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HomeMy Public PortalAbout9335 PENTLAND ST_Building__ ... 9 GD .APPLICATION' FOR BOILDING PERM1tIJ COUNPY'OF LOS ANGELES FADDRE6]NG DEPARTMENT OF COUNTY ENGINEER S .BUILDING AND SAFETY DIVISION un' )JOHN A LAMBIE COUNTY ENGINEER ESTRWILLIAM A JENSEN SUP T OP BUILDING S STY 1 �DISTRICT'NO, UP TYPEPR SS ED'BY +' FOR APPLICANT TO'FILL IN (6/ CONST BUILDING ] STATISTICALCLASSIFICATION SE ER MAP ADDRE9 3s 'ek W it GBK PG CLASS NO DWELL UNITS } MAP - STATE1 'NUMBER, 16 ` HWY YES NO Y TRACT ' ' USEZONE SPECIAL dp'OF BLDGS R w / CONDITIONS .J SIZE OF LOT ' , `, OW ON LOT USE OF EXIST,NO BLDG > E BUILDING - - EXIST TEL 'WSETBACK YARD H STR �AME, WIDTH OWNER / NO ` FRONT III` L ADDRESS 'O , -7-1(- ,, SIDE ' ARCHITECTOR TEL P L ENGINEER - NO INSPECTION RECORD `ADDRESS- - /�/ /�, TELit ` ��Y�• ` O CONTRACTOR NO ADDRESS • - ' Y; J',/ ,I •� ' �, DESCRIPTION OF WORK" DJ EVy + ADD ALTER REPAIR DEMOLISH N SO FT NO OF NO OF • U'�' ?I SIZE >> ° STORIES: FAMILlig..4 USE OF STRUCIUJRE SIGNATURE OF - APPLICANT VALUATION$ APPROVALS DATE INSPECTOR 5 SIGNATURE P C PMT -OjC FOUNDATION LOCATION j0p_ ` FEE $�� FEE $ - FORMS MATERIALS T FRAME FIRESTOPS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION' BRACING'BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO'COMPLY FURNACE LOCATION r WITH ALL COUNTY ORDINANCESAND ESTATE LAWS REGULATING, GAS VENT DUCTS BUILDING CONSTRUCTION I.CERTI FY THAT IN THE PERFORMANCE - OF THE WORK FOR WHICH THIS PERMIT IS IN I�SHALL NOT LATH INT i EMPLOY ANY PER S ON 01H ANY MANNER 50 AS TO BECOME SUBUECT TO THE WORKMEN COMPENSAYIONi LAW$ OF CALIFORNIA• LATH EXT , SIGNATURE OF F 1 HOUSE NUMBER COR- PERMITTE RECT AND POSTED ADDRESS - FINAL CLYDE N PLAN CHECK VALIDATION cK M o uBH PERMIT VALIDATION TR DK RPM0CASH ENGINEER LPA 06 3 5V3,� _'�,Y 1 2 s D '2 4'0 0! r 3 2-? JIM 9 i o 4 8 00 M T�A 63BA Cr 4803 1/7I & I ^ APPLICATION FOBl51LDI�ERMCW COUNTY OF LOS` ANGELES .ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAG PARC BUILDING AND SAFETY DIVISION BUILDING' ADDRESS COLEMAN IN JENKINS; SUP T Or BUILDING' LOCALITY FOR APPLICANT TO FILL IN NEAREST rent r t onl CROSS ST G ABUILDING DDRESS DIST vP CONST TYPE P O SSED BY 9 _ STATISTICAL CLA SI FICA TION SEW ERUgM+1AP~'•"/•'�^�J LOT NO /7- / BLOCK CLASS NO � DWLL EUNITS-_ BK`j PG 7 TRACT Q USE ZONE MAP 201) ( r l (J NO OF SLOGS 1 NO ib SIZE OF LOT . S I} NOW ON LOT !/��j / '• SPECIAL USE OF �SG 1 /� CONDITIONS EXISTING yBLDG �J ✓G TEL OWNER NOrBLDG SETBACK FRO ADDRESS 933.J - - FRONTPROP LINE OF -� Q/1+-B� (STREET) /n/�-� TYPE OF E%19TING SETBACK HIGHWAY } YARD = TOTAL CITY �n ^- HIGHWAY WIDTH "FROM C L ` ARCHITECT OR TEL ENGINEER' t NO BLDG SETBACK FROM - .ADDRESS Y SIDE PROP LINE OF (STREET) L CONTRACTOR `✓ NO RN0,25 L 7/�43J 2 Z+/ TYPE OF ENGXISTISETBACK HIGHWAY } YARD = TOTAL d HIGHWAY WIDTH FROM C L Y CD LIC ADDRESS NO 5 } , - O LIC ~ CITY $2I CLASS CORNER CUTOFF YES ❑ NO _W CONSTRUCTION LENDER N NAME AND BRANCH _ SEE REVERSE SIDE FOR S ECIAL APPROVALS Z ADDRESSSO / SIZE T 1�pf NO OF STORIES NO OMIOLFES NEW USE OFA DO Ip - STRUCTURE ALTER ❑ SIGNATURE O I REPAIR❑ 1 APPLICANT DEMOL ❑ VALUATION S CR Q� APPROVALS• ' a `DATE IN3P CTOR B BLGNATURE FEES FEES FOUNDATION FORMS(MATERIAALS .� FRAME FIRE STOPS /� J - 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL ORDINANCE! AND LAW! REGULATING BUILDING CON GAS VENT DUCTS STRVCTION 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT OY ANY PERSO N VIOL ION OF THE ;-4;- LABOR CODE Of E E Or CAL HIA Rf LATINO O LATH INT �' `lam WORKMf N'9 CO MPyyNIIA N INI UR AMCE ` /J I LATH EXT .c r SIGNATURE OF .� y}-�(,r{(.�A HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL jA JOHN F LEWIS SPR CIPAL STR TURAL ENGINEER PLAN CHECK VALIDATION CK .0 CASH _ PERMIT VALIDATION (.Ko CASH � b( _ 1 3 5 4N JUL 1 2 1 D 2 8.50- WORKERS'COMPENSATION DECLARATION 1 hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers'Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.) N COUNTY OF LOS ANGELES BUILDING AND SAFETY Ocy No. Company BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS mortified copy is filed with the county building inspec. BUILDING 49 3 ItJ-• tion deportment./ /J�� ADDRESS j Do. I Z l0 O J Applicant • " t ITv ZIP LOCALITY Sga" at RTIF TE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF l07 NOW ON LOT O55 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 I PAGE PARCH TEL. USE ONE MAP I certify that in the performance of the work for which this OWNER / NO. NO permit is issued, I shall not employ any person in any manner ADDRESS { lqA, / SPECIAL 6 so as to become subject to the Workers'Compensation Laws. /� CONDITIONS O Data Applicant CITY elM C C ZIP K ARCHITECT O TEL. / DISTRICT GROUP TYPE FIRE PROCES D By O NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CONST. ZONE I.- Exemption, you should become subject to the Workers' �) 1 tJ Compensation provisions of the Labor Code, you must forth- ADDRESS Sr 16 3 W with comply with such provisions or this permit shall be 4.11 6 deemed revoked. (/ TEL �+ STATISTICAL CIASSIFI ATION APT. C NDO. Z CONTRACT V NO. LICENSED CONTRACTORS DECLARATION LIC. CLA55 NO. Z DWELL UNITS_ I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS /C NO. U (commencing with Section 7000)of Division 3 of the Business and SEWER MAP UC ,� Professions Code, and my license is in full force and effect, Cm G {/ [�+ CLASS SK PG VALIDATION (�7/.� /7' /• SO. FT. NO.OF NO.OF CHECK License Nyrr LV ,(� Lia Class ` JJJ SIZE STORIES — FAMILIES ONE TL / VALUATION Controcto Y'H-Bote 0 S DESCRIPTION OF WORK IL t� ^ Nom'' ❑ $ v ADD ❑ I am exempt under Sec. - -/ ALTER B.BP.C. for this reason lA/ L REPAIR $ Date: USE OF EXISTING BLDG. DEfAa Signature APPLICANT TEL. FINAL 40/1 17 DECLARATION PRINT NO. DAT ' rJ I hereby affirm that I am exempt from the Contractor's License Low for the following reason (Section 7031.5, Business and ADDRESS FIN Professions Code): By BUDDING f 3 6 9. 4 A I, as owner of the property, or my employees with ADDRESS wages as their Sale compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY ' • • s e e 7044, Business and Professions Code). MOVING TEL 1, as owner of the property, am exclusively contracting CONTRACTOR NO. I e e 7 8 0 O with licensed contractors to construct the project (Sec- 'I a O O= tion 70Business and Professions Code). ADDRESS 4, e • e CONSTRUCTION LENDING AGENCY RE UIREDYARD HWv TOTAL SETBACK FROM MST. SET BACK PROP. LINE WIDTH 1220-85 1 hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued PL (Sec. 3097, Civ. C.). SIDE g P.L. Lender's Name g L C7�L LDMA Ref. 0 Lender's Address P.C. Fee S Permit Fee W, I certify that I have read this application and state that the Issuance Fee SU LDMA P/C r above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, 5/ wL u and hereby authorize representatives of this County to enter Total Fee 0 t Q (!O LDMn Parm. M uPon e above-mentioned pro r rty for inspection purposes. /Z&FZ O S SEE REVERSE FOR EXPLANATORY LANGUAGE SgxXjure of Applicant or Agent l I, COUNTY OF IAS ANGELES TEMPLE CITY k 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1003180031 PHONE (626) 285-0468 EXT DUPLICATE 1 LEGAL ZD NO OF CONST NEW BUILDING ADDRESS _ ITR 12210 • LT 16 SO FT STORIES TYPE OCCUP GROUP 9335 PENTLAND ST 1 STRUCTURE 30 1 V-B R-3 TEMP CA 917803737 1ASSESSOR INFORMATION NUMBER GARAGE NEAREST CROSS STREET 8590-009-035 OTHER THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY, Cl (TENANT (EXIST BLDG USE USE ZONE ISSUED ON -PROCESSED BY IEXIST GCC GRP 06/02/10 SR TOWNER TEL NO ` SLOGS NOW ON IAT VALUATION IFINfL DATE FI BY CODE (DODGE, CHRIS (626) 624-6246- 5 150 I ( a�o � 19335 PENTLAND ST 1 (TEMP 917803737 FEES PAID I- CRI PT ION OF WORK 1 (ENLARGE EXISTING LIVING ROOM 30 SOFT AND REPLACE TWO FEE DESCRIPTION QUANTITY UOM AMOUNT IWINDOWS APPLICANT TEL NO I I CHAAYA DANNY (310) 210-2510- IB1 PLANCHECK W/ENERGY 4447 00 VAL 123 98 1 PO BOX 46341 AA BLDG PERMIT ISSUANCE 27 80 SPECIAL CONDITIONS IAS ANGELES CA 90046 IAB STATE GREEN BIAS FEE 5150 00 VAL 1 00 AC STRONG MOTION RESID 5150 00 VAL 0 50 B2 PERMIT W/ENERGY 5150 00 VAL 164 70 CONTRACTOR TEL NO D7 ADDNL PLANCHECK PER 1 00 HOU 109 40 1APPROVALS DATE INSPECTOR SIGNATURE IA G A CONSTRUCTION INC (818) 996-7575- 'TOTAL FEES 427 36 1 1BG75 VENTURA BLVD #548 LIC NO _ - (LOCATION AND SETBACKS TARZANA CA 91356 918705E - ^ SOILS ENGINEER APPROVAL IARCHIT6CT OR ENGINEER TEL NO I FOUT'DATION/TRENCH FORMS - I I LIC NO 1 (SLAB/UNDER FLOOR I IRAISED FLOOR FRAMING MAP NO SEWER MAP BOOR PAGE FIRE ZONE CMP 1UNDERFLOOR INSULATION 3 001 1 1- 1-(IST LEVEL FLOOR SHEATH NO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS NO 21 12ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS I IROOF SHEATHING I I 1 AIR QUALITY 1000 FEET MATERIALS NO NO NO (FIRE DEPT FRAME INSPECT( (BLDG DEPT FRAME INSPECT , SHEAR PANELS INS ULATZON/WEATHER STRIP (INTERIOR LATH/DRYWALL iI IE%TERIOR LATH {� (IAT DRAINAGE Y (SNAKE DETECTION DEVICES (FIRE DEPARTMENT APPROVAL( I I I I REPORT ID DPR261 ROUTE TO BS0508 I I I I I I