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HomeMy Public PortalAbout5430 ARDEN DR_Building__ 7BA898A CE#80910-98 APPLICATION FOR BUILDIN-G PERMIT 1 •' COUNTY OF LOS ANGELES BUILDING > DEPARTMENT' OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY i JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPE P ESSED BY FOR APPLICANT TO FILL IN = I CONST. BUILDING —+ STATISTICAL CLASSIFICATION I SEWER MAP s ADDRESS BK CLASS.NO. DWELL.UNITS LOT NO. MAP STATE �L BLOCK NUMBER HWY. YES USEZONE SPECIAL TRACT NO.OF.BLDGS CONDITIONS SIZE OF LOT I NOW ON LOT d 1 USE OF / EXISTING BLDG. BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH OWNER' .,/' I FRONT � / MAIL' P.L. �yJ'l'7` ADDRESS _ SIDE - CITY G �`�. NOI. _I S O P.L. INSPECTION RECORD ARCHITECT OFI TEL - ENGINEER NO. - - ADDRESS _ - - �p TEL. CONTRACTOR '�w-L1.,-o NO. ADDRESS DESCRIPTION OF WORK NEW ADD ADD ALTER REPAIR DEMOLISH SQ.FT. NO.OF NO.OF SIZE 7 STORIES FAMILIES USE OF r� STRUCTURE SIGNATURE OF G./(.Gf P _ - APPLICANT G t� APPROVALS DATE INSPECTOR'S SIGNATURE ADDRESS 53--'> L G V" 1 FOUNDATION:,MATERIIALS LOCATION l� � t r 1 rlerlA 3_ � VALUATION 5 �© O. FRAME:FIRE STOPS, / 1/ drp _ JQ BOLTS BRACING, 3liEo-® ..,.ain�a-��•-.�..._� LOCATIO FEE $// �-I FEE S ( �� I FURNACE: N. GAS VENT,DUCTS • lao' Sop , 1 HEREBY ACKNOWLEDGE AT 1 HAVE READ THIS AP- PLICATION P- LATH.INT. PLICATIONND STATE THAT THE ABOVE IS CORRECT AND AGREE TO PLY WITH ALL COUNTY ORDINANCES AND �} _ STATE LAWS EATING UILD "b TR•UCTION. LATH,EXT. n-:d 6 6h SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECTAND POSTED " ADDRESS `~ �-V FINAL A N CLYDE N. DIRLAM, PRINCIPAL ST C RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 19.50 �P a �8 4 2 5 - 0Fu- 3 1 A 3 9.00 `� WORKERS'COMPENSATION DECLARATION `— I hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers' Compensation Insurance, APPLICATION FOR BUILDING PERMIT u or a certified copy thereof (Sec. 3800, Lab. C.) PolicPl98.87492 Company Republic Indemnity COUNTY OF LOS ANGELES BUILDING AND SAFETY ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ADDRESS DCertified copy is filed with the county building inspec- BUILDING 5430 N. Arden T.Cy. tion department. ADDRESS Date ll-1--:87ApplicantRandol Roofing CITY ZIP LOCALITY I CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. o (This section need not be completed if the permit is for one ASSESSOR hundred dollars ($100)or less.) TRACT BLOCK LOT NO. MAP.BOOK PAGE PARCEL Roene Springer TEL. 57-9 USE FE MAP I certify that in the performance of the work for which this OWNER NO. NO. permit is issued, I shall not employ any person in any manner ADDRESS Same SPECIALso as to become subject to the Workers'Compensation Laws. CONDITIONS 0 8-27-87 . .Rand ol Roofing CITY ZIP 0 Date Applicant NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROC DENGINEER NO. BY 0 ZQNU Exemption, you should become subject to the Workers' CONST. ,.�;/J� E Compensation provisions of the Labor Code, you must forth- ADDRESS "" 8. with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION PT.. NDO. 0_` deemed revoked. CONTRACTOR Randol Roofing NO 288-4040 ° A. Z LICENSED CONTRACTORS DECLARATION I 529. E. Valley Blvd LIC.451937 CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the,Business andSan Gabriel, Ca. LIC SEWER MAP . c-39 Professions Code, and my license is in full force and effect. CITY CLASS BK I VALIDATIPG. tj, ON SO. FT. NO. OF NO. OF CHECK License Number 451937, Lic.Class C-39. SIZE STORIES FAMILIES ONE VALUATION Contractor RandOl ROOfinQ Date 8-27-87 DESCRIPTION OF WORK Re-roof house and NEW.,- ❑ ❑ $ 1,000.00 I am exempt under Sec. garage with fiber,glas shingles ADD ❑ Class A. Root.' ALTER ❑ B.&P.C. for this reason REPAIR ® $ Date: USE OF DEMOL ❑ EXISTING BLDG. D Signature APPLICANT Randol Roofin TEL.288-4040 FINAL 27 8.1,6'A OWNER-BUILDER DECLARATION PRINT) g NO. DATE VG I hereby affirm that I am.exempt from the Contractor's License #`0:0.0 0 0 1 '529: E. Valley Blvd, S.G. Law for the following reason (Section 7031.5, Business and ADDRESS FIN r Professions Code): PRESENT B ` /G L o.0 4 5.0 ❑ BUILDING - I, as owner of the property, or my employees with ADDRESS- wages wages as their sole compensation,will do the work and ® .. ...4 o•0 4 p,5 050 the structure is not intended or offered for sale(Section LOCALITY. 7044, Business and Professions Code). - MOVING TEL. 1 Q r� ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. :0 9. 0 c� with licensed contractors to'construct the project-(Sec- ADDRESS tion 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY SEQ ETT BACK YARD HWY REQUIRED TOTAPROP.SETBpLINE CK F M WIDTH hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.I. (Sec. 3097, Civ. C.). SIDE P.I. Lender's Name m P.C. Fee$ Permit Fee $40.50 LDMA Ret. N Lender's Address aI certify that I have read this application and state that the Issuance Fee $10 50 LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee S ordinances and State laws relating to building construction, Total mMa ses. Fee 40.50 LDMA Perm. # and b�y authorize re resentatives of this County to enter uponsp SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of pplicont or Agent ate 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 1102170004 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST BUILDING ADDRESS: J ON FILE SQ. FT STORIES TYPE 5430 ARDEN DR (STRUCTURE: V-B I TEMP CA 917802731 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: DAINES 1' 18586-028-006 1 I THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY, Cl I I I I (TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: J I IEXIST OCC GRP: 102/17/11 SR J (OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE: J (YANG, TASHIUNG (626) 574-7825- 1 2,700 1 ( 1 1405 WALNUT AVE. _ 1 ` I I JARCD 910077951 1 FEES PAID IDESCRIPTION OF WORK I I I IREPLACE 9 WINDOWS I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( I (APPLICANT:. TEL. NO: I 1ZHAO, ERIC (626) 284-6682- IAA BLDG PERMIT ISSUANCE 27.80 1 1 1821 S. 4TH ST. #17 JAB STATE GREEN BLDG FEE 2700.00 VAL 1.00 JSPECIAL CONDITIONS: J 1ALHAMBRA, CA 91801 JAC STRONG MOTION RESID 2700.00 VAL 0.50 I ID2 PERMIT W/O EN-HC 2700.00 VAL 99.10 I I TOTAL FEES 128.40 JCONTRACTOR: TEL. NO: J JAPPROVALS DATE INSPECTOR SIGNATURE J 1168 CONSTRUCTION AND REMODELING (626) 284-6682- 1 I 1821 S. 4TH STREET #17 LIC. NO I JLOCF.TION AND SETBACKS I IALHAMBRA, CA 91801 899733 B I I ISOILS ENGINEER APPROVAL I I 1ARCHITECT OR ENGINEER: TEL. NO: 1FOUNnATION/TRENCH FORMS I I I 1 LIC. NO: 1 JSLAB/UNDER FLOOR I I I I (RAISED FLOOR FRAMING I I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: J JUNDE FLOOR INSULATION I I I 1147H273 3 001 111 I I I IFLOOR SHEATHING I I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I 1-- 1-1 I I NO 21 IROO'r SHEATHING I I I I I SCHOOL WITHIN HAZARDOUS 1- 1SHEAR PANELS 1 JAIR QUALITY: 1000 FEET MATERIALS I I I I I NO NO NO J IFRAME INSPECTION I I I I I I I I IFIRE SPRINKLER HANGERS I I I I (INSULATION/WEATHER STRIPI I I I I 1-1 I I (INTERIOR LATH/DRYWALL I I I I I I I I I 1 1EXTERIOR LATH I I I I I I I I I JRATED FLOOR/CEIL ASSEM. 1 I I IRATED WALL ASSEMBLIES I I IRATED SHAFTS/OPENINGS I I I I I I I I I I IT-BAR CEILINGS I I I I I I 11 I I I ILOT DRAINAGE I I I J I_ 1-1 I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I 1 ! 1 11