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Home My Public Portal About9805 VAL ST_Building__ 7EAG38ACE*"3 IOEEAPPLICATION FOR BUILDING f3ER . I BULWI TG AND SAFETY DIVISION BUILDING Dep�ml of County Enginew AODRF_B8 County of Los ADfJYIRM LOCAL JOHN A LAMBIE COUNTY ENGINEER NEAREST CASSATT D GRIFFIN SUP T OF BU(LO(NO V T Gii3OU SEWER MAP FOR APPLICANT TO FILL IN TYPE BK CONST L BUILDING ICAL C SSIFICATION I / O DWELL VNTTB� LO MAP nSTATE 49 d� ( HWY YE8 O TRACT ! SPECIAL NO OF BLDGSONDITIONS SIZE OF LOT NOW ON LOTUSE OP EXISTING BLDG EXIST YARD HWY STREET NAME WIDTH OWNER MAIL ADDRESS SIDE TE P L c N INSPECTION HECORD ARCHITECT OR TEL ENGINEER NO t� DDRISS TEL S^ IX/1�/ CONTRACTOR NO ADDRESS DESCRIPTION OF WORK if 7y1 3 /uA//S !F"RV Y NEW ADD ALTER REPAIR DEMOLISH :%,7 BTORN OF INO 0F F M'LIEH ' 1 APPROVALS SU S/�F Y TUA SIGNATURE OF APPLICANT DATE INSPE OR q RMNATURE ADDRESS FOUNDATION LOCATION FORMS MATERIALS Art-All, S �O p C FRAME FIRE BTOPB / `j Dl"O FEE `� BRACING BOLTS VALUATION I S FURNACE LOCATION FEE OAS VENT DUCTS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LA-H INT n PLICATION AND STAT!THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ATY ORDINANC AND LATH EXT STATE LAWS lk IN C NST ION SIGNATURE OP HOUSE NUMBER COR- Tr - PSRAII RECT AND POSD ADORE 44 FINAL JOHN A LAMBIE, COUNTY ENGINEER CLYDE N DIRLAM PRINCIPAL STRUCTURAL ENGINEER PLAN CHEM VALIDATION 4N o wH p®DBT VALIDATION CK Y o CASH ACO;�'9 4-99:; acT 3 1 6 2 05,$ s 0 as cc, $ 1 41 -00 $ WORKERS COMPENSATION DECLARATION • _ - f , hereby affirm that I have a certificate of cogent to self _ - APPLICATION FOR BUILDING PERMIT Insure w a certificate of Workers'Compensation Insurance W o certified copy thereof(Sec 3800, ab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY F Polity Na Hi1L%q Company allW�NG Certified copy is hereby furnished t Certified copy a fled with the county budding mspec- - BUFOR APPLICANT TO FILL IN ADDRESS ILDI - i lionLddepQartment AUDRE55 ' Dot 1 v ' AppLcant14 Jak/)nCITY ZIP O LOCALITY t - CERTIFICATE OF EXEMPTION FROM W RS - ' - - NO OF BLDGS NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON L T CROSS S7 (This section need not be completed if the a it for one - - - � &CKX LO7 NO Mqp Bpq(ASSESSOR PAGE ARCEL, , P hundred dollars($100)or less ) MAP ADDRESS CONDITIONS TEL gn I certify that in the performance of the work for which this OWNER - e - - -NO 3 /� USE �� No T IL permit Is issued I shall not employ any person in any manner I c+✓ � SPECIAL so as to become sublect to the Worken'Compensation Laws (y /� CONDITIONS V 139 t 1 - 0 ' Date CITU Applicant - NOTICE TO APPLICANT If after making this Certificate of ARCHITECT OR ZIP TEL gSTRICT GROUP TYPE _ FIRE V O Exemption, you should become subject to the Worken ENG �; CONST / ZONE WU Compensation provisions of the Labor Code you must forth ADDRESS I 5 ✓ _� G with comply with such provisions or this permit shall be - W deemed revoked CONTRRAC! 11 _ STATISTICAL OASSIF TION APT CONDO Z LICENSED CONTRACTORS DECLARATION - CLASS NO DWELL UNITS_ 1 hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS "j8F42-OS (commencing with Section 7000)of Division 3 of the Business and �` _ LIC n SEWER MAP Professions Code and my license is in full force and effect CITY`7Q » CLASS l � - VALIDATION - �fl _ SO FT N- OF NO OF C SK Imo' License Number Lic Class SIZE STORIES FAMILIES ONE ' VALUATION _ Q IPTION OF NEW R� ALTER Contracto S3 �Ot ' ADO Pilo I am exempt u er Sec - r IL.D - Q REPAIR B 8P C for this reason 04S � Q C�s�-1 REPAIR $ - " Date 115E OF _ E%ISTING BDG Signature _ _' APPLICANT TEL FINAL _ /n OWNER-BUILDER DECLARATION _ (PRINT) - NO DATE J!/Y - - I hereby affirm that I am exempt from the Contractor s License Law for the following reason (Section 7031 5 Business and ADDRESS FLNA ` ' Professions Code) '- - I BV - �6 6 1,7 A ElI as owner of the property, or my employees with �ADDRESSSS wages as their sole compensation,will do the work and LOCAtItt - # • • • • 1 I the structure is not intended or offered fw sale(Section 7044 Business and Professions Code) - MOVING - TEL - -- I • * 6a63 F11, as owner of the property, am exclusively contracting CONTRACTOR NO with licensed contractors, to construct the project (Secy - - -- - - —' - - • • • 6 8.6 3 6-' tion 7044 Business and Professions Code) SETBACK Htuiv, EXIST CONSTRUCTION LENDING AGENCY PURAR CK - YARD 11W'I O PROP LINE WIDTH # 3 O(1 S 7 1 hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P IL - - - - --- - (Sec 3097, Civ C ) SIDE Lender a Name >aLDMRel IT Lender s Address P C Fee S - Permit Fee A. - - - -- I cenify that I have read this application and state that the Issuance Fee- LDMA P/C Y Pool- above information is correct I agree to comply with all County Inv",gatian Fee ordinances and State laws relating to building construction, - TOMI Fee 10 LDMA Perm Y and hereby authorize representatives of this County to enter upon 17 abov -manhorNd p any for inspection purposes SEE REVEM FOR E%rULNATORY LANGUAG! Signature Applicant or Agent Data COUNTY OF LOS ANGELES TEMPLE CITY N 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND EAT= / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1102100031 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS ON FILE SQ FT STORIES TYPE 1 9805 VAL ST ISTRUCTURE 24 V-B I TEMP CA 917801442 (ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET 1 15383-025-020 I THOMAS PAGE 597 GRID Al LOCALITY TEMPLE CITY, CI 1 TENANT (EXIST BLDG USE RESID USE ZONE R-1 (ISSUED ON PROCESSED BY I EXIST OCC GRP 102/10/11 SR 1 1 I I I (OWNER TEL NO BLDGS NOW ON LOT VALUATION IFINAL ATE FINAL BY CODE 1 1GREINER GERALDINE (626) 447-3711- I 9 000 I I I9B05 VAL ST TEMP 917801442 1 FEES PAID ID SCRIPTION OF WORK 1 1 I ITEAR OFF EXISTING OSB DECKING GAF 30 YR LIFETIME FEE DESCRIPTION QUANTITY OOM AMOUNT I 1 I I 1APPLICANT TEL NO ADVANCED ROOF SYSTEMS (661) 476-0430- IAA BLDG PERMIT ISSUANCE 27 BO _ 28208 RIDGE VIEW DR IAB STATE GREEN BLDG FEE 9000 00 VAL 1 00 (SPECIAL CONDITIONS CANYON COUNTY 91387 IAC STRONG MOTION REBID 9000 00 VAL 0 90 I I D2 PERMIT W/O EN-HC 9000 00 VAL 200 30 TOTAL FEES 230 00 (CONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE 1 1ADVANCED ROOF SYSTEMS AND (661) 476-0430- I 1CONTRUCTIONS, INC LIC NO (LOCATION AND SETBACKS I 1 128208 RIDGE VIEW 820587 C39 I CANYON COUNTY, CA 91387 (SOILS ENGINEER APPROVAL 1 I I I ARCHITECT OR ENGINEER TEL NO I IFOLRGDATION/TRENCH FORMS I 1 LIC NO1-1 1 I I I 15LAFf/UNDER PI,OOR I 1 I (RAISED FLOOR FRAMING I (MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I UNDERFLOOR INSULATION I 153H265 3 001 (FLOOR SHEATHING I NO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS I I NO 21 1 ROOT SHEATHING I I _ SCHOOL WITHIN HAZARDOUS (SHEAR PANELS 1 (AIR QUALITY 1000 FEET MATERIALS I 1 NO NO NO IFRAME INSPECTION I I I IFIRF SPRINRIRR HANGERS I 1 (INSULATION/WEATHER STRIP I I (INTERIOR LATH/DRYWALL I I 1 EXTERIOR LATH 1 (RATED FLOOR/CEIL ASSEM 1 (RATED WALL ASSEMBLIES (RATED SHAFTS OPENINGS 1T-BFR CEILINGS I LOT DRAINAGE IREPORT ID DPR261 ROUTE TO M0508 1 1