HomeMy Public PortalAbout9069 RANCHO REAL RD_Building_1956-10-05 7858' .D@6.8
1-58' .OMS-3
APPLICATION FOR BUILDING PERMIT
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DIVISION OF BUILDING AND SAFETY —ADDRESS /�SS B 6+ L (p
Deportment of County Engineer
County of Los Angeles LOCALITY
JOHN A.LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. elA"
FOR APPLICANT TO FILL IN DISTRICT NO. I GROUP TOPE . SEWBK MAPPG
J/ CONST.
BUILDINGMAP STATE
� O
ADDRESS 77 CLLR NUMBER HWY YES
LOT NO. BLOCK _ USE ZONE COND TIIONS
TRACT �J Jj
v NO.OF BLDGS.
SIZE OF LOT ' NOW ON LOT BUILDING SETBACK YARD HWY 1TREET NAME WIDTH
USE OF '
EXISTING BLDG. FRONT
/ J a P.L.
CA
OWNER ! a SIDE
P.L.
MAIL
ADDRESS �(�®`7 O TRACT DWELL. I UNIT
L. 5 INDUSTRIAL
TE
CITY TE 4 I DWELL.2 J I UNIT
6 PUBLIC BLDG.
ARCHITECT ORT 2 DUPLEX 2 UNITS
ENGINEER e N � 0 7 ADDN..ALT.. ETC.
J�
/ 3 APT. UNITS
j7 'J} `� e- A L/Qr
ADDRESS 4 COMMERCIAL 8 MISCEL.
TEL. INSPECTION RECORD
CONTRACTOR NO.
ADDRESS
DESCRIPTION OF WORK
�WADD ALTER REPAIR DEMOLISH
NO. OF NO.OF
SIZE STORIES FAMILIES
USE OF STRUCTURE
SIGNATU E OF
APPLICANT APPROVALS
ADDRESS DATE INSP CTOR'S SIGNATURE
=copFi.
FOUNDATION:LOCATIONC. $ CFORMS.MATERIALS I FRAME: FIRE STOPS.VALUATIONBRACING.BOLTS
E FURNACE: LOCATION.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT.DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH.INT.
AND STATE LAWS REGULATI G BU LDIN CONSTRUC-
TION. LATH. EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE D�� RECT AND POSTED
ADDRESS `� e' ""�� � FINAL
JOHN A.LAMBIE.COUNTY ENGINEER ATION CLYDE N.DIRLAM, CHIEF BLDG. INSPECTOR
CK MO CASH
1 0 4 .& GGT 5 1 f 2.5-0 --m
_� Uw s 0 4 2 N OCT 5 . 1 1 0.0.0 �
76A988A DBS.B
If-58 APPLICATION FOR BUILDING PERMIT ],
DIVISION OF BUILDING AND SAFETY BUILDING-ADDRESS
UILDING �D
ADDRESS
Deportment of County Engineer c
County of-Los Angeles LOCALITY
JOHN A.LAMBIE. COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN, SUPT oP BUILDING CROSS ST.
FOR APPLICANT TO FILL IN
DISTRICT NO, GRI UP TYPE SEWBER MAP
PG
CONST,j'� .
BUILDNG MAP
ADD EISS NUM ER cLC/ STATE HWY YES O
LOT NO. BLOCK USE•ZONE SPECIAL
,U CONDITIONS
TRACT .
ff I NO.OF BLDG .
SIZE OF LOT LV/ NOW ON LOS. BUILDING YARD HWY STREET NAME EXIST.
SETBACK WIDTH
USE OF Q 6
EXISTING BLDG. FRONTP.L.
OWNER SIDE
MAIL P.L.
ADDRESS G ` O TRACT DWELL. 1 UNIT
�9 TEL
CITY NO. 7 DWI.LL,:?- 1 UNIT
6 PUBLIC BLDG.
ARCHITECT OR TEL. 2 DUPLEX 2 UNITS
ENGINEER NO. 7 ADDN.,ALT., ETC.
3 -APT. UNITS 8 MISCEL.
ADDRESS ,�I 4 COMMERCIAL
CONTRACTOR �� \NO.� ®, INSPECTION RECORD.
ADDRESS if
'DESCRIPTI N OF WORK
NEWS ADD ALTER REPAIR DEMOLISH
SQ.FT. NO. OF NO.OF
SIZE STORIES FAMILIES
USE OF STRUCTURE
SIGNATURE OF
APPLICANT r APPROVALS
ADDRESS 7 V, 7 DATE INSPECTOR'S SIGNATURE
$ FOUNDATION:LOCATION
P.C. S FORMS.MATERIALS IQ
/ FEE FRAME: FIRE STOPS, v
VALUATIONBRACING. BOLTS
FEE FURNACE: LOCATION,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT.DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT AA
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH.INT. 1
AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION. LATH. EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE " ` RECT AND POSTED
ADDRESS FINAL F/ rS
JOHN A.LAMBIE.COUNTY ENGINEER VAIMATIM CLYDE N.DI LA . CHIEF BLD G.1 TOR
CK MO -`bsyr
O.9 6 ON OCT 3 1 8.0 0 0
TEMPLE CITY
76A638A CE 0803 12/69
APPLICATION FOR BUILDING PERMIT fl
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK Pa EL
BUILDING AND SAFETY DIVISION BUILDINGC
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS -[q
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY &
1 CST
FOR APPLICANT TO FILL IN NEAREST lm� dl
Print or tvDe onl CROSS ST. it,
BUILDING
DISTRICT NO. I GROUP TYPE. .�✓IIL91 P ESSED BY
�� �- ;•
ADDRESS CONST`�{+E-s
-STATISTICAL CLASSIFICATION. SEWER MAP
LOT NO. BLOCK
CLASS NO.'OZ DWELL.UNITS� BK PG
TRACT USE ZONE MAP
NO.OF BLOGS. NO.
SIZE OF LOT NOW ON LOT SPECIAL
USE OF r� CONDITIONS
EXISTING BLDG.
TEL.
OWNER NO — BLD ETBACK FROM
ADDRESS 9069 Rancho Real Road FRONT OP.LINE OF (STREET)
TYPE OF EXI NG SETBACK HIGHWAY + YARD = TOTAL
CITY HIGHWAY WID FROM C.L.
ARCHITECT OR TEL. +
ENGINEER NO. BLDG.SETBACK FROM
ADDRESS SIDE PROP.LINE OF (STREET)
TYPE OF 11CONTRACTOR rd .L . RandoloL288-4040 HI HWAYEWDTIHG ROM CCL HI AY + YARD = TOTAL
ADDRESS 529 E . Valle B1dNO. 186086 = a
LIC. L
CITY CLASS — 9 CORNER CUTOFF YES ❑ NO ❑
CONSTRUCTION LENDER c
NAME AND BRANCH - SEE REVERSE SIDE FOR SPECIAL APP ALS Ll
Ll
n
ADDRESS a
SQ. FT. NO. OF NO. OF ❑ 2
SIZE STORIES FAMILIES NEW
USE OF ADD ❑
STRUCTURE Re—
LTER ❑
Gar. with F/G Com .
SIGNATURE OF REPAIR
APPLICANT DEMOL ❑
VALUATION $ 800 .00 i APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMTF E $ FEE'$ 12 .00 rOFORMS I MATERIALSION
FRAME: FIRSTOPS,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACINGE BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY 1 WILL NOT EMPLOY ANY PERSO}I IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSATI i NSURANC LATH, EXT.
SIGNATURE OF �' HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS 529 F V a 11 e t/ Ri y d �S a"! hN AL
i JOHN F. LEWIS. PRINCI A 6T C RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDA N CK. M.O. CASH
LA0 15 3 4 .04 I1PR 6 1 D G.Q 0
' •.WORKERS'COWIENSATION DECLARATION
► •�9 here4y•affirFRoahat I lhave a certificate of consent to self
insure, or a certificate of Workers'Compensation Insurance, APPLICATION F®R BUILDING PE IT
ora certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company BUILDING
FOR APPLICANT TO FILL IN
Certified copy is hereby furnished. ADDRESS KafrgA ,
Certified copy is filed with the county building inspec- BUILDING
tion department. ADDRESS Q Q
Date Applicant CITY VV ZIP LOCALITY C�
CERTIFICATE OF EXEMPTION FROM WORKERS' I P O.OF BLDGS. NEAREST /
COMPENSATION INSURANCE SIZE OF LOT rp /� O NOW ON LOT CROSS ST. t,C��
(This section need not be completed if the permit is for one �-A ASSESSOR
hundred dollars($100)or less.) TRACT Z BLOCK LOT NO. MAP BOOK PAGE PARCEL
TEL. oSj USE Z NE MAP
I certify that in the performance of the work for which this OWNER NO. / NO.
permit is issued, I shall not employ any person in any manner ADDRESS I SPECIAL
so as to become subject to the Workers'Compensation Laws. CONDITIONS V
Date �— Applicant )SP— W CITY ZIP
NOTICE TO APPLICANT: If, after making t i ertif!cote of ARCHITEtT OR TEL. DISTRICT I G UP TYPE FIRE P ESSED BY O
' �/` � CONST. / /
Exemption, you should become subject to the Workers' ENGINEER NO. (J .V/ ZO�E 17
Compensation provisions of the Labor Code, you must forth- ADDRESS
with comply with such provisions or this permit shall be
deemed revoked. TEL. STATISTICAL CLASSIFI TION APT. rNDO. U)CONTRACTOR NO.LICENSED CONTRACTORS DECLARATION LIC, CLASS NO. DWELL. UNITS �-
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP t
(commencing with Section 7000)of Division 3 of the Business and LIC.
Professions Code, and my license is in full force and effect. CITY CLASS BK PG VALIDATION
SQ.FT. i NO.OF ' NO.OF CHECK
License Number Lic.Class SIZE 6 STORIES FAMILIES ONE
VALUATTj�OId �
Contractor Date A DESCRIPTION OF WORK NEW ❑`". LrJ a/lO d
ADD $ _ �( (�
I am exempt under Sec. ! U VIP
ALTER Q�•
B.BP.C. for this reason REPAIR Q[, $ L 9 6 Q 5 A
Date: USE OF GG
EXISTING BLDG./ f W L # 0 0 0 0 0
Signature APPLICANT t91' TEL. FINAL
OWNER-BUILDER DECLARATION PRINT B e�lv NO. DAT ] - 23738
1 hereby affirm that I am exempt from the Contractor's License ADDRESS
Law for the following reason (Section 7031.5, Business and - F L
a.. .: 00237.3810:
Prpfessions Code): PR NT
lLdC1J BUILDING cc, , f1„/ o512-88 5 1 2 3 8 8
I, as owner of the property, or my employees with + ADDRESS ,.(�L?jjjLl.�� '
wages as their sole compensation,will do the work and Z-
7044,
1 ,
the structure is not intended or offered for sale(Section LOCALITY Vis. ✓/ /
7044, Business and Professions Code). ` MOVING TEL.
1, 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
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.
(Sec. 3097, Civ. C.). SIDE
P.L.
Lender's Name
u LDMA Ref. #P.C.Fee$ Permit Fee (O U Q
Lender's Address
I certify that I have read this application and state that the Issuance Fee 0, v LDMA P/C#
above information is correct. I agree to comply with all Count3y Investigation Fee 2
ordinances and State laws relating to building construction, Total Fee 7p3 LDMA Perm.#
and hereby authorize representatives of this County to enter
$ upon the above-mentioned property for inspection purposes.
n
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of A&Ifca t r Agent t'� Date
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 9611050033
PHONE: (818) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 11218 LT: 20 BL: B SQ. FT STORIES TYPE 9069 RANCHO REAL RD
STRUCTURE: 0 V TEMP CA 917803031
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
5388-002-020 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY
TENANT: EXIST B DG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 11/05/96 TC 11/05/97
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINALB CODE:
WONG KIM H;WING S (818) 286-4036- 1 3,400 l aa
9069 RANCHO REAL RD Z-G47
TEMP 917803031 FEES PAID DESCRIPTIO OF WOR
REMOVE/RECOVER WITH 20 YR. COMP. SHINGLE-& 3 NEW WINDOWS
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 3400.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN;W' ti rC- (3400:00 VAL 116.10
+ -TOTAL EES 144.35
CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NOv, LOCATION-AND-SETBACKS
� \IN a�� SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. N0: - s;'�¢ Y'/J OU DATION/TRENCH FORMS
\1 1
LIC. N0: //' { +I ► j`M i Q �;":.:�y1 �;1� SLAB/UNDER FLOOR
� I
`� - -S F---- ---�--�-i �,_I_�JI_I �•tip _ 1��
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: G y 'I L; I ! +� +�,`)Imo,, II :, `'�- 4+ UNDERFLOOR INSULATION
147H265 3 01 `r-_---L
NO. OF FAMILIES: DWEL I G UNITS: APT/GOND: STA CLASS: / M' / p
FLOOR SHEATHING
NO 21 �'�'� '�� ,� ,;' �� ;��. �` ,�:/A'
SCHOOL
ROOF SHEATHING
SCHOOL WIT IHAZARDOUSy SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS :6y+s9����• �� p; !"I ' %y�::i�'
NO NO NO a`o- ``':� _____Y'`- '� ' FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXISTl� F FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH: �d,�� _ n
FRONT PL- v'j tp 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 9071 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9608060011
PHONE: (818;'&51048 EXT: r S R
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
TR: 11218 LT: 20 BL: B SQ. FT STORIES TYPE OCCUP GROUP 9069 RANCHO REAL RD
STRUCTURE: 876 1 V R3 TEMP CA 917803031
ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: SULTANA
5388-002-020 OTHER: THOMAS PAGE: 596 GRID: H4 LOCAL
7Y: TEMPLE CITY
TENANT: EXIST BLDG USE: USE ZONE: TSSUED ON: PROCESSED BY: IRES 0
EXIST OCC GRP: 09/11/96 TC 0 /06/97
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
WONG KIM H;WING S (818) 286-4036- 1 64,800
9069 RANCHO REAL RD �Q`�j�
TEMP 917803031 FEES PAID DESCRIPTION OF WORK
NEW ADDITION AND ALTS ATION
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. O:
SAME AS OWNER - B1 PLANCHECK W/ENERGY 64800.00 VAL 885.52
AA BLDG PERMIT ISSUANCE , 27.75 SPECIAL CONDITIONS:
AC STRONG MOTION.RES.ID 64800,:QO VAL 6.48
B2 PERMIT W/ENERGY`+�L L__t-.800.00„VAL 1,041.81
-TOTAL FEES" 1,961.56
_` \ 9
CONTRACTOR: TEL. N0: i�- a APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER - i i --�� G �
LIC. NO �` �`�/� �.� \�w� s' LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
/, ._�- �= FOUNDATION TRENCH FORMS
ARCHITECT OR ENGINEER: TEL. NO: y /! �•.//�- -;'�•,•_ i _. � �+, - /
LIC. N0: SLAB/UNDER FLOOR
TVA
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: I i—'I' rI`%II " °1' �,-`j �,a j ? UNDERFLOOR INSULATION
3 01 - -- ------
- - ___7 IST LEVEL FLOOR SHEATH
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
NO 21 �. '�. / ;+ = , _- / /.f;� g-j_` NOEL FLOOR SH H
SCHOOL WITHIN HAZARDOUS �`4F4. .��. % �'' ' !!! iN� �,
�v ROOF SIIEA HIN
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO t�3_ • <:~~ �� � FIRE DEPT/FRAME INSPECT
REQUIRED TOTAL SETBACK FROM EXIST .�.� _ _�__ BLDG DEPT. FRAME INSPECTRL)y �
SET BACK YARD: HWY: PROP LINE: WIDTH: �:, �+ @r,,` �' 6 !!))
FRONT PL- vi SHEAR PANELS
SIDE PL-
INSULATION/WEATHER STRIP& - l
INTERIOR LATH/DRYWALL IZ 122
!�
EXTERIOR LATH
LOT DRAINAGE
SMOKE DETECTION DE ICES
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS0508