HomeMy Public PortalAbout4835 ROBINHOOD AVE_Building__ APPLICATION 18A63"''CE#808 11-87
FOR BUILDING P� /[t`I'� � 1'
COUNTY OF. LOS ANGELES BUILDING 3t
. 'DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRI O. GR TYPE SEWER MAP
FOR APPLICANT TO FILL IN . .� I CONST
BUILDING STATISTICAL SSIFICATION I
ADDRESS
CLASS.NO. - DWELL.UNIT
L07 NO.; BLOCK MAP ��}! HWY.
YES �NO�
D NUMBER r
TRACT US ZONE SPECIAL
NO.OF BLDG$. :� CONDITIONS. '
SIZE OF LOT NOW ON LOT
USE'.OF
-EXISTING BLDG. B0ILDING 'YAR'D HWY STREE7NA 1ST'
.� SETBACK WIDTH
OWNER- - 'd Al FRONT � �) B
MAIL P.L: V
ADDRESS SIDE
TEL. P.L.
CITY .tL -'h ✓a. NO INSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO.
_ _ � •'� _ ' •a7C'a\ori? 6�t•_ f?� �'�:� 4'1 bi
ADDRE - _
CON&M�Jy TEL
��7� NO L�
ADDRES OY Vffev,rv
D CRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SQ.FT. NO.OF NO.OF
SIZE STORIES FAMILIES
USE OF STRUCTURE
C8 + z sr•x'ft
SIGNATURE O00, APPROVALS
APPLICANT
6.
ADDRESS A ,pe FDATE INSPECTOR'S SIGNATURE. '
FOUNDATION: LOCATION
FORMS,MATERIALS
P.C. S = - FRAME: FIRE STOPS.
/4 O/p1/P� FEE S BRACING,BOLTS
VALUATION VV F/ FURNACE: LOCATION,
FEE l GAS VENT.DUCTS �'/.•.7 7i /�/GilnnJl�/.liri�.
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH,INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO CO Y ITB ALL COU ORDINANCES AND
STATE LAW
A R EATING UI 1 NSTRUCTION. LATH,EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTE RECT AND POSTED
• � r�
'ADDRES FINAL r�/%:"ti/`)rC=a��! c1► c.r-�.,,1,
CLYDE N.DIRLAM, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION rcic M.O. CASH PE IMT VALIDATION c M.o. CASH
77.4 "MAY 27 1 6 A 21 .7-5 -9 OF
.tea: a s 2 1 A ,4 3.5 0 M
�"
a5 761638( , -. n
CE/608(REV.6/78) � 1L111S
APPLICATION FOR. BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY-
.
IV
FOR APPLICANT TO.FILL IN.- Ago Ess' n
BUILDING
ADDRESS LOCALITY
NEAREST
CITYe W3 P, ZIP CROSS ST. asy�
OF BLDGS. ASSESSOR
SIZE OF,LOT N W ON LOT MAP BOOK PAGE PARCEL
DISTRICT' GROUP TYPEFIRE PROC ED BY
TRACT BLOCK LOT N _aS C ST. E
TEL. J• 7 '
OWNER NO,
STATISTICAL CLASSIFICATION E17\rP
ADDRESS CLASS NO. DWELL.UNITS_j BK PG
CITY ZIP .
ARCHITECT OR TEL.NO. VALUATION
ENGINEER
ADDRESS BLDG.SETBACK FROM
TE. FRONT PROP.LINE OF ISTREETI
CONTRALTO N HIGHWAY,.+ YARD TOTAL SETBACK FROM TYPE OF EXISTING
LIC,r - .: FRONT PROP,LINE HIGHWAY WIDTH
ADDRESS NO. _
LIC. +
CITY CLASS
CONS ULTION L BLDG.SETBACK FROM
NAME AND BRANCH SIDE'PROP,LINE OF (STREET)
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
ADDRESS CITY .-• SIDE PROP,LINE HIGHWAY WIDTH
Q. NO.OF NO.OF . CHECK + _
SIZE STORIES FAMILIES ONE
DESCRIPTION OF WORK NEW P.C.Fee$ J�� v - ' Permit Fee V �'
/ E4lf
ADD Issuance Fee
/- ^ ALTER." ❑
d• REPAIR ❑ Total Fee
USE OF
DEMOL ❑ ��
EXISTING BLDG. (;'' • Z
APPLICANT TEL Q •=' j'
')PRINT)cn NO. C SGL.
o
BY(SIGNATU 1 '
I HEREBY ACKNOWLED I HAVE READ THIS APPLICATION AND STATE V
THAT THE ABOVE IS CORR D AGREE TO COMPLY WITH AWORDINANCES W
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE V R C 7 `�....7 r!
WORK AUTHORIZED HEREBY')WILVNOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABO CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- Z
PENSATIO SURANCE. - g t'; � 2 A -
SIGNAT O t _ ?k o v u o j
PERMITTEE '
ADDRESSZ 7 0 0
TEL. O '7,
CITYNO. Q
USE ZONE NO. .. o •; 0 i 1 ! 7 c
(7 SPECIAL / r-
CONDITIONS. ,M1. f.� d•
FINAL BY Y
DATE
i
WORKERS'COMPENSATION DECLARATION
hereby affirm that I have certificate of consent to self APPLICATION F®R BUILDING P E RAN I T cU
insure, or a certificate of Workers'Compensation Insurance,
or a certified copy thereof(Sec. 3800, Lab. C.)
COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company
❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING 8_3 0
ADDRESS
® Certified copy is filed with the county building inspec- BUILDING �3
tion department. ADDRESS
r
Date O Applicant CITY ZIP LOCALITY
CERTI ICATE OF EXEMPTIO FROM ORKERS' NO.OF BLDGS. NEAREST
COMPENSATION SURANCE SIZE OF LOT 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
r TEL. US
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 SPECIAL
%a as to become subject to the Workers'Compensation Laws. ADDRESS CONDITIONS
CITY ZIP
Date Applicant '
NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PRO4 ED BY
ENGINEER NO• �j CONST. ZONE
Exemption, you should become subject to the Workers' �"ab Q_�
Compensation provisions of the Labor Code, you must forth- ADDRESS ��JJ tL b kIL
with comply with such provisions or this permit shall beTEL. STATISTICAL CLASSIFICATION APT. CO
deemed revoked. CONTRACTOR r NO. I)Q66
LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. Z J DWELL.UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS O/6 NO. .Z 1'7
(commencing with Section 7000)of Division 3 of the Business and LIC SEWER MAP
Professions Code, and my license is in full force and effect. CITY CLASS BK PG VALIDATION
SQ.FT. NO.OF NO.OF CHECK
License Number '�'�3� Lic.Class C- 32 SIZE STORIES FAMILIES ONE
VALUATION
J� s DESCRIPTION OF WORK NEW $ 1439 A
Contractoi/J✓ � Date
ADD
❑I am exempt under Sec. ALTER # 0 0 0 0 0 1
~ ❑�
B.&P.C. for this reason REPAIR ❑ $
Date: USE OF DEMOL ❑ ° 1 0 6 1 3
EXISTING BLDG.
Signatur� ; APPLICANT TEL. FINAL / f ° 010613'
NER- ILDER DECLARATION PRINT NO. DATE
1 hereby affi that I am exempt from the Contractor's License01.30-85
Law for the following reason (Section 7031.5, Business and ADDRESS FIN
Professions Code): PRESENT BY
❑ e 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
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 SEET BACK YARD HWY TOTAL
LINEFRO WIDTA
I hereby affirm that there is a construction lending agency for tInvestigation
the performance of the work for which this permit is issued
(Sec. 3097,Civ. C.).
'o
Q Lender's Name LDMA Ref. #
aPermit Fee
Lender's Address
$ I certify that I have read this application and state that the Issuance Fee L! LDMA P/C#
above information is correct. I agree to comply with all County ee
a ordinances and State laws relating to building construction, Total Fee 3 LDMA Perm. #
and hereby authorize representatives of this County to enter
upon the above-mentioned property for inspection purposes. \�
a • .
o r 30 sS SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant or Agent Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1311180067
PHONE: (626) 285-0488 EXT:
ILEGAL ID: NO. OF CONST NEW I BUILDING ADDRESS: I
ITR: 19043 LT: 28 SQ. FT STORIES TYPE OCCUP GROUPI 4835 ROBINHOOD AV I
1STRUCTURE: 1530 1 V-B R-3 I TEMP CA 917804029 I
(ASSESSOR INFORMATION NUMBER: I GARAGE: I NEAREST CROSS STREET:
18585-009-010 I OTHER: I THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY CAI
I
(TENANT: (EXIST BLDG USE: RESID ISSUED ON: PROCESSED BY:
[ +EXIST OCC GRP: R-3 11/18/13 SR
ITOWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: 1F2 DATE FIN BY: CODE: I
BARNHART, JAMES - 1,400 I
14835 ROBINHOOD AV [
iI
ITEMP 917804029 1 FEES PAID I CRIPTION OP WORK
I [ (VOLUNTATY UPGRADE) FOUNDATION RETROFIT 1
IFEE DESCRIPTION: QUANTITY., DOM: AMOUNT:(
(APPLICANT: TEL. NO: I I
IGOMEZ, ROBERTO (323) 733-3377- IAA BLDG PERMIT ISSUANCE 27.80 1
12414 LIVE OAK ST. !AB STATE GREEN BLDG FEE 1400.00 VAL 1.00 ISPECIAL CONDITIONS: I
[HUNTING PARK 90255 IDI PLANCHECK W/O EN-HC 1400.00 VAL 82.10
I ID2 PERMIT W/O EN-HC 1400.00 VAL 82.20
TOTAL FEES 193.10
ICONTRACTOR: TEL. NO: ; (APPROVALS DATE INSPECTOR SIGNATURE
IJULLAN CONSTRUCTION (323) 733-3377- 1 1 I
12900 W JEFFERSON BLVD LIC. NO 1 ILOCATION AND SETBACKS I I I
ILOS ANGELES CA 90018 788526 1 1 I I I
I 1 (SOILS ENGINEER APPROVAL I I I
(ARCHITECT OR ENGINEER: TEL. NO: - j (FOUNDATION/TRENCH FORMS I I
I
I LIC. NO: 1 ISLAB UNDER FLOOR I
I I IRAISED FLOOR FRAMING
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I I I
I 3 001 1I I I
FLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: + I I I I
1 1 NO 20 1 IROOF SHEATHING [ I
1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I [ [
1AIR QUALITY: 1000 FEET MATERIALS 1 I I I I
I NO NO NO I IFRAME INSPECTION I I I
I (FIRE SPRINKLER HANGERS 1
INSULATION/WEATHER STRIP( I I
IINTERIOR LATH/DRYWALL [ [ I
1EXTERIOR LATH I I
IRATE8 FLOOR/CEIL ASSEM. I I
I I (RATED WALL ASSEMBLIES I I I
RATED SHAFTS/OPENINGS I I I
1 IT-BAR CEILINGS I
I (LOT DRAINAGE 1
[ 1REPORT ID: DPR261 ROUTE TO: BS0508 I 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
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BLALTERATION/REPAIR
O O8 10010071
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I N0. OF CONST I BUILDING ADDRESS: 1
ITR: 19043 IT: 28 I SQ. FT STORIES TYPE 4835 ROBINHOOD AV
ISTRUCTURE: V-B I TEMP CA 917804029 1
(ASSESSOR INFORMATION NUMBER: 1
18585-009-010 1 T
THOMAS PAGE. 597 CROSS GRID: B5 LOCALITY. TEMPLE CITY, Cl
IT T: [EXIST BLDG USE: RESID USE ZONE: R-1 TISSUED ON: PROCESSED BY: T
]EXIST OCC GRP: 103/11/10 SR
(OWNER: TEL NO: 1BLDGS. NOW ON LOT: VALUATION: IFINAL DPlo F NAL BY: CODE: 1
IBARHART, JAMES (626) 575-7439- 1 11,500
14835 ROBINHOOD AV 1 1—/ 1 T
ITEMP 917804029 ] FEES PAID 1 SCRI ION OF WORK 1
I I IREPLACE 10 ALUMINUM WINDOWS AND 1 ALUMINUM PATIO DOOR WITH ]
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT:IRENEWAL BY ANDERSEN FIBREX WINDOWS AND DOOR ]
(APPLICANT: TEL. NO: I I I
1EDGCOMB (909) 208-2627- IAA BLDG PERMIT ISSUANCE 27.75 1 I
118890 SEATON AVE IAB STATE GREEN BLDG FEE 11500.00 VAL 1.00 ISPECIAL CONDITIONS: 1
IPERRIS, CA 92570 IAC STRONG MOTION RESID 11500.00 VAL 1.15 1
ID2 PERMIT W/O EN-HC 11500.00 VAL 250.20 1
I IFR INV WORK W/O PERMIT 257.00 DOL 257.00 1 I
ICONTRACTOR: TEL. NO: I TOTAL FEES 537.10 (APPROVALS DATE INSPECTOR SIGNATURE 1
IDESIGNER SASH AND DOOR SYSTEM, INC. (951) 436-3317- 1 I
118890 SEATON AVE. LIC. NO 1 ILOCATION AND SETBACKS I I I
1PERRIS, CA 92570 595166B 1 I I I I
I I ISOILS ENGINEER APPROVAL 1 I
1ARCHITECT OR ENGINEER: TEL. NO: - 1 1FOUNDATION/TRENCH FORMS] I I
LIC. NO: [ (SLAB/UNDER FLOOR
[ I � I
1RAISED FLOOR FRAMING 1 I I
1 I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: (UNDERFLOOR INSULATION 1 I
1144H273 3 00
1 1
I I IFLOOR SHEATHING 1 I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1 I ] I I
1 NO 21 1 [ROOF SHEATHING I I I
[ SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I
(AIR QUALITY: 1000 FEET MATERIALS I I I
NO NO NO 1 IFRAME INSPECTION
IREQUIRED TOTAL SETBACK FROM EXIST I IFIRE SPRINKLER HANGERS 1
ISET BACK YARD: HWY: PROP LINE: WIDTH: 1 I I I I
IFRONT PL- I (INSULATION/WEATHER STRIPI I ]
I SIDE PL- 1 I I I
I I 11NTERIOR LATH/DRYWALL 1
I 1EXTERIOR LATH I
I [ 1RATED FLOOR/CEIL ASSEM. [ [ I
I 1 RATED WALL ASSEMBLIES 1 [
RATED SHAFTS/OPENINGS 1 I I
1 1 IT-BAR CEILINGS I 1
I 1 1LOT DRAINAGE 1 1 I
I (REPORT ID: DPR261 ROUTE TO: BS0508 [ I I I