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