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HomeMy Public PortalAbout9420-9422-9424 WOODRUFF AVE_Building__ G • 6ASSSA 1603-7-66 APPLICATION F®R .P U I L D I IV G PERMIT _ BUILDING AM SAFETY DMSION BUILDING !/ / � � Department of County Engineer ADDRESS ,T K.!/` -"— County of Los Angeles LOCALITY vaj- JOHN A.LAMBIE. COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN.SUPT OF'BUILDING CROSS ST TWICT GP I',YPE I SEWER MAP FOR APPLICANT TO FILL IN BK PG CONST. BUILDING C, • STATISTICAL CLASSIFICATION ADDRESS. ���� ��! �'� LOCK CLASS. N�DWELL. UNIT4 I LOT MAP. - STATE ag L ?o y- NUMBER 0 0 Hyyy YES NO TRACT L 4/ / USE ZONE SPECIAL NO.OF BLDGB. w/ /// CONDITIONS . SIZE OF LOT (g /S-6� I NOW ON /' USE;OF �- w . EXISTING BLD BUILDING YARD HWY STREET NAME EXIST. a SETBACK WIDTH OWNER iraI FRONT' MAIL ,off ADDRESS In - SIDE � n�J L P. L. CITY r,Gvryll" ��/-�1 NO.! f �' INSPECTION RECORD ARCHITECT OR TEL. ENGINEER NO. ADDRESS TEL. - � CONTRACTOR NO. IF ADDRESS DESCRIPTION OF WORK . x , NEW Jo'�`ADD ALTER REPAIR DEMOLISH SQ. FT. NO.OF NO.OF SIZE STORIES FAMILIES USE-OF STRUCTURE �o X - APPROVALS SIGNATURE OF . 11 APPLICANT- DATE INSPECTOR'S SIGNATURE FOUN ADDRESS -1 '7 3 g �• R/ DATION:LOCATION f t FORMS, MATERIALS J a -�' P. FRAME: FIRE STOPS. $ 1,140 FEE. $ BRACING.BOLTS (L�XI'VV O FURNACE: LOCATION. VALUATION FEE $ GAS VENT. DUCTS I HEREBY ACKNOWLEDGE'THAT 1 HAVE READ THIS AP- LATH INT. PLICATION AND.STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH. EXT. STATE LAWS REGWATING_JgUILDING CONSTRUCTION. SIGNATUREOF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS / FINAL OHN A.LAMBIE. COUNTY ENGINEER. 'CLYDE N.DIRLAM,PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH LAC•o 5 6 6 4D; FEB 28 1 ' 2.0 0 In 0. WORKERS'COMPENSATION DECLARATIONCt, hereby?rof firm thbt I have a certificate of consent to self APPLICATION FOR U LD I N G PERMIT insure,or a certificate of Workers'Compenstion Insurance,or o certified copy thereof(Sec. 3800, Lob. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS . . a Certified copy is filed with the county building inspec- BUILDING G i tion department. w ADDRESS 3 ; WORKERS'COMPENSATION DECLARATION hereby a cert tatr I have a certificate of consent to self I AP P L I CAT I O N-f O B U I L D I N G PERMIT insure,or a certificate of Workers'Compenstion Insurance,or a certified copy thereof(Sec. 3800, Lab. C.) I COUNTY OF LOS ANGALES BUILDING AND SAFETY Policy No. Company BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS Q _ Certified copy is filed,with the county building inspec- BUILDING /J tion department. ADDRESS LOCALITY aNEAREST Date ".[ � Applicant CITY V ZIP 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 USE ZONE MAP ©® `-• hundred dollars ($100)or less.) TRACT CK LOT NO. /f NO. >, 1 TEL. SPECIAL I certify that in the performance of the work for which this OWNS r� / CON ITIONS O permit is issued, I shall not employ any person in any manner DISTRICT/ G E APCE D BY U so as to become subject to the Workers'Com ensati aws. ADDRESS rS . 09 Date to-a/ Applicant : CITY ZIP STATISTICAL CLASSIFI TI APT. CONDO. NOTICE TO APPLICANT: If, after making this Certific a of ARCHITECT OR TEL. ya Exemption, you should become subject to the WorkersENGINEER NO. CLASS NO. DWELL. UNITS Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this permit-gholl be deemed revoked. CONTRACTO T O BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION -. LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRES ..6 NO. ` •r. 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. FT. NO.OF NO.OF CHECK License Number Lic.Class I SIZE STORIES FAMILIES ONE Contractor Date DESCRIPTION OF WORK NEW E $ ❑ + t I am exempt from the licensing requirements as I am a ADD E] licensed architect or a registered professional engineer I ALTER FINAL acting in my professional capacity (Section 7051, REPAIRDATE Business and Professions Code). ` USE 11-D EXI G BLDG. �/ DEMOL FINAL. Lic.or Reg.No. _Date APPLICANT. TEL. By OWNER-BUILDER DECLARATION (PRINT) /'/ j E NO2 .,/�� I hereby affirm that I am exempt from the Contractor's License I Law for the following reason (Section 7031.5, Business and ADDRESSA //' Professions Code): FRESEN El BUILDING I, as owner of the property, or my employees with ADDRESS �'� ��� 00 b 5.2 A •wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY. # 0 0 0 0 0 1 7044, Business and Professions Code). MOVING TEL. I, as owner of the property, am exclusively contracting ❑ CONTRACTOR O' NO.0 2 0 - 2200 � with licensed contractors to construct the project (Sec- I ' tion 7044, Business and Professions Code). ADDRESS 1 0 o v 2 2 U F HWY REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT 0 623-81 the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). - SIDE P.L. Lender's Name Lender's Address P.C. Fee$ Permit Fee �- _ i I certify that I have read this application and state that the I Issuance Fee above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, and hereby authorize re sentatives of ihjs County to enter Total Fee S upon the abov -me d property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 0 Signature of ppliec t or Agent Date ®s IN 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 0602080033 PHONE. (626) 285-0488 ERT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 6561 IT: 341 BL: .001 SQ. FT STORIES TYPE 9420 WOODRUFF AV STRUCTURE: 16 VN TEMP CA 917802036 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: OAK 8587-007-003 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: REBID USE ZONE: R-2 ISSUED ON: PROCESSED BY: EXPIRES ON: MR. MRS. ALEMEDIA EXIST OCC GRP: 02/08/06 JK 02/03/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: KNIPSCBEER DAVID L (626) 599-8118- 3 4,000 5529 EL MONTE AVE -:317C TEMPLE CITY CA 91780 FEES PAID DESCRIPTION OF WORK RE-ROOF HOUSE (TEAR OFF WOOD SHAKE) REPLACE WITH ASPHALT FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SHINGLES APPLICANT: TEL. NO: I SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 1 AC STRONG MOTION RESID 4000.00 VAL 0.50 SPEC;:AL CONDITIONS: D2 PERMIT W/O EN-8C 4000.00 VAL 115.80 TOTAL FEES 144.05 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME A8 OWNER LIC. NO LOCATION AND SETBACKS 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 1508265 3 01 i 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 EXTERIOR LATE RATED FLOOR CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS OPENINGS T-BI:.R CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508