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Home My Public Portal About9430 PENTLAND ST_Building__ ' ,BAq A CE RD31' APPLICATION FOR BUILdING EROT COUNTY OF LOS ANGELES ASSESSOR ' DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING+AND SAFETY DIVISION BUILDING / -` ADORESS V Z COLEMAN W JENKINS, SUP T of BUILDING LOCA LITv FOR APPLICANT TO FILL IN NEAREST not or r CROSS ST BUILDING DISTRICT NO GRCWP JT PE R SSED BY, ADDRESS Ci�� - tiQ �� NST d STATISTICAL�CCL��A��SSIFICATION SEWER MAP_ LOT NO BLOCK CLASS NO. _OWE] UNITS_ �• TRACT USE ZONE MAP NO OF SLOGS NO SIZE OF LOT NOW ON LOT _ I SPECIAL USE OF CONDITIONS ' EXISTING BLDG TEL ^'��' 1 + OWNER � NO BLDG SETBACK FROM A DDRESSc� FRONTPROP LINEOF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY .. MI GH WAY WIDTH FROM C L ARCHITECT ./t/l ' + TEL " H + ENGINEER + NO BLDG SETBACK FROM , ADDRESS �� • -!rz,_ SIDE PROP LINE OF (STREET) Iy TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL O CONTRACTOR �� NOL lS3 !J HIGHWAY WIpTH FROM C L V 1 AODRESScj/ff- !� ND o.. .^ ' + CITY �S /7Q CL SS C�`V CORNER CUTOFF 1 YES ❑ NO W CONSTRUCTION LENDER z NAME AND BRANCH t4� SEE REVERSE SIDE FOR SPECIAL APPROVALS ' I ADDRESS SO FT (,�'`� NO OF NO OF NEW SIZE U STORIES FAMILIES USE STRUOCTURE cCC.a(� ADDER ❑ .. ` SIGNATOR REPAIR[- , APPLICA DEMOL ❑ + VALUATIONS S=ZD6 APPROVALS DATE INB VEfTO. a *I NATIi Re P CPMT �v, � FOUNDATION LOCATION FEE S 1-7,101 FEE S LS, Sp FORMS MATERIALS FRAME FIRE STOPS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS ANO STATE THAT,THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE ,LOCATION WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT DUCTS STRUC TIONI CERTIFY THAT IN DOING THE WORK AUTHORIZED �] HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INTTO ./k.7I • f LABOR OF THE STATE 0! CALIFORNIA IN RELATING TO L WORKMEN S ION INSURANCE , LATH EXT- I 7/ SIGNAT HOUSE NUMBER COR- PERMI EE 1 RECT AND POSTED ADDRE FINAL' 74 JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION M. cABH _ PERMIT VALIDATION CK .0 CASH 1 �( , 1 4 2 9r JUL14� 1 D 1 7 10- 1h( 14 30JUD14 1 D 28.50 v EPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ® ' �®P� r ' WM. J FOX. CHIEF ENGINEER _ _ FOR ��II//ATT PPLI(CN AT TO FILL IN 1 FOR OFFICE USE ONLY 2 DJ 2, X� a Ltozo DISTRICT I.Ip ;2 ✓ �O/VPLAN CK NY �R/TNO BUILDING a ^•�_ 1 ADDRESS /q I t LOCALITY J RECEIVED BY DATE OF APPL DATE ISSUED I 1 HE RE // I C!� It 3 CROSS ST .('vr ^/ /fes BUILDING OWNER d ADDREBB 2-oZo ✓ + l�e.� �✓r ADDRESS .0 MAIL LOCALITY TEL CR SB HT �• N O-Y /� -1 1 CITY No O O IJ FIRE NO OF TYPE GROUP ARCHITECTOR TEL ZONE'/ PLANS Z- L �— ENGINEER NO SDO I " / ORD NO ADDRESS /1 C/!/�/ SETBACK LINE i APPROVED TEL BY I r DATE CONTRACTOR NO _ USE APPROVED 1 I 1 ADDRESS ZONE 4-18Y I DATE LEGAL CORRECTIONS, DESCRIPTION LOT NO BLOCK TRACT �Y-s� -SIZE❑F LOT ^ X-I i tJ I NOW ON LOGS ' UBE OF NO OF NO OF EKISTIND BLDO F NI�IEe ROOMS DESCRIPTION OF WORK NEW x ALTERATION ADDITION A REPAIR /� rj MOVING DEMOLISH p SIZE X ,S^ RC1 MB STORIES ' V'V r h�b4F OLe S WALLR //�� ,,�� OOF tir rr COVERING 1,477 L COVERING �e/�'T� USE OF NEW � ifi f BUILDING J I HEREBY ACKNOWLEDGE THAT 1 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 AND STATE LAWS REGULATING BUILDING CONSTRUCTION FRAME FIRESTOPB, rI SIGNATURE OF BRACING,BDLTS 7 / PERMITTEE U��A' �J{��d� LATH, INT I AUTHORIZED AOT � "/ LATH, EXT Y '� 3BI . PFECE PLASTER DM SETS INT !/ V✓'� PLASTER,EXT VALUATION FEE /(O U/ FINAL BUILDING BUILDING' -ADDRESS APPLICATION LOCALITY NEAREST DIVISION OF BUILDING AND SAFETY CROSS ST 1 Department of County Englneer DISTR NO RECEIPT O PERM�Q County o1 Los Angeles n[ te WM J FOX, COUNTY ENGINEER GROUP DATE RECEIVED DATEISSUED CAHSATT D GRIFFIN, BYFT DF BUILDING / T �'f I' FOR APPLICANT TO FILL IN TY L/' BT RECEIVED BY (/ BY / OWNER MAIL MAP 2 STATE q\ O NUMBER �--C/ HWY ADDREBB U,OEZ O E SPECIAL TEL �� 4 _ CONDITIONS CITY TE '/�� ARCHITECT O TEL ENGINEER NO BUILDING YJARD 'STREET NAME EXIST SETBACK � /� �I WIDTH ADDREBB - �y p TEL p OLNT r'�V I �Yl X/U �y CONTRACTOR NO SIDE A RE P L BUILDING DATE CORRECTIONS INSPECTOR ADDRESS A, t 10 L nIT 7. d LOT NO T BLOCK TRACT 2 ND OFSLDGS 1 N RnJ GL I I7 n/�s 91ZE OF LO —� I NDW ON LOT (574 USE OF N LD RrR FXI9TING BLD DESCRIPTION OF WORK D a NEW ADD ALTER REPAIR DEMOLISH 9 �• _ , ISO e0 FT NO OF NO OF hR 1 r +�^ L� C 'I_-O rQ__.�> SIZE STORIES FAMILIES USE OF STRUCT R[ Poo a-r I NO OF EMPLOYEES I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IS APPROVALS INSPEC OR•SBIONATURE DATE CORRECT IAGREE TO COMPLY WITH A TY ORDINANCES FOUNDATION LOCATION AND STATE LAW REGU TING ILD D CONSTRUCTION FORMS. MATERIALS L /`cV FRAME FIRESTOPS, SIGNATURE OF / SPACING, BOLTS PERMITTEE _ FURNACE LOCATION, GAB VENT,DUCTS 11DIISS LATH, INT GtI•ti4 d .• [ 7- AUTHORIZED AUT_ 7,-y - S LATH, EXT u u U U P C S HOUSE NUMBER COR- FEE RECT AND POSTED vALUA N 5/ OD FINAL FEE 76A638A DBS 3 u96 5.54 UILDINQ BUILDING ADDRESS Jul y� an APPLICATION �. 1 _ LOCALITY — TC DIVISION OF BUILDING AND SAFETY CRO IAeT V,0 t—j Department Of County Engineer I DISTRICT NO RECEIPT N PERMIT NO County of LOB Angeles _ 5 5 4 q 6::; 2 WM J. FOX, COUNTY ENGINEER I ' GROUP DATE RECEIVED DATE ISSUED CASSATT D GRIFFIN, BUP T OF BUILOIve FOR AAP)PPLICANT TO FILL IN, TYPE CONST RECEIVED BY ISSUED BY OWNERMAIL ,,[///JJC. ,p/ NG ADDRESS �`J� t'+�7'- C�I NUMBER `lO a STATE USEZONE SPECIAL TEL L A CONDITIONS CI TNO E aaFl ARCHITECT OR �� TEL' JO�O ENGINEER NO BUILDING .SFREETNA YARD HWY ME EXIST ADDRESS SETBACK WIDTH FRONT r CONTRACTOR NOL O X00 P L aloe ADDRESS � d P L BUILDING yri DATE CORRECTIONS INSPECTOR ADDRESS / LOT NO C �'I BLOCK .0 n TRACT J .15 c'�••F/ SIZE Or LOT-5' /,2S— NDWONLOTB USE OF AP IJ< T E IBTINO SLD < DESCRIPTION O K a v NEW k A�DO ALTER �RCP•AIR DEMOLISH = BO FT T� NO Or NO Or I SIZE T STORIED FAMILIES USE Or CTURE, n O X gg a NO OF EMPLOYEES 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IS, APPROVALS INUPECTOR;S SIGNATURE DATE CORRECT 1AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION LOCATION AND STATE LAWS REGULATING BUILDING CONSTRUCTION FORMS,MATERIALS FRAME FIREBTOPB, SIGNATURE DF BRACING,BOLTS LJ 9 PERMITTC FURNACE LOCATION, / O OAS VENT, DUCTS ADDRESS LATH, INT S0 B he? AUTHORIZED AOT LATH, CJ(T Sld ✓ P O B HOUSE NUMBER COR- FEE RECT AND POSTED VALUATION S �� FINAL rEE 7"L U^ OUR 3 u-s] iWORKERS COMPENSATION DECLARATION tl -r • I hereby affirm that I have a certificate of consent to self - g P L I CAT,'O N _Edit"g U I L D I N G PERMIT insure or a certificate of Workers Compensation Insurance, _ _ , • ora certified copy,thereof (Sec 3800 Lab C ) j ` '' ' ++ I 5�.,,,✓ K� - .- - r = _ -COUNTY OF LOS ANGELES r.= _ BUILDING AND SAFETY Policy No' + Company BUILDING T + �❑ , Certified copy is hereby furmshed, - + FOR APPLICANT TO FILL IN _ - ADDRESS _)�f 3C) -N r t Certified copy is filed with the county building mspec- �IUDING 9 e( v ,hon department r - -+ t, '°m�u 4 r Date+ ,? `�' + / Applicant JS. L�,)r'�^•v OTY L - ZIP LOCALITY NO OF BL NEAREST I 'CERTIFICATE OF EXEMPTION FROM WORKERS "' - - '♦ •' 'COMPENSATION INSURANCE' d s SIZE OF LOT NOW ON LOT-� CROSS ST (Thu section need not be completed if the permit u,for one TRACT BLCK:K LOT NO - 1 ASSESSOR MAP BOOK - O + PAGE IZ PARCEL` + hundred dollars ($100)or less f. - A- TEL p +' `. _ ' i•' i 4 , e, OWNER D II D ` - NOnY U l USE ZONE `Pa-.G Er,,, N I certify that in the performance of the work for which this _ permit is issued I shall not employ any person in any manner ADDRESS �'.. ��^ DE/1l /�}' - -- �� CONDRIONS T A •,- a so as to become subject to the Workers' Compensahon4aws r O CITYr ZIP Y7 �- _, - } - U ,Date Applicant • - v ARCHITECT OR " J - TEL , { { d' NOTICE TO APPLICANT If ,aper making-this Certlfitafe of ENGINEER CQ _ -rJ0 ,2 DISTRICT _ GROUP TYPE FIRE PROCESSED BY _ 1 O CONST ZONE' G Exemption, you should become subject to the Workers t r�Q R , ' - + Compensation provisions of the Labor Code, you must forth- ADDRESS O O 11 0 d'vrV - 3 It V +, ' with comply with such provisions or this permit shall be / TEL 7� STATISTICAL CLASSIFICATION APT CONDO Z deemed revoked _ CONTRACTOR I NO �Oe� - - LICENSED CONTRACTORS DECLARATION, I- LIC CLASS NO DWELL UNITS_ s I hereby affirm that I am licensed under provisions of Chapter 9 -: ADDRESS ! / w NO � SEWER MAP. (commencing with Section 7000)of Division 3 of the Business NIL LIC - j t and Professions Code and my license is in full force and effect Cir �� VALIDATION /-a, SO _Fi -- No-OF— NO OF CHECK-) �' , -License Number t] .)/ tad Lic Clair SIZE STORIES`- - FAMILIES- L - ONES _ - VALUATION - ` v - ``" _;• v ' - �r� J �J� DESCRIPTION OF WORK NEW ❑q ' R "ISL•(/ S y'4 • -3'�-1l- ' ? -ADD- Id -s L1goo_o - Contractor Dote y K _ � � T• _ _ _ r r __ ❑1 am exempt'under Sec r 1w •( _ _ ! _ _ ALTER ❑ - 7 - ,p• B 8P C for this reason .F • - _ - _ 'REPAIR ❑ $ r •Y Date USE OF ( - - _ _ ,. - EXISTING BLDG ((�C'A(L I' DEMOL ❑ Signature - A�(PR�INf1T) U S IQ _TEL FINAL OWNER-BUILDER DECLARATION DATE ' I hereby affirm that I am exempt from the Contractor's License > - r ` �+ ` + ♦ * a Z ,r to Law for the following reason (Section 7031 5 'Businesi and ' ADDRE55 FINAL ,r �• ? ♦.. , Professions Code) :'. - " E � _ _ ,.•� • -•,� BY __ v wBUILDING - -t , riL.r .T s•• ❑ I, as owner of the property, or my employees -with r ADDRESS ` .•. wages as their sole compensation,will do the work and r -- - - - - = -- --t r .:-r .;j%iQ-• •- - 'C'. the structure i5 not intended or offered for sale(Section LOCALITY _ 7044, Business and Professions Code ) - - MOVING_ .: _ _ - y .,c _TEL _T o �� U`_ ❑ I as owner of the property am exclusively contracting CONTRACTOR• + NO t r�� IT { ' ,'•s1' + t with licensed contractors to construct the'prolect (Sec ADDRESS• ` + - + - - - ^-• �, +� ,Y.C��.r - ` -- • .• hon 7044, Business and Professions Code ) ii REpUIRED _TO AL SETBACK FROM. EXI T.' n��• , �1 !$ _ I�7 r -, + T CONSTRUCTION LENDING AGENCY SET BA K YARD HWV ROP LINE ` `r>'"L..1 I hereby affirm that there u a construction lending agency for FRONT, r+ , „ b•' 1�G�_' ' the performance'of ihe'wark for which this permitis'issued P L'^" -' '- - _as- T" - y•`'- ^ -��' c� �� - -,73,t, ' (Sec 3097, Civ C ) SIDE • P ` 1 r1l I:J 7i� ,73,t, • _ PL .` _r.4 t - ..,. i.. ♦ `,�,,. Lender s Name _ ' * ,T`` ' '(�'�' 1{ -HEr-}` t' . 73J a _J y `s-_ a _e .9, !�`p f iU,i LDMA Ref X 1 t p� P C Fee5 7c5_ Permit Fe5 _ - ^ Lender's Address I certify that 1 have read this application and state that the - r v v- r Iswance Fee C r� LDMA P/C XY above information is cairect I agree to coin with all County ° Investi anon Fee g - 9 PY n _» g__ - _ _ _p _ R ordinances and Store laws relating to budding construction Total Fee LDMA Perm X� ' and hereby authorize representatives of this County to enter _ - A- upon th above mention d property for inspection purposes { C" .�•rl;// SE! REVERSE FOR EXPLANATORY LANGUAGE' Signature of Applicant or Agent Dote COUNTY OF LOS 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 0507260040 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS TR 14572 LT 4 SQ PT STORIES TYPE 9430 PENTLAND ST STRUCTURE 3200 VN TEMP CA 917603842 ASSESSOR INFORMATION NUMBER ) NEAREST CROSS STREET CLOVERLY 8590-012-004 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY C TENANT EXIST BLDG USE "SID USE ZONE R-1 ISS PROCESSED BY EXPIRES ON EXIST OCC GRP 07/ JK 07/21/06 OWNER TEL NO BLDGS NOW ON LOT VALUATION PI INAL B CODE _ DONLAN JOHN (626) 287-9424- 10 430 - 9430 PENTLAND ST 1-771 TEMP 917803842 FEES PAID DESCRIP)rIO17 OF WORK TEAR OVF EXISTING ROOFING REROOF HOUSE 4 GARAGE WITH CLASS FEE DESCRIPTION QUANTITY DOM AMOUNT A FIBERGLASS SHINGLES (3200 SQ FT) AND INSTALL MODIFIED APPLICANT TEL NO RANDOL ROOFING L CONSTRUCTION (626) 288-4040- AA BLDG PERMIT ISSUANCE 27 75 2304 TROY AVE AC STRONG MOTION RESID 10430 00 VAL 1 04 SPECIAL CONDITIONS SO EL MONTE 91733 D2 PERMIT W/O EN-HC 10430 00 VAL 233 40 TOTAL FEES 262 19 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE RANDOL ROOFING AND CONSTR CO INC (626) 288-80BO- 2304 N TROY AVE LIC NO ` LOCPTION AND SETBACKS S EL MONTE CA 91733 451937BC39 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL NO FOUNDATION TRENCH FORMS LIC NO _ _ _ SLAB UNDERFLOOR RAISED FLOOR FRAMING MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP UNDERFLOOR INSULATION 14411265 3 O1 FLOOR SHEATHING NO OF FAMILIES DWELLING UNITS APT COND STAT CLASS NO 21 ROOF SHEATHING 12- �- SCHOOL WITHIN HAZARDOUS SIEFR PANELS AIR QUALITY 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACX YARD HWY PROP LINE WIDTH FRONT PL- INSULATION WEATHER STRIP SIDE PL- INTERIOR LATH DRYWALL EXTERIOR LATH RATED FLOOR CEIL ASSEM RATED WALL ASSEMBLIES RATED SHAFTS OPENINGS T-BAR CEILINGS • ADDITIONAL DATA ON FILE LOT DRAINAGE REPORT ID DPR261 ROWE TO BS0508