Loading...
HomeMy Public PortalAbout10835 ARROWOOD ST_Building__ BUILDING ADDRESS l D(J `S ,67/t/L(J4JGrJ-Q . APPLICATION LOCALITY DIVISION OF BUILDING AND SAFETY CCROSS s. Department of County•Enginee! D18TRICT�10. RECEIPT NO. PERMIT NO: ' County of Los Angeles l0-1 WM. J. FOX, COUNTY ENGINEER GROUP DATE RECEIVED DATE ISSUED CAS®ATT D. GRIFFIN, 9UP'T OF BUILDINGTL/ FOR APPLICANT TO FILL IN TYPE CONST. RECEIVED BY ii11 ISSUED BY pa MAIL A LER S. j NUMB8 N ER HWY¢ / MAP LE(TAT YEO ., ADORE B 0 357 CI ' USEZONE SPECIAL/�No. d D''G ARCHITECT O TEL. ri ENGINEER NO. BUILDING YARD HNIY STREET NAME EXIST. i3 AD .EBS - BETBACK WIDTH FRONT. CONTRACTOR NO. • P. SIDE ` P.L. BUILDING - // - - DATE CORRECTIONS INSPECTOR ADDRESS LOT NO. ; BLOCK ��GC/�✓�- 7 TRACT L • 7 LL hh NO.OF BLDGS. {• BIZE OF LOT �"' J V I NOW ON LOT UBE OF ISTIBLom DESCRIPTION OF WORK NEW - ADD ALTER - REPAIR DEMOLISH :M FT. �- NO. OF NO OF ' D SIZE d d STORIES FAMILIES r USE OF STRUCTURE. i NO.OF EMPLOYEES I' HEREBY ACKNOWLEDGE THAT I H E R D THIS AP- PLICATION AND STATE THAT THE IN MAT H GIVEN IS APPROVALS INSPECTOR'S SIGNATURE DATE CORRECT. 1,AGREE TO COMPLY WI H L UNT 1QD1 NCES'' {, FOUNDATIONS LOCATION AND STATE LAWS RSGU IN UI DING ST CTION. FORME,MATERIALS G ! FRAME: FIRE STOPS, SIGNATURE OF BRACING,8OLT8 I / .J 6�� LT j PERMITTE FURNACE: LOCATION, GAB VENT,DUCTS ADDRESS P LATH, INT. AUTHORIZED AGT. - L�4TH, EXT. / f $ �� P• C• HOUSE NUMBER'COR- . FEE RECTAND POBTED ♦ r VALUATION FEE FINAL .,.: . ,::. :;.• tim v ;:...: 76A63BA DBS 3 4-54 - APPUCAMON FOR BULONG PERNT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S'COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS hereby affirm that I have a certificate•of consent to self insure, BUIL wG DRESS /�� Citi L►'Z / ! ��ry or a certificate of Workers' Compensation Insurance,or a certified copythereof(S .3800,-Lab.C.)• CITY ZIP Policy Company 70 ¢ LOCALITY SIZE OF L T NO.OF BLDGS.NOW ON LOT I2wee, ❑ Certified copy is hereby furnished: NEAREST CROSS ST. / Certified copy'is filed with th count ilding inspection TRACT BLOCK LOT NO. department. 'USE ZONE MAP NO. Date 3�g=�ld4ppIcan ASSESSOR MAP BOOK PAGE - _' PARCEL SPECIAL CONDITIONS - n CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL N0. C WITHIN 1000 FT.OF SCHOOL? YES NO COMPENSATION INSURANCE v A1C. S� (This section need not be completed if the permit is for one hundred ADDRES/g dollars ($'100)or less.) G!/) / v 3 DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY .' certify that in the performance of.the work for which this permit CIT C ZIP r is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. become Subject t0 the Workers'.Compensation Laws.' - STATISTICAL.CLASSIFICATION APT- CONDO Date - Applicant ADDRESS CLASS NO., `2 DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should becorne subject t0 the Workers' CONTRA TO ' TE .NO. SET BACK •� YARD HWY PROP LINE WIDTH Compensation provisions of the.Labor Code, you must forthwith W ve./ C FRONT comply with such provisions or,,this permit shall be deemed revoked. ADDRE LIC.NO. p L } LICENSED CONTRACTORS DECLARATION �^ SIDE a CITY - - LI LASS P L_ _ - 0 I hereby.affirm that I am licensed underprovisions of Chapter 9 CP (commencing with Section 7000)of,Division 3 of the Business and SEWER MAP SO: NO.OF TORIES NO.� FFAMILIES - O' Professions Code, my.license is in full force a effect., NEW ❑ BK PG O DESCRIPTION OF WORK •LV License Number , Lic.Class /❑�� - ADD ❑ T' ~ • V VALUATION D _ LLJ Contractorate �X Ve ALTER ❑ $ EL ❑ I am exempt under Sec: JN STA it REPAIR $ Z B.&P.C:for this reaso r C� f7/ A c, .0 'l DEMOL ❑ - LDMA P/C# Date:. USE EXISTIN BLDG. URM, ❑ Signat r APP N (PRINT) ` TEL NO. LDMA Perm# ❑ I, as_owner of the property, or my employees with wages as ADDRESS C ` O A_CT their sole.,compensation, will do the work and the structure Is not intended or offered for sale,(Section 7044, Business and T / FINAL DATE Q �f _ 242 ='s Professions Code.) A- ,�_q D 1 ITEMS E�ti WILL THE:APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A MIXTURE CONTAININGA HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ❑ I, as owner of the property, am exclusively contracting with Q AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDES FINAL BY s licensed rcontractors to construct the project (Section 7044, T'.'VITA►_ _`•-2 Business and Professions Code.) YES❑ NO❑ . I. - WILL THE INTENDED USE OF THE BUIDLING BY'THE APPLICANT OR FUTURE BUILDING CHECK�, i'�t':_a L OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT ISCAQMD)SEE PERMITTING CHECKLIST FOR {;1( i Ahlr_ U I hereby affirm that there is a construction.Iending agency Jor,' 1 YES❑ NO❑ the Of the WOfk for which this permit is ISSUBd(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING a 30977,,Civ. IV..C:)C.) '' CHECKLIST.I UNDERSTAND MY REQUIREMENTS.UNDER THE LOS ANGELES COUNTY CODE: . n000-0001 _Ifs 13/96 TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20:140 CONCERNING HAZARDOUS LBndef'S,NamB MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD, 'Ei C.j i 1}v I t of m Lender's Address 4` Q e I - 'OWNER OR AGENT „ - 3 1 certify that l have Bad this application and state under penalty a P.C.FEE - PERMIT FEE 0. of perjury that t ove information is correct.I agree to comply with all co nances and State laws relating to building M con n, a hereby authorize representatives of this'County ISSUANCE FEE Xe r up a above-mention property for inspection purposes. INVESTIGATION FEE TOTAL FEE0rat APPI—t a Agent - - SEE REVERSE FOR EXPLANATORY LANGUAGE N FOR COUNTY OF LOS ANGELES„ - BUILDING=AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILi,IN BUILDING ADORES _ I hereby affirm that I havea certifate of consent to self insure, ILDI SS �Vdirsf _ lF/•���?\ ora certificate of Workers' Comicpensation InsurA Dance ,or a certified l� copy thereof ec.3800, b C:) ZI wr' ro - .LOCALITY Polic',No. I Company 'ICs_ SIZE OF LOT N :OF BLDGS.NOW ON_LOT ❑ Certified-copy'is hereby furnished. NEAREST CROSS ST esti ed opy is filed with t e c'unty uilding inspection TRACT - BLOCK LOT NO. `' USE ZONE MAP NO. D l d r m/tee} . . Date• v Applicant ASSESSOR MAP BOOK- - PAGE- PARCEL SPECIAL CONDITIONS. - .. CERTIFICATE OF EXEMPTION FROM WORKERS' o TEL NO. " COMPENSATION INSURANCE. �`J�i� �'�� WITHIN 1006 FT.OF SCHOOL? " YES No, (This section need not be.completed if the permit is for one hundred ADDRESSp dollars 1$.100)or less.) oas. DISTRICT GROUP. TYP CONST. FIRE ZONE PROCESSED BY CITY t - ZIP - lo I certify that in the performance of thework for which this permit Is Issued, I shall not employ any person in any manner so as to become'subject to the Workers' Compensatioh Laws'- ARCHITECT O ENGINEER - - TEL NO..- _ - . STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS - _ CLASS NO. DWELL UNITS - - NOTICE TO APPLICANT. If, -after'making.-this Certificate of, REQUIRED TOTAL SETBACK FROM "..EXIST Exemption,' you should become subject Jo the Workers: CO TRACT L Q 1,_SET BACK. YARD HWY PROP LINE WIDTH Compensation provisions of,the Labor'Code;.you must forthwith IDL0 - FRONT comply with such provisions or this permit shall be'deemed revoked. N �r"1 P IL LCL LICENSED.CONTRACTORS DECLARATION —�� SIDE LIC.C P L I hereby affirm.that I am licensed underprovlsions of Chapter 9 (commencing with Section 7000)of Division 3 of'the Business and RCRIP NO.OF STIRIES NO.Ol(-FAMILIES SEWER MAP -• f . Professions Code,and I n is.In full for a f t. NEW ❑ VA PG N OF WORK VALUATIONLicense Number LIc.CjaADD ❑ it D 0 It�Contractor Date. © ALTER W ❑ I am exempt under Sea V REPAIR ❑ B.&P.C.for this reason DEMOL ❑ LDMA'P/C# W •Date:, - US EXISTING BLDG.. ::AURM ❑ '- _:.•.., _ d Signature - APPLICANT(PRINT), TEL NO. LDMA Perm# - Z A 1.1;T L ❑ 1„',as owner-'of the property, or my employees'with wages as Z ijtJ -f,=r- their-sole compensation:'Will do the work and the structure is ADDRESS_ _0 :x,30.5 142,;20 not intended or offered for-sale (Section 7044, Business and 'FINAL DATE Q Professions Code.) . . %� -` i E WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ❑ 1, as owner of the property, 'am exclusively contracting With AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors-to construct the project (Section 7044, ves No❑ TOTAL 1 42 � 2r Business and Professions Code.) WILL THE INTENDED USE OF THE BUIOUNG BY THE APPLICANT OR FUTURE BUILDING V +_�.1I~CK _ OCCUPANT REQUIRE A PERMIT FOR.CONSTRUCTION OR MODIFICATION FROM THE SOUTH - CONSTRUCTION BLENDING` AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE'PERMITTING CHECKLIST FOR GUIDELINES. I hereby-affirm that there is.a construction lending agency for Y 9 9 Y ves❑ No❑ _ w the performance of the work for which this permit is issued(Sea OI I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING' 3097, CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, TITLE 2,CHAPTER 220 SECTIONS 2.20,100 THROUGH 2.20.140 CONCERNING'HAZARDOUS I;>�?4•—+?Ilj± i�?'!U/+ - Lender's-,Name - MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. - o Lender's Address OWNER OR AGENT - - o I Certify that 1 have-read t s a 'lication and state under penalty - of perjury that the above i form tion is correct.I agree to comply P.C.FEE - PERMIT FEE - wl h all county ordinAe laws relatin to building c struction, and hereresentativeS D this Ounty ISSUANCE FEEn the ove t for ins t n u o a INVESTIGATION.FEE. TOTAL FEE' r, StnatumpplicM7 o+rgF SEE REVERSE FOR EXPLANATORY LANGUAGE 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 1010140062 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO'. OF CONST I BUILDING ADDRESS: I ITR: 14020 LT: 36 - SQ. FT STORIES TYPE I 10835 ARROWOOD ST I (STRUCTURE: V-B I TEMP CA 917803518 (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: DALEVIEW 18574-006-015 _1 i THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY,. Cl (TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: IEXIST OCC GRP: I1G/14/10 SR (OWNER: TEL. NO:. IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FIN BY: CODE: ICHICO, DANIEL/NORMA (626) 444-0636- 2,000 I 110835 ARROWOOD ST I ; ITEMP 917803518 FEES PAID IDESCRIP IO OF WORK IRESTUCCO FRONT & SIDE WALL AND INSTALL ONE WINDOW I _IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( (APPLICANT: TEL-NO: I ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 1_ IAB STATE GREEN BLDG FEE 2000.00 VAL 1.00 ISPECIAL CONDITIONS: I IAC STRONG MOTION RESID " 2000.00 VAL 0.50 I ID2 PERMIT W/0 EN-HC 2000.00 VAL 82.20 I TOTAL FEES 111.50 1 (CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - I LIC. NO ILOCATION AND SETBACKS I I I ISCILS ENGINEER APPROVAL I ARCHITECT OR ENGINEER: TEL. NO: i IFOUNDATION/TRENCH FORMS I I LIC. NO: (SLAB/UNDER FLOOR I 1 i IRAISED FLOOR FRAMING (MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I I147H277 3 OO I .- FLOOP SHEATHING INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: NO 21 IRObF SHEATHING I SCHOOL WITHIN HAZARDOUS (SHEAR PANELS (AIR QUALITY: 1000 FEET MATERIALS NO NO NO 1 IFRAME INSPECTION IFI�'RE SPRINKLER HANGERS 1 1 IINSULATION/WEATHER STRIPI -1 (INTERIOR LATH/DRYWALL I I (EXTERIOR LATH I (RATED FLOOR/CEIL ASSEM. I I IRK ED WALL ASSEMBLIES I I I I ! I IRATED SHAFTS/OPENINGS IT-BAR CEILINGS I ' i (LOT DRAINAGE 1REPORT ID: -DPR261 ROUTE TO: BS0508 I I I I