HomeMy Public PortalAbout9148 WOOLLEY ST_Building__ APPLICATION FOR BUILDING PERMI,T•
FOR APPLICANT,TO FILL IN (Print or type only) LI
BUILdiNG COUNTY OF LOS ANGELES
ADDRESS LI. F DEPARTMENT.-OF COUNTY'ENGINEER
CITY' OL = C ZIP BUILDING AND SAFETY DIVISION
Nd.OF BLD S. .'} BUILDING
SIZE OF LOT11 t� NOW ON LOT p` ADDRESS L L
TRACT GL p J BLOCK LOT NO. LOCALITY'1 J_ C_.l r
-TE L. EAREST ,
OWNER G 'NO. CROSS ST. (;
ASSESSOR .
A_DDRESS MAP BOOK 3" PAGE PARCEL
DISTRICT GROUP TYP FIRE PRO SSED BY
CITYM 'OL CZIP CONST.�� ONE
ARCHITECT OR 'TEL. �./•D _
ENGINEER W NO 6
_ STA'TISTICAL,CL''AS//SIFICA TION MAP
ADDRESS L-.L .� _ CLASS NO. DWELL.UNITSarER
`:Y—PG
CONTRACTOR - NE SONE MAP
NO. g
ADDRESS 9LO SPECIAL
Lgt� CONDIT OtISK
CITY
MA& y �` IC.
CLASS I ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
CONSTRUCTION LENDER
NAME AND BRANCH BLOG,SETBACK FROM
FRONT PROP.LINE OF w (STREET)S
ADDRESSq 149 :i - C _ TOTAL SETBA FROM TYPE OF EXISTING
HIGHWAY + YARD _
SQ, FT. NO. OF NO. F CHECK FRONT PROP. LINE HIGHWAY WIDTH-
SIZE STORIES FAMILIES ONE _ jC
DESCRIPTION OF WORK; NEW ❑ + �
3 ADD BLDG,SETBACKFROM
A SIDE PROP.LINE OF (STREET)
e ALTER ❑ _ TOTAL SETBACK FROM TYPE OF EXISTING
Cry -HIGHWAY •}•• YARD - HIGHWAY WIDTH
REPAIR[_ SIDE •PROP. LINE
USE OF +
EXISTING BLDG, Os It rN—juc,,cLDEMOL ❑
APPLICANT TEL I I , CORNER CUTOFF YES ❑ NO ❑
(PRINT) x`,00
BY (SIGNATURE) IN OPEN•SPACE '-YES ❑ NO ❑
q IN COASTAL ZONE, '•� YES ❑ NO ❑
VALUATION$ - CATEGORICAL EXEMPTION +, Yy ES❑ NO ❑
ENVIRONMENTAL•
I HEREBY ACK LED -THAT I HAVE READ THIS APPLICATION •�
AND STATE THAT THE ABOVE IS CORRECT (ND,AGREF TO COMPLY •s MPACT/ .i EXEM PTI:ON',DECLA RAT ION SIGN. (DATE)
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- t '.f A '
STRUC TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED %,�;%l ,s.. �''�.IMPNCT REPORT PROCF,SSED 1• (DATE)
HEREBY P WILL NOT'EMPLOY ANY PERSON'IN VIOLATION OF THE - /
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO . :zs
WORKMEN'S COMPENSATIO INSURANCE. !
SIGNATURE OF Z �� •-),� jULf�77 Dit/ Q ^�
PERMITTEE
ADDRESS 4 �y^J7 GILL Ci`I�iL F�/�. l/J{F� ,� /1 "
Flt(IAL' BY +
EL DATE
CITY / . G NO.'' Q '
MAKE CHECKS PAYABLE TO: FEE $ FEE 4
HARVEY T. BRANDT,.COUNTY ENGINEER l�L
PLAN. CHECK VALIDATION CK. M.O. CASH PERMIT-VALIDATION l.J' M.O. CASH
0 9 69JUN- 30 1 0 8 9.2 5 A9b
•7GA638A CE0803 7/73 •• -
APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Print or type only) u
BUILDING COUNTY OF LOS ANGELES
ADDRESS DEPARTMENT OF COUNTY ENGINEER
CITY , zIP �! �� BUILDING AND SAFETY DIVISION
NO.OF BLDGS. BUILDING
SIZE OF LOT 61041,IVO NOW ON LOT / ADDRESS r
TRACT BLOCK LOT NO • LOCALITY 7 --
TEL. NEAREST
OWNER _ O. CROSS ST. ,-//' �� ✓vG/\,I
ASSESSOR
ADDRESS / GG MAP BOOK PAGE PARCEL
DISTRICT GROUPTYPE FIRE ESSED BY
CITY c ZIP ``1�
IS
ARCHITECT OR EL.
T �. u ) -J 12L
.� EENGINEER NO•
STATISTICAL CLASS( (CATION SEWER MAP
TEL.
ADDRESS CLASS NO.".DWELL,UNITS /V BKS PG
CONTRACTOR NO W ZONE NOP«•�-V�-
ADDRESS NO SPE IAL
CONDIT ONS
CITY LIC.
CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
CONSTRUCTION LENDER Cq��}
NAME AND BRANCH (/W BLDG.SETBACK FROM / �G
FRONT PROP.LINE OF (STREET) C
ADDRESS CITY _ TOTAL SETBA FROM TYPE OF EXISTING
HIGHWAY + YARD - C
SQ. FT: ��]] NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH `
SIZE LJ ISTORIES FAMILIES ONE CF
+
DESCRIPTION OF WORK NEW ❑
ADD ❑ SIDE
ACK M (STREET)
G SIDE PROP.LINE OF
ALTER � HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
-REPAIR[] SIDE PROP. LINE HIGHWAY WIDTH
USE OF +
EXISTING BLDG. DEMOL ❑
APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑
(PRINT)
BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑
FSTATQ IN COASTAL ZONE - YES.[] NO ❑
E
$ "2� CATEGORICAL EXEMPTION ,YES❑ NO ❑
ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL - J ,
HAT THE ABOVE I5 CORRECT AND AGREE TO COMPLY EX EXETA PTIO.N DECLARATION SIGNED (DATE)
RDINANCES AND LAWS REGULATING BUILDING CON-CERTIFY THAT IN DOING THE WORK AUTHORIZEDIMPACT REPORT PROCESSED - (DATE)
LL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSA ION INSURANC
•
SIGNATURE O
PEF;MITTEE
ADDRESS
+y y FINAL BY
[ILHALRVECYT.
NOL/��I DATE
AKE CHECKS PAYABLE TO: FEE � FEE � �'
BRANDT. COUNTY ENGINEER
PLAN CHECK VALIDATION CK. M O. CASH PERMIT VALIDATION'' CK' M O. CASH
r�
097Plim 3.0 1 0 6.000
7GA638A CENS03 7/73 ^
COUNTY OF LOS ANGELES TEMPLE CITY #.0508 BUI'LDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ,. ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0003270018
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST ,BUILD G ADDRESS:
TR: 12504 LT: 18 BL: .001 SQ. FT STORIES TYPE 6436 LIVIA AV
STRUCTURE: 0 VN TEMP CA 917801329
ASSESSOR INFORMATION NUMBER: INEAREST CROSS STREET: LONGDEN
5382-018-006 (THOMAS PAGE: 596 GRID: H1 LOCALITY: TEMPLE CITY
TENANT: EXIST B DG USE: RESID USE ZONE: R-1 ISSUED 0 PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 03/27/00 UT 09/ 3/00
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL 8Y• CODE:
LIU LIN;LILY R (626) 309-0407- 1 8,000
6436 L I V I A AV
TEMP 917801329 FEES PAID DESCR PTION OF WORK
REMOVE EXISTING SHINGLES, INSTAL ONIEL DURALITE TILE #2093
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 5.8 LBS. LIFETIME GUARANTEE
APPLICANT: TEL. NO:
SUNSHINE ROOFING (626) 288-0738- AA BLDG PERMIT ISSUANCE 27.75
516 N. DIAMOND BAR AC STRONG MOTION RESID 8000.00 VAL 0.80 SPECIAL CONDITIONS:
DIAMOND BAR, CA D2 PERMIT W/0 N��80_000.00 VAL 183.00
GE� EE 211.55
CONTRACTOR: TEL. NO: �/� APPROVALS DATE INSPECTOR SIGNATURE
SUNSHINE ROOFING (909) 861-6037-
516 N DIAMOND BAR BLVD #183 LIC. NO LOCATION AND SETBACKS
DIAMOND BAR CA 91765 755126 C39
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. 0: FO NDATION TRENCH FORMS
LIC. NO 1111111 SLAB/UNDER FLOOR
r� ' RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP n n UNDERFLOOR INSULATION
153H265 3 1 u D U D L J C VAU G�K S FLOOR SHEATHING
0. OF FAMILIES: DWELLING N S: AP /CO D: STAT CLAS
NO 21 �[\ ROOF SHEATHING3I�do
SCHOOL WITHIN HAZARDOUS ! 0
,-Y' t#, SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS Q ❑
NO NO NO w Ifr+l FRAME INSPECTION
iV ❑ JV�GJ
REQUIRED TOTAL SETBACK FROM E IST O FIRE SPRINKLER HANGERS
SET LTAPYARD:PL-
PROP LINE: WIDTH:
FRONT - gerv❑ ThaINSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTER OR LATH
RATED FLOOR/CEI ASSEM.
RATED WALL ASSEMBLIES
1
RATED S H A F T§/-0PE INGS
T-BAR'CEILINGS
OT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508