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HomeMy Public PortalAbout9755 VAL ST_Building__ F 76A6389 CSE 9803 3-69 '/'y' �--- -. APPLICATION FOR BUILD NG PER IT •• COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADORESS ' BUILDING AND SAFETY DIVISION JOHN A LAMBIE COUNTY ENGINEER LOCALITY COLEMAN W JENKINS SUPT OF BUILDING NEAREST CROSS ST FOR APPLICANT TO FILL IN DISTRICT NO , GRO TYPE f�pST s (PRINT OR TYPE ONLY) V .l/♦� BUILDING f� / STATISTICAL C S ICATU N SEWER MAP I ADDRESS s Cr C CLA55 NO DWELL UNITS BK LOT NO � BLOCK USE ZONE MAP NO �D y� TRACT p SPECIAL r NO OF BLOGS CONDITIONS SIZE OF LOT �Oa�p NOW ON LOT USE OF EXISTING BLDG BLDG SETBACK FROM TEL �� FRONT PROP LINE OF + (STREET) OWNER /� NO TYPE OF EXISTING SETBACK - TOTAL ADDRESS pro r HIGHWAY WIDTH FROM C L HIGHWAY YARD CITY ARCHITECT OR TEL BLDG S TRACK FROM ESIDE PROP LINE OF (STREET) ENGINEER NO TYPE OF EXLRT IS JS ETBACX HIGHWAY ♦ YARD = TOTAL ADDRESS If GN WAY WIDTH FROM [ L CONTRACTOR NOL C/ ♦ 6 _ r D_ Ic ADDRESS NO CORNER CUTOFF YES El N0 ❑ u CITY CUSS SEE REVERSE SIDE FOR SPECIAL APPROVALS 00 CONSTRUCTION LENDER G NAME AND BRANCH W ADDRESS Z SO FTNO OF NO OF ❑ _ SIZE lekm STORIES FAMILIES NEW USE OF // ADD STRUCTURE V ALTER ❑ REPAIR ❑ SIGNATURE OF DEMOL ❑ APPLICANT VALUATION APPROVALS DATE INSPECTOR'S 910HATUNE P C PMT FOUNDATION LOCATION FEES FEE S • (7 (/ F MATERIALISM ( HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION FRAME FIRE STOPS, BRACING, LT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION, WITH ALL ORDINANCES AMD LAWS REGULATING BUILDING CONSTRUC- TIGN I CERTIFYTHAT IN DOING THE WORK AUTHORIZED HEREBY I GAS VENT. DUCTS WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT OF THE STATE OF CA IFORNIA IN RELATING TO WORKMEN'S COM- PENSATION INSURAN LATH, EXT SIGNATURE OF HOUSE NUMBER CORRECT PERMITTEE ANO POSTED ADORES FINAL Q 7 A JOHN F LEWIS PRINCIPAL STR RAL ENGINEER PLAN CHECK VALIDATION CK _ K, 0 CAeN _ PERMIT VALIDATION E• , NI 0 CAL. 'All 4 e 9 8e X12 1 D 9.00 v Aalalwt-ll 76A%38k CIE 9603 3-69 �.� x �i� 'Y'� �t, 1 ` ( APPLICATION FOR BUILDIIV�ERM COUNTY OF LOS ANGELES BUILDING97 -� ✓ • ' DEFARTMENt OF COUNTY ENGINEER ADDRESS �.3 — BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE, COUNTY ENGINEER COLEMAN W JENKINS, SUPT OF BUILDING NEAREST - CROSS ST FOR APPLICANT TO FILL IN D15TRI T NO GRo TYPE PR r (PRINT OR TYPE ONLY) BUILOI NG /"/�' STATISTICAL CLA 51 ICATION a" SE ER AP ADOR ESS V �f •I.,% /EE CLASS NO DWELL UNITS BK PG LOT NO BLOCK USE ZONE MAP NO .20 a3 TRACT - SPECIAL NO OF BLDG3 Iff CONDITIONS SIZE OF LOT7,4ryl4!57�NOW ON LOT USE OF EXISTING BLDG BLDG SETBACK FROM tiTE / FRONT PROP LINE OF -(STREET) OWNER NO f/ TYPE OF E%(STI SETBACK HIGHWAY + YARD - TOTAL ADDRESS ! H16NWAY WIDTH FROM C L CITY ARCHITECT TEL BLDG SETBACK FROM (STREEij ENGINEER NO SIDE PROP LINE OF TYPE OF E%ISTM6 SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C L '7 CONTRACTOR NOL .6-cd-1 + �OLIC oL� ADDRESS NO CORNER CUTOFF YES ElNO ❑ LIC CITY CLASS E EVRS SIDE OR SPECIA APPROV FC CONSTRUCTION LENDER NAME AND BRANCH IppI ADDRESS Y Z SI FT NO OF NO OF SIZE Q STORIES FAMILIES I NEW USE OF _ A00 TSTRUCTURE /� LTEREPAIRSIGNATOEMOL APPLICANT VALUATION f'/'" V V V• APPROVALS DAT INna CTon'$ etGNATURE PC S PMT �J, FOUNDATION LOCATION FEEFEE 5 G F RMATERIALS I HEREBY AC KNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME FIRE STOPS, BRA LT ANO STATE TXAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION, WITH ALL ORDINAX[ES AXD LAWS REGULAT NG 6UILDING CONSTRUC- GAS VENT. DUCTS I TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EN PLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT a OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- PENSATION IAR"AN1 LATH, EXT 46 SIGNATURE / HOUSE NUMBER CORRECT PERMITTEE .�C. , AND POSTED ziDORESSraL f � FINAL JOHN F LEWIS P IN61PAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION cx M o CA.H - PERMIT VALIDATION CK M o CASH ! W , 432iti AFR 123 D 7 9.6 51 4 5 0 7R AFR15 1 0 13 2.._75 ��rn �-C � TBADDBA CE NDDD IZYBAPPLICATION�OR BUILDING Fk MIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS J AD COLEMAN W. JENKINS, SUPT 01 BUILDING LOCALITY FO R APPLICANT IN CNREAREST OSS ST BUILDING ('� At Sl Only) CIS T`�T N ,ORjOyUyfff��7y/•� CONST EBBED BY ADDRESS G • V'/ v• �/!!^-/ STATISTICAL CLASSIFICATION SEWER MAP LOT NO J- BLOCK 'C-0 LJ //�� CLASS NO _DWELL UNITS__ B'IPA TRACTAPT 2- 7 USE ZONE MAP /� NO OF BLDGS SIZE OF LO 7 O NOW ON LOT SPECIAL USE OF ...i / CONDITIONS EXISTING BLDG (J II OWNER FQ EL SCO �j7 BLDG SETBACK FROM ADDRESSLS FRONTPROP LINEOF (STREET) TYPEZ EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY HIGHH FROM C L ARCHITECT OR TEL + _ ENGINEER NO BLDG SETLI EOF FROM ADDRESS SIDE PROP ROP LINE OF (STREET( TEL TYPE OF EXISTING SETBACK MIG + YARD = TOTAL CONTRACTOR NO HIGHWAYI WIDTH I FROM C L LIC ADDRESS NO + LIC8 CITY CLASS CORNER CUTOFF YES ❑ NO CONSTRUCTION LENDER s NAME AND BRANCH A SEE REVERSE SIDE FOR SPECIAL APPROVALS // KI T f NO OF NO OF SI STORIES FAMILIES ❑ O ADD A STRUCTURE ALTER ❑ O L14 JA REPAIR❑ SIGNATUREOF APPLICANT DEMOL ❑ VALUATIONS APPROVALS DATE INSPECTOR'$ SIGNATURE P C PMT FOUNDATION LOCATION f FEE S FEE SFORMS MATERIALS FRAME FIRE STOPS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE ID CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT DUCTS DTRVC TION ICERTIFY THAT IN 001140 THE WORE AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT LABOR COOK OF THE STATE OF CALIFORNIA�IN/R�ELATING TO WORKMEN S COM N ON IND URAMC� LATH EXT SIGNATURE y-11 / HO VSE NUMBER COR- PERMITTEE k F� RECT AND POSTED ADDRESS FINAL PLAN CHECK VALIDATION CK Mo c•aH .JOHN F LEWIS PRI CIPAL STRUCTURAL EN CASH PERM VALIDATION CK AID D I Ar, 5 9 9 89 AL22 1 D 9.00 - /�5 WORKERS COMPENSATION DECLARATION ereby gftftm Cor that I have a certificate Come of tionconsent to .elf APPLICATION FOR BUILDING PERMIT e, or a Certificate of Worker Compensation Insurance, certified coy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY 57_7Policy No, "�ompany 644 ❑ Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS 5zCertified copy is filed with the county building mspec- ADoDINN5 � 4L,/1 tion departmenta�rtment /-� Date - 1 Applica C77Y 2 ase NO OF 51.13115 ZIP 7 / LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT 07,LCi C OSIS ST tjO�I✓ W COMPENSATION INSURANCE ASSESSOR (This section need not be completed If the permit Is for one TRACT BLOCK LOT NO MAP BOOT( PAGE PARCEL hundred dollars ($100)or leu ) OWNER ( QY--Ta1pn72 7g.C4et-71 USE ZONE MAP I certify that in the performance of the work for which this I' permit is issued, I shall not employ any person in any manner ADDRESS S E, dal SG' CONDITNO SPECIAL C. so as; to become subject to the Workers'Compensation Laws CONDITIONS O CITY�As. 17,4 ZIP a Date Applicant ARCHITECT TEl ac NOTICE TO APPLICANT If, after making the Certificate of - ENGINEER NO DISTRICT GROUP TYPE FIRE PROCESSED BY CONST z E V Exemption, you should become subject to the Workers � Compensation provisions of the Labor Code, you must forth- ADDRESS OIL � V ILG� N with comply with such provlslots or this permit shall be TEL 1/ STATISTICAL CLASSIFICATION APT CONDO deemed revoked CONTRACTOR NO - 40 z LICENSED CONTRACTORS DECLARATION UCCTA55 NO DWELL UNITS BOERNE — I hereby affirm that I am licensed under provisionsof Chapter 9 ADDRESS NO S'j t (commencing with Section 70DO)of Division 3 of the Business / CLASS SEWER MAP and Professiom Code,and my license is in full force and effect cine Nr UC 3 BK PG Q(J VALIDATION SO FT NO OF NO OF CHECK License Number Lic Class 10, SIZE I STORIES 6t%.-P- FAAVUES VKE- ONE fnoN O ContractDate DESCRIPTION OF WORK NEW El - ❑I am exempt under Sec 9� p SADD w S/7LJ ► B 8P C for this reason )-f iz4V 5 ALTER ❑ f REPAIR Date - USE OF EXISTING BLDG 'j, DEMOL ❑ SignatuCAN IL re "OWNER-BUILDER E er•Yri NO 7�J' FINAL OWNER-BUILDER DECLARATION T DATE I hereby affirm that I am exempt from the Contractor s License -S/ G Law for the following reason (Section 7031 5, Business and AWREss H FINAL 1 Professions Code) FRE5ENT By �- s ❑ 1, as owner of the property or my employees with BUILDING wagesas their sole compensation,will do theworkand _31137 115.x: the structure is not intended or offered for sole(Section LOCALITY r\ , �D� 7044, Business and ProfessionsVI Code ) MOVING TEL �/ i ITEM-J _ ❑ I, as owner of the properly, am exclusively contracting CONTRACTOR NO with licensed contractors to construct the project (Sec- ADDRESS I CIti fu 116 $tar tion 7044, Business and Professions Code ) D, CONSTRUCTION LENDING AGENCY BA YARD ffwr TOTAL PROP SETBACK FROM 1 CHECK 116.u_ hereby offum that there is a construction lending agency for FRONT NE CHANGE .1313 WIDTH the performance of the work for which this permit Is Issued P L (Sec 3071, Cly C ) SIDE PL Lender's Name UUDII-il�Cl1 4/ 3/aL PC Fee$ Permit Fee ,3 �� IDMA Ref N 5:76 1 AN 9:17 Lender.Address a I comfy that I hove read this application and state that the Issuance F LDMA P/C N 111101. above Information Is correct I agree to comply with all County Investlpotlon Fee / b cs D ordinances and Stole laws relating to building construction, Tmal Fee JE LDMA Perm N andnh �authorize representatives of this County to enterEMISSION upoove-meITIed property for inspectio1n[purposes tj l- EEE RFVERIN FOR EXPLANATORY LANGUAGE e of Applioent i5rApint Dole COUNTY OF IAS ANGELES TEMPLE CITY # 0508 I BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1002030027 PHONE (626) 285-0488 EXT (LEGAL ID NO OF CONST BUILDING ADDRESS ON FILE SQ FT STORIES TYPE 9755 VAL ST ISTEUCIVRE V-B TEMP CA 917800000 1 (ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET GOLDEN WEST 1 15383-017-029 I THOMAS PAGE GRID LOCALITY TEMPLE CITY Cl I TENANT EXIST BLDG USE REBID USE ZONE R-1 ISSUED ON PROCESSED BY EXIST OCC GRP 02/03/10 SR TOWNER TEL NO SLUGS NOW ON LOT VALUATION FINAL. DA P�I�'/�Y CODE I KHAN PuiSHAN (626) 831-3271- 1,300 19755 VALLEY IEY ST ITEMS 917800000 1 FEES PAID DESCRIPTION OF WORK WINDOW 7•X46• CHANGE TO PATIO SLIDING DOOR 72`X81• TEL NO I (APPLICANT (FEE DESCRIPTION QUANTITY DOM AMOUNT (SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27 75 I IAB STATE GREEN BLDG FEE 1300 00 VAL 1 00 1SPECIAL CONDITIONS AC STRONG MOTION REBID 1300 00 VAL 0 50 AX BUILDING REVIEW FEE 54 70 1 D2 PERMIT W/O EN-HC 1300 00 VAL 82 20 I I CONTRACTOR TEL NO TOTAL FEES166 15 IAPFROVAIS DATE INSPECTOR SIGNATURE 1 SAME AS OWNER - 1 LIC NO LOCATION AND SETBACKS 1 SOILS ENGINEER APPROVAL 1 ARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH FORMS I I I LIC NO SLAB/UNDER FLOOR I I I RAISED FLOOR FRAMING I 1 IMAP NO SEWER MAP BOOK PAGE FIRE TONE CMP UNDERFLOOR INSULATION I 1153H269 3 001 I I I I FLOOR SHEATHING I I IND OF FAMILIES DWELLING UNITS APT/COND STAT CLASS NO 21 i ROOF SHEATHING I 1 SCHOOL WITHIN HATARDOOS I SHEAR PANELS I AIR QUALITY 1000 FEET MATERIALS I 1 NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS �•/ SET BACK YARD HWY PROP LINE WIDTH (FRONT PL- INSULATION/WEATHER STRIP( I SIDE PL- I I I I ]INTERIOR LATH/DRYWALL I (EXTERIOR LATH RATED FLOOR/CEIL ASBEM RATED WALL ASSEMELIES (RATED SHAFTS /OPENINGS II T-BAR CEILINGS I I (LOT DRAINAGE REPORT ID DPR261 ROUTE TO BS0508 I I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY ,p 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTBRATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1002110035 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS ON FILE SQ FT STORIES TYPE 9755 VAL ST STRUCTURE - V-B TEMP CA 917800000 ]ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET GOLDEN WEST 1 15383-017-029 THOMAS PAGE GRID LOCALITY TEMPLE CITY Cl EXIST I I (TENANT (EXIST OCCGRPE ASS ID USE TONE R-1 02 /11/1SSUED 00N PROCESSED BY lowNrR CHAN, TEL NO BLDGS NOW ON LOT VALUATION IF —D � F CODE CHAN, STANLEY (626) 831-6628- 5,216 9755 VALLEY ST TEMP 917800000 FEES PAID IDESCRIPTIO O WORK 1 IREPLACE 9 WINDOWS I IFEE DESCRIPTION QUANTITY DOM AMOUNT I ]APPLICANT TEL NO I COLE RANDY (919) 402-0828- AA BLDG PERMIT ISSUANCE 27 75 I ] PO BOX 711564 IAB STATE GREEN BLDG FEE 5216 00 VAL 1 00 SPECIAL CONDITIONS SANTEE, CA 92072 IAC STRONG MOTION REBID 5216 00 VAL 0 52 D2 PERMIT W/O EN HC 5216 00 VAL 149 40 ] TOTAL FEES 178 67 (CONTRACTOR TEL NO 1 APPROVALS DATE INSPECTOR SIGNATURE THD AT HOME SERVICES, INC (562) 981-1600- 112774 E FLORENCE AVE LIC NO I ILOCATION AND SETBACKS SANTA FE SPRINGS CA 90670 836021 B ] ISOILS ENGINEER APPROVAL I (ARCHITECT OR ENGINEER TEL NO ]FOUNDATION/TRENCH FORMS ] LIC NO SLAB/UNDER FLOOR I RAISED FLOOR FRAMING ]MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP UNDERFLOOR INSULATION 1153H269 3 00I I FLOOR SHEATHING ] INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS I I NO 21 ROOF SHEATHING I ] SCHOOL WITHIN HAZARDOUS SHEAR PANELS (AIR QUALITY 1000 FEET MATERIALS NO NO NO FRAME INSPECTION (REQUIRED TOTAL SETBACK FROM EXIST I FIRE SPRINKLER HANGERS, (SET BACK YARD HWY PROP LINE WIDTH I FRONT PL- I INSULATION/WEATHER STRIP SIDE PL- I ] INTERIOR LATH/DRYWALL EXTERIOR LATH ] IRATED FLOOR/CEIL ASSEM ] (RATED WALL ASSEMBLIES (RATED SHAFTS/OPENINGS IT-BAR CEILINGS 1 LOT DRAINAGE IREPORT ID DPR261 ROUTE TO BS0508 I I I COUNTY OF LOS ANGELES TENa?LE CITY H 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1202210028 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONSTBUILDING ADDRESS ON FILE SO FT STORIES TYPE 9]55 VAL ST STRUCTURE 2400 V-B TEMP CA 917800000 I (ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET GOLDEN WEST ] 5383-01]-029 THOMAS PAGE GRID LOCALITY TEMPLE CITY, CI TENANT EXIST BLDG USE RESID USE ZONE R-1 ISSUFD ON PROCESSED BY ] IEXIST OCC GRP 102/2_/12 SR (OWNER TEL NO IBLDGS NOW ON LOT VALUATION IFIHAL DATE F��INPL BY CODE KHAN, JULIO (626) 821-0821- 6 800 ao�, 19]55 VALLEY ST TEMP 917800000 PEES PAID IDE9CRI PTZON OF WORK (REMOVE FOOD SHAKES INSTALL 30 YR COMP SHINGLE OVER EXISTING (FEE DESCRIPTION QUANTITY UOM AMOUNT ]PLYWOOD INSTALL TORCH DOWN ON PATIO ROOF 300 SO FT APPLICANT TEL NO IAA BLDG PERMIT ISSUANCF 27 80 I I KEEPERS ROOFING (909) 608-0622- I ]AB STATE GREEN BLDG FEE 6800 00 VAL 1 00 ISPECIAL CONDITIONS IAC STRONG MOTION RESID 6800 00 VAL 0 70 I , ID2 PERMIT W/O EN-HC 6800 00 VAL 166 60 TOTAL FEES 196 10 I_ 1CONTRACMR TEL NO APPROVALS DATE INSPECTOR SIGNATURE 1KEEFER'S ROOFING (909) 608-0622- I 1216 BEGONIA COURT LIC NO ]LOCALTON AND SETBACKS 1 1 (UPLAND CA 91784 760903 C39 I SOILS ENGINEER APPROVAL I ]ARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH FO WiS LIC NO I ISLAB/UNDER FLOOR I (RAISED FLOOR FRAMING (MAP NO SEWER IMP BOOK PAGE FIRE ZONE CMP I IUNDERFLOOR INSULATION I153H269 3 00' I I IFIOCZ SHEATHING NO OF FAMILIES DWELLING UNITS APT/GOND STAT CUSS ] ] 0 NO 21 ] 1ROO� SHEATHING SCHOOL WITHIN HAZARDOUS I SHEAR PANELS AIR QUALITY 1000 FEET MATERIALS ] I I NO NO NO I FRAME INSPECTION ] I FIRE SPRINKLER RANGERS I INSULATION/WEATHER STRIP I INTERIOR LATH/DRYWALL EXTERIOR LATH IRATED FLOOR/CEIL ASSEM I I i tI IRATED MALL ASSEMBLIES 1 IRATFD SHAFTS/OPENINGS IT-BAR CEILINGS ILOT DRAINAGE I I ] 1REPORT ID DPR261 ROUTE TO SS0508 1