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HomeMy Public PortalAbout4934 ARDSLEY DR_Building__ 76A6a8A CE9803 5-65-/"'9PIf APPLICATION OR BUILDING tl ERIVtlIT - COUNTY OF LOS ANGELES BUILDING �-x jqq DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST' /�• COLEMAN W. JENKINS.,SUP'T OF.BUILOING CROSS ST. 7��/� DISTRICT N GR TYPE, PROCESSED BY FORAPPLICANTTO FILL IN CONST.,J( ZF� BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS / h� /� / CLASS NO. LyJ DWELL UNITS C=v SK PG� ' LOT NO. BLOCK "I USE ZONE MAP •,/J�j NO. TRACT SPECIAL NO..OF BLDGS. (�v CON DI TI ONS SIZE OF LOT ,b - NOW ON LOT USE OF EXISTING BLDG. /Vo-AliBLDG. SETBACK FROM ��) - - •TEL. �r FRONT PROP. LINE OF `�✓ (STREET) OWNER 5 NO. 6 TYPE OF �.•� EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS -93 i- HIGHWAY WIDTH 'FROM C.L. + = zo CITY ARCHITECT O _ TEL C� BLDG. SETBACK FROM ENGINEER '�„j NO. �,! SIDE PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL, ADDRESS 'f HIGHWAY 'WIDTH FROM C.L. CONTRACTOR - �V•�/` NO , / / + (� - a LIC -' CORNER CUTOFF YES NO VO - ADDRESS NO ' CITY 'CLASS SEE REVERSE SID F OVALS O DESCRIPTION OF WORK U AND PARKWAY TREE a NEW DD ALTER REPAIR DEMOLISH II r� p f03C N SQ.FT. NO. OF NO. OF - t SjC_=W',::•• F..• dtIVO`NBy PP ` �y�,. SIZE '�4 STORIES FAMILIES 00: L, fad n e„t a'. is USE OF �— aiionl should E�. ;, in ordor to evod S TR U C T U R E OO or T. C• 0• v"y'n9r” C{fice, tI.- and is no s dt �' & Di, v, rfcr� tai:es SIGNATURE O F until Permit has 04 been4jssued. A f.ply or p . APPLICANT VALUATION$ /8oG APPROVALS DATE INSPEC R;S SIGNATURE ' FOUNDATION, LOCATION FEE$ FEE$ FORMS, MATERIALS (A-IWI,(/ FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BR,ACING 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 9UILDING CONSTRUCTION, 1 CERTIFY THAT. IN DOING THE WORK" - AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA'. .LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. ING TO WORKMEN'S COMP NSATIOZIURANCE. ¢� LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE1 ND POSTED RECT A ADDRESS ' ' F,I NALle. 17 ' - JOHN F. LEWIS. PRINCIPAL STRUCTURAL EN R PLAN CHECK V DATION c M.O. CAS _ PERMIT VALIDATION CK. M.O CASH ACS2723 JUN 13 1 D 11 .50- Q __ WORKERS' COMPENSATION.DECLARATION r I su rebyf a cer that I haver certificate of consent to self /U\p p L K , `�P O N � nsure•,'or a certifiZtate of Workers' Compensation Insurance, /� or ti certified copy thereof (Sec.,3800, Lab. C.) " COURITY OF LOS ANGELES ' BUILDIWG AND SAFETY Policy No. Company BUILDING . Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy isfiled,with the.county building inspec- BUILDING J /� tion department. ADDRESS CITY" -,I /�GL� ZIP �f O LOCALITY Dare AppLeenf NO. OF BLDGS. NEAREST CERTIFICATE OF'EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT - CROSS ST. COMPENSATION INSURANCE / ASSESSOR (This section need not be completed if the permit`is"far one TRACT . BLOCK LOT NO. O©J MAP BOOK PAGE �� PARCEL��� hundred dollars ($100)'or less.) TEL.CQ'J' OWNER ^ r0. p s•• USE ZONE MAP I certify that in the-performance of the work for which this . "y�)'v ® _ permit is issued,'I shall hot employ any person in any.manner ADDRESS 3 /�U \ 1Lv/. CONDITIONS �• so as to become.subject,toahe Workers Corripensation.Laws. > t C� 737 O CITY cT ZIP Date Applicant ARCHITECT OR TELDISTRICT GROUP TYPE FIRE PROCESSED BY. 0 NOTICE TO APPLICANT If, after making this Certificate of ENGINEER NO. CONST. Z E Exemption-, you should become. subject to the Workers' �� Compensation provisions of the,Labor Code,,you must forth- ADDRESS t�j' J Y a with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATIONCONDO. APT. to .deemed revoked. CONTRACTOR NO. Z LIC ENSED'CONTRACTOR&DECLARATION LIC. CLASS NO.--'12L(f2 DWELL. UNITS/' I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP CITY,* (commencing with,Section.7000)of Division 3 of,the Business LIC.CLASS" and Professions Code,and my license is in full force and effect: _ BK.og P643 VALIDATION SQ.,FT: NO. OF NO. OF CHECK License Number Lic.'Class SIZE STORIES FAMILIES ONE VALUATION ConTracTo} Date DESCRIPTION OF WORKK� NEW ❑ . ❑,1 am exempt under Sec: : �/� C3tiWST� ADD" ❑ $' .. D ALTER- ❑ BAP.C. for this reason REPAIR ❑ $ Date: USE OF EXISTING BLDG. DEMOL ❑ APPLICANT Signature (PRINT). p FINAL OWNER-BUILDER.DECLARATION DATEz CI - I hereby affirm that,l am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS FINAL Prof sions Code):' PRESENT BY` I,. as owner of'theproperty, or m em to employees with BUILDING ^t •'_. Y P Y ADDRESS wages as Their solecompensation;•wilI do:the work and 7, the structure is not intended or offered for.sale(Section LOCALITY yr 7044,'Business and Professions❑ Code.)- MOVING: TEL. D � L.1'- I,.as owner of the property, exclusjvely CONTRACTOR NO.contracting •r• •mss• L. with licensed contractors to construct the project (Sec- 1 ^'I r - 4._Fi._.R � E--�€-' ADDRESS tion 7044, Business and Professions Code.) ;rC;•L:: c t REQUIRED. TOTAL SETBACK FROM EXIST. ' =v'•i _ CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH _ I hereby.affirm that there is d construction lending agency for FRONT the performance of the,work for which this permit is issued P:L. " (Sec. 3097, Civ. C.). SIDE P:L'.' _ Lender's Name, LDMA Ref..# ' �, -. Lender's Address P. Fee$ Permit Fee U f# .` f H! 0 1'certify that I'have read this application and state that the Issuance Fee LDMA P/C# 8 above information is correct..I agree to comply with all County Investigation Fee p �O R ordinances and State laws relating to building construction, Total Fee I LDMA Perm. # m and hereby authorize representatives of this County to enter u on the above-mentioned property for 'nspection purposes. i ' _ 4 '''' —�� SEE REVERSE FOR EXPLANATORY LANGUAGE Signature-or Applicant or Agent Date 0WORKERS' COMPENSATION DECLARATION . ' s nsureboraafcertjfcote of WorkesrtCompensdtonensuran elf QPP.L CAU 0IM Fes=/ 10 O M dD [ C IRE G3 vG�i or a certified.copy,'.thereof (Sec: 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND-SAFETY Policy.No Company.. BUILDING" •j� ❑.. `Certified-copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ,' �! -2< ❑• Ce rtified,copy,is filed with the county building inspec- BUILDING ` tion department. ADDRESS 12 a CITY ZIP {8 LOCALITY Date—. Applicant NO. OF BLDGS7. _ NEAREST CERTIFICATE`OF,EXEMPTION FROM WORKERS' ' SIZE OF LOT NOW ON LOT CROSS ST. COMPENSATION INSURANCEASSESSOR !�. n ii � .•*o (This section.need not be completed'if the perm&'is for one TRACT BLOCK LOT NO. MAP BOOK hundred dollars ($100) or less.) '' TEL Q 6'Z OWNER' RJ LI.� N (/ USE ZONE MAP PE I certify that in the performance of,the work for which this ECIAL /fin NO. permit is issued, I shall not employ any person in arty manner ADDRESS LE1/f�� �- CONDITIONS n so as to become:subject to,the Workers Compensation Laws. ' O CITY L -citY - ZIP U7.9 D V Date Applicant TRCHITEICTOR ' TEL.�2ppj2 DISTRICT I GROUP TYPE FIR E• PROCESSED BY 0 NOTICE TO APPLICANT: 'If; after.making this Certificate of ENGINEER• Z NOlQf6� vS T(`ti CONST NE Exemption; you should become subject.to the Workers' y / ��p� �J �( V Compensation'provisions:`of The Labor Code, must forth' ADDRESS (3. piJTH /��V, le4A�•� r�'64WI L"� ✓ C-G��'��` a with comply with such provisions -or-this'•permit. shall be TEL. /77.=` STATISTICAL CLASSIFICATION APT CONDO. N deemed revoked CONTRACTOR NO. Z .LIC. CLASS NO.�DWELL. UNITS it LICENSED CONTRACTORS'DECLARATION NO. I hereby affirm that I am licensed under provisions of•Chapter 9 ADDRESS (commencing with Section 7000)of Division,3 of the Business LIC. SEWER MAP i s' and Professions Code,and my license is in.full force and effect. CITY r C BK PG VALIDATIOP�, . SQ. FT.-1:5.. NO. OF NO. OF CHECK License Number Lic. Class SIZE Q STORIES FAMILIES ONE _55 �-d ZO VALUATION sf Contractor Date DESCRIP ION O R NEW ❑ raj _ $ �7 Di - ADD PEI R. ❑I am exempt under Sec. a ALTER. ❑ �� O,r✓ 8.8P.C. for this reason $ REPAIR ❑ q Date* USE OF 4:. r� ` ^� t I d : t EXISTING BLDG: t 2 DEMOL ❑ ct 1i ? Si nature APPLICANT TEA( j i ,tin e.f 9. 11 FINAL D r OWNER-BUILDER DECLARATION (PRINT) QO n N" N 2 2 DATE ' I hereby affirm that I am exempt from the Contractor's License ADDRESS 3 �/ ° Crr Law for the following reason (Section,7031.5; 'Business and FINAL' Profe ions Code): ., PRESENT By ��/� BUILDING t '6Q 1, as owner of,the-property, or my employees,with ADDRESS / NIAC, .4- wages as Their sole compensation,will do the work and - the structure is not intended or offered for sale(Section LOCALITY "•� 3 t 1. - _-• MOVING TEL. D. '• '=-�` !-:,a' 7044,•Business and Professions Code.) - CONTRACTOR NO. "'!7, ' ❑ .`I, as owner of the property, am exclusively contracting s :�€o-_ with licensed.contractors to construct the project.(Sec, I ADDRESS tion7044, Business.af h � -' n REQUIRED TOTAL SETBACK FROM. EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH Ht I hereby affirm that there is a.construction lending agency for FRONT ' r , f„� the performance of the'work for which this,permit is issued P.L. v4 -t'sAN9 17 ,s r (Sec. 3097,`Civ. C-.)., SIDE. PA.- Lender`s Name. I`) i-_t i(_tli - ,_: / O/ LDMA Ref. # --I_I� _ s _•; t: ._1 m - P C. Fee$ �Z, C Permit Fee , Lender's Address !'" 2 t'Pltj i-11rt_t� 1Z. o I certify that I have read this application and state that the Issuance Fee �✓ ' LDMA P/C# above information is correct. I agree,to'comply with all County Investigation Fee ` t o . ordinances and State laws relating to building construction, •Total Fee c� d•dLDMA Perm. # a and hereby authorize representatives of this County to enter • u on he above-mentioned property f r inspection purposes: a F-1 SEE REVERSE FOR EXPLANATORY LANGUAGE Signatur ,Applicant or AgentD-ate WORKERS' CO N DECLARATION M M nn by afcertif certificate of Workers' Comtpensat ons Insuran ef cone6t to lf' A P P-��CA'U�O LI V ,FOR; 0 .0 d LD or a ce 'ified copy thereof (Sec. 3800; Lab. C.) '., FE COUNTY OF,LOS.ANGELES BUILD{WG AND SA TY"` Policy No Company BUILDING I NG r ❑ Certified copy,is,'hereby.fiirmshed. FOR QPPLICANTJO FILL'IN, ADDRESS ❑ Certified copy"is filed with the county building iosp" BUILDING tion department. ADDRESS <` $ Date Applicant CITY' l}' a ZIP LOCALITY NO:'OF BLDGS: •� CERTIFICATE.OF EXEMPTION FROM WORKERS' ' SIZE':OF1pT.?' , Xis- j` NOW,ON LOT CROSS ST. COMPENSATION'INSURANCE ASSESSOR (This section need nof.be'completed'if'.the permit',is for one TRACT +." BLOCK LOT NO. MAP BOOK P GE PARCEL hundred-dollars ($100) or, less:'),,,,,, TEL. I certify that in the,peeformanc" of the work for.which this OWNER USE'ZON� MAP . _ NO. permit•is issued, Iisholl not employ any person,in any manner ADDRESS �`= a SPE CONDITIONS,' so•as to become subject to the Work rs' Cor- pensation' ws O rc� ' CITY e ZIP' U. Date 7 `CJ 7 APPlicanT. ARCHITECT OK, TEL. NOTICE.JO APPLICANT: if;. at-ter making this ertificat •of NO DISTRICT [GROUP TYPE FIRE PROCESSED BY ENGINEER- ;,Exemption you.,should "become,subject, to' the W"orke'rs f� 2 CONST 1� ZONE / � U Compensation provisions of tKe Labor Code;you,:must'forth ADDRESS. _5+ (1 P J V V�-�, a with,comply;with such-,provisions or this permit'shall. be, TEL. STATISTICAL CLASSIFICATION APT. CONDO N deemed revoked. CONTRACTOR NO. `Z . LICENSED CONTRACTORS DECLARATION; I hereby affirm that-I am licensed under'provisions.of Chapter 9 ADDRESS NO. CLASS NO. '"�'-DWELL UNITS• (commencing with-,Section 7000)of Division 3 oH6 Business LIC. SEWER MAP and Professions Code,and myaicense s in full force'and effect. CITY. CLASS 3K PG VALIDATION License Number `` Lid. Class SIIZEF.S3� STORIESFAMILIESFAMILOIES ONEK -' • "- - VALUATION. Contractor Date DESCRIPTION OF WORK �j NEW CSV -ADD S g ❑I am exempt under Sec. ALTER ❑ D B.U.C. for this reason Date: RE A R USE .OF _ P I EXISTING BLDG. DEMOL`11 Signature _ _ OWNER,-BUILDER.DECLARATION V APPLICANT TEL FINAL (PRINT) NO DATE O < I hereby affirm'that.I am exempt from the Contractor sCicense Law for.the following i&eason.(Section 7031 5 ,Business'and ' ADDRESS FINAL Professions Code):' RRESENT -: •. BUILDING � r ❑ .�I' as owner of"the property;.or my'employees with. ADDRESS �o. l oA A os:their'sole compensation,will,do'the work and ' els� the structure is not intended or offered for sol (Section LOCALITY 7044 Business and Professions Code ) MOVING TEL. ',I, as owner of the property,-am exclusively contracting CONTRACTOR NO.. 1 IDEM with licensed.contractors to•construct the proleci (Sec - "TOTAL-:, �-y . ADDRESS. :' OTAL-:` 78..J 0 tion 7044,"Bus Professions Code:)' '. _; .. REQUIRED yA -TOTAL SETBACK.FROM- EXIST. CHECK,.' - RD: HWY CONSTRUCTION LENDING"AGENCY SET BACK PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT the-performance of,the work:for•which thi ermit'.t`s issued P.L." CHANit (Sec. 3097, C. -'_•- SIDE - _ •. , lender's-Na .. ('�(�(�-(�(�('�ii P C..Fee$ Permit Fee LDMA-Ref. #- "� "�"^'1, 9/ ��L Lender's Address - 1 K� •.� I certify that I.have"read this application and state that the Issuance Fee /0r5 O LDN1A P/C# D 8 .,above in is correct. I agree to comply with all County investlgation.Fee a o or in and State laws' lacing to building construction, Total Fee 0 TDMA Perm. # _ a nby authorize rep s niatives of.this,County to enter above ion d roperty for inspection purposes. a , o SEE REVERSE FOR EXPLANATORY LANGUAGE i Signature pliconi or Agent :Dote ' 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 0604060077 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 14647 LT: 46 SQ. FT STORIES TYPE 4934 ARDSLEY DR STRUCTURE: VN TEMP CA 917803805 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: TEMPLE CITY 8590-015-001 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 04/06/06 JK 04/01/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FIIN7ALPATNF. FINAL BY: CODE: CHANG KOCHEN LU (626) 309-2956- 9,570 4934 ARDSLEY DR TEMP 917803805 FEES PAID DESCRIPTION OF WORK HOUSE + ATTACHED GARAGE TEAR OFF INSTALL 1/2 CDX PLYWOOD FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 30# FLET 30 YR. COMPOSITION SHINGLES APPLICANT: TEL. NO: MARTINEZ NICK - - AA BLDG PERMIT ISSUANCE 27.75 - AC STRONG MOTION RESID 9570.00 VAL 0.96 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC 9570.00 VAL 216.60 TOTAL FEES 245.31 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE HUNTERS ROOFING (818) 996-6120- 18328 EDDY ST LIC. NO - LOCATION AND SETBACKS NORTHRIDGE CA 91325 6/30/06 SOILS" ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR ,.. RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 144H269 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET _ MATERIALS _ NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- - INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS * ADDITIONAL DATA ON FILE LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508