HomeMy Public PortalAbout10115 LANDSEER ST_Building__ 76A638A CE 4803 1/71 —'
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CAPPLICATION F G ' RNiIT
OF LOS ANGELES 4nSSESSOR
DEP'ARTMtNT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL.
BUILDING AND SAFETY DIVISION' ADDRESS
COLEMAN W. JENKINS, SUP T OF BUILDING , LOCALITY �[
FOR APPLICANT TO FILL IN 1'•, NEAREST
Print or type only) CROSS ST,;,
BUILDING 'a DISTR CTG OUP. TYPE ESS.F D.BY
S' ! '(J, (-D CONST.
ADDRES 'e_.e
_ STATISTICAL CLASSIFICATION -tt' SEWER MA-P'
LOT NOBLOCK a '��
-•CLASS'NO. ��/ DWELL,UNITS BK5 PG95-
TRACT,
-TRACT. �Cn's� - - - - - ,
USE ZONE MAP '�O�/j
NO.OF BLDGS. 1 NO. l(�1
SIZE OF'LOT NOW ON LOT- - �.� SPECIAL
,USE OF - c CONDITIONS
EXISTING BLDG.
'TE
OWNER / NO` _
BLD.Q.SETBACK FROM
FRO ROP.LINE OFI I (STREET)
ADDRESS
'TYPE OF EX G' SETBACK HIGHWAY }' YARD = TOTAL
CITY.- ---� - - - HIGHWAY WIDTH-• OM C.L. - - -
.ARCHITECT OR TEL. } _
ENGINEER NO: +'" • --
•BLDG.SETBACKFROM
ADDRESS SIDE'PROP.LINEOF ' " •' (STREET)
TEL'. - TYPE OF EXISTING SETBACK HIGHWAY ,} RD = TOTAL �
CONTRACTOR % NO. HIGHWAY WIDTH FROM C.L. V
•
ADDRESS LIC..
L1. NO.' ,+ _ CD
CITY - CLASS "CORNER CUTOFF ,• YES ❑• - NOCONS .w.
NAMEAND BRANCHON C/3.�� SEE REVERSE SIDE FOR PECIAL APPROVALS z
'ADDRESS
"SQ. FT. NO. OF NO. OF NEW ❑
SIZE _ - STORIES F MI IES
USE OF - ADD - -
STRUCTURE- ZSj�
ALTER ❑ -
�V REPAIR❑
SIGNATURE OF �. -• "'
APPLICANT c" DEMOL ❑
VALUATION $ J4, APPROVALS DATE INSPECrOR'S•51 G N A TU RE
P.C:' r PMT. FOUNDATION:-LOCATION
'L� ' FEE $ •'��J/' , ,,< FORMS, MATERIALS _ -
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT�I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRE'CT`AND AGREE TO COMPLY' ' FURNACE' LOCATION; '
WITH- ALL _ORDINANCES AND -LAWS REGULATING BUILDING CON- GAS VENT, DUCTS '•
STRUCTION. I CERTIFY, THAT IN DOING THE,WORK AUTHORIZED
HEREBY IWILL NOT EMPLOY, ANY.PERSON IN VIOLATION OF THE LATH,'INT.
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO _
WORKMEN'S COMPEN A•T10 .INSURANCE. e '
' LATH,'EXT,�' .. .. .r, .
SIGNATURE 05 HOUSE NUMBER COR-
PERMITTEE �� RECT AND POSTED
ADDRESS FINAL: 7L'
JOHN F. LEWIS PRINCIPAL STRUC URAL ENGINEER
PLAN CHECK, VALIDATION/' M o CASH PERMIT VALIDATION /cK +M OCASH�
,LAA;i 7 7..1.61. AUG.•2 4 2. 1' A 7 2 0~
r` ?^ D 1=2:4;0- ,
1
'76AG38A CC#8W III APPLICATION FOR BUILDING- PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER pDpREss D
BUILDING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST.
DISTRICT NO GRO TYPE O D Y
FOR APPLICANT TO,FILL IN ,j; Q CONST.
BUILDINGJ� STATISTICALC�L1�A�1 SIFICATION S R MAP_
ADDRESS V �" y� CLASS. NO.-A9--DWELL.UNITS BK ,PG
LOT NO. - BLOCK WATER NOT REQUIREDECEIVED
CERTIFICATE -
TRACT 2 ,65-2 2 MAP HIGHWAY STATE MAJOR SECO OCAL
SIZE OF LOT.-576'b< i (� NO.OF BLDGS. NO (CIRCLE) '
f I NOW ON LOT �6 USE E SPECIAL•
USE OF - „rte _ / CONDITIONS _
EXISTING BLDG.
Vim ,' bei' ee- NO. ^/OS
OWNER _ BUILDING ` EXIST.
-rr YARD HWY - STREET-NAME
/• Z��� S ` LLlv1S �(�� SETBACK 'WIDTH'
ADDRESS 1� FRONT 1 /� - sp /
ARCHITECT OR - TEL. 'P L. �V
ENGINEER - NO. SIDE �.
P.L.
ADDRESS
INSPECTIONRECORD-
EL
.CONTRACTOR - ✓ _ T
/ 0
Izz, JA ` 4. .4 -4 4I
ADDRESS-'9L r LS -a.5'
DESCRIPTION OF WORK,- 5' 4-7 G
NEW 4+w-ADD 'ALTER REPAIR DEMOLISH
SQ. FT. NO.OF NO OF Z
IZE - -STORIES FAMILIES-/
USE OF
STRUCTURE
SIGNATURE OF'
APPLICANT
VALUATION6-'/,n
APPROVALS DATE •INSPECTOR'S SIGNATURE
FEE$ yf� PMT. 6 FOUNDATION: LOCATION
(/v FEE $ FORMS,MATERIALS D- !
`• FRAME: FIRE STOPS', T
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS'
AND STATE-THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS /J
'BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK c�/"_ 1
AUTHORIZED'HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. -^ 1 J�J
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. ,J„
ING TO WORKMEN'S COMPENSATIO INSURANCE - - LA
LATH,EXT.
SIGNATURE OF HOUSE NUMBER COR- J
,• PERMITTEE - I RECT AND POSTED
ADDRESS -
�^ �� FINAL
CLYDE N. DIRLAM, PRINCIPAL STIR RAL ENGINEER
PLAN'CHECK VALIDATION cIc bi.o. CASH - PERM VALIDATION, cK. M.o. 'CASH
• ::o 71 7-4 '3*� 1 0 Z-, 5 ,0 �n
. o
WORKERS'COMPENSATION DECLARATION
hereby affirm at I have certificate of consent to Self * APPLICATION FOR U I WING PERMIT �
'insure, or a certificate of Workers',Compensation',Insurance,, i
`�`ol'r�a ert�ified copy t�hrereof (S/ec: 3800, Lab. C.) COUNTY OF LOS ANGELES „BUILDING AND SAFETY
PoliCompany f7� BUILDING
Q Certified,copy is hereby furnished , _ : FOR•APPLICANT TO FILL IN ADDRESS 31
{� Certified copy,is filed with the county building inspec-' BUILDING �s
U� tio,n department. ADDRESS /011 LOCALITY
NEAREST r
Date Applicant CITY ZIP CROSS ST. "
CERTIFICATE OF EXEMPTIO ROM WORKERS"- - NO OF BLDGS.' ' ASSESSOR
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE, PARCEL,.
(This!section need not becompletedrf the permit is,for one USE ZONE MAP
hundred dollars ($100)or less.) TRACT- BLOCK LOT NO.' NO
_ TEL L. SPECIAL:
I certify ThaT•in the performance of the,work for which this OWNER; NO CONDITIONS wa
permit is issued, I.sholl not employ an person in an manner DISTRICT GROUP TYPE FIRE PRCC ED BY O '
P P Y Y'P Y - � � CONST - ZONE � U'
so as to become sub'ect to the Workers'Compensation Laws. ADDRESS
P � 3• , � 0 .
t CITY' ZIP O
Dare Applicant' ' ' ARCHITECT OR TEL STATISTICAL CLASSIFICATION APT _CONDO: H
NOTICE TO 'If, after making this=Certificate of 0
p ENGINEER NO CLASS NO DWELL UNITS- LU
Exemption, you should become subject to,the Workers'
Compensation provisions of the.Labor Code,-you,must forth-
ADDRESS SEWER MAP. H
with cbmply'.With such provisions or this, permit shall be Z.
deemed revoked. TEL BK J—PGVALIDATION.
_ CONTRACTOR NO
LICENSED CONTRACTORS DECLARATION LIC.
I'hereby affirm that I am licensed under provisions of Chapter 9 ADDRESSfi�� 'NO. 7
'VALUATION,,
(commencing with Section 7000)•6f Division 3 of The Business and' 'LIC
Professions Code, and my*license is in full force and effect. CITY CLASS, $ , c
7 SQ. FT NO OF NO:OF ; 'CHECK
License Number�OZ 7 (7-!2 Lic.Class. SIZE` STORIES FAMILIES JJ\ ONE
Contractor Date g DESC TION OF WORK _
ADD_ El
I'am exempt under•Sec. �` FINAL
ALTER
B.&P.C. for this reason DATE
REPAIR
r,
Date: USE OF. DEMOL1:1 FINA
EXISTING-BLDG
- BY
Signature APPLICANT TEL
NER-BUILDER DECLARATION, PRINT NO q
hereby affir that I am exempt from the Contractor's License
Law for.the following reason (Section.7031.5,-Business and ADDRESS , =
Profess ions.Code): PRE EN „
❑ BUILDING tt = '
I, as owner of the property, or my employees with ADDRESS-
wages as;their sole compensation,will do the work an'd
the'structure is not intended or offered for sale(Section LOCALITY
7044, Business and Professions Code). •- MOVING TEL L
❑ CONTRACTOR. NO 2 0 0 9 U 5
R I,'as owner of the•prciperty, am exclusively contracting
with licensed contractors to construct the prolect•(Sec- ADDRESS '1 o'o 0'9 6'7'J�1cZt
tion 7044,.Business and Professions Code). ;
Flnve�sngation
TOTAL SETBACK FROM EXIST ,
CONSTRUCTION LENDING AGENCY YARD HWY PROP. LINE WIDTH
hereby affirm that there is a cons0uctfon lending agency,for m _ 7S Q 9,_8'4-
I '
the performance of'the work•for'which this permit is issued(Sec. 3097, Civ: C.).Lender's NameLender's Address' Permit Fee (OI"certify that I haveread this application;and'state that the" Issuance Fee i Qabove information,is correct. I agree to comply with all County Fee.ordinances and State laws relating to building'constructiona Total Fee ('
and hereby authorize representatives of this County to enter
' upon. abo ntioned property for inspection purposes. w
r,
g SEE REVERSE FOR EXPLANATORY LANGUAGE, ;
JS�ignature of Applicant or,Agent 'Date ,'r,- - - _ '
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0504060003
PHONE: (626) 285-0488 EXT:
LEGAL ID: 0. OF CONST BUILDING ADDRESS:
TR: 26522 LT: 4 SQ. FT STORIES TYPE 10115 LANDSEER ST
STRUCTURE: 26 VN TEMP CA 917803339
ASSESSOR -NEAREST CROSS STREET:
8585-002-004 THOMQS,PAGE: 597_ ARID: B4 LOCALITY: TEMPLE CITY, C
TENANT: . RESID USE ZONE: - PROCESSED EXPIRES .
EXIST OCC GRP: 04/06/05 JK 04/01/06 .
OWNER: 0: BLDGS. NOW ON LOT: ION: FI ^AT�� FI
NG DARWIN (626) 453-3600- 8,900 `/
10 15 LANDSEER ST
TEMP 917803339 FEES PAID QESCRIPTION OF WORK
REROOF TEAR OFF AND SHAKE INSTALL 1/2" OSB SHEETING NAIL
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: DOWN 30LB ASTM FELT PAPER INSTALL 30 YR ELK FIBERGLASS
APPLICANT: TEL. NT--
RAUL CAMARILLO (562) 941-0956- AA BLDG PERMIT ISSUANCE 27.75
15102 HORMELL ST AC STRONG MOTION RESID 8900.00 VAL 0.89 SPECIAL CONDITIONS:
WHITITER, CA 90604 D2 PERMIT W/O EN-HC 8900.00 VAL 199.80
TOTAL FEES 228.44
CONTRACTOR: TEL. APPROVALS DATE INSPECTOR S ATURE
RAUL CA14ARILLO CONSTRUCTION (562) 941-0956-
15102 HORNELL ST LIC. NO LOCATION AND SETBACKS
WHITTIER CA 90604 726844 B
SOILS ENGINEER R VAL
ARCHITECT OR ENGINEER: TEL. O:
LIC. NO: UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: P: UNDERFLOOR INSULATION
147H273 3 01 '
FLOOR SHEATHING
NO. OF FA L C A
NO 21 ROOF,SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TA ST_ FIRE SPffflW[EW_RMTff9R'§_
SET BACK. YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR
.
LA
EXTERIOR LAT
RATED WALL ASSEMBLIES
WKTEU-SUFTS/OPFNINGS
T-BAR CEILINGS
* ADDITIONAL DATA ON FILE
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0703300007
PHONE: (626) 285-0488 EXT
LEGAL ID: I NO. OF CONST NEW I BUILDING ADDRESS: - '
ITR: 26522 LT: 4 1 -SQ FT STORIES TYPE OCCUP GROUPI 10115 LANDSEER ST
(STRUCTURE: 481 1 VN R3 I TEMP CA 917803339 1
(ASSESSOR INFORMATION NUMBER: GARAGE: I NEAREST CROSS STREET- GLICKMAN
18585-002-004 OTHER: 48 1 VN U1 THOMAS PAGE 597 GRID: B4 LOCALITY ATEMPLE-CITY, Cl
(TENANT: (EXIST BLDG USE: USE ZONE: 11SSUED ON: PROCESSED BY: EXPIRES ON- 1
IEXIST OCC GRP 108/18/08 SR 02/14/09 1
(OWNER: TEL. NO 1BLDGS. NOW ON LOT: VALUATION: . IFINAL DATE FINAL BY: CODE: 1
ING, DARWIN (626) 453-3600- 52,620 1 22__J"" ( 1
110115 LANDSEER ST J ? J
(TEMP 917803339 i FEES PAID 1DESCRIPTIO OF WORK 1
1 1ADD 1 BEDROOM, 1 BATHROOM, FAMILY ROOM 481 S.F. AND FRONT
IFEE DESCRIPTION: QUANTITY: UOM. AMOUNT: IVESTIBULE 48 S.F. -
1APPLICANT: TEL. NO. I I 1
ING (626) 453-3600- JB1 PLANCHECK W/ENERGY 52620.00 VAL 776.56
110115 LANDSEER ST. ID9 PC EXTENSION FEE 194.14 DOL 194.14 ISPECIAL CONDITIONS:
(TEMPLE CITY CA 91780 IAA BLDG PERMIT ISSUANCE 27.75 1
JAC STRONG MOTION RESID 52620.00 VAL 5.26 1 1
B2 PERMIT W/ENERGY 52620.00 VAL 913.61
JCONTRACTOR: TEL. NO: 1 TOTAL FEES '1,917.32 1APPROVALS DATE INSPECTOR SIGNATURE 1
IJ H ENGINEERING AND CONSTRUCTION (626) 278-1846- J 1 1
1424 S GARFIELD AVE #B LIC. NO 1 ILOCATION AND SETBACKS 1 1
IMONTEREY PARK CA 91754 787046 B I I 1
(SOILS ENGINEER APPROVAL 1
JARCHITECT OR ENGINEER: TEL. NO: - --- - - (FOUNDATION/TRENCH FORMS p/�� v—
1JTC ARCHITECTS, INC. Q (626) 254-8884- 1 1 I`%
165 N FIRST AVENUE STE 201 LIC. NO: 1 (SLAB/UNDER FLOOR 1 1 1
IARCADIA CA 91006 C8015 1 RAISED FLOOR FRAMING 1
I 1
1MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: f JUNDERFLOOR INSULATION
J 3 011 -��
J 1 �/L '►ski �l�` �� V Ce
G- e I ( 11ST LEVEL FLOOR SHEATH 1 J
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS. •1 �L 1
1 NO 21 I J 12ND LEVEL FLOOR SHEATH 1 1 1
I I I
1 SCHOOL WITHIN HAZARDOUS 1 IROOF SHEATHING J
1AIR QUALITY: 1000 FEET MATERIALS 1 1 I
NO NO NO 1 (FIRE DEPT. FRAME INSPEC I
IREQUIRED TOTAL SETBACK FROM EXIST JBLDG DEPT. FRAME INSPECTI
ISET BACK YARD: HWY: PROP LINE: WIDTH: 1 I I 1 I
IFRONT PL- 1 (SHEAR PANELS I 1 I
I SIDE PL- 1 1 I 1 I
(INSULATION/WEATHER STRIP 1
11NTERIOR LATH/DRYWALL (� �1
IEXTERIOR LATH 1 1
I 1 -
ILOT DRAINAGE 1 v1
1 1 ISMOKE DETECTION DEVICES J 1 1
IFIRE DEPARTMENT APPROVALI I
1 1 I I I I
IREPORT ID- DPR261 ROUTE TO BS0508
1 1 I I I I