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HomeMy Public PortalAbout9544 PENTLAND ST_Building__ A . DEPT. PERM IS REQUIREb :t'�R ANY MATERIAL ST RA E OR WORK 3 6�� �= ZONE IN.. THE ROAD RIGHT OF IBA888A CE#008280 APPLICATION_ FOR BUILD fnG PERMIT COUNTY OF-LOS. ANGELES BUILDING DDRESS DEPARTMENT OF'COUNTY ENGINEER BUILDING AND SAFETY DMSION LOCALITY • JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN SUPT OF BUILDING I CROSS ST. FOR APPLICANT TO FILI.IN DISTRICTF., GROU. PR E H �'4 CONST, BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS ( r ,, ,CLASS.NO. DWELL.UNITS .. 12 LOT NO. q BLOCK' MAP NUMBER f3 H1NYE YES O TRACT /�S z. USE ZONE- SPECIAL NO.OF BLDGS. CONDITIONS SIZE OF LOT I NOW ON LOT USE OF EXISTING BLDG. BUILDING EXIST. YARD HWY STREET NAME. TEL: SETBACK WIDTH. OWNER �.r, NO. FRONT / cd P.L. ADDRESS SIDE ARCHITECT OR TEL-. P.-L• ENGINEER NO. INSPECTION RECORD rADDR S r . TEL. . `J CTOR y� w NO. � Y/� f S &// � '.�ii1/ �' 71C. y / C. /'�� e 0 DESCRIPTION OF WORD.. ��� -} I� (/W N ADD ALTER DEMOLISH Q+ :T d// qq//�/ NO. NO.OF `� :�~/ „rf /1J�971 .�91�CiJ JSrI. 1Ja� I .0(r� 1 STORIES FAMILIES f d r• j �j !�UREURE OF•CANT e, ION$ APPROVALS DATE INSPECTOR'S simAi 'URE P.C.• PMT.- FO UNDATION:•LOCATION / w FEE $ FEE + 1)$ FORMS,MATERIALS '' <761....- FRAME:FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS-AP- BRACING,BOLTS PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE:LOCATION, n e F' J ' AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT,DUCTS r, STATE LAWS REGULATING BUILDING CONSTRUCTION. 'Y I CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH,INT. 'i r'o j .+ WILL NOT EMPLOY ANY PERSON IN VIOLAT ON OF THE Y Y WORKMEN'S COMPENSATION,LAW OF CA FORNIA. LATH,EXT. I�, SIGNATURE OF fj ti HOUSE NUMBER COR- PERMITTE // �l! /- �s:t T RECT AND POSTED f I ADDRESS (a . �2W&w / •C FINAL � �m� - .d CLYDE N. DIRLAM, PRINCIPAL-ST RAL ENGINEER PLAN CHECK VALIDATION cK. M.O. CASK PERMIT VALIDATION f cK M.O. cASN DEPARTMENT OF BUILDING AND SAFETY "JeLicw i lum k un Y-bnxri r COUNTY OF LOS ANGELES g U t L D I N G WM. J. FOX, CHIEF ENGINEER FOR OFFICE USE ONLY FOR ABUILDINPPLICANT TO FILLL IN p �j� /� ADDRE HG J l/�G! .Li' DISTRICT�'O- ZAN CK.�15/�• �I"+a NO. 49 LOCALITY //,��.1/��y,/ // REA EST /EIEIEIKED(/PBY DATE OF,APPL. DATE ISSUED CROB9 9T. (•.� .CA// //(//j(/ �J� U4 BUILDING OWNER ./�//'C�i�iElJ� �'t� ADDRESS tet!/.5�- �r �IZ/TLA/TJ.��(✓/ MAILn �� LOCALITY ADDREBB /Z� q F NEAREST CITY !.! �. NO. 6r,;�.SO CROSS ST. a j/� �r/�'� FIRE �r NO.OF TYPE - GROUP r- ARCHITECT OR TEL ZONE PLANS ENGINEER NO. ADDRESS �f ill f/ BLDG. �f R f ORD.NO. SETBACK LINE �,. 6•"� APPROVED �� TEL. BY DATE CONTRACTOR 'NO. _ USEAPPROVED ADDRESS ZONE /�^I BY DATE LEGAL p � CORRECTIONS DESCRIPTION I LOT NO. I BLOCK TRACT Z y NO.OF SLOGS. SIZE OF LOT NOW ON LOT USE OF NO.OF NO.OF EXISTING BLDG. I FAMILIES I ROOMS DESCRIPTION OF WORK NEW X ALTERATION ADDITION O REPAIR MOVING DEMOLISH 61 Q.FT. ��i' NO.OF Z �./ 91ZE U ROOMS / STORIES / WALL ROOF �] �/'/ r COVERING ✓r�'sTr/! I COVERING USE OF NEW /J BUILDINGn Of 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE 18 CORRECT FOUNDATION, LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS 3- p AND STATE LAWS REGULATING BUILDING CONSTRUCTION. '_n i f FRAME, FIRE STOPS, %c SIGNATURE OF BRACING,BOLTS l PERMITTE LATH,INT., `• 3 "`� el AUTHORIZED AG T- � ���t _ LATH,EXT., D138-3 SUM SETS 7-47 $ o v P.C Q _/ 6o PLASTER,INT. ,�OOO FEE �— PLASTER,EXT. VALUATION FEE /L-/ FINAL BUILDINo''. BUILDING ADDRESS APPLICATION LOCALITY _ NEAREST DIVISION OF BUILDING AND SAFETY CROSS ST. � Department of County Engineer DISTRICT NO. RECEIPT 190. PERMIT NO. County of Los Angeles -5— 7 42 7 WM. J. FOX, COUNTY ENGINEER GROUP DATE RECEIVED DATE ISSUED PE CASSATT D. GRIFFIN, SUPIT OF BUILDING Z• 6 _15-42r— FOR APPLICANT TO FILL IN TYPE CONST. RECEIVED BY Is LIE�D+BY OWNER ��` � _ MAP /� / STATE YES MAILADDRESS :ti'"���� � e [� �r NUMBER ll HWY USE ZONE SPECIAL r �1 TEL CONDITIONS CITY A ?1y ( .3/ ��� N. ARCHITECT ISR ) TEL. ENGINEER NO.NO. BUILDING YARD HWY STREET NAME EXIST.. SETBACK WIDTH ADDRESS FRONT CONTRACTOR G�r,�� NOL. P'L- I EGD �� SIDE P.L. ADDRESS BUILDING ��.+ DATE CORRECTIONS INSPECTOR ADDRESS /e r LOT NO. BLOCK TRACT d NO.OF SLOG SIZE OF LOTOr (�/ I NOW ON LOTS USEOF ��a EXIRTITING BLDG. �T ■ DESCRIPTION OF WORK as v NEW ADD ALTER X REPAIR DEMOLISH Z S4.FT.'� /1 D NO.OF NO.OF D SIZE 5 STORIES FAMILIES r USE OF STRUCTURE art�l.�.�� �^✓✓�"�G�e .>"7 NO.OF EMPLOYEES I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IS APPROVALS INSPECTORPS SIGNATURE DATE CORRECT. IAGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FORMS,MATERIALS FIRE SIGNATURE OF �j / - FBRACING,,BOLTSSp FI�I a_e, S PERMITTEE FURNACE: LOCATION, GAS VENT,DUCTS , 1 ADDRESBa-'r LATH, INT. AUTHORIZED AST. �// LATH, EXT. u HOUSE NUMBER COR- FEF. �_ _ RECT AND POSTED VALUATION FEE FINAL 76A638A DBS 3(96 5.54 DCOUNTY ENGINEERU I L®11116 DMSION SION OFF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER APPLICATION CASSATT D. GRIFFIN, SUPT OF BUILDING FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING /1 - DISTRICT NO. PLAN CK.OR REC.No. PERMIT NO. ADDRESS —.73r -Z/ zb o O LOCALITY �— 'OREC ED Y DATE OF A7p-r, DATE ISSUED NEAREST /)v �� / 5^� CROSS BT / G ADDRESB OWNER AMAIL ADDRESS c1 L!. me?z �'i S f LOCALITY CITY / r-� se../ NO'147 7//G ceoss sT. ���o •i L ENGINEER OR ✓ O. ZONE I PLANS I TYPEUP ARCHITECT FIRE NO. OF � I GR� BLDG. ORD. NO. ADDRESS SETBACK LINE E'_&47 � TEL. USE /J/BAYPROVED DATE CONTRACTOR NO. ZONE�^ HOUSE NUMBERING ADORES8 LEGAL MAP NUMBER G ►JO. ASSIGNED BY DESCRIPTION• I LOT WO. I BLOCK CORRECTIONS TRACT SIZE OF LOT �� 1?I vI NO. OF BLDGS. NOW ON LOT USE.OF NO.OF EXISTING BLDG. FAMILIES DESCRIPTION OF WORK o - X TION RE AIR I� DEMOLITION I-I ADDITION � s /JNo.OF r ME �/J d ROOMS STORIES LLROOF COVER NG• U LC O I COVERING USE OFRU URE lO�7/ll �.9•/•,.v a APPROVES INSPECTO 'S SIGNATURE DATE FOUNDATION:LOCATION IF FORMS, MATERIALS /_./00'Y a-� 3 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS, v ��? PLICATION AND STATE.THAT THE INFORMATION GIVEN IS BRACING, BOLTS ruG.. . /- s CORRECT. or I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE:LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS SIGNATURE OFZa LATH, INT. PERMITTE dJ - e-Aw �� LATH. EXT. ADDREBa `Y,-�a 4c/ (n_ fi�•W(=+r�1L /� PLASTER, INT. AUTHORIZED AGT. PLASTER, EXT. $ FEE' S HOUSE HUMBER COR- VALUATION O r RECT AND POSTED A VALUATION FEE FINAL 76A696A DOS 8 6-08 _ WORKERS'COMPENSATION DECLARATION Yi/E —r—X ! yule /__3- -Pe I hereby affirm that I have a certificate of consent to self I� L I CAT S n I L®I N PERMIT T insure, or a certificate of Workers'Compensation Insurance, I'9 or a certified copy thereof(Sec. 3800, Lab. C.) I COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No.PC987492compon�epublic Indemnit Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ADDRESS ~. , ® Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS 9544 12ant3 and St Date 6-11-87Appiicant_ Ra.ndol Roofing ' CITY Temple City zip 91780I LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. !'NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one ASSESSOR hundred dollars($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL TEL.. USE ZONE MAP P OWNER Lionel A. Kenned N0286-0976 I certifythat in the performance of the work for which this NO. permit is issued, I shall not employ any person in any manner 9544 P e nt.l a ri d SPECIAL so as to become subject to the Workers'Compensation Laws. ADDRESS CONDITIONS CI Temple City, Ca. 917SUa� Date 6-11-87 Appliccm _andol' Roofing CITY ZIP NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. DISTRICTGROUP TYPE FIRE PROCESSED BY ENGINEER NO. F' Exemption, you should become subject to the Workers' �j 7 CONST. ZONE Compensation provisions of the Labor Code, you must forth- ADDRESS `/�fJ0 �` ^� IL with comply with such provisions or this permit shall be on deemed revoked. ` CONTRACTOR Ra n d o l Roofing NO2 8 8—4 0 4 0 STATISTICAL CLASSIFICATION APT. CONDO. g LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. a- DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 529 E. Valley No 4 519 3 7 (commencing with Section 7000)of Division 3 of the Business and LIC. SEWER MAP Professions Code, and my license is in full force and effect. CITY Sari Gabriel 917 7 FmLA55 c-39 BK G PG 91 VALIDATION 451937 C-39 SQ. FT. NO.OF NO.OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE VALUATION Contractor Randol Roofin gate 6-11-87 iDESCRIPTIONOFWORKRe—roof house NEW E $ 1966. 00 and garage with fiberglas ADD �, I am exempt under Sec. ALTER s ing es ❑ B.BP.C. for this reason REPAIR © $ Date: USE OF DEMOL EXISTING BLDG. S F D Signature APPLICANT TEL. g Randol Roofin 288-4040 FINAL. S �-' OWNER-BUILDER DECLARATION PRINT g NO. DAT �1i O I hereby affirm that I am exempt from the Contractor's License 529 E. Valle Blvd. S . G. Law for the following reason (Section 7031.5, Business and ADDRESS Y AtL Professions Code): ❑ BUILDING I, as owner of the property, or my employees with ,ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. I,as owner of the property, am exclusively contracting CONTRACTOR NO. 7296A with licensed contractors to construct the project (Sec- ADDRESS _ # 0 0 0 0 0 tion 7044, Business and Professions Code). 1 V. REQUIRED TOTAL SET=E' FROM CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROPo - 49,88 1 hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. 0 0 0 4 9.8 8 c=� (Sec. 3097, Civ. C.). SIDE P.L. 0622-87 Lender's Name LDMA Ref. # P.C. Fee$ Permit Fe Lender's Address I certify that I have read this application and state that the Issuance Fee LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, TotalTee(*W$4" 13 8 LDMA Perm. # *p. e aut oriz presentatives of this County to enter o m ned ro erty for inspectio purposes. r 6 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature If Applicant or Agent ate Q