HomeMy Public PortalAbout9126 LAS TUNAS DR_Building__ 76"38ACE+#803 1/71 1�'= , r22,/h f'/L-/2 �; �`/-n
APPLICATION FOR, BUILDING PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK -PAGE PARCEL
BUILDING AND SAFETY DIVISION AADDRESS J15A,
COLEMAN W. JENKINS,• SUPT OF BUILDING LOCALITY r ,
FOR APPLICANT TO FILL IN NEAREST
Print or type only) CROSS ST.
BUILDING ,/� �j' DIST/FACT NO. GROUP TYPE PROCES D BY
ADDRESS '�1 w '✓���.(6-�J' IE'�.(� � ,moi c" �„�' - CONST.
G� STATISTICAL CLASSIFICATION SEWER MAP
LOT NO. /p-6 - BLOCK -
CLASS NO.�- I.
DWELL-UNITS BKZ- PG D
TRACT 51"'a S USE ZONE MAP
/Gm NO.OF BLDGS.
SIZE OF LOT24,457.w NOW ON-LOT 1 �__ ECTAL
USE OF CONDITIONS
EXISTING BLDG, apl=lc�vc�-s t
�+r. TEL
OWNER i-F�.rtSs': `�" «-t�LC��. NO. BLDG.SETBACK FROM
ADDRESS ' �p 444 FRONT PROP.LI NE OF (STREET)
ga TYPE OF EXISTING SETBACK HIGHWAY } YARD NOTAL
CITY./ GE.- �lY.'% HIGHWAY WIDTH FROMC`.L. �/�
ARCHITECT OR TEL. + -
ENGINEER ' J CliYrt_ NO. 37 '_
BLDG.SETBACK FROM
ADDRESS �jpryJ. SIDE PROP.LINEOF� (STREET)
TEL. TYPE OF EXIST-I'FJG,SETBACK HIGHWAY + YARD = TOTAL 0
CONTRACTOR ��/f�/�. NO. HIGHWIDTH FROM C.L.
U
LIC. _ Cr
ADDRESS NO, + - O
LIC.
CITY CLASS CORNER CUTOFF YES ❑ NO ❑ W
CONSTRUCTION LENDER N
NAME AND BRANCH G?/r✓,� SEE REVERSE SIDE FOR SPECIAL APPROVALS Z
ADDRESS
SQ. FT. Or NO. OF NO. OF NEW ❑
SIZE ZS STORIES/ FAMILIES
USE OF �� ADD ❑ ./1/4,
STRUCTURE '-
ALTER
SIGNATURE OF REPAIR❑ ,.
APPLICANT DEMOL ❑
VALUATION,$ � �C. -APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. ,e0 FOUNDATION: LOCATION
FEE $ FEE $ FORMS, MATERIALS
FRAME: FIRE STOPS,
I 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 ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. I CERTIFY THAT IN DOING. THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY PERSON IN VIO TION OF THE LATH; INT.
LABOR CODE OF THE STATE OF •CALIFORNIA I RELATING TO
WORKMEN'S COMPENSATION I SURANCE. LATH; EXT. -
SIGNATURE OF , HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED -
ADDRESS ��?� -aaZO/1.��1�.� / /
FINAL 72
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K.
M O. CASH
�,, �T
0A 6r- SEP , 8 1 0 42.00-
DEPARTMENT OF BUILDING AND SAFETY �� APPLICATION FOR PERMIT
COJJNTY OF LOS ANGELES - ' 1
WM. J. FOX. CHIEF ENGINEER
tsulLuFOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING /7S7 ��S ��I S DISTRICT NO. PLAN CK.NO. PERMIT NO.
ADDRESS 1 �^ '� /
LOCALITY �+1 �/'��} L/ RECEIV001 BY DATE OF APPL, DATE ISBUED
NEAREST LD ewlq--
CROSS ST.
�/�� ���i OUILDING ✓�
OWNER,VGJ9_`� /Y!� / ADDRESS
MAIL
,7
LOCALITY i t
ADDRESS t / of-Fyv
NEAREST
TEL. CROSS ST,
ARCHITECT OR ri FIRE NO.OF PE GROUP
AR
ENGNEER +�!/C 5 y NO. ZONE PLANS
LOG.
ADORES �/�
!>1�S :71 16�/ C �49 B
o SETBACK LINE
C y� , APPROVED
CONTRACTOR 5 pr,4)4._
NO. BY DATE
USE APPROVED
ADORES
BY DATE
ZON
LEGAL / RRECTIONS
DESCRIPTION LOT NO. [9 / BLOCK
TRACT L)
NO.OF BLOBS.
SIZE OF LOT I NOW ON LOT
USE OF NO.OF NO.OF
EXISTING BLDG. FAMILIES I ROOMS
DESCRIPTION OF WORK s
NEW ALTERATION ADDITION / O
A
REPAIR MOVING DEMOLISH D
Sq.FT. NO.OF Y
SIZE ROOMS STORIES r
WALL ROOF
COVERING I COVERING
USE OF NEW
BUILDING
2-lk-1 7-v
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND STATE LAWS REG N S ILDING CONSTRUCTION.
FRAME: FIRE 9TOP8.
SIGNATURE OF BRACING.BOLTS
PERMITTEEef* LATH. INT.
AUTHORIZED AOT
'LATH, EXT.
76A636A-3 2-50 $ P.C.IC PLASTER,INT. '
C FEE PLASTER.EXT.
�
VALUATIO / FINAL
N �
FEE � 1-7
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COU;4TY OF LOS ANGELES OCT - IW B U I L D I N G
WM. J. FOX, CHIEF EN13INEER
I
XOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.NO. PERMIT NO.
BUILDING
ADDRESS
LOCALITY ,►/�L.Z� C..✓� J RECEIVED BY DATE orAPPL. DATE ISSUED /
NEAREST
CROSS ST.
BUILDING
OWNER /'O•�Y �/� S® j ADDRESS
MAILs C LOCALITY .�"
r ADDRESS p�.JJ,T I/ NEAREBT
+�S�T� r
CITY er J�•/17/'®L!s i._/r� i� NO.
CROSS BT.
FIRENO.OF TYPE GROUP
ARCHITECT OR �~� TEL ZONE PLANE •�
ENGINEER ��x- x NO. - I
. ' � LDG.BETBACK NE !/ Z PRO,.NOl
ADDRESS.
APPROVEDTEL. By
r
CONTRACTOR��i(/� NO. UB
USE APPROVED
ADDRESS ZONE ,,,,• BY DATE
LEGAL G D '�"' CORRECTIONS
DESCRIPTION LOT NO. // BLOCK
_TRACT Pros—
NO.OF SLGB.
SIZE OF LOT • I NOW ON LODT +',f«. _e ., ., �• d ;t..'! _ �. .0
v
USE OF ��• NO.OF NO.OF // y
EXISTING BLDG. t� -� FAMILI[• I ROOMS r /
C:
DESCRIPTION OF WORK
F
NEW ALTERATION ADDITION .r �,a.•L O
(�,. GI
REPAIR MOVING DEMOLISH --,y �. � `.[."--f`t , I r�', �{ / Ll
SQ.FT. N0CF
612E oZ (/,� tJ RDOMB / STORIES
WALL r_ � ROOF IF
COVERING '-1 I COVERING` IZ/.
UBE OF
BUIILDING NEW
rf�/ 1ii47 '� `� ', Y't G`' t e �_
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPRO
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION ` NSPECTDR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
�'' FRAME: FIRE STOPS, / •/ <j
SIGNATURE DF'" P `I BRACING,BOLTS
PERMITTE {•
LATH,INT.:
AUTHORIZED AOT LATH,EXT.:
DSS-3 SOM SETS 1-48 $ P.C.0 PLASTER,INT.
FEE PLASTER,EXT.
VALUATION c FEE FINAL
WORKERS'COMPENSATION'DECLARATION
hereby affirm That I havecertificate of consent to self APP`I CATs O N FOR. BUILDING PERMIT
insure, or•a certificate of Workers'Compensation Insurance, - -
or acertified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY,
Policy,No. Company. BUILDING
Certified copy is hereby furnished: FOR APPLICANT TO FILL IN ADDRESS
Certified copy,is filed with the county building inspec- BUILDING /I ?
tion department. ADDRESS LOCALITY
NEAREST
DateApplicant CITY L� G/ ZIP CROSS ST. ,
CERTIFICATE OF EXEMPTION.FROM_ EWORKERS' NO. OF.BLDGS. ASSESSOR.
COMPENSATION INSURANC
-SIZE OF LOT NOW ON LOT MAP BOOK - PAGE PARCEL
(This section need not'be completed if the permit is for one
USE ZONE. MAP
hundred dollars($100)or less.) TRACT BLOCK LOT NO. NO. d
TEL. . SPECIAL
I certify that in the performance of th'e work for which this OWNE lid/lr/.?u NO. Q CONDITIONS'
permit is issued,IshalI not employ any person in any manner S�'m�� DISTRICT GROUP TYPE FIRE PR CESSED BY O
so as to become subject to the Workers'Compensation Laws:
ADDRESS CONST. ZONE V
Date Applicant IP TEL.- .
AIRCHITECT OR TY Z STATISTICAL C SIFICATION "APT ICONDO
NOTICE. APPLICANT: If, .after making This Certificate of 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
with comply. with' such provision's or.this.permit shall be z
T L. VALIDATION
deemed revoked. CONTRACTOR O�io. �? BK: PG,
LICENSED CONTRACTORS DECLARATION ❑C.
I hereby affirm That I am.Iicensed under provisions of Chapter 9 ADDRESSJti 4� �//Q'Gl � NO. O VALUATION
(commencing with Section 7000)of Division 3 of the Business and LIC. Aw
Professions Code, and my license is in full force'and effect. CITY / /� CLASS 4/ $ T'�
/ 'SQ. FT. NO.OF NO. OF 'CHECK
License.Number �lic.Class / SIZE STORIES FAMILIES ONE ►.
Contractor,& 'r�-?//" � ZJ . DESCRIPTION OF WORK CIO,. TT/>�GC C NEW $
Date }
y DD U
I am.exempt under Sec. yA'/l/.S'/9�Cd Ont/' /ci2di✓
ALTER FINAL
B.&P.C. for this reason REPAIR DATE '
USE OF
El
FINAL r
Date: A_ DEMOLB
EXISTING BLDG. r ♦ Y
Signature APPLICANT TEL.
OWNER-B ER DE ARATION _ PRINT NO.
I'here.by affirm that I'am exempt from the Contractoi's Licen
Law for the following reason (Section 7031.5, Business and ADDRESS
Professions Code):•. PRESENT
BUILDING :
❑ I, as owner of The property, or.my employees with ADDRESS
wages as their sole compensation,will do the work and LOCALITY
the structure is not intended'or offered for.sale(Section Q 7 2,(j'A
7044, Business and Profess ions'Code). MOVING ,TEL.
I, as'owner of the property, am exclusively contracting CONTRACTOR., NO. t#)o'o'0.0,0
with'licensed contractors to,construct.the project(Sec,
ADDRESS
tion 7044, Business and Professions Code)! 'o a 5 9 2.5
REQUIRED TOTAL SETBACK FROM EXIST.
CONSTRUCTION-LENDING AGENCY. SET BACK YARD HWY PROP. LINE WIDTH o�o to x
I hereby affirm'that`there is a'construction lending agency for FRONT S 9, 5 U ,
the performance of-the work for which'h'is permit•is issued PAL 2 5_8 3•
(Sec.,3097, Civ. C.). SIDE.
+ P:L:
<• Lender's Name
-., P.C.Fee$ Permit Fee
Lender's Address 77
a . • I certify that I have,read this application and state that the, Issuance Fee
.� "above-information is correct. I agree,to comply with,all County Investigation Fee
$ ordinances.and State laws relating to:building construction, Total Fee.
d "and-hereb orize representatives of this.County to enter
m ,upon Thebov .mentioned propert or inspection purposes.
SEE,REVERSE FOR EXPLANATORY LANGUAGE
Sig Lure,of A licant or Agent Date ��� _ _ '- ®s
COUNTY OF LOS ANGELES TEMPLE CITY x. 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9811120047
PHONE: (818) 285-0488 EXT:
LEGAL ID•_ NO. OF CONST BUILDING ADDRESS:
TR: 5905 SQ. FT STORIES TYPE 9126 LAS TUNAS DR
STRUCTURE: VN TEMP CA 917801903
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ROSEMEAD BLVD.
5387-023-026 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: COMME USE ZONE: C-2 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 11/12/98 UT 11/12/99
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL CODE:
WILBUR RANDOLPH G;INGE TRS 1 3,860 12--340
to
TEMP 917800030 FEES PAID DESCRIPTION OF WORK
REROOF COMMERCIAL BLDG. T/0 PPLY HOT MOP 3 PLY BUILT UP
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
RANDOL ROOFING (626) 288-4040- AA BLDG PERMIT ISSUANCE 27.75
529 E. VALLEY BLVD. AC STRONG MOTION RESID=-__3860.00 VAL 0.50 SPECIAL CONDITIONS:
SAN GABRIEL, CA D2 PERMIT W/O EN=HCS-- 3860:00 VAL 115.80
j�TO7AL�FEES\ 144.05
CONTRACTOR: TEL. NO: �� ��\ APPROVALS DATE INSPECTOR SIGNATURE
RANDOL ROOFING AND CONSTRUCTION (626) 288-4040-
529 E. VALLEY BLVD LIC. NO /'rte. \� LOCATION AND SETBACKS
SAN GABRIEL, CA 91776 451937/B \
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. N0: _ \ \\ FOUNDATION/TRENCH FORMS
I
LIC. N0: J _ �� "111 llll �.1��. SLAB/UNDER FLOOR
i
LIL_�_1=__ RAISED FLOOR FRAMING
I - — - ---— — -.
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP. .3) �� ,� ��1 � ��✓ �� � UNDERFLOOR INSULATION
150H265 3 04 �UJ -_�i- , i '������� ''\\, `moi
1 _ FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1^ ____ _ ___ _ ___ /
NO 22 ' \ � 1 ��� ROOF SHEATHINGV.
i 1
SCHOOL WITHIN HAZARDOUS1 �s t SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO
/ FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST ��Oo (� FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH: Q° -
FRONT PL elf O l 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