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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 r 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- r 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 r 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 r RA ED LOOR CEIL ASSEM. RATED WALL ASSEMBLIES RATED AFTS/OPENINGS T-BAR CEILINGS 0 DRAIN GE REPORT ID: DPR261 ROUTE TO: BS0508 i