HomeMy Public PortalAbout9122 HERMOSA DR_Building__ APPLICATION FOR BUILDING PERMIT'
FOR APPLICANT TO FILL IN (Print or type only)BUILDING COUNTY OF LOS ANGELES
ADDRESS 9 12-2 6 Ia a r M i.,sc,=V DEPARTMENT OF COUNTY ENGINEER
CITY e L Ci-4 ZIP 911-160 BUILDING AND SAFET7 DIVISION
�J
NO.OF BLDGS, BUILDING
SIZE OF LOT Cj0 A I S'b NOW ON LOT Z ADDRESS i 7
TRACT , 3d BLOCK LOT NO. LOCALITY
TO EK 4, Lo L- riA.H w- TEL.na NEAREST
OWNER Nil NO.28C 4'4T1 CROSS ST.
Ave- ASSESSOR
ADDRESS
-2--L G s (iY O AMAP BOOK PAGE PARCEL
DISTRICT GROUP I TYPE FIRE PROLE SED B
CITY TPJLR jL C-F.•Vj ZIP GI 17 6 l� -1 y� CONST. ZONE �
ARCHITECT OR �" TEL. C 1(/ yr-
ENGINEER CS K. 0(xin NO.�L'4l•'14,C' STATISTICAL CLASS CA ON SEWER MAP
FCONTRACTOR
S , Y11 1 hve- P CLASS NO.:=DWELL.UNITS BK 6PG
CTOR Cxx.; CO+L CC No.445-i4`t ' USE ZONE Ll NOP/S� L7 5 6. L[-rN u•I ✓C,. NO.✓F .li(o SPECIAL
/T✓' tC4, C•i(, CLA55 PJ CONDITIONS
RUCTION LENDER ROAD DEPARTMENT APPROVAL REOUIRED YES ❑ NOND BRANCH BLDG.SETBACK FROM
FR NT PROP.LINE OF (STREET)
S CITY TOTAL SETBACK FROM TYPE OF EXISTING
NO.OF NO.OFCHECK HI HWAY + YARD = FRONT PROP.LINE HIGHSTORIES I FAMILIES I ONE
TION OF WORK Actlim. 44'7 sF NEW ❑ + OV
�� �'h �' rO 1 t�-L••
stucco cco ADD BLDG.SINI6CK FROM z
1_ pSIDE PROP. (STREETI O
ALTER ❑ _ T M TVPEOF EXISTING w
HIGHWAY + YARD SIDE PRO . I E IGHWAV WIDTH H
USE OF REPAIR ❑ Z
EXISTING BLDG. D W�) I I vL DEMOL ❑ +
APPLICANT �" - TEL S•-I9'4 fb CORNER CUTOFF YES ❑ NO ❑
(PRINT) GI�44^Itg k. 14RAyL• 31(;3
�p � _' n IN OPEN SPACE VES ❑ NO ❑
BYISIGNATURE) e'-'Of A.CIv /7- VV'Li/A'V
IN COASTAL PERMIT ZONE YES ❑ NO ❑
VALUATION � E 0 t Cly�c LO
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES 87
AND LAWS'REGULATING BUILDING CONSTRUCTION..I CERTIFY THAT IN DOING THE !
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF V
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'5 COM.
PENSATION INSURANCE-
SIGNATURE OF
PERMITTEE
ADDRESS
n o - 7
CITY�s!Sf�� _
TEL DA EL / O .-�� •�/ By
• MAKE CHECKS PAYABLE TO: FEE $ FET $ "ti`L'r
HARVEYT.BRANDT,COUNTY ENGINEER
J G. o
PLAN CHECK VALIDATION cK M.G. CASH - PERMIT VALIDATION CK. M.G. CASH
3'08� IAY 162.3 a 45.45 Bas :
— " — 3 8.9't4AY 19 1• D, 3 0.3 0 •su
®s 76A63BACE#803375'
COUNTY OF LOS ANGELES TEMPLE CITY k 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 0411160046
PHONE: (626) 285-0488 EXT:
GAL . OF CONST NEW BUILDING ADDRESS:
TR: 5905 LT: 84 SQ. FT STORIES TYPE OCCUP GROUP 9122 HERMOSA DR
STRUCTURE: 636 1. . VN R3 TEMP CA 917801918
ASSESSOR INFORMATION NUMBER: GARAGE: 479 1 VN U1 NEAREST CROSS STREET: LOMA
5387-016-030 OTHER: THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: USE ON ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 01/27/05 JK 01/22/06
OWNER: TEL. NO: _ BLDGS. NOW ON LOT: LUATION- FINAL DATE FIN A BY CODE:
SHEN
9122 HERMOSAI DR (626) 757-5536- 2 66,840
TEMP 917801918 FEES PAIDJ$��R)OJ IQQ�� OF WKK
AbDa'V7K4 GUEST HOUSE 2 BEDROOMS, 1 BATH W/ATTACHED
FEE DESCRIPTION: QUANTITY: LION: AMOUNT: 2 CAR GARAGE. Nein
L. NO:
SAME AS OWNER - B1 PLANCHECK W/ENERGY 66840.00 VAL 906.15
AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS:
' - AC STRONG MOTION RESID 66840.00 VAL 6.68
B2 PERMIT W/ENERGY 66840.00 VAL 1,006.65066.07
TOTAL FEES 2, -
CONTRACTOR: -TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS nA
SOILS ENGINEER APPROVAL
ARCHITECT 0 - TEL. NO: FOUNDATION/TRENCH FORMS
KENT WU ARCHITECT (626) 966-4975- -
1274 E. CENTER COURT LIC. N0: SLAB/ DER FLOOR / ,/ -
STE. 211 : NONE
COVINA, CR 91724 HAI D FLOOR tKAM INb
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
3 01
'ST LEVEL FLO�$F R HEATH
0. OF FAMILIES: DWE I G S: AP /COND: STAT CLASS:
NO 21 ZND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS ROOF SHEATHING
AIR QUALITY: 1000 FEET MATERIALS '� C7�
NO NO NO FIRE DEPT- FRAME INSPECT
REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- SHEAR PANELS
SIDE PL-
INSULATIONNEATHER STRIP .
n INTERIOR LATH/DRYWALL D --
5 c (I'r 1" .
EXTERIOR f
,/-1 Fes^'•' �!„/({,.PIj /; OOp_ LOT DRAINAGE
b/ I A— SMOKE ECTION DEVICES
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: SS0508