The URL can be used to link to this page

Home My Public Portal About9555 PENTLAND ST_Building__ crry OF P `_ __ FOA888A CE#002-I-61 APPLICATION FOR BUILDING PERMIT , COUNTY OF LOS ANGELES BIN DDRESS �2 DEPARTb0NT OF COUNTY ENGRUMB BURRING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST. DISTRICT O. GR UP LTypE PROED BY FOR APPLICANT TO FILL IN CONST. OF 1L BUILDING STATIS ICAI CLASSIFICATION SEWR MAP ADDRESS 9555 Pentland T®V o CLAS.3.NO. DWELL.UNITS I B PG ( , / ZIP LOT NO. ��7 BLOCK WATER NOT REQUIRED10 RECEIVED CERTIFICATE: TRACT z fzMAP HIGHWAY STATE MAJOR SECOND LO A NO.OF BLDGS. NO. cCIRCLE, SIZE OF LOT I NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. Residence OWNER E 0 E o L9My,� 7y,, BUILDING i til NO. SETBACK YARD HWY STREET ME EXIST. ADDRESS 9555 Pentland T.C. FRONT y • ARCHITECT OR TEL. P.L. J ENGINEER NO. SIDE P.L. ADDRESS INSPECTION RECORD a CONTRACTOR Virgin Roof Co rTi&T 7050 0 ADDRESS Im DESCRIPTION OF WORK U W a NEW ADD ALTER EPA DEMOLISH N SQ.FT. NO.OF NO.OF Z IZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT VALUATION$2 610 00 I F ; APPROVALS DATE INSPECTOR'S SIGNATURE ' P.C. i�—' PMT. FOUNDATION:LOCATION FEE $ FEE $ 6.00 FORMS,MATERIALS FRAME:FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION. t CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH.INT. TION OF THE LAB R CODE OF THE STATE OF CALIF NIA RELAT- ING TO WORKMEN GOMPENSATI N INSURANCE. � LATH.EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEERECT AND POSTED ADDRESS 600 S. San Gab - FINAL Han Gabriel CLYDE N. DIRLAM, PRINCIPAL STRAL ENGIN ER PLAN CHK. CHECK VALIDATION Cr.CK. M.O. CASH PERMIT VALIDATION M.O. CASH L,jL;o 3 0 1 W01 DEC 2 1 D 6.00- ' I WORKERS'COMPENSATION DECLARATION hereby affirm that I have certificate of consent to self APPLICATION F OR 03 U I L D I N G P E RM I T • insure, or a certificate of Workers'Compensation Insurance, � • or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES/' BUILDING AND SAFETY PalicyNoIV83-22515dompany Fremont Indemnity - Certified copy is hereby furnished. BUILDING ❑ FOR APPLICANT TO FILL IN ADDRESS ® Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS ot, Jana LOCALITY NEAREST Date 9I21I83 Applicant Vi-tai n T?nnf I•.. CITY Tem le City ZIP CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one . ZONE MAP h'undred dollars($100)or less.) TRACT ✓ 11LOCK LOT NO. �- NO. ll TEL. SPECIAL I certify that in the performance of the work for which this OWNER Ernest Smith NO: CONDITIONS 0- ermit-is issued, I shall norem to an person in an manner DISTRICT .GROUP TYPE FIRE PROCESSED BY- so as to become subject to the Workers'Compensation Laws. I ADDRESS -!� CONST. ZONE t+3 � taC Date pplicant CITY T@—m-Rle City ZIP ARCHITECT OR TEL. STATISTICAL CLASSIFICATION APT. CONDO. Q ' NOTICE TO APPLICANT: If, after making this Certificate of ' �— ' 'Exemption, you should become subject to the Workers' CLASS NO. DWELL. UNITS 0. ENGINEERNO. Compensation provisions of the Labor Code, you must,forth- ADDRESS SEWER MAP with comply.with such provisionsi or this permit shall be deemed revoked. .I CONTRACTOR NO. _ BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that.)am licensed under provisions of Chapter 9 ADDRESS NI-60650 VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code;and my license is in.full force and effect. CITY San Gabriel 91778 CLASS $ , 160650 SQ.FT. NO.OF NO.OF CHECK License Number Lic.Class C39 SIZE STORIES FAMILIES ONE DESCRIPTION OF WORK — NEW ❑: $ Contractor Viroin Rnnf Co Date Og4i/93 I ADD ElI am exempt under Sec. Garaize with 220# 'Fiberglass ❑ , , • ALTER ❑. •FINAL B.&P.C. for this reasonDATE Class A com osition Phi les REPAIR Date: USE OFFINAL ' EXISTING BLDG. ❑ DEMOL SignatureAPPLICANT TEL. `J is a o o .o .a OWNER-BUILDER DECLARATION PRINT NO. I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS Professions Code): i PR EN BUILDING ,t (i rl'c' s ❑ I, as owner of the property, of my employees with ADDRESS wages as their sole compensation,will do'the work'arid Q ]_ 7 . 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. with licensed contractors to construct the project.(Sec- ADDRESS 'tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH ' 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. tSec. 3097, Civ. C.). SIDE "o 'P.L. Lender's Name Lender's Address P.C.Fee$ Permit Fee 39.38 r I certify that,I have-read this"application and state that'the Issuance Fee 10;5,0 c above information.is correct:I:agree to comply:.with all County' Investigation F.ee• ordina ces and.State:ldviis`relating•to:btYilding;construction, " y and h reby authorize representatives of his County to*enter Total.Fee.:. .49•$8 uo e a ve-rrte tonedpro for s tion' ur oses. ' SEE.REVERSE FOR EXPLANATORY LANGUAGE Sign b ure of.Appliwnt or AgentDate ®s COUNTY OF LOS ANGELES ( TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0211010009 PHONE: (626) 285-0488 EXT: OF CONSTE DO TR: 14572 LT: 24 I SQ. FT STORIES TYPE OCCUP GROUP 9555 PENTLAND ST• STRUCTURE: 136 1 VN U1 TEMP CA 917803845 ASSESSOR INFORMATION R: GARAGE:- NEAREST CROSS STREET: CLOVERLY 8590-007-013 OTHER: THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ISSUED PROCESSED RES . EXIST OCC GRP: 11/01/02 JK 04/30/03 OWNER: TEL. NO: BLDGS. OW ON LOT: V TION: IAL A FINAL BY: CODE: CHENG YING (626) 286-9666- 2,000 9555 PENTLAND ST Z TEMP 917803845 FEES PAID D RIPTION OF WORK PATIO IN FRONT YARD FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APP . SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID-_ 2000.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/o.EN=NC _ - -2000.00 VAL 82.20 TOTAL FEES 110.45 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - �+,•::'a,"".: -'� LIC. NO LOCATION, * D SE BAC S SOILS ;ENGINEER APPROVAL RC TECORENGINEER'- -TE-170; + I t 0 1 0 NC FOR S LIC. No., , , �• +, SLAB/U DER FLOOR -"--- I - -:j I RAIS FLOOR FRAMING MAP NO: SEWER MAP B00 K: PAGE: RE ZONE: CMP• UU-NDERP�LOOR INSULATION 3 01 STLES L FLOOR S 0. 0 S: DWELLING S: COND: T - - - — - - - - - I NO 21 2ND L7EL FLOOR SHEATH SCHOOL WITHIN RDO S f ROOF SPEATHING AIR QUALITY: 1000 FEET MATERIALS I•�\� � I I � ` `�' NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED S FROM XIST I� �: ;i •",� I 1 irtr; e�� B D-�T. FEET SET BACK YARD: HWY: PROP LINE: WIDTH: +;; �.. - _" '�l• < FRONT PL- SHEAR ANE S SIDE PL- THER S R INTERI)R LAT /DRYWAL EXTERI IR TH LOT DR k INAGE SO E E IO DEVCS FIRE DrPARTME T APPROVAL . REPORT ID: DPR261 ROUTE TO: BS0508 I i I