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Home My Public Portal About9584 PENTLAND ST_Building__ *bIVISION OF BUILDING AND SAFETY Department of County Engineer BUILDING County of Los Angeles 1 WM. J. FOX, COUNTY ENGINEER APPLICATION FOR APPLICANT TO FILL IN ADDRESS v BUILDING ��O � � / C ADDRESS O `j LOCALITY NEAREST. /777 /- LOCALITYC� CROSS STG v� - NEAREST / �.• DISTRICT NO. PUN CK.oR REC.No. PERMIT NO. CROSS ST. I I -7GJ 52/0 2/D / OWNER �� RECEIVED BY, DAT OF APPL. bATE 1SSU•E MAIL fr 3s y - ADDRESSZ ty� USE ZONENO. OF PE GROUP ^FIRE ZONIk TEL. ! PLANS CITY NO (G ILL ARCHITECT O / TEL. ZONING TED ENGINEER NO. APPROVED BY 'l F L BUILDING ✓ �• ADDRESS SETBACK LINE: TEL. /�++ APPROVED Sr•• A TM CONTRACTORVadO. Qi''�7 Bv: +IOUSE NUMBERING ADDRESS �.? / LEGAL MAP NUMBER ZnI4 NO. ASSIGNED BY•=`� DESCRIPTION LOT NO , BLOCK DATE CORRECTIONS I INSPECTOR TRACT �J NO. OF BLDGS SIZE OF LOT03,/��/Q/� NOW ON LOT - �V' USE OF NO. OFI L' EXISTING BLDG. - I FAMILIES C DESCRIPTION OF WORK n NEW ALTERATION ADDITION I --I A REPAIR DEMOLITION So. FT. ~` NO. OF SIZE ROOMS STORIES EXT. WALL ROOF COVERING I COVERING USE OF STRUCTURE 6 _ APPROVALS INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION FORMS, MATERIALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRAE:NG, BOLTS' CORRECT. I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, '! , AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS J r SIGNATURE OF / LATH, INT. r � PERMITTE �' 'v /-An LATH, EXT. ~ / ADDRESS PLASTER, INT. AUTHORIZED AGT. I� PLASTER, EXT. $ ._ / �oQ P,FEE C'$ _ HOUSE NUMBER COR- _ �" RECT AND POSTED VALUATI VN FEE $Z�' FINAL 76A898A D138 8 2-88 t Jr WORKERS'COMPENSATION.DECLAMATION firm -that I as f rtificate of -consent e'foWsCompensafoInsurance, APPLICATION FOR BUILDING P E tVI T- ; �' 6rcertificate ' or a certified.copy thereof(Sec. 3800, Lab. C.) �-'' • "• i COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy-No. Company_ \ 4 Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING 55^ ) ADDRESS `I ❑ Certified copy is filed with the county build' g inspe BUILDING43 tion department. ` ADDRESS ""t. � �L�1�; . Dafe.7 G7'0 Applicant G CITY �„ C�\� ZIP LOCALITY �iVl/l l.il CERTIFICATE OF EXEMPTION FROM WORKERS' ` y f' NO.OF BLDGS. NEAREST i COMPENSATION INSURANCE SIZE OF LOT (� �(/(J NOW ON LOT CROSS ST. \j l (This section need not be completed if the permit is for one TRACT 3 �. BLOCK LOT NO. j ASSESSOR hundred dollars($100)or less.) MAP BOOK PAGE PARCEL TEL. DO 11! USE ZONE MAP I certify that in the performance of the work for which this OWNER Ki. Ltd NO. s 7 JG 4-`t 2�Q /`pp NO.. permit is issued, I shall not employ any person in any manner ADDRESS �s'71G�T \.y^ SPECIAL so as to become subject to the Workers'Compensation Laws. CONDITIONS Date Applicant CITY ZIP NOTICE TO APPLICANT: If, ,after making this Certificate of ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY ENGINEER NO. CONST: ZONE Exemption, you. should become subject to the Workers' S� P-3 3 Compensation provisions of the Labor Code, you must forth- ADDRESS S � with comply with such provisions or this permit 'shall be �r ('0 `` TEL. �7[� ! t STATISTICAL CLASSIFICATION A CO deemed revoked.. CONTRACTOR lkllk t�l_t?tLS NO. ZL`'-In I>+�f LICENSED CONTRACTORS DECLARATION ro LIC• CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 26- Cj�y t• St, L: NO. (commencing with Section 7000)of Division 3 of the Business and LIC SEWER MAP P ofessions Code, and my license is in full force and effect. CITY V CLASS BK PG 9.� VALIDATION � / r�y r�C['7 I SQ. FT.` f NO.OF f NO.OF CHECK (/ License Number /t ` Lic.Class SIZE KJ� STORIES FAMILIES ONE U VALUATION n ``,, ti V V P1 i✓ `/r= W� , 1 c ' DESCRIPTION OF WORK Q NEW ❑ Q -1/�r� f�C..' d! Contractor �-- � Date ADD ❑ I am exempt under Sec. ! '' i is tv1- i7¢ �� ` ALTER r •.- ❑ r: W B.BP.C. for this reason REPAIR ❑ Date- EXISTING BLDG. '51%4 C \:C FA-AW S DEMOL ❑ _._::;..� Signature APPLICANT a j TEL V ,. FINAL " OWNER-BUILDER DECLARATION PRINT) \L r\9� 1 t Na. DATE x •-, ..g 85 I hereby affirm that I am exempt from the Contractor's License C , '— Law for the following reason (Section 7031.5, Business and ADDRESS - � L 1 �6 .,L: —11 \L �` �!''t° FINAL '�� - "}: ;`• f Professions Code): PRESENT BY ��ti .r _ ❑ BUILDING +iii'„t�j I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and - � `�y r• the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. __;••;—„_,. _ r ,, ❑ 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 CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH .I hereby affirm that there is a construction lending agency for FRONT �•- I the performance of the work for which this permit is issued P.L. 2� tF ��(Sec. 3097, Civ. C.). SIDEP.L. Lender's Name /s��y 2 LDMA Ref. #Lender's Address P.C. Fee$ C�f�- f360 I certify that I have read this application and state that the �� ' LDMA P/C# above information is correct. I agree to comply with all County Investigation Feer/,�,ordinances and State laws relating to building construction, VU� LDMA Perm. q and hereby authorize re resentatives of this County to enter upon the above�rneeriti n ro)y..for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE • C Signature of Applicant or Agent Dote , .. 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 0710120040 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: ITR: 19316 LT: 13 SQ. FT STORIES TYPE 9584 PENTLAND ST STRUCTURE: 21 VN TEMP CA 917803844 (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: 1 18590-013-005 I THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl (TENANT: 1EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: EXPIRES ON: I (EXIST OCC GRP: 10/12/07 SR 04/09/08 I 1OWNER: TEL. NO: 1BLDGS. NOW ON IAT: VALUATION: FINAL DAT FIN CODE: 1 IMILLER JOHN R;AUDREY L (626) 285-7304- I 5,700 0 ,. 19584 PENTLAND ST ITEMP 917803844 1 FEES PAID DESCRIPTION OF WORK I 1 1TEAR OFF EXISTING WOOD SHAKE ROOF, APPLY 40LB OVER EXISTING 1 FEE DESCRIPTION: QUANTITY: UOM: AM0UNT:IS0LID SHEATING INSTALL CLASS A TIMBERLINE 30 YR. SHINGLES 1 (APPLICANT: TEL. NO: I I ILANSFORD ROOFING (626) 390-3480- 1AA BLDG PERMIT ISSIIANCE 27.75 1 13535 LANDFAIR RD. 1AC STRONG MOTION RESID 5700.00 VAL 0.57 ISPECIAL CONDITIONS: 1 1PASADENA, CA 91102 ID2 PERMIT W/O EN-HC 5700.00 VAL 149.40 TOTAL FEES 177.72 ICONTRACTOR: TEL. NO: 1APPR0VALS DATE INSPECTOR SIGNATURE 1 ILANSFORD ROOFING (626) 390-3480- i 1 1 13535 LANDFAIR ROAD LIC. NO 1 ILOCATION AND SETBACKS I 1 I 1PASADENA CA 91107 775436C39 1 I I 1 ISOILS ENGINEER APPROVAL 1 1 I 1ARCHITECT OR ENGINEER: TEL. NO: I (FOUNDATION/TRENCH FORMS I I i LIC. NO: 1 (SLAB/UNDER FLOOR I I [ (RAISED FLOOR FRAMING I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I I I 1147H269 3 Oil 1 1-1 1 I I IFLOOR SHEATHING I I INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: 1 1 AI NO 21 1 IROOF SHEATHING I I 1 SCHOOL WITHIN HAZARDOUS 1 [SHEAR PANELS NJI I (AIR QUALITY: 1000 FEET MATERIALS I I I I 1 1 NO NO NO IFRAME INSPECTION � I I IREQUIRED TOTAL SETBACK FROM EXIST I (FIRE SPRINKLER HANGERS 1 I I ISET BACK YARD: HWY: PROP LINE: WIDTH: I I I I I IFRONT PL- 1 (INSULATION/WEATHER STRIP( I 1 1 SIDE PL- 1 1 1-1 1 I (INTERIOR LATH/DRYWALL 1 I 1 1 1EXTERI0R LATH I 1 1 1 (RATED FLOOR/CEIL ASSEM. I I I IRAT7D WALL ASSEMBLIES IRATED SHAFTS/OPENINGS 1T-BFR CEILINGS I I I ILOTIDRAINAGE I 1 1 IREPORT ID: DPR261 ROUTE TO: BS0508 I 1 [ I