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Home My Public Portal About9578 PENTLAND ST_Building__ ;..:aDMSION OF. BUMDING AND SAFETY =� Dei o I ent of County,Engineer I L . ING '4• — SCounty of Los Angeles - 1�T P WM. J. FOX, COUNTY ENGINEER ..APPLICATIOIIT FOR APPLICANT .TO FILL IN' ADDRESS :BUILDING ✓•� BUILDING ADDRESS LOCALITY r C/ �l / �' . NEAREST LOCALITY ,� � / _ 'CROSS ST. 7_7 C�+ !`�J �!✓'� ,- DISTRICT NO. PLAN CK.OR REO.No. PERMIT NO.' NEAREST //_ _ CROSS ST. / OWNER Sv" /REE�CEIVED/BY DIATE OF AvPL� DATE/ISSU�EEDD MAIL > ��)_� y -��I.G•`S •. r ADDRESS a USE ZONE• 7y0. OF • TYPE GROUP FIRE ZONE' TEL PLANS CITY-- - � NO. ARCHITECT O TEL. r� - ZONING DAi ENGINEER NO. APPROVED BYBUILDING ADDRESS •�'• _ SETBACK LINE: +r`4-4rh__ TEL. APPROVED Bv: CONTRACTOR NO. ADDRESS HOUSE NUMBERING ✓' LEGAL -MAPNUMBER � -�+' NO. ASSIGNED:BY �..+''` DESCRIPTION LOT NO. BLOCK axJ7� ' -� DATE I CORRECTIONS I. INSPECTOR ti TRACT // ! h r NO. OF BLDAl GS. ,/ �•- / U SIZE OF LOT -,e /67l NOW ON LOT '� �y QG✓� d /. 1'�- USE OF NO. OF -EXISTING BLDG. I FAMILGES I /N.t_ JCS CLL DESCRIPTION OF WORK D_ NEWLAIN , ADDITION % O . ATERTO ,Gdcu Gcc�i .rJa,�. I i -- REPAIR J J DEMOLITION /�I/ '�( 91 y C•. -� R SQ. FT 3 NO. OF ZE / / ROOMS. STORIES _ i(Jd7,.� _ EXT. WALLM. - ROOF COVERING I COVERIN - �_�P.� � f '��GCtir e�� I�•L.•, USE OF STRUCTURE f..• ! s: �••+• ,�� ///ter/y _� L/y<�L��_�•' i j�r�� ii��,i>`a •�• I, r r✓ — �O l� V APPROVALS' w INSPECTOR'S SIGNATURE' DATE FOUNDATION: LOCATION FORMS, MATERIALS ,�7/;,�'2=1'��t•;rrir :�"r':'�,,:• 1 HEREBY ACKNOWLEDGE THAT 1 HAVE-READ THIS AP--' r PLICATION AND STATE THAT THE INFORMATION GIVEN IS.: FRAME: FIRE STOPS, CORRECT. BRACING, BOLTS / ,,�: a•(� 1AGREE TO COMPLY WITH ALL COUNTY ORDINANCES.- FURNACE: LOCATION, rr(rar f 4'/ AND STATE LAWS R- TING-BUILDING CONSTRUCTION. GASVENT,,DUCTS SIGNATURE OR LO LATH, INT. �° cy�.g� PERMiTTE �y ,1 , LATH. EXT..' f/.-a1/•'J_.-:_/J_r �!l.3..r�s ADDRESS PLASTER. INT: 547 AUTHORIZED AGT. PLASTER. EXT. I " $•, P. C.S - OUSE _ s a FEE: HRECT AND'POSTEDR VALUATION FEE. FINAL .78AS88A DOSS 2-88 c WORKERS' gOMPEI'dWION*ZCLARATION s a �•hereby affirm that I have certificate of consent to self AP LIC®T I N F 6�� I N G PERMIT insure, or a certificate of Workers' Compensation Insurance, �® or a certified copy thereof(Sec. 3800, Lab. C.) y �� COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company dq 151�111 M_ ''BUILDING G� /-7 ZZ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS �.J �/1/ s Certified copy is filed with the county building inspec- BUILDING ems. tion department. ADDRESS CAS C DateSN�" Applicant \ ' CITY ZIP LOCALITY I LG NO.OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM W RKERS' SIZE OF LOT NOW ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) =c I 7EL• OWNER N USE ZONE MAP I certify that in the performance of the work for which this NO. permit is issued, I shall not employ any person in any manner ADDRESS SPECIAL CONDITIONS O so as to bbcome subject to the Workers'Compensation Laws. i U CITY ' ZIP Date Applicant ARCHITECT TEL. NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER O e DISTRIC�T/ OUP CONST.��' FIRE ZONE ROCESSED BY O Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- ADDRESS z; UUU u n with comply with such provisions or this permit shall be deemed revoked. CONTRACTOR NO TEL. STATISTICAL CLASSIFICATION AP1f CONDO. Z _ LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL.UNITS I hereby affirm that 1 am licensed under provisions of Chapter 9 :ADDRESS N SEWER MAP SW (commencing with Section 7000)of Division 3 of the Business LIC• ?' and Professions Code,and my license is in full force and effect. CITY CLASS %A , BK PG VALIDATION SQ. FT. J NO.OF NO.OF CHECK � License Number Q, Lic. Class�� SIZE LIQ 0 1 STORIES FAMILIES ONE C_�, c� VALUATION Contractor. � %( ®� Date\k�T DESCRIPTION OF WORK NEW ❑ $ 0 Elam exempt under ADD Sec. � /Y� ALTER ❑ :t BAP.C. for this reason $ USE OF REPAIR ❑ t,, Date: EXISTING BLDG. DEMOL ❑ Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION (PRINT) NO. DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS FINAL 1 Professions Code): PRESENT BY 1,k4 ACCTo0 ❑ 1, as owner of the property, or m employees with BUILDING P P Y� Y :�ADDRESS 1.110 1576.013 wages as their sole compensation,will do the work and �7 the structure is not intended or offered for sale(Section LOCALITY k� 7044, Business and Professions Code.) MOVING TEL 1 ITEMS ❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. -� TOTAL �.-_•�o 00 with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code.) CHECK 153°0[, r REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH CAC7E .1313 I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued PA. '(Sec. 3097, Civ. C.). SIDE Lenders NameW-5 90M 1 P.L. 0000-0001 11129189 •' LDMA,Ref.# 7116 1 AM 9:59 Lenders Address P.C. Fee$ Permit Fee � ' I certify that I have read this application and state that the Issuance Fee LDMA P/C# 100 above information is correct.I agree to comply with all County Investigation Fee - ordinances��pR-�Jting to building construction, Total Fee " LDMA Perm. # and y authorize re s nt 'ves of this County to enter n the o ove- rty for inspection purposes. o `�� ^ SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of p ant or Agent Date ' 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 0503290026 PHONE: (626) 285-0488 EXT: LEG D: NO. OF CONST LD G SS: TR: 19316 LT: 14 SQ. FT STORIES TYPE 9578 PENTLAND ST STRUCTURE: 23 VN TEMP CA 917803844 ASSESSOR FO B R: NEAREST CROSS STREET: 8590-013-006 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C TENANT: EXIST i G S - S PROCESSED . EXIST OCC GRP: 03/29/05 JK 03/24/06 OWNER: TEL. N - BLDGS. NOW 0 VALUATION: FI E FINALBY: YU ALICE (818) 787-0600- 6,000 95118 PENTLAND ST TEMP 917803844 FEES PAIDI IO OF WORK k.11, TEA OFF EXISTING SHAKE, INSTALL NEW PLYWOOD INSTALL NEW FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 30 YEARS COMPOSITION SHINGLES HOUSE AND GARAGE TE CONTRACTOR DIRECT INC. (818) 787-0600- AA BLDG PERMIT ISSUANCE 27.75 6308 WOODMAN AV #215 AC STRONG MOTION REBID 6000.00 VAL 0.60 SPECIAL CONDITIONS: VAN NUYS, CA 91401 D2 PERMIT W/O EN-HC 6000.00 VAL 149.40 TOTAL FEES 177.75 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE CONTRACTOR DIRECT (818) 787-0600- 6308 WOODMAN AVENUE LIC. NO LOCATION AND SETBACKS SUITE# 215 835692 B VAN NUYS, CA 91401 SOILS ENGINEER APPROVAL ARCHITECT OR G 0: 0 O T E C OR S LIC. NO: SLAB/UNDER FLOOR RAISED-FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 147H269 3 01 0. 0 IES: DWELLING ITS: P /COND: S CLASS: FL R S EA I G NO 21 ROOF SHEArffING SCHOOL A D S SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACKFROM IST- FIRE SPRINKLER-WOURTS SET BACK YARD: HUY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- i INTERIORLATH/DRYWALL EXTERIOR LATH RATED 00 ASSEM. RATED WALL ASSEMBLIES RATED SHAFTSTUPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 I i