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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