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HomeMy Public PortalAbout4873 ARDSLEY DR_Building__ OO s 7 E#X h APPLICATION F BUILD G ERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN ADDRRESS BUILDING % /�/�� / &I� Y ADDRESS / f f/2 (4(44 f� LOCALITY NEAREST CITY C / ZIP ql�U CROSSST. [Go y NO.OF BLDGS. ASSESSOR SIZE OF LOT b f( NOW ON LOT �� MAP BOOK PAGE PARCEL `� DISTRICT GROUP TYPE FIRE P ED BY TRACT BLOCK LOT NO.. [ry �/Q� CO OWNER �d� NO. 'dyR/ n-- - STATISTICAL ATION SEWER MAP ADDRESS �/77 CLASS NO. DWELL.UNITS.__j BK PG CITY Ci T ZIP 1 W ARCHITECT OR TEL. VALUATION $ �1�®'00 ENGINEER NO. ADDRESS . BLDG.SETBACK FROM cl ' h n TEL. FRONT PROP.LINE OF. (STREET) CONTRACTOR 6!(,(J C.+L tS% 10. TOTAL SETBACK FROM TYPE OF EXISTING LIC. HIGHWAY + YARD = FRONT PROP,LINE HIGHWAY WIDTH ADDRESS NO. LIC. + CITY CLASS BLDG.SETBACK FROM CONSTRUCTION LENDER SIDE PROP.LINE OF (STREET) NAME AND BRANCH HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING o ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH SO.FT. /� NO..OF NO.OF CHECK + SIZE �� STORIES FAMILIES ONE ZO MAP ` DESCRIPTION OF WORK .. NEW ❑ NO. iSPECIAL /3 y ADD CONDITIONS y� . -t�eli IIS .� ALTER El ❑ DATE L BY REPAIR YJ USE OF DEMOL EXISTING BLDG. ❑ Z APPLICANT TEL :Z 7f .� (PRINT) �� GIJ ✓/v NO. / Q D BY(SIGNATURE) / I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE m THAT THE ABOVE ISCORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES _ Lu AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE - _ kADDRESS THORIZE V WILL NOT EMPLOY ANY PERS IN VIOLATION OF U CODE THE ST TE OF CALIFORNI R IN ,WORKMEN S COM Z 9.8 9 O, 1 'A INS ANCE.' �Q7 # o`0000 � E F ,2 o o 3 IL 00 TEL c ,o 34,00 • • NO // 7/ 0206-80 $ 77 Permit Fee �' �/ > F Issuance Fee 19 i1 IN Total Fee ©s 76A638A. t,_ - CE#803 17 EV.11/78) ZW APPLICATIUILDI ERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING ADDRESS BUILDING ^ ADDRESS ! • LOCALITY xx NEAREST CITY ZIP V CROSS ST. NO.OF BLDGS. ASSESSOR SIZE OF LOT 461 Z.S NOW ON LOT . I MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE �FIRI �� SED BY TRACT BLOCK LOT NO.. �00 �� CO OWNE NO�, G STATISTICAL CLASS I ATION EWER MAP ADDRESS CLASS NO. DWELL.UNITS BK PG CITY SGS+ ZIP ARCENGINEER OR NO VALUATION $ 360 ce 60 ADDRESS BLDG.SETBACK FROM V L FRONT PROP.LINE OF (STREET) CONTRACTOR rC TOTAL SETBACK F M T PE OF EXISTING , LIC. HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH ADDRESS NO. CITY - CLASS CONSTRUCTIO L-6 BLDG.SETBACK FROM NAME RU A - SIDE PROP.LINE OF (STREET) HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING Q ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH . V SO.FT. NO.OF NO.OF CHECK + = 46 SIZE STORIES FAMILIES ONE G • USE ZONE MAP / ` DESCRIPTION OF WORK NEW NO. / IFLj SPECIAL ` r► ADD ❑ CONDITIONS ALTER ❑ FINAL l ya BY REPAIR ❑ DATE USE OF DEMOL ❑ EXISTING BL G. APPLICANT TEL /717 O (PRINT) Q, Q O J BY(SIGNATURE) Q IHEREBY ACKNOWLEDGE THAT I HAVER THIS LIGATION AND STATE Y THAT THE ABOVE ISCORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES. W AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE s 20 5 8,.4 A WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF U THE LABOR CODE OF THE STATE OF CAL FORMA IN RELATING TO WORKMEN'S COM z # O O O O O 1 PENSATION INSUR d 2 - x43.00 SIGNATURE F PERMITTEE -.o 0 43.00H ADDRESS gas Z jw jr O 0602:-80 CITY • NC • • Q D P.C. Fee$ Permit Fee > t Issuance Fee 1 i W d Total Fee �i 76A638A CE4803 8-63 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY Temple Cit JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. Temple City Blvd. DISTRICT NO. GR TYPEPROCESSED BY FOR APPLICANT TO FILL IN . e CONST.�� BUILDING STATISTICAL CLASSIFICATION SEWER MAP pr ADDRESSArcisley, Temple BK� PG ity CLASS. NO. DWELL. UNITS LOT NO. BLOCK WATER CERTIFICATE: NOT REQUIRED ❑ RECEIVED ❑ TRACT MAP / HIGHWAY NO. OF BLDGS. N0. (CIRCLE) STATE MAJOR SECOND. LOCAL SIZE OF LOT NOW ON LOT USE ZONE. SPECIAL USE OF CONDITIONS ' EXISTING BLDG. resideUce q OWNER Richard Jorgenson TEL.NoL28 -1 l BUILDING EXIST. SETBACK YARD HWY STREET NAME WIDTH ADDRESS 4873 Ardsleyi Temple City FRONTllf^ ARCHITECT OR TEL. P. L. N'® - ENGINEER NO. SIDE P. L. ADDRESS d TEL. 0 CONTRACTOR " NO. 287-050? y✓ ���� U ADDRESS 600 So. San G � 0 DESCRIPTION OF WORK ri a NEW ADD ALTER REPAIR Y`ootkMOLISH Z SQ. FT. NO. OF NO. OF SIZE - STORIES FAMILIES USE OF STRUCTURE wifb 235# compallit shingles SIGNATURE OF APPLICANT )lTgrThi gr)( VALUATION $ 340..,00 - APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE $ FEE $ 6.00 FORMS, MATERIALS 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 CONST`UCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HER BY I WILL NOT EMPLOY ANY PERSON IN VIO - LATH, INT. TION OF THE LA R CODE OF THE STATE OF CALIFORNIA RE AT- ING TO WORKMEN'. COMPENSATION I SURANCE. VIRGIN OF LATH, EXT. SIGNATURE HOUSE NUMBER COR- RECT AND POSTED ADDRESS 600 So. San Gabriel B_ *([*FINAL i JOHN F. LEWIS. - RINCIPAL S A N 'y EVER PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION CK. M.O. CASH 6 Lk, ., sip 12 6.00— p:'6A638A"lCE #803 #-69 APPLICATION FOR BUILDING PERMIT • r COdNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER. ADDRESS r BUILDING AND SAFETY DIVISION LOCALITY /- JOHN A. LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W. JENKINS, SUP'T OF BUILDING CROSS ST.�/� FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE ST. PROCESSED BY (PRINT OR TYPE ONLY) 15 �<� � ~ _2.t,J✓ BUILDING - � I STATISTICAL CLASSI SEWER MAP ADDRESS CLASS NO. LL.UNITS BK G PG' LOT NO. BLOCK USE ZONE MAP _ 1 ( NO. TRACT 4/6 SPECIAL /� N0. OF BLDGS. OCJ CONDITIONS SIZE OF LOT (�7 J�� NOW ON LOT USE OF k7�), EXISTING BLDG. tel/ L { j6 BLDG. SETBACK FROM J� TEL. , FRONT PROP. LINE OF �- ^ (STREET) OWNER JCM N0. _ TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL ADDRESS -j` .� IJ f (• HIGHWAY WIDTH FROM C.L. /,. CITY rg C) ,C� sv' + o �or t121,6_ARCHITECT OR TEL. DG.SET. FROM SI LI (STREET) ENGINEER N0. SDE PROP. LIOF ( TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL. CONTRACTOR �/ t nye'', C No. - �� + _ r/ LIC. CORNER CUTOFF YES ❑ NO O ADDRESS / "L f(, NO. CJ CITY CLASS SEFE REVERSE SIDE-IFOR SPECIAL APPROVALS CONSTRUCTION LENDEFj�n• n / ��/�� / J^ � ,/1 ~ NAME AND BRANCH j F- (�<, i1/.�.�`�/Z'L�C-� �'.4 i �f -1 - � w v` �� 7 lin ADDRESS AAy J /t'?.7 -�T.L'•`-t'r ._Z S0. FT. N0. OF N0. OF 4 - SIZE �'�/STORIES FAMILIES NEWUSE ❑ r- �7 ".t STRUOCTURE /GjCJ L L 12-vol,-67a,�7. ADD / .•�� 70 ALTER REPAIR ❑ I >� SIGNATURE OF DEMOL ❑ � APPLICANT VALUATION $ 7,9 0 < APPROVALS DATE INSPE TOR'S S G N'f URE 3 FOUNDATION: LOCATION G �G FEE $ FEE $ �� FORMS MATERIALS 7 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS, -. BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- GAS VENT DUCTS TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT. OF THE STATE OF CALIFORNIA IN RELATI TO WORKMEN'S COM- PENSATION INSURANC LATH, EXT. SIGNATURE OF HOUSE NUMBER CORRECT PERMITTEE AND POSTED /< r ADDRESS- lf3 � ' FINAL {'�•"' JOHN F. LEWIS, PRINCIPAL ST T1URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH - PERMIT V-ALID_ATION CIl / M.O. CASH tib_ 3 2 3 5 JAN 51 D .../4 3.5 a a 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 1305090003 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST I BUILDING ADDRESS: ITR: 14647 LT: 26 SQ. FT STORIES TYPE 1 4873 ARDSLEY DR 1 I ISTRUCTURE: 18 V-B I TEMP CA 917803802 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 18590-017-020 1 I THOMAS PAGE: 597 GRID: AS LOCALITY: TEMPLE CITY CAI (TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 IISSUED ON: PROCESSED BY: 1 IEXIST OCC GRP: 105/09/13 SR I I I I (OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: (FINAL DAT AL BY: CODE: LAU, ALFRED (626) 285-9016- 5,000 Ii 14873 ARDSLEY DR I FXPlPP-n .,-, 8 ITEMP 917803802 1 FEES PAID 1DESCRIPTION OF�W0f2)C ITEAR OFF RE ROOF REPAIR MS WOOD / 30 YEAR SHINGLES HOUSE + I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IATTACHED GARAGE I (APPLICANT: TEL. NO: I I ISOZA, MARIA E (626) 285-9016- 1AA BLDG PERMIT ISSUANCE 27.80 1 14533 SHIRLEY AVE IAB STATE GREEN BLDG FEE 5000.00 VAL 1.00 ISPECIAL CONDITIONS: 1 IEL MONTE CA 91713 1AC STRONG MOTION RESID SOOO.00 VAL 0.50 1 ID2 PERMIT W/0 EN-HC 5000.00 VAL 132.60 1 TOTAL FEES 161.90 1 ICONTRACTOR: TEL. NO: I 1APFROVALS DATE INSPECTOR SIGNATURE 1 IGOLDEN KEY, INC. (626) 285-8877- I 1 I 14533 SHIRLEY AVENUE LIC. NO I ILOCATION AND SETBACKS I I 1EL MONTE CA 91731 775115 I 1 1 I I I 1 _ ISOILS ENGINEER APPROVAL I I 1 (ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I I LIC. NO: i (SLAB/UNDER FLOOR I I I I I_ 1 1 I I IRAISED FLOOR'FRAMING I I I_ I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( 1UNDF..RFLOOR INSULATION I I 3 Oct 1 I IFLOOR SHEATHING 1 INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1 I _ I NO 21 IROOF SHEATHING I I I I I SCHOOL WITHIN HAZARDOUS ISHEAR PANELS I I 1AIR QUALITY: .1000 FEET MATERIALS I_•. I 1 I NO NO NO I I FRIV E- INSPECTION I I I I I IFIRE SPRINKLER HANGERS I I 11NSULATION/WEATHER STRIP( I I (INTERIOR LATH/DRYWALL I I I (EXTERIOR LATH 1 1 1 IRATED FLOOR/CEIL ASSEM. I I i I— I I I 1RATED WALL ASSEMBLIES I I j IRATED SHAFTS/OPENINGS I I I I I IT-BAR CEILINGS I I I I* ADDITIONAL DATA ON FILE I I I I ILOT DRAINAGE I I IREPORT ID: DPR261 ROUTE TO: BS0508 I I