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HomeMy Public PortalAbout9434 WOODRUFF AVE_Building__ 1 IBA688A CE#808 8-69 APPLICATION. FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY. JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN,SUPT OF BUILDING CROSS ST. DIS-MICT NV. GRyB TYPE P OCES Y FOR APPLICANT TO FILL IN .� OV CONST. BUILDING �/� STATISTICAL CrSIFICATION. SEWER MAP ADDRESS 19 GLASS.NO. \O/ DWELL.UNITS K /p LOT NO WATER NOT REQUIRED RECEIVED El Ea.TRACTMAP HIGHWAY NO.OF , O (CIRCLE) STATE MAJOR SECOND BLDGS. N OCAL SIZE OF LOT D NOW ON LOT L USE ZONE SPECIAL USE OF _ CONDITIONS EXISTING BLDG. (J� Od r� G TEL. OWNER NO. BUILDING EXIST. SETBACK WARD HWY STREET NAME WIDTH ADDRESS 06 "G FRONT /„i ARCHITECT OR TEL P. L. (/(/ ENGINEER NO. SIDE P. 3v� ADDRESS t per, TEL. a CONTRACTOR N �� )}P ° /' •,f•• �:" (7 rC�O I.fi:r `..`sF# 1•�•`.ti.'C,p. '-•;: ,�:f�—�d•• �.�]i gm ADDRESS ZTZ < `.r .p .. • )j �7/ 7 DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH " " s+ N SQ.FT. NO.OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT VALUATION $ H s pV APPROVALS DATE _ INSPECTOR'S SIGNATURE P.C. PMT. f FOUNDATION: LOCATION FE FEE $ / FORMS, MATERIALS FRAME: FIRE STOPS, L/ `►"� �"""� 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS _ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. l ,t WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS �`�p /J�F'' t+`�P•`•J ,+� 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 f \ ING TO WORKMEN'S COMPENSAT INSU NCE. -LATH.EXT. SIGNATURE OF HOUSE NUMBER COR- l,1! PERMITTEE , ,�( �/� -� RECT AND POSTED // t ADDRESS FINAL a La�j• ' JOHN F. LEWIS. PRINCIPAL ST TNRAL ENGI ER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH L.i636 3 2 .3%-Z' DEC 1 1 D 15.00- I � WORKERS'COMPENSATION'DECLARATION 860280 LA hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT J1 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. I V85-2251'.5�pany Flr _mons I ndemn n ty 77BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS 3 ©Q ® Certified copy is filed with the county building inspec- [SIZE ILDING tion department. DDRESS 9434 Woodruff A Iry Date 5-20®86 Applicant Virgin Roof Co. TY T ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST , COMPENSATION INSURANCE OF LOT NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one ASSESSORhundred dollars($100)or less.) ACT BLOCK LOT NO. MAP BOOKPAGE PARCEL TEL. USE'ZONE MAP I certify that in the performance of the work for which this WNER 14r, t NO. NO. permit is issued,I shall not employ any person in any manner ADDRESS �F if Woodruff �� CONDITIONS SPECIAL IIL so as to become'Subject to the Workers'Compensation Laws. �. CITY Temple C B t ZIP 8 Date Applicant NOTICE TO APPLICANT: If, 'after making this Certificate of ARCHITECT OR TEL. DISTRICT G UP TYPE FIRE PRO SSED BY 4� ENGINEER NO. a CONST. ZONE Exemption;'you should become subject to the Workers' `a �V/ � Compensation provisions of the Labor Code,,you must forth- ADDRESS t .J t� with comply with such provisions or this permit shall beTEL. PT STATISTICAL CLASSIFI TION A . JrNDO. deemed revoked. CONTRACTOR V g r RoofCo. NO $ " LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. � DWELL. UNITS I hereby affirm,that I am licensed under provisions of Chapter 9 ADDRESS P 0 BOX J NO. 16065 0 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and I LIC. Professions Code,and my license is in full force and effect. CITY San GabrielCLASS C 11 BK VALIDATION SQ.FT. 1NO.-0 NO.OF CHECK License Number 960650 . - Lic.Class, C39 MI SIZE STORIES FALIES ONE VALUATION Cdntrdctor V 0 t•g I n Roof Co pate 5®20m8Ef DESCRIPTION OF WORK NEW ❑ $ 5 s000a00 .' (roof=a D FTX class00C°1 Med ADD ❑ , ❑I am exempt under Sec. - ALTER ❑ • B.&P.C. for this reason shakes House Nara a 21s REPAIR ❑ $ Date: USE OF ❑ DL EXISTING BLDG. EMO Signature APPLICANT TEL. 'FINAL OWNER-BUILDER DECLARATION PRINT NO !DATE �oJ I herebyaffirm that I am exempt from the Contractor's License; 4 Law for the following reason (Section.7031.5, Business and' ADDRESS P 0 BOX J. San Gabriel 8 ;FI Professions Code): P ENT 4 7 0;O A ❑ BUILDING 1, as owner of the property, or my employees with ADDRESS # 0 0 0 0 0 wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section, LOCALITY l 0 a 7 Ei 0 0 7044, Business and Professions Code). MOVING TEL. ❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. o o o '7 8,0 0 5 with licensed contractor;to construct the project (Sec, ADDRESS , 0 S23-86 tion 7044, Business and Professions Code). 1 CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTAPSETBACK OP.L NEFRO 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. (Sec. 3097, Civ. C.). SIDE a P.L. d Lener's Name v I � LDMA Ref.# Lender's Address P.C.Fee$ Permit Fee ' # I certify that I have read this application and state that the Issuance Fee #DMA P/C# above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee $78000 L•DMA Perm.'# J and hereby authorize representatives of this County to enter g upon the above-mentioned ddfprrooperty for inspection purposes. �� Y SSG! I SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent to 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 1005240002 PHONE: (626) 285-0488 EXT: [LEGAL ID: [ NO. OF CONST I BUILDING ADDRESS: I ITR: 6561 LT: 341 UN: .002 [ SQ. FT STORIES TYPE [ 9434 WOODRUFF AV [ [ 1STRUCTURE: 1800 V-B [ TEMP CA 917802036 I [ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: OAK [ 18587-007-001 [ 1 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl I I (TENANT: It EXIST BLDG USE: RESID USE ZONE: R-2 [ISSUED ON: PROCESSED BY: 1 I1EXIST OCC GRP: 105/24/10 SR [OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IF AL DATE FINAL BY: CODE: [ ITSENG, DAVID (310) 415-8276- [ 5,000 19434 WOODRUFF AV [ -- ITEMP 917802036 [ FEES PAID I NSCRIPTION OF WORK [ ITEAR OFF INSTALS, 1/2 PLYWOOD CDX CLASS A COMPOSITION SHINGLEI IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[ I (APPLICANT: TEL. NO: I I [ IGUY (626) 679-1284- IAA BLDG PERMIT ISSUANCE 27.75 I I 16252 TEMPLE CITY BL. IIAB STATE GREEN BLDG FEE 5000.00 VAL 1.00 ISPECIAL CONDITIONS: I 1TEMPLE CITY CA 91780 �[AC STRONG MOTION RESID 5000.00 VAL 0.50 I 1 I ID2 PERMIT W/O EN-HC 5000.00 VAL 132.60 I TOTAL FEES 161.85 I 1CONTRACTOR: TEL. NO: I APPROVALS DATE INSPECTOR SIGNATURE I B AND G ROOFING (626) 679-1284- [ I 16252 TEMPLE CITY BLVD. LIC. NO [ ILOCATION AND SETBACKS I I ITEMPLE CITY, CA 91780 903492 C39 I 1 [ I 1 ISOILS ENGINEER APPROVAL 1 [ [ARCHITECT OR ENGINEER: TEL. NO: [ IFOUNDATION/TRENCH FORMS I I I LIC. NO: I ISLAB/UNDER FLOOR I I [ I i iRAISED FLOOR FRAMING 1 1 IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP;[ [UNDERFLOOR INSULATION I I 115OH265 3 001 1 [ 1 [ I I IFLOOR SHEATHING I I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I [ I 1 NO 21 1 1ROOF SHEATHING SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS LAIR QUALITY- 1000 FEET MATERIALS I I [ [ [ 1 NO NO NO I IFRAME INSPECTION I [ I [ I IFIRE SPRINKLER HANGERS [ [ I IINSULATION/WEATHER STRIPI I [ 11 IINTERIOR LATH/DRYWALL I I I I I I 1 I I [ I (EXTERIOR LATH I I I I I [RATED FLOOR/CEIL ASSEM. [ I I I[ IRATED WALL ASSEMBLIES I [ [RATED SHAFTS/OPENINGS I I [ 1 I I [ [ 1[ IT-BA CCEILINGS 1 [ [ 1 I ILOT DRAINAGE I I I I [REPORT ID: DPR261 ROUTE TO: BS0508 1 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 1109150059 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST BUILDING ADDRESS: I ITR: 6561 IT: 341 UN: .002 I SQ. FT STORIES TYPE 9434 WOODRUFF AV I ]STRUCTURE: 1800 V-B TEMP CA 917802036 I (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: OAK I 18587-007-001 I I THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl 1TENANT: IEXIST BLDG USE: RESID USE ZONE: R-2 (ISSUED ON: PROCESSED BY: 1 IEXIST OCC GRP: 109/20/11 SR I OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: 1FINAL DATE FINAL Y CODE: 1 ITSENG, DAVE (310) 415-8276- 1 10,000 1 /v—a 1 19434 WOODRUFF AV 1 ITEMP 917802036 1 FEES PAID 1DE dRILSTfON Olk WORK 1 I I IKIN HEN REMODEL AND SEAL OFF NE WINDOW AND ENLARGE (E) 1 I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: WINDOW 1 (APPLICANT: TEL. NO: I I IHOME CO INC. (626) 943-0568- ID7 ADDNL PLANCHECK FEE 1.00 HOU 109.40 1616 S. MARENGO AVE. IAA BLDG PERMIT ISSUANCE 27.80 ISPECTAL CONDITIONS: IALHAMBRA CA IAB STATE GREEN BLDG FEE 10000.00 VAL 1.00 I I 1 AC STRONG MOTION RESID 10000.00 VAL 1.00 1 I _IB2 PERMIT W/ENERGY 10000.00 VAL 238.90 ICONTRACTOR: TEL. NO: I TOTAL FEES 378.10 (APPROVALS DATE INSPECTOR SIGNATURE 1 IHOME CO INC. (626) 943-0568- i 1 1 1616 S. MARENGO AVENUE LIC. NO I ILOCATION AND SETBACKS I I I 1ALHAMBRA, CA 91803 909544 E I 1 1 1 I I I ISOILS ENGINEER APPROVAL I I I (ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I I LIC. NO:' I ISLAB/UNDER FLOOR I 1 1 IRAISED FLOOR FRAMING I 1 I [MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CM,P:I (UNDERFLOOR INSULATION I I I 115OH265 3 001 I 1-1 I I I IFLOOR SHEATHING I I [ [NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1- 1-1 I 1 0 NO 21 1 1R002 SHEATHING I I I I SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I 1AIR QUALITY: 1000 FEET MATERIALSI I I 1 1 I NO NO NO I IFRAME INSPECTION I I I I I FIRE SPRINKLER HANGERS [ I I 1 I 1' I 1 I I I IINSULATION/WEATHER STRIPI I I I I IINTERIOR LATH/DRYWALL 11 1 I 1EXTERIOR LATH I i I I IRATED FLOOR/CEIL ASSEM. 1 I I I 1 I IRATED WALL ASSEMBLIES I I I I IRATED SHAFTS/OPENINGS I I I I I IT-BAR CEILINGS I I I I I (LOT DRAINAGE I I I I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I I_ I I I I