HomeMy Public PortalAbout9113 HERMOSA DR_Building__ BA BB9 A,GE xBDB B-BB" APPLICATION FOR,BUILDI G PER u
COUNTY OF LOS ANGELES BUILDING 9/ 3
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LocALlry
"JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN Dl sl�r�ICT,NO. GR TYPE�asT. 'PRo esEOB
(PRINT O TYPE ONLY) / / Tr
BUILDING / /f STATISTICAL CLA ICATION SEWER MAP
POOR ..
J /�
` _
CL A 55 N0. _ DWELL.UNITS BK
LOT NO. 3..7 BLOCK USE ZONE NOP D�
TRACT 9O SPECIAL
No.
O OF BLOCS. CONDITIONS
SIZE OF LOT 0 ��O NOW ON LOT L _
USE OF
EXISTING DG. BLDG. SETBACK FROM
- A TEL• / FRONT PROP. LINE OF (STREET)
OW NER o/ .4• E NO. ( TYPE OF EXISTING 5ETBACK HIGHWAY F YARD = TOTAL.
ADDRESS / HI WAY WIDTH FROM C.L.
CITY � Poe
9 _
DG.SETBAC
ARCHITECT OR - TEL. SIK
ENGINEER N0. _ SIDE PROP. LINE OF (STREET)
TYPE OF EXISTING SETBACK AY '+' YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL. _ >_CONTRACTOR NO. 2
LIC'
ADDRESS LIC CORNER CUTOFF YES ❑ ❑
NO. V
CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS 0
CONSTRUCTION LENDER - ~
NAME AND BRANCH w
a
N
ADDRESS Z
SQ. FT. NO. OF NO. OF - ❑
SIZE STORIES FAMILIES NEW
USE OF ADD ❑
STRUCTURE ) ��,1
ALTER ❑
REPAIR
SIGN TURE OF DEMOL •❑
APP ICANT
VALUATION S APPROVALS GATE IusvEc ro R•s SIGNATURE
P.C. PMT. FOUNDATION: LOCATION
FEE'$ FEE $ j . &—o FORMS,
ORMS MATERIALS
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS,
BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- FURNACE: LOCATION,
GAS VENT DUCTS
TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY
WILL NOT EMPLOY ANY PERSON"IN VIOLATION OF THE LABOR CODE LATH, INT."
OF THE STATE OF CALIFORNIA IN RELATING TO WORf N'S COM-
PENSATION INSURAN E
LATH, EXT.
SIGNATURE OF
PERMITTEE HOUSE NUMBER CORRECT
AND POSTED
AD DR ES FINAL
JOHN F. LEWIS, PRINCIPAL ST URAL ENGINEER
PLAN CHECK VALIDATION CN, M.o. CASH - PERMIT VALIDATION cN. M.O. CASH
I. ,2 s o.s'�' Oci31 1 D 6.00
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` 7,6A633A GE48033-68 APPLICATION FOR .BU'CLDI G PERM
"COUNTY OF LOS ANGELES BUILDING .
DEPARTMENT -OF COUNTY ENGINEER ADDRESS cv
BUILDING AND SAFETY DIVISION LocAuTv
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST_.
COLEMAN W. JENKINS, SUPT or BUILDING , - - ---'-
CROSS ST
FOR APPLICANT TO FILL IN Dls4r�l CT NO. I GR P .YPE- .y, -PRO S BY
(Pri wOr type only) V CONST v
BUILDING ! /7q STATISTICAL Cy SIFICATION SEWER MAP.
ADDRESS {VDJ CLASS NO. DWELL,UNITS - BK,EBG
LOT NO. S BLOCK USE-ZONE [MAP' ""jj
NO. O�jJ •'r
TRACT �' SPECIAL
! NO.OF BLDGS. /J NO.
SIZE OF LOT NOW ON LOT-
USE OF
EXISTING BLDG. BLDG,SETBACK FROM -
V" L. _ `D FRONT,PROP,LINEOF - --(STREET).
OWNER d
TYPE OF ESTING SETBACK HIGHWAY} _} YARD- - TOTAL
ADOR ESS
" L HIGHWAY WIDTH FROM C.L.
.'
� '"/� W -
CITY U' D - . __ }
AROHITECT R TEL. BLDG,SETBACK FROM
ENGINEER NO. SIDEPROP,LINEOF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY } YARD'p-p,-TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL, }
CONTRACTOR LIC. INO. a
ADDRESS NO. CORNER CUTOFF YES'❑ - NO ❑ V
CITYc�nss ;\• SEE REVERSE SIDE FOR�SPEC IAI:�APPROVA'LS
1 .e3� :, t: \tom
DESCRIPTION OF•WORK W
—69 Iix.�fi
NEW ADO ALTER REPAIR DEMOLISH _.�- '•: 2:? J yid n \, �)«�� \ y�
SO. FT. NO. OF ,NO, OF
SIZE So STORIES FAMILIES P F'
USE OF ql'/
STRUCTURE
ATURE ,�pp���� w
APPLICANT •L/µ
VALUATION $ X/!Y /C d
v Ir APPROVALS DATE INSPECTOR'S 514NATURE
P.C. PMT. FOUNDATION: LOCATION ''J o,,
FEES FEES 7 171 .FORMS, MATERIALS / - O- f l 9,
FRAME: FIRE STOPS_,
1 HEREBY ACKNOWLEDGE THAT I 'HAVE READ THIS APPLICATION BRACING, BOLTS44.
ANO STATE THAT THE ABOVE IS 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 WILL NOT EMPLOY ANY PERSON IN VIOLb =F l A
TION OF THE LABOR CODE OF THE STATE OP'GUF9 NIA RELAT, rFF
TH, INT. / A/'- yWe
ING TO WORKMEN'S COI P NSATION INSURANCE. TH, EXT.
SIGNATURMITTEE OF ,l USE NUMBER COR-
PER -
RECT AND POSTED _
ADDRESS
AL � U _
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER -
PLAN CHECK VALIDATION CK, M.D. GASH PERMIT VALIDATION DH. MD. ,CA9H
JUL 7
J
;A„aA=Eu,o,a APPLICATION. FOR BUILDING PERMIT 1'
' COUNTY OF LOS'ANGELES
BUILDING (}J
DEPARTMENT OF COUNTY ENGINEER: , ADDRESS J// l//: - / ' "�/ ✓LL
BUILDING AND SAFETY DIVISION' LOCALITY �+
JOHN A. LAMBIE, COUNTY ENGINEER NEARESTI
CASSATT D. GRIFFIN, SUPT OF BUILDING-- CROSS ST.
f DIST T N O P TYPE +' - P OCE ED BY '
FOR APPLICANT TO FILL IN DONE -
- BUILDING, STATISTICAL C64SSIFICATION I SEWERiMAP ` -
ADDRESS � K r'�
7 CLASS. NO. �D/WyEII. VNITS -
LOYNO.'-�/' - BLOCK. NUMBER -� V / STATE ,YES-
TRACT U')/ !O USE-ZONE SPECIA
NO.OF BLDGS. CONDITIONS -
SIZE OF-LOT IS. NOW I LOT
USE OF. _ ..
EXISTINGBLDG A'I - EXIST. .
SETBACK YARD STREET NAME` -WIDTH
OWNER FRONT ��� / .
MAIL �''n P.L.
1//1 �Z�/1NY�•K/ 1
ADDRESS ( 510E - _ ,
TEL. P.L. -
''.ciTY NO. ' INSPECTION RECORD
ARCHITECT OR TEL. _
ENGINEER 44 NO. 1, -
ADDRESS d- ..1
TEL
CONTRACTOR I NO.Ale
ADDRESS
DESCRIPTI N ,WOR%
NEW ADD ALTER REPAIR DEMOLISH / ,p /,
SO FT. q O - ` NO. OF NO. OF �O-I��/O n' / pl-.fA
of STORIES - FAMILIES /
USE OF -z-
CT • .Gr/<�/GI's 1/�S7J -!k''F--�YIJW-<
STRUURE(.CC-CtiyyliaQ -
i
SIGNATURE OF -
'APPLICANT
APPROVALS - DATE INSPECTOR'S SIGNATURE
ADDRESS 22&j FOUNDATION: LOCATION'
.'FORMS, MATERIALS '
VALUATION $' FRAME:.FIRE STOPS. -
_ ,BRACING, BOLTS-
s.s�.. FURNACE: LOCATION.
P.C. PMT. uta ,GAS VENT,DUCTS
FE .FEE $. - -
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH, INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLYWITH,ALL COUNT;Y.ORDINANCES AND
STATE,LAWS REGULATING BUILDING CONSTRUCTION, LATH, EXT'. - I=
SIGNATURE OF HOUSE NUMBER COR-
'• PERMITTEw RECT AND POSTED
ADDRES's' FINAL O�I7 6C F-G6G
CLYDE N. DIRLAM, PR INC I PAL STRUCTURAL'EllrG—IMEEN
'PLAN CHECK VALIDATION CK' M'o. .o H PERMIT VALIDATION :=K>,' R.Q. GASB
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY J LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0406030013
i PHONE: (626) 285-0488 EXT: _
LEGAL ID: H0. OF CONST _ BUILDING ADDRESS: - -
tR: 5904 LT: 359 SQ.-FT STORIES TYPE 9113 HERMOSA DR
STRUCTURE: 1900 VN TEMP CA 917801919
ASSESSOR INFORMATION NUMBER.: NEAREST• CROSS•STREET: LOMA
5384-014-033 - - - THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, C
TENANT: - EXIST BLDG USE: RESID USE ZONE: R ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: ` l 06/03/04 VG 05/291,'05
OWNER: TEL. NO: BLOGS. NOW ON LOT: - VALUATION: FINAL DATE FINAL BY: CODE:
ALL'A MICHELE F (626) 287-0277- _ <. 8,360
9113 HERMOSA DP. / 7
TEMP 917801919 - � _ FEES PAID DESCRIPTION OF WCRK
T/0 3 LAYERS OF ROOF, RESHEAT AND INSTALL 30-YR FIBERGLASS
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SHINGLES
APPLICANT: TEL. NO:
EAGLE ROOFING (626) 446-6466- AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION REBID 8300.00 VAL - 0.83 SPECIAL CONDITIONS:
D2 PERMIT.W/O EN-HC 8300.00 VAL 199.80
TOTAL FEES 2?8.38
CONTRACTOR: TEL. NO:. APPROVALS DATE INSPECTOR SIGNATURE
EAGLE ROOFING (626) 446-6466-
2650 S MYRTLE AVENUE #1 LIC- NO LOCATION AND SETBACKS
MONROVIA, CA 91016 ✓ 698529 C39
SOILS ENGINEER APPROVAL
ARCH?TECT OR ENGINEER: TEL. NO: FOUNCATION/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MA? NO: SEWER PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
XY. 3 01
FLOOR SHEATHING
NO--GF FAMILIES: DWELLING UNITS: APT/CONDI STAT LASS-
NO
SS-
NO 21 ROOF SHEATHING
SCHOOL WI HIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
.- - RATED.FLOOR/CEIIL ASSEM. -
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: SS0508