HomeMy Public PortalAbout9015 HERMOSA DR_Building__ TEMPLE CHTY
76A•..A19p.R..11, APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE• COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUP•TOFBDILDING CROSS ST.
DIST ICT NO. RO P GTYPE P SEED BY
FOR APPLICANT TO FILL IN 0 s✓
CONST.
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESSgo
�-$K
CLASS. N DW •j [--�ELL.UNITS (Lj
LOT NO L� BLOCK WATER NOT REQUIRED RECEIVED
TRACT ~ `� CERTIFICATE:
MAP HIGHWAY STATE MAJOR SECOND. O A
SIZE OF LOT I NO. OF NOW ON LOTS NO. f- 1 ICI RCLEI
USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG.
TEL
OWNERNO. BUILDING YARD HWY TREET NAME EXIST.
ADDRESS SETBACK WIDTH
FRONT
ARCHITECT R TEL. P. L. [%
ENGINEER ��//�.(JlJf) NO. SIDE
P. I
ADDRESS 1
TEL. / / INSPECTION RECORD O
CONTRACTOR NO. S/� 76 yi/Yy � � v,X�Q C \ W;
ADDRESS -/ �! _
DESCRIPTION OF WORK �d� ^ �' � � r r rx �,f4j,,
W
d
NEW ADD ALTER REPAIR DEMOLISH
SO.Ff. NO.OF NO.OF ?
IZE STORIES FAMILIES
...OF
STRUCTURE
SIGNATURE OF
APPLICANT 11
VALUATIONS
APPROVALS DATION: /'J.//DATE ,[., INSPEC/TORTS SIG{NA/TURE
p C. PMTFEE $ FEE's •' FO FORMS. MATERIALS UNN FI 1,1 11672
FRAME: FIRE STOPS. ' 1J /Z
I HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICAT BRACING, BOLTS 77 /4�•.(// /'{�
AND STATE THAT THE ABOVE 15 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. �� A',
TION OF THE LABOR CODE OF THE STATF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INS RANCE. % �/ �� ` f/+• ✓�
LATH, EXT.
SIGNATURE SOF HOUSE NUMBER COR- /
PERMITTE `• OUSE NUMBER rEDCOI A/,
ADDRESS FINAL Iq�l/VI I/� I
CLYDE N. DIRAM. PRINC'IP'AL CTL ST RAL ENGINEER
PLAN LCHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION ;cK. -M.G. CASH
I
LA�o 2 4 6 1:� i u, 2 Jr
COUNTY OF LOS ANGELES TEMPLE CITY N 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LARD DEVELOPMENT T::MPLE CITY CA 91780 BL 0508 0406630029
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 5904 LT: 169 UR: .002 SQ. FT STORIES TYPE 9015 HERMOSA DR
STRUCTURE: 1200 VN TEMP CA 917801836
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ROSEMEAD
5384-016-021 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: REBID USE ZONE: R-I ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 06/03/04 VG 05/29/05
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FIt;:L DATE FIN BY: / CODE:
WONG SHING M & AGNES H (626) 286-8754- 5,000 ��! �(,� /Q��) l
9015 HERM.CSA DR v lTL4///amu f/
TEMPLE CITY 91780 FEES AID D BCRIPTION OF W0�
T/O EXIST ROOF, RESHEAT AND INSTALL COMPOSITION SHINGLES
FEE DESCP,i PTICN: QUANTITY: UOM; AMOUNT: i
PPLICAt ; TEL P.0:
SAME AS OWNER - AA BLDG PERi1iT ISSUANCE 27.75 _
AC STRUNG MOTION RESID 5000.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC 5000.00 VAL 132.60
TOTAL FEES 160.85
ONTRAC'F 'R: TEL. NO: APPROVALSDnTE INSPECTOR SI GNATIIP,
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
SOIt.S ENGINEER APPROVAL
r I i'EC"' OR ENGINEER: TEL. N0: F-UNDa,T10"!!TRENCH FO MS -—i
AR_H.
LIC. NO: Si l/UNDER FLOOR
R,Si SED FLOOR FRAMING —�- -- !
MAP NO: SEWER MAP 8'uOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
XX 3 01
N0. OF FAMILIES: DWELLING UNITS: APT/GOND::—STAT CLASS: ALCOR SHEATHING
NO 21 RGUF SHEATHING - —I
SCHOOL WITHIN HAZARDOUS SNGARPANELS
AIR QUALITY: 1000 FEET MATERIALS _
NO NO NO FRAME INSPECTION j
R _UI RED ��ETB.ACK FROM EXIST F�F.!E SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH: _
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
INTERIOF. LATH/DRYWALL �
ET ERROR LATH
RATED FLOOR/CELL ASSEM.
RATED WAIL ASSEMBLIES
RATED S:IAF S/OPENINGS
TT SAR CEILINGS
LOT DRAINAGE
—_ REPORT ID: DPR261 ROUTE TO: BS0508 — - i
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0308220022
` PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
TR: 5904 LT: 169 UN: .002 SQ. FT STORIES TYPE OCCUP GROUP 9015 HERMOSA DR
STRUCTURE: 470 1 VN R3 TEMP CA 917801836
ASSESSOR 0 NUMBER: GARAGE: NEAREST CROSS STREET: ROSEMEAD
5384-016-021 OTHER: THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: -------——-UST ZbNE: D ON: PROCESSED .
EXIST OCC GRP: 09/22/03 JK 09/16/04
OWNER: TEL. NO: BLDGS. NOW ON LOT: ALUATION: FINA DA FINAL BY: CODE:
WONG SHING M & AGNES H (626) 286-8754- 45,000 ��f7
9015 HERMOSA DR I
TEMPLE CITY 91780 FEES PAID D—SB-C ION OF WORK
ADD BEDRM & BATHRM; DEMO SFT OF GARAGE SO GARAGE IS 8FT AWAY
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: FROM ADDITION
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 45000.00 VAL 4.50 SPECIAL CONDITIONS:
B1 PLANCHECK,W/ENERGY---.45000.00 VAL 684.84
B2 PERMIT.W/ENERGY- ;45000.00 VAL 805.70
CONTRACTOR: TEL. N0: f%% /D' L r TOTAL FE S 1.522.79 APPROVALS
DATE INSPECTOR SIGNATURE
SAME AS OWNER - �C''
LIC. NO "�� �.. �� LOCATION AND SETBACKS
r ,
SOILS ENGINEER APPROVAL
ARCHITECT OR N INE R: TEL. NO: �� FOUNDATION/TRENCH FORMS /
1
LIC. N0: _y --- SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: ' CMPy p - -� - i. .� - UNDERFLOOR INSULATION
ST LEVEL FLOOR SHEATH
NO. OF FAMILIES: DWELLING S: RPT/CO D: S AT CLASS•- .NO 21�� ND LEVEL FLOOR SHEATH
SCHOOL WITHIN AZ RDOUS \ ,( R0OSHEATHINGfill,
AIR QUALITY: 1000 FEET MATERIALS \\\�� / -�f(/j
NO NO NO FIRE DEPT. FRAME INSPEC
REQUIRED TO BACK FROM EXIST
/ N'-/ BLDG DEPT. FRAME INS
\ ,ems ` _,L
SET BACK YARD: HWY: PROP LINE: WIDTH: !, Vd/'tel[ ,�%�j (J(/FRONT PL-
SHEAR
PL- �.��9(Vice 1t?a�'�j/ SHEAR PANELS
���-------�/ INSULATION/WEATHER STRIP /
7-
INTERIOR LATH/DRYWALL17
IOR LATH
LO DRAIN GE
SMOKE DETECTION DEVICES
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS0508
COUNTY OF 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 91980 BL 0508 1210240079
PHONE: (626) 2B5-0488 EXT:
(LEGAL ID: NO. OF -GONST BUILDING ADDRESS:
ITR: 5904 LT: ,169 UN: .002 SQ. FT STORIES TYPE 9015 HERMOSA DR
I ISTRUCTURE: VN TEMP CA 917801836
(ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ROSEMRAD
15384-016-021 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
TENANT: IEXIST BLDG USE: RESID USE ZONE: R-2 (ISSUED ON: PROCESSED BY:
IEXIST OCC GRP: - 110/24/12 SR
(OWNER: TEL. NO I IBLDGS. NOW ON LOT- VALUATION: FIrypAL DATE FINAL BY: CODE:
IWONG SHING M 6 AGNES H (626) 286-8754- 1 4,000 ��y/�/�/�
19015 HERMOSA DR IrpyT '
ITEMPLE CITY 91780 FEES PAID IDESCRIPTION OFA I
I (CHANGE FROM FULL BATHROOM INTO 3/4 BATHROOM REMODEL
I -_(FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: (
IAPPLI CAN T: TEL. NO: I
(SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.60
IAB STATE GREEN BLDG FEE 4000.00 VAL, 1.00 (SPECIAL CONDITIONS:
IAC STRONG MOTION RESID 4000.00 VAL 0.50
IE2 PERMIT W/ENERGY 4000.00 VAL 127.40
IFR INV WORK W/O PERMIT 342.20 DOL 342.20
(CONTRACTOR: TEL. NO: TOTAL FEES 498.90 (APPROVALS DATE INSPECTOR SIGNATURE
('SAME AS OWNER - - I I
LIC. NO ILOCATION AND SETBACKS
ISOILS ENGINEER APPROVAL
(ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS I
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
(MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: III UNDERFLOOR INSULATION
1150H265 3 G1 1
I IFLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
1 NO 21 IROOF SHEATHING I I
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
(AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
IFIRE SPRINKLER HANGERS ✓ �'
INSULATION/WEATHER STRIPI
I INTERIOR LATH/DRYWALL
IEXTERIOR LATH
jRATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
I I I
IRATEED SHAFTS/OPENINGS
I I I
T-BAR CEILINGS
I
(LOT DRAINAGE
IRE PORT ID: DPR261 ROUTE T0: BSO508