HomeMy Public PortalAbout10121 LANDSEER ST_Building__ :TE PLE• yClTTY ;
7GA638A CE"N603•.•I-i - •.'APPLICATION FOR BUILDING= PERMIT -
COUNTY OF LOS ANGELES ABUILDING
DEPARTMENT OF COUNTY-ENGINEER 'IL . D /-
' BUILDING AND SAFETY DIVISION LOCALITY `
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF-BUILDING CROSS ST. _ -
DISTRICT NO. GR TypE . `- P S Y,
FOR,APPLICANT TO`FILL IN' d CONST. ,(/
-BUILDING STATISTICAL CLASSIFICATION ' SE R•MAP
ADDRESS �L_r - //}} _ J
CLASS.NO.�LDWELL.UNITS / - - -
LOT NO. - BLOCK WATERNOT REQUIRED RECEIVED -
CERTIFICATE-
TRACT •f�� - - MAP HlGriw.ny.STATE MAJOR SECON LOCAL
II NO.OF-BLDGS. NO. -(CIRCLE) '-
SIZE'OF LOT 'l O I NOW ON LOT US ZCCCjjjNE SPECIAL" -
USE OF CONDITIONS
EXISTING BLDG` r
TEL. ,- " <
JJ3
OWNER' a h' Q V O. :7OS3 ILDINGygRD HWY STREET NAME EXIST.
SETBACK. -
�p� /� `! �� WIDTH
ADDRESS '
= - FRONT
ARCHITECT
G
OR •- - - TEL. P L. � V
ENGINEER - NO. SIDE -
. ID
ADDRESS - INSPECTION•RECORD-
_ -TEL. Q
CONTRACTOR y. .'' � 2�V NO: d5� .v��`7'"�9� ��1Urf I`Gj�Py.7f"' � �rD�•-�• V
ADDRESS Q &J P`-E' S k�'L�S i^.• - (/ - - OC
DESCRIPTION OF WORKell
Lu
NEW r•ADD ALTER REPAIR 'DEMOLISH ppeb
SQ.FT, NO OF NO,OF / l
_ STORIES FAMILIES
USE OF
STRUCTUR co 1L !( Yt/ �Py✓��+ r �'a 4
'SIGNATURE OF -
APPLICANT'
VALUATION_$•- � .. ' •.,, _, -
APPROVALS DATE 'INSP
E
CTOR'S SIGNATURE
P.C. PMT. FO FORMS,, MAT RIIALSON - / d-
'FEE-$ .�S ✓ _ FEE- $
- - - FRAME: FIRE STOPS,
'
-['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
BUILDING CONSTRUCTION I'CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. '� ` 7 { f •"`� _
TION OF THE LABOR CODE OF THE'STATE OF.0 LIFO IA,RELAT-
ING TO'WORKM EN'S COMPENSATION,INSU RAN -
LATH,EXT.
_ SIGNATURE- F. HOUSE NUMBER COR- '
PERMITTE O _ _ -RECT AND POSTED
ADDRESS �' I -
FINAL
CLYDE N. DIRLAM, PRINCIPAL ST URAL ENGINEER
PLAN CHECK VALIDATION cK • : F.o. CASH PERMIT `VALIDATION i cK M.D. CASH
L =' 1 .9 T cif ]7 ' 3-'D 2-2 5
9 7 4 p 000 � �� 1 U 4 5 r 4 In
WORKERS' COMPENSATION DECLARATION
hereby affirm that,I have a certificate of consent to self APPLICATION FOR BUILDING PERMIT
insure, or a certificate of Workers' Comp sation Insuran
or'o'certified copy thereof (Sec. 3800, L ) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No� Company
E Certified copy is hereby furnished. FOR APPL.0 T TO FILL IN BUILDING
ADDRESS �
Certified copy is filed wiih the county building inspec- BUILDING
tion department. —�j�y ADDRESS
Date Applicant�J CITY ZIP LOCALITY
CERTIFICATE/OF EXEMPTION FROM WOR ERS NO. OF BLDGS. NEAREST
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT A CROSS ST.
(This section need not be completed if the permit is for one ASSESSOR
hundred dollars ($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL
TEL. USE ONE MAP
Iq -
I certify that in the performance of the work for which this OWNER NO' � NO. �.
permit is issued, 1 shall not employ a person in any manner ADDRESS SPECIAL
so as to become subject to the Work s' penspTion Laws. ^A CONDITIONS V
Dat Applicant CITY ` /"� ZIP T
ARCHITECT OR TEL. DISTRICT G UP TYPE FIRE PR CESSED BY
01
NOTICE 70 APPLICANT: `If, aft r ting this Certificate of f Q F—
p b ENGINEER NO. ��ty 1,1 CONST. ZONE /1 /f U
Exemption, you should beco a ubject to the Workers' /VJv� ly`, /('/ W
Compensation provisions of the abor Code, you must forth- ADDRESS J
with-comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. ONDO. Z
deemed revoked.- CONTRA NO.
LICENSED CONTRACTORS DECLARATION - CLASS NO. DWELL. UNITS
I hereby affirm that l am licensed under provisions of Chapter 9 ADDRESS
(commencing with Section 7000)of Division 3 of the Business and LIC. g SEWER MAP
Professions Code, and y license is in full force and effect. CITY / 7/ CLASS L-i✓ BK IS PG.4 VALIDATION
SQ. FT. NO. OF NO. OF CHECK
License
�.rrlb Lic,Class ��./ SIZE STORIES FAMILIES ONE
—/-0, D PTION OF WORK ❑ VALUATION.
Contrac DatNEW
!/0-'r J ADD ; ,
I am exempt under ec. O
ALTER
B.BP.C. for this r son REPAIR $
Date: — USE OF
EXISTING BLDG. DEMOL 0
Signature APPLICANTTEL. FINAL
UILDER DECLARATION PRINT) NO. DA_'
I hereby affirm th I m exempt from the Contractor's License / '.
Law for the follo g reason (Section 7031.5, Business and ADDRESS FIN
Professions Code): PRESENT
B 694,5A
F]
BUILDING
I, as owner of The property, or my employees with ADDRESS
wages as their sole compensation,will do the work and .e e 0,6.0!J
the structure is not intended or offered for sale(Section LOCALITY
7044, Business and Professions Code). MOVING TEL. ' l'o a 8 7,3 8
EJI, as owner of the property, am exclusively contracting CONTRACTOR NO.
1,
with licensed contractors to construct the project (Sec- - -,- 8 7.3 8,&
Tion 7044, Business and Professions Code). ADDRESS G 1
CONSTRUCTION LENDING AGENCY SET�BACKK YARD HWY TOTAPREOTBACtKEFRO WIDTH O'I' �.8 I
I hereby affirm that there is a construction lending agency for FRONT
the performance of the work for which this permit is issued P.L. -
(Sec. 3097, Civ. C.). SIDE
n P.L
Lender's Name 7
$ P.C. Fee$ Permit-Fee LDMA Ref. #
Lender's Address
certify that I have read this application and state that the Issuance Fee 42 u LDMA P/C#
a above informa ion is correct. I agree to comply with all County Investigation Fee
0 ordinances d State laws plating to building construction,
v and he utho ' e 'e sentatives of this County to enter Total Fee LDMA Perm. #
upo ve- nti a property for inspection purposes.
e _
Q r—� SEE REVERSE FOR EXPLANATORY LANGUAGE
a
Signature f pp cant or Agent Date - - - - - - - -• - - -
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 0606270011
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 26522 LT: 3 SQ. FT STORIES TYPE 10121 LANDSEER ST
STRUCTURE: 27 VN TEMP CA 917803339 / ✓
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8585-002-003 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, -C
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: . 06/27/06 JK 06/22/07
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINA A FINAL BY- - CODE:
CALDERA, MANUEL (626) 454-2473- 9,000 6/
10121 LANDSEER ST
TEMP 917803339 FEES PAID DPWSCRIPTION OF WORK
TfEAR OFF WOOD SHAKE INSTALL 1/2. OSB SHEETING INSTALL 30 LB
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: FELT PAPER INSTALL 30 YR FIBERGLASS SHINGLE ROOF
APPLICANT: TEL. NO:
RCC CONSTRUCTION (562) 941-0956- AA BLDG PERMIT ISSUANCE 27.75
15102 HORNELL ST. AC STRONG MOTION RESID 9000.00 VAL 0.90 SPECIAL CONDITIONS:
WHITTIER, CA 90604 D2 PERMIT W/O EN-HC 9000.00 VAL 199.80
TOTAL FEES 228.45
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
R C C CONSTRUCTION, INC. (562) 941-0956-
15102 HONELL ST. LIC. NO LOCATION AND SETBACKS
WHITTIER, CA 90604 873570 B
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. NO: SLAB UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
147H273 3 01
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT COND: STAT CLASS:
NO 21 ROOF SHEATHING
SCHOOL WITHIN WITHIN 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/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS "
T-BAR CEILINGS
LOT DRAINAGE
'REPORT ID: DPR261 ROUTE TO: BS0508