HomeMy Public PortalAbout9560 PENTLAND ST_Building__ APPLICATION FOR BUILDIN ERMIT
FOR APPLICANT TO FILL IN (Print or type only)
BUILDIN GO C+" /�iFA (b � IV-V BUILDING
ADDRESS ��[/ G a r�E�l\.Y� ADDRESS
CITY- T�% ZIP
NO.OF BLDGS. LOCALITY
SIZE OF LOT NOW ON LOT NEAREST
CROSS ST.
TRACTwT BLOCK LOT N ASSESSOR
,�Q� ��� MAP BOOK PAGE PA EL
OWN OL�{/1 NO. ISTRICT 'jCUP CONS FIRE P OC SSED BY
ADDRESSES 1!� V t—::- j-E'4Ch'kt E '
ZVM1�y7Lt �+�/ ZIP STATISTICAL ASSIFICATION SEWER MAP
CITY +.rV\l l CLASS NO. _OWELL•UNITS 4BK PG.
ARCHITECT OR TEL.
ENGINEER NO. US ZONE MAP
NO.
ADDRESS SPECIAL
1 � 1�/ r` L CONDITIONS
CONTRACTOFYL]L.\C �l��jrV1I� "�� ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
ADDRESS VAPLe�S BLDG.SETBACK FROM
CI T fTt^M PLE" (%,Try CLASS J% %'j
^J FRONT PROP.LINE OF (STREET)
HIGHWAY } YARD TOTAL SETBAC M TYPE OF EXISTING
NAME AND BRANCH
CONSTRUCTION LENDER FRONT PR LINE HIGHWAY WIDTH
ADDRESS CITY +
SQ. F �t (� NO. OF NO. OF ' CHECK BLDG.SETBACK FROM
SIZji (Sj ,fT STCD
ORIES FAMILIES ONE SIDE PROP.LINE OF (STREET) �
V
+ NEW ❑ HIGHWAY + YARD. = TO AL SETBACK FROM TYPE OF EXISTING Cd
DESCRIPTION OF WORK r� IDE PROP. LINE HIGHWAY WIDTH CD
vn ADD + Lu
1 91-
ALTER ❑ m
REPAIR❑ CORNER CUTOFF YES ® NO ❑ - Z
USE OF - -
EXISTING BL DEMOL ❑ IN OPEN SPACE YES ❑ NO ❑
AP(PRIN) 'T 1 L`, a0Lv1g2149-) IN COASTAL ZONE YES ❑ NO ❑
BY (SIGNA TU E) ENVIRONMENTAL CATEGORICAL EXEMPTION YES❑ NO ❑
4 IMPACT
EXEMPTION DECLARATION SIGNED (DATE)
VALUATION$ � IMPACT REPORT PROCESSED (DATE)
I HEREBY ACKNOWLEDGE MAT HAV READ T APP AT N
AND STATE THAT THE ABOV IS RR IT AND E T CO Y > vl 'S
WITH ALL ORDINANCES D L S EGULAT BUI N 0 r� � •� W �' ' � "- As
STRUCTION. i CERTIFY AT IN TH RK T I
_ •�,.. rrrF + j
HEREBY 1WILL NOT E NRSO HE
LABOR CODE OF TH CALIF I TO
WORKMEN'S COMPENS S R NCE.
SIGNATURE OF FINAL _&Y
PERMITTE �y DATE
ADDRESS 1' `L ID'S�
� P.C. PMT.
,(J �r^/ K FEE FEE t
C
NOL F , �y,---J
i
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIO K. M.O. CASH
4 4 .4�APR I 1 D 2 $.5 0 ®;,G
76AG38B CENS03A 5/73
i
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES En� ®�
WM. J. FOX, CHIEF ENGINEER 1
FOR APPLTm7q
FOR OFFICE USE ONLY
ADDRESS DISTRtIVO. PLAN. NO.
LOCALITY REC IVED BY DATE
/OFFAPPPL. DATE ISSUED
NEAREST /►
CROS8ST, JUr!Arr�� �C Ih/ ^� ADD EI
�ILJ IU SS �1�A 'Air—
OWNER
�
OWNER '' (�L N 1) S
MAIL r/ /) ,/ LOCALITY 77 �-�
ADDRESS D IV f 'La l�IV f'7 6� NEAREST
TEL CROSS ST. U
L.►(�
CITY NO. FIRE NO. OF 17�P '�' I GR
ARCHITECT OR I TEL. ZONE PLANS
ENGINEER NO. BLDG. ! if
SETBACK LINE
ADDRESS APPROVED
A y V I C TEL. BY DATE
CONTRACTOR n n pi 4/Ml- 9 n NO. L"t L 57 M USE A APPROVED
/Y� ZONE
ADDRESS /� j SO Ac/Fkocu 1e-M.0 ee lBY J;A- HOUSE NUMBERING DATE
LEGAL
DESCRIPTION I LOT NO. �� I BLOCK MAP NUMBER 50'b 1'4
FIELD CHECK HY
l .�-
. TRACT �-7 ll,- NO. ASSIGNED BYATE
i NO. OF BLDGS. CORRECTIONS
SIZE OF LOT / I NOW ON LOT /
USE OF I NO. OF
G BLDG, 4.
EXISTING FAM:LMS -
DESCREPTION OF WORK
NEW II ALTERATION I I ADDITION
REPAIR I I DEMOLITION
61 H FT. NO.
ZE ROOMS 1 STORIES ;
EXT.WALLROOF 1'
/J_
COVERING ,i(,g GAO I COVERING
USE OF U
9A 2.4 C,^
4
APPROVA
I SPECT9ps SIGNATURE , DATE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION:LOCATION
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS
CORRECT.
1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME:FIRE STOP
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE ;. BRACING, BOLTS
LAWS REGULATING UILDING CONSTRUCTION. FURNACE: LOCATION, f
SIGNATURE OF /fQ_ / �� /!- /J'f`- V GAS VENT, DUCTS
PERMITT/E c+u�_ �(!J tw+�/f iL/iTJ
ADDRESS I(O .� 171G 7� f ✓ d���. LATH, INT.
/f7A! ► LATH, EXT.
AUTHORIZED AGT. r'074
.., 8p PLASTER, INT.
` 70AGBOA•08/3 10-E0 $ Roo.�- P. C. $
® FEE PLASTER, EXT.
VALUATION $
FEE Ger FINAL
I
N,DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES ' C ® �
WM. J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING ) yyA, // �'� DISTRICT NO. PLAN
CK.NO. PERMIT NO.1
ADDRESS
LOCALITY �. jj/72,fLEE� C�.� RECEIVED BY DATE OFAPPL. DATE ISSUED
NEAREST �,� _ } �:.c'lG 0 �� 4,00,CROSS ST. 1 /ii ?� V /
BUILDING / /�
OWNER ADDRESS
/, 7,-,�„/„E�/r[/i,/�r-� C�/�G� `jam/ J 1— AJ
MAIL r( J! LOCALITY /
ADDRESS
TEL ( NEAREST
ROSS ST. v !� �' ✓
CITY /i/�P NO71;' C
FIRE NO.OF TYPE - GROUP
ARCHITECT OR TEL. ZONE PLANS
ENGINEER NO.
�•( SETBACK LINEA t� ORD.NO.
ADDRESS
APPROVED
TEL.
BY DATE
CONTRACTOR / NO.
USE APPROVED
ADDRESS ZONE/ ! BY DATE
LF, �/ CORRECTIONS
DESCRIPTIO/ vJ(N. - LOTf NO, r� BLOCK
J
TRACT LKS-7 ;,
y NO.OF BLDGS./yJ
SIZE OF LOT NOW ON LOT
USE OF NO.OF NO.OF
EXISTING BLDG. FAMILIES ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
o
REPAIR MOVING DEMOLISH �
FT. p NO.OF Z'
84•
SIZE0 (����}}�� ROOMS L� STORIES y
WALLCOVERING ,/LZ�grj I COVERING �fQ f:✓1f(/ ?� P
USE OF NEW
BUILDING ✓L2-2�fl�ri �� �! �G a ,
elf 1-'1%, & f? r V err •,�,•
r
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 Al Yy
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. /
FRAME: FIRE STOPS,
SIGNATURE OF /,���J ®® //�e��yl BRACING,BOLTB 2 Y/
PERMITTEE 1 /AiL.ri%/ 'r!/ ` LATH, INT.
AUTHORIZED AST- /J f F -,A6t c�
LATH, EXT.
76A 38A 9-48
DBS!3 SOM SETS $ fFEE
.C,$ ^ p`p PLASTER,INT.
Q� Ci/S
�oQO� // PLASTER,EXT.
VALUATION /( EE /(Q DO FINAL s� ��
1
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER LQULMNU
^ FOR APPLICANT TO FILL IN_ FOR OFFICE USE ONLY
DISTRICT NO.
BUILDING c' _✓ +. p' PLANK ^NO. PE7RMIT NO.
ADDRESS
�� / r RECEIVED BY DATE OF APPL. DATE ISSUED
LOCALITY l .• i r :.'.i_!� ;... C e'L Jr.
— -/
NEAREST f/ Y� `(•,+�:
Z '
CROSS ST. ( r (� L- i BUILDING �S PG -11VIV-P
CA
,fit ADDRESS
OWNER '-/ •!. �� `j I�Y A ACL d,�l-%^�
MAIL �/ "� � f' 1 r' LOCALITY
ADDRESS ti CF !r3 �. {- :'i.� :-1 1 NEAREST
FF' / �! TEL. ` CROSS ST.
CITY" ISO. �I- C� ! { FIRE I NO. OF f� I GROUP �'
ARCHITECT OR ,� TEL ZONE PLANS ---I
GROUP
-
ENGINEER NO. � BLDG.
SETBACK LINE
ADDRESS APPROVED _T
BY DATE
CONTRACTOR -���(/ £�10. USE APPROVED
ZONE BY DATE
ADDRESS --_ HOUS NUMBERING
LEGAL
DESCRIPTION I LOT NO. `1 I BLOCK r MAP NUMBER FIELD CHECK BY
TRACT G � 4 NO. ASSIGNED BYE® DATE
NO. OF BLDGS. CORRECTIONS
SIZE OF LOT ` {, /� j c NOW ON LOT /
r USE OF i I NO. OF / y �A// A
EXISTING BLDG. _,s , FAMILIES ry
DESCRIPTION OF WORK
NEW I I ALTERATION I �\ I ADDITION I��
O
REPAIR I ' I DEMOLITION I I I ;u
S. ' - I t P I I NO. OF
ROOMS STORIES Y
EXT. WALL ROOF 1'
COVERING I COVERING
USE OF STRUCTURE t d
APPROVALS
INSPECTOR'S SIGNATURE DATE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-, FOUNDATION: LOCATION
' PLICATION AND STATE THAT THE INFORMATION GIVEN iS FORMS, MATERIALS /
CORRECT.
I AGREE TO COMPLY WITH THE CORRECTIONS LISTED ' FRAME: FIRE STOPS,
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS - /q �J • 3//`JAZ
" LAWS REGULATING BUILDING CONSTRUCTION. I FURNACE: LOCATION /
SIGNATURE OF GAS VENT, DUCTS /
PERMITTEE'
ADDRESS //��;+I�
M + / LATH, INT. �fG rrG�+"r a 6/ ylZ
• trf -'1 �t C . J l I I l �/� C• /'� / +
LATH, EXT.
AUTHORIZED AGT. ti
s. PLASTER, INT.
78A888A• DBS9 10-80 P. C. $��
FEE PLASTER, EXT.
VALUATION FEE FINAL
I �
DEPARTMENT OF' BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELESU ' 1 ®I �G
WM. J. FOX, CHIEF ENGINEER L:.
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING cr DISTRIPMO. PLANCK. NO. RR1/�1T pa�( .
ADDRESS -"J (r+® !:Al^ Y �,� [�y
LOCALITY R IVED BY DATE
/O�F'APPL. DATE ISSUED
NEAREST
CROSS ST. IV� �JQ BUILDING
L /v V -s
ADDRESS.
OWNER �j'
MAIL A� , /�// LOCALITY /1 ; t (■r^<
ADDRESS 6 40 . /V Ir!4 �/ Q �� CROSS ST. (.,. („)��"
D
TEL `�+
CITY (2
`„ ( No., FIRE NO. OFI GR P
ARCHITECT OR TEL.
ZONE +" PLANS —
ENGINEER NO. BLDG.
SETBACK LINE T
ADDRESS
APPROVED
BY DATE
CONTRACTOR ry f4w TEL
�►' ".NO. USE APPROVED
ZONE BY DATE
ADDRESS D �� f�Ow l�9Qa HOUSE NUMBERING
LEGAL
DESCRIPTION I LaO�T NO. a' I BLOCK MAP NUMBER �������_�'—FIELD CHECK BY.
TRACT _ I NO. ASSIGNED BY�AT
'� 9,
NO. OF BLDGS. s CORRECTIONS
SIZE OF LOT a `���. I NOW ON LOT
USE OF I NO. CF
EXISTING BLDG. FAMILIES
DESCRIPTION OF WORK
NEW I '.I ALTERATION I I ADDITION I.
O
I•`. I C
REPAIR DEMOLITION .-_ •p
SQ. FT. NO. OF r
SIZEC5 4/
ROOMS STORIES j
EXT. WALLROOF,
COVERING C-44-'# I COVERING'
'USED
GAG '
• APPROVALS
INSPECTOR'S SIGNATURE DATE
I HEREBY ACKNOWLEDGE THAT,I HAVE READ THIS AP- FOUNDATION: LOCATION
PLICATION AND STATE THAT THEINFORMATION GIVEN IS FORMS, MATERIALS
CORRECT.
1 AGREE TO COMPLY WITH THE 'CORRECTIONS LISTED FRAME:FIRE STOPS,
HEREON AND WITH LL COUNTY ORDINANCES AND STATE BRACING, BOLTS
LAWS REGULATING BUILDING CONSTRUCT N. FURNACE: LOCATION,
SIGNATURE OF GAS VENT, DUCTS
PERM.—
ADDRESS 1�
p LATH, INT.
m7
LATH, EXT.
AUTHORIZED AGT.
PLASTER, INT.
7GA638A• DESS I0-50 P. C•
® FEE PLASTER, EXT.
VALUATION FEEFINAL
A A APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDIN�GJ�DDRESS
I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS %� a
or a certificate of Workers'Compensation Insurance,or a certified :4`60
copy thereof(Sec.3800,Lab.C.) IIY / ZIP
Agei _1 e LOCALITY
Policy N(? /s�OD070 CompanysfQTC / 1hpt
SIZE LOT NO.OF BLDGS,NOW ON LOT NEAREST CROSS
❑
Certified copy is hereby furnished. W. ee
L7 Certified copy is filed with the county building inspection TRACT BLOCK LOT NO.
[ USE ZONE MAP NO.
department.
Date Applicant &.9 Ale Xg.,� ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO. N
COMPENSATION INSURANCE d 1G dDI WITHIN 1000 FT.OF SCHOOL? YES NO
(This section need not be completed if the permit is for one hundred ADDRESS DISTRICT GROUP TYWXONST. FIRE ZONE PROCESSED BY
dollars($100)or less.) Smote
CITY ZIP
I certify that in the performance of the work for which this permit
11
is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO.
become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO
Date Applicant ADDRESS CLASS NO. 425? DWELL UNITS
N07ICE 70 APPLICANT If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you should become subject to the Workers' CONTRACTOR / TEL NO. SET BACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code, you must forthwith ch . Jft—11W4 FRONT
comply with such provisions or this permit shall be deemed revoked. 'ADORESS LIC.NO. PL
LICENSED CONTRACTORS DECLARATION CITY X". �'� `�'�"�" &S—.
-As SIDE
k LIC.CLASS PL
I hereby affirm that I am licensed underprovisions of Chapter 9 ^of/k- Cx SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORIES NO.OF FAMILIES
Professions Code,and my license is in full force and effect. NEW FT BK PG d
License Number_Alt"794-4' Lic.Class G—?9 DESCRIPTION OF WORK ADD ❑ VALUATION 0
Contractor7 , � � � V& ALTER 11
El am exempt under Sec. r REPAIR ❑ $ 0
B.BP.C.for this reason ,p j F DEMOL ❑ LOMA P/C# W
Date: USE OF EXISTING BLDG. F� URM 11a-
P,Signature X.APPLICANT Z
NT) TEL NO. LDMA Perm# '�
❑ I, as owner of the property, or my employees with wages as we �2 Z
their sole compensation, will do the work and the structure is ADDRESS 1 O ACCT.TL
intended or offered for sale (Section 7044, Business and . ara eA a ot- FINAL DATE Q 33
Professions Code.) 0 '�03 � �o
WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL lI J
El OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE
I, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDEI FINAL By > ITEf S
licensed contractors to construct the project (Section 7044,
Business and Professions Code.) yes❑ No❑ TOTAL 123- 45
WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDINGOCCUPANT REQUIRE A PERMIT q
UTH
COAST AIR QUALITY MANAGEMENTRDISTRICT(SCIAOMDON OR EEDPERMITTNG CHECKLISTN FROM THE FORCHECK 123 n h5
CONSTRUCTION LENDING AGENCY GUIDELINES
I hereby affirm that there is a construction lending agency forYES❑ NO CHANGE .00
❑
W the performance Of the work for which this permit is issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING
3097,,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE,
TITLE Lender's Name MATERIALS REPORTING AND FOR OBTAININGCHAPTER 2 20 SECTIONS 2 20.100 TA PERMIT FROM THHROUGH 2 20.140 SCAOMD.CONCERNING HAZARDOUS 0000_0t 0 j 5/17/95
a. tUl V Li!! �'JJU
o Lender's Address
p Orc A o
OWNER OR MEM
c I certify that I have read this application and state under penalty
of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE /.
N with all county ordinances and State laws relating to building (V 1��
mconstruction, and hereby authorize representatives of this County ISSUANCE FEEm to enter upon a abo -mentioned p aperty for inspection purposes.
nINVESTIGATION FEE TOTAL FEE
SWat o of APO—M U Ag M -D—..
SEE REVERSE FOR EXPLANATORY LANGUAGE
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 0601030023
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 14572 IT: 22 SQ. FT STORIES TYPE 9560 PENTLAND ST
STRUCTURE. VN TEMP CA 917803844
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: CLOVERLY
8590-013-019 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 01/03/06 JK 12/29/06
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FI BY: CODE:
HOLLEY ROBERT C;ANNE S (626) 287-0301- 2,620 /-/o/�`fF�
9560 PENTLAND ST
TEMP 917803844 FEES PAID DESCRIPTION OF WO
INSTALL REPLACE 5 WINDOWS (SAME SIZE)
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
SAN GABRIEL SASH & DOOR INC. (626) 285-9781- AA BLDG PERMIT ISSUANCE 27.75
261 S. SAN GABRIEL AC STRONG MOTION REBID 2620.00 VAL 0.50 SPECIAL CONDITIONS:
SAN GABRIEL CA 91776 D2 PERMIT W/O EN-HC 2620.00 VAL 99.00
TOTAL FEES 127.25
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAN GABRIEL SASH & DOOR INC. (626) 285-9781-
261 S. SAN GABRIEL BLVD. LIC. NO LOCATION AND SETBACKS
SAN GABRIEL, CA 91776 726689/C17
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
147H269 3 01 1
FLOOR'SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT COND: STAT CLASS:
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR. PANELS
AIR QUALITY: 1000 FEET MATERIALS
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-
INTERIOR LATH DRYWALL
EXTERIOR LATH
RATED FLOOR CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
' 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 1411260065
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS:
ITR: 14572 LT: 22 I STRUCTURE: SQ. FT STORIES TYPE [ 9560 PENTLAND ST
V-B I TEMP CA 917803844
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: CLOVERLY J
18590-013-019 I I THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY CAI
ITENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY:
]EXIST OCC GRP: 111/26/14 SR
(OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: (FINAL DATE FIN CODE: 1
IHOLLEY ROBERT C;ANNE S (626) 287-0301- 1 2,440 I [
19560 PENTLAND ST I I I
ITEMP 917803844 1 FEES PAID ESCRI ONO WORK [
[ I ICHANGE OUT 4 WINDOWS
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:J I
(APPLICANT: TEL. NO: I I [
IREEVES, THOMAS (626) 285-9781- JAA BLDG PERMIT ISSUANCE 27.80 [
1261 S SAN GABRIEL BL JAB STATE GREEN BLDG FEE 2440.00 VAL 1.00 (SPECIAL CONDITIONS: I
SAN GABRIEL CA 91776 JAC STRONG MOTION RESID 2440.00 VAL 0.50
IDI PLANCHECK W/O EN-HC 2440.00 VAL 84.20
[ ID2 PERMIT W/0 EN-HC 2440.00 VAL 99.00 I I
CONTRACTOR: TEL. NO: I TOTAL FEES 212.50 ]APPROVALS DATE INSPECTOR SIGNATURE 1
ISAN GABRIEL SASH AND DOOR INC. (626) 285-9781- 1- I
1261 S SAN GABRIEL BLVD. LIC. NO ILOCATION AND SETBACKS 1 ]
SAN GABRIEL CA 91776 726689
SOILS ENGINEER APPROVAL I I
[ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I I
LIC. NO: I JSLAB/UNDER FLOOR [
IRAISED FLOOR FRAMING [ I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:J JUNDERFLOOR INSULATION I [
3 00
I IFLOOR SHEATHING I [
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I 1 1 I
[ NO 21 1 IROOF SHEATHING I I I
I I I J I I
1 SCHOOL WITHIN HAZARDOUS 1 (SHEAR PANELS 1 I
JAIR QUALITY: 1000 FEET MATERIALS 1 J
1 NO NO NO J IFRAME INSPECTION I I
I I
IFIRE SPRINKLER HANGERS ] I
J JINSULATION/WEATHER STRIPI I I
J I [INTERIOR LATH/DRYWALL I I [
[ [ [EXTERIOR LATH 1 I
[ [ IRATED FLOOR/CEIL ASSEM. [ I I
I IRATED WALL ASSEMBLIES 1 I I
RATED SHAFTS/OPENINGS I [
] IT-BAR CEILINGS I [ [
I I I I [ I
ILOT DRAINAGE I [
IREPORT ID: DPR261 ROUTE TO: BS0508 I [ [
I I I I [
` COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9610100113
PHONE: (818) 285-0488 EXT:
LEGAL ID: No. OF CONST BUILDING ADDRESS:
TR: 14572 LT: 22 SQ. FT STORIES TYPE 9560 PENTLAND ST
STRUCTURE: 0 V TEMP CA 917803844
ASSESSOR INFORMA,TION NUMBER: NEAREST CROSS STREET: CLOVERLY
8590-013-019 THOMAS PAGE: 596 GRID: A LOCALITY: TEMPLE CITY
TENANT: E IST B DG USE: RESID T-SS-00-0ir PROCESSED PIRES ON:
EXIST OCC GRP: 10/10/96 TC 10/10/97
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY• CODE:
HOLLEY ROBERT C;ANNE S - 1 2,800
9560 PENTLAND ST 10-31-10
TEMP 917803844 FEES PAID DESCRIPTION OF WORK
REMODEL BATHROOM
FEE DESCRIPTION: QUAN-I�-1�U0k AMOUNT:
APPLICANT: EL. 0: sn�� o
OAKRIDGE CONSTRUCTION CO. (818) 287-7244- AA BLDG PERMIT ISSUANCES 27.75
5842 ALESSANDRO AC STRONG MOTION-NSIb 280 00=VALE p0y50 SPECIAL CONDITIONS:
TEMPLE CITY, CA 62 PERMIT W/EN�ER�6Y� AL FEES_VA` 3'2
137 �2
CONTRACTOR: TEL. N0: / +�����. / APPROVALS DATE INSPECTOR SIGNATURE
OAKRIDGE CONSTRUCTION CO. (818) 287-7244-
5842 ALESSANDRO LIC. NOco -%;I;i it �;'OCATION AND SETBACKS
TEMPLE CITY, CA 91780 505643/6 —
e ••II /�,� SOILS ENGINEER APPROVAL
ARCHITEC OR ENGINEER: 0: C�611 ®L' t9 '� SII Il J�J FOUNDATIONPRE CT FO S
LIC. NO: I SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
147H269 3 01 @ 11
`® FLOOR S EAT I N
0. OF FAMILIES: DWELLING U S:TS: AP /GOND: STAT CLAS
NO 21 ROOF SHEATHING
SCHOOL WITHIN AZARDO S SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS STI
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER TANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
INTERIORLATH/DRYWALL
EXTERIOR LATH
RATED OOR C L ASSE .
RATED WALL ASSEMBLIES
RATED SHAFTS/0 E INGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
J
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS I ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0012200038
PHONE: (626) 285-0488 EXT:
LEGALNO. OF CONST BUILDING ADDRESS:
TR: 14572 LT: 22 SQ. FT STORIES TYPE 9560 PENTLAND ST
STRUCTURE: 0 VN TEMP CA 917803844
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: CLOVERLY
8590-013-019 THOMAS PAGE: 596 GRID: A LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED 0 : PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 12/20/00 UT 06/19/01
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FIN BY: CODE:
HOLLEY ROBERT C;ANNE S (626) 287-0859- 1 480
9560 PENTLAND ST '15 Q
TEMP 917803844 FEES PAID SC IP ION OF WOR
REMOVE LINE BATHROOM WINDOW AND REPLACE WITH NEW
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. 0:
HALL MARK & ASSO. (323) 666-4921- AA BLDG PERMIT ISSUANCE 27.75
764 N. HOOVER AC STRONG MOTION RESID 480.00 VAL 0.50 SPECIAL CONDITIONS:
LOS ANGELES, CA D2 PERMIT WO,EN-HC 480.00 VAL 43.65
TOTAL FEES 71.90
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
HALL MARK AND ASSOCIATES (323) 666-4921-
764 N. HOOVER LIC. NO LOCATION AND SETBACKS
LOS ANGELES, CA 766414 B
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TE . NO: FOUNDAT ON/TRENCH OR S
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FR ING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
147H269 3 .01
OF'COR SHEATHING
0. OF FAMILIES: DWELLING UNITS: PT/COND: STAT CL SS:
NO 21 ROOF SHEATHING
SCHOOL WITHIN A DOUS SHEAR Pf N LS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
EQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
I
RATED F OOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED ATSO G
T-BAR CEILINGS
LOT DRAWGE
REPORT ID: DPR261 ROUTE TO: BS0508
I