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Home My Public Portal About4925 ROBINHOOD AVE_Building__ TEMPLErCITY rae6saA CE#BC&t-61 ,, APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING 1 DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND•SAFETY DIVISION • LOCALITY t JOHN A. LAMBIE, COUNTY ENGINEER NEAREST er WILLIAM A.JENSEN SUPT OP BUILDING CROSS ST. ` • DI STR CT O. GR UP TYPE P ESSED 8Y FOR APPLICANT TO FILL IN C) 95 CONST. p y� STATISTICAL CLASSIFICATION S ER P MA ADDSS �� -• �p D O U CLASS.NO." K PG DWELL.UNITS LOT NO./i-7-hl-7 BLOCK WATER NOT REQUIREDElRECEIVED TRACT lJ y % CERTIFICATE: MAP Gym} HIGHWAY STATE MAJOR SECOND, OCA NO.OF BLDGS. NO''o. (CIRCLE) SIZE OF LOT.�� J�/ I NOW ON LOT / USE ZONE SPECIAL USE OF - ) CONDITIONS EXISTING BLDG. (/ OWNER ,fir �G G LSV O. BUILDING YARD HWY ST EET NAMEEXIST. ADDRESS /TS'N'.CO�/�I1�'OP� r ed SETBACK WIDTH- FRONT ARCHITECTO TP.L. Z ENGINEER �. NOEL./ ZZ SIDE ADDRESS,6V7 /I� CO�//(/�Of� P L. a EL INSPECTION RECORD O CONTRACTOR IGNM NO. ' /r�//f��J _%��1'ZO✓ _ADDRES zIG a,,w11/GO O DESCRIPTION OF WORK ,-� 0 NEW ADD!/ ALTER REPAIR DEMOLISH '/ 'I - - f i Z SQ.FT. NO.OF NO.OF �EEttUSEOF /�)y/��J LL STORIES FAMILIES STRUCTURE$A/, G� S /Ao SIGNATURE APPLICANT VALUATIONS Ile APPROVALS PDATE INSPECTOR'S SIGNATURE LFNDATION:LOCATION P.C. PMT. RMS,MATERIALS FEE $ FEE $ E:FIRE BOLTS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATIONCING BOLTS j�O // j.. i✓(jo�i'"F`+IJ�✓ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYACE:LOCATION, rte- f WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING VENT DUCTS BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- INT.rY,ffiVri'�/-.p"f!fly.{, �.¢J I''/ice%•�:' �L TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S MPENSATION IN LATH,EXT. l;1 r✓N'�`` '[,! SIGNATURE � HOUSE NUMBER COR- y' •PERMITTE RECT AND POSTED '� � `�-�-~'d"--'"'s At �( r ADDRESy FINAL �r �,'bi' .%' i'W CLYDE'N. DIRLAM, PRINCIPAL STRYCYft ENGINEER PLAN CHECK VALIDATION cr. M.C. CASH PERMIT VALIDATION M .o. CASH LIiC;o 6 3 0 7`0 JUrl 2 8 • 1 D 6.0 0 ,SA 9 At CE#809.7.58 APPLICATION FOR BUILDING P4EFIMIT 1. BUILDING AND SAFETY DIVISION BUILDING L ADDRESS Department of County Engineer p� County of Los Angeles LOCALITY JOHN A.LAMBIE, COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST DISTRICT NO. GROUP TYPE SEWHK MAPPG FOR APPLICANT TO FILL IN �` tf CONST.BUILDING p ADDRESS O Iy STATISTICA�SSIFICATION I LOT NO. BLOCK CLASS. NO. DWELL. UNITS MAP ` e STATE YES NO TRACT ! NUMBER HWY U E ZONE SPECIAL Q NO.OF BLDGS.. I CONDITIONS SIZE OF LOT / I NOW ON LOT 's-DO a USE.OF EXISTING BLDG. BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH .OWNER w!S 6t r� J J FRONT- MAIL RONT ■ O ADDRESS 2 6 �Q �Cl ECJ ,-o' P. L. SIDE TEO.L. / -Tt'�L P. L. f' CC d o A- N /�"� T'� CIS ARCHITECT OR TEL. INSPECTION RECORD�jG,�y� •" ENGINEER NO. ADDRESS CONTRACTOR ' Q/{/5�� p/y�/ ;0p,l L"!� G ADDRES51 d � b S`• / � DESCRIPTION OF WORK NEW! /ADD ALTER REPAIR DEMOLISH SQ.FT. NO.OFr NO.OF SIZE �3 d C STORIES FAMILIES UVF ST ! WORKERS'COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers'Compensation Insurance, APPLICATION . FOR BUILDING P E RM I T or a certified copy thereof(Sec..3800 .L�ab...C.) COUNTY OF.LOS ANGELES BUILDING AND SAFETY Policy No5Vb%� 7 Company llra,k 7344 Certified.copy is hereby furnished. BUILDING FOR APPLICANT TO FILL IN ;ADDRESS Certified copy is filed with the county building inspec- BUILDING do department. ADDRESS LOCALITY NEAREST Date Applicant CITY ZIP CROSS ST. CER IFICATE OF EXEMPTI FR WORKERS' NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAG 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. NO. TEL. SPECIAL 7- IL I certify that in the performance of the work for which this OWNER NO. CONDITIONS �PROCESSED ISTRI GROUP TYPE FIREpermit is issued,I shall not employ any person in any manner ADDRESS i CONST. ZONEso as to become subject to the Workers'Compensation Laws. - Date Applicant CITY. ZIP STATISTICAL CLASSIFICATION APT. CONDO. I' NOTICE TO APPLICANT: If, 'after making this Certificate of ARCHITECT OR TEL. �_� ; � ENGINEER NO. CLASS NO. dk' E; . UNITS 'Exemption,' you should become subject to the Workers' 9L Compensation provisions-of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this permit shall be deemed revoked. 'CONTRACTORTEL L Q6� BK. PG, VALIDATION LICENSED CONTRACTOR&DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter'9 ADDRESSNO. ��( VALUATION (commencing with Section 7000)of Division 3 of the Business and, / LIC. ' )f Professions Code,and my license is in-full force and.effeet. CITY ./ CLASS $ Q�CC?�Q , �/Z3�� Lic.Class SQ.FT. STORIES IE FA OF CHECK License Number SIZE STORIES FAMILIES ONE �/ prJ DESCRIPTION OF WORK NEW O $ Contracto pA _Date I am exemptADD 1:1 under Sec. LrJ c eTER >, 'FINAL B.BP.C. for.this reason REPAIR DATE a° USE OF FINAL Date: 'EXISTING BLDG. DEMOL.❑ B Signature APPLICANT TEL. y OWNER-BUILDER DECLARATION PRINT NO. I hereby affirm that I am exempt from the Contractor's License r: c Law for the-following reason,(Section 7031.5,,Business and ADDRESS 4 A Professions.Code): PRESENT f' BUILDING o e o a o I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do-the work and o o `.O,2 5 the structure is not intended or offered for sale(Section LOCALITY t r, r_ 7044, Business and Professions Code). MOVING TEL: o o a"`S,C` I,as owner of the property,.am exclusively-contracting CONTRACTOR NO. C 1 with licensed contractors to construct the project'(Sec- ADDRESS tion 7044, Business and Profession3 Code). REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP..UNE 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. Sec. 3097, Civ. C.). SIDE o P.L. `o Lender's Name _ P.C.Fee$ Permit Fee d . Lender's Address r I certify that I have read this application and state that the l f Issuance Fee dJ - above Information is correct. I agree to comply with.oll County Investigation Fee 4 ordinances-6d State laws relating to=g construction, Total Fee i and hereby autho' e representatives of this County to enter u the above a tioned property for inspection.purposes. - SEE REVERSE FOR EXPLANATORY LANGUAGE Sig ture of Applicant Odle i ®s WORKERS'COMPENSATION DECLARATION hereby affirm that I have certificate of consent to pelf APPLICATION FOR BUILDING PERMIT IuI insure, or a certificate of Worr kers'Compensation Insurance, •+ or a certified copy thereof(Sec. 3800, Lab. C.) I ' o4Md Company I: COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. BUILDING Certified copy is hereby furnished:- FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with the county building inspec- BUILDING ° [1 L tion department. ADDRESS Ni -v" LOCALITY NEAREST . Date r Applicant A CITY �� ZIP CROSS ST. CERTIFICATE OF EXEMPTIO FROM WORKERS' r NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE 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. NO. TEL. SPECIAL } I certify that in the performance of the work for which this OWNER NO. CONDITIONS A. permit is issued,I shall not employ any person in any manner DIS ICT GROUP TYPE FIRE PROCESSED BY so.as to become subject to the Workers Compensation Laws. ADDRESS ,/ eh, 6 CONST I ZONE U , Ile— Date tY Applicant CITY ZIP STATISTICAL CLASSIFICATION APT. CONDO. LIJ NOTICE TO APPLICANT: If, after making this Certificate'of ARCHITECT OR TEL. ) Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO. DWELL. UNITS Compensation provisions of the.Labor Code, you must forth- ADDRESS e- _ ° SEWER MAP with comply with such provisions or this permit shall be TEL. z �J)�-7�¢- VALIDATION deemed•revoked. CONTRACTOR�.r� NO. /1�i I BK. PG, LICENSED CONTRACTORS DECLARATION ' • /� LIC. I hereby offirm that I am licensed under provisions of Chapter 9 ADDRESS r �drmil�.S'cm° sails NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC• �v Professions Code,and my license is in full force.and effect. CITY m-/� - CLASS � $ .55 , _ SQ.FT.- NO.OF NO.OF CHECK License Number-'4` -$I I Lie.Gloss V S $ SIZE STORIES FAMILIES ONE $ Contractor - Date �` DESCRIPTION OF WORK NEW ❑ � - • ADD ❑ I am exempt under Sec. ALTER DATEFINAL B.BP.C. for this reason .,� ❑ �� REPAIR ❑ Date: USE OF FINAL EXISTING BLDG. DEMOL ❑•• By L� Signature E APPLICANT TEL. r, OWNER-BUILDER DECLARATION PRINT _ — 'op NO. 'Tofa f r f / I hereby affirm that I am exempt from the Contractor's License ADDRESS �•• �� Law for the following reason (Section 7031.5, Business and0�- Professions Code): PRESENT ❑ I', as owner of the roe y p y BUILDING p p rty, or m em to ees, with :l ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY ;5 3 fl 9.,2 A 7044, Business-and Professions Cod'e). I MOVING TEL. CONTRACTOR NO.NO. #'o 0 0 0 0 1 1, as owner of the property,am exclusively contracting with licensed contractors to construct the project (Sec- ADDRESS 2 ° ° 7 a 0 0 'tion 7044, Business and Professions Code). f REQUIRED YARD HWY TOTAL SETBACK FROM EXIST. 0 0 0 7 8 0 0 v CONSTRUCTION LENDING AGENCY SET BACK PROP. LIN WIDTH I hereby affirm that there is a construction lending agency for 1' FRONT O 623-83 the performance of the work for which this permit is issued. , -P.L. Sec. 3097, Civ. C.). SIDE P.L. P Lender's Name a' I P.C.Fee$ Permit Fee Lender's Address r' I certify that I have read this application and'state that the 4 Issuance Fee . c above information is correct. I agree to comply with,all County Investigation Fee s� ordinances and State laws relating to building construction, Total Fee and hereby authorize representatives of this County to enter. ,. upo the ov -mentioned property for inspection purposes. i SEE REVERSE FOR,EXPLANATORY LANGUAGE Signature of Applicant or.Agent 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, I or a certified copy thereof(Sec. 3800 .�Lamb. C.) i COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No,gad;o CompanySl/.r, 4v 3_;C4 s� BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ;ADDRESS 007 ❑ Certified copy is filed with the county building inspec- BUILDING do department. ADDRESS ✓ LOCALITY NEAREST Date .+� m ApplicantLos,- CITY ZIP CROSS ST. CERTIFICATE OF EXEMPTI FRO WORKERS' NO.OF BLDGS. " ASSESSOR COMPENSATION"INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAG 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. NO. on TEL. SPECIAL 5 I certify that in the performance of the work for which this OWNER NO. CONDITIONS Q- DISTRI GROUP TYPE FIRE PROCESSED BY O permit is issued,I shall not employ any person in any manner ADDRESS CONST. ZONE IL)so as to become subject to the Workers'Compensation Laws. �� a Date Applicant CITY ZIP STATISTICAL CLASSIFICATION APT. CONDO. p' NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. UJ ENGINEER NO. CLASS NO. 2'1/ DWELL.UNITS Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP z with comply with such provisions or this permit shall be v deemed revoked. CONTRACTOR' T L rxo� BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIP LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO.t:2113 VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. 07/ Professions Code, and my license is in full force and effect. CITY CLASS $ SQ.FT. NO.OF NO.OF CHECK License Numbegqr �/Z LLic.Class SIZE STORIES FAMILIES ONE Contracto �llo�a^.(�L[n�er�� Da}e $' DESCRIPTION OF WORK NEW ❑ $ ❑ ADD El am exempt under Sec. ? . c TER ❑ FINAL a. DATE B.BP.C. for this reason REPAIR ❑ y USE OF FINAL Date: EXISTING BLDG. DEMOL ❑ Signature APPLICANT TEL. OWNER-BUILDER DECLARATION PRINT NO. I hereby affirm that I am exempt from the Contractor's License ADDRESS Law for the following reason (Section 7031.5, Business and Professions Code): PRESENT ❑ BUILDING I, as owner of the property, or my employees with ADDRESS r wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY M ` r l T 7044, Business and Professions Code). MOVING TEL. ❑ CONTRACTOR NO. I,as owner of the property,am exclusively contracting with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY 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. `o Lender's Name aP.C.Fee$ Permit Fee Lender's Address r I certify that I have read this application and state that the Issuance Fee d rJ c above information is correct. I agree to comply with all County Investigation Fee ° ordinances and State laws relating to building construction, Total Fee • and herby autho' e representatives of this County to enter Authe:above a tioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ig tura of Applicant or Agent D to ®s � 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 I BL 0508 0607280040 PHONE: (626) 285-0488 EXT: LEGAL ID: N0. OF CONST BUILDING ADDRESS: TR: 19043 IT: 7 SQ. FT STORIES TYPE 4925 ROBIN800D AV STRUCTURE: 3000 VN TEMP CA 917804031 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA 8585-008-002 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: REBID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 07/28/06 JK 07/23/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL. DATE FINAL BY: CODE: SAMURA MASATOSBI;BARBARA Q (626) 575-1754- 10,600 y9 4925 ROBIN800D AV TEMP 917804031 FEES PAID DESCRIPTION OF WORK TEAR OFF EXISTING ROOF PUT ON FELT (2 LAYERS) 15LB NAIL ON FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: PRESIDENTIAL SHAKE 50 YR SHINGLES APPLICANT: TEL. NO: HENRY (562) 865-5552- AA BLDG PERMIT ISSUANCE 27.75 18734 ALBURTIS AVE AC STRONG MOTION REBID 10600.00 VAL 1.06 SPECIAL CONDITIONS: ARTESIA, CA 90201 D2 PERMIT W/O EN-HC 10600.00 VAL 233.40 TOTAL FEES 262.21 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE 8L ROOFING (562) 865-5552- 18734 ALBURTIS AVENUE LIC. NO LOCATION AND SETBACKS ARTESIA, CA 90701 670406 C39 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO- I FOUNDATION/TRENCH FORMS LIC. NO: SLAB UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER TOOK: PAGE: FIRE ZONE: CMP. UNDERFLOOR INdULATION 144H273 3 01� FLOOR SHEATHINGNO. OF FAMILI : DWELLING UNITS: APT COND: STAT CLASS: NO 21 I 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: ENY: PROP LINE: WIDTH: FRONT PL- INSLZATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATE RATED FLOOR CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS OPENINGS i T-BAR CEILINGS i LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508