The URL can be used to link to this page

Home My Public Portal About8724 BURGHARDT RD_Building__ 76A638A CECB038-64 APPLICATION FOR BUILDING PERMIT Ju! COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY / JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPE. P ESSED BY FOR APPLICANT TOFILLIN � CONST. BUILD'ADDN �i E• /Y p6ll��fJ - n STATISTICAL CLASSIFICATION SEEKER MAP VVV /( CLASS NO.�DWELL UNITS LOT NO. BLOCK USE ZONE MAP AZ NO /do i SP (l TRACT SPECIAL N0. OF OLDG5. CONDITIONS SIZE OF LOT NOW ON LOT Q USE OF c EXISTING o C SLOG. SETBACK FROM L. FRONT PROP. LINE OF - (STREET) OWNER 8 O i TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL ADDRESS �/Q HIGHWAY WIDTH F OM C.L. 1 I } ,CITY BLDG. SETBACK FROM ARCHITECT O TEL SIDE PROP. LINE OF (STREETI ENGINEER NO. �6- 77 TYPE OF WI STING SETBACK HIGHWAY } VAPO = TOTAL } ADDRESS Ae {.,.CJiC HIGXWAY WIDTH RpOM C.L. d CONTRACTOR V.Q //L��i� N/NOLO // ry1 // } = O ADDRESS LsfP� C/ ) NOL'c �G/OCG CORNER CUTOFF YES NO O clTr L/7 R LIC SEE REVERSE SIDE FOR SPECIAL APPROVALS v LU DESCRI TION OF WORK �/ vaL // luUAA.r/ /I - .,10 Z Y-G 1 -` -Z E ADD / ALTER REPAIR DEMO LI9H 0 NO. OF NO OF SIZET /'L E STORIES / FAMILIES/ USE OF L STRUCTURE SIGNATURE OF APPLICANT VALUATION$ !lV APPROVALS �/ )ATE (NBP/[/CIT O�R'9SIGNATURE FEES /P /' FLOC. PEEP. S MT. FO FORMS1MA•TERCALSGN L' JG/ / /Ill A/lC-�_ UNDATFRAME, FIRE STOPS, / - /j 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT I7 7 J n/ A/_A41 ANO STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAB VENT. DUCTS 9WLD ING CONSTRUCTION. I CERTIFY THAT, IN DOING THE WORK ] AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT. ' { TION OF THE LABOR CODE- OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENB ION SURANCE. LATH. EXT. t V (/ • f SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RE ANO POSTED ✓A/�4 ADDRESS I NAL JOHN F. LEWIS, PRINCIPAL STR RAL ENGINEER PLAN CHECK VALIDATION M D. DASH _ PERMIT VALIDATION CN. M.D. GASH 0 4 0 5 8 2 , JUL 28 2 3 a 2 6.756 .T 1 a 5 3.5 0 4 7 7 7' rl_IO 1. 8 WORKERS' COMPENSATION DECLARATION by affirm that I have a certificate of consent to self APPLICATION FOR BUILDING PERMIT u ire, or a certificate of Workers' Compensation Insurance, �a certifiieedd copy thereof (Sec. 3800, ob. C.) n COUNTY OF LOS ANGELES BUILDING AND SAFETY �Pol icy Nr_3 1'� _ Company � ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING p 6 If(1 Certified copy is filed with the county building inspec- BULLADDRESS Gi LLJJ tion department. ADDRESS Q. t Date 6�4/S 9 Applicant CITY , ` ZIP LOCALITY CERTIFICATE OF EXEMPT FROM WORKERS' NO.OF BUDGE, NEAREST COMPENSATION NSURANCE SIZE OF LOT NOW ON LOT CROSS ST. (ibis section need not be completed if the permit is for one ASSESSOR hundred dollars ($100)or less.) TRACT BLOCK LOT IN MAP BOOK PAGE I PARCEL TEL USE ONE MAP certify that in the performance of the work for which this OWNER TEL �1 o6G NO. permit is issued, I shall not employ any person in any manner SPE ADDRESS CIAL so as to become subject to the Workers'Compensation Laws. 1 CONDITIONS 0 U Date Applicant CITY ZIP 0 NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. DISTRICT I GROUP I TYPE - FIRE P OCESSED BY Exemption, you should become subject to the Workers' ENGINEER NO. �j� 7(L, ' CONST. Z^�OE U 3 III Compensation provisions of the Labor Code, you must forth- ADDRESS �+'�V R� J .-/ t; with comply with such provisions or this permit shall be d' deemed revoked. L STATISTICAL CLASSIFICATION APT. ONDO. N CONTRACTOR O jQtS6 Z LICENSED CONTRACTORS DECLARATION LIC CLASS NO. DWELL. UNITS_ hereby affirm that am licensed under provisions of Chapter 9 ADDRESS NO. .� (commencing with Section 7000)of Division 3 of the Business and LIC p M SEWER AP Professions Code, and my license is in full force and effect. CITY CLASS C �/ BK PG VALIDATION J ,�. .�., 9q 50. FT. NO. OF NO. OF CHECK License Number-1k PI-3Lic.Class�L SIZE STORIES I FAMILIES ONE / �7�w-- �} VALSIATION Controctor��s�•al�Cvl-='�, Date g� DESCRIPION OF WORK NEW ❑ ❑ ❑ $ ADD am exempt under Sec. E] oil. B.BRC. for this reason REPAIR ❑ $ D + USE OF DEMOL EXISTING BLDG. Cl Signature APPLICANT TEL. FINAL NER-BUIL R DECLARATION PRINT) NO. DATE I hereby affir of I am exempt from the Contractor's License Law for the fo lowing reason (Section 7031.5, Business and ADDRESS FIN Professions Code): PRE By ;2 7 2 0 6 A ❑ I, as owner of the properly, or my employees with BUILDING wages their sole compensation,will o the work and ' f� ��4� �{,••• e • •.1 the structure for is not intended or offered for sale(Section LOCALITY a 7044, Business and Professions Code). MOVING TEL. I e'1 .1 5 5 0 ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS 1' 1 5 5 O tion 7044, Business and Professions Code). • •i o REQUIRED TOTAL SETBA KUM Mbf. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH Q�, 0 9 s S 7 I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P,L, (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name LDMA Ref. N m Lender's Address P.C. Fee E Permit Fee I certify that I have read this application and state that the Issuance Fee ,�� LDMA P/C N above information is correct. 1 agree to comply with all County Investigation Fee D ordinances and State laws relating to building construction, Total Fee LDMA Perm. IT and hereby authorize representatives of this County to enter up the ve-mentione property for inspection purposes. S SEE REVERSE FOR EXPLANATORY LANGUAGE 1gnatare of Applicant or Agent Dale _ WORKERS' COMPENSATION DECLARATION �1 Thereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT u insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lob. C.) Q aS'?r4�Of Company �L COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ADDRESS t Certified copy is filed with the c ty building inspec- BUILDING tion deportment- ADDRESS n /� Dates.7 Applicar CITY ` ZIP LOCALITY 75 CERTIFICATE OF EXEMPtION FROM WORKERS' NO. OF BLDGS. NEAREST COMPENSAT16K INSURANCE 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 less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL TEL' USE ZONE MAP I certify that in the performance of the work for which this OWNER �t NO. NO. permit is issued, I shall not employ any person in any mannergDDRE55 SPECIAL so as to become subject to the Workers'Compensation Laws. CONDITIONS C) Date Applicant CITY ZIP U NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. DISTRICT GR UP TYPE FIRE PROCE ED BY Exemption, you should become subject to the Workers' ENGINEER NO. -/7-,�/Ay _ CONST.'/ ZONE 0 Compensation provisions of the Labor Code,.you must forth- ADDRESS `� V 3 L+.I with comply with such provisions or this permit shall be 13- deemed deemed revoked. CONTRACTOR TELNO. P06STATISTICAL CLAST TION APT. NDO. z 1Y L Z LICENSED CONTRACTORS DECLARATION �� LIC, CLASS NO. DWELL UNITS— - I hereby affirm that 1 am licensed under provisions of Chapter V ADDRESS ,01c NO. /3( 9 (commencing with Section 7000)of Division 3 of the Business and LIC SEWER MAP Professions Code, and my license is in full force and effect. CITY CLASS C 3 BK PG VALIDATION �F n^ �.�f SO. FT. NO. OF NO. OF CHECK License Number _'E N 7 Lic.Class SIZE STORIES FAMILIES ONE �� `''/]/)��/// '�} X' NEW ❑ VALUATION Contracto�fiv4'.t.CJ[ a¢ & Date �O y- DESCRIPTION OF WORK f G 3 ADD ❑ , I am exempt under Sec. ❑ � n ALTER B.BP.C. for this reason REPAIR ❑ $ Date: USE OF DEMOL ❑ EXISTING BLDG. - ;2 7 2 Q 8.A Signature APPLICANT TEL FINAL OWNER-BUILDER DECLARATION PRINT NO. DATE o e •;e e I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS FI Professions Code): RE cJ / ❑ BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and r / ,..,..,,../// 0609-87 the structure is not intended or offered for sole(Section LOCALITY [ n 7044, Business and Professions Code). MOVING TEL. I, 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). CONSTRUCTION LENDING AGENCY RSET BACKEQUIREDYARDHWY TOTAL ETBACK FROM EXIST. F WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name _ LOMA Ref. # m Lender's Address P.C. Fee E Permit Fee g I certifythat I have read this application and state that the Or,�0 PP Issuance Fee LDMA P/C If above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, total Fee LDMA Perm. # an here au orize representatives of This County to enter m u the abpve mentioned roperty for inspection purposes. a SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent ore COUNTY OF LOS ANGELES TEMPLE CITY N 0500 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0601190043 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 29922 IT: 14 SQ. FT STORIES TYPE 8724 BURGHARDT RD STRUCTURE: 22 VN SGAB CA 917752614 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5386-008-072 THOMAS PAGE: 596 GRID: G3 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 01/19/06 JK 01/14/07 OWNER: TSL. NO: SLUGS. NOW ON LOT: VALUATION: PINAL DATE FINAy-$Y: CODE: OLSON, FRANCINE - 9,110 / IAGc�i/1�_� 8724 BURGHARDT RD SGAB 917752614 FEES PAID DESCRIPTION OF WORK REMOVE WOOD SHARE 1/2• PLYWOOD PRESIDENTIAL SHINGLES CLASS FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: A APPLICANT: TEL. NO: PARSONS (818) 599-0260- AA BLDG PERMIT ISSUANCE 27.95 PO BOX 290939 AC STRONG MOTION REBID 9110.00 VAL 0.91 SPECIAL CONDITIONS: PHELAN CA 92329 D2 PERMIT W/0 EN-HC 9110.00 VAL 216.60 TOTAL FEES 245.26 CONTRACTOR: TEL. NO APPROVALS DATE INSPECTOR SIGNATURE ROOF N IT (818) 599-0260- P.O. BOX 290939 LIC. NO LOCATION AND SETBACKS PHELAN, CA 92329 429747 C39 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 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: _ NO 21 ROOF SHEATHING �^ SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: RWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATHD SHAFTS OPENINGS T-BAR'CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508