HomeMy Public PortalAbout9641 GIDLEY ST_Building__ TEMPLE CITY [1I'/1IIII
70A000A CE ry009- 1-61 LJ
APPLICATION FOR BUILDING P RMI
COUNTY OF LOS ANGELES BUILDING
ADDRESS
DEPARTMENT OF COUNTY ENGINEER t
BUILDING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT N GROU TYpE SSED BY
CONST. L,
/' /'�/ STATISTICAL CLASSIFICATION S ER MAPA
ADDRESS I �/ c �C w. Ic C. I BK �} /
CLASS.NO DWELL.UNITS ��
LOT NO. �f BLOCK WATER NOT REQUIRED RECEIVED
/!
TRACT CERTIFICATE:
.jL
NO.OF BLDGS.
NOP ({CGRCLE) STATE MAJOR SECOND, OCAL
SIZE OF LOT G' �fr I NOW ON LOT USE ZONE SPECIAL
USE OF ' RC / /
' CONDITIONS
EXISTING BLDG. /1 Sr dc-c c ,,// //
/+_
OWNER a �•• ✓O LC NOdl FSYY
BUILDING EXIST.
l SETBACK YARD HWY ET ME WIDTH
ADDRESS J C FRONT
ARCHITECT OR TEL. P. L.
ENGINEER NO. SIDE
P.L. I ?
ADDRESS CL
TEL. INSPECTION RECORD O
CONTRACTOR NO. u
CC
ADDRESS O
DESCRIPTION OF WORK v
LU
CL
N
NEW XX ADD ALTER REPAIR DEMOLISH Z
SQ.FT. NO.OF NO.OF
�IZE STORIES FAMILIES
USE OF
STRUCTURE
� E IrlcI( al
SIGNATURE OF
APPLICANT
VALUATION$ `+
APPROVALS DATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION
FEE $ FEE $ ` FORMS,MATERIALS "
' FRAME: FIRE STOPS.
I HEREBY ACKNOWLEDGE THAT 1HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I
WILL T EMPLOY ANY SON IN VI . LATH, INT.
TION OF THE LABOR CODE THE STATErCALIFORNIA T-
ING TO WORKMEN'SMP ATIO IN CE.
LATH,EXT.
SIGNATURE OF - � HOUSE NUMBER COR-
PERMITTEE /' RECT AND POSTED
ADDRESS FINAL
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL EN R
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. M.o.
TEMPLE:.E CI T
� 76.e3e.CEa8o3.,--s, APPLICATION FOR BUILDING PE MI
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST.
DISTRICT N GROUTYPE R ED BY
FOR APPLICANT TO FILL IN CONST. 1 Iy i.1
BUILDING ^�- /�/ STATISTICAL CLASSIFICATION SE ER MAP
ADDRESS C� 1GY 5�. 7P C f BK G
CLASS.NO. DWELL.UNITS
LOT NO. fy r, /�(p BLOCK WATER
NOT REQUIRED a RECEIVED
q � a CERTIFICATE:
TRACT /C� f p MAPIGHWAY STATE MAJOR SECOND, LOCAL
Jam. y.9,.33 NO.OF BLDGS. NO.• (CIRCLE)
SIZE OF LOTie*g ZI (,/, -0-J NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG.
TEL ,�. a
OWNER t/. . 11 �.b d✓ i•L NO.- S '�. BUILDING EXIST.
YARD HWY REET AME
/^1 J /'` SETBACK WIDTH
ADDRESSSO/� / )o71� ��'+�(ab S �.. FRONT •� /�
ARCHITECT OR TEV. P.L.
ENGINEER NO. SIDE
P.L. }
ADDRESS CL
J� TEL INPECTION RECORD O
CONTRACTOR f �a j• rYI NO. V
ADDRESS 1 y 3,S _`t r wt,, ':i?
DESCRIPTION OF WO !-h�l )
CL
/ ,.
�
NEW �' ADD• ALTER REPAIR DEMOLISH
�IZET O
/�-Y l STORIES FAMILIES ~C ly
USE OF ^7 \
STRUCTURE S �e ti C 4r
SIGNATURE OF QCG.
APPLICANT
VALUATION$ '3 � `I
APPROVALS DATE INSPECTOR'S SIGNATURE
PMT. FOUNDATION: LOCATION
FEE $x C° FEE $ FORMS,MATERIALS _
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING 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 WORKME�.COMPENSATIION INSURANCE. T
LATH,EXT.
SIGNATURE WORK:
L� �� HOUSE NUMBER COR- _�PERMITTEEr` RECT AND POSTED / - F
ADDRESS FINAL
i f �✓ L('y .4 j CLYDE N. DIRLAM, PRINCIPAL STR A ENGINEER
PLAN CHECK VALIDATION cK M.0.1 CASH PERMIT VALIDATION CK M.O. CASH
oosSQ; .1M1223 D 26.75• Iq
1802% .xn18 1D 53.50, mq
COUNTY OF LOS ANGELES TEMPLE CITY f 0508 BUILDING PERMIT
DEPARTMENT OF RELIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9911010039
PHONE.- (626) 285-0488 EX`T:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 12998 LT: 46 BL: .001 SQ. FT STORIES TYPE 9641 GIDLEY ST
STRUCTURE: 0 VN TEMP CA 917804216
ASSESSOR INFORMATION NUKBER; NEAREST CROSS STREET: TEMPLE CIrf
8592-002-047 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEWLE CITY
TEWT: EXIST BLDG E: RESID USE ZONE: 1 ISSUED ON: BY: EXPIRES ON:
EXIST OCC GRP: - 11/01/99 UT 04/29/00
MIHO RUBY TR RUBY MIHO TRUST - 1 2,560
9641 GIDLEY ST
TEMP 917804216 FEES PAID 15FSORIPrrION OF7ZR
CHANGE OUT OF 3 WINDOWS-SAME SIZE
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
SEARS HOME IMPROVEMENT 800809689 - AA BLDG PERMIT ISSUANCE 27.7
10415 SLUSHER DR. AC STRONG MOTION RESID 2360.00 VAL 0.50 SPECIAL CONDITIONS:
SANTA FE SPRINGS D2 PERMIT W/0 DO VAL 99.00 •
127.25
CONTPACTOR: -TEL. NO: P & ELE 0
(j
APIPROVALS DATE INSPECTOR SIWTLJRr--
SEARS HOME IMPROVEMENT (8UO) 607-9889- 5 ��Ty
10415 SLUSHER DRIVE #2 LIC. NO LOCATION AND SETBACKS
SANTA FE SPRINGS CA 90670 BUSLICEMSE SOILS ENGINEER APPROVAL
ARCHITECT WUMT9nlF— .
ON[TRENCH FOM
LIC. NOSL�B/UNDER FLOOR
111111
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE UunrlOOR INSULATION
144H269 3� Ti U�L C W�❑K 3) 6M SHEATMIff—
W.
NO 21. R�OF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEA.R PANELS
AIR QUALITY: 1000 FEET MATERIALS Z7 ❑
NO NO NO 0 FUME INSPECTION
REQUIRED TOTAL SETRACK FROM EXISTFIRE SPRINKLER RANGERS
SET11
FROBACK YARD: MY: PROP LINE: WIDTH: 46,/L, S,QrVICe TY►�t�Ot
SIDE PL- INTERIOR LATHIDRYVLkLL
TT—
RATED WALL ASSEMBLIES
RATED SHAF%7MMUWW—
T-RAR CEILINGS
* ADDITIONAL DATA ON FILE
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
COUNTY OF LOS'AI(GELES TEMPLE CITY 0508• BUILDING PERMIT -
DEPARTMIE](T OF PUBLIC WORKS 9701 LAS TLKAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND.DEVELOPMENT TEMPLE CITU` CA 91780 BL 0508 9908040007
PHONE: (626) 285-0488 EXT: `.
rn
TR: 12998 LT: 46 BL:. ;001. - SQ: FT STORIES TYPE . 9641 GIDLEY ST -.
STRUCTURE: 0 VN TEMP-CA 917804,216 .
ASSESSOR-INFORKATION NUMBER: NEAREST CR=-STREET:
859?-002-047 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY
• EXIST OCC (NtP:F 08/04/99 UT . 01/31/00
MIRO RUBY TR RUBY MIHO TRUST -(626) 579-4M-. - 1 2,400
9641 GIDLEY ST
TEMP 917504216
REPLACEMENT OF WIND06IS-4 NEW VINYL WINDOWS
FEE DESCRIPTION: QUAI(TITY: LION: ANUA(T:
APPLICANT: TEL. NO: w
AMERICAN. HOKE IMPROVEMENT PRODUCTS (800) 807-9889-. AA BLDG PERMIT ISSUANCE : ..-27_75.
10415 BLUSHER #2 AC STRONG PTION 2400.00 VAr 0.50
rmr-
&AXTA FE-SPRINGS D2 PZRMIT. .00•VAL 99:00 - .
w
GEL 127.25.
CONTRACTOR: Tn. VROVALS DATE CTM SIGKATORr
W_ V
AMERICAN HOME IWROVBMNT (800) 807-9889-
10415 BLUSHER DRIVE #2 LIC..MO LOCATION Al� SETBACKS
SANTA FE•SPRINGS CA 9D670 BUSLICENSE
ENGINEOFMITIOWT-
ARCHITECT OR ENGINEER: TEL. NO: F.OLKDA-TtON[TRENCH FORMS
LIC. NO 111111 _ .
RAISED FLOW FRAMING
MAP NO: SEWIER MAP BOOK: PAGE: FIRE FLOOR INSUILATION
144H269 3� • O U LC WG"KS
FLOOR SHEATHINGILIES: DWELLING UNITS: -
STAT CLASS.
MO 21 ROOF SHEATHING-
SCHOOL WITHIN Rcuamiow A SHEAR'PANELS
AIR QLftlTY: 1000-FEET MATERIALS Q ❑No NQ NO
.O 11 �g .
SET. BACK YARD: RYY.:.. PROP LINE: WIDTH: C/b�jG t�oi
FRONT P(_- - `s@tVIC6 TMa
SIDE PL- -
LRICIR LATH
RATED WALL.mM4TTff
RATED SHAFTUMT009
BAR
* ADDITIONAL DATA'ON FILE -
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508