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Home My Public Portal About9842 VAL ST_Building__ 7SA686A CE#809 5-61 APPLICATION FOR 'BUILDING PERM. T ' COUNTY OF LOS ANGELES BUILDING tree DEPARTMENT OF COUNTY ENGINEER ADDRESS vlq BUILDING AND SAFETY DMSION LOCALITY JOHN A.•LAMBIE, COUNTY ENGINEER NEAREST. WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST. Djs=iCNO�j E GRO PPR C FOR APPLICANTIO FI -IN , U CONST. BUILDING tt STA------AL'CLAS FICATION SEWER MAP ADDRESS 2 East Val StreetBK CLAS,3.NO. DWELL.UNITS LOT NO. BLOCK WATER NOT REQUIRED RE CEI•VED.' CERTIFICATE: Li TRACTMAP NO.OF BLDGS. NO. He(CIRCLE) STATE MAJOR SECOND, LOCAL SIZE OF LOT. I NOW ON LOT USe ZONE SPECIAL ' USE OF 1 CONDITIONS EXISTING BLDG. OWNER Budd Mole NOL .- BUIL-DING EXIST. 9842 East Val Street SETBACK YARD HWY STREET NAME WIDTH _ADDRESS +FRONT " ARCHITECT OR TEL. P.L. ENGINEER NO. �• SIDE d P,.L. O ADDRESSli INSPECTION RECORD TE CONTRACTOR one Roof CO TF!29 1$ O ADORES o Rowland El Monte ' DESCRIPTION OF WORK q f 7 3j HW z NEW ADD ALTER REPAIR DEMOLISH' SQ.FT. NO.OF NO.OF SIZE STORIES FAMILIES USE OF. STRUCTURE residence SIGNATURE OF APPLICANT VALUATIONS 570.00 APPROVALS DATE INSPECTOR'S SIGNATURE (] FOUNDATION:LOCATION FEE 'S FEE S 7 000• FORMS..MATERIALS--' FRAME:FIRE STOPS; 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS. _ AND STATE.THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE'LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING .GAS VENT 'DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK _ AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH,INT. TION OF THE LABOR CODE THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S CS ON ATION INSUR CE. j TH,.EXT. SIGNATURE OF CS HOUSE NUMBER COR- PERMITTEE— RECT AND POSTED ADDRESS a FINAL Q CLYDE N. DIRLAM, PRINCIPAL STRWGT4kRAL ENGINEER PLAN CHECK VALIDATION cK. N.O. CASH PFJMW VAUDATIO cm )m.c. cAsH .. , DOPWASMENT OF b gall COUNTY OF LOS ._ WWI.'J. FOX. CHIEF ENGIN ■� FOR APPLICANT TO FILL IN „ I• e . FOR OFFICE USE ONLY �J j /JJ (/�/ {j DISTRICT NO. PLAN CK.NO. PERMIT NO. UILDING F_,A8DDRESS rC / . f7TY y /� 7� RECF,IV�� DATE O�PPLL. �TE ISSUED 9 CROSS ST. A_ M A EMT dill J'C�_ S ((��//��((�f / 2 -6Nr//� [/J► �({/ OWNER Y. p.5 O GR G71 /y ! ADDRESS .2 7V- .1 C n V�/L 4J • MAILA/_ � � LOCALITY ADDRESS y X01 � IW SN NEAREST1 '� TEL ��®�� CROBBST. !/�'� i `n�� t - CITY /IA P A NO. FIRE No.or TYPE GROUP ARCHITECT OR TEL. ZONE �� PLANS _ 1 . ENGINEER GA'//S(f NO. BLDS. � O D.NO. ADDRESS SETBACK LINE 1p�TEL 1 APPROVED ) i' �� DATE CONTRACTO��i`W;�. y6/1 lONO. ,�/��-� �D BY �� / USE APPROVED ADDRESS ��f S ad/2tQ/ �d� jJ((�••C7 1 ZONE�f / BY DATE LEOLLDESCRIPT/ION //LOT NO. / I BLOCK / CORRECTIONS TRACT a- G� / NO.OF BLOBS. SIZE OF LOT �IK Ile!rI NOW ON LOTQ ` V f `��f'•'r+ r,o C NO. .r USE OF OF NO.OF ' EXISTING BLDG. 92I FAMILIES I ROOMS F., � s-Ir 'A.4-1 9r�iia�a'� DESCRIPTION OF WORK .l Ag S fY _ L em A �,I NEW. ALTERATION ADDITION 'y106, ^!fJ�'�f ^��? O REPAIR MOVING DEMOLISHSQ.FNo.orD SIZE ROOMS STORIES p �— /v }�j/`f�� / D WALL Roar COVERING CrL46EGG O I COVERING Q&dA& [Jl" r USE OF NEW BUILDING i S/meq®r Cce 6�vt F r 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND TATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATIO �:;INB/PECTOR ^ AT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALSyE AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE OF �j ®[� BRACING■BOLTS PERMITTEE 1,//im �S ""` !�'� acl� ��4o" LATH,INT.: f, � AUTHORIZED AOT�/Jdt4AeL �c�° � 4��J 4 +• ! LATH,EXT.: 4- t 4 DBS-3 513M BETS 1-48 $ �•'` P.C.S ? PLASTER,INT. FEE W PLASTER,EXT. VALUATION FEE / FINAL /�%U°+Tn:�.�fG�tr ' Lam_ f 17 APPLICATION- FOR BUILDING PERMIT • COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN RBN ADDRESS p �i I hereby affirm that I have a certificate of consent to self insuBU re, \ ` or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C. .0 C ZIP Y Policy N Company��ri.�C'pZ- PEOF OT � NO.OF BLDGS.NOWCertified copy is hereby furnished. r0CROSS ST.Certified copy is filed with the county building inspection BLOCK LOT NO. � e bolzri E MAP NO. _� < department. ASSESSOR MAP BOOK PAG}��•� PARCEL Date Applicant Vpl�.7 O SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' ER TEL.NO. COMPENSATION INSURANCE AD I WITHIN 1000 FT.OF SCHOOL? YES No (This section need not be completed if the permit is for one hundred DISTRICT GROUP TYPE CONST.' FIRE ZONE PROCESSED BY dollar:($100)or less.) CITY zIP I certify that in the performance of the work for which this permit �� is issued. I shall not employ any person in any manner so as to IT CT OR ENGINEER TEL NO. become subject to the Workers'Compensation Laws. —'Zg0q STATISTICAL CLASSIFICATION APT CONDO Date Applicant AD t CLASS NO. rte,( Z DWELL UNITS NOTICE TO APPLICANT: If, after making this Certificate of ' `� ` REQUIRED TOTAL SETBACK FROM EXIST Exemption, you ShOUId become subject t0 the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code,you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL SIDE LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS p L C J I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP Z. (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO. STORES NO. FAMILIES NEW ❑ BK 'L PG a' t3 Professions Code,and my license is in full force and effect. �S 7 , v DESCRIPTION OF WORK ❑ J License Number Lie.Class ADD VALUATION � Contractor Date ALTER ❑ $ ❑ ❑I am exempt under Sec. REPAIR $ B.&P.C.for this reason tA} DEMOL ❑ LDMA P/C 0 Date: USE OF EXISTING BLDG. URM ❑ Signature A PLICANT(PRINT) TEL O. i LDMA Perm# 6a I, as owner of the property, or my employees with wages as Z C their sole compensation,will do the work and the structure is ADD E not Intended or offered for sale (Section 7044, Business and Z FINAL DATE G _,,Professions Code.) WILLTHEAPPLICANTOR FUTUREBUILDING OCCUPANT HANDLEA HAZARDOUS MATERIAL j L�d'I, as owner of the property, am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN Iq THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINA140, `J licensed contractors to construct the project (Section 7044, YES❑ No®/ LW Business and Professions Code.) WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING / CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(REQUIREA PERMIT FOROSCAOMD)SEE CPERMI OR MTIONSING CHECK ST Q Q Do FOR GUIDELINES. U y I hereby affirm that there is a construction lending agency for YES ❑ No ��,�� the performance of the work for which this permit is Issued(Sec. �� n"v""W I 3097,CIV.C.. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING CHECKLIST.I UNDERSTAND TI REQUIREMENTS UNDER THE LAS ANGELES COUNTY CODE,TITLE 2,CHAPTER 220 SECTIONS 220.70DTHROUGH 220.140 CONCERNING Lenders Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THESCAOMD. Lenders Address G OMM OR AGENT 0 1 certify that I have read this application and state that the above information is correct. I agree to comply with all county RC.FEE L /p•tel PERMIT FEE deep O ordinances and State laws relating to building construction,and hereby authorize representatives of this County to enter upon ISSUANCE FEE the ab sIp mentioned property for inspection purposes. 7: m T �`(7 INVESTIGATION FEE TOTAL FEF _ S�pimu,od ApgkaM aAtpnt Dma 6 SEE REVERSE FOR EXPLANATORY LANGUAGE