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Home My Public Portal About5825 ROWLAND AVE_Building__ 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 0306240027 PHONE: (626) 285-0488 EXT: GALID: No CONST BUILDING SS: TR: 6561 LT: 409 SQ. FT STORIES TYPE 5825 ROWLAND AV STRUCTURE: VN TEMP CA 917802239 ASSESSOR 0 NEAREST CROSS STREET: BALDWIN 8587-030-006 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY TENANT: S BLDG USE: D OSE-ZONE: R-1 ISSU500 ---PROCESSED S . EXIST OCC GRP: 06/24/03 JK 06/18/04 OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: GEORGINO BETTY M TR GEORGINO TRUST - 13,719 U 3 5825 ROWLAND AV WORK fA TEMP 917802239 S PA bESCRI ION OF LIFT EXISTING 32SQ OF TILE; REPLACE SUBROOF; REINSTALL TILE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: DON HENDERSON (626) 796-6996- lAA BLDG PERMIT ISSUANCE 27.75 102 S SAN MARINO AVE IAC STRONG MOTION RESID 13719.00 VAL 1.37 SPECIAL CONDITIONS: PASADENA 91107 ID2 PERMIT W/O EN-HC 13719.00 VAL 283.80 II TOTAL FEES 312.92 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE DEVON ROOF CO. (626) 796-6996- 102 S. SAN MARINO LIC. NO i AND SETBACKS PASADENA CA 91107 689278 C39 SOILS .ENGINEER APPROVAL ARCHITECTOR ENGINEER: L. 0: j DAFORMS LIC. NO: I SLAB/UNDER FLOOR Il RAISED FLOOR F G MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION X 3 01 FLOOR SHE G 0. OF FAMILIES: DWELLING S: A O : STAT CLASS: NO 21 ROOF SHEATHING 7—lo- SCHOOL /O-SCHOOL W TH N HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED 0 AL SETBACK FROM EXISTRE SPRINKLER AN R SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- R R LA LL EXTERIOR LATH RATED FLMRIC51L ASSEM. 7e—, C'A P--A W/� ��-� AT RATED WALL ASSEMBLIES RATED S E GS wo �ATe- c ,. 1v T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 bs 7, 3BA LCL)(REV.11/78) :vm- „ 4 APPLICA4LOSANGE R BUIL G PERMIT COUNTY OF S . BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING 4�1 ADDRESS BUILDIN ADDRE C, LOCALITY t NEAREST CITY ZIP CROSS ST. NO.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAR L ” DISTRICT E C 4BYTRACT BLOCK LOT NO.. CONSTTEL. 7OWNER � NO. ' O �STATISTICAL CLAS SSCA�ON SEWER M ADDRESS \ �C /s�jJ y CLASS NO. DWELL.UNITSBI��j�G CITY I ARCHITECT OR TEL. VALUATION ENGINEER NO. R ADDRESS BLDG.SETBACK FROM TEL. i FRONT PROP.LINE OF (STREET) CONTRACT R NO. ! TOTAL SETBACK FROM I TYPE OF EXISTING . IC (� HIGHWAY + YARD = FRONT PROP.LINE IGH Y WIDTH DDR O. LIC. + 04 CLAS BLDG.SETBACK FROM CONSTRUCTION LENDER SIDE PROP.LINE OF (STREET). NAME AND BRANCH HIGHWAY + YARD = TOTAL SETBACK FROM I TYPE OF EXISTING ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH. SQ.F . NO.OF NO.OF CHECK +• = V cc SIZE STORIES FAMILIES ONE USE Zcr OP DES TION OF WORK NEW 1 SPECIAL � ADD CONDITIONS yA ALTER• ❑ FINALBY r REPAIR ❑ DATE ��` i Z , USE OF DEMOL ❑ / EXISTING BLDG. C Cf S 2�A- APPLICANT TEL (PRINT) ` NO. D BY(SIGNATURE) L' Gi7✓�� I HEREBY ACKNOWLEDGE T I AVE READ THIS APPLICATION AND STATE LY THAT THE.ABOVE IS CORRECT A GREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF u V THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM. Z PENS ON INSURANCE.' a of A .j- SIGNATURE OFrG�i+'9I7 PERMITTEE N ADDRESS Z 2 ` Z4,10 TEL. 12-00 CITY NO. Q 4-1 ` go P.C.Fee$ Permit Fee / r > Issuance Fee / W Total Fee/p` •� _ . Yo55 76A638A 'APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY BU LDING FOR APPLICANT TO FILL IN ADIDRESS BUILDING 'ADDRESS rr� LOCALITY 1 NEAREST CITY Q, }`� ZIP 'Q CROSS ST. c NO.OF BLDGS. ASSESSOR SIZEOF LOT 14�� X NOW ON LOT ' , MAP BOOK PAGE PARCEL TRACTS j BLOCK LOT NO.. P"J L j DISTRICT GROUP 3ITYPE CONST. ZONE PROCE ED Bw -� TEL. - e J OWNER r ti ' _ NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS Jam/`'� C? _ CLASS NO. DWELL.UNITS. G/ B�d/PG CITY ! i, t �%� ZIP CI - --j ARCHITECT OR 11 �w,t flQLTEL. 4 ' VALUATION ENGINEER O. (,fir, 7Q ADDRESS , 1 . BLDG.SETBACK FROM G TEL. FRONT PROP.LINE OF �� (STREET) CONTRACTOR NO. HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING , LIC. - FRONT PROP.LINE HIGHWAY WIDTH ADDRESS NO.LIC. !� + -7D = aO (p�f CITY CLASS V CONSTRUCTIONUNDER BLDG.SETBACK FROM NAME AND BRANCH SIDE PROP.LINE OF (STREET) HIGHWAY + YARD = TOTALSETBACKFROM TYPE OF EXISTING �. ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH SO.FT. NO.OF NO. OE EK + _ ag SIZE ' STORIES p FAMILIES. USE ZONE I MAP 0 DESCRIPTION OF WORK >,�-� NEW ❑ [SPE�IALADD DITIONS r• r /, ALTER ❑ FINAL BY +/rr i / ae~ REPAIR ❑ DATE USE OF /wi EXISTING BLDG. !Rj j DEMOL ❑ Z APPLICANT ,TEL G IPRINTI O ! y`:TJO. .J ;T%r ' Q _ r C BY(SIGNATURE ' I � , !� � � 5 1; p f / Y I HEREBY ACK EDG THAT I HAVE READS S APPIICgYI AND STATE ' THAT THE ABO IS CORR AND AGREE TO PLY WITH ORDINANCES �/4 Yi � o o r. o AND LAWS REGULATING B ILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE 6 WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM• 2C6 f ° 1 PENSATION INSURANC '✓ 5 SIGNATU PERMITTER OF 0 2, 1 1 ADDRESS Zb 5 �j Z TEL. CITY P.C.Fee$ Permit Fee T > Issuance Fee ode W ��Total Fee d_ APPLICATION FOR,,BUILDING PERMIT �] COUNTY ONLOS ANGELES BUI WNG AND SAFETY � � DDRESS WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS L� �� J�&)� � or a certificate of Workers'Compensation Insurance,or a certified � copy thereof(Sec.3804,Lab.C.) CITY ZIP ;0 ry O LOCALITY Policy No. Company SIZE OF LOT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. QQ /ge NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE__ PARCEL / SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' R /)�D TEL NO. _ / COMPENSATION INSURANCE [•+T WITHIN 1000 FT.OF SCHOOL? YES No °W (This section need not be completed if the permit is for one hundred ADDRESS v� DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars($100)or less.) CITY ZIP �/ p� I certify that in the performance of the work for which this permit O �Q� X� is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER T N ✓ become subject to the Workers'Compensation Laws. C STATISTICAL CLASSIFICATION APT CONDO Z J 1_ � DWELL UNITS Dater f 43 AppliCant� ADDRESS CLASS NO. NOTICE TO APPLICANT If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject' t0 the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL SIDE LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS P L I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. NEW ❑ BK Z—' PG �a , n License Number LID.Class DE RIPTION OF WORK ADD ❑ VALUATION C Contractor Date P I aL `� f ALTER O ❑ 1 am exempt under Sec. CfI REPAIR 11 B.BP.C.for this reason 644 V1 11-ev--j Li A Alm V./ DEMOL ❑ LDMA P/C# LL Date: USE OF EX ING BLDG. URM ❑ Cr. Signature APPLICANT(PRINT) TEL NO. LDMA Perm# dd ❑ I, as owner of the property, or my employees with wages as Z ACC I o Lr their sole compensation, will do the work and the structure is ADDRESS Oj' y not intended or offered for sale (Section 7044, Business and FINAL DAT C -133 130 e 60 Professions Code.) WALL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL J L' 1 OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE 1 ITEMS 611 1, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL B licensed contractors to construct the project (Section 7044, YES[I NOW TOTAL 180- 60 Business and Professions Code.) t # NALL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING CHECK iT� �� 1{I a J;.I OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH ' CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR [ GUIDELINES y CHANGE n-1I I hereby affirm that there is a construction lending agency for YES❑ No W the performance Of the Work for which this permit IS Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 3097,CIV.C.) CHECKLIST.I UNDERSiAN)b MY REQUIREMgENTS UNDER THE LOS ANGELES COUNTY CODE,cli t)ryn J` Lender's Name pAATIT�RIALS� OUGH 2.20. PORIIN$'ND FORSOBTAINMG A BERM T FROM THE SCAQMD.CONCERNING140 HAZARDOUS �I�I�I�I-Ij Tj/��/i o Lender's Address o. L138'-1 I aft L:0 O OWNER MT oI certify that I have read this application and state under penalty O of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE /�� N with all county ordinances and State laws relating to building construction, d hereby auTorize representatives of this County ISSUANCE FEE r ato en upon a above-mentioned roperty for inspection`p purposes. �X (OJ INVESTIGATION FEE TOTAL FEE /y m rwoocom>noem ueia (J �• SEE REVERSE FOR EXPLANATORY LANGUAGE c� WORKERS'COMPENSATION DECLARATION • I hereby affirm that I have a certificate of consent to self APPLICATION F b R�BUILDING PERMIT , insure,,or a certificate of Workers'Compenstion Insurance,or a cdrtified copy thereof(Sec. 3800, Lab. C.) icy No. Company COUNTY OF LOS ANGELES BUILDING AND SAFETY '� Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS L Certified copy is filed with the county building inspec- BUILDING�-�r s0 tion department. ADDRESS a O'.. -AIJC� o.t l LOCALITY Ca .Date Applicant NEAREST CI7 JZ (�. ` ZIP CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' 1� NO.OF BLDGS. : ASS SIZE OF LOT ► ESSOR COMPENSATION INSURANCE °Z O "' NOW ON LOT MAP BOOK IPAGE PARCEL (This section need not be completed if the permit is for one TOTMAP hundred dollars($100)or less.) TRACT BLOCK LOT NO. rfel NO. oC��C� TEL. / SPECIAL d I certify that in the performance of the work for which this OWNER I f NO.e� `Z -J CONDITIONS O permit is issued, I shall not employ any person in any manner STRICT GROUP TYPE FIRE P ED BY U ADDRESS I w 1 CONST. ZO so as to become subject to the Workers'Compensation Laws. '� 0: �m.ki.g �this �Date CITY C�_ ZIPFs'l -�'�C�Applica STATISTICAL CLAS CATI 1�APTCONDO. 'NOTICE TO APPLICANT: If, aftertificate o ARCHITECT OR eTE y� Exemption, you should become subject to the Workers' ENGINEER LI �9 arT— CLASS NO DWELL. UNITS y Compensation provisions of the Labor Code, you must forth- ADDRESS -1 4rp act5� SEWER MAP with cdmply-with such provisions or this permit shall be deemed revoked. CONTRACTORTEL BK. �� VALIDATION LICENSED CONTRACTORS DECLARATION LIC.• I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS S t"7^0 VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC Professions Code, and my license is in full force and effect. CITY , CLASS -ACi. $ 3i 7—O SQ.FT NO.OF NO.OF CHECK 'License Number � Lic.Class 9—/ SIZE STORIES FAMILIES If. ONE ' p ❑ $ Contractor M€ iii�'C_g:. Date /~-S^& DESC ION OF WORK NEW I am exempt from the licensing requirements as I ama j �� 1 ADD licensed architect or a registered professional engineer _ _ ALTER FINAL P 9 acting in my professional. capacity (Section 7051, ,n / I'.� �J REPAIR DATE Business and Professions Code). OFFINAL EXISTING BL'CG DEMOL B Lic.or Reg.No. Date APPLICANT TEL. y OWNER-BUILDER DECLARATION (PRINT) NO. I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS ? Professions Code): PRESENT BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and 220 b p the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. # 0 0 0 0 0 1 I, as owner of the property,am exclusively contracting CONTRACTORNO. with licensed contractors to construct the project (Sec- ADDRESS 2 ° - 70.00 tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH o o a7 0'0 0 v I hereby affirm that there is a construction lending agency for FRONT z the performance of the work for which this permit is issued P.L. 0 0.5—8 0 (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name �!� Lender's Address P.C. Fee$ Permit Fe ` ' i I certify that I have read this application and state that the Issuance Fee cabove information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, and hereby authorize representatives of this County to enter Total Fee $ upon t abo�- ntioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE o gnature of Applicant or Agen Date ®s 1 f WORKERS'COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers'Compensation Insurance, A P P L I CAT I®N O R BU L I G P E RM I T or a certified copy thereof(Sec. 3800, Lab. C.) cc20-,-41�—,10.6327 Argonaut Ind/ COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. ompony_ _ _ ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDREBUILDISS d W L ® Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS 5825. Row 1 an d � LOCALITY Date 11-1-83 Applicant RoofiJag & • Co CITY Te le. Cit zip .21780 NEAREST CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS.- • - ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE ESPECIAL hundred dollars($100)or less.) TRACT BLOCK LOT NO. X / Z' OWNER L 1n d a Pyle. No. 2853 2 4 2 ! S G I certify that in the performance of the work for which this DISTRICT GROUP TYPE FIRE PROCESSED BY O permit is issued, I shall not employ any person in any manner ADDRESS 5 8.2 5. ROGjl an d CONST. ZONE U so as to become subject to the Workers'Compensation Laws. 3 U Date Applicant CITY Temple. City ZIP 317 8 0 STATISTICAL LA I TION APT. O DO. 0 NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. ENGINEER NO. CLASS NO. DWELL. UNITS IN, Exemption, you should become subject to the Workers' 9L Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this permit shall be 71�2TEL. deemed revoked. CONTRACi01t1ri d 01 RO O f 1p g NO 2 8 8 4 04 0 BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 5 2 E. Valley NO -186.(186 VALUATION 3 w", (commencing with Section 7000)of Division 3 of the Business and LIC. �7 Professions Code,and my license is in full force and effect. CITY Sian C ahr ie.l CLASS C c3 4 $ 4 0 00 .0 0 loop.18 ELM 6 C—0�� SI FT OFCHI C , License Number Lic.Class ESTORIIES FAMIONE Contractor Ran d o 1 Roof 1xL�ate 10X17�8 3 DESCRIPTION OF WORK Re.—,roof house NEW $ ❑ I am exempt under Sec. 1 t h s ants-h. t i7.e. ADD ❑ 1 ALTER E]'3 FINAL B.BP.C. for this reasonDATE l( REPAIR _ Date: USE OF FINALt1i EXISTING BLDG. DEMOL G Signature APPLICANT TEL. By �, r v OWNER-BUILDER DECLARATION PRINT Ran d o l Ro o f ixL NO. 2 8 8 4 04 0. I hereby affirm that I am exempt from the Contractor's License 5 2 E. Valley ADDRESS Law for the following reason (Section 7031.5, Business and ® i Professions Code): PRESENT ❑ BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY ( v GG 7044, Business and Professions Code). .6AOVING TEL. ❑ I,as owner of the property,am exclusively contracting 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 LInveitigation the performance of the work for which this permit is issued tSec. 3097, Civ. C.). i Lender's Name 3 Permit Fee 58..13 Lender's Address I certify that I have read this application and state that the Issuance Fee above information is correct. I agree to comply with all County ee ordinances and.State lawsrelating-to building constructiori, Total Fee 68 . 63 and here y authorize representatives of this County o enter upon above-me one -nmpelpr inspe io tposes. I t �j dr SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date ®s .L I i COUNTY OF IAS 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 1405060070 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST I BUILDING ADDRESS: I ITR: 6561 LT: 409 1 SQ. FT STORIES TYPE I 5825 ROWLAND AV I 1STRUCTURE: 700 V-B I TEMP CA 917802239 (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: LAS TUNAS 18587-030-006 1 1 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY CAI 1 TENANT: IEXIST BLDG USE: GARAG USE ZONE: R-1 (ISSUED ON: PROCESSED BY: 1EXIST OCC GRP: 105/06/14 SR 1 10WNER: TEL. NO: [BLDGS. NOW ON LOT: VALUATION: IFI L DATE FIN Y: CODE: 1 15825 ROW DONNA (626) 286-8637- 1 6,500 1 � I 15825 ROWLAND AV ITEMP 917802239 I FEES PAID ]DESCRIPTION OF WORK I I I IGARAGE RE-ROOF/REMOVE EXISTING TILE, REPLACE SUB ROOF, [ I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:[INSTALL ORIGINAL TILES 1 IAPPLICANT: TEL. NO: I I 1 IHENDERSON, CHARLES (626) 796-6996- IAA BLDG PERMIT ISSUANCE 27.80 1 I 1102 S SAN MARINO AVE IAB STATE GREEN BLDG FEE 6500.00 VAL 1.00 ISPECIAL CONDITIONS: 1 IPASADENA CA 91107 AC STRONG MOTION RESID 6500.00 VAL 0.70 I I I 1D2 PERMIT W/O EN-HC 6500.00 VAL 166.20 1 I IFR INV WORK W/O PERMIT 344.00 DOL 344.00 1 I ICONTRACTOR: TEL. NO: 1 TOTAL FEES 539.70 (APPROVALS DATE INSPECTOR SIGNATURE [ [DEVON ROOF CO. (626) 796-6996- I 1 1102 S. SAN MARINO AVENUE LIC. NO [ ILOCATION AND SETBACKS I I I IPASADENA, CA 91107 689278 * [ 1 I [ 1 [ ISOILS ENGINEER APPROVAL 1 I I 1ARCHITECT OR ENGINEER: TEL. NO: - i FOUNDATION/TRENCH FORMS [ I [ 1 LIC. NO: II (SLAB/UNDER FLOOR 1 1 1 1 1RAISED FLOOR FRAMING I I 1 1MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CM [UNDERFLOOR INSULATION 001 I I I I I I I IFLOOR SHEATHING [ I [ INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: [ I I I 1 NO 21 IROOF SHEATHING [ I [ SCHOOL WITHIN HAZARDOUS ISHEAR PANELS 1 1 (AIR QUALITY: 1000 FEET MATERIALS I NO NO NO [FRAME INSPECTION I II-IN I I I I I 1 IFIRE SPRINKLER HANGERS 1 I I 1 1 11NSULATION/WEATHER STRIPI I I 1 I [INTERIOR LATH/DRYWALL [ 1 [ I 1 [EXTERIOR LATH I I I 1 1 1RATED FLOOR/CEIL ASSEM. [ I I IRATED WALL ASSEMBLIES 1 1 I 1RATED SHAFTS/OPENINGS 1 1 I IT-BAR CEILINGS I I I I * ADDITIONAL DATA ON FILE 1 i ILOT DRAINAGE I I I 1 !REPORT ID: DPR261 ROUTE TO: BS0508 I [ I I I I I I I • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0909240015 PHONE: (626) 285-0488 EXT: LEGAL ID: I NO. OF CONST NEW BUILDING ADDRESS: ITR: 6561 LT: 409 SQ. FT STORIES TYPE OCCUP GROUP 5825 ROWLAND AV I [STRUCTURE: 0 1 V-B R3 I TEMP CA 917802239 ASSESSOR INFORMATION NUMBER: GARAGE: I NEAREST CROSS STREET: LAS TUNAS 18587-030-006 OTHER: 667 1 V-B U THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl TENANT: ']EXIST BLDG USE: USE ZONE: JISSUED ON: PROCESSED BY: EXIST OCC GRP: 101/28/10 SR OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: IFIIQAL DATE FIN Y: CODE: IGEORGINO, DONNA - 1 13,350 l 15825 ROWLAND AV TEMP 917802239 1 FEES PAID DESCRIPTION OF WORK I IDETACHED PATIO COVER I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: I IWILDROSE LANDSCAPE (626) 278-0793- ID1 PLANCHECK W/O EN-HC 13350.00 VAL 241.23 1320 WILDROSE AVE. 1AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: MONROVIA, CA 91016 JAB STATE GREEN BLDG FEE 13350.00 VAL 1.00 JAC STRONG MOTION RESID 13350.00 VAL 1.34 ID2 PERMIT W/O EN-HC 13350.00 VAL 283.80 CONTRACTOR: TEL. NO: I TOTAL FEES 555.12 1APPRQVALS DATE INSPECTOR SIGNATURE IWILDROSE LANDSCAPE (626) 305-0793- 1 1320 WILDROSE AVENUE LIC. NO ILOCATION AND SETBACKS MONROVIA, CA 91016 641885 1 r►►' SOILS ENGINEER APPROVAL ]ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS 11NING LU (626) 795-1250- 1 1 V 2500 E,FOOTHILL BLVD, STE 211 LIC. NO: SLAB/UNDER FLOOR l ]PASADENA, CA 91107 S.E. 3042 RAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:] JUNDERFLOOR INSULATION I I 3 OOI ]1ST LEVEL FLOOR SHEATH INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I NO 21 12ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ]ROOF SHEATHING ]AIR QUALITY: 1000 FEET MATERIALS NO NO NO ]FIRE DEPT. FRAME INSPECT (REQUIRED TOTAL SETBACK FROM EXIST (BLDG DEPT. FRAME INSPECT [SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- ]SHEAR PANELS I SIDE PL- INSULATION/WEATHER STRIP I I INTERIOR LATH/DRYWALL [EXTERIOR LATH ILOT DRAINAGE I I 1 ISMOKE DETECTION DEVICES IFIRE DEPARTMENT APPROVAL ., I I IT I IREPORT ID: DPR261 ROUTE TO: BS0508 I I 1 I I I I I I 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 0505240015 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: TR: 6561 LT: 409 SQ. FT STORIES TYPE 5825 ROWLAND AV STRUCTURE: 64 VN TEMP CA 917802239 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS 8587-030-006 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C TENANT: EXIST OCC GRP: 05/24/05 JK 05/19/06 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FIN ATE FINAL CODE: GEORGINO BETTY M TR GEORGINO TRUST (626) 376-3052- 3,000 5825 ROWLAND AV TEMP 917802239 FEES PAID DFACRIPtlON OF WORK CONSTRUCT BATHROOM UNDER EXISTING PATIO FOR PATIO/POOL USE FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 64 SQFT. & DEMO PART OF PATIO APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION REBID 3000.00 VAL 0.50 SPECIAL CONDITIONS: AX BUILDING REVIEW FEE 54.70 B2 PERMIT W/ENERGY 3000.00 VAL 108.90 TOTAL FEES 191.85 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 LIC. NO: SLABS UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION XX 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 /yJ- REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGER / SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL t5;-r EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508