HomeMy Public PortalAbout4855 BIRCHLAND PL_Building__ 7"97SA D/f-7 S-SS
Ap"'PLtCATION FOR BUILDING PERMIT 1
D°X52D UHMG AND SAFETY ADR `$.5" lovely 44^140
of Cooatt EDgh w
CooaiT of Los Angela! LOCALITY'
WM.J. FOX COUNTY ENGINEER NEAREST �O�B r Z 3
CABS TT D.GRIFFIN,SUF'T OF QLIILDING
DI CT N0. G UPTMP[yQ s:1R W"
FOR APPLICANT TO FHl IN !a' e
BUILDINGIAP �)�
ADDRESS NUMBER /2'v r HvfY ti'p NO
LOT NO. 37 BLOCK U![ZO [ !TECTAL
CONDInONI
TRACT " ' 8
NO. OF SLDGI. /T..
SIZE OF LOT ✓ C/ a NOW ON LOT Z S rWACX YARD HWY STREILI'NAY[ WID TM
MW?IFNQ
I FRONT .10
P. L
OWNEIR Q p SIDS -
MAIL
ADDRESS O TRACT D'�++'r+ - f UNIT
D INDUQTRIAL
TEL 1 DWELL 1 UNIT
C ITY S � d PUBLIC SLOG.
ARCHITECT OR Tm,,, 2 DUFLDC 1 UNIT 7 ADDN., ALT.. ETC
DJGINQR NO• 3 APT. UNI
8 MIWCEL-
ADDRMM
! 41 COMYIDZCIAL
CONTRACTOR ND SON RECORD
D ¢rS C I G
DESCHIPTION OF WOGS
NEW ADD ALTER REPAIR 131EAOUGH
Sq. FT. N0.OF NO. OF
SIZE STORIES FAMILIES
USE OF STRUCTU
OIGNATUR[OF
�L�I,TT APPROVALS
DAT[ II(SPECTOQ'S SI YAWRI
ADDRpS
FOUNDATION: LOCATION
s P. 0. • 2 � FORMS MATERIAL!
2 O Q "° F� * p B ACING BOLTS
vwLuwnoN ,�
FURNACE: LOCATION,
1 HEREBY ACKNOWLI DG[ THAT 1 HAVE READ THIS GAS VENT DUCTS
APPLICATION AND STATE THAT THE ABOVE 10 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCd LATH N
IT.
AND STATE-LAWS REGULATING BUILDING CONSTRM
TION. LATH DCT.
SIGNATURE
EOF HOUSE NUMBER COR-
PRMITTEE RECT AND POdrr D
t:;6!
ADDRESS . FINAL
WM.J.FOX.C mNTY 6401145= VALIDATION C. N. DIRL4A1. CHER III DO, tMWMC OR
L6 617 6S AUG 15 1 s 2-50
Au615 1 10 .00 . ,n
_T,06677 .
- --�
W�RS' coMPENSATioN DECLARAT}ON
` I herby affirm? that I have a certtfic$te of consent to self
Insure, or.a certificate of wbrkeri carr,pet{sarlon Inu,rance, APPLICATION ,F O R: B U I L D I N.G P E RM I T
or a certified copy:thaKeof (Sec .3800 Lab. , J COUNTY OF LOS ANGELES dWLDING AND SAFETY
Poll
Noi/�rd7l Company71BU, -"'• _
Certified copy 4 hereby fumished. ,- FOR APPLICANT TO FILL iN - ADDRESS
"Certified copy Is filed with the coutity building Inspec- BUILDING /! -
tion department. ADDRESS gs 6
t C3TY ��.
Dgte �' AppllcnntNo. LOCALITY
CE99FICATE OF FROM WORKERS' Sly OF LOT NOW ON-LOT
�A - CRbSS STST. -
OoMPEN T1 I NSU RATICU
((Tfth�Is section need not be com leted if the permit Is for arm' TRACT - BLOCK 1AT NO. MAP BOA oS�S PAGE.d�/ fARC �
hundiad dollars{$100)or lees '
- 01Nt b .... NO.- USE 20t E
73
I certify.that Irr,the.performance of thb,work for which,this /(�, I _-, /
permit U Issyed, l'sholl not employ'ttnjr ppeerrssoonn In any rnanner } a�� �*"z- ""� - / C ECLAL 0P15
w m.to become subject,to the Workers Compensation lawi. � O
qTY' -pre ZiP
Date' Applicant ARCSi tTEtT De
NOTICE TO APPUCANT:.'if, esker makingthis 1Certtficafe of, ', LNCkt•EER C.i / TEL DISTR1Ci, GROUP TYPE RE BY O
Exemption, yoy-should become subject� to the Workers' / �^ { OONST.1/ ZOFE
Compenaa-lon,provlslons of the Labor.Code, you must forth. ��Z b- � / •�^" d'� -' � 1' � �.
with comply'with •such. provlsloru 9r, this permit.shall be TEL /it STATI5TKJ41 CLASSIFICATK�tJ APT. COLO.
deemed rwoked. ODNTRACTOR 0, ANO. ! >< 11 _
LICaZED.CONTRACTORS,P�CLAR,A:rim 1 0 1r� NOM/ c� 7 i CLASS NO. UNrrS
I hereby offirm that I am licensed under pror Wo ns of Chwter.9 SEWER MAP
(commenciftg with Section 7000)of DlvWon 3 bf-the"Tness / /R / U �/
and Professions Code,and my license Is In full force and arffect. CITY' �`n~ �" [ CLASS �K PG. VAUDATION
f Llcetaae Number.`-1 � �Llc �1aw �� STORIES FAM ONE ,
VALUATION
Contro�Ftor El
p�e�/Z L�'.J DFSCRIPTFON OF WORK NEW
f '1.
Elam ampt undc oil,er Se
ALTER r
B.RP.C. for this reason ' REPAIR,O ;
L;3E OF' BLDG. ._ r DEMOL-0
Signature APM CANT TNO"B_ FINALOWNfR-PuILDER dECLf,RATTON .
I hereby affirm that I.am-exempt from the Contractors License 1
Low for fhe'following:reawn (Section.7031.5,"Bwlnees and ADDRESS FINAL
Professlontt Code):'-;
0 I, as owner of the prop", or my employees with BUILDING 9,C.T
wages as their sole compensation,will do the woticpnd
the structure is rpt-Interxfed or offered for sale(Section LO ALITY x.07 �.1
7044, Business and-Pofgsslons Code. _ MOVING TEL
No. TEl'
0 I, as owner 9f the property, Cirn exclwlVely contracting -[
with Ilcensed'contracton to Construct,the project (Sea ADDRESS �I_}T� } } 1
tion 7044, "Irma and Professlorts Code.)
CC�GCTION LENDING AGBJICY YARD +WY CACK 6t.13
I hereby affirm that them is a construction feinding.ogenc�for FRONT
the petformancq of the work for which tllti"permit is Jssued P.t # .CO
(Sec 3097, CIV. 4). ¢I,DF
Lenders Nara. P �p�kA Rif.
R/ r.rrr- W.Lenders Address P.C. Fie Permit Fee- v0 Ll_rL�� r�rt- 9:1�
I certify that I have read this application and state tfwt the issuance LDMA P/C i
above Information Is correct. I agree to carry with all County. Irivestsgarlon Fee'
oPdIn6ncsz and State laws`relotlng to bulldlag conWuctlon, Total Fee •LDMA.I un.
S and hereby authorize'reprasentatIves of this County to enter
upon thb abov�e•,mesntlohed property for Inspection purposes 'c
SE FSVMW rot EOtMATMY LANOUAGM
Signature of Applkant or Agent Date .
WQQKERS' COMPENSATION DECLARATION n
Insure, or m r:o that I f W a. rs' CgtrM rp consent to :elf APPLICATION FOR BUIL`�ING ..PERMIT
Inwre, or o.carlificafe of Worker' Comperpatlon Insurance, - -
or a tgrtlfiec) copy thereof (Sec 3800, Lab.
T�; �s+n�[ CQUNTY OF LOS ANGELES NALDING AND SAFETY
-Policy '
oil-PolicyN.)[S if C;ompanyL�'7/► BUODINci
Certified copy l&ttenby fumisFted... FR AM
OPRLIG4TO FILL IN ADORES$
Certifled-copy Is filed with the county bulldIN lnspec- BUILDING S 5 ti.r,
tion depayrtment rJ1
`Dater ZP-1 [ Applicant CRY of P ""t LouLm
CEkTIFICAA OF. FROM WORKERS' SIZE OF LOT. . 4 NOW QN LOT O11'� ST.
COMPENSATION INSURANCEASSESSOR ��
CEL
(This sedlon need not be com leted If the'permlt Is for ooe Thr BLOCK LOT NO. MAP BOOK. PAGE C/// PAR
hundred dollars ($100)'or lass ltSE ZONE-OWNIER
J certify that In the performance of the worjc for which tt is /1
pwmtt It Iasued, I shall not employ.arty person In any manner lV+ CONDTI101iS
so as to become subject to the 11Vorkers Cbmpensatlon Law& O
J. CITY ZIP t U i
Date A Applicant ARCHITECT OR TEL
71 it p t 10 _ 2 CT GROUP TYPE PRO9ESS�BY O
NOTK?.70 APPLICANT:'If, after making this Certificate of
ENG NEER - T, ZONE
Exemption, you should become subreat ..to the Workers' �Q _ �/.
Compensation prpvlslonr of the.Labor Code, you must.forth- A� R(_' `>A*a1�ri� Af 1
with comply with such provisions or this permit shall be ATISTICAL CLASSIFK:4TION AFT. CONDO. Z
deemed.rovoked. CONTRACTOR /� tJO.
Z.
1.
LICFIJS® CONTRACTORS QECLARftIfON. CLASS NO. UNITS
I hereby affirm ttwt I am Ilcerised,undw provlslons of C}iapter 9 `(` l I s - 2 �' SEVV6t MAP
{comme�dng,with Sectlorn7000)of DlvWon-3 of the Buslnesa LIG _
and Proenloro Code,and my Ilam Is-in full fora and effect. CLASS PG. �j�i/ifry3 VALIDATION
ilcer;>e Number?Z x/6`1' uar eia&i 4 : SQ. l 3 b oR� . Z FA;IES CHECKtA GT.i .
VALUATION
'Ij ` ltu .Z -„t I ot~s�,PTION of WORK �' ❑ �7�
Contractor Date , .I]j'
❑'1 Abo
am.exempt under Sec 1 ITut
ALTER .❑
l
B.&'*C_ for this reason D4 26T -REPAIR ❑ :; Tt0TAL 725-09
USE OF f
r oar.: EXISTING BLDG: 725.[P;
„5. P oEti+oi ElC#�C ; !iJ V;
Signature OWNER-BUILD ER DECLARATION APPLICANT �' 1 �t!S Z �” FINAL fi •0)
I hereby affirm th¢t F am exempt from the Contractors Ucense e CA DATE ADDRf55.22Z b V �- .'7�M 24s�1l� RNAL
'Law for the'f411owing reason-(Section 7031.5, Btninaw and -� �f 13/��1
Prof6salons Code):. - BY
El 1, 4s owner of the property,.or my employees with BUILDING ADDRESSft
1• ,
woQes as,thelr sole comperisatloh,will do the work ands!7
the structure Is not Intended or offered for stile(Section LOCALrrY , - 1 I�
7044,-Business and Profession& Cbde.) MOVNG -. _ Tg:.-.
Elt
NO.
❑ I,,as owner of the property, am exclusively.con',odinQ TOTAL
with.licensed contractors to construct the project (Seo- -
tlod 7044, Buslness.and Professloro Code.) AD01 55 A;�EC i 11, 6 76
CONsTRUCTION-LENDING AG 4CY . YARD HW`( 77A' EXM.
FROM
I hereby affirm that there Is a constuctlon'lending agency for FRONT •��I
the pertorrrtance of-the work-for which this permit Is lasued. " P.L.
(Sec. 3097, C]v.,C.): SIDS
Lenders Name P.L. 1-7}�Jl'l—1 ]1 1r0/ 3/91
P:C FM Psrmlt FM jf -LDMA Ref. ! �1 Lrl .1 AM 11!53,
Lenders AddreFs 7 • ►
o I certify that I lid" read this application and state that the isuianu Fee /`7 ' 1 1 LDeAA P/C!
above Information Is correct. I agree to comply with all County —tpatioo FM t //
ordinances and State laws relating to'bullding construction; Total F«. LDMA Perm. !
and hereby authorize reprs+sentatives of this CouRty to enter .
upon the above-mentioned property for Inspection-purposes.
A �
`�' . l SM!lVl POR DPLANATORY LANCWAG4
Slgnaturs of f Wp oont or Agent Data
COUNTY OF IAB ANGELES TEMPLE CITY / 0508 BUILDING PERMIT
DYPAR27C!BIT 01 PUBLIC WORKS 9701 L1S TUAIS ALT7BATION/REPAIR
BUILDING AND SAPLTY / LAND DEVELOPMENT TEOLI CITY CA 91780 BL 050E 0607280025
PHONE: (626) 285-0488 EXT,
L➢GAL ID: NO. OF CONBT BUILDING ADDRESS,
TR: 14771 LT: 37 SQ. TT STORIES TYPE 4855 BT4CHTAND PL
STRUCTURE pI THD? CA 917804013
ABSESSOR INFORMATION NUMBI[R, NEAR ST CROSS BTREYP, LOWER AZUSk
8505-011-006 THOMAS PA9I, 597 =T-n. B5 LOCALITY: TT2CPLE CITY, C
TAT, EXIST BLDG USE, RES ID IIBE ZONE, R1 ISSUED ON, PROCRSSED BY, EXPIRES ON,
ELIOT OCC GRP: 07/28/06 JK 07/23/07
OWNER, TEL. I0, BLDGS. NOW ON LOT, VILDATION, F 114 DATE _ FINAL BY, - CODE:
CHE1H HAI T0XN;KAREX J (626) 442-6794- 2,000
4855 BIRCHLAm PL
TEMP 917804013 FIM PAID DESCR.IPTIOM OF MORE
REPLACE CDT/PATCH S= WALL TO INSTALL ONE PACm?T DOOR
FYE DESCRIPTION, QUANTITY: DOM, A?I7IINT,
ADPLICAIT, TEL. IO,
rmim (626) 284-4009- AA BLDG PERMIT ISSUANCE 27.75
2121 W. MISSION RD AC STRONG MOTION REBID 2000.00 PAL 0.50 SPRCSAL CONDITIONS,
]Tmvav1, p 91803 B2 PRRMIT W/EffERGY 2000.00 PAL 90.42
TOT1L FRES 118.67
CONTR.ICTOR, TEL_ NO: APPROVALS DATE INSPRCTOR SIGXATURZ
9W8 DEBIGI GROUP, INC. (626) 284-4009-
2121 M. MISSION ROAD {303 LIC. NO LOCkTION AND SETBACKS
ALEkNR A, CA 91803 726785 B
BOILS REG IIS APPROVAL
ARCHITECT OR EGGI>SRY, TEL. NO: FOUNDITION TRENCH FORME
LIC. 10, SLkB mmRR FLOOR
RAISFD FLOOR FRAMING
MAP NO, SIMER XXP BOOK, PAGE, FIRE ZACNZj CMP: UNDERFLOOR INSOLATION
XI 3 01
FLOOR HSEATHINO
NO. OF FAMILIES, DWELLING UMTS, APT COED, STAT CLASS:
NO 21 ROOF SHEITHING
SCHOOL WITHIN HAi1RDOUS SHEAR PANELS
AIR QUALITY, 1000 FKET MATERIALS 7
NO NO NO FRAMZ INSPECTION
REQUIRED TOTAL S3TBACK FROM EXIST PIPE BPR FJMKR H]umxRS .
SET BACK T-A ENT. PROP LINE, WIDTH:
FROOT! PL- LNSU;ATION WEATHRY STRIP
BIDE PL- rrrvRTOR LATH DRYWALL
MMMOR LATE
RATED FLOOR/CELL ABSEM.
RATED WALL AB SM01,11 B
RATED SHAPTB OPEIINGB
T-BAR CEILIIM
LAT D aINA13Z
REPORT ID, DPR261 ROUTE TO: B80508