HomeMy Public PortalAbout5945 ROWLAND AVE_Building__ BA088AC9#80310.88 APPLE CA` DON FOR BUILDING PERMIT .Y
COUNTY OF LOS ANGELES BUILDING ✓
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
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JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
c .,.:.. DISTRICT NO. I G UP TYPE a SED BY
FOR APPLICANT TO IN CONST.
BUILDING S77�TISTICALCLASSJFICATION I SEWER MAP
ADDRESS J C'— /D '�K PG
CLASS.NO WELL.UNITS -45
MAP
LOT NO. _ BLOCK NUMBERy yTy YES O
'
TRACTUSNE SPECIAL
SE ZOCONDITIONS
NO.OF.B V t' f
SIZE OF LOT NOW ON LOT OT V `
USE OF
EXISTIN LD NG EXIST.
SETBAICK YARD HWY STREET ME WIDTH
OWNER FRONT
MAIL ___
P.L.
ADDRES �J SIDE
TE /' P.L.
CITY '� NO. (o l7 . INSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO.
ol
ADDRESS
EL.
CONTRAC
ADDRES oZ j 1 D `'
DESCRIPTION OF WORK 4-
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NEW ADD ALTER REPAIR DEMOLISH f
SQ.FT. NO.OF NO.OF Z!/ '�f�:�Al /� UT
SIZE STORIES FAMILIES
USE OF 'a 6�( G� c�-crL ;�r 1!`r.'7 �`tih� moi'`•�-s /3
STRUCTUR %i.
,IFC%?
SIGNATURE OF �e
APPLICA INT APPROVALS F` DATE INSPECTOR'S SIGNATURE
ADDRESS V .f ! ` FOUNDATION:LOCATION
FORMS,MATERIALS
VALUATION a"�b FRAME:FIRESTOPS,
BRACING,BOLTS
FURNACE:LOCATION.
FEE S I FEE $ y �-I GAS VENT,DUCTS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH.INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS RE UI,.A� BUILDING CO TRUCTION. LATH,EXT.
SIGNATURE OF HOUSE NUMBER COR-
PSRMITTEE
/� - a RECT AND POSTED
SS ��
ADDREJ FINAL / �i�9 (I6� uL• e CLYDE N. DIRLAM,PRINCIPAL STRUCTURALR
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
+ 3327-AsEIP30 1A 3.00
®.
WORKERS'COMPENSATION DKLARATION • • •
I hereby affirm that I have a certificate ofecc sett-trr1f I i "'WADING RM'
insure, or a certificate of Workers'Comper:3otion.lns Mance, I rJ'� �' 'y
or a certified copy thereof(Sec. 3800, Lab. C.) I � COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company
B ILDING
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN � q DRESS J��I � •t
Certified copy is filed with the county building inspec- � 's BUILDING �
tion department. ADDRESS P Niles LOCALITY
' . NEAREST
Date Applicant ` CITY tea✓ CA ZIP '� C �I :CROSS ST.
CERTIFICATE OF EXEMPTION FROM WORKERS' 6 NO.OF BLDGS. A ESSOR
COMPENSATION INSURANCE I SIZE OF LOT X 1 O NOW ON LOT —2-.. P BOOK PGE I PARCEL
(This section need not be completed if the permit is for one U E ONE MAP
hundred dollars($100)or less.) TRACT BLOCK LOT NO. lL NO.
i' TEL. SPECIAL T
I certify that in the performance of the work for which this OWNER Ub" W4 Of- si , NO. CONDITIONS r�
L2 ASTRICT G O P TYPE FIRE PR ESSED BY O
permit is issued,I shall not employ any'Compensation
any manner i ADDRESS G'i d k10\�(4r' d( V I D!_ r CONST._ / ZONE
so as to become subject to the Workers'Com ensation Laws. F�L Ll1C �0// 3
CITY Tetac 6.+y ZIP V
Date Applicant S7PTISTICAL CLA TION APT. CON
ARCHITECT OR i TEL.
NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER Ci / e e �fA FJ+-NO•� �3"�4'�-30 r'-t
CLASS NO. DWELL.UNITS
Exemption, you should become subject to the Workers' 11 /i p �
Compensation provisions of the Labor Code, you must forth- ADDRESS J 8 '� �. d•-�en i Ov9 A-v e- Ar SEWER MAP it
with comply with such provisions or this permit shall be G
deemed revoked. CONTRACTOR NO. ,r` BK. 1� PG. �ZS VALIDATION
LICENSED CONTRACTORS DECLARATION LIC.
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. 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 $
SQ. FT. NO.OF NO.OF CHECK
License Number Lic.Class i SIZE 1 Z STORIES FAMILIES ONE t 0 0 0 0 J
, $
DESCRIPTION OF WORK P p ail'�G u + NEW
Contractor Date V ADD ❑ L I o �- 1. J 9 i
FiI am exempt under Sec. C-0 VA C'• �ei'v �'he— ALTER ❑ FINAL +i L a o
B.BP.C. for this reason Yid.OLk- WM �L k4d�v REPAIR ❑ DATE ( 2 "1' /l
USE OF ii FINpi
Date: EXISTING BLDG. jli�l G DEMOL By
( T
Signature APPLICANT TEL.
OWNER-BUILDER DECLARATION PRINT cha K.L &k NO. T"14(.bej
I hereby affirm that I am exempt from the Contractor's License t ADDRESS 98 65 15•
Law for the following reason (Section 7031.5, Business and
Professions Code): PRE ENT
❑ BUILDING (
I, as owner of the property, ormy employees with ADDRESS
wages as their sole compensation,will do the work and
the structure is not intended or offered for sale(Section LOCALITY ( o „ .,67-5
7044, Business and Professions Code). MOVING TEL.
I, as owner of the property,am exclusively contracting CONTRACTOR NO. ° ° O
with licensed contractors to construct the project (Sec-
ADDRESS
tion 7044, Business and Professions Code).
REQUIRED TOTAL 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
the performance of the work for which this permit is issued P.L.
(Sec. 3097,Civ. C.). SIPE
P.L.
`o Lender's Name
P.C.Fee$ Permit Fee
Lender's Address _
YI certify that I have read this application and state that the Issuance Fee f
above information is correct. I agree to comply with all County Investigation Fee
ordinances and State laws relating to building construction, Total Fee L v t�
and hereby authorize representatives of this County to enter
upon the above-mentioned property for inspection purposes.
° _' �7 � � � 2,—I >; e- SEE REVERSE FOR EXPLANATORY LANGUAGE ®s
Signature of Applicant or Agent Date i
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COUNTY OF LOS ANGELES I TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS I ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9609160029
PHONE: (818) 285-0488 EXT: i
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
BK: 154 PG: 12 PC: 3 SQ. FT STORIES TYPE 5945 ROWLAND AV
STRUCTURE: 0 V TEMP CA 917802241
ASSESSOR INFORMATIO NUMBER: NEAREST CROSS STREET: WOODRUFF
8587-031-025 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: RESID ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 09/16/96 TC 09/16/97
OWNER: TEL. O: ,BLDGS. NOW ON LOT: VALUATION: FINAL DAT FINAL BY: CODE:
FIRST BAPTIST CHURCH OF TEMPLE CITY (818) 286-3125- 1 1 2,000 /� ��� r-&6019 BALDWIN AV i / LO
TEMP 917801709 FEES P ID DESCRIPTION OF WORK
RECOVER HOUSE & GARAGE WITH COMP. SHINGLE
APPLICAN —TEL-. NO:
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
SAME AS OWNER - ;AC STRONG MOTION RESID 2000.00 VAL 0.50
D2 PERMIT W/O EN-HC 2000.00 VAL 82.20 SPECIAL CONDITIONS:
, ',1 1-TOTAL FEES 82.70
CONTRACTOR: TEL. 0:
SAME AS OWNER
APPROVALS DATE INSPECTOR SIGNATURE
- '�,s alrq�� �,�� �,`'
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHIT C OR ENGINE R: TE 0: ' �' __ �. `,'# - -
_ --i �.�:_;� � ,` FOUNDATION/TRENC FORMS
LIC. N0: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: i + �' i i ; _� UNDERFLOOR INSULATION
150H269 3 01
r FLOOR SHEATHING
O. OF FAMILIES. D E NG UNITS: APT/GOND: STAT CLASS: .'f
NO 21 1 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS - �I' a SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO -'' FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST _ FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH: - s @•- ,',+'r
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
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RA ED LOOR CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED AFTS/OPENINGS
T-BAR CEILINGS
0 DRAIN GE
REPORT ID: DPR261 ROUTE TO: BS0508
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