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