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Home My Public Portal About9449 WOODRUFF AVE_Building__ DEPARTMENT,OF BUILDING AND SAFETY ;. APPLICATION FOR PERMIT COUNTY OF'LOS ANGELES' - WM: J. FOX, CHEF • IL."ING 'ENGINEER .:- - - •-- - FOR APPLICANT TO FILL IN FOR OFFICE USE•ONLY BUILDING DISTRICT NO.'. PLAN CK. NO. /�PERLMIIT NO. ADDRESS .� /✓�W / L �`V S fie"�! LOCALITY a v RECEIVED BY ;' DATE OF APPL. DATE ISSUED • ry NEAREST CROSS ST.• '-.��C) ] BUILDING y` ADDRESS �; ✓ ,'(/y O B Q:AP G FF OWNER /QTY /fes F MAIL 1 ► LOCALITY/,�/77 ADDRESS rte` NEAREST /ate/_ �1 TEL. _ CROSS ST ( : V / 7r // CITY- ICJV Lf. af NO.6�7� [O FIRE' NO. OF TYPE GROUP ,• ARCHITECT OR TEL.' ZONE I.PLANS ENGINEER NO. BLDG. . ORD. NO. SETBACK LINE - ADDRESS APPROVED TEL. BY �� DATE CONTRACTOR, s —�•F NO. USE APPROVED. ZONE BY' DATE ADDRESS HOUSE.NUMBERING ' ' LEGAL �/ DESCRIPTION I LOTNO.jrY' 6/0jv BLOCK MAP NUMBER '-F•lELD CHECK HY TRACT' ! 5f it.. Y NO. ASSIGNED B ` �o•AT NO..OF BLDGS. CORRECTIONS.. : . SIZE OFLOT J a I NOW ON LOT USE OFNO. OF EXISTING BLDG. �L6tor-A/C& #e4rj; I FAMILIES f DESCRIPTION OF WORK ArV NEW I I ALTERATION I I ADDITION I .', Al . '/ /I fa REPAIR I ] DEMOLITION I I I al Q. FT. n NO. OF :r.T, SIZE !fit S. ROOMS STORIES • /� F_:.•f.-•+�-.Tl i•1'::_. ♦ - Z a EXT. WALL ROOF 1 W6119 f 1� COVERING 57-1,60-0 I'COVER[NG �,/�l�j� �'2: 5`y 3 /_ '/JU d n/ 2� " USE OF STRUCTURE i ,� _. N=iL/ `T -�✓/�fCfr ('/!/M /tn/C#f 2E ;... ' -• ��tf.- 1=�c�J2Jtrl�-t!= �r=•�'Nr"-fJi'Sflr-G�. APPROVALS,• INSPECTOR'S SIGNATURE': DATE 1 HEREBY ACKNOWLEDGE THAT I. HAVE READ THIS AP- FOUNDATION: LOCATION / PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS , lel- [� CORRECT. 1 AGREE TO COMPLY WITH THE 'CORRECTIONS LISTED: FRAME: FIRE STOPS;., 'HEREON AND WITH ALL COUNTY'ORDINANCES AND STATE BRACING, BOLTS �`7 �• LAWS REGULATING B "-WING CONSTRUC• ON. FURNACE: LOCATION,; - GAS VENT, DUCTS SIGNATURE OF.v � � T •PERMITTE sX - , . LATH, INT.- - ADDRESS LATH, EXT. AUTHORIZED AGT.. PLASTER, INT. 76A888A-DBSB 10-80 $• FFHE ® •��"" �` PLASTER,•EXT. VALUATION .V f!G /FINAL 1�'�',f'�.t � _�. ;3 f/ APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILD( A DRE S?ol I wereby affirm that I have a certificate of consent to self insure, BUILDING//ADDRESS or a certificate of Workers'Compensation Insurance,or a certified ,ppy thereof(Sec.3800,Lab.C.) _ f✓�>q ' CITY G`� �� T ZIP /��O LOCALITY /� 1 Policy NO. Company- SIZE OF LOT G ' NO.OF BLDGS.NOW ON LOT !/ ❑ Certified copy is hereby furnished. 3 NEAREST CROSS ST �/ Certified copy is filed wit *FRORKERS,on TRACT BLOCK LOT NO. depart e.�n�t., USE ZONE MAP NO. Date�Applican ASSESSOR MAP BOOKS7leS PAGEDO� PARCEL 019 SPECIAL CONDITIONS OWNER TEL NO. CERTIFICATE OF EXEM TIO �JJ YES NO COMPENSATION IN -W /� J WITHIN 1000 FT OF SCHOOL? (This section need not be completed if the permit is for one hundred ADDRESS dollars($100)or less.) �� Lc/b0?3 6 DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY I certify that in the performance of the work for which this permit CITY LLL ZIP �� is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. A CHITECT OR ENGINEER TEL NO. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. —2-1 DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith Yl FRONT comply with such provisions or this permit shall be deemed revoked. ADDRE LIC.NO. p L LICENSED CONTRACTORS DECLARATION SIDE CITY r LIC.CLASS P L I hereby affirm that I am licensed underprovisions of Chapter 9v SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORIES NO.OF FAMILIES } Professions Code,and my licens is in full force a ffect. NEW ❑ BK PG CL License Number 41 Lic.Class DESCRIPTION OF WOR r ADD )K VALUATION ® Q Contract f A, ANDateALTER ❑ $ El am exempt Sec. g �a REPAIR ❑ $ Q B.BP.C.for this reason /�G�p DEMOL ❑ V Date: USE OF�ING BLDG. URM 11,,BLDG. P/C# Cl) Signature APP N (PRIN TEL NO. LDMA Perm# 1-2 ❑ I, as owner of the property, or my employees with wages as Z their sole compensation, will do the work and the structure is DDRESS h ,:;k �,IT not intended or offered for sale (Section 7044, Business and FINAL D Q _ Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL r �� property, am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE J ❑ I, as owner of the -� +-- AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUMS? ANAL BY _F j 3 licensed contractors to construct the project (Section 7044, YES❑ NOX Business and Professions Code.) L WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING 1 OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH T•';' L CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR �,t,, s C GUIDELINES I hereby affirm that there is a construction lending agency for ;K YES El NO ..�L a•T:+ a the performance of the work for which this permit is issued(Sec. ___ W 3097,CIV.C.) (HAVER RDOUS MATER INFORMATIONGUIDETHE AND THE LES CO NTY ITTING CODE, r. ITEM"Imo" w CH ST I UNDE STAND RE IREM,ENTS UNDER THE LOS ANGELES COUNTY CODE, v 1.t, E 2.CHAPTER 2 SE ONS 20.100 THROUGH 2 20.140 CONCERNING HAZARDOUS Lender's Name TERIALS R FOR INING A PERMIT FROM THE SCAOMD -t / i ck Lender's Address R OR NT /,:, ? { �•rlEti•i: :' o I certify that I have read this application and state under penalty _ O of perjury that the above information is correct.I agree to comply P.C.FEE - PERMIT FEE N with all county ordinancs and State laws relating to building m► con nd hegy :u orize representatives of this Count ISSUANCE FEE� t enter up bme%' ned property for inspection p pos m INVESTIGATION FEE TOTAL FEE c� -? �� n sna�um wcn n o.n 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 1107110076 PHONE: (626) 285-0488 EXT: [LEGAL ID: I NO. OF CONST I BUILDING ADDRESS: I ITR: 6561 LT: 329 BL: .001 I SQ. FT STORIES TYPE [ 9459 WOODRUFF AV [ ISTRUCTURE: V-B [ TEMP CA 917802038 [ [ASSESSOR INFORMATION NUMBER: I [ NEAREST CROSS STREET: OAK [ 15385-006-017 [ THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl I (TENANT: [EXIST BLDG USE: RESID USE ZONE: R-1 [ISSUE-) ON: PROCESSED BY: (EXIST OCC GRP: [07/11/11 SR [OWNER: TEL. NO: I9LDGS. NOW ON LOT: VALUATION: [ Q.4DA E IN BY: CODE: [ [LEE GORDON, TSE ALLISON (626) 283-8530- I 2,500 [ E 19459WOODRUFF AV [ [ [ [TEMP 917802038 I FEES PAID ID SCR'_PTION OF WORK [ [ I I REPLA':E 13 WINDOWS [ [ [FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[ [ [APPLICANT: TEL. NO: I I [ [SAME AS OWNER - JhA BLDG PERMIT ISSUANCE 27.80 I [ I I.4B STATE GREEN BLDG FEE 2500.00 VAL 1.00 ISPECIAL CONDITIONS: [ I IAC STRONG MOTION RESID 2500.00 VAL 0.50 I I I ID2 PERMIT W/O EN-HC 2500.00 VAL 99.10 I I I I TOTAL FEES 128.40 [ I ICONTRACTOR: TEL. NO: I [APPRO'ALS DATE INSPECTOR SIGNATURE I [SAME AS OWNER - I I I LIC. NO I ILOCAT:.ON AND SETBACKS I I I I I I-- I I I I I ISOILS ENGINEER APPROVAL [ [ [ (ARCHITECT OR ENGINEER: TEL. NO: I [FOUND,--ION/TRENCH FORMS I I [ [ LIC. NO: I ISLAB/17NDER FLOOR I I I I I' I -1-1 I [ I IRAISED FLOOR FRAMING [ I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:[ IUNDERILOOR INSULATION I I I 1150H265 3I 00 I1-1 I I [ I IFLOOR SHEATHING INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I [ [ I [ 0 NO 21 I I ROOF :'HEATHING I I I I I I 1-1 I [ SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I [AIR QUALITY: 1000 FEET MATERIALS [ [ I I I I NO NO NO [ IFRAME INSPECTION I I [ [ [ IFIRE SPRINKLER HANGERS [ I [ I I' I I I I [ [ IINSULATION/WEATHER STRIP[ I I I I I -- 1-1. I [ [, IINTERIOR LATH/DRYWALL I I I [ [ IEXTER3'0R LATH I I [ I I I -- 1-1 I [ [ (RATED FLOOR/CEIL ASSEM. I I [ [ [ IRATED WALL ASSEMBLIES [ I [ [ [ IRATED SHAFTS/OPENINGS [ I [, IT-BAR CEILINGS I I I I I I [ [ ILOT DR4 AGE I I [ REPORT ID: DPR261 ROUTE TO: BS0508 I I I