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HomeMy Public PortalAbout9419 PENTLAND ST_Building__ TA'A CES 003 &52APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES - BUILDING DEPARTMENT OF COUNTY ENGINEER AD DRE55 BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST I WILLIAM A JENSEN SUP T OF BUILDING CROSS ST DIST T N Gfty]LUi TYPE P CES Y FOR APPLICANT TO FRI IN _ONSr BUILDING / STATISTICAL CLL:S IFICATION SEWER MAP ADDRESS CV�� g67- p CLASS NO DWELL UNI�TSS- LOT NO BLOCK WATER NOT REQUIRED IXI RECEIVED CERTIFICATE v�I TRACT p / pp^^ MAP HIGHWAY -SIZE OF LOT C3 )Z).O�l NOW ON LOTS NO (CIRCLE) STATE MAJOR SECON LOCAL USE OF USAE ZONE COND TSPECIAL ONS EXISTING BLDG ' / l —/ EL OWNER y d [s • Q NO BUILDING YARD HWY STREET NAME • E%1ST • ADDRESS c fj y�TL�} SETBACK WIDTH FRONT i ARCHITECT OR - TEL P L ENGINEER NO SIDE P L ADDRESS y //�� TEL 1 I ' it O CONTRACTOR YLQ i-Tn) N ,74 n, per/ _ �� V ADDRESS .33 O ,l � // N DESCRIPTI N OF WORK 13/3 �/ lI ) �' r O i� 3 NEW J D ALTER REPAIR DEMOLISHSO . OF SIZE T 5� STORIES FAMIILIES • ��'y USE OF J STRUCTURE 4YUOM / SIGNATURE APPLICANT n // VALUATION S APPROVALS IDXTFi INSPECTOR S SIGNATURE PC PMT -0-0 FOUNDATION LOCATION FEES / FEE S /IS FORMS MATERIALS FRAME FIRE STOPS HERE ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT ANO AGREE TO COMPLY FURNACE LOCATION V df WITH ALL COUNTY ORDINANCES AND STATE LAWS NEGULATING GAS VENT DUCTS BUILDING CONSTRUCTION I CERTIFY THAT IN GOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT 1 TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA REI-AT ING TO WORKMEN S COMPENSATION INSURANCE LATH EXT SIGNATURE HOUSE NUMBER COR PERMITTEE RECT AND POSTED ADDRESS 30 FINAL v PLAN CHECK VALIDATION CK Mo CASH JOHN F LEWIS PRINCIPAL ST URAL ENGINEER PERMIT VALIDATION CK MO CASH 9 0 3 81- env 2 1 D 1 5.00- 4, WORKERS' COMPENSATION DECLARATION t hereby affirm that I have certificate of consent to ,elf APPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers' Compensation Insurance, I or a certified copy thereof (Sec. 3800, Lab. C.) r COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No�*22/.�SSCompony -S T/}TE rVAID ❑ Certified co Is hereby furnished. FOR APPLICANT TO FILL IN BUILDING PY Y ADDRESS C�7 Certified copy is filed with the county building inspec- ELIADNE'S p q L�i G7iv/� tion deportment. / (' ADDRESS _1 Date ld -/ll -9 'Applicant4�' "` St`ZL OTY7=1Y/ /_ C/T .ofIP Blocs. LOCALITY / NEAREST ,�7 j) "Er OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST. C C ES}`Jti UP` COMPENSATION INSURANCE ASSESSOR g q yr (This Section need not be completed if the permit is for one TRACT BLOT NO. MAP BOOK 1 LOCK PAGE 01) PARCEL Q hundred dollars ($100)or less.) /' , / 7E1. p71374 �� OWNER ` ' Qu LSE/1/ NO�p 7 y 3 14 USE ZONE INOMAP 1 certify that in the performance of the work for which this �y _ / SPECIAL Y permit is issued, I shall not employ any person in any manner ADDRESS /�T L /�} CONDITIONS so as to become subject to the Workers'Compensation Laws. /7 O CITU 7�}h ZIP U Date Applicant ARCHITECT OR TEL. 0 PP DISTRICT GROUP TYPE FIRE P SSED BY Q NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CONST. ZONE • F- Exemption, you should become subject to the Workers' f y ll w Compensation provisions of the Labor Code, you must forth- ADDRESS �• DO /k-✓ v J N with comply with such provisions or this permit shall be E' TEL p STATISTICAL CIASSIFICAT APT. CONDO. Z deemed revoked. CONTRACTOR - ES No. 7Z � Z'` f -' ! .�tom L LICENSED CONTRACTORS DECLARATIONuc. _ CLASS NO. DWELL. uAnS_ I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO SEWER MAP (commencing with Section 7000)of Division 3 of the Business / LIC L7 and Professions Code,and my license is in full force and effect. CITY ` S �L t, S CLASS ' > BK PG VALIDATION �1 SO. Ff ((�� NO OF NO.OF CHECK License Number 24'7/SG Lic. Class SIZE �d� STORIES FAMILIES / ONE �L �T VALUATION Contractor (= ,S ALAN.SE S Date /d -1117 LII DESCRIPTION OF WORK NEW � f CG,67 J El am exempt under Sec. X U S 70/?9G E /`5C ADD El000.ALTER ❑ B.BP.C. for this reason REPAIR ❑ $ Date: USE OF EXISTING BLDG. (+A l.� DFMOL ❑ Signature A�(PRINTI�� . /-X J/f�� f NO./2 -z d/} FINAL OWNER-BUILDER DECLARATION _ p[ 7 DATE �� Z 7 I hereby affirm that I am exempt from the Contractor's License ADDRESS SG /O 7J r`UE/ZL }(- !/(.� Law for the following reason (Section 7031.5, Business and FINAL Professions Code): PRESENT �J BY rr t El 1, as owner of the property, BUILDING Cr CrY T�,� S 4l I .t p party, or my employees with ADDRESS wages as their sole compensation,will do the work andLOCAury Tc ��C �/T JV �Q•f the structure is not intended or offered for sale(Section , zb- 7044, Business and Professions Code.) MOVING rEL. _. , 1 ❑ I, as owner of the property,am exclusively contracting CONTRACTOR NO. 'l _ with licensed contractors to construct the project (Sec- ADDRESS ACCT.AT tion 7044, Business and Professions Code.) - REQUIRED YARD HWY TOTAL SETBACK FROM EXIST 3307 14,:'•w' CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH i ITEMS I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.l. .- (Sec. 3097, Civ. C.). SIDE 192 38 P.L Lender's Name = C'-` iy�•�� Joy LLDMA J CHANGE Fee E J Permit Fee o u CHANGE •SIL, Lender's Address 0 1 certify that I have read this application and state that the Issaance Fee a�7S above information Is correct. I agree to comply with all County Invesrigaflon Fee 9 / 1' n ordinances and State laws relating t0 building cOoalrUatlOo, Total Fee .7• rtJ I�V�—V��t1 �=1i LV/�1 ` and hereby authorize representatives of this County to enter `!.r}7 1 f ?:�4 YW upon the above-men ion pr Try for 'Inspection purposes. `7 //�� Ii /& -`J SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date — COUNTY OF IAS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0710080010 PHONE (626) 285-0488 EXT LEGAL-ID NO OF CONST BUILDING ADDRESS TR 14572 LT 43 SQ FT STORIES TYPE 9419 PENTLAND ST ' (STRUCTURE 1800 VNO TEMP CA 917803843 ASSESSOR INFORMATION NUMBER - NEAREST CROSS STREET 18590-008-010 , THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY C I TENANT (EXIST BLDG USE RESID USE ZONE R-1 (ISSUED ON PROCESSED BY EXPIRES ON 1 IEXIST OCC GRP 110/06/07 SR 04/05/08 (OWNER TEL NO BLDGS NOW ON IAT VALUATION JFIPn DATE� F�I/`1Y)Z[�Ay�Y CODE ISYLMA COLESON (626) 287-1374- 4,800 19419 PENTLAND ST ITEMP 917803843 1 FEES PAIDl� CRIPTION OF WORK I I TEAR OFF 3 LAYERS OF ROOF AND INSTALL A NEW 30 YEAR IFEE DESCRIPTION QUANTITY UOM AMOUNT COMPOSITION SHINGLE 1 APPLICANT TEL NO I RUSSELL (909) 946-0901- IAA BLDG PERMIT ISSUANCE 27 75 1 I 15025 CERVETTI AVE IAC STRONG MOTION RESID 4800 00 VAL 0 50 ISPECLAL CONDITIONS IRC CA 91739 D2 PERMIT W/O EN-HC 4800 00 VAL 132 60 TOTAL FEES 160 BS (CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE 13RD GENERATION ROOFING (909) 946-0901- 5025 CERVETTI AVE LIC NO (LOCATION AND SETBACKS (RANCHO CUCAMONGA CA 91739 768618-C39 ,I 1 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH FORMS LIC NO SLAB/UNDER FLOOR (RAISED FLOOR FRAMING MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP (UNDERFLOOR INSULATION I 1157H269 3 01 FLDOR SHEATHING I ING OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS NO 21 (ROOF SHEATHING �f II 1 I SCHOOL WITHIN HAZARDOUS ISHEAR PANELS AIR QUALITY 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST (FIRE SPRINKLER HANGERS ISET BACK YARD HWY PROP LINE WIDTH I I 1FRONT PL- (INSULATION/WEATHER STRIP( I I 1 SIDE PL- ' I (INTERIOR LATH/DRYWALL I (EXTERIOR CATH I RATED FIAOR/CEIL ASSEM ' RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS I T-BAR CEILINGS 1 1 (IAT pRAINAGE 1 I I I I 1REP0RT ID DPR261 ROUTE TO BS0508 i 1 COUNTY OF LOS ANGELES TEMPLE CITY # 0500, BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS - ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9804010036 PHONE (818) 285-0488 EXT LEGAL ID __0 OF- CONST BUILDING ADDRESS TR 14572 LT 43 SO FT STORIES TYPE 9419 PENTLAND ST STRUCTURE 80 VN TEMP CA 917803843 ASSESSOR INFORKATION-994M NEAREST CROSS STREET ALESSANDRO 8590-008-010 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY TENANT EXIST BLDG USE RESiD USE nNr_T-_r_ ISSUED ON PROCESSED B EXIST OCC GRP 04/01/98 UT 04/01/99 OWNER TEL 0 S NOW ON LOT VALUATION COULSON FRED N,SELMA G TRS (818) 287-1374- 1 900 (_ An 9419 PENTLAND ST J '7 TEMP 917803843 CONSTRUCT 5'X 16' OPEN FRONT ORCH FEE DESCRIPTION QUANTITY UOM AMOUNT EDWARD F SALAISES (213) 724-2804- AA BLDG PERMIT ISSUANCE 27 75 AC STRONG MOTION RESID- 900 00 VAL 0 50 L CONDITIONS AX BUILDING REV IEW=FEE–�� 54 70 D2 PERMIT W/O-,EN-HC ELE C 900'00`VAL 65 25 OS P��CTOTAL(FEES T 148 20 CONTRACTOR TEL NOAPPROVALS DATE INSPECTOR SI ATURE EDWARD F SALAISES CONSTRUCTION CO (818) 573-0024- }� 526 CECIL STREET LIC NO LOCATION AND SETBACKS MONTEREY PARK, CA 91755 525317/B Ifi i ARCHITECT OR ENGINEER TEL NO Touwn7Tm/TRENCH FORMS LIC NO 111 11SLAB/UNDER FLOOR VAV M. 144H265AP NO SEWER 3 M0; j U Q L�C TqG FLOOR SHEUNDERFLOOATHING N NO OF FAMILIES DWELLING UNITS APT/CuND blAl LLAbb NO 21 /f 4 u c ROOF SHEATHING SCHOOL WITHIN OSHEAR PANELS AIR QUALITY 1000 FEET MATERIALS Q r fi �"• NO NO NO -Q �Il��,'c00N�WUIRLU TOTAL SETBACK FROM E IST � FRAME INSPECTION n1 SET BACK YARD HWY PROP LINE WIDTH XC Ips FRONT PL- `Sefv a ThyI INSULATION/WEATHER-§TM SIDE PL- INTERIOR LATH/DRYWALC EXTERIOR LATHt RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGr T-BAR CEILINGS LOT DRAINAGE REPORT ID DPR261 ROUTE TO BS0508 ,