HomeMy Public PortalAbout10125 LANDSEER ST_Building__ TEMPLE 'C8tY
71..638ACE#°os•, APPLICATION FOR BUILDING PERMIT ,
COUNTY OF LOS ANGELES BUILDING O/, �-
DEPARTMENT OF COUNTY ENGINEER ADpRESs ,
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER' NEAREST'
WILLIAM A. JENSEN SuP•T OF BUILDING 9 CROSS ST. A.
DISTRICT NQ. GR TYPE PR S BY
FOR APPLICANT TO FILL IN
V' conlsr.
BUILDING STATISTICAL CLASSIFICATION - SEWER MAP
ADDRESS Q h P.LI^' V� BK PG
CLASS.NO. DWELL.UNITS •`
LOT NO.• Z BLOCK WATER
CERTIFICATE NOT REQUIRED RECEIVED
TRACT Z Z MAP 12D/D HIGHWAY ST----A��TET MAJOR SECONDOCAL
v_ NO.OF BLDGS. NO (CIRCLE)
SIZE OF LOT /� NOW ON LOT Gj� UScO E SPECIAL' _
USE OF � CONDITIONS
EXISTING BLDG.
TEL
OWNERa V-/� WIDTH
pirC .NO. D UILDING YARD HWY STREET NAME EXIST.
L
ADDRESS 32'- �, 5 u.+4 S Dp, SETBACK
ARCHITECTOR ,TEL: FPROLT L.
ENGINEER NO. SIDE 0 �Qv�
P L.
ADDRESS
TEL INSPECTION RECORD a
We--CONTRACTOR --b NO. j a 0
ADDRESS_ —Lt,ke -74,kf±f
Lir'• ���•j i/"gip ��5 �3":�D�C�G!�I/>t/ ' CC
DESCRIPTION OF WORK �/✓_ , ��/ �sxs.x..�i5�s .,,J Aw,6
NEW A_ADD ALTER REPAIR DEMOLISH j
SO.-FT. ` NO OF NO.OF C �� qs ' Z
J _ STORIES FAMILI S -
USE OF
STRUCTURE 'L� Q�12 I
SIGNATURE OF
APPLICANT -{
VALUATION$ �1ff
,.�,./J 'LJ APPROVALS DATE INSPECTOR'S SIGNATURE
FEE $ !1 V FEE $ FOUNDATION: LOCATION
FORMS,MATERIALS i
FRAME: FIRE STOPS, /
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS d
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. 1 r
TION OF THE LABOR CODE OF THE STATE OF CALIF NIA
ING RELAT- ( .�1
TO WORKMEN'S COMPENSAT N INSURA E LATH,EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE.-
OR- -
PERMITTE RECT AND POSTED
ADDRESS' "" FINAL c11511A
CLYDE N. DIRLAM, PRINCIPAL 5TR)JtGKyRAL ENGINEER
' PLAN CHECK VALIDATION M.O. CASH PERM VALIDATIONcK. M-0. CASH
v 5 SP 2 72''3 D 21 .0 0. A w
Lf'I C=' % 4 o -'-Z, riC T 1 1 D Li
cr 4 :,
f
' 76A638 A.CE #803 12/69
. APPLIC..-+., :flN FOR BUILDI G PERNKT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING ! n l
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS, SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
` P.rint ort e•onl
DISTR�CT N GROVp TYPE S D BY
BUILDINGCONST.
ADDRESS
- STATISTICAL CLA SIFICATION S WER MAP
LOT NO %:S ~ BLOCK CLASS NO.s,-�DWELL:UNITS _ BK PG
TRACT USE ZONEMAP
_ NO.OF BLDGS. _ NO.
SIZE OF LOT NOW ON L T -?-1 SPECIAL
USE OF 11 CONDITIONS
EXISTING BLDG.
TEL.
OWNER L - NO. BLDG:SETBACK FROM
ADDRESS FRONT PROP:LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CITY �`/ HIGHWAY WIDTH FROM C.L.
ARCHITECT OR TEL. kJ
ENGINEER NO, BLDG. ETBACK FROM
ADDRESS SIDE PROP:LINE OF _ (STREET)
✓ �/e� TYPE OF EXISTING ,SETBACK HIGHWAY } YARD = TOTAL
CONTRACTOR fL-/ NOLW�/72Z-- HIGHWAY WIDTH FROM C.L.
X
LIC.
ADDRESS�1 _ «� NO. t - - } = a
LIC. �
CITE' CLASS CORNER CUTOFF YES ❑ NO ❑ V
CONSTRUCTION
NAMEAND BILENDER
RANCHSEE REVERSE SIDE FOR SPECIAL APPROVALS
U
' W
ADDRESS - CL.
SQ. FTNO. OF NO.'OF NEW ❑ 0 Z
SIZE STOR
. IES FAMILIES .,•
USE OF ADD - - - -
STRUCTURE ✓ C:' G11wALTER ❑ 'j, '
REPAIR❑ i r•
SIGNATURE OF - - - - — - -
APPLICANT DEMOL ❑ ,`'I-r;'
VALUATIONS � � - ---- - -- - - '
APPROVALS DATE•• INSPECTOR'S SIGNATURE
P.0 PMT. h FOUNDATION: LOCATION,
FEES FEE $ r,/� FORMS, MATERIALS Imo/ 7b
FRAME: FIRE STOPS,-
I HERE BY'ACK NOW LEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STAT-6THAT THE ABOVE IS CORRECT 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 1 WILL,HOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. �/2�-'j,O,
LABOR CODE OF THE 'STATE OF LI,FORNIA IN RE ATING TO
WORKMEN'S COMPE NS ION INSUR •C n
i LATH, EXT. I-70, . _ �-
SIGNATURE OF r HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS - - - FINAL d
PLAN CHECK VALIDATION CK M o CASH JOHN F. LEWIS PRI CIPAL S C AL ENGINEER
PERMIT VALIDATION `CK'- ' MO CASH
►Ar--5 4 MI5
WOR KE RS'�COMPENSATION,DECLARATION •.� } ib., :. - ::
f hereby'affirm that 1.'have,a.certificate,of~consent to self
nsure, or a certificate,of Workers' Compensation Insurance, as AF P L I C'AT I O IV F'O R' ��U I.L.D I I .," PERM
I T = ;i--
orza`'certified cop"'here'f Sec 3800,'L ) - ,_- n a
�J77 Y COUNTY OF :�, BUILDING-AND'SAFET
Policy.No sCbmpafi'y,` - _
C'Affied,copy'as:hereb-y fu�nisliedl.i. c: .• FOR APPLI ANT'TO FILL'IN. BUILDING
ADDRESS
Certified,cgpy'is filed'witji the counfybuildinginspec- BUILDING
y" ZIA
tion'dejidrtment':Sk `.,as =,a`:r,'.�,a�!•i ,; ADDRESS n
Date. APPlicgn CITY ZIP•' G. :,T7` i
LOCALITY-1,'C ERTIFICATE OF'EXENIPTION FROM'WOR RS , `'N OF BLDGS NEAREST. -
c' COMPENSATION INSURANCE" _ SIZE OF LOT NOW ON LOT e CROSS,ST zr
y .(T;Fi,is°section need•rict•be'completedlif:The perrrtrtUs-for'one" - -- -' - ASSESSOR':' - "' "•
hund_Fed:dollar's $100 or leis.1),;" TRACT. _ BLO K ��- < LOT,NO i "'- PAGE' PARCEL _
( y ) 1) ?t''+: • . 3 ` MAP.B1.OOK.'.
F,.�:.; zca •i. ;.i F' L 'T OWNER NO` 3�SS' USE-Z NE- MAP:
1.certify-that,in fhe„peiformance of't_h'�vo�k`for-wliich This.
perrnrt is=issued, I;shall'not employ any person in d6iy manner' SPECIAL - ^ ; IZ'•
t' CONDITIONS'-. I O
-'so'as'to-become subject to'the'Workers'•Compensdtion`L'dws.,' ADDRESS- ' ' U
�t•rl:-,�.t'j:e,ct •t:i��• •. {`' •i4 .:f"'.t•.t+y
-to. CITY.
Date'7 zr gPPlicant...c•,: .” _ ""`-.t .,• .z i , '0-
ZIP,
• 15 tJe'ATO,'APPLICANTkti;lf;',afTe�- rriakirig'this„Certificate of ARCHITECT OR TEL DISTRICT, ,G OUP• ,TYPE_', � ', FIRES, C ED,BY, F
ENGINEER- NO i CONST. ZO E'
Exec[ tion;, you,,should:become';s6bject to the Workers; ((� ' W
Compensafionspiovisions'of,th'e La bor:Cocle''yo`u must forth- ADDRESS -' �'•' �1• �”`
wiTh�comply;with,�such; provlslons ,or this permit,shall be .•-- _TEL STATISTICAL CLASSIFI ATION' 1 APT: ONDOr,•� �-
deemed,rev40T-- 4 i,;3�_ .i - - -
^ di" CONTRALTO NO
t - -
" LICENSED.CONTRACTORS DECLARATION".,,., -• --'- ; - CIC- W CLASS.NO DWELL!�UNITS
• r
I hereb affirm.thaT,l am licensed under.,pro isions of Chopter.9• ADDRESS NO �, a
r. Y i,,••.o, - r• - SEWER MAP' - i �' - =. •.1 •;a,..i ,
(commencing with Section 7000)1of Dr`vision`3%f"The Businessland "_-•_- _-__ -.k. :_,_ ., r, •uC
Professions Ca e,'a 'd `y, license is'in`full force and effect. CITY CLASS �� i i" "` • "
r/,t cn.,..., . :a..,• gK, P-
Pr
- .i VACIDATION-
SQ FT NO OF NO.OF CHECK
License N-1, Lic.'Class SIZE' STORIES: FAMILIES ONE, i VALUATION
t; FfI DESC IPTION'OF WORK _ NEW O ��• �Y ;
Contracto ,•> �" te, i ADD $
I am exempt.under7 ec. ZLIZALTER-
for Thi reason }y g1e
REPAIR
USE OF t. i
Date: x` DEMOL t;
EXISTING BLDG. t __ _ „
c_SignaTJEL
ur� ;r _ APPLPRI TT P '�. NO .FINAL i
OWN ILDER DECLARATION _ `� DATE[,:�7i•-- -• --'- =
I-hereby affirm that.. m exempt.from,the Contractor's•License
Law for the fbI16A; g'redson'(Section '7"031 5, Business and ADDRESS e ) FIN -
Pr'ofession"sCode):. d ; -t . PRE g' �� -; - $� #-e'e�o 0 o.��'i
y ......,. t _ .BUILDING.- _ _• --,, ._ _ - ~
I, as owner of the property, or my employees with' ADDRESS' 1
`wages as their sole compensatfon,,viill,do th`e work and �l� (� e4 8 7 3_8
the structure is not intended or offered for sole'(Section LOCALITY j "=
7044,-Busmess and Professions Code)` 4- MOVING ?' ' ''TEL " t rote 87,3$-�
with li en owner ofchef Fooes'rto'oco excl isThely contracting CONTRACTOR NO
- P project (Sec- (]"a 2 2 8 7 t
tion 7044, Business and;Profession"s Code). ADDRESS _
rt t
REQUIRED�', TOTALSETBACK
-CONSTRUCTION-LENDING`AGENCY ' e SETBACK YARD• ",HWY PROP,.LINE. WIDTH
Thereby affirm.that There.is,o construction lending agency for FRONT R:I '
the erformance•of=the-work-for•whichithis? ermit-is issued" - , .:p tr - _ __t__- _ _ A`., ,r
(Sec.3097;Civ, C.). P SIDE:
A 7 1 �. ?'t
YLender's Name
_^ LDMA Ref #
- ...,�.,.� P C-•fee'$
Permit Fee
Len der's,Address; !
_I_certify,that'I have.read:this application.and-state,that the Issuance Fee• - '', = LDMA•P/C•#
a . above information is'correcf.,I agree fo,comply with all County,-. Investigahon'Fee�,"• _
ordinances and State_laws relatmi3 to,buildmg construction', _
Total Fee: - •(•% CDMA^Perm-# J}
u, and hereby authorize representatives of this County to;'en.ter
boned rojierty„for inspe'ct ign purposes.
a SEE REVERSE FOR EXPLANATORY LANGUAGE
n of pp6canl 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 1012060022
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS:
ITR: 26522 LT: 2 I SQ. FT STORIES TYPE 1 10125 LANDSEER ST 1
I (STRUCTURE: 32: V-B I TEMP CA 917803339 1
(ASSESSOR INFORMATION NUMBER: 1 _ I NEAREST CROSS STREET: GLICKMAN 1
18585-002-002 1 I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl
ITENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: I
I IEXIST OCC GRP: 112/06/10 _ SR
I I I I
(OWNER: TEL. NO. 1BLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE:
IDILIBERTI, JACK (626) 443-5553- 1 9,800
110125 LANDSEER ST +� I
ITEMP 917803339 1 FEES PAID IbEsCRIPTION OF WORK 1
I I ITEAR OFF EXISTING SHAKE ROOF RE-SHEET WITH 1/2" PLYWOOD RE- I
1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IROOF WITH CLASS "A" 30 YEAR COMPOSITION SHINGLES 1
(APPLICANT: TEL. NO: I I - I
1JN DAVIS ROOFING (626) 815-1279- IAA BLDG PERMIT ISSUANCE 27.80 1 I
11308 E. COLORADO BL. IAB STATE GREEN BLDG FEE 9800.00 VAL 1.00 ISPECIAL CONDITIONS: 1
IPASADENA, CA 91106 1AC STRONG MOTION RESID 9800.00 VAL 1.00 I I
I - ID2 PERMIT W/O EN-HC 9800.00 VAL 217.10 I I
1 1 TOTAL FEES 246.90 I I
ICONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE
IJ N DAVIS ROOFING CO. (626) 815-1279- I 1
11308 E. COLORADO BLVD , #B LIC. NO I ILOCATION AND SETBACKS I I I
IPASADENA, CA 91106 572125C39 * I
I I ISOILS ENGINEER APPROVAL I I I
I I I I I I
(ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I
I LIC. NO: I (SLAB/UNDER FLOOR I I I
I I I I I I
I I IRAISED FLOOR FRAMING 1
I I I I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( (UNDERFLOOR INSULATION I I I
1147H273 3 001 1 I I 1
I I IFLOOR SHEATHING I I I
1N0. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I
I I
NO 21 i iROOF SHEATHING
SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS
(AIR QUALITY: 1000 FEET MATERIALS I I
NO NO NO I IFRAME INSPECTION I
I I I I I I
1 1 (FIRE SPRINKLER HANGERS 1 I I
1 1 J f �}� • �,` \I�INSULATION/WEATHER STRIPI I I
I I 11 I
I (INTERIOR LATH/DRYWALL I .
I I I I I I
I 1 1EXTERIOR LATH I 1 I
I I I I I I
I IRATED FLOOR/CEIL ASSEM. 1 1 1
I I I I I I
I IRATED WALL ASSEMBLIES I I I
I IRATED SHAFTS/OPENINGS 1 1 1
1 1 IT-BAR CEILINGS 1
1 1* ADDITIONAL DATA ON FILE I I I
I ' I ILOT DRAINAGE I I I
IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I