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HomeMy Public PortalAbout5816 ROWLAND AVE_Building__ R ' BUILDING BUILDING ADDRESS APPLICATION LOCALITY NEAREST DIVISION OF BUILDING AND SAFETY CROSS ST. Department of County Engineer DISTRICT NO. RECEIPT NO. P RMIT NO. County of Los Angeles 5 6leg 7 WM. J. FOX, COUNTY ENGINEER GROUP DATE RECEIVED DATE ISSUED CASSATT D. GRIFFIN, SUPIT OF BUILDING FOR APPLICAN TO FILL IN TY�NST. RECEIVED BY ISWE' �Db WNER AMAIL DDRESS eMAP STATE s / NUMBER �a�'7 HWY YE9 N USEZONE SPECIAL TEL. CONDITIONS CITY ND. ARCHITECT Olf TEL — I ENGINEER NO. BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH ADDRESS FRONTTEL �Q CONTRACTOR NO.'A06 10 SIDE P. r' E ADDRESS I Zp� s I Re )J BUILDING DATE CORRECTIONS INSPECTOR ADDRESS LOT NO. BLOCK r i� TRACT `--- NO.OF BLDGB. SIZE OF LOT CO NOW ON LOT Z USE OF EXISTING BLDG. BirKP,00O DESCRIPTION OF WORK a cl NEW OD ALTER REPAIR DEMOLISH Z Q.FT. NO.OF NO.OF r SIZE ?A J STORIES FAMILIES USE OF UCT E , f NO.OF EMPLOYEES 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IS APPROVALS INSPECT 'S 91GNATURE D TE CORRECT. I AGREE TO C PLY WITH ALL COUNTY ORDINANCES FOUNDATION. LOCA OIT AND STATE LAW EGULA NO BUILDING CONSTRUCTION. FORMS,MATERIA FRAME: FIRE SIGNATURE D BRACING.BOLTS // i' PERMITTE _ FURNACE: LOCATIOK, / ADD9 6// r� GAS VENT,DUCTS RE � � Cv r LATH. INT. AUTHORIZED AST. LATH. EXT. �J P.13.111 HOUSE NUMBER COR- FEE RECTAND POSTED VALUATION V `� r— K ''� '-J / ✓T- FEE !'•7 ��` FINAL 76AS38A DBS 3 12-63 I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNASr. AL.TERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9708110029 PHONE: (818) 285-0488 EXT: -LEGALD; F CONS SS: TR: 6561 LT: 393 SQ. FT STORIES TYPE 5816 ROWLAND AV STRUCTURE: 0 VN TEMP CA 917802238 ASS5SSOR 1 0 NEAREST CROSS STREET: LAS TUNAS 8587-033-009 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY X G S SES D 0 PROCESSEDS O : EXIST OCC GRP: 08/11/97 TC 08 11/98 i lei OWNER: TEL. 0: BLDGS. NOW ON LOT: ALUATION: FINAL DATE FINAL BY CODE: KLADIFKO R E;G E TRS (818) 447-5123- 1 4,290 348 LAS FLORES AV I-2'` ARCD 910078227 FEES PAID DESCRIPTION R REM0VE TOP LAYER AND APPLY SHIN LE UNDERLAYMENT, INSTALL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: GAF COMP. SHINGLE 25 in. A TE 0: CELDES ROOFING (626) 458-0292- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 4290.00 VAL 0.50 SPEC AL CONDITIONS: D2 PERMIT W/O EN-HC 4290.00 VAL 133..05 TOTAL FEES 161.30 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE CELDES ROOF CO. (818) 458-0292- 823 E. GRAND AVE. LIC. NO LOCATION AND SETBACKS ALHAMBRA, CA 918011 727497C-39 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: FOUNDATIONPRENCH FORMS LIC. NO: SLABYUNDER FLOOR RAISM MAP NO: SEWER 14AP BOOK: PAGE: FIRE ON : WE UNDE11FLOOR INSULATION 150H269 3 01 FLOOR SHEATHING . OF FAMILIES: DWELLING : AP C ST C SS: YES 21 ROOF SHEATHING SCHOOL DOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION EQ 0 AL SETBACK EXIST R SPRINKLER RS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTgRIOR LATH/DRYWALL T IOR LATH ASSEN. RAT D W LL ASSEMBLIES RATEa­SHAfTS/OPENINGS T-BCEILINGS * ADDITIONAL DATA ON FILE LOT DPtAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 i6!`:63p: #803 3-69 �� APPLICATION FOR BUILDING PERMIT COUNTY'OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS r BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING CROSSS T. FOR APPLICANT TO FILL IN DIS?CT O. GTYPE CONST. r SSED BY (PRINT OR TYPE ONLY) _ :yz BUILDING STATISTICAL CL /SIFICATION SEWER MAP ADDRESS 81,6 No RowlandAve, CLASS NO. _W/ DWELL.UNITS BK� P/0-7 LOT NO. N. 4 Lot BLOCK ySiE ZQNE NOP Zoe:) / TRACT 6561- �/ / SPECIAL N0. OF BLDGS. 7ZoO CONDITIONS SIZE OF LO 4 4 NOW ON LOT EXISTING USE BLDG. angle Residence Pvt Gra,ra a BLDG. SETBACK FROM OWNER Richard S. TEen No.L _ FRONT PROP. LINE OF L• (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS 816 N. Rowland Ave HIGHWAY WIDTH FROM C.L. CITY Temple City L v + 20 = 2 ARCHITECT ORTEL. SIDE PROP. LINE OF ACK M (STREET) ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WDTH FROM C.L. TEL. + _ CONTRACTOR OWne$ Builder NO. I ADDRESS NO LIC. CORNER CUTOFF YES ❑ NO fj]� CITY CLASS SEE REVERSE SIDE FOR SPECIAL-APPROVALS NAME ANDTION BRANCHNDER None e�, ,./a z• dz• r, AN ) fl/z'6 A' 41 L ADDRESS At °�sir"I� F SI FT. NO OF N0. OF / SIZE 3 2 STORIES ]- FAMILIES NEW ❑USE OF ADD STRUCTURE 'ALTER ❑ Y REPAIR ❑ SIGNATURE OF / / DEMOL ❑ APPLICANT C'••LlLr- c33 a� �l VALUATION$ APPROVALS DATE INSPECTOR'Sh51GNA jyRE P.C. PMT. 2-7 7S FOUNDATION: LOCATION fpytil �f) rv' FEE $ FEE $ FORMS MATERIALS r L FRAME: FIRE STOPS, ly / L I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, y WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- GAS VENT DUCTS LQ TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 9 b WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT. 4 OF THE STATE OF CALIFORNIA•N RELATING TO WORKMEN'S COM- PENSATION INSURANCE 0,0010 1 LATH, EXT. �/ O SIGNATURE OF � HOUSE NUMBER CORRECT PERMITTEE '� AND POSTED ADDRESS 5816 N. Rowland Ave_ Te=leGit4r FINAL JOHN•F. LEWIS, PRINCIPAL STRUCTdRAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH - PERMIT VALIDATION CK. M.O. CASH S WORKERS'COMPENSATION DECLARATION I 71 3 - -91� hereby affirm that I hove certificate of consent to Self APPLICATION FOR BUILDING PERMIT � insure, or a certificate of Workers'Compensation Insurance, or a certified copy thereof(Sec. 3800,,, Lab. C.) COUNTY-}N COUNTY OF LOS ANGELES BUILDING AND SAPPY Policy No.�Company 1�Jer J./LSIJirQ.4CC BUILDING - Certified copy is hereby furnished. FOR APPLICANT TO FILL IN J ADDRESS / IKCertified copy is filed with the county building inspec- BUILDING 4\4& tion department. I ADDRESS S U /d q�CLAan 4\4&— Date - _8? Applicant J(. CITY f_ b ZIP LOCALITY I NO.OF BLDGS.CERTIFICATE OF EXEMPTION FROM WORKERe' SIZE OF LOT � NOW ON LOT CROSS ST. COMPENSATION INSURANCE (This section need not be completed if t permit is for one _ ASSESSOR hundred dollars($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL OWNER l NO. � a3 USE ZONE NOP -7 / Z 6 } I certify that in the performan of the work for which this qq lJ T permit is issued, I shall not A. ploy any person in any manner ADDRESS 34% + tt�lc� 6?�' CONDITIONS so as to become sSPEC AL ubject the Workers'Compensation Laws.. ! Date Applicant CITY ` ZIP NOTICE TO A (CANT: If, after making this Certificate of ARCHITECT OR L. DISTRICT GROUP TYPE FIRE PRO SSED BY ENGINEER Na11S NO. CONST. ZONE b Exemption, ou should become subject to the Workers' O Compe ion provisions of the Labor Code, you must forth- ADDRESS 5 to d Q LIL W mply with such provisions or this permit shall be TEL.--t/� 1 '1 STATISTICAL CLASSIFICATION APT. CONDO. Z de ed revoked. CONTRACTOR NO. ZU 0143 / LICENSED CONTRACTORS DECLARATIONLICC' CLASS NO. DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS (�e •� NO.. 1- b (commencing with Section 7000)of Division 3 of the Business and j' LIC C SEWER MAP Professions Code, ✓�and /�my license is in full force and effect. CITY (�e��A- CLASS C�3-1 BK PG. VALIDATION J✓�(j 0_-� 5 ZE�, � ISTORIES FAMILILIES CHECK ONE License Number� Lic.Class �1 VALUATION Contracto f Date -to DESCRIPTION OF WORKr WLc 1 -0 Qll NEW ❑ I am exempt under Sec. ' '{t to 51 n5-6611 6x2 A k ADD ❑ s- pill 1L �` p ALTER ❑ B.BP.C. for this reason o�d 1 drA55/T ✓• REPAIR ❑ $ � ��(� USE OF J 1e' EXISTING BLDG. DEMOL ❑ APPLICANT TEL. Signature FINAL ? ,j /of WNER-BUILDER DE RATION PRINT NO. DATE L affirm that I am exempt am the Contractor's License ' 2754.4A the following reason ection 7031.5, Business and ADDRESS FINAL ions Code): PRE ENTlIR BY # 0 0 0 0 0 BUILDING, as owner of th property, or my employees with ADDRESS ages as their so compensation,will do the work and ) 0 0 5 9 C 5 he structure is t intended or offered for sale(Section LOCALITY044, Busines and Professions Code). MOVING TEL. +_ 00059255 ,as owner f the property,am exclusively contracting CONTRACTOR NO. ith lice ed contractors to construct the project (Sec- ADDRESS 0728-87 ion 70 , Business and Professions Code).CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTAPREOTPAINEFROM WIDTH y irm that there is a construction lending agency for FRONT rmance of the work for which this permit is issued P.L.7, Civ. C.). SIDE P.L. s Name �� LDMA Ref. # s Address P.C.Fee$ Permit Fee ' I certify that I have read this application and state that the Issuance Fee kLDMA P/C# above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, and here y authorize repres nta Ives of this County to enter Total Fee LDMA perm. # I upZntabove-menti ned ro rty for inspection purposes. 49 J SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or A06t 7 Date