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Home My Public Portal About9471 PENTLAND ST_Building__ DNISION OF BUILDING AND SAFETY County of Los Angeleseles ®® �_� ® I Department of County r " 1 WM. J FOX, COUNTY ENGINEER 1 APPLICATION- FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY A //�J _ ,1 DISTRICT NO PLAN CX.OR RER Nn 9 PERMIT NO BUILDINGADDRESS 4 �� /` (/J�1 �.M OLJ 1 J 1 /��0� S ' RECEIVED BY DATE Cr APPl_ DATTIESUED LOCALITY CRO OWNER A/�IAAi AMAILDDRESS r7 4;{ 7� [� /j �� LOCALITY NEAREST p CROSS BT //0/V e .GI NO./.ay A r1 \r' FIRE No IF E v DRouP AROHIT[CT ONS // TEL f ZONE -PLANO ENGINEER V NO, BLDG ORD NO SETBACK LIN[ ADDRESS UBC /� APPROVED TEL ZONE�! BY DATE CONTRACTOR NO HOUSE NUMBERING ADDRESS t MAP NUMBER-1: d ! C NO ASSIGNED BY LmAL CORRECTIONS D[BORIPTION LOT N4 .J BLOCK TAT SIZE or LOT `-j p� /�'-/ NOW OF IOOr USE OF �� S No OF EXISTING BLDG FAM1 LIEl DESCRIPTION OF WORK A 0 NEW \ ALTERATION ADDITION Z REPAIR DEMOLITION r BBOiz� �d RROOD a BrDRIES EXT WALLROOF COVERING OOVCRINO USE OF✓TRU TUBE O IV /j ! , i INSPECTION FOR APPROVALS OCCUPANCY AS INSPECTOR'S SIONATUR E DATE I FOUNDATION LOCATION FORMS, MATERIALS 1 P- HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS A '' PLICATION AND STATE THAT THE INFORMATION GIVEN IS, FRAME FIRE BTOPB, CORRECT BRACING, BOLTS 1AGREE TO COMPLY WITH ALL COUNTY ORDINANCEH AND STATE LAWS REGULATING BUILDING CONSTRUCTION LOCATION, SAB FURNACE CEVENT DUCTS BIONATURE PERMITT[r�O/F-f-79,7 /J nQ LATH, IMT ADDREaw LATH. off 4 � PLASTER, INT RUTH ORIZ[D AG7 f/ F ' HOUSE NUMBER COR- RECT AND POSTED VALUATION , -FINAL 7"A6 DBE 3 1-62 �y F y`DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PE:BMIT �I COUNTY OF LOS ANGELES t B � ' L ® I 7 WM J FOX CHIEF ENGINEER t FOR APPLICANT TO FILL IN I FOR OFFICE USE ONLY DISTRICT NO E' PLAN CK NO PERMIT NO BUILDNG ADDRESS LOCALITY /I �1 — C[/K RECEIVED BY li DATE OF APPL DATE ISSUED NEARESTCROSS BY OWNER ADDRESS C MAIL (` /9� LOCALITY ADDREBB NEARESTCITY TEL� , J 3 CROS S ST FIRE I NO OF TYPE GROUP ' ARCHITECT OR TEL ZONE PLANS Z .JJ-T ENGINEER NO LOG 1 _ I ADDRESS /` �/J/// _ SETBACK LINE TEL I APPROVED EL ' - 1 CONTRACTOR E BY I DATE I I USE APPROVED ADDRESS ZONE I BY, I DATE LEGAL /J DESCRIPTION LOT NO .J ! BLOCK (p CORRECTIONS { 1 TRACT y ND OFBLDGS SIZE OF LOT �/I HOW ON LOT USE OF NO OF NO OF EXISTING BLDG FAMILIC ROOM- DESCRIPTION DD DESCRIPTION OF WORK T ^ NEW ALTERATION ADDITION REPAIR F r MOVING ,J DEMOLISH NO OFBq FT 11 /1 .� ROOMS �l STORIES - " 1 i. .. D D SIZE COVEWALLRING CZ;ee� ') I COVERING UEOF NEW B 9r I BUILDING / / r I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IB CORRECT FOUNDATIONLOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS G AND STATE LAWS REGULATING BUILDING CONSTRUCTION FRAME FIRIESTOPE1. SIG RMIITTEE ^l//!'iy�/',j/,/�// INOrBOLTB RE OFBOLTS p • ELATH, INT 5-- �p AUTHORIZED AST D��Lr7 LATH. EXT L7A�"A 9 4BSDM BETS $ nC P CSPLASTER, INT FEE PLASTER,EXT ATION FEE FINAL �"t",,e_ APPLICATION FOR- BUILDING- PERMIT * FOR APPLICANT'TO FILL IN'(Prlm OI TV PD FE COUNTY OF LOS ANGELES Li4rDEPARTMENT OF COUNTY ENGINEER BUILDING AND AFETY DMSION ZIP - LDING 24OWOON LOTS ADIDRESSIBLOCK LOT NO LOCAIITOWNER�y � NoL camas sr 1 ' ASSESSOR ADDRESS MAP BOOK - - l PAGE- CEL _ DISTRICTGROUPTYPE l FIRE PROC SED BY } CITY �i ZIP /�O �. CONST Zp y 1 ARCHITECT-OR - - - TEL �— _�� T ENGINEER NO STATISTICAL CLASSIFICATION I SEWER MAP R � ADDESS 'LLA SS N01=124DWELL UNITS BK IFy� tl CONTRACTOR NO.(((/Q SE ZONE NOP ADDRESS LIC N j SPECIAL ' ( I _CITY LIC CONDITIONS 1 CLASS OAp DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDW NAME AND BRANCH BL G SETBACK FROM - — FR NTPROP LINEOF ISTREETI C L ADDRESS CITY _ TOTAL SETBACK FROM TYPE OF EXISTING SO FTq NO OF _ NO.O F_ CHECK HIGH Y + YARD - FRONT PROP' LINE, HIGHWAY WIDTH SIZE, O STORIE FA MILT ONE - - ❑ - LL DESCRIPTION OF WORK NEW 13- DD BLDG SETBACK FROM _ Z SIDEPROP LINEOF r (STREET)_ I ALTER ❑ HIGHWAY { YARD TOTAL SETBACK FRM TYPE OF_ EXISTING o OF USE REPAIR �❑ HIGHWAY WIDTH { � SIDE PROP LINE � _ c _ EXISTING BLDG _eiQ EMOL ❑ H _ _ APPLI CANjyp TEL CORNER CUTOFF YES ❑ N ❑ (PflINTI SY ISIGNATUR E) IN OPEN SPACE YES ❑ N ❑ IN COASTAL ZONE YES ❑ O ❑ VALUATION$ aDd • / 1 CATEGORICAL EXEMPTION YE$❑ NO ❑ I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ENVIRONMENTAL ` AND-STATE THAT THE ABOVE IS CORRECT AND AGREE TO�•COMPLYy _ IMPACT_ w EXEMPTION_OECLA_RAT_ION SIGNED-DATE) WITH ALL ORDINANCE! AND LAWS REGULATING BUILDING CON - STgUCTION I CE PTIFY THAT IN DOING THE WORK AUTHORIZED IMPpCi REPOPT PROCESSED (pPTE) HEHEBY IO KILL HOT EMPLOY ANY PERSON IN VIOLATION OI THE - LpBOq CODE OF THE ! N TE OF CALIFORNIA IN REL 0 TO I WORKMEN 4 CO MPE NS ONS HCE I SIGNATURE OFIF PERMITTEE ADDRESS TE l '7 FINAL . BY I CIT N / TE M 1 Kf CHECKS PA)ABLE I U FEE $ FEE $ HARVEY T BRANOT COUNTY ENGINEER I !PLAN.CHECK VALIDATION CN MD CASH _ PPE VALIDATION CN O c.SH 3 52 5 ens 76A838A CE4803 7/73 TeAGalA DOW u ee APPLICATION FOR ,BUILDING PERMIT 1 DIVISION OF BUILDING AND SAFETY BUILDING ADDRESS DSPOttIDYnt�Of County Faglnees 71 Oki Coiatp of Loi Angel" LOCALITY JOHN A LAMBIE COUNTY ENGINEER ' NEAREST �� CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST FOR APPLICANT TO FILL IN DI2rT NO GROUJP TYPET SEWBER MAP S CONS BUILDING / Q / A Yd MAP STATE YES NO ADDRESS /J NUMBER HWY LOT NO BLOCK USE ZO SPECIAL n _ GOND ITIONS TRACT / NO OF BLDGS SIZE OF LOT NOW ON LOT / BUI INC YARD HWY STREET NAME EXIST USE OF SETBACK WIDTH EXISTING BLDG 4 /ty q FRROL T OWNER d C SIDE OLV MAIL ADDRESS O TRACT DWELL I UNIT ..J. E 6 INDUSTRIAL CITU p / NOL 1 DWELL 1 UNIT ^�`g ARCHITECT OR - TEL 2 DUPLEX q�/ 2 UNITS 6 PUBLIC BLDG - 7 ADDMISC ALT ETC ENGINEER NO 3 APT _UNITS 8 ISGEL ADDRESS 4 COMMERCIAL CONTRACTOR o INSPECTION RECgp ADORES9 O 1./I 1^ -i..)F I'l tiles A DESCRIPTION OF WORK �� VVVV VVV NEW ADD ALTER REPAIR DEMOLISH O FT NO OF NO OF — I SIZE STORIES FAMILIES USE OF STRUCTURE Oct A6 I - SIGNATURE O ' APPLICANT APPROVALS ADDRESS A INSPECTOR S SI ATBRE $ FOUNDATION LOCATION P C i FORMS MATERIALS �A FEE FRAME FIRE STOPS VALUATION/ 9 GQ BRACING BOLTS PEE FURNACE LOCATION I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH INT AND STATE LAWS REGULATING BUILDING CONSTRUC- 1 TION LATH EXT SIGNATURE Os� ' HOUSE NUMBERCOR- n ` PERMITTEE RECT AND POSTED 1, ADDRESS FINAL JOHN A LAMSIE COUNTY ENGINEER VALIDATION CLYDE N DIRLAM, CHIEP,BLDG INSPECTOR CK HO I CMH 1 I 9'435IA MG 21 1 800 n a TeAGaeA Des APPLICATION FOR BUILDING PERMIT - n as DIVISION OF BUILDING AND SAFETY BUILDING �( / y �/d Dep. ant of County Englneae ADDREb9 AA /a/ of Los Angeles LOCALITY .!1L Ad lvz'a c JOHN A LAMBIE COUNTY ENGINEER NEAREST /! CABBATT D GRIFFIN Sup T of Su11URla GROSS ST 1. y� - P FOR APPLICANT TO FBIN DISTRICT 1l0 GRO� TYPE CONST SEWER MAP I. S TYY o BUILDING '7,Z71 p N(/ NUM BERoTO/6 HWY ADDRESS 2 YE O LOT NO BLOCK USE ZpNE SPECIAL " + � CONDITIONS TRACT JI �(7 D I NOW ON LOTS / B LDINO ` EXIST SIZE OF LOT YARD HWY STREET NAME USE OF / _,/ SETBACK WIDTH EXISTING BLDG /�¢ //}l 0 / pY FRONT P L '-^I �•/,r.� / oVl OWNER /� Q / P P SIDE P L MAILtL/ ADDRESS C / N O TRACT DWELL f UNIT ,o TEL ' 5 INDUSTRIAL CITY C.. NO 1 DWELL `/ 1 UNIT JVVV� "6 PUBLIC BLDG ARCHITECT OR TEL ! 2 DUPLEX 2 UNITS 7 ADDN ALT ETC ENGINEER i NO 3 APT -UNITS 8 MISCEL ADDRESS 4 COMMERCIAL CONTRACTo Q�7c R o -A� INSPECTION RECORD ADDRESS � l/�0 i ¢ - sG L to's / DESCRIPTION OF WORK L_ Olv NEW ADD LTE REPAIR DEMOLISH) 7../ W6 OF SIZE S//2/L11��T� 3 STORIES FAMNO ILIESL. 00 �'aN� �•A IFAS_ � ra �Q,�-fed roe,y� - SIGNATURE OF APPLICANT '2 a APPROVALS ADDRESS e?z , ash DATE INSPECTOR 5 SIGNATURE P C e FOUNDATION M TERIIAL910N r� 4,1 i �/(� ryrO O/ Y G FEE FRAME FIRESTOPS VALUATION✓ ✓ PEE 'I�O�� SPACING BO LTB Z� l.y_ FURNACE.LOCATION Vy 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS OAS VENT ,nUCT6 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES. LATH INT F 1t �V S4 AND STATE LAWS REGULATINW SUILDING CONSTRUC- ` TION - LATH EXT SIGNATURE OF ` - HOUSE NUMBER COR- PERMITTEE _ RECT AND POSTED i ADDRESS FINAL 5Z JOHN A L.AMBIE, COUNTY E 1 ER VALIDATION CLYDE N DIRLAM, CHIEF BLDG INSPECTOR ' OK No 'CASH ' ��9434`, AU921 i 12Or) 'I APPLICATION FOR COUNTY)OF LOS ANGELES BUILDING PERMIT DEPARTMENT IDNG ANDFSAFETY DIVISION BUILDING FOR APPLICANT TO FILL IN ADDRESS BUILDING -44 ADDRESSq11 7/ LOCALITY NEAREST CITY ( �] ZIP CROSS ST SSOR SIZE OF LOT l� /.(D NOW ON LOTS MAPF BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE PROCE EO BY TRACT BLOCK LOT NO �y� J✓ pgj CONST v ZONE OWNER R S/o/y NOL C ,{� w /� STATISTICAL CLASSIFICATION /SEWER MAP ADDRESS , /•'G�y r4AtV ,J CLASS NO - ' DWELL UNITS V BK 9.110C/A CITY PL.L— / ZIP _ USE ZONE MAP +1 NO ARCHITECT OR / TEL �/ SPEC AL ENGINEER /wI NO ^Ia OO CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONTRACTOR A), lceg TEL BLDG SETBACK FROM y� /� q J� FRONT PROP LINE OF (STREET) ADDRESS p�G/// p �uAJ HIGHWAY + YARD z TOTAL SETBACK FROM TYPEOF EXISTING p /-� LIC FRONT PROP LINE HIGHWAY WIDTH CITY d R��4 _ CLASS CONSTRUCTION LENDER + 1-0 - e20 S NAME AND BRANCH BLDG SETBACK FROMpp ADDRESS CITY SIDEPROP LINEOF ) (STREET) L> SQ FT l _ NO OF NO OF CHECK HIGHWAY + VARD = TOTAL SETBAC FROM TYPE OF EXISTING CC SIZE STORIES FAMILIES ONE _ SIpE PROP LINE HIGHWAY WIDTH O DESCRIPTION OF WORK NEW ❑111 + N DD CORNER CUTOFF YESy)) ,./OM I ` MM' ALTER cl4TIYZ-/ REPAIR *IN OPEN SPACE YES ❑❑ NNO ❑❑ Z USE TI nWj / J ,`4C � CT�£I EMOL IN COASTAL PERMIT ZONE YESEXI ❑ NO ❑ USE TING BLDG /✓��Y,/,G/S IL /✓ ❑b L/ e APPL CAPRINT) .D V/ � � NO T� /�O (�C /YC.• X,,-C/ t nn BY (SIGNATURE) l._!_ -7 HERESY AC 0 THAT NAVE REAO THIS APPLICATION �Gj�j O✓ 0 /•)r9)) h� AXO STATE TH THE ABOVE IS CORRECT AND AGREE TO COMPLY !l. �✓ /� !!1 !/✓/�N� !/,Y WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION I CERTIFY THAT IN GOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE S T[ CA RXIA IM CLA NG TO WORKMEN S COMPENS IN AN SIGNATURE OF FINAL PERMITTEE DATE o ADDRESS TEL p C Fee$ Permit Foe ' CIT 6Y �i< NO Q Issuance Fee VALUATION$ 3, �� - - s Total Fee PLAN CHECK VALIDATION CK M D CASH NN PERMIT VALIDATION- l;K M o CASH - 1 7 6.0 0,AA36 r r '71AS35A E*MOSS 12/75 I WORKERS' COMPENSATION DECLARATION n sure or cm that I have r certificate of tionconsent to self APPLICATION FOR BUILDING PERMIT fII�I' insure, or a certificate of Workers' Compensation Insurance, Of a ifi coy th�erreof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Polic �r Company �TAI�e_ UAW ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILLIN BUILDING (/ ADDRESS �J �, +'7'✓� Certified copy is filed with the county building inspec- FADDRE tion department. DateL�A Applicant � G ZIP /7Q LOCALITYPF NO. OF NEARESTCERTIFICATE OF EXEMPTION FROM WORKERS' NOW ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO.O MAP BOOK PAGE PARCEL hundred dollars (SIDO)or less.) OWNER TN s77^4� USE ONE MAP 1Z 1 NO. 01 I certify that in the performance of the work for which this �vs y permit is issued, 1 shall not employ an person in an manner ADDRESS �-s 7 �N/l�l✓�+/ ✓ SPECIAL Pe P Y Y P Y CONDITIONS 0 so as to become subject to the Workers Compensation Laws. ��pU V Ty ZIP II Date Appl lcont EARCHITECr OMR NGINEER DISTRICT P TYPE FIRE PROC D BY Q NOTICE TO APPLICANT: If, after making this Certificate of h, !? Cy FIRE v Exemption, you should become subject to the Workers V ✓"l Compensation provisions of the Labor Code, you must forth- ADDRESS --� Q_ with comply with such provisions or this permit shall be STATISTICAL CLASSIFICATION AP TE deemed revoked. CONTRACTOR NO 3566 LICENSED CONTRACTORS DECLARATIONLIC. (J CLASS NO. DWELL UNITS— ADDRESShereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. i s Zl-(SY SE`NE MAP (commencing with Section 7000)of Division 3 of the Business - LIC. and Professions Code,and my license is in full force and affect. CITY O_d/4 0JQA CLASS BK PG. '� VALIDATION r SQ. FT. NO. OF NO. OF CHECK Li nnsµenNN'umber V'JT_4 rt Lic. Clan SIZE STORIES FAMILIES ONE /hy/,, cm 616 ` �LU FGN ;2 Y77sbNEW ❑ VALUATI LK/ onf c r Date DE$/ 1 ION OF WORK L ,VQ s ❑I am exempt under Sec. �-^ '� I"�l LC ALTER ❑ B.BP.C. for this reason ' REPAIR C] $ Data: USE OF /Fv Ate> EXISTING BLDG. DEMOI ❑ ICANT TEL. Signature A�(PRINT) NO, FINAL OWNER-BUILDER DECLARATION DATE 1 hereby affirm that I am exempt from the Contractor's License Low for the following reason (Section 7031.5, Business and ADDRESS FINAL Professions Code): PRESENT By 1 ❑ I, as owner of ther0 BUILDING p perry, or my employees with ADDRESS ACCT.T wages as their sale compensation,will do the work and p.� 10,rhe structure is not intended or offered for sale(Section LOCALITY 3XI7 vc•��l 7044, Business and Professions Code.) MOVING TEL C ❑ I, as owner of the property,am exclusively contracting CONTRACTOR NO. 1 ITEMS with licensed contractors to construct the project (Sea- ADDRESS TOTAL iTAL 8E2 - QO tion 7044, Business and Professions Code.) _ - EQUIRED TOTAL SETBACK FROM EXIST o".(j' CONSTRUCTION LENDING AGENCY SEt BACK YARD r+wv PROP. LINE WIDTH '-HI-K 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. I--RANGE •U'- (Sea. 3097, Civ. C.). SIDE P.L. Lenders Nome LDMA Ret. III � P.C. Fee E Permit Fee O O Lender's Address '` / Poo, UQ41 1 AM 5� a a$ I certify that I have read this application and state that the Issunce Fee A P/C N lv LDM Q above information is correct. I agree to comply with all County Investigation Fee ordinance and State lows relating to building construction, Total Fee � C LDMA Perm. N ` and her+ auth.ri Nepresentatives of this County to enter IYq t bove- toned property for purposft f0 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date - WORKERS COMPENSATION DECLARATION s 1 - � 'hereby 'dff,m that I have a certificate of consent to self insure or a certificate APPLICATION FO BUILDING PERMIT flte of Workers Compenst n Insurance or _ I a cerirflad copy thereof (Sec 3800 Lab C ) ' t 4 COUNWOF LOS AN LES BUILDING AND SAFETY Policy No - Company +Certified copy is hereby furnished • — • FOR APPLICANT TO FILL IN BUILDING ADDRESS Certified copy is filed with the county building Inspee BUILDING hon department ADDRESS LOCALITY t ` ' ' NEAREST Date Applicant __ - CITY rJ' ZIP CROSS ST t CERTIFICATE OF EXEMPTION FROM WORKERS N OF BLDGS ASSESSOR 1 "COMPENSATION INSURANCE t SIZE OF LOT / NOW ON LOT MAP BOOK I PAGE PARCEL ' L (This section need not be completed if the permit is for one 'J U _N MAP - ,J hundred dollars ($100)or less ) / - TRACT -! oZ BLOCK LOi NO NO Y TEL ell SPECIAL d ' 1 certify that in the performance of the work'for which this OWNER /+ NO CONDITIONS O t permit is issued I'sholl not employ any person In any manner RICi GROUP TYPE D BY - U 1 so as to become'subject to the Workers Compensation Laws / ADDRESS /- t C � fmal 7< Date ` Applicant - ` t s . CITY ZIP d v STATISTICAL CIA IF TION - APT CONDO^, NOTICE TO APPLICANT-If after making 'this Certificate of - ARCHITECT OR �- TEL .. t W - Exemption 'you should becomes subject to the Workers ENGINEER NO CLASS NO DWELL UNITS_ S+ Compensation provisions of the Labor Code you,must forth ADDRESS SEWER MAP , Z withcomply with such provisions or this permit shall be TEL VALIDATION' deemed revoked„ + - CONTRACTOR - NO SK s LICENSED CONTRACTORS DECLARATION ' LIC I hereby off irm that I am licensed under provisions of Chapter 9 ADDRESS n p'r NO VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC ^ BOO Professions Code and my license is in full force'and effect CITY CLASS S • t SO Fi NO OF NO OF CHECK License Number / t Y L¢ Class - SIZE STORIES FAMILIES ONE • c ' DESCRIPTION OF WORK OC J' NEW ❑ t�actor S - ConDate ❑ - Q - a - / ADD am exempt from the licensing requirements as I am o licensed architect or a registered professic nol engineerALTER -FINAL _ - acting in my professional capacity (Seclion 7051 '�+ _ REPAIR DATE �^ �3 ' Business and Professions Code) USE OF EXISTING BLDG pEMOL ❑ 9y AL Lic or Reg No Date• . APPLICANT iEl I OWNER-BUILDER DECLARATION a PRINT) I hereby off rim that I am exempt from the Contractor s License L ADDRESS � _ �.,• , Low for,the following reason (Section 7031 5 Business and �'. T, Professions Code) kE " I as'owner of the property or my employees with SS v wages as their sole compensohon ` ill do the work and - ///he structure Is not intended or offered for sale(Section ITY /7044 Business and Professions Coda), r •` G TEL ITU- ' I as owner of the property am exclusively contracting RACTOR NO �'4 1 �1 1 A wl lh licensed contractors to construct the project (Sec SS bon 7044 Business and Professions Code) •- - - s IRED TOTAL SETBACK FROM EXIST # •j• -� CONSTRUCTION LENDING AGENCY ACK YARD HWY PROP LINE WIDTHI hereby affirm that there is a construction lending agency for NT OO the performance of the work for which this permit is issued ' r - ISec 3097 Cry C ) _ - _ t4 3 O05Lender s Name .,, 0 2.2.3-8'�Lender s Addressa S Permit FeeI certify that I have read this application and state that theIssuance Feeabove information Is correct I agree to comply with all County gonon Feeordinances and State lows relating to buddingconstructionTotal Fee u and hereby authorize representatives of this County to erne a upon the above'menhoned property for Inspection purposes . gg0 ' SEE REVERSE FOR EXPLANATORY LANGUAGE Sign d' of Applicant gent Dote es ' I _ ` COUNTY OF LOS ANGELES TEMPLE CITY N 0508" BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 IAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 ` SL 0508 1210110064 - PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS , ITR 14572 IT 34 SQ FT STORIES TYPE 9471 PENTLAND ST STRUCTURE V-B TEMP CA 917803843 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET CLOVERLY 18590-008-001 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY, Cl TENAuT EX IST BLDG USE RESZD USE ZONE A-1 ISSUED ON PROCESSED BY IEXIST OCC GRP 110/11/12 SR IOWNER TEL NO BLDGS NOW ON LOT VALUATION DATE FINAL BY CODE MARSTON ROBERT W BETTY L (626) 287-2596- 2 500 19471 PENTLAND ST TEMP 917803843 • ;/ FEES PAID DE CAIPTION OF WORK 1RE-FRAME BREESWAY BETWEEN OUSE AND GARAGE APPLICANT TEL NO JF E DESCRIPTION QUANTITY UOM AMOUI.'T 1 SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27 80 AB STATE GREEN BLDG FEE 2500 00 VAL 1 00 SPECIAL CONDITIONS AC STRONG MOTION RESID 2500 00 VAL 0 50 1 DS PLANCHECK W/0 EN-HC 2500 00 VAL 84 20 1 D2 PERMIT W/O EN-HC 2500 00 VAL 99 00 1 CONTRACTOR TEL NO IFR INV WORK W/0 PERMIT 342 20 DOL 342 20 APPPOVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - TOTAL FEES 554 70 1 LIC NO 1 LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH FORMS LIC NO SLAB/UNDER FLUOR (RAISED FLOOR FRAMING 1 1MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I UNDERFLOOR INSULATION I147H269 3 901 1 FLDOR SHEATHING N0 OF FAMILIES DWELLING UNITS APT/COND STAT CLASS 1 0 NO 21 1 IROO' SHEATHING ' A94 vy I SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR Q1000 FEED MATERIALS Nb NO NO (FRAME INSPECTION FIRE SPRINKLER HANGERS � I IINSC LATION/WEATHER STRIP( ZNTERIOR LATH/DRYWALL 1 1 EXTERIOR LATH •F+ IRATED FLOOR/GEIL ASSEM 1 _ 1RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS I I l �- T-BAR CEILINGS IAT DRAINAGE - 1REPORT ID DPR261 ROUTE TO BS050B I � J 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 0500 1002240007 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS TR 14572 LT 34 SQ FT STORIES TYPE 9471 PENTLAND ST STRUCTURE V-B TEMP CA 917803843 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET ALESSANDRO 16590-008-001 I THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY Cl I TENANT (EXIST BLDG USE RESID USE ZONE R-1 ISSUED ON PROCESSED BY EXIST OCC GRP 04/12/10 SR OWNER TEL NO BLDGS NOW ON LOT VALUATION IFINAL DATE FI Y CODE 9471 PE ROBERT (626) 287-2596- 23,000 19471 1PENTLAND ST (TEMP 917 003 043 I FEES PAID (DESCRIPTION OF WORK INSTALLATION OF RESIDENTIAL. ROOF MOUNTED SOLAR PANELS I IFEE DESCRIPTION QUANTITY UOM AMOUNT IPHOTOVOLTAIC 20 PANELS (APPLICANT TEL NO IMOHR POWER SOLAR INC (951) 736-2000- D7 ADDNL PLANCHECK FEE 1 00 HOU 109 35 I 11452 POMONA ROAD AA BLDG PERMIT ISSUANCE 27 75 (SPECIAL CONDITIONS CORONA CA 92882 D2 PERMIT W/O EN-HC 23000 00 VAL 92 50 FIRE DEPT APPROVAL REQ'D TOTAL FEES 229 60 (CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE MOHRPOWER SOLAR INC ) (951) 736-2000- 11452 POMONA RD LIC NO (CORONA CA 92880 661434C46 • ILDC?.TIDN AND SETBACKS (SOILS ENGINEER APPROVAL t 1 ARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH FORMS 1 LIC NO (SLAB/UNDER FLOOR _I RAI`ED FLOOR FRAMING MAP NO SEWER MAP BOOR PAGE FIRE ZONE CMP I IUNDEoFL00R INSULATION 1 XX 3 001 ( FLOOR SHEATHING ING OF FAMILIES DWELLING UNITS APT/COND STAT CLASS ( I NO 21 I IROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY 1000 FEET MATERIALS 1 NO NO NO FRAME INSPECTION (REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD HWY PROP LINE WIDTH FRONT PL- INSULATION/WEATHER STRIP SIDE PL- 1 11 INTERIOR LATH/DRYWALL EXTERSOR LATH I I IRATED FLOOR/CEIL ASSEM RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAA CEILINGS I• ADDITIONAL DATA ON FILE (LOT DRAINAGE (REPORT ID DPR261 ROUTE TO BS0508 I I I t � ' 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 BE 0508 1204030023 ' PHONE (626) 285-0488 IXT LEGAL ID NO OF CONST BUILDING ADDRESS TR 14572 IT 34 SQ FT STORIES TYPE 9471 PENTLAND ST STRUCTURE 3400 V—BTEMP CA 917803843 ASSESSOR INFORMATION NUMEER ' .. _ III NEAREST CROSS STREET 4 059c�-008-001 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY Cl t TENANT (EXIST BLDG USE RESID USE ZONE R-1— ' ISSUED ON PROCESSED BY EXIST OCC GRP 04/03/12 SR OWNER TEL NO BLDGS NOW ON IAT VALUATION IFI DATE FI CODE IMARSTON ROBERT W BETTY L — 11 000 19471 PENTLAND ST- �7 (TEMP 917803843 _ r FEES PAID IDESCRIPTION OF WORK I 1REMO✓E EXISTING ROOFING INSTALL CLASS `A• DIMENSIONAL ROOF 1 IFEE DESCRIPTION _ QUANTITY BUM AMOUNT APPLICANT TEL NO CORDON ROOFING (626) 914-0270— IAA BLDG PERMIT ISSUANCE 27 80 1632 S ,WABASH AVE 1 �1AB STATE GREEN BLDG FEE 11000 00 VAL 1 00 (SPECIAL CONDITIONS — GLENDORA CA 91740 AC STRONG MOTION RESID 11000 00 VAL 1 10 1 1ID2 PERMIT W/O EN—HC 11000 00 VAI 233 40 TOTAL FEES_ 263 30 - (CONTRACTOR— TEL NO (APPROVALS DATE INSPECTOR SIGNATURE IGORDON ROOFING (626) 914-0270— li 1632 S WABASH AVE LIC NO LOCATION AND SETBACKS GLENDORA CA 91740 857217 C39 P 1 �1 SOILS ENGINEER APPROVAL ^ (ARCHITECT OR ENGINEER TEL NO 11 FOUNDATION/TRENCH FORMS 1 LIC NO 1 SLAB/UNDER FLOOR 1 RAISED FLOOR FRAMING ` 1 I (MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP — 147H269 3 pp (UNDERFLOOR INSULATION ., (FLOOR SHEATHING IND OF FAMILIES DWELLING UNITS APT/COND STAT CLASS 1 0 NO 21 R00--SHEATHING 1 SCHOOL WITHIN HAZARDOUS SHEAR PANELS 1000 FEET MATERIALS ( AIR QUALITY NO NO NO (FRAME INSPECTION FIRE-SPRINKLER HANGERS ' - IINSUTATIONIWEA.THER STRIPI I INT I � 1 •. ERIOR LATH/DRYWALL - I 1 (EXTERIOR LATH L - (RATED FLOOR/CELL ASSEM k, 1 - • 1RATED WALL ASSEMBLIES 1 - • IRATE, SHAFTS/OPENINGS 1 T—BAR CEILINGS I I 1 iLOT DRAINAGE ' IREPORT ID DPR261 � - ROWE TO BS0508 I COUNTY OF LOS ANGELES TEMPLE CITY #0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFELY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1204250017 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST NEW BUILDING ADDRESS ' ITR 14572 LT 34 SQ FT STORIES TYPE OCCUP GROUP .9471 PENTLAND ST (STRUCTURE 162 1 V-B U I TEMP CA 917803843 ASSESSOR INFORMATION NUMBER GARAGE NEAREST CROSS STREET CLOVERLY 18590-008-001 OTHER THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY Cl I - TENANT EXIST BLDG-USE USE ZONE ISSUED ON PROCESSED BY EXIST OCC GRP 105/07/12 SR 1 JHLDOS NOW ON LOT VALUATION FI 2 FIL{AL(�Y CODE OWNERMARSTON ROBERT W BETTY L (62TEL )L26No2596- 3 070 I)LkL(1( L/V/'IryH1 9471, PENTLAND ST ITEMP 917803843 FEES PAID lDffSCRrPTION OF WORK I JADD NEW FRONT ENTRY PORCH 1 IFEE DESCRIPTION QUANTITY 00M AMOUNT 1APPLICANT TEL NO CASCIATO, DAN (626) 335-3499- IDI PLANCHECK W/O EN-HC 3070 00°VAI 98 40 1444 N VISTA BONITA AA BLDG PERMIT ISSUANCE 27 80 SPECIAL CONDITIONS ' GLENDORA CA 91741 A0 STATE GREEN BLDG FEE 3070 00 VAL 1 00 - IAC STRONG MOTION RESID 3070 00 VAL 0 50 ID2 PERMIT W/O EN-HC 3070 00 VAL 115 80 - CONTRACTOR TEL NO TOTAL FEES 243 50 1APPROVALS DATE INSPECTOR SIGNATURE LUXE DESIGN/BUILD INC (62 6) 323-6841- 1708 HONZTA AVENUE LIC NO LOCATION AND SETBACKS ILA VERNE CA 91750 95662ON-B 1 1SOILS ENGINEER APPROVAL �1 ARCHITECT OR ENGINEER TEL NO I (FOUNDATION/TRENCH FORMS I LIC NO ISLABIUNDER FLOOR I ( (RAISED FLOOR FRAMING MAP NO SEWER MAP BOOK PAGE FIRE-ZONE CMP - 1UNDERFLOOR INSULATION 3 001 1 11ST LEVEL FLOOR SHEATH N0 OF FAMILIES DWELLING UNITS AFP/COND STAT CLASS ) 0 NO 21 12M LEVEL FLOOR SHEATH 1 SCHOOL WITHIN HAZARDOUS I ROOF',SHEATHING AIR QUALITY 1000 FEET MATERIALS NO NO NO fFIRE DEPT FRAME INSPECT��(y/1'�,/(�//-,'//---'J��-�,'i�/ • HLDG DEPT FRAME INSPECT( (SHEAR PANELS (INSULATION/WEATHER STRIP( ' (INTERIOR LATH/DRYWALS. )))!yyy _ 1EXTERIOR LATH I 1 LOT DRAINAGE ^ it SMOKE DETECTION DEVICES 1FIRE DEPARTMENT APPROVAL( I _ REPORT ID DPR261 ROUTE TO BS0508 _ i