HomeMy Public PortalAbout9116 RANCHO REAL RD_Building_1970-12-10 2G•A838A In. *803 4/70e--"�
APPLICATION FOR BUILD PERMIT" �
BOUNTY OF LOS ANGELES _ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING `
JOHN A. LA MBI E, COUNTY ENGINEER
ADDRESS /
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST �j j
Print ort a Dnl CROSS ST. t^oar W�- �oS� e�
BUILDING / DISTRICT N GR�JJ,P
JTYAP P O B
ADDRESS /fes O-n 0 ew/ 0 CONST.
STATISTICAL CLASSIFICATION SE MAP
LOT NO. BLOCK SI CLASS NO. �DWELL,UNITS BK PG�
TRACT pNO.OF S USE ZONE MANo.P J�/
SIZE OF LOT �( S NOW ON LOTpl SPECIALUSE OF G,�
EXISTING BLDG, eS` (�a Qi 1 CONDITIONS
TEL. p
OWNER V1 NO.JJ "U 6 940 BLDG.SETBACK FROM
ADDRESS Q FRONT PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY HIGHWAY WIDTH FROM C.L.
ARCHITECT ORn' TEL. +
N _
ENGINEER t\ e- NO.
BLDG.SET FROM
ADDRESS SIDE PROP.LIN F (STREET)
TEL. TYPE OF EXISTING SETBA HIGHWAY + YARD = TOTAL
CONTRACTOR NO. HIGHWAY WIDTH FROM C.L. }
LIC.
Ci
ADDRESS NO. I- I - CJ
CITY LIC. NO CORNER CUTOFF YESCONSTRUCT ❑ NO ❑ p
NAME AND BRANCHON SEE1. �i v
SEE REVERSE SIDE FOR SPECIAL APPROVALS a
` rA
Q. FT. STORIES FAMILIES NEW ❑ 1 517�a/'4 rCJ,..Gt./il Qj"tL
SIZE ! p1
USE OF ADD Jd i4.t"I.� _
�/ .. � �10,c
STRUCTURE Ira 0 tY% ''
a*
ALTER ❑ /� ,Cta iii /Ls'1ro /;10.iA�r�� �A_p��
REPAIR[] �v�
Lssa&
OF �� 7O
- ��f DEMO ❑
A �Q .Z7iT�
gppR wALS DATE •'INS PE OR'3 St TU RE
P.C. PMT. FOUNDATION. LOCATION
FEE S FEE$ r FORMS, MATERIALS )� (J1f�• iQ
FRAME: FI RE STOPS,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS -
AND STATE THA.k 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. Z
LABOR CODE OF THE STATE OF -CALIFORNIANIA IN RELATING TO
WORKMEN'S COMPE A`ION INSURANCE. LATH, EXT,
SIGNATURE OF , HOUSE NUMBER COR-OV ,
PERMITTEE RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M:O. CASH _ PERMIT VALIDATION KM.O. CASH
8 0 0 IR GSC10 1 D 12.0 0-
ti
WORKERS'COMPENSATION DECLARATION
i�,Y �f�f;ti.1 t�� tyre r certificate of consent to self APPLICATION FOR BUILDING PERMIT
ins.-re, of� certifir;to of Workers'Compensation Insurance,
or a certified coprtinereof(Sec. 3800, Lab. C.)
4 COUNTY OF LOS ANGELES BUILDING AND SAFETY
Py No. Company J
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING /
ADDRESS
❑ 1,6 4";�Aka
Certified copy is filed with the county building inspec- BUILDING
tion department. q� ADDRESSr
Date —`8 06 Applicant 'Ti�'Py CITY GCl:ryZIP LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST
COMPENSATION INSURANCE SIZE OF LOT PIS NOW ON LOT CROSS ST.
(This section need not be completed if the permit is for one ASSESSOR
hundred dollars ($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL
USE NE MAP
I certify that in the performance of the work for which this
OWNER J L Ma-�taD O.2SaS'SG 13 NO. >_
permit is issued, I shall not employ any person in any manner SPECIAL ° tL
so as to become subject to the Workers'Compensation Laws. ADDRESS CONDITIONS V
Date Applicant CITY s ZIP 0
NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. tt,� DISTRICT GROUP TYPE FIRE PRO SSED BY
ENGINEER A� E _�.� NO• 1� `�0 CONST. ZONE
Exemption, you should become subject to the Workers'
Compensation provisions of the Labor Code, you must forth- PA
ADDRESS COGS �,^L RO =LmONTE PA
with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. rNDO.
deemed revoked. CONTRACTOR NO. � /
LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. riDWELL UNITS
—
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP
(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 VALIDATION
SQ. FTq 2 p NO.OF NO.OF CHECK
PG
License Nu��m�ibeelr 4y4%q-; '{40 Lic.Class�(,� SIZE rya 6 STORIES FAMILIES t ONE NEW VALUATION / r7 4 51.6 A
Contractor6ULL S- LER Date �l DESCRIPTION OF WORK �d S ADD
D $ 342 Dom' # o o a o G 3
❑ I am exempt under Sec. '(4 p►e K a F F10UL`�£ _ ❑ ,
ALTER
B.BP.C. for this reason A m L R M Q E C REPAIR ❑ $ 1 ° 3 2 8 9 5
Date: USE OF
EXISTING BLDG. v1O�E DE OL ❑ 3
° ° „Z895�
Signature , + Q APPLICANT n TEL.
OWNER-BUILDER LARATION
(PRINT) C-iA�^E �� ILER NO.� /��nDATE FINAL l` 0 2 —8 6
I hereby affirm that I am exempt from the Contractor's License ADDRESS 3? W ELL.�Q'�',v`
Law for the following reason (Section 7031.5, Business and FIN
Professions Code): PRESENT By
BUILDING
❑ I, as owner of the property, or my employees with ADDRESS
wages as their sole compensation,will do the work and
the structure is not intended or offered for sale(Section LOCALITY ® fQ 6 �o '
7044, Business and Professions Code). MOVING TEL. [[[
❑ 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).
CONSTRUCTION LENDING AGENCY SREQUIRED
T BACK YARD HWY TOTAPROP. LINE ETBACK FRO 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. ZP 4 9 a.8 A
(Sec. 3097, Civ. C.). SIDE
CALIF. FEDERAL P.L.
Q Lender's Name C ¢¢ # o 0 0 0 0 1
Lender's Address ��a�
7 M l_E ('n P.C. Fee$ 3;2
�Os Permit Fee 3 �O LDMA Ref. # 001
1 o 3 9 7,5 0
I certify that I have read this application ah 0MI tat the Issuance Fee LDMA P/C# o 0 3 7.5 n c=t
above information is correct. I agree to comply with all County Investigation Fee
ordinances and State laws relating to building construction, Total Fee ( S-0 LDMA Perm.# 07. 02-86
and hereby authorize representatives of this County to enter
$ upon the above-mentioned property for inspection purposes.
A4-18-& SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Ajplicani 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 1207240069
PHONE- (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS:
ITR: 11218 LT: 8 BL: D I SQ. FT STORIES TYPE [ 9116 RANCHO REAL RD
ISTRUCTURE: V-B I TEMP CA 917803032
[ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: ROSEMEAD
15388-005-008 1 1 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY, Cl
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY:
1 1EXIST OCC GRP: 108/08/12 SR 1
(OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE: I
IGUNTHER JUDITH H (626) 285-5613- 1 10,000 I� I
19116 RANCHO REAL RD I I � Z I
ITEMP 917803032 I FEES PAID IDESCRIPTION OF WORK 1
IROOF MOUNTED PV-10 PANELS 2.03 KW 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[ I
[APPLICANT: TEL. NO: I I I
ICREPEAULT, TOM (714) 373-8545- JPl RES PV PC<IOKW 153.90 1 1
1 JAA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS: 1
I JAB STATE GREEN BLDG FEE 10000.00 VAL 1.00
[ JAC STRONG MOTION RESID 10000.00 VAL 1.00 1 O �\ 1
J JP2 INSPCT RES PV <10KW 138.00
CONTRACTOR: TEL. NO: I TOTAL FEES 321.70 APPROVALIDATE INSPECTOR SIGNATURE 1
]KILLION ENERGY INC (714) 373-8545- I I I
15261 CONNECTOR LANE LIC. NO J (LOCATION AND SETBACKS [ I I
]HUNTINGTON BEACH, CA 92649 971660 J I 1 I
I 1 ISOILS ENGINEER APPROVAL I I I
JARCHITECT OR ENGINEER: TEL. NO: [ IFgbNDATION/TRENCH FORMS IJ I
IMORALES, DOUGLAS M (714) 373-8545- I 1_ 1 1
1102 PINON TREE IN LIC. NO: 1 ISLAB/UNDER FLOOR I I 1
COSTA MESA CA 92627 NONE
I _1 1RAISED FLOOR FRAMING I 1 I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:[ JUNDERFLOOR INSULATION J I 1
1147H265 3 001 1 I
I I IFLOOR SHEATHING J I
[NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I I
1 0 NO 21 1 1ROOF SHEATHING I 1 1
J SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS [
JAIR QUALITY: 1000 FEET MATERIALS J I I
NO NO NO I jFR`AME INSPECTION I I
J I IFIRE SPRINKLER HANGERS
NSULATION/WEATHER STRIP) I
I [ NTERIOR LATH/DRYWALL I [ I
I 1EXTERIOR LATH I I I
IRATED FLOOR/CEIL ASSEM. I I I
1 1 IRATED WALL ASSEMBLIES I I [
iRATED SHAFTS/OPENINGS J
I 1 1T-BAR CEILINGS 1 I
J LOT DRAINAGE I 1
I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I
I I I I I I
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 1004150048
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: I
ITR: 11218 IT: 8 BL: D I SQ. FT STORIES TYPE 1 9116 RANCHO REAL RD I
ISTRUCTURE: V-B 1 TEMP CA 917803032 I
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: ROSEMEAD 1
15388-005-008 I I THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY, Cl
(TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 JISSUED ON: PROCESSED BY: 1
1EXIST OCC GRP: 104/15/10 SR 1
10WNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IFI AL DATE FI BY: CODE: 1
IGUNTHER JUDITH H - 1 3,000 1 to I
19116 RANCHO REAL RD I I I
ITEMP 917803032 1 FEES PAID 1Da CRI TION OF WORK I
I I DRY ROT REPAIR SIDING EVES, INSTALL 3 WINDOWS
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 I
[APPLICANT: TEL. NO: I 1 I
(DAVID MUNYER CONSTRUCTION (310) 612-0044- IAA BLDG PERMIT ISSUANCE 27.75 1 I
13124 W. ROSECRANS IAB STATE GREEN BLDG FEE 3000.00 VAL 1.00 ISPECIAL CONDITIONS: I
IHAWTHORNE, CA 90250 IAC STRONG MOTION RESID 3000.00 VAL 0.50
I ID2 PERMIT W/O EN-HC 3000.00 VAL 99.00 ` rn JL4
IFR INV WORK W/0 PERMIT257.00 DOL 257.00 1 , W �IV, •'� �� `�%f'�
CONTRACTOR: TEL. NO: I TOTAL FEES 385.25 (APPROVALS DATE INSPECTOR SIGNATURE
DAVID MUNYER CONSTRUCTION (310) 612-0044- 1 1- I
13124 W. ROSECRANS AVENUE #C LIC. NOM ILOCATION ASETBACKS [ I I
1HAWTHORNE, CA 90250 408277 B 1 [SOILS ENGINEER APPROVAL 1 I I
[ARCHITECT OR ENGINEER: TEL. NO: [ IFOUNDATION/TRENCH FORMS [ I I
LIC. NO: [ 1SLAB/UNDER FLOOR 1 1 I
1 1 O�- ('�—rO IRAISED FLOOR FRAMING I [ 1
I 1 t-jAkjo" , c 1 Wrol.. I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: (UNDERFLOOR INSULATION I I
I147H265 3 001
[ \l� `o of No, \cc--� l: I �-}-
1 FLOOR SHEATHING I 1 [
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLAS$: I I I I
I NO 21 1 IROOF SHEATHING I I I
I SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I I
(AIR QUALITY: 1000 FEET MATERIALS 1 I I I I
I NO NO NO 1 IFRAME INSPECTION I I I
1REQUIRED TOTAL SETBACK FROM EXIST 1FIRE SPRINKLER HANGERS 1 1 I
ISET BACK YARD: HWY: PROP LINE: WIDTH: 1 I I I
IFRONT PL- (INSULATION/WEATHER STRIPI I 1
1 SIDE PL- IINTERIOR LATH/DRYWALL 1-1 I I I
1 I 1EXTERIOR LATH 1 1
[ I IRATED FIAOR/CEIL ASSaM. 1 1
[ I IRATED WALL ASSEMBLIES [ [
IRATED SHAFTS/OPENINGS 1 I
I I IT-BAR
[ 1 [
I I ILOT DRAINAGE [
IREPORT ID: DPR261 ROUTE TO: BS0508 I I [
I I I I I I