HomeMy Public PortalAbout9416 PENTLAND ST_Building__ APPLICATION FOR BUILDING PERMIT
F091'APP,�,ICANT TO FILL IN (P,,Rt., 1YDp RIV)
BUILDINGerg COUNTY OF LOS ANGELES
ADDRESS t Pc T PSV L�1 DEPARTMENT OF COUNTY ENGINEER '
CITY GM(�,iu. iT zIP 11-40 BUILDING AND S TY DIVISION
A/I AA NO OF SLOGS _ BUILDING_
OF
SIZE OF LOT�rJJ`'L NOW ON LOT ADDRESS
TRACT/ -J/Zi BLOCK LOT NO � LOCALITY
OWNER LU L.L.(AM- 1:11cK N01-4CROSS ST
`, ASSESSOR
ADDRESS4f"f G,) L.A1J_0 1 MAP BOOK PAGE PARCEL
�1 Y/ DISTRICT GROUP TYPE FIRE PRO SSED BY
CITV �1!-vim AT• 1 ZIP �J! / O CONST ZONE
ARCHITECT OR TEL ��
ENGINEER NC STATISTICAL CLASSIFICATION- ^ SEWER MAP
ADDRESS T CLASS NO 612j—DWELL UNITS BK ,
TEL: -
CONTRACTOR - - E ZONE NOP O
ADDRESS NO I SPECIAL ,
CITY _ LIC CONDITIONS
CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDG SETBACK FROM FRONT PROP LINE OF (STREET(
ADDRESS CITU
SQ FT NO OF NO OF CHECK HIGHWAY + YARD o TOTAL SETBACK FROM HIGHWAY EW WIDTH
O
FRONT PROP LINE V
SIZE STORIES FAMILIES - ONE [C
_ O
DESCRIPTION OF WORK NEW - -1 + U
_ //.�,. BLDG SETBACK FROM - d
LOOS bi FE 1?iEPC*f oLic ADP � SIDEPROP LINEOF 1 - (STREET) Z
} LTER HIGHWAY + YARD _ TOTAL SETBACK FROM TYPE OF EXISTING
- i SIDE PROP LINE HIGHWAY WIDTH
USE OF sf �� LC }-A F71i- EPAIR❑ + -
EXISTING BLDG F[G 11b {J(- _ EMOL ❑
APPLICANT / TELA/ } CORNER CUTOFF YES ❑ NO ❑
(PNINiIW L.(_I VI 7bICI` No
-fqy, `l
BY_(SIGNATURE)`. 1 IN OPEN SPACE -.`YES 1:1 NO ❑
Q jw YI y- IN COASTAL ZONE YES ❑, NO ❑
VALUATION S E([ O fl '- I - - - CATEGORICAL EXEMPTION YES❑ NO ❑
HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ENVIRONMENTAL
♦NO STATE THAT THE ABOVE-15 CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION 91GNEO (OAtE)
WITH ALL ORDINANCES AND LAW! REGULATING BUILDING CON
ST RUC TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE)
HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODECO F THE STATE SOF CALIFORNIA IN RELATING TO i� � !PAJ/ A}yUO Q�
WORKMEN S CMPENSATION INSURANCE '� .RG. ,/IT %El
SIGNATURE OF 1 K, /� E '
PERMITTEE _ _ _
ADDRESS �AJ V
f FINAL _ BY
CITY / GAN/L� CSF ! / NO .l DATE
i 1
111hh UI! [ LS P 1) IHI_L 10 FEE $ " _- FEE
HARVEY T BRANDY COUNTY ENGINEER _ / >
- PLAN CHECK VALIDATION n Mo CASH _ PERMIT VALIDATION
_
04 DEC -11 1 0 - 1 2.0 0
'7GA538A CE PEGS 12/72
COUNTY OF LOS ANGELES TEMPLE CITY N 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0708280055
PHONE (626) 285-0488 EXT
(LEGAL ID NO OF CONST BUILDING ADDRESS
TR 14572 LT 2 SQ FT STORIES TYPE 9416 PENTLAND ST
STRDOTURE 1700 VN TEMP CA 917803842
(ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET
18590-012-002 1 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY C
TENANT EXIST BLDG USE RESID USE ZONE R-1 ISSUED ON PROCESSED BY EXPIRES ON
MIST OCC GRP 06/28/07 SR 02/24/08
OWNER TEL NO BLDGS NOW ON LOT VALUATION IF(I�AL FI-v/a�-'�px' CODE
1N DANNY R - 4,000
1690 REEXWOOD DR
LVER 9175014171640 CI FEES PAID JDE,4CRIPTIOV OF WORK
ITEAR OFF MISTING 2 LAYER OF COMPOSITION SHINGLES AND
(FEE DESCRIPTION QUANTITY OOM AMOUNT (INSTALL A NEW 30 YR GAF COMPOSITION SHINGLES
(APPLICANT TEL NO I I I
IRUSSELL (909) 946-0901- AA BLDG PERMIT ISSUANCE 27 75 1 1
5025 CER=I AVE AC STRONG MOTION RESID 4000 00 VAL 0 50 SPECIAL CONDITIONS
RC CA 91739 D2 PERMIT W/O EN-HC 4000 00 VAL 115 80 1
TOTAL FEES 144 05
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE I
3RD GENERATION ROOFING (909) 996-0901- 1 1 I
15025 CERVETTI AVENUE LIC NO LOCATION AND SETBACKS
IRANCHO CUCAMONGA CA 91739 768618 C39 1 I 1
ISOILS ENGINEER APPROVAL
I I
ARCHITECT OR ENOINEHR TEL NO 1 (FOUNDATION/TRENCH FORMS
LIC NO i (SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
(MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP UNDERFLOOR INSULATION
1144H265 3 011I
FLOOR SHEATHING
T/COND STAT CLASS
IND OF FAMILIES DWELLING UNITS AP
1 NO 21 1 1ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
1AIR QUALITY 1000 FEET MATERIALS
NO NO NO I (FRAME INSPECTION I
I
REQUIRED TOTAL SETBACK FROM EXIST I FIRE SPRINKLER HANGERS
(SET BACK YARD HWY PROP LINE WIDTH
FRONT PL- 1NSJLATION/WEATHER STRIP(
SIDE PL- 1 1 1 1
(INTERIOR LATH/DRYWALL
1 1 (EXTERIOR LATH 1 I 1
(RATED FLOOR/CEIL ASSEM
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
1 1 T-BAR CEILINGS 1 1
LOT DRAINAGE
I
1 1REPORT ID DPR261 ROUTE TO 850508 I 1 1 1
I I I I I I