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