The URL can be used to link to this page

Home My Public Portal About10902 WILDFLOWER RD_Building__ 76A63SAI CM808 9-67 je'APPLICATION 1FOR BUIN PERMI COUNTY OF LOS;.ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS 10902 Wildflaier Road %BUILDING AND SAFETY DIVISION JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY Temple Citi California COLEMAN W. JENKINS SUPT OF BUILDING NEAREST CROSS ST. F Th7e]land FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE P CESSED BY ® � CONST. [/ Print or type only) ['e BUILDING 10902 Wildflower Road STATISTICAL CLASSIFICATION � SEWER MAP ADDRESS 7 CLASS NO.�_DWELL.UNITS BK PG� LOT NO. / BLOCK USE ZONE MAP NO. J TRACT _ CONDITIONS SPECIAL NO.OF BLOGS. 1 SIZE OF LOT OW ON LOT USE OF '°"' EXISTING BLDG. Residence m Single fan. BLDG.SETBACK FROM TEL FRONT PROP.LINE OF (STREET) OWNER Re JeckelTlT a� NO. 1 3-2012 TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS 10902 ilcI.lower Road HIGHWAY WIDTH FROM C.L. + CITY Temple City., California BLDG.SETBACKFROM ARCHITECT OR TEL. SIDE PROP.LINE OF (STREET) ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAYI WIDTH FROM C.L. TEL. CONTRACTORaC1f1C Inst NO. Q 0 + O ADDRESS 10920 E Grand • No' 211898 CORNER CUTOFF YES ❑ NO ❑ CITY Temple City., Calif LIC. S 0 20 SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK a z NEW ADD ALTER REPAIR DEMOLISH SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURERmodel Kitchen - The etQ SIGNATURE OF APPLICANT VALUATION O Q fes' APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE$ FEE$ FORMS,-MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND A COMPLY FURNACE: LOCATION, WITH ALL COUNTY ORDINANCES AND STATE WS R ULATING GAS VENT, DUCTS BUILDING CONSTRUCTION. 1 CERTIFY THAT I DOING WORK AUTHORIZED HEREBY I WILL NOT EMPLOY A PERS IN VIOLA- OF LATH, INT. TION THE LABOR CODE OF THE STATE ORNIA RELAT- ING TO WORKMEN'S COMP N IN E. LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE• RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGIN PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH 76AG38A CE.#6032-63 APPLICATION FOR BUILDING PERMIT - COUNTY OF LOS ANGELES BUILDING J Q DEPARTMENT OF COUNTY ENGINEER ADDRESS/ / D ' BUILDING.AND SAFETY DIVISION LOCALIT ' JOHN A. LAMBIE, COUNTY ENGINEER NEAREST ' 'WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST. DISTRICT NO', GRQLj' 'TYPE PR CES BY FOR APPLICANT TO FILL IN -•.O _/y CONST. BUILDINGSTATISTICAL CLA561FICATION SEWER MAP ' ADDRESS142902IGLdIGL1E + K CLASS, NO. DWELL.UNITS • LOT NO. BLOCK ., WATER CERTIFICATE:, NOT,REQ UIRED RECEIVED- TRACT // NO.OF BLDGS NO. os-0 (CCR HIHVLEI STATE MAJOR SECOND,L CAAY L SIZE OF LOT J� /Q a.. NOW ON LOT USE ZONE SPECIAL- USE OF ) CONDITIONS EXISTING BLDG. / TEL.�++ 1 1 OWNER P,&, J (, N ). I ' BUILDING? r EXIST: _ YARD HWY STREET NAME •• ,1 SETBACK �• WIDTH ADDRESS rf BDI�fr FRONT, O ARCHITECT OR TEL. P• L• ' ENGINEER Lfl11/E NO. �4BavE A,9&1&6SIDE / ADDRESA,9&1&6 _ fJ fJ1a ri '-�.rri�e✓�Jy.(„ c �-�l"" 8 ® TEL. �• ?. . CONTRACTOR iWAI& NO. /LAvili M ftpp'•�� •V �� ¢ S7• ADDRESS DESCRIPTION OF WORK LLI a ' - •,•. to NEW ADD ALTER REFAI'R DEMOLISH '"• y iw' ? SQ.FT, //�� NO.OF I NO.OF SIZE 960 STORIES' ' FAMILIES USE OF rK4w R+ p��w�f r /(J/rI +� ') AA, iC>C al STR- .URE -C 34. cis,. I.ac 'C�'�.•r'i" S+e�/L• , A PLICAN VALUATION.$ 51LO .APPROVALS _ /DATE INSPECTOR;S SIGNATURE w P.C. r. PMT. FOUNDATION: LOCATION f FEE $ FEE $/ _ •FORMS, MATERIALS ,5 ..� p, [ - -. .. FRAME: FIRE STOPS, / 3 _d 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS .Y�iOA.P AND STATE THAT-THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, O WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS _ ' BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK.. AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. LATH, INT.�+_� 1/,•Q(,�{gf; ;.,� J .� I / ^�- INC TO WORKMEN'S CO ENSATION INS RANCE. LATH,EXT. SIGNATURE OF HOUSE NUMBER COR--' . PERMITTEE + RECT AND POSTED -A ADDRESS FINAL JOHN F. LEWIS, PRI GIP L S UI RAL ENGINEER PLAN; CHECK VALIDATION cK. M.O. CASH _ PERMT VAL. ATION •cK. tv M.O.. :CASK 9 ,89-31"S EP 6 ' 1- D 1 8-:5 0- `7 7 8A88`A4CE#eoe.,c.88 APPLICATI.O N FOR BUILDING PERIVII -. �. BUILDING AND SAFETY DIVISION BUILDING ADDRESS AA0 Ape Department of County Engineer County of Los Angeles LOCALITY t 'JOHN A.LAMBIE, COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN, SUP'T OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPE SEWER MAP FOR APPLICANT TO FILL IN NST. BK ' PG . QQ ryry� ,,--11 ^ CO _ ADDRESS t'-!• 0 N W I'L ��t4/,t1t?'1t R_� STATISTICAL CLASSIFICATION // LOT NO. I BLOCK CLASS.NO. DWELL. UNIT,/-. I MAP ' STATE_ Y • YES gg �� NUMBER HWY TRACT' aC I . US Z NE PEtIAL NO.OF BLDGS.�/ / / CONDITIONS SIZE OF LOT �i D D J I NOW ON LOT ,/ftl�c USE OF EXISTING BLDG. EXIST. OWNER n •SETBACK YARD HWY STREET NAME WIDTH ' OWNER I iS. w Low f R FRONT MAIL �f 7�1 �+ A�,!f n I 1 _ADDRESS �C /,G ICY �A. 1A 16IalSI 1..11 Dd SIDE CITY SA�� A-8 R/ g+V NO.'/9 7, 7d J11 INSPECTION RECORD ARCHITECT OR TEL. ENGINEER NO. ADDRESS TEL CONTRACTOR , . NO. bT/1► .IO:I ADDRESS SA ldUii I/ DESCRIPTION OF WORK NEW v ADD ALTER REPAIR DEMOLISH S ZE -' i �� STORIES FAMILIES USE OF STRUCTURE y APPROVALS SIGNATURE OF APPLICANT ,FORMSDATE INSPECTORS SIGNATURE ADDRES Z /trfN_/(QA� LOCATION • B1t /) TMATERIAS f��Il fl/1 J FRAME: FIRE STOPS. �/y� � ✓W' $. V rj FEE $ BRACING.BOLTS FURNACE: LOCATION. / VALUATION FEE GAS VENT. DUCTS. �i �✓ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH.'INT. 1.4-1 7-;Z A% �1vLkJ� PLICATION AND STATE THAT THE ABOVE IS CORRECT A AGREE TO COMPLY WITH L COU TY ORDINA ES D LATH. T. •�/ 1 / frG+ l'✓ STATE LAWS REGU IN N RU ON. SIGNATURE OF I RECT AND POSTED OtIbE NUMBER • PERMITTEE ADDRESS FINAL v 1 OHN A.LAMBIE.COUNTY ENGINEER. CLYDE N.DIRLAM. PRINCIPAL STRU URAL ENGINEER PLAN CHB= VALIDATION M.O. CASH PERMIT VALIDATION M.O. CASH- J.AC0323.6FP;• OCT111 6 9.00 ,io %o 3 4 3 0;- OCT 17 1 6 9.0 0 ton " 0 3 4 3 1 OCT 17 1 3 6.0 0 o WORKERS' COMPENSATION DECLARATION hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING P E RM I T . insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS loqua L �. ❑ Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS l , Date Applicant CITY ZIP LOCALITY NO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) OWNER~ N �� USE ZONE MAP I certify that in the performance of the work for which this NO./ SPECIAL permit is issued, I shall not employ any person in any manner ADDRESS CONDITIONS O so as to become subject to the Workers'Compensation Laws. t I,� �(,� ,�V1 �{�, CITY ZIP 6 U Date 2^�� Applicant N�T+`sl a•� x e��`► ARCHITECT OR TEL. M NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO DISTRICT ZONE GROUP CONSTTYPE FIRE PR BY Q Exemption, you should become. subject to the Workers' . 0 Compensation provisions of the Labor Code, you must forth- ADDRESS r 0 8 a- with comply with such provisions or this permit shall be TE $�� -1Sn1 STATISTICAL CIA' CONDO.revoked. CONTRACTOR e N Z LICENSED CONTRACTORS DECLARATION Q�y¢�- LIC. C CLASS NO. IZ/ DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. �7t SEWER MAP (commencing with Section 7000)of Division 3 of the Business `` LIC. and Professions Code,and my license is in full force and effect. CITY Q><7 'e CLASS C3 BK PG VALIDATION / C9 STORIES SQ FT. OF CHECK License Number (p�,( - Lic. Class SIZE STORIEES FFAA MILIES ONE Contractor Date DESCRIPTION OF WORK 5 NEW ❑ VALUATION ❑ $ ,❑I am exempt under Sec. �$ .6 S I�1 � ' ADD ALTER ❑ B.BP.C. for this reason REPAIR ❑ $ Date: USE OF EXISTING BLDG. DEMOL ❑ Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION (PRINT) NO. DATE Z- I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS FINAL Professions Code): PRESENT By El BUILDING Aq n•:•_, , I, 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. 1❑ s -; _•I, as owner of the property,am exclusively contracting CONTRACTOR NO. - with licensed contractors to construct the project (Sec- '-1 l AL t,;-q-=,,o �, tion 7044, Business and Professions Code.) ADDRESSM REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH 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. '-I- (Sec. 3097, Civ. C.). SIDE P L Lender's Name 8 LDMA Ref.# P.C. Fee$ Permit Fee Lender's Address I certify that I have read this application and state that the Issuance Fee 7. cJ LDMA P/C# 3 above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee oGo LDMA Perm. # and hereby authorize representatives of this County to enter upthe abov - e ned property for inspection purposes. 0 1-q SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date v• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS `'•a ►1+.' RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9802020086 PHONE: (818) 285-0488 EXT: -LEGA 0. OF CONST NEW BUILDINGS: TR: 23949 LT: 16 SQ. FT STORIES TYPE OCCUP GROUP 10902 WILDFLOWER RD STRUCTURE: 42 1 VN R3 TEMP CA 917803511 ASSESSOR 0 U GARAGE: NEAREST CROSS STREET: 8573-034-016 OTHER: THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY T ST BLDGUE: USE ZONE: 'I S D PROCESSED BI . EXIST OCC GRP: 02/02/98 UT 02/ /99 . OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL B CODE: WILSON JAMES H;SUSAN A (818) 579-0614- 1 3,150 q` 10902 WILDFLOWER RD G TEMP 917803511 5 SCR P R FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: EXTEND BATHROOM 42.5 SQ. FT. APPLICANT: TE WINSLOW CONSTRUCTION (626) 358-6263- AA BLDG PERMIT ISSUANCE 27.75 525 W. WALNUT AVE. AC STRONG NOTION REBID- - _- - 3150.00 VAL 0.50 SPECIAL CONDITIONS: MONROVIA, CA AX BUILDING REVIEW FEE _ = 54.70 B2 PERMIT W/ENERGY •'•3150.00-VAL 127.71 TOTAL-JEES�. ,�, 210.66 CONTRACTOR: TEL. NO: j , % APPROVALS DATE INSPECTOR 7GNATURE WINSLOW CONSTRUCTION (626) 358-5263- 525 W. WALNUT AVENUE LIC. NO ;� �� , 0 AND SETBACKS MONROVIA, CA 91016 668368 I — f1 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: 0: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INS ATION 3 01 - IST LEVEL FLOOR SHEATH 0. OF FAMILIES: DWELLING S: C D: STAT CLASS: NO 21 2ND LEVEL FLOOR SHEATH SCHOOL RSHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPEC REQUIRED0 SET84CK—FROM EXISTDG DEPT. FRAMENS EC AA SET BACK YARD: HWY: PROP LINE: WIDTH: ("`L FRONT PL- SHEAR PANELS SIDE PL- INSULATION/WEATHER STRIP INTERIO LATH/DRYWALL 0 LATH LOT DRAINAGE SMOKEDETECTION DEVICES IRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: SS0508