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HomeMy Public PortalAbout5514 ROBINHOOD AVE_Building__ APPLICATION FORRUILDING PERMIT COUNTY OF LOS ANGELES B ING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR CANT FILL IN I hereby affirm that-I have a certfflcate of coneerrt to esti trsure, or a cer0cate of Mck"' Compensation IrwKrarce,or a certified copy ttiereof (Sao.3800, Lab,C.) CrTY 7 p Policy No. C->Y SLM OF LOT OF NGW ON LAT ❑ Certtfled copy Is hereby fumbhed. ❑ Certified copy is flied with the county bdk lnq Inspection TRACT BLOCK LOT 40. t USE ZONE MAP NO. Date Ap~ ASSESSOR PPAOE /Q SPEC AL CCt DrFCNS CERTIFICATE OF EXEMPTION FROM WORKERS' OVvrEA «00 o Q/ � COMPENSATION INSURANCE 27 w+T,oN �000�r.of SCHOOL? �Jd (This eecbon need not be completed If the permit be for one hundred ADDRESS DISTRICT OFOIJP TYPE CONBT. FIRE IDt`E PROCESSED BY dollars ($100) or Teas.) CrTY ZP 1 certify that In the or the work for which this permit �/ _ 3 W issued, I shall not employ any person In ner as to G �r --!r become arb the QCT OR FN(3WEFA TE1 NO. STkTISTrAL=DWELL COt,DO Date�Appficartt ADDRESS ,/1lt CLASS NO. ( DV�ELL 1R1T9 NOTICE TO APR-CANT If, after maklrp this Certfflcate of REOMED TOT?L SE7T3ACK HOCM EXIST Exemption, you should become auti}eot to the V%bitcera' TEL N2,jD SET BACK INM HYN PROP i rE WETH Compensation provtslons of the Labor Code, you must iorthNAth Q Aft, .9 il FRONT comply with such provEm"or this permit shall be deerrmd revoked. LIC.40. PL LICENSED CONTRACTORS DECLARATION P L �Q- LIC. P L SEWER hereby affirm that I am licensed uiderprovbbna of Chapter 9 /' BEER MAP (commencing with Section 7000)of DNve 3 of the Busbass and RFr. No.CFSTORIES .OF FA AJES—Prafeeslone Code, I Is In furl forceNEW ❑ BI( Po License LJo Clew aOF App - v>� Q Contractor — — ALTER ❑ C� flam exempt under Sec. �Q� REPAIR ❑ $ 0 BAP.C.for rseeon I' /C 68"T�- I DEMOL ❑ LOMA P/C+ W Lis€of e+°cl '� URM ❑ Cn Si�rahue ' �S 2J Z (PRNT) TEL NO. LDMA Perm t ❑ I, as owner of the property, or my employees Wlth wages ae p 't 0 .A&T.i rot I e n coror offered r J al the work and the aft-uctuBusiness ed FINAL 0.50 rot Intended or offered for eels (Section 7044, Buehieea and 0 1 Professions Code-) wu THE APRJCANT OR RVUFE ra■DW ODDJ NT i VOLE A F-6�wvauL ❑ I, as owner Of the property, flfTl flxctuelVay Contracting with OR A 6WrLWE OWM4t40 A -v,ZARooln uaEFWL EQUAL TO OR aWATER n-WI n-E I, as 9d oorttrecthe r coty,a t tiTe ANOLPCM ON THE HAZARDX6 LWTTWB FJ:CFMU-K)N OLOE7 F-41AL BY ProI«x (Section 7044, YEs❑ AC4Y.i Business and R&eeaions Code.) 17 1 .� OCGYALL THE USE oTFO BUDLNO BY THE AaCOPCPLICANOR FLrrUREFIOWT a XITH OCCUFMNT FEOURE A F4t1Li FOR COPIBTFi1CTION OR MODPIG410N PR01)TFE 90lJTH CONSTRUCTION LENDING AGENCY �TAAo�rY +T osrRk r Lecr°'ol eEF PEF%XnM a-ea°-MT FOR 1 IT EMS I hereby affirm that there Is a construdbn le ing agency for vee❑ no l 04 the pwlocrr r e of tt-a work for which this pemnR Is baled(Seo. TC1TA� 1$ r �Q I FVVE WAD THE FW_AFDOUB n WaWATI N OIE AM THE ecAC W P0aa-rrm 3087, CN.C.) p-EpoleT.I UNI)EFBUlO MY DOER THE LOS ANGB-"COUNTY CODs �{�r{/ TILE z a-V1alHi r2o 22a r 4o CONCSiIrO Hv�ZAt�OUe CHECK 184.00 Lenders Name THE acrno. r�V,1,y� 2T5 Lenders Address •00 QQ I Gw* that 1 have read this appl and state under penalty at perjury that the abyss Is Correct.I agree t0 Comply P.C.FSE „S•77 PE MIT FEE 'yy �y-y�1 L�+�i�O3 with aD ordinances and tate ER" to bufidUig �J V (/ 00 OW O 1!7 e ,this f38UANCE FEE to for SGS 0360 1 AM 8:07 ra "NESTiGkn0N FEE TOUL FEE �. SEE REVERSE FOR EXPLANATORY LANGUAGE APPLICATION -OR BUILDING PERMIT COUNTY OF LOS ANGELIES i BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FiLL IN eU I hereby affirm that I have a.certfncate of consent to self hnsure, �C�/N�fOD /l '/`r<P�� a MSS a certlfbat9 of Workers' Compensation Insurance,or a oerttrted T � xo�//1tL,G 0 copy thereof (Sec.3000,Lab.C.) Poky No, ComperTYNO.OF / ElCertified oopy is hereby furne"CL OF Q Now ON LOT nEwE cCA089 si. El carthw copy Ia need with the county w dlrp Inspection TRACT etnc+c Lor No departrn-IL :3 LSE ZCNe MAP No. Date App baht " 8. E v/ sPEaAL coNorrloNs CERTIFICATE OF EXEMPTION FROM WORKERS' �� � -UI•7NO COMPENSATION INSURANCE VAT4N 1000 Fr.OF SCADCL? YES (This section need not be oonpleted If the permit is for one hundred ADDRESS J E,�l�/ff�d DISTRICT GROUP TYPE CONST FFE Zoll BY dollars ($100)or leas.) I oerttly that in the perforrnence of the work for whbh thio permit ��y1 Y ���7&V V,'j b law d, I shall not employ arty person 1 her so as to t)aC(xTle elb}0f to the VVorlcere' Ola ENOf1EER TEL Na i STATt8l7CAL C A�F7GKr*N APT 00160 Date// I�T�AppBCec�t ADDRESS CtA48 NO DWELL UWS NOT)CE 7D APRJG4WT• 0,Zer maktng thio Certfnoate of RECMFED TOLAL SETBACK FROM EXiST Exernption, you &" d be subOct to the VVOrkers' , � SET BRICK )ARD IryyY P90P LINE WmTH C xrCenearion provielons of thA Labor Code, you must kxttnvtth — naS� YJ� (,C� / conply wtth such provolone or this permit ahail be deemed revoked. ccff FRONT LICENSED CONTRACTORS DECLARATION + MQQS� £ 6/3 / SEE P L I hereby afnrm that I am Ilceneed underprovWons of Chapter 9 (corTrtnerxAry with Seotkn 7000)of Divbfon 3 of the Buainees andNa aF 8TcRir3 Na OF FMd�8 SEWER MAP d Professions Code,and my Ilcenae b In furl force s f NEW ElBK PG , 0 U Llcernee Num DaLk-C Izllb 6,1T� D/` ! .�D DESU470N OF WORK / ADD $ J D� 2 _ ALTER ❑ 0 ❑ I am wwV under Sec. REPAIR ❑ 1-- $ $ 0 Bb P.C.for thioDEMOL El r - LDMA P/C f d USE OF EXtSTR�C3 BLDQ� T URM ❑ Skraturs Z Eler 4 as ownor my erTpic,e— with wepee ae /4 /+1LDI to Pim• ' _ .ir � ci their eoie compernation, wfil do the work and the structure 15 � �^ O C 50 not Intended or offered for Bale (Section 7044, Budnees and ao2i/"I'i FNAL DQE , ,..•MM,gJJJ�. Profeesions Code.) YLL THE APPI-r-WT OR FUTUIW BUILDW CCCLPANT FV"XR A HAZAFUOA Wg� El I, as owner of the OR A IAXTUrIE CONTYWC A FIAZAFOOUe IA4BiML EQUAL TO OR OFEATER TFNN THE Property, em N chfefvefy contracriTq with A►IOUNTa BPECIEO ►l4S HLe�oFk4ro►1 ouDE 1 FINAL H F— i'( ■LC �. .. . n Acensed contractors bD construct the pro}eot (Section 7044, YES ❑ No v l BLWTw)as and Professions Code.) Y LL Tie NTUCED UDE OF TFE F■r.■av 9Y THE APPLIGNn OR FMM B■rrn ,_\..�.'.�y.�y�y���,_(7��'}{ /+•y�} [ OC MWff WOLFS A PEFMXT POR CCPCSTFUZ;O OR MCCUNC ON FFDN THE 90UTH :�.`� f ::• ti. !Lot 1.bJ.j J 1 11/,) /7': CONSTRUCTION LENDING AGENCY avnT AFi QUALITY UMOaDAENT DWFICT WAdot SFE Psrrrrrro orE�FOR r.cc wa I hereby affirm that there le a conebuctbn lendhv agency for YEs❑ No 0---- – 1759 I Ali I0:T a the performance of the worts for whloh thls permit Is bated(Sec. I W VE FEAR TFE FA AFDXB M4FF{ALa OLIDE Affil THE eCJ� NOO Pff*ArrT 3087,Ctv.C.) a-EaamL i uoERsw�lwly �LIHDER n E fine ANoaFe cou►rrr coneTntE z 0" coNcara+a FMZAaoois i Lerdet s Nemo ecsdn ACCT, t�rde�s Address �� �' 137.�� 0 O I certify that I have read this natioa s and algia under ow y P.0 PERMIT FEE I IT IS RQ of perjury that the oboe Morn,atfon b correct.I spree to corTpfy TOTAL ���_ �i-l� SSI with dl county and State rave relating to buUng l�� O�T L i :S b for IropecYlon Of ti-tis County C�o sotsBIIANCF FEE "Tt J `•r��fi 137.413 m - I INVESTIGATION FEE TOTAL FEE SEE REVERSE FOR EXPLANATORY LANGUAGE f}fFi'1fV_fYV11 i a !M{�� WORIKERS' COMPNSATION DIARATION ! , ' l hefieby affirm that I have aces hcate of consent to "tf r{.ofa cettfffc¢te of Workdrs Compensatlon Insurance,. - APPLICATION- FOR B!�IL©IN .:R 'RN�l or c*�certtfled 4opy.thtereof(Sec. 3800, Lab:�.) COUNTY.OF LOVAN-GEfM ti'; M61311h1L` AHD &.AMY' _ _ Policy Ni i. , Cprnpany,`. _ - Certlfied copy I's 1- reby furnished.. ` FOR ApPLI TO F L fN ADDS Ceft fled copy is filedwlth the county.building Intspec-' U1 . ` tion deportment. Date A�pl lcant' CITY zip.. LOCAtrw CERTIFICATEOF'IDtF1�IPTJON FROM1NOOM7,S OF'IOT �10�11 ON LOT. CROSS ST. . OONfPRVSA'ff OTV I NSU f�A1JCF:.- • (Tf11; section needqbt be cdm (eted if rheermff Is for'onb Tt2ACT BLOCK LOT �gpp�- PAGE; PARS . ' fhuodred dgJlars (=100)"oriees , OWMER Z _ ,,I.terrify-that In_the performance of the-.work-for whlfh this ((�� � ' Qermlt is lisuud, I ah fI no*eclpldy, n m arty nner ADDRESS , - �lDmbtvs so as to bbcome iub t4 the 1N Com Laws _ �' II . Date Appllton ARCH ffECT OR T� NOT1( :TO 'APPifO4f FT: ff,; rpak]Ag,this Gertlfiotrte of ENGINt 2 NO.- — P GROUP TYPE - r RRE BY F�cemptlon,• yc?6,shouldebecomr }ubrect.,to the Woricors y /� Comparncrtlon'prpvlsloru.of.tbb,labor �y¢de, You must forttr ADDRESS - Q �] � .�\/ . DINE - with cortipljr. with such provision♦ ar,_his,Qerrnlf shall be 77� L_ STATMYPALL. `JITIOcr _APT... corIDO.^ ` deemed revoked., NO. _ _ UC CO (fTO,RS DtOXA 4T10N .. LIG QASS NO. UNITS 5 I heroby affirm jitgf 1 am Ilcbnsed under pravl;bro of.(7haptir 4 ADbRE55. NO. t: iJG SEWER MAP t .(comrYtencln�with Section 70Q0)of DI,vIs1gR.3 of the Business. - - - . andProfewlons Ckoe',gond My.Ilcense•tsIn fuIkforcrand effect.• . �" 1 V7sLpA }� T SQ. Fr. NO Qf I.Q OF. �. Uc�lw Number T` i-Pda�_'fir i SI STOR1E5 AfWLIB VALU TFON Contractof �4, ; 0 4 ❑•I.bnexemptunder♦Sec` /- B.BR.C:fgr thils, n' TER _ { r44p REPAIR L*E CC D re: EXISTING BLDG.. - DEYAOL Li aWNEitUILOER DECLARATION ' F APPUPi zi" GANT tIO - �2ATTi. 1 I hereby gffirrmtfxrt f am exempt from thr Cmntractors Ucense' Law for rh'e foil wlrttf;rotraoh-(Sectloo 7031.75,-Dua`Ihesa and ADDRESSPIIiAE' 1 IPr�of�lohi'Gode�: :' �]+,l�T T - _ _,'_• , LCJ I, 'as'owner of the prpperty, or my errtployee� wlth ILDING ` � th�r1■� } wages aathplr-sole Torr pensatlon,,wtlf do the work ark . the rtrutturb-ls not Inhrided or.offered-for'sole(Sect 1'66 LOCALITY 3W rr�zr+�� __ 4 fbwio Code. __ MO+A LJ 'owner the{�roberty;.am'exclUs¢rel cogh4atl CbtQTRACTOR ' - NO.' with ll�drtaed-cop}r'octors to:cbnstruct the Proled�5ec ADDRESS - �• _ - '' - $r tion 7044, -Bu;lnesa and Profeulor*Code'.) �L�/� +.�� CONSTRUCTION LENDING`A _ YARD FtW1 r 4fG4K'. Pa.• Fheroby afflrttithaT them Is a corutrudlon IendYng agpncyfoc r {� - l ■ W the Rerformance of the work for w.hlth'this petirlft ti (Sec. 3097, Clv. G). - SIDE Lgnders Name 1' QJ.1QI 9 LDMA-Rdf.Landees M P. Few$ Rdfrn It Fee 5338 1 al'110=0 'Addrees . 1 certify That I'have read this appllcgtlon qnd rtuTe-that The - Nwance + v LDMA P/C► above Inforrrxrtlon Is correct. I To comply all GQunty nwstt Ion.FM• ' otdlna and Statelaws I' ng to byllding coastiuttlon, - Total'rye s .3 LDMA PLrm' and-h out h0rtze r 76n Ives of County to enter upo abovo- en property foc qn pu M#1/eff(O!l�LAHATO[Y LA11¢{1 pt SIGH*of Appllchnt of gent Date COUNTY OF LOS ANGM,FA TE34PLE CSTY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR HULLOING AND SAFETY / LAND DEVELOPMENT TE2�PLE CITY CA 91780 BL 0508 0908200010 PHONE: (626) 285-0488 ETT: LEGAL ID: NO. OF CONST BUILDING . TR: 16957 LT: 131 SQ. FT STORIP.9 TYPE 5514 ROBITHOOD AV STRUCTURE: 1950 V-B TEMP CA 917802718 ASSESSOR INFORMATI NUMBER: NEARE,4T CROSS STREET: DAIMS 8586-018-003 THOMAS PAGE: 597 GRID: B3 LAC?J-=: T 24PLE CITY, C TENT EXIST BLDG USE: RE9ID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXIST OCC GRP: 08/20/09 SR OSQffit: TEL. 190: BLDG9. NOW ON LOT: VALkIaTION: FINAL 13Y: CODE: HANNAH DIANE L (626) 443-8175- 1,900 `- 5514 ROBINHOOD AV TEMP 917802718 FEES PAID D CP-IPTI OF WORK REROOF HOUSE OVER EXISTING SINGLE LAYER ROOF AND FASCIA FEE DESCRIPTION: QOANPTPY: UOM: AYMNT: BOARD REPAIRS APPLICANT: TEL. NO: STP EXIgNPRIS S INC. (626) 287-7544- AA BLDG PE04TT ISSUANCE 27.75 5454 TEI1EPLE CITY BL. AB STATE GREEN BLDG FEE 1900.00 VAL 1.00 SPECIAL CONDITIONS: TE!{FLE CITY CA 91780 AC STRONG MOTION RESID 1900.00 VAL 0.50 D2 PERMIT W/O EN-HC 1900.00 VAI, 82.20 TOTAL =9 111.45 CON—TRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SSFP m7rmz. 0 E9, INC. (626) 287-7544- 5454 TE14FLE CITY BLVD. LIC. NO LOCATION AND 9&TBACRS TEMPLE CITY, CA 91780 598157BC36 SOILS ENGINEER APPROVAL ARCEECTECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS . LSC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER FAP BOOL: PAGE: FIRE ZONE: CFD?: UNDERFLOOR Y2.9DLATIGN 147H269 3 00 FLOOR SHEATHING NO. OF FAMILI69: DWELLERG UNITS: APT COT®: -STAT CLASS: NO 21 ROOF 9HEATLING 90100L WITrJN HAZARDOUS SHEAR PANELS ASR QUAJ=: 1000 FEET FOiTE TATS NO NO NO FRAME IN9PECPIOi9 REQUIRED TOTAL SETBACK FROM EZSST FIRE 8 Pn rrrRT R HANGERS SET BACK YARD: HWY: PROP L,IHE: WIDTH: FRONT PL- IN9trLA.TION WHATHER STRIP SIDE PL- INTERIOR LATH DRYWALL =Ti2IIOR LATH RATED FLOOR CELL ASSEM. RASED WALE, ASSEMBI, RATED SHAFTS OPR2fLW,9 T-BAR CEILINGS LCT IDRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LAOS ANGELES TEALS CI'PY Q 0508 BUILDING P$RKIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNS ALTERATION/REPAIR BUIIDING AND SAFETY / LAND DEVIIAPMENi' TE LE CITY CA 91780 BL 0508 0908200012 PHONE: (626) 285-0488 ETT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 16957 LT: 81 SQ. FT STORIES TYPE 5514 ROBIN11COD AV STRUCTURE: 600 V-B TEMP CA 917802718 ASSESSOR INFIDRMATION NUMBER: NEAREST CROSS STREET: DAINRS 8586-018-003 T'HOF4i9 PARE: 597 GRID: B3 LACALTPY: TFYur.R CITY, C TENT EXIST BLaG USE: RFSID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXIST OCC GRP: 08/20/09 SR OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: F CODE: HANNAH DIANE L (626) 443-8175- 600 5514 ROBINTDOD AV 7 TEMP 917802718 FEES PAID OF WORK _ REROOF DE'I►= GARAGE OVER EXISTING SINGLE LAYER ROOF FEE DESCRIPTION: QUANTITY: COM: AMOUNT: APPLICANT: TEL. NO: STP ENTERPRISES INC. (626) 287-7544- AA BLDG PERMIT ISSUANCE 27.75 5454 TEMPLE CITY BL. AB SATE GREEN BLDG FEE 600.00 VAL 1.00 SPECIAL CONDITIONS: TEMPLE CITY CA 91780 AC STRONG ?4=ON RESID 600.00 VAL 0.50 D2 PERMIT W/O EN-HC 600.00 VAL 43.65 ' TOTAL FEES 72.90 _ CONTRACOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE STP ENTERPRISES, INC. (626) 287-7544- 5454 TE24PLE CITY BLVD. LIC. NO LOCATION AND SETBACKS TEMPLE CITY, CA 91780 596157BC36 SOIIS ENGINEER APPROVAL ARCHITECT OR E 12=: TEL. NO: FOIIM=ON/TRENCH FORMS LIC. NO:: BLAB UR®ER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE P,08Fi: CLIP: UNDERFLOOR INSULATION 147H269 3 00 FLOOR SITIATHING NO. OF FAM[1J.rE.S: DWELLING UN=: APT CORD: SPAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET PG TERTAL-S NO NO NO FRAM INSPECTION REQUIRED TOTAL SETBACK[ FROM EXIST FIR& SPR-INI= HANGERS SET BACK YARD: HWY: PROP L.IPE: NIDTI-I: FRONT PL- IFSU7IATION wmu--IER STRIP SIDE PL- INTERIOR LATH DRYWALL EXTERIOR LATH RATED FLOOR CELL ASSEM. RATED WALL ASSEIBLIE9 RATED SFQUIT9 OPEPTNGS T-BAR CEILINGS LOT DRAIIU GE REPORT ID: DPR261 ROUTE TO: B80508