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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