HomeMy Public PortalAbout5565 ROBINHOOD AVE_Building__ 76A638A CE a<803 }Bfl APPLICATION FOR BUIL IN PERMI ,;t-goW u
COUNTY OF LOS ANGELES ADDRESS 5"55 t1u
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. L.AMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST
CROSS ST. O U u
FOR APPLICANT TO FILL IN DIST ICT N0. GR UP rYPE 01sT. PR �sED BY
(PRINT OR TYPE ONLY) ' JT�T m
BUILDING r STATISTICAL CLASSIFI SEWER MAP
ADDRESS � J d r�v Vd CLASS N0. L.UNITS BKJ PG
LOT NO. 67 BLOCK USE ZONE O P 2oa q
TRACT 16967 SPECIAL
N0. OF BLD G3. CONDITIONS
SIZE OF LOT .5S 7( /I NOW ON LOT
USE OF
EXISTING BLDG. BLD ET BACK FROM
/, TEL. FRONT P. LINE OF (STREET)
OWNER LLC.1 /� N0. TYPE OF EXI SETBACK
HIGHWAY + YARD = TOTAL
ADDRESS !� �0�� Q p/~ILA p HIGHWAY WIDT ROM C.L.
CITY '-f s
ARCHITECT OR TEL. SISETBACK FROM (STREET)
ENGINEER N0. SIDEDE PROP. LINE OF
TYPE OF IEX;TM DETBACK HIGHWAY + YARD = TOTAL
ADDRESS 9 / HIGHWAY WIDTH FROM C.L.
CONTRACTOR .!4 No.
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LIC. CORNER CUTOFF YES ❑ NO ❑ O
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CONSTRUCTION LE DER ,
NAME AND BRANCH
rn
ADDRESS Z
SQ. FT. NO. OF N0. OF
SIZE STORIES FAMILIES NEWUSE OF ❑
STRUCTURE ALTER
ER E]
REPAIR
SIGNATURE OF DEMOL ❑
APPLICANT
VALUATION APPROVALS DATE INSP[CTOR'S 214HATURK
P C PMT, FOUNDATION: LOCATION
FEE S FEE S Q F TER
LS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS,
13OLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDINGCONSTRUC-
TION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I GAS VENT, DUC75
WILL NOT EMPLOY ANY PERSON OLATION OF THE LABOR CODE LATH, INT.
OF THE STATE OF CALIFORNIA N E IMG TO WORKMEN'S COM-
PENSATION INSURA C LATH, EXT.
SIGNATURE OF HOUSE NUMBER CORRECT
PERMITTEE AND POSTED
A D D R FINAL
JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHEC)C VALIDATION CK. M.O. CASH - PERMIT VALIDATION Q u.o. CA.H
IAr_ 329tic JIT 9 1 D 1 2.0 0
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78A888A CE ry808- i-8f APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS �S E Ft 13i N H uu il
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST i3 O G C
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST.
DISTRICT NO. I GROUP I TYPEPROCESSED BY
FOR APPLICANT TO FILL IN Sr I CONST.T_ c"I, L V I�'I)
BUILDING f STATISTICAL CLASSIFICATION I SEBWKRMAP
3G
ADDRESS �O �j
ff DWELL.UNITS
LOT NO. /Ij BLOCK WATER NOT REQUIRED RECEIVED
TRACT CERTIFICATE:
MAP 7 HIGHWAY STATE MAJOR SECOND, LOCAL
f NO.OF BLDGS. NO. L(7 (? (CIRCLE)
SIZE OF LOT , �( (� I NOW ON LOT USE ZONE SPECIAL
USE OF47 �.-) CONDITIONS
EXISTING BLDG. /I[ /��/J[.�c
/� TEL.
S00 0
OWNER SR //
T CI`j646/V NO.6dity- BUILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
ADDRESS FRONT �7
ARCHITECT OR �aTEL. P. L. ZU "0%/Iy m vol>
OS
ENGINEER (�' SIDE
P.L. �-
ADDRESS d
���� TEL, INSPECTION RECORD O
CONTRACTOR NO.
m �
ADDRESS Q
DESCRIPTION OF WORK v
W
d
- � •� to
NEW ADD LTER 'REPAIR DEMOLISH Z
SQ.FT. NO.OF ` NO.OF
SIZE STORIES 1 FAMILIES
USE
STRUCTURE. `//`T/6� gtl
J/ C. yF
(
SIGNATURE OF C
APPLICANT p{p
VALUATION$ .�• /V O o l I ,.._ Y, -_,� r'
APPROVALS r'- DATE INSPECTOR'S SIGNATURE
QQ c FOUNDATION: LOCATION
FEE $ I FEE $ C1 FORMS,MATERIALS `
FRAME: FIRE STOPS,
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMP Y ANY PERSON IN VIOLA- LATH, INT.
TION OF THE LABOR CO OF THE TE OF CALIFORN A RELAT-
ING TO WORKMEN'S C PE TIO N A C
�' LATH,EXT.
SIGNATOR F HOUSE NUMBER COR-
PERMITTE RECT AND POSTED
ADDRESS FINAL
CLYDE N. DIRLAM, PRINCIPAL STRU4URAL ENGINEER
PLAN CHECK VALIDATION cK M.O. CASH PERMIT VALIDATIONK.- CASH
rt:o 7 5 9 iii='t? 1 i D r
/� f
COUrTT OF LOS ANGELES TBNPLE CITY 0500 a BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS � ', w � ,�-oI NEW RESIDENTIAL
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA �� BL 0508-9805150005
PHONE: (818) 285-0488 EXT:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
TR: 16957 LT: 67' SQ. FT_ STORIES TYPE OCCUP GROUP 5565 ROBINHOOD AV
STRUCTURE: 260 1 VN R3 TEMP CA 917802719
GARAGE: NEAREST CROSS STREET: BOGUS..,
8586-022-015 OTHER: THO AS PAGE: 597 GRID: B3 LOCALITY: TEMPLE C
TENANT: USE ZONE: R-1 PROCESSED BY:
05/15/96 UTOWNER: TEL. MO: BLDGS. NOW ON LOT: VALUATION: FINAL DATv_qFINAL CODE:
05/1
LAI GENG-CHURNG V;RUBY C (626) 542-9245- 19,200 h
5565 ROBINHOOD AV.
TEMP 9 1 7802 71 9 FEES PAID ON 0 F-WORK
NEW MASTER BEDROOM AND BATHROOM FOIrBEDROOMS
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RE
S 00.00 VAL 1,92 SPECIAL CONDITIONS:
AX BUILDING R 9. 54.70
B2 P ERM I T fps YC4Gr E L E 'f _ `\ 426.03
510.40
CONTRACTOR: APPROVALLS DATE INSPECTOR SIGMA
SAME AS OUNER i V4
LIG. NO � �/ � � LOCATION AND SETBACKS
ARCHITECTSOILS ENGINEER APPROV hu&FOUWDATION/TRENCH FORMS
LIC. NO: L . 4�
,KkP MO: SEWER MAP BOOK: PAG
yvl l 111 1SLAB/UNDER FLOOR
EM" FFAMLNG2
147H269 3 E FIRE 1 f . l Jl CI�1 1.iIST LEV
l`j, lvl � �r�U [OCR INSULATION
NO. aF-FAMILIES: DWELLING UNITS: APT - - —_ --- -- ---
00 L 2ND LEVEL FLMFMOUTF
AIR QUALITY: 1000 FEET MATERIALSNo NO NO
REQUIRED TOTAL SETBACK FROM
FIRE DEPT. FRAME INSPECT
SET BACK YARD: HN7': PROP LIME: YIDTH: '
FRONT PL- `SaI?lICO 7E.�i../_:. SHEAR PAN
ELS
/-TI
SIDE PL- +`` _
INTERIOR LATH/
EXTERIOR LATH
LOT DRAINAGE
SMOKE DETECTION DEVICES
1FIRE DEPARTMENT APPROVAL'
REPORT ID: DPR261 ROUTE TO: BS050$.