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HomeMy Public PortalAbout9100 RANCHO REAL RD_Building_1973-01-16 ` A638A CEWO3 i/7k APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR L' DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING ' ./ ADDRESS COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST Print or tvDe onl CROSS ST. 640"P4 BUILDING J, n'1' • LyT L 7d DISTRICT_5- NO. GROUP coNST• PROCESSED 4 ADDRESSq/,90 � + V STATISTICAL CLASSIFICATION SEWER MAP LOT NO. BLOCK ..��tt CLASS NO.O��-DWELL.UNITS BK M PG TRACT USE ZONE MAP NO.OF BLDGS. NO. -2 [O SIZE OF LOT 62, j NOW ON LOT p/cj f� ff_ SPECIAL USE OF 1L� CONDITIONS EXISTING BLDG. V at7 9 OWNER IC 1� ('E�y TEL BLDG.SETBACK FROM g� �� ADDRESS � J ,�,��..� -� �- FRONT PROP.LINE OF .ICS A3 (STREET) TYPE OF r EXISTING DTHFROMC.L. SETBACK HIGHWAY •F YARD = TOTAL CITY ti t! t"• r'i•'; HIGHWAYWry �7 1 ENG NARCHIEER•%OR Com' -LINE�L s NOL,L jJ F = G.�� BLDG.SETBACK FROM ADDRESS /j S p . /((./��� (''iii SIDE PROP.LINE OF (STREET) } TEL.' ,. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL � CONTRACTOR 4."%1�:� NO. HIGHWAY WIDTH FROM C.L. C� ADDRESS NO + - CD LIC. 1•" CITY CLASS CORNER CUTOFF YES F1 NO ❑ W CONSTRUCTION LENDER Vj NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS z i. ADDRESS / �;1�.i�{, USE 0 SQ. FT.J S0 �O. OF NO. OF �7 I. ` f ^� .rryf)n '-j-, SIZE ' • " FAMILIES j NEW 22 , AD 6117�F t STR CTURQZ00 0'2 ADTER ❑ •JI-A1673 SIGNATURE OREPAIR❑ APPLICANT / �(�-•J. DEMO ❑ f ./� �dC. O c(x alc VALUATION Sage O©0 � 3� OQ©1 APPROVALS ADATE IN9 PjE CTOR'S SIGNATURE P.C. i FOUNDATION: LOCATION FEE 3 f� 1ao,Z0 FEE-$ FORMS, MATERIALS / �`� FRAME: FIRE STOPS, J I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS /�� AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, 2 I WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT, LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURA E. /���I/j�,,J LATH, EXT. SIGNATURE OF `Y/r'ti/u/ �Yr�OLe HOUSE NUMBER COR- PERMITTEE RECT AND POSTED � �3 ADDRESS Z FINAL WX 1-7 JOHN F. LEWIS. PRI CI l!L ST URAL ENGINEER PLAN CHECK VALIDATION cK. M.O. CASH _ PERMIT VALI , ION CK. M.O. CASH �1G0 rl ? 3 rN.) DcG 18 2 3 0620 II, ,o 0 5 9 0 \ JAN 16 2 ,D,1— 25,20-17 I +,• 099 , J-916 1D219.00 n '76A638t,.eE #803 4%72 - �' APPLICATION FOR BUILDING PERMIT 4 r u COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE P L BUILDING AND SAFETY DIVISION BUILDING MAKE CHECKS PAYABLE TO: ' ADDRESS dO HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN NEAREST (Print or tvoe onl CROSS ST. PEXISTING DISTRICT NdO. GROUP YPE PR ESS B 90 L kda �i0 O NST STATISTICAL CLASSIFICATION SEWER MAP — BLOCK CLASS NO.�DWELL.UNITS BK Pi U ONE MAP Y / NO.OF BLDGS. NO. f 62- ( NOW ON LOT SPECIAL CONDITIONS DG, n OWNER N � eC NOLTE . Q� SETBACK ADDRESS FRONT PROP.LI OM (STREET) � S�.Q'`QL`� S � n TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY S,C HIGHWAY WIDTH FROM C.L. ARCHITECT OR TEL. wz O { �� _ ENGINEER NO, BLDG,SETBACK FROM } ADDRESS SIDE PROP.LINE OF (STREET) CC7 TEL. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CONTRACTOR NO. HIGHWAY WIDTH FROM C.L. C LIC. v ADDRESS NO, + = W LIC. 4 CITY CLASS CORNER CUTOFF YES ❑ NO ❑ Z CONSTRUCTION LENDER NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS SQ. FT. NO. OF NO. OF NEW SIZE STORIES FAMILIES USE OF ADD ❑ �- STRUCTURE ALTER ❑ AAA(z SIGNATURE OF REPAIR[] APPLICANT DEMOL ❑ VALUATION$ .Q d APPROVALS TE INSP TOR'8 SIGN TU RE P.C. PMT. /r FOUNDATION: LOCATION FEE$ FEE$ rV FORMS, MATERIALS . FRAME FIRE STOPS, d I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING 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 I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATIO INSURANCE. a LATH, EXT. Al A SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS /0/FINAL 1 17 3 PLAN CHECK VALIDATION CK. M.O. CASH _ PE T VALIDATION •cK- M.O. CASH I Ar r, C 6 2 073 AP 17 1 D 15- .0.0- c APPLICAT10FORBL . DING PERMIT FOR APPLICANT ATO FILL IN (Print or ryPe only) BUILDING BUILDING ADDRESS ADDRESS O d CITY7_4/�dA • ZIP // ^�,/ NO.OF BLDGS. LOCA LI Y SIZE OF LO I�o�•X NOW ON LOT NEAREST CROSS ST. TRACT//2�� BLOCK LOT NO ASSESSOR MAP BOOK PAGE PARCEL OWNER. a NOL DISTRICT GROUP TYPE FIRE P ESSED BY ^ice CONST. ZONE ADDRESS /OO ` `� O �� ER M CITY ZIP STATISTICAL CLASSIFICATIONCLASS NO.�DWELL.UNITS /' 4BaG ARCHITECT &R TEL. ENGINEER NO. ZONE - NO. ADDRESS 1 �� SPECIAL TEL. CON DI TI ONS CONTRACTOR NO LIC. RO D DEPARTMENT APPROVAL REQUIRED YES❑ NO.[] ADDRESS NO• BL G.SETBACK FROM CITY 'LIC. FR NT PROP,LINE OF (STREET) CLASS `` TOTAL' SETBACK FROM TYPE OF EXISTING CONSTRUCTION LENDER HIGH _aY t YARD - HIGHwaY WIDTH NAME AND BRANCH FRONT PROP. LINE ADDRESS CITY aq SQ. FT. NO. OF NO. OF / CHECK BLDG.SETBACK FROM SIZE �� STORIES FAMILIES ONE SIDE PROP.LINE OF (STREET) v DESCRIPTION OF WORK NEW ❑ HIGHWAY t YARD = TOTAL SETBACK FROM OFEXISTING CD - SIDE PROP. LINE HIG Y WIDTH ADD Lu 't - �- L'TER'❑ Z REPAIR❑ CORNER CUTOFF YES ❑ NO ❑ USE OF ' EXISTING BLDG, DEMOL•❑ IN OPEN SPACE YES ❑. - NO ❑ _ - APPLICANT TEL IN COASTAL ZONE YES ❑ NO ❑ (PRINT)' NO. CATEGORICAL EXEMPTION YES❑ NO ❑ BY (SIGNATURE) � ENVIRONMENTAL IMPACT EXEMPTION DECLARATION SIGNED (DATE) VALUATION$ �^ IMPACT REPORT PROCESSED (DATE) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS' REGULATING BUILDING CON- STRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RE TING TO WORKMEN'S CO MPE NSA ION I SUR' CE. / SIGNATURE OF ��, .`q�{J FINAL B-Y y� PERMITTEE. DATE •�,r ADDRESS P.C. C PMT.4 FEE $ FEE P TEL. CITY G� � � / NO. . PLAN CHE ALIDATION CK. M.O. CASH PERMIT VALIDATION C% M.O. CASH 8 5: 7'c"�'fEB 19. .:1. D 0 0 ®fit, 76A638B CENS03A 5/73 •• / WORKERS' COMPENSATION DECLARATION hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers' Compensation Insurance, or a certified ��copy /`thereof(Sec. 3800, Lab. C.) Jam. COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy NrleDW-eM '�D 1 ompany �"'d O BUILDING ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with the county building inspec- BUILDING � L O nn tion department. / �-� D, c •�y ADDRESS Ci&fU ►V._ GMAC Date—O--� Applicant-�/"� °"",�"��� ' CITY r ZIP LOCALITY O. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' [ADDRESS OF LOT NOW ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if The permit is for one E BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) �n TEL USE ZONE MAP ER 1'`A4ac NO. NO. I certify that in the performance of the work for which this r/ permit is issued, shall not employ any person in any manner i,(� 0 -c��.p SPECIAL /,� ® d CONDITIONS G�� O so as to become subject to the Workers'Compensation Laws. �7 U ` ZIPDate Applicant ITECT OR TEL. tYNOTICE TO APPLICANT: If, after making this Certificate of NEER NO. DIS7RICi GROUP OPE ZONEPROCESSED BY O Exemption, you should become subject to the Workers'Compensation provisions of the Labor Code, you must forth- ESS ems' O i'C a with comply with such provisions or this permit shall be TEL• p STATISTICAL CLASSIFICATION APT. CONDO. to deemed revoked. CONTRACTOR �M� NO. 9C+ &�a CLASS NO. DWELL. UNITS_ NI7S Z LICENSED CONTRACTORS DECLARATION ADDRESS �oZ�S � !F" NO. �( I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business LIC. and Professions Code,andel my license is in full force and effect. CITY CLASS el 3 9 BK PG VALIDATION License Number SSS-?i7 Lic. Class C 3 IecSIZE S ORIIEES FAMILLIIES ONEK VALUATION Contractor Date DESCRIPTION OF WORK r J2-0494-- NEW $j� Of ❑1 am exempt under Sec. yy cox ADD ❑ ► ALTER ❑ B.BP.C. for this reason C �K�A� REPAIR ❑ $ USE OF —�- ,.. Date: EXISTING BLDGJ���� DEMOL ❑ F + Signature APPLICANTy TEL. FINAL OWNER-BUILDER DECLARATION (PRINT) ��' < 4 NO.. / V L 1 hereby affirm that I am exempt from the Contractor's License /^1,n, ���-�_ /�� DATE Law for the following reason (Section 7031.5, Business and ADDRESS 16b�'1�"v/'• � FINAL Professions Code): PRESENT By ❑ I, as owner of the property, or m employees with BUILDING ACCT.P P Y. YADDRESS � wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY1003 7044, Business and Professions Code.) MOVING TEL. '�'�� ��a1 ❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. 1 ITEMS with licensed contractors to construct the project (Sec- ADDRESS .�TOTAL , '�' �" tion 7044, Business and Professions Code.) o e REQUIRED YARD HWY TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH CHECK 326,85 1 hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. CHANGE .00 (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name 'LDMA Ref. # 0000"0001 6/ 3/96 Lender's Address P.C. Fee$ Permit Fee •7 6722e I certify that I have read this application and state that the Issuance Fee • LDMA P/C# 1 AM 43 above information is correct. I agree to comply with all County Investigation Fee p ordinances and State laws relating to building construction, Total Fee %.Oa •®� LDMA Perm. # and hereby authorize representatives of this County to enter ? upon the above-m tioned roperty for inspection purposes. �b SEE REVERSE FOR EXPLANATORY LANGUAGE Si nature o icant or Agent Oate • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS NEW RESIDENTIAL BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0608280048 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 11218 LT: 6 BL: D SQ. FT STORIES TYPE OCCUR GROUP 9100 RANCHO REAL RD STRUCTURE: 640 1 VN R3 TEMP CA 917803032 ASSESSOR INFORMATION NUMBER: GARAGE: 441 1 VN U1 NEAREST CROSS STREET: ROSEMEAD 5388-005-006 OTHER: 260 1 VN U1 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY, C TENANT: USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: 12/05/06 JK 11/30/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: F AT FI CODE: MACCHIA MICHELE;ANTONETTA (626) 286-5770- 90,190 9100 RANCHO REAL RD TEMP 917803032 FEES PAID DVSCIMTXOII OF WORK NEW GUEST HOUSE 1BR/lBA N/ATTACHCAR GARAGE COVER PATIO FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 260 S.F. AND FRONT PORCH 160 &.F. APPLICANT: TEL. NO: TORRES (323) 447-1390- B1 PLANCHECK W/ENERGY 90190.00 VAL 1,128.30 AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: AC STRONG MOTION REBID 90190.00 VAL 9.02 B2 PERMIT W/ENERGY 90190.00 VAL 1,327.43 TOTAL FEES 2,492.50 CONTRACTOR: TEL. NO: APPROVALS- DATE INSPECTOR SIGNATURE MACCHIA, MICHELLE (626) 286-5770- 9100 RANCHO REAL ROAD LIC. NO LOCATION.-AND SETBACKS TEMPLE CITY, CA 91780 NONE 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 147H265 M 56 3 01' IST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 01 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS ��• NO NO NO FIRE DEPT. FRAME INSPECT ti REQUIRED TOTAL SETBACK FROM EXIST BLDG-DEPT. FRAME INSPECT y SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS SIDE PL- rn ' -a INSULATION/WEATHER STRIP a Y�� . �l INTRYWAL V" to ✓✓WW ERIIOR LAT D' EXTERIOR LATH LOT DRAINAGE SMOKE:DETECTION DEVICES FIRE DEPARTMENT APPROVAL t REPORT ID: DPR261 ROUTE TO: B80508