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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