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HomeMy Public PortalAbout4869 ROBINHOOD AVE_Building__ PLI-CATION FOR BUILDING PERMIT ' UIIIIFI OF BUILDING AND SAFETY ADDREISS epo:tmeat of County Engineer County of Los Angeles LOCALITY l WM.J.FOX,COUNTY,ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. R landAve DISTRICT NO. GROUP y,...(. SEWER MAP TYPE FOR APPLICANT TO F IN T � I CONST-FOR P BUILDINGMAP STATE - YES ADDRESS NUMBER W HY LOT NO. 7 BLOCK USE ZONE SPECIAL A-1 CONDITIONS TRACT 16043 5000 NO.OF HLDG8. BUILDING EXIST. SIZE OF LOT NOW ON LOT SETBACK YARD HWY STREET NAME WIDTH USE OF FRONT EXISTING BLDG. P,L. 1 _ OWNER Barton E Parker _ PS.'L! MAl Ar O TRACT DWELL. I UNIT DDRESS 5 INDUSTRIAL DWELL. I UNIT CITY O. 'm6 PUBLIC BLDG. 2 DUPLEX t UNIT ARCHITECT OR TEL. 7 ADDN.,ALT.. ETC. _ ENGINEER None NO. 3• APT. UNITS MIB.CEL. ADDRESS s 7� 4: COMMERCIAL CONTRACTOR),a F o Y'f i l is ITVEo _ INSPECTION RECORD ADDRESS 492A Rnhimbood �A., C, DESCB1 PTION OF WORK �1 �_1 .L�•L, 1 ��r.� . �.n��4,'•-r NEW X. ADD ALTER REPAIR DEMOLISH � 'v h' eµfi� ��� V�� SIZE 5 NO.OF NO..OF �i 1 " STORIES FAMILIES eA USE OF STRUCTURE I Z I�q tl_Y_�'at?.0.•• A JIM SIGNATUREO � 0)'... e �A APPLICANT�h 0)d`? ! ` "'g-e-d.&%-W APPROVALS ADDRESS `ywe �✓///l ��sL� (/ir-Q r. DATE 1NSkCTOR'S SIGNATURi $ �� C. S ` -FORMS.MATERIALS LOCATFEEION FRAME:FIRE STOPS, VALUATION BRACING,BOLTS Z 7- �` i`�A ••-• -•^'" S U FEE �1rFRV jN LOCATION. ,-1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THISVENT,DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT ANDAGREE TO COMPLY WITH ALL COUNTY ORDINANCESINT.AND STATE LAWS REGULATING BUILDING CONSTRUC-TION. T.SIGNATURE OF( NUMBER COR- fl, OR- A• t (� i PERMITTEE °� 7I a • '� �' RECT AND POSTED FINAL f �$ •� 5 ,�—L- "`_" MIVI.J.FOX,COUNTY ENGINEER VALIDATION C.N.DIRLAM,CHIEF BLDG. INSPECTOR X 0 6 0 -2 0 S -OCT 2 3. .2 3 R: 27-0011 ".." [.,AC0 6 1-0 5 OCT 2 8 1 A 5 4.0 0 M.® �0.�". .. `• . , I� Ni BABBBA BB os 2/Bo APPLICApp N FOR BUItegNG -PE MIT '- • �. COUNTY OF LOS ANGELES DD AEISS 4869 Robinhood DEPARTMENT OF COUNTY ENG2MM . . T Ql BUILDING AND SAFETY DIVISION LOCALITY PY ' JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN SUPT of BUILDING CROSS ST.. FOR APPLICANT TO FILL IN DIS ICT N U TYPE D. CONST. ' BUILDING STATISTICAL C SIFICATION R MAP - ADDRESS 4869 Robinhood_kne.v � S I K CLASS.NO. DWELL.UNITS LOT NO. - BLOCK ' MAPSTATE NUMBER Hwy YES NO TRACT 3.90 ' USE ZONE SPECIAL NO:OF BLDGS. CONDITIONS SIZE OF LOT I NOW ON LOT' USE OF EXISTING BLDG. HQUS®_ & G8i?!ge r BUILDING - EXIST. Alm. 13(9281wil YARD HWY STREET NAME WIDTH NO. FRONT' Q e y P.L. DDR SS SIDE ARCHITECT OR TEL. P:L. ENGINEER NO. ' INSP, CTION RECORD, ADDRESS /� f -1 f r C PQ®18.p ®ZI MM NOL. � ?!Il�� /.+lrf .Al ,v %�a' _.--w. T,•�;. rRl�� 8 S ons . y p g, ✓f. f f `� ! i� r�' O AARIM DESCRIPTION OF WORK' O NEW� ADD ALTER REPAIR DEMOLISH SQ.FT. NO.OF - NO.OF SIZE STORIES FAMILIES N USE OF TRUCTURE Private Swim S - , POP Std plate - SIGNATURE O APPLICANT VALUATION 004000 r,. :..tea _. •.<. ,..- APPROVALS DATE _ INS EL..fOR'S SIGNA{URE P.C. 1z. PMTFOUNDATION:-LOCATION FEE FEE FORMS,MATERIALS ��/p'/// ,^• `/I/�C,�sf 1 HEREBY ACKNOWLEDGE THAT I'HAVE READ THIS AP- FRAME:FIRE STOPS, PLICATION AND STATE THAT THE ABOVE IS, RECT AND BRACING,BOLTS 9"`• I` FURNACE:LOCATION, AGREE TO COMPLY WITH ALL COUNTY O N LACES AND GAS VENT,DUCTS ;';� �• \' STATE LAWS REGULATING BUILDING TRUCTION. 1 CERTIFY TH 1 DOING THE W K THORI D I LATH,INT. i 1,;`�``�/ " • WILL NOT - ANY'PERSO I VIO TION THE WORKME O 1 O LATH,EXT. I ri~4 r1 'C l SIGNAT OUSE NUMBER COR-.': P RECT AND POSTED ADDRESI-L FINAL CLYDE N. DIRLAM, PRINCIPAL ST AL ENGINEER PLAN CHCS 1TALIDATIR ON. cK. M.D. CASH PERMIT VALIDATION cic M.O. cAsti LA'(-;'o 9"3 4 '3 m DEC 19 21 p 3.0 0 •.M , OF -DEC 19 1 D 1°2.0'0 . .M' WORKERS'COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self t7 D insure, or a certificate of Workers'Compensation Insurance, `•i tl PIAT�� F®R RD I L M PERMIT or a cer ifildc�thereof(Sec. 3800, b. C.) -� COUNTV OF LOS ANGELES BUILDING AND SAFETY icylo. Company ' ® •Certified copy is hereby furnished. ,. _.: ::....... TO FILL FOR APPLICANT IN BUILDING. ADDRESS ' ❑ Certified copy is filed with the count uilding inspec- BUILDING r c� tion department. ADDRESS ttp LOCALITY 12 Date• Applicant CITY 1' , ZIP C OSSS T. C TIFICATE OF EXEMPTI FROM WORKERS' NO.OF BLDGS. ASSESSOR COMPENSATION TNSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP hundred dollars($100)or less.) TRACT BLOCK LOT NO. r NO. TEL. r E SPECIAL I certify that in the performance of the work for which this OWNER AAWE�P NO. CONDITIONS �9 permit is issued, I shall not employ any person in any manner DISTRICT .GROUP TYPE FIRE P CESSED B _ 0 so as to become subject to the Workers'Compensation Laws. ADDRESS �llT –CONST. ZO E i ,.I . SZv :!fV— 1 Date Applicant CITY ZIP STATISTICAL CLASSIFICATION PT. CONDO. NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. nLi 'Exemption, you ,should become subject to the Workers' ENGINEER NO. CLASS NO. o DWELL. UNITS LU Compensation provisions of the Labor Code,.you must forth- " ADDRESS SEWER MAP with comply with such provisions or this permit shall be TEL._ �1 VALIDATION deemed revoked. - CONTRACTOR `� NO.rte, Of'o�� BK. PG, • LICENSED CONTRACTORS•DECLARATIONn LIC, I hereby affirm-that I am licensed under provisions of Chapter 9 ADDRESS �� C NO. I 1> VALIDATION A (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 3 $ !D� t s SQ. FT. NO.OF NO.OF CHECK License Number :1a rte,_Lic.Class � '3 SIZE STORIES FAMILIES CEJ ONE Contract r ` Date ` DESCRIPTION OF WORK oZT� NEW ❑ $ •ADD Li ❑I am exempt under Sec. - ALTER ❑ FINAL B.&P.C. for this reason ❑ DATE REPAIR USE OF �^ Date: EXISTING BLDG. DEMOL ❑ FINAL SignaturAthait APPLICANT TEL. yER-BUILDER DECLARATION PRINT NO.Ihereby affiI am exempt from the Contractor's LicenseLaw for theng teason (Section 7031.5, Business and ADDRESS = G:4. F Professions Code):-. PR ENT ❑ 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 < <''o 9 6'7 7044, Business and Professions Code). MOVING TEL. ❑ I,as owner of the property,dm.exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project(Sec- 'tion 7044,'Business and Professions Code). ADDRESS [' 2 0 REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDINGAGENCY 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. tSec. 3097, Civ. C.). SIDE 0 P.L. d Lender's Name P.C.Fee$ Permit Fee Lender's Address rI certify that I have read this application and state that the Issuance Fee Q/ S above information is correct. I agree to comply with.all County Investigation Fee ) ordinances and State laws relatin to buildin construction, " Total Fee and ere uthorize representatives of this County to enter up th ab ve-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ignature of Applicant or Agent Date j' ADS it 1.., 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 0512090004 PHONE: (626) 285-0488 ERT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 19043 LT: 2 SQ. FT STORIES TYPE 4869 ROBINBOOD AV STRUCTURE: 1650 VN TEMP CA 917804029 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: RYLAND 8585-009-006 THOMAS PAGE: 597 GRID: BS LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: REBID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 12/09/05 JK 12/04/06 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINj►I, AT� F BY: CODE: MORENO, JOHN (626) 443-0019- 4,500 fJG� (nd� 4869 ROBINHOOD AV TEMP 917804029 FEES PAID FE-SCRXPVXON OF WORK TEAR OFF EXISTING WOOD REROOF WITS 30 YR SHINGLES INSTALL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: PLYWOOD INSTALL ASPHALT SHINGLES APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 4500.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/0 EN-8C 4500.00 VAL 132.60 TOTAL FEES 160.85 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS 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 1448273 3 01 FLOOR S88ATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 ROOF SHEATHING / SCHOOL WITHIN HAZARDOUS SHEAR PANELS (� AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: RWY: PROP LINE: WIDTH: FRONT PL- 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