HomeMy Public PortalAbout9725 WOOLLEY ST_Building__ /BA898A DBS-9 APPLICATION FOR BUILDING PERMIT 1
i 1.83
DIVISION OF BUILDING AND SAFETY
BUILDING �
ADDRESS
Deportment of County Engineei
County of Los Aageles LOCALITY G
JOHN A.LAMBIE, COUNTY ENGINEER NEAREST `^
CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST. _�O L /,)en-e,--v4--1 e�
DISTRICT NO. 7UP SEWER MAP
FOR APPLICANT TO FILL IN 5- ,� I CONST.TYPE SK PG
BUILDING ;MAP STATE YES
_ADDRESS �y�.T NUMBER Z- as-cz 3 HWY
LOT NO. BLOCK USZO SPECIAL
®[�J CONDITIONS
TRACT
NO.OF BLDG3. J
SIZE OF.LOT NOW ON LOT BUI DING YARD HWY STREET NAME EXIST.
WIDTH.
SETBACK
U8E:OF f
EXISTING BLDG. III FRONT
PL Z.O, (Q L
OWNER SIDE
P.L.
ADDRESS
MAILf 0 TRACT DWELL.- 1 UNIT
{ O( d/v cJ
�/ T 7 ' DWELL. 1 UNIT 5 INDUSTRIAL
CITY y ,ey,.,z-A,de� t&f NVQ 6 PUBLIC BLDG.
ARCHITECT ORV TEL 2 DUPLEX 2 UNITS
ENGINEER NO. 3 APT. UNITS 7 ADDN.,ALT., ETC.
'
ADDRESS �� /j 4 COMMERCIAL MISCEL.
CONTRACTOR _97/ `G!L L't% �jNO1 �0/i �" INSPECTION RECORD
ADDRESS E9 (���
./ DESCRIPTION OF WORK
NEW Y ADD ALTER REPAIR DEMOLISH Ste/ �,�`J !`f� p
SO.FT. NO.OF NO.OF _ !/r 7GL17 .
SIZE STORIES FAMILIES
USE OF STRUCTURE �Pzine < r r . I
f1T l x-c a),-
SIGNATURE
,-
SIGNATURE OF
APPLICANT / APPROVALS
_ a'� �
ADDRESS .✓Qqa �! . � DATE INSPECTOR'S SIGNATURE
$ FOUNDATION:LOCATION
P.C. FORMS.MATERIALS
C] co FEE FRAME: FIRE STOPS, ��Zo-6"6
VALUATION $ Z d BRACING, BOLTS . F�
FEE o FURNACE: LOCATION,
1 HEREBY ACKNOWLEDGE THAT l HAVE READ THIS GAS VENT,DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH.INT. •
AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION.
® �� LATH, EXT.
SIGNATURE OF ,(� HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL
OHN A.LAMBIE,COUNTY ENGINEER VALIDATION CLYDE N.DIRLAM, CHIEF BLDG. INSPECTOR
CK MO CASH - -
L<�C,o 6 7 6 7- JUN 7 1 2,p 7 In
VGA636A D05-8 12.84
APPLICATION F®R:•'BUILDING PERMIT 1
DIVISION OF BUILDING AND SAFETY BUILDING' 7OZ-5 /A/OnI/.��
Deportment of County Engineer ADDRESS
County of LOS Angeles LOCALITY T�.I'-/�•L/_ �'��Y
WIJI.J. FOX. COUNTY ENGINEER
CASSATT D.GRIFFIN,SUPT OF BUILDING NEAREST !.
CROSS ST. •%'�'7 lid C//"Y To �L i V .li
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE SEWEMAPS
BUILDING Y / O�L� ZI-CONST a"
ADDRESS �(-,) MAP Y QQ� STATE YES NO
r �t t/ NUMBER 0� HWY
LOT NO.A Z BLO USE ZONE SPECIA �`w
COND S FJ J '
TRACT N7` F/ C 0 '
�ryf �1Q NO.W OF BLDGS.
_SIZE OF.LOT L Y I NOON LOT (/ BUILDING EXIST.
USE OF
~ SETBACK YARD HWS( STR••T NAME WIDTH
EXISTING BLDG. FRONT 0 (a/oa4Z10 " Ar
OWNER ' SIDE
MAIL J , P. L.
ADDRESS UA
CITY
TEL
rl��� )DWELL. 1 UNIT 5 INDUSTRIAL
2•• DUkSX UNIT 6 PUBLIC BLDG.
ARCHITECT OR TEL.
ENGI EER•• NO. 3 APT. UNITS 7 ADDN..ALT., ETC.
ADDRESS / 4 COMMERCIAL 8 MISCEL.
CONTRALTO /( 12. !Z
l31g S TF .NO. .A 6�.3 D�
�- INSPECTION RECORD
ADDRESS (C,414a
DESCRIPTION-OF WORK
NEW ADD ALTER REPAIR DEMOLISH �'Ig
S_ /ol `��I�A�
SOFT, .J%� STORIES'. NO.OfiF
SIZE , STORIES r FAMILIES AZ 17-4)-,-
USE OF' UCTURE ,7
73
D��r/�Zef gd/2 Its/t� '/1'.BWYE-�
SIGNATURE OF _
APPLICANT `a LPOMI IAP
pROVALS
ADDRESS " DATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION �,+ P � R•�A r
-S P•C• S � FORMS, MATERIALS
FEE F;2AME: FIRE STOPS, �/I
VALUATION v� _BRACING.BOLTS � �/JJ1 let, �f
FEE FURNACE: LOCATION,
HEREBY ACKNOWLED THAT I HAVE READ THIS —GAS VENT,DUCTS
APPLICATION AND STAT HABOVE IS CORRECT
AT THE
AND AGREE TO COMP 1 HALL COUNTY ORDINANCES LATH, INT. ! yt
AND STATE LA U 1 B CONSTRUC-
TION. LATH.EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTE RECT AND POSTED ( /
ADORES FINAL. / �Lr
`���/ ✓� ,t
ML J. FOX. COUNTY Finamff= VALIDATION
aY :.,C4 9 6 :5 .lulu 22 1 s '1 4.0-0 A BY
DEPUTY'
EPu- 1ZAUTY
UTY
50BY ;DEPUTY '
76A899A CE#9082 APPLICATION FOR. BUILDING PERMIT
COUNTY OF LOS ANGELES" BUILDING
DEPARTMENT OF COUNTY 'ENGINEER. AD°REss -
BUILDING AND SAFETY'DMSION LOCALITY Olt,
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN,SUPT OF BUILDING CROSS ST. s A M6
'
DISTRICT NO. GR UP I TYPE PROCEASED BY
FOR APPLICANT TO' FILL IN G n] CONST.�' I
BUILDINGSTATISTICAL CLASSIFICATION SEWER.MAP
ADDRESS1 21s- - 5
�� CLASS.NO. �r DWELL.UNITS BK
-LOT NO. LOT O,J4 �.L ' CK I WATER `
CERTIFICATE:' NOT REQUIRED RECEIVED ❑
TRACT — 6 — MAP �1 HIGHWAY •STATE MAJOR SECOND,LOCAL
O.OF BLDGS. NO, �i7 L 3 (CIRCLE)
SIZE OF LOT x NOW ON LOT USE ZONE SPECIAL '
USE OF CONDITIONS
EXISTING BLDG., (Y
TEL.
OWNER P.NO. BUILDING YARD HWY STREET NAME EXIST.
SETBACK WIDTH '
ADDRESS -FRONT
ARCHITECTOR t TEL. L.
P:
ENGINEER ,� NO. SIpE
ADDRESS AlI M.
A / -bf'W9 O
TE
CONTRACTO NO. .. V
ADDRESS s { p {j If
DESCRIPTION OF WORK
N
NEW ADD ALTER REPAIR DEMOLISH
T. NO',OF NO �OF
SIZE -STORIES F LIES'
USE OF
STRU 'TURF ' i.t3.i i C7au
SIGNATURE OF
APPLICANT /�
VALUATION �� //////
�_ i. APPROVALS, D#r E INSPLrCT A/s SIGNATURE.
P.C. / PMT. �j FOUNDATION: LOCATION
FEE $" . (e FEES l.sso •FORMS, MATERIALS;
FRAME: FIRE STOPS, '
I HEREBY ACKNOWLEDGE THAT I HAVEREAD THIS APPLICATION �BRACING BOLTS
AND STATE-THAT THE ABOVE IS CORRECT ANW AGREE TO COMPLY FURNACE: LOCATION.
WITH ALL COUNTY ORDINANCES AND -STATE LAWS REGULATING •GAS VENT, DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK -
AUTHORIZED HEREBY 1 WILL.NOT EMPLOY ANY PERSON IN VIOLA- LATH.-INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S f,9MPENSATION INSURANCE." LATH,EXT.
SIGNATURE OF , 611,1,14 'HOUSE NUMBER COR- -.
PERMITTEE ` -ECT AND POSTED '7
ADDRESS `' FINAL 'r, I� +
JOHN F. LEWIS. PRINCIPAL-STRUCTURAL ENGIN'ftER
PLAN CHECK. VALIDATION CCK. rA.o. -'cnsH _ PERMIT VALIDATION Oc M.O. cnsH
LAC0.9 8 1.4 ta, 'SEP .,5 2 3 'D 4 3 ... :.
�A_9 . 5Y
0 .WORKERS' COMPENSATION DECLARATION . B.
I herebys,affirm that I have a certificate of consent to self P I-L I dAT p O N FOR �u I L®I N O PERMIT
i^sure, a certificate of Workers' Compensation Insurance,
or a certitied copy thereof(Sec. 3800, Lab.AC.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No�Company��iQ►'� y� '
❑ Certified co is hereby furnished. FOR APPLICANT TO FILL IN BUILDING �' ` a OOL* t>-
PY Y `ADDRESS Y1l
Certified copy is filed with the county building inspec- BUILDING1.7Z c
tion department. ADDRESS 3G
Date ApplicanCITY J yfi C, _ ZIP LOCALITY
�7 NO.OF BLDGS. NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT G CJ NOW ON LOT CROSS ST.
COMPENSATION INSURANCE ASSESSOR
(This section need not be completed if the permit is for one TRACT BLOC LOT NO. MAP BOOK PAGE ,O PARCEL
hundred dollars ($100)or less.)
OWNER ZONE NOP r� �f
I certify that in the performance of the work for which this d-
permit is issued, I shall not employ any person in any manner ADDRES fffKKK---�_ SPECIAL
/ CONDITIONS n
so as to become subject to the Workers'Compensation Laws. Q
cITY ZIP 70v
Date Applicant ARCHITECT-OR TEL. �
NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO DISTRICT GROUP TYPE FIRE PROCESSED BY Q
Exemption, you should become subject to the Workers' y I I
CONST. Z NES
Compensation provisions of the Labor Code, you must forth- ADDRESS .?,V 3 ✓ G�Gd i� a
with comply with such provisions or this permit shall be - TEL-
`,� STATISTICAL CLASSIFICATION APT. CONDO. Z
deemed revoked. CONTRACTOR NO. T1. 2 _
LICENSED CONTRACTORS DECLARATION LIC. CLASS NO.off/ DWELL. UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO.
s�
(commencing with Section 7000)of Division 3 of the Business LIC. SEWER MAP
CIN ��,< CLASS
and Professions Code,and my licens is in full force and a ect. BK.S PG /07 VALIDATION
i SQ. FT;. NO. OF NO. OF ' HECK
License Number Lic. Clas�� SIZE STORIES FAMILIES ONE
.� DESCRIPTION OF WORK NEW ❑ VALUATION
Contract o Date 6459z $ '20/ VvO
ElI am exempt under Sec.
ALTER
B.&P.C. for this reason REPAIR ❑ $
Date: USE OF ❑
EXISTING BLDG.'G,tX {/ DEMOL,
Signature APPLICANT TEL,
OWNER-BUILDER DECLARATION (PRINT NO, FINAL
DATE
I hereby affirm that I am exempt from the Contractor's License9-vi-qu '�,
Law for the following reason (Section 7031.5, Business and ADDRESS FINAL 2:11
0
Professions Code): PRESENT By tk�4Tov
BUILDING
I, as owner of the property, or my employees with ADDRESS qp�,, ��
wages as their sole compensation,will do the work and LOCALITY ®�a` iL� •g lL
the structure is not intended or offered for sale Section 1
7044, Business and Professions Code.) MOVING TEL. k
.I,as owner of the property,am exclusively contracting CONTRACTOR NO. ACCTo4
with licensed contractors to construct the project (Sec-
tion 7044, Business and Professions Code.) ADDRESS 3307 405.19
REQUIRED TOTAL SETBACK FROM EXIST.
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH 2 ITEi�
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. TOTAL453 .94
(Sec. 3097, Civ. C.). SIDE �}
P.L. CHECK 45094
Lender's Name �f�� CHANGE
8 �4!_ I&'7 / LDMA Ref. q Ct'ANGE o(13I�
P.C. Fee$ , o Permit Fee
Lender's Address 00I certify that I have read this application and state that the Issuance Fee ` 7.� LDMA P/C q
3 above information is correct. I agree to comply with all County Investigation Fee (MED-Owl 9/ 119
ordinances and Sate laws relating to building construction, Total Fee 7 LDMA Perm. q
and here orize eprese fives of this County to enter jl] j A11m(]I]
u e above-m operty for inspe 'on purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
ignature pli or A Date
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 0806160040
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST BUILDING ADDRESS:
ON FILE I SQ. FT STORIES TYPE I 9725 WOOLLEY ST
ISTRUCTURE: V-B I TEMP CA 917801446
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
15383-016-009 I I THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY, Cl
ITENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: EXPIRES ON: 1
I 1EXIST OCC GRP: 106/16/08 SR 12/13/08 1
I I I
1OWNER: TEL. NO: 18LDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL CODE:
1FENG, JILL (626) 416-9690- 1 3,000 [
19725 WOOLLEY ST 1 I
ITEMP 917801446 1 FEES PAID IDE CRIPTION OF WORK [
I I IKITCHEN REMODEL CABINETS, COUNTER TOP, 1 SLIDING DOOR AND 1 [
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IWIN17OW 1
IAPPLICANT: TEL. NO: I I I
ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.75 1 I
I IAC STRONG MOTION RESID 3000.00 VAL 0.50 ISPECIAL CONDITIONS: I
1B2 PERMIT W/ENERGY 3000.00 VAL 108.90 [
IFR INV WORK W/O PERMIT 128.50 DOL 128.50 [
[ I TOTAL FEES 265.65 I I
(CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE [
ISAME AS OWNER - I I I
I LIC. NO I ILOCATION AND SETBACKS I I
I I ISOILS ENGINEER APPROVAL I I
(ARCHITECT OR ENGINEER: TEL. NO: - I (FOUNDATION/TRENCH FORMS
1 LIC. NO: 1 ISLAB/UNDER FLOOR I
(RAISED FLOOR FRAMING [
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 -� _ (UNDERFLOOR INSULATION I I
1153H269 3 Oil I I I
I I IFLOOR SHEATHING I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I
1 NO 21 1 IROOF SHEATHING I I
[ SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I
(AIR QUALITY: 1000 FEET MATERIALS I I I
1 NO NO NO I IFRAME INSPECTION I I
IREQUIRED TOTAL SETBACK FROM EXIST � I IFIRE SPRINKLER HANGERS I I
ISET BACK YARD: HWY: PROP LINE: WIDTH: � I I I I I
IFRONT PL- iI [INSULATION/WEATHER STRIPI I I
I SIDE PL- I II I
[ II (INTERIOR LATH/DRYWALL
I I 1EXTERIOR LATH T1
I I IIRATE D FLOOR/CEIL ASSEM.
1 I IRATED WALL ASSEMBLIES I I
I (RATED SHAFTS/OPENINGS I I
I I IT-BAR CEILINGS 1 I
I I
ILOT DRAINAGE 1 I
I I I
[ IREPORT ID: DPR261 ROUTE TO: BS0508 I 1 I I
I I I �Ik �.soar