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Home My Public Portal About8719 BURGHARDT RD_Building__ )BAB3BA CE*803 8-64APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES / BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY 1 t! JOHN A. LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,Bo P'T.oF BUILDING Cft055 ST. III,TRI NO, I GROUP TYPE, P SSED BY FOR APPLICANT TO FILL IN CONST. Qi BUILDING G�/p S�I,L gC A�ry7 /fb STATISTICAL CLASSIFICATION SBKER MAAG ., ADDRESS o / L /'I Y CLASS NO. DWELL UNITS LOT NO. BLOCK USE ZONE MAP 41 .v �r NO. C TRACT I/fJ l SPECIAL SIZE OF LOT N0. OF BLOOS. O A CONDITIONS NOW ON DT �i [AIIRSSS/� F BLDG. SETBACK FROM •, L. FRONT PROP. LINE OF (STREET) OWNERUC /✓. / NO. TYPE OF EXISTI NO SETBACK HIGHWAY YARD - TOTAL ESS � ytal / � HIGHWAY WI 'I OM C.L. B l + _ LY IV TEL. BLDG. 9EtB ACK FROM ENGIN NO, - ® SIDE PpOP. LINA OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL } ES . HIGHWAY WIDTH FROM C.L. 1 oaf E _ - + - 0 RACTOR/. B N.9 NO i LIC NO �� J CORNER CUTOFF YES NO O' LIGSEE REVERSE SIDE FOR SPECIAL APPROVALSDESCRI ION OF WORK AOD ALTER REPAIR DEMOLISHG /vf7 Oe klkkf0 OUTCftt . nhl(A T. OJ•l N0. RI NO. OF CC//'' STORIES FAMILIESUSE OF I /I STRUCTURE ° X0/13 r /A✓Y iI ',/-��`��dp� 1 SIGNATURE OF APPLICANT VALUATION$ d F�� U (/ APPROVALS DATE INSPECTOR'S SIGNATURE PMT. FO FORMSi MATE RIA l90N FEE$ FEES A'�/•�N"� FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT .f It- AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION IIS I YI I /� WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 9UILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT. TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT. / ING TO WORKMEN'SCOMPEN TION INBURANC LATH. E%T. tl5- S IGNATURE -SIGNATURE OF ( .A HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL (� JOHN F. LEWIS. PRINCIPAL ST UcTURAL ENGINEER PLAN CHECK VALIDATION CK M D. CASH PERMIT VALIDATION CK. M.D DASH `"tGo 4 0 5 5' . LI! 28 2 3 A 5 5.5 Cd 4 7 .7 4;; !'G 1 8 1 A 7 4.50- / •C_�5 76AG38A •CE)803 6/78) APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING '• /� ADDRESS V UC BUILDING ,pko ADDRESS V LOCALITY NEAREST / CITY ZIP CROSS ST. n NO.OF BLDGS. ASSESSOR SIZE OF LOT NQ`MON LOT`� MAP BOOK PAGE PARCEL ll q T.- \ DISTRICT GROUP TYPE r. FIRE Ta BV TRACT-;h / ~ BLOCK -< :LOT NQ CO ZQLtLE OWNER F? No. 1 I ` .D E J[ L xJ STATISTICAL CLASSIFICATION ER MAP ADDRESS V C CLASS NO.�DWELL.UNITS SK PG CITY ZIP ARCHITE OR TEL. VALUATION �j ENGINEER NO. ADDRESS BLDG.SETBACK FROM / C FRONT PROP.LINE OF (STREET) CONTRACTOR � NO 0/ 5$7T TOTAL SETBACK FROM TYPE OF EXISTING LIC. W HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH ADDRESS S N NO. _ LIC. + CITY CLASS BLDG.SETBACK FROM CONSTRUCTION LENDER I SIDE PROP.LINE OF (STREET) NAME AND BRANCH HIGHWAY + YARD TOTAL SETBACK FROM TYPE EXISTING G ADDRESS CITY SIDE PROP.P.LINE HIGHWAY WIDTH o 50.FT.j' / NO.OF NO.OF CHECK + = V SIZE d`F STORIES FAMILIES ONE X00/ DESCRIPTION OF WORK NEW P.C. Fee$ Permit Fee SLU ADD ❑ ISSuonce Fee - N / ,�. _,T ✓I p• a ALTER Cl REPAIR ❑ Totol Fee EXISTING BLDG. USE OF DEMOL G 6 8 9.8 A APPLICANT TEL IPRI NT) Q �L# o o o o '2 1 BY(SIGNATURE) j - 3S25 I HEREBY ACKNOWLEDGE THAT HAVE R D HIS APPLICATION AND STATE U o 0 0 35 2 5 U THAT THE ABOVE IS CORRECT AND AGREE i MPLY WITH ALL ORDINANCES W AND LAWS REGULATING BUILDING CONSiftUCT .I CERTIFY THAT IN DOING THE x O 9,2 6'—7 WORK AUTHORIZED HEREBY WILL NOi EM OV AN PERSON IN VIOL ION OF V THE LABOR CODE OF THE STATE OFC I TNR TING TO WORKM SCOM 2q PENSATION INSURANCE. S 26 89.9 A SIGNATURE OF # o 0 o e o PERMITTEE ^^ -- ADDRESS 2 0� - 7(100 O TEL CITY &rO NO. G o e o 7 0,O O U USE ZONE No 00 o9.26-79 SPECIAL CONDITIONS f ei FINAL II BY DATE WORKERS'COMPENSATION DECLARATION �I f conent to s insure,o�afcertifcatte of Workers' Comtpensation5 Insurane, APPLICATION FOR BUILDING PERMIT u or a certified copy thereof (Sec. 3800, Lab. .) - COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No.l 113:1n I Company 7 Certified copy is hereby furnished. FOR APPLIC T TO FILL IN BUILDING CY�/ �J ADDRESS 7� Lt ®' Certified copy is filed with the cou building inspec- BUILDING O�h tion department ADDRESS IJ / DateApplicant CITY r c. ZIP LOCALITY a CERTIFICATE OF EXEMPTI FROM WORKERS' NO. OF BLDGS. NEAREST COMPENSATIO NSURANCE SIZE OF LOT NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one ASSESSOR hundred dollars ($100)or lass.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL TEL' USE ONE P I certify that in the performance of the work for which this OWNER NO. NO permit Is issued, I shall not employ any person in any manner �' SPECIAL so as to become subject to the Workers'Compensation Laws. ADDRESS CONDITIONS O U Data Applicant CITY 21P NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL DISTRICT GROUP TYPE FIRE PR SSED BY O Exemption, you should become subject to the Workers' ENGINEER NO. CONST. ZO E U Compensation provisions of the Labor Code, you must forth- ADDRESS W with comply with such provisions or this permit shall be �� O. deemed revoked. TEL. STATISTICAL CLASSIFICATION APT. NDO. (n CONTRACTOR NO. O(6 L Z LICENSED CONTRACTORS DECLARATIONLIC, CLASS NO. DWELL. UNITS_ I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. a23 y SEWER MAP (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and effect. CITY- CLASS BK PG VALIDATION .,q SQ. FT. NO.OF NO. OF CHECK License Number. 4\A3 7 ;Z T Lic.Class._ " SIZE STORIES FAMILIES 17 ONE VALUATION � �/� NEW ❑ $ G ��•/ /L(_�a � Date DESCRIPTION OF WORK , Contracto ADD ❑ I am exempt under Sec. 2. ❑ ALTER B.BP.C. for this reoso �•�— REPAIR C3S D USE OF EXISTING BLDG, DEMOL ❑ Signature APPLICANT TEL. FINAL D Jj O NE ILILDER DECLARATION PRINT NO. - DATE /e' Cj hereby off irrh of I am exempt from the Contractor's License Law for the (lowing reason (Section 7031.5, Business and ADDRESS FINA Professions Code): PRESENT By BUILDING F 1, as owner of the property, or my employees with ADDRESS A 7 2`_ a 9 A wages as their sole compensation,will do the work and the structure is not intended or offered for sole(Section LOCALITY # ° ° ° ° 0,1 7044• Business and Professions Code). MOVING TEL. ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. is 9 6.7 5 with licensed contractors to construct the project (Sec- ADDRESS lion 7044, Business and Professions Code). 6.410;o6 CONSTRUCTION LENDING AGENCY REQUIRED YARD HWV TOTAL SETBACK 9 6 7 5 v SET BACK PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT 0609-87 the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.I. Lender's Name ` LDMA Ref. R mLendei s Address P.C. Fee$ Permit Fee /L -1d J, I certify that I have read this application and state that the Issuance Fee (/t SO LDMA P/C R _ above information is correct. 1 agree to comply with all County Investigation Fee ' ordinances and State laws relating to building construction, and hereby authorize representatives of this County to enter total Fee LDMA Perm. ft upo the a e-mention d property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent COUNTY OF LOS ANGELES TEMPLE CITY N 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0507200062 PHONE: (626) 285-0488 EXT: LEGAL ID: N0. OF CONST BUILDING ADDRESS: TR: 29922 LT: 11 SQ. FT STORIES TYPE 8719 BURGHARDT RD STRUCTURE: 22 VN SCAB CA 917752613 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5386-008-061 THOMAS PAGE: 596 GRID: G3 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: REBID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 07/20/05 JK 07/15/06 OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: LIM RANDALL J;KAREN K (626) 447-2826- 6,800 /7 /�/ 8719 BURGRARDT RD (p(( 1 A SGAB 917752613 FEES PAID DESCRIPTION OF WORK TEAR OFF AND REROOF COMPOSITION SHINGLES 40 YEAR HOUSE fi FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: GARAGE APPLICANT: TEL. NO: LIGHT HOUSE ROOFING (626) 447-2826- AA BLDG PERMIT ISSUANCE 27.75 6601 GOLDEN WEST AC STRONG MOTION REBID 6800.00 VAL 0.68 SPECIAL CONDITIONS: ARCADIA, CA 91107 D2 PERMIT W/O EN-HC 6800.00 VAL 166.20 TOTAL FEES 194.63 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE LIGHT HOUSE ROOFING AND REPAIR (626) 447-2826- 6601 GOLDEN WEST AVE LIC. NO LOCATION AND SETBACKS ARCADIA, CA 91006 751595039 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 150H261 3 01 FLCOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT COND: STAT CLASS: NO 21 ROOF SHEATHING ' w O R SCHOOL WITHIN HAZARDOUS SHEAPANELS V, 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 LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508