HomeMy Public PortalAbout9447 PENTLAND ST_Building__ -T AWLt C VT.-(' _
, �►! ' K
'APPLICATION -FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (PnGI o. rroe..IVI _ I -
BUILDING �, `TLkD BUILDING
ADDRESS
C ` ECJ ADDRESS
CITY Mtn ` ZIP _
,�flO OF BLDG LOCALITY
SIZE OF LOT.57So Xii {/NOW ON LOT NEAREST
CROSS ST
TRACT14 512 BLOCK LOT NO ASSESSOR
MAP BOOK PAGE PARCEL
OWNER GI� �{"•I NO DISTRICT GROUP CONS ZORE PROCESSED BY
Ls'0 5 Z
A DDR ESS
STATISTICAL CLASSIFICATION /SEWER
LEW ERMAP
CITY ZIP CLASS NO DWELL UNITS G BK
ARCHITECT OR TEL
ENGINEER NO IJS�E'ZIDNE MAP _
�G z NO
A KESS - - SPECIAL ,
TE /I,G 7l CON OI TIONS
'T') 'V� ROAD DEPARTMENT APPROVAL REOUI RED YES❑ NO ❑
LIC
V NO WailSLOG SETBACK FROM
CITY LIC FRONTPROP LINEOF ISTREETI
CLASS
CONSTRUCTION LENKJOK) YARD = FRONT PROP LINE DER HIGHWAY } TOTAL SETBACK FROM HIG WAv WI pTTHG
NAME AND BRANCH
ADDRESS CITY +
Y
SO FT OF I NO OF CHECK BLDG SETBACK FROM
ST 4'
512E STORIES FAMILIES ONE SIDE PROP LINE OF � ISTREETI U
I-ITOTAL SETBACK FROM TYPE OF EXISTING CC
DESCRIPTION OF WOR �T NEW HIGHWAY } YARD = SIDE PROP LINE HIGHWAY WIDTH
DD + = w
d
M
REPAIR[] CORNER CUTOFF YES ❑ NO ❑ - Z
EXISTING BLDG ` EMOL IN OPEN SPACE YES ❑ NO ❑
APPLICANT TEL IN COASTAL ZONE YES ❑ NO C] F
(PRINT) NO
BY (SIGNATURE) ENVIRONMENTAL CATEGORICAL EXEMPTION, YES❑ NO ❑ 1
IMPACT EXEMPTION DECLARATION SIGNED - (DATE)
VALUATION$ , IMPACT REPORT PROCESSED (DATE)
I HEREBY ACKNOWLEDGE THAT I HAVE READ HIS APPLI ATION
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO OMPLY Q
WITH ALL OPDI NI MC ES AND LAWS R OVLATI MO B IL 0 N N y'
STRUC TION CERTIFY THAT IM D THE WORK TXORIZ D
HEREBY I WILL NOT E LOY ANY ON N VIOL ION OF T E
LABOR CODE OF THE S 0 C IF NI• RELATING 0
WORKMEN S COMPE T I S •N
SIGNATURE OF FINAL I-z- BY
PERMITT /DATE L 6 _• -��
A-- E55 P Ct PMT $
FEE Y FEE Y
TE /T
CITY N eL
PLAN CHECK VALIDATION CK MO CASH PERMIT A ATION GH D CAGH
i
1,4 1�yM 5 - 1 2 6'2 2" 5 ara
76AO38B CE4803A 6/73
A ROAD D?PT P.^*T IS RECUIRED '
FOR r,t4( IE; "va WORKDON
APPLICATION' FOR RBbl`Lb dY PERMIT '
COUNTY OF LOS ANGELES - BUIL o1Nc /J
DEPARTMENT OF COMMIIVEEII ADDRESS `
NTY
B=ING AND SAFETY DMSION LOCALITY
JOHN A LAMBIE 'COUNTY•ENGINEER ' NEAREST
CASSATT D GRIFFIN Sul T OF BUILOINO CROSS ST
DISTRICT NO I GROUP- pE` PRO ESSED BY .
FOR APPLICANT TO FILL-IN .S ONST
BUILDING' STATISTICAL CLASSIFICATION WER MAP T ,
ADDRESS BK; G,
• d CLASS' NO DWELL UNITS •O [
{ 4.2
LOT NO o BLOCK MAP STATE
•
NUMBER Q HWY
TRACT ' USE ZONESPECIAL , '•
._ a T' NO OF SLOGS 'J ;, / CONDITIONS
SIZE OF LONOW ON LOT GC �'
USE OF - / .Va•!X/
EXISTING SLOG' e' '� BUILDING•P YARD HWY ST ET NAME E% T
IS
r SETBACK WIDTH
OWNER t FRONT+
MAIL PI
ADDRESS :SIDE '• `
PI
CITY T * , r NOL INSPECTIOWRECORD• '
ARCHITECT O _ TEL
_
ENGINEER - NO '
ADDRESS
CONTRACTOR QNO O • • n Aw $ V o a
/�
ADDRESSal Z 0r •� 0 „` / `�1
DESCRhftlON OF WORK
NEW ADDALTER 4 REPAIR DEMOLISH '
SQ FT NO OF NO OF"
SIZE . STORIES -0' FAMILIES
USE OF [
STRUCTURE _
e7, ;
SIGNATURE O '
APPLICANT - . x
�• APPROVALS DATE,`_ INSPECTOR S SIGNATURE
ADDRESS �• FOUNDATION LOCATION .. -
FORMS MATERIALS -
VALUATION ` FRAME FIRE STOPS
BRACING BOLTS ' S
PC PMTS FURNACE LOCATION -
FEE III FEE • V J — ' GAS VENT DUCTS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP LATH INT
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND _
t AGREE,TO COMPLY WITH ALL COUNTY ORDINANCES AND I
STATE LAWS REGULATIN SU ING CONSTRUCTION LATH EXT [
+ SIGNATURE OF HOUSE NUMBER COR-
P RMITTF
OR'PERMITTE RECT AND POSTED
ADDRESS' A FINAL
_ CLYDE N DIRLAM PRINCIPAL ST C RAL ENGINEER
PLAN CHECK VALIDATION GK '� GAaH h' PERMTT VALIDATION Z<K AIMO 'CABN '
L p:4 9 4 tdPl'I f A 50 0
$A CZ APPLICATION_FOR�-BUILDING' PERMIT, Ir
COUNTY OF,LOS ANGELES BUILDING Q
DEPARTMENT OF COUNTY,ENGINEEEi ADDRESS / / _ w•' M
(BUILDING AND SAFETY DMSION Locgury r C',
JOHNA LAMBIE,COUNTYENGINEER , NEAREST' o",
- CASMATT D GRIFFIN SUP T OF BUILDING CROSSFOR APPLICANT TO FILL IN DISTRICT NO GR UP I COPINNST PR OC SED BY
BUILDING `�,I - SEWERM ' /'
ADDRES6- rT^1- STATISTICAL CLASSIFICATION .� I SK PG
` CLASS NO DWELL UNITS ;
LOT NO n 3 BLOCK MAP - STATE '
_ YES
I I �• _ NUMBER HWY
TRACT 'TJ 4 - USEZONE SPECIAL. r `
1 1 I NO OF BLDGS • CONDITIONS .
SIZE OF LOT S'7YA 3 NOW ON LOT _
USE OF - _
B D Bvdtl
UILDING STREET HWY STREET NAME EXIST
/ SETBACK - WIDTH
OWNER �C /~ 'E FRONT
MAIL - piv / - P L
2 �,,, ti cl' S4 i
TEL
ADDRES6 I r SIDE'
CITY v C/T I ' NO P INSPECTION RECORD '
ARCHITECTOR TEL _
ENGINEER 'NO
ADDRESS
_ TEL i
CONTRACTOR NO
' DESCRIPTION OF WORK ? Com_ s ►Jp G .L--
ADD
ADD 'ALTER REPAIR DEMOLISH '
FT NO OFNO OF
SIZE'1 STORIES 'FAMILIES
USE OF RUCTURE
I
t .
81GNATURE-OFf APPROVALS
APPLICANT 'L - r
DATE INSPECTOR 5 SI KATURE
ADOREBH qFOUNDATION LOCATION I —
`sq✓ FORMS MATERIALS
FR
FEE
��J O Q' J _ P C s AME FIRESTOPS
BRACING BOLTS
'VALUATIONV� S FURNACE LOCATION J/
FEE
- � I GAS VENT DUCTS
]'HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH INT ; L -
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
a AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
LATH EXTSTATE LAWS ' O NG BU CIO STRUCTION I
SIGNATURE OF HOUSE NUMBER COR-
,PFRMITTE RECT AND POSTED
k + , ' n �'
gDDREss FINAL
CLYDE N DIRLAM PRINCIPAL STRUCTURAL E ER
y, PIAN CHH .VALIDATION CK No cnnH - PERFIIT VALIDATION CK M O WH
LAC�5'9 7, 6 T :OCT 22 1 A -9'.o 0 11
/ WORKERS COMPENSATION DECLARATION ' • , ,�
here aria
that have a certificate of consent to self : APPLICATION FOR BUILDING PERMIT
:,hereby
sure'ar a certificate of Workers Compensation Insurance, - r - •, _
or a certified copy thereof ( c 3800, Lab C ) e - t
�� 6 may}.f- •s -COUNTY OF LOS ANGELES- — BUILDING AND SAFETY =- '
.Posh v NW
Compony �' 7 Off_ `
IJ ,:Certrfiad copy is hereby furnished D�ri�i/,3,�f''. 'FOR APPLICANT TO FILL IN DING
CRESS `95'7 r✓//!/E] Certified Certified copy is filed with the county budding mspec- ADDRESS W 4F7 s /g.X# �iZANP
q
tion department' i . -
Date/-3/-M� ApphconDftA' N/LLQ ,Qe &lye_ CI MP/tr `el:r-y - , ZIP - LOCALITY '
NO OF BLDGS
' CERTIFICATE OF EXEMPTION FROM WORKERS' ' ° - ' SIZE OF LOT ` NOW ON LOT �" - - CROSS ST - t
+
J. COMPENSATION INSURANCE ` fa ASSESSOR
(This'section need not be completed rf the permit is far one TRACT- BLOCK -' LOT NO . A
'hu ndied dollars ($100) or less ) 'e r ^ ,. TEL MAP BOOK `�"' ` PAGE, ` PARCEL
OWNER Op ge /jJ NO _ USE ZONE MAP -
I certify that mi the performance of the work for which this I �� D - SPECIAL
permit is issued, I shall not employ any person in any manner ADDRESS �7 NT - CONDITIONS L
so as to become subject to the Workers Compensation Laws ` ,..} _ O
t. �+ .. CITY M C/cK ZIP , , - 4 Tr i _ �. . I U
Date Applicant {` ARCHITECT OR TEL - O
NOTICE TO APPLICANT If, after making,this Certificate of ENGINEER 4 NO - DISTRICT _ _GROUP TYPE FIRE _ SSED BY
_Exemption you should become subject to the-Workers' t CO
NSQi/ ZO
Compensation provisionsiof the Labor Code'you must forth- ADDRESS /Q0� �y�GD QO " 7 �G
with comply with such provisions or this permit shall be ♦♦ 1 . ` TEL 962 tl STATISTICAL CLASSIFICATION - APT CONDO Z
deemed revoked i � CONTRACT P C �/-.L¢� NO V �S
v LICENSED CONTRACTORS,DECLARATION- LIC ter• M CLASS NO d` f DWELL UP
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 2Z} d2G /✓ NO L� /
�W y // C• d LIC - SEWER MAP
(commenting with Section 7000) ofDivision3 of the Business /� I/, � -
and Professions Code and my license n in full foie d effect CITU CLASS G' VALIDATION
�f G SO FT "� NO OF NO OF CHECK BK PG
License Number..'l / 7/' Lic Class 3 / SIZE STORIES FAMILIES ONE T '
rr////A 'e ...f / - - - " + - VALUATION -
Controctar^`A=� "�.'-/�oo�raJ ✓� ✓ DESCRIPTION OF WO ['W le y
i/ NEW ❑ 0-el '
❑I am exempt under Sec Z04 2 S //V nD0 O E ��•- loop.. - _ , - ALTER ❑ - - , -
B&P C for this reason E '
USE 'REPAIR ❑
Rafe EXISTING BLDG DEMOL ❑
Signature i - APPLICANT ++y TEL ,/• - t - '
.- `(PRINT)PA
/7�.r'. h NO 2^OVB FINAL
OWNER-BUILDER DECLARATION 1,/B Al1' DATE -7+� - • '
I hereby affirm that I am exempt from the Contractors License /'/.Z- 3 6�AR b
Law for the following reason (Section 7031 5, Business aADDRESS ';nd FINAL n 1-ti
Professions Code)`. PRESENT _ _ - - - - By faCCT.i
❑ I, as owner of the property, or m employees with BUILDING
P Pe o YtADDRESS s 3303 127.65
wages as they sole compensation wdl do the wwk and -'^ - -- - - -- -
the structure is not intended w offered for sale(Section LOCALITY '
❑ 7044, Business and Professions Code ) •,r.. MOVING TEL - , r _ _ '+' 1 ITEMS +
I as owner of the property am exclusively contracting CONTRACTOR NO �L y
with licensed contractors to construct the project (SBP ADDRESS - - - ,� i TOTAL 1"i 1
tion 7044, Business and Professions Code ) T CHECK _ 1-7.65
CONSTRUCTION LENDING AGENCY REE &4RED YARD- HWr1' TOTAL SETBACKLINE
FROM EXIST " . _ `,
I hereby affirm that there is a construction lending agency for FRONT CHANGE t ,00
the performance of the work for which this permit is issue;! -PL - - - • -. — - -
(Sec 3097 Gv C ) . SIDE .w
PL - - 0000-0001 -7/31/96
Lander s Name �.�t
• Permit Fee 9 �� LDMA Ref M 7765 • FIM i,1 1:2n
Lenders Address `
o I certify that I have read thu appbcation and state ihot the issuance Fee •� LDMA Pic
8 above information is correct I agree to comply weh all County Invemganon Fee
R orsdinanceand State lows relating to building n
costruction -Y" Total Fee IDMA Perm N .
and hereby authorize representatives of this County to enter
upon the above-mentioned property for inspection purposes
•SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant or Agent Dote . , - - _
WORKERS COMPENSATION DECLARATION
hereby affirm that I have a certificate of consent to self
InAPPLICATION FOR BUILDING PERMIT
sure or o cenificote of Workers Compensation Insurance `
or a certified copy thereof (Sec 3800 Lab C )
I COUNTY OF,LOS ANGELES BUILDING AND SAFETY-
Certified
Company BUILDING r
Mt Cenrfied copy a Hereby furnished FOR APPLICANT-TO FILL IN �. ADDRESS - •/ L QLD G `
Certified copy is filed with the county building mspec-
non department LOCAUTY
NEAREST ' / 1 t
Date Applicant CITY T /I� b ZIP 'h CROSS ST ��`
CERTIFICATE OF EXEMPTION FROM WORKERS - NO OF BLDGS ,. ASSESSOR T .,
COMPENSATION INSURANCE SIZE OF LOT t NOW ON LOT MAP BOOK PAGE PARCEL ' f
(This section need not be completed if the permit is for one '7 USE ZONE MAP
hundred dollars ({100)or leu ) TRACT ~' 4- BLOCK LOT NO r I NO
SPECIAL t
I certify that in the performance of the work for which this OWNERNO CONDITIONS 11
'permit a issued I shall not employ any person in any manner 4 - -a' i -� - - - -+- DISTRICT GROUP I
TYPE FIRE PROCESSED BY O
so as to become subject to the Workers om enFt,on Laws ADDRESS -v ^ CONST ZONE �
i,C Date 11151� .1 CITY
/ ARCHITECTOROR ZIP TEL ^' - STATISTICAL CLASSIFICATION APT C NDO ,V
NOTI TO APPLICANT If, aft making this Certificate ENGINEER `" NO� _.. CLASS NO DWELL UNITS_ W
Exemp ion you should become subject to the Workers d
Compensation provisions of the Labor Code you must forth _ _ _ _,.. _ _ _ ,
with comply with 'such provisions or this permit shall 'be ADDRESS SEWER MAP Z
deemed revoked CONTRACTOR t-(-/ TEL ' !�> /.. BK PG ' - VALIDATION .�- i
LICENSED CONTRACTORS DECLARATION jC /
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS , S� O S6 VALUAT ON�
(commencing with Section 7000)of Division 3 of the Business and LIC
Professions Cade and my license is in full force and effect CITY CLASS $
/ 7
[J Q 9 SO FT NO-OF , NO OF CHECK Pilo '
License Number Q( //rid Lic Class � /_ SIZE STORIES FAMRIES / ONE c
Contractor/o O AC"'66 ^Date/. Z_ — DESCRIPTION OF WORK _ - - y` - NEW
❑ f - •t_ - _ - a W
ElI am exempt under Sec / / _ i• ' ADD ❑ 7� -` r
NA
B 8P C for this reason ALTER ❑ DATEL
REPAIR
ate USE OF FINAL
` EXISTING BLDG DEMOL ❑ By
` Signatu ! G APPLICANT TEL i _ _ r.
NER-BUILD R LAR N PRINT -NO -S- ' 4 .Y
I hereby rm that I am exempt from the Contractors License r,+ �"
Law for the following reason (Section 7031 5, Business and ADDRESS Q _ . '26518A t'.
BUILDING
Rize
Professions Code) - • r�-7 #i- - 0 . 1
I as owner of the property or my employees with ADDRESS I
• •
wages as then sole comcompensation �wdl do the work and � `� 2 4 9,8 8
,
the structure is not intended or offered for sale(Section LCKADTY °" • • • 4 9 8185
7044, Business and Professions Code) - LAD�R
TEL L -
I as owner of the property, am exclusively contracting _ CONTRACTOR NO - r- :1 1 02"-83
with licensed contractors to construct the project (Sec '
bon 7044 Business and Professions Code)
CONSTRUCTION LENDING AGENCY ED YARD MWY TOTAL SETBACK FROM EXIST
K PROP LIN WIDTHt
I hereby affirm that there iso construction lending agency for -- f -the Performance of the work for which this permit is issued,(Sec 3097, Civ C )Lender s NameLender s Address S Permn Fee I certify that 1 have read this application and state that theIssuance Fee �above Information is correct I agree to comply with all County tion Feeordinances and State jaws relating to budding construction, Total
-upont above menu d roperty mspedwn purposes
v S
X � SH REVERSE FOR EXPLANATORY LANGUAGE + _
ignoNre of App¢ant or Agent Dote ms
d
COUNTY OF LOS ANGELES TEMPLE CITY N 0508 HOILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 _ BL 0508 0912030010
PHONE (626) 285-0488 EXT
LEGAL IO NO OF CONST BUILDING ADDRESS
ITR 14572 LT 38 SQ FT STORIES TYPE 9447 PENTLAND ST
ISTRUCTURE V—H I TEMP CA 917803843
ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET CLOVERLY
18590-008-005 1 1 THOMAS PAGE 596 GRID S4 UJCAI,= TEMPLE CITY Cl
(TENANT (EXIST BLDG USE REBID USE ZONE R-1 (ISSUED ON PROCESSED BY
(EXIST OCC GRP 12/03/09 SR
TOWNER TEL NO BLDGS NOW ON LOT VALUATION FINAL DATE FINALBY CODE
JHOUANG, SHERRIE (626) 400-9325— 1 1 500
19447 PENTLAND ST I ty • ' —
ITEMP 917803843 FEES PAID D SC ON OF WORK
REMOVE SLIDING DOOR AND REPLACE W/WALL AND TWO WINDOWS
IJFEE DESCRIPTION QUANTITY UOM AMOUNT
(APPLICANT TEL NO 11
(SAME AS OWNER — (AA BLDG PERMIT ISSUANCE 27 75
s1AB STATE GREEN BLDG FEE 1500 00 VAL 1 00 JSPECIAL CONDITIONS
IAC STRONG MOTION REBID 1500 00 VAL 0 50
AX BUILDING REVIEW FEE 54 70
IB2 PERMIT W/ENERGY 1500 00 VAL 90 42
CONTRACTOR TEL NO TOTAL FEES 174 37 APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER —
LIC NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH FORMS
LIC NO (SLAB/UNDER FLOOR
(RAISED FLOOR FRAMING 1
(MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP ' / tllr; ^ ) UNDERFLOOR INSULATION
1147E269 3 001 ` r
IFLOOR SHEATHING
NO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I (
NO 21 r ROOF SHEATHING
SCHOOL WITHIN HAZAR➢005 (SHEAR PANELS
AIR QUALITY 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
IREQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
ISET BACK YARD HWY PROP LINE WIDTH
FRONT PL— INSULATION/WEATHER STRI
SIDE PL— I
(INTERIOR LATH/DRYWALL / /'
EXTERIOR LATH
(RATED FLOOR/CEZL ASSEM I
I IRATED WALL ASSEMBLIES 1
(RATED SHAFTS/OPENINGS
I I iT—BAR CEILINGS
ILOT DRAINAGE
�
REPORT ID ➢PR261 ROUTE TO HSO508
I