HomeMy Public PortalAbout9413 PENTLAND ST_Building__ 76A638A CER803 9-68
APPLICATION FOR BUILDIN PERMI �f
COUNTY OF LOS ANGELES BUILDING
y
DEPARTMENT OF COUNTY ENGINEER ESS
BUILDING AND SAFETY DIVISION LOCALITY _ �L T
JOHN A LAMB]E. COUNTY ENGINEER NEAREST
COLEMAN W JENKINS� SUP T OF BUILDING CROSS ST 0 / _
FOR APPLICANT TO FILL IN DISTRICT GROUP TYPCoNs PROCESSED BY
(P".t Gr r a Onl L„/ A /'
BUILDING '7 �/`� ,./ STATISTICAL CLASSIFICATION S W RMA
ADORE _/ -gyp / �/' CLASS NO DWELL UNITS_ BK r PG
LOT NO BLOCK USE ZONE MAP
NO
TRACT /j,^. / SPECIAL
NO OF BLDGS CONDITIONS _
SIZE OF LO X NOW ON LOT '
USE OF r
EXISTING SLOG F / cy FL� BLDG SETBACK FROM _
TEL FRONTPROP LINEOF - (STREET)
OWNER E/ NO __
TYPE OF EXISTING SETBACK HIGHWAY + YARD TOTAL
ADDRESS � y� HIGHWIAY WIDTH FROM C L ' F�
CITY E /E , L C S—Q — o'-6J + 1� - = 7 V
ARCHITECT OR El BLDG SETBACK FROM
SIDE PROP LINE OF (STREET)
ENGINEER NO TYPE OFEXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C L
TEL
+ _
CONTRACTOR NO - — C
ADDRESS J NOlgZ CORNER CUTOFF YES ❑ NO
C
CITY
NScLAss P SEE REVERSE SIDE FOR SPECIAL APPROVALS 4
COTRUCTION ENDER v
NAME AND BRANCH Z
ADDRESS
SO FT NO OF NO OF ' NEW ❑
SIZE STORIES FAMILIES ❑
USE OF ADD
STRUCTURE /?ddkr ALTER ❑
SIGNATURE OF EPAI
APPLICANT DEMOL ❑
VALUATION $ r d Q
APPROVALS DATE INSPECTOR a SIGNATURE
P C PMT O�.Ov FOUNDATION LOCATION
FEES FEE S FORMS MATERIALS
FRAME FIRE STOPS
I HEREBY ACXNOWL[DOE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT DUCTS
STRUC TION IC
THAT IN DOING THE WORK AUTHORIZED
HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT
LABOR CODE OF TME STATE OF CALIFORNIA IN RELATING TO
WORKMEN S COMPEN TION INS UPA if /r
/ LATH EXT
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS 0`7 �'rA FINAL ,
6go
PLAN CHECK VALIDATION <K H o cASH JOHN F LEWIS PRI CIPAL ST RAL ENGINEER
PERMIT VALIDATION « M O CASH
M8646Q KAR 4 1 D 1.2.00-
-r -
�A ROAD 'DEPT PERMIT SIS PEQIARED - s
' FOR ANY4WERIF,L STORAGE OV' VORX
7 •
DONE IN_ THE ROAD R13HT O; WAY
,-APPLICATION <FOR ,BUILDING_ PERMIT -. 1
'COUNTY'OF fOS ANGELFSBUILDING' 7
DEPARTMENT OF COUNTY ENGINEER . ADDRESS 1
BUILDING AND SAFETY DIVISION —LO'CALITY'
,( 3JOHN A LAM BIE COUNTY ENGINEER - - CROSS STNEAREST, ' a °
.. CASSATT D GRIFFIN SUv T OF Bu.LOI.G IFW
DISTRITO GROUP' TYPE
R ,
*_ FOR APPLICANT TO F111711 : i coNsr* '
BUILDING STATISTICAL• C SIFICATION SEW R'MAP
•ADDRESS. '� _ b �' B
` CLASS NO_DW ELL UNITS ~ '
LOTANO' BLOCK MAP ' �•L D` . l STATE-1
NUMBER Ot L �, - HWY YES O Y
'TRACT . r • US_' - `SPECIAL"N' n 4 •: `Py
t NO OF SLOGS , CONDITIONS
SIZE OF LOT , I NOW ON LOT —/• , g + ,
EXISTING BLDG _,S CF 1 ' BUILDING` 'EXIST
SETBACK, YARDJiNW H " ET NAME - WIDTH
OWNER - - FRONT
MAIL _ I P L T^T1 JV '
ADDRESS ,Qi SIDE '
TEL P L
cliY .C� C No Y INSPECTION_RECORD ' -
ARCHITECT OR- TEL
ENGINEER - NO �•� °• �, "�
ADDRESS
TEL'
CONTRACTOR NO
r '
ADDRESS
DESCRIPTION OF WORK i
ANEW 'r, ADD ALTER REPAIR . DEMOLISH
HO FT NO OF - NO OF V '
SIZE d STORIES FAMILIES _
USE UCTOFURE C r 1 '
STR
Z
SIGNATURE-0 '
—APPLICANT ' APPROVALS DATE S G ATM E
ADDRESS I FOUNDATION LOCATION 1
FORMS MATERIALS
VALUATION $ SaL-Q , FRAME FIRE STOPS ,,`` ••
BRACING BOLTS
PC PM + - w FURNACE VE LOCATION
D- T GAS VENT DUCTS
'FEE _ FEE f
I HEREBY'ACKNOWLEDGE THAT 1 HAVE READ THIS AP-` IL
,pTH INT
PLICATION AND STATE THAT THE ABOVE IS CORRECT'AND
ACRE COMPLY•W ITH ALL COUNTY ORDINANCES AND } T
STATE TO Co REGULATING BUILDING _CONST UCT N LATH EXT
SIGNATURE HOUSE NUMBER COR-
PERMITTE RECT AND POSTED
AD RD Ess FINAL - " l 1
CLYDE N*DIRL.AM PRINCIPAL STRUCTURAL EN
PLAN CHECK VALIDATION cK M o usx r PERI= VALIDATION,•.CK 'M o CASH
�,,
f _ '
TeAe]eA CE#fioa ,oaeAPPLICATION FOR BUILDING PERMIT 1
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
Deparent of County Engineer .�
County of Los Angeles LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
CABSATT D GRIFFIN Bur T OF BUILOIXe �" .C SS ST
.DISTRICT NO OUPJ•n•PE .+h- SE BK MAPPGFOR APPLICANT TO FELL IN - CoNST
BU'LD NO
ADDRESS Z STATISTICAL CLASSIFICAT IO Nom• �-
• CLASS NO DWELL UNITR
LOT NO BLOCK MAP t STATE
NUMBER O HWY YES O
TRACT / Z - US ZONE SPECIAL '
_ 3 I NO OF SLOGS Z / CONDITIONS
SIZE OF LOT NOW ON LOT - ,
USE OF _
EXISTING BLDG 17e5 BUILDINGEXIST
YARD HWY •STREET NAME
SETBACK WIDTH
OWNERFRONT'
MAIL • _ P L eC -
ADDRESS P.e SIDE, -
P L
clTY lesm �P �1 Ty No/n �.Sa�i INSPECTION RECORD, "
ARCHITECT Oil TEL _
ENGINEER NO
ADDRESS
TEL
CONTRACTOR
ADDRESS
D RIIMON OF WORK ,�•�
NEW ADD ALTER REPAIR DEMOLISH '
SO FT NO OF NO OF
SIZE O STORIES FAMILIES
�USE OF STRUC URE
.�io= aT.� ,
5 r '
APPROVALS
SIGNATURE OF
APPLICANT- _ DATE INSPECTOR 951GNATURE
ADDRESS FOUNDATION LOCATION, `
FORMS MATERIALS-
$ r OO Q �� FEE ' $APLA�THFRAME
NGR BOLTS
S �-
E LOCATION + _
VALUATION sENT DUCTS
FEE
I HEREBY ACKNOWLEDGE THAT-[ HAVE READ THINT'
PLICATION AND STATE THAT THE ABOVE IS CORRECTAGREE TO COMPLY WITH ALL COUNTY ORDINANCESXT
STATE LAWS REG LA INC BUILD CTSIGNATURE OF NUMBER COR-
PERMITTEEND POSTED
ADDRESS FINAL
JOHN A LAMBIE COUNTY ENGINEER CLYDE N DIRLAM PRINCI AL STRUCTURAL EER
PLAN CNECB VALIDATION CK M O CASH PEBrLIT VALIDATION CK M O C SH-
1 4.541:;o AUG 2, Y - -6.00
d EMPLE CH G Y /
•u••••Rd... '-�' 'APPLICATION FOR BUILDING PERS./MIT
COUNTY OF LOS ANGELES ADDRESS 3 ���� ��ojj--)
DEPARTMENT OF COUNTY ENGINEER -
BUIIAING AND SAFETY DMSION LOCALITY y,✓i'C< c/7
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM JENSEN SUPT OF Bu DING CROSSST
FOR APPLICANT TO FILL IN DIS' IGT NO OUP TYPE PR SED BY
CONST
BUILDING _7_ M
.yam STATISTICAL CLASSIFICATION SEW AP
ADDRESS BK PG L
CLASS NO DWELL UNITS
LOT NO BLOCK WATER NOT REQUIRED to RECEIVED
TRACT �. , CERTIFICATE
Li
MAP'TOHIGHwAr STATE MAJOR SECOND OCA
NO OF SLOGS NOOKS (CIRCLE) f
SIZE OF LOT �S NOW ON LOT USE ZONE SPECIAL ,
USEOFA-/ CONDITIONS
EXISTING�BL"DG fS �N G�
TE
OWNER �,p OOp {J NOL BUILDING YARD HWY ETRE ME EXIST
ADDRESS /.J /C/1JT-� 1J/ SETBACK WIDTH
FRONT
ARCHITECT OR - � � EL PL
ENGINEER !!//UVJ bb SIDE
P L
ADDRESS
r` � ✓y TEL , INSFECTIONfRECORD O
CONTRALTO -'f W 1) �^IT�•vv / I go
^ 1. ly)ze A4 "U& w) 1 6
ADDRESS / W #fi STNgY .l /COV NDL ��I/1 O
DESCRIPTION OF WORK �
.1 J( I 14, t�ol�G/5f
NEW ADD LT REPAIR DEMOLISH // //n. `I n �,F Z
SQ FT NO OF NO OF f-� K HiA�GMflAZ
FA
IZE OFUR STORI
FAMILIES ^ •.,w"� , f� e.�A P -
USE
STRUCT
. r
SIGNATURE OF �I363 /A.'/Lfl �i7
APPLICANT
VALUATION$
APPROVALS DATE INSPECTOR S SIGNATURE
FOUNDATION LOCATION
FEE $ '� FEE $ 0 FORMS MATERIALS
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ TH16 APPLICATION BRACING BOLTS
AND 6TATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I 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
I\ ING TO WORKMEN S COMPENIATION INS ANC4 LATH EXT
SIGNATURE OF HOUSE NUMBER COR-
ERMITTEE RECTANDPOST
ADDRESS FINAL
/ CLYDE N DIRLAM PRINCIPAL STRU RAL ENG) EER
PLAN QIECK VALIDATION cK. M o cABH PERMIT VALIDATION r o CAeH
LAC06 4 1 0� NOV 2 1 D 8.010" q
A
DIVISION OF BUILDING AND SAFETY t Ao'n
Department of Cnty EnglneIw B I L ® I Y®g��� G �—
County of Los Angeles
WM J FOX, COUNTY ENGINEER APPLICATION ---',�
FOR APPLICANT, TO FILL IN ; FOR OFFICE USE ONLY ;
NO
BUILDING
�/� G p �h y DIHTRIj,T NO._, PUN CK Rim NO P RMIT�kis
ADDRESS 9 /�`._1J M ][ tel/ 7
R [IVED BY DATE Or APPL DATE ISSUED
LOCALITYf
NZAR[BT
CROBB BT BUILDINp
ADDREBB
OWNER
MAIL • � 5A r LOCALITY +UT
ADDRESS I e i NEAREST /J /
,T. CROSS ST (�(rSig Ar&
CITY AA0I® 1 \ NO + FONEIRE r NO OF O P
Z
ARCHITECT OR TEL PLANS
ENGINEER NO SDG
SETBACK LING
ADDRESS
CUBEPRpVED I _
T[TEL. ZON[ APPROVED
DAT[
CONTRACTOR NO HOUSE NUMBERING
ADDRESS 1 MAP HUMBER_ALI Zf NO ASSIGNED BY I '
LEGAL _ CORRECTIONS
DESCRIPTION /LOTON0. BLOCK I
�'l '/ Z
TRACT _ I
c . N
-fir- ND Dr BLDGB. I '�
SIZE OF LOT NOW ON LOT
USE OF NO OF
EXISTING BLDG figa ♦ FAMI LI[p
DESCRIPTION OF WORE _ °m
NEW ALTERATION ADDITION �� --• 2
I �
REPAIR DEMOLITION
Bq.FT AO OF
SIZE � Q �r � � ROOMS STORIES
COVERINGALL RI
STt�CCe DOVERIND Ca�yf o
U EO�STRUCT
USE �p /n
P/► �'2t 'rve 'Y'� r c oar
INSPECTION FOR APPROV LS
OCCUPANCY AS INSPECT R'S SIGNATURE DATE
FOUNDATION LOCATION 'lam
FIIRMB, MATERIALS irr �I
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME FIRE STOPS,
PLICATION AND STATE THAT THE INFORMATION GIVEN IB
CORRECT BRACING, BOLTS
COUNTY
I ABREE TO COMPLY WITH ALL
AND STATE LAWS REGULATING BUILDING CONSTRUCTIONS
FURNACE LOCATION
GABVENT DUCTS
SIGNATURE OF LATH, INT
PERMITTEE
�� /•� 0 LATH. [%T
ADDRESS
PLASTER, INT
AUTHORIZED AOT
_ PLASTER, EXT
$ P C B 8
FEE HOUSE NUMBER COR-
� RECT AND POSTED
VALUATION O O O G E , FINAL
r[
9"A6 DBS 3 1-69
r DEPARTMENT OF BUILDING AND SAFETY ! APPLICATION FOR PERMIT
COUNTY,OF LOS ANGELES ( se
•�L WM• J FOX CHIEF ENGINEER S_ ® I N _
FOR APPLICANT TO FILL IN 1 FOR OFFICE USE ONLY
DISTRICT NOli PLANCK NO PERMITNO
BU LDINO
ADDRESS D 0 J i• 5_ - J'5430
77
1
LOCALITY �?iJ.YL CK(/ RECEIVED BYDATE OF'APPPL DATEISBUEE1�D I
NEAREHT
ST 1 - ''t
SBUILD�J ADDRESS NG
OWNER BB I� / .,�A`Y ��Yl 0—
�.J',G i-f i(l SLY �J
MAIL Q LOCALITY " pMi
ADDRESS 2
QLL�1 { NEARESTTEL O I
CITY ' `� NO
�- CROSS 9T
FIRE I NO OF TYPE BROU
ARCHITECT DR TEL ZONE I PLANE
ENGINEERO
ADDRESS ^�A SETDBACK LINE M 11—L -FPL ' ! RD NDI
APPROVED
TEL BY i 1 1 DATE J' I
CONTRACTOR / NO
USE APPROVED ' {{
ADDRESS ZONE BY i ! DATE
LEGAL
DESCRII PTI ON LOTNO BLOCK CORRECTIONS
jJ J
TRACT / S / ~ (�//./�/� �! ' t 1 •�,�yMy���.
SIZE OF LOT 1 3NO
.S NOW ON lDT /✓/" ( R ' .+; !
USE OF NO OF NO OF
EXISTING BLDG FA. LI Ee I OD
DESCRIPTION OF WORK RT
NEW _ ALTERATION ADDITION •"--._....�..�.... �r.w - ~_. O
REPAIR MOVING DEMOLISH I Q
BD FT /�/7 ND OF .-,1 i•0•��'��� •1.✓ _
SIZE ROOMS STORIES / D
WALL /� ROOF
r
COVER IND `,/(�i/�(A�� COVERINGUSE //f/J(/f✓✓ '
})
BUILDING NEW
BWLDIDINO
l '
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATIOW LOCATION /INSPECTOR DATE
AMD AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS Y BAGS Y
AND STATE LAWS REGULATING BUILDING CONSTRUCTION FRAME FIRE BTOPB,' 1J `p
SIGNATURE OF Q BRACIND:BDLTB I �' Zd>
PERMITTE �a �^�JA(�� LATH• INT, ' �� J) /
AUTHORIZED ApT._ �7 "' LATH, EXT
7.Aa A 9-90 PLASTER, INT
D90 3 6OM BETE q O.Q P C B X17
w r
V V FEE PLASTER,EXT
VALUATION
S0-0
b 0
FEE FINAL
DIVISION OF BUILDING AND SAFETY B_U 1-L D I N-G _. _
Department t of Cos A elesEuge£ i
Co®O of OU Angeles ! , APPLICATION
WM. J. FOX, COUNTY ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
(�'1 .j DISTRICT N0. PUN Cc DR RED No' es PERMIT NO
BUILDING / T.J�aoQ�l� S� _4 , V ,5'L��
LOCALITY ! RECLINED BY: DA/T�H OF APPL /D'ATE ISBUED 1 '
V/1 , J '- 4f-
NEAREST .7
CROSS ST BUILDINGOWNGy[/
/�
MAILER ADDRESS ( ,/LOCALITY!
ADDRESST L./CJ/✓�. NFAREBT 1
CROSS ST
CITY C� NO I FIRE ` I NO OF �� TYPC_ / GRDUP 1
ARCHITECT OR TEL ZONE ` PLANS
ENGINEER NO. BLDG ORD NO
ACK LIN[
SETBACK
ADDRESS
USE /� APPROVED t 1
CONTRAQNo
TOR ZONE w BY DATE
NO HOUSE NUMBERING I
ADDRESS MAP NUMSEaX0_1C NO ASSIGNED BY
LEGAL CORRECTIONS
DESCRIPTION LOT N0. / SLOQK
t i
TRACT V -
�I� O OF SLDMB.
SIZE OF LOT J/ MMOW ON LOT I
USE OF NO OF - - �-
EXISTINOBLDG S Q FAMIUu
DESCRIPTION OF WORK
v
NEW I ALTQ♦'ATION ADDITION Z
D
REPAIR /� DEMOLITION r
FT BBINo OF
IZE / _ / ROOMS / STORIES
EXT WALL N D N� I ROOF
-COVERING COVERING
BE OF BTR CT R
A N@
ear 0 �7
INSPECTION FDR APPROVALS
OCCUPANCYAB INSPECTOR'S SIGNATURE DATE
FOUNDATION LOCATION �yp�Tiw/b
FORMS. MATERIALS /
1 HEREBY ACKNATE THAT
THAT 1 HAVE READ THIS AF FRAM[ FIR[STOPS,
'PLICATION AND STATE THAT THE INFORMATION SIVEN,IS
COq AGREE TO COMPLY WITH ALL COUNTY ORDINANCES BRACING. BOLTS /�/
f AND STATE LAWS REGULATING BUILDING CONSTRUCTION FURNACE LOCATION��-'
GAB VENT DUCTS
SIGNATURL OF ! LATH, INT
PEgMITT[ O�`
-
LATN. EXT ^
ADDRE
PLASTER, INT
AUTHORIZED,AMT
PLASTER. EXT.
S O PFE[C M HOUSE NUMBER COR-
SRECT AND POSTED
_VALLIATI ONi�= i FE[ •✓ �— FINAL
�cAssBA Des a I-sa I'
APPLICATION FOR BUILDING PERMIT
j - COUNTY'OF LOS ANGELES 1 A BUILDING AND SAFETY
WORKER S COMPENSATION DECLARATION L _ BBBBw�ll�Xx'LLLLlryovN,�C� FOR APPLICANL70 FILL IN, < 5 ;
` hereby affirm that I have a certificate of consent to self Insure /7 • DOR `/' �G l
or a certlfaate of Workers Compensatm Insurance or a certified /-) A _ '
copythersof (Sec 3800 Lab C) Y ZIP Hy '
' " bN SIC R��'� _ Locurry
Play NO + Company SIZE OF LOT Y NO OF BLOCS NOW ON LOT.` y
EDd C rfi acopy a hereby furnishedq ,� NEAREST CROSS ST,
❑ Certified copy Is filed with the county builcing Inspection - TRACT BLOCK LOT NO
L department u ,v USE ZONE MAP, NO
r
Date Applicant - E R BOOK - PAGENr MR-CEL k , ,
' SPECIAL CONDITIONS y .
CERTIFICATE OF EXEMPTION FROM WORKERS NE.R'L > TEL No
COMPENSATION INSURANCE .r /� �� � * ARHIN 1000 FT OF SCHOOL'
'VES NO },
t
�c+flt+fi✓(� 5'f
(This section need not be completed d the permit Is for one hundred . DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED By `
dollars ($100)or less) + _ t' I D / '
CIT
I certify that h the t Employperformance
an of the n in for mann this permit Y �t � > ZIP �
Is Issued I shall mol emdoy any person In any manner as to d C J
become subject torthe Workers pe a ARCHITECT OR ENGINEER . IELyO_�
./NL/I SWTISTICAL CLLL'AAAS55S�55�1��111�CCAT)ON APT CONDO
Datq f�} Appkcant ADDRESS CLASS NO OAELL UNITS T
NOTICE TO APPLICANT tlf Oter making this C;rfitQate of • 1 r REWIRED TOTAL SETBACK FROM EXIST
Exemption you should be ome ,subject t0 the Workers ^ TEL NO / I SET BACK YAM H Y PROP LINE WIDTH
Compensation provisions of the Labor'Code`you must forthwith K
-39
FROM
comply with such prpnagn5 or Ihq permK shell be tleemetl revoketlADDRESS' k A %S C NO PL ' t
ST
,LICENSED CONTRACTORS DECLARATION p���/��,/� n�/J�� "1_31
y PILE '
I hereby affirm that 1 am Icensed untlerprovisare of Chapter 9
5WO& '1 71% LI w� 'PL
SERER MAP
(commencing with Sectron•7000)Of DNISgn 3 O(the Business and SO FT SIZE NO OF STORIES NO OF FAMILIES , _
Professions Code Is in full force and act NEW BK P6 I d
DE IP OF WORK VAW O
License Number, Lc Class ADD ❑ 4 On � , 0
Contracio Date ALTER - $ y'( `�
0
ElI am exempt undo Sec " F REPAIR ❑
" B&PC forthis reasona DEMOL ❑ r - V
` LDMA PICA V W
Date USE OF EXISTING BLDO URM ❑ ' I O-
Signature I 1 APPLK'jANT(HINT) TEL NO LDMA Perm♦ - ='. , z
❑ I aA owner of the property or my empdyees with wages as
their'sole compensatl0n will do the work and the structure Is ADDRESS - • + O I-jl.CT.T
not intended or offered for sale (Sectan,7044 Business lard ' FINAL DATE l\� /L Q J1rJJ 1_7�w1
"r
Professions Code - ` WILL THE APRICANT OR FUTURE BUILDING OCCIiMIf HANDLE A HA]AnDOi1S MATERIAL 3_L )•`-1�' i ['lIirlIt
4 ❑ 1 as owner Of the ORA MIXT 2Z IOAl A IWAFOCQS MATERLLL EQUAL Rl OR GREATER RMN THE J 1 T I EI1� _
property am 8%C IA9Nety CORIraDllnig with MalyRy sFEC4'I N THE IuzAnoouS MATERIALS INFORMATION GUIDE' FINAL By , J 1
licensed contractors to construct the project (Section 7044 YES Cl N _ _ TIaT i+J+ d fT,�,A
Business and Profsawns Code) 11 ' ' _
' T wLL1 THE WIELDED WE OF THE BU10.WO W THE AP xrrr OR FUruPe aIFLDiNV'
OCCUFAW REQUIRE A PERMIT FOR CONSTRUGIgN OR MOOT ATION FROM THE SOUTH ,y_ • �,
CONSTRUCTION LENDING AGENCY Q ouwry MANAGEMENT DlsrRgr isuwMol PEE I'ERMITTWG clECKusr rqB SV,W `0 11``I`, CH -E , i I
' I hereby affirm that there Is a construction lending agency for ' mss❑ -wV I - I - '
e the performance of the work for which this permit Is Issued(Sec - ' D v
m 3097 (.IV C )HAVER THE HA2PAGCt19 MATEPoILSINFOPMATI 'UIDE AN0 THE 9CAQAb PERMnTPIC + 1
A SLI« GMPTEoc ssc aAREnE RS u+c+, z�Lo ANGEaSCOUNTiao�ous " L � Ill]QQ=1]1]1]1 1']:72yA?`
x Lenders Name n T IAa RE AN A PE wr M THE scAQvn
a Lenders Address �1�'1 1
I certify that I have read this apolcatxxi and stela under penalty
8 of perjury that the above Information Is correct I agree t0 comply R51F PERI FEE
R with all county ordinances and State laws relating,to bulMing - ^
¢ onatruchon an her y authonz representatives of this County ISSUANCE FEE
md tI upon I b v none p party for Irepectlon urposes
c TNESIIGATION FEE TOTAL FEE T�
-
- _ SEE REVERSE FOR EXPLANATORY LANGUAGE�
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS / I RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 / BL 0508 0501040003
PHONE (626) 285-0488 EXT ,
LEGAL ID NO NEW W LDING ADDRESS
TR 14572 LT 44 SO FT STORIES TYPE OCCUP GROUP 9413 PENTLAND ST
STRUCTURE 0 1 VN R3 - TEMP CA 917803843
ASSESSOR INFORMATION NUMBER GARAGE - - rNEAREST CROSS STREET ALESSANDRO
8590-008-011 OTHER 360 1 VN U1 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY, C
TENANT EXIST BLDG USE USE ZONE ISSUED ON PROCESSED BY EXPIRES ON
EXIST OCC GRP 01/07/05 JK 01/02/06
OWNER sLDGS NOW ON 0 CODE
WILHELM DANA,DENICE (626) 309-9816- 10,660
9413 PENTLAND ST
TEMP 917803843 FEES PAID TA OF
FEE DESCRIPTION QUANTITY UOM AMOUNT -
StORAGE SPACE ADDITION TO EXISTING GARAGE 360 SF
APPLICANT TEL NO SAME AS OWNER - D1 PLANCHECK W/O EN-HC 10660 00 VAL 198'39
AA BLDG PERMIT ISSUANCE 27 75 SPECIAL
AC STRONG MOTION RESID 10660 00 VAL 1 07
D1W/O EN-HC 10660 00 VAL 198 39CONTRACTOR -
r.M TOTAL FEES 425 60 APPROVAL$ DATE
SAME AS OWNER - - INSPECTOR
LIC NO LOCATION AND SETBACKS
SOILS ENGINEERAPPROVAr-
ARCHITECT
LIC NO M1979MR FLOOR
MAP NO-
W RMAP WOK PAGE
I
3 01 UNDERFLOOR
NSULATION
NO OF FAMILIES DWELLING UNITS APT/Cumu hlAl CLASS 1ST LEVEL FLOOR SHEATH
NO 21 ZNO LEVEL FLOOR
SCHOOL WITHIN HAZARDOUS ROOF SHEATHING
AIR QUALITY 1000 FEET MATERIALS
NO NO NO MUMPT FRAME INSPECT
REQUIREDTOTAL SETBACK FROM EXIST BLDG DEPT FRAMEi
SET BACK YARD HWY PROP LINE WIDTH
FRONT PL- ELS
_
SIDE PL-
LATH/DRYWALLINSULATION/WEATHER STM
INTERIOR
EXTERIOR LATH 7t
�f
O
DEPARTMENTSMOKE DETECTION DEVInr
FIRE O
t REPORT ID DPR261 ROUTE TO BS0508
COUNTY OF IAS ANGELES - TEMPLE CITY N 0506 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0804160027
PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST NEW BUILDING ADDRESS
ITR 14572 LT 44 I SQ FT STORIES TYPE OCCUP GROUPI 9413 PENTLAND ST
(ASSESSOR INFORMATION NUMBER (STRUCTURE 374 1 V-B R3 TEMP CA 919803843 '
18590-008-011 GARAGE NEAREST CROSS STREET ALESSANDRO ♦
OTHER 280 1 V-B R3 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY, Cl
(TENANT (EXIST BLDG USE USE ZONE JISSUED
N PROCESSEDBY
EXIST OCC GRP I12/04/08SR
IOWNEA TEL NO BLDGS NOW ON LOT VALUATIONIFI DATE FINAL BY CODE
WILHELM DANA DENICE (626) 309-9816- 77 838
9413 PENTLAND ST I � �/
(TEMP 917803843 I FEES PAID IDE-N OF WORK ]
ENLARGE AND REMODEL EXISTING FAMILY ROOM DINING ROOM AND
_IEEE DESCRIPTION QUANTITY DOM AMOUNT (BATHROOM
(APPLICANT TEL NO I
ISACCOMAN (626) 358-3360- IBI PLANCHECK W/ENERGY 77838 00 VAL 1,007 97
IAA BLDG PERMIT ISSUANCE 27 75 ISPECIAL CONDITIONS
IAC STRONG MOTION REBID 77838 00 VAI. 7 78
B2 PERMIT W/ENERGY 77838 00 VAL 1 185 86
TOTAL FEES 2 229 36 (APPROVALS DATEINSPECTOR SIGNATURE
(CONTRACTOR TEL NO
IRX CONSTRUCTION MANAGEMENT CO (818) 815-9127-
12629 FOOTHILL BLVD #396 LIC NO (LOCATION AND SETBACKS
ILA CRESCENTIA CA 91214 918971 B
I ( SOILS ENGINEER APPROVAL 1-1
t
ARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH FORMS /
SACCOMAN, FRANK (626) 358-3360- (SLAB/UNDER FLOOR `7
1908 HEATHER HTS CT LIC NO
(MONROVIA CA 91016 NONE
RAISED FLOOR FRAMING
(MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP (UNDERFLOOR INSULATION I I 1
3 00
11ST LEVEL FLOOR SHEATH
INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS
NO 21 _ 12ND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS ROOF'SHEATHING
]AIR QUALITY 1000 FEET MATERIALS
NO NO NO (FIRE DEPT FRAME INSPECT(
(REQUIRED TOTAL SETBACK FROM EXIST I (BLDG DEPT FRAME INSPECT(
ISET BACK YARD HWY PROP LINE WIDTH ]
• (FRONT PL-
SHEAR PANELS
SIDE PL-
INSULATION/WEATHER STRI ]
(INTERIOR LATH/DRYWALL
I
(EXTERIOR LATH
(LOT DRAINAGE
I
I (SMOKE DETECTION DEVICES 1
I IFIREoneeARlTtENT APeaovui I I
I I I I I I
(REPORT ID DPR261 ROUTE TO BS0508
I I I I