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 ,