HomeMy Public PortalAbout9161 WOOLLEY ST_Building__ APPLICATION FOR BUILD NG *P R IT
FOR=APPLICANT TO FILL IN (Print or type only) ,6
ABUILDING DDRESS 97.b1 E., Woolley- OUNTY OF LOS ELES
DEPARTMENT OF COUNT ENGINEER
CITY Temple City ZIP 91780 BUILDING AND SAFETY DIVISION
SIZE OF LOT 55x120
-NO.OF B OT BUILDING. /e ,/ „ J
//��Z c NOW ON LOT 2 ADDRESS f ,' (•C/�
TRACT14396 BLOCK LOT NO. 8 LOCALITY 1
OWNERBonnie 3. Kelley No�85-2863 CROSS STTE .
ADDRESS 9161 E.. Woolley MAPASSSSOR
BOOK
y MAP BOOK PAGE L
Q DISTRICT GROUP TYPE FIRE PROC SED BY
CITY Temple City, ZIP 91-780 CONS ZONE
ARCHITECT OR TEL.- �'�D
ENGINEER NO. STATISTICAL CLASSIFICATION
_/� SEWER MAP
ADdRESS CLASS NO. C ! OWELL•UNITS BK PG
CONTRACTOR .NOL' USE ZONE MAP
LIC. f NO.
ADDRESS NO, e SPECIAL
LIC. 7 ' CONDITIONS
CITY CLASS
ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDG.SETBACK FROM
FRONT PPqMQLINE OF (STREET) e
ADDRESS CITY _ TOTAL SETBACK FROM TYPE OF EXISTING C
SQ. FT. NO. OF NO. OF- CHECK HIGHWAY + RD C
- FRONT PROP. LINE HIGHWAY WIDTH
SIZE STORIES FAMILIES . ONE F
DESCRIPTION OF WORK Concrete NEW ® c
. -Block Wall '� ADD ❑ BLDSDE PROP.LINE OF M d
t� L (STREET)'
6 In.- • X. 6 Ft.. Higjy; ALTER ❑ HIGHWAY + YARD = TOTAL SETBACK OM TYPE OF EXISTING
REPAIR❑ SIDE PROP. LINE HIGHWAY WIDTH
USE OF DEMOL +
EXISTING BLDG. [:1
CORNER CUTOFF YES ❑ NO ❑
AP PRIN)"Ronn.le B.. Kelley NOI.2$5-2863
BY (SIGNATUR.,,4 IN OPEN SPACE YES ❑ NOOF
❑
Q IN COASTAL ZONE YES ❑ NO ❑
VALUATION$3OO CATEGORICAL EXEMPTION YES❑ NO ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL ,
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT E%EMPZ.ION DECLARATION SIGNED (DATE)
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. IC
THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE)
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THESTATE OF CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSATION INSURANCE. 12
SIGNATURE OF
PERMITTEE
ADDRESS 91.61. E.. Woolley-
-
oolle -
QQ FINAL / BY
CITY Temple City NO.t&5"286 DATE /vJ//"3 1 -
.1 AKE C:HEC KS PAYABLE TO: FEE $ FEE'
HARVEY T. BRANDT, COUNTY ENGINEER 7-&6
PLAN CHECK VALIDATION CK. -M.O. CASH PERMIT VALIDATION CK: M . CASH
3 5 2 5-3 OCT 10 1- D .W
76p838p CE#803 12/72 5
APPLICATION FOR BUILDING PERMIT
F R APPLICANT TO FILL IN (Print or type only)
COUNTY OF LOS ANGELES
LDING
ADDRESS / O =-� DEPARTMENT OF COUNTY ENGINEER
CITYCr f� ZIP 0 BUILDING AND SAFETY DIVISION
SIZE OF LOT eS�O 1.5.rOW ON LOT ADDRESS i O
ZY—O % BLOCK `. LOT NO. G LOCALITYTEL.
NEAREST
OWNER O/I!`'/IL G7; 1&-X,&= NO.��bf d L3 CROSS ST. r f,/✓/ f
�A ASSESSOR
ADDRESS MAP BOOK PAGE PARCEL
�! ' DISTRICT GROUP TYPE FIRE PROCESSED BY
-CITY !l!!�f/��/_" �i' ZIP /7p k CONST�f' ZONE
ARCHITECT OR TEL. y(P� `� • jWf p
ENGINEER NO. STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS TEL. -- CLASS NO. �;"— DWELL.UNITS BK PG
CONTRACTOR �jTrS/�Y NO.,?J&1�•�4. USE ZONE NOP
LIC.
ADDRESS NO. SPECIAL
LIC. CONDITIONS
CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDG.SETBACK FROM
FRONT PROP.LINE OF (STREED
ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING
SQ.FT. NO.OF NO.OF CHECK HIGHW Y + YARD = FRONT PROP.LINE HIGHWAY WIDTH
SIZE STORIES FAMILIES ONE
_ 0.
DESCRIPTION OF WORK NEW ❑ + O
66 /� ADD ® BLDG.SETBACK FROM 0!
SIDE PROP.LINE OFcc
ISTREET) O
ALTER ❑ T BACK FROM TYPE OF EXISTINGLu
HIGHWAY + YARD = SI OP.LINE HIGHWAY WIDTH y
USE OF REPAIR ❑ Z
EXISTING BLDGG.�� / DEMOL ❑ +
Af PRINTNT/{�i NO. CORNER CUTOFF YES ❑
IN OPEN SPACE YES ❑ NO ❑
BY(SIGNATURE) .� IN COASTAL PERMIT ZONE YES ❑ NO ❑
VALUATION O C).�f
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM-
PENSATION INSURANCE.
SIGNATURE OF
PERMITTEE
ADDRESS
FINAL BY
/— P G! NOp�llj DATE
lz
CITY „ —
MAKE CHECKS P ABLE TO: P.C.EFEET'
HARVEY T.BRANDT,COUNTY ENGINEER
r
PLAN CHECK VALIDATION cm M.O. CASH _ PERMIT VALIDATION CK. M.O. CASF�
_®s 76A63BACE#8033.75' 2 5 n aPP, 8 1 D 7.0
%/s
;- APPLICATION FOR BUILDING PERMIT
FOR-APPLICANTTO FILL IN (Print or type only)
� _ COUNTY OF LOS ANGELES
BU IDINGADDRESS
// 0.0 ILS.r DEPARTMENT OF COUNTY ENGINEER
ADDRESS /Gs/ I-
CITY / f��r-Grp zIP fir`/ 7 BUILDING AND SAFETY DIVISION
NO.OF BLDGS. BUILDING r i
SIZE OF LOT aj'K%3.J' NOW ON LOT ADDRESS
TRACT BLOCK LOT NO.#S LOCALITY '�_c c.TEL. NEAREST
OWNER /cs!i�c�, t'7/1/ yam' NO_Z�.5�'�35 6�7 CROSS ST /jrC//r�/f/FASSESSCIR
/
ADDRESS / 5, o L L 1." MAPBOOK `+31?o►t PAGE �/6 PARCEL6,7,9
-CITY /N fJL r ZIP j fid( DISTRICT G CONST. +YPE � I FIRE
ZONE PROCESSED BY
ARCHITECT OR TEL. a,g g �[
ENGINEER NO. STATISTICAL CLASSIFICATION SEWER AP
ADDRESS TEL. CLASS NO. z' DWELL.UNITS
CONTRACTOR NO. USE ZONE AP
LIC. NO.
ADDRESS ,' NO. �-' SPECIAL
LIC. CONDITIONS
CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDG.kTBACK FROM
FRONT Pffike.LINE OF (STREET)
ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING
SQ.FT. !Z7 NO.OF NO.OF CHECK HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH
SIZE STORIES FAMILIES ONE }
DESCRIPTION OF WORK ; NEW ❑ + O
BLDG.SETBACK FROM
ADD SIDE PROP.LINE OF (STREET) O
ALTER ❑ TOTAL S CK FROM TYPE OF EXISTING
HIGHWAY + YARD = SI FB . E HIGHWAY WIDTH , h
IbSEOF REPAIR ElSI
EXISTING BLDG. DEMOL ❑ +
APPLICANT /� TEL CORNER CUTOFF YES ❑ NO
(PRINT) /1/i /�[.i N0. �3 ��.3
1
IN OPEN SPACE YES ❑ NO ❑
BY(SIGNATURE)
IN COASTAL PERMIT ZONE YES ❑ NO ❑
Cl
VALUATION$
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM-
PENSATION INSURANCE.
SIGNATURE OF �j
PERMITTEE
ADDRESS /G/ .� 'O 0'Zl4 •
�1 /TEL. FINAL BY
CITY �FI+�l1t� C'��-• _NO."4j, S DATE
MAKE CHECKS PAYABLE TO: FEE $ F ET.$
HARVEY T.BRANDT,COUNTY ENGINEER 30")
PLAN CHECK VALIDATION Cr, M.O. CASH PERMIT VALIDATION CK. M.O.
14 i Lr.MAR .15 ® 3.0 0 Ago
Os 76A63BA CE#803 3.75' T
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 1402070016
PHONE: (626) 285-0488 EXT:
LEGAL ID: I NO. OF CONST BUILDING ADDRESS:
ITR: 14396 LT: 48 SQ. FT STORIES TYPE 9161 WOOLLEY ST
I ISTRUCTURE: 1300 V-B TEMP CA 917801351
[ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
15382-016-028 1 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY CAI
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY:
.1EXISTOCC GRP: 102/07/14 SR 1
OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: 1FTNAL DATE FINAL BY: CODE: I
IVHORA SATTAR I;LILIAN I - 1 4,000 I
19161 WOOLLEY ST
TEMP 917801351 FEES PAID IDE (.RIPTI��WORK
I IT/O EXISTING COMPOSITION ROOF AND APPLY 1/2" OSB DECK.
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IAPPL•Y CLASS A COMPOSITION SHINGLE ON HOUSE.
APPLICANT: TEL. NO:
ILANSFORD, ROBERT (626) 478-6175- JAA BLDG PERMIT ISSUANCE 27.80 I_
3535 LANDFAIR RD IAB STATE GREEN BLDG FEE 4000.00 VAL 1.00 ISPECIAL CONDITIONS:
PASADENA CA 91107 IAC STRONG MOTION RESID 4000.00 VAL 0.50
ID2 PERMIT W/0 EN-HC 4000.00 VAL 115.80
TOTAL FEES 145.10
CONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE
ILANDSFORD ROOFING (626) 266-0097- 1_
13535 LANDFAIR RD LIC. NO ILOCArTON AND SETBACKS I I
PASADENA, CA 91107 NONE
1 1 SOILS ENGINEER APPROVAL I I
1ARCHITECT OR ENGINEER: TEL. NO: - 1 IFOUNDATION/TRENCH FORMS I I
LIC. NO: i 1SLAB/UNDER FLOOR I I 1
IRAIBED FLOOR FRAMING 1 1
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:[ IUNDRRFLOOR INSULATION I I
3 O:I I
I IFLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
1 NO 21 1 ROOF SHEATHING I 1
SCHOOL WITHIN HAZARDOUSi 1SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS _
NO NO NO IFRAMS INSPECTION I I I
1FIRE SPRINKLER HANGERS I I I
1 1 INSULATION/WEATHER STRIP I I
1 1INTERIOR LATH/DRYWALL
1 JEXTFRIOR LATH
1 [RATED FLOOR/CELL ASSEM.
1 RATED WALL ASSEMBLIES
1 1RATED SHAFTS/OPENINGS
IT-BAR CEILINGS
ILOT DRAINAGE I I I
IREPORT ID: DPR261 ROUTE TO: BS0508 I_ I I I
-I -I_ I I I
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 1402070017
PHONE: (626) 285-0488 EXT:
ILEGAL ID: NO. OF CONST I BUILDING ADDRESS: I
ITR: 14396 IT: 48 SQ. FT STORIES TYPE 9161 WOOLLEY ST 1
STRUCTURE: 500 V-B 1 TEMP CA 917801351 1
(ASSESSOR INFORMATION NUMBER: 1 I NEAREST CROSS STREET:
15382-016-028 1 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY CAI
TENANT: (EXIST BLDG USE: REBID USE ZONE: R-1 ISSUED ON: PROCESSED BY: I
[EXIST OCC GRP: 102/07/14 SR 1
(OWNER: TEL. NO: IRDGS. NOW ON LOT: VALUATION: [FINAL DATE FINAL Y: CODE:
VHORA SATTAR I;LILIAN I [ 1 1,000
19161 WOOLLEY ST [ [
I I [
ITEMP 917801351 I FEES PAID IDESCRIPTION OF WORK 1
[ I IT/O EXISTING COMPOSITION ROOF. APPLY 1/2" OSB DECK. APPLY [
[ IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:ICLASS A COMPOSITION SHINGLES ON DETACHED GARAGE. [
(APPLICANT: TEL. NO: I I I
ILANDSFORD, ROBERT (626) 478-6175- IAA BLDG PERMIT ISSUANCE 27.80 I 1
13535 LANDFAIR RD IAB STATE GREEN BLDG FEE 1000.00 VAL 1.00 ISPECIAL CONDITIONS: 1
[PASADENA CA 91107 IAC STRONG MOTION RESID 1000.00 VAL 0.50 1 1
1 ID2 PERMIT W/O EN-HC 1000.00 VAL 65.40 1 1
1 I TOTAL FEES 94.70 1 I
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I
ILANDSFORD ROOFING (626) 266-0097- I 1
13535 LANDFAIR RD LIC. NO I ILOCATION AND SETBACKS I I I
IPASADENA, CA 91107 NONE I I I I
[SOILS ENGINEER APPROVAL I I I
(ARCHITECT OR ENGINEER: TEL. NO: - I (FOUNDATION/TRENCH FORMS I I I
1 LIC. NO: (SLAB/UNDER FLOOR 1 I I
[RAISED FLOOR FRAMING
[MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( [UNDERFLOOR INSULATION I I I
3 00
1NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I [FLOOR SHEATHING I 1 I
1 NO 21 1 IROOF SHEATHING I
I SCHOOL WITHIN HAZARDOUS [ ISHEAR PANELS I I
[AIR QUALITY: 1000 FEET MATERIALS 1 1 1-1-
NO
1 NO NO NO I IFRAME INSPECTION
I I IFIRE SPRINKLER HANGERS I 1
1 I [INSULATION/WEATHER STRIP[ I
I I I I I
I [INTERIOR LATH/DRYWALL I I I
I I [EXTERIOR LATH I I I
[RATED FLOOR/CEIL ASSEM. I [ I
RATED WALL ASSEMBLIES I
1 RATED SHAFTS/OPENINGS 1
IT-BAR CEILINGS
I I
I I (LOT DRAINAGE I I I
I 1 I
1 IREPORT ID: DPR261 ROUTE TO: BS0508 I I I 1
I I I I I I