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HomeMy Public PortalAbout9031 HERMOSA DR_Building__ ` APPLICATION FOR Il ' BUILDING PERMIT F OR APPLICANT TO FILL IN ADDRESS �-N LDING ADDRESS L/J/ LOCALITY //�� /� �^✓'. _ .. NEAREST. LM ((_, ' C/ F I ZIP CROSSST. NO.UFBLD65. ASSESSOR F LOOTTy Jam/ `� NOW ON LOT- z�/J MAP BOOK - PAGE PARCELT J / p BLOCK LOT NO. s c> " DISTRICT GROUP TYPE FIRE EDB CONSTTEL. ,oER - NO._ STATISTICAL CLASSIF1CAiffON SEWER AAAPRESST uKA,1�Jt �7 E\N L - CLASS NO.•DWELL.UNITS BK PG / �� ���.� �1 ZIP US ZONE NOAP .ITECTOR TEL, " SPECIALL/NEER NO. CONDITIONS RESS (� - G �j ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NORACTO��R//� V C NO. 7 od/ BLDG.SETBACK FROM RESSlT'00 ee U " TN / /�- FRONTPOP. INEOF - ISTREETI�[J /�Y HIGHWAY -+ YARD = TOTAL SETBACK FROM TYPE OF EXISTING / / -CLASS /✓JFRONT PROP`LINE- HIGHWAY WIDTSTRUCTION'LENDER-- - — +_.E AND BRANCH BLDG.SETBACK FROM - ORESS CITY SIDE PROP.LINE OF ISTREETI O SO FT.3 NO OF NO.OF CHECK HIGHWAY f+ YARD = TOTAL SETBACK FROM TYPE OFV EXISTING w SIZE STORIES /�' /FAM[LIIEESS ONE SIDE PROP.LINE HIGHWA. WIDTH DESCRIPTION OF WORK /v 1C=' ./1 QD/I'Y NEW , ❑ +- T/-� RV C A ADD ' CORNER CUTOFF YES ❑ NO ❑ ._.. _ ALTER. ❑ IN OPEN SPACE YES ❑ NO ❑ USE OF REPAIR ❑ IN COASTAL PERMIT ZONE YES ❑. NO ❑ EXISTING BLDG � `/� )1I J np DEMOLL ❑ y U _ APPLICANT /7 V�. . _ NO.// O,c TEL / 101/77 1/lf0 OF- F.J, BY ISIGNAIUREI - - l/?1-- HEREBY ACKNOWLEDGE THAT 1HAVE READ THIS APPLICATION'AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION_I CERTIFY THAT IN DOING THE "WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY RERSON'IN VIOLATION OFTHE LABOR CODE OF THE STATE OF CAUHDRNIA IN RELATING TO WORKMEN'S COM,n PENSATION INSURANCE. �'Q i SIGNATURE QF - H`JC'%�, f� FINAL / f(/ BY PERMITTEE O 0 b` 5 DATE ADDREESSS /�. ` CITY �^Z �ffI4 I�NO�0p6 1 A' P'C. Fee$ Permit Fee Issuance Fee VALUATION$ / DO,�'. Total Fee PLAN CHECK VALIDATION' -"CK.. 'M.o..'-cwsp„ PERMIT VALIDATION cK.' m.o. CASH 1,5 9i SEP 30 1 D' 7 5.7 5 a &S. 7GA6388 CC/8038 6/78 - - - - 1/-DQ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES BUILDING -WMlJ. FOX, CHIEF ENGINEER .FOR-APPLICANT'TO FILL-INFOR OFFICE USE ONLY BUILDING /,,//, DISTRICT NO.' PLANCK. NO. C'PERMI-Ts NO. ADDRESS �:. .3 /V„/l S 7 9 /6jn J� REQEIVED BY. DATE OF APPL. /�"DATE ISSU/ED LOCALITY aJ ,• .l J �(.1,(,I - -IZ44, . _- % �J.�i NEAREST "F CROSSST. 'yA��� .(I ' 1, BUILDING. ?t) 3 / / / /d� A'L!N ADDRESS (p�f P iyyl a OWNER G /1 MAILLOCALITY /� ADDRESS vl 9.� ' Jpj,.dp lam. V O - NEAREST - QQ'' ����'' ttAA //�� � TIL'. /�, yII CROSS ST. CITY Otelyt", . I A," NO. LLf I M1 YO ,� FIRE I NO. OF ( TYPE I GROUP ARCHITECT ORI ' TEL _ ZONE PLANS ENGINEER NO. BLDG. nn � [�1 OR NO .. SETBACK LINE �A FPL /LyG/L ADDRESS APPROVED /,/ /�-�^ (� TEL. 'BYDATE, CONTRACTOR /{1jjpJg1w /V_(Inyylj NO. d �� USfi APPROVED ' ,ADDRESS - ^^ I - ZONE �' I BY DATE =U -^.� P'- .->.- —HOUSE-NUMBERING- LEGAL ,--_..('1I11 —_. _ _ --- HOUSE-NUMBERING LEGAL DESCRIPTION LOT NO. I BLOCK- MAP NUMBER FIELD CHECK BY TRACT NO. ASSIGNED BY DATF No. of BLDGs. CORRECTIONS - SIZE OF LOT NOW ON LOT USE OF NO. OF EXISTING BLDG. FAMILIES DESCRIPTION OF WORK NEW I, I ALTERATION I ADDITION 0 REPAIR ( DEMOLITION - I I - - - - — - - - ' 9- NO. OF - G SIZE ROOMS STORIES Z 1 EXT, WALL ROOF - r COVERING ( COVERING USE OF STRUCTURH - APPROVALS INSPECTOR'S SIGNATURE DATE I HERESY ACKNOWLEDGE THAT 1HAVE READ THIS AP FOUNDATION: LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS CORRECT. - - 1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, ' HEREON AND,WITH ALL COUNTY ORDINANCES AND $TATE _BRACING, BOLTS LAWS REGULATING BUILDING CONSTRUCTION. - FURNACE: LOCATION, SIGNATURE OF I� //�[,��� '^/ GAS VENT, DUCTS PERMITTEE ��1'�-I V' �`"^'r"✓I'LtiP.� - ^ LATH, INT. ADDRESS LATH, EXT. - AUTHORIZED AGT: PLASTER, INT. - 90AOfAA• DBU ID-00' FEE o(,I� PLASTER, EXT. VALUATION . - -. FEE S FINAL C t,, I DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES p p L® � p WM: J: FOX, CHIEF ENGINEER U - LI '.FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY v ING DISTR T NO. PLANCK. NO. \ PERMIT NO. SS G'Q;_;. GL'JAJN••,O'+7.vll �9n,. / �- ) if7 y ITY I`�i'. �( ;Km I Y.- DATE OF APPL. DATE ISSUED NEAREST ST. _�S�s�Z-��•-�ti-.,.�� BUILDINGEA +,�_ ADDRESS YY�- LCy L`H..- LOCALITY,S9 (J V�Va�I _ - NEAREST„/„p_IYI A �s TE I - CROSS ST.P-•_t-. 7 FIRE NO. OF T GrP TECT OR / • TEL. ZON6 PLANSA�EER � NO: 'BLDG.SETBACK LINE59 APPROVED - f f�JTEL. BY DATE ACTOR' 10 .p NO. USEJ APPROVED ZONE BY DATE SS HOUSE NUMBERING LEGAL - _ �1 FIELD^CHECK BY -DESCRIPTION_;I,LOT,N_O._ ,6 - _BLOCK rT :.MAR-.NUMBER �, 1 _ _ _ _ i TRACT _ Ci NO. ASSIGNED BY , / (.I_ DATE /., n INO. OF SLOGS. a, - CORRECTIONS.- - SIZE OF LOT } Q ',J( y NOW ON LOT !- EXI TINOF, NO. OF / EXISTING BLDG,. FAB. OUES F .DESCRIPTION OF WORK NEW ALTERATION I I ADDITION IX B-N/n/g. 2 rt✓Cr D REPAIR "I;DEMOLITION I ' I I F SQ.-FT. NO. OF / P/ Fn SZ IP�I� YH'If J M Ll SIZE - - ROOMS STORIES. 1 Z r EXT. WALL �{.�..�. ROOF ..[='�v�..,-.-.�e - r COVERING /•��LLLCCt COVERING /JMA•�y�Ca. USEOFSTRUCTU / o F/toAr l�oncL! A-o GA 4 C�aS r d hTR1 �>b J/ APPROVALS INSPECTOR'S SIGNATURE DATE I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS AP- FOUNDATION: LOCATION PLICATION AND;.STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS CORRECT. J AGRER TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRESTOPS, HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS (a LAWS REGULATING_JBUILDING CONSTRUCTION. FURNACE: LOCATION, SIGNATURE OF .Y.hj_� GAB VENT, DUCTS ATI PERMITTEES J�II=- � � �/ Q-k�( - 903 a LATH, INT. V ADDRESS qA^� ���- V V` 1 I.' �M♦ - i LATH, EXT. ~` L. AUTHORIZED PLASTER, INT. 96ABSBA. DB.i'- 10-W $ P. C. $ 0 A FEE PLASTER, EXT. VALUATION FEE FINAL �q, SS -L I l COUNTY OF LOS ANGELES TEMPLE CITY g 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9]01 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1009300073 PHONE: (626) 285-0488 EXT: (LEGAL ID: NO. OF CONST BUILDING ADDRESS: ITR: 5904 LT: 307 SQ. FT STORIES TYPE I 9031 HERMOSA DR I (STRUCTURE: V-B TEMP CA 917801836 ASSESSOR INFORMATION NU ER: NEAREST CROSS STREET: 1 15384-016-043 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl (TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 11SSUED ON: PROCESSED BY: 1 IEXIST OCC GRP: 109/30/10 SR OWNER: TEL. N0: IBLDGS. NOW ON LOT: VALUATION: FINAj,pATE�y / FIJ.AL BY: CODE: STROBEL, CHERT (626) 287-7562- 8,440 �I L FLNACtntBY/)V_I` 19031 HERMOSA DR TEMP 917801836 FEES PAID DESCRIPTION OF WORK REPLACING 8 WINDOWS SWAPPING OUT OLD WOOD WINDOWS FOR NEW IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT: (ANDERSEN FIBREX WINDOWS 1APPLICANT: TEL. NO: I 1KEN EDWARDS (951) 657-4179- IAA BLDG PERMIT ISSUANCE 27.80 1 118890 SEATON AVE IAB STATE GREEN BLDG FEE 8440.00 VAL 1.00 SPECIAL CONDITIONS: 1PERRIS, CA 92570 IAC STRONG MOTION RESID 8440.00 VAL 0.80 1 1 ID2 PERMIT W/O EN-HC 8440.00 VAL 200.30 TOTAL FEES 229.90 CONTRACTOR: TEL. NO; 1APPROVALS DATE INSPECTOR SIGNATURE 1DESIGNER SASH AND DOOR SYSTEM, INC. (951) 436-3317- I 1 1 116890 SEATON AVE. LIC. NO I (LOCATION AND SETBACKS 1PERRIS, CA 92570 595166B I 1 ISOILS ENGINEER APPROVAL 1 ARCHITECT OR ENGINEER: TEL. N0: (FOUNDATION/TRENCH FORMS LIC. NO: 1 1SLAB/UNDER FLOOR 1 1 RAISED FLOOR FRAMING I I I I I I MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( 1UNDERFLOOR INSULATION 1150H265 3 OOI I 1 I 1 I I IFLOOR SHEATHING I IND. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1 I 1 1 1 NO 21 IROOF SHEATHING 1 1 SCHOOL WITHIN HAZARDOUS I SHEAR PANELS 1AIR QUALITY: 1000 FEET MATERIALS 1 1 1 1 NO NO NO 1FRAME INSPECTION FIRE SPRINKLER HANGERS INSULATION/WEATHER STRIPI I I INTERIOR LATH/DRYWALL I 1 I 1EXTERIDR LATH 1 1 1 RATED FLOOR/CEIL ASSEM. 1 RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS I 1 1 1LOT DRAINAGE 1 1 1 I IREPORT ID: DPR261 ROUTE TO: BS0506 I I I I I I ` COUNTY,OF LOS ANGELES TEMPLE CITY H 0508 BUILDING PERMIT DEPARTMENT OF,PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1309300060 PHONE: (626) 2B5-0488 EXT: ILEGAL ID: NO. OF CONST BUILDING ADDRESS: T ITR: 5904 LT: 307 SQ. FT STORIES TYPE 9031 HERMOSA DR T ISTRUCTURE: V-B I TEMP CA 917801836 [ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ROSEMEAD 15384-016-043 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY CAI I I ITENANT: IEXIST BLDG USE: REBID USE ZONE: R-1 JISSUED ON: PROCESSED BY: IEXIST OCC GRP: 10/03/13 SR TOWNER: TEL. N0: BLDG5. NOW ON LOT: VALUATION I FINA D}TE FINAL BY: CODE: I STROBEL, CHARISE - 9,000 11�!'�/J'Hl / 19031 HERMOSA DR l g ITEMP 917801836 FEES PAID IDESCRIPTrON OF WORK I (E) BATHROOM ROMODEL - NEW SHOWER AND NEW 2 X 4 WINDOW IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1 IAPPLICIVNT: TEL. NO: ISAME AS OWNER - IB1 PLANCHECK W/ENERGY 9000.00 VAL 186.80 AA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS: IAB STATE GREEN BLDG FEE 9000.00 VAL 1.00 1AC STRONG MOTION REBID 9000.00 VAL 0.90 IB2 PERMIT W/ENERGY 9000.00 VAL 219.60 CONTRACTOR: TEL. NO: TOTAL FEES 436.30 JAPPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER I I LIC. NO I ILOCATION AND SETBACKS I I (SOILS ENGINEER APPROVAL TAACHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: I (SLAB/UNDER FLOOR I I I RAISED FLOOR FRAMING I I I I EMAP N0: SEWER MAP BOOK: PAGE: FIRE 20NE: CMP: JUNDERFLOOR INSULATION 3 OOI TFLOOR SHEATHING I' ANO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I NO 21 1 (ROOF SHEATHING I I I I I SCHOOL WITHIN HAZARDOUS I ISHFAR PANELS 1AIR QUALITY: 1000 FEET MATERIALS ^ NO NO NO FRAME INSPECTION 1 (FIRE SPRINKLER FANGERS [/ INSULATION/WEATHER STRIP( (INTERIOR LATH/DRYWALL IEXTERIOR LATH 1RATED FLOOR/CEIL ASSEM. I I I I I (RATED WALL ASSEMBLIES I I (RATED BHAFTS/OPENINGS I I I T-BAR CEILINGS I � I ILOT DRAINAGE I iREPOAT I0: DPR261 ROUTE TO: BS 0508 COUNTY'OF LOS ANGELES TEMPLE CITY N 0502 BUILDING PERMIT DEPARTMENT OF'PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1404160047 PHONE: (626) 285-0488 EXT: (LEGAL ID: NO. OF CONST BUILDING ADDRESS: ITR: 5904 LT: 307 SQ. FT STORIES TYPE 9031 HERMOSA DR 1 I (STRUCTURE: V-B TEMP CA 917801836 1 (ASSESSOR INFORMATION NUMBER: NEAREST-CROSS STREET: ROSEMEAD 15384-016-043 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY CAI I I 1TENANT: (EXIST BLDG USE: REBID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: (EXIST OCC GRP: 104/17/14 SR 1 (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IINAL DATE F/�S�AI/,��BY: CODE: STROB EL, ARI$E 20,000 �r 19031 HERMOSOSA DR (TEMP 917801836 FEES PAID (DESCRIPTION OF WORK 1 (KITCHEN REMODEL 1FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1 (APPLICANT: TEL. N0: (SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 IAB STATE GREEN BLDG FEE 20000.00 VAL 1.00 JSPECIAL CONDITIONS: IAC STRONG MOTION RESID 20000.00 VAL 2.00 IB1 PLANCHECK W/ENERGY 20000.00 VAL 359.60 C1 PLANCHECK W/HC 20000.00 VAL 343.20 (CONTRACTOR: TEL. NO: TOTAL FEES 733.60 JAPPROVALS DATE INSPECTOR SIGNATURE (SAME AS OWNER - I LIC. NO (LOCATION AND SETBACKS (SOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER: TEL. NO: 1 (FOUNDATION/TRENCH FORMS LIC. NO: (SLAB/UNDER FLOOR I I I RAISED FLOOR FRAMING I I I (MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( (UNDERFLOOR INSULATION I I I 001 (FLOOR SHEATHING I NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 (ROOF SHEATHING SCHOOL WITHIN HAZARDOUS (SHEAR PANELS (AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION (FIRE SPRINKLER HANGERS I � � INSULATION/WEATHER STRIP( O INTERIOR LATH/DRYWALL (EXTERIOR LATH I I (RATED FLOOR/GEIL ASSEM. I I I RATED WALL ASSEMBLIES I I I 1 IRATED SHAFTS/OPENINGS T-BAR CEILINGS (LOT DRAINAGE (REPORT ID: DPR261 ROUTE TO: BS0308 I I I I I I