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HomeMy Public PortalAbout4862 ARDSLEY DR_Building__ I APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUILDINGCOUNTY OF LOS ANGELES � ADDRESS t' N DEPARTMENT OF COUNTY ENGINEER IITY•_T' I' ZIP c!It BUILDING AND SAFETY DIVISION NO.OF SLOGS. BUILDING SIZE OF LOT , r NOW ON LOT a ADDRESS TRACT BLOCK I LOT NO - LOCALITY T TEL. NEAREST OWNER -A 1.lC 'L NO. CROSS ST. ADDRESS AvA -Z>v MAPESSOR BOOK PAGE PARCEL •�� /(� -f /� DISTRICT IGROUPITYPE FIRE ROC SED BY CITY , � \"�- ZIP �i I v .J v� CONSTy / ZpNE �,,,z,.[ ARCHITECT OR TEL. �" X17 ENGINEER NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO.-2-0 DWELL,UNITS C BK'3, E . CONTRACTOR 1 NOL U$ �ONE NO. LIC. �' ADDRESS NO. �ll SPECICONDAL ONS CITY LIC. CLASS 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 SIZE E STORIES FAMILIES ONE FT. NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH DESCRIPTION OF WORK NEW U ADD BLDG,SETBACK FROM (STREET) SIDE PROP.LINE OF ALTER ❑ HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING U REPAIR❑ SIDE PROP. LINE HIGHWAY WIDTH Lu _ N USE DEMOL ❑ + Z EXISTING BLDG. APPLICANT TEL �yr ^ CORNER CUTOFF YES ❑ NO (PRINT) NO. O!S-A7K BY (SIGNATURE) IN OPEN SPACE YES NO QQ IN COASTAL PERMIT ZONE YES NO VALUATION •P � )I I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION I Nc � G-/c'. !;•y F-�.K SwIC'^ _ -" ^r - AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- ' STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE TATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMP SA I INSURAN SIGNATURE OF Jf PERMITTEE ADDRESSjtj + ~_ TE FINAL BY r \ r i DATE CITY ` at,ry -� \(J�1[,{, NO -��/ ' P,C. PMT. HAKE CIIECK.S PAY.-113 .li 70: FEE FEE HARVEY T. EIRANOT• COUNTY ENGINEER PLAN'CHECK VALIDATION CK M O CASH PER ,VALIDATION CK. M.O. CASH 4 0 2 i- rFR 44 1 V 1.0 0 76A 638A CE#803 5/74 J „ ���.�.AT � .FC UNTY.OF LOS ANGELES B U'g L®O N G P E R T DEPARTMENT OF COUNTY`ENGINEER 'E BUILDING AND'SAFETY DIVISION BUILDING FOR-APPLICANT TO FILL IN ADDRESS ,BUILDING ADDRESS LOCALITY' NEAREST CITY '� �� T� ZIP CROSS ST. NO:OF BLDGS. ASSESSOR SIZE OF LOT, . 12-i5 NOW ON LOT, MAP BOOK PAGE PARCE DISTRICT 'GROUP TYPE FIRE OC S BY TRACT j ,W / BLOCK 'Z• LOT NO. CONST, NE TEL ©CJ .� v OWNER J, a.'l� q�'NO.�iBS-r/Z� STATISTICAL CLASSIFICATION SEWER MAP ADDRESS �(pL ' CLASS,NO. DWELL 'UNITS' BK CITY~ G r . .. ZIP ''. WEZON E. NOP y �( P NO. 415-A6] �2 S1T10NS ADDRESS jca S ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ TEL. CONTRACTOR- A NO. BLDG.SETBACK FROM LIC. FRONT PROP._LINE OF ISTREETI, ADDRESS NO. TOTAL SETBACK FROM HIGHWAY +, YARD = TYPE EXISTING , LIC: - FRONT PROP.'LINE HIGHWAA Y WIDTH CITY CLASS . CONSTRUCTION LENDER O NAME AND BRANCH BLDG.SETBACK FROM V ADDRESS CITY SIDE PROP:LINE OF (STREET)' O SQ.FT. NO.OF NO:OF CHECK'' HIGHWAY . + YARD = TOTAL SETBACK FROM TYPE OF EXISTING U U SIDE PROP.LINE HIGHWAY WIDTH . w SIZE (Po STORIES. FAMILIES ONE a DESCRIPTIONOF.WORK ,dOpJT/OAJ ar— NEW ❑ ADD CORNER CUTOFF YES” ❑ NO ❑ ALTER El. IN OPEN SPACEElYES ,;❑ NO ❑ REPAIR E USE OF BLDG. ('/� DEMOL ❑ IIN COASTAL PERMIT ZONE- YES ❑ NO APPLICANT TEL (PRINT) NO: BY(SIGNATURE( HEREBY ACKNOWLEDGE•THAT I HAVE READ THIS APPLICATION'AND SW THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY.WITH ALL ORDINANCES AND LAWS-REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF ' '.'.THE LABOR CODE OF THE STATEOFCALIFORNIA IN-RELArING,TO WORKMEN'S COM. - PENSATION INSURANCE.' - -• •- _. �_ ��' J1 4 ' ' SIGNATURE OF' /` °' FINAL BY PERMITTEE DATE s. Y ..F ,�,,•q ADDRESS TEL. P.C. Fee$ Permit Fee` 1,71 CITY NO. issuance Fee VALUATION•.� I�j tQ� r i ,. Total-Fee PLAN CHEGK,VALIDATION l` CK M o „CASH v PERMIT VALID M.O., CASH 1 7 ©S 76A638A CE M803A 8/77 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 9912100028 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 14647 LT: 38 SQ. FT STORIES TYPE 4862 ARDSLEY DR STRUCTURE: 2000 VN TEMP CA 917803801 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA 8590-016-002 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESID USE ZONE: R ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 12/10/99 VG 11161,0100 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATEFINAL 4,,y CODE: DEWEY JOHN BRADFORD;BETTY JEAN (626) 285-1726- 3,000 4862 ARDSLEY DR �_Z" TEMP 917803801 FEES PAID DESCRIPTION OF WORK T/0 EXIST ROOF AND INSTALL COMPOSITION SHINGLES APPLICANT: TEL. N0: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: JOHNSON (909) 277-2466- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESI.D 3000.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/0 EN'vHC,23000.00 VAL 99.00 �����TO�y®FEES 127.25 CONTRACTOR: TEL. NO: ®� APPROVALS DATE INSPECTOR SIGNATURE IMPERIAL HOME IMPROVEMENT SVCS (626) 914-4706- 610 DORNIE LIC. NO LOCATION AND SETBACKS GLENDORA, CA 91740 733940C39 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NOi 1111111 SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:- Ulc-IMC UNDERFLOOR INSULATION X 3 01= DW U lFLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS•-- NO 21 ROOF'SHEATHING SCHOOL.WITHIN HAZARDOUS �\ 0 SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS 0 Q NO NO NO `' �y FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXISTw1Oq� FIRE SPRINKLER HANGERS FRONT SET APL- YARD: HWY: PROP LINE: WIDTH: /ZC -rvice6�ha� INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CELL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 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 1304030061 PHONE: (626) 285-0488 EXT: - ILEGAL ID: I NO. OF CONST 1 BUILDING ADDRESS: ..I - ITR: 14647 _ LT: 38 I SQ. FT STORIES TYPE 1 4862 ARDSLEY DR - ISTRUCTURE:1 V-B .'TEMP CA 917803801 (ASSESSOR INFORMATION-NUMBER: 1 I NEAREST CROSS STREET: I 18590-016-002 - 1 - THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY- CAI I (TENANT: - 1EXIST. BLDG USE: RESID USE ZONE: R-1. (ISSUED ON: PROCESSED BY: - 1 1EXIST OCC GRP: 104/03/13 SR (OWNER: TEL. NO: IBLDGS,. NOW ON LOT: - VALUATION: IFI AL D TE FINAL BY: CODE: - I 1DEWEY JOHN, BRADFORD;BETTY.JEA_N (626) 285;1726- - 1 20,000 1- 14862 ARDSLEY DR' 1 I 1TEMP 917803801 1 FEES PAID 1 CRIP ION F WORK - -I 1 - IKITCHEN REMODEL - I 1FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 I 1APPLICANT: TEL. NO: 10'LEARY, TOM (626) 287-0927- IAA BLDG PERMIT ISSUANCE 27.80 15823 AGNES AVE IAB STATE GREEN BLDG FEE 20000.00 VAL 1.00 ISPECIAL CONDITIONS: I 1TEMPLE CITY CA 91780 IAC STRONG MOTION RESID 20000.00 VAL 2.00 1 JB2 PERMIT W/ENERGY 20000.00 VAL 423.10 1 TOTAL FEES 453.90 1 (CONTRACTOR: - ,TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE 1TOM O'LEARY CONSTRUCTION (626) 287-0920- 15823 AGNES AVENUE- LIC. NO - 1. ILOCATION.AND SETBACKS I 1 I ITEMPLE CITY CA 91780 - - 489354 I ISOILS ENGINEER APPROVAL 1 1ARCHITECT OR ENGINEER: TEL. NO: 1 (FOUNDATION/TRENCH FORMS 1 LIC. NO: 1SLAB/UNDER FLOOR I - _ 1RAISED FLOOR FRAMING 1 I I IMAP NO: SEWER MAP BOOK: .PAGE: FIRE ZONE: CMP: 1 (UNDERFLOOR INSULATION 1 - - 3 OOi - IFLOOR SHEATHING - I INC. OF FAMILIES: ;DWELLING UNITS: APT/GOND: STAT CLASS: I - I I I 1 NO 21 1 IROOF SHEATHING I I 1 1 SCHOOL WITHIN HAZARDOUS I 1SHEAR PANELS. I 1 (AIR QUALITY: 1000 FEET -MATERIALS 1 - I I I I 1 NO NO NO 1 IFRAME INSPECTION I I I IFIRE SPRINKLER HANGERS 1 _ I I (INSULATION/WEATHER STRIPI 1 I (INTERIOR LATH/DRYWALL _ _ I (EXTERIOR LATH. I I I IRATED FLOOR/CEIL ASSEM. 1 1 I I IRATED WALL ASSEMBLIES 1 1 1 IRATED SHAFTS/OPENINGS I IT-BAR CEILINGS I I I ' I* ADDITIONAL DATA ON FILE I I ILOT DRAINAGE I 'IREPORT ID: DPR261 ROUTE TO: BS0508 1 I I I 1 1 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 1306040027 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST BUILDING ADDRESS: 1 ITR: 14647 LT: 38 - SQ. FT STORIES TYPE I 4862 ARDSLEY DR ISTRUCTURE: _ V-B - TEMP CA 917603801 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 18590-016-002 - - THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY CAI 1 I (TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED,ON; PROCESSED_ BY: 1 1 (EXIST OCC GRP: 106/04/13 SR 1 (OWNER: STEL. NO: IBLDGS. NOW ON LOT: VALUATION: ' IF AL TE F BY: CODE: 1 IDEWEY JOHN BRADFORD;BETTY JEAN (626) 285-1726- 1 6,000 _t) 1\ 1 14862. ARDSLEY DR I I TEMP 917803801 1 - FEES PAID IDESCRI TION OF WORK I IMASTER BATH REMODEL NEW VANITY & TOP, TUB/SHOWER TILE, FLOOR _l1FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ITILE & PAINT (APPLICANT: TEL. NO: I I IST PIERRE, MARK .. (626) 287-7544- IAA BLDG PERMIT ISSUANCE • 27.80 I 15454 TEMPLE CITY BL - 1AB STATE GREEN BLDG FEE 6000.00 VAL _ 1.00 ISPECIAL CONDITIONS: 1 ITEMPLE CITY CA 91780 - 1AC STRONG MOTION RESID 6000.00 VAL 0.60 _ IB2 PERMIT W/ENERGY 6000.00 VAL `164.30 1 TOTAL FEES 193.70 1 (CONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE ISTP ENTERPRISES, INC. (626) 287-7544- I 15454 TEMPLE CITY BLVD LIC. NO ILOCATION AND SETBACKS I 1 ITEMPLE CITY CA 91780 598157 1 _ 1_ I. ISOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS I I LIC. NO: - ISLAB/UNDER FLOOR I I I I IRAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: I (UNDERFLOOR INSULATION I I 3 001 1 I i _I IFLOOR SHEATHING INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I -. 1 NO 21 1 IROOF SHEATHING I I I I I I I I SCHOOL WITHIN HAZARDOUS I ISHEA.R PANELS I (AIR QUALITY: 1000 FEET MATERIALS 1 1 1 NO NO NO 1 IFRAME INSPECTION I I I I I I I IFIRE SPRINKLER HANGERS I 1 (INSULATION/WEATHER STRIPI I I ANTERIOR LATH/DRYWALL I I I I I I (EXTERIOR LATH I I I I I I I I IRATED FLOOR/CEIL ASSEM. I I I I I I . RATED WALL ASSEMBLIES I I I I I I (RATED SHAFTS/OPENINGS I I . I IT-BAR CEILINGS I I I ADDITIONAL DATA ON FILE I ILOT DRAINAGE I i I I I I IREPORT ID: DPR261 ROUTE TO: BS0508 1 I I I I I