HomeMy Public PortalAbout8820-8822 HERMOSA DR_Building__ 76A638ACII#S s_e-s>' APPLICATION FOR BUILDING PERMIT Z
COUNTY OF LOS ANGELES BUILDING�9 n -
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCA
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST ^'L
CASSATT D.GRIFFIN,SUPT OF B.ILDING CROSS ST. 4Y
DISTrNO. GROUP n,PE SEWER MAP
FOR APPLICANT TO FILL IN V SK PG
CONST.
BUILDING 9� �L STATISTICAL ASSI F I CATION
ADDRESS d f.
CLASS. NO. DWELL. UNITS
LOT NO. BLOCK MAP STATE
NUMBER HWY. YES O
TRACT tJ6E ZQHE PECIAL
NO.OF BLOGS. /A`/� / CON OIT IONS
SIZE OF LOT L' /� 1. pG NOW ON LOT `o o o _
USE OF
EXISTINGSLOG. VI BUILDING EXIST.
YARD HWY STREET NgME
5 SFRONT WIDTH
OWNER FRONT 17 /
MAIL �1 C.
P.L:tizhL� _
ADDRESS of ((j SIDE
CITTEL P.L. '
ARC TEL INSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO.
ADDRESS
TEL.
CONTRACTOR NO.
ADDRESS
DESCRIPTION OF WORK fir`" 07t�F�M /! Trra TO
NEW V ADDy ALTER REPAIR DEMOLISH
SOFT
NO.OF NO.OF CU -A C
SIZE STORIES FAMILIES
USE OF STRUCT RE
a✓r r. L AT/1 L c n r aq F_ SPN/J
SIGNATUREOF C APPROVALS
APPLICANT J
h A� DATE INSPECTOR'S SIGNATURE
ADDRESS %/�/1 Y _ FOUNDATION: LOCATION
FORMS.MATERIALS J 7/• /f' �y
$ �OQ �•, P.U. 3 FRAME: FIRE STOPS.
FEE BRACING. BOLTS
VALUATION S� FURNACE: LOCATION.
FEE GAS VENT.DUCTS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND LATH, INT.
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND //yy
STATE LAWS REGULATING BUILDING CONST UCTI N. LATH, EXT.
SIGNATURE OF C ,� yn HOUSE NUMBER COR-
PERMITTEE- v`^"" RFCT AND POSTED y
ADDRESS FINAL / �D
JOHN A. LAMBIE.COUNTY ENGINEER. CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL GINEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. m( CASH
M01.418-5ts My 1 x,a
WORKERS COMPENSATION•DECLARATION -gym _ - 4$ O $ SB +=T_ ,. - '• _. _ _ - .„ -,.- __�__ s . :.�_ _
hereby o certificate
that haver certificate of consent ianelf, �► PLICATION FOR BUILDING PERMIT -
insure or o cerhfimte of Workers Compensation Insurance, = _ _, I
oi`o certified copy thereof-(Sec. 3800, Lab C ) - - -DI- - --- --- - - -
+ COUNTY OF LOS ANGELES BUILDING AND SAFETY i -
PolicyNo.IV85-22515 mpony.Fremont Lndemnity - - - - --
a 'Certified copy is hereby furnished.- :. . .11 FOR APPLICANT TO FILL IN BUDDING Sr b/"aZI
,
ADDRESS O ,N(�
® Certified copy is filed with'the county building inspec- BUILDING
tion department:' ' ` =` ' ADDRESS 8822 Hermosa
Date 9/23/85 - Applicant 'V.frgi•n• Roof CO. CITY Tem le Cit ZIP LOCALITY
' .'CERTIFICATE OF EXEMPTION FROM WORKERS' - NO.OF BLDGS. - -- NEAREST_ -- •- - .
I COMPENSATION INSURANCE" SIZE OF LOT NOW ON LOT CROSS ST.
(This section need not be completed if iherpermit is for•one. - -- - - - - - --- •r-'-- - - - ASSESSOR„y, -
,hundred dollars ($100)or less.) ,.: TRACT BLOCK LOT NO. MAP BOOK - PAGE PARCEL
TEL.
certify That in the performance of the work for which this
OWNER - "-- - - NO.
-- - USE LNE O.permit is issued, I shall not employ anyperson in any manner gDDRE55 435 -E: NOrman _ , SPECIAL- - - - - d
so as to become subject to the Workers Compensation Laws. ` - CONDITIONS v
Date Applicant - CITY_ . .Arcadia. ZIR
NOTICE TO APPLICANT: If, offer'making this Certificate of ARCHITECT OR TEL. DISTRICT ” .GROUP TYPES FIRE PROCESSED BY
ExemENGINEER NO. -
p you should become subject to the Workers -� CON T' ZONE W
Compensation provisions �T r (y� 2 L/,
p p of Labor Code you must forth- ADDRESS - ✓ "�O � � - - J d
With comply with such provisions or.this permit shall be -- -- ----- -- - Z
deemed revoked. _ No STATISTICAL CLASSIFICATION - APT. ONDO.
CONTRACTOR V I r I n Roof Co. No. 287—OS07 � _ -
LICENSED CONTRACTORS DECLARATION - . - --- - --LIC; -- + CLASS NO. Z I DWELL. UNITS,
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS P.O. BOX J NO. 160650 .
(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 San Gabf i e 1 CLASS C39 BKA PG )y - - ` - VALIDATION.' "
g SQ. FT. _ _ NO. OF __ NO.OF- _ CHECK
License Number 160650, Lic.Class C39 , SIZE STORIES FAMILIES ONE - -
_
❑ 7. I
Contractor V 1 rQ 1 n ROOF 'COBaie. 9J DESCRIPTION WORK'23J8S NEW ❑ VALUATION
s ADD
$ 1,24 00
I am exempt under Sec: garage with .A .f
h Class _i.berg l
❑ as . .. ❑ , ,
.I - .. ALTER
B.BP.C. for this reason - COMP. shingles. 17 s ua resREPAIR.,❑ " $
Date:`- USE OF 3 0,3,3,A '
EXISTING BLDG. dw�I I I n DEMOL ❑ _ - q.
Signature - - ' - -' -- APPLICANT TEL. FINAL FF ° �,• ° 1 ,
OWNER-BUILDER DECLARATION PRINT VIrq n Roof Co. NO. 28 -O O _.DATE JQ
I hereby affirm that I am exempt-from the Contractor's License •( .,i• 4:9 8.8
Law for the following reason"(Section 7031.5, Business and ADDRESS P:O. Box J San Gabriel 91778 FIN
"Professions Code): - ' - --' PRE ENT - BY - e e . 4.9�8.8 v
BUILDING
I, as owner of the property, or my employees with _ ADDRESS - '�� t --
wages as their sole compensation,-will f o the(e tion
the structure is not intended or offered for sale Section LOCALITY Q 9,Q 7-8'Jr' / ,
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
{ f
tion 7044, Business and Professions Cade).
- CONSTRUCTION LENDING AGENCY -+ — -REQUIRED. . .YARD -HWY .TOTAL SETBACK.F M. -
SET BACK PROP. LINE WIDTHI
1 hereby affirm that there is a construction lending agency for FRONT
the performance of the work for which this permit is issued P.L. - - --• - "• - I
(Sec. 3097, Civ. C.). SIDE
.- P.L. I
Lender's Name t
$39.38 I LDMA Ref #
P:C. Fee'8. �_ ,. Permit Fee _.
- Lender's Address
_
1.certify that l-have rend this application and state thaL.the __. _ Issuance fee -.10.50- . LDMA P%C--#y - -
¢ above information is correct. I agree to comply with all County - Investigation Fee "'r'"
'.� `�s
ordi)nnes and State laws relating to building construction, - „- - -_ - ..- 49.88-.1 -' )Total Fee - LDMA•Per #L
andby authorize representatives o this County to enter - I
m upoabove-menti9ned prop ty for ection purposes.
n SEE REVERSE FOR EXPLANATORY LANGUAGE O
Sign to of Applicam orAgent - - - Date -- - - - - _ _ _. -- _._, _ -.. '_.._._ _ __ - _ __ _ _ .
COUNTY OF LOS ANGELES TEMPLE CITY n 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD
BUI.LDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1112210006
PHONE: (626) 285-0488 EST:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
ITS: 3623 LT: 110 UN: .003 SQ. FT STORIES TYPE OCCUR GROUPI 8820 HERMOSA DR
__ISTRUCTURE: 576 1 V-B R-3 I TEMP CA 917801815
ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: ROSEMEAD
5387-010-036 OTHER: 400 1 V-P, U 'THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl
(TENANT: EXIST BLDG USE: USE ZONE: 1ISSUED ON: PROCESSED BY:
IEXIST OCC GRP: 07/24/12 SR
I
IOWNER: TEL. N0: JBLDGS. NOW ON LOT: VALUATIONFIN,l1. DATE FIN BY: CODE:
HOA, JIMMY (626) 456-2398- I 104,410 Lp'
Il
435 NORMAN AV 1 -
ARCD 910064626 FEES PAID DEBCRIF�TION OF WORK 11
(ADD 3 BEDROOMS, 1 BATHROOM, CLOSET 576 SQ.FT. 2 CAR CARPORT
IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1400 SQ.FT. PATIO COVER 400 SQ.FT. FRONT PORCH 16 SQ.FT. AND
1APPLICANT: TEL. NO: iICON/ERT (E) BEDROOM INTO DINING ROOM
B1 PLANCHECK W/ENERGY 104410.00 VAL 1,235.70
SEAS, ELI (626) 905-2434-
883 E. 9TH ST. AA BLDG PERMIT ISSUANCE 27.80 ISPE,..IAL CONDITIONS:
POMONA, CA 91766 IAB STATE GREEN BLDG FEE 101410.00 VAL 5.00
I IAC STRONG MOTION REBID 104410.00 VAL 10.40
1 IB2 PERMIT W/ENERGY 104410.00 VAL 1,454.00
(CONTRACTOR: TEL. NO: 108 CERTIF OF OCCUPANCY 101.40 APPROVALS DATE INSPECTOR SIGNATURE
T D T CONTRACTOR, INC. (626) 523-9703 TOTAL FEES 2,834.30
2402 STRATHMORE AVENUE LIC. NO j LOCA:PION AND SETBACKS { 1
KOSEMEAD CA 91770 521176-8 �
* (SOTTLS ENGINEER APPROVAL _
ARCHITECT OR ENGINEER: TEL. NO: (FOUNDATION/TRENCH FORMS
I_ _
LIC. NO: (SLAB/UNDER FLOOR111
Q/
RAI= FLOOR FRAMING
(MAP NO: SEWER NvAP BOOK: PAGE: FIRE ZONE: CMp: JUNDR,F,OOR INSULATION
3 COI
1157 LEVEL FLOOR SHEATH
NO. OF FAMILIES: DWELLING UNITS: APT/CONO: STAT CLASS: 1 04
0 NO 22 12ND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS ROOF SHEATHING
(AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FISH DEPT. FRAME INSPECTI i I
BLp3 DEPT, FRAME INS PECT I/ I
I iBHF.AR PANELS i
�INSCLA_TTON/WEATHER STRIRA1 -7e�lt-
-1-1-
MO—KEDF—TECTION
IIN'fzPIOR LATH/DRYWALL)ESISRIOR LATE DEVICES
DIRE DEPARTMENT APPROVAL(
R ADDITIONAL DATA ON FILE —
IIREPORT ID: DPR261 ROUTE TO: BS6508
COUNTY-OF LOS ANGELES TEMPLE CITY $ 0508 BUILDING PERMIT
DEPAkTME NT OF PUBLIC WORKS 9901 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91980 BL 0508 1210160044
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I N0, OF CONST I BUILDING ADDRESS: 1
ITR: 3623 LT: 110 UN: .0031
SQ. FT STORIES TYPE 8820 HERMOSA DR
STRUCTURE: 500 V-B TEMP CA 917801615
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ROSEMEAD
15387-010-036 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, CI
(TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 TISSUED ON: PROCESSED BY 1
(EXIST OCC GRP: 110/16/12 SR
I I I I
TOWNER: TEL. NO: JBLDGS- NOW ON LOT: VALUATION: (FINAL DATE FINAL BY: CODE:
IHOA, JIMMY (626) 456-2398- 1 900
,3
1435 NORMAN AV �t
ARCD 910064826 FEES PAID _ IDESCRI T ONOFWORK V
ITEAR OFF AND REROOF 30 YR COMPOSITION SHINGLE TO MATCH
IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT: INEW ADDITION
APPLICANT: TEL. NO:
TRAM, THANH (626) 523-9708- IAA BLDG PERMIT ISSUANCE 27.80 1
12402 STRATHMORE AVE JAB STATE GREEN BLDG FEE 900.00 VAL 1.00 (SPECIAL CONDITIONS:
ROSEMEAD CA 91770 IAC STRONG MOTION RESID 900.00 VAL 0.50 1
D2 PERMIT W/O EN-HC 900.00 VAL 65.40 1
1 1 TOTAL FEES 94.90 1
(CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE
IT D T CONTRACTOR INC (626) 523-9708- 1
12402 STRATHMORE AVENUE LIG NO LOCATION AND SETBACKS
IROSEMEAD CA 91770 521176-B
ISOILS ENGINEER APPROVAL
(ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS
_ I I
LIC. NO: (SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: I JUNDERFLOOR INSULATION
1150H261 3 001 1-
IFLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I
0 NO 21 1 (ROOF SHEATHING
I I
SCHOOL WITHIN HAZARDOUS (SHEAR PANELS
(AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
IFIRE SPRINKLER HANGERS
(INSULATION/WEATHER STRIPI
(INTERIOR LATH/DRYWALL
IEXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
IRATED SHAFTS/OPENINGS
I I I
T-BAR CEILINGS
* ADDITIONAL DATA ON FILE
I
_ .ILOT DRAINAGE
I
REPORT ID: OPR261 ROUTE TO: SS0508
I I I I I I