HomeMy Public PortalAbout5809 ROWLAND AVE_Building__ 76A638A CE 0803 1/71
APPLICATION FOR BUILDIN PERMI!�� �
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PA CEL
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
687 COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
Print or tvoe on1 CROSS ST. 1
BUILDING DISTRICT N GROUP TYPE ED�Y
ADDRESS 5809 North Rowland, Temple City CONST.
STATISTICAL
LOT NO BLOCK CLASSIFICATION SEWS P✓
CLASS NO. OWELL,UNITS BK PG
TRACT USE ZONEMAP
NO.OF BLDGS. NO.
SIZE OF LOT NOW ON LOT SPECIAL
USE OF CONDITIONS
EXISTING BLDG,
OWNER Douglas Webb Nod'
BLDG.SETBACK FROM
ADDRESS Same as above FRONT PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY HIGHWAY WIDTH FROM C.L.
ARCHITECT OR TEL. + _
ENGINEER NO. BLDG.SETBACK FROM
ADDRESS SIDE PROP.LINE OF (STREET)
CONTRACTOR Virgin Roof Co. NEI 8 HIGHWAY TYPE OF EXISTING
FROM CL, HIGHWAY + YARD = TOTAL
ADDRESS 600 S. an Gab. V •LIC. + = C
C
TYPE
f •
CITY CLASS CORNER CUTOFF YES ❑ NO ❑ L
CONSTRUCTION LENDER C
NAME AND BRANCH REVERSE SIDE FOR SPECIAL APPROVALS
ADDRESS
SQ. FT. NO. OF NO. OF NEW SIZE STORIES L FAMILIEUSE OF DD
STRUCTUREResidpince
ALTER ❑
SIGNATURE OF REPAIR%
APPLICANT DEMOL ❑
VALUATIONS 248.00 I APPROVALS DATE INSPECTOR'S SIGNATURE
7CPMT. FOUNDATION: LOCATION
FEk EE: $ FEES FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO
WORKMEN'S COMPENS I N INSURANC ,LATH, EXT,
SIGNATURE OF ` -Q� HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS
FINAL
PLAN CHECK VALIDATION CK. M O CASH 'JOHN F. LEWIS. PRI PJ/�LrSTRUCTURAL ENGINEER
PERMIT VALIDA 1 N 0 MO. CASH
WORKERS'COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self
insure, or a certificate of Workers'Compensation Insurance, AOFuckdam FOP, 6MLONG PERMIT
or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUOLDING AND SAFETY
Policy NoIV85-2251 remont indemnity mpan)F- ;1 . .
Ara 1"A: BUILDING S-goq IF
Certified copy is hereby furnished. FOR APPLICANT
n UJI
1:1 ANT TO FILL IN ADDRESS
Certified copy is filed with the county building inspec- BUILDING
LJ tion department. ADDRESS 5809 Rowland LOCALITY 'J6vve1e_
NEAREST
Date 8/28/85 Applicant Virgin Roof Co. CITY Temple City ZIP CROSS ST. W01CVVV%A%_%
CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. ASSESSOR
SIZE OF LOT [PARCEL
COMPENSATION INSURANCE NOW ON LOT MAP PAGE
(This section need not be completed if the permit is for one USE ZONE MAP
hundred dollars($100)or less.) TRACT BLOCK I LOT NO. NO. _ 1) ,
TEL. SPECIAL
OWNER Mrs. Webb NO. CONDITIONS
I certify that in the performance of the work for which this DISTRICT GROUP FIRE PROCESSf D BY 0
permit is Issued,I shall not employ any person in any manner
so as to become subject to the Workers'Compensation Laws. ADDRESS as above TYPE
ST. ZONE U
S161 CITY ZIP V of
z 0
Date Applicant STATISTICAL CLASSIFICATION APT, ICON 11—
NOTICE TO APPLICANT: 1�, after making this Certificate a ARCHITECT OR TEL. U
Exemption, you should become subject to the Workers ENGINEER NO. CLAM No. DWELL. UNITS— lu
VA
Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP
with comply with such provisions or this permit shall be
deemed revoked. CONTRACTOR Virgin Roof Co. Z287-0507 BK. PG, VALIDATION
LICENSED CONTRACTORS DECLARATION LIC.
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS P.O. Box J NO. 160650 VALUATION
(commencing with Section 7000)of Division 3 of the Business and LIC. 5445 �(
$ _
Professions Code,and my license is in full force and effect. CITY San Gabriel CLASS $ 5445.00
FT. NO.OF NO.OF CHECK
160650 SQ ISTORIES FAMILIES ONE e
License Number Lic.Class C39 SEE
Contractor
Virgin Roof Co. D.J/28/85 DESCRIPTION OF WORK Tea r off existing NEW ❑ $
ADD ❑
I am exempt under Sec. toof and re-roof with Class C ALTER ❑ FINAL
B.&P.C. for this reason FTX Heavy shakes. 20 squares DATE
REPAIR ❑
Date: USE OF DEMOL C] FIN
-EXISTING BLDG. dwelling
Signature APPLICANT _!4 /z
OWNER-BUILDER DECLARATION (PRINT) V i rg i n Roof Co. ;3'.87-0507
I hereby affirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031.5, Business and ADDRESS P.O. Box J, San Gabriel , 91778 > 714
Professions Code): PRE5ENT
❑ JBUILDING a V1 9
1, as owner of the property, ormy employees with ADDRESS
wages as their sole compensation,will do the work and 0 0 0 8 7.3 8 5:
the structure Is not intended or offered for sale(Section LOCALITY
7044, Business and Professions Code). MOVING TEL. 0828-85
❑ 1,as owner of the property,am exclusively contracting y CONTRACTOR NO.
with licensed contractors to construct the project (Sec-
ADDRESS
tion 7044, Business and Professions Code).
REQUIREDTOTAL SETBACK FROM EXIST.
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP.LINE WIDTH
I hereby affirm that there is a construction lending agency for
FRONT
theperformance of the work for which this permit is issued P.L.
tsc. 3097,Civ. C.). SIDE
P.L.
o Lender's Name
Lender's Address ~ P.C. Fee$ Permit Fee 76.88
I certify that I have read this application and'state that the issuance Fee 10.50
above information is correct. I agree to comply with.all County Investigation Fee
ordinances and State laws relating to building construction,
Total Fee 87.38
6 d h b authorize representatives of this County to enter
.cin Tr a
y u
upon :1cive-7ontioned top for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
Slgafire of Applicant or Agent Date es
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 0303270034
PHONE: (626) 285-0488 EXT:
LEGAL 10: NO. OF CONST BUILDING S ::
TR: 6561 LT: 407 UN: .002 SQ. FT STORIES TYPE 5809 ROWLAND AV
STRUCTURE: VN TEMP CA 917802239
ASSESSORNEAREST CROSS STREET: WORKMAN
8587-030-023 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
TENANT: DG : R S S E: R-1 ISSUED C D B : 0 :
EXIST OCC GRP: 03/27/03 JK 03/21/04
OWNER: T L. NO: LDGS.,NO . 0 LOT: , VALUATION: MAL DATE FINAL BY: CODE:
RIVERO;ANITA (562) 806-3454- 900
5809 ROWLAND AV Y- 3-o3
TEMPLE CITY JEES PAID DESCRIPTION p
GARAGE ONLY: T/O EXISTING WOOD SHAKE;INSTALL 7/16°OSB
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SHEATHING & 30YR DIMENSIONAL SHAKE SHINGLES OVER 15#FELT
APPLICANT:
NANCY LARES (562) 824-3422- AA BLDG PERMIT ISSUANCE 27.75
8348 TERRADELL ST AC STRONG MOTION RESID 900.00 VAL 0.50 SPECIAL CONDITIONS:
PICO RIVERA 90660 D2 PERMIT W/0 EN-HC 900.00 VAL 65.40
TOTAL FEES 93.65
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
LARES CONSTRUCTION (562) 861-1278-
8348 TERRADELL LIC. NO LOCATION AND SETBACKS
PICO RIVERA CA 90660 705675 C39
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: OUND T 0 S
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAPBOOK: PAGE: FIRE ZONE: C P: UNDERFLOOR INSULATION
150H269 3 01
FLOOR SHEATHING
0. S: DWELLING S: 0 C SS:
NO 21 ROOF SHEATHING
SC L WITHINHAZARDOUS SH&6kNiAt
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FRCW--DTS-f-- S E S
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULAT-rCN/WEATHER STRIP
SIDE PL-
INTERIOR
EXTERIOR LAT
FLOOR/CFLOOR/CgIL 19SE97.
RATED WALL
ASSEMBLIES-
S S OP INGS
T-BAR CETLINGS
* ADDITIONAL DATA ON FILE
LOT G
REPORT ID: DPR261 ROUTE TO: SS0508