HomeMy Public PortalAbout9001 HERMOSA DR_Building__ 76A638A CE9803 9-6BAPPLICATION FOR BUILDING PE MIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESSgom 'past. i4ermosa
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER. NEAREST
COLEMAN W. JENKINS, SVF'T of B.11CHNG CROSS ST. /J9
FOR APPLICANT TO FILL IN Dlsr�icr NXoN GR P TYPE P cE D B
ype only) lbI Q I CONST.
(Print ort �
BUILDING STATISTICAL C QSSI FICATION SEWER P
ADDRESS N r CLASS NO. DW ELL.UNITS BKPG�O
LOT NO. BLOCK USE ZONE MAP
NO.
TRACT SPECIAL
N O.OF BDGS. CONDITIONS
SIZE OF LOT NOW OL
N LOT
USE OF
EXISTING BLDG, BLDG.SETBACK FROM
TEL. nn FRONT PROP.LINE OF (STREET)
OWNERT4T. G NO. ,per TY OF EXISTING SETBACK HIGH WAV } YARD = TOTAL
ADDRESS Q West. j, lHIGH WIDTH FROM C.L.
CITY Arcadia
}
BLDG.SETBACK F
ARCHITECT OR TEL. SIDE PROP. LINEOF (STREET)
ENGINEER NO. TV PE OF E%ISTING SETBACK YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L. WAV }
TEL. 6
CONTRACTORS i
n C
ADDRESS 600 S. San Gabriel Blwo. CORNER CUTOFF YES ❑ ❑ C
CITYr• GLASS t SEE REVERSE SIDE FOR SPECIAL APPROVALS 4
CONSTRUCTION LENDER a
NAME AND BRANCH Z_
ADDRESS
SQ. FT. NO. OF NO. OF NEW ❑
SIZE STORIES 1 FAMILIES
USE OFADD ❑
STRUCTURE .TE l '
ALTER ❑
SIII
��GNATURE OF RE PAIRbJ
APPLICANT DEMOL ❑
VALUATION 5L11, 00APPROVALS DATE INSPECTOR'S SIGNATOR[
P,C. PMT. FOUNDATION: LOCATION
FEES FEES q,Oo 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 ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
ST RUC TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY 1 WILL NOT"EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF CAL.IFOR NIA IN RELATING TO
WORKMEN'S COMPENSATI 1 INSURANCE. LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS, PRINCIPAL STR RAL ENGINEER
PLAN CHECK VALIDATION GK. KIP, CASH _ PERMIT VALIDATION cK. M.O. DASH
I r. w 0.J 3 7 MAY 0,00-
u
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1304100013
PHONE: (626) 285-0488 EXT: DUPLICATE
ITS: ID: NO. OF CONST BUILDING ADDRESS: 1
ITS: 5904 LT: 168 SQ. FT STORIES TYPE
1 9001 HERMOSA DR I
I IISTRUCTURE: 1600 VN TEMP CA 917801836 1
(ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET. ROSEMEAD 1
15384-016-018 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl
(TENANT IEXIST BLDG USE: RESID USE ZONE: R-2 (ISSUED ON: PROCESSED BY:
IEXIST OCC GRP: - 104/10/13 SR
TOWNER: TEL. NO: iI BLDGS. NOW ON LOT: VALUATION: FJI9PTE FIIYAL BY: CODE:
GARPID, THELNA (626) 642-5511- 7,000 /VIy{ {1 �3 —/1I�o/1/`
19001 HERMOSA DR
ITEMP 917801836 FEES PAID IDEACRIPTION OF WORK
TEAR OFF EXISTING ROOF, RE-SHEET AND INSTALL 30 YEAR COMP
IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ISHINGLES
(APPLICANT: TEL. NO:
SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80
IAB STATE GREEN BLDG FEE 7000.00 VAL 1.00 SPECIAL CONDITIONS:
IAC STRONG MOTION RESID 7000.00 VAL 0.70
ID2 PERMIT W/O EN-HC 7000.00 VAL 166.20
TOTAL FEES 195.70
(CONTRACTOR: TEL.. NO: (APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO ILOCATION AND SETBACKS
ISOILS ENGINEER APPROVAL 1
1ARCHITECT OR ENGINEER: TEL. NO: I FOUNDATION/TRENCH FORMS
I I II I
" LIC. NO: (SLAB/UNDER FLOOR
I
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( - UNDERFLOOR INSULATION
1150H265 3 001
1FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I
NO 21 IROOF SHEATHING
SCHOOL WITHIN HAZARDOUS (SHEAR PANELS
(AIR QUALITY: 1000 FEET MATERIALS
NO NO NO (FRAME INSPECTION
(FIRE SPRINKLER HANGERS
II I
I I (INSULATION/WEATHER STRIP( I I
1 IINTERIOR LATH/DRYWALL
i iEXTERIOR LATH
(RATED FLOOR/CELL ASSEM.
- - RATED WALL ASSEMBLIES
I I
RATED SHAFTS/OPENINGS
I I I
T-BAR CEILINGS
I
iLOT DRAINAGE
IREPORT ID: DPR261 ROUTE TO: BS0508 -
I I II II I I
` COUNTY-0F LOS ANGELES TEMPLE CITY k 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BE 0508 0804290003
PHONE: (626) 285-0488 EXT:
ILEGAL ID: NO. OF CONST BUILDING ADDRESS:
ITR: 5904 LT: 16B SQ. FT STORIES TYPE 9001 HERMOSA DR
ISTRUCTURE: VN TEMP CA 917801836
(ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ROSEMEAD 1
15384-016-018THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl
I I
TENANT: IEXIST BLDG USE: RESID USE ZONE: R-2 JISSUED ON: PROCESSED 8Y: EXPIRES ON:
IEXIST OCC GRP: 104/29/08 SR 10/26/08
OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IIF AL DATE FIN BY: CODE:
CARPIO, THELMA (626) 642-5511- 1 - 3,500 1
19001 HERMOSA DR
FEES PAID (DESCRIPTION OF WORK
TEMP 91]801836 '
T INSTALLATION OF EXTERIOR STUCCO ON WEST AND EAST ELEVATION
IFEE DESCRIPTION: QUANTITY: POM: AMOUNT: 1 T
APPLICANT: TEL N0: I
(SAME AS OWNER - 11AN BLDG PERMIT ISSUANCE 27.75 1
1
AC STRONG MOTION RESID 3500.00 VAL 0.50 (SPECIAL CONDITIONS:
111 ID2 PERMIT W/0 EN-HC 3500.00 VAL 115.80
TOTAL FEES 144.05
CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO (LOCATION AND SETBACKS
ISOILS ENGINEER APPROVAL
1ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS
LIC. NO: 1 SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 UNDERFLOOR INSULATION
115OH265 3 011
FLOOR SHEATHING
IND. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: T
NO 21 (ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS V SHEAR PANELS
(AIR QUALITY: 1000 FEET MATERIALS
NO NO NO (FRAME INSPECTION
IREQUIRED TOTAL SETBACK FROM EXIST 11 (FIRE SPRINKLER HANGERS 1 1
ISET BACK YARD: HWY: PROP LINE: WIDTH: I
(FRONT PL- (INSULATION/WEATHER STRIP
SIDE PL-
(INTERIOR LATH/DRYWALL .1
IEXTERIOR LATH T
RATED FLOOR/CELL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
IREPORT ID: DPR261 ROUTE TO: SS0508 -
I I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0412070005
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 5904 LT: 168 SQ. FT STORIES TYPE 9001 HERMOSA OR
STRUCTURE: VN TEMP CA 917801836
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ROSEMEAD
5384-016-018 THOMAS PAGE: 596 GRID: H3 LOCALITY; TEMPLE CITY, C
TENANT: EXIST BLDG S RESID USE ONE: R- ISSUED 0 PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 12/07/04 JK 12/02/05
OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: FINAL ATE FINAL BY: CODE:
CARPIO, THELMA (626) 642-5511- 2,000 /"-
9001 HERMOSA DR
TEMP 917801836 FEES PAID DESCRIPTION OF WORK
STUCCO AND BRICKS ON SOUTH WALL OF RESIDENCE.
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 2000.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC 2000.00 VAL 82.20
FR INV WORK W/O PERMIT 128.50 DOL 128.50
TOTAL FEES 238.95
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
XX 3 01
N0. OF FAM I LL WENG UNITS: APT/CO STAT CLASS: FLOOR SHEATHING
NO 21 ROOF SHEATHING
00 WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FR M EXISTE SPRINR�T KLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEL ASSER7
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508