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HomeMy Public PortalAbout8743 BURGHARDT RD_Building__ 7WP3B8AEU8035-65 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS / t BUILDING AND SAFETY DIVISION LOCALITY 0 r R" JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS.SUP'T OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPE SSED RY FOR APPLICANT TO FILL IN CONST. BUILDING ?2 J( ;J f�1,D /�'j DOSTATISTICAL CLASSIFICATION WER MAP ADDRESS o rJ U/�/l I�'�/ 'I CLASS NO.-45V—DWELL UNITS _ ©K PG LOT NO. BLOCK USE ZONE MAP 7 0-N SPECIALZl TRACT A' CONDITIONS(/ SIZE OF LOT 65 /` O NOWOONBLOTS/L�DI�� USE OF EXISTING BLDG. T BLDG. SETBACK FROLIM OWNER /%� �• B If'G, if>fO. OL /���Q 7/ FRONT PROP. ONE OF IRE ET) �/may p_`/� TYPE OF E%ISTINO SETBACK XIGXW Y + YARD = TOTAL ADDRESS V ) ////�T�/4,1AF77 Np //C`L� HI WAY WIDTH F OM C.L. CITY /4 L 1" llle/FA -� ARCHITECT OR TE L.44_(/ BLDG. SETBA K FROM ENGINEER A ���' NO. SIOE PROP. LINE OF (STREET) (� C y� TYPE OF EXISTING SETEACK HIGHWAY + YARD = TOTAL ADDRESS �3 �y/{A, q�`I S/��/�� b 441,0 HIGHWAY WIDTH FROM C.L. CONTRACTOR �(,G�///,Y��{/�^�� N/�(J T d'rfj /SFO + _ ADDRESS�� /IST�1/GY C�/I NO �71a1//(g'C�rY(O CORNER CUTOFF YES NO OV K C17Y L A BRA CLC 5 SEE REVERSE SIDE FOR SPECIAL APPROVALS O DESCRIPTION OF WORK w a E ADO ALTER REPAIR DEMOLISH -� N SO.FT. jSOD NO. OF NO. SIZE l // STORII�E�S FAM,LIUSE F_5/J�. STRUCTURE J�.�IDfIVCI A6 IP46E ,ZD d-D SIGNATURE OF APPLICANT r VALUATIONS a !F APPROVALS DATE (NSP OR' SIGNATURE �/ FOUNDATION, LOCATION / P.C. J PMT. / q,, Q FEES FEE S(Q(f FORMS, MATERIALS FRAME, FIRE STOPS, I HEREBY ACKNOWLEOGE THAT I HAVE READ THIS APPLICATION BRACING BDLT ✓ [/37-t AND STATE THAT THE ABOVE IS CORRECT ANO AGREE TO COMPLY FURNACE: LOCATION WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS RUILOI NG CONSTRUCTION. I CERTIFY THAT IN OOING 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. aw ING TO WORKMEN'S COMPENSATI INSURANCE. ATH. EXT. I/Gv- SIGNATURE OF USE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS. PRINCIPAL ST C ll RAL ENGINEER PLAN CHECK VALIDATION K. M.D. CASH _ PERMIT VALIDATION GK M.O CASH LC6,4 -2 *2- OCT13 2 3 A 3. 025 Q o . �, - CIQ7Oos—� NOV 2 1 A 60S0- WORKERS'COMPENSATION DECLARATION e I hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers' Compensation Insurance, APPLICATION FOR BUILDING PERMIT or a certified copy thereof (Sec. 3800,pLob.gC.I� Policy No��i 3'4-a Company JJJ�oYo t�rt....O COUNTY OF LOS ANGELES BUILDING AND SAFETY Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING !� 3 ADDRESS ® Certified copy is filed with the co u building inspec- B ILDING g� n do da artment. ADDRESS O �i Dot.I 7 Applicant CITY r—,1—( C 41`ZIP LOCALITY 113 CERTIFICATE OF EXEMPTI R M WORKERS' 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 TRACT BLOCK LOT NOASSESSOR . hundred dollars ($100)or less.) MAP BOOK PAGE PARCEL TEL USE Z E MAP I certify that in the performance of the work for which this OWNER NO. j NO, permit is issued, I sholl not employ any person in any manner ADDRESS 1 SPECIAL so as to become subject to the Workers'Compensation Laws. CONDITIONS O Date Applicaht CITY ZIP NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL, DISTRICT 7R UP TYPE FIRE PR SED BY O Exemption, you should become subject to the Workers' ENGINEER NO. 00 3 CONST. , Z 5 U Compensation provisions of the Labor Code, you must forth- ADDRESS sY/ ✓�S LSI with comply with such provisions or this permit shall be DL' deemed revoked. TEL STATISTICAL CLASTIC TION APT. DO. (n CONTRACTOR NO. �� Z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS_ hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 0 NO. ' SEWER MAP (commencing with Section 7000)of Division 3 of the Business and LIC Professions Code, and my licgnse Is in full force and effect. CITY CLASS BE. PG VALIDATION .,,� Qq SQ. FT. NO. OF NO. OF CHECK License Number�`a3 17 Lic.Clossy' �7 , SIZE STORIES FAMILIES ONE �,///z VALUATION Contractor/z .-_`�f - >;X— Date DESCRIPTION OF WORK NEW ❑ $ ADD ❑ ( J , I am exempt under Sec. E]ALTER Bi for this reaso REPAIR ❑ $ Dat USE Of EXISTING BLDG. DEMOL ❑ Signature a APPLICANT TEL. FINAL / OJ NER-BUILDER DECLARATION PRINT NO. DATE (� `� ;R 12 Q 7 A I hereby affirm hat I am exempt from the Contractor's License - Low for the following reason (Section 7031.5, Business and ADDRESS FIN # a • e • •,� Professions Code): PRESENTB � ❑ BUILDING 1, as owner of the property, or my employees with ADDRESS ,( I1 06.13 wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY e � O�,� .3s� / �� 7044, Business and Professions Code). MOVING TEL. 6/ I, as owner of the property, am exclusively contracting CONTRACTOR NO. 0 &091. 87 with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code), CONSTRUCTION LENDING AGENCY REQUIRED YARD HWY TOTAL SETBACK FROM SET BACK PROP. LINE 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 6 2 LDMA Ref. N m Lenders Address P.C. Fae E Permit Fee J certify that have read this application and state that the Issuance Fee r�� LDMA P/C N above information is correct. I agree to comply with all County tnvestigotion Fee ordinances and State laws relating to building construction, Total Fee LDMA Perm. N andhereby a rize representatives of this County to enter upon e a ve- entioned pr erty for inspection ures. e (� SEE REVERSE FOR EXPLANATORY LANGUAGE Si o ra of Applicant or Agent ata COUNTY OF LOS ANGELES TEMPLE CITY 4 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0507210039 PHONE: (626) 285-0488 EXT: LEGAL TO: NO. OF CONST BUILDING ADDRESS: TR: 29922 LT: 9 SQ. FT STORIES TYPE 8743 BURGHARDT RD (STRUCTURE: 2000 VN SGAB CA 917752613 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: MUSCATEL 5386-008-059 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: 07/21/05 SK 07/16/06 OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: MENGEL RALPH M;LINDA L (626) 287-8423- 4,900 8743 HURGHARDT RD SGAB 917752613 FEES PAID DESCRIPTION OF WOR REROOF TEAR OFF OLD SHEATING W/2/16" OSB SOLID 30 LB FELT FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 50 YR PRESIDENCIAL GREY SHINGLES COMPOSITION HOUSE & GARAGE APPLICANT: TEL. NO: GLOVER (951) 279-0604- AA BLDG PERMIT ISSUANCE 27.75 5030 VICEROY AVE AC STRONG MOTION RESID 4900.00 VAL 0.50 SPECIAL CONDITIONS. NORCO, CA 92860 D2 PERMIT W/O EN-HC 4900.00 VAL 132.60 TOTAL FEES 160.05 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE RODGERS ROOFING (909) 732-3293- 5750 SAPPHIRE STREET LTC. NO LOCATION AND SETBACKS ALTA LOMA, CA 91701 620156 C39 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOCK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 150H261 3 01 FLOOR SHEATHING N0, OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS y 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: BS0506