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Home My Public Portal About9110 WOOLLEY ST_Building__ I - BUILDING ' I. ADD EIS13 IIa APPLICATION LOCALITY �1. r NEAREST �c DIVISION OF BUILDING AND SAFETY CROss sr. Department of County Engineer { DISTRICT NO. RECEIPT NO. P660 -0 ERMIT NO. County of Los Angeles .- 6 6 O -O WM. J. FOX, COUNTY ENGINEER GROUP DATE RECEIVED DATE`SSUED/ CASSATT D. GRIFFIN, BUPIT OF BUILDING (/�" FOR APPLICANT TO FILL IN TYPE CONST. RECEIVED BY ISSUED�Y OWNER W MAP STATE YEB NO MAIL I NUMBER HWY ADDRESS USE ZONE SPECIAL CITY NQ ' '�(� CONDITIONS ARCHITECT OR TEL. ENGINEER NO. BUILDING EXIST. SETBACK YARD HWY STREET NAME WIDTH ADDRESS /� ((�� fJ �¢/I r� FRONT CONTRACTORIe� rdill/ywl'�j NO. & b It 3 r I P L ADDRESS �.Ir( ` BUILDING DATE- CORRECTIONS INSPECTOR ADDRESS LOT NO. BLOCK ' TRACT NO.OF BLOGS. SIZE OF LOT I NOW ON LOT USE OF EXISTING SLOG. DESCRIPTION OF WORK a NEW ADD ALTER REPAIR DEMOLISH ' Z Sue FT. NO.OF NO.CF r SIZE 8TORIEG FAMILIES USE OF STRUCTURE ooa ( l'U . NO.OF EMPLOYEES 1 HEREBY ACKNOWLEDGE THAT I.HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN 13 . APPROVALS INSPECTOR'S SIGNATURE DATE CORRECT. 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATIONS LOCATION AND STATE LAWS REG LATINS BUILDING CONSTRUCTION., FORMS,MATERIALS n t FRAME: FIRE STOPS, SIGNATURE OF `G BRACING.BOLTS PERM ITTE , FURNACE? LOCATIOrI� 'W BL VENT,DUCTS ADDRESS • - LATH. INT. AUTHORIZED AOT. / / a �' nn D 0 P.C.S LATH, EXT. OUSE NUMBER COR- FEE HR CT'AND POSTED ! j� L. VALUATION S FEE A v d FINALJ� /D 76AS38A 088 3 12-53 ./ WgJXERS'COMPENSATION DECLARATION s� o�'' Nrm -' certificate of consent to self� certifIcate of Workers'Compensation Insurance,qb APPLICATION FOR BUILDING PERMIT or a certified copy theteof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING.AND SAFETY Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING // C Q ADDRESS Certified copy is filed with the county building inspec- BUILDING C� a tion department. ADDRESS 1 Date Applicant CITY ZIP L7� LOCALITY / CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST COMPENSATION INSURANCE kSIZE OF LOT NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one LOASSESSOR hundred dollars($100)or less.) TRACT BLOCK T NO. MAP BOOK PAGE PARCEL TEL. USE NE MAP I certify that in the performance of the work for which this NO. OWNER NO. permit is issued, I shall not employ any person in any manner e� �, ®O S� SPECIAL so as to become subject to the W r Compensation Laws. ADDRESS V CONDITIONS 0O CITY ` ZIP - QS "' Date ' Applicant ARCHITECT OR TEL. DISTRICT GROUP I TYPE FIRE PRO ED BY NOTICE TO APPLICANT: If, after making this Certificate ENGINEER NO. CONST. Z NE V Exemption, you should becomesubject to the Work S �j , / '�j ,,, Compensation provisions of the La bar Code, you must forth- ADDRESS ✓ ✓ J A. with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFIC)ATION APT. C NDO. deemed revoked. CONTRACTOR NO. CLASS NO. 7-1 DWELL. UNITS LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP (commencing with Section 7000)of Division 3 of the Business and LIC, Professions Code, and my license is in full'force and effect. CITY CLASS BK �: VALIDATION SQ.FT NO OF NO.OF CHECK �4 41.4 A License Number. Lic.Class SIZE �3� STORIES FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF-WORK NEW ❑ $ �/1 n # 0 0 0 023 ' W ADD I a32895 ❑ I am exempt under Sec. L1 . ALTER B.BP.C. for this reason PAIR ❑ $ 0 0 3 28.9 5 5 Date: USE OF BL DEMOL ❑ C 4 1®—8 6 Si nature APPLICANT TEL. FINAL g OWNER-BUILDER DECLARATION PRINT ` ` • NO. � DATE I hereby affirm that I am exempt from the Contractor's License ` • Law for the following reason (Section 7031.5, Business and ADDRESS FINAL Prof6tsions Code): PRESENT BY BUILDING I, as owner of the property, ormy employees with ADDRESS wages as their sole compensation,will do the work and ' - the structure is not intended or offered for sale(Section LocALITY ;245 6 8 A 7044, Business and Professions Code). MOVING TEL. ' I,as owner of the property,am exclusively contracting CONTRACTOR NO. # 0 0,0 0 0'1 with licensed contractors to construct the project (Sec- ADDRESS JJ tion 7044, Business and Professions Code). 1 - 397.50 REQUIRED TOTAL SETBACK FROM CONSTRUCTION LENDING AGENCY SET BACK YARD 'HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT _ _ •,w, ''• '• `a 0 3 9 7.5 Q the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE 05,01 -86 ' a P.L. v Lender's Name f LDMA Ref. # P.C.Fee$ ��( V Permit Fee t - Lender's Address r I certify that I have read this application and state that the Issuance Fee J-0 •LD P/C# x above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee 3 LDMA Perm. # anid eby authorize representatives of this County to enter ; u nth above entioned property for inspection purposes. o Z3 SEE REVERSE FOR EXPLANATORY LANGUAGE .N •+ Signature of Applicant ory Date Wq,%..ERS'COMPENSATION DECLARATION vffirm theft f h ve to certificate of consent to self p p I•CAT I • .FO R BUILDING PERMIT insYtre, qr•a certificate of'Workers'Compensation Insurance, A O N or a certified copy theteof(Sec. 3800, Lab. c.) COUNTY OF LOS ANGELES BUILDING AND SAFETY 4 ` Certified copy is hereby furnished. FOR APPLICANT TO.FILL IN BUILDING ADDRESS Jr—, Policy No. Company - Q i ❑ Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS '` tun, ff-v Date Applicant CITY ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT O�d.T6NOW ON LOT CROSS ST. (This section need not be completed if the permit is for oneTRACT `� ASSESSOR BLOCK LOT NO. 77 MAP BOOK PAGE hundred dollars($100)or less.) PARCEL � OWNER 1.i NO.o'�D�Jd USE ZONE MAP I certify that in the performance of the work for which this NO. permit is issued, I shall not empl person in any manner Q 1, j c SPECIAL so as to become subject to the rke Co ens " n`Laws. ADDRESS -\`� � - �.YCONDITIONS ` CITY w ZIP s o �— Date L I—� Applicant NOTICE TO APPLICANT: If, offer making this Certificate of ARCHITECT O TEL ^ r J ��I DISTRICT G UP .TYPE FIRE PROC SED BY ENGINEER �-r ,o Y Exemption, you should become subject to the Workers' `` ��' r n NO' CONST. j ZONE Im Compensation provisions of the Labor Code, you must forth- ADDRESS '`,M� WC`lO v• (�// 1L with comply with such provisions or this permit shall be' TEL. STATISTICAL CLASSIFICATION APT. C DO. g deemed revoked. CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. 2 DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code,and my license is in full force and effect. CITY CLASS BK PG. VALIDATION S�. �1,ted N0.OF NO.OF CHECK License Number Uc.Class SIZE STORIES FAMILIES ONE NEW VALUATION_ Contractor DOte DESCRIPTION OF WORK ADD ❑ $ (//3 ❑ I am exempt under Sec. ALTER ❑ Poo. B.&P.C. for this reason USE OF REPAIR ❑ $ � ' Date' EXISTING BL DEMOL ❑ Signature AppLPRINIT) NO. 01,) 3 FINAL OWNER-BUILDER DECLARATION DATE I hereby affirm that I am exempt from the Contractor's License �� t1 r� Law for the following reason (Section 7031.5, Business and ADDRESS V k FINAL Professions-Code): PRESENT ` - � BY ,C # 4 8 a BUILDING WQ� //(�/�/ 0 0 0 0 0.� ❑ I, as owner of The property, or my employees with ADDRESS wages as their sole compensation,will do the work and ®LOCALITY 9';•- 0 0 4 a 5.0 ;. the structure is not intended or offered for sale(Section 7044, Business and Professions Code). MOVING TEL. ,y 0 0 o.4 Q 5 0 ❑ I, as owner of the property,am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS iG 4 07-86 tion 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY SETOBACK YARD HWY TOTAL SETBACK 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 3i a P.L. e Lender's Name /� LDMA Ref. # 3 P.C. Fee$ Permit Fee 0 6 V V Lender's Address t I certify that I have read this application and state that the Issuance Fee• J V kLD P/C# = above information is correct. I agree to comply with all County Investigation Fee ,AJ ordinances and State laws relating to building construction, Total Fee r.v LDMA Perm. # adTTIWeby authorize representatives of this County to enter u on tdLe abov ent" ed property for inspection purposes. a = SEE REVERSE FOR EXPLANATORY LANGUAGE o 4c, Signature of Applicant or Ag nt Dates s r 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 1201200022 PHONE: (626) 285-0488 EXT: DUPLICATE [LEGAL ID. I NO. OF CONST I BUILDING ADDRESS: ITR: 12115 IT: 10 [ SQ. FT STORIES TYPE [ 9110 WOOLLEY ST [ I ISTRUCTURE: 2000 V-B [ TEMP CA 917801349 [ [ASSESSOR INFORMATION NUMBER: [ I NEAREST CROSS STREET: [ 15382-023-002 [ THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY CAI IT 1 T: IEXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: [EXIST OCC GRP: 101/20/12 SR (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE r F BY: CODE: [ CHAN110 JENWOO HUANG I E�1(/1 [9110 WOOLLEY ST - I 1 1,000 I � \� ITEMP 917801349 [ FEES PAID IDESCRIPT ON OF WORK I I IREPAIR TO THE THE EXISTING ROOF, 960 SQUARE FEET LOCATED IN IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IIN THE FRONT OF THE RESIDENCE. [APPLICANT: TEL. NO: I I ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 I I IAB STATE GREEN BLDG FEE 1000.00 VAL 1.00 ISPECIAL CONDITIONS: 1 AC STRONG MOTION RESID 1000.00 VAL 0.50 I ID2 PERMIT W/O EN-HC 1000.00 VAL 65.40 I I [ TOTAL FEES 94.70 [ [ ICONTRACTOR: TEL. NO: [ [APPROVALS DATE INSPECTOR SIGNATURE [ ISAME AS OWNER - I I I ILIC. NO [ ILOCATION AND SETBACKS [ I [ I I ]SOILS ENGINEER APPROVAL I [ [ [ARCHITECT OR ENGINEER: TEL. NO: - I IFOUNDATION/TRENCH FORMS I I LIC. NO: I ISLAB/UNDER FLOOR ] 1-.MISED FLOOR FRAMING ] ] IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:I [UNDERFLOOR INSULATION I [ [ I153H265 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 IROOF SHEATHING I I I SCHOOL WITHIN HAZARDOUS [ ISHEAR PANELS I I [ [AIR QUALITY: 1000 FEET MATERIALS [ I I I I [ NO NO NO I IFRAME INSPECTION I ] [ ] I (FIRE SPRINKLER HANGERS I I [ I I IINSULATION/WEATHER STRIPI I I 1 [ ITNTERIOR LATH/DRYWALL I I I ] I (EXTERIOR LATH [ ] ] IRATED FLOOR/CEIL ASSEM. I [ [ I I IFATED WALL ASSEMBLIES-1 I I [ [RATED SHAFTS/OPENINGS (LOT DRAINAGE ' ;• ' _'. :,,",� ] • IREPORT ID: DPR261 ROUTE TO: BS0508