HomeMy Public PortalAbout9073 WOOLLEY ST_Building__ 'BA638A 0138.3 3-86
t---.-'--O-APPLICAT.1®'N ..FOR- BUILDING PERMIT
DIVISION OF BUILDING AND SAFETY BUILDING /!/F yf+?' !/(f,r0 Z f j/
Department of County Engineer ADDRESS %G% f 7
County of Los.Angeles LOCALITY �,/' r.%z'��. �a - •+ fi
WM..J.FOX,COUNTY ENGINEER NEAREST Q/ v� � � _
CASSATT D.GRIFFIN.SUPT OF BUILDING CROSS ST. v"
DISTRICT N1 GROUP TYPE SEWER MAP
FOR APPLICANT TO FILL IN � "- 'I CONST
BUILDING/J� / /f/�� !/�j NUMBER Q� HWY YES c (O
ADDRESS i / 1l. G
LOT NO. /.1/� '�/'�% /'CD CI BLOCK USE ZONE SPECIAL
_ CONDITIONS
TRACT 11 fk. a/G GST 7�/
NO.OF BLDGS. BUILDING
SIZE OF LOT 62a x-. /3).S NOW ON LOT SETBACK YARD HWY STREET NAME WIDTH
USEOF EXISTING BLDG. FRONT Ild�, Aw 8
�J 1 A 1/ y� P.L. � 'irL
OWNER A�VA91&1r",!/ /-f1IN C/,L.-)1/ P LE
MAIL• +
ADDRESS `9°l r�:� OTRACT DWELL. I UNIT 5 INDUSTRIAL
e- TEL.; ' w ' 1 DWELL. I UNIT
CITY 4 < �._. NO. J I 6 PUBLIC BLDG.
ARCHITECT OR TEL. 2 DUPLEX 1•UNIT pDDN..ALT.. ETC.
ENGINEER NO. 3 APT. UNITS
8 MISCEL.
ADDRESS /� 4. COMMERCIAL
CONTRACTOR d W/V R R NO,' -INSPECTION RECORD
ADDRESS _
DESCRIPTION OF WORK i
NEW ADD ALTER REPAIR DEMOLISH
SQ, FT. °' NO.OF NO.OF _ -
SiZE -� %- STORIES FAMILIES
US OFSTRUC Ui�,E /MSC-� ...-�'`f'D�. /e Lp •
7 "XPi pL'4' .
,f/
SIGNATURE OF (,6�G�I ?�- Ir ` '= --`'�/I a APPROVALS
APPLICANT
ADDRESS (f 14- DATE INSPECTOR'S SIGNATURE
FOUNDATION:LOCATION
P.C. B FORMS.MATERIALS /'�� � /?/fi.d �ilf F I•,
FEE FRAME: FIRE STOPS.
[VALUATION BRACING.BOLTS /. " ! r2 /I�7 fE:Y•'R$i mer
FEE $,/ A FURNACE:LOCATION. (
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GASYfiNT,.DUCTS G7-?
APPLICATION AND STATE THAT THE ABOVE 19 CORRECT wry
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT..
AND STATE LAWS..-REGULATING BUILDING CONSTRUC-
TION. !/ ZZ-1
/J(//�/ LATH,EXT.
SIGNATURE OFA//L ri 7 1 C'�{�L�y��^�� HRECT AND P0ER CORPERMITTEE �e1 / ,(� /fi
ADDRESS f .�/i. �'��e.le..�J e(e"J.l.�..a�? FINAL t"'rr�3 11r
WM.J.FOX,COUNTY ENGINEER VALIDATION C.N.DIRLAM,CHIEF BLDG. INSPECTOR
�Co 0 0 7 8.1 I'. 1117 12.00. t
" ADss.s
I-rw APPLICATION. FOR BUILDING PERMIT � 1
tss
DIVISION OF BUILDING AND SAFETY BUILDING
Department of County Engineer ADDRESS
County of Los Angeles LOCALITY .
JOHN A.LAMBIE. COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING 'CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE SEWER MAPP '
BUILDING �y/� f'' ,/ a CONST
ADDRESS ` Q 73 -w0ya_! J/• / NUMBER d STATE
HWY YES
LOT NO. h BLOCK 14SE ZONE SPECIAL
COND IT
TRACT oJ- yt% 7 f,1'
NO.OF BLDGS. I
SIZE OF LOT. I NOW ON LOT BUILDING YARD HWY STREET NAME EXIST.
USE OF
SETBACK WIDTH
EXISTING BLDG. E j P-L
OWNER `' (1 Cixrej� SIDE L
MAIL �d LLB -x77 P.L.
ADDRESS � � Q TRACT DWEL ! UNIT -.
TEL. t ^ S INDUSTRIAL
CITY Q Cr ? NO.AE-720'61TS 'DWI 1 UNIT 6 PUBLIC BLDG:
ARCHITECT OR TEL. 21 DUPLEX fVVI 2 UNITS
ENGINEER NO. 7 ADDN.,ALT., ETC.
i
8i APT. UNITS 8 MISCEL.
ADDRESS aa t-7 4� COMMERCIAL
CONTRACTOR U ANO. S Y/Q INSPECTION RECORD
ADDRESS �,'-[� j,{>`�j iI 1
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
t _
SO.FT. NO-OF NO.OF
SIZE STORIES. FAMILIES F r¢3l
USE OFA.8 '?d'S �..
✓ C. r
SIGNATURE OF , o ����/T ������
APPLICANT j APPROVALS U,9 d/V(. Y,
ADDRESS 67/R/W• DATE INSPECTOR'S SIGNATURE
$ FOUNDATION:LOCATION
P•C. .$• FORMS.MATERIALS
eirCJ FEE FRAME: FIRE STOPS.
VALUATION ~ $ BRACING, BOLTS
FEE FURNACE: LOCATION,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ-THIS GAS VENT,DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT i
AND AGREE TO COMP WITH ALL COUNTY ORDINANCES LATH.INT.
AND STATE LAWSaFING_ �tJl INC CON C- ;
TION. /�/ /V/
LATH, EXT.
SIGNATURE OF ^ HOUSE NUMBER COR-
ERMITTEE t
PRECT AND POSTED
ADDRES � 11441141 FINAL
IOHN A.LAMBIE,COUNTY ENGINEERATION CLYDE N.DIRLAM, CHIEFKBLDG. INSPECTR_O
C MO 'CASH
' . 5 6 7- DEC 20 1 .1 -00 �'
n
WORKERS'COMPENSATIU vtrl!ARATIO;J
hereby affirm that I have a certifjcate sti n alis r fo.selr - ,, : ,, F CATI O N FOR I L D I N G PERMIT
insure,or a certificate of Workers'Co(npenstion Irisyt�G4rce;or.� � •
a certified copy thereof(Sec. 3800, L. C.) i
COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company ,
Certified copy is hereby furnished. n FOR APPLICANT TO FILL IN ADDRESS � A
I ❑ -90-;
--•�
Certified copy is filed with the county building inspec- BUILDING ; JD
tion department. ADDRESS / A /e LOCALITY ��+
NEAREST
Date, Applicant CITY / i ZIP CROSS ST.
CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. ASSESSOR
COMPENSATION INSURANCE SIZE OF LOT d 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 BLOCK LOT NO. I NO.
TEL. �/ SPECIAL
I certify that in the performance of the work for which this OWNER I� NO - /// CONDITIONS
permit is issued, I shall not employ any person in any manner DISTRICT GROUP TYPE FIRE C Y
so as to become subject to the Workers'Compensation Laws. ADDRESS n CONST / Z IIZ
Date Applicant CITY iv ZIP STATISTICAL CLA WIC TION APT. CONDO. LU
NOTICE TO APPLICANT: If, after makingthis Certificate of ARCHITECT OR TEL. LU
ENGINEER S NO. CLASS NO. DWELL. UNITS
Exemption, you should become subject to the Workers' y�
Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP
with comply with such provisions or this permit shall be TEL.
deemed revoked. I t CONTRACTOR NO. BK. PG, VALIDATION
LICENSED CONTRACTORS DECLARATION
I hereby affirm tliat I am licensed under provisions of Chapter 9 ADDRESS VALUATION •,
(commencing with Section 7000)of Division 3 of the Business and LIC. � �
Professions Code, and my license is in full force and effect. I CITY CLASS $j
SQ.FT. INO.OF NO.OF CHECK
License Number Lic.Class SIZE ORIES FAMILIES ONE
DESCRIPTION OF WORK d NEW EJ
Date ADD '
❑ I am exempt from the licensing requirements as I am a
lice6sed architect or a registered professional engineer ALTER ❑ FINAL sZt�
acting in my professional capacity (Section 7051, REPAIR ❑ DATE J
Business and Professions Code). USE OF FINAL
EXISTING BLDG. DEMOL ❑ n..
Lic.or Reg.No. Date APPLICANT TEL. •
OWNER-BUILDER DECLARATION (PRINT) N
I hereby affirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031.5, Business and ADDRESS 3 1AA00
Profes ' ns Code): PRESENT 1
BUILDING
I, as owner of the.property, or my employees with ADDRESS
wages as their sole compensation,will do the work and
the structure is not intended or offered for sale(Section ' LOCALITY
7044, Business and Professions Code). MOVING TEL. 3 4 9,5 A
❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO.
with licensed contractors to construct the project,(Sec-
tion 7044, Business and Professions Code).
ADDRESS i
REQUIRED TOTAL SETBACK FROM EXIST. Z 1 7 6 00
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP.-LINE IDTH
I hereby affirm that there is a construction lending agency for FRONT :• r,
the performance of the work for which this permit is issued
P.L.
17
(Sec. 3097, Civ. C.). SIDE
P.L. C !' C 2- G
Lender's Name
I Lender's Address P.C. Fee$ Permit Feet
• I certify that I have read this application and state that the Issuance Fee !J
above information is correct. I agree to comply with all County Investigation Fee
ordinances and State laws relating to building construction, Total Fee ?
and hereby authorize representatives of this County to enter
( upon the above-mentioned pr pert for inspectio pur ses.
( SEE REVERSE-FOR EXPLANATORY LANGUAGE
'. Os
ignatu Applicant or Agent to . � -
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS9701 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1004060005
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST NEW I BUILDING ADDRESS: I
ON FILE I SQ. FT STORIES TYPE OCCUP GROUPI 9073 WOOLLEY ST I
(STRUCTURE: 0 1 V-B R-3 I TEMP CA 917801348 I
(ASSESSOR INFORMATION NUMBER: I GARAGE: I NEAREST CROSS STREET: I
15382-019-030 I OTHER: 180 1 V-B U I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl
1TENANT: (EXIST BLDG USE: USE ZONE: (ISSUED ON: PROCESSED BY: I
(EXIST OCC GRP: 104/14/10 SR
I
10WNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE:
IWEAL GEORGE (818) 285-3796- 1 8,000 1
19073 WOOLLEY ST I I
ITEMP 917801348 1 FEES PAID IDESCRIPTION OF WORK 1
I I (ADD STORAGE BACK TO EXISTING GARAGE 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( I
1APPLICANT: TEL. NO: I I 1
(HOMECARE & DESIGN (310) 420-9737- ID1 PLANCHECK W/O EN-HC 8000.00 VAL 155.55 I 1
110680 W. PICO #310 IAA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: I
ILOS ANGELES CA 90064 AB STATE GREEN BLDG FEE 8000.00 VAL 1.00 1 1
I AC STRONG MOTION RESID 8000.00 VAL 0.80 I
1 ID2 PERMIT W/O EN-HC 8000.00 VAL 183.00 I
1CONTRACTOR: TEL. NO: 1 TOTAL FEES 368.10 1APPROVALS DATE INSPECTOR SIGNATURE
IHOMECARE & DESIGN (310) 420-9737- I 1 1
110680 W. PICO #310 LIC. NO I ILOCATION AND SETBACKS 1 1
LOS ANGELES, CA 90064 820230 S
I ISOILS ENGINEER APPROVAL I 1
(ARCHITECT OR ENGINEER: TEL. NO: I (FOUNDATION/TRENCH FORMS I I I
LIC. NO: I ISLAB/UNDER FLOOR I I I
I (RAISED FLOOR FRAMING
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMPd (UNDERFLOOR INSULATION 1 I
1 3 001 I I
I (1ST LEVEL FLOOR SHEATH 1
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I
NO 21 1 12ND LEVEL FLOOR SHEATH I 1 I
I I I I I I
1 SCHOOL WITHIN HAZARDOUS I IROOF SHEATHING I I I
(AIR QIIALITY: 1000 FEET MATERIALS I I I
1 NO NO NO I IFIRE DEPT. FRAME INSPECT( I
(REQUIRED TOTAL SETBACK FROM EXIST I (BLDG DEPT. FRAME INSPECT( I I
ISET BACK YARD: HWY: PROP LINE: WIDTH: I I I I I
IFRONT PL- I EXPIRED
J 1SHEAR PANELS I I
SIDE PL- / !��/�
(INSULATION/WEATHER STRIP( I 1
(INTERIOR LATH/DRYWALL I I I
I I I I I I
I I (EXTERIOR LATH I 1 1
1 LOT DRAINAGE 1 I 1
ISMOKE DETECTION DEVICES
1 I FIRE DEPARTMENT APPROVAL( I I
I I I I I I
REPORT ID: DPR261 ROUTE TO: BS0508 1 I I I
I I I I 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 1206050085
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ON FILE I SQ. FT STORIES TYPEST
ISTRUCTURE: 2200 V-B 9073 CA 917Y 13
T
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
15382-019-030 1 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl
TENANT: 1EXIST BLDG USE: RESID USE ZONE: R-1 JISSUED ON: PROCESSED BY: 1
(EXIST OCC GRP: 110/3.0/12 SR
OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: (FINAL DATE FI AL BY: CODE:
WEAL GEORGE L;JOANNE M (818) 285-3796- 1 15,000
19073 WOOLLEY ST I 3 1
TEMP 917801348 FEES PAID IMSCRPTION OF WORK
I CHANGE PITCH OF THE ROOF REROOF WITH 30 YR COMPO
I 1FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SHINGLES
APPLICANT: TEL. NO: I I I
ILIRON, JACOB (310) 420-9737- 1D1 PLANCHECK W/O EN-HC 15000.00 VAL 255.50 I I
11976 S. LA CIENEGA AA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS: 1
ILOS ANGELES CA 90034 AB STATE GREEN BLDG FEE 15000.00 VAL 1.00 I I
I IAC STRONG MOTION RESID 15000.00 VAL 1.50 1
I ID2 PERMIT W/O EN-HC 15000.00 VAL 300.60 1
1CONTRACTOR: TEL. NO: 1 TOTAL FEES 586.40 (APPROVALS DATE INSPECTOR SIGNATURE 1
IHOMECARE AND DESIGN INC (310) 420-9737- 1 1 I
11976 S LA CIENEGA #225 LIC. NO I ILOCATION AND SETBACKS
ILOS ANGELES CA 90034 960851 I 1
I I ISOILS ENGINEER APPROVAL 1 I
(ARCHITECT OR ENGINEER: TEL. NO: - I 1FOUNnATION/TRENCH FORMS I I I
1 LIC. NO: 1 ISLAB%UNDER FLOOR I I I
1RAISED FLOOR FRAMING I I I
I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP.( (UNDERFLOOR INSULATION I I I
1153H265 3 001 1 I I I
I I IFLOOR SHEATHING I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I
1 0 NO 21 1 IROOF SHEATHING 1 I
SCHOOL WITHIN HAZARDOUS 1 (SHEAR PANELS I I I
1AIR QUALITY: 1000 FEET MATERIALS I I I I
INO NO NO 1 I FRAME INSPECTION
1 1 FIRE'SPRINKLER HANGERS I I
I � I I 1
I 1 IINSULATION/WEATHER STRIPI 1
I I (INTERIOR LATH/DRYWALL 1 I
I I 1EXTERIOR LATH
I I IRATED FLOOR/CEIL ASSEM. 1 INsI
1 I 1RATED WALL ASSEMBLIES I I I
1 I IRATED SHAFTS/OPENINGS
� i I
I I IT-BAR CEILINGS 1 I
I I I
I I ILOT DRAINAGE 1 I
I I I
IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I
I I I I I I