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HomeMy Public PortalAbout10935 WILDFLOWER RD_Building__ SAsae ce aos.lo-ss APPLICATION F®R BUILDING P E RM C BUILDING AND SAFETY DIVISION BUILDING Deportment of County Engineer ADDRESS County of Los Angeles LOCALITY JOHN A.LAMBIE. COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN.SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP_I TYPE SEWER MAP FOR APPLICANT TO FILL IN CONST. BK PG' BUILDING A0 p �j I 1 1.D r kO W C m R n STATISTICAL CLASSIFICATION I ADDRESS Uo 7 W r L• Fi.. 1d LOT"NO. BLOCK CLASS.NO: DWELL. UNIT MAP STATE. YES - O. NUMBER ff HWY TRACT 7 U SF,7,0 NE SPECIAL NO.OF BL GSA g CONDITIONS SIZE OF LOT %-�I x 7©0 I NOW ON LOT Ogg-I W USE OF EXISTING BLDG. BUILDINGEXIST. YARD HWY STREET NAME - �• SETBACK WIDTH OWNER G FRONT MAIL q 7,1 A f Al 6/�)9 }� P' ADDRESS/ J-7Qef/J .V� A��V�`� SIDE CITY J IV �.T rJ I�: L NO. P L 7a�� . INSPECTION RECORD ARCHITECT OR TEL. ENGINEER NO. ADDRESS t p CONTRACTOR W e.94NO.- 47, 7&r3/ _ - ADDRESS -S/!t/Tdtr DESCRIPTION OF WORK NEW I/ADD ALTER REPAIR DEMOLISH SQ.FT, q NO.OF NO:OF / SIZE I.Z J 3 STORIES FAMILIES/ USE OF STRUCTURE APPROVALS SIGNATURE OF APPLICANT / g / DATE INSPECTORS SIGNATURE ADDRESS AY/ ir.�d �/y V/�l�i A n- FOUNDATION:LOCATION e f 1� f� FORMS. MATERIALS d°a L` f / Lta X�a..,0 $ �� /�O P.C. $ FRAME: FIRE STOPS. �! FEE BRACING.BOLTS !) VALUATION , $ FURNACE: LOCATION. 1r FEE GAS VENT. DUCTS S t + a•. e.••_.,, . I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH. INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANG A LATH. EXT. STATE LAWS REGULATI U NG ST C N, USE NUMBER COR- r 7� �i SIGNATURE OF H ECT AND POS ED Y, X !1v'l.L�l/✓ PERMITTEE ADDRESSFINAL OHN A.LAMBIE.COUNTY ENGINEER.. CLYDE N.DIRLAM.,PRINCIPAL.STRUCTURAL ENGINEER PLAN CHECK VALIDATION M.o. CASH PEIMIT VALIDATION M.o: cmH 5 rjt,0.3 2 3 7c,;; Ocr•11. 1 6 1 .9.2.5 I.too 03 3 26:; acT171. 38.50 r - WORKERS'COMPENSATION DECLARATION (� sur e o affirm that I �Wo a certificate of consent to self A P P L I CAT I � B 1 L D� E RM I T insure,or a certificate of Workers'Compenstion Insurance,or � a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company B DING / A l Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING i f tion department. ADDRESS A0 &ur it R aLOCALITY c iC _e ZIP NEAREST � Date Applicant + CITY CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one US ONE MAP / TRACT BLOCK LOT NO. /� NO. hundred dollars ($100)or less:) ! �p} 1-¢TEL. PECIAL I certify that in the performance of the work for which this OWNER eL t JG 1,`NO. d.'�� CONDITIONS O permit is issued, I shall not employ any person in any manner STRICT GROUP TYPE FIRE SOC SED BY U so as to become subject to the Workers'Compensation Laws. ADDRESS 114 J_ �We t, d ✓��/ CONST. // pc r f Date Applicant. CITYe Le ZIP d UJ NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT STATISTICAL CLASSIFICATION APT. CONDO. R T �/ ENGINEER e `'N Q 1� N !� G, O CLASS NO. DWELL.UNITS Ib Exemption, you should become subject to the Workers' �/ 1 oy Compensation provisions of the Labor Code, you must forth- ADDRESS/.Z V D d /O Y bd- %1 eL SEWER MAP with comply with such provisions or this permit shall be TEL deemed revoked. CONTRACTOR D NO,-/la-/U BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS(30 tVK%% 4L 0.60 V' NO. VALUATION ®� (commencing with Section 7000.)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and effect. CITY CLASS $ '� SQ. FTNO.OF NO.OF CHECK License Number Lic.Class I SIZE Q STORIES FAMILIES ONE $ DESCRIPTION OF WORK NEW Contractor Date ❑ I ❑ + + + ADD g' I am exempt from the licensing requirements as I am a � licensed architect or a registered professional engineer ALTER ❑' FINAL DATE acting in my professional capacity (Section 7051, REPAIR ( O Business and Professions Code). USE OF ❑ EXISTING BLDG. DEMOL FINAL By L � 11 ❑ � Lic.or Reg.No. _Date APPLICANT TEL. OWNER-BUILDER DECLARATION (PRINT) NO, t I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS Professions Code): PRESEN BUILDING I, as owner of the property, ormy 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. 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 r 8 P.7 AI hereby affirm that there is a conftluction lending agency for FRONT the performance of the work for which this permit is issued P.L. v 41 0 0 o c o (Sec. 3097, Civ. C.). SIDE P.L. o o 5 2. f Lender's Name a a a J Lender's Address P.C. Fee$ Permit Fee W 1 certify that I have read this application and state that the - L x Y PP Issuance Fee a above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee' and hereby authorize representatives of this County to enter c upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE n Signature of Applicant or Agent Dae ®s r COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0603080039 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 23949 LT: 7 SQ. FT STORIES TYPE 10935 WILDFLOWER RD STRUCTURE: 168 VN TEMP CA 917803512 / ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREA 8573-034-007 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 103/08/06 SSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: JK 03/03/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: RIEDER VERENA S (626) 350-7037- 5,880 �� 10935 WILDFLOWER RD ER 9 TEMP 917803512 FEES PAID DESCRIPTION OF WORK o PATIO ENCLOSURE ICBO #3190 168 S.F. FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: APPLICANT: TEL. NO: ALBERTO MONTIEL (909) 594-7547- AA BLDG PERMIT ISSUANCE 27.75 786 PINEFALLS AVE AC STRONG MOTION REBID 5880.00 VAL 0.59 SPECIAL CONDITIONS: WALNUT, CA 91789 AX BUILDING REVIEW FEE 54.70 D2 PERMIT W/O EN-HC 5880.00 VAL 149.40 TOTAL FEES 232.44 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE WEST COAST CUSTOM ROOMS (909) 594-7547- 786 PINEFALLS AVE LIC. NO LOCATION AND SETBACKS WALNUT CA 91789 471619BRIC SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION TRENCH FORMS LIC. NO: SLAB UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 147H277 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT COND: 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 FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION WEATHER STRIP SIDE PL- INTERIOR LATH DRYWALL i EXTERIOR LATH RATED FLOOR CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS OPENINGS T-BAR CEILINGS LOT DRAINAGB (REPORT ID: DPR261 ROUTE TO: BS0508