HomeMy Public PortalAbout9239 PENTLAND ST_Building__ �
BUILDING -- I
G ' `', ' 'ADDRESS woaeee G✓ s
t
APPLICATION LDewun I ,J_i �.
DIVISION OF BUILDING' AND SAFETY C OBB`B ST�� '
i I DepeTl mt Ot ODODCy Engineer - '• OIBTRI�CT N0. -RECEIPT NO PERMITNO - f
County Of LeE ADgelee
n I , 1 7 f ^-�� .� ✓ /
WH J FOX, COUNENGINEER i OYRGOU DAT[RECEIVED DAT[y" �ISSUED
LG
CASSATT D GRIFFIN, sup or SuIINO . .! f • ,_ "I_ ����f �/ / /��"I
FOR APPLICANT TO FILv IN 1 i TYPE CONST RECEIVED BY �eau[gBr
OWNER TATE- Y[MAP SB NO
AMAILDDRESS' I NUMB¢R I�.oI6 HWY '
UBE ZONE BPLCIAL- - - 'f-
I
CI T[L =/ CONDITION[
4-
1
ARCHITECT OR
ENGINEER I N6
- ' �T "- I' r BUILDING B[TBACK YARD MWY i BTRLR NAM[ WIDTH I
ORES . /
TEL _ '• P L FRONT D �`
CONTRACTOR, NO
BID[ _
ADDRESS P L
•BUILDINO. 'DAT[ _ OORREOTIONE _ ,INSPECTOR
ADDRESS LJ ♦ /�/�.�/ T�/" I
r I
LOT NO t BLOCK 1 I ,
q � , I
TRACT Com["(
NO. OF BLOOM
SIZE OF L'OT I NOW ON,LOT'
EXI I
XI TTI - r '
� 1 t
DESCRIPTION OF WORK, D
NEW ADD - ALT¢R^ REPAIR- -"DEMOLISH
SO FT /JD I NO OoF r f
Go ,/ _ STORIRI rAES r
USE OF STRUCTURE I '
V
r14V
NO OF — _ - .. _ _
E
,
THEREBY ACKNOWLEDGE THAT I.HAVE READ THIS AP.I
PLICATION AND STATE THAT THE I NFCRMATION'OIVEN Is APPROVALS IN13PECTUR•BBIONATUR E DATE
CORRECT
I AGREE TO COMPLY WITH ALL COUNTYORDI HANCEB' FDUNDATION• LOCATION
AMC STATE LAWS REGULATING BUILDING CONSTRUCTION {I FORMS,MATERIALS I
FRAME FIRE STOPS,
BIONATURE Of I BRACING,BOLTS
PERMiTTKE FURNACE LOCATION.ADDRESS T j
3 GwB vcNT,DUCTS
LATH INT `l '
AUTHORIZED AOT-• -
rLATH, EXT.
S X00 P HOUSE NUMBER COR-
/ C/ V FLL 1 f RECT AND POSTED I ..
VALUATION B I
reE I,k FINAL
7"6. 0B83 4 {4 v
DEPARTMENT OF COUNTY ENGINM I
DIVISION OF WELDING AND SAFETY '
• COUNTY OF LOS ANGELES 7
WILLIAM J FOX COUNTY ENGINEER APPLICATION -'
CASSATT D GRIFFIN SUP T OF BUILDING 1•
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING DISTRICT NO { PUN CK OK ReC NO +� PERMIT NO
ADDRESS 9.�I In,�J T'�A //�1�.SD� s^I C. Q ( '�� F L / �, IQ
LOCALITY T.-" f P 01 lAI/'J ' E IVED Y } DD/A�TE PAAPPPL' f� DATHIISSUED
NEAREST . ..II
CROBH BT �&-S• HAIP IL G
/} DO S /+
OWNERdAF � E. .11Q .A/� _
MAIL /Tr LOCALITY ' - UJIA i
AODRESSB+7� /�IL / _ ��/I NEAREST {� }�•
CITY / f• iA a l:.1 TI
TEL
O 7 3 d CROSS 8T �/•/-�Cr4 /l
ARCHITHCTOR 1FIRE NO OF TYPE..� GROUP
ENGINEER NOL ZONE 1 PLANS
ADDRESS BLDGSETBACK LINETEL USE
a d f
CONTRACTOR NO ZONE -' APPROVED f 7 D H
tOO(�
HOUSE UUl( NUMBERING
MBERING
ADDRESS 1
LEGAL ` MAP NUMBER K. NO ASSIGNED BY
DESCRIPTION LOT NO BLOCK 1
CORRECTIONS-
TRACT ` I O _ �+ ' I
SIZE OF LOT / S / O NOW ON LOTUS
USE OF �' .V t @ 11 0%�1 I NO OF ' - •-- - - �. - -
EXISTINGBLDG / G-CL�4- L1 hhh�G PARIuee
DESCREMON OF WORK '`' -
0
NEW ALTERATION' ADDITION p_
Z
REPAIR DEMOLITION
r
60 FT NO OF
SIZE ROOMS STORIE8
EXT WALL ROOF
COVERING COVERING '
USE OF STRUCTURE /
APPROVnS
} INSPECT SSIGNATURE DATE
I FOUNDATION LOCATION
FORMS MATERIALS J
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME FIRESTOPS
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING BOLTS
CORRECT
1AGREE TO COMPLY WPTH,ALL COUNTY ORDINANCES FURNACE LOCATION
AND STATE LAWS REGULATING BUILDING CONSTRUCTION GABVENT DUCTS
SIGNATURE -1-1 /3 q K- -x, LATH INT
PHRMITTH �,�/
7_ 3 (r ( !V LATH ECT
ADDRRa � Imo. Iw..� ..O/1 /
PLASTER INT
AUTHORIZED AGT
PLASTER EXT
s O V FEE s 0 HOUGH NUMBER COR-
. RECT AND POSTED
vALuwnoN FEE S D— FINAL
j8Aa*" DEe 3 ret
-DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
f COUNTY OF LOS ANGELES m% 1 ® f
WM. J. FOX. CHIEF ENGINEER B
NG
FOR OFFICE USE ONLY
FOR APPLICANT.TO FILL IN
DISTRICT NO PLANCK NO PERMIT NO
BUILDING `
AD DRIBS /yZ /- !J
LOCALITY f r RECEIVED BY, DATE OF APS\^ DATE/ISSUEO
OWNER
ADDRESS -S \ G 6 � /✓
ADDRESS LOCALITY
MAIL
e
NEARESTI
CITY _ TEL CROSS ST
ARCHITE137 OR . ~ . ' TEL ZONE PLANS 2, TYPE GROUP
ENGINEER NO
:ETB . OROS t�0
ADDRESS - SETBACK LING
APPROVED
CONTRACTORN[ BY DATE
UBEAPPROVED
ADDR! ,�G ZONE 'Y'
DAT!
LEGAL
DESCRIPTION TRIPTION LONO BLOCK 7 CORRECTIONS
TRACT
_ I
OFBL
SIZEDFLOTdeV
NO NOW ON LODTGB y /O/l"v.
E%USE OFL NO O e_ ROOMMF NO P
ESCRIPTION Of WORK q
NEW �Aj ALTERATION ADDITION GO �.'4� "Ti S v,�/OGL� -�
REPAIR MOVINp DEMOLISHC- I %v✓T� G
SO FT NO OF /� Ad •L J Ia.T�1�"i.. 1
SIZE ROOMS STORIES f'SO r
WALL O F / ° O 3' m"Tl Ail' ^
COVERT d - VERIN
USE OF
BUILDING
T�
C _/J/GCS/✓ fn-!/S� .CLL a d
0 oo.t/ cm/>7 Lb'Tia.✓ p FI ea / ., ��
I HEREBY ACKNOWLEDGE THAT I HAV READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IB CORRECT INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCESAFOUNDATION RIALSLOCATOH /
�
i AND STATE LWB REGULATING BUILDING CONSTRUCTION FORMS.MATERIALS ���q✓
FRAME FIRE STOPS.
SIGNATURE O BRACING. SOUS / N-
` PERMITTEE_ LATH, INT
' AUTHORIZED AOT LATH, EXT
76Ae A3 749 $s.�a 06 / P C ,S PLASTER INT
FEE —
PLASTER EXT ,
VALUATION
FEE �' FINAL
F�l I I i I, ,
' /WORKERS COMPENSATIfN DECLARATIOIa .• s+ �. - )I'
G JS
I hereby affirm that I have a certificate of consent to self -
,insure or a'<ertificate of Workers Compenstion Insurance or APPLICATION - FOR BUILDINPERMIT '
a certified copy thereof (Sec 3800 Lab C ) COUNTY'OF LOS ANGELES �- BUILDING AND SAFETY I
Policy No ` Company r
Certified copy s hereby furnished I FOR APPLIC TO FILL IN ADDRESSS aDING3 i �� �.
Celi, `hfied copy is filed with the county building mspec BUILDING 2 (� C
tion'deportment ADDRESS Z•`3 7 n /w T�Jti"r D LOCALITY •C=/
Date Applicant t CITY f—/�PL� `I}"l ZIP 917 ®O _ CROSSNEAREST
's CERTIFICATE OF EXEMPTION FROM'WORKERS - d J SC /S! NO OF BLDGS ' ASSESSOR i
` • COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT-+ MAP BOOK PAGE PARCEL
(This section need not be completed if the permit is for one USE Z E MAP
hundred/dollars ($100) or less ) . TRACT BLOCK LOT NO n-� NO
TEL T1 -/ SPECIAL O
OWNER (}//Lc/Avw U11i NOZB TSI/•31 CONDITIONS
' `•
i,certify that in the performanc work for which Ihis DISITZICT GROUP TYPE FIRE PROLE DBY U
permit rs issued I shall not the y any /son m any manner ADDRESSAS ailVC a� CON51,��-- ZONE ' O
so os to be me s bled to the kers oar npnsahon Laws (/ .r fs/—
./.L s30 80 t OT. CITY ZIP
Date Applicant STATISTICAL CLASSIFICATION APT CON
NOTICE TO APPLICANT If after making ARCHITECT ORaN 3"f Ury TEL ;t8b-383/ I"
ENGINEER NO CLASS NO DWELL UNITS_ O•
Exemption you should become subject to the Workers N '
Compensation provisions of the Labor Code you must forth SN SSA'M 11 .
ADDRESS G' SEWER MAP \
with comply with such provisions or this permit shall be , \ l
deemed revoked , CONTRACTOR JQ� Gix:./LJI�/ TEL T ¢�3r VALIDATION `
T . • LICENSED CONTRACTORS DECLARATION C / LIC 13"62 BK PG �. \'
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 89.1- CJ L-ORhd 4 Np 30"TA _• VALUATION
(commencing with Section 7000)of Division 3 of the Business and I tic 3
Professions Code and my license is in full force and effect r CITY �49A�.#* 'A CLASS. A? S .2J 00 o, `
1. SQ FT NO OF NO OF CHECK
License Number Lic Class i SIZE (AO STORIES / FAMILIES / ONE
_ Contractor- Date
I DESC IPTIO F WOR / NEW ❑
ElI am exempt from the licensing requsremenis os I om a ] ��6•s's / lFTN •,_Z ADD i v
licensed architect or a registered professional engineer1 - ALTER ❑ FINAL
'7 Y c / /
acting in my professional, capacity (Section 7051 - �•vL.Qn45 eJTY/fFiJ REPAIR ❑ DATE V /
Business Died Professions Code) USE -
.• i EXISTING BL it, DEMOL ❑ FINAL ����
LI or Rag No Date I APPLICANT TEL ,
OWNER-BUILDER DECLARATION i PRINT V.SJirf NO %g(,
I hereby affirm that I am exempt from the Contractor s License ' r
Law for the following reason (Section 7031 5 Business and ADDRESS ROVE / 1.
Professions Code) e /l�6
❑ Al
BUILDING - - - - /� + ,
I as owner of the property or my employees with i ADDRESS �r
wages as their sole compensation will do the work and �;7; O 9 `
' the structure is not intended or offered for sale(Section- ' LOCALITY • -
7044 Business and Professions Code) MOVING TEL
I as owner of the property am exclusively contracting CONTRACTOR NO
with licensed contractors construct the protect (Sec
hADDRESS L '�3 6 5 8 A
i oBusiness7044 Business and Professions Code)
REQUIRED TOTAL SETBACK FROM EXIST
CONSTRUCTION LENDING AGENCY SE7 BACK ' YARD HWY PROP LINE WIDTH , _ #S. . • .
•' I hereby affirm that there is a construction lending agency for FRONT r
the performance of the work for which this permit is issued PL
- (sea 3097 cis c ) - - - SIDE - . . �.P/llLoaJ '2 _ 5 Q 2 0 .
Lender s Name
P` y(�J•/� �(� • • • 5020
� ,.
_ /J _ A J
` P C Fee$ _(• 'v Permu Fee 7 Q Q'] —8
Lender s Address
bat I have read this a lication and state that the s
PP Issuance Fre
'— ave info/ tion is correct I agree to comply with all County Invesngahon Fee
or inonces an State laws relating to building,construchon Total
-an ereby au representatives of this County to enter 1 �6' -
up he a m¢/�ti1w%kp property for mspectio r ses {f1 / ' C
• - - �'"^� �/ / B I SEE REVERSE FOR EXPLANATORY LANGUAGE f -
-^ -Si nature of App qen Dine
APPLICATION FOR BUILDING P
^ • - - f✓J�T�� _ COUNTY•OF LOSAANGEI�ES BUILDING A
WORKER S COMPENSATION DECLARATION FOR APPUCANT TO FILL IN
I BUILDING ADDRESS rC�
• hereby affirm that I have a certificate of"consent�o seX Insure 4AI 1 ,t
or'a certificate of Workers Compensation Insurance Or a certified CITY' - ZIP
copy thereof (Sec 3800 Lab C) OCA
����
LHV
• Policy NO ' Company SIZE 0 LOT NO OF SLOGS NOW ON LOT
❑ Certified Copy is hereby fumiahed NEAREST CROSS ST ,
TRACT
�dCertllted copy 5 bled with the County bill ding InspeCtan BLOCK LOT NO
ZZ�fl ' USE ZONE MAP NO ,
ASSESSOR BOOK RAGE PARCELDate Applicant Q t SPECIAL CONDITIONS
ERTIFICATE OF MPTION FROM WORKERS oW A TEL No
COMPE SAIION INSURANCE eC- ,6 all, NTTHIN 1000 FT OF SCHOOL'S { YES No
(This section need not be completed if tlla permit Is for one hundred �ORESS w , DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY
dollars°($100)or less) , •-�/.rl
I certify that in the performarrz of the work for which this permit IF
CHV LP t
Is Issued I shall not employ any person in any manner so as to - �' X7 • e)t
F become subject to tfte Workers Compensabon Laws ARCHITECT OR ENGINEER TEL NO
sunS/{�1�[L cl.AssFl TION Orr cavoo
Date • Applicant ADDRESS .- CLA SS'f OJ DWELL UNRS7�
NOTICE 70 APPLICANT If after making This Certificate'Of REQUIREGL D •TQSETBACK FROM EXIST
rk
Exemption you should become subject t0 the Woem CONTRACTOR - TEL NO SET BACK YARD HWY PROP UNE WIDTH
Compensation•prc Asiona Of the Labor Code you must forthwith FRONTS
comply with such prowsans or this permit shall be deemed revoked AD ESS -•- LIC NO ^P L
LICENSED CONTRACTORS DECLARATION • 4 !� _ BYODE/YG� , S,
CITY IL C/ uc `LW P L
I hereby affirm that I am licensed underproveloTAs of Chapter 9 SEWER MAP
(Commencing with Section 7000)of Drvls on 3 of the Business and S& SIZE NO OF ST IES. NO OF FAMILIES
&
Professions Code and my licen-se Is In full force and effect B"Q - NEW ❑ BK PO d
License Number V01III / L. ClassB` DESCRIPTION OF WORK ADD ,PI VALU ,Q -BQ . , 0
Contractor .ln.•/,✓ /J//(dF Date, 72 e.-/LO _ _ ALTER/ ❑ $� �u D U
cc
❑ 1 am exempt under Sec REPAIR ❑ $ 0
BBPC for this reason DEMOL ❑ DMA PTC
Date USE OF EXISTING BLDG - — URM O _ t G-
Signature APPL� / T�LJJO LOW Perm 0 "\' - 23 Z
❑ I as Owner of the property or my employees with wages as •( •\ ZO ACCT.i
their sole compensation Will do the work and the structure rs., ADDRESS �t FL
not intended or offered for sale (Section 7044 Business and S h'� 7•_ ` FINAL DATE `1 a 3303 I T 50.50
Professions Code) , _ WILL THE MRJGVIT OR FUTURE BUILDING OCCUPANT HANDLE A FNZARDOUS MATERML �� ..1 1
❑ I as owner of the property are exclusively contracting with OR A MIXTURE CONIInEAG A Hu_IRDous MAllar L EG To OR GREATER THAN THE Q ,
licensed COntraCfOl9 f0 COn4IrUCt the AMOUNTS SPECIFIED ON THE HAZARDOUS MATERALS NJFORMATCON GUIDE'+ ,FINAL BY •' � y •.�
project (Section 7044 vEs❑ NO❑ ' ACC•T.r
Business and Professions Code) xnL
THE INTENDED WE OF THE WDUN13 BY THE IRPDQANT OR FUTURE BUIDIIG v�. ` - 192.45
OCCURWT REQUIRE A PERMIT FOR CONGTRUCTION OR MODIFICATION FROM THE SOU-rHr •r _ t�T �l _
CONSTRUCTION LENDING AGENCY cc MIR QUAUTY MANAOEMENT DISTRICT(ScaoMD1 SEE PERMITTING CaECKUST FOR ` - 2 ITEMS
GLwEUHEs
I hereby affirm that there Is a construction lending agency for YEs❑ ra❑
N the performance of the work for which this permit Is Issued(Sec r TOTAL 242�. 95 r
IHwEREAOT NDERSI 40MMATERIILSINFOCAUNDER THE ANO TIE UES COUNTY A,
N 3os7 civ cI _ TTLE2 o i 2T� C" S oloo"T� H m a40 � H AF ` I I` P `CHECK 242.95
Lenders Name MATERMU6 REPIXTIMO MA FOR oaPAHM A PERMIT FROM THE NI 1
Lenders Address ` CHANa A i •00
0 oA•An ce IODrt I I i
I tartly that I have read this application and state under penalty
8 Of perjury that the above information m correct I agree t0 comply PC FEE .s-D PERMIT FEE - f1M J1r1
with all county ordinances and State laws relating to bulling �v�' / s DO Lw01 �./; 8/96
construction and herebyauthome representatives Of this County ISSUANCE FEE 7
to D r IlpO Ile ab red property fo inspection p1 oses 4155. 1 PM 5:56
a
I n •�•
INVESTIGATION FEE TOTAL FEE
A SEE REVERSE FOR EXPLANATORY LANGUAGE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT JEMPLE CITY LA 91780 _ BL 0508 0008110076
PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST NEW BUILDING ADDRESS
TR 12210 LT 7 SO FT STORIES TYPE OCCUP GROUP 9239 PENTLAND ST
STRUCTURE 600 1 VN R3 TEMP CA 917803736
ASSESSOR INFORMATION NUMBER GARAGE NEAREST CROSS STREET CLOVERLY
8590-009-025 OTHER THOMAS PAGE 596 GRID J5 LOCALITY TEMPLE CITY
I
TENANT EYIST BLDG USE USE ZONE ISSUED ON PROCESSED BY EXPIRES ON
EXIST OCC GRP 09/14/00 UT 03/14/01
OWNER TEL NO BLDGS NOW ON LOT FINAL DATE L tST E
CAI JEFFREY - 1 47,400 /��4
9239 PENTLAND ST
TEMP 917803736 FEES PAID DtSeRIPTI NOF WORK
NEW GUEST HOUSE -LIVING ROOM/BEDROOM AND BATHROOM
FEE DESCRIPTION QUANTITY UOM AMOUNT
APPLICANT
WILDE'S CONSTRUCTION (626) 448-2175- B1 PLANCHECK W/ENERGY 47400 00 VAL 721 44
4905 13ALDWIN I AA BLDG PERMIT ISSUANCE 27 75 SPECIAL CONDITIONS
TEMPLE CITY, CA AC STRONG MOT ION'RESIE�47400 00 VAL 4 74
82_PERMIT W/ENERGY-'—X47400`00 VAL 848 76
PwuELESTOTA_u'��s 1,602 69 PPRO OR URE
CONTRACTOR _V0__ /O$
TILDE'S CONSTRUCTION (818) 4407 B -- \
4905 BALDWIN AVE LIC NO \ LOCATION AND SET
TEMPLE CITY CA 91780 401407 B " D- '-0
� ILS R A
ARCHITECT OR ENGrRnW- TEL NO -6-0 FOUNDATION/TRENCH FORMS
LIC N0, // !_l�L 1111111 SLAB/UNDER FLOOR
RAISEDiFLOOR
MAP NO SEWER PAGE RE ZO 3 i � FLINSULATION1� aC V ®'Rj 1Q`a
/
IST LEV=15M_�I�
NO OF FAMILIES DWELLING UNITS
COND STAT CLASS
NO 21 eNU LEVEL SHDTF-
SCHOOL
AIR QUALITY 1000 FEET MATERIALS 1\ 0 0 ' o
NO NO No A �f'L ®y INSPECT
REQUIRED TOTAL SETBACK FROM EXISTBLDG DEPT FRAME INSPM
LJ
SET BACK YARD HWY PROP LINE WIDTHFROT PL- Service ThSHEAR PANELS
SIDE PL- INSULATION/WEATHER STRI�
n`
' INTERIOR LATH ALL -'
DRAINAGELOT
SMOKE DETECTION DEVICES
A PRO
• ADDITIONAL DATA ON FILE FIRE
REPORT ID DPR261 ROUTE TO RS0508
{