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Home My Public Portal About5409 ROBINHOOD AVE_Building__ APPLICATION FOR COUNTY OF LOS ANGELES ` '�3 U I LD I N G PERMIT DEPARTMENT BUILDING AND SAF OF N DIV DIVISION ENGINEERTY FOR APPLICANT TO FILL IN ADIDRESS 5- 4 d rl LDING ADDRESS !�'4 d_` P-066(-6eo S- LOCALITY !e-h-- C4, NEAREST CITY C L ZIP WEST. •✓ rNO.OF BLDGS. ASSESSOR SIZE OF LOT r 5 U G Q NOW ON LOT MAP BOOK PAGE I PARCEL ?i + U BLOCK LOT NO. �Z DISTRICT GROUP TYPE FIRE PROCESSED BY TRACT TEL S�� CO A4 ZONE -P . 7 n ' OWNER Frl/L �fLa. /�s�OZO� J NO. -�^ STATISTICAL CLASSIFICATION SEWER MAP ADDRESS S _ CLASS NO. 2 / DWELL.UNITS BK P- PG CITY S ZIP TEL. / } (� USE ZONE NOP ENGINEER ITECT ORALtl�LC�L� ' '/�♦� NO. �-�itv 278 2� CONDITIONS ADDRESS I��, ( iI Lr— ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ TEL. CONTRACTOR [,8 CL1•.7r'Q' NO. `�jg BLDG.SETBACK FROM LIC e FRONT PROP.LINE OF (STREET) ADDRESS i CIO I 1( G-t*t0 U. NO. 30(((o HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING LIC. ) FRONT PROP.LINE HIGHWAY WIDTH CITY CLASS l _ CONSTRUCTION LENDER + CL O NAME AND BRANCH BLDG.SETBACK FROM U ADDRESS CITY SIDE PROP.LINE OF (STREET) cz O SQ.FT. OF c� NO.OF CHECK HIGHWAY t YARD = TOTAL SETBACK FROM TYPE OF EXISTING V SIZE �� STORIES !� FAMILIES ONE SIDE PROP.LINE HIGHWAY WIDTH N = DESCRIPTION OF WORK NEW ❑ + Z 44 2_S"94001 It ADD ® CORNER CUTOFF YES ❑ NO ❑ 2-&'A Skn {.i ALTER ❑ IN OPEN SPACE YES ❑ NO ❑ USE OF lU/ REPAIR ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG. DEMOL ❑ APPLICANT j TEL. � `nYGs(PRINT) NO 7P 1alST� Uft. �lC BY(SIGNATURE) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIONJNTET G/t? C./� �S%�G�IG (� /o�� THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN ��✓LS G�� / � WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIv THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKPENSATION INSURANCE. SIGNATURE OF FINAL BY ��l PERMITTEELDATE ADDRESS 1 t-e-c�� 1-2K CITY 4n� NO. P.C.Fee$ q SrU Permit Fee .— Q Iss uance Fee r� VALUATION$ i coo, �� 57-o Total Fee PLAN CHECK VALIDATION ( CK M.O. CASH _ PERMIT VALIDATION CCK. M.O. CASH -U 4 ywvu b w J D ®E 76AG38A CE y803A 6/76 !p 7M888A CS 88088-88 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES euILDI.NG DEPARTMENT OF COUNTY ENGINEER AD°REss BUILDING AND SAFETY DMSION LOCALITY _ JOHN A.LAMBIE,COUNTY ENGINEER NEAREST yj CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. I DISTRICT O. GROUP •HYPE P SSED BY FOR APPLICANT TO FILL IN CONST BUILDING AA /�/ '� STATISTICAL CLASSIFICATION SE ER MAP ADDRESS a �U % I BK PG CLASS.NO. DWELL.UNITS I LOT NO. BLOCK MAP STATE YES O NUMBER HWY. TRACT USE ZONE SPECIAL NO.OF BLDGS. CONDITIONS SIZE OF LOT I NOW ON LOT USE OF EXISTING BLDG. BUILDINGEXIST. SETBACK YARD HWY STR ET NJ,ME WIDTH OWNER FRONT MAIL • P.L. ADDR S SIDE CITY r TEI lad P.L. ARCHITECT OR `N%97' EL t Z INSPECTION RECORD ENGINEER ' N ' n ' ADDRESS 6 TEL. CONTRACTOR NO. ADDRESS _ DESCRIPTION OF WORK NEW V ADD ALTER REPAIR DEMOLISH SQ.FT. NO.OF NO.OF . SIZE STORIES FAMILIES USE OF STR T E- f a SIGNATURE OF APPROVALS APPLICANT j� ADDRESS V„ L FOUNDATION: LOCATION DATE INSPF7CTOR'S SIGNATURE. FORMS,MATERIALS if P.C. $ FRAME: FIRE STOPS. I& P. �v FEE Lr!� �v BRACING,BOLTS VALUATION $ FURNACE: LOCATION, FEE -GAS VENT.DUCTS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT. ( S� z�/j0 PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH,EXT.. STATE LAWS EGU TIN B ILDI IG .CONSTR TION. SIGNATURE O " HOUSE NUMBER COR- e•� d �J PERMITTE RECT AND POSTED ADDRESS « ' FINAL CLYDE N.DIRLAM,PRINCIPAL STRUSgURAL ENGINEER PLAN CIMCS VALIDATION M.O. CASH PERMIT VALIDATION CK' M.O. CASH 'LACO 6 8 5 0 U N0V'2 0 2 3 A 2 2.5 0 A - I • 6 9 8 4 MOV t P IACo 2 5 1 A 4 5.0 0 to APPLICATION FOR BUILDING PER IT �l COUNTY OF LOS ANGELES BUILDING AND SAFETY ° WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self Insure, BUILDING ADDRE33 or a certificate of Workers'Compensation Insurance,or a certified r�1/ o c a y' ®�� tjo copy thereof(Sec.380,Lab.C.) CITY , zIP Policy No.i��tJ�7. 9 Company J fir-t� /'uM�J �'l b e /- / J g 1' LOCALITY C SIZE F) NO.OF BLDGS.NOW ON LOT Certified copy is hereby furnished. Y� X ! 490 NEAREST CROSS ST. l07 Certified Copy (s filed with the county building inspection TRACT BLOCK LOT NO. USE ZONE MAP NO. dept m nt. ,�� oZ� Date / /�yAppliCBnt�1�—11 11 ek No n sT Cy ASSESSOR MA BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' Z� #S.e 4L "fiw,:;;= 4 H TEL.NO. YES NO COMPENSATION INSURANCE WITHIN I=FT.OF SCHOOL? ADDRESS (This section need not be completed if the permit is for one hundred p 6!3 ,v ff o o,D ✓�— DISTRICT GROUP TYPE NST.' FIRE ZONE P CESSED dollars($100)or less.) �� I certify that in the performance of the work for which this permit CI /e!( 3 �' e-•`'� ZIP TEL O. Is issued, I shall not employ any person in any manner so as to ARCHITECTAR ENGINEER TEL NO. I 2� become Subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT C CQNDO Data Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of CO OR �p TEL NO. REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become Subject to the Workers' ACT SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code,you must forthwith /f!if C�i� C 0►9j�'�C?• FRONT comply with such provisions or this permit shall be deemed revoked. ADD"ES = L`ICC.NO., �� PL ear. LICENSED CONTRACTORS DECLARATION CI C� Ic.CLASS SIDE o. I hereby affirm that I am licensed under provisions of Chapter 9 .o v, NF* ��7�� - -6 SEWER MAP S (commencing with Section 7000)of Division 3 of the Business and so!f SIZ IQO.OF STORES NO.OF FAMILIES Professions Code,and my license is in full frame and effect. NEW ❑ BK PG F- (J DESCRIPTION OF WORK ® v License Numb r v Lie.Class L -� � ` y T ADD ❑ vALUAT ON y,I Contractor /i' P n (date b U P4 I Al U H Z i4-` 1 a �v✓ej/ $ � ®O`®® cL ALTER ❑ �A/G tGoSU 1j � REPAIR ❑ ❑ I am exempt under Sec. $ B.BP.C.for this reason DEMOL ❑ LDMA P/C# Date 3� 7� USE OF EXISTING BLDG. .URM ❑ Signatu (lp, APPLICANT(PRINT) TEL.NO. LDMA Perm# El 1,as owner of the property, o my ADDRESS Y pACCT.s their sole compensation,will do the work and the structure is employees with wages as _ not Intended or offered for sale (Section 7044, Business and FINAL D j C � I37 116.88 Professions Code.) WILLTHEAPPLICANTOR FUTURE BUILDING OCCUPANTHANDLEAHAZARDOUB MATERIAL 1 a jITEML�' ❑ I, eS owner Of the property, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN a Y fl THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BV( �V licensed contractors to construct the project (Section 7044, YES❑ NO❑ TOTAL AL 1 16 0 84.R Business and Professions Code.) CHECK�( 116.876 WILL THE INTENDED USE THE BUILDING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT RF.QUIREA PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH C CONSTRUCTION LENDING AGENCY COAST GUIDELINES.IAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST CHANGE .00 I hereby affirm that there Is a construction lending agency for YES❑ NO❑ the performance of the work for which this permit is Issued(See. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE 6CAQMD 3097,CIV.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTYS LCREDBI011110-0001f 9/911 Lender's Name HAZARDOUS MATERASEPORTINGANFOR OBTAINING A PERMIT FROM THECAOMD. Lender's Address �� 1119 1 AM 14216 OWN0 1 certify that I have read this application and state that the above RG.FEE PERMIT FEE ° information is correct. I agree to comply with all county ordinances and State laws relating to building construction,and e hereby authorize representatives of this County to enter upon ISSUANCE FEE the mentioned prop3V for Inspq to urp s INVESTIGATION FEE TOTAL FEE dApppm,Am Apma Dab e SEE REVERSE FOR EXPLANATORY LANGUAGE r 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 1307150026 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST I BUILDING ADDRESS: ITR: 21704 IT: 2 I SQ. FT STORIES TYPE 5409 ROBINHOOD AV I ISTRUCTURE: V-B TEMP CA 917802730 (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: OLIVE 18586-023-002 I I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY CAI I I ITENANT: [EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: I I [EXIST OCC GRP: 107/15/13 SR I (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: 1F AT FIN BY: CODE: IFANG, SHU Y (626) 862-6488- 1 30,000 [ [ 233 W NORMAN AVE I [ ARCADIA CA 91006 1 FEES PAID ID CR PT OF WORK I IKITCHEN AND 3 BATHROOMS RE DEL, REMOVE EXISTING WOODEN IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:ISIDING AND REPLACE W/UNDERLAYMENT AND FINISH WITH STUCCO ANDI [APPLICANT: TEL. NO: I [ACCENTED W/PRE-COATED FOAM MOULDING I ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 1_ I I IAB STATE GREEN BLDG FEE 30000.00 VAL 2.00 ISPEC7AL CONDITIONS: I IAC STRONG MOTION RESID 30000.00 VAL 3.00 I [ IB2 PERMIT W/ENERGY 30000.00 VAL 590.70 I _ID7 ADDNL PLANCHECK FEE 1.00 HOD 109.40 [_ I ICONTRACTOR: TEL. NO: IFR INV WORK W/O PERMIT 344.00 DOL 344.00 JAPPROVALS DATE INSPECTOR SIGNATURE 1 ISAME AS OWNER - I TOTAL FEES 1,076.90 I_ I LIC. NO i (LOCATION AND SETBACKS I [ I I 1 SOIIS ENGINEER APPROVAL 1 I ARCHITECT OR ENGINEER: TEL. NO: - i FOUNDATION/TRENCH FORMS I I [ LIC. NO: I (SLAB/UNDER FLOOR I I IRAISED FLOOR FRAMING I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: cMP:J (UNDERFLOOR INSULATION I I I I I 3 OOi IFLOUR SHEATHING 1 INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I II I [ NO 21 i (ROOF SHEATHING I I [ 1 SCHOOL WITHIN HAZARDOUS I ISNEnsZ PANELS I I (AIR QUALITY: 1000 FEET MATERIALS I I_ I I I 1 NO NO NO I i FRA74E INSPECTION I I I IFIRE SPRINKLER HANGERS I I I [INSULATION/WEATHER STRIPI I [ I -1 (INTERIOR LATH/DRYWALL [ I [ I I I I 1 1EXTERIOR LATH I [ [ I I I IRATIED FLOOR/CEIL ASSEM. I [ I RATED WALL ASSEMBLIES I I I RATED SHAFTS/OPENINGS IT-B1R CEILINGS I I 1LOT DRAINAGE [ I I I I I I 1REPORT ID: DPR261 ROUTE TO: BS0508 I I I [