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HomeMy Public PortalAbout9712 WOOLLEY ST_Building__ BUILDIN ' BUILDING , DREBB �,2 ��Wa�.��, 5� APPLICATION LOCALITY �. G. �— NEAREST �� DIVISION OF BUILDING`AND SAFETY CROSS ST. _ Department of County'Engine! �'DISTRIC J. RECEIPT NO. PERMIT NO. County of Los Angeles �� �ur'-� J. FOX, COUNTY ENGINEER GROUP DATE RECEIVED DATE ISSUED CASSABSATT D. GRIFFIN, BUP'r OF BUILDING 2 FOR APPLICANT TO FILL IN TYPE gjQNBT. RECEIVED BY ISSUED BY OWN i _yam /y�c ✓ ��_ .�L'�j�� r.,TY ILER ��� i� n� NUMBER v STATE \� HWY DRE138 7 7 S 7 TEL. �d� 7J USE ZONE SPECIAL r CONDITIONS No. ,.,�j� ARCHITECT OR TEL. ICJI/V ENGINEER NO. �� /J/ p �/� �� �j BUILDING YARD HWY STREET NAME EXIST. ADDRESS I7d 2,12 l .75.m(//.. /Tin SETBACK W�IDDTTTH/' ���yy TEL. - - FPR LNT r . _l�.± CONTRACTOF(�(l�vy l �- NO. SIDE ADDRESS .3�.U P.L. V S BUILDING g�0 , P e *;a DATE CORRECTIONS INSPECTOR ADDRESS ' 13 CIE. r E Al— LOT NO. \ BLOCK 1)ICH TRACTAIMUNO OF SIZE OF LOT ��d Z c D I NOW ON LOTS' /� USE OF ?' -'// lPl. OT./T/C�1I�� EXIRTING BLDG. - DESCRIPTION OF WORK /,7�: '""/Sr. / MCC C= `z "' a NEW d.-- ADD ALTER REPAIR DEMOLISH r Z S4.FT. 1 NO.OF NO.OF SIZE / © � STORIES FAMILIES USE OF STRUCTURE X 400, . z , NO.OF EMPLOYEES ` 1-HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- PL'fCATION AND STATE THAT THE INFORMATION GIVEN IS APPROVALS INSPECTOR'S SIGNATURE DATE CORRECT. IAGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION � AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FORMS,MATERIALS ✓�jJ ,A,_ SIGNATURE OF • ` ` FBRACING,,BO* FIRE TBS' PERMITTEE aG E6 44r v ' " FURNACE: LOCATION. A ADDRES O OAS VENT,DUCTS 2-7-J7 J (�}v[? LA:H, INT. ! P .�..1 �s►�1 AUTHORIZED AOT. — J �•r Y I LATH. EXT. (/r/Ays' 'S M�1 � FEE �F C�4t HOUSE NUMBER COR- A. (��'- RECT AND POSTED VALUATION ���o FEE FINAL 76A638A DIS 3 ralb 5-54 "TEMPLE CI'T'Y 76A,638A CE Yr8O32-63 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 WILLIAM A.JENSEN, SUP•T-OF BUILDING CROSS ST. DIST ErNgl I GROUP TYPE P O E D FOR APPLICANT TO FILL IN w CONST. BUILDING p. STATISTICAL CLASSIFICATION SEWER MAP -. ADDRESSr.BK P CLASS. NO. DWELL.UNITSJ L , j 0 pF � i 13BLOC WATER NOT REQUIRED OT NORECEIVED , CERTIFICATE:. TRACT — MAPHIGHWAY STATE MAJOR SECOND LOCAL NO.OF BLDGS. NO. Q Q (CIRCLE) SIZE OF LOT NOW ON LOT USE ZONE SPECIAL USE OF I CONDITIONS EXISTING BLDG. f ° TEL. -OWNER NO. BUILDING YARDHWY STREET NAME EXIST. SETBACK WIDTH ADDRESS Q� FRONT \' �} / ARCHITECT OR EL. P. L• �oC ENGINEER NO. SIDE ADDRESS O TE :V CONTRACTO na O i ADDRESS •• i OO DE CRIP ION OF WORK 1- 9 ! uV, NEW ADD ALTER REPAIR DEMOLISH Z' SQ.FT. N �t --- SIZE S USE OF STRUCTU , �• SIGNATURE OF APPLICANT VALUATION'S �Q APPROVALS DATE/ 1INSPECTOR;S SIIIGNATURE FOUNDATION: LOCATION / FEE $� - FEE.$ FORMS. MATERIALS / 'I• f FRAME: FIRE STOPS, / I I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION: / f WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING "GAS VENT, DUCTS f �f BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK It r f AUTHORIZED-HEREBY I WILL NOT EMPLOY.ANY PERSON IN VIOLA• LATH, INT. TION OF THE LABOR CODE O .THE STATE OF CALIFORNIA RELAT. ING TO WORKMEN'S COM PE TION.INSURANCE. LATH, EXT. SIGNATURE-OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRES FINAL JOHN F.LEWIS. PRINCIPAL STR URAL ENGINEER P N CHECK VALIDATION CK. 'M.O. CASH _ PERMIT VALIDATION CK. M.O. . CASH o. Lna�G 9 0 9 0 io-AY 2 Q . 1._.p 2 N .s WORKERS'COMPENSATION DECLARATION hereby affirm that I have,r certificate of consent to self APPLICATION . FOR BUILDING PERMIT ins3re, or a certificate of Workers'Compensation Insurance, or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING iY�l tion department. ADDRESS L L r v / Date Applicant CITY ZIP 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 ASSESSOR hundred dollars($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL N NO. USE ZONE MAP I certify that in the performance of the work for which this OWNER J ��PEIALIC 09,0013 permit is issued, I shall not employ any person in any manner ADDRESS 'S ./�7so as td becme bject to the Wor Com sation Laws. !! ! NS V Date / r Applicant � y CITY f ZIP O ARCHITECT OR TEL. DISTRICT GROUP FIRE PRO ESSED BY NOTICE " CA A LICANT: If, after akin this Certificate of CO d VIRJ ICONST. ZONE u ENGINEER NO. Exemption, you should become•subj t to the Workers' �/ 2 W Com pensation'provisions of the Labor ode, you must forth- ADDRESS 67` V v with comply with such provisions or this permit shall be TEL. STATISTICAL CLAS IFICATION APT. CON deemed revoked. CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS 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,� ,J,�•,-/' , 1 A D ❑❑ $ Itq f11 ;90$9.2 A ❑ I am exempt under Sec. (n!�(/Tt��S' 6✓' ❑ (/V # o•0 0 a'o _ ALTER B.&P.C. for this reason I REPAIR ❑ $ o o 4 Q 5 0 Date: USE OF DEMOL ❑ EXISTING BLDG. a a a 4 a 5 0 FJ' APPLICANT -/ TEL. Signature PAJZ) !V NO s- 0a FINAL (PRINT)OWNER-BUILDER DECLARATION DATE / � � Q l 6-84 .•I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS 7l FINAL Pro essions'Code): PRESENT BY NGL- BUILDING 'I,VC"I I, as owner of The property, or my employees with ADDRESS 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. ❑ 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). CONSTRUCTION LENDING AGENCY SETBACK YARD HWY TOTAPROPACK IINEFROM 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:). SIDE P.L. t Q Lender's Name LDMA Ref. # P.C. Fee$ Permit Fee 13 JtW Lender's Address > e-71 I certify that I have read this application and state that the Issuance Fee sal U/ LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee n ordinances and State laws relating to building construction, Total Fee tl it LDMA Perm. # and hereby authorize representatives of this County to enter upon mbave-�eToned property for inspection purpo s. SEE REVERSE FOR EXPLANATORY LANGUAGE O ignaturApplicant or Agent Dae e'f 1 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 0204020026 PHONE: (626) 285-0488 EXT: LEGAL D: NO. CONST BUILDING SS: ON FILE SQ. FT STORIES TYPE ;9712'WdOLLEY ST STRUCTURE: VN TEMP,CA 917801445 ASSESSOR OR ION NUMBER: NEAREST-CROSS STREET: VIDOLLEY' 5383-017-025 THOMAS PAGE: 596 GRID: J1 LOCALITY: TEMPLE CITY AN I S S G S ON D 0 C S . EXIST OCC GRP: 04/02%02 JK 09/29/02 . OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FI A ' AT FINAL BY: CODE: MAURICE FONG MIN YIP (626) 462-7612- 600 9712 WOOLLEY ST �- TEMPLE CITY 91780 FEES PAID DESCRIPTIONO C/O WINDOW & DOOR IN HOUSE AND AD E FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: 0: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESI 600.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O E aH O$DD VAL 43.65 o �A 71.90 CONTRACTOR: L. 0: APPROVALS DATE INSPECTOR SIG ATURE TECJ SAME AS OWNER LIC. NO LOCATION AND SETBACKS 2 SOILS ENGINEER APPROVAL ARCHITECT OENGINEER: TE i O N 0 C FORMS LIC. NO: 1111111 SLAB/UNDER FLOOR RAISED FLOORIFRAMING r i MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMPUNDERFLOOR I1SULATION X 3 .. O UC MIvl O ��� 002' F TH 1G 0. 0 UNITS: APT/COND: STAT SS: NO 21 0 /1 0 R00�5 EATHING SCHOOL WITHIN A 0 S a fl ' t., SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS ❑ NO NO -NO y FRAME INSPEC ION RE aU R D 0 AL S •F OM �i8� _n�OA R RI R: ANGERS SET FRONTACK PL- YARD: HWY: PROP LINE: WIDTH: �C �ePy1Ce lTh�1`Vv INS CATION/WE./VHER STRIP SIDE PL- OR H DR W LL EXTERIOR LATH RATED-FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATEa--S-HAFTS/OPENINGS T-BAR CELL NGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BSO508