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Home My Public Portal About5003 ARDSLEY DR_Building__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDINGPERMIT DEPARTMENT OF PUBLIC"WORKS ' 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE,CITY CA 91780 BL 0508 9907200001 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:- TR: DDRESSrTR: 13329 LT: 54 SQ. FT STORIES TYPE OCCUP GROUP 5003 ARDSLEY DR TEMP CA ASSESSOR INFORMATION NUMBER: STRUCTURE: 595. 595 1 VN. R3 NEAREST CROSS3807 STTREET: 8590-018-014 OTHER: THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 07/20/99 UT 01/16/00 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE F1 BY:. CODE: STRATIS (626) 287-2333- 1 44.1000 5003 ARDSLEY DR G TEMP 917803807 FEES PAID DESCRIPTION OF .WORK ADDITION OF FAMILY-R OM, 3/4 BATHROOM AND .EXTEND THE SIZE OF FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TWO EXISTING BEDROOMS APPLICANT: TEL. NO:, L D H CONSTRUCTION AA BLDG PERMIT ISSUANCE 27.75 9643 OLIVE ST. AC STRONG MOTION REST-D44000.00 VAL 4.40 SPECIAL CONDITIONS: TEMPLE CITY, CA AX BUILDING,.REVIEW_FEE�—� 55.00 82 PERMIT�W%ENERGY"[ [[ 44000".DO VAL 793.98 ° ,� T0TA0-'EES 881.13 CONTRACONSTRUCTION TEL. N286-7119- . . �® oyJ/'� APPROVALS DATE INSPECTOR SIG RE .9634 OLIVE ST LIC'. NO LOCATION AND SETBACKS ,TEMPLE CITY 562071 B" SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS L D H CONSTRUCTION (626) 286-7119- 9634 OLIVE ST LIC. N0: 1111111 SLAB/UNDER FLOOR TEMPLE CITY 562071 B11 L �. AISED FLOOR FRAMING MAP NO: .SEWER MAP BOOK: PAGE: FIRE ZONE: 1101 UJD�L�r O O (�J UNDERFLOOR INSULATION U� S'r T LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: ---NO 21 2ND LEVEL FLOOR-SHEATH SCHOOL WITHIN . HAZARDOUS \ O � .(�*� ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO. FIRE DEPT. FRAME'INSPECT A REQUIRED TOTAL SETBACK FROM EXIST ��B �V®Q BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: . PROP LINE: WIDTH: FRONT PL- ��P�ocO� SHEAR PANELS SIDE PL- INSULATION/WEATHER STRIP INTERIOR LATH/ RYW L EXTERIOR LATH. . LOT. DRAINAGE. SMOKE DETECTION .DEVICES. FIRE.DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BSO508 76A638A CF4#80P�10-56 APPLICATION -FOR BUILDING P E R IVI I BUILDING AND SAFETY DIVISION BUILDING. BUILDING ,q�_ Department of County Engineer ADDRESS GGA/Gs COnnty of LOS Angeles LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. DISTRICT NO. GPEOUPTYPE ' SEWER+ MAP- FOR APPLICANT TO FILL IN BK PG CONST. BUILDING r /p� /�/J/JS�/�./ n� STATISTICAL CLASSIFICATION I ADDRESS ��''..1 ��1/+L/, /��((/ �fG f� +(/1 LOT NO.(i+ 1�f' �i- ZOr �/ BLOCK CLASS. NO. DWELL. UNITS MAP STATE YES O; / � � NUMBER - HWY , TRACT USEONE SPECIAL NO.OF BLDGS. CONDITIONS - SIZE OF LOT Q /t /•y�'I NOW ON LOT USE OF EXISTING BLDG. BUILDINGEXIST. AME OWNER FRONT YARD HWY STREET N is ^�� ®�� SETBACK "WIDTH MAILL//��++��(/ /�,Q �' �y/�/J + ADDRESS �lfoC� /J/� �/+ . C//�/�% SIDE CITY d��/� "o!/�j VSs/�G P L INSPECTION- RECORD - - ARCHITECT OR TEL. - ENGINEER NO. ADDRESS N/14 - TEL. C C.- n.��.,.V �AO11%'""' T.1:1.,, f*, c-;`r CONTRACTOR NO. DESCRIPTION OF WORK ,/ NEW K ADD ALTER ALTER REPAIR DEMOLISH SQ.IZ FT./7D� NO. OF NO. OF fc. .�(L?_ vG�_r_! tw..T•? m' 4 t!�I1 SIZE STORIES FAMILIES USE OF STRUCTURE ' APPROVALS SIGNATURE OF - _ - APPLICANTy DATE INSPECTORS SIGNATURE ADDRESS p FOUNDATION: LOCATION / � FORMS, MATERIALS 2G.S_ 1%4,J .L-n'� 1 6e FRAME: FIRES TOPS. /_✓ - /lA/)/}M ��C7 FEE $ BRACING. BOLTS • b J •/ $ QQ FURNACE: LOCATION. VALUATION ,� FEE GAS VENT. DUCTS p�� J I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP LATH, INT. 4"4, PLICATION AND STATE THAT THE ABOVE IS CTRRECT AND V/ ✓IV/�.'b�l�'� 'ti' AGREE TO COMPLY WIT ALL UN Y R CES AND LATH, EXT. STATE LAWS REGU NG UCTION. SIGNATURE OF HOUSE NUMBER COR- . PERMITTEE RECT AND POSTED ADDRESS— � FINAL JOHN A. LAMJ3I.E,-60UNTY ENGINEER, CLYDE N. DIRLAM. PRINCIPAL STRUCTURAL_ NGINEER PLAN CHECK VALIDATION M.o. CASH PERMIT VALIDATION CK. M.O. CASH ��9 9 5 6 JU'L r; 1 4 1 C ,n #910163 SB APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESs .� I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS 5003 Ardsley Dr. or a certificate of Workers'Compensation Ins nce r ertified copy thereof(Sec.3800,Lab.C.) ukeePt1C CITY ZIP LOCALITY PC997500 Indemnity Temple Cit 91780 - Policy No. Company SIZE OF LOTNO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST. Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. Date 7-1-91 Applicant Virgin Roof CO. ASSESSOR MAP BOOK PAGE PARCEL / SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL.NO. YES No COMPENSATION INSURANCE Jim Bixenman WITHIN 1000 FT.OF SCHOOL? ADDRESS (This section need not be completed if the permit is for one hundred 5003 Ardsley Dr. DISTRICT GROUP TYPE CONST.' FIRE ZONE PRO SSED BY dollars($100)or less.) CITY ZIP e7 ITE I certify that in the performance of the work for which this permit Temple City 91780 . - _J is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL.NO. become subject to the Workers'Compensation Laws. STATISTICAL CLA FI TION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of CONTRACTOR TELNOREQUIRED TOTAL SETBACK FROM EXIST . . Exemption, you should become subject to the Workers' SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith Virgin Roof Co. 287-0507 FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL P.O. Box J 160650 >- LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS SIDE o San Gabriel C39 I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP OF FAMILIES OF STORES SIZE NONO FT. . . (commencing with Section 7000)of Division 3 of the Business and SQ. NEW E3BK PG �' Professions Code,and my license is in full force and effect. v 160650 C39 DESCRIPTONOFWORK ADD ❑ VALUATION a License Number Lic.Class Tear off 2 rock roofs thenti ContractorVirgin Roof Ccbte 6-30-91 ALTER ❑ $ 3983.00 ��30 and Class A ��,•��. REPAIR .s❑ _ ❑ I am exempt under Sec. a1 $ '"= '`• B.BP.C.for this reason Fiberglass Shingles. (24 s S) DEMOL ❑ USE OF EXISTING BLDG. 4- 2-5- Dwellin ;; '•)= Date: URM ❑ TCITM.,�� 92-5 — 6 Signature APPLICANT(PRINT) TEL.NO. ,,,• — LDMA Perm# Z ❑ I, as owner of the property, or my employees with wages as Virgin Roof CO. 287-0507 O their sole compensation,will do the work and the structure is ADDRESS — r• •a, C Q `ANI�C not intended or offered for sale (Section 7044, Business and Box a a FINAL DATE � Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL i• M OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN ❑ 1, as owner of the property, am exclusively contracting with THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL B i tl_s jt1—i;y[.11 _�•;_:£�i•' j licensed contractors to construct the project.(Section 7044, YES❑ NO® — Business and Professions Code.) ? r s i `p ; WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING ' 'i', OCCUPANT REQUIRE CONSTRUCTION O (CATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COASTAIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. \ I hereby affirm that there is a construction lending agency for YES❑ NO El the performance Of the Work for Which this permit Is Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD 3097,CIV.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES ao. COUNTY COD TITLE 2,CHAPTER SECT( NS2.2D.100 THROUGH 2.20.140 CONCERNING o Lender's Name HAZARDOUS LS R ORT G D MIT FROM THE SCAQMD. aLender's Address oMEnonAG o 1 certify that I have read this application and state that the above / r� information is correct. I agree to comply with all county P.C.FEE PERMIT FEE ordinances and State laws relating to building construction,and $5 a. hereby authorize representatives of this County to enter upon ISSUANCE FEE the above me Toned roperty for inspection purposes. 13.00 5-24-91 INVESTIGATION FEE TOTAL FEE f $66.75 q '. .. of Tent a neem Deb / SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT • DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9909150044 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 13329 LT: 54 SQ. FT STORIES TYPE OCCUP GROUP 5003 ARDSLEY DR STRUCTURE: 0 1 VN R3 TEMP CA 917803807 ASSESSOR INFORMATION NUMBER: GARAGE: 445 1 NEAREST CROSS STREET: 8590-018-014 OTHER: THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 09/16/99 UT 03/14/00 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: S (626) 287 2333 1 14,500 5003 /JZ:2 /I 5003 ARDSLEY DR TEMP 917803807 FEES PAID DESCRIPTION OF WORK NEW RESIDENTIAL GARAGE 445 SQ. FT. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: L D H CONSTRUCTION AA BLDG PERMIT ISSUANCE 27.75 9643 OLIVE ST. AC STRONG MOTION RESID 14500.00 VAL 1.45 SPECIAL CONDITIONS: TEMPLE CITY, CA D2 PERMIT W/O,EN=HC X14500.00 VAL 300.60 OTAFEES 329.80 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE L D H CONSTRUCTION (626) 286-7119- 9634 OLIVE ST LIC. NO. LOCATION AND SETBACKS TEMPLE.CITY 562071 B SOILS ENGINEER APPROVAL 74 ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. N0(: / 1111111 SLAB/UNDER. FLOOR IL RAISED FLOOR FRAMING r— MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: 01- `CMP;:- UNDERFLOOR INSULATION 3 t o J R L C TY(3 H K 8 1ST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:— NO 21\�( _ I ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUSO � ` - r f* ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS \ � 0 � •� � (�Z2 !1 NO NO NO c _ FIRE DEPT. FRAME INSPECT El REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT rr-71 17 SET BACK YARD: HWY: PROP LINE: WIDTH: �Op �v® FRONT PL- o�°gp�� `(p�1� SHEAR PANELS SIDE PL- INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH /i r y LOT DRAINAGE 7ug SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508