/Isyp ✓— EF i F EEE REVERSE FOR EXPLANATORY LANGUAGE &gnature of Apphmnf or Agent COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC FORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1304030037 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST NEN I BUILDING ADDRESS IMSESSOR TR 12368 LT 15 ] - SQ FT STORIES TYPE OCCUP GROUP 9837 VAL ST I STRUCTURE 50 2 V-B R3 I TEMP CA 917801442 15383-025 INFORMATION NUMBER 15383-025-015 OTHER I NEAREST CROS9 STREET GOLDEN WEST I I THOMAS PAGE 597 GRID Al LOCALITY TEMPER CITY CAI ITINANI' (EXIST BLDG USE USE ZONE ISSUED ON PROCESSED BY EXIST OCC GRP 104/03/13 SR IO�R TEL NO BLW9 NOW ON GOT VALUATION Iy�/ FIHpL�BY CODE I 19837DD, MAUREEN/BANES _ 10,000 19837 VAL STREET I (TEMP 917801442 FEES PAID I ES IPTION OF FORK ]ADD NEW BATHROOM LE DESCRIPTION QUANTITY UOM AMOUNT I�� ]APPLICANT TEL NO 1SCOBLE, TOM (626) 253-2250- IAA BLDG PERMIT ISSUANCE 27 80 I 1830 LOCUST STREET AB STATE GREEN BLDG FEE 10000 00 VAI. 1 00 SPfi AL NDITIONS PASADENA CA 91107 AC STRONG MOTION REBID 10000 00 VAL 1 00 COVENANT RECORDED B1 PLANCHECK W/ENERGY 10000 00 VAL 202 50 B2 PERMIT W/ENERGY 10000 00 VAL 218 30 0NTRACIOR TEL NO TOTAL FEES 450 60 APPROVALS DATE INSPECTOR SIGNATURE ]MOTHER MAGNOLIA (626) 253-2250- 1 ]1830 LOCUST STREET LIC 60 ]LOCATION AND SETBACKS PASADENA CA 91107 787463 I SOILS ENGINEER APPROVAL ] IARCHITOR INGINEER 6L NO FOUNDATION/TRENCH FORMS 1 ]CAL CIVICVIC ((626) 798-2828 12160 PARNELL WAY LIC NO ] ISLAB/UNDER FU30R 1 I IALTADENA CA 91001 NONE IRAISED FLOOR FRAMING MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP ] I UNDfiRFL00R INSULATION 3 00] 1 1NO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS ]1ST LEVEL FLOOR SHEATH 1 I 0 NO 21 ]2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS AIR OUALITY 1000 FEET MATERIALS ROOF SHEATHING I I NO NO NO FIRE DEPT FRAME INSPECT I 1 BLDG DEPT FRAME INSPECT ] SHEAR PANELS I - I I I INSULATION/WEATHER STRIP 1 I 1 i IINTfiRIOR CATH/DRYWALL I I EXTERIOR LATH ] LOT DRAINAGE I SMOKE DETECTION DEVICE-1 jFIRE DEPARTMENT APPROVAL I I I - IMPORT IO DPR261 ROUTE TO BSO508 I ] COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1305200059 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST NEW BUILDING ADDRESS TR 12368 LT 15 SQ FT STORIES TYPE OCCUP GROUPI 9837 VAL ST I (STRUCTURE 50 2 V-B R3 TEMP CA 917801442 I (ASSESSOR INFORMATION NUMBER GARAGE NEAREST CROSS STREET GOLDEN WEST I 15383-025-015 OTHER THOMAS PAGE 597 GRID Al LOCALITY TEMPLE CITY CAI I ITENANT EXIST BLDG USE REBID (ISSUED ON PROCESSED BY EXIST OCC GRP R3 05/20/13 SR OWNER TEL NO IBLLOS NOW ON LOT VALUATION FI DATE FINAL BY CODE DLI/KUO MSTREEN/JAMES - 10,000 ��`�., —,x 19837 VAL STREET' J ��/ ITEMP 917801442 FEES PAID ES- IPTION OF NVR— K I CHANGE CONTRACTOR SEE ALSO BL 1304030037 TO BUILD A NEW (FEE DESCRIPTION QUANTITY UOM AMOUNT 3/4 BATHROOM (APPLICANT TEL NO AFSHARIAN ANDRE (626) 383-0089- IAA BLDG PERMIT ISSUANCE 27 80 1 1605 E ELIZABETH ST I TOTAL FEES 27 80 SPECIAL CONDITIONS (PASADENA CA 91104 CONTRACTOR TEL NO APPRDVA S DATE INSPECTOR SIGNATURE AFSHARIAN ENTERPRISES INC (626) 797-7177- 11605 E ELIZABETH ST #1009 LIC NO Wa' ION AND SETBACKS 1PASADENA CA 91104 965237 I ISOHL ENGINEER APPROVAL I _I I_ I ARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH FoRts I I LIC NO ISIAL'UNDER FLOOR IRONED FLOOR FRAMING MAP NO SEWER MAP BOOK PAGE FIRE ZONE C'r 1UNDEnFLOOR INSULATION 3 DSI (1ST IE✓EL FLOOR SHEATH I I IND OF FAMILIES DWELLING UNITS APT/COND STAT CLASS 1 NO 99 12ND . VEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS 1R00= SHEATHING AIR QUALITY 1000 FEET MATERIALS 04- NO NO NO IFIRD DEPT FRAME INSPE �' I 1BLDG DEPT FRAME INSPECTII ISHEAR PANELS 1 (INSULATION/WEATHER STRIP I I (IINTERIOR LATH/DRYWALL I I I faTEPIOR LATH IAT DRAINAOe SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL( I I I I I I 1REPORT ID DPR261 ROUTE TO BS0508