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HomeMy Public PortalAbout9111 WOOLLEY ST_Building__ DEAARTP—ENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COtTNTY OF LOS ANGELESAPR �9 r� ' 1 vym. J. FOX, CHIEF ENGINEER NG 'FOR APPLICANT 'TO FILL IN FOR OFFICE USE ONLY C y DISTRICT yp. PLAN CK.NO. PERMIT NO. ADD ESS ���J is [�✓ID tq��N�J J!/ .� LOCALITY L°1'� le'.c! 1 L RE ED BY DATE OF APPL. DATEISSUED NEAREST �0`�F CROSS ST. BUILDING OWNER �Iye!'rY(rG i/6�1 � ADDRESS 177 79 159" 'W®O LLE MAIL Roo LOCALITY C-M/a L Cl / T'ti !J ADDRESS o0,,)� . � p6:aNEAREST J J n 1 /�'�p �1 C.QGlf� C.{Cf4' I NOLl�ill !� CRO99 T: L��//• cITY t" FIRE NO.OF' TYPE GROUP ARCHITECT OR ~, 4 TEL , ZONE PLANS / ENGINEER Lam• NO. :4�i„ V , *' BLDG. ORD.NO. ADDRESS et, '' ' SETBACK LINE 2© /SY9f /� /'+ APPROVED CONTRACTOROe-ow�at m n b N'NO. w -DATE f �i {� , .i,, r►1f a. USE APPROVED ADDRESS! `a•�I !!I I�IA 1!d r ? 'r L'Qt. ,l Gh, ZONE/ BY, � _DATE LEGAL DESCRIPTION I LOT NO.,� 1.19LOCK/y- CORRECTIONS TRACT 12--56-4. ��,,i . .. .,, ;i"/-?7- �/!.v n�/�'✓G M/SS'/i✓G^ �/S'F M Tin� NO.OF SLOGS SIZEOFLOT� /J,[�.;jAj• R,NgWONLOT, ��/�G ST�t1�Sy!✓ 4ONG Soman/' Z`f` 2xL -USE OF o/� Np.OFf NOS OF EXISTING BLDG. I FAMILIES OMS- 1 Rr e, y DESCRIPTION `OF WORK NEW ALTERATION ADDITION • O REPAIR MOVING DEMOLISH 0 SQ.FT. //� NO.OF ( Z SIZE f �j- ROOMS (YJ STORIES �- r WALL S ROOF / COVERING ��` ��(IdCGp� COVERING ���J� USE OF NEW f BUILDING (� -7 zo 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION, LOCATION IN SPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS �/Jn� L/-/g-Y)AND STATE LAWS REGULATING BUILDING CONSTRUCTION. �r�Y++ FRAMES FIRE STOPS, �,� SIGNATLIRE13F a BRACING,BOLTS r(r l�Z�^ y7 OWNER[ � �, LATH,INT.: Com`/ZI Y7 AUTHORIZED AOT. LATH,EXT.: J✓`f (a /�- 7 p,C, / C90 PLASTER.INT. FEE' PLASTER,EXT. VALUATION F•EE ZZ FINAL l , WORKERS'COMPENSATION DECLARATION �&insure,r afirm certif cotta of Worke s''ificate Compensat on Insurancof coent to e, APPLICATION FOR BUILDING PERMIT or a certified copy thereof(Sec. 3800, Lob. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. i FOR APPLICANT TO FILL IN BUILDING ADDRESS ElCertifiedcopy is filed with the county building inspec- BUILDING ti A /Q Y C'^r' tion department. ADDRESS Y U v Date Applicant CITY Te.M(PL C C 1T i ZIP !:ZOO LOCALITY at ' CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS.' NEAREST COMPENSATION INSURANCE i SIZE OF LOT NOW ON LOT CROSS ST. (This section need not be Icompieted if the permit is for one ASSESSOR hundred dollars($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL TEL. q US ONE MAP I certify that in the performance of the work for which this OWNERCLAIZLE$ PULLEY NO._Z97 ld NO. permit is issued, I shall not employ any person in any manner6'-,' 'T SPECIAL so as to become subject to the Workers'Co pen�s�tion ADDRESS 1 + V4 49 U' �- LLS r CONDITIONS O f J CITY C7 iy PLC— C i—r ZIP 9 1� G V Date fl Z Applica ARCHITECT OR TEL. i r' NOTICEAO AP LICANT: If, after making this Certificate of ENGINEER NO. DISTRICT G UP TYPE FIRE PRESSED BY O Exemption, you should become subject to the Workers' 1�`/ � CONST,� E V Compensation provisions of the Labor Code, you must forth- ADDRESS ./ O 999111 1/ Lil with comply with such provisions or this permit shall be a•' TEL. STATISTICAL CLASSIFIC TION APT. U)NDO. deemed revoked. CONTRACTOR I - N0.7T �✓7 LICENSED CONTRACTORS DECLARATION LIC, CIASS,NO. - 7 DWELL. UNITS Z 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 SQ. FT. NO.OF NO.OF CHECK License Number Lic,Class SIZE STORIES FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF WORK R URAI. R EA g-ri`I— NEW ❑ $ dj Q Cho 8 f7 ❑ ❑ I am exempt under Sec. CIDQkE �ld}�i�•� CI.0i�11cY ADD pill.ALTER ❑ B.BP.C. for this reason REPAIR $ USE OF Date: EXISTING BLDG. DEMOL ❑ $ 7 2 A Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION PRINT NO. DATE # 0 0 0 0 0:1 I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS FIN .( -- 2a50 Professions Code): MOM IBy El1,I, as owner of the property, or my employees with ADDRESS o 0 0 28.5 0 5 wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY ( Q 2 21 8 7 7044, Business and Professions Code). MOVING TEL. INI, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). CK FROM CONSTRUCTION LENDING AGENCY SETQBACK YARD HWY TOTAL LINE 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.). I SIDE P.L. Lender's Name LDMA Ref. # Lender's Address P.C.Fee$ Permit Fee IL 019- I certify that I have read this application and state that the Issuance Fee LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee g (( ,/'� i ordinances and State laws relating to building construction, Total Fee Jl.' LDMA Perm.# and hereby authorize representatives of this County to enter u fir}-he abo e-mentioned property for inspection purposes. U 2 � SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Ap licant or Ag t Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 I BUILDING-PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS I ALTERATION/REPAI.R BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0009280061 PHONE: (626) 285-0488 EXT: LEGAL D: No. OF CONST BUILDING ADDRESS: TR: 12504 LT: 23 SQ. FT STORIES TYPE 9111 WOOLLEY ST STRUCTURE: VN TEMP CA 917801350 ASSESSOR N 0 0 NUMBER: NEAREST CROSS STREET: LIVIA 5382-018-010 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY TENANT: EX S 8 G S RESID USE ZONE: R-1 ISSUED ON: PROCESSED PIRES 0 : EXIST OCC GRP: 10/04/00 UT 04/03/01 So OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: FINAL DAT Y: CODE: PULLEY CHARLES R (818) 287-4890- 1 7,700 9111 WOOLLEY ST TEMP 917801350 FEES PAID DESCRIPTION OF WORK STRIP THREE LAYERS OF ROOFING; APPLY 25YR FIBERGLASS SHINGLE APPLI TEL. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: EAGLE ROOFING (626) 291-5700- AA BLDG PERMIT ISSUANCE 27.75 6327 LIVIA AVE AC STRONG MOTION RESID7700.00 VAL 0.77 SPE IAL CONDITIONS: TEMPLE CITY, CA 9178 D2 PERMIT W/O EN 7.Q0.00 VAL 183.00 ANGELES 0 ® 211.52 CONTRACTOR: TEL. NO: �oc9 �/��.� APPROVALS DATE INSPECTOR SIGNATURE EAGLE ROOFING (626) 291-5700- 6327 N LIVIA AVE LIC. NO LOCATION AND SETBACKS TEMPLE CITY CA 91780 698529 C39 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. 0: FOUNDATION/TRENCH FORMS LIC. NO L 1111111 SLAB/UNDER FLOOR RAISED FLOOR FRAMING 153H265 SEWER MAP BOOK: PAGE: FIRE 20N3: C F_,n n D n ��j-� ���O rn1�/J S UNDERFLOOR INSULATION 11J J U ILh I IV ID Il1iCCV 00 SHEATHING 0. OF FA ES: D L NG UNITS: A T/C : STAT CLAS NO 21 ROOF SHEATHING SCHOOL THIN ROS \ ATS SHEAR PAS AIR QUALITY: 1000 FEET MATERIALS Q El +`,1 NO NO NOEl FRAME INSPECTION EQUIRED TOTAL SETBACK FROM EXIST 48 Dim IRE SPRINKLER HANGERS SET TA 11 FRONT PL- YARD: HWY: PROP LINE: WIDTH: %%C service Th INSULATION/WEATHER STRIP SIDE PL- TERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSE . RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: SS0508 c COUNTY OF LOS ANGELES , TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1107250096 PHONE: (626) 285-0488 EXT: LEGAL ID: I NO. OF CONST NEW I BUILDING ADDRESS: ITR: 12504 IT: 23 I SQ. FT STORIES TYPE OCCUP GROUP 9111 WOOLLEY ST I (STRUCTURE: 1650 1 V-B R-3 I TEMP CA 917801350 ASSESSOR INFORMATION NUMBER: GARAGE: 400 1 V-B U NEAREST CROSS STREET: ROSEMEAD 15382-018-010 [ OTHER: 1297 1 V-B R-3 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl ITENANT: [EXIST BLDG USE: USE ZONE: JISSUED ON: PROCESSED BY: 1 [ 1EXIST OCC GRP: 110/20/11 SR OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFI TE FI CODE: WANG, JIMMY/NASIM (626) 353-3103- I 332,010 19111 WOOLLEY ST I I —1 3 m. TEMP 917801350 FEES PAID IDESCRI TIO OF WORK I ICOMPLETE REMODEL OF (E) HOUSE 1297 SQ.FT. AND ADD 1650 SQ.FTJ I _IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:I4 BEDROOMS, 3.5 BATHROOMS, FAMILY RM, DINING RM, LIVING RM, I APPLICANT: TEL. NO: I IKITCHEN, BUILD NEW ATTACHED 2 CAR GARAGE AND REPLACE ALL WINI IKENDALL, SCOTT (818) 314-9926- JB1 PLANCHECK W/ENERGY 332010.00 VAL 2,760.90 I I 16221 E. MONTEREY RD. IAA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS: ILOS ANGELES CA IAB STATE GREEN BLDG FEE 332010.00 VAL 14.00 IAC STRONG MOTION RESID 332010.00 VAL 33.20 _JB2 PERMIT W/ENERGY 332010.00 VAL 3,100.70 [CONTRACTOR: TEL. NO: 108 CERTIF OF OCCUPANCY 101.30 JAPPROVALS DATE INSPECTOR SIGNATURE [RUSSELL CONSTRUCTION (818) 720-5163- I TOTAL FEES 6,037.90 I_ I 11541 FAIRVIEW ST LIC. NO I ILOCATION AND SETBACKS I IBURBANK, CA 91505 885310 I I �►► SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS IARKTECH ENG AND MANAGEMENT INC. (626) 275-4368- I I LIC. NO: [ ISLAB/UNDER FLOOR I I [ NONE RAISED FLOOR FRAMING I I I I I I [MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:[ [UNDERFLOOR INSULATION I I 3 00 _I 11ST nEVEL FLOOR SHEATH INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I I 0 NO 21 I 12ND LEVEL FLOOR SHEATH I I I I SCHOOL WITHIN HAZARDOUS I IROOF SHEATHING 7 Ip` (AIR QUALITY: 1000 FEET MATERIALS I I �,.�1"�1 1�. 'k,id i r 3 `r I NO NO NO [ [FIRE DEPT. FRAME INSPECT I (BLDG DEPT. FRAME INSPECT 11, 1 [SHEAR PANELS [ (INSULATION/WEATHER STRIP .�I✓ [ [INTERIOR LATH/DRYWALL f(.•l� I I (EXTERIOR LATH I I ILOT DRAINAGE 1(SMOKE DETECTION DEVICES--I 1 IFIRE DEPARTMENT APPROVAL( I I I* ADDITIONAL DATA ON FILE —dREPORT ID: DPR261 ROUTS TO: BS0508_ .!; COUNTY OF IAS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1201230066 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST NEW I BUILDING ADDRESS: I ITR: 12504 IT: 23 I SQ. FT STORIES TYPE OCCUP GROUPI 9111 WOOLLEY ST 1 ISTRUCTURE: 130 1 V-B R-3 I TEMP CA 917801350 1 (ASSESSOR INFORMATION NUMBER: I GARAGE: I NEAREST CROSS STREET: ROSEMEAD I 15382-018-010 1 OTHER: 1 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl TENANT: EXIST BLDG USE. USE ZONE: ISSUED ON: PROCESSED BY: 1 1EXIST OCC GRP: 101/23/12 SR 1 (OWNER: TEL. NO: IELMS. NOW ON LOT: VALUATION: IFI E FI CODE: J IWANG, JIMMY/NASIM (626) 353-3103- 1 19,270 1 J 19111 WOOLLEY ST I J J ITEMP 917801350 I FEES PAID IDESCRIPTION'OP WORK 1 IREVISE PLANS TO ADD 130 SQ.FT. SEE ALSO BL 1107250096 1 [FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 I (APPLICANT: TEL. NO: I I I 1KENDALL, SCOTT (818) 314-9926- 1AA BLDG PERMIT ISSUANCE 27.80 1 1 16221 E. MONTEREY RD. JAB STATE GREEN BLDG FEE 19270.00 VAL 1.00 ISPECIAL CONDITIONS: J ILOS ANGELES CA JAC STRONG MOTION REBID 19270.00 VAL 1.90 I 1 JB1 PLANCHECK W/ENERGY 19270.00 VAL 360.70 1 1 1D7 ADDNL PLANCHECK FEE 1.00 HOU 109.40 I 1 )CONTRACTOR: TEL. NO: 1 TOTAL FEES 500.80 JAPPROVALS DATE INSPECTOR SIGNATURE I IRUSSELL CONSTRUCTION (818) 720-5163- 1 1 1 11541 FAIRVIEW ST LIC. NO J ILACATION AND SETBACKS I I 1 IBURBANK, CA 91505 885310 J 1 I 1 I 1 ISOILS ENGINEER APPROVAL 1 1 I JARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I JARKTECH ENG AND MANAGEMENT INC. (626) 275-4368- I 1 1 1 1 I LIC. NO: 1 JSLAB/UNDER FLOOR NONE1 I IRAISED FLOOR FRAMING 1 1 1 1MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:[ 1UNDERFLOOR INSULATION I I I 3 00 1 I 11ST LEVEL FLOOR SHEATH 1 I 1 [NO. OF FAMILIES: DWELLO DWELLING UNITS: APT/ L COND: STAT CLASS: I I I I I 21 1 12ND LEVEL FLOOR SHEATH I I I J SCHOOL WITHIN HAZARDOUS 1 IROOF SHEATHING I J I JAIR QUALITY: 1000 FEET MATERIALS I I I I 1 [ NO NO NO [ [FIRE DEPT. FRAME INSPECT[ I I JBLDG DEPT. FRAME INSPECTI 1 I 1SHEAR PANELS 1 1 [ 1 1 IINSULATION/WEATHER STRIP) I I 1 I 1 NTERIOR LATH/DRYWALL [ 1 1 1 I 1EXTERIOR LATH I I 1 ILOT DRAINAGE 1 1 1 I I 1 ISMOKE DETECTION DEVICES 1 I 1 I I I I I FIRE DEPARTMENT APPROVAL i 1 IREPORT ID: DPR261 ROUTE TO: BS0508 I 1 I 1