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HomeMy Public PortalAbout5926 ROWLAND AVE_Building__ 76A6eBAcr.hosio-9e APPLICATI®N FOR BUILDING PERMIT 1 COUNTY OF LOS ANGELES BUILDING 51326 N. Rowland Ave. DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY T m le - CitY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CABSATT D.GRIFFIN,BUP•T OF BUILDING CROSS ST. DISTRICT O. GROUPTYPE P SS D FOR APPLICANT TO FILL IN I coNST. I 7AD7DRESS A 5926 N. Ro nand Ave. STATISTICAL CLASSIFICATION SEWER MAP PG . Orth j of 18CLASS.NO.=DWELL. DWELL.UNITS BLOCK NUM ER STATE YES O' HWY. TRACT 6561 USE ZONE SPECIAL- ✓/^� NO.OF BLDGS. }}}��� CONDITIONS SIZE OF LOT V NOW ON LOT 2 }��J USE OF a House & Garage " EXISTING BLDG. g BUILDING EXIST. OWNER J. A. Giangr-egorio SETBACK YARD, HWY STREET NAME WIDTH FRONT'MAIL ADDRESS 5926 N. Rowland Ave B' P L $.IDE CITY Temple Citi No' Y.L. ARCHITECTOR TEL, INSPECTION RECORD ENGINEER NO. ADDRESS _ CON*KO Rli1v BrOA. I� W-32210- , � ADDRESS 5871 Firestone Bl. 3o Ga DESCRIPTION OF WORK ` NEW X ADD ALTER REPAIR DEMOLISH — �Sa!� (✓�! !- /IIf� //�I lP? SQ.FT. NO.OF NO.OF SIZE STORIES FAMILIES / USVOFfvT' CTURE m pool r9 S ,11 1/YGl SIGNATURE O APPROVALS A5 UCTH• TC�GJI '"„� APPLICAN 8 1 Fireston 1. SO a S�� DATE INSPECTOR'S 1C� ADDRESS 5 9 FOUNDATION: LOCATION $ FORMS.MATERIALS M-.214,0 P.C. S FRAME: FIRE STOPS. 250000.0 FEE � BRACING,BOLTS =rUMMM VALUATION $ / FURNACE: LOCATION, FEE / GAS VENT.DUCTS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE THIS AP- LATH,INT. PLICATION A ST TE THAT THE ABOVE C RECT AND AGREE TOC L IT ALL TY DI ANCES ND LATH,EXT. ti STATE LA S ULA G 1 ST U ON. SIGNATU HOUSE NUMBER COR- PERMI RE OSTED , , �1��' ADORES FINAL !1 2 aS 7 V1J�!/1•�.�(I.(6171l CLYDE N.DIRLAM.PRINCIPAL STP URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION c M.o. cASH LkC051839� AR16 2 3 A 3.00 '1 01, 1I 'To 5 1 8 4 0 ►i•R 16 .. � A 1 2.0 0 cl �-t/ .e -761&63 CE 8031-82 APPLICATION FOR BUf' I-DING PERMIT . COUNTY OF LOS'-ANGELES BUILDING . DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST f '� WILLIAM A.JENSEN,SUPT OF BUILDING CROSS ST. DIST T NQ._ GR UP TYPE C SSED BY FOR APPLICANT TO FILL IN (b/" ONST. BUILDING / T STATISTICAL CLASSIFICATION S ER MAP ADDRESS T/(� BLq4 /` CLASS.NO. DWELL.UNITS. �� �K P LOT NO. BLOCK WATER CERTIFICATE: NOT REQUIRED RECEIVED TRACTAY NO. (CGMAP CVLE) STATE MAJOR SECOND LOCAL) N OF BLDGS. SIZE OF LOT NOW ON LOT USE ZONE SPECIAL USE OF /�/ CONDITIONS EXISTING BLDG. Gro �ir� V - OWNE S �fUiPC�+fNO. T. BUIL INC YARD HWY STREET N E EXIST. r SETBACK. WIDTH ADDRESSAY OGL�L /Y/J �jE, FRONT ARCHITECT OR TEL. P. L. ENGINEER NO. SIDE P. L. ADDRESS' IL Q CONTR u sm ADDRESSj2_S, DESCRIPTION OF WORK W ' a H NEW ADD ALTER REPAIR DEMOLISH z SQ.FT. NO.OF NO.OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE O APPLICANT VALUATION$ / APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE $�_ :_ _ _ _F_EE.$�_. _. FORMS, MATERIALS _ FRAME: FIRE STOPS, 1 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 COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. TION OF THE LABOR CODE OF THE STATE CF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE. LATH,EXT. SIGNATURE O HOUSE NUMBER COR., PERMITTEE RECT AND POSTED _ ADDRES wfkk FINAL /� 0 JOHN F. LEWIS, PRINCIPAL STR URAL ENGINBkR PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH LAGC) 9 2 5 7 E JAN 1 p 4,0 0" c 76AG38A CE#803 9-67 10 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS-ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS CS/ BUILDING AND SAFETY DIVISION LOCALITY -P-� JOHN A. LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST. (_e S DISTRICT NO. GROUP TYPE PROCESSED BY FOR APPLICANT TO FILL-IN / CONST. (Print or type only) i7 BUILDING .yy �+ ! STATISTICAL CLASSIFICATION SEWER MAP ADDRESS o/ / G Q L✓G�. ^yJ> CLASS NO. DWELL.UNITS a BK 67 PG LOT NO. Q i O 7 �O7- I C7 BLOCK USSEE ZONE NOP - 7 TRACT CONDITIONS �5• , �8 a P G NO.OF BLDGS. SIZE OF LOT .6-0-A / / O NOW ON LOT Z USE OF EXISTING BLDG. M A , BLDG.SETBACK FROM �- OWNERT- C Al G A NOL. FRONT PROP.LINE OF 4a1 S, J y� (STREET) TYPE OF EXISTING SETBACK HIGHWAY = TOTAL ADDRESS G-q 7 i cO 12t w� AjHIGHWAY WIDTH FROM C L. CITY ARCHITECT OR TEL. DG,SETBO SI LINEO M ENGINEER NO. SIDE PROP.LINE OF (STREET) TYPE OF EXISTING S T C H HW •F YARD = TOTAL ADDRESS �• ,,r 6� ,ZIIGHWAY 0 CONTRACTOR - J M A�II�+Sd� NO. 'G�3 Oy + C ADDRESS 5317 CL-0 vaEj2L NO. (3I M fey-/ CORNER CUTOFF YES ❑ NO ❑ LIC. C CITY 3 O 1 CLASS I SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK t CL NEW ADD ALTER X REPAIR DEMOLISH SQ. FT. 4 NO. OF NO. OF SIZE STORE FAMILIES USE OF , STRUCTURE d0� A AZ,C CE SIGNATURE OF APPLICANT VALUATIONS APPROVALS DATE INSP CTOR'S IG ATURE P.C. ) Z f PMT. j FOUNDATION: LOCATION FEES ! FEE$ Z FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, _ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S CO E SAT 1 SURANGE. LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- _PERMITTEE uRECT AND POSTED - ADDRESS Z T FINAL ox JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATIO CK. M.O. CASH .4 2 % - APER 9 .23 D 1 125- Q ' 'L04 4 5-7��.5 0 4&JA'w I ° WCi KERS'C%MPENSATION DECLARATION pi%reby affirm that I have a certificate of consent to self I CAT I N F RIB I L®I N G PERMIT insure, or a certificate of Workers'Compensation Insurance, ® or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is filed with the county building inspec- FADDRESS �,,.-r �� tion department. (v {POW cDate Applicant G�y ZIP l7p0 LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' 1 NO.OF BLDGS. NEAREST COMPENSATION INSURANCE X �t7'� NOW ON LOT 2 CROSS ST. 4� ef191.CJ (This section need not be completed if the permit is for one ASSESSOR hundred dollars ($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL A� TEL. -Z$•j� USE ZONE MAP ,� I certify that in the performance of the work for which this OWNER Y.M.<i. NO. M -�/ NO. 2(�l167 permit is issued, I shall not employ any person in any manner ^ l✓ SPECIAL 911.so as to become subject to the Workers'Compensation Laws. ADDRESS �5426 CONDITIONS 0 Date Applicant I CITY GIS\ Le C- ZIP 117150 NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PRO ESSED BY Exemption, you should become subject to the Workers' ENGINEER NO. CONST. ZONE &� CADDRESS ompensation provisions of the Labor Code, you must forth- ,. �r� V with comply with such provisions or this permit shall be � deemed revoked. TEL. STATISTICAL CLASSIFICATION APT. CO DO. CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION LIC, CLASS NO. DWELL UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business and QWLIC SEWER MAP Professions Code, and my license is in full force and effect. CITY CLASS BK PG VALIDATION SQ.FT. NO.OF NO.OF CHECK License Number Lic.Class SIZE ISTORIES FAMILIES ONE ? p,. VALUATION Contractor Date i. DESCRIPTION OF WORK IT— NEW ❑. �� 183.7 A ❑ I am exempt under Sec. hi L I71\/I s i of- �L-��,_ ADD $ # 0 0 0 0 0 1 ALTER �'� $ 0 o28.50 B.BP.C. for this reason REPAIR ❑; .( Date: USE OF EXISTING BLDG. �, DEMOL ❑' 0 0 - 2a5 0 Ft Signature APPLICANT EL. rZ 7 x g OWNER-BUILDER DECLARATION PRINT)GU W4�IGC OL O. NL DAL EU V o4, 12-85 I hereby affirm that I am exempt from the Contractor's License d�, ' Law for the following'reason (Section 7031.5, Business and ADDRESS L•pjIVO p-�v:.. G 1 FIN Professions Code): PRESENT BY IIPpI( 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 4 7044, Business and Professions Code). MOVING 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). REQRED TOTAL SETBACK FROM UI CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP.LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). LInvestigation i Lender's Name 1r` /I 6 LDMA Ref.it Lender's Address $ Permit Fee /J V I certify that I have read this application and state that the Issuance Fee LDMA P/C fr above information is correct. I agree to comply with all County ee ordinances and State laws relating to building construction, Total Fee 61s v LDMA Perm.# i and hereby outRorize representatives of this County to enter I u th aba Mentioned property for inspection purposes. 19• �2• �� SEE REVERSE FOR EXPLANATORY LANGUAGE Sig ature of Applicant or Agent Date ( APPLICATiQN' F®R BWL®ING PERMIT COUNTY ( LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING�D�DRESS I hereby affirm that I have a certificate of consent to self insure, FBUILDINigADDBESS �� /2, or a certificate of Workers'Compensation Insurance,or a certified CITY ZIP copy thereof(Sec.3800,Lab.C.) m & C—/l->/ LOCALITY Al G Policy No. Company SIZE OF LOT NO.OF BLDGS.NOW ON LOT st" ❑ Certified copy is hereby furnished. I NEAREST CROSS Sr ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. USE ZONE MAP NO. department. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNEREL NO. COMPENSATION INSURANCE TC- UG inX6-C/rYC H d F IV A+7- ��'J-���� WITHIN 1000 FT.OF SCHOOL?DI I Yes No (This section need not be completed if the permit is for one hundred j � DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY RES dollars($100)or less.) L -IV". pp I certify that in the performance of the work for which this permit CITF07 a-ci r is issued, I shall not employ any person in any manner so as to �G fie, become subject to the Workers'Compensation Laws. ARCHITECT OR ENGINEER TEL NO. STATISTICAL CLASSIFI ATIONAPT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become. Subject to 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 UC.NO. P L LICENSED CONTRACTORS DECLARATIONSIDE CITY LIC.CLASS P L I hereby affirm that I am licensed underprovisions of Chapter 9SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NFO--OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. NEW 11BK PG 0 License Number Lic.Class DESCRIPTION OF WORKV ®i-bW ADD 11VALUATIO C Contractor DateQ6WALTER ❑ C. u'�mlHl/I/lJ UO Zi REPAIR ❑ F ❑ I am exempt under Sec. C BAP.C.for this reason DEMOL )V LDMA P/C# U Date: USE OF EXISTING BLDG. URM ❑ U Signature APPLICANT(PRINT) TEL NO. LDMA Perm# _ G ❑ I, as owner of the property, or my employees with wages as ZC) trt C-C-7 of sF their sole compensation, will do the work and the structure is ADDRESS not intended or offered for sale (Section 7044, Business and FINAL DATE Professions Code.) —t� WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ( OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ��ErB J ❑ I, as owner of the property, am exclusively contracting 4AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors to construct the project (Section 70444,, ❑ o Business and Professions Code.) YES 11 NO TOTAL IS 1 65 WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING y �C OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CHECK CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR (-1JAL 00 I hereby affirm that there is a construction lending agency for GUIDELINES VES 11 No❑ rl l9 G EE o a the performance of the work for which this permit is issued(Sec. rn\ I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING CM 3097,CIV.C.) CHECKLIST,I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, Tm.E 2,CHAPTER 2 20 SECTIONS 2 20.100 THROUGH 2 20.140 CONCERNING HAZARDOUS 0000-00101 't {� �� v +i Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. L(.I0 1-0101 of 27., �'-' Lender's Address 1 _tr} i o LtoAn o 22 C -1'r1 ti • OWNER OR AGENT cI certify that I have read this application and state under penalty 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 CO constructio , and he�eb�authnorizerepresentatives of this County ISSUANCE FEEto enter on theyinspection pur oses. a �7 n INVESTIGATION FEE TOTAL FEE g9l'Aum of Appkonl a AgWt OJo _ �16rY� Fdti 0*14GH Cr F- NA2�+066 A'6r SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0610020051 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST NEW I BUILDING ADDRESS: I ITR: 6561 IT: 18 I SQ. FT STORIES TYPE OCCUP GROUPI 5926 ROWLAND AV I I ISTRUCTURE: 297 1 VN R3 I TEMP CA 917802240 1 (ASSESSOR INFORMATION NUMBER: I GARAGE: 430 1 VN Ul I NEAREST CROSS STREET: 18587-032-010 I OTHER: 63 1 VN U1 I THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, Cl (TENANT: 1EXIST BLDG USE: USE ZONE: 11SSUED ON: PROCESSED BY: EXPIRES ON: 1EXIST OCC GRP: 106/28/07 SR 06/22/08 (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL A FIINALn BY: CODE: 1 ITRINH, TRAM (409) 209-0203- 1 60,890 15926 ROWLAND AVE 1 I ITEMP 917802201 1 FEES PAID ITESCRIPTIdb OF WORK 1 I I (ADD MASTER BED, BATH, LAUNDRY, EXTEND BED 1 & BED 3 NEW 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IATTACHED 2 CAR GARAGE, FRONT PORCH AND REMODEL, NEW ROOF * I (APPLICANT: TEL. NO: I I I INGUYEN (626) 674-3014- IB1 PLANCHECK W/ENERGY 60890.00 VAL 850.61 1 I 11139 GLENVIEW RD. IAA BLDG PERMIT ISSUANCE 27.75 ISPECIAL CONDITIONS: 1 W. COVINA CA 91791 AC STRONG MOTION REBID 60890.00 VAL 6.09 I IB2 PERMIT W/ENERGY 60890.00 VAL 1,000.73 1 TOTAL FEES 1,885.18 1 I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1 IH D CONSTRUCTION (626) 695-0444- I I 14418 FANDON AVENUE LIC. NO I 1LOCATIO AND SETBACKS / I I IEL MONTE, CA 91732 636105 B * 1 I '� I I ISOILS ENGINEER APPROVAL �� I (ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS ITAGUDAR, FRED (626) 674-3014- 1 I I I 11139 GLENVIEW RD. LIC. NO: I ISLAB/UNDER FLOOR I I I WEST COVINA, CA 91790 C33612 I 1 I I 1 I I-+. �1/� - I RAISED FLOOR FRAMING k S IMAP No: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 I UNDERFLOOR INSULATION I I I 3 OlIiI I I /j rSH LEVEL FLOOR SHEATH I NO. OF FAMILIES: DWELLING UNITS: APT/CONDI STAT CLASS: 1 a( ff r y a �`��, 1 1 NO 21 1 1 a ` (� } 112ND LEVEL FLOOR SHEATH 1 1 1 SCHOOL WITHIN HAZARDOUS I �6 J 1 (`� �`� ' �t4� �,�� ��\ • IROOF SHEATHING I I I (AIR QUALITY: 1000 FEET MATERIALS I �( C ' � �T� (FIRE DEPT. FRAME INSPECTI I I 1 NO NO NO IREQUIRED TOTAL SETBACK FROM EXIST 1 IBLDG DEPT. FRAME INSPECT( I I ISET BACK YARD: HWY: PROP LINE: WIDTH: 1 I I I I IFRONT PL- I ISHEAR PANELS I SIDE PL- I I I (INSULATION/WEATHER STRIP( �I I IINTERIOR LATH/DRYWAL I I (EXTERIOR LATH II ILOT DRAINAGE � \ - I u ISMOKE DETECTION DEVICES I I I I FIP.E DEPARTMENT APPROVAL I I I I* ADDITIONAL DATA ON FILE I I I I 1 I REI I I I ( PORT ID: DPR261 ROUTE TO: HS0508 1 I I I