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HomeMy Public PortalAbout9222 WOODRUFF AVE_Building__ r 78ASSBA CE•#803 S-,,APPLICATION FOR L�-� U LDI G 8 'ERM) COUNTY OF LOS ANGELES BUILDING EIN DEPARTMENT OF COUNTY ENGD=R BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST. .:. g:::.:�: a...', , ,: DISTRI� GROUP TXPE P OCE E Y FOR APPLICANT TO FILL IN �, CONST. BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS 9222 Woodruff ToC o BK PG CLASS.NO.�DWELL.UNITS LOT NO. ` BLOCK WATER CERTIFICATE: NOT REQUIRED RECEIVED TRACT MAP ©7 HIGHWAY STATE MAJOR SECOND, CAL NO.OF BLDGS. NO. (CIRCLE) SIZE OF LOT I NOW ON LOT =;: USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. Residence TELA OWNER George Weisman No. BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH ADDRESS 9222 IJVoodruff ToCo FRONT r - 6 i ARCHITECT OR TEL. P.L. ENGINEER NO. SIDE ADDRESS INSPECTION RECORD CONTRACTORVirgin Roof Cn NOIA�T70.1in A ADDRESS 600 Se San Gabriel Blvd.3 o LU IL DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ.FT. NO.OF NO.OF IZE STORIES FAMILIES USE OF'' STRUCTURE Re-roof -House only. SIGNATURE OF ~ APPLICANT VALUATION$ 1,2 0 00 APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATION:LOCATION FEE $ FEE $ 8,00 FORMS,MATERIALS FRAME:FIRE STOPS, 1 REBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AN STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY FURNACE:LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION. I CERTIFY HAT IN DOING THE WORK AUTHORIZED,HEREBY 1 W NOT E PLOY ArY PERSON IN VIOLA- LATH,INT. TION OF THE LABOR F HE TATE OF CALIFORNIA RELAT- ING TO WORKMEN'S P NS TI N INSURANCE. • LATH,EXT. SIGNATURE HOUSE NUMBER COR- PERMITTEE ` RECT AND POSTED' ADDRESS6OO S s San Ga el Bl.&-U& FINAL CLYDE N. DIR'LAM, PRINCIPAL SFN1.0. RAL ENGINEER PLAN CHECK VALMATION M M.C. CASK PEBbdr VALUATION CASK LAGO1 2 0 1Cal JIL 5 1 D $.00~ APPLICATION-FOR BUILDING PERMIT' COUNTY OF LOS ANGELES -BUILDING AND SAFETY ' WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUIL DDRESS � BUILDIN��..AAD RESS I.hereby affirm that I have a•certificate of consent to self insure,. I t rl or a certificate of Workers'Compensation Insurance,or a certified CITY/ ZIP copy thereof(Sec.3800,Lab.%C.) LOCALITY Policy No. Company SIZE OF,LOT NO.OF BLDGS.NOW ON LOT :'�` f! :�'��'�� '•' ;• NEAREST CROSS ST. ElCertified copy is hereby furnished: f ' I ❑ Certified.copy is filed with the county'building inspection B L O. P 'TRACT LOCK OT N department. USE ZONE MA NO. :;..� •I + Date' Applicant ASSESSOR MAP BOOK PAGE PARCEL " 1 SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' NE`Rr, ; ; i TEL NO.. J.YES NO , COMPENSATION INSURANCE 1 1 r•`' '`%� %''.!' r' !r'%Y W''.�`f�': WITHIN 7000 FT.OF SCHOOL? (This'section need-not be completed if the permit is for one hundred' ADDRESS DISTRICT GROUP T.YPFiCONST. FIRE.ZONE PROCESSED BY dollars($100)Or less:) .. CITY ZIP { I certify ~ fy that in the performance of the work for which•this.permit. is issued, I shall not employ any person•irk any manner so as to ARCHITECT OR ENGINEER TEL.NO.' become'subject to the Workers'.— I titin Laws. •• STATISTICAL-CLASSIFICATION �'I APT. CONDO Date"i"}`�— %Applicant �.• at.�"' ADDRESS CLASS NO. DWELL.UNITS NOTICE -TO' APPLICANT.'' If,' after -making �'th Certificate Of REQUIRED TOTAL SETBACK.FROM 'EXIST. �. - Exemption,•:.you should •become . subject t the Workers' ., CONTRACTOR TEL NO.. SET,BACK YARD " HWY PROP LINE;^. WIDTH Compensation•provisions of the Labor Code, you must forthwith r/'r .` :' '` FRONT:' comply with such provisions or this-permit shall be.deemed revoked. ADDRESS' _j.y LIC.NO. - P'L; i LICENSED CONTRACTORS DECLARATION `'�f A•`�'i` ` SIDE =' � CITY _ .••' •. LIC.CLASS PL. I hereby affirm that'f am licensed--underprovislons'of Chapter 9 `` �' "� •er SEWER.MAP :;p (commencing with Section 7000)of Division 3 of the Business and SO.FT.'SIZE NO.OF STORIES NO.OF FAMILIES r '+ :Profes§ions Code,and my license is in full force and effect, NEW BK PG V a r DESCRIPTION OFWORK VALUATION CADDLicense Number Lia 7-2 $ / f � J Contractor Date ALTER 13LLW ❑ I aril exempt under Sec.: REPAIR ❑_ $ ' Bi for this reason ..r ff J r !' " ,i i 1. . ❑ r, LOMA P/C--# Date• :USE OF EXISTING BLDG. ' r' URM. • ❑ • Signature APPLICANT( NT) _ TE NO. / y L'DMA,Perm# j a ❑ (,.as owner'of'the property, or my employees with wages.as es V�''�'� Z -Or 1 UJ their sole compensation, will do'the work grid the structure is ADDRESS` �g °+ �. '� I'. Imo• �/ I•' ,',i{�"a' �.• .+r:lr riot intended or,offered for sale (Section 7044, Business and ,' ! L.e'�• �`�t FINAL DATE' Q -- • .,. Professlgns Code:) 'WILL-THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL• - :J - '•,� L`�I I•a ' ❑ I,.a5 owner of the,property, am exclusively contracting Wlth OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE. Y Y 9 AMOUNTS SPEC[50 D ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY,;• t tF "' licensed contractors to construct the project (Section 7044, ;I�t` k YES❑ NO Business and Professions-Code.) ,y:•-• - WILL THE INTENDED USE OF THE BUIDUNG SY THEAPPLICANTOR FUTURE BUILDING - �•; ++'�`�,'� - OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR'MODIFlCAnON FROM THE SOUTH CONSTRUCTION LENDING AGENCY •GUIDEIJNES UAUTY MANAGEMENT,DISTRICT(SCAOMD)SEE PERMITTING CHECKUSi FOR �•�. .+%�- :"C {F�,:� ,a", .• - ,x=./��1+.; I hereby affirm that there is a.consiruction lending agency for YES❑ No ; N - the performance'bf'the work fbr.which this permit is issued(Sec. ` ! I HAVE READ Ti.HAZARDOUS MA•RIALS INFORMATION GUIDE AND THESCAOMD PERMITTING , •4i.r� }^'^ 3097,•CIV.C.) t CHECKLIST. UNDERS D MY REOUIREMENTS UNDER THE LOS'ANGELES COUNTY-CODE, - .j.11; ..I..j f) ,r,;•,rj��,� '. N. I TITLE'2.C TER CTIONS 2.20,100 THROUGH 2.20.140 CONCERNING HAZARDOUS ' Lender's Name MATER EPO D FOR OBTAINING A PERMIT FROM THE SC MD. i y7 +'r•' C3 Lender's Address+ O - A 'OWNER OR AGENT.., o' •1 certify that I have read this application and state under penalty ' 0 of perjury that the above,information is correct.I agree to comply P.C.FEE PERMIT FEE f✓ r a with all'cougty ordinances•and State laws relating to building construction, 'a ereby authorize representatives of this County ISSUANCE FEE . CD to,enter•upo a ove-men' ned property for Inspection jofirpose ,, y'�. . £ •i+ ro INVESTIGATION FEE. TOTAL FEE �( / f � Ace„, � !r% .�" / !f. '.�J,,.. '�•- SEE REVERSE FOR EXPLANATORY.LANGUAGE 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 1407300047 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST I BUILDING ADDRESS: ITR: 6561 LT: 368 I SQ. FT STORIES TYPE I 9222 WOODRUFF AV IBTRUCTURE: 18 V-B I TEMP CA 917801936 ASSESSOR INFORMATION,NUMBER: 1 I NEAREST CROSS STREET: 18587-001-001 1 I THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY CA (TENANT: (EXIST BLDG USE: RESID USE ZONE.: R-1 JISSUED ON: PROCESSED BY: I (EXIST OCC GRP: 107/30/14 SR [ I I I (OWNER: TEL. NO: [BLDGS. NOW ON LOT: VALUATION: IF �Ny: CODE: [ [PADILLA, TINA (626) 375-8970- 1 4,400 19222 WOODRUFF AV I ITEMP 917801936 1 FEES PAID ID S PTIO OF WORK 1 1 I (TEAR OFF ON HOUSE INSTALL 1/2" O.S.B. PLYWOOD. INSTALL 30# FEE DESCRIPTION'" QUANTITY: UOM: AMOUNT: A.S.T.M. FELT INSTALL 30 YR CLASS "A" SHINGLES (APPLICANT: TEL. N0: MARTIN, BLAKE (626) 333-5615- IAA BLDG PERMIT ISSUANCE 27.80 I I 1507 N AZUSA AVE IAB STATE GREEN BLDG FEE 4400.00 VAL 1.00 ISPECIAL CONDITIONS: I -ILA PUENTE CA 91744 IAC STRONG MOTION REBID 4400.00 VAL 0.50 I I ID2 PERMIT W/O EN-HC 4400.00 VAL 132.60 I I I TOTAL FEES 161.90 I I (CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I [REXWAY ROOFING, INC. (626) 333-5615- 1 I I 1507 N AZUSA AVE STE C LIC. NO 1 (LOCATION AND SETBACKS I I I ILA PUENTE CA 91744 655986 * 1 I I I ISOILS ENGINEER APPROVAL I I I ]ARCHITECT OR ENGINEER: TEL. NO: [ IFOUNDATION/TRENCH FORMS I I I 1 LIC. NO: I JSLAB/UNDER FLOOR I 1 ] 1 I$AISED FLOOR FRAMING I 1 ] IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I I I 1 3 001 I 1-1 I I I IFLOOR SHEATHING I I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I- I I NO 21 1 IROOF SHEATHING I 1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I [AIR QUALITY: 1000 FEET MATERIALS I I_ 1 1 I NO NO NO I IFRAME INSPECTION I I I I I I I I I I I IFIRE SPRINKLER HANGERS [ I I I a, [INSULATION/WEATHER STRIP( I [ I I (INTERIOR LATH/DRYWALL I I [ I I I I I I [ (EXTERIOR LATH I 1 IRATED FLOOR/CEIL ASSEM. I [ I I I I I I I I IRATED WALL ASSEMBLIES [ [ I IRATED SHAFTS/OPENINGS I I I I I I T-BAR.CEILINGS I I I I* ADDITIONAL DATA ON FILE I I [ [ I ILOT DRAINAGE I IREPORT ID: DPR261 ROUTE TO: BS0508 [ I I 1 I I I I I I 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 1407300049 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST BUILDING ADDRESS: ITR: 6561 LT: 368 I SQ, FT STORIES TYPE 9222 WOODRUFF AV 1 I (STRUCTURE: 5 V-B TEMP CA 917801936 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1 18587-001-001 1 [ THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY CAI 'IT T- (EXIST BLDG USE: DETAC USE ZONE: R-1 ISSUED ON: PROCESSED BY: I (EXIST OCC GRP: 107/30/14 SR [ OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IF AL DATEkfla& F BY CODE: 1 PADILLA, TINA (626) 375-8970- 1 2,000 9222 WOODRUFF AV I I IN ITEMP 917801936 I FEES PAID ID CR N F'WORK I I (TEAR OFF ON DETACHED GARAG INSTALL 1/2" O.S.B. PLYWOOD. I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IINSTALL 30 # A.S.T.M. FELT. INSTALL 30 YR CLASS "A" SHINGLESI (APPLICANT: TEL. NO: I I I IMARTIN, BLAKE (626) 333-5615- IAA BLDG PERMIT ISSUANCE 27.80 I 1 1507 N AZUSA AVE IAB STATE GREEN BLDG FEE 2000.00 VAL 1.00 ISPECIAL CONDITIONS: ILA PUENTE CA 91744 IAC STRONG MOTION RESID 2000.00 VAL 0.50 I I ID2 PERMIT W/O EN-HC 2000.00 VAL 82.20 I I I I TOTAL FEES 111.50 1 I ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE IREXWAY ROOFING, INC. (626) 333-5615- 1 1 I 1507 N AZUSA AVE STE C LIC. NO I VOCATION AND SETBACKS I 1 ILA PUENTE CA 91744 655986 * 1 I . I I I ISOILS ENGINEER APPROVAL I I I (ARCHITECT OR ENGINEER: TEL. NO: - I (FOUNDATION/TRENCH FORMS I I I LIC. NO: 1 v (SLAB/UNDER FLOOR I I I I IRAISED FLOOR FRAMING 1 I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 (UNDERFLOOR INSULATION 1 I I 3 OOI 1FLOOR SHEATHING I I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I nI I NO 21 I IROOF SHEATHING I I 1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS 1 LAIR QUALITY: 1000 FEET MATERIALSI I NO NO NO 1 IFRAME INSPECTION 1 I I 1 IFIRE SPRINKLER HANGERS 1 I I I (INSULATION/WEATHER STRIPI I 1 I 11NTERIOR LATH/DRYWALL I I I I I I I 1EXTERIOR LATH I I I I I (RATED FLOOR/CEIL ASSEM. 1 I 1 i (RATED WALL ASSEMBLIES I I 1 (RATED SHAFTS/OPENINGS 1 I I IT-BAR CEILINGS 1* ADDITIONAL DATA ON FILE. 1 LOT DRAINAGE [REPORT ID: DPR261 ROUTE TO: BS0508 I I I I