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Home My Public Portal About5759 ROWLAND AVE_Building__ SAGSSA CE*808-10-SS APPLICATI ON FOR BUILDING PE8.1111IT 1 BUILDING AND SAFETY DIVISION BUILDING ADDRESS Department of County Engineer County of Los Angeles LOCALITY JOHN A.LAMBIE. COUNTY ENGINEER NEAREST r J CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST ✓� DISTRICT NO. GROUP I TYPE�i ifi 1 SEWER MAP FOR APPLICANT TO FILL IN �.7t� 'f I BK PG CONST.' BUILDING5761f U) .I A STATISTICAL� IFICATION ADDRESS S CLASS. NO. WELL. UNITS C BLOCK MAP STATE NUMBER ) HWY YES O TRACT USE ZONE SPECIAL NO.OF BLDGS. CONDITIONS SIZE OF LOT I NOW ON LOT USEOF EXISTING BLD . BUILDINGEXIST: f SETBACK YARD HWY STREET NAME WIDTH OWNER C511 /�(( / / FPRONT ADDRESSo[� (7�Yo� -'ly ' 10 SIDE TEL. /•y 7 P. L. CITY NO. /��J INSPECTION RECORD ARCHITECT OR TEL. ENGINEER NO. ADDRESS ��rrfy �' r• TEL. /��'�(! G/l/�'bf !V� �/✓� t/d r�/i=_. i CONTRACTOR 4 /� O. nl -3 I �r1%•.S'E'.r' .�� ADDRESS DESCRIPTION OF WORK ' I'/�Jr.;G�,�/T- �.1.(r-plc- t5/'.•�,if�f, NEW ADD ALTER REPAIR DEMOLISH SQ. FT. NO. OF NO.OF •`'`r /<<`J;/r + /IVY�Y�/ % h��'. SIZE STORIES FAMILIES USE OF STRUCTURE 7 `sr,-g // &OOo dvkep �d APPROVALS �Qy SIGNATURE OF APPLICANT I / DATE INSPECTORS SIGNATURE ADDRESScS N FOUNDATION:LOCATION '- FORMS. MATERIALS P.C. S FRAME: FIRE STOPS. oo/J FEE BRACING.BOLTS VALUATION _ FURNACE: LOCATION. FEE GAS VENT. DUCTS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH. INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TOCOMPLY W TH AL COUNTY ORDINANCES AND LATH. EXT. STATE LAWS TIN BUI NG O UCTION. HOUSE NUMBER COR- SIGNATURE OF ► PERMIRECT AND POSTED'' TTEEC� ADDRESS g-S FINAL /`�('/ OHN A.LAMBIE. COUNTY ENGINEER. CLYDE N. DIRLAM. PRINCIPALS RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PESMIT VALIDATIO CKJ M.O. CASH ('i✓0 76A636A CE#.031o_58 APPLICATION FOR BUILDING P RMIT 1 COUNTY OF LOS ANGELESBUILDING DEPARTMENT OF COUNTY ENGINEER ADDRES BUILDING AND SAFETY DIVISION LOCALI JOHN A.LAMBIE.COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN DISTRI T NO. Gg(liJP I TYPECONST I PfJOCESSED BY BUILDING - `1/• SEWER MAP ADDRESS J �J /- . D✓�!�-/q/// �'iH� C/ TATISTICAL LASSIFICATION 1K PG /` CLASS.NO.�DWELL. UNITS C �O �+ LOT NO. BLOCK MAP -7 STATE YES O NUMBER D / HWY. TRACT USEJZONE SPECIAL NO.OF BLDG SIZE OF LOT NOW ON LOTS R-I/ CONDITIONS USE OF �� EX'STI N BLDG. BUILDING YARD HWY STREET NAME EXIST. �G eN/✓e-7 / S U / SETBACK WIDTH OWNER / �% -/ ,rf FRONTMAIL � ADDRESS �-�' -b G eG/V F/E�L!� SIDE P.L q /n/ CITY ,r ly!^Y LJ�'o No�l I',�.7 P.L. ,�,/ S ARCHITECT OR TEL. INSPECTION RECORD ENGINEER NO. ADDRESS TEL.CONTRACTOR C. �Y'/I ��/ Q ' NO.ys��J��Y T ADDRESS /`� alA),A1UT, DESCRIPTION OF WORK NEW ADD ALTER REPAl DEMOLISH SQ.FT. NO.OF NO.OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF - /I __, APPROVALS APPLICANT tom/ LVAA SS ! - r°• `(� y DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATIONFORMS.MATERIALS P.C. S FRAME: FIRE STOPS. FEE _BRACING, BOLTS TION FURNACE: LOCATION. Q FEE S J GAS VENT.DUCTS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WIT ALL UNTY OR NANCES AND STATE LAWS REGUL�G IL�Tt,�G {N-STRU I ,. LATH,EXT. SIGNATURE OF [/ I ��v✓VC�L -Ls-, HOUSE NUMBER COR- PERMIT'E RECT AND POSTED ,.ys,,, ADDRESS � FINAL ?/ ��Q LCI</-i.:C(11 CLYDE N.DIRLAM, PRINCIPAL STR RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH OF I ' WORKERS1.4 j JSATION DECLARATION su re o affirm that I have r certificate of tionconsent to If APPLICATION FOR BUILDING P E RM I T insure, or a certificpte-of Workers' Compensation Insurance, or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY I Policy No. Company BUILDING ❑ Certified copy is hereby furnished. FOR APPLICANT iiTO FILL IN ADDRESS A El Certified copy is filed with the county building inspec- BUILDING J!- Dl /.l I�5-71 S t- p tion department. ADD /� 10p 1 CITY -C M A lei 1. i't zip C U LOCALITY Date Applicant NO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT 50 X 10J 0 NOW ON LOT I CROSS ST. COMPENSATION INSURANCE ��Q1g )v� ASSESSOR (This section need not be completed if the permit is for one TRACT . �L�3CK LOT NO. y�� MAP BOOK n PAGE PARCEL hundred dollars ($100)or less.) T ( � 1 $ USE NE MAP /7 OWNER JPLYhtsS �1 17D1ti LIIN(aNO. �+YOS-7 NO. I certify that in the performance of the work for which this ((�� ` SPECIAL permit is issued, I shall not employ any person in any manner ADDRESS �j Jr R-OVJ`�1"0 ��. CONDITIONS so as to become subject to the Workers'Compensation Laws. O CITY P le, C CT ZIP V L -7 8"b Date Applicant ARCHITECT OR TEL. oe DIST GROUP TYPE FIRE /PRO ES D BY O NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CO � E l Exemption, you should become subject to the Workers' r P 91-6 Compensation provisions of the Labor Code, you must forth- ADDRESS a with comply with such provisions or this permit shall be TEL. STATISTICAL CLAS TION O *CMDO N deemed revoked. CONTRACTOR NO. Z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO SEWER MAP (commencing with Section 7000)of Division 3 of the Business LIC. and Professions Code,and my license is in full force and effect. SQ.Q.CITCLASS BK, PG. VALIDATION SFT. NO. OF NO.OF CHECK License Number Lic. Class SIZE e I STORIESIf 10r FAMILIES /� ONE VALUATION �(C � Contractor Date DESCRIPTION OF WORK r ry%t Rhl UD. NEW $ q _ " om❑I am exempt under Sec. � � � � ADD ALTER ❑ y BAP.C. for this reason REPAIR 1-1 $ �j�0 �v Date: USE OF EXISTING BLDG. G.$ •�1°ir•.CIL DEMOL ❑ Signature APPLICANT— TEL. -7FINAL OWNER-BUILDER DECLARATION (PRINT) {�YhPi$ J . �lAi(3�10. a$b 3DATE I hereby affirm that I am exempt from the Contractor's License s Gj Vey Nn S�'. C- Law for the following reason (Section 7031.5, Business and ADDRESS S 7 FINAL 7,i07 478.15 Professions Code): PRESENT By TE MS I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work andVI/ T01 f L . 15 the structure is not intended or offered for sale(Section LOCALITY MOVING TEL. CHECK 7044, Business and Professions Code.) (;��t�, �• ;�,i.i pool ❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS CHANGE .130 tion 7044, Business and Professions Code.) REQUIRED TOTAL SETBACK FROM EXIST. ��9d FH RP'1 CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH , rr I hereby affirm that there is a construction lending agency for FRONT (�� LI l.) i �f.{, the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). p SIDE -I �f 8.:97 1 AM 8:4E Lender's Name Vtrr,,a- SIMV 1 to C'S r...opat I P.L. Ip f LDMA Ref. # �,0 �x S � 6 r 1��•� P.C. Fee$ Permit Fee ✓ 1 Lender's Address I certify t0(7 hat I have read this application and state that the I Issuance Fee v LDMA P/C# above information is correct. I agree to complywith all Count Investigation Fee 9 f C� ordinances and State laws relating to buildig construction, Total"Fe. - �+ `✓ LDMA perm. # and hereby authorize representatives of this County to enter on the above-mentioned property for inspection purposes. o t 1- -go SEE REVERSE FOR EXPLANATORY LANGUAGE Signature f pplicant or AgentDate 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 0610120003 PHONE: (626) 285-0488 ERT: LEGAL ID: N0. OF CONST BUILDING ADDRESS: TR: 6561 LT: 406 UN: .002 SQ. FT STORIES TYPE 5759 ROWLAND AV STRUCTURE: 480 VN - TEMP CA 917802617 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: WORKMAN 8587-029-012 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C 4 TENANT: EXIST BLDG USE: REBID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ONd EXIST OCC GRP: 10/12/06 JX 10/07/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: COD GOULDING JAMES J;MARIA D (626) 286-3057- 9,600 'J 5759 ROWLAND AV lb. TEMP 917802617 FEES PAID DESCRIPTION OF WORK PATZO COVERED 480 S.F. • FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 9600.00 VAL 0.96 SPECIAL CONDITIONS: AX BUILDING REVIEW FEE 54.70 D2 PERMIT W/O EN-HC 960.0.00 VAL 216.60 TOTAL FEES 300.01 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS; SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: - FOUNDATION TRENCH FORMS p 6 LIC. NO: SLAB/UNDER FLOOR T RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 1508269 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT COND: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION �p L1 % REQUIRED TOTAL SETBACK FROM EXIST FIRB•:SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATE DRYWALL EXTERIOR LATH RATED FLOOR CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS i T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BSO506 i