HomeMy Public PortalAbout9220 SPARKLETT ST_Building__ I -
DSION OF
OF Doman SA BUILDING� � �®'
DIVISION OF SOF LOS
AND SAFELY
COIIASY OF L08 ANGI7.FS
VVtLLIAM J. POLL COUNTY M mNHHR APPLICATION
CAYSATr D mBPPM, SUF•T or SUILDIMo
FOR APPLIMM TO M IN FOR OFFICE USE ONLY
BUILDI / DISTRICT NO PIAN CK OK R¢ No PERMIT NO
ADDRESS so,
LOCALITY VED BY DATH.OP APPL D ISS
C=
BT /+�
' C y ' 1 BUILDING
OWNER //C� IIo,P, y ADDRESS
MAIL
ADDRESS 9 LOCALITY
NEAREST t
CITY 1 �•�s CROSS er V
ARCHITECT OR TEL FIRE NO OF G
BNGINHHR NO ZONE PLANS
ADD BLDG / N
SETBACK LINE I
CONT A TaL 1 UBH
ZON / APPROVED BY AT
HOUSE NUMBERING
AODR
LEGAL MAP NUMB O ASSIGNED
DESCRIPTION K
/ 5 COESECTIONS
TRACT
S TZE OF LOT G ISO NOW ONBLo�r T B S3 EP.wrr TACS.�.
USE OF NO
EZ G B • C'o v a ' S
DESG8>p' !!ON OF WOESNEW
ADDITION
Z
REPAIR DEMOLITION
SO FT NO OF
SIZE MS STORIES
mLT WALL ROOF
COVERING 7COVERING
UBH OP UCTURE
APPEOVALS
INSPECTOR•SSIGNATUR H DATE
FOUNDATION LOCATION
PORMB MATERIALS
1 HERESY ACKNOWLmGH T 1 NAVE READ THIS AP- FRAME FIRHSTOPS
PLICATION AND STATE THAT THE INFORMATION mVKM IS BRACING BOLTS
CORRECT
1AmtEE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE LOCATION
AND STATE LAWS RaGuLArFmp BUILDING CONSTRUCTION a"VENT DUCTS
SIGNATURE OFI / LATH INT yl�rooQ
P701M - LATH 8ZT
ADDRESS If Z
PLASTER INT
AUTHORIZED AOT ^^//
PLASTER,
P C S HOUSE NUMBER -
a �J FB RHCT AND POSTED
VALUATION FEE S/� �.,.. FINAL / s1
Tuesu ous wA
.•..... APPLICATION FOR BUILDING PERMIT Z
COUNTY OF LOS ANGELESBUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN LAMBIE COUNTY ENGINEER NEAREST
CASSATT D GRIFFIN SurT or Bu1LD1 Na CROSS ST II /
FOR APPLICANT TO FILL IN DlsrRl o GROUP ?, ED BY
NST
BUI LDIN6 ` ER MAP
ADDRESS STATISTICAL CLASSIFICATION K
CLASS NO ELL NITS
LOT NO BLOCK MAP STATE
NUMBER HWY YES
TRAM USE ZONE SPECIAL
NO OFBLDGS CONDITIONS
81 L NOW ON LOT
U6 OF
BUILDING YARD HWY STREET NAM EXIST
OWNER �.f// SETBACK t WIDTH
FRONT
MAIL P
ADDRESS SIDE
CITY / �• NEL
O 31 PL
ARCHITECTOR TEL
INSPE ON RECORD
ENGINEER NO
TEL
CONTRACTOR NO
ADDRESS —p�
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SD FT NO OF NO OF
SIZE STORIES FAMILIES
USE OF STRUCTURE
SIGNATUREOP ul APPROVALS
APPLICANT
ADDRESS DATE INSPE ATURE
FOUNDATION LOCATION
$ • FORME MATERIALS
P C i .�.�, FRAME PIRE STOPS
FEE BRACING BOLTS
VALUATION i FURNACE LOCATION, /
FEE GAS VENT DUCTS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP. �I
PLICATION AND STATE THAT THE ABOVE 18 CORRECT AND LATH INT
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS RE TIN: BUILDING CO RUCTION. LATH EXT
BIGNATURH OF NOUBE NUMBER COR-
PERMITTE REGI AND POSTHD
A DDREs9 �0 FINAL
CLYDE N DIRLAM PRINCIPAL STR URAL ENGINEER
VALMATION CIC Y O CAW 1 PER=YALU) Y O CA/H
L}U;D7 9 1 5 ,�,� 1 2 1 A 6.0 0
m.
t TEMPLE CITY
7Y .Mt..1 \'I APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDINGIZZO S P- LLETT Sr
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUnDING AND SAFETY DrMON LOCALITY T—EwI Pr 6 C/
JOHN A LAMME, COUNTY ENGINCGR NEAREST
ILLIAM A ! N Su"of BUILDING CROSS ST _R-A TV S IK
DISTRICT NO GROUP TYPE,--l-r-1PROCESSED BY
FOR APPLICANT TO FILL IN Sip coNBT v"VK8
BUILDING G' O �+ STATISTICAL CLASSIFICATION SEWER MAP
ADD ESB / �] K Po
CLASS NO ELL UNITS4-1
LOT NO BLOCK WATER NOT REQUIRED RECEIVED Lj
CERTIFICATE
TRACT MAP
HIO AY STATE MAJOR SECOND OC
SIZE OF LOT NNO OW F LOTS / NO ZO ICIRCLsI
USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG A —'
TEL
OWNER NO BUILDING EXIST
SETBACK YARD HWY STREET NAME WIDTH
ADDRESS SX
FRONT
ARCHITE OR TEL P L 2V j P FKY'F' S4
ENGINEER NO SIDE
P
ADDRESS
CONTRACTOR C � I /INSPK�Wa.l
TELO^N RECORD I - O
NO
^ V
ADDRESS
DESCREMON OF WOBK �
a
NEW ADD ALTER REPAIR DEMOLISH N
Z
SO PT OF OF
ST FA —
12E STORIES '� FAMILIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION E ✓ Pte'
APPROVALS DATAE INSPECTOMS SIGN
PC PMT o FOUNDATION LOCATION
FEE FEE FORMS MATERIALS
FRAME FIRESTOPS /�/� ♦ `,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION F�`�i_=
WITH ALL COUNTY ORDINANCES AND STATE LAWS REOULATIHO GAB VE DUCTS
BUILDING CONSTRUCTION 1 CERTIFY THAT IN DOI NO THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT A
TION OF THE LABOR C Q OP THE STATE OF CALIFORNIA RELAT c-
IND TO WORKMEN B PENBATION I URANCE LATH EXT IgNVA�O 1,//R/ C�?�
SIGNATURE OF 1 HOUSE NUMBER COR-
PERMITTE RECT AND POSTED
ADDRESS PINA 7
CLYDE N DIRLAM, PRINCIPAL STRUCTURAL EyJ E�a
PLAN CHECK VALIDATION « mo DAER PEBMTf VALIDATION « mo (wH/
L_ Ld 53311 JJV 6 1 0 6n0-/>
Gam/
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES B U I-L® ' N G-
WM. J. FOX, CHIEF ENGINEER APPLICATION
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING OI�f _ Alar
'IDT 7 N6 I PUN Cn�Om No P¢RM ITN D
ADDRESS QZj rMI �O 3 3
_LOCALITYEftl [I Y DAT[OF APPrL DAT[ ISSUED
NCARCST
CROBMG, . BUILDING I O I r
��f REBB .-
OWNER W ADD ,
MAIL •' _ LOCALITY - FIS
ADOR I V CROSS
ST ri�
CITY1�aAl RCC C°JTY MLA/� FIRE�N[B ✓ PLANor
S 71c-24
YP6� OROUP;T
ARCHITECT OR TEL --— — 1
ENGINEER NM BLDG I ORDf NO
BCTBACKr LIN[
ADDRESS USE APPROVED I 1
`/1j T[L I ZONE By ,_ DAT[
Al
CONTRACTOR 11/II'�'���`�AA//�� NNO �` ^ HOUSE NUMBERING I
WW(J )"0414'7 I MAP NUMBER ' INO ASSIGNED BY I
AGGRESSf��
LEGAL I
DESCRIPTION I LOT NO BLOCK CORRECTIONS '
/01
TRACT rl
or BLOGIL ,/ B�'Q�� gwOR
NO
SIZE Or LOT I G 2 NOW ON LDT 0 nF r
USE or R AGE NO.or �"�$¢' - C. '
EXISTIN BLDG hrul[e
DESCRIPTION OF WORK p
NEW ALTERATION ADDITION
REPAIR DEMOLITION
BQ rT NO OI
Biz[ ROOMS STORIES
CCOOV RIING STUCCO CCVFRINGCAMpt) r
UBE or STRUCTURE I O
00 y
INSPECTION FOR APPROVALS
OCCUPANCYAS INSPECTO 'BBIONATUR[ DATE
FOUNDATION-
ILOCATION
FORMS, MATERRIILS
1 HEREBY ACKN OWTHAT I HAV[ READ THIS AP-
PLICATION AND STATEE THAT THE IN
GIVEN IB FRAM[ IIRB LT91 �
CORRECT I BRACING, BOLTS n
1 AGREE 'f�OMPLY WITH ALL COUNTY ORDINANCES FURNACE LOCATION. /n
AND STATE C\AWB1REOULATING B OI ONBTRUOTION OAS VENT DUCTB L v
a
SIGNATURE OF LATH. INT
PERMITT[ �1 J�
ADOR OA�Iba LATH. EXT.
I
i PLASTER. INT.
AUTHOgIZEO ADT
PLABTER, IKT
i( r P C B[ 7� HOUSE NUMBER COR-
V i R /� R[CT AND POSTED /.
VALUATION Z , C
R[ ��'""" FINAL 14
G
'NM®A eea 3 T+EI
�aAeaeA,ce ReoB l"APPLICATION FOR E ILDrNG P RMI
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE A PARCELI
BUILDING AND SAFETY DIVISION BUZ 1
ADILDING DRESS CZ+ GCS
COLEMAN W JENKINS, YUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL N NEAREST
D CROSS ST
BUILD(NG,7 DI�$.BI�T G TYPE P SSED BY
ADDRESS cCC-hh((1jJJ1l CONSfic
STATISTICAL CLA IFICATION SEWER P
LOT NO BLOCK !�
CLASS NO ` DWELL UNITS_ BIP
TRACT VS Z NE MAP
NO OF BLOCS NO
SIZE OF LOT NOW ON LOT _ 5PECIAL
USE OF CONDITIONS
EXISTING BLDG
TE
OWNER /rA NOL - 7
G SETBACK FROM
ADDRESS E FR PROP LINEOF (STREET)
/ [ TVPE OF NG SETBACK HIGHWAY } YARD = TOTAL
CITY ^C y ' HIGHWA WIOT ZCL
ARCHITECT OR TEL I}
ENGINEER NO BLDG SETBACK FROM
ADDRESS sI--.
LINE OF (STREET( yy..
''l II6 TEL TYPE OF E%
WISTING SETBACK HIGHWAY + YA = TOTAL G.
CONTRACTOR 1UNO HIGHWAY WIDTH FROM C L
LIC
ADDRESS NO +
LIC
CITY CLASS CORNER CUTOFF YES ❑ NO ya
CONSTRUCTION LENDERA )O�Lus
NAME AND BRANCH N C SEE REVERSE S!W FOR SPECIAL APPROVALS Z
ADDRESS
SO FT NO OF NO OF NEW ❑ 77—
SIZE STORIES FAMILIES ❑ i
USE OFADD162. 7
STRUCTURE
ALTER ❑
SIGNATURE OF REPAI _
APPLICANT DEMOL ❑
VALUATION 5
APPROVALS TE INsjf CTO" a m Tu"E
P C PMT FOUNDATION LOCATION
FEES FEE S 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
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT DUCTS
STRUC TIONI CERTIFY THAT IN DOING THE WORK AUTHORISED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSATION INSURANCE LATH EXT -
SIGNATURE OF//o�//(( / / HOUSE NUMBER COR-
PERMITTE7F�f,l^_'h /q, l/ �f/ 1/� RECT AND POSTED
ADDRESS :1 /�l7* FINAL
PLAN CHECK VALIDATION c" M JOHN F LEWIS PRI IPAL STRU URAL ENGINEER
o CASH
_ PERMIT V ON cK N D CASH
I �lLo5951 -" MAY 9 1 D 6.00
WftRKESW COMPENSATION DECLARATION -
-r
sur or ar rt,fic t I have o cs Comte ns assent ro self APPLICATION',FOR BUILDING PERMIT �
insure or a mrtihcate of Workers Compensation Insurance
or a certfied copy thereof (Sec 3800, Lab C ) ' - _ _
`•;COUNTY-OF LOS ANGELES BUILDING AND SAFETY
Policy No r Company -Certified co ,s hereby furnished , , BUILDING 10
❑ Py y FOR APPLICANT TO FILL IN_t� AOORESS
Certified copy ,s filed with the county building ,nspec BUILDING .7'! al r h 7-
Date
department' ' •• ADDRESSq9_2-0 9•"2-O /t" s/ i I
{ 9/7(f0
Pate , - Applicant -, { cm Tc w, I CI / ZIP LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS •+ - - .60 /+M. --NO OF BLDGS NEAREST I - _ -
COMPENSATION INSURANCE , SIZE OF LOT I# NOW ON LOT ST
(This section need not be completed ,f the permit is for one TRACT�b LI� - BLOCX - LOT NO /y ASSESSOR- '
hundred dollars($100)or less ) r c MAP BOOK PAGE PAROL
_ �z, �L,s TEL /� U$E ONE
OWNER/Ar h ✓f NO%0 72MAP
-
I certify that ,n the performance of the work for which this /z) NO ,>.
perms is,slued, shall not employ any pe on m any manner _ ADD S-C'� -- Sr Y� ' SPECIAL - . - - O
so as to become iit- �ublect t7thh orkerst m sohon Laws IIS"'
Date Appipl,fa" crry Tc, / C:f _ __ zip `�'/_7 !/ _ - - - t -- - - i- - - �
NOTICE TO APPLICANT Ife n this Cend,cote of ARCHITECT OR TEL ENGINEER NO DISTRICT GROUP TYPE FIRE SSED BY O
t - W
Exemption you should beta s to the Workers z
Compensation provisions of the Labor Code you must forth- ADDRESS .J[v4 �J _ ✓ d
with comply with such Provisions or th,s�permn shall be - - - -- - - - TEL r - - STATISTICAL QASSIF TION + API CONDO 77jt
deemed revoked , t , , CONTRACTOR re ..... NO I ,—
LICENSED CONTRACTORS DECLARATION - _ - _LIC - CLASS NO DWELL UNITS_
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 0 Q NO 33
(commencing with Section 7ODD)of Division 3 of the B nines and - _ _ _ LIC SEWER','1AP
Profesmons Code and my license ,s in full force and effect CITY A/r /t� CLASS VALIDATION
1a • f'� 9' ` SO Ff ST OF , NO OF , CHECK BK PG
L¢ense Number 3�( �3Lic Class• SIZE NO STORIES FAMIDES ONE o
//,,//,i VALUATION _
ContiactorJerrrfY /-Lewi I. DESCRIPTION OF WORK I ON- - NEW s /IOD
❑ I am exempt - 2- -w ADD
A
T/V C CO ALTER _S
B 8P C for ilio reason REPAIR -
Data USE OF
Z��Z�(' EXISTING BLDG Nty 1 DEMAOL
Sianatun _ Lifit/'Lt APRPRI NT TEL _ DATE
R ER DECLARATION PRINT NO e e
•I hereby offs I am exempt from the Contractor's LicenseADDRESS G U� /T LGM tf 0 2 1 2-8 6
Low for the following reason (Section 7031 5 Business and FIN
-Professions Code) "' ' - - - By
❑ BURRING
I, as owner of the property, or my employees with _ ADDRESS
wages as their sole compensation,will do the work and
the structure,s not intended or offered for sale(Section LOCALITY '
70" Business and Professions Code) - MOVING - - - '' - -TEL _ .
❑ I as owner of the property om exclusively controctmg CONTRACTOR NO ,
with licensed contractors to construct the project (Sec - ^- - - - - • - , - \ - t - -
tion 7000 Business and Professions Code) ADDRESS
- - -- CONSTRUCTION LENDING AGENCY SET BAIX YARD HWY- T T
I PROP LINE WIDTH
hereby affirm that there s _TRONT construction lending agency for FR
-the performance of the work for which this permit ,s issued - - PL
(Sec 3097, C,v C ) SIDE \ • , ,
a PL - - -=,�• -
Lender s Name
$ .SO_ LDMA Ref Y
>- Lender's Address hrm,t Fee - -
L I certify that I have read this application and state that the Issuance Fee SO i TDMAP/C Y I -
Z above information ,s correct 1 agree to comply with all Count Invest gon.Fee �p
B _ordinances and State lows relating to building construction, Total Fee 1 s,7-J/0 D- LDMA Perm f - - - -
d and hereby authorize representatives of this Count to enter
upon the a6ov men ned property for inspection purposes --
Z SEE REVERSE FOR EXPLANATORY LANWAGE
s - Applicant or Agent _ _ Data B i
WORKERS COMPENSATION DECLARATION -
hereby insure, c
o ar that I have a certificate a4 Conten, to nee, APPLICATION FOR' BUILDING PERMIT
insure, or a certificate of Workers Compensation Insurance, APPLICATION
or a 0 hfi d cop thereof LLSec 38A Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY
aQo�ON44J.2—�. tZo n Argonaut Ins.
� � Y BUILDI
E] Certifiedcopy is hereby furnished FOR APPLICANT TO FILL IN ADOREss < '-_ U
ITCertified copy is filed with the county budding inspec- BUILDING "' r
tion department ADDRESS 9220 8parklett 8t. LOCALITY
Date 11-1-83 Applicant L. Randol CIT Temple City ZIP 91780 NEAREST a,
CERTIFICATE OF EXEMPTION FROM WORKERS - NO OF BLDGS SSESSSOR t - d
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT BOOK 4PAGE� P V
i (Thu section need not be completed if the permit is for one USE '•
LOCK LOT NO l
IMAP
hundred dollars (5100)or less )
TRACE BI - W
I certify that in the performance of the work for which this
owr�R Jame9 Deurmeiss TEL corL
SPECIAL u
permit is issued, I shall not employ any person in any manner 9220 Sparklett at., DISTRICT GROUP G uT '4 ` ia� .!Y/ >.
W as to become subject to the Workers'Compensation Lows ADDRESS .� -
3-16-83 Lovard L. Randol Co cm Temple City ZIP 91780 Li ncz 5
't Date Appllcan ARCHITECT OR TEL STATISTICAL CLASSIFICATION AFT 00NDO d
° NOTICE TO APPLICANT If, after making this Certificate of RCHITER NO CLASS NO"' DWELL UNITS
Exemption, you should become subject to the Workers' ENGINE _
su
Compensation provisions of the Labor Code, you must forth- ADDRESS SEWS f� -
with comply with such provisions or this permit shall be
deemed revoked CONTRA OgHOMard L. Rando ZL Co.28840 BK PG, VALIDATION
LICENSED CONTRACTORS DECLARATION 8 @y . LIC
I hereby off um that I am licensed under provisions of Chapter 9 ADDRESS • NO
(commencing with Section 7000)of Dtvmoe 3of the Busmessond sort aabriel LIC C-39
^ Professions Code, and my license is in full force and effect CITY CLASS S
OF C+4ECK on
License Number.186086 Llc Class C-39 SIZE STORIES FAMILIES ONE
Rovard L. Randol Co. 3-16=83 400
DE IPTION OFWORK Re-roof NEW _
wave WXMn
Contractor Dote ` C] ,
I am exempt under Sec ALTER FINAL
B &P C for this reason compo. shingles 12818, gEPAIR �j DATE
Date EXISTING BLDG DEMOt FINAL
APPUC4tfflOMa! L. RandolYT +
Signature • _
OWNER-BUILDER DECLARATION i PRINT NO .p S
I hereby affirm that I am exempt from the Contractor s License 529 $• Valley B1• 88n Gabrif I
+ Law for the following reason (Section 7031 5, Business and A / 77
Professions Code) ma� 7n T, •'i�'y 'e
I I, as owner of the property Y employs" BUILDING - - Q
pr p rsa or m do to or sand ADDRESS f�
theses ct their sale comintended
or off willred fa the work and
the structure a not miended or offered fat sale(Section LOCALITY
7044, Business and Professions Code) MOVING TEL T r
1, ce owner of the property, am exclusively contracting CONTRACTOR NO '-d ' 1, —Cj 3
with licensed contractors to construct the project (Sec- ADDRESS
tion 704 Busmes+and Professions Code) '
IRED TOTAL SETBACK FROM EXIST
CONSTRUCTION LENDING AGENCY S 7 g,s,CK YARD HWY PROP LINE WIDTH ► -
I hereby affirm that there iso construction landing ogency for FRONT
the performance of the work for which this permit is issued P L '
' (Sec 3097 Civ C ) SIDE ,
I PL
' Lenders Name
Lender's Address P G Fee S Permit Fee
I certify that I have read this application and state that the Issuance Fee • 40
above information is correct I agree to comply with all County Investigation Fa 49. tie
ordinances and State jaws relating to building construction, Total Fee
and hereby authorize representatives of this County to enter °
upon the above-mentioned property for inspection purposes
r 1
a t EEE REVOLR FOR EXPLANATORY LANGUAGE
Slgrwture of Applicant or Agent Date _ es
L _