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