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Home My Public Portal About5156 ARDEN DR_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT• `/o COUNTY OF LOS ANGELES ® ® 1 .� WM. J. FOX, CHIEF ENGINEER i 6 FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. !/pPLAN CK.NO. PERMIT NO. ®UILDtNO ADDRESS /JRL�F.N ��• _ y l.�O �_ �y / .—� + ✓ y (((DDD LOCALITY �f / j RECEIVED BY DATE OF APPL.G DATE ISSUED NEAREST OWNER �F_ A/=�(��c%r� ( .A I✓,t Ti,. J + ADDRESSMAIL ✓ c.�V VV ADDRESS 37(52 / �� B _,4,0 to �i/�r{7. LOCALITY , ` I NEAREST �/®�• ��.. "" /�i9.(/9.®�/✓.S? No SY Flo /Y/ cROBB BT. CITY FIRE NO.OF TYPE GROUP� ARCHITECTOR TEL. ZONE PLANS ENGINEER NO. BLDp, ORD.NO. � ADDRESS SETBACK LINE �/J APPROVED - - CONTRACTOR NA9M� A_ NO. - BY DATE USE APPROVED ADDRESB ZONE / BY T pT DATE LEGAL ,,.y /1z CORRECTIONS DESCRIPTION I LOT NO. �� I BLOCK `- TRACT J NO.OF SLOGS. SIZE OF LOT i NOW ON LOT USE OF EI NO.OF o NO.OF EXISTING BLDG. I FAMILIES I ROOMS .. DESCRIPTION OF WORK NEW ALTERATION ADDITION O . A REPAIR MOVING DEMOLISH p S4•FT. P� NO.OF Z SIZE ROOMS STORIES WALL RD . j COVERING Shaeen COVERING�GI/tiQ��.r/�'/�{� USE OF NEW I A BUILDING c.n x .Dxn I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION J.NSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. / y FRAME: FIREBTOPS, SIGNATURE OF �� BRACING,BOLTS PERMITTEE + LATH,INT ,o .: / 1q v �1 AUTHORIZED AOT -/'��J yv"�"r„�-L' LATH,EXT.: D13S-3 SOM SET13 1-49 $ !a�y� P C.6 PLASTER,INT. /y FEE PLASTER,EXT. VALUATION L FEE . FINAL - �+'+'✓�- ( 1-�'� f/ #803 , • ; `P'.E .q -T76AE8lpCE ® ®® m'C®TI®WF® BVIL®Mq BUILDING AND SAFETY DIVISION ADILOING - ADDRESS 5156 "N.. Ardea Dri�4, Departinent'of County Engineer t County oflos Angeles' LOCALITY T lE "Cit 8j if ' JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,:.SUP'T OF.BuILDING ,CROSS"ST. - - y DISTRICT NO. - GROUP I PE SEWER' MAP ' FOR APPLICANT-:TO.FILL SIN TY; BK P - CONST_z BUILDING ADDRESS 5156 :N. Ar -Dr.' STATISTICAL CLASSIFICATION' I - CLASS.-NO. DWELL.UNITS'• � ' LOT NO: i � BLOCK' MAP / STATE _y 'yp NUMBER - ` HWY YES TRACT 1 7rr 8�' � ` 'USE'ZONE' SPECIAL',. , NO..'OF BLDGS. CONDITIONS - SIZE OF•LOT W-5 4' �3 I .NOW ON USE OF' f311C1-;g&l," (i' ,• EXISTI-NG BLDG. `•'Sln�'le-FAmi1s7iAmnno 'BUILDING' ` EXIST. c�L YARD . .HWY STREET NAME _ - - - SETBACK - WIDTH 12 OWNER ,,Frank T, Til rvG iA FRONT41 - MAIL ADDRESS 5156-No Arden`I3riyeSIDE a CITY . " TP.m 1F itv NO. GZ 4S�c]9 q 7 g INSPECTION "RECORD �T OR -Plane B - TEL. 1� ! �.`6'✓ �d ,/"�_ a� r. E•;+iGi# 6R f nn y '' 'NO. ED:4118f] ' �'. -_-, ' •'�'�� N !<!/4y✓! ADDRESS _ - •�'-!. - , . ,. - TEL.• ..%Lws tt��' _ ,, " CONTRACTOR.FEP"IIStra-Q0at3tiroNO. 2D_411,86 - ,�� I• _ ' ADDRESS 401 Ee I�OOtI'1 .11 .A7.'lllXA.- DESCRIPTION OF WORK' '. to ' � = 4;.0Al / or NEW ADD ALTER -REPAIR DEMOLISH SQ. FT �. NOO.�OF . NO.OF_ 11✓"3°i// U 'h SIZE ". 465 -- STORIES '3 FAMILIES .9 USE OF.STRUCTURE .' •_ - .. -lt-Lti /l. ol Gv.�'+a'[ in31� new A i it' ' u +G r .!Div •dli� 1�/tl O �' e� .APPROVALS` - SIGNATURE OFr„- APPLICANT - - - - -” -DATE G-INSPECTOR'S`SIGN'ATURE --ADDRESS.' ` FOORMSIA, MATERIALSION A f--f x le-trl� ,��,,, • ..P. E $ FRAME: FIRE STOPS. (/�' 'L'7i�C .'- FEE BRACING.'BOLTS � VALUATION $ ._ FURNACE:-LOCATION. - 1 FEES GAS V ENT: DUCTS .' ._ �- _ .J I HEREBY ACKNOWLEDGE THAT I•HAVE READ THIS P- LATH..INT: 9�hJ��17.�"/ PLICATIO TE TH T THE ABOVE IS CORRECT ND - ' ' AGRE COMPLY H L COU_ N ORDINANCE LATH. EXT. - ST LAWS EGUL 1 NG. C NSTRUCT - S1 NATUR HOUSE NUMBER'COR- AERM hh RECT AND POSTED`. ADDRESS V OT ( lC FINAL jopw JOHN A. LAMBIE, COUNTY ENGINEER: CLYDE N. DIRLAM. PRINCIPAL STRUCTURAL ENGINEER PLAN. CHECK VALIDATION CK. M.O. CASHPERMIT VALIDATION 'CK. M.O. cases APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADD l G � Z BUILDING ADDRESS . I hereby affirm that I have a certificate of consent to self insure, 6 Arden Dr. or a certificate of Workers'Compensation Insurance,or a certified CITY ZIP copy thereof(s1ec.046140 C) State Fund Tem le Cit , CA 91780 LOCALITY �)0LE Policy No. Company Ad SIZE OF LOT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST. JP Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. USE ZONE MAP NO. department. 1-1—AIpplicant Randnl Roofing ASSESSOR MAP BOOK PAGE PARCEL Date 1 SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO. /// YES No COMPENSATION INSURANCE Frank Tucci 440-2046 WITHIN 1000 FT.OF SCHOOL? ADDRESS (This section need not be completed if the permit is for one hundred 5156 Arden Drive DISTRICT GROUP TYPE CONST.' FIRE ZONE PROCESSED BY dollars($100)or less.) CITY zIP I certify that in the performance of the work for which this permit Temple City, CA 91780 is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL.NO. 4 become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO.4921 DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate Of CONTRACTOR TELNO. REQUIRED TOTAL SETBACK FROM EXIST . Exemption, you should become subject to the Workers' SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith Randol Roof ing 288-4040 FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P L 529 E. Valley Blvd. 451937 >_ CITY LIC.CLASS LICENSED CONTRACTORS DECLARATION PIL U San Gabrie, CA 91776 C-39 I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP FT.SIZE NO.OF STORES NO.OF FAMILIES (commencing with Section 7000)of Division 3 of the Business and SQ. NEW ❑ BK PG , �; Professions Code,and my license is in full force and effect. v 451937 C-39 DESCRIPTION OF WORK ADD ❑ VALUATION W License Number Lic.Class �- Contractor Randol RoofiTl9te 1-31-92 Re-roof house with Genstar 920.00 ALTER ❑ _ ❑ 1 am exempt under Sec. Fiberalas Shingles Class A REPAIR ] $ B.&P.C.for this reasonDEMOL ❑ LDMA P/C# USE OF EXIS G BLDG. Date: URM ❑ Sfd 3 1 Signature APPLICANT(PRINT) TEL.NO. LDMA Perm# Z ❑ 1, as owner of the property, or my employees with wages as Pqnrinl -Roofing 1288-4040 O 111. 1 .7 their sole compensation,will do the work and the structure is ADDRESS H53. not intended or offered for sale (Section 7044, Business and 1 San Gabriel CA FINAL DATE r Q s 4 Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLEA HAZARDOUS MATERIAL V 0, PC MEMS OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN �f I _ ❑ 1, as owner of the property, am exclusively contracting with THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors to construct the project.(Section 7044, YES El No El ' ';"I i' y� Business and Professions Code.) =,_R ?t WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING CHECKc i OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROMTHESOUTH r._r. CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST t� q:7 iii j� n i1 I FOR GUIDELINES. I hereby affirm that there is a construction lending agency for YES❑ NO❑ the performance Of the work for which this permit Is issued(Sec. 1 HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD � '�•S i i' i:_:i 3097,CIV.C.. PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES 11Ij j_j—t i; F E= 3.�; $"'•• . COUNTY CODE,TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING r'f � Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. f1:11 tti 1 t I CL IL Lender's Address OWNER ORAGENT o I certify that I have read this application and state that the above P.C.FEE PERMIT FEE information is correct. I agree to comply with all county ordinances and State laws relating to building construction,and 45.75 �. hereb�thoriesentati es this County to enter u on ISSUANCE FEE thea pro fo spection purposei- 1 Q 1 (✓ INVESTIGATION FEE TOTAL FEE 58•75 Sgo t,re m or Apert D. SEE REVERSE FOR EXPLANATORY LANGUAGE