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Home My Public Portal About9119 WOOLLEY ST_Building__ 76AG38A CERS03 9-68 6587 APPLICATION FOR -BUILDI G PERMI COUNTY OF t'LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST . t COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN DISTRICT NO. GRA T NS PR s BY (Print or type only) d CONST._0� a— BUILDING STATISTICAL CLAS IFICATION SEWER MAP ADDRESS -41% Wooley St. CLASS NO. DWELL.UN`I�TS BK PG LOT NO. BLOCK USE ZONE NO. 00DJ TRACT Z2 IU 0 SPECIAL NO.OF BLDGS. IN CONDITIONS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. dwelling BLDG.SETBACK FROM OWNER James BOrtOlOtti TEL 'AT75392 FRONT PROP.LINE OF (STREET) PE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS 9191 Wooley St. H WAY WIDTH FROM C.L. CITY Temple City + _ BLDG.SETBACK FRO ARCHITECT OR TEL. SIDE PROP.LINE OF (STREET) ENGINEER NO. TYPE UIJEARIIINGJ SETBACK I HIGHWAY YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. CONTRACTOR Virgin Roof Co.NO.— 287-0507 + c ADDRESS 00 S. San Gabriel No 160650 CORNER CUTOFF YES ❑ NO ❑ C CITY an Gabriel CLASS C-39 SEE REVERSE.SIYE FOR SPECIAL APP VALS CONSTRUCTION LENDER c NAME AND BRANCH / s ADDRESS (p SQ. FT. NO. OF 1 NO. OF NEW ❑ SUSE OF IZE STORIES FAMILIES El-STRUCTURE reroofing house and ADD ALTER ❑ , arae with wood shakes REPAIR SIGNATURE OF i APPLICANT DEMOL ❑ VALUATION S 1876.00 APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEES FEES FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL 6RDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIQLATION OF THE LATH, INT. LABOR CODE OF THESTATE/�S OF -CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION I ISURANCE. LATH, EXT. SIGNATURE PERMITTEE OF / HOUSE NUMBER COR- RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION(S) M.O. CASH `- Lr� ID 1725- 03 • • WORKERS'COMPENSATION DECLARATION I #870444 SB her 56y affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT {asucg, or a certificate of Workers'Compensation Insurance, or a certified copy thereof (Sec. 3800, Lob. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. W0007146 Company Beaver Ins, BUILDING .. A ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADD RE W914 SJ ' Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS 11 E Woolley e• Date 11-19-87 Applicant Virgin Roof Co. CITY Temple City ZIP, 9 1780 LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one TRACT BLOCK LOT NOASSESSOR . hundred dollars ($100)or less.) MAP BOOK PAGE PARCEL TEL. USEZO MAP t SPECIAL i certify that in the performance of the work for which this OWNER Jud B • NO. NO. permit is issued,I shall not employ any person in any manner I ADDRESS 9119 E Woo l l e St j CONDITIONS 0 so as to become subject to the Workers'Compensation Laws. U Date Applicant CITY ZIP 0 NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. DISTRICT UP TYPE FIRE PROLE ED BY OO ENGINEER NO. �T Exemption, you should become subject to the Workers' �N'I'J ZONE U Compensation provisions of the Labor Code, you must forth- ADDRESS l � ((�� with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFI TION APT. NDO. deemed revoked. CONTRACTOR Virgin Roof Co No.28 -0 0 Z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS P.O. BOX J NO. 160690 SEWER P (commencing with Section 7000)of Division 3 of the Business and LIC. f Professions Code,and my license is in full force and effect. CITY San Gabriel CLASS C BK PG `� VALIDATION License Number 160650 Lic.Class C39 SIZES S [STORIES FAMILILIES CHECK NEW VALUATION Contractor Virg i n ROOF CO. Date 11 19-87-- - --i DESCRIPTION:OF_WORK__. _ ADD —❑ $7-70-00. -- --- 1 770-.00 -- _--1 am exempt under Sec.' ❑ ® ' ALTER B.$P.C. for this reason REPAIR ❑ $ USE OF Date: EXISTING BLDG. DEMOL 1771 Signature APPLICANT • TEL. FINAL ;28 5 9.4 A OWNER-BUILDER DECLARATION PRINT No. — DATE \I I hereby affirm that I am exempt from the Contractor's License Q BOX J San Gab r i e 1 1 8 FINAL # 0 0 0 0 0 .1 ` Law for the following reason (Section 7031.5, Business and ADDRESS P. Professions Code): PR By Ir I o o 4 Q 5 0 j ❑ I, as owner of the property, or my employees with ADDRESS 0 - 40,5050 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. 10, �/ ` 121 4•�el "] I,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). REQUIRED YARD HWY TOTAL SETBACK �. CONSTRUCTION LENDING AGENCY SET BACK PROP. 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 I P.L. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name LDMA Ref. # ZP.C.Fee$ Permit Fee QQ:`' loplender's Address i I certify that I have read this application and state that the Issuance Fee 10.130 LDMA P/C# R above information is correct. I agree to comply with all County Investigation Fee 0 ordinances and State laws relating to building construction, Total Fee $40.50 LDAAA Perm.# 0 and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. / mand11-1 C)-87 SEE REVERSE FOR EXPLANATORY LANGUAGE ISIErhature of Applicant or Agent Date a L-` COUNTY OP LOS ANGELES TEMPLE CITY # 0508 BUILDJNG PERMIT_ DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ;ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 jRL 0508 9901040042 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST �,I_ UILD NG ADDRESS: TR: 12504 LT: 24 SQ. FT STORIES TYPE 9119 WOOLLEY ST STRUCTURE: VN TEMP CA 91780'050 ASSESSOR INOR 0 NEAREST CROSS STREET: LIVIA 5382-018-011 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY IST LD SE: R S USE-Z0 ISSUETOTfIe 0 S D BY: EXPIRES 0 : EXIST OCC GRP: 01/04/99 UT 01/04/00 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE Y: CODE: BORTOLOTTI JUDY C TR (818) 287-5392- 10,800 nw 9119 WOOLLEY ST TEMP 917801350 FE S PAID UES-CUM03 OF WORK --TEAR,-OEFr NEW 1/2" CDX PL=. DD, RECOVER WITH EAGLELITE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TT.LE 50 YR-GUARANTEE- - -- -- - C EAGLE ROOFING (626) 291-5700- AA BLDG PERMIT ISSUANCE 27.75 6327 LIVIA AVE. AC STRONG NOTION RESI_D 10800.00 VAL 1.08 SPECIAL CONDITIONS: TEMPLE CITY, CA D2 PERMIT W/0 EN= 1_8`0.00 VAL 233.40 ANGELES Co F S 262.23 CONTRACTOR: TEL. NO: SOS ��A� APPROVALS DATE INSPECTOR SIGNATURE EAGLE ROOFING (818) 291-5700- 6327 W LIVIA AVE LIC. NO LOCATION AND SZTBACKS TEMPLE CITY CA 91780 698529 C39 i SOILS ENGINEER APPROVAL ARCHITECT OR NG NE R: TEL. N0: - ,// OU 0 C S LIC. N, 1111111 SLAB/UNDER FLOOR RAISED FLOOR FRAMING 1MAP NO:53H265 SEWER MAP BOOK: PAGE: FIRE ZONE: r �n n D n C ��O n NDERFLOOR INSULATION U II I� IL1�L;1 LLJJ FLOOR SHEATHING NO. OF FAMILIES: DWELLING TS: AP CO : S7AT CLAS NO 21V0 _, ROOF SHEATHING p vF"�Ii SCHOOL ITHIN A RD S SHEAR P N LS AIR QUALITY: 1000 FEET MATERIALS Q NO NO NOII"J FRAME INSPECTION El REQUIRED TOTAL SETBACK FROR_ EXIST 0 IRE SP I NKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: %%L. �,e�v'Ce-flh � INSULATION/WEATHER STRIP FROSIDE PL- INTERIOR AL EXTERIOR LATH RATEU-FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINEF REPORT ID: DPR261 ROUTE TO: BS0508