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Home My Public Portal About9738 WOOLLEY ST_Building__ APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) ABU LDING DDRESS IAO d L L COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER CITY •re44P9_ CITY zl P BUILDING AND SAFETY DIVISION NO.OF BLDGS. BUILDING SIZE OF LOT NOW ON LOT ADDRESS TRACT BLOCK L'OT NO. LOCALITY OWNER �pGry�gGGBy PAM tK/�JOM NO-2 0 7 JGv CROSS ST. ASSESSOR ADDRESS 7 1 J D w0 d LL r Y s /• MAP BOOK PAGE PARCEL ,r, DISTRICT GROUP TYPE FIRE I PROCESSED BY CITY ZIP Is / CONST ZDNE ARCHITECT OR TEL. (/ �L- ENGINEER NO. STATISTICAL CLASSIFICATION SEWER MAg ADDRESS a CLASS NO.4 DWELL.UNITS 5 BK�/v�F(sGj CONTRACTOR NEO nq' /9d S^ ;U$�Z NE MA NO. ADDRESSS�/� pLjO. ,'6 /{� SPECIAL CITY LIC. fj 7 CONDITIONS ,�- CLASS V ' ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.LINE OF (STREET) ADDRESS CITY HIGHWAY + YARD .TOTAL SETBACK FROM TYPE OF EXISTING SQ. FT. NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY 1.IDTH SIZE STORIES / FAMILIES ONE ` + C DESCRIPTION OF WORK LIU��, NEW ❑ ADD ❑ BLDG.SETBACK FROM SIDE PROP.LINE OF (STREET) C OOP' ALTER ❑ HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING EPAIR• SIDE PROP. LINE HIGHWAY WIDTH LULL USE OF + = y EXISTING BLDG. y9 DEMMOL ❑ Z APPLICANT (PRINT) f /U� NOL7L,g^/9O'S+ CORNER CUTOFF YES ❑ NO ❑ BY (SIGNATURIN OPEN SPACE YES ❑ NO ❑ EY//� Sib f! o d IN COASTAL PERMIT ZONE YES ❑ NO f J ❑ VALUATION, • •I 'i' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- „� .��. �tiS� • �C_ STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO WORKMEN'S COMPS SATIAAPON URANCE. SIGNATURE O PERMITTEE faeZeW ADDRESSTEFahh j -7 CITY_ . �• N ry•7Gs DIATE �d NAL 6 B /.i•' �--E. MAKE CHECKS PAYABLE TO: FEE' v FEE Q HARVEY T. BRANDT. COUNTY ENGINEER 7 C PLAN'CHECK VALIDATION CK. M.O. CASH o PERMIT VA ,ACTION CK. M.O. CASH 1 9 2`rFB 13 , 1. 0 8 925Azz 76AGSBA C806808 5/74 .- + DEPAMOPT OF COUNTY EMG2ZER DIV7$ION OFA BUILDING AND SAFET, BUILDING r �''"`i COUNTY OF LOS ANGELES �eJJ!l►►A�j D.'GRIOFFINCSUp of UUIDIEW APPLICATION PADDREW FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY - DISTRICT NO. PLA K.oR REC.No. PERMIT NO. �Jf _ _ n / d 7 Ei VED Y DATE OF APDL. D TE 19 UED j S/ BUILDING.L ADDRESS(� LOCALITY✓ 'A U5 ' NEAREST TEL. CROSS ST.P; O 0 ARCHITECT OR TEL. RIRE. NO. OF TYPI GROUB�� ENGINEER NO. ZONE PLANSBLDG r �� ADDRESS SETBAC 'LINE - D / O. I OC NEI. Q J USE PPROVED CONTRACTOR ZONE� Y DAT ADDRESS Y/ HOUSE NUMBERING LEGAL m - MAP•NUMBER_� NO.ASSIGNED DESCRIPTION I LOT O. BLOCK r � JA All,Ai 'r7 �� rRAe:- .� ' o COI CTIONS �` D HN �►K� �.. TRACT sa s'd N l Se_ NO.OF BLD¢Q' } SIZE OF LOT IO] NOW ON LOT USE OF Gn fh _�p� NO. OF a EXISTING BLDG. l V`e W FAmi m DESCRIPTION•OF WORlil rr/2Al: d 00 - NEW ALTERATION ADDITION • Z REPAIR DEMOLITION !. b r 8Q. FT. NO.OF t�^ss"g r .Z-s� �/2 �X .• ` SIZE 14 - ROOMS STORIES A5Y A47' EXT.WALL ROOF L T-C/H/J/`I COVERING (9 O I COV IN U8130 STRUCTURE-}Sy-()e,9,0 ;fit[ N0711 Rnrpno epi 1615 041c Ala-r-r r1re-nl-r. APPROVALS INSPECTOR'S SIGNATURE DATE FOUNDATION:LOCATION FORMS,MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP-_ FRAME: FIRE STOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS CORRECT. 1 AGREE TO COMPLY W A NTY ORDINANCES FURNACE:LOCATION, AND S7`ATE LAWS 7c77xto_d UI 1 G CONSTRUCTION. GAS VENT, DUCTS SIGNATURE OF' ,(� LATH, INT.PERM17TE - UI l Y! vp LATH. EXT. ADDRE I PLASTER, INT. AUTHORIZED AGT. In C PLASTER, EXT. $ / n-/�•fi d•O FEE g / O C' 1 ,_,�••• HOUSE NUMBER COR- RECT AND POSTED p VALUATION FEE $ �jj �"'a FINAL 76AS88A 0802 9-82 WORKERS' COMPENSATION DECLARATION hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT insure, 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 :34 tion department. ADDRESS Date Applicant CITY ZIP ( r 0 LOCALITY NOF BLD CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT N W ON LOT NEAREST CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE I PARCEL hundred dollars ($100)or less.) t TEL. USE ZONE MAP OWNER , NO. NO. I certify that in the performance of the work for which this y SPECIAL permit is issued, I shall not employ any person in any manner ADDRESS C� ® CONDITIONS so as to become subject to the Workers'CorTtpe ation Laws. , CI ` Q O OO (/ �. l ZIP ! a Date-:3—) Applicant /�� ARCHITECT OR TEL. W NOTICE TO APPLICANT: If, after"making this Certificate of ENGINEER NO DISTRICT GROUP TYPE FIRE PROCESSED BY g 0 Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- ; ADDRESS e B U CVey 1 CAe 3 CONST. ZONE U V ' a with comply with such provisions or this permit shall be V /y t 7EL. STATISTICAL CLASSIFICATION APT. CONDO. N deemed revoked. CONTRACTO /�/ r NO.7, Z NO. �� DWELL. U LICENSED CONTRACTORS DECLARATION LIC. CLASS NITS — 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 m license is in full force and effect. CITY CLASS —3� BK PG VALIDATION _ j 7 SQ. FT. NO. OF NO. OF CHECK License Number Lic. Class /_ 3 SIZE STORIES FAMILIES ONE c.� T VALUATION Contractor (/`'l to _S DESCRIPTION OF WORK NEW ❑ tL ADD $ Elam exempt under Sec. _ /r/ ALTER ❑ B.BP.C. for this reason t L REPAIR ❑ $ Date: «. Z USE rI �L/ �js DEMOL ❑ EXISTING BLDG. /+ Signature APPLICANT TEL. FINAL OWNER-B IL ER DECLARATION (PRINT) NO. I hereby affirm that I am ekdmpt from the Contract is License DATE Law for the following reason (Section 7031.5, Business and , ADDRESS FINAL Professions Code): PRESENT BY BUILDING - t I, as owner of the property, or my employees with :<ADDRESS r..rr o a wages as their sole compensation,will do the work and -the structure is not intended or offered for sale(Section LOCALITY __ a _•_ 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 SET BACK YARD HWY TOTAL SETPROACIK FROM yy I H � - 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. Lender's Name P.C. Fee$ Permit Fee z6elLDMA Ref.# V{ ytF 1 t : 1it Lender's Address 1 certify that I have read this application and state that the Issuance Fee /0 LDMA P/C# 3 above information is correct. I agree to comply with all County Investigation Fee Q PC Z ordinances and State laws relating to building construction, Total Fee O + LDMA Perm. # and hereby authorize representatives of this County to enter upon t e above-mentioned property for inspection purposes. o /LLv SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Ag!(.t �Date`� COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERATI-T DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL_O50$F80�40019 PHONE: (818) 285-0488 EXT: -" LEGAL ID: NO. OF CONST —BULLD.ING. ADDRESS: ON FILE SQ. FT STORIES TYPE 9738 wOOL.LEY ST Z STRUCTURE: 0 VN -TEMP CA 917801445 ASSESSOR INFORMATION U ER: NEAREST CROSS STREET: BARELA/GOLDEN WEST 5383-017-014 THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: R SID USE ZONE: R- ISSUED ON: PROCESSED B EXPIRES EXIST OCC GRP: 09/14/98 UT 09/14 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE INAL BY" CODE: TSE;PO CHOI (626) 233-6626- 1 10,000 //►► 9738 WOOLLEY ST --Ir/-274 TEMP 917801445 FEES PAID DESCR16TIO -OF tTC5 K -RELOCA''.E WATER HEATER, REBUILD CLOSETS IN BEDROOM #2,#3, APPLICANT: TEL. 0: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: REMOVE EXISTING P0WDER ROOM AND CLOSET AND REPLACE WITH — - ---------- �- SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESI_D 10000.00 VAL 1.00 SPECIAL CONDITIONS: AX BUILDING REQ/ EW,FE 54.70 82 PERMIT W ENE,GY— .�0OQ07=`—'V L 240.08 �• TA �EE�yF CONTRACTOR: TEL. NO: O 323.53�� APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS �n SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: T O: / FO D:: ION TRENCH FORMS LIC.-NO: I'L tlll;lt t SLAB/UYDER FLOOR �- RAISED FLO RAM 1MAP NO: 53H269 SEWER MAP BOOK: PAGE: FIRE ZON3 O: CMPn �I � �n�GC� UNDERFLOOR INSULATION y U FLOOR SHEAT NG NO. OF AMILIES: DWELLING TS: APT/CO D: STA CLASS NO 21 0 r ROOF SHEATHING C/ ❑ :s •I��1� SCH00 WITHIN HAZARDO S 0-r.?; t SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS ❑ p1; NO NO NO El FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST 7/8� �<� FIRE SPRINKLER HANGERS SET FRONTAPL- YARD: HWY: PROP LINE: WIDTH: 7C �•@aP!/�c a Itla�vV INSULEl ATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWAL syj EXTERIOR LAT RATED FLOOR CIL ASSEM. RATED WALL ASSEMBLIES RATED SHATS/OPENINGS T-BAR CEILINGS * ADDITIONAL DATA ON FILE LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508