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HomeMy Public PortalAbout9406 PENTLAND ST_Building__ PS IG 9W3 P"'✓/ L" Ll • G M803W.11/78) 1 APPLIFOR B D G PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN WILDING ADDRESS C✓(�12p BUILDING s v ADDRESS ti LOCALITY C CITY:7 L- ZIP CRROOSSST- N OF BLD 5. ASSESSOR SIZE OF LOT N WON LOT MAP BOOK PAGE IPARCED DISTRICT GROUP TYPE FIR R ESSED BY TRACT BLOCK LOT NO. (/ CONST TEL. •�a V OWNS N ADDRE L STATISTICAL CLA551 ATI �EW _ CLASS NO. / DWELL.UNITS BK G CITY ZIP •� ARCH I TECT OR TEL VALUATION q3 ENGINEER NO. - ADDRESS FRONT PROP LIN O^ !1'�z. (STREET EL p CONTRALTO N ✓ TOTAL SETBACK FROM TYPE EXISTING < HIGHWAY + YARD = FROM PROP.LINE HIGHWAY WIDTH ADDRESS S ! LIC. i + CITY �L' CLASS BLDG.SETBACK FROM -` CONSTRUCTION LENDERSIDE "�� SIDE PROP.LINE OF ISTREETI NAME AND BRANCH HIGHWAY + YARD = TOTAL SETBACK FROM TYPEOF EXISTING ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH- 0 SO.FT. NO.OF NO.OF CHECK + _ SIZE L/ STORIES FAMILIES ONE O USE ZONE MAP /J ac DESCRIPTION OF WORK NEW / NO SPE E SPECIAL tSL ADD CONDITIONS yE / f - _ G• ALTER BY Z REPAIR DATE USE OF DEMOL EXISTING BLDG. 2 APPLICANT _ TEL - 0 / IPRINTI NO t I l BY; IGNATURE) I HEREBY A N LMW THAT I HAVE READ THIS APPLICATION AND STATE THAT ABOVE THE ABIS CORRECT AND AGREE TO COMPLY WITH All ORDINANCES AND LAM THE OVE ➢NGBUILDINGCONSTRUCTION CERTIFY THAT IN DOING THE WORK AUTHORISED HEREBY WILL NOT EMPLOY ANY PERSON IN VIOLATION OF / G�851.5 A M. THE LABOR CODE OF HEREBY I I FORNIAIN ANY GTO IN VIOLRKMEATION PENSAfION INSURANCE." SIGNATUREO \ ' PERMITTEE �Q" �r/�''J(' !/x 2 • - 2500 ADDRESS �'� �i�CA V / 1 `� 025,005 rj � TEL n °T /� " � s `/�� 3e 01,08-80 -P C. Fee$ Permit Fee ! Issuance Fee�J7 / Totol Fee / P iIDs �aAe Q cr'�e�l�enel1 - Y APP_ LIGATION FOR BUILDING PERMIT 1. COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN r - Bu'DOWG ADDRESS 940 BUILDING c ' ADDRESS O L LOCALITY '� - ' NEAREST CITY ^ C/ XIP CROSSST s.-.J _ i- J V.N OF BLDGS . J,_ Y _t C ASSESSOR SIZEOFLOT NOW ON LOT MAP BOOK • PAGE R PARCEL• DISTRICT GROQP TYPE FIRE ROC ED BY TRACT 5 LOCK LTE NO -�D A(J CONST 7-(yJE // ^^ TEL - .S _41 d1 OWNER (:D CO. NO 52,11,ADDRESS EP,� � STATISTICAL CLASSIFICATION - EWEy�.(�/�P_1 s CLASS NODWELL UNIiS G BK /t� CITY ZIP - ENGINEER ARCHITECT RTEL ENGINVALUATION $ 9 Al-" NO IIJJ ADDRESS BLDG SETBACK FROM _ /� EL `` FRON7 PROP LINE OF ISi REETI CONTRACTOR C N .J' TOTAL SETBACK FROM TYPE OF EXISTING _ LIC // HIGHWAY + ,YARD = [ FRONT PROP LINE HIGHWAY WIDTH- ADDRESSb 4? �� O ...+,_� . ~� BLDG SETBACK FROM CONSTRUCTION LENDER NAME AND BRANCH SIDE PROP LINE OF ISSTING • HIGHWAY +YARD TOTALSPROPSETBACK FROM TYPE OF EXISTING � 0 ADDRESS CITY / I SIDE PROP LINE HIGHWAY WIDTH 0 SO N FT O OF NO OF CHECK +(�T SIZE STORIES FAMILIES / ONE DESCRIPTION OF WORK l-.,gEDgo1 y NEW El PC Fee$ Permit Fee / 2 QE F TEi1�S)d noo Q d / - Issuance fee N / ALTER Z REPAIR ❑ Total Fee USE EXISTOING BLDG DEMOLEl �' O APPLICANT )�...� TELVy ` BYISIGNATUREI 1 I HEREBY A6<1�LEVE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES ' U AND IAWS REG"TING BUILDING CONST ION ERTIFY i IN DOING THE S WORK AUTHORIZED HEREBY WILL NOT E IN VIOLATIO OF THE LABOR CODE OF THEST L NG WORK EN OM L _ - PENSATIONINSURANCE . Y s SIGNATURE O 254163A I � N PERMITTEE ADDRESS n r e e e e e 1 Z TEL 2 . 10&00 CIT NO -S - •< USE ZONE MAP O / < e ° 1 06006, / NO SPECIAL , - ' 0 7,1 3-79 CON DI ilONS • ssj ^ DATE a BY / DATE 75A638A CENS03`5-65 APPLICATION FOR-BUILDING P MITf. COUNTY OF OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER nooREss BUILDING AND SAFETY DIVISION LOC A LIT J I ,JOHN A LAMBIE COUNTY ENGINEER NEAREST COLEMAN W JENKINS SOP T OF BUILDING CROSS ST 2 - DID TRICT'NO GR P� TYPE PR B FOR APPLICANT TO FILL IN CONS nBUI LDI NO vV STATISTICA SSI FICA TION SEWER MAP A DORE55 CLASS NO DWELL U/NITS "' B -_IPG LOT NO #, BLOCK USE ZONE MA NOPZ TRACT /Z �� 'SPECIAL SIZE OF LOT ''[ Q NOWOON6l0TS ON OI TI 0 N5 ]{ •, r , L'<I r USE OF EXISTING MI DO v2w%-� 0LDG SETBACK FROM ? TEl FRONT PROP LINE OF IST RE ET) - OWNER O - TYPE Of I EXISTING I SETBACK XI OX WAY YARD,' - 'TOTAL ADDRESS HHNW Y WIDTH F OM C L. - / / + = rz O - CITY BIDY S TGACK FROM ( _ ARCHITECT OR EL SIDE PROP LINE OF TI ENGINEER NO ` TYPE OFEXISTING SETBACK XIGXWAY _+ YARD TOTAL ADDRESS - XIBNWAY WIDTN FROMCL ��,1I/ TEL ^�-+ ( CONTRA CTO Y •NO _ Cl O ADDRESS NO LIC CORNER rC UTOFF YES[ NO V [1C TY LID S REVERSE SIDE FOR SPECIAL APPROVALS G DESCRIPTION OF WORK Ole NEW y ADD - ALTER REPAIR DEMOLISH Z SO FT NO OF NO SIZE / STORIES//nn FAMI LIFS'USE OF STRUCTURE U E/ O SI NATURE OF - APPLICANT I r VALUATION$ SO V B O APPROVALS DATE INSPECTOR'S SIGNATURE P C PMT [FOUNDATION LOCATION 1 F FEE$ �� L FORMS MATERIALS _ IFR AME FIRE STOPS 1 . - I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION_ BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 'FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS (O(/ 9UILDI NO CONSTRUCTION CERTIFY THAT IN DOING THE WORK - AUTHORIZED HEREBY I WILL NOT EMPLOY ANY.PERSON IN VIOLA LATH INT �- TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT ""- ING TO WORKMEN S COMPEN6ATI ON NS,RA NCE LATH EXT SIGNATURE OF t ww o A.. n [HOUSE NUMBER COR-, PERMITTEE RECT AND POSTED ADDRESS FI NAL 46 , JOHN F LEWIS PRINCIPAL STRUCTURALIE PLAN CHECK VALIDATION GK M O GASH _ PERMIT VALIDATION DK M D ASH LAL10 9 7 8 0. FEB 1 7 1 D 4.00- c RQ0- Q DIVISION OF oxBUILDING AND SAFETY BUILDING_ 1 Deptmnnt off CouBse tT EnglBr Count► of Lon Angeles _ WM J FOX, COUNTY ENGINEER t APPLICATION +s FOR,APPLICANT,TO,FILL IN a r' BUILDING ADDRESSBUILDqq O lO }Lr / ',� ADDRESS I LOCALITY / G/ NEAREST /G ' LOCALITY CROSS ST LG SS NEAREST rl DISTRICT NO PUN CK OR Rue No PERMIT NO- CROSS I OWNHR RECEIVED BY } DATE OF APPL DAT ISSUE MAIL / ADDRESS I USE ZONE OF TYPE GROU FI)4E ZONE TEL LANB � CI NO y�J� ARCHITECT OR TEL I // / 1 ZONING _ ATS r ENGINEER NOAPPROVED BY J BUILDING ORD N ADDRESS SETBACK LINE TEL ' APPROV[D A CONTRACTOR NO r �.i� BY; 1 rIt H BE NUMBfiRING I ADDRESS 1� LEGAL - MAP NUMBER ��/✓ -NO A991 HD BY DESCRIPTION LOT NO SLOCK 1 ,� DATE I _ CORRE'CT'IONS I INSPECTOR TRACT _ _ '7� NO OF BLOGS SIZE OP LOT LC/ NOW ON LOTUSEOF EXISTING BLDG NAMIOLI EBI �O DESCRIPTION OF WORK NEW ALTERATION /j ADDITION �. C t1) UNO6p-\ (/ r r REPAIR DEMOLITION I BO FT NO OF �� • 1 SIZE ROOMS STORIES I 4/,;rt-y .L�7a G'p itC EXT WALL ROOF COVERING COVERINGa44adL ®N• GAO , G E O USE OF STRUCTURE r r T yam- >oLS -. 0 u G e Aaz�5�1 //. �c 11 I5�1 �I� Waote-w- ,n APPROV INSPECTO SIGNATURE PATE FOUNDATION LOC IO FORMB MATERIA /Ol.-� -z-1%A-171- I HEREBY ACKNOWLEDGE THAT 1 HAVE'READ THIS AP- FRAME FIRE BTOPB, PLICATION AND STATE THAT THE INFORMATION GIVEN 10 CORRECT BRACING BOLTS p a.� . 5 LOISt4 IAGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE LOCATION AND STATE LAWS REGULATING BUILDING CONSTRUCTION GAS VENT DUCTS / /y�_ ,1 1 SIGNATURE PERMITTEE_/ ���+'r✓I�✓ _V�/��//J�//✓✓~G{�ti LATH INT FiQC I✓G�c..�V�.,�' ll l? b 4 ADDRESS O ID I Y.aEiln/1 T LATH EXT i I I F-1 G AUTHORIZED AOT PLASTER INT PLASTER EXT S C70 P C IIIHOUSE NUMBER COR- /OOO FEB ERECT AND PORTED / _ VALUATION 0 '..t F¢s �d FINAL �e.�(I�(,t._•-.� 111 vIS� oeeeaeA Desa s-ea ., .- `ti • ..n,..,.+.. ..w_. n.,. t o.+�ae. 1...,---.c..•- - , ThIENT OF COUNTY ENGnfEEH D) I NOIIN7Y UI L SED SAF p U ' ®IG~ r DIVISION OF BUILDING AND SAFETY „ WILLIAM J FOX, COUNTY ENGINEER V ' CASBATT D GRIFFIN, SUP T OF BUILDING i I APPLICATION—--—, FOR APPLICANT TO FILL IN J I FOR OFFICE, USE ONLY BUI BIN (' Ou I I 1 DISTRICT NO 1 PUN CN on RE. No PERMIT NO 5 4 3loGo LOCALITY L RH 81VfiO Y ( DATE OF APPL DATEISSUED' AB's eaBUILDING ' OWNER ADDRESSI a i MAIL ESS / 1 LOCALITY ADDR NROSSBI T CITY pi- CROSS BY I ' FIRE NO OF -TYPE-- 6ROUP� ARC ITECT OR TEL ZONE PLANS ' ENGIN NO ADDRESS - - BLDG SETBACK LINE L CONTRACTOR ' N L USE `/ APPROVED - ZON BY 1 a I DATE J ADDRESS . HOUSE NUMBERING LEGAL MAP NUMBER O / ' I+O ASSIGNED BY DESCRIPTION LOT NO BLOCK ' TRACT S _ , 1 31. I CORRECTIONS a NO OF SLOGS I SIZE OF LOT v I NOW ON LOT I /p F./ O A/0 1 USE OF EXISTING BLDG Uome DESCRIPTION OF WORK c/ r_ _ " D .F- NEW ALTERATION ' ADD TION 7�� Z RfiPAIR DEM LITTON ROOMS STORIES SO NO OF SIZE 12-0 EXT WALL1COVERING CE 40 I COVERING HAMas, a USE OF STRUCTURE n j I J /O R BB vroL APPROVALS INSPECTOR 8 SIGNATURE DATE FOUNDATION LOCATION FORMS MATERIALS 1 HHRBBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME FIRESTOPS PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING BOLTS I CORRECT 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE LOCATION AND STATE LAWS REGULATING BUILDING CONSTRUCTION GAS VENT DUCTS < I LATH INT ' SIGNATURE OR ` PERMITT 12 C LATH EXT ADDRESS PLASTER INT AUTHORIZED AGT PLASTER EXT ' HOUSHNUMBHRCOR - DO FEE RECT AND POSTED VALUATION 8 o O PSE FINAL 7"=9 M u 2 felt `- ,DAa,� E;sDBy�aA y4PPLICATION FOR BUILD' G PERMIT y COUNTY OF LOS ANGELES BUILDING � 1 DEPARTMENT OF COUNTY ENGINEER ADDRESS .f - BUILDING AND SAFETY DIVISION LOCALITY �L/� CC �/T JOHN A LAMBIE COUNTY ENGINEER NEAREST, COLEMAN W JENKINSAUP T OF BUILDING CROSS ST DIST CT NO tORO TYPE FOR APPLICANT TO FILL IN CONST BUILD'NO STA 'STI CAL ASSIPICATION -SEWER MAP AVDRESS O(, g',R/J- CLA59 NO DWELL UNI T9 - BK PG LOT NO / `' `BLOCK USE ZONE MAP TRACT' 1-112's// .2- p!} ' SPECIAL i /rteICONDITIONS • y 512E OF LOT / �// NOWOONeLOTe / / ` COND USE OF {/��/ NO PLQQS (� SEGO SETBACK 'POM �C)� TEL FRONT PROP LINE 0! • Ilt Rfftl OWNER �7F/ �NO TYPE OF f1N GTI NO 86T_BACK HIGHWAY YARD - TOTAL 5 ,��T"//PiYIYV/� H14-WAY I NIC L - - - _ ADDRESS // CITY �� C,/ I / + ARCHITECT OR r TEL - BLDG SETBACK no ENGINEER / — ,j/ NO Z� BIDE PROP LIME O! 1l TRL LTI �'` TTPE OI fGIe TING SETBACK HIGHWAY + YARD = TOTAL ADDRESS (J 5 ,_J N6391el �s y/ HIGXwAY WII/IDDJTH IR//OMCL y _CONTRACTOR u� " 'NOL - GO— ` + Oy - /OY _O ADDRESS LI — YYI CORNER CUTOFF YES NO Q LIC CITY c SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK y UIRED Z NEW D ALTER REPAIR DEMOLISH - 9O FT �+ 4 / NO OF NO OF 91 ZE STORIES FAMILIES, Note Permlfs for cur guHor, a ewa an r USE OF p Road De t, Alfade STRUCTURE /'O.C+'CA �X7 //w o l 4b."'e Offim or T C Co Engmeer's Offico I,,medlalely In order to aV. SIGNATURE OF + aZrl Rng` y Goy UIY^ssuad A for perk-ay tree permit at T ' APPLICANT le / n r� C,ty Hell VALUATIONS /D APPROVALS !D TE INSPECTOR`$SIGNIIITURK FEES FEES FO FORMS'MATERIALSON D y FRAME FIRE STOPS, + V I HER toy AC K NOWLEDOE THAT I HAVE READ THIS APPLICATION BRACING BOLT31 AND STATE THAT THE ABOVE IY CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCf1 AND STATE LAWS REGULATING GAS VENT DUC S •UILDIND CONSTRUCTION I CERTIPY THAT IN DOING THE WORK I AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT , TION OF THS LABOR CODE OF THE STATE OF CALIFORNIA RELAT IND TO WORKMEN e C PE SATIO UR'A/NCE J LA'-Trit E%T Gl /N` � /. ' I HOUSE NUMBER COR- PERMITTEE SIGNATURE OF R UED ADDRESS-1-01D S� li. FINAL JOHN F LEWIS PRINCIPAL STRUCTURALENGI ER PLAN CHECK VALIDATION CK Mo CASH PERMIT VALIDATION CK Mo caSM L�i�02 2 7 3�'jUv 3 1 D 2 2.0 0~ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES U ' ® ' NG 17 WM. J FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY 1 DD� DISTRICT NO I PL/A-NC/K/NSP (�1 PERMITNO ; .... DD EIBB G �i '� J-/lam ! /- 1I LOCALITY Ia& RECEIVED BY DATE OF APPI- /fPATEISSUED NEAR EBT D,'6 /C 3 — �� T 1 CRO T � BUILDING OWNER ADDRESS 20I2pe T'—l'-1 G71-ta MAIL ADDRESS ' LOCALITY 'T• ; , CITYNEAREST TEOL CROSS ST C-L O ✓� ISI LI I 3 k?-3 ARCHITECT OR r T L ZONE PLFIRE ANE TM�• 17— GROUP ENGINEER O BLDG ' i(/ I / 1L ORO NO In ADORES SETBACK LINE D . IF APPROVED TEL BY 1 DATEF I CONTRACTOR NO ' USEAPPROVED 1 ADDRESS ZONE BY ' L DATE LEGAL CORRECTIONS I DESCRIPTION �J LOT NO BLOCK 1 TRACT / 0 OF t7�7 � SIZE OF LOT J X YU I NOW ON LOTS �yry I • 1 1 UBE OF NO OF NO OF EXISTING BLDG FANILI¢B RIO _DESCRIPTION OF WORK NEW ALTERATION ADDITION REPAIR MOVING DEMOLISH BO FT n�l 17 NO OF `C I �S•r �> Z SIZE d V p ROOMS y STORIES I WALL ROOF V -.• 1 1 '. 1 IF COVERING N'W(�is I COVERING UBE OF NEW BUILDING gr I HEREBY ACKNOWLEDGE THAT I 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 µ AND STATE LAWS REGULATING BUILDING CONSTRUCTION ✓.INS 1 FRAME FIREBTOPS, (/ SIGNATURE OF - D- � BRACING,BOLTS / PERMITTEE 9--J yyyK/Jo LATH, INT I 7 r .?` AUTHORIZED AGT- LATH, EXT 96AA3 A v se PLASTER, INT DBB-3 SBMSETS p C ® �J^ ay�'j ~ 7000 //// / O FEE L/)/; —_ PLASTER.EXT VALUATION '-' `�lJ �I eqO a FEE •"+�' �r FINAL -0.✓— t "3- v`/ WORKERS COMPENSATION DECLARATION APPLICATION' FOR BLDING PERMIT ILI IS I hereby affirm that I have a certificate of consent to self insure or a certificate of Workers Compensation Insurance, or a certified copy thereof (Sec 3800, Lab C ) •'�+ ' Policy No Company"[�i�/�_.6915 .'s COUNTY OF LOS ANGELES •IBUILDING AND SAFETY Certified coy is hereby furnished FOR APPLICANT TO FILL IN AD RESSS A�tl Certified copy is filed with the county building inspec BUILDING I I `•''• tion department ADDRESS IY LOCALITY 4r— + �rU NEAREST Date` Applicant CITY ZIP / L.7 CROSS ST ' t CERTIFICATE OF EXEMPTION FROM WORKERS OF BLDGS 4 ASSESSOR 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 ZONE MAP hundred dollars ($100)or less ) TRACT BLOCK LOT NO NO TEL ••� . SPECIAL I certify that in the performance of the work for which this OWNER Ali* NO CONDITIONS 1 permit is issued, I shall not employ any person in any manner DISTRICT' GROUP TVff FIRE P SSED BY O so os to ba ome subject to,the Workers Compensation Law ADDRESS CONST ZONE V o - 2 09 Date Applicant CITY f ZIP STATISTICALIF TION A CONDO O NOTI OAP (CANT If after makin t Certificate o ��• ARCHITECT O L - ` V �+ ENGINEER NO CLASS NO DWELL UNITS_ W Exemption, you should become subject the Workers Us Compensohon provisions of the Labor Code, you must forth ADDRESS EN SEWER MAP �- N with compty,with such provisions or this ermit shall be Z p deemed revoked CONTRACTOR BxPG % L VALIDATION LICENSED CONTRACTORS DECLARATION s LIC 1 hereby affirm that j om licensed under provisions of Chapter 9 ADDRESS/—/:3/ 40Al2F NO V UAT N (commencing with Section 7000)of Division 3 of the Business and �I /'/� LIC Professions Code and my license is in full force and effect CI ��xP `T CLASS �_ _ - ► �/'''� ' SO NO OF _ NO OF License Number —f_Llc Closs�� SI STORIES FAMILIES ONE $ ConiractoDote ��� ��{ DESCRIPTION OF WORK r/ C NEW �b x o V O ���"Ty„� 11r .. I am exentl under Sec r ADD 'ALTER ❑ FINAL B 8P C for this reason JQff AA4 REPAIR ❑ DATE ' USE OF FINAL Date EXISTING BLDG �*� DEMOI ❑ By APPLICANT WNEBPRINT)ULARAT N TEl _ - • ^ I hereby affirm that I am exempt from the Contractor s License Q'[ /O cis f�'�V• ^/1 Law for the following reason (Section 7031 5, Busmesa and ADDRESS 3 .rtK 7 !�! � Z �/�•f/`- Professions Code) 9 3'6' {1 OBUILDING �1 - _ /+ n t I, as owner of the property or my employees wtlh ADDRESS 1j//. IVI wages as their sole compensation will do the work and e.e *'0 1 the structure is not intended or offered for sale(Section LOCALITY #t 7044 Business and Professions Code) MOVING TEL i Y •Z•� 1 i 1 5'5 O 1, as owner of the property am exclusively contracting CONTRACTOR NO with licensed contractors to construct the project (Sec ADDRESS { `e+e 1 1 5'5 O cry tion 7044 Business and Professions Code) , REQUIRED TOTAL SETBACK FROM EXIST - CONSTRUCTION LENDING AGENCY SET BACK YARD Hwv PROP LIN wlOTHt . 0�1,2 b—'8 3-, _I hereby affirm that there is a construction lending agency for FRONT - - 110. z the performance of the work for whicK this permit is issued P L x,. (Sec 30V Civ C ) SIDE PL J Lender s Name Lender s Address PC Fee$ Permit Fee I certify that I have read this application and state Ihat'the Issuance Fee above informoeon is correct I agree to comply with all County Invesngoeon Fee ordinances and State jaws relating to building construction Total Fee J, and hereby authorize representatives of this unty to en or upon t e hove entio property for ins on pur s SEE REVERSE FOR EXPLANATORY LANGUAGE _ Sign-t of ApplwDZI or Agent Dote 1 COUNTY OF LOS ANGELES TEMPLE CITY # 0506 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ( ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0711190024 PHONE (626) 285-0188 EXT - LEGAL ID NO OF CONST IBUILDING ADDRESS TR 14572 LT 1 I SQ FT STORIES TYPE )) 9406,PENTLAND ST 1 (STRUCTURE 23 _ VN 1 TEMP CA 917803842 (ASSESSOR INFORMATION NUMBER I - NEAREST CROSS STREET 8590-012 001 ' I I THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY C (TENANT IEXIST BLDG USE RESID USE ZONE R-1 (ISSUl ED ON PROCESSED BY EXPIRES ON EXIST OCC GRP I I I11/19/07 SR 05/17/0e OWNER TEL NO HLDGS NOW ON LOT VALOATII AL T FI BY CODE WONG LENNOX (626) 285-3623- 4 700 9406 PENTLAND ST - 1 - TEMP 917803842 FEES PAID EV"IPTION F WORK TEAR�OFF EXISTING 3 TAH ASPHALT REPLACE ANY ROTTED WOOD FEE DESCRIPTION QUANTITY DOM AMOUNT INSTALL A NEW 30 YR COMPOSITION SHINGLES APPLICANT TEL NO RUSSELL (909) 946-0901- IAA BLDG PERMIT ISSUANCE 27 75 i 5025 CERVETTI AVE IAC STRONG MOTION RESID 4700 00 VAL 0 50 SPECLAL CONDITIONS IR C CA 91739 D2 PERMIT W/O EN-HC 4700 00 VAL 132 60 1 TOTAL FEES 160 85 •, it _ CONTRACTOR TEL NO 13RD GENERATION ROOFING (909) 946-0901- (APPROVALS DATE INSPECTOR SIGNATURE 15025 CERVETTI AVE LIC NO (LOCATION AND SETBACKS RANCHO CUCAMONGA CA 9173_9 768618,C39 _ _ iSOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER TEL NO I FOUNDATION/TRENCH FORMS I I LIC NO (SLAB/UNDER FLOOR V (RAISED FLOOR FRAMING (MAP NO SEWER FAP BOOK PAGE FIRE ZONE CMP UNDERFLOOR INSULATION 1144H265 3 Oil 1 1 FLOOR SHEATHING NO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS 1 NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS (SHEAR-PANELS AIR QUALITY 1000 FEET MATERIALS NO NO NO (FRAME INSPECTION � I REQUIRED TOTAL SETBACK FROM EXIST FIRE,SPRINKLER HANGERS SET BACK YARD HWY PROP LINE WIDTH FRONT PL- INSULATION/WEATHER STRIP( I SIDE PL- 1 '1 ' (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 1 I I I I I 4