HomeMy Public PortalAbout10720 ARROWOOD ST_Building__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
1' DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0705010038
PHONE: (626) 285-0488 EXT:
ILEGAL ID: NO. OF CONST BUILDING ADDRESS: 11
ITR: 17867 LT: 39 I SQ. FT STORIES TYPE 1 10720 ARROWOOD ST
I ISTRUCTURE: 20 ' VN I -TEMP CA 917803403 11 -
IASSESSOR INFORMATION NUMBER: 11 NEAREST CROSS STREET: GRAND 11
18574-002-015 I 11 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl
I I I I
(TENANT: (.EXIST BLDG USE: RESID . USE ZONE: R-1 (ISSUED ON: PROCESSED BY: EXPIRES ON: 1
I (EXIST OCC GRP: 105/01/07 JK 04/25/08 11
I I I I
(OWNER: TEL. NO: 11BLDGS. NOW ON LOT: - VALUATION: 11F-INAL DATtr
FI B CODE: I
ISAWADA YOSHIMI;TAEKO - 11 7,000 ..{t 11
1110720 ARROWOOD ST I `0 1
ITEMP 917803403 11 FEES PAID IDESCRIPTION OF WORK 1
I IREROOF HOUSE & GARAGE REMOV ROOFING APPLY 30 LB FELT & 30 1
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IYR CLASS A SHINGLES FLAT ROOF TORCH ROLL 11
(APPLICANT: TEL. NO: I I I
IJERRY DEARDER (626) 287-0669- IAA BLDG PERMIT ISSUANCE 27.75 11 1
114251 BALDWIN AVE 11AC STRONG MOTION RESID 7000.00 VAL 0.70 ISPECIAL CONDITIONS: 1
11EL MONTE, CA ID2 PERMIT W/O EN-HC 7000.00 VAL 166.20
TOTAL FEES 194.65 11 11
I I I I
ICONTRACTOR: TEL. NO: I - 11APPRGVALS DATE INSPECTOR SIGNATURE 11
IWEATHERGUARD CONSTRUCTION (626) 287-0669- 1 1 I
14251 BALDWIN AVENUE LIC. NO I ILOCATION AND SETBACKS 1 I I
11EL MONTE CA 91731 808888 C39 I I I I I
ISOILSENGINEER APPROVAL 1 I I
I I I I I I
(ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I
I - I r 1-1 1
I LIC. NO: I ISLAB/UNDER FLOOR I I I
I I I I
(RAISED FLOOR FRAMING I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:I -(UNDERFLOOR INSULATION I
1147H277 3 011 I I I I
I I IFLOOR SHEATHING I I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I
1 NO 21 1 IROOF SHEATHING I I
1 SCHOOL WITHIN HAZARDOUS 1 ISHEAP. PANELS II I
(AIR QUALITY: 1000 FEET MATERIALS 1 I I 1 I
1 NO NO NO 1 (FRAME; INSPECTION I I I
IREQUIRED TOTAL SETBACK FROM EXIST 1 IFIRE,SPRINKLER HANGERS I I
ISET BACK YARD: HWY: PROP LINE: WIDTH: -I I I
IFRONT PL- I IINSULATION/WEATHER STRIPI I I
I SIDE PL- 11 I I 11
I I IINTERIOR LATH/DRYWALL 1 I I
I "-- - . I IEXTERIOR LATH I I 11
f '
I I IRATED FLOOR/CEIL ASSEM. 11 I I
I I IRATED WALL ASSEMBLIES I I
IRATED SHAFTS/OPENINGS 1 1 I
I I I I I I
IT-BAR CEILINGS I I I
I I I I I I
I I ILOT DRAINAGE I I I
I I I I I I
11 IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I
I I I I I I
;v 76A638A CE#lIn I-64APPlLICATION FOR BUILDING PER
COUNTY OF LOS ANGELES BUILDING
'DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY.DIVISION LOCALITY
JOHN A. LAMBI'E. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST. �,i'. . ��J.h}-.-•j-- `,
,: J P O E D BY
FOR_APPLICANT TO FILL IN R D101�g .cg CONST.��*i '
BUILDING - - STATISTICAL CJASSIFICATION 'SEWER MAP
ADDRESS CLASS NO. DWELL UNITS-. BK PG
...
LOT NO. �� BLOCK USE ZONE MAP
NO.
TRACT _
SPECIAL ,
X NO. OF SLOGS. CONDITIONS
SIZE OF L NOW ON LOT
USE OF - -
E"STI !'>v BLDG. SETBACK FROM
C -
EL. FRONT PROP. LINE OV (STREET)
OWNER (j+ TYPE OF EXISTING SETBACK HIGHWAY '.tiL YARD = TOTAL
ADDRESSAo a '_ HIGHWAY _WIDTH FROM C.L.
Ju.
CITY
ARCHITECT OR TEL. ••BLDG. SETBACK F/OF
Pi'Ahl V' - e`•--
ENGINEER NO. SIDE PROP. LINE OF (ST E T)
.. - TYPE OF EXISTING SETS CK_ MLOH WAY }c YARD YO A
ADDRESS M`M�� I$611f'ER Cu LiR61�FD. ,��,a;d�i:a
L. tiGG '• allations IOU >' can ohr 4 i...,. Y 'o avo_r'
CONTRA TOR �Yd ea"sa
/r
, , IIC „c woI:
Ianq+hJoIG)PFIGNERYC�-FCFFADDRES$rd NOC e �Yr:E.,,aS e ....,,U �,y_
0pm} d1 . r
C
LnPermit as
CITY ti jI.REVERSE'SIDEFOR
SPECIAL APPROVALS
DESCRIPTION OF WORK - /2, ���%y% 7/�tic•c�c.i—��a�..,���o.r
NEW ADD ALTER REPAIR DEMOLISH 'S i � /
SO.FT. NO. OF NO. OF - . rJs SY (/✓I L�csr".7- Y2
SIZE STORIES FAMILIES/ v_ a
USE OF g GUL•,�� }P-.:2..•,�./G�2-a0�
J
STRUCTURE ��e .� i/ ,� _ I I �Id/ ��rII /f�,® t
g d,it TJ am -L:l!2 A6�.✓'7�lL i l�R.R A1.f
S,.GNA URE OFA//
APPLICANT
G�s(.(I`�UJ•YA' /J(1rA.N`ILY.
APPLICANT ''4••'�`j A//,/
VALUATION$ ..'.�QO .00 APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. �,y FOFORMS UNDATI ON MATERIALSLOCATION �2' I1 fll� �F
FEE$ - FEE$ "V 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
9UILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK
I AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.'
TION OF THE LABOR CODE OF THE STATE OF CALI NIA RELAT. ar.
ING TO WORKMEN'S CAMP NSATION I UR n
LATH. EXT. 11
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE- RECT AND'POSTED ('
ADDRESS /o.l 3 d �^v® F1 NAL
JOHN F. LEWIS. PRINCIPAL ST URAL-ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.o CASH
� 1 -
=�� DEPARTMENT OF COUNTY ENGINEER p
DIVISION OF
UFL IN SAND SAFETYCOUNT
GELES
WILLIAM J. FOX. COUNTY ENGINEER APPLICATION '
CASSATT D. GRIFFIN. SUPT OF BUILDING
FOR APPLICANT TO FILL IN FOR OFFICE; USE .ONLY
BUILDING DISTRICT NO. PLAN CK.OR REC.No: PERMIT NO.' �
ADDRESS /®7 g® htz,v� /,, cw.
LOCALITY .Q, Bi�®I�i (rte/ /I/ RECEIVED BY DATE OF APP/L�. DATE ISSUED
CROSS STNEAREST. _ Ci �O ® I�� /,Cd�� I`j q L► S `J �' •...
OWNER BUILDING
ADDRESS
MAIL
ADDRESS. � 7A , So f®.j �'a hn�.-�� Y LOCALITY
CITY 6� L NO �U / _ '
e D CROSS ST.f/`—cjI, L,A,/�+ t
� ��. � �.. ��
ARCHITECT OR TEL. FIRE NO. OF ./ TYPE GROUP*r
ENGINEER NO. ZONE '� I PLANS 2,I `/ `/ J
BLDG. ,�+, Or4o.
ADDRESS.. /�yA SETBACK LINETEL
CONTRACTORUSE
dal®®L dlnd� NO. � (V/ ZONE BYPROVED DATE_
�f�fqq /� HOUSE NUMBERING
ADDRESS /'' /P'� �D �� �. �/d �«�
LEGAL MAP NUMBER D BY
DESCRIPTION I LOT NO. V ( BLOCK
-L
-NO.
�,6 NO. ASSIGNE
CORRECTIONS-
TRACT �� CSC S
CJ Pfd NO. OF
SIZE OF LOT
�� • ® I NOW ON LOTS
USE OF d NO. OF _... ..
EXISTING BLDG. FAMILIES --
DESCRIPTION OF WORK o —.
RNEW
AIR DEMO(TION ALTERATION ADDITION
Z
'
Z
r
SO. FT. NO. OF
SIZE ®® !� ROOMS STORIES (•}� "
ALL
COVERING F� j/i„ �. I COVER►N6 a��✓f61�lIG_'
USE OF STRUCTURE
APPROVALS
INSP OR'S SIGNATURE DATE
FOUNDATION: LOCATION �,�/�('a�
FORMS, MATERIALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS,
PLICATION AND STATE.THAT THE INFORMATION GIVEN IS BRACING, BOLTS
CORRECT. FURNACE: LOCATION,
I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES GAS VENT, DUCTS
AND STATE LAWS REGULATING, BUILDING CONSTRUCTION.
SIGNATURE OF eCe LATH, INT.
PERMITTE 7 , ' bv3
._
LATH. EXT.
ADDRESS
PLASTER, INT"
AUTHORIZED AGT-�c�
PLASTER, EXT.
$ -7 -(�J���p Da o'�D FEE S �` HOUSE NUMBER COR-
O ` RECT AND POSTED is+'
VALUATION -i � FEE $ �" FINAL
76A888A 0139 S 9-52
I.,
ORKERS' COMPENSATION DECLARATION -
I hereby affirm that I have a certificate of consen°-f6'self ' pJ" D O D O
insure, or a certificate of Workers'Compenstion Insurance, or A PP.��CAU 0 O LI M V F02
I M�d D
a certified p th r c. 3800, Lab )
(�`L +v� ,2cua�. COUNTY OF LOS ANG LES BUILDING AND SAFETY
Policy No. IQ J Company �[fl� tk•�
BUILDING np
Certified copy is,hereby furnished% . FOR APPLICANT TO FILL'IN ADDRESS O Z o R.'`0 w c)0 ,
Certified'copy'is filed with the county building'inspec- BUILDING r�^► /7 p a,,)��Mi,,o r
�[�1 tion department. ADDRESS Jr I l�r� W w�+V LOCALITY
�-— NEAREST
Date 2=A- i Applica CITY ZIP CROSS ST.
f
CERTIFICATE OF EXEMPTION FROM WORKERS' INC. OF BLDGS. ASSESSOR
� COMPENSATION INSURANCE SIZE OF.LOT NOW ON LOT MAP BOOK PAGE PARCEL
' 1 t
(This section*need not be completed'if the permit is for one 3 USE ZONE MAP /
hundred dollars ($100)or less.) TRACT / / BLOCK LOT NO. / NO.
ud�p n TEL./ 8} C �. SPECIAL
I certify that in the performance of the work for which this, OWNER'J�,``�J p- �� NC!'( IJ'C� •� '� CONDITIONS
DISTRICT GROUP TYPE N` FIRE PRO SSED BY' V
permit is issued, I shall not employ any person in any manner CO ST. ZONE
'so as to become subject to the Workers'Compensation Laws. ADDRESS ME �
Date Applicant CITY ZIP STATISTICAL CLASSIFICATION P . CONDO. U
NOTICE TO APPLICANT: If, ENGINEER NO. CLASS NO.�DWELL. UNITS after making this Certificate of ARCHITECT OR TEL. uy
Exemption, you should become subject 'to the Workers' �.•�
Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP
with comply with.such provisions or this-permit shall be p �} • . J/ --
deemed revoked. CON V( a'N N0- O —Zv. BK PG,5!: ( VALIDATION
LICENSED CONTRACTORS DECLARATION. , , oy LIC.
I hereby affirm that I am licensed under rovisions of Chapter 9 AD `. (0 P�,NO.1�-}��
Y P P ., VALUATION l
(commencing with Section 7000).of Division 3 of the Business and LIC.
Professions Code, and my license is in full force and effect. CITY W07011)(A1 O klL[c. CLASS
p4 0-76SQ. FT. NO. OF NO. OF. ' CHECK
License Number Lic.Class. SIZE STORIES FAMILIES ONE
�i $
Conirac r Date DESCRIPTION OF WORK 13C QC0--yL_ NEW
ElADD ^�
-licensed
exempt from the licensing requirements as am a —� p T
licensed architect or a registered professional engineer ALTER FINAL
acting in my professional capacity (Section 7051, t at(J REPAIR DATE r �
Business and Professions Code). USE OF FINAL
EXISTING BLDG. w C( DEMOL Q By
_• ,
Lic.or Reg. No. Date APPLICANT TEL. J 1
OWNER-BUILDER DECLARATION ) (PRINT) ( 61 r NO. 6� 2lL
I hereby affirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031.5, Business and ADDRESS
Professions Code): PRESENT '
QI, as owner of the property, orBUILDING-my employees with ADDRESS A
wages as their sole compensation,will do the work and
the structure is not intended or offered for sale(Section LOCALITY-
7044, Business and Professions Code). \ 1.. MOVING TEL.
ElI, as,owner of the property, am exclusively'contracting CONTRACTOR NO. `
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code). '
REQUIRED TOTAL SETBACK FROM ' EXIST. z 3 9'5.4A
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH
I hereby affirm that there is a construction'lending agency for FRONT #'0 0.".10
0 1
the performance of the work for which this permit is issued P.I.
(Sec. 3097,'Civ. C. -SIDE - 2'0'0 8 8 0-0
rr P.L. '
Lender's Name (�,1�' .0..0'0 8'8 0 0 v
Lender's Address P.C. Fee$ Permit Fee 0 204'-8 1
w 1 certify that I have read this application andstatestate that the ssuonce Fee'
above information is correct. I agree to comply wall County Investigation Fee
o ordinances and State laws relating to building*construction, Total Fee
U' and hereby authorize representatives of this,County to enter
a upon the above-mentioned property for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
a
��Signature o Applicant or Agent Dote
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