HomeMy Public PortalAbout5420 ARDEN DR_Building__ 76A6364 CE#80?3-68
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING r
-DEPARThIENT OF COUNTY ENGINEER ADDRESS.
BUILDING AND SAFETY DIVISION LOCALITYel,07,r/e `-f
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SUPT OF BUILDING 0/�
CROSS ST. C 1
FOR APPLICANT TO FILL IN DISTRICT,NO. GROUP TYPE �� PROCESSED BY
(Print or type only) i oY CONST, w •p/�
BUILDING STATISTICAL CLASSIFICATION �L- SEWER MAPC
ADDRESS _ _j' ' ��� �q , . - �. CLASS NO. 9 DWELL.UNITS SK PG�¢
LOT NO. BLOCK USE ZONE MAP � �j
A NO. ;`-0 0 /
TRACT //,/ SPECIAL
A NO.OFBLDGS. /T 1 CONDITIONS
SIZE OF LOT" 4 -4 ' INOW ON LOT
USE OFf
EXISTING BLDG, KOC[ //1 BLDG.SETBACK FROM-
FRONT PROP.LINE OF (STREET).
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS n.. `ryir/i FF HIGHWAY WIDTH FROM C.L. -
CITY r-!! yr'/� !I p�- � coral +
a c BLDG,SETBACK FROM
ARCHITECT O TEL. SIDE PROP.LINE OF (STREET)
ENGINEER NO.
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL. _
CONTRA CTO yJ" I_ j,.j No. '.[ L^• +
O
ADDRESS 12 „5 v
CORNER CUTOFF YES ❑ NO
CITY it^i;jif � , �, .CLASS SEE REVERSE SIDE FOR SPECIAL APP ALS o
-
DESCRIPTION OF WORK L'-I
a
' 6
z
EWi' D ALTER REPAIR DEMOLISH
SQ. FT. f NO. OF NO. OF
SIZE STORIES. FAMILIES
USE O
STRUCTURE
SIGNATURE OF
APPLICANT L(! /Q',QO ! ,
VALUATION $ f/ G° C>
Cl APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT, FOUNDATION: LOCATION �.
FEE $ FEE $� FORMS, MATERIALS IL
FRAME: FIRE STOPS, ,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND 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 I WILL NOT EMPLOY ANY PERSON IN VIOLA.
TION OF THE LABOR CODE OF THESTATE OF CALIFORNIA RELAT. LATH, INT.
ING TO WORKMEN'S COMPENSATION.INSURANCE.
• LATH, EXT,
SIGNATURE O `I// �C� �J HOUSE NUMBER COR-
PERMITTEE /`�� J '- RECT AND POSTED
ADDRESS v.) t-J' •7 L[',a-' �-a.G"�� FINAL
JOHN F. LEWIS. PRINCIPAL ST Y URAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK: M.O. CASH
Y I
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES / ® t
1. WM. J. FOX, CHIEF ENGINEER
NG
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING
DIST RO. PLAN CK. NO. PERMIT NO.
ADDRESS
412. (" o
LOCALITY _ RECEIVED BY DATE OFAPPL. DATEISSUED
NEAREST .ra4-5
CROSS ST.t NG
ADDRESS /
OWNER
MAIL �- - LOCALITY
ADDRESS NEAREST
TEL. CROSS ST. In L
CITY NO. FIREI NO. OF-- I TYP I GROU
ARCHITECT OR TEL. ZONE PLANS -
ENGINEER NO. BLDG. NO.
SETBACK LINE ��1•� /yrf _l; .C.f� C1
ADDRESS APPROVED
TEL. BY DATE
CONTRACTOR'S , NO. USEAPPROVED _
�,�+ ,/ ZONE BY �' DATE
ADDRESS SSO �p+,�fi{.(�y. " i4od&_NUMIBEF6 G `
DESCRIPTION LOT NO. I BLOCK MAP NUMBER-�
LEGAL (;' / FIELD CHECK BY
TRACT �" Ev�K ( Fes'► NO. ASSIGNED BY DATE
NO. OF BLDGS. � -./ �..CORRECTIONS
SIZE OF LOT I NOW ON LOT
US[OF I NO. OF
EXISTING BLDG. FAMI LIES
DESCRIPTION OF WORK vo
NEW I .r;� I ALTERATION I ADDITION
REPAIR I I DEMOLITION
SQ-EFT. /M rq v NO. OF
SIZV iJ C ROOMS STORIES �} Z
1✓/ D
EXT. WALL ROOFI"
COVERING ` I COVERING �q '
USE OF STRUCTURE 7 I
el r\ �� 3 •� `' _APPROVALS
INSPECTOR'S SIGNATURE DATE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION - -
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS •t• (�'_
CORRECT.
1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS,
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS
LAWS REGULATING BUI DING CONSTRU TIQN.
S' FURNACE: LOCATION,
SIGNATURE OF ,} GAS VENT, DUCTS
PERMITTE fef;/v
{, LATH, INT. �J
i
ADDRESS (J 1-l�'�^
LATH, EXT. -`
AUTHORIZED AGT.
PLASTER, INT.
76Aa3eA DBss to-so $ P. C. $ 5c
V FEE PLASTER, EXT.
t•e..
VALUATION $ C`
FEE Is .+ FINAL I;--Zd- �-
I w
WORKERS'COMPENSATION DECLARATION
71i-C. 11- —�7 L - / - --I/ -
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.PrC):374.c3�) Company 1�1-pil l i r Tr daz n Lty
ElCertifiedcopy is hereby furnished. . FOR APPLICANT TO FILL IN ADDRESS
X Certified copy is filed with the county,building inspec- BUILDING tion d 5420 Arden,artment. ADDRESS I T.C y. LOCALITY
lloe
-� NEAREST
Date Applicant _'�_�__ CITY ZIP CROSS ST.
CERTIFICATE OF EXEMPTION"F OM WORKERS_ -ry NO. OF BLDGS. ASSESSOR
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
(This section need not be completed if the permit is for one USE Z E MAP
hundred dollars ($100)or less.) TRACT BLOCK LOT NO. NO.
TEL. "I SPECIAL J y�
I certify that in the performance of the work for which this OWNER C NO — CONDITIONS .y
DISTRICT GROUP TYPE FIRE PRO SSED BY O
permit is issued, I shall not employ any person in any manner ADDRESS 5420 Arden CONST. �^` ZONE U
so as to become subject to the Workers'Compensation Laws. i9
11-24-•86 Randol R000fing CITY ZIP ^� O
Date Applicant STATISTICAL CLASSIFICATION APT. CONDO.
NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL.
Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO. DWELL. UNITS A
Compensation provisions of.the Labor Code, you must forth- ADDRESS SEWER MAP 4A
with comply with such provisions or this permit shall be TEL. z
deemed revoked. CONTRACTOR NO2@8 40 BK. PG, VALIDATION
LICENSED CONTRACTORS DECLARATION LIC.
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 529 E. Valley Blvd No. 451937 VALUATION
(commencing with Section 7000)of Division 3 of the Business and San Gabriel LIC.
C-3 9 Poo.Code, and my license is in full force and effect. CITY CLASS $ 1,000.00
451937 C-•39 SQ. FT. NO. OF NO. OF CHECK
License Number Lic.Class SIZE STORIES FAMILIES ONE
Contractor R,a•S;dc)J, ROgf,i;4g Date lI_2A—2C:4 DESCRIPTION OF WORK Re-rood' house NEW ❑
❑ I am exempt under Sec. and garage with. Glass" A Fiber .ADD ❑
ALTER ❑ FINAL
B.BP.C. for this reason glas r f` S" 'na I EPAIR
® DATE
Date: USE OF B
EXISTING BLDG. SFD DEMOL ❑
Signature APPLICANT TEL.
OWNER-BUILDER DECLARATION PRINT Randol Roof ing No. 288-.
I hereby affirm that I am exempt from the Contractor's License 529E. Valley Blvd{ S.G.
Poo.Law for the following reason (Section 7031.5, Business and ADDRESS
Professions Code): PRESENT
❑ BUILDING
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 kADDRE
Y
7044, Business and Professions Code). TEL.
❑ I, as owner of the property, am exclusively contracting CTOR NO.
with licensed contractors to construct the project (Sec- S
'tion 7044, Business and Professions Code).
ED TOTAL SETBACK FROM EXIST.
CONSTRUCTION LENDING AGENCY CK YARD HW l PROP. LINE WIDTH '
I hereby affirm that there is a construction lending agency for T
the performance of the wor;,#or which this permit is issued -26o&,1 A
(Sec. 3097, Civ.,C.). ; # 00 o a o 1
Lender's Name
Lender's Address $ Permit Fee
- 4050
I certify that I have read this application and state that the10.50 Issuance Fee o 0 - 4 0,50 r6:
above information is correct. I agree to comply with.all County Investigation Fee $40.50
g ordinances and State laws relating to building construction, Total Fee '12 0$y 8 b
d and hereby authorize representatives of this County to enter
upon the ove- ti ed property for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
a
Signature of Applicant or Agent 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 0701170007
PHONE: (626) 285-0488 EXT: '
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: 1
ON FILE I SQ. FT STORIES TYPE I 5420 ARDEN DR 1
ISTRUCTURE: 23 VN I TEMP CA 917802731
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18586-028-035 1 { THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY, Cl
(TENANT: 1EXIST BLDG USE: RESID USE ZONE: R-1 11SSUED ON: -PROCESSED BY: EXPIRES ON: 1
EXIST OCC GRP: 101/17/07 JK 01/12/08 1
1OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FI BY: CODE: I
IMR. & MRS. GALLAHER, PAULA (626) 643-1554- 1 8,380
15420 ARDEN DR
ITEMP 917802731 FEES PAID IDESCRIPTION OF WORK I
I I ITEAR OFF EXISTING 3 LAYERS. APPLY 30#LB FELT APPLY CLASS A I
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:ICOMP. GAF 30 YEARS SHINGLES HOUSE AND GARAGE I
1APPLICANT: TEL. NO: I I
ILANSFORD ROOFING INC. (626) 390-3480- IAA BLDG PERMIT ISSUANCE 27.75 1 1
13535 LANDFAIR RD. 1AC STRONG MOTION RESID 8380.00 VAL 0.84 ISPECIAL CONDITIONS: I
IPASADENA, CA 91107 1D2 PERMIT W/O EN-HC 8380.00 VAL 199.80 I I
1 TOTAL FEES 228.39 1 1
I �
I
ICONTRACTOR: TEL. NO: I - (APPROVALS DATE INSPECTOR SIGNATURE I
ILANSFORD ROOFING INC. (626) 390-3480- I 1 I
13535 LANDFAIR RD. LIC. NO I ILOCATION AND SETBACKS I I I
IPASADENA, CA 91107 775436039 1 I I I I
I I ISOILS ENGINEER APPROVAL I I 1
1ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I
1 LIC. NO: 1 ISLAB/UNDER FLOOR I I I
IRAISED FLOOR FRAMING I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:I (UNDERFLOOR INSULATION I I I
1147H273 3 Oil I I I 1
IFLOOR SHEATHING I I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1 I I I
{ NO 21 1 IROOF SHEATHING
1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I
1AIR QUALITY: 1000 FEET MATERIALS 1 1 I
NO NO NO 1 FRAME INSPECTION I I
IREQUIRED TOTAL SETBACK FROM EXIST IFIRE SPRINKLER HANGERS I I I
ISET BACK YARD: HWY: PROP LINE: WIDTH: I I I
IFRONT PL- 1 11NSULATION/WEATHER STRIPI I I
I SIDE PL- 1 1 1-1 1
1 I' 11NTERIOR LATH/DRYWALL I I I
I I I I I I
I 1EXTERIOR LATH I I 1
I I IRATED FLOOR/CEIL ASSEM. I I 1
I IRATED WALL.ASSEMBLIES I I I
1 IRATED SHAFTS/OPENINGS I I I
I IT-BAR CEILINGS I I I
I ILOT DRAINAGE 1 I 1
IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I
I I I I I I
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 1305160072
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE 5420 ARDEN DR
STRUCTURE: V-B TEMP CA 917802731
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
18586-028-035 1 1 THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY CAI
I I 1 I
TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 JISSUED ON: PROCESSED BY:
I IEXIST OCC GRP: 105/16/13 SR
OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: (FIN L DATE FI Y: CODE:
IGALLAHERTHA L, PAULA - 15,000I
15420 ARDEN DR I
TEMP 917802731 FEES PAID D CR TION OF WORK
IKITCHEN REMODEL I
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( I
(APPLICANT: TEL. NO: I I
ITIM, RYAN (626) 446-8394- IAA BLDG PERMIT ISSUANCE 27.80 1
1125 E SANTA CLARA ST IAB STATE GREEN BLDG FEE 15000.00 VAL 1.00 ISPECIAL CONDITIONS:
IARCADIA CA 91006 IAC STRONG MOTION RESID 15000.00 VAL 1.50
IB2 PERMIT W/ENERGY 15000.00 VAL 330.70
TOTAL FEES 361.00
(CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE
ITIM RYAN CONSTRUCTION, INC. (626) 446-8354- I
1125 E. SANTA CLARA ST. #19 LIC. NO I ILOCATION AND SETBACKS
IARCADIA CA 91006 782337 I - 1
I I ISOILS ENGINEER APPROVAL
(ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS I I I
I LIC. NO: I (SLAB/UNDER FLOOR I I I
1 1 I__
1 IRAISED FLOOR FRAMING
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:; - (UNDERFLOOR INSULATION I 1 1
3 00 1 11 I
I IFLOCR SHEATHING I I I
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS:
1 NO 21 I (ROOF SHEATHING
I SCHOOL WITHIN HAZARDOUS ISHE.AR PANELS I I I
(AIR QUALITY: 1000 FEET MATERIALS 1
I NO NO NO (FRAME INSPECTION I I
I IFIRE SPRINKLER HANGERS 1 1 1
I I I I I I
I I (INSULATION/WEATHER STRIPI I I
I I 1 I I
I (INTERIOR LATH/DRYWALL
I i I I I I
1 (EXTERIOR LATH
I I l I I I
I I IRATED FLOOR/CEIL ASSEM. I 1
I I I I I I
IRATED WALL ASSEMBLIES
I I I I I I
IRATED SHAFTS/OPENINGS
I I I i I I
IT-BAR CEILINGS I I I
1 1* ADDITIONAL DATA ON FILE 1 1-1 1
I ILOT DRAINAGE
I I I I I I
IREPORT ID: DPR261 ROUTE TO: BS0508
I I I I I I