HomeMy Public PortalAbout4922 ARDSLEY DR_Building__ 7�6A633A«_-aYB03 9-67 1�PPLICAT-ION FOR BaJOLD® N �E�RM IT �.
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COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY. ENGINEER ADDRESS
BUILDING AND.SAFETY DIVISION
LOCALITY 'tel
JOHN A. LAMBI.E, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING - NEAREST
CROSS ST.
DISTRICT NO O TYPE E D BY
FOR APPLICANT TO FILL INr5 CONST.
(Print or type only) ,e-- q -
BUILDING . ^/J STATISTICAL C SIFICATION - S ER AP'
ADDRESS��.Z� f9- ,O' CLASS NO. DWELL,UNITS BK F PC
LOT NO. BLOCK USE ZONE�MAPTRACTECIAL
NO.OFBLDGS. . NDITIONS
SIZE OF LOTt,"�4. L NOW ON LOT'USE OF
EXISTING BLDG. (L BLDG.SETBACK"FROM.
BC FRONT PROP,LINE OF - -(STREET).
OWNER q( ( 13 _
TYPE OF EXISTING SETBACK HIGHWAY } YARD — TOTAL
HI HWA_ V WIDTH FROM C.L. '
ADDRESS .j ^
CITY
BLDG.SETBACK FROM
ARCHITECT OTY TEL. _ SIDE PROP.LINE OF (STREET)
ENGINEER Q, N0. - _
TYPE OF EXISTING SETBACK HIGHWAY + YARD -. TOTAL
ADDRESS�j •2. ,, r 'HIGHWAY, WIDTH FROM C.L.
TEL. +
CONTRACTOR NO. _
L, LIC.,? CORNER CUTOFF YES' ❑ NO '❑ U'
•ADDRESS d -d
CITY (�1� CLI �'% - SEE REVERSE SIDE'.FOR SPECIAL APPROVALS 8
DESCRIPTION OF WORK "a.-
0/c(2— tc"
NEW ADD ALTER REPAIR DEMOLISH -
SQ. FT. NO. OF NO. OF ��
'. "SIZE ��C..' STORIES FAMILIES (s
USE OF,
' STRUCTURE
SIGNATURE
APPLICANT,
VALUATION
VALUATION $
`✓ AP.PROVALS . DATE IRs CTOR'S SI A RE
P C. PMT: FOUNDATION: LOCATION
FEE $• FEE $ � FORMS, MATERIALS •l
- FRAME: FIRE STOPS, J
I HEREBY ACKNOWLEDGE THAT"I HAVE READ THIS'APPLICATION BRACING, BOLTS /
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, fur��----a•
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 DE OF THE STATE F CALIFORNIA RELAT. LATH, INT.
ING TO WORKMEN' CO ENSATION INSU E.
LATH, EXT.
SIGNATURE-O ,%� HOUSE NUMBER COR-
' PERMITTEE' - _ECT AND'POSTED
ADDRESS qe r �`�. FINAL
_JOHN F. LEWIS. PRINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
LrL '` , b 2�S" APRP9 .1 D 2 7.75N
COUNTY OF LOS' ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
-- DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1102170059
PHONE: (626) 285-0488 EXT:
(LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: 1
ITR: 14647 LT: 45 SQ. FT STORIES TYPE OCCUP GROUPI 4922 ARDSLEY DR 1
I (STRUCTURE: 980 1 V-B R-3 I TEMP CA 917803803 1-
IASSESSOR INFORMATION NUMBER: GARAGE: ` I NEAREST CROSS STREET: TEMPLE CITY -.
18590-016-009 OTHER: 27 1 V-B U THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY, Cl
(TENANT: (EXIST BLDG USE: USE ZONE: (ISSUED ON: PROCESSED BY:
I (EXIST OCC GRP: 104/06/11 SR I
I I I I
(OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IF, AL DATE FI Y: CODE: I
ICHUI, VINCENT (626) 285-1112- 1 156,710 1!
1106 ALABAMA ST. 1 v
ISAN GABRIEL CA 91776 1 FEES PAID ID SCRIPTION OF WORK I
(ADD MASTER BEDRM, 1 BEDRM, 2 BATHRMS, RELOCATE KITCHEN, 1
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IDINING RM, LIVING RM, REMODEL (E) BATHRM, ALTER EXISTING 1
1APPLICANT: TEL. NO: I (INTERIOR WALLS AND NEW PORCH
(VINCENT CHUI CONSULTING (626) 285-1112- IB1 PLANCHECK W/ENERGY 156710.00 VAL 1,555.00 J_
1106 ALABAMA ST. IAA BLDG PERMIT ISSUANCE 27,80 ISPECIAL CONDITIONS: 1
ISAN GABRIEL CA 91776 IAB STATE GREEN BLDG FEE 156710.00 VAL 7.00
IAC STRONG MOTION RESID 156710.00 VAL 15.70
I' IB2 PERMIT W/ENERGY 156710.00 VAL 1,829.40
(CONTRACTOR: TEL. NO: .. 108 CERTIF OF OCCUPANCY 101.30 1APPROVALS DATE INSPECTOR SIGNATURE 1
(QUALITY RESTORATION AND REHAB. (626) 215-7318- -1 TOTAL FEES. _ 3,536.20 1.
12213 FALLING LEAF AVE. LIC. NO I ILOCATION AND SETBACKS
IROSEMEAD, CA 91770 656275 B I I-
I I (SOILS ENGINEER APPROVAL I° I
I I I I I I
(ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS I
1 LIC. NO: 1 (SLAB/GNDER FLOOR I I
RAISED FLOOR FRAMING
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( IUN"SRFLOOR INSULATION 1
1 3 001 I- L•-. 'Will
I 11ST LEVEL FLOOR SHEATH IANO
INO. OF FAMILIES: DWELLING UNITS`: APT/COND: STAT CLASS: I -.- Y
1 NO 21 1 12ND LEVEL FLOOR SHEATH
1 SCHOOL WITHIN HAZARDOUS 1 IROOF SHEATHING 1 '
1AIR QUALITY: 1000 FEET MATERIALS I
1 NO NO NO 1 (FIRE DEPT. FRAME INSPECT11p 1, A I
(BLDG DEPT. FRAME INSPECT( 1 1.
ISHE.AR PANELS 1
I I I
INSULATION/WEATHER STRIP(
1 1 - 11NTERIOR LATH/DRYWALL - -
I
i I IEXTERIOR LATH 1 1
I 1 1I / I I
ILOT DRAINAGE
ISMOKE DETECTION DEVICES
IFIRE DEPARTMENT APPROVALI' I
I I I I I I
REPORT ID: DPR261 ROUTE TO: BS0508
I I I I I I
COUNTY OF L08 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 1104060015
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: 1
ITR: 14647 LT: 45 I SQ. FT STORIES TYPE I 4922 ARDSLEY DR 1
I (STRUCTURE: 750 V-B TEMP CA 917803803 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: TEMPLE CITY 1
18590-016-009 I I THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY, Cl
(TENANT: IEXIST BLDG USE: GARAG USE ZONE: R-1 (ISSUED ON:. PROCESSED BY: 1
I (EXIST OCC GRP: 104/06/11 SR 1
(OWNER: TEL. NO: 1BLDGS. NOW ON LOT:, VALUATION: IF AL DATE FINAL Y: CODE:
ICHUI, VINCENT (626) 285-1112- 1 5,500 1
1106 ALABAMA ST. I' I
ISAN GABRIEL CA 91776 1 FEES PAID IDE CRIPTION. OF WORK
I I IRE-ROOFING EXISTING DETACHED GARAGE AND GUEST HOUSE TO MATCHI
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IMAIN HOUSE
(APPLICANT: TEL. NO: I
IVINCENT CHUI CONSULTING (626) 285-1112- IAA BLDG PERMIT ISSUANCE 27.80 1
1106 ALABAMA ST. IAB STATE GREEN BLDG FEE 5500.00 VAL 1.00 ISPECIAL CONDITIONS:
ISAN GABRIEL CA 91776 IAC STRONG MOTION RESID 5500.00 VAL. 0.60 I.
ID2 PERMIT W/O EN-HC 5500.00 VAL 149.70
I 1 TOTAL FEES 179.10 1_ 1
ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1
IQUALITY RESTORATION AND REHAB. (626) 215-7318- .
I
12213 FALLING LEAF AVE. LIC. NO ILOCATION AND SETBACKS I
IROSEMEAD, CA 91770 656275 B IGOILS ENGINEER APPROVAL
I I I� I I I
1ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS I I
LIC. NO: !SLAB/UNDER FLOOR I _
[RAISED FLOOR FRAMING I'
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( 1UNDERFLOOR INSULATION I
1144H269 3 001 1 1
I I IFLOOR SHEATHING I.
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I
1, NO 21 1 IROOF SHEATHING I 1
1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I
1AIR QUALITY: 1000 FEET MATERIALS I I
NO NO NO IFRAME INSPECTION I
I-FIRE SPRINKLER HANGERS
IINSULATION/WEATHER STRIPI I
I. (INTERIOR LATH/DRYWALL
I _IEXTERIOR LATH 1 I I
I (RATED FLOOR/CEIL ASSEM.
I I IRATED WALL ASSEMBLIES I I
1 IRATED SHAFTS/OPENINGS I I
I I I I I I
I 1 IT-BAR CEILINGS I 1
ILOT DRAINAGE
IREPORT ID: DPR261 ROUTE TO: BS0508 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 1105190008
PHONE: (626) 285-0488 EXT:
ILEGAL ID: NO. OF CONST BUILDING ADDRESS: 1
ITR: 14647 LT: 45 SQ. FT STORIES TYPE 4922 ARDSLEY DR
I (STRUCTURE: V-B I TEMP CA 917803803 1
(ASSESSOR INFORMATION NUMBER: J J NEAREST CROSS STREET: TEMPLE CITY 1
18590-016-009 1 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY, Cl
I
(TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: 1
I IEXIST OCC GRP: 105/19/11 SR 1
(OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: IF DATE i FIN CODE: 1
ICHUI, VINCENT (626) 285-1112- 1 10,000 1
1106 ALABAMA ST. 1
ISANGABRIEL CA 91776 FEES PAID IDE CRIPTION OF WORK
I (REPAIR SOME AND REPLACE SOME FRAMING, FLOOR JOISTS AND CELINI
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IG JOISTS TO ALL EXISTING HOUSE SEE ALSO BL 1102170054
(APPLICANT: TEL. NO: I I
(VINCENT CHUI CONSULTING (626) 285-1112- IAA BLDG PERMIT ISSUANCE 27.80 1
1106 ALABAMA ST. IAB STATE GREEN BLDG FEE 10000.00 VAL 1.00 (SPECIAL CONDITIONS: 1
ISAN GABRIEL CA 91776 JAC STRONG MOTION RESID 10000.00 VAL 1.00 1
JB2 PERMIT W/ENERGY 10000.00 VAL 238.90 1 I
ID7 ADDNL PLANCHECK FEE 10.00 HOU 1,093.90 J I
ICONTRACTOR: TEL. NO: I TOTAL FEES 1,362.60 1APPROVALS DATE INSPECTOR SIGNATURE I
(QUALITY RESTORATION AND REHAB. (626) 215-7318- 1 1 I
12213 FALLING LEAF AVE. LIC. NO 1 ILOCATION AND SETBACKS I
IROSEMEAD, CA 91770 656275 B 1 1 I I
I ISOILS ENGINEER APPROVAL I'
JARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS 1 J I
1 LIC. NO: 1 ISLAB/UNDER FLOOR 1 J J
IRAISED FLOOR FRAMING I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( 1UNDERFLOOR INSULATION IJ.
1144H269 3 001 1 1I J
I I IFLOOR SHEATHING I I
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I 1 I
J 0 NO 21 1 IROOF SHEATHING I
' SCHOOL WITHIN HAZARDOUS ISHEAR PANELS I
JAIR QUALITY: 1000 FEET MATERIALS I- I 1
NO NO NO 1 IFRAME INSPECTION 1 I J
IFIRE SPRINKLER HANGERS I
J (INSULATION/WEATHER STRIPI II
(INTERIOR LATH/DRYWALL
IEXTERIOR LATH I I
IRATED FLOOR/CEIL ASSEM. I
IRATED WALL ASSEMBLIES I I
I IRATED SHAFTS/OPENINGS
I IT-BAR CEILINGS I
I I ILOT DRAINAGE I I
J IREPORT ID: DPR261 ROUTE TO: 9S0508 1 I I
I I I I I I