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Home My Public Portal About9741 WOOLLEY ST_Building__ ,a a - .s APPLICATION FOR BUILDING PERMIT �, 11.r�.84 DMSION OF BUILDING AND SAFETY BUD EIN SS Department of County Engineer County of LOS Angeles LOCALITY JOHN A.LAMBIE, COUNTY ENGINEER NcAREST CASSATT D.GRIFFIN.SUPT OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE SEWER MA PG. CONST. BUILDING rj/ "Y� �� /�� MAP STATE YES O ADDRESS ``77 1 NUMBER HWY USE ZONE LOT NO.yv BLOCK SPECIAL CONDITIONS TRACTp,,0 ! iry[J ! NO.OF BLDGS. _SIZE OF LOT1/ J I NOW ON LOT BUILDING X JT� SETBACK YARD HWY STREET NAME EXIST. WIDTH USE OF EXISTING/BLDG. �i FRONT I OWNER (� A .wl��y � S SIDE �(,{ n A' P. L. ADDRESS I gI� /'1 /t r 0 /,4 I,(�[ O TRACT DWELL. 1 UNIT CITY tt/�'M /� NOI/}�1,76AL 5 INDUSTRIAL 7- DWELL. � 1 UNIT 6 PUBLIC BLDG. ARCHITECT OR TEL. 2s DUPLEX 2 UNITS 7 ADDN.. LT.. ETC. ENGINEER NO. 3 APT. _UNITS 8 MISC ADDRESS 'EX-71 4 4 _COMMERCIAL T CONTRACTOR IF- NO 6 INSPECTION RECORD ADDRESS Q () fil) (t'b{I _ DESCRIPTION OF WORK / NEW (/ ADD ALTER REPAIR DEMOLISH 0. Q1tF r /IAXW %v SQ.FT. j�+ NO. OF NO.OF SIZE /.J STORIES FA LIES F r7r,`� .�� USE OF STWCk&I n E&C A �,z5 S-4 134 SIGNATURE OF APPLICANT nn-- �'�' APPROVALS ll� ADDRESS 1• y(JLZt, /'�G DATE INSPECTOR'S SIGNATURE FOUNDATION:LOCATION ' �✓�� F5, FORMS.MATERIALSFRAME: FIRE STOPS.VALUATION' f BRACING. BOLTS cp� / FEB )` FURNACE: LOCATION, /� 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS (%�/1 GAS VENT. DUCTS - �� 1 _!/�j L 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 � OR-PERMITTEEoe�" � RECT AND POSTED0 . ADDRES •L- v- —FINAL IOHN A.LAMBIE.COUNTY ENGINEER VALIDATION CLYDE N.DIRLAM, CHIEF BLDG. INSPECTOR CK MO 'CASH' _ . -E1 6 3 6N GCT 23 A 6 1 9.50 & m 1 7 5 2 OCT 2 6. 1 3 9.0 0 n ADBS•3 11-55 APPLICATION FOR BUILDING PERMIT 5 11-55 DIVISION OF BUILDING AND SAFETY ADDRESS Department of County Engineer County of Los Angeles LOCALITY I JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN1 DISTRIC�E NO. GROUP TYPE SEWER MAP BK PG BUILDING % �� J� y,t "L � ,4 CONST. MAP STATE ADDRESS �/ _ NUMBER v ` t� �" HWY YES NO LOT NO. _ BLOCK'"" US9 ZFNE SPECIAL CONDITIONS TRACT NO. OF BLDGS. SIZE OF LOT "� I NOW ON LOT BUILDING EXIST. SETBACK YARD HWY STREETF rNAME WI H USE EX STOING BLDG. f"/ FPROLNTLO � OWNER �"-�� --1 f �'� t 5 SIDE MAIL ADDRESS 3 _ O TRACT DWELL. 1 UNIT yy t 5 INDUSTRIAL CITY ,} E i l NOTEL't� 7 J r 1 DWELL. �� 1 UNIT 6 PUBLIC BLDG. ARCHITECT OR TEL. 2 DUPLEX 2 UNITS ENGINEER ;�M NO. 7 ADDN., ALT., ETC. 3 APT. UNITS 8 MISCEL. ADDRESS - - 4 COMMERCIAL CONTRACTOR NO INSPECTION RECORD ADDRESS DESCRIPTION OF WORK r NEW ADD �_.A REPAIR DEMOLISH SQ. FT. NO. OF NO. OF / SIZE STORIES FAMILIES USE OF STRUCTURE }. SIGNATURE OF _ APPLICANT APPROVALS a 1 ADDRESS � DATE INSPECTORS SIGNATURE iM$ FOUNDATION: LOCATION P. C. $ FORMS. MATERIALS -� FEE FRAME: FIRE STOPS, VALUATION $ BRACING. BOLTS [FEE t Q FURNACE: LOCATION, I HEREBY ACKNOWLEDGE THAT I 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 J .tFINAL JOHN A. LAMBIE, COUNTY ENGINEER VALIDATIONI CLYDE N. DIRLAM, CHIEF BLDG. INSPECTOR CK MO QCASH p :'.WORKERS'COMPENSATION DECLARATION I hereb •affirm that I have a certificate of consent to self insure,ora certificate of Workers'Compensation Insurance, APPLICATION F O O S U I L D I N G P E RM I T 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 1 S ❑ Certified copy is filedwith the county building insjiec- BUILDING tion department..- . ADDRESS Date Applicant CITY ZIP f: LOCALITY NO.OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LO7 NOW ON LOT CROSS ST: , ''COMPENSATION INSURANCE ASSESSOR �� (This section need not be completed if the permit is for on TRACT BLOCK LOT NO. MAP BOOK RAGE PARCE hundred-dollars($100)'or'less.) - TEL. OWNER' NO. E ZONE MAP 1.6-3 -q 6 NO. .f. I certify that,in.the performance of the work for which this `. SPECIAL a permit is issued, I shall not employ,any.person in any manner ADDRESS S V714/4 CONDITIONS so as to become •subject to the Workers:Compensation Laws! O CITY ZIP Date Applicant. ARCHITECT OR TEL DISTRICT GROUP TYPE FIRE PROCESSED BY ' • NOTICE TO APPLICANT: If; after-making.this Certificate.of 14fER— NO r. CONST.• •• ZONE Exemption, you -should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- ADDRESS srjy o with-comply with'such provisions,.ot this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO. N deemed revoked. CONTRACTOR WOM NO. z LICENSED CONTRACTORS'DECLARATION• .. LIC. ;CLASS NO. DWELL. UNITS MimiI hereby affirm that I am.licensed under provisions.df Chapter 9 ' ADDRESS NO. 4 SEWER MAP., " ,(commencing with Section 7000)of Division 3 of the Business - LIC. - • ' - ' '. ' " and 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. pate ++ DESCRIPTION OF WORK NEW El $ ❑I am exempt under Sec. 1 ADD 1:1 �^ ► ALTER B.BP.C. for this reason I $ REPAIR ❑ Date: USE OF ; EXISTING BLDG. O DEMOL ❑ Signature - APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION j (PRINT) NO. I hereby affirm that I am exempt from the Contractor's License j DATE Law for the following reason (Section 7031.5, Business and ADDRESS FINAL —.;13-7 "7c• J�qfesslons Code): ' PRESENT By BUILDING ER-COR" 1, as owner of the property,Y••ot my em to ees with ADDRESS wages as their sole compensation,will do the wofk and the structure is not intended or offered for sale(Section LOCALITY ® 3(� 7044, Business and-Profession's�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.) {•i•�°a I�• - REQUIRED TOTAL SETBACK.FROM-• - EXIST. - 3 7 - ,•� 7r CONSTRUCTION LENDING AGENCY SET BACK 'YARD- HWY PROP. LINE WIDTH i t' r '1 L° -:5 I hereby affirm that there Is a construction lending agency fgIr FRONT the performance of the work for which:this permit,is Issued :P.L. I i (Sec. 3097, Civ. C.). -- SIDE P.L, I .Ail• i °s Lender's Name r $ � p•dp p' LDMA Ref. # �L � tO�vGP:C. Fee.$ � 7cr Permit Fee �O Lender's Address , 2Z j S� s I��3.a I certify that I have read this application and state that the Issuance Fee7� ''r LDMA P/C# above information is correct.I agree toromply with al County Investigation Fee ? TOTAL(`L •1 32. 34"-, •• ordinances and State laws relating to building.construction, Total Fee Cop ;LDMA Perm. # "� CH t , and hereby authorize representatives of this County to enter �'t�E4. 172 %.14 /upon t above-mentioned pro` rty for inspeion purposes, i 'HANGS SEE REVERSE FOR EXPLANATORY LANGUAGE VVV , Signatur f Applicant or Agerit Date• i e COUNTY OF'LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1402050014 PHONE: (626) 285-0488 EXT: LEGAL ID: I NO. OF CONST NEW I BUILDING ADDRESS: I ON FILE I SQ. FT STORIES TYPE OCCUP GROUPI 9741 WOOLLEY ST I STRUCTURE: 644 1 V-B R-3 I TEMP CA 917801446 I ASSESSOR INFORMATION NUMBER: I GARAGE: I NEAREST CROSS STREET: I 15383 -016-019 1 OTHER: 1 THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY CAI ITENANT: ]EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: I 1EXIST OCC GRP: 103/18/14 SR 1 (OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE: 1 ILIN, JIMMY (323) 683-8839- 1 86,550 1l� 19741 WOOLLEY ST I I `1 1 ITEMP 917801446 1 FEES PAID ID CRIPTION OF WORK 141 ]ADD NEW BEDROOM, BATHROOM AND WALK IN CLOSET 1 ] IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 I ]APPLICANT: TEL. NO: I I ISAME AS OWNER - 1B1 PLANCHECK W/ENERGY 86550.00 VAL 1,091.30 I 1AA BLDG PERMIT ISSUANCE 27.80 SPECIAL CONDITIONS: I IAB STATE GREEN BLDG FEE 86550.00 VAL 4.00 IAC STRONG MOTION RESID 86550.00 VAL 8.70 1 1B2 PERMIT W/ENERGY 86550.00 VAL 1,283.90 1 I ICONTRACTOR: TEL. NO: 108 CERTIF OF OCCUPANCY 101.40 ]APPROVALS DATE INSPECTOR SIGNATURE 1 ISAME AS OWNER - I TOTAL FEES 2,517.10 1 1 I LIC. NO I ILOCATION AND SETBACKS 1 I I I (SOILS ENGINEER APPROVAL I I 1 (ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I IFU, WALLACE (626) 279-7971- ] 1 I 14424 SANTA ANITA AVE LIC. NO: 1 1SLAB/UNDER FLOOR 1 ISUITE 205 C26061 EL MONTE CA 91731 I IRAISED FLOOR FRAMING 1 I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:] (UNDERFLOOR INSULATION I I I 1 3 OOI 11ST LEVEL FLOOR SHEATH I I I ISO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I 1- I I 1 0 NO 21 1 12ND LEVEL FLOOR SHEATH 1 SCHOOL WITHIN HAZARDOUS I IROOF SHEATHING ] LAIR QUALITY: 1000 FEET MATERIALS 1 I 1 NO NO NO IFIRE DEPT. FRAME INSPECT] I I 1 I44I 1BLDG DEPT. FRAME INSPEC 141 1 I ISHEAR PANELS 1 1 I I I ] 1 11NSULATION/WEATHER STR I 1 ! 1 1 (INTERIOR LATH/DRYWALL ] 1 I 1 1A An% (EXTERIOR LATH 1 1 I ILOT DRAINAGE I I I ] ISMOKE DETECTION DEVICES I I I IFIRE DEPARTMENT APPROVALI I I I I I I IREPORT ID: DPR261 ROUTE TO: BS0508 I I 1 1 I I I I I