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Home My Public Portal About4958 ROBINHOOD AVE_Building__ h. "" Alt FOA688A CIS#808_8_57 APPLICATION FOR BUILDING PERMIT-'--:- COUNTY ERMIT � 1 COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. l DISTRICTNOJ CtR--P TYPE ��q• SEWER MAP FOR APPLICANT TZML CONST..,L IN c�LJV/.�+ BK P BUILD Y ADD EISS STATISTICAL CLASSIFICATION I CLASS.NO. DWELL.UNIT F LOT NO. BLOCK MAP STATE R TRACT 3 NUMBER HWY. YES O 4 USF,ZQNE SPECIAL NO.OFBLDGS. �I CONDITIONS SIZE OF LOT to2- NOW ON LOT USE OF EXISTING BLDG. BUI JNG YARD HWY STREET NAME EXIST. SE, ,CK WIDTH OWNE � y ( FRONT MAIL C7 � 3� , SV ' ADDRESS / ,,// SIpE TEL. 6.37' P.L. ARCHITECT OR TEL. I"�r 4�- INSPECTION RECORD �° f.��t/f•'` ENGINEER f NO. ADDRESS CONTRACTOR ADDRESS _ % DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH S ZE •FT ' S-0STOR ES FAMILIES a/•• �;./ ��/ 1 / // / r..��'7 /� USE OF STRUCTURE y � c t a-4 SIGNATURE OF APPROVALS APPLICANTADDRESS DATE INSPECTOR'S SIGNATURE ATION: LOCATIONMS,MATERIALS /!'�' 4/•'��-�.� ) P.C. ! C/ FRAME: FIRE STOPS. FEE BRACING.BOLTS VALUATION FURNACE: LOCATION, v!It �,� GAS VENT.DU CT SrI r7/ lj 1/JY./�?/•C f?�':_f I!i. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP. LATH,INT. �Y! —/ PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS RELNG UI G CONSTRUCTION. LATH,EXT. E v HOUSE NUMBER COR OF SIGNATURRECT AND POSTED , PERMITTE9 f ADDRESS FINAL ff i�� ✓�� ✓ `_" JOHN A.LAMBIE,COUNTY ENGINEER. CLYDE N.DIRLAM,PRINCIPAL STRY PRRAL ENGINEER PLAN CHECK VALIDATION Coc M.O. CASH PERMIT VALIDATION CK M.O. CASH [ito.0,5-3' OM MAY. . 2' 16 A • 20.50fil LAC 0 6 73 OR MAY 8 1 A 4 1.0 0 F3 APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) ABUILDINGDDRESS . Q COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER CITY C ZIP 1?1,-? BUILDING AND SA Y DIVISION NO.OF SLOGS. BUILDING SIZE OF LOT xQQgEGL NOW ON LOT ADDRES TR CT BLOCK LOT LOCALITY , - NEAREST O N R O //�� p-�,' NO. CROSS ST. ASSESSOR ADDRESS ``&6j co �]A-vf- MAP-BOOK PAGE ARCEL CITY .G L ZIP 9�7kO DDIIISS�TTRICTT GROU2�� FIRE ZONE PRO ESSED BY ARCHITECT OR TEL. ENGINEER NO. STATISTICAL CLASSIFICATION ER MAP ADDRESS CLASS NO. .L. KG CONTRACTOR NO U ONE NOP U t/ ADDRESS NO -.I SPECIAL I, LIC. CON DI TI ONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONSTRUCTION LENDER - NAME AND BRANCH- BLD .SETBACK FROM FRO T PROP,LINE OF (STREET) Ic ADDRESS CITY - TOTAL SETBACK TYPE OF EXISTING HIGH AY + YARD - C SQ. FT. NO. OF NO.FOF*AMILIES CHECK FRONT PROP'. LINE HIGHWAY WIDTH ` SIZE STORIES FAMILIES ONE DESCRIPTION OF WORK NEW ❑ + ADD ❑ BLDG.SETB ROM ' SIDE PROP.LINE O (STREET) �. ALTER ❑ .HIGHWAY + YARD = TOTAL SETBACK YPE OF EXISTING REPAIR❑ SIDE PROP. LINE HI Y WIDTH USE OF r + _ EXISTING BLDG. DEMOL ❑ APPLICANT _TEL CORNER CUTOFF- YES ❑ NO ❑ (PRINT) U 0. 9779-K BY (SIGNATURE) IN OPEN SPACE - YES ❑ NO ❑ a IN COASTAL ZONE YES ❑ NO ❑ _ VALUATION$' ,Cho . CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT. EXEMPTION DECLARATION SIGNED (DATE) WITH ALLORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED - IMPACT REPORT PROCESSED (DATE) HEREBY I WILL,NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO ♦ --..rr / hh ��++ WORKMEN'S COMPE TION INSURANCE.' �� {',�«/ NS/� C:��Lr 'V ) Ro SIGNATURE OF PERMITTEE \ A ADDRESS FINAL BY TEL. CITY NO. DATE /p _ ? c. %L/ MAKE CHECKS PAYABLE,TU: FEE �' FEE LHARVEY T. BRANDT.-COUNTY ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PEWIT VALIDATIOcK. CASH J1 1 0 5 . G� lia 1• D 1 2.0 0 A93 76A638A CEp803 7/73 - APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO L IN (.Print or type only FDD�R NG COUNTY OF LOS ANGELES SS JfJ DEPARTMENT OF COUNTY ENGINEER eG�AG� P � BUILDING AND TY DIVISION NO.OF SLOGS. BUILDINGF LOT � NOW ON LOT ADDRESS / w TRACT A<b - BL CK LOT NO. / LOCALITY TEL. NEAREST OWNE , 2�EQ4s: NO. CROSS ST. ASSESSOR ADDRESS MAP BOOK PAGEPA EL DISTRICT ROUP T PE FI �J� CITY ZIP �� NST. ZO ARCH IT CTr D ENGINEE /fes STATISTICAL CLASSIFICATION WER MAP ADDRESS O&VI— i C O GLASS NO. ^'��DWELL..�UNITS K77 PG CONTRAC _ E✓ TE E ZONE NOP Cx� (/ ADDRE /G LIC / "J ISPECIAL CONDITIONS CITY LIC. CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.LINE OF (STREET) C E ADDRESS CITY HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING C SQ. FT. NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH F SIZE STORIES FAMILIES ONg — E DESCRIPTION OF''WORK NEW C E ADD ❑ SIDE PROP.LIC E OF FROM (STREET) ALTER ❑ HIGHWAY + YARD _ TOTAL SETBACK FROM TYPE OF EXISTING r REPAIR[E] SIDE PROP. LINE HIGHWAY WIDTH' USE OF + DEMOL EXISTING BLDG. 1:1 APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) NO. BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ IN COASTAL ZONE YES ❑ NO ❑ VALUATION CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOI THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT LOY ANY PE ON IN VIOLATION OF THE LABOR CODE OF HE TATE OF IFORNIA IN RELATING TO �� •�,,,,,�� WORKMEN'S CO N ICN IN SUR SIGNATOR PERMITT ADDRESS FINAL BYTE �7,, per- II CITY NO. DATE a _�/A_/ 7/r 57 MAKE CHECKS PAYABLE TU: FEE / J/ll/ s J//,FEE HARVEY T. BRANDY, COUNTY ENGINEER O-1 PLAN CHECK' VALIDATION CK. O. CASH PERMIT VALIDATIO /cK M.O. CASH 86OSf� .11.23 10. 8 � � 76AG38A CE9803 7/73 ' 6 &j.S.Ef. i1 0 3 5.2 5 .98 WORKERS'COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self APPLICATION F OR 'BUILDING P E RM I T 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. r Company BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed.with the county building inspec- BUILDING tion department. 1 ADDRESS LOCALITY NEAREST Date k Applicant CITY ZIP a CROSS ST. CERTIFICATE OF EXEMPTIOPWROM WORKERS' NO.OF BLDGS. •ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT. MAP BOOK PAGE PARCEL l (This section need not be completed if the permit is for one USE ZONE MAP l hundred dollars($100)or less.) • TRACT BLOCK LOT NO. NO. TEL. SPECIAL I certify that to the performance of the work for which this OWNER NO. r"� CONDITIONS •L 1 permit is issued, I shall not employ any person in any manner ,_i__ p DISTRICT GROUP TYPE IRE PROCESSED BY O P ADDRESS ./ CONST. ZONE V iso as to become subject to.the Worke�thisCirtlficated-'Of s. Date - ApplicantCITY ZIP STA7ISTICA C SIFI TION ICONDO. NOTICE TO APPLICANT: If, cifter akin 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 SEWER MAP with comply with such provisions .or this permit shall be ,,�, g TEL. z deemed revoked. CONTRACTOR(�V NO. �oCs�o BK.- PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC. A I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS /6 ..v&�e.. NO. -23 f 1> / VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. a, Professions Code,.and my license is in full force and effect. CITY CLASS / $� SQ.FT. NO.OF - NO.OF - CHECK License Number 413�T_L'ic.Class c 3 SIZE' STORIES FAMILIES ONE ;' 'Contractor+' �y�=�—=��+ Date n�. !I:�" DESCR PTION OF WORK N ❑.+ $, ADD_ ❑„ I am exempt under Sec. ALTER ❑ FINAL � /7� n a DATE ` 7 v T B.&P.C. for this reason C�'c � rrI REPAIR • USE OFFINAL te: EXISTING BLDG. DEMOL ❑ 8.y Signature CV APPLICANT TEL. [OWNER-BUILDER DECLARATION PRINT NO.• I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS Professions Code): PRESENT BUILDING I, as owner of'the property,-or my employees with ADDRESS T wages as their sole compensation,will do the work and 2.2 9 1,0.A the structure is not intended or offered for sale(Section LOCALITY ; 7044, Business and,Professions Code). MOVING TEL o-0'°, o•o•1 ❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec-, 5.50 'tion 7044, Business and Professions Code). ADDRESS l CONSTRUCTION LENDING AGENCY ; REQUIRED YARD HWY TOTAL SETBACK FROM EXIST. ° -1 1 5 5'0 • SET BACK PROP. LINE WIDTH ' I hereby affirm that there is a construction lending,agency for FRONT 0 7 2 4.—�LI tli�e performance,of the_,.work for which this-permit is issued, ..� P.L. Sec. 3097,.Civ. C.). SIDE. 'o P.L•::, ' d LeIn der's.Name • ' 1 O.C.Fee$'" ' Permit'Fee Lender's Address rI certify that I have read this application dnd state that the I 'Issuance Fee above information is correct. I agree to comply with.all County 1,vestigation'Fee . ordinances and State laws relating to building construction, Total Fee and hereby authorize resentatives of this County to enter l' upon t above-me ionIP d property for inspection purposes. i SEE REVERSE FOR EXPLANATORY LANGUAGE ignatureApplicont or Agent Date ®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 BL 0508 0309020017 PHONE: (626) 285-0488 EXT: GA OF CONST BUILDINGR S:TR: 19043 LT: 14 SQ. FT STORIES TYPE 4958 ROBINHOOD AV STRUCTURE: VN TEMP CA 917804030 SS S0 R: NEAREST CROSS STREET: LOWER AZUSA 8585-010-019 THOMAS PAGE: 597 GRID: 94 LOCALITY: TEMPLE CITY EXIST BLDG SE: RESID USE ZONE: R-1E P . EXIST OCC GRP: 09/02/03 JK 08/27/04 . OWNER: TEL. 0: BLDGS. NOW ON LO VALUATION: FINAL DATE FINAL BY: CODE: GARCES RICARDO P;LOURDES B (626) 579-1819- 6,000 (� ✓1' 4958 ROBIN HOOD AV 12-7iS c.3 0 TEMP 917804030 FEES PAID D5SCRIPTION OF WORK T/0 HOUSE & GARAGE; INSTALL PLYWOOD SHEATING & 40YR COMP FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SHINGLES (29SQ) PL . SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG NOTION RESID 6000.00 VAL 0.60 SPECIAL CONDITIONS: D2 PERMIT W/0 EN-HC 6000.00 VAL 149.40 TOTAL FEES 177.75 CONTRACTOR: TEL. 0: APPROVALS ATE I SPECTOR SIGNAT RE SAME AS OWNER LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: . NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED00 FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 144H273 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING U S: /COND: STAT CLASS: NO 21 ROOF SHEATHING G�_f•7 03 SCHOOL HAZARDOUS SHEAR S AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED 0 S TB C FROM EXIST FIRESP A G S SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL q-11- 03 l/ar' EXTERIOR LATH RATED FLOO /CE L Al-ST97. RATED-WALL ASSEMB IES RATED AF S OP GS -BAR CEILINGS DRAINAGELOT REPORT ID: DPR261 ROUTE TO: BS0508