HomeMy Public PortalAbout8728 BURGHARDT RD_Building__ 76A638A CE#803 B-64 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A' LAMBIE COUNTY ENGINEER NEAREST
COLEMAN W. JENKINSSUP'T OF BUILDING CROSS ST. _
FOR APPLICANT TO FILL IN p DISTRICT NO. GROUP CONST P o sseD By
BUILDING F 7 Q t /J C1j�11.DAi /I' CLASSTATS NO. ef) DDWW/IEELLLL'UINNIITS �_ SE ER MAP
ADDRESS OHO G ,(J b A71I F� .I BK PG
LOT NO. �� BLOCK USE ZONE MAP 2 _
NO.
TRACT Vy' SPECIAL
N0. OF BLDOS. VV LLL CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
El ISTING p BLDG. SETBACK FROM
NOL/'/_ V FRONT PROP. LINE OF (STREET)
OWNE ! TYPE OF EXISTING BETBACK HIGHWAY + YARD = TOTAL
ADDRESS/ LS XIGHWAV I T FROM C.L.
CITY
Qil I +
ARC HI TEC O TEL. _n - BLDG. SETBACK FROM
E NGINEE NO.' - d� SIDE PROP. LINE OF (STREET)
TYPE OF E%ISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRES Jp�, /7^ C HIGXW AY WIDTH FROM C.L. 1
CONTRALTO D// V �[ + — OV
ADDRESS FS NO /T+I CORNER CUTOFF YES NO Q
CITY' / LILA SEE REVERSE SIDE FOR SPECIAL APPROVALS G
W
DESCRIPTION OF WORK y
E ADO ALTER REPAIR DEMOLISH
SQ.FT. `� NO. OF NO. OF 11
SIZE / / STORIES FAMILIES
USE OF tY-l..1O V-./.-1 C.(AI G+. e'+'a.. Po/CC l-F AJ OT
STRUCTURE
SIGNATURE OF
APPLICANT I
VALUATION$ ���
qq FOUNDATION,PMT. y' APPROVALS LATE INSPE 'SSIGNATURE
FEE$ ��!->� FEE PJ � .7 FORMS, MATERI LOCATION
FORMS, MATERIALS
FRAME, FIRE STOPS, /��/�(`
HEREBY ACKNOWLEDGE THAT HAVECORRECT
READ THIS APPLICATION BRACING BOLT JC
AN CWITH
STATE THAT THE ABOVE IS CORRECT ANO AGREE E COMPLY FURNACE: LOCATION
WITH ALL COUNTY TI O. INCES AND STATE LAWS REGULATING GAS VENT. DUCTS
AUT9UtLOi FZ CONSTRUCTION. CERTIFY THAT, IN DOING THE WORK `
AUTHORIZED HEREBY WILL NOT EMPLOY ANY PERSON IN VIOLA LATH. INT. /O 3 V (A
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELIT.
ING TO WORKMEN'S COMPENS TION INSUIRA E.
LATH. EXT. _ IOJ Lam( 6[(/YIIX(f-(C
SIGNATURE OF HOUSE NUMBER COR- I %
PERMITTEE RECT AND POSTED
ADDRESS / f FIN A L br
JOHN F. LEWIS. PRINCIPAL STRU-CXURAL ENGINEER
PLAN CHECK VALIDATION CK M.D. DASH _ PERMIT VALIDATION GK. M.D CASH
LhLo 4 0 5 91 `UL 28 2 3 :A 3 0.2 5 L
(�, _ 7 7 5!JG 8 1 A 60.50- 1Gal
1
WORKERS'COMPENSATION DECLARATION -
-- T'her'eby affirm that Icertificate of consent to self - - APPLICATION- FOR BUILDING PERMIT
insure, or a certificate off Workers'Compensation insurance,
or-a certified copy thereof (Sec. 3800, Lab. .
Pal eGS-3Y0� 5jgT/L Fz"V,0 - COUNTY OF LOS ANGELES BUILDING AND SAFETY
Company j--� I -
1.
�Certlfied copy is hereby furnished. FOR APPLICANT TO FILL IN ADDOwG / �/ 7-
Certified V
ElCertified copy is filed with the county building inspec- BUILDING I p, G� ��2t, - /
tion department ADDRESS C7 , tl"
Date^a`~- 7Applicont jl Y�`l./L F CITY 22--- L -T ZIP LOCALITY
CERTIFICATE OF-EXEMPTION FROM ORK S' - - - - NO. OF BLDGS.- NEAREST
COMPENSATION 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
OWNER ' USE NE MAP
I certify that in the performance of the work for which this NO. - r
permit is issued, I shall not employ any person in any manner _ -�. /� f �' I SPECIAL
so as to become subject'to the Workers'Compensation Laws. ADDRESS �/V CONDITIONS O
11 ., _ s'P M�c—. V
Date - Applicant . t ; CITY ZIP _
NOTICE TO APPLICANT: If, after makingthis Certificate of ARCHITECT OR TEL. DISTRICT Gggq���UP TYPE FIRE CESSED BY O
Exemption, you should become subject to the Workers' ENGINEER NO. f6� J/-2-/ CONST. i ZONE 0
Compensation provisions of the Labor Code, you must forth- ADDRESS �`r - ly�.>
with comply with such provisions or this permit shall be" - _ .. _ N
�f TEL.- o/�. .r GC) STATISTICAL CLASSIFICATION APT. NDO. Z
deemed revoked. , - CONTRACTOR / �IG/%�'. NO 6 1'66
LICENSED CONTRACTORS DECLARATION - - - `, LIC- �j CLASS NO. DWELL. UNITS_
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS �j �:/7 fL� LD. oc3� SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and _ .-.. LIC: wF� '
Professions Code;"and my license is in full force and effect. CITY Q /.� CLASS L�3� - BK VALIDATION
Nn y� q SO. FF. _ NO.OF _ _ NO. OF CHECK
License umber 4/,9'_3J '71 Uc.class 3 / SIZE OL STORIES FAMILIES ONE
/ ra,.�!7� /� ❑ VALUATION
Contractct��/GH//77�n L/'��
Date `}�-�/ - DESCRIPTION OF WORK - NEW $ M/ V q�
o ADD / ,
I am exempt under Sec /'✓=--� �/J/LLBC/�i C!ll Til- - ❑
/ (1 v ALTER
B.BP.C. for this reason _ �rR- Hr� �� /2-rTi' ��GaI- REPAIR $ -
- Dat USE OF
EXISTING BLDG. DEMOL
Signature-k! f-(�C,(P'�Ci f A-/C<`'^�T - APPLICANT. -. . TEL. FINAL
OWNER ILD DECLARATION _. PRINT _ NO. DAT J -
I hereby affirm that l am.exempt from the Contractor's License
Law far the following reason (Section 7031.5, Business and ADDRESS FI n
Professions Code): -" PRE ENT - - - j A
2 7 O 9,4
BUILDING
1,I, as owner of the property, or my employees with ADDRESS # e•e.e e e �.
wages as their sole compensation,will do the work and
the structure is not intended or offered for sale(Section LOCALITY FI,O S I
7044, Business and Professions Code). - - MOVING ' - - TEL. 000, i3 `'``-� ( °•� 06-13
ElI, as owner of the property, am exclusively contracting CONTRACTOR NO. � s -
with licensed contractors to construct the project (Sec- - - • - ° ° 1 061 3u
tion 7044, Business and Professions Code). ADDRESS
CONSTRUCTION LENDING AGENCY REQUIRED -YARD HWY ..TOTAL SEETPBACK FROMLINE EXII WIDTH o 5 2 2 8.7
SET BACKI hereby affirm that there is a construction lending agency for FRONT
the performance of the work for which this-permit is issued - P.I. - - - - -
(Sec. 3097, Civ. C.). SIDE -
-
m Lender's Name
SC-` LDMA R.I. # '
Lender's Address P:C-Fee$ - - -- - Permit Fee J --- ' -
i / py
I certify that. I have read this.application and state that.the ._ Issuance Fee 1-Y) - LDN P/C#
a above information is correct. I agree to comply with all County Investigation Fee .q/ / -
ordinances and State lows relating to building construction, _ - - - Total Fee V � I LDMA Perm. It -
and hereby authorize representatives of this County to enter
m upon the ave-mentioned property for in pection purposes.
it
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature PPT o nt or Agent - - Date - - - -- - --- - - - - - - '-
'COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY LA BL 0508 9803020091
PHONE: (818) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 29922 LT: 15 SQ. FT STORIES TYPE 8728 BURGHARDT RD
STRUCTURE: 0 VN SGAB LA 917752614
ASSESSOR INFORMATION R: NEAREST CROSS STREET:
5386-012-080 THOMAS PAGE: 596 GRID: G3 LOCALITY: TEMPLE CITY
EXIST BLDG USE: RES USE 0 - ISS PROCESSED XPIRES ON--
EXIST OCC GRP: 03/02/98 UT 03/02/99
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CO
BEECHER LAURICE S (818) 285-3721- 1 5,000
8728 BURGHARDT RD -,r - •�
SGAB 917752614 CR ON 0,WO
FEE DESCRIPTION: QUANTITY: LOM: AMOUNTTEAR OFF AND RECOVER WITH 1/2" OSB, 25 YR CLASS A GAF
APPLICANT: TEL. :
LYTLE ROOFING CO (626) 792-5171- AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID _ 5000.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC 5000.00 VAL 133.05
TOTAL-FEES' .. 161.30
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
LYTLE ROOFING CO. INC. -
2948 EAST WALNUT STREET LIC. NO ?- ^�� LOCA AND SETBACKS
PASADENA, CA 91107 186303 -
'�� SOILS ENGINEER APPROVAL
ARCHITECT 0 ENGIN E 0: / ; '_ -IY `, FOUND N/TRENC RMS
LIC. N0: � , __ SLAB/UNDER F100R
RAISED FLOOR FRAM G
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: LMP: UNDERFLOOR INSULATION
150H26 3 01
FAMILIES: DWE NG UNITS: APT/COND. CLASS: FLOORG
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZAR STHnTWWM
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME NSPECTION
REQUIRED TOTAL SETBACK FROM XIST FIRE SPRINKLERHANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
INT LA H/DR LL
EXTERIOR LATH
RA .
RATED WALL ASSEMBLIES
RATEDSHAFTS/OPENINGS
T-BA C INGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
' DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALT ERATJ ON/REPAJT:�
i BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 8_9803020091
PHONE: (818) 285-0488 EXT:
IAL 1D: NO. 0 ONS BUIL ING ADDRESS:
,R: 2992[ LT: 15 SQ. FT STORIES TYPE 8728-BURGF�D7-RD
STRUCTURE: 0 VN �-SGAB-CA 917752614
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
5386-012-080 THOMAS PAGE: 596 GRID: G3 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: RESIV USE 2 NE: R- ISSUED PROCESSED
EXIST OCC GRP: 03/02/98 UT 03%027/99
OWNER: TEL. NO: BLCGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: ODE:
BEECHER LAURICE S (818) 285-3721- 1 5,000
8728 BURGHARDT RD
SGAB 917752614 FEES PAIDDESCFON-OF-WORK
TEAR-OFF-AND'RECOVER WITH 1/2" OSB, 25-YR-CL'A GA_ F�
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
LYTLE ROOFING CO (626) 792-5171- AA OLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 5000.00 VAL 0.50 SPECIAL CONDITIONS:.
D2 PERMIT W/O EN-HC 5000.00 VAL 133.05
TOTAL FEES 161.30
CONTRACTOR: T L. NO: APPROVALS- DATE INSPECTOR SIGNATURE
LYTLE ROOFING CO. INC. -
2948 EAST WALNUT STREET LIC. NO LOCATION AND SETBACKS
PASADENA, CA 91107 186303
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATIOPMENC-FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
15CH26 3 01
_ FLOOR SHEA.HI�rG_
NO. OFFAMILIES: DWELLiNG UNITS: APT/GOND: S AT CLASS:
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PAN Ell
AIR QUALITY; 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXISTIF RT SPRINITER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH
FRONT PL- IRSULA ION/WEATHER STRIP
SIDE PL-
1N�F R7� H/DRYS LIALL
EXTERIOR LATH
RA 'D L 0 LTEE A
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOAD A2 N GI
REPORT ID: DPR261 ROUTE TO: 13S0508