HomeMy Public PortalAbout9830 VAL ST_Building__ ,..a. .:MIl» APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING �J�
DEPARTMENT OF COUNTY ENGINEER AODR688 3
BUILDING AND SAFETY DMSION LOCALITY %
JOHN A LAMBIE. COUNTY ENOINKER NEAREST
LLI M A JENSIEN. SUr OF B ,Wa CROSS ST
DISTRICT NO GROUP TYPE PROCESSED BY
FOR APPLICANT TO FELL IN CONST
BUILDI A STATISTICAL CLASSIFICATION SEWER MAP
Cl SrBK PO
ADDR CLASS NO '' /OWRLL UNITS
LOT NO BLOCK MAP NUMBER HWYH YES NO
TRACTUSB ZONE SPECIAL
NO OF BLDGS , CONDITIONS
SIZE OF LOT / 1060 NOW ON LOT
USE OF
EX I BTI NG B O BUILDING EXIST
SETBACK YARD HWY STREET NAME WIDTH
OWNER FRONT /
ADDRESS O S L L
SIDE
ARCHITECT OR TEL
ENGINEER NO
ADDRESS A/ (,J ?3411aINSPECTION RECORD
CONTRACTO Ii r• S T O
ADDRESS // /` Z,4725 141w-
_ - V
DESCRIPTION OF WORK PD/3 9.2 _
NEW ADD ALTER REPAIR DEMOLISH
FTNO OP NO OF �I //
SIZE STORIES FAMILI
USE OPL
STRUCTURE 41& F
/UA)
BION UR P M
ALPL51
VAIONS 1 ?64-
FOUNDATION
'
,.yam �j APPROVALS EE DAT INlPECTOR S SIGNATUR 6 --
FEE _7 PHH IC' �I{ FOFODMSI MATELS LOCATION
I HEREBY ACKNOWLEDGi THAT 1 HAVE READ THIS AP- FRAME FIRE STOPS
BRACING BOLTS
PLICATION AND STATE THAT THE ABOVE 18 CORRECT AND FURNACE LOCATION,
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT DUCTS
STATE LAWS REGULATING BUILDING CONSTRUCTION
1 CERTIFY T IN DOING THE WORK AUTHORIZED I LATH INT
WILL NOT OY ANY PER IN VIOU1T1O FTX
WORKMEN MPHN 10 8 1 LATH EXT
HIGNA PU8'NUMBER COR-
P ER RE AND POSTED /
ADDR FINAL a��
CLYDE N DIRLA ,PRINCIPAL'ST U L ENGINEER
PLAN CHF= VALIDATION CK r o cAEx PEHNIIT VALIDATION cx r o CASH
Uro3791 —� AlR1023D 4,550 4
m.
U{03 7 9 2 3 [' �l 10 1 D 1 x 0 0
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76AS38A CENe03 0-64APPLICATION FOR BUILDI G PERMIT
COUNTY OF LOS ANGELES BUILDING fr
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY d,�L GJT
JOHN A LAMBIE COUNTY ENGINEER NEAREST
COLEMAN W JENKINSAUP T OF BUILDING CROSS ST - R
DI9TT NO O TYPE
FOR APPLICANT TO FILL IN CONST
BUILDING
STATISTICAL SSIFICATION SEWER MAP
ADDRESS 3a A- u(T 8N PO
CLASS NO DWELL UNITS Q
LOT NO BLOCK USE ONE MAP OD
/ NO
TRACT Ja 34oPPECIAL
MO OF SLOOP CONDITIONS
SIZE OF LOT W D y-/ G d NOW ON LOT Y
USE OF v V- 6"t R,-9
eLDf afreACE FROM
TEL _ IRON' PROP LINE OI (STREET)
1114,001
OWNER _ p NO TYPE 01 EXISTING I SETBACK HIGHWAY YARD = TOTAL
ADDRESS �7�1 _ i• J I CIL
CITY /LIC 1 + —
ARCHIT CT OR TEL SLOG f6TSACN FROM
ENOINEER NO SIDE PROP LINE 01 STREET
TYPE 01 EXISTING SETSACE NIOHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C L
TEL } = O
CONTRACTOR NOLIC V
ADDR ES9 NO CORNER CUTOFF YES NO O
LIC
CL SEE REVERSE SIDE FOR SPECIAL APPROVALS i
DESCRIPTION OFF WORK7 � , Z
NEW ADO ALTER '" REPAIR DEMOLISH /!
SO PT NO OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE WQ SLA
SI ONATURE OF /
APPLICANT
VALUATIONS I cog O%
APPROVALS DATE INSPECTOR'S SIONATURE
P C UNIT FOUNDATION LOCATION
FEE$ FEE$ , FORM MATERIALS
FRAME, FIRE STOPS,
I HERESY ACKNOWLEOO[ THAT I HAVE REAO THIS APPLICATION BRACING BOLT
AND STATE "AT THE AwvE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING OAS VENT DUCTS
•UILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HERESY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR CODC 01 THE STATE OF CAL41CANIA RELAT
IND TO WORKMEN 6 COMPS ATION INSURANC LATH EXT
SIGNATURE OF i HOUSE NUMBER COR-
PERMMITTEE RECT AND POSTED
ADDRESS 01' FINAL
JOHN Fp�LEWIS
�PRINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION CK MO CASH —4 9 9 5PERl�lly VAIMATI N GK M0 CASA
LNLo 2 8 —r5.00- v
I61,
Whfrm �5�7
t • � 9—
COAJIPENSATIONDECIARATIONsut 1 have a certificate of tion Int to sell APPLICATION FOR BUILDING PERMIT IL
insure or o certificate of Workers Compensation Insurance
or edified copy thereof(Sec 3800 Lab C ) - -
�yy 4Qs"s1 �I�I� COUNTY OF LOS-ANGELES BUILDING AND SAFETY
Policy o Company
Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADoaEss �3Q
Certified copy is filed with the county building mspec- - BUnDINO
hon department ' 11 `'' 1 ADDRESS
Date • Applicant \06 WAA� CITY ZIP5&79&:� LOCALITY
CER EXEMPTION FROM WORKERS _ - NO OF BUXiS T WMEST _
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT Z CROSS ST
(This section need not be completed if the permit is far one TRACT &OCK LOT NO ASSESSOR
hundred dollars (SIO0)or leu ) MAP BOOK PAGE PARCEL
TEL ONE /
I certify that in the performance of the work for which this OWNER NO ND
permit is issued I shall not employ any person in any manner ADDRESS D _ f - SPECIAL 6
w to become subject to the Workeri Compensotan Laws CONDITIONS O
Date Applicant ZIP
NOTICE TO APPLICANT If cher making this Certificates of ARCHITECT�' TEL DISTRICT GROUP TYPE FIRE SSED BY
Exemption, you should become subject to the Workers' ' �R 1J0 CONST
ZONE rj
Compensation provisions of the Labor Code you must forth ADDRESS S S
with comply with such provisions or this permit shall be CONTRACTORNO� � ATISTICAL CLASSIFICATION APT CONDO
deemed revoked 4&1 &iill LAIC
LICENSED CONTRACTORS DECLARATION - LIC- - CLASS NO DWELL UNI75_ _
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS �0 !� NO
(commencing with Section 7000)of Division 3 of the Business and _ _ _ _ _ LIC _ SEWER MAP -� 6
Professions Code, and ms license is in full force and effect CITY CLASS -
�7K//yo7 �' SO FT NO OF _ NO DF CHECK &( PG /a VA��1 �1. A
License Num'-'b7'J'er 1, , / Lic Class SIZE STORIES FAMILIES ONE VALl1AT10N I , e • • • 23
Contnsdo.—Z n 1,I/1 `-Ll a Date DESCRIPTION OF WORK - - - - NEW $'3'z' D� 1 - 27285
I am exempt under Sec ALTER 110. • • 272855
B 8P C for this reason REPAIR $ '+
USE OF 0819-86
° EXISTING BLDG OErAOI -
s nnature_tafff APPLICANT TEL
ER BUILDER DECLARATION FRInR _ DRATUE � q
I hereby qlIvAirthat I am exempt from the Contractors License
Low for the following reason (Section 7031 5, Business, and ADDRESS �� T, FIN
Professions Code) PRESENT byBUILDING
I as owner o1 the property or my employees with ADDRESS
wagesas their sole compensation,will do the work and _
the structure Is not Intended or offered for sole(Section LOCALITY '
7044 Business and Professions Code) _- - MOVING - TEL _ ✓ -
I as owner of the property am exclusively contracting CONTRACTOR NO
with licensed contractors to construct the project (Sea- ADDRESS ;25666A
h 41 on 70Business and Professions Code)
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY TD PROP LINE I WIDTH - # s e see 1
1 hereby off um that there is a construction lending agency for FRONT
the performance of the work for which this permit is Issued P - -- - 1 e 3 3 1 50
(Sec 3097, Civ C ) SIDE
a PL • • 33150"
Lender s Name
- - P C Fee f� 2 Perron Fee - r U b Ref E 1 016-86
Lender's Address '
I certify that I have read this application and state that the - issuance Fee 'Hu NMA P/C IF
above Information is correct I agree to comply with all CountyInvntipation Faa A 1 I
ordinances and State laws relating to building construction Toml fee __ NMA'Perm e - i --
U and hereby authorize representatives of this County to enter
upon the above mention• roperty for inspection purposes - - .-• r -
^ SEE Ry1FOtfe FOR EXPLANATORY LAlgDA6!
gnature of Applicant or Agent Dote
WORKERS'COMPENSATION DECLARATION 7�i ` r
hereby affirm that I have certe of consent to nee, APPLICATION FOR BUILDING PERMIT
insure or a certificate of Workers'
Comsa
kers' ompentan Insurance,
or a certified copy thereofSec0 3800, Lab C ) SAFETY
^ COUNTY OF LOS ANGELES BUILDIN ND SAFE
Pol No AN-1—"I54C7ompany�.�7.,,. ,,t 1ti_y A
Certified co is here furnished BUILDING
PY M FOR APPLICANT TO FILL IN ADDRESS `3 V pr
f li
Certified copy n filed with the county building Inapec- ADDRESS
,L a hon department ADDRESS Q LOCALITY
pp( NEAREST
Data _Applicant CITY ZIP -1 �0 CROSS ST :h
CERTIFICATE OF EXEMPTION FROM WOR RS' NO OF&DGS ASSESSOR
COMPENSATION INSURANCE SIZE OF LOT ( L NOW ON LOT MAP BOOK PAGE PARCEL
h=ad
need not be completed if the permit is for one s & LOT NO USE ZONE -' O a 3
hundred dollars ($100)or leu )
TEL - / SPECIAL >'
I certifythat in the performance of the work for which this OWNER NO CONDITIONS d
Perf DISTRICT GROUP TYPE FIRE PROCESSED By O
permit is issued, I shall not employ any person in any manner ADDRESS �u7 CONST ZONE tJ
so as to become subject to the Workers'Compensation Laws
S 3 V o
Dote Applicant
CITY `Q ZIP STATISTICAL CIASSIFICATION APT DO U
NOTICE TO APPLICANT If, cher making this Certificate of ARCHITECT
NO CLASS NO ( DWELL UNITS_ W
Exemption, you should become subject to the Workers' N
Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP
with comply with such provisions or this permit shall be ?
deemed revoked CONTRACTOR J NLO 1r BK /i PG 72— VALIDATION
LICENSED CONTRACTORS DECLARATION LIC
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 9 n NO SIO( VALUATION
(commencing with Section 7OOD)of Division 3 of the Business and LIC
o ,
Professions Code, and my license is in full force and effect CrTY CLASS E
u I� SO FT NO OF NO OF CHEIX
License Number, !JO I4� Lic Class_ 'S SIZE Z STORIES FAMILIES ONE
Contractor)L7Y1 n (AJ,1 Qe pate 83 DESCRIPf10N OF WORK NEW ❑ &( o 0 d
ADO
f 3 2 2 8 A
I am exempt under Sec ALTER ❑ FINAL
B 8P C for this reason REPAIR ❑ DATE u 2 3
Dote EXISTTIING BLDG DFMOL C] 6I 2 . 42075
A TEL 4Z
Signature OWNER-BUILDER DECLARATION P �P NT NO • - 4 2 0 7 55
1 hereby affirm that I am exempt from the Contractor's License Poo06 28-8 3
Law for the following reason (Section 7031 5, Business and
Professions Code)
DBUDDING
I, as owner of the properly, or my employees with ADDRESS
wages as their sole compensation,will do the work and `5 3 2 A
the structure is not intended or offered for sale(Section LOCALITY #• • • • G j
7044, Business and Professions Code) MOVING TEL 4
1, as owner of the property, am exclusively contracting CONTRACTOR NO '2t• • O
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code) 09 1 6 -8,3/
REWIRED TOTAL SETBACK FROM EXIST
CONSTRUCTION(ENDING AGENCY SET BACK YAW HWY PROP LIM WIDTH -'- 5 328 A
I hereby affirm that there is a construction lending agency for FRONT
the performance of the work for which this permit is issued P L 0?0 a 0
jSec 3097 Civ C ) SIDE • • • • • 1
PL 2 . 57975
Lender's Name
6
PC Fees 141,20, ,f Permit Fee d • - 5 7 9 7 55
Lenders Address /
I certify that I have read this application and state that the (/ 3i �^ Inuunce Fr . d 0 0 1 6-8 3
above information is correct I agree to comply with oil County Inveatigatwn Fee
ordinances and Sate laws relating to building constructan Total Fes 7 v S
and hereby authorize representatives of this County to enter
upon the above-mentioned pr perry for inspection purposes
$@ REVERSE FOR EXPLANATORY LANGUAGE
NSignature of pliwnt or Agent Date
L (I
COUNTY OF LOS ANGELES TEMPLE CITY 0 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TOMAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9702060043
PHONE (818) 285-0488 EMT
LEGAL ID- NO. OF CCINST BUTLDING ADDRESS
TR 16867 SG FT STORIES TYPE 9830 VAL
STRUCTURE. 0 V TEMP G 91780
ASSESSOR INFORMATION MLKBER- NEAREST CROSS STREET
THOMAS PAGE GRID: LOCALITY TEMPLE CITY
TENANT EXIST BLDG USE RESiD USE ZMIF–F-r— ISSUED ON PROCESSED BY. EXPIRES ON
EXIST OCC GRP 02/06/97 ^ TC 02/06/98
06INER: TEL NO HLDGS NOW ON LOT: VALUATION FINAL DAT
9830
LARSON
GARRY (818) 449-4434- 1 6,000 /\I I
CODE
TEMPLE CITY, CA 6ESCRTFTTONEOF�FfC„1
WIND DAMAGE-REROOF,NEW SHEETHING REPAIR RAFTERS, DRYWALL
APPLICANT FEE DESCRIPTION QUANTITY UOM AMOUNT PATCH, INSULATION, REPLACE BATH kTIO DOOR
WILDE'S CONS (818) 448-2175- AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RES1D 6000.00 VAL 0.60SPECIAL CONDITIONS
D2 PERMIT W/0 EN-HC L F '6000.00 VAL 151.29
`�,'G TOTALS Fv^� 179.64
APPROVALS DATE INSPECTOR SIGNATURE
LDES CONSTRUCTION (818) 448-2175-
49O�CONTRACTOR: TEL NO `
4905 B11lDYIN AVE LIC. NO LOCATION�(//i
TEMPLE CITY CA 91780 400407 8
SOILS ENGINEER k
ARCHITECT OR ENGINEER TEL. NO. FOUNDATION/TRENCH FOR W
LIC NO SLAB7UNoER FLOOR
1MAP NO- SEWER MAP BOOK PAGE: FIRE ZONE -5v
53X269 3 01 PUBLIC WORKS M
NO OF FAMILIES. DWELLING UNITS APT/COND STAT CLASS d9 $ ' ' co ROOF SHEATHING
FLOUR SHgMWrWT—
NO 21 � ���
AIR QUALITY. 10NOo FEET MATERIALS /^. O ``�\
FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST
SET BACK YARD HWY PROP LINE. WIDTHnVv
FRONT PL- � (/f C� INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED WALL ASSEMBLIES
RATED SKAFTS/OPEMING9—
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID DPR261 ROUTE TO BS0508