HomeMy Public PortalAbout9055 RANCHO REAL RD_Building_1959-10-05 IBA888A CE{80970-88 APPLICATION FOR BUILDING PERMIT ,.
COUNTY OF LOS ANGELES BUILDING
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DEPARTMENT OF COUNTY ENGINEER
BUMDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
v _ DISTRICT O. 'GROUP �rPE PR D
FOR APPLICANT TO FILL IN ;. I CONST.
IN1 �7 `�7 ( S'T'ATISTICAL SIFICATION
ADDRESS I EWE MAP
CLASS.NO' WELL.UNITS�1
LOT NO. BLOC HUMBERP O ` HWY.MAP
YES NO
TRA ! USE ZONE SPECIAL
NO.OF.BLDGS CONDITION
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�, SIZE I NOW.ON LOT !! •j
USE OF
EXISTING BLDG. - BUILDSE7BAIN A D HWY STREET NAME XIWID
OWNER A FRONT
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ClIB4 4C� IN 192 INSPECTION RECORD
v ARCHITE OR TEL. —
ENGINEER NO.
ADDRESS
TEL.
' CONTRACTO NO,
F ADDRESS
:. DESCRIPTION 9F WORK
NEW ADD ALTER REPAIR DEMOLISH
SQ.FT. NO.OF NO.OF
SIZE STORIE FAMILIES r
USE bF
STRUCTUR
SIGNATURE OF
APPLICANT APPROVALS DATE INSPECTOR'S SIGNATURE
ADDRESS 7 0 ZGJ� FOUNDATION:LOCATION
FORMS,MATERIALS
VALUATION$ FRAME:FIRESTOPS,•
BRACING,BOLTS
P C. PMT .+� FURNACE:LOCATION.
FEE I FEE' sc . I GAS VENT,DUCTS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH.INT.
PLICATION AND STATE THAT THE ABOVE 1S CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE, LAWS RULATING BUILD NG CONSTRUCTION. LATH,EXT. . _
SIGNATURE OF HOUSE NUMBER COR-
PERMITTE � RECT AND POSTED
ADDRESS FINAL 'L 'Sl (Jl /T✓.may'
O CLYDE N.DIRL'AM,PRINCIPAL STRUCTURAL EN R `
PLAN CHECK VALIDATION S PFJUW.. VALIDATION' CK. M.C. CASH
LiV;o 3 5 2 6 M OCT 5 1 .A 2.0 0 �'�.
DIVISION OF EOMDING AND SAFETY I L I N G
DeposI ent of County Engineer
• County of Los Angeles APPLICATION
WM. J. t'O COUNTY ENGINEER
SENSE
FOR APPLICANT TO FILL IN UL
ADDRESS DJ � /� N _ T O
BUILDING J � � � Ply��' yy� LOCALITY
ADDRESS N
NEAREST
LOCALITY �-�e CROSS ST. r
NEAREST
DISTRICT NO. PLAN CK.OR REM No. PERMIT O.
CROSS ST. tlyi�'r y --
OWNER k �j'62_4 8 4 RECEIVED DATE OF APPL. D TE ISSUED
MAIL ' l�i�W LeLS
ADDRESS CJI %�i USE ZONE NO. OF I TYPE GROUP FIRE ZONE
TEL.�y-� 6YJ� PLANE
CITY �� NO.
ARCHITECT OR r N . APPROVED VED BY-
ENGINEER
BUILDING 0
ADDRESS SETBACK LINE:.
TEL. APPROVED
CONTRACTOR RS-L :. NO. BYe <'d�/ �c� f � _
HO SE''NUMBERING I, r
ADDRESS r� �4rf IP
LEGAL MAP NUMBER c__ NO. ASSIGNED BY �• r .
DESCRIPTION LOT NO. BLOCK s
TRACT DATE I CORRECTIONSNO. OF SLOG
INSPECTOR J
..y� � / �
SIZE OF LOT ' I NOW ON LOT S.USE
EXISTING FA NG BLDG. L� S I AI G/� / I OF
FAMILIES O
DESCRIPTION OF WORE ///
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NEW ALTERATIONADDITION If _ —S'4/'jt/-a � ,JJ�/IL/f�• /' '-�5 ��";7��-}f,a
REPAIR DEMOLITION
SIZE ROOMS / STORIES }} tS IIaS �r•L�L. CL9 NA
EXT. WALL ROOF
COVERING FRAq'0 I COVERING G,.' 1 utbal 6x—
USE
CUSE OF STRUCTURE
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APPROV
INSPECTOR' SIGNATURE DATE
I. FOUNDATION: LOCATION
FORMS, MATERIALS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP-
FRAME: FIRE STOPS,
PLICATION AND STATE THAT THE INFORMATION GIVEN IB
CORRECT. BRACING, BOLTS
I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION,
AND STATE LAWS REGULATING SLULDING CONSTRUCTION. GAS VENT. DUCTS
SIGNATURE OFLATH, INT. ,�c9
PERMITTE
ADDRESS 9O V tt 'gN Gl'te'D z!e til— LATH, EXT.
AUTHORIZED AGT. PLASTER, INT.
G/
49 PLASTER, EXT.
P. c.#
FEE HOUSE NUMBER CORw
_ RECT AND POSTED
VALUE 101 FEE / FINAL
76A63SA DBS 3 2-88
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 0708140005
PHONE: (626) 285-0488 EXT:
I
LEGAL ID: I NO. OF CONST I BUILDING ADDRESS: I
TR: 11218 LT: 22 BL: B I SQ. FT STORIES TYPE I 9055 RANCHO REAL RD
(STRUCTURE: VN I TEMP CA 917803031 [
[ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: SULTANA
15388-002-023 1 1 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY, Cl
1 TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: [
EXIST OCC GRP: 108/14/07 SR 02/10/08
I I I [
OWNER: TEL. NO: [BLDGS. NOW ON LOT: VALUATION: F T FI CODE: [
CARRILLO, DOLLY (626) 614-0029- [ 500 1 -
19055 RANCHO REAL RD [ ��,`"`��� [
[TEMP 917803031 [ FEES PAID IDUSCRIPTION OF WORK [
I [SEAL UP DOOR NORTH WALL ON GARAGE SIDE & INTERIOR SIDE TO BEI
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:ICONVERTED INTO 3RD BEDROOM [
[APPLICANT: TEL. NO: I
[SAME AS OWNER - [AA BLDG PERMIT ISSUANCE 27.75 [
IIAC STRONG MOTION RESID 500.00 VAL 0.50 [SPECIAL CONDITIONS: [
1 AX BUILDING REVIEW FEE 54.70
[D2 PERMIT W/0 EN-HC 500.00 VAL 43.65
I I TOTAL FEES 126.60 [ [
[CONTRACTOR: TEL. NO: I [APPROVALS DATE INSPECTOR SIGNATURE [
1SAME AS OWNER -
LIC. NO [ [LOCATION AND SETBACKS I [ I
I I I I I I
I [ (SOILS ENGINEER APPROVAL I I 1
[ARCHITECT OR ENGINEER: TEL. NO: I [FOUNDATION/TRENCH FORMS I I [
[ LIC. NO: [ 1SLAB/UNDER FLOOR [ [ [
I 1 1RAISED FLOOR FRAMING [ [ 1
I I I I I I
[MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:[ (UNDERFLOOR INSULATION I I [
1147H265 3 Oil [ I I
I IFLOCR SHEATHING I [ [
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: [ I [ I
[ NO 21 I [ROOF SHEATHING [ [ I
I I I I I I
1 SCHOOL WITHIN HAZARDOUS [SHEAR PANELS 1
AIR QUALITY: 1000 FEET MATERIALS [ I I
NO NO NO [ IFRA49 INSPECTION I [
I
[REQUIRED TOTAL SETBACK FROM EXIST 1 1FIRE SPRINKLER HANGERS
ISET BACK YARD: HWY: PROP LINE: WIDTH: I I 1
IFRONT PL- I [INSULATION/WEATHER STRIP[ [
[ SIDE PL- [ I [
_I INTERIOR LATH/DRYWALL
[ (EXTERIOR LATH [ [
[ 1RATED FLOOR/CEIL ASSEM. I [ 1
[ [RATED WALL ASSEMBLIES [ [
I 1 1RATED SHAFTS/OPENINGS [
I
IT-BAR CEILINGS I I I 1
1 1 1LOT DRAINAGE 1 I 1
IREPORT ID: DPR261 ROUTE TO: BS0508
1 I I I 1 1
COUNTY OF LOS ANGELES ` TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT,OF PUBL;C WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1406020115
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS:
ITR: 11218 IT: 22 BL: B I SQ. FT STORIES TYPE I 9055 RANCHO REAL RD
ISTRUCTURE: V-B I TEMP CA 917803031
ASSESSOR INFORMATION NUMBER: 1 I NEAREST CROSS STREET: SULTANA I
15388-002-023 I 1 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY, Cl
I
(TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: I
1 1EXIST OCC GRP: 106/02/14 SR
I
OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: JFINATj DATE FIW BY: CODE: I
ICARRILLO, DOLLY (626) 614-0029- I 350 I I
9055 RANCHO REAL RD I I I
TEMP 917803031 I FEES PAID ID SCRIPTION OF WORK I
I I (DRYWALL IN KITCHEN AND DINNING ROOM I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:(
APPLICANT: TEL. NO: I I I
SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 1I
I IAB STATE GREEN BLDG FEE 350.00 VAL 1.00 ISPECIAL CONDITIONS:
I IAC STRONG MOTION RESID 350.00 VAL 0.50 I
I JB2 PERMIT W/ENERGY 350.00 VAL 48.10 I
I ,_IFR INV WORK W/O PERMIT 171.90 DOL 171.90 I I
ICONTRACTOR: TEL. NO: I TOTAL FEES 249.30 IAPPIOVALS DATE INSPECTOR SIGNATURE I
ISAME AS OWNER - I I-._ I
LIC. NO i ILOGATION AND SETBACKS
ISOILS ENGINEER APPROVAL I
(ARCHITECT OR ENGINEER: TEL. NO: I 1FOUNDATION/TRENCH FORMS I I I
I - I
1 LIC. NO: 1 (SLAB/UNDER FLOOR I I 1
(RAISED FLOOR FRAMING 1 I 1
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( 1UND-_RFLOOR INSULATION I I I
I147H265 3 COI 1- I I I
I IFLOOR SHEATHING I
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS. I I
1 NO 21 -1 IROOF SHEATHING I I
SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I
(AIR QUALITY: 1000 FEET MATERIALS
NO NO NO IFRAPlE INSPECTION
I _
IFIRE SPRINKLER HANGERS I 1 I
I (INSULATION/WEATHER STRIPI I I
.I INTERIOR LATH/DRYWALL I I I
I �
(EXTERIOR LATH I
1RATED FLOOR/CEIL ASSEM. I I I
I I IRATED WALL ASSEMBLIES I I I
I 1 IRATED SHAFTS/OPENINGS 1 1 1
I
I 1 IT-BAR CEILINGS I I 1
(LOT DRAINAGE I I
I I I
REPORT ID: DPR261 ROUTE TO: BS0508
�s
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAAD DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1406040023
PHONE: (626) 285-0488 EXT:
]LEGAL ID: I NO. OF CONST I BUILDING ADDRESS: 1
ITR: 11218 IT: 22 BL: B I SQ. FT STORIES TYPE 1 9055 RANCHO REAL RD ]
I ]STRUCTURE: V-B I TEMP CA 917803031 1
]ASSESSOR INFORMATION NUMBER: ] I NEAREST CROSS STREET: SULTANA
15388-002-023 1 I THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY, Cl
ITENANT: ]EXIST BLDG USE: REBID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: 1
] [EXIST OCC GRP: 106/04/14 SR
(OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FIVAL BY: CODE: 1
ICARRILLO, DOLLY (626) 614-0029- 1 5,000
19055 RANCHO REAL RD
ITEMP 917803031 I FEES PAID ID SCRIPT ON OF WORK I
I ] IKITCHEN REMODEL I
[FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:] I
[APPLICANT: TEL. NO: I I I
ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 1 1
[AB STATE GREEN BLDG FEE 5000.00 VAL 1.00 ISPECIAL CONDITIONS:
I IAC STRONG MOTION REBID 5000.00 VAL 0.50 I I
I JB2 PERMIT W/ENERGY 5000.00 VAL 145.90 ] I
I I TOTAL FEES 175.20 I I
(CONTRACTOR: TEL. NO: 1 ]APPROVALS DATE INSPECTOR SIGNATURE
[SAME AS OWNER - 1 I I
LIC. NO i [LOCATION AND SETBACKS
ISOILS ENGINEER APPROVAL I I I
ARCHITECT OR ENGINEER: TEL. NO: - 1 [FOUNDATION/TRENCH FORMS I I I
LIC. NO: 1 (SLAB/UNDER FLOOR I I [
[RAISED FLOOR FRAMING
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:] [UNDERFLOOR INSULATION I I ]
1147H265 3 001 1 [ 1 I
I I IFLOOR SHEATHING [ [ I
INO. OF FAMILIES: DWELLING UNITS: APT/CONDI STAT CLASS: I I I I I
NO 21 1 IROOF SHEATHING
I I I
SCHOOL WITHIN HAZARDOUS I [SHEAR PANELS I I I
]AIR QUALITY: 1000 FEET MATERIALS I I ] I
NO NO NO I IFRAME INSPECTION I I I
I I [FIRE SPRINKLER HANGERS I I I
NSULATION/WEATHER STRIP] I I
NTERIOR LATH/DRYWALL I I I
I I 1EXTERIOR LATH I 1 I
IRATED FLOOR/CELL ASSEM. I [ I
I 1 [RATED WALL ASSEMBLIES I I I
IRATED SHAFTS/OPENINGS
I I I I
1 1 1T-BAR CEILINGS I I I
[ I ILOT DRAINAGE I 1 I
1 ]REPORT ID: DPR261 ROUTE TO: BS0508 I I
I I I [ I I