HomeMy Public PortalAbout9511 LAS TUNAS DR_Building__ TEMPLE CRT ,
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7GA938A CE 8000, 1-01 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDIN
DEPARTMENT OF COUNTY ENGINEER ADDREss
BUILDING AND SAFETY DMSION LOCALITY`/ r
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP TYPE ROCES C� Y
FOR APPLICANT TO FILL IN coNsr. I
BUILDING �j STATISTICAL CLASSIFICATION I SEWER MAP
PG
ADDRESS q // T aG n-7CLASS.NO,�DWELL.UNITS7
�p7
LOT NO. W Pao/ IIiOQ�y BLOCK WATER NOT REQUIRED RECEIVED
6Lr6/ CERTIFICATE: n �I
MAP HIGHWAY
TRACT
NO.OF BLDGS. � NO. �6 / (CIRCLE) STATE MAJOR SECOND, LOCAL
SIZE OF LOT. � I NOW/ON LOT USE ZONE SPECIAL
USE OFEXISTING BLDGv//L���/PZ.�L06Y � CONDITIONS
//'// �1QS N O.
TEL. z
OWNER BUILDING EXIST.
/ -�� SETBACK YARD HWY STREET NAME WIDTH
ADDRESS !O� �� �� � FRONT /
ARCHITECTORTEL. P. L.
ENGINEER .CN O.��IS«f SIDE _
ADDRESS /S� 4V, TEL. INSPECTION RECORD
CONTRACTOR NO. r i'
ADDRESS - Q
DESCRIPTION OF WORK w
CL
Q)
NEW ADD ALTER REPAIR DEMOLISH
FT. NO.OF NO.OF
�IZE STORIES FAMILIES
USE OF �.T .N �lil/J£.(Z1li(l� V/Fns
STRUCTURE
/,q"f w �-�aa/ A
SIGNA
APPL.ICANTOF7� &
VALUATIONS `7�Y t V�}A-�l—�'"Y.'"9v�__-
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. dv FOUNDATION: LOCATION \
FEE FEE $ FORMS,MATERIALS
FRAME: FIRE STOPS,
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING, BOLTS A
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:LOCATION, '
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS Pnn
BUILDING CONSTRUCTION. ICERTIFY THAT IN DOING THE WORK V /
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. �� ei n .A
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INSURANCE. -
�j� LATH,EXT.SIGNATURE NUMBER
PERMITTEE OF/ HOUSE
RECTAND POS EDR
ADDRESS__4Cry ''�� !�/4xs� �� 7 FINAL I f
CLYDE N. DIRLAM, PRINCIPAL STR RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
111; ? 457
i i'ai�F�
76A6.'jVA CE#803 3-68 �`' - ✓"
APPLICATION FOR BUILDDIG FERMI
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LA MBI E, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST
CROSS ST.
DISTRICT NO GR TYPE OCES .D B
FOR APPLICANT TO FILL IN CONST.
(Print or type only) r o p'
BUILDING T.,aSTATISTICAL C ' FICATION SEWER MAP
Lar
ADDRESS 9511 E. 's Tunas, Temple Ci CLASS NO. DWELL.UNITS. BK PG '
LOT NO. BLOCK USE ZONE MA FS ^)d�
NO. �G
TRACT SPECIAL
NO.OF BLOGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. BLDG.SETBACK FROM -
TEL. FRONT PROP.LINE OF (STREET).
OWNER Roger Horton, MONO, TYRE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS
HIG Y WIDTH FROM C.L.
� -
CITY
BLDG.SETBACK M
SIDE PROP.LLINEINE OF
ARCHITECT OR TEL. (STREET)
OF
ENGINEER NO. _
TYPE OF EXISTING SETBACK HIGHWAY +. - - TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
CONTRACTOR Bryant Htg NO.TEL* 286-.1141 + c_
ADDRESS 1350 E. Las Tunalo' ' 2217.51 CORNER CUTOFF YES ❑ NO ❑
CITY San Gabriel
LIC.SS C-202'
SEE REVERSE SIDE FOR SPECIAL APPROVALS 2'
U
DESCRIPTION OF WORK uj
NEW ADD ALTER REPAIR DEMOLISH -
SQ. FT. NO. OF NO.'OF 2' S'
SIZE STORIES FAMILIES
USE OF R
STRUCTURE Install Day & Night BAS V ' - ,-
Duopac -
SIGNATURE OF
APPLICANT
VALUATION$ 1400.OO .
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT; FOUNDATION: LOCATION
FEE$ FEES 17.25' FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACK OWLE GE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THA THE A OVE RRE D AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL CO TY OR IN CES 'AN ST E LAWS REGULATING GAS VENT, DUCTS
BUILDING CON TRUCTI NI CE I T T IN DOING THE WORK
AUTHORIZED H REBY I LL TyE`M Y ANY PERSON IN VIOLA-
TION OF'THE ABOR OF TAT OF CALIFORNIA RELAT. LATH, INT.
ING TO WORKM PENSA N R NCE.
- 'ATH, EXT" -
SIGNATURE F HOUSE.NUMBER COR-
. PERMITTE RECT AND POSTED
ADORES FINAL
JOHN F. LEWIS, PRINCIPAL ST URAL ENGINEER
PLAN ECK VALIDAT CK. M.O. CASH _ PERMIT VALIDATION cK. woo. CASH
76A638A CE#803 9-68
APPLICATION FOR BUILDING PE IT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS 9511 East Las Tunas-
BUILDING AND,'SAFETY DIVISION LOCALITY Temple. Cit
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENk1Ng, SUPT of BUILDING CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT NOS G P TYP P D
(Print or type only) 5-. 0 CO T. /
. Q
BUILDING STATISTICAL C -I SSIFICATION SEWER MAP -
ADDRESST�)msCLASS NO. DWELL,UNITS BK PG
LOT NO, BLOCK USE ZONE MAP
N O.
TRACT S PECIA L
NO.OF-BLDGS. / CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. BLDG,SETBACK FROM
TEL. FRONT PROP,LINE OF - (STREET).
OWNER 'G` o E Woods NO. TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
HIGHWAY WIDTH FROM C.L. '
ADDRESS. � i �
CITY
BLDGS CK FROM
ARCHITECT OR TEL. SIDE PROP.L F (STREET)
ENGINEER NO. TYPE OF EXISTING SET HIGHWAY } YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
T _ CL
CONTRACTOR] ' EL.
NO. C
LIC. C
ADDRESS San Ga briel NO, - CORNER CUTOFF YES El NO ❑ �
LIC. 34.49
C
CITY San GabripT CLASS SEE REVERSE SIDE FOR SPECIAL APPROVA S LL
CONSTRUCTION LENDER a
NAME AND BRANCH z
ADDRESS _ -
SQ. FT. NO. OF NO. OF NEW ❑
SIZE STORIES FAMILIES
USE OF ADD ❑
STRUCTURE
ALTER ❑
SIGNATURE OF REPAIR®
APPLICANT DEMOL ❑
VALUATION S 550.00 APPROVALS DATE 1NSPEC-f OR*S SIGNATURE
P.C. PMT. FOUNDATION: LOCATION
FEE S '07 FEE SC) 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 ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF 'CALIFORNIA IN RELATI.NG TO
WORKMEN'S COMPENSAT IO URANCE. LATH, EXT,
SIGNATURE OFA HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS
JOHN F LEWIS. PRINCIPAL STR URAL ENGINEER
PLAN. CHECK VALIDATION CK. M.O. CASH _ PERMIT_VA_LIDATION cK M o CASH
r
rARTMENT OF BUILDING AND SAFETY APPLICATION. FOR PERMIT
COUNTY OF LOS ANGELES BUILDING
WM.' J. FOX, CHIEF ENGINEER �.�.
PLANSc BLDFIRE
G. / `DISTRICT No. PLAN CHK. FEE PERMIT Noe, p
FILED ETS ( ZONE �, ZONEq/,_ /�Jfp/, _ ,/s
TYPE OF-ti ' '__ R 3
BLDG, 1 11 111 IV X GROUP $
BLDG. SETBACK EINE DATE O APPL RECEIVED BY DATB ISSU D
ORD. NO.
7 �,� W Ab f��� �� /3 y
`y�-' AP�gPL,ICANT FILL IN'HEAVILYOUI-N
TLQEDgPORTION ONLY
0 a, NAME , ADDRESS L 1
W P� �J '�."
W Z ADDRESS I cl ! }.�t.�I/�/-TI,L / '/p�•7 �'1 LOCALITY (;
NEAREST
= Z CITY .�_J. ,.�J4;J'%f�iC •RL." . . - ...CROSS ST. ���y�/dry
W STATE
Q LICENSE NO. •.TEL: No. NAME
ILI MAIL
0 NAME�^� gg, ' __�/j („I 3 ADDRESS ' r
c3 C o
. Q ADDRESS � CITY
6� �I(��//Q,�C�.`�'/'� TEL NO.
Z "CITY _�� :• �J �I _-t}�� AA J a LOT'$'�S TS �1'a m d I SIZE OF LOTSTATE ) J
U LICENSE NO. ,) / �, TEL. No./t}�,�`��jS wU NO. OF BLDGS.
F J u BLOCK ® NOW ON LOT
CLASS OF WORK TRACT M 4 USE OF BLDG.
NOW ON LOT �
DESCRIPTION OF WORK
NEW ADDITION DEMOLISH •�r1�(, /I
ALTERATION REPAIR /r MOVING '1
NO. OF
BLDG.F/ yjy- IFAI�ILIES,�L_
ROOMS `yJ
SIZE OF—.;-,"„q }� /f/f STORIES r NoOF BLDG. / 1A t`;�" 1�9 CORRECTIONS
SPECIFICATIONS
FOUNDATION
EXTERIOfi , PIERS % P y: `.` 4 "h ✓' I - - Is15�.s�t'1��.�+._d. �A
MATERIAL }x'40Y
THICKNESS—TOP �C�E' n/ '] (�
THICKNESS_BOTTOM ,.h
DEPTH IN GROUND �,A q
SUPERS rR CTURE
SIZE SPACING SPAN
R. W. PLATES (SILL) \\ _ _ .I O
GIRDERS _
JOISTS—FLOOR �
JOISTS_CEILINjG ,
BEARING WAL.LSN //f
PARTITIONS /t/nS'
ROOF RAFTERS FINAL APPROVAL
SILL BOLTS -
- COVERING �7 I' J�
DATE / ���(((JJJ INSPECTOR'S NAMEe
WALL _ I ROOF1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS .CORRECT
_ 7 � AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
P.C. FEE $ / -AND STATE L S REGU .'SING ��STRUCTiON.•
� /
VALUATION S P���'_�' FEE $ SIGN�tl�'�as OWNER OR AUTHORIZED AGENT
DB-3 9-37 f
I
PUCAMO FOR HULLMG PER NT
r
COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN .3UILDIN 9DDRE
I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS
or a certificate of Workers' Compensation Insurance,or a,certified
copy thereof(Sec.3800, Lab.C.) - C GIT ZIP A� O LOCALITY
Policy No. Company SIZE OF LOT NO,OF BLDGS.NOW ON LOT
❑ Certified copy is hereby.furnished. NEAREST CROSS ST.
❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO.
department. - USE ZONE MAP NO.
Date Applicant ASSESSOR MAP BOOK PAGE PARCEL
SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO.
COMPENSATION INSURANCE WITHIN 1000 FT OF SCHOOL? YES NO
(This section need not be completed if the permit is for one hundred ADDRESS
DISTRICT GROUP T C TFIRE ZONE PROCESSED BY
dollars ($100)or less.)
.CITY ZIP •D n -
Icertify that in the performance of the work for which this permit
is issued, I shalt not employ any person in any manner so as to ARCHITECT OR ENGINEERTEL N0.
beco e sub'ect O the Worker 'Compensation L S. STATISTICAL CLASSIFICATION APT CONDO
Date ?{pplicant ADDRESS CLASS NO. of" DWELL UNITS
NOTICE TO APPLICANTIf, a r making his Certificate of REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you Should become subject to the Workers' CONTR�ACTOP, TEL N�j p SET BACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code, you must forthwith �C //�� l�✓�'T� ��G��` �C 919 0/
FRONT
comply with such provisions or this permit shall be deemed revoked. ADDRESS pp LIC.NO. / P L
LICENSED CONTRACTORS DECLARATION 0� �FUA�w ��� C' SIDE
CIT G LIC.CLASS _�O P L _
I hereby affirm that I am licensed underprovisions of Chapter 9 / SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORIES NO.OF FAMILIES
Professions Code,and p ��
my license is iss�in full force and effect.n °Xo1 '�!p`t NEW BK PG d
License Number 5 O (,[2 ( `Lic.Class �_ /I�/ DE CRIPTION OF WORK_ ADD ❑ VALUATION 0
Contractor
1 L464-7-.e IK Date .3 ' N^CI3 O L2 1/ •• a 4'/" ALTER El � t�� U
N F_7 �S PO 0
El am exempt under Sec. �1 REPAIR ❑ $ V
B.&P.C. for this reasonSvP/�O�TQ�'.VfW Li6117 ,94e DEMOI .❑ •LbmA,P/c# W
'*bate: USE OF EXISTING BLDG. URM ❑
ii.
''Signatur APPLICANT(PRINT) TEL NO. LDMA,Perm#,,. ..:_.. . nr Z
El1, as o er he,Of property, or my employees with wages as Z pig•`•i'es
.._._....Q....... . . . _.....
their sole compensation, will do the work and the structure is ADDRESS — 17 48.75
not intended or offered for sale (Section 7044, Business and
FINAL DAT H w�
Professions Code.)
WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL 7 95 J t. 1 . .....
._......
❑ 1, as owner of theproperty, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE
y 9 AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? > f•
licensed contractors to construct the project (Se ction 7044, FINAL B A > t1To
YES❑ NO❑ I/i! ,.� ... .. :
Business and Professions Code.) �-+ 66.45
WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE 33 i
OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH __ _
CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR " ` ' r ITEMS
GUIDELINES.
1 hereby affirm that there is a construction lending agency for YES❑ .No❑ T�IT 15 ® 1
N the performance of the work for which this permit is Issued(Sec.
m (HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING
3097,CIV.C.) _ 115.20
_ ...._._._....._.._ _....
CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, N/r- 1■�
TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS ' �•'•"�`�
Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. - -;-----.--
o Lender's Address GHRH.. s +..I
O OWNER OR AGENT ... .................... .. . ......_... ....... _. .. _:._...,......... :............-....,...._..
o I certify that I have read,this application and state under penalty - --_.-.
o P.C.FEE PERMIT FEE
of perjury that the above information is correct.I agree to comply J%�� �C/iy �� yl j�t_I�t y,y °f
o with all county ordinances and State laws relating to building ;; _7,C 0 VV Q z
00
construction, and hereby authorize representatives of this County ISSUANCE FEE "' '� iE q PM12eip
`0' to enter upon the above-mentioned property for inspection purposes. � ���� �r 1 t t 1'��
a -
INVESTIGATION FEE TOTAL FEE
— --......._......
.
r sgnawre of AOPr ant or Again Date
SEE REVERSE FOR EXPLANATORY LANGUAGE
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 0503290048
PHONE: (626) 285-0488 EXT:
GA 1-D No. OF CONST BUILDING ADDRESS:
TR: 6561 LT: 287 BL: .001 SQ. FT STORIES TYPE 9511 LAS TUNAS DR
STRUCTURE: 1400 VN TEMP CA 917802105
ASSESSOR INFORMATION BER: NEAREST CROSS STREET:
8587-013-017 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, C
ANT: EXIST BLDG USE: COMME USE ZONE: C- ISS ED ON: PROCESSED BY: EXPIRES ON:
DR. GUTIERREZ EXIST OCC GRP: 03/29/05 JK 03/24/06
OWNER: TEL. NO: BLDGS. NOW ON LOT:� VALUATION: FINAL DATE FI BY: CODE:
SPENCER BEEMAN - 4,500 v; .lel
9511 E. LAS TUNAS
TEMP 917800893 FEES PAID ION OF R
TEAR OFF EXISTING FLAT ROOF INSTALL BUILT UP HOT MOP ROOFINGI
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SYSTEM fI
APPLICANT: TEL. NO:
C-WEST ROOFING COMPANY (818) 701-5090- AA BLDG PERMIT ISSUANCE 27.75
18710 BRYANT ST AC STRONG MOTION RESID 4500.00 VAL 0.50 SPEGIAL CONDITIONS: !I
NORTHRIDGE, CA 91324 D2 PERMIT W/O EN-HC 4500.00 VAL 132.60
FS INV WORK W/O PERMIT 257.00 DOL 257.00
TOTAL FEES 417.85
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR_SIGNATURE
C-WEST ROOFING COMPANY (818) 701-5090-
18710 BRYANT ST. LIC. NO LOCATION AND SETBACKS
NORTHRIDGE CA 91324 749881/C39 _
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. N0: FOUNDATIONPRENCH FORMS
LIC. NO: - SLAB/UNDER FLOOR
AISED FLOOR FRAMING
MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP. UNDERFLOOR INSULATION
150H265 .3 01
FLOOR SHEATHING
N0. OF FAMILIES: DWELLING ITS: APT/CO D: STAT CLASS:
NO 22 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS BNEAI2PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXI RE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL- s -
INTERIOR L DRVUEE
fC�`o y� EXTERIOR LATH
L �v veRATED FLOOR CEIL ASSEM.
RATED WALL ASSEMBLIES
RATEO SHAFTS/OPENINGS
T-BAR CEILINGS
OT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508