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Home My Public Portal About9142 WOOLLEY ST_Building__ '8A838A CE#8038-58 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE.COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPE.....--y PROCESSED BY FOR APPLICANT TO FILL IN j" I coNS: i2 I BUILDING rJ L/ �/ SEWER MAP d ADDRESS % �'7 �I tVOoG��/ i STATISTICAI,,,.C�(ASSIFICATION I B d -PG.. `.� CLASS. NO. DWELL. UNITS LOT NO. BLOCK MAP •. STATE YES Ir, NUMBER ,a. -'. HWY. _ TRACT /�. USE ZOfjE SPECIAL �/ NO.OF BLDGS. ^� f% CONDITIONS SIZE OF LOT �OO/� 1 yD I NOW ON LOT / USE O EXISTING BLDG./�.�5/DENCt= R�`✓�`a BUILDING EXIST. (� � SETBACK YARD HWY STREET NAME WIDTH OWNER k ICIYAOD 6, <Elyly ::)/v FRONT ! MAIL C/ k/ �- ADDRESS /�7'Z' L.I LVDULL L y P. L. / -+7 SIDE ^G" (r/T y , (O�� /3 P.L. EL CITY NO. ARCHITECT OR �/ / TEL, INSPECTION RECORD ENGINEER GK KRUGt,Q NO. ADDRESS f�s�6 �A�,r/ -!> - S4,V7_4 CONTRACTOR Q�/� �I�, TEL. ADDRESST�2 iQf9Fq'e,6t0 DESCRIPTION OF WORK NEW ALTER REPAIR DEMOLISH SO.FT. NO.OF NO.OF / SIZE 3 S� STORIES / FAMILIES USE OF STRUCTURE sc,eeew D oKChE SIGNATURE OF -��A J APPROVALS APPLICANT ' YYY"v'wv�+ -� /� DATE INSPECTOR'S SIGNATURE / ADDRESS l Z ✓rt/OITC. / (- FOUNDATION: LOCATION _FORMS.MATERIALS P.C. $ - - FRAME: FIRE STOPS. _ ..- FEE _ BRACING, BOLTS VALUATION j -. ' $ ;?ti„1 FURNACE: LOCATION. FEE GAS VENT.DUCTS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH,EXT. STATE LAWS REGULATING BU DING CONSTRUCTION. SIGNATUREOF HOUSE NUMBER COR- PERMITTEE - '�' RECT AND POSTED ADDRESS L'�� ' c, FINAL CLYDE N.DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.r CASH 1� L7 I WORKERS' COMPENSATION DECLARATION hereby affirm that I have certificate ce of consent to Self APPLICATION FOR BUILDING P E RM I T insure, or a certificate of Workers' Compensation kers'Cpensation Insuran , or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING COL 8 `1 ❑ Certified copy is hereby furnished. I FOR APPLICANT TO FILL IN ADDRESS ST' ❑ Certified copy is filed with the county buildinginspec- I BUILDING J tion department. p ADDRESS I Date Applicant CIN +w1M u ` `+_t� ZIP v LOCALITY `/ O OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' ' SIZE OF LOT 7, �� TOW ON LOT CROSS ST. COMPENSATIQN INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars($100)or less.) ( TEL. OWNER `_ NO oo USE ZONE TMAP I certify that in the performance of the work for which this NO. permit is issued, I shall not employ any person in any manner ADDRESS Ofl SPECIAL d CONDITIONS so as to become subject orkers'Com n Laws. �—�� O L_ _ . . ZIP Date Applicant' ARCHITECT R TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY NO TIC TO APP CANT: If, after ma ing is` ertificate f ENGINEER NO. O Exemption, you should become su ject t the Workers CONST. ZONE V Compensation provisions of the Labor Code, you must fort ADDRESS a with comply with such provisions or this permit shall TEL. STATISTICAL CLASSIFICATION APT. CONDO. Z deemed revoked. + CONTRACTOR NO. _ LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business LIC. SEWER MAP and Professions Code,and my license is in full force and effect. CIN CLASS BK PG VALIDATION SQ. FT. NO. OF NO. OF CHECK License Number UC_ Class SIZE STORIES FAMILIES ONE �LL� IL Contractor Date DESCRIPTION OF WORK NEW ❑ $A h/10, 0 U ADD ❑ •JJ((�� ► ❑I am exempt under Sec. ALTER ❑ B.BP.C. for this reason REPAIR $ Date: USE OF EXISTING BLDG. DEMOL ❑ Signature APPLICANT TEL. i FINAL �Q OWNER-BUILDER DECLARATION (PRINT) _ rkj` �. NO. DATE I hereby affirm that I am exempt from the Contractor's License ADDRESS l.' �+ c.�. S t �_ Law for the following reason (Section 7031.5, Business and ;FINAL lr� rofessions Code): PRESENT r By ACCTns BUILDING .,5I, as owner of the property, or my employees with ADDRESS ; 3307 50,- wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY , 1 ITEMS 7044, Business and Professions Code.) MOVING TEL. ❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. I TI]TAL 59.25 with licensed contractors to construct the project (Sec- ADDRESS CHECK 9y' 215 tion 7044, Business and Professions Code.) s i• CONSTRUCTION LENDING AGENCY SETBACK YARD HWY TOTAL ROP LINE FROM WIDTH CHANGE •0Q 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 P.L. 1 0000-0001 9/13/8? Lender's Name � 5682 1 AM11°`2 $ P.C. Fee$ Permit Fee LDMA Ref. ti AMID52 Lender's Address I certify that I have read this application and state that the Issuance Fee • LDMA P/C ff above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating-to building construction, i Fee 'f' LDMA Perm. #i nd hereby authorize representatives of this County to enter ; `up ve-mentioned property for inspect' n purpos s. o .••�+-� �' 1• SEE REVERSE FOR EXPLANATORY LANGUAGE Si not of Applin r Agent Date t COUNTY OF LOS 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 1310210073 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST NEW I BUILDING ADDRESS: ITR: 12115 LT: 15 I SQ. FT STORIES TYPE OCCUP GROUPI 9142 WOOLLEY ST I ISTRUCTURE: 224 1 V-B U TEMP CA 917801349 (ASSESSOR INFORMATION NUMBER: I GARAGE: I NEAREST CROSS STREET: I 15382-023-007 1 OTHER: 1 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY CAI ITENANT: (EXIST BLDG USE: USE ZONE: TISSUED ON: PROCESSED BY: 1 1 (EXIST OCC GRP,;._ 110/31/13 SR 1 IOWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: (FINAL DATE FI Y: CODE: 1 ILAU, YVONNE (626) 400-0358- 1 10,310 I I 19142 WOOLLEY ST I 1 1 ITEMP 917801349 1 FEES PAID DgSCR±PfIOfq OF WORK 1 IWORXROOM ADDITION ATTACHED TO EXISTING DETACHED GARAGE I [FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:I (PAT10 COVER TO BE DEMOLISHED & NO PLUMBING OR GAS HOOK UPS) ( (APPLICANT: TEL. NO: I I I ISAME AS OWNER - IDI PLANCHECK W/O EN-HC 10310.00 VAL 198.40 1 1 IAA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS: I jAB STATE GREEN BLDG FEE 10310.00 VAL 1.00 COVENANT RECORDED I IAC STRONG MOTION RESID 10310.00 VAL 1.00 I ID2 PERMIT W/O EN-HC 10310.00 VAL 233.40 ICONTRACTOR: TEL. NO: TOTAL FEES 461.60 (APPROVALS DATE INSPECTOR SIGNATURE I ISAME AS OWNER - I I I I LIC. NO I ILOCATION AND SETBACKS I I I I ISOILS ENGINEER APPROVAL 1 1 I (ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I 1 LIC. NO: I ISLAB/UNDER FLOOR 1 I I IRAISED FLOOR FRAMING I I I I I I [ I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I 3 001 1 I 1 (1ST LEVEL FLOOR SHEATH I I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I 0 NO 21 12ND LEVEL FLOOR SHEATH I I I SCHOOL WITHIN HAZARDOUS I [ROOF SHEATHING I I (AIR QUALITY: 1000 FEET MATERIALS I I I 1 NO NO NO I IFIRE DEPT. FRAME INSPECTI I I I I I I I IBLDG DEPT. FRAME INSPECT I I (SHEAR PANELS I I 1 I 1 (INSULATION/WEATHER STRIP( I I (INTERIOR LATH/DRYWALL I I I I 1 EXTEP,IOR LATH I 1 I I I I I I I I I LOT DRAINAGE I I I SMOKE DETECTION DEVICES I I I IFIRE DEPARTMENT APPROVAL( I I I I 1 1 REPORT ID: DPR261 ROUTE TO: BS0508 I I I I COUNTY OF LOS 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 1104050039 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST NEW )ING ITR: 12115 IT: 15 SQ. FT STORIES TYPE OCCUP GROUPI 9142WOOLLEYRSTS J STRUCTURE: 254 1 V-B U I TEMP CA 917801349 I [ASSESSOR INFORMATION NUMBER: I GARAGE: I NEAREST CROSS STREET: [ 15382-023-007 1 OTHER: 1 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl TENANT: (EXIST BLDG USE: USE ZONE: (ISSUED ON: PROCESSED BY: J I 1EXIST OCC GRP: 105/09/11 SR I (OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: IFINAJ,,DATE FTN CODE: 1 JWU, KEN (626) 251-0436- 1 11,690 > 19142 WOOLLEY ST [R4 f ITEMP 917801349 I FEES PAID IDE ^_R P ON OF WORK I 1254 SQ.FT. STORAGE AP9149EOW TO (E) DETACHED GARAGE [ IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[ 1 APPLICANT: TEL. NO: I I IWU, KEN (626) 251-0436- IDI PLANCHECK W/O EN-HC 11690.00 VAL 213.20 1__ I I 1AA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS: I JAB STATE GREEN BLDG FEE 11690.00 VAL 1.00 f I JAC STRONG MOTION RESID 11690.00 VAL 1.20 I / � G t I ID2 PERMIT W/O EN-HC 11690.00 VAL 250.90 I (� (�1� U �'•Tl''� I�J�I`` ti ICONTRACTOR: TEL. NO: I TOTAL FEES 494.10 (APPROVALS DATE INSPECTOle SIGNATURE I ITSENG, HSI-PO (626) 251-0436- J 1_ I 19142 WOOLLEY STREET LIC. NO J [LOCATION AND SETBACKS I I I [TEMPLE CITY, CA 91780 NONE I I [ I I [ I 1SOILS ENGINEER APPROVAL 1 1 I [ARCHITECT OR ENGINEER: TEL. NO: [ IFOUNDATION/TRENCH FORMS _ I 1 LIC. NO. 1 (SLAB/UNDER FLOOR 1 I I IRAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: [UNDERFLOOR INSULATION I I I 3 OC I_ I [ 11ST LEVEL FLOOR SHEATH I [ I INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: [ I I J I I 0 NO 21 [ 12ND LEVEL FLOOR SHEATH J J I SCHOOL WITHIN HAZARDOUS 1 IROOP SHEATHING I J I JAIR QUALITY: 1000 FEET MATERIALS I I I I I NO NO NO I IFIRE DEPT. FRAME INSPECTI II I I JBLDG DEPT. FRAME INSPECTI I I J I 1SHEAR PANELS 1-1 I I [INSULATION/WEATHER STRIP[ I I I I [INTERIOR LATH/DRYWALL J J I I 1 I 1EXTERIOR LATH J J I I LOT DRAINAGE I I J j SMOKE DETECTION DEVICES J I I IFIRE DEPARTMENT APPROVAL[ I I IREPORT ID: DPR261 ROUTE TO: BS0508 [ I I I