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Home My Public Portal About9703 WOODRUFF AVE_Building__ APPLICATION FOR � COUNTY eOF LOS ANGELES OF COUNTY ENG6 BUILDING PERMIT DEPARTMENT BUILDING AND SAFETY DIVISION R BUILDING FOR APPLICANT TO FILL IN ADDRESS Q, BUILDING q 7,13 G p p pndJFF /1 vE ADDRESSq7,13 i6 p �7 p LOCALITY CITY /EM f2L E �d T ZIP / 1 J p v NEAREST CROSS ST. r NO.OF BLDGS. ASSESSOR SIZE OF LOT�V X 1, NOW ON LOT TQ MAP BOOK PAGE PARCEL DISTRICT GROUP ITYPE FIRE PR ESSED BY CONST ZON ASn TRACT BLOCK LOT NO. �PSc A /UL),V';Z NO. 2 8G-/74j OWNER ' �� STATISTICAL CLASSIFICATION L� /� SEWER MAP ADDRESS T103 7n Wo�fi6A IFf li CLASS NO._�'Z2DWELL.UNITS `BK P Tom+ C 78 USE ZONEMAP 206) z CITY ! 1r/1�f�LC EiT ZIP 9 1 ///�� NO. ARCHITECT OR TEL. �/ SPECIAL ENGINEER NO. - CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONTRACTOR TEL. BLDG.SETBACK FROM NO FRONT PROP.LINE OF (STREET) LIC. ADDRESS NO. HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING LIC. FRONT PROP. LINE HIGHWAY WIDTH CITY CLASS _ CONSTRUCTION LENDER + a NAME AND BRANCH BLDG.SETBACK FROM Q ADDRESS CITY SIDE PROP.LINE OF (STREET) C� SQ. FT. NO. OF NO. OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROMI TYPE OF EXISTING Q SIZE _ STORIES FAMILIES ONE SIDE PROP. LINE HIGHWAY WIDTH U FU DESCRIPTION OF WORK NEW El + E F c e—, ADD Q CORNER CUTOFF YES ❑ NO ❑ Z,�T�,UP �� v ALTER ❑ IN OPEN SPACE YES ❑ NO ❑ L 1 -REPAIR[] USE OF IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG. DEMOL ❑ APPLICANT TEL (PRINT) NO. BY (SIGNATURE) I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RE INC TO WORKMEN'S COMPENSATION INSURANC ®.. SIGNATURE OF FINAL BY PERMITTEE DATE ADDRESS �' CITY $ - NEL.,2�G�74 P.C. Fee$ Permit Fee VALUATIONIssuance Fee OC1 . Total Fee D U PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CA' 4 6 8 FEB :5 1 D C9.10*' G L"_ 76A698A CB Qk 803B 1275 rT- 7fA898A CE#8081-11 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES A13DI IIIES3�� ell DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY , JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. /r•W DISTRICT NO. GR UP =D BYL FRE OR APPLICANT TO FILL IN < p CONST. l- ``t STATISTICAL CLASSIFICATION S WER MAP p 3 -BK PG y�� / / CLASS. NO.�DWELL.UNITS_-- /Y JO l) BLOCK WATER NOT REQUIRED RECEIVED CERTIFICATE: 9 Li 7 �pMAP t HIGHWAYNO.OF BLDGS. NO. (� (CIRCLE) STATE MAJOR SECOND, LO AL I NOW ON LOT USE ZONE SPECIAL USE OF I CONDITIONS EXISTING BLDG. EL. OWNE NO. _ BUILDING EXIST. ,f/ SETBACK YARD HWY STREET N E WIDTH ADDRESS T ,t! �tt-C t'u �"s FRONT ARCHITECT OR TEL. P. L. ENGINEER NO. SIDE P.L. 1 ADDRESS INSPECTION RECO a TEL. Q/ O CONTRACTOR /%2iL,., l -f' y�4 NO. - 'TJ�+.� ADDRESS IIX DESCRIPTION OF WOR W _ a NEW AD ALTER REPAIR DEMOLISH Z SQ. FT, v NO.OF NO.OF _ IZE STORIES FAMILIES _ USE OF STRUCTURE _ SIGNATUR APPLICA Tt t✓Itz,'Y VALUATION$ 3 D O C—" APPROVALS DATE INSPECTOR'S SIGNATURE FEE $ FEE $ FOUNDATION: LOCATION FORMS, MATERIALS FRAME: FIRE STOPS, IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY N VIOLA. LATH, INT. TION OF THE LABOR CODE OF THE STATE O CALIFORNIA AT- 0ING TWORKMEN'S C PE ATI ON INSURANCE. �1`- LATH,EXT. SIGNATURE F . ATI HOUSE NUMBER COR - PERMITTE RECT AND POSTED ADDRESS ` c -- AL CLYDE N. DIRLAM, PRINCIPAL ST RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERNIIT VALIDATION aK. M.O. CASH 9 5 2 1 % MR 13 u 1 5.00 I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT i TEMPLE CITY CA 91780 BL 0508 0505260009 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 6561 LT: 106 UN: .003 SQ. FT STORIES TYPE 9703 WOODRUFF AV STRUCTURE: 2500 VN TEMP CA 917801752 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5385-019-015 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, C TENANT: XIST BLDG USE: RESID USE ZONE: R-2 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 05/26/05 JK 05/21/06 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: NUNEZ OSCAR L;MARIA M (626) 286-1748- 6,800 ,!/_ 9703 WOODRUFF AV - � ,")- TEMP 917801752 FEES PAID DESCRIPTION OF WORK TEAP OFF OLD ROOF DOWN TO WOOD INSTALL 30 LB FELT AND 50 YR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ELK COMPOSITION SHINGLES HOUSE AND GARAGE APPLICANT: TEL. NO: CHAVEZ (626) 398-7657- AA BLDG PERMIT ISSUANCE 27.75 159 WOODBURRY RD AC STRONG MOTION REBID 6800.00 VAL 0.68 SPECIAL CONDITIONS: ALTADENA, CA 91001 D2 PERMIT W/O EN-HC 6800.00 VAL 166.20 FR INV WORK W/O PERMIT 257.00 DOL 257.00 TOTAL FEES 451.63 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE CHAVEZ ROOFING (626) 798-8473- _ 159 E. WOODBURY LIC. NO LOCI.TION AND SETBACKS ALTADENA, CA 91001 627684 C39 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUIIDATION/TRENCH FORMS LIC. NO: SLAM UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 150H269 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT COND: STAT CLASS: NO 21 ROO12 SHEATHING SCHOOL WITHIN HAZARDOUS SHEI.R PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRANS 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 LATH RATED FLOOR CEIL ASSEM. RATED WALL ASSEMBLIES I RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE I REPORT ID: DPR261 ROUTE TO: BSO508 _ I I F. -APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDIgNG AD�RE�Sg[ BUIL N DRESS _ I hereby affirm that I have a certificate of consent to self insure, I.- or a certificate of Workers'Compensation Insurance,or a certified �3 —— O �V J=/ copy thereof(Sec.3800,Lab.C.) CIT, ziP C Y�dpL-C e, T �1 v LOCA PTY 17 Policy No. Company SIZE OFL T ,! .OF BLDG&� 1NOW ON LOT 1:1y x Certified copy is hereby furnished. d It Cory V Al If f S NEAREST CROSS ST ❑ Certified copy is filed with the county building inspection TRACTBLOCK LOT NO. department. USE ZONE MAP NO Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OLTgR r Y TEL NO. sl COMPENSATION INSURANCE . ��A®"� 'V V �'��r'7� WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred V ADDRESS //fin V ./ nQ dollars($100)or less.) / 09 "r v �,9 F ► + IV I DISTRICT GROUP TO CONST FIRE ZONE PROCESSED gY I certify that in the performance of the work for which this permit CITY,J ZIP is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. ARCHITECT OR ENGINEER TEL NO. STATISTICAL CL SI ICATION APT CONDO Date Applicant ADDRESS CLASS NO. 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 NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL LICENSED CONTRACTORS DECLARATION SIDE 0, CITY LIC.CLASS PL C I hereby affirm that I am licensed underprovisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business and WER MAP SQ.FT.SIZE NO.OF�S�O.gIES NO.OF FAMILIES � Professions Code,and my license is in fu!I force and effect. J (�did �!r �N�; NEW BK PG F- License Number Lic.Class DERRe:I—covers vers C �� ADD ❑ , LL VALUATION Contractor Date a ALTER ❑ 64061, M Vt1117 A7�49J-1 %l r0�d --'v UCSL& REPAIR ❑ Z ❑ I am exempt under Sec. $ — BAP.C.for this reason DEMOL ❑ LDMA P/C# Date: USE OF EXISTING BLDG. URM ❑ i Signature APPLICANT(PRINT) TEL NO. LDMA Perm# L a, I, as owner of the property, or my employees with wages as Z ACCT°J their sole compensation, will do the work and the structure is ADDRESS F 110.70 not intended or offered for sale (Section 7044, Business and FINAL DATE 3303 Professions Code.) 0 1 ITEMS HALL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ❑ 1, as owner of the property, am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE licensed contractors to construct the project (Section 7044, FINAL BY TOTAL _� �'7� v � AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDES Q Business and Professions Code.) YES 11 No[I A177-5X CHECK 110.70 WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDINGOCCUry n A COASTNT REQUIRE A PERMIT FOR AIRQUALITY MANAGEMENT DISTRICT SCIAOMDON R EE PIERMITTTNG CHECKLIST OR f e /.N,� CHANGE .00 FICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY GUIDELINES I 1 666 I hereby affirm that there is a construction lending agency for YES❑ NO❑ .qC the performance Of the Work for which this permit IS ISSUed(SBC. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING Y V ('� ['� 3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, P0 , OOCIO- 101 7/15/96 N TITLE 2,CHAPTER 2.20 SECTIONS 2 20.100 THROUGH 2 20.140 CONCERNING HAZARDOUS qct q ;l 9 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. 1 ( 1 A t y 1 o 08 Ij Lender's Address I M OWNER OR AGENT I certify that I have read this application and state under penalty c of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE with all county ordinances and S e laws relating to building M construction, and hereby authoriz r resentatives of this County ISSUANCE FEE �� to upon the -mentio p party for inspect' purp se d - If I? INVESTIGATION FEE TOTAL FEE a 4;0 a APPtA 1 a Aprnl DW. SEE REVERSE FOR EXPLANATORY LANGUAGE