HomeMy Public PortalAbout5543 ROBINHOOD AVE_Building__ I
DEPARTMENT OF ING AND SAFETY e L D 1101 G
COUNTY OFF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING DISTRICT NO. PLAN CK. NO. PERMIT NO.
LOCALITY < LVED BY DAT[OF APPL bAtK ISSUED
N EAR[ST
CROSS ST. BUIL�D4IN �—
ADDrcnns�
OWNER
MAIL LOCALITY C/
ADDRass �.. !' / NEAREST
TEL CROSS ST.
CITY NO. FIRE NO. OF TY PQ GROUP
ARCH ITECTOR TEL ZONE PLANB�� -
ENGIN[iR NO. — BLDG. ORD. NO.
SETBACK LINK
ADDRESS APPROVED
Y6L BY DATE
CONTRACTOR O. USEAPPROVED
ZONE SY DAT[
ADDRESS HOUSE NUMBERING
LEGAL
DESCRIPTION LOT NO. SL MAF NUMBER RI[1D CHECK BY
TRACT NO. ASSIGNED BY DA
NO. OF BLDGB. CORRECTIONS
SIZE OF LOT NOW ON LOT
US[OF NO. OF
EXITING■LDG. FAMI UES 1
SCRIPTION OF WORK
NEW ALTERATION I ADDITION
r' 0
REPAIR DEMOLITION _X
Q. FT. NO. OR `� Q
o1ZI ROOMS
SSTOREY[ Z
FDR. WALL ROOF
COV[RINO COVK2ING Q
USE OF STRUCTURE
APPROVALS
INSPECTOR'S a1GNATUR11 DATE
1 HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION, LOCATION
PLICATION AND STATE THAT THE INFORMATION GIVEN IS I FORMS, MATERIALS
CORRECT. l
1 AGREE TO COMPLY WITH THE CORRECTIONS LIQTjKD FRAM[t FIRE STOPS,
H[R[ON AND WITH ALL COUNTY ORDI C[B AND STATE BRACING, 13OLTG
LAWS REGULATING BUILD,N 0STFj ON. FURNAC[t LOCATION,
SIGNATURE OF �'� / "/I / GAS VENT, DUCTS
LATH. INT.
ADD '
LATH. KIT.
AUTHORIZED AGT.
PLASTER, INT.
7GA92MA" DS= to-no ; P. C.
ID FELE PLABTER, KIT.
VALUATION
FEZ FINAL L_ h+ry b)
APPLICATIQ.N FOR_ BUIL,DING :PERMIT
- COUNTY OF LOS ANGELES BUILDING ANO''SMETY
WORKER'S•COMPENSAf1ON DECLARATION FOR TO.FILL IN
I hereby-affirm thM I have 4 certficatq a consent bo,soft Irterae,
or a-cerbflcate d'Work-' Compentatbn YTaursrtoe,or a certlfied T
Cay tr,erea(Seo.3800,LELL C.) My, Zp
P050y,Na m- 5� Cornpa„y. x i' � 9�7�6 `Acura`
QCM of Na OF BLDG,%NOW ON Lor.
Q Cdrtffied OWY Is hereby.fumWx)d. NEAREST CROSB ST.
❑ Certt COPY b i ed Witt the—'Nilly bdOrvAnapedion. TRA T BL" LOT Na
LaSE DJNEmkp NO
��_ Appkantv ASSE88OR MAP BOOK .RAGE PAACEL.
$FECAL COr MOW ,FD
CERTIFICATE OF UEMPTION PROM WORKERS'.
owt� No.
COMPENSATION INSURANCE. ADDRE /C (��� Sr Z-T wmm t000 FT.OF BC3-K o ? YE8 NO(t*section need not be oorrpleted K the Oermlt W for one hundred 38
dollars($-1 o}or less) x orBTRtcT GROUP FIFE MNE PAOC> ar.
I certify tial In the perfnce the work for Wftich this pitermCTTY
ormaa aP
Is Waxed, I " hdt employ arty person In arty man ner�ao as b
APT cctji�o
becomth
e s b}ea.io e Workers'Compensation Lav►e. O��NOH� TF1 No.
f3'vLusTrAL
Deis Ap4f SS CLASS NO: r:2 UNFJ1 LN M75
Np77CE 7O APPLJr' ... If, after msidnp this Cerffepate It RFOLARED - TOULL SETB4GK FROM
Exenption, You shald become eub*d to the YLbrkwre' SET BACK ypD I Ayy PROP LK -_ WD T
Cortpensatfon provWone'of the Labor'Code, you fn.* tor&,ftT,Zbrl�i -V 3-1-1 j/ FFONWT
comply.With each Provbbne or.this parmk eftall be deemed rewolf!!d. AD= UG NO. p
LICENSED CONTRACTORS DECLARATION -lr d 8°E EL
Cr ry Ur–Cl1.44 pi' O
I4-*reby affirm that 1.Qm Ibonsed. -derpro," a. ap
Chter 8 OF —W U
(comnvwdrq wth.Seofbn 7000)cf,DM bn 3 a the Budnesa end sa Fr.Sag OF 3iOFtlES W.OF R�AttJEE SEwEFi ANAP
Pro"*-Code,and my kWw W In foo force and effect. ZG_SD NEW BK pp O
Lbenee.Number—fLk-Gess c 39 oEscuPraoN wt>fm ADD ❑ vulAT n w
c«,aaot�,r 14 ,d� Date �q��1 A�-TER ❑ � �� IL
Cn
a tem--rapt �Lalder sec. zll�Ald REPAJR. Q ?
BAP.0 for bila reason G s,✓ 6G6 DEMOI_ D -
Date: USE OF NO BLDG WMA P/C• a
f1RM_ ❑ _ 1 /+
.- APPL.K'.MT(PFM7) TSC 40.' IALA Firm�. �.t•T:A ..
❑.1, as owrtar'a ft properly,dr"M ernpioyses with wapea as � ,� 1 .°
their ads ccr pemmftl, va do.rhe work and the &ixT ADDRESS re Is- ADDss TE
MS Irrtar,dbd or orrered for sale;(sepnpn 7o4a, Bxeh,eee grid fINAL DATE 2 1� 1 ITERS
Proleedorta Cdde) p.l T1 A#LK.,IIr oR FUTUM BULDW CCCUP.,A w,OLE AJIAZAAooUa YQeiAL
Lr Re owner of the Oopmty, am a7R�USMety contacting Wfth ORA 4d(Tllt COHDV�/QA WQ1:Fi� L C-ai�L ro OR Of�AEA TINA TI-9 � � Tf1Tdl 158 � 85
BCetl60� gD/draclDre to CottetillCt the proyect (seOtio{t 7044, AMOWTS SPEC ON THE Us
FIOFYCION pine? FtiKAL BY ��y.L_�TA �e
BLrriTese Brit!profoubm Code.}, vee� No❑. CHECK " 1•Jo.�`r
%LL TFE MTBO®LBE OF THE MXLM rfr TFE APKJCAW OR,PUTLFE w■111 �y'�S _
OCCUMm
NT FMARE A Pt FOR CONan1JCn)N OR t,IODFlC,-DDN FFpA THE SOUTH ` .00
CONSTRUCTION LENDING AGENCY COAST AS WATt'NWAGEWE T D99TRICT(bGb1M)1 s¢PETUTTM C3 a FOR
I hereby affkTn that lhere'ls a constn#bn Wtxing ageing-for vEs❑ No❑ �7
' -rhe 7,Ctv.sertce d the work for which iiia permh W laaUad-tseD. r T,-E Wnus La IFDFwAn0 hj ai]E AND THE WAQLC PQ%LTTM 0000 �/2?/96
30x37,CEN.C j DOER TFE LOB CaMi.LOD[
I_andare Name. 2. 2-20 2sa too p FuzAj= �� 1 Am l is Q
A PFDII THE S'yMR .
!-enders Address
6i'Qlfi
I Certify tltei I.hme reed tie "p cation and stee under per>alty
of perks y that rite above h(ormetbn is cortrjct I agree to corrpy P.G PEFMT FEE
adlrtertcee and state laws ralarhtp b "Jing
erd repreeerttativee a fttb Cornty tBSUANCE+-EE. D
� b the for Lxp/gee-e,
trp�pE% 7%S7 / R4VE8TK3ATION FEE 1D4LL FEE
►�— SEE REVERSE FOR EXPLANATORY LANGUAGE
%WORKERS'COMPENSATION DECLARATION
'h affirm, that I have r certl omp ns consent to ..� AppI��CATlO AOR BUILDING PERMIT
irtsu. or a ypriiflcate of Workers' Compertsatipn Irnurance,
+ of a certified copy tis f (Sec. 3800, b. C )
l �, ,f COUNTY OF LOS ,ANGELES BUILDING AND SAFkTY
P _N 4 VZ Compdny, to ry1�[[I � '/
Certlfled copy Is hereby furntshbd. FOR APPLICANT TO FILL ��Y /
tlon Ctrtlfled'copy I+filed with tis e nzze ADDRESS
Date Appilcant - Lr'� CITY y 71P LOCALRY
IFICATE OF D ENIFTION FROM WORKERS' SIZE OF tOT
COMPE]NSATI0N INSURANCtE NOW QN LOT ST.
(This section need riot be completed if the permlt'Infdr.00e � .
hundred dollar. (sIOQ)or lees.). TRACT& ?6 um LOT NO. MAP P,,Gr 2 PARMOYft
/
I certify that In the.pelfgrmance•of the work fair
blr whlch.thls � NO
permit Iued, l II not employ any Person InVny.mcinner ADOf�S6 f
NIECLAJ
so as to become sub ect to the Workers Compensatrdn LdwiL Q
dvZIP
ati
' Applicant .
=1Cf TO APPLICANT If, after ' aking'thlti'Cefitficate of �i�� ��. � �� �7. RR!
m
Exemdtlga;'you should became'sub eft to' Oie"Workers' � f
Compehtatlon provWorn of the labor , you"mura�fdrth- ADDS
with comply with such provisions or thlt'permlt- shale bq-. Tg � STATISTI Gy QASSI�TfON AFT. [1vl.I
deemed revoked. � �'
),ICENSM CONTRACTORS DECLAXAMN tVO. `2 QASS MO. DWELL UNITS Z
hereby affirrrr that I am IIcenled uhder prgyWonis o4 9 �-
( wrttft Section 7'000)of Dlvlslon,3 of fhe BusInew and UC_ AAAP
PFof lorn , ohd'my license Is In full forcesQnd":ffe- CITY "^ - CLASS BK PO. VALFFyATFON_
tQ-FT.A/W,
.. NQ. N
{}Efl
O..OF.. (
Licerter.dumber'416 6q3-LIC, / '
Cootroctorl A�!/G Dc" M I w i ALUAT�QN ;
I 1 �ii��JJjj
r '
_AW -2 9 5 f.-G A
- , . : _
SPALR
B.BP:G for#hrs �Fj" llt♦Co ; t •.• o 0 0"',r , .
Lis! j DEVSIOLL I' o 4 9&8
oc NG
3lgrwtu R-aUI TION AFPLiGMr �! .� TQ J7, • 4 9 g'$
I hereby dffirrn-chat I dm exerh from the Controctors License
:p�'03_8�' ..
Law,for the following reasoh�StEtlon 7031.5;.Bct.Irtees and". _ -
Prdfeielbrls'Code):. _ tee Loi
1; as owner of th4 prbperty;'or illyy erhplayees with APDREES
W0901 asthelr sole Cornpehsatlon,w111 do the work and
the structure Is'not Infpnded orofferid-for CSection
7041; Busirtew and Profeeslons-Codon MOVING _ TEL
F, as owner of the property am exclusively cohtrwIn4 CONTRACTOR
wlthf Iicerood contractors to construct the prglect (Sec- 1 " - +c
tioADDRESS
n 70", Boslnees and Profeesions Code),
CONS'MCTION LENDING AGENCY YARD- HM7 PROP. iJ sem, 1'," �','� p
I hereby',dfflrni that there Is aconstructloh lending agency for s', ti {' < =
thi performance"of the work'for which thll permit Is Issued P
(Sec..3097„Civ.,C:)
P.L YT..
a
ter,d:rs UameIWR.
LDMA .,t
$ Lertderi P,G Fee= Pertnk Few i
WSU
M1
I certify I rood this application-and state that the WtLmnw F« LTV k.,
M
above 1 c¢vect, I agree to corhply with all County Ihvesttpatton Fee
ordlnan and krws.rel res ing to bulldIN corudryctlon, Total Fee Prm rt 1
ii and Drize representatives of tllks Cpurtty to epter -
upon• v n for Inspection{�u
99 WVE�N POR EMANATO[y LMIWJAW -
-CO(1NTY OF LOS ANGELES TEMPLE CITY �� �` f 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS y '" ALTERATION/REPAIR
I}UILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9812180008
PHONE: (818) 285-0488 EXT:
LEGAL ID: NO. OF CONST' BUILDING ADDRESS:
TR: 16957 LT: 71 SQ. FT STORIES TYPE 5543 ROBINHOOD AV
STRUCTURE: 0 VN TEMP CA 917802719
ASSES= I NEAREST CROSS STREET:
8586-022-019 THOMAS SAGE: 597 GRID: E13 LOCALITY: TEMPLE CITY
TEJMT: MUT-n-W-ME: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 12/18/98 UT 12/18
OWNERTEL. NO: 915U�� LOT: VALUATION: FINAL DATE FINAL B CODE:
RHINE�MICHAEL E•CARQL D - - 1 1,8002/c
5543 ROBINHOOD I1V ` _ i
TEMP 917802719 FEES PAID MUTMW OF WORV IV
REMODEL EXISTING DEN TO CLOSET-NO ADDITIONAL SQUARE FOOTAGE
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
ERIC A DONNELLY CONC. MANAGEMENT (626) 6037-2020- AA BLDG PERMIT ISSUANCE 27.75
115 W. LIME . AC STRONG MOTION R 800.00 VAL 0.5Q .
SAN GABRIEL, CA AX BUILDING R �� 54.70
D2 PERMIT Ot 5 NR GE L 165.15
CONTRACTOR: TEL. NO: 15
URMALS DATE
ERIC A DOIINELLY CONSTRUCTION, MANAG (818) 603-2020!- ��
115 VEST LIME AVE LIC. No , / LOCATION AND SETBACKS
SAN GABRIEL CA 91776 650218 B
TEL. NO: FOUNDATIONPRENCH FORMS
LIC. Moi 111111SLABAWER FLOOR
RAISED FLOOR FRAMINGl
X)R INSULATION
147H269 3 01JNE D U B U C W(Do FLOOR SHEATKINU_
MO. OF FAMILIES: DWELLING UNITS: APT7507-STAT-CUSS;
NO 21 iROOF SHEATHINff'_
SC / eg 0SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS CJ ❑ j/
No N0 NO A ❑
FRAMEINSPECTION
REQUIRED FROM EXISTFIRE
SET BACK YARD: MY., PROP LINE: WIDTH: 467�C � t�Ot
FRONT PL- `S9tVIC6 Tha
SIDE PL-
INTERIOR LATH7N7WZ[---
RATED WALL X95U1rff9___
RATED SHAFTS/OPENINGS
war
LOT DRAIWkGF-
REPORT ID: DPR261 ROUTE TO: BS0508