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Home My Public Portal About10919 WILDFLOWER RD_Building__ 8A881A CE*803 10.58 APPLICATION FOR BUILDING PERMI BUILDING AND SAFETY DIVISION BUILDING ADDRESS 141, Deportment of County Engineer County of Los Angeles LOCALITY i JOHN A.LAMBIE. COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN.SUPT OF BUILDING CROSS ST. DISTRICT N GROUP ITYPEL�zrk SE BK MAP.paFOR APPLICANT TO FILL IN Jam/q7 CONTADDRESSBUILDING /o9l9 W o ul R JZ STATISTICAL CLASSIFICATION I - LOT NO.• BLOCK CLASS. NO. DWELL.UNIT pMAP STATE YES O TRACT 7 NUMBER HWY USE O E SPECIAL NO OF BLDGS. CONDITIONS �r SIZE OF LOT �! f/ri / 0 0.�0 I NOW ON LOT w0 WE USE OF EXISTING BLDG. BUILDINGEXIST. •' SETBACK YARD HWY STREET NAME WIDTH OWNER -T( t3^ VJ ;E13 IF P- n Q FRONT . L. MAIL ADDRESS �7�/y So, J Wd 0_,%B.. 5LyD SIDE CITY J AY� tt N R 1 NO. f7 I /L / P. L. AINSPECTION RECORD ARCHITECT OR TEL. ENGINEER NO. _�J / l/ ACy5 ADDRESS CONTRACTOR T13.� A1 63 C/I NO1y^ ..4 �or 3� ADDRESS ,54.4-C DESCRIPTION OF WORK ,/ NEW V ADD ALTER REPAIR DEMOLISH ` SIZE G TORIES FAMILIES _ USE OF STRUCTURE S, CV e� %J5 -r . A 1290,y APPROVALS SIGNATURE OF APPLICANT ,po + DATE INSPECTOR'S SIGNATURE gq ADDRESS o� Y SO .SAN u'/1& Qh ✓h✓ FOUNDATION:LOCATION FORMS. MATERIALS / P.C. $ Q FRAME: FIRE STOPS. FEE BRACING.BOLTS �//� VALUATION FEE l FGAS VENT DUCTBN� r�5 ry7 JAL' 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH. INT. �/ / �j11-GlitiL��'�' PLICATION AND STATE THAT THE ABOVE IS CORRECT AND ( / A AGREE TO COMPLY WITH ALL COUNTY ORDINANCES ND LATH. EXT. STATE LAWS REGULA B ING O TRU ION. SIGNATURE OF HOUSE NUMBER RECT AND POSTEDR I-L�`Y� /slfl.Ti1�VII . PERMITTEE ADDRESS FINAL I` �1� I:•�{ �L ' OHN A.LAMBIE.COUNTY ENGINEER. in CLYDE N.DIRLAM.•PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION M.O. CASH PERMT VALIDATION M.o. 'CASH 0322, 7E- .0CT11 '1. 6 90°0A0 1, 03 4 3 4S oCT17 36-00- WORKERS'COMPENSATION DECLARATION tOR c• hereby ' tInaeinsurer a certificate Workers'Compensation surn , APPLICATION affirm that UILDING PERMIT � 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 6001 ❑ Certified copy is filed with the county building inspec- BUILDING P1 (� J OFF tion department. ADDRESS 0 I(� L.OWerL 1tiy LOCALITY NEAREST Date Applicant CITY � C ZIP CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' E NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT X j0 / NOW ON LOT t MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP hundred dollars($100)or less.) TRACT BLOCK LOT NO. z NO. TEL. ` SPECIAL I certify that in the performance of the work for which this OWNER f� F,1.0 V I6(. NO. je CONDITIONS d permit is issued, I shall not employ an arson in an manner I§TRICT GROUP TYPE FIRE P ED BY O so as to become subject to the We I Compensation on Laws. ADDRESS Q 10 CONST. ZONE c U CITY TG LIE I T ZIP' �� Date 7-pc- AID licant ARCHITECT OR TEL. : STATISTICAL CLASSIFICATION APT. CONDO. NOTICE TO APPLICANT: I , after making This ertificat of ENGINEER �� NO. �' CLASS NO. �� DWELL. UNITS- Exemption, Exemption, you should become subject to the Workers' @e Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP 44 with comply with such provisions or this permit shall be TEL. deemed revoked. CONTRACTOR O NO. `I 7- BK.Ye PG, VALIDATION LICENSED CONTRACTORS DECLARATION LICpQ I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS I-7-t2- 5. OC1l OL A NO. 0 Y -11 VALUATION - .! .- n (commencing with Section 7000)of Division 3 of the Business and LIC. ` Professions Code,and my license is in full force and effect. CITY AOLCAWA A _ CLASS owe;? qQ SQ.FT. ®� NO.OF ry NO.OF CHECK License Number / ° 7 j Lic.Class SIZE STORIES G FAMILIES ONE ' Contractor C,n 405CW3- Dote -7 s 8 3 DESCRIPTION OF WORK 4E)ME-A 5C-VCAj NEW ❑ �. ADD ' ❑I am exempt under Sec. O &A 6V �4' o RrlE ALTER ❑` FINAL B.BP.C. for this reason �0 OOMS REPAIR ❑ . DAT 'Z -Z I USE OF / Date: EXISTING BLDG. 65 e/V L ls DEMOL C] . B Signature APPLICANT TEL. OWNER-BUILDER DECLARATION PRINT B o NO. ® I hereby affirm that I am exempt from the Contractor's License ADDRESS 2-� 2- Ve /�4U�T H G. 0 o 0 0 Law for the following reason. (Section 7031.5, Business and 1 Professions Code): ITRESENTP. �02 13 1, C o (1 / 1.7 5 I, as owner of the property, or my employees with i ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY o o (i 'j 7 C7 7044, Business and Professions Code). MOVING TEL. C ❑ I, as owner of the property,am exclusively contracting CONTRACTOR NO. Q 't 1 C. , with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). 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. tSec. 3097, Civ. C.). SIDE P.L. a Lender's Name 77 P.C. Fee$ t�(�Q Permit Fee Lender's Address sI certify that I have read this application and state that the Issuance Fee above information is correct. I agree to comply with all County i Investigation Fee* i ordinances and State laws relating to building construction, Total Fee A- to and hereby authorize representatives of this County to enter upo a above-m tion property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ®s Signature of Applicant o enf Date= I ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PFkAll DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0407160070 PHONE: (626) 285-0488 LR;: LEGAL ID: NO. OF CONS r BUILDING ADDRESS: TR: 23949 LT: 4 SQ. FT STORIES TYPE 10919 WILDFLOWER RD STRUCTURE: 19 VN TEMP CA 917803512 �/fdNJ ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8573-034-004 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: R SID USr ZONE: R- ISSUED ON: PROCESSED EXPIRES 0 : EXIST OCC GRP: 07/16/04 JK 07/11/05 OWNER: IEL. HU: BLDGS. N9. ON ibT: VALUATION: FINAL DAT ! BY: CODE: VIOLA CAR1•11£LO P - 3,500 10919 WILDF•_OWFP. RD _ TEMP 917803512 FEES PAIDEb SCEP ION OF WORK '- T/0 1 LAYER OF COMPOSITION INSTALL CLASS A SHINGLES HOUSE APPLICANT: TEL. M0: FEE DESCRIPTION; QUANTITY: UQ': AMOUNT: AND ATTACHED GARAGE TUDELA (888) 311-7663- AA BLDG PFRI4IT ISSUANCE 27.75 2219 W. OLIVE AVE AC STRUNG NOTION RESID 3500.00 VAL 0.50 SPECIAL CONDITIONS: BURBANK, CA 91506 D2 PERMIT W/O EN-HC 3500.OU VAL 115.80 TOTAL FELZ 144.05 CONTRACTOR: ,1'EL. liU: APPROVALS DAI E INSPECTOR SIGNATURE MODERN ROOFING (888) 311-7663- 2219 W OLIVE AVE #282 LIC. NO LOCATION AND SETBACKS BURBANK, CA 91506 807881 C39 _ SOILS ENGINEER APPROVAL ARCH ITEC O, EQU--NnffFEl'L. NO: F:i riYlT:='';T.PE.`.r.H FO MS --I— --- LIC. NO: ISLA-BAUUNDER FLOOR RAISED FLOOR FR I4ING MAP N0: SES:R MAP BOOK: PAGE: FIRE ZONE: CMP: UNDFRFLOOR INSULATION XX 3 03 _ FLOOR SHEATHIN NO. OF FAMILIES: DWELLING UNITS: APT/ OND: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FI 9PR1NRCL RR HAS LAGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- _ INTERIOR LATH/DRYWALL- EXTERIOR ATH DRYWALLEXTERIOR LATH RATED FLOOR/Ct L ASS . !I� RATED WALL ASSEMBLIES I RATED SHAFTS/OPENINGS T-BAP. CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508