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