HomeMy Public PortalAbout9659 WOODRUFF AVE_Building__ DIVISION OF BUTt.DING AND SAFETY
Department of County Engineer BUILDING
County of Los Angeles
WM. J: FOX, COUNTY ENGINEER /APPLICATION
FOR APPLICANT,TO FILL IN s ADDRESS
BUILDING `� ,
LOCALITY
ADDRESS I w
� NEAREST '
LOCALITY C CROSSST.
NEAREST -
DISTRICT O. P N K.OR REO.No. PERMIT NO
`
CROSS ST.
OWNERf t - /���� �`_^R�(yE//V'C!1EEIIVED� Y DATE OF AP/PL. DATE ISSUEDMAIL6C Ivi •-
. 7� c9- V /�//i '_" —
USE ZONE NO. OF •TY GR,QUP FIRE ZONE
TEL.
+J I PLANS
CITY NO.
ARCHITECT OR TEL. �� ZONING DATED
ENGINEER NO. _ APPROVED BY-
ADDRESS BUILDING / OI}Diy i/ L
SETBACK LINE- /7`��
TEL. APPROVED DATE T
CONTRACTOR NO. BY:
HOUSE NUMBERING
ADDRESS
LEGAL //' MAP NUMBER ;�6 Q NO. ASSIGNED BY
DESCRIPTION LOT NOE+Q
'INSPECTOR
DATE I. CORRECTIONSNO. OF
I'
TRACT ��(� r -
BLDG
SIZE OF LOT 16 L� `"ryP �i_:/G� I NOW ON LOT BUSE
OING BLDG. ✓ �%✓�/Z-r I OF
FAMILIES
EXISTING 0
DESCRIPTION OF WORE �. AA� _0
NEW ALTERATION ADDITION I J d�Ytii�/� LlJ�, Z
REPAIR DEMOLI�T[`IONQ.
S 140. OF
ZEA= / ROOMS '*.? STORI
EXT. WALL jV ROOF II''/',1
COVERING I COVERING /'f�)Q,(� %`Q�17"f /, 1-_,"d V�J0,
USE OF STRUCTURE
00 7
APPROVALS
INSPECTOR'S.SIGNATURE DATE
FOUNDATION: LOCATION ��r J �L
FORMS, MATERIALS /� %k - 1 F-/'
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS,
CORRECT. v
PLICATION AND STATE THAT THE INFORMATION GIVEN 18 ,' BRACING, BOLTS
1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION,
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. ' GAB VENT, DUCTS
SIGNATURE OF C l ` LATH, INT.
PERMITTE '
ADDRES LATH, EXT.
�
AUTHORIZED AGT. --LASTER, _INT.
_ PLASTER, EXT.
f} D D FEE � HOUSE NUMBER COR-
RECT AND POSTED
O
VALUATION FEE'. FINAL k�If KY1Frt �'�'s��jl
76A688A D253 2-88 ,5. ._.. . -... . .�..u..nn •-�•-+- •+w� /
I
WORKERS'COMPENSATION DECLARATION
hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING P E RM I T
insure, or a certificate of Workers' Compensation Insurance,
or a cert' i c p there f(Sec. 3800, Lab. C.
poli �� �Company`-��� �� COUNTY OF LOS ANGELES � BUILDING AND SAFETY
'❑ Certified co is hereb furnish d. FOR APPLICANT TO FILL IN BUILDING
PY Y ADDRESS
❑ C tified copy is filed with t ount bNild' inspec- BUILDING
ti n d r ent. 1-� ADDRESS J J�
t'Dd Applic CITY 16 / ZIP �/ � U LOCALITY
NO. OF BLDGS. NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST.
COMPENSATION INSURANCE ASSESSOR
(This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL
hundred dollars ($100)or less.) ` Q TEL. //
OWNE `Y USE ZONE MAP
I certify that in the performance of the work for which this NO.
permit is issued, I shall not employ any person in any manner ADDRESS SPECIAL CL
CONDITIONS
so as to become subject to the Workers'Compensation Laws. O
CITY / % ZIP 41 0
Date Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE P OCESSED BY
NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CONST. Z E
Exemption, you should become subject to the Workers' y /his
Compensation provisions of the Labor Code, you must forth- ADDRESSv0 �lLG� �i.�i a
with comply with such provisions or this permit shall be / TEL• /� STATISTICAL CLASSIFICATION APT. CONDO. N
deemed revoked. CONTRACTOR )/ NO. `7 _Z
LICENSED CONTRACTORS DECLARATION •-� LIC. '`�j CLASS NO. � DWELL. UNITS
-
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRES �i/� d�e NC;. `y4 /
(commencing with Section 7000)of Division 3 of the Business LIC. /:r��
SEWER MAP
and Professions Code,and m I'cense is in full force and effect. CITY �C E.-+ CLAS C BK PGVALIDATION
�,/ /� SQ. FT. NO. OF NO. OF CHECK
License Number •�• Lic. Class 3� SIZE STORIES FAMILIES ONE
�
' /9 VALUATION d�
Contractor I r!/ N Date DESCRIPTION OF WORK A17-5 JJJA 1A NEW ❑
to MUM ADD ❑ ,
❑I am exempt and Sec.
,5 ALTER ❑
BAP. or this son r� C� REPAIR ❑ $
t USE OF
EXISTING BLDG. DEMOL ❑
-Si nat APPLICANT TEL.
g OWNER-BUILDER DECLARATION (PRINT) NO. FINAL
I hereby affirm that I am exempt from the Contractor's License DATE
Law for the following reason (Section 7031.5, Business and ADDRESS FINAL
Professions Code): PRESENT By =
BUILDING
I, as owner of the property, or.my employees with ADDRESSl L I e s
wages as their sole compensation,will do the work and , ;;�j� I) �T
the structure is not intended or offered for sale(Section LOCALITY 3"P; 70.3".
7044, Business and Professions Code.) MOVING TEL.
❑ I, as owner of the property,am exclusively.contracting CONTRACTOR NO. 1 ;',�[j';
with licensed contractors to construct the project (Sec- ADDRESS TOTAL 70® 38
tion 7044, Business and Professions Code.) 111110
CONSTRUCTION LENDING AGENCY REQUIRED
BACK YARD HWY TOTAL PROP LINE FROM WIDTA -''HECK '0 e 1'=
I hereby affirm that there is a construction lending agency for FRONT
s_ r
the performance of the work for which this permit is issued P.L. �•�l t GE "ll"
(Sec. 3097, Civ. C..). SIDE
P.L.
Lender's Name ljl�i3O-13;001 i/iia/5i 1
p LDMA Ref. #
P.C. Fee$ Permit Fee U s r •tie •',
Lender's Addres 85*7 I 1 AN +�e�
0
1 certify that have read this application and state that the Issuance Fee '��� LDMA P/C#
above inf ation is correct agree to comply with'all County' Investigation Fee
ordina s and Stat ge
lacing to i g constr ction, Total Fee / LDMA Perm. #
(!uoon
Woov
orlntatives this ounty enter
mento ty i sp cti ose ^1 SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant or Agent (I Date `y
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BIIILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
PUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1208300011
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BIIILDING ADDRESS:
ITR: 6561 LT: 151 SQ. FT STORIES TYPE 9659 WOODRUFF AV
I ISTRUCTURE: 1060 V-B I TEMP CA 917802017
(ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: KAUFFMAN
5385-018-014 I i THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: RESID USE ZONE: R-2 JISSUED ON: PROCESSED BY:
(EXIST OCC GRP: 108/30/12 SR
]OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IF ATE FINAL CODE:
IWONG, JOE (626) 716-0138- 1 2 1,880 1
19659 WOODRUFF AV II
TEMP 917802017 FEES PAID ID�IPTION OF WORK
REPLACEMENT OF 14 WINDOWS
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:(
(APPLICANT: TEL. NO: I I I
ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 I I
I IAB STATE GREEN BLDG FEE 1880.00 VAL 1.00 ISPECIAL CONDITIONS:
I IAC STRONG MOTION RESID 1880.00 VAL 0.50
I IBI PLANCHECK W/ENERGY 1880.00 VAL 90.30 I I
JB2 PERMIT W/ENERGY 1880.00 VAL 90.40 I I
CONTRACTOR: TEL. NO: I TOTAL FEES 210.00 (APPROVALS DATE INSPECTOR SIGNATURE I
ISAME AS OWNER - I I I
LIC. NO I ILOCATION AND SETBACKS
� I I
I (SOILS ENGINEER APPROVAL I I I
ARCHITECT OR ENGINEER: TEL. NO: - i IFOUhIDATION/TRENCH FORMS I I I
LIC. NO: I (SLAB/UNDER FLOOR I I I
RAISED FLOOR FRAMING
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I I I
115OH269 3 001 I I I
I I IFLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I
0 NO 21 i (ROOF SHEATHING I I I
SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO I (FRAME INSPECTION I I I
I
(FIRE SPRINKLER HANGERS
I
(INSULATION/WEATHER STRIP( I I
I (INTERIOR LATH/DRYWALL I I
I
I I (EXTERIOR LATH I I
I I I
I (RATED FLOOR/CEIL ASSEM. I II I
1 (RATED WALL ASSEMBLIES I I
IIRATED SHAFTS/OPENINGS 1
I I
IT-BAR CEILINGS 1
ILOT DRAINAGE
I I I
IREPORT ID: DPR261 ROUTE TO: BS0508 I I I 1
I I I I I
r . 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 0107260051
PHONE: (626) 285-0488 EXT:
LEGAL ID: 0. OF CONSTBUILDING ADDRESS:
TR: 6561 LT: 151 SQ. FT STORIES TYPE 9659 WOODRUFF AV
STRUCTURE: 1200 VN TEMP CA 917802017
ASSESSOR 0 0 BER: NEAREST CROSS STREET:
5385-018-014 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY
1
EXISTDG USE: R W USE ISSUED 0 : PROCESSED EXPIRES
EXIST OCC GRP: 07/26/01 UT 01/22/02 .
OWNER: TEL. 0: BLDGS- NOW ON LOT: VALUATION: FINAL D E CODE:
MR. WOMG - 2,400
9659 WOODRUFF AV e> ibO I T&kA_-'
TEMP 917802017 FEES PAID IDESCRIPTIONOF WORX'
TEAR-OFF OLD RE-ROOF (INSTALL 1/21 COX PLYWOOD, 25YR COMP.
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SHINGLES
AP TE
GOLDEN KEY ROOFING (626) 285-9016- AA BLDG PERMIT ISSUANCE 27.75
4533 SHIRLEY AVE AC STRONG MOTION RESID-=_�� 2400.00 VAL 0.50 SPECIAL CONDITIONS:
EL MONTE CA 91731 D2 PERMIT W/0<EN=HC- —--—X2400.00 VAL 99.00
!_ TOT,A`�L-FEES: 127.25
CONTRACTOR: TEL. N0: �s'�. >j�`J _�/�pj�t APPROVALS DATE INSPECTOR SIGNATURE
GOLDEN KEY ROOFING (626) 285-9016-
4533 SHIRLEY AVE. LIC. NO y.'`f!/� �,2N I-- LOCATION AND SETBACKS
EL MONTE, CA 91731 775115 C39 * sf' f y' `t�
SOILS ENGINEER APPROVAL
ARCHITECT0 E G R: 0: I I ��I - 'i i `' �' ? FOUNDATION/TRENCH FOR S
LIC. NO:I' ! ----- _� i �ZI ' ' i I �- -; ' �' SLAB/UNDER FLOOR
D FLOOR FRAMING
MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: UNDERFLOOR INSULATION
1
XX 3 N0 �, FLOOR SHEATHING
��1�'�,II ~:'I�-;}ii.
0. OF FAMILIES: E G S: P /CO D: STAT C AS - - - ----—--- - - -NO 21 ; !- ---- -- 1- — ;, ROOF SHEATHING
HAZARDOUS
AIR QUALITY: SCRUO , SHEAR PANELS
1000 FEET MATERIALS `•\ / +I' j.•'q�
NO NO NO FRAME INSPECTION
RE
QUIRED TOTAL-SET C FRO 5 *_•.Ca�;� �� rri�'% 'F R SPRINKLER WAR S
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- F —i- 0 ti:a INSULATION/WEATHER STRIP
SIDE PL-
TNTER OR / A
EXTERIOR LATH
TD RC IL ASSEM.
RATED WALL ASSEMBLIES
PATED-SHAFTS/60PEU90—
* ADDITIONAL DATA ON FILE T-BAR CEILINGS
D
REPORT ID: DPR261 ROUTE TO: BS0508