HomeMy Public PortalAbout9836 VAL ST_Building__ • C¢/.oa IRV*6/7/I il'l's
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
VI
FOR APPLICANT TO FILL IN AUDDRIESS 3 (O C /
BUILDING
ADDRESS _y 16 LOCALITY
NEAREST
CITY ZIP CROSSST
NO OF BLDGS ASSESSOR
SIZE OF LOT Capixf I NOW ON LOT Z MAPBOOK PAGE PARCEL
DISTRICT GROUP TYPE fIRE E BY
TRACT e7 (J BL �/
BLOCK ' ' LOT NO J 08 CONST � Z
TEL
OWNER NO
STATISTICAL CLASSIFICATION ER MAP
ADDRESS CLASS NO DWELL UNITS BK PG
Cli E - ZIP SO
ARCHITECT O TEL VALUATION $ "L �/J
ENGINEER NO
ADDRESS BL SETBACK FROM
TEL FRONT PROP LINE OF (STREET)
CONTRACTO NO HIGHWAY + YARD TOTAL SETBACK FROM TYPEOF EXISTING
LIC FRONT PROP LINE HIGHWAY WIDTH
ADDRESS NO
LIC +
CITY CLASS BLDG SETBACK FROM
CONSTRUCTION LENDER SIDE PROP LINE OF (STREET)
NAME AND BRANCH
HIGHWAY + YARD TOTALPFROM TYPEOF E%(STING
ADDRESS CITY SIDEDE PROPROP LI LINE HIGHWAY WIDTH
50 Fi D NOMOCHECK +
SIZE
�0// INO 01
STORIES LIES _
ONE ;iDESCRIPTION OF WORK NEW P C Fee$ Pe,mIT Fee
ADD
Issuance Fee
ALTER
REPAIR Total Fee
LAE OF
EXISTING BLDG 02 rat IDEMOL
APPLICANTLEL
(PRI NO t
— O
BY ISIGNATURE L
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APR( TION STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRLC71ON I CERTIFY THAT IN DOING THE
WORK AUTHORIZED HEREBY I WILL NOT E OY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM 13 8 Q 7 A
PENSATION INSURANCE
SIGN
PERMATTEEE OF P • - 3 a O O
ADDRESS • . . 3 a O O 5
TEL
CITY NO C o a t 17 7 9
yNO X
IAL 00-3
01 KDITIO 5
FINAL - /^ ^ B
DATE
t
76AG30A CE*803 ID ee APPLICATION FOR BUILDING PER IT I
IIDDR+TG AND SAFETY DIVISION BUILDING
ADDRESS
Depaztmeat of ConntT Englna
COGGtp of f•ea Angela• LOCALITY
JOHN A LAMBIE. COUNTY ENGINmm NEARS. /
PP CASSATT D GRIFFIN BUP T OF BUILDING g
OUP .DPH
FOR APPLICANT TO FILL IN CONST 4 DIHTRIGJNO GRISK MAP
za
S _J 4/
BUILDING
ADDRESS STATISTICAL CLASSIFICATION
LOT NO BLOCK CLASS NO DWELL UNIT
MAP STATE YHH IW
NUMBER HWY
TRACT 4 k USE NE SPECIAL
NO OF Bl' CONDITIONS
SIZE OF LOT D I NOW ON LOT b /G•
USE OF
EXISTING BLDG A , BUILDINGEXIST
SETBACK YARD HWY STREET NAME WIDTH
OWNER FRONT
MAIL P L
ADDRESS SIDE
T L P L
CI NO INSPECTION RECORD
ARCHITECT OR TEL
ENGINEER NO
DDREBH
CONTRACTOR r . TEL NO
ADDRESS
I/ DESCRIPTION OF WORK
I
NEW f ADD ALTER REPAIR DEMOLISH
SO PT NO OF NO OF
SIZE STORIES FAMILIES
USE OF ST UCTUR
yo4
APPROVALS
SIGNATURE OF
APPLICANT DATE INSPECTOR S SIGNATURE
ADDRESS ♦ FOUNDATION LOCATION p� /
FORMS MATERIALS —) U ///If� AI'l•�i
S OB P C • FRAME FIRESTOPS
m 0 FEE �O BRACING BOLTS
w e FURNACE LOCATION
VALUATION OO `� FEE • 4G GAS VENT DUCTS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH INT
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINAN E8 AND LATH ®(T
STATE LAWS RHG TING BU I IN UCTION
SIGNATURE RE O� 4— ER
USE NUMBER CDR
PHRMITTfiE ECT AND POSTED
ADDRES FINAL
JOHN A LAMBIE COUNTY ENGINEER CLYDE d DIRLAM. PRINCIPAL§TRU URAL ENGINEER
PLANCCM= VAEmATIOX w o cAEH PERMT VALIDATIOI! cH No cAaN
LaEO9674—! .AIA 26 16 17.50AD m
L'tCo 9 8 83—1 JUL 3 1 3600 N
WORKERS COMPENSATION DECLARATION 10 1 84_2586 RMC - z ,
hereby off um that I have a certificate of consent to self _ APPLICATION FOR BUILDING PERMIT
insure, or a certificate of Workers Compensation Insurance cu
or a certified copy thereof(Sec 3900 Lob C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Pohcy N�"20 5882 ComponyFR 4011V MEMNPl'Y _ _
Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS
�6 _
Certified copy is filed with the county budding inspec- BUILDING
ng 6 VAL .�
lJ on department ADDRESS 9 3
Date 485 , Applicant RIGID MFG. COMPANY Cm TEMpU CITY ZIP 91780 LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS - NO OF BLDGS - - NEAREST- - --
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT ROSS ST
(This section need not be completed if the permit is for one - - ASSESSOR
hundred dollars($100)or less ) TRACT &OCK LOT NO MAP BOOK' PAGE PARCEL j
I MAP 3
I certify that in the performance of the work for which this OWNER GISNCKLN7+IE 15E ZONE
-6008 /T NO OQ r
permit is issued I shall not employ any person in any manner le/ SPECIAL IL
sa as to become subject to the Workers Compensation Laws ADDRESS 36 yAL I CONDITIONS O
CaYTENEU
�- Date Applicant - ZIP im
NOTICE TO APPLICANT If, after making this Certificate of ARCHITECT ENGR TEL
_DISTRICT GROUP TYPE FIRE _ SSED BV O
Exemption you should become subject to the Workers (/� (��/ CONST ZONE U
(J O -� 2 + W
with comply
provisions of the Lobar Code you must forth- ADDRESS /6
6
with comply with such provisions or this permit shall be TEL STATISTICAL CLASSIFICATION CONDO
deemed revoked CONTRACTOR RIGID MFG. COMPANY NO 26 - 181 =
LICENSED CONTRACTORS DECLARATION - - LIC - CLASS NO DWELL UMTS_
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 3 37 S. WOODS AVE, NO
(commencing with Section 70D0)of Division 3 of the Business and LIC - BOK R MAPF
Professions Code and my license is in full force and effect CITYLOS-ANGEL,'E CA 90022 CLASS C-39 - � / VALIDATION
NO License Number. 159496 Lm Class C-39 SIZED STORNO �- FAMILIES CODE ,
GERA vATION
ConvoctoRIGID MFG. COMPA�ate 5/85 DESCRIPTION OF WORK RE-ROOF WM ❑
I am exempt under Sec - C aA a --- PDD $
ALTER
B 8P C for this reason _ REPAIR 9 -
Dote USE OF
_ EXISTING BLDG RESIDENCE DEMOL - -
-Signature APPLICANT_ TEL FINAL
OWNER-BUILDER DECLARATION PRINT NO - DATE
I hereby affirm that I am exempt from the Contractor s License i
Law far the following reason (Section 7031 5, Business and ADDRESS FINAL
Professions Code) i "By - 1 7 0 2 A
❑ BUILDING
j, as owner of the property, or my employees with ADDRESS
wages as their sole compensation will do the work and
the structure is not intended or offered for sale(Section LOCALITY
7044 Business and Professions Code) MOVING TEL '- - -
I as owner of the property, am exclusively contracting CONTRACTOR NO 2 e 1 2 6 0 0
with licensed contractors to construct the project 44 (Sec- ADDRESS - - - - - - -- • • 2-6 0 0
tion 70Business and Professions Cade) ,,
CONSTRUCTION LENDING AGENCY 'SET BA1 ,04 -84CK YARD Hwr REWEDTOTALLSOP LINE WIDTH 0 6SET
I CK 'ItUiVii
hereby aHum that there u a construction lending agency for FROM b
the performance of the work for which this permit is issued - - P L -- — - - - - -
(Sec 3097 Civ C ) SIDE
`� -- PIL
Lender's Name
>a LDMA Ref Y
Lender s Address - _ - PC F"$--
i
ee S'' - Permit Fee - , - - -
I c t of I have read this application and state that the _ _ _ Issuance Fee4Sn UDMA P/C Y -
a e m anon is correct I agree to comply with all County ,
gr PY ty Investigation Fee
dman r.and Stote law I to bmldmg consiruchon, _ _
nd h e6y au horde r r tat e f thio County to enter Total Fee • IDMA Perm 0 - -
upo he a v mens rty fw hon purposes - - _
3O/84 SES REVERSE FOR EXPLANATORY LANGUAGE I
f
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9702250010
PHONE: (818) 285-0488 EXT
LEGAL ID NO OF CONST BUILDING ADDRESS:
TR: 16867 SR. FT STORIES TYPE 9836 VAL
STRUCTURE: 0 V TEMP CA 91780
ASsESSDR INFORMATION NUMBER: NEAREST CROSS STREET- GOLDEN WEST
THOUS PAGE: GRID: LOCALITY TEMPLE CITY
TENANT EXIST BLDG •
RESID USE ZONE- R-1 ISSUED ON PROCESSED BY. EXPIRES ON
EXIST OCC GRP: 02/25/97 TC 02/25/98
OWNER. TEL. 190: BLDGS NOW ON LOT VALUXTrOW- FINAL DATE FINAL BY: CODE
HOUSEPIAN, NORMAN (000) 000-0000- 1 3,000
9836 VAL
TEMPLE CITY, CA FEES PAID DESCRIPTION OF WORK
n n. REPAIR DAMAGE To HOUSE (TREE FELL DUE To WIND) ROOF,SIDING
FEE DESCRIPTION. �` OWNT ITY•�IA71:V� AMOUNT AND STUCCO PATCH
APPLICANT: TEL. NO
WILDE CONSTRUCTION (818) 448-2175- AA BLDG PERMIT ISSUANCE N 527.75
AC STRONG NOTION REBID' 3000.00 VAL 0-50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC�- 3000.00 VAL 99'15e
TOTAL FEES 127'4 yCONTRACTOR; TEL NO `
,yy�(�� APPROVALS DATE INsPEET6V3TMUT9ffF--
� ...
WILDES CONSTRUCTION (818) 448.2175-
4905 BALDWIN AVE LIC NO (o LOCATION AND SETBACKS
TEMPLE CITY CA 91780 400407 B
ARCHITECT OR ENGINEER TEL NO: smonn oiiend
LIC .
NO
iuu
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CKp- UNDERFLOOR iNSULATIOWn
153H269 3 01 �`/ 1 OUR SHEATHING
NO Of FAMILIES. DWELLING LIMITS APT/COND STAT CLASS GFL
NO 21 2�0 ROOF SHEATHINGSCHOOL WITHIN Tga=aur-
2--Zf'1
AIR DUALITY: 1000 FEET MATERIALS
NO NO NO J REQUIRED TOTAL SETBAW7R6W--0ff9T--
ts
SET BACK YARD HWY PROP LINE WIDTH 41
FRONT PL-
SIDE PL-
REPORT ID DPR261 ROUTE TO BS0508